Implementing and evaluating
- Authors: Paliadelis, Penny
- Date: 2012
- Type: Text , Book chapter
- Relation: Kozier & Erb's Fundamentals of nursing p. 501
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Implementing and evaluating
- Authors: Paliadelis, Penny
- Date: 2010
- Type: Text , Book chapter
- Relation: Kozier & Erb's Fundamentals of nursing p. 461
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Implementing and evaluating
- Authors: Paliadelis, Penny
- Date: 2014
- Type: Text , Book chapter
- Relation: Kozier & Erb's fundamentals of nursing: Concepts, process and practice p.
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Implementing family-centred care : An exploration of the beliefs and practices of paediatric nurses
- Authors: Paliadelis, Penny , Cruickshank, Mary , Wainohu, Donna , Winskill, Rhonda , Stevens, Helen
- Date: 2005
- Type: Text , Journal article
- Relation: Australian Journal of Advanced Nursing Vol. 23, no. 1 (2005), p. 31-36
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- Description: Objective: This study explored paediatric nurses' perceptions of how they include and involve parents in the care of hospitalised children. Design: This qualitative study used individual unstructured interviews to gather data, the data was analysed using thematic coding. Setting: Paediatric wards within two regional area health services of New South Wales, Australia. Subjects: Fourteen paediatric nurses were asked to describe their beliefs and practices regarding the clinical application of family-centred care. Main outcome measure: Paediatric nurses' beliefs and practices about family-centred care were explored in an effort to explain how the concept was implemented. Results: The findings are presented as four interconnected themes. The first describes how participants either allocated tasks to parents or retained them, the second relates to the nurses' professional identity, the third theme identifies barriers and constraints to the implementation of family-centred care, while the fourth describes the nurses' beliefs about their responsibilities when delivering family-centred care. Conclusions: Together these findings suggest that while nurses endorse the concept of family-centred care, the implementation into practice is more problematic. While it is not possible to generalise these findings to other paediatric nurses, the authors believe the insight gained will resonate with paediatric nurses internationally. The findings from this study are being used as the basis for the development of clinical practice guidelines to assist paediatric nurses to more consistently apply the concepts of family-centred care to their practice.
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.
Leading conversations: A reflection on building nurse manager's leadership capacity
- Authors: Paliadelis, Penny , Campbell, S
- Date: 2010
- Type: Text , Conference paper
- Relation: National Australian Conference on Evidence-based Clinical Leadership
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- Description: E1
Learning from clinical placement experience : Analysing nursing students' final reflections in a digital storytelling activity
- Authors: Paliadelis, Penny , Wood, Pamela
- Date: 2016
- Type: Text , Journal article
- Relation: Nurse Education in Practice Vol. 20, no. (2016), p. 39-44
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- Description: This paper reports on the learning potential of a reflective activity undertaken by final year nursing students, in which they were asked to recount two meaningful events that occurred during their clinical placements over the duration of their 3-year nursing degree program and reflect on how these events contributed to their learning to become beginning level Registered Nurses (RNs). This descriptive qualitative study gathered narratives from 92 students as individual postings in an online forum created within the University's learning management system. An analysis of the students' reflections are the focus of this paper particularly in relation to the value of reflecting on the identified events. Four themes emerged that clearly highlight the way in which these students interpreted and learned from both positive and negative clinical experiences, their strong desire to fit into their new role and their ability to re-imagine how they might respond to clinical events when they become Registered Nurses. The findings of this study may contribute to developing nursing curricula that better prepares final year students for the realities of practice. © 2016 Elsevier Ltd.
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.
Looking after yourself: Understandings of chronic-care self-management models in rural and urban contexts of UK and Australia
- Authors: Paliadelis, Penny , Carr, Susan , Lhussier, Monique , Forster, Natalie , Eaton, Simon , Parmenter, Glenda , Death, Catharine
- Date: 2014
- Type: Text , Conference paper
- Relation: NET 2014
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- Description: This paper reports on the outcomes of a two related projects undertaken during 2011-2012 in Australia (Rural Northern NSW) and the UK (Urban Northern UK) that sought to identify the strategies that clinicians employ to actively involve patients with chronic conditions in the planning and delivery of their care1,2,8. This study was informed by the global shift to partnership approaches in health policy and the growing imperative to deliver patient or client-centred care3,4,9,10. Support for self-management refers to the role that clinicians play in building client knowledge, skill and confidence to effectively manage their own healthcare concerns and treatments6. A qualitative methodology was used, with focus groups and interviews conducted to explore the strategies used by a range of primary healthcare providers, such as general practitioners, nurses, social workers, diabetes educators, dieticians and occupational therapists, to support clients to effectively manage their own chronic conditions. In particular this study aimed to understand the models and contexts of care that impacted on the participants’ practices and identify barriers and enablers to supporting client self-management from the participants’ perspective5,7. This paper presents the results of these studies and identifies the similarities and differences between the two contexts that have either facilitated or blocked clinicians’ efforts to support their clients to adopt self-care strategies7. We are not claiming national commentaries but are drawing on two studies that we consider provide insight into ‘typical’ practices in both countries. The finding of both studies identified that supporting patients/clients to engage in actively managing their health care needs requires changes to client and clinicians traditional perspectives on their role, practice and education, as well as developing more integrated health policies to better support clients with complex health care needs, who want to adopt self-management practices.
Negotiating Intersections: Inter-Professional Practice in Rural Health Care Contexts
- Authors: Parker, Vicki , Mitchell, Rebecca , McNeil, Karen , Ahrens, Yvonne , Higgins, Isabel , Parmenter, Glenda , Paliadelis, Penny , Giles, Michelle
- Date: 2012
- Type: Text , Conference paper
- Relation: International Journal of Qualitative Methods Vol. 11, p. 750-751
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- Description: Health care in most contexts depends on teams of professionals with diverse skills working together synergistically to achieve optimal outcomes for patients and their families. The way is which interprofessional practice occurs in rural healthcare varies from that which occurs in metropolitan areas. This variation reflects the social, economic and geographic characteristics of rural communities. Further, rural workforce challenges and lack of access to resources and services are compounded by the difficulties associated with the intersection of speciality driven metropolitan models and the generalist models of care that are a feature of rural health care. This study’s aim was to examine how IPP happens in rural contexts, and to identify barriers, enablers and existing and potential models of IPP. Interviews were conducted with health professionals (nurses, doctors and allied health) in a range of rural healthcare contexts (Hospitals, GP practices, Multi-Purpose Services and Community centres) in NSW, Australia. Interview data were supplemented with document review and review of communication systems. Findings suggest that the nature of IPP in rural contexts is diverse and determined by a number of critical factors including rurality, connection to community, availability of staff, funding programs and specific interests and skills of staff. Rural IPP is characterised by a small numbers of professionals across few professions, focus on generalist practice and informal communication systems. IPP is growing in response to changes in government funding models and policy and through the establishment or strengthening of pivotal co-ordinating roles, with a clear mandate to involve other professionals and patients in decision making.
Nurse managers don't get the corner office
- Authors: Paliadelis, Penny
- Date: 2010
- Type: Text , Conference paper
- Relation: 7th Biennial International Conference in Organisational Behaviour in Health Care
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Nurse managers don't get the corner office
- Authors: Paliadelis, Penny
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Nursing Manager Vol. 21, no. 2 (Special Issue) (2013), p. 377-386
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- Description: To provide an original perspective on the power and status of first-line nurse managers by observing their working environment. BACKGROUND: The role of first-line nurse managers includes clinical, administrative and managerial components, with their responsibilities not always reflected in their level of organizational power. The business literature suggests that an appropriately resourced workspace is not merely functional, it also confers power and status. METHOD: Twenty Australian rural nurse managers' workspaces were observed, as part of a larger qualitative study that explored their role and organizational power using semi-structured interviews. The observational data consisted of detailed researcher notes that were analysed thematically. RESULTS: The nurse managers' workspaces were suboptimal and did not provide sufficient physical space or resources for the participants' to manage tasks effectively. These results were considered using Kanter's theory of organizational power. IMPLICATIONS FOR NURSING MANAGEMENT: The findings support those reported in the business literature that inadequate physical workspaces are counterproductive in terms of both functionality and organizational power. Suggestions are made regarding the workspace needs of first-line nurse managers, based on a closer alignment between the work environment and their role responsibilities. These findings have implications for decisions regarding organizational support of first-line nurse managers.
Nurses as managers; Education and support for the role
- Authors: Paliadelis, Penny
- Date: 2004
- Type: Text , Book chapter
- Relation: Education: Concepts and practices p. 775
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Nursing unit managers: Responsibility without power?
- Authors: Paliadelis, Penny
- Date: 2008
- Type: Text , Conference paper
- Relation: NSW Rural and Remote Health Conference
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Older peoples’ experiences of living in a residential aged care facility in Australia
- Authors: Walker, Helen , Paliadelis, Penny
- Date: 2016
- Type: Text , Journal article
- Relation: Australasian Journal on Ageing Vol. 35, no. 3 (2016), p. E6-E10
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- Description: Aim: The objectives of the study were to investigate the lived experience of older people in residential aged care facilities (RACFs) in Australia, to explore their perceptions of their lives in RACFs and how care might be improved. Methods: This qualitative study used a phenomenological approach to explore the lived experience of older persons in RACFs across two Australian states. In-depth interviews regarding independence, dignity, autonomy, communication and relationships were conducted with 18 participants. The interviews were audiotaped, transcribed and thematically analysed. Results: Three themes emerged reflecting the reality of RACF life for these participants: (i) loss of autonomy, dignity and control; (ii) valuing important relationships; and (iii) resigned acceptance. Conclusion: Older people were not included in decision-making and found it difficult to maintain their autonomy and dignity, and forge meaningful relationships. They traded their independence and dignity for the safety and assistance they needed; however, they accepted this trade-off with stoicism and remained positive. © 2016 AJA Inc.
Overcoming writers' block: The development of a new collaborative nursing and midwifery journal that encourages and supports novice writers to publish research projects
- Authors: Parmenter, Glenda , Paliadelis, Penny , Parker, Vicki , Giles, Michelle , Turner, Catherine
- Date: 2010
- Type: Text , Conference paper
- Relation: 21st international nursing research congress
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Promoting team health – an exploration of the value of a simulated interprofessional learning program for rural health students
- Authors: Paliadelis, Penny , Stupans, Ieva , Fagan, Anthea , Lea, Jackie , Turner, Linda , Puxty, Maree
- Date: 2012
- Type: Text , Conference paper
- Relation: SimHealth 2012
- Full Text: false
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- Description: Synopsis: This paper reports on the innovative design and outcomes of a short learning program undertaken by a range of rurally based undergraduate health students. The medical, nursing, pharmacy and social work students worked through two case scenarios via high and low fidelity simulations, using actors, and supported by an online learning site. The program was designed to enhance effective interprofessional teamwork and communication skills prior to graduation. The attitudes and experiences of students who completed the program were explored via pre and post program questionnaires, audience response software and qualitative feedback. Purpose: The international literature clearly identifies the needs for greater integration of interprofessional education into the curricula of entry-level health professions to enhance mutual respect, effective team-work and patient-centred care across all practice settings. This paper will report on the design and outcomes of an interprofessional learning program that involved undergraduate students of medicine, nursing, pharmacy and social work learning together via a range of simulations and panel sessions to enhance their teamwork and communication skills. Methods: The learning program was developed by a team of academic and clinical health professionals around the care of two clients with chronic conditions and a range of social problems, within a rural health context. An evaluation methodology was chosen to explore the students' attitudes and experiences of participating in this program. Data consisting of pre and post program surveys, audience response data and qualitative comments, which was analysed to determine the effectiveness of the program in using simulations to promote interprofessional learning.
- Description: E1
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
Rural nursing unit managers : Education and support for the role
- Authors: Paliadelis, Penny
- Date: 2005
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 5, no. 1 (January 2005), p. 325
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- Description: INTRODUCTION: Nursing unit managers (NUMs) occupy the often unenviable position of first-line management in many health services in Australia. As such, their role is complex and multifaceted requiring an intertwining of their clinical and managerial responsibilities. While there is an abundance of studies that explore and describe the various management roles in many professions and industries, little is known about the experiences of nurses as managers, particularly in rural settings. This article focuses on the education and support needs of rural nursing unit managers. METHODS: A qualitative study design was used to explore the stories of a number of nursing unit managers in rural New South Wales, Australia. Data was collected using semi-structured individual interviews. Data was analysed using a voice-relational method as a framework for more clearly hearing the voices of participants. This method of data analysis is particularly useful for hearing from those who do not usually have a 'strong' voice, for gaining an understanding of the context of the interviews, and for acknowledging the role of the researcher in the research process. All NUMs employed in a single regional health authority in rural Australia were invited to participate. RESULTS: Out of 42 NUMs in the region, 20 agreed to be interviewed. Nursing unit managers were asked to reflect on their experiences prior to and during the early days within the position. In summary, all the NUMs: believed they were promoted because of their clinical expertise; felt unprepared for the managerial and administrative aspects of their role; continued to identify as nurses rather than as managers; found the role isolated them from their former peer group. Those employed in small facilities had limited opportunities for education and peer support. CONCLUSIONS: Based on the NUMs' experiences and suggestions, the following information would have helped them to cope with the demands of their new role: information and discussions about the role expectations of first-line manager, from both an employee and employer perspective; human resource and financial management skill development; leadership skills; negotiation and conflict resolution; a clear and realistic role description.
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.