Family support liaison in the witnessed resuscitation : A phenomenology study
- Hassankhani, Hadi, Zamanzade, Vahid, Rahmani, Azad, Haririan, Hamidreza, Porter, Joanne
- Authors: Hassankhani, Hadi , Zamanzade, Vahid , Rahmani, Azad , Haririan, Hamidreza , Porter, Joanne
- Date: 2017
- Type: Text , Journal article
- Relation: International Journal of Nursing Studies Vol. 74, no. (2017), p. 95-100
- Full Text: false
- Reviewed:
- Description: Background: Family-witnessed resuscitation remains controversial among clinicians from implementation to practice and there are a number of countries, such as Iran, where that is considered a low priority. Objective: To explore the lived experience of resuscitation team members with the presence of the patient's family during resuscitation. Settings: The emergency departments and critical care units of 6 tertiary hospitals in Tabriz, Iran. Participants: There were potentially 380 nurses and physicians working in the emergency departments and acute care settings of 6 tertiary hospitals in Tabriz. A purposive sample of these nurses and physicians was used to recruit participants who had at least 2 years of experience, had experienced an actual family witnessed resuscitation event, and wanted to participate. The sample size was determined according to data saturation. Data collection ended when the data were considered rich and varied enough to illuminate the phenomenon, and no new themes emerged following the interview of 12 nurses and 8 physicians. Methods: Semi-structured, face-to-face interviews were held with the participants over a period of 6 months (April 2015 to September 2015), and Van Manen's method of data analysis was adopted. Results: Three main themes emerged from the data analysis, including 'Futile resuscitation', 'Family support liaison', and 'Influence on team's performance'. A further 9 sub-themes emerged under the 3 main themes, which included 'futile resuscitation in end-stage cancer patients', 'when a patient dies', 'young patients', 'care of the elderly', 'accountable person', 'family supporter', 'no influence', 'positive influence', and 'negative influence'. Conclusions: Participants noted both positive and negative experiences of having family members present during cardiopulmonary resuscitation. Welltrained and expert resuscitation team members are less likely to be stressed in the presence of family. A family support liaison would act to decrease family anxiety levels and to de-escalate any potentially aggressive person during the resuscitation. It is recommended that an experienced health care professional be designated to be responsible for explaining the process of resuscitation to the patient's family.
- Description: Bacicgrottral: Family-witnessed resuscitation remains controversial among clinicians from implementation to practice and there are a number of countries, such as Iran, where that is considered a low priority. Objective: To explore the lived experience of resuscitation team members with the presence of the patient's family during resuscitation. Settings: The emergency departments and critical care units of 6 tertiary hospitals in Tabriz, Iran. Participants: There were potentially 380 nurses and physicians working in the emergency departments and acute care settings of 6 tertiary hospitals in Tabriz. A purposive sample of these nurses and physicians was used to recruit participants who had at least 2 years of experience, had experienced an actual family witnessed resuscitation event, and wanted to participate. The sample size was determined according to data saturation. Data collection ended when the data were considered rich and varied enough to illuminate the phenomenon, and no new themes emerged following the interview of 12 nurses and 8 physicians. Methods: Semi-structured, face-to-face interviews were held with the participants over a period of 6 months (April 2015 to September 2015), and Van Manen's method of data analysis was adopted. Results: Three main themes emerged from the data analysis, including 'Futile resuscitation', 'Family support liaison', and 'Influence on team's performance'. A further 9 sub-themes emerged under the 3 main themes, which included 'futile resuscitation in end-stage cancer patients', 'when a patient dies', 'young patients', 'care of the elderly', 'accountable person', 'family supporter', 'no influence', 'positive influence', and 'negative influence'. Conclusions: Participants noted both positive and negative experiences of having family members present during cardiopulmonary resuscitation. Welltrained and expert resuscitation team members are less likely to be stressed in the presence of family. A family support liaison would act to decrease family anxiety levels and to de-escalate any potentially aggressive person during the resuscitation. It is recommended that an experienced health care professional be designated to be responsible for explaining the process of resuscitation to the patient's family.
Food security and wellbeing project evaluation 2022-2023
- Porter, Joanne, Simic, Megan, Miller, Elizabeth, Bransgrove, Natalie, Barbagallo, Michael, Peck, Blake, Unsworth, Carolyn, Hewitt, Alana, Soldatenko, Daria, Hualda, Luis, My, Sambath, Prokopiv, Valerie
- Authors: Porter, Joanne , Simic, Megan , Miller, Elizabeth , Bransgrove, Natalie , Barbagallo, Michael , Peck, Blake , Unsworth, Carolyn , Hewitt, Alana , Soldatenko, Daria , Hualda, Luis , My, Sambath , Prokopiv, Valerie
- Date: 2023
- Type: Text , Technical report , Report
- Full Text:
- Description: Although the country is transitioning out of COVID-19 lockdowns and easing restrictions, Australians are now facing increased costs of living. Global political unrest, interest rate rises, and inflation have seen the prices of fuel, food and household bills surge, increasing the strain on individuals and families. Fruit and vegetables have seen cost increases by almost 7% from last year, with this figure only estimated to rise. During the same period, however, takeaway food prices increased marginally by 0.7%, potentially due to government subsidy and voucher systems introduced post COVID-19 lockdowns. The strain of food prices is felt even more greatly by those living in regional, rural and remote Australia, with prices increasing due to freight costs. The Morwell Neighbourhood House (MNH) Food Bank provides emergency relief without requiring an appointment and is unrestricted by postcode or healthcare card status. The Food Bank is supported by St Vinnies Morwell, which provides $12,000 annually towards the cost of food, and by numerous community organisations, individuals and businesses. Demand for the Food Bank has increased steadily and particularly so during the COVID-19 pandemic. The immediate precursor to the People’s Kitchen was a 2019 project named Cooking for a Purpose. That involved GippsTAFE VCAL students preparing nutritious frozen meals using ingredients provided by MNH. The availability of frozen home-cooked meals has ensured that Food Bank clients have at least one nutritious hot meal per day. The CERC was commissioned to explore the activities of the MNH, gaining an insight into how the whole of person approach to food security was being implemented. This understanding was gained through the perspective of those who were paid employees, Volunteers or accessed the MNH services, outlining the benefits, barriers and future suggestions for the MNH operations when addressing food security in the Latrobe Valley. Data were collected between 2022 - 2023 using a mixed methods approach to understand the impact of the MNH services on participants. Participants included MNH stakeholders, staff, Volunteers, secondary school students and people who accessed the MNH services. In addition to this, a comprehensive literature review was performed to understand the global landscape of food insecurity, exploring how people access Food Banks, the opportunities that arise from engaging with food security service activities and the perspectives of employees who ran these services.
- Authors: Porter, Joanne , Simic, Megan , Miller, Elizabeth , Bransgrove, Natalie , Barbagallo, Michael , Peck, Blake , Unsworth, Carolyn , Hewitt, Alana , Soldatenko, Daria , Hualda, Luis , My, Sambath , Prokopiv, Valerie
- Date: 2023
- Type: Text , Technical report , Report
- Full Text:
- Description: Although the country is transitioning out of COVID-19 lockdowns and easing restrictions, Australians are now facing increased costs of living. Global political unrest, interest rate rises, and inflation have seen the prices of fuel, food and household bills surge, increasing the strain on individuals and families. Fruit and vegetables have seen cost increases by almost 7% from last year, with this figure only estimated to rise. During the same period, however, takeaway food prices increased marginally by 0.7%, potentially due to government subsidy and voucher systems introduced post COVID-19 lockdowns. The strain of food prices is felt even more greatly by those living in regional, rural and remote Australia, with prices increasing due to freight costs. The Morwell Neighbourhood House (MNH) Food Bank provides emergency relief without requiring an appointment and is unrestricted by postcode or healthcare card status. The Food Bank is supported by St Vinnies Morwell, which provides $12,000 annually towards the cost of food, and by numerous community organisations, individuals and businesses. Demand for the Food Bank has increased steadily and particularly so during the COVID-19 pandemic. The immediate precursor to the People’s Kitchen was a 2019 project named Cooking for a Purpose. That involved GippsTAFE VCAL students preparing nutritious frozen meals using ingredients provided by MNH. The availability of frozen home-cooked meals has ensured that Food Bank clients have at least one nutritious hot meal per day. The CERC was commissioned to explore the activities of the MNH, gaining an insight into how the whole of person approach to food security was being implemented. This understanding was gained through the perspective of those who were paid employees, Volunteers or accessed the MNH services, outlining the benefits, barriers and future suggestions for the MNH operations when addressing food security in the Latrobe Valley. Data were collected between 2022 - 2023 using a mixed methods approach to understand the impact of the MNH services on participants. Participants included MNH stakeholders, staff, Volunteers, secondary school students and people who accessed the MNH services. In addition to this, a comprehensive literature review was performed to understand the global landscape of food insecurity, exploring how people access Food Banks, the opportunities that arise from engaging with food security service activities and the perspectives of employees who ran these services.
FRRR health & wellness program Yinnar & District Memorial Hall Committee evaluation report
- Porter, Joanne, Barbagallo, Michael, Dabkowski, Elissa, Prokopiv, Val, Federation University. Collaboration Evaluation Unit.
- Authors: Porter, Joanne , Barbagallo, Michael , Dabkowski, Elissa , Prokopiv, Val , Federation University. Collaboration Evaluation Unit.
- Date: 2019
- Type: Text , Technical report
- Full Text:
- Description: The primary focus of the Yinnar Health and Wellness Program is to improve the health and wellbeing of older adults in the Gippsland region by removing barriers to participation in facilitated health and wellbeing activities. This report provides analysis and evaluation of the impact of the Program using the CEU Participatory Evaluation Framework for the period February – December 2019. Working in collaboration with key stakeholders, a mixed methods approach was taken and included the analysis of both quantitative and qualitative data. A literature review was also completed. Results of the data show that the Program successfully delivered weekly classes for a period of twelve months to a consistent number of participants with some significant positive outcomes. The Program was adaptive in design so that it met the individual needs of each participant. Participants reported improvements in their physical health and in their confidence. Results also showed that the Program had a positive impact on the social connectiveness of participants. In confirmation of the literature that was analysed the Program has shown that regular exercise classes have a positive physical, social, and psychological impact on individuals. Although the majority of the participants lived in Yinnar, there were a number of regulars that travelled to attend the program from neighbouring communities. There was a direct impact to the participant’s health with many individuals stating that their overall health, function and movement had improved because of attending the program. A total of 23 out of 24 participants agreed or strongly agreed that the Program had improved their fitness levels and overall confidence. Participants stated that the Program addressed a gap in the service delivery for the region. Not only did the Program improve recovery from illness it helped to maintain overall fitness levels of the participants which ultimately may lead to fewer hospital admissions. It also addressed the need for organised social connection activities for the aging population. The participants agreed that the Program met the needs of the community and the individuals, providing significant physical, mental and social benefits from regular attendance.
- Authors: Porter, Joanne , Barbagallo, Michael , Dabkowski, Elissa , Prokopiv, Val , Federation University. Collaboration Evaluation Unit.
- Date: 2019
- Type: Text , Technical report
- Full Text:
- Description: The primary focus of the Yinnar Health and Wellness Program is to improve the health and wellbeing of older adults in the Gippsland region by removing barriers to participation in facilitated health and wellbeing activities. This report provides analysis and evaluation of the impact of the Program using the CEU Participatory Evaluation Framework for the period February – December 2019. Working in collaboration with key stakeholders, a mixed methods approach was taken and included the analysis of both quantitative and qualitative data. A literature review was also completed. Results of the data show that the Program successfully delivered weekly classes for a period of twelve months to a consistent number of participants with some significant positive outcomes. The Program was adaptive in design so that it met the individual needs of each participant. Participants reported improvements in their physical health and in their confidence. Results also showed that the Program had a positive impact on the social connectiveness of participants. In confirmation of the literature that was analysed the Program has shown that regular exercise classes have a positive physical, social, and psychological impact on individuals. Although the majority of the participants lived in Yinnar, there were a number of regulars that travelled to attend the program from neighbouring communities. There was a direct impact to the participant’s health with many individuals stating that their overall health, function and movement had improved because of attending the program. A total of 23 out of 24 participants agreed or strongly agreed that the Program had improved their fitness levels and overall confidence. Participants stated that the Program addressed a gap in the service delivery for the region. Not only did the Program improve recovery from illness it helped to maintain overall fitness levels of the participants which ultimately may lead to fewer hospital admissions. It also addressed the need for organised social connection activities for the aging population. The participants agreed that the Program met the needs of the community and the individuals, providing significant physical, mental and social benefits from regular attendance.
- Endacott, Ruth, Scholes, Julie, Cooper, Simon J., McConnell-Henry, Tracy, Porter, Joanne, Missen, Karen, Kinsman, Leigh, Champion, Robert
- Authors: Endacott, Ruth , Scholes, Julie , Cooper, Simon J. , McConnell-Henry, Tracy , Porter, Joanne , Missen, Karen , Kinsman, Leigh , Champion, Robert
- Date: 2012
- Type: Text , Journal article
- Relation: International Journal of Nursing Studies Vol. 49, no. 6 (2012), p. 710-717
- Full Text: false
- Reviewed:
- Description: Objectives The study aim was to examine how Registered Nurses identify and respond to deteriorating patients during in-hospital simulation exercises. Design Mixed methods study using simulated actors. Setting A rural hospital in Victoria, Australia. Participants Thirty-four Registered Nurses each completed two simulation exercises. Methods Data were obtained from the following sources: (a) Objective Structured Clinical Examination (OSCE) rating to assess performance of Registered Nurses during two simulation exercises (chest pain and respiratory distress); (b) video footage of the simulation exercises; (c) reflective interview during participants’ review of video footage. Qualitative thematic analysis of video and interview data was undertaken. Results Themes generated from the data were: (1) exhausting autonomous decision-making; (2) misinterpreting the evidence; (3) conditioned response; and (4) missed cues. Assessment steps were more likely to be omitted in the chest pain simulation, for which there was a hospital protocol in place. Conclusions Video review revealed additional insights into nurses’ decision-making that were not evident from OSCE scoring alone. Feedback during video review was a highly valued component of the simulation exercises.
- Cant, Robyn, Porter, Joanne, Cooper, Simon J., Roberts, Kate, Wilson, Ian, Gartside, Christopher
- Authors: Cant, Robyn , Porter, Joanne , Cooper, Simon J. , Roberts, Kate , Wilson, Ian , Gartside, Christopher
- Date: 2016
- Type: Text , Journal article
- Relation: EMA - Emergency Medicine Australasia Vol. 28, no. 6 (2016), p. 641-646
- Full Text: false
- Reviewed:
- Description: Objectives: This prospective descriptive study aimed to test the validity and feasibility of the Team Emergency Assessment Measure (TEAM™) for assessing real-world medical emergency teams' non-technical skills. Second, the present study aimed to explore the instrument's contribution to practice regarding teamwork and learning outcomes. Methods: Registered nurses (RNs) and medical staff (n = 104) in two hospital EDs in rural Victoria, Australia, participated. Over a 10 month period, the (TEAM™) instrument was completed by multiple clinicians at medical emergency episodes. Results: In 80 real-world medical emergency team resuscitation episodes (283 clinician assessments), non-technical skills ratings averaged 89% per episode (39 of a possible 44 points). Twenty-one episodes were rated in the lowest quartile (i.e. ≤37 points out of 44). Ratings differed by discipline, with significantly higher scores given by medical raters (mean: 41.1 ± 4.4) than RNs (38.7 ± 5.4) (P = 0.001). This difference occurred in the Leadership domain. The tool was reliable with Cronbach's alpha 0.78, high uni-dimensional validity and mean inter-item correlation of 0.45. Concurrent validity was confirmed by strong correlation between TEAM™ score and the awarded Global Rating (P < 0.001), with 38.4% of shared variance. RNs praised the instrument as it initiated staff reflection and debriefing discussions around performance improvement. Conclusion: Non-technical skills of medical emergency teams are known to often be suboptimal; however, average ratings of 89% were achieved in this real-world study. TEAM™ is a valid, reliable and easy to use tool, for both training and clinical settings, with benefits for team performance when used as an assessment and/or debriefing tool. © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
- Kemel, Paul, Porter, Joanne, Coombs, Nicole
- Authors: Kemel, Paul , Porter, Joanne , Coombs, Nicole
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Health Promotion Journal of Australia Vol. 33, no. 3 (2022), p. 590-601
- Full Text: false
- Reviewed:
- Description: Background: Across various parts of the world there is an increasing trend in adolescent and young adult physical inactivity, which has been linked to a multitude of illnesses throughout the lifespan. To further understand the link between physical inactivity and illness, it is important to determine the effect that physical activity has various components of wellbeing. The primary aim of this review was to compile and synthesise the recent evidence on physical activity and its effect on physical, mental and social wellbeing across younger populations. The secondary aim was to determine whether there is relationship between the amount, type and intensity of exercise, and changes in wellbeing outcomes. Methods: Main databases were searched using MeSH terms for the population of interest (young adult, adolescent), intervention (physical activity) and outcome (wellbeing). Upon screening papers of eligibility, quality appraisal was completed through the Critical Appraisals Skills Programme (CASP). Results: Nineteen studies were included in this review. The majority of studies found an associated link between the participation of physical activity and improvements in physical, mental and social wellbeing outcomes. There was evidence to suggest that lower levels of physical intensity produced similar results in mental and social outcomes when compared to higher levels of physical intensity. Conclusion: This review supports the encouragement of adolescent and young adult physical activity, noting the improvements seen across the physical, mental and social wellbeing outcomes. Future research is still required to further understand the benefits of lower intensity exercise within the adolescent and young adult population. © 2021 Australian Health Promotion Association.
Latrobe City Council Community Engagement Survey 2021 Analysis
- Porter, Joanne, Barbagallo, Michael, Reimers, Vaughan, Prokopiv, Valerie, James, Michelle, Dabkowski, Elissa, Prezioso, Michelle, Federation University. Collaborative Evaluation Unit (CEU)
- Authors: Porter, Joanne , Barbagallo, Michael , Reimers, Vaughan , Prokopiv, Valerie , James, Michelle , Dabkowski, Elissa , Prezioso, Michelle , Federation University. Collaborative Evaluation Unit (CEU)
- Date: 2021
- Type: Text , Technical report
- Full Text:
- Description: As part of Latrobe City’s community engagement strategy, a survey was developed and distributed during May to June 2021, collecting both quantitative and qualitative data to capture feedback and suggestions on how Latrobe City could be a better place to live, work, visit and play. The survey also invited residents to share their thoughts on current and future challenges for the City. A total of 1552 responses to the survey were received of which 69 were blank, with 1453 making up the final data set. This report highlights the findings from the survey. The majority of the participants were female (65%, n=744), 33% were from Traralgon, 35% from smaller townships with the remaining 32% from Moe, Newborough, Morwell and Churchill. The participants ranged in age from 17-30 years (15%), 31-40 years (27%), 41-70 years (43%) 70+ years (10%). The majority of the participants were employed in healthcare, education and administrative roles with 89% stating that they live and work in Latrobe City. Friends are family was cited as the most common reason why participants believed that Latrobe City was a good place, with Location in Victoria, Affordability and Natural environment rounding off the top four responses. The most common reason people gave for Latrobe City being a good place to work was Distance from home (n=504) and similarly the most common reason participants gave for it being a good place to study was Close to home. Safety, Economy and Built environment were considered the things most important for Latrobe City Council to focus on this was evident in both the quantitative and qualitative responses. A thematic analysis process was used to analyse the content from the six open-ended questions in the survey. Six main themes emerged; Employment, Safety, Transport, Education, Sport and Entertainment and Hope for the future.
- Authors: Porter, Joanne , Barbagallo, Michael , Reimers, Vaughan , Prokopiv, Valerie , James, Michelle , Dabkowski, Elissa , Prezioso, Michelle , Federation University. Collaborative Evaluation Unit (CEU)
- Date: 2021
- Type: Text , Technical report
- Full Text:
- Description: As part of Latrobe City’s community engagement strategy, a survey was developed and distributed during May to June 2021, collecting both quantitative and qualitative data to capture feedback and suggestions on how Latrobe City could be a better place to live, work, visit and play. The survey also invited residents to share their thoughts on current and future challenges for the City. A total of 1552 responses to the survey were received of which 69 were blank, with 1453 making up the final data set. This report highlights the findings from the survey. The majority of the participants were female (65%, n=744), 33% were from Traralgon, 35% from smaller townships with the remaining 32% from Moe, Newborough, Morwell and Churchill. The participants ranged in age from 17-30 years (15%), 31-40 years (27%), 41-70 years (43%) 70+ years (10%). The majority of the participants were employed in healthcare, education and administrative roles with 89% stating that they live and work in Latrobe City. Friends are family was cited as the most common reason why participants believed that Latrobe City was a good place, with Location in Victoria, Affordability and Natural environment rounding off the top four responses. The most common reason people gave for Latrobe City being a good place to work was Distance from home (n=504) and similarly the most common reason participants gave for it being a good place to study was Close to home. Safety, Economy and Built environment were considered the things most important for Latrobe City Council to focus on this was evident in both the quantitative and qualitative responses. A thematic analysis process was used to analyse the content from the six open-ended questions in the survey. Six main themes emerged; Employment, Safety, Transport, Education, Sport and Entertainment and Hope for the future.
Latrobe Regional Hospital : The Wellness Centre evaluation 2021-2022
- Porter, Joanne, Simic, Megan, Ghasemiardekani, Maryam, Prokopiv, Valerie
- Authors: Porter, Joanne , Simic, Megan , Ghasemiardekani, Maryam , Prokopiv, Valerie
- Date: 2022
- Type: Text , Technical report , Report
- Full Text:
- Description: CERC (formally CERG) partnered with the Latrobe Regional Health (LRH) to evaluate their Staff Wellness Centre, designed to provide wellbeing support for staff during and post the COVID-19 pandemic. The organisation had identified an impact to staff wellness during the pandemic, responding with the Centre to help staff access health promotion services, mental and physical wellbeing services. CERC assisted with evaluating the service, demonstrating the impact the service has had on the overall wellbeing of staff.
- Authors: Porter, Joanne , Simic, Megan , Ghasemiardekani, Maryam , Prokopiv, Valerie
- Date: 2022
- Type: Text , Technical report , Report
- Full Text:
- Description: CERC (formally CERG) partnered with the Latrobe Regional Health (LRH) to evaluate their Staff Wellness Centre, designed to provide wellbeing support for staff during and post the COVID-19 pandemic. The organisation had identified an impact to staff wellness during the pandemic, responding with the Centre to help staff access health promotion services, mental and physical wellbeing services. CERC assisted with evaluating the service, demonstrating the impact the service has had on the overall wellbeing of staff.
- Endacott, Ruth, Bogossian, Fiona, Cooper, Simon J., Forbes, Helen, Kain, Victoria, Young, Susan, Porter, Joanne, First2Act Team
- Authors: Endacott, Ruth , Bogossian, Fiona , Cooper, Simon J. , Forbes, Helen , Kain, Victoria , Young, Susan , Porter, Joanne , First2Act Team
- Date: 2015
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 24, no. 1-2 (2015), p. 90-100
- Full Text: false
- Reviewed:
- Description: Aims and objectivesTo examine nursing students' and registered nurses' teamwork skills whilst managing simulated deteriorating patients.Background Studies continue to show the lack of timely recognition of patient deterioration. Management of deteriorating patients can be influenced by education and experience.DesignMixed methods study conducted in two universities and a rural hospital in Victoria, and one university in Queensland, Australia.Methods Three simulation scenarios (chest pain, hypovolaemic shock and respiratory distress) were completed in teams of three by 97 nursing students and 44 registered nurses, equating to a total of 32 student and 15 registered nurse teams. Data were obtained from (1) Objective Structured Clinical Examination rating to assess performance; (2) Team Emergency Assessment Measure scores to assess teamwork; (3) simulation video footage; (4) reflective interview during participants' review of video footage. Qualitative thematic analysis of video and interview data was undertaken.ResultsObjective structured clinical examination performance was similar across registered nurses and students (mean 54% and 49%); however, Team Emergency Assessment Measure scores differed significantly between the two groups (57% vs 38%, t = 6·841, p < 0·01). In both groups, there was a correlation between technical (Objective Structured Clinical Examination) and nontechnical (Team Emergency Assessment Measure) scores for the respiratory distress scenario (student teams: r = 0·530, p = 0·004, registered nurse teams r = 0·903, p < 0·01) and hypovolaemia scenario (student teams: r = 0·534, p = 0·02, registered nurse teams: r = 0·535, p = 0·049). Themes generated from the analysis of the combined quantitative and qualitative data were as follows: (1) leadership and followership behaviours; (2) help-seeking behaviours; (3) reliance on previous experience; (4) fixation on a single detail; and (5) team support.Conclusions There is scope to improve leadership, team work and task management skills for registered nurses and nursing students. Simulation appears to be beneficial in enabling less experienced staff to assess their teamwork skills.Relevance to clinical practiceThere is a need to encourage less experienced staff to become leaders and for all staff to develop improved teamwork skills for medical emergencies.
- Hassankhani, Hadi, Haririan, Hamidreza, Jafari, Arezoo, Porter, Joanne, O’Brien, Frances, Feizollahzadeh, Hossein
- Authors: Hassankhani, Hadi , Haririan, Hamidreza , Jafari, Arezoo , Porter, Joanne , O’Brien, Frances , Feizollahzadeh, Hossein
- Date: 2021
- Type: Text , Journal article
- Relation: Clinical Nursing Research Vol. 30, no. 2 (2021), p. 193-199
- Full Text: false
- Reviewed:
- Description: Background: Patient education requires modification as it is either nonexistent or implemented irregularly or inadequately. Study’s purpose: To examine the learning needs of patients with coronary heart disease from the perspective of the patients, their relatives, and health care providers. Methodology: The cross-sectional, comparative study conducted at two cardiac hospitals of Tabriz and Ardebil, Iran from May 2016 to September 2016.Through convenience sampling perceptions of 137 patients, 137 relatives, 33 cardiologists, and 108 nurses were compared using the Cardiac Learning Need Inventory questionnaire. Major results: The most important learning needs of patients from the perspective of physicians, nurses, and patients’ relatives was information about risk factors. In contrast, patient’s perceived information about medication to be their most important learning need. Clinical implications: Patients’ perceptions of their educational needs was different from the perceptions of physicians, nurses, and relatives of the patients. Therefore, when planning patient education a comprehensive review of the patients’ learning needs is required in order to develop a suitable education plan by prioritizing patients’ educational needs. © The Author(s) 2020.
Managing deteriorating patients: Registered nurses' performance in a simulated setting
- Cooper, Simon J., McConnell-Henry, Tracy, Cant, Robyn, Porter, Joanne, Missen, Karen, Kinsman, Leigh, Endacott, Ruth, Scholes, Julie
- Authors: Cooper, Simon J. , McConnell-Henry, Tracy , Cant, Robyn , Porter, Joanne , Missen, Karen , Kinsman, Leigh , Endacott, Ruth , Scholes, Julie
- Date: 2011
- Type: Text , Journal article
- Relation: The Open Nursing Journal Vol. 5, no. (2011), p. 120-126
- Full Text:
- Reviewed:
- Description: Aim: To examine, in a simulated environment, rural nurses’ ability to assess and manage patient deterioration using measures of knowledge, situation awareness and skill performance. Background: Nurses’ ability to manage deterioration and ‘failure to rescue’ are of significant concern with questions over knowledge and clinical skills. Simulated emergencies may help to identify and develop core skills. Methods: An exploratory quantitative performance review. Thirty five nurses from a single ward completed a knowledge questionnaire and two video recorded simulated scenarios in a rural hospital setting. Patient actors simulated deteriorating patients with an Acute Myocardial Infarction (AMI) and Chronic Obstructive Pulmonary Disease (COPD) as the primary diagnosis. How aware individuals were of the situation (levels of situation awareness) were measured at the end of each scenario. Results: Knowledge of deterioration management varied considerably (range: 27%-91%) with a mean score of 67%. Average situation awareness scores and skill scores across the two scenarios (AMI and COPD) were low (50%) with many important observations and actions missed. Participants did identify that ‘patients’ were deteriorating but as each patient deteriorated staff performance declined with a reduction in all observational records and actions. In many cases, performance decrements appeared to be related to high anxiety levels. Participants tended to focus on single signs and symptoms and failed to use a systematic approach to patient assessment. Conclusion: Knowledge and skills were generally low in this rural hospital sample with notable performance decrements as patients acutely declined. Educational models that incorporate high fidelity simulation and feedback techniques are likely to have a significant positive impact on performance.
- Authors: Cooper, Simon J. , McConnell-Henry, Tracy , Cant, Robyn , Porter, Joanne , Missen, Karen , Kinsman, Leigh , Endacott, Ruth , Scholes, Julie
- Date: 2011
- Type: Text , Journal article
- Relation: The Open Nursing Journal Vol. 5, no. (2011), p. 120-126
- Full Text:
- Reviewed:
- Description: Aim: To examine, in a simulated environment, rural nurses’ ability to assess and manage patient deterioration using measures of knowledge, situation awareness and skill performance. Background: Nurses’ ability to manage deterioration and ‘failure to rescue’ are of significant concern with questions over knowledge and clinical skills. Simulated emergencies may help to identify and develop core skills. Methods: An exploratory quantitative performance review. Thirty five nurses from a single ward completed a knowledge questionnaire and two video recorded simulated scenarios in a rural hospital setting. Patient actors simulated deteriorating patients with an Acute Myocardial Infarction (AMI) and Chronic Obstructive Pulmonary Disease (COPD) as the primary diagnosis. How aware individuals were of the situation (levels of situation awareness) were measured at the end of each scenario. Results: Knowledge of deterioration management varied considerably (range: 27%-91%) with a mean score of 67%. Average situation awareness scores and skill scores across the two scenarios (AMI and COPD) were low (50%) with many important observations and actions missed. Participants did identify that ‘patients’ were deteriorating but as each patient deteriorated staff performance declined with a reduction in all observational records and actions. In many cases, performance decrements appeared to be related to high anxiety levels. Participants tended to focus on single signs and symptoms and failed to use a systematic approach to patient assessment. Conclusion: Knowledge and skills were generally low in this rural hospital sample with notable performance decrements as patients acutely declined. Educational models that incorporate high fidelity simulation and feedback techniques are likely to have a significant positive impact on performance.
Managing patient deterioration: A protocol for enhancing student nurses' competence through web-based simulation and feedback techniques
- Cooper, Simon J., Beauchamp, Alison, Bogossian, Fiona, Bucknall, Tracey, Cant, Robyn, Devries, Brett, Endacott, Ruth, Forbes, Helen, Hill, Robyn, Kinsman, Leigh, Kain, Victoria, McKenna, Lisa, Porter, Joanne, Phillips, Nicole, Young, Susan
- Authors: Cooper, Simon J. , Beauchamp, Alison , Bogossian, Fiona , Bucknall, Tracey , Cant, Robyn , Devries, Brett , Endacott, Ruth , Forbes, Helen , Hill, Robyn , Kinsman, Leigh , Kain, Victoria , McKenna, Lisa , Porter, Joanne , Phillips, Nicole , Young, Susan
- Date: 2012
- Type: Text , Journal article
- Relation: BMC Nursing Vol. 11, no. 18 (2012), p.1-7
- Full Text:
- Reviewed:
- Description: Aims To describe a funded proposal for the development of an on-line evidence based educational program for the management of deteriorating patients. Background There are international concerns regarding the management of deteriorating patients with issues around the ‘failure to rescue’. The primary response to these issues has been the development of medical emergency teams with little focus on the education of primary first responders. Design/Methods A mixed methods triangulated convergent design. In this four phase proposal we plan to 1. examine nursing student team ability to manage deteriorating patients and based upon these findings 2. develop web based educational material, including interactive scenarios. This educational material will be tested and refined in the third Phase 3, prior to evaluation and dissemination in the final phase. Conclusion This project aims to enhance knowledge development for the management of deteriorating patients through rigorous assessment of team performance and to produce a contemporary evidence-based online training program.
- Authors: Cooper, Simon J. , Beauchamp, Alison , Bogossian, Fiona , Bucknall, Tracey , Cant, Robyn , Devries, Brett , Endacott, Ruth , Forbes, Helen , Hill, Robyn , Kinsman, Leigh , Kain, Victoria , McKenna, Lisa , Porter, Joanne , Phillips, Nicole , Young, Susan
- Date: 2012
- Type: Text , Journal article
- Relation: BMC Nursing Vol. 11, no. 18 (2012), p.1-7
- Full Text:
- Reviewed:
- Description: Aims To describe a funded proposal for the development of an on-line evidence based educational program for the management of deteriorating patients. Background There are international concerns regarding the management of deteriorating patients with issues around the ‘failure to rescue’. The primary response to these issues has been the development of medical emergency teams with little focus on the education of primary first responders. Design/Methods A mixed methods triangulated convergent design. In this four phase proposal we plan to 1. examine nursing student team ability to manage deteriorating patients and based upon these findings 2. develop web based educational material, including interactive scenarios. This educational material will be tested and refined in the third Phase 3, prior to evaluation and dissemination in the final phase. Conclusion This project aims to enhance knowledge development for the management of deteriorating patients through rigorous assessment of team performance and to produce a contemporary evidence-based online training program.
Managing patient deterioration: assessing teamwork and individual performance
- Cooper, Simon J., Cant, Robyn, Porter, Joanne, Missen, Karen, Sparkes, Louise, McConnell-Henry, Tracy, Endacott, Ruth
- Authors: Cooper, Simon J. , Cant, Robyn , Porter, Joanne , Missen, Karen , Sparkes, Louise , McConnell-Henry, Tracy , Endacott, Ruth
- Date: 2013
- Type: Text , Journal article
- Relation: Emergency Medicine Journal Vol. 30, no. 5 (2013), p.
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- Description: Objective To assess the ability of rural Australian nurse teams to manage deteriorating patients. Methods This quasi-experimental design used pre- and post-intervention assessments and observation to evaluate nurses' simulated clinical performance. Registered nurses (n=44) from two hospital wards completed a formative knowledge assessment and three team-based video recorded scenarios (Objective Structured Clinical Examinations (OSCE)). Trained patient actors simulated deteriorating patients. Skill performance and situation awareness were measured and team performance was rated using the Team Emergency Assessment Measure. Results Knowledge in relation to patient deterioration management varied (mean 63%, range 27–100%) with a median score of 64%. Younger nurses with a greater number of working hours scored the highest (p=0.001). OSCE performance was generally low with a mean performance of 54%, but performance was maintained despite the increasing complexity of the scenarios. Situation awareness was generally low (median 50%, mean 47%, range 17–83%, SD 14.03) with significantly higher levels in younger participants (r=−0.346, p=0.021). Teamwork ratings averaged 57% with significant associations between the subscales (Leadership, Teamwork and Task Management) (p<0.006), the global rating scale (p<0.001) and two of the OSCE measures (p<0.049). Feedback from participants following the programme indicated significant improvements in knowledge, confidence and competence (p<0.001). Conclusion Despite a satisfactory knowledge base, the application of knowledge was low with notable performance deficits in these demanding and stressful situations. The identification and management of patient deterioration needs to be taught in professional development programmes incorporating high fidelity simulation techniques. The Team Emergency assessment tool proved to be a valid measure of team performance in patient deterioration scenarios.
Measuring situation awareness in emergency settings: a systematic review of tools and outcomes
- Cooper, Simon J., Porter, Joanne, Peach, Linda
- Authors: Cooper, Simon J. , Porter, Joanne , Peach, Linda
- Date: 2013
- Type: Text , Journal article
- Relation: Open Access Emergency Medicine Vol. 6, no. (2013), p. 1-7
- Full Text:
- Reviewed:
- Description: Background: Nontechnical skills have an impact on health care outcomes and improve patient safety. Situation awareness is core with the view that an understanding of the environment will influence decision-making and performance. This paper reviews and describes indirect and direct measures of situation awareness applicable for emergency settings. Methods: Electronic databases and search engines were searched from 1980 to 2010, including CINAHL, Ovid Medline, Pro-Quest, Cochrane, and the search engine, Google Scholar. Access strategies included keyword, author, and journal searches. Publications identified were assessed for relevance, and analyzed and synthesized using Oxford evidence levels and the Critical Appraisal Skills Programme guidelines in order to assess their quality and rigor. Results: One hundred and thirteen papers were initially identified, and reduced to 55 following title and abstract review. The final selection included 14 papers drawn from the fields of emergency medicine, intensive care, anesthetics, and surgery. Ten of these discussed four general nontechnical skill measures (including situation awareness) and four incorporated the Situation Awareness Global Assessment Technique. Conclusion: A range of direct and indirect techniques for measuring situation awareness is available. In the medical literature, indirect approaches are the most common, with situation awareness measured as part of a nontechnical skills assessment. In simulation-based studies, situation awareness in emergencies tends to be suboptimal, indicating the need for improved training techniques to enhance awareness and improve decision-making.
- Authors: Cooper, Simon J. , Porter, Joanne , Peach, Linda
- Date: 2013
- Type: Text , Journal article
- Relation: Open Access Emergency Medicine Vol. 6, no. (2013), p. 1-7
- Full Text:
- Reviewed:
- Description: Background: Nontechnical skills have an impact on health care outcomes and improve patient safety. Situation awareness is core with the view that an understanding of the environment will influence decision-making and performance. This paper reviews and describes indirect and direct measures of situation awareness applicable for emergency settings. Methods: Electronic databases and search engines were searched from 1980 to 2010, including CINAHL, Ovid Medline, Pro-Quest, Cochrane, and the search engine, Google Scholar. Access strategies included keyword, author, and journal searches. Publications identified were assessed for relevance, and analyzed and synthesized using Oxford evidence levels and the Critical Appraisal Skills Programme guidelines in order to assess their quality and rigor. Results: One hundred and thirteen papers were initially identified, and reduced to 55 following title and abstract review. The final selection included 14 papers drawn from the fields of emergency medicine, intensive care, anesthetics, and surgery. Ten of these discussed four general nontechnical skill measures (including situation awareness) and four incorporated the Situation Awareness Global Assessment Technique. Conclusion: A range of direct and indirect techniques for measuring situation awareness is available. In the medical literature, indirect approaches are the most common, with situation awareness measured as part of a nontechnical skills assessment. In simulation-based studies, situation awareness in emergencies tends to be suboptimal, indicating the need for improved training techniques to enhance awareness and improve decision-making.
- Cooper, Simon J., Cant, Robyn, Connell, Cliff, Sims, Lyndall, Porter, Joanne, Symmons, Mark, Nestel, Debra, Liaw, Sok Ying
- Authors: Cooper, Simon J. , Cant, Robyn , Connell, Cliff , Sims, Lyndall , Porter, Joanne , Symmons, Mark , Nestel, Debra , Liaw, Sok Ying
- Date: 2016
- Type: Text , Journal article
- Relation: Resuscitation Vol. 101, no. (2016), p. 97-101
- Full Text: false
- Reviewed:
- Description: AimTo test the resuscitation non-technical Team Emergency Assessment Measure (TEAM) for feasibility, validity and reliability, in two Australian Emergency Departments (ED). BackgroundNon-technical (teamwork) skills have been identified as inadequate and as such have a significant impact on patient safety. Valid and reliable teamwork assessment tools are an important element of performance assessment and debriefing processes. MethodsA quasi experimental design based on observational ratings of resuscitation non-technical skills in two metropolitan ED. Senior nursing staff rated 106 adult resuscitation team events over a ten month period where three or more resuscitation team members attended. Resuscitation events, team performance and validity and reliability data was collected for the TEAM. ResultsMost rated events were for full cardiac resuscitation (43%) with 3–15 team members present for an average of 45min. The TEAM was found to be feasible and quickly completed with minimal or no training. Discriminant validity was good as was internal consistency with a Cronbach alpha of 0.94. Uni-dimensional and concurrent validity also reached acceptable standards, 0.94 and >0.63 (p=<0.001), respectively, and a single ‘teamwork’ construct was identified. Non-technical skills overall were good but leadership was rated notably lower than task and teamwork performance indicating a need for leadership training. ConclusionThe TEAM is a feasible, valid and reliable non-technical assessment measure in simulated and real clinical settings. Emergency teams need to develop leadership skills through training and reflective debriefing.
Men’s shed field officer project phase 2 evaluation 2022/2023
- Porter, Joanne, Coombs, Nicole, Soldatenko, Daria, Simic, Megan, Miller, Elizabeth, My, Sambath, Bransgrove, Natalie
- Authors: Porter, Joanne , Coombs, Nicole , Soldatenko, Daria , Simic, Megan , Miller, Elizabeth , My, Sambath , Bransgrove, Natalie
- Date: 2023
- Type: Text , Technical report , Report
- Full Text:
- Description: In September 2021, the Latrobe Health Assembly (LHA) and Victorian Men’s Sheds Association (VSMA) launched the Men’s Shed Field Officer in Latrobe to work with local men, Men’s Sheds and other men’s groups with the aim to achieve increased health and wellbeing outcomes for local men and support the activity of the Men’s Sheds in Latrobe. The Field Officer role had previously been evaluated by the Collaborative Evaluation and Research Centre (CERC) from Federation University, with several recommendations made after analysing data collected from the Field Officer himself and the Shed members. At the end of the first year, it was recommended that the project be extended for another 12 months to allow the adaption of processes to permit further impact of the role. With identified misconceptions and challenges in identifying how the role could assist the Sheds, it was determined more time was required to learn about the Sheds and the individual needs associated with each different Shed culture. The Men’s Shed Field Officer engaged with Men’s Sheds in Toongabbie, Traralgon, Traralgon South, Boolarra, Churchill, Moe, Newborough, and Morwell and helped with the establishment of a new shed in Moe called Carpenter Bee Men’s Shed. The CERC was again commissioned to evaluate Phase 2 of the project with the aim to contribute to the knowledge regarding the best use of resources to achieve improved engagement with men across Latrobe and achieve enhanced health outcomes.
- Authors: Porter, Joanne , Coombs, Nicole , Soldatenko, Daria , Simic, Megan , Miller, Elizabeth , My, Sambath , Bransgrove, Natalie
- Date: 2023
- Type: Text , Technical report , Report
- Full Text:
- Description: In September 2021, the Latrobe Health Assembly (LHA) and Victorian Men’s Sheds Association (VSMA) launched the Men’s Shed Field Officer in Latrobe to work with local men, Men’s Sheds and other men’s groups with the aim to achieve increased health and wellbeing outcomes for local men and support the activity of the Men’s Sheds in Latrobe. The Field Officer role had previously been evaluated by the Collaborative Evaluation and Research Centre (CERC) from Federation University, with several recommendations made after analysing data collected from the Field Officer himself and the Shed members. At the end of the first year, it was recommended that the project be extended for another 12 months to allow the adaption of processes to permit further impact of the role. With identified misconceptions and challenges in identifying how the role could assist the Sheds, it was determined more time was required to learn about the Sheds and the individual needs associated with each different Shed culture. The Men’s Shed Field Officer engaged with Men’s Sheds in Toongabbie, Traralgon, Traralgon South, Boolarra, Churchill, Moe, Newborough, and Morwell and helped with the establishment of a new shed in Moe called Carpenter Bee Men’s Shed. The CERC was again commissioned to evaluate Phase 2 of the project with the aim to contribute to the knowledge regarding the best use of resources to achieve improved engagement with men across Latrobe and achieve enhanced health outcomes.
Mixed methods research: a design for emergency care research?
- Cooper, Simon J., Porter, Joanne, Endacott, Ruth
- Authors: Cooper, Simon J. , Porter, Joanne , Endacott, Ruth
- Date: 2010
- Type: Text , Journal article
- Relation: Emergency Medicine Journal Vol. 28, no. (2010), p. 682-685
- Full Text: false
- Reviewed:
- Description: This paper follows previous publications on generic qualitative approaches, qualitative designs and action research in emergency care by this group of authors. Contemporary views on mixed methods approaches are considered, with a particular focus on the design choice and the amalgamation of qualitative and quantitative data emphasising the timing of data collection for each approach, their relative ‘weight’ and how they will be mixed. Mixed methods studies in emergency care are reviewed before the variety of methodological approaches and best practice considerations are presented. The use of mixed methods in clinical studies is increasing, aiming to answer questions such as ‘how many’ and ‘why’ in the same study, and as such are an important and useful approach to many key questions in emergency care.
Nursing and midwifery students’ mental health status and intention to leave during Covid-19 pandemic
- Haririan, Hamidreza, Samadi, Parisa, Lalezari, Elnaz, Habibzadeh, Sajad, Porter, Joanne
- Authors: Haririan, Hamidreza , Samadi, Parisa , Lalezari, Elnaz , Habibzadeh, Sajad , Porter, Joanne
- Date: 2022
- Type: Text , Journal article
- Relation: SAGE Open Nursing Vol. 8, no. (2022), p.
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- Reviewed:
- Description: Introduction: COVID-19 has not only affected the physical health of people but it has also had a major impact on their mental health. Objective: To investigate the nursing, midwifery, and operating room students’ mental health and intention to leave during COVID-19 pandemic. Methods: This cross-sectional study was conducted at the nursing and midwifery school of Tabriz, Iran. Over a period of three months (February–May 2021) and through random sampling, 284 students were selected. The research tool consisted of three parts including demographic information, Depression Anxiety Stress scales, and a questionnaire on intention to leave. Results: More than 20% of the students experienced some degrees of depression, anxiety, and stress. Nearly one-third of participants mentioned a high level of intention to leave. Nursing students had a higher level of a turnover tendency than other students (p =.004). Male students and who experienced moderate to high level of depression displayed greater intention to leave (p =.005). Conclusion: Students suffered from some degrees of stress, anxiety, and depression during the COVID-19, and it strengthened the participants’ intention to leave. Relevant authorities are recommended to improve mental health of the students by providing psychological counseling sessions, reducing their direct contact with patients, and providing personal protective equipment. © The Author(s) 2022.
Nursing and midwifery students’ mental health status and intention to leave during Covid-19 pandemic
- Authors: Haririan, Hamidreza , Samadi, Parisa , Lalezari, Elnaz , Habibzadeh, Sajad , Porter, Joanne
- Date: 2022
- Type: Text , Journal article
- Relation: SAGE Open Nursing Vol. 8, no. (2022), p.
- Full Text:
- Reviewed:
- Description: Introduction: COVID-19 has not only affected the physical health of people but it has also had a major impact on their mental health. Objective: To investigate the nursing, midwifery, and operating room students’ mental health and intention to leave during COVID-19 pandemic. Methods: This cross-sectional study was conducted at the nursing and midwifery school of Tabriz, Iran. Over a period of three months (February–May 2021) and through random sampling, 284 students were selected. The research tool consisted of three parts including demographic information, Depression Anxiety Stress scales, and a questionnaire on intention to leave. Results: More than 20% of the students experienced some degrees of depression, anxiety, and stress. Nearly one-third of participants mentioned a high level of intention to leave. Nursing students had a higher level of a turnover tendency than other students (p =.004). Male students and who experienced moderate to high level of depression displayed greater intention to leave (p =.005). Conclusion: Students suffered from some degrees of stress, anxiety, and depression during the COVID-19, and it strengthened the participants’ intention to leave. Relevant authorities are recommended to improve mental health of the students by providing psychological counseling sessions, reducing their direct contact with patients, and providing personal protective equipment. © The Author(s) 2022.
- Haririan, Hamidreza, Rahmani, Azad, Porter, Joanne, Heidarzadeh, Mehdi, Azadi, Arman
- Authors: Haririan, Hamidreza , Rahmani, Azad , Porter, Joanne , Heidarzadeh, Mehdi , Azadi, Arman
- Date: 2021
- Type: Text , Journal article
- Relation: Nurse Education in Practice Vol. 54, no. (2021), p.
- Full Text: false
- Reviewed:
- Description: Aim: The number of countries where nurses are allowed to prescribe has increased over the past two decades. Nursing students’ self-efficacy has the main impact on their clinical and cognitive skills. The aim of this study is to determine nursing students’ attitudes and preparedness for nurse prescribing and its relationship with their perceived self-efficacy. Design: The descriptive-correlational study Methods: This study was conducted at five Nursing and Midwifery schools of Tabriz, Ardebil, Ilam, Ramsar, and Mashhad, Iran from March to July 2018. Through random sampling 250 undergraduate nursing students from the different geographical areas of Iran were selected. The research tool consisted of three parts including demographic information, nurse prescribing questionnaire, and a questionnaire on self-efficacy in patient care. Results: Nursing students had a positive attitudes and relatively high levels of preparedness for nurse prescribing. However, near to half of the participants (48.4%) mentioned that they have not good knowledge of pharmacology. Also there was a significant positive correlation between the students’ self-efficacy and their attitudes and preparedness to nurse prescribing (p < 0.001, rs= 0.467;p = 0.00, rs= 0.633). Conclusions: Given the nursing students’ positive attitude to and their preparedness for nurse prescribing, it is possible to make them more prepared for this new role by increasing their pharmacological knowledge and improving their accountability, management, and leadership skills. © 2021 Elsevier Ltd. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Joanne Porter” is provided in this record**
Palliative and end-of-life care in the home in regional/rural Victoria, Australia : the role and lived experience of primary carers
- Miller, Elizabeth, Porter, Joanne, Peel, Rebecca
- Authors: Miller, Elizabeth , Porter, Joanne , Peel, Rebecca
- Date: 2021
- Type: Text , Journal article
- Relation: SAGE Open Nursing Vol. 7, no. (2021), p.
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- Description: Introduction: Palliative support services (generalist or specialist) can provide much-needed assistance to carers who are providing palliative and end-of-life care in their homes, but access to such services in regional and rural areas of Australia is poorly understood. Objectives: This study aimed to explore the role and lived experience of primary carers who are providing palliative and end-of-life care in the home in regional/rural Victoria, Australia. Methods: Nine female participants, of whom six were bereaved between 7 and 20 months were interviewed using a semistructured interview technique. Each interview was audio-recorded, transcribed verbatim, and analyzed thematically. Results: Two themes emerged: “Negotiating healthcare systems” which described the needs for multidisciplinary supports and “The caring experience” which discussed daily tasks, relationships, mental and physical exhaustion, respite, isolation, medication management, and grief and loss. Findings show that regional/rural carers have an added burden of travel stress as well as feeling overwhelmed, isolated, and physically and emotionally exhausted. Carers would benefit from greater flexibility for short-term respite care. The engagement of specialist palliative care services assisted the participants to navigate the health care system. Some participants did not understand the value of palliative care, highlighting the need for general practitioners to conduct early conversations about this with their patients. Education is needed to build capacity within the primary palliative care workforce, confirming the importance of timely referrals to a specialist palliative care practitioner if pain or symptom control is not effectively managed. Conclusion: Providing palliative and end-of-life care in the home is an exhausting and emotionally draining role for unpaid, primary carers. Multiple supports are needed to sustain primary carers, as they play an essential role in the primary health care system. © The Author(s) 2021.
- Authors: Miller, Elizabeth , Porter, Joanne , Peel, Rebecca
- Date: 2021
- Type: Text , Journal article
- Relation: SAGE Open Nursing Vol. 7, no. (2021), p.
- Full Text:
- Reviewed:
- Description: Introduction: Palliative support services (generalist or specialist) can provide much-needed assistance to carers who are providing palliative and end-of-life care in their homes, but access to such services in regional and rural areas of Australia is poorly understood. Objectives: This study aimed to explore the role and lived experience of primary carers who are providing palliative and end-of-life care in the home in regional/rural Victoria, Australia. Methods: Nine female participants, of whom six were bereaved between 7 and 20 months were interviewed using a semistructured interview technique. Each interview was audio-recorded, transcribed verbatim, and analyzed thematically. Results: Two themes emerged: “Negotiating healthcare systems” which described the needs for multidisciplinary supports and “The caring experience” which discussed daily tasks, relationships, mental and physical exhaustion, respite, isolation, medication management, and grief and loss. Findings show that regional/rural carers have an added burden of travel stress as well as feeling overwhelmed, isolated, and physically and emotionally exhausted. Carers would benefit from greater flexibility for short-term respite care. The engagement of specialist palliative care services assisted the participants to navigate the health care system. Some participants did not understand the value of palliative care, highlighting the need for general practitioners to conduct early conversations about this with their patients. Education is needed to build capacity within the primary palliative care workforce, confirming the importance of timely referrals to a specialist palliative care practitioner if pain or symptom control is not effectively managed. Conclusion: Providing palliative and end-of-life care in the home is an exhausting and emotionally draining role for unpaid, primary carers. Multiple supports are needed to sustain primary carers, as they play an essential role in the primary health care system. © The Author(s) 2021.