Knowledge and awareness of diabetes mellitus and its risk factors in Saudi Arabia
- Authors: Alanazi, Faisal , Alotaibi, Jazi , Paliadelis, Penny , Alqarawi, Nada , Alsharari, Abdaldarem , Albagawi, Bander
- Date: 2018
- Type: Text , Journal article , Review
- Relation: Saudi Medical Journal Vol. 39, no. 10 (2018), p. 981-989
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- Description: Objectives: To summarize available peer-reviewed publications about public knowledge and awareness of diabetes mellitus (DM) among the population of Saudi Arabia. Methods: We followed the standard reporting guidelines outlined in the PRISMA statement for the preparation of this systematic review. In February 2018 we conducted literature searches of PubMed, Scopus, BIOSIS Citation Index, and Web of Science using the following keywords: “Knowledge” OR “Awareness” AND “Diabetes Mellitus” AND “Saudi Arabia.” Records were screened, and relevant studies were selected and synthesized narratively. Results: Nineteen articles are included in our systematic review. These studies included the following populations: DM patients (n=13), healthcare workers (n=3), medical students (n=1), secondary school students (n=1), and general population (n=1). Most studies found a lack of public awareness of the risk factors and complications of DM. Among medical students and healthcare workers, knowledge about the epidemiology of the disease and angle of insulin injection was deficient. Conclusion: This review highlights the need for increased knowledge and awareness of DM among the Saudi population. The means of improving knowledge and awareness of DM needs to be integrated into existing healthcare systems and processes to better inform patients, families, and communities about this chronic disease.
Triple Ps and Cs to solve the trouble of transition : A new theoretical model
- Authors: Alonaizi, Nafi , Paliadelis, Penny
- Date: 2015
- Type: Text , Journal article
- Relation: Journal of Health Specialties Vol. 3, no. 4 (2015), p. 216-223
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- Description: Aims: Aim of the study was to explore the experiences of interns and preceptors to develop a rich conceptual understanding of their experiences during the internship. Settings and Design: Purposeful sampling was used to recruit 22 interns and 11 preceptors during an internship program at a tertiary public hospital in Riyadh. Methods: We used qualitative research based on a phenomenological approach. The data was collected through semistructured interviews. Data Analysis: Interviews were transcribed verbatim and analysed concurrently using thematic analysis. Results: The internship program had a positive impact on interns and their preceptors. However, both groups reported negative issues related to their preparations (training) and emphasised the need for better cooperation between education and practical healthcare services. Conclusions: The findings lead the researchers to develop a new model for clinical education, future healthcare professionals and those who assist them during the internship, “The Triple Ps and Cs to solve the trouble of transition”.
Factors that affect the job satisfaction of Saudi Arabian nurses
- Authors: Alotaibi, Jazi , Paliadelis, Penny , Valenzuela, Fredy‐Roberto
- Date: 2016
- Type: Text , Journal article
- Relation: Journal of Nursing Management Vol. 24, no. 3 (2016), p. 275-282
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- Description: Background Saudi Arabia has a chronic shortage of Saudi national nurses. This research contributes to a greater understanding of how job satisfaction influences the recruitment and retention of Saudi nationals within the nursing profession. Methods Qualitative data were gathered from Saudi nurses and content analysis was used to identify themes in the written responses. Results Four main themes emerged from the data: lack of educational opportunities and support and the poor image of the nursing profession, perceptions of favouritism, high workloads and stressful work environment and the effect of religion on job satisfaction. Conclusions Saudi nurses would be more satisfied with their jobs if they had greater access to educational opportunities and if there was a reduction in workload and the perceived favouritism in the workplace was addressed. Religion was also found to play a significant role in supporting job satisfaction. Implications for nursing management These findings suggest the development of educational scholarships, as well as policies that better support equity in the workplace, to address Saudi nurses’ level of job satisfaction. The generally positive impact of cultural and religious beliefs is also highlighted in this study.
Understanding self and others
- Authors: Arnott, Nick , Paliadelis, Penny , Cruickshank, Mary , Williams, Danielle
- Date: 2019
- Type: Text , Book chapter
- Relation: The road to nursing Chapter 10 p. 152-167
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- Description: As a society, we generally expect those working in professional roles to be 'professional', but this term is difficult to define. What does it actually mean to be professional? How can students develop their personal sense of self, and how might this interact with their professional identify and performance? This chapter explains self-awareness and the importance of understanding your own values, beliefs and motivations, which in turn will assist you to better understand the unique experiences and 'world-views' of others, and to develop and nurture the therapeutic and professional relationships that are essential for successful nursing practice.
The road to nursing
- Authors: Arnott, Nick , Paliadelis, Penny , Cuickshank, Mary
- Date: 2019
- Type: Text , Book
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- Description: Commencing a nursing qualification can be an exciting yet daunting prospect. The Road to Nursing empowers nursing students to become effective practitioners by providing an in-depth foundational knowledge of the key concepts and skills that will underpin their entire nursing journey. Written by an expert team of academics and practising nurses, this text emphasises the importance of meaning-making, supporting students to critically engage with key knowledge that informs their ongoing learning, development and professional identity. Each chapter supports learning through pedagogical features including case studies, nursing perspectives, reflections, key terms, review questions and research topics, The additional activities accessed through the VitalSource eBook reaffirm comprehension and encourage critical thinking. The Road to Nursing is written in an accessible narrative style, providing a friendly guiding voice that will support students from the classroom into practice.
The journey begins
- Authors: Arnott, Nick , Paliadelis, Penny , Cuickshank, Mary
- Date: 2019
- Type: Text , Book chapter
- Relation: The road to nursing Chapter 1 p. 3-15
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- Description: This opening chapter aims to set the scene for your undergraduate nursing journey. We welcome you to the wonderful, dynamic and diverse profession of nursing and encourage some initial thinking about what nursing is, why you have chosen this career and the sort of nurse you hope to be. We also outline the purpose, structure and features of this book, and introduce you to the key concepts and ideas underpinning your learning journey, many of which will be emphasised and explored further in subsequent chapters.
The translation of sports injury prevention and safety promotion knowledge : Insights from key intermediary organisations
- Authors: Bekker, Sheree , Paliadelis, Penny , Finch, Caroline
- Date: 2017
- Type: Text , Journal article
- Relation: Health Research Policy and Systems Vol. 15, no. 1 (2017), p. 1-9
- Relation: http://purl.org/au-research/grants/nhmrc/565907
- Relation: http://purl.org/au-research/grants/nhmrc/1058737
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- Description: Background: A recognised research-to-practice gap exists in the health research field of sports injury prevention and safety promotion. There is a need for improved insight into increasing the relevancy, accessibility and legitimacy of injury prevention and safety promotion research knowledge for sport settings. The role of key organisations as intermediaries in the process of health knowledge translation for sports settings remains under-explored, and this paper aims to determine, and describe, the processes of knowledge translation undertaken by a set of key organisations in developing and distributing injury prevention and safety promotion resources. Methods: The National Guidance for Australian Football Partnerships and Safety (NoGAPS) project provided the context for this study. Representatives from five key NoGAPS organisations participated in individual face-to-face interviews about organisational processes of knowledge translation. A qualitative descriptive methodology was used to analyse participants' descriptions of knowledge translation activities undertaken at their respective organisations. Results: Several themes emerged around health knowledge translation processes and considerations, including (1) identifying a need for knowledge translation, (2) developing and disseminating resources, and (3) barriers and enablers to knowledge translation. Conclusions: This study provides insight into the processes that key organisations employ when developing and disseminating injury prevention and safety promotion resources within sport settings. The relevancy, accessibility and legitimacy of health research knowledge is foregrounded, with a view to increasing the influence of research on the development of health-related resources suitable for community sport settings. © 2017 The Author(s).
The fallacy of amelioration: Thinking through knowledge translation in sport and exercise medicine
- Authors: Bekker, Sheree , Paliadelis, Penny , Finch, Caroline
- Date: 2018
- Type: Text , Journal article
- Relation: Translational sports medicine Vol. 1, no. 4 (2018), p. 166-171
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- Description: Knowledge Translation, as a component of implementation science, has seen extensive popularization in Sport and Exercise Medicine (SEM) over recent years. However, in seeking better and more influential outcomes, much of SEM appears to be following Knowledge Translation fashion and fad, over ensuring function and form. This has meant that key concepts in Knowledge Translation have been conflated, the work oversimplified, and potential outcomes overhyped. In this manuscript, Knowledge Translation is, first, defined as a process. Next, we show how oversimplified versions of Knowledge Translation rely on the “fallacy of amelioration,” with problematic consequences and unintended outcomes. Finally, we move to rethinking Knowledge Translation in SEM by showing how the field can move forward through embracing Knowledge Translation as a complex process to maximize the influence and impact of its work.
Health managers and health reform
- Authors: Briggs, David , Cruickshank, Mary , Paliadelis, Penny
- Date: 2012
- Type: Text , Journal article
- Relation: Journal of Management & Organization Vol. 18, no. 5 (2012), p. 641-658
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- Description: This qualitative study was undertaken with a diverse sample of Australian health managers to examine their perceptions regarding the health system and to understand how they learned to become health managers. The findings showed that they viewed the health system as one of constant change, mostly non-adaptive, and a system of parts controlled by bureaucrats and political interests. While the respondents enjoyed their managerial role, they see it as contested between the professions. This study concluded that greater emphasis on the education and training of health managers and their continuing professional development is required if they are to manage increasingly complex, dynamic and changing health systems. In Australia, the health debate continues with the recently announced national health reform agenda. The perceptions of health managers in health reform and change management are important given that they are said to be central to the implementation of health reform and the management of change.
Looking after yourself : Clinical understandings of chronic-care self-management strategies in rural and urban contexts of the United Kingdom and Australia
- Authors: Carr, Susan , Paliadelis, Penny , Lhussier, Monique , Forster, Natalie , Eaton, Simon , Parmenter, Glenda , Death, Catharine
- Date: 2014
- Type: Text , Journal article
- Relation: Sage Open Medicine Vol. 2, no. (2014), p.1-9
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- Description: Objectives: This article reports on the outcomes of two similar projects undertaken during 2011–2012 in Australia (Rural Northern New South Wales) and the United Kingdom (Urban Northern United Kingdom) that sought to identify the strategies that health professionals employ to actively involve patients with chronic conditions in the planning and delivery of their care. In particular, this study explored understandings and contexts of care that impacted on the participants’ practices. This study was informed by the global shift to partnership approaches in health policy and the growing imperative to deliver patient or client-centred care. Methods: An ethnomethodological design was used, as ethnomethodology does not dictate a set of research methods or procedures, but rather is congruent with any method that seeks to explore what people do in their routine everyday lives. Focus groups and interviews were employed to explore the strategies used by a range of primary health-care providers, such as general practitioners, nurses, social workers, diabetes educators, dieticians and occupational therapists, to support clients to effectively manage their own chronic conditions. Results: Data from both studies were synthesised and analysed thematically, with the themes reflecting the context, similarities and differences of the two studies that the participants felt had either facilitated or blocked their efforts to support their clients to adopt self-care strategies. Conclusion: Supporting patients/clients to engage in actively self-managing their health-care needs requires changes to clients’ and clinicians’ traditional perspectives on their roles. The barriers and enablers to supporting clients to manage their own health needs were similar across both locations and included tensions in role identity and functions, the discourse of health-care professionals as ‘experts’ who deliver care and their level of confidence in being facilitators who ‘educate’ clients to effectively manage their health-care needs, rather than only the ‘providers’ of care.
Implementation of personalised care planning in primary care – case examples of operationalisation models in the UK and Australia.
- Authors: Carr, Susan , Lhussier, Monique , Forster, Natalie , Paliadelis, Penny , Eaton, Simon
- Date: 2012
- Type: Text , Conference paper
- Relation: Enhancing Practice 2012
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The history and evolving image of nursing
- Authors: Cruickshank, Mary , Paliadelis, Penny , Gazula, Swapnali , McAllister, Margaret
- Date: 2019
- Type: Text , Book chapter
- Relation: The road to nursing Chapter 7 p. 99-116
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- Description: The traditional stereotypical image of a nurse is closely linked to that of Florence Nightingale, the founder of modern nursing, who established a training system for nurses to teach them how to be completely dedicated to the taskes of care regardless of personal needs; dependent on and deferential to authorities such as medical doctors and matron supervisors; and modest and feminine. Of course, contemporary nursing is no longer a profession exclusive to females, and nor does nursing work predominantly involve dependent actions. However, these old ideas remain strong in the minds of the public and are often repeated in popular culture.
Rewriting the ‘rights' to get it right: An explorative study of medication administration practices
- Authors: Harris, J , Paliadelis, Penny , Parmenter, Glenda
- Date: 2012
- Type: Text , Conference paper
- Relation: NETNEP 2012 4th International Nurse Education Conference
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- Description: E1
The lure of the bush : Do rural placements influence student nurses to seek employment in rural settings?
- Authors: Lea, Jackie , Cruickshank, Mary , Paliadelis, Penny , Parmenter, Glenda , Sanderson, Helena , Thornberry, Patricia
- Date: 2008
- Type: Text , Journal article
- Relation: Collegian Vol. 15, no. 2 (May 2008), p. 77-82
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- Description: The aim of this study was to investigate whether rural clinical placements for student nurses at a rural university in New South Wales influence their decision to join the rural and remote Registered Nurse workforce. The study utilised a convenience sample of final year Bachelor of Nursing students at a rural university campus, and consisted of two stages of data collection. Stage One employed a pre- and post-clinical placement survey design that elicited both demographic and qualitative data. Stage Two consisted of individual interviews with a sample of final year nursing students while they were on a rural clinical placement. The findings highlight the factors that influence final year students' decisions to seek employment in rural healthcare facilities. These findings will be of interest to nurse academics concerned with ensuring that undergraduate nursing curricula relate to rural nursing practice in Australia and to those involved in recruitment of new graduate RN's to rural nursing practice.
Sharing stories to enhance work-integrated learning outcomes
- Authors: Lea, Jackie , Paliadelis, Penny , Jarrott, Helen Mary , Stupans, Ieva , Parker, Vicki , Fagan, Anthea , Gillan, Pauline , Wilson, Rhonda , Piper, Donella , Arora, Sabina , Gray, Jane , Kelly, Karen , Hudson, Judith
- Date: 2013
- Type: Text , Conference paper
- Relation: Australian Nursing and Midwifery Conference
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- Description: E1
The safe administration of medication : Nursing behaviours beyond the five-rights
- Authors: Martyn, Julie-Anne , Paliadelis, Penny , Perry, Chad
- Date: 2019
- Type: Text , Journal article
- Relation: Nurse Education in Practice Vol. 37, no. (2019), p. 109-114
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- Description: This paper discusses the findings from the observation phase of a more extensive, appreciative inquiry qualitative study exploring registered nurses' experiences of administering medications. The observations aimed to explore the participants' application of the five-rights of medication administration in practice. Twenty registered nurses working in inpatient medical/surgical units at a regional Australian hospital were observed administering medications from the commencement to the completion of their shift. A data collection tool based on the five-rights of medication administration was used. The findings indicated that medication administration was not as routine as the rights framework suggests. Indeed, what was observed rarely reflected all the criteria of the rights framework. Notably, in practice, some of the rights were unable to be observed because the critical thinking that underpins the rights are implicit. However, the participants were observed to implement strategies beyond those described by the rights framework that ensured safe and timely medication administration. In brief, medication administration in contemporary healthcare settings is more complicated than the linear process suggested by the rights framework. So more attention is warranted, to the safe practice strategies of nurses who, to deal with complex clinical contexts. Their person-centred strategies respond to patient circumstances and maintain safety.
Safe medication administration : Perspectives from an appreciative inquiry of the practice of registered nurses in regional Australia
- Authors: Martyn, Julie-Anne , Paliadelis, Penny
- Date: 2019
- Type: Text , Journal article
- Relation: Nurse Education in Practice Vol. 34, no. (2019), p. 111-116
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- Description: Registered Nurses (RNs) are regulated health professionals who are educated and accountable for safe medication administration (MA). Binding their practice are standards, policies, procedure and legislation. MA competence is taught and assessed during professional pre-registration education programs. However, different philosophies, theories and models are used by education providers making curriculum content disparate and competency frameworks diverse. Additionally, healthcare contexts are increasingly complex and clinical environments unpredictable. Competency models must respect contemporary practice. This paper focusses on the outcomes of Australian PhD research that combined Appreciative Inquiry (AI) principles with a qualitative study to identify MA safety strategies. In this 2-phase descriptive study, twenty RNs were observed then interviewed about their MA experiences. This paper discusses the interview findings. The participants explained how they assessed patient's needs and implemented strategies to administer medications safely. They presented their actions as being underpinned by a desire to do ‘the right thing for the patient’ despite their practice going beyond traditional procedural frameworks and not reflecting organisational protocols. Instead, they developed common strategies to enhance safe MA. The participants’ described using clinical reasoning and patient-centredness during MA. This study contributes to the knowledge needed for future practice development by highlighting what works.
Effective interprofessional collaboration in rural contexts : A research protocol
- Authors: Mitchell, Rebecca , Paliadelis, Penny , McNeil, Karen , Parker, Vicki , Giles, Michelle , Higgins, Isabel , Parmenter, Glenda , Ahrens, Yvonne
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Advanced Nursing Vol. 69, no. 10 (2013), p. 2317-2326
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- Description: Abstract AIM: To describe the research protocol that will be used to investigate factors contributing to effective interprofessional practice in a rural context in Australia. BACKGROUND: Interprofessional practice is a key strategy for overcoming rural health challenges; however, our knowledge of interprofessional initiatives and consequences in rural areas is limited. DESIGN: A modified realistic evaluation approach will be used to explore the structures, systems, and social processes contributing to effective interprofessional outcomes. This 'context-mechanism-outcome' approach provides a useful framework for identifying why and how interprofessional practice works in rural contexts. METHOD: Initial propositions regarding the factors that explain effective collaborative practice will be generated through interviews with lead clinicians, policy-makers, and clinician managers. Clinician interviews, document analysis, and multi-participant focus groups will be used as evidence to support, refine, or redevelop the initial propositions. This will allow the development of a model of rural interprofessional practice that will explain how and why collaborative approaches work in rural environments. This study is funded by an Institute of Rural Clinical Services and Teaching grant (January 2010). DISCUSSION: Rural healthcare challenges are well documented; however, studies investigating the nature of interprofessional practice in rural contexts are not common. Rural contexts also present research design, particularly data collection, challenges. This proposed research is one of the first to identify the factors that facilitate or constrain effective interprofessional work in rural settings. This is particularly important, given the continuing workforce shortages and maldistribution and poorer health outcomes in rural communities globally.
An exploration of the capacity of general practice nurses to improve the prevention and management of childhood obesity
- Authors: Paliadelis, Penny , Parmenter, Glenda
- Date: 2009
- Type: Text , Conference paper
- Relation: Primary Health Care Conference
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The challenges confronting clinicians in rural acute care settings: a participatory research project
- Authors: Paliadelis, Penny , Parmenter, Glenda , Parker, Vicki , Giles, Michelle , Higgins, Isabel
- Date: 2012
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 12 (online), no. (2012), p.
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- Description: In Australia, as in many other developed countries, the current healthcare environment is characterised by increasing differentiation and patient acuity, aging of patients and workforce, staff shortages and a varied professional skills mix, and this is particularly so in rural areas. Rural healthcare clinicians are confronted with a broad range of challenges in their daily practice. Within this context, the challenges faced by rural acute care clinicians were explored and innovative strategies suggested. This article reports the findings of a study that explored these challenges across disciplines in acute healthcare facilities in rural New South Wales (NSW), Australia. METHODS: A mixed method approach, involving a consultative, participatory 3 stage data collection process was employed to engage with a range of healthcare clinicians from rural acute care facilities in NSW. Participants were invited to complete a survey, followed by focus group discussions and finally facilitated workshops using nominal group technique. RESULTS: The survey findings identified the respondents' top ranked challenges. These were organised into four categories: (1) workforce issues; (2) access, equity and opportunity; (3) resources; and (4) contextual issues. Participants in the focus groups were provided with a summary of the survey findings to prompt discussion about the challenges identified and impact of these on their professional and personal lives. The results of the final workshop stage of the study used nominal group process to focus the discussion on identifying strategies to address identified challenges. CONCLUSIONS: This study builds on research conducted in a large metropolitan tertiary referral hospital. While it was found that rural clinicians share some of the challenges identified by their metropolitan counterparts, some identified challenges and solutions were unique to the rural context and require the innovative solutions suggested by the participants. This article provides insight into the working world of rural healthcare clinicians and offers practical solutions to some of the identified issues. The findings of this study may assist rurally based healthcare services to attract and retain clinical staff.