Nursing Commons^™

Blood Sampling Through Peripheral Intravenous Cannulas: A Look At Current Practice In Australia, Hugh Davies, Linda L. Coventry, Alycia Jacob, Laurita Stoneman, Elisabeth Jacob

Research outputs 2014 to 2021

Background: Sampling blood from a peripheral intravenous cannula offers an alternative to venepuncture. This practice can reduce frequency of venepuncture and patient discomfort. Opponents argue the practice increases the chance of haemolysis, risk of infection and device failure. Aim: To describe the prevalence and practice of blood sampling from peripheral intravenous cannulas by Australian nurses. Methods: This study used a descriptive cross-sectional design and data were collected using an electronic survey. The survey examined Australian nurses’ practice of sampling blood from peripheral intravenous cannulas. Quantitative descriptive data was analysed and presented as frequencies, percentages, medians and ranges. Findings: A total …

Use, Adoption, And Effectiveness Of Tippy-Tap Handwashing Station In Promoting Hand Hygiene Practices In Resource-Limited Settings: A Systematic Review, Balwani C. Mbakaya, Fatch W. Kalembo, Maggie Zgambo

Research outputs 2014 to 2021

Background:

Tippy-taps are locally made devices for washing hands with running water. They are simple and low-cost, enabling technology that provides adequate water sources, handwashing stations and motivation for people to prioritise handwashing. This systematic review aimed to establish the use, benefits, adoption and effectiveness of enabling technology; tippy-tap handwashing station, in resource-limited settings.

Methods:

We systematically searched for articles in the PubMed, EMBASE, PsycINFO, AMED, CINAHL, DOAJ and Google Scholar databases guided by the acceptable best practice developed by the PROSPERO and COCHRANE for systematic search and selection of articles. Search terms such as tippy-taps, enabling technology, hand-washing station, …

Biopsychosocial Risk Factors And Knowledge Of Cervical Cancer Among Young Women: A Case Study From Kenya To Inform Hpv Prevention In Sub-Saharan Africa, Irene Ngune, Fatch Kalembo, Barbara Loessl, Lucy W. Kivuti-Bitok

Research outputs 2014 to 2021

Background Cervical cancer is the second most common female reproductive cancer after breast cancer with 84% of the cases in developing countries. A high uptake of human papilloma virus (HPV) vaccination and screening, and early diagnosis leads to a reduction of incidence and mortality rates. Yet uptake of screening is low in Sub-Saharan Africa and there is an increasing number of women presenting for treatment with advanced disease. Nine women in their twenties die from cervical cancer in Kenya every day. This paper presents the biopsychosocial risk factors that impact on cervical cancer knowledge among Kenyan women aged 15 to …

Clarifying Workforce Flexibility From A Division Of Labor Perspective: A Mixed Methods Study Of An Emergency Department Team, Sarah Wise, Christine Duffield, Margaret Fry, Michael Roche

Research outputs 2014 to 2021

Background: The need for greater flexibility is often used to justify reforms that redistribute tasks through the workforce. However, "flexibility" is never defined or empirically examined. This study explores the nature of flexibility in a team of emergency doctors, nurse practitioners (NPs), and registered nurses (RNs), with the aim of clarifying the concept of workforce flexibility. Taking a holistic perspective on the team's division of labor, it measures task distribution to establish the extent of multiskilling and role overlap, and explores the behaviors and organizational conditions that drive flexibly.

Methods: The explanatory sequential mixed methods study was set in the …

Predictors Of Ceasing Or Reducing Statin Medication Following A Large Increase In The Consumer Copayment For Medications: A Retrospective Observational Study, Karla Seamon, Frank Sanfilippo, Max Bulsara, Libby Roughead, Anna Kemp-Casey, Caroline Bulsara, Gerald F. Watts, David Preen

Research outputs 2014 to 2021

OBJECTIVES:

Previous Australian research has shown that following the 21% increase in patient copayments for medications on the Pharmaceutical Benefits Scheme (PBS) in 2005, the use of lipid-lowering therapy declined by 5%. This study aimed to determine the demographic and clinical characteristics of individuals who continued, reduced or ceased their use of statin medication in 2005.

STUDY TYPE:

Retrospective observational study using routinely collected administrative data.

METHOD:

We used pharmaceutical claims, hospital separations and mortality records from 2000 to 2005 for the Western Australian population. The cohort comprised stable users of statin medication in 2004. Based on changes in statin …

Supporting New Graduate Registered Nurse Transition For Safety: A Literature Review Update, Melanie Murray, Deborah Sundin, Vicki Cope

Research outputs 2014 to 2021

Background: Reports suggest higher incidence of medical errors occur during times of transition for new practitioners, in part due to general staff disruption in the health services and inexperience of those entering the workplace. NGRNs experience a range of challenges on transition to professional practice and their transition experience will impact their ability to provide high quality patient care.

Aim: The aim of this review was to critically appraise the contemporary literature concerning the transition of new graduate registered nurses (NGRNs) and their patient safety knowledge and practices.

Design: A scoping review of research literature.

Methods: The review used key …

The Influence Of Adaptive Challenge On Engagement Of Multidisciplinary Staff In Standardising Aseptic Technique In An Emergency Department: A Qualitative Study, Amanda Towell-Barnard, Susan Slatyer, Helen Cadwallader, Michelle Harvey, Susan Davis

Research outputs 2014 to 2021

Aims and objectives: To explore the challenge of engaging multidisciplinary staff in standardising aseptic technique (AT) in an emergency department (ED) in an Australian tertiary hospital, and to better understand the enablers and barriers to implementing practice change within this setting.

Background: Healthcare‐associated infections are the most common complication for patients in acute care. A clinical practice framework developed in the United Kingdom (UK) standardised AT practice to reduce potential infection risk. One Australian tertiary hospital drew upon this framework to similarly improve clinical practice. It was understood that standardising practice would require some practitioners only to revisit and demonstrate …

Aboriginal People With Chronic Hcv: The Role Of Community Health Nurses For Improving Health-Related Quality Of Life, Amineh Rashidi, Peter Higgs, Susan Carruthers

Research outputs 2014 to 2021

Introduction: There is a lack of knowledge about Health-Related Quality of Life (HRQL) of Aboriginal Australians with self-reported hepatitis C infection in Western Australia. This marginalised group of people is disproportionally affected by the hepatitis C virus (HCV) for which there is no preventative vaccine. This study provides data that help understand the long-term consequences of living with HCV infection within the Aboriginal community. It outlines opportunities for nursing interventions for hepatitis care that focus on supporting mental health and drug and alcohol issues within this population. Methods: We surveyed 123 Aboriginal people living with HCV in a community setting. …

Are Current Clinical Guidelines On The Use Of Peripheral Intravenous Cannula For Blood Draws Supported By Evidence? An Organizational Case Study, Alycia Jacob, Linda Coventry, Hugh Davies, Elisabeth Jacob

Research outputs 2014 to 2021

© 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd Aim: To examine the quality of evidence used to inform health policies. Policies on peripheral intravenous cannulas were used as exemplars. Design: An organizational case study design was used, using the STROBE reporting guidelines. Methods: Policy guidelines were sourced between June and September 2018 from health departments in Australia. Seven documents were compared regarding intravenous cannula dwell times and blood collection use. Evidence used in the documents was critiqued using assessment guideline from the Oxford Centre for Evidence Based Medicine. Results: Large variations exist between policies regarding …

Recognition And Management Of Agitation In Acute Mental Health Services: A Qualitative Evaluation Of Staff Perceptions, Joshua Tucker, Lisa Whitehead, Peter Palamara, Josephine Xenia Rosman, Karla Seaman

Research outputs 2014 to 2021

© 2020, The Author(s).

Background: Agitation among patients is a common and distressing behaviour across a variety of health care settings, particularly inpatient mental health. Unless recognised early and effectively managed it can lead to aggression and personal injury. The aim of this paper is to explore the experiences of mental health nurses in recognising and managing agitation in an inpatient mental health setting and the alignment of these experiences with best practice and person-centred care.

Methods: This study used a descriptive qualitative methodology. Semi-structured focus group interviews were conducted with 20 nurses working in a mental health unit in …

Interpreting Health Events In Big Data Using Qualitative Traditions, Roschelle L. Fritz, Gordana Dermody

Research outputs 2014 to 2021

© The Author(s) 2020. The training of artificial intelligence requires integrating real-world context and mathematical computations. To achieve efficacious smart health artificial intelligence, contextual clinical knowledge serving as ground truth is required. Qualitative methods are well-suited to lend consistent and valid ground truth. In this methods article, we illustrate the use of qualitative descriptive methods for providing ground truth when training an intelligent agent to detect Restless Leg Syndrome. We show how one interdisciplinary, inter-methodological research team used both sensor-based data and the participant’s description of their experience with an episode of Restless Leg Syndrome for training the intelligent agent. …

External Barriers For Including Parents Of Preterm Infants In A Randomised Clinical Trial In The Neonatal Intensive Care Unit In Sweden: A Descriptive Study, Evalotte Mörelius, Emma Olsson, Charlotte Sahlén Helmer, Ylva Thernström Blomqvist, Charlotte Angelhoff

Research outputs 2014 to 2021

© Author(s) (or their employer(s)) 2020. Objectives Performing randomised controlled trials (RCTs) in neonatal intensive care is challenging in many ways. While restrictive inclusion criteria or busy study protocols are obvious barriers, external barriers leading to termination of a study are seldom discussed. The aim of this study was to describe barriers for inclusion of families in neonatal intensive care in an RCT aiming to evaluate the effects of continuous skin-to-skin contact on mood and sleep quality in parents of preterm infants, as well as the quality of parent-infant interaction and salivary cortisol concentrations at the time of discharge. Design …

Our Covid-19 Artwork: Children From Around The World Share Their Experiences, Bernie Carter, Mandie Foster, Therese O'Sullivan, Angela A. Quaye, The International Network For Child And Family Centered Care

Research outputs 2014 to 2021

We gave children the opportunity to share a piece of artwork that
reflected something about their experience of life during COVID-19
restrictions (March-May 2020). The descriptions, stories and poems
presented in this e-book have been transferred verbatim from the
original submissions.

For each submission, we asked about the level of COVID-19
restrictions experienced by the child at the time of their entry. These
levels consisted of:

* None (no change to normal living routine)
* Minimal (e.g. still attending school, but not allowed to play with
friends after school)
* Some (e.g. still attending school, but not allowed to play …

Factors That Influence Adherence To Treatment Plans Amongst People Living With Cardiovascular Disease: A Review Of Published Qualitative Research Studies, Amineh Rashidi, Prachi Kaistha, Lisa Whitehead, Suzanne Robinson

Research outputs 2014 to 2021

Background

Treatment plan adherence is recognized as a worldwide health issue, particularly important in the management of cardiovascular patients. Healthcare professionals are the primary sources of information and support for people diagnosed with CVD and those who have experienced a cardiac event, yet we know little about how healthcare professionals contribute to the process of adherence to treatment plans that aim to prevent and/or reduce disease and adverse events. Qualitative evidence that explores factors that influence adherence to treatment plans is limited.

Objective

This systematic review identified and synthesised the best available evidence on factors that influence adherence to treatment …

Benner's Model And Duchscher's Theory: Providing The Framework For Understanding New Graduate Nurses' Transition To Practice, Melanie Murray, Deborah Sundin, Vicki Cope

Research outputs 2014 to 2021

The transition to quality and safety in the new graduate registered nurses' practice remains problematic directly impacting patient outcomes. Effective mentoring during transition serves to enhance experiential learning, allowing the development and establishment of safe, quality nursing practice. Comprehensive understanding of the transition process, including the barriers and effective enablers to transition is the key to effective mentoring. A theoretical framework guided by Duchscher's Stages of Transition Theory and Transition Shock Model and Benner's From novice to expert model can facilitate such understanding. Nurse Theorists play an important part in shaping nurse education and practice and have provided nurse educators …

The Validity And Utility Of Violence Risk Assessment Tools To Predict Patient Violence In Acute Care Settings: An Integrative Literature Review, Manonita Ghosh, Di Twigg, Yvonne Kutzer, Amanda Towell-Barnard, Gideon De Jong, Mary Dodds

Research outputs 2014 to 2021

To examine risk assessment tools to predict patient violence in acute care settings. An integrative review of the literature. Five electronic databases – CINAHL Plus, MEDLINE, OVID, PsycINFO, and Web of Science were searched between 2000 and 2018. The reference list of articles was also inspected manually. The PICOS framework was used to refine the inclusion and exclusion of the literature, and the PRISMA statement guided the search strategy to systematically present findings. Forty-one studies were retained for review. Three studies developed or tested tools to measure patient violence in general acute care settings, and two described the primary and …

Millennial Midwifery: Online Connectivity In Midwifery Education, Sadie Geraghty, Angela Bromley, Angela Bull, Mpho Dube, Cindy Turner

Research outputs 2014 to 2021

Aim: The aim of this study was to explore graduate midwives’ experiences of completing a Bachelor of Midwifery online theory course and how that experience led to preparation for practice and future employment as a midwife. Methods: This study used a questionnaire, with the core research design having a quantitative component using open-ended questions, via the use of an electronic platform. Results: The main themes emerging from the data that the graduates considered important issues were flexibility, isolation and lack of support. Conclusion: Course completion, experience of online learning/preparation for practice, and recommendations for improvement were identified as areas of …

The Ward-Based Nurse Clinical Educator: Impact On Student Learning Outcomes And Student And Preceptor Experiences, Karen Ann Mccarthy

Theses: Doctorates and Masters

Aim

This study aimed to determine the impact of the implementation of a ward based Nurse Clinical Educator (NCE) role on students and staff at one health service whilst students were on clinical practicum at a Western Australian regional health care facility.

Question

The research question was: “What impact does the NCE support intervention have on students and clinical staff during clinical practicum?” Background Clinical experience for undergraduate student nurses (students) undertaking their bachelor’s degree is of utmost importance for gaining both competence and registration. Students encounter difficulties in obtaining opportunities to practice their skills and develop competence when on …

New Graduate Nurses' Understanding And Attitudes About Patient Safety Upon Transition To Practice, Melanie Murray, Deborah Sundin, Vicki Cope

Research outputs 2014 to 2021

AIMS: To explore the transition experiences of newly graduated registered nurses with particular attention to patient safety.

BACKGROUND: New graduate registered nurses' transition is accompanied by a degree of shock which may be in tune with the described theory-practice gap. The limited exposure to clinical settings and experiences leaves these nurses at risk of making errors and not recognising deterioration, prioritising time management and task completion over patient safety and care.

DESIGN: Qualitative descriptive approach using semi-structured interviews.

METHODS: Data were collected during 2017-18 from 11 participants consenting to face-to-face or telephone semi-structured interviews. Interviews were transcribed verbatim, and data …

Variables Associated With Successful Vascular Access Cannulation In Hemodialysis Patients: A Prospective Cohort Study, Linda L. Coventry, Jon M. Hosking, Doris T. Chan, Evelyn Coral, Wai H. Lim, Amanda Towell-Barnard, Diane E. Twigg, Claire M. Rickard

Research outputs 2014 to 2021

BACKGROUND: Successful vascular access (VA) cannulation is integral to the delivery of adequate dialysis, highlighting the importance of ensuring the viability of arteriovenous access in hemodialysis (HD) patients. Missed VA cannulation can lead to infection, infiltration, hematoma or aneurysm formation resulting in the need for access revision, central venous catheter (CVC) placement, or permanent loss of VA. Cannulation-related complications can also negatively impact on a patient's dialysis experience and quality of life. This study aimed to identify patient, VA and nurse factors associated with unsuccessful VA cannulations.

METHODS: A prospective cohort study was conducted in HD patients with a permanent …

A Qualitative Study Into The Communication Surrounding The Initiation And Withdrawal Of Non-Invasive Ventilation (Niv) In People With Motor Neurone Disease, Charlotte Chapman

Theses: Doctorates and Masters

Introduction

Motor neurone disease (MND) is a degenerative disease that adversely affects the nervous system and muscular control. Eventually respiratory muscles weaken, causing breathing, communication and swallowing difficulties, and ultimately, respiratory failure and death. Improved quality of life and potentially a short extension of life can be provided with non-invasive ventilation (NIV), which is offered to people with MND when symptoms of respiratory distress become evident.

It is recommended that end-of-life communication, encompassing the benefits and burdens of symptom-relieving interventions (NIV and percutaneous gastrostomy tube to assist with nutrition), NIV withdrawal (proposed when continued use is considered futile) and other …

Do Midwifery International Clinical Placements Influence Students' Practice And Employment Decisions?, Sadie Geraghty, Carol Davidson, Annemarie Deleo, Dianne Bloxsome

Research outputs 2014 to 2021

AIM: The aim of this study was to investigate whether an International two-week clinical maternity placement enhances, and is beneficial, to midwifery students' future practice and employment decisions during the final year of an undergraduate degree.

BACKGROUND: International placements are common in undergraduate pre-registration nursing midwifery university curricula, with the emphasis on preparing students to work with diverse women in multicultural environments whilst incorporating cultural competence. However, little is known as to whether an International placement influences future graduate's work place choice.

METHODS: Using a qualitative approach, focus groups were undertaken with 16 final year midwifery students from a University …

Factors Associated With Midwives' Job Satisfaction And Intention To Stay In The Profession: An Integrative Review, Dianne Bloxsome, Deborah Ireson, Gemma Doleman, Sara Bayes

Research outputs 2014 to 2021

AIMS AND OBJECTIVES: To conduct an integrative review of the factors associated with why midwives stay in midwifery.

BACKGROUND: Midwifery retention and attrition are globally acknowledged as an issue. However, little is known as to why midwives stay in midwifery as the focus has previously focussed on why they leave.

DESIGN: A structured six-step integrative review approach was used, and this involved the development of a search strategy, study selection and critical appraisal, data abstraction and synthesis, interpretation of findings and recommendations for future practice.

METHODS: The review was conducted using the databases MEDLINE, CINAHL and PsychInfo. Included studies were …

A Public Health Perspective Of The Higher Education Experiences Of Women Studying Nursing: A Hermeneutic Inquiry Into Commencement And Progression, Lesley Jane Andrew

Theses: Doctorates and Masters

While student retention is a central goal across higher education, the projected shortage in the Australian health workforce has intensified its importance to undergraduate nursing.

Nursing degrees attract a higher proportion of mature-age women students than ever before. More are therefore beginning university at life stage characterised by marriage (or co-habitation) and traditional family structures. Nursing retention strategies require an understanding of the unique university experiences of these women, however, this is missing in the nursing literature. This study is the first to explore the experiences of these women students, doing so from the perspective of Bachelor of Science (Nursing) …

"I Love Being A Midwife; It's Who I Am": A Glaserian Grounded Theory Study Of Why Midwives Stay In Midwifery, Dianne Bloxsome, Sara Bayes, Deborah Ireson

Research outputs 2014 to 2021

Aims and objectives: To understand why Western Australian (WA) midwives choose to remain in the profession.

Background: Midwifery shortages and the inability to retain midwives in the midwifery profession is a global problem. The need for effective midwifery staff retention strategies to be implemented is therefore urgent, as is the need for evidence to inform those strategies.

Design: Glaserian grounded theory (GT) methodology was used with constant comparative analysis.

Methods: Fourteen midwives currently working clinically area were interviewed about why they remain in the profession. The GT process of constant comparative analysis resulted in an overarching core category …

Exploring How Nurse Practitioners Implement Leadership And Research, Mary Ryder, Elisabeth Jacob, Joyce Hendricks

ECU Posters

The original concept of the Nurse practitioner role was to expand nursing practice in order to provide high quality, accessible healthcare to patients. This placed NPs at the crux of changes to healthcare delivery. Implementing these changes requires leadership. Research demonstrates the effects of these changes to healthcare delivery and contributes healthcare knowledge from the nursing profession.

A Survey Of Leadership And Research Activities Of Nurse Practitioners, Mary Ryder, Elisabeth Jacob, Joyce Hendricks

ECU Posters

Nurse practitioners (NP) provide improved access to quality healthcare for identified patient populations. NPs are identified as the ideal conduit to transform healthcare delivery internationally. Trandforming healthcare requires the application of leadership and research skills. The literature to date has limited information on NPs as leaders or researchers in the nursing profession.

Leadership And Research Activities Of Nurse Practitioners: Ireland And Australia, Mary Ryder, Elisabeth Jacob, Joyce Hendricks

ECU Posters

Nurse practitioners (NP) are identified as the ideal conduit to transform healthcare delivery internationally. Healthcare transformation requires the application of leadership and research skills. The literature to date has limited information on NPs as leaders or researchers in the nursing profession.

Nurse Practitioners Perceptions On Leadership And Research [Slides], Mary Ryder, Elisabeth Jacob, Joyce Hendricks

Research outputs 2014 to 2021

Conclusion:

• Participants identified themselves as clinical leaders focused on direct patient care
• The NP role was misunderstood
• Support from nursing academics and management was identified as a research opportunity
• Confidence in research abilities was a barrier to research
• The NP role was similar in Ireland and Australia

Traditional Methods For Managing Illness In Newborns And Infants In An Arab Society, Diana H. Arabiat, Lisa Whitehead, Mohammad Al Jabery, Amanda Towell-Barnard, L. Shields, E. Abu Sabah

Research outputs 2014 to 2021

Aim: This study explored self‐management practices in relation to traditional methods for managing illness in newborns and infants and the implications of these practices on infant health.

Background: Self‐medication with folk remedies is believed to have short‐ and long‐term impacts on well‐being. Little is known about how mothers in Arab societies used their traditional beliefs and practices in self‐managing their newborns’ and infants’ health.

Methods: Data were collected from five focus groups using open‐ended questions with 37 mothers. Participants were selected using snowball sampling and were recruited from four different cities in Jordan between June 2016 and August 2016.

Ethical …