List of Titles

'Language can not encompass being' : Poststructuralism and postmodernism

Authors: Cooper, Simon
Date: 2016
Type: Text , Journal article
Relation: Arena Journal Vol. , no. 45/46 (2016), p. 28-50
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Description: Writing in 2016, it's sometimes hard to believe the influence that poststructuralist and postmodernist 'theory' had on university and intellectual culture in the 1980s and 1990s. Virtually every humanities and social-science department (and even some science departments) either adopted or at the very least was forced to confront the body of work of half a dozen (mainly) French thinkers and the English-speaking colleagues who took up the implications of their work. In the United States, the United Kingdom and Australia, 'theory' was deeply polarizing - either the high point of intellectual virtuosity, the voice of a new politics or a nihilistic assault on Western culture. English and Philosophy departments fractured or split entirely, newly formed cultural-studies journals enthusiastically applied theory's insights to the quotidian world, academic publication expanded massively. Outside the academy, theory was often denounced in the mainstream media as being meaningless jargon or politically dangerous, or both at the same time, while the theorists themselves retained a cult status both inside and outside the academy.

A cross-sectional survey of nursing students' patient safety knowledge

- Levett-Jones, Tracy, Andersen, Patrea, Bogossian, Fiona, Cooper, Simon, Guinea, Stephen, Hopmans, Ruben, McKenna, Lisa, Pich, Jacqui, Reid-Searl, Kerry, Seaton, Philippa

Authors: Levett-Jones, Tracy , Andersen, Patrea , Bogossian, Fiona , Cooper, Simon , Guinea, Stephen , Hopmans, Ruben , McKenna, Lisa , Pich, Jacqui , Reid-Searl, Kerry , Seaton, Philippa
Date: 2020
Type: Text , Journal article
Relation: Nurse Education Today Vol. 88, no. (2020), p.
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Description: Background: Knowledge provides a foundation for safe and effective nursing practice. However, most previous studies have focused on exploring nursing students' self-reported perceptions of, or confidence in, their level of patient safety knowledge, rather than examining their actual levels of knowledge. Objective: The overarching objective of this study was to examine final year nursing students' levels of knowledge about key patient safety concepts. Design: A cross-sectional design was used for this study. Data collection was undertaken during 2018 using a web-based patient safety quiz with 45 multiple choice questions informed by the Patient Safety Competency Framework for Nursing Students. A Modified Angoff approach was used to establish a pass mark or ‘cut score’ for the quiz. Setting and participants: Nursing students enrolled in the final year of a pre-registration nursing program in Australia or New Zealand were invited to participate in the study. Results: In total, 2011 final year nursing students from 23 educational institutions completed the quiz. Mean quiz scores were 29.35/45 or 65.23% (SD 5.63). Participants achieved highest scores in the domains of person-centred care and therapeutic communication, and lowest scores for infection prevention and control and medication safety. Based on the pass mark of 67.3% determined by the Modified Angoff procedure, 44.7% of students (n = 899) demonstrated passing performance on the quiz. For eight of the institutions, less than half of their students achieved a passing mark. Conclusions: Given the pivotal role that nurses play in maintaining patient safety, the results from this quiz raise important questions about the preparation of nursing students for safe and effective clinical practice. The institutional results also suggest the need for increased curricula attention to patient safety. © 2020 Elsevier Ltd

Clinical deterioration of ward patients in the presence of antecedents : A systematic review and narrative synthesis

- Al-Moteri, Modi, Plummer, Virginia, Cooper, Simon, Symmons, Mark

Authors: Al-Moteri, Modi , Plummer, Virginia , Cooper, Simon , Symmons, Mark
Date: 2019
Type: Text , Journal article , Review
Relation: Australian Critical Care Vol. 32, no. 5 (2019), p. 411-420
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Description: Aim: The aim of this review was to identify and synthesise published accounts of recognising and responding to patient deterioration in the presence of deterioration antecedents. Design: The systematic review canvassed four electronic databases/ search engines for studies of adult ward patients who had altered physiological parameters before developing major adverse events. Synthesis Methods: The findings were synthesised using a narrative approach. Results: Clinical deterioration can be missed by nurses, even with adequate charting. Delays in recognising and responding to patient deterioration remains an international patient safety concern, and strategies to enhance recognition of patient deterioration have not achieved consistent improvements. The lack of significant and sustained improvement through targeted training suggests the problem may be rooted in human behaviour and local ward culture. Nurses play a pivotal role in recognising and responding to patient deterioration; however, patient records do not facilitate tracking of all nurse decisions and actions, and any undocumented care cannot be easily captured by auditing processes. Conclusion: Failure to recognise clinical deterioration was evident even with adequate charting. It is not clear if nurses do not recognise clinical deterioration because they failed to interpret the signs of deterioration or they made a conscious decision not to escalate based on their clinical judgement or they lacked attention at the time of the event. Whatever the reason, focus is warranted for nurses' decisionmaking after the recording of clinical deterioration signs and the role of human factors in delayed recognition, before maximum benefit of any strategy can be achieved.

Clinical placements in contemporary nursing education: Where is the evidence?

- McKenna, Lisa, Cant, Robyn, Bogossian, Fiona, Cooper, Simon, Levett-Jones, Tracy, Seaton, Philippa

Authors: McKenna, Lisa , Cant, Robyn , Bogossian, Fiona , Cooper, Simon , Levett-Jones, Tracy , Seaton, Philippa
Date: 2019
Type: Text , Journal article , Editorial
Relation: Nurse Education Today Vol. 83, no. (2019), p.
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Description: Clinical practice is fundamental to the learning of undergraduate and entry-level nursing students. It provides the milieu whereby students apply classroom theory and simulated practice to the real world of nursing and become socialised into the profession. In contemporary nursing education, there is often competition among tertiary education providers to locate quality, appropriate placements; substantial costs may be incurred to access suitable placements.

Fifty years of Arena

- Hinkson, John, Cooper, Simon, Caddick, Alison

Authors: Hinkson, John , Cooper, Simon , Caddick, Alison
Date: 2016
Type: Text , Journal article
Relation: Arena Journal Vol. , no. 45-46 (2016), p. 1-11
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Description: This issue of Arena Journal emerges from a day-long symposium held at the University of Melbourne in 2013 marking fifty years of publications by the Arena group. The event was composed of diverse presentations, some by the original editors of the first series of Arena, some by contributors to that first series, and others by editors and contributors from more recent times. The day was marked by unusual vitality as well as recognition of a unique contribution made by the publications, not only to Australian political and cultural history but also to the development of a theory of social transformation not found in publications elsewhere. There was a strong sense that something of this contribution needed to be reflected upon in a further publication looking back on those past fifty years.

Intermittent transparency: findings from a freedom of information request into the Excellence in Research for Australia journal ranking process

- Poletti, Anna, Cooper, Simon

Authors: Poletti, Anna , Cooper, Simon
Date: 2012
Type: Text , Journal article
Relation: Australian Humanities Review Vol. 53, no. (2012), p. 1-10
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Description: This article examines the results of a Freedom of Information (FOI) request into the journal ranking process that took place as part of the Excellence in Research for Australia (ERA) project between 2008-2010. We discuss the background to the request and the information that was received. We analyse the data, as well as the gaps in the data, relating this to the rankings process with respect to 13 journals in the Humanities and Creative Arts (HCA) cluster. We note some anomalies in the rankings of specific journals and relate this to the information about the ranking process. We conclude by commenting on the degree to which the FOI request sheds light on what was essentially a secretive process, and whether academics ought to have confidence in exercises that attempt to fix quality on such a large scale. We suggest that the FOI data demonstrates that attempts to produce and fix a quantitative measure of quality in the Humanities publishing cannot adequately account for the diversity of opinion or approaches that constitute the fiel

Measuring teamwork performance: Validity testing of the Team Emergency Assessment Measure (TEAM) with clinical resuscitation teams

- Cooper, Simon, Cant, Robyn, Connell, Cliff, Sims, Lyndall, Porter, Joanne, Symmons, Mark, Nestel, Debra, Liaw, Sok Ying

Authors: Cooper, Simon , 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
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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.

Nurses' cognitive and perceptual bias in the identification of clinical deterioration cues

- Al-Moteri, Modi, Cooper, Simon, Symmons, Mark, Plummer, Virginia

Authors: Al-Moteri, Modi , Cooper, Simon , Symmons, Mark , Plummer, Virginia
Date: 2020
Type: Text , Journal article
Relation: Australian Critical Care Vol. 33, no. 4 (2020), p. 333-342
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Description: Background: Perception and processing of clinical cues have rarely been investigated in the nursing literature despite their relevance to the early identification and management of clinical deterioration. Aim: This study used a hypovolemic shock scenario from the Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends (FIRST2ACT) virtual simulation program, equipped with an eye tracker, to investigate cue processing during the management of patient deterioration. Result: The study revealed that attention deviation distorted interpretation of subsequent cues, causing 63% of participants to exhibit a cognitive bias (heightened sensitivity to specific but noncritical cues) and 65% to exhibit at least one episode of nonfixation on clinically relevant cues. Attention deviation and distorted interpretations of clinical cues will have an impact on patient safety. Conclusion: The findings are likely to have important implications for understanding error and associated training implications. © 2019 Australian College of Critical Care Nurses Ltd

Patients’ experiences of acute deterioration : A scoping review

- Chung, Catherine, McKenna, Lisa, Cooper, Simon

Authors: Chung, Catherine , McKenna, Lisa , Cooper, Simon
Date: 2020
Type: Text , Journal article
Relation: International Journal of Nursing Studies Vol. 101, no. (2020), p.
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Description: Background: Patient experience is recognised as a means of assessing healthcare delivery with organisations in many countries now gathering patient experience or satisfaction data. It is well documented that the benefits of improving a patients' experience include increased satisfaction, reduced length of stay, improved patient outcomes and reduction of costs. The experience of acute clinical deterioration is unique, extensive and complex as well as being a difficult experience for all involved. However, little is known about this experience from the patient's perspective. Aim: To explore what is known about the experiences of acute deterioration from the perspective of the patient. Design: A scoping review of international, peer-reviewed research studies and grey literature published between the years of 2000 and 2018. This review was guided by the three-step search strategy recommended by the Joanna Briggs Institute (JBI). Data sources: A range of databases were searched, including CINAHL, Medline, Health Source, Joanna Briggs Institute, PsycINFO, Embase via Ovid, Cochrane library, Ovid Emcare, Scopus as well as grey literature, reference lists and the search engine Google Scholar. Review methods: Joanna Briggs Institute (JBI) scoping review framework was utilised to identify patients' experiences of acute deterioration. Ten databases were searched, and 249 articles were retrieved. After screening the titles and abstracts, 102 articles were assessed in full text for eligibility, and finally 23 articles were further analysed and synthesised using inductive thematic analysis. Results: 19 qualitative studies, three quantitative and one mixed methods study met the inclusion criteria. Seven key themes emerged related to patients' experience of acute deterioration: (1) transformation of perception: memories of factual events; (2) psychological transformation: emotional distress and well-being; (3) physiological transformation: physical distress; (4) facing death; (5) the severity of acute deterioration: from the perspective of the patient; (6) relationship with healthcare professionals and the clinical environment; and (7) the value of relationships: the support of family and friends. Conclusions: Participants had considerable recall of their experiences and hospital admissions. The themes highlight the important issues patients face during their own acute physiological deterioration. This review has highlighted that further research is needed to specifically explore the patients' experience of acute deterioration and the emergency management they receive, for example from a hospital's rapid response team (RRT) or medical emergency team (MET). © 2019

The benefits of debriefing as formative feedback in nurse education

- Cant, Robyn, Cooper, Simon

Authors: Cant, Robyn , Cooper, Simon
Date: 2011
Type: Text , Journal article
Relation: Australian Journal of Advanced Nursing Vol. 29, no. 1 (2011), p. 37-47
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Description: Objective: This paper explores the nursing literature to identify the educative process and essential features of debriefing. Setting: Nursing education settings: undergraduate, postgraduate and professional development in nursing and midwifery. Data sources: Studies of debriefing in nurse education were located in peer reviewed journals between 1990 and May 2010. Searches were made using keywords in six healthcare and one education database. Eleven nursing studies reporting education of individuals and six studies of teams were selected for inclusion; only one study provided learning outcome data. Hence, the literature was synthesised in a narrative form to include related studies. Primary argument: Formative feedback is important in experiential learning and is often applied in nursing in the form of facilitated structured debriefing. Debriefing is most commonly reported in relation to clinical skills development and as part of individual and team-based simulation training. Educational outcomes are dependant upon the skills of the facilitator in offering feedback in accordance with best practice. Although a key component of higher level education, there is a lack of published evidence with regard to the effectiveness of debriefing techniques in nurse education. A framework for debriefing practice is presented. Conclusion: Structured facilitated debriefing is an important strategy to engage students in learning and is essential in simulation training. Further research is warranted to fully understand the impact of the method in nurse education.

The impact of emerging simulation-based technologies on the management of deteriorating patients : aiming for a gold standard educational evaluation

- Cooper, Simon, Cant, Robyn, Chung, Catherine, First Act Impact Team

Authors: Cooper, Simon , Cant, Robyn , Chung, Catherine , First Act Impact Team
Date: 2020
Type: Text , Journal article
Relation: Clinical Simulation in Nursing Vol. 45, no. (2020), p. 50-59
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Description: Background: Measuring the impact of patient safety interventions is challenging. This article aims to illustrate a “gold standard” model of program evaluation incorporating examples from two patient deterioration programs. Methods: Australian nurses were trained in primary responses to emergencies in four hospitals using either face-to-face (F2F) or screen-based simulation versions of a simulation program. Evaluation outcomes were measured using Kirkpatrick's evaluation hierarchy covering participant ‘reaction’, ‘learning’, ‘behaviour’ change and ‘results’—based on 1,564 pre–post intervention vital signs chart reviews. Results: Seventy-four nurses participated. Reaction—participant confidence/competence ratings and Learning improved significantly in both modalities (p <.001). Behaviour—oxygen delivery systems were used more appropriately after training in the F2F group (p =.037). Applicable recording of oxygen saturation (SpO2) improved significantly (p ≤.008) in both modalities. Results—at least a two-fold increase in the overall initiation of a clinical review after training, in both modalities (p <.001; effect: d = 0.41 F2F and d = 0.35 screen-based simulation). Conclusions: Kirkpatrick's evaluation model enables a suitable template for gold standard education evaluations. © 2020 International Nursing Association for Clinical Simulation and Learning
Description: Funding details: State Government of Victoria, 31362

The nominal group technique : generating consensus in nursing research

- Cooper, Simon, Cant, Robyn, Luders, Elise, Waters, Donna, Henderson, Amanda, Hood, Kerry, Reid-Searl, Kerry, Ryan, Colleen, Tower, Marion, Willetts, Georgina

Authors: Cooper, Simon , Cant, Robyn , Luders, Elise , Waters, Donna , Henderson, Amanda , Hood, Kerry , Reid-Searl, Kerry , Ryan, Colleen , Tower, Marion , Willetts, Georgina
Date: 2020
Type: Text , Journal article
Relation: Journal of Nursing Education Vol. 59, no. 2 (Feb 2020), p. 65-+
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Description: The purpose of this article is to describe the Nominal Group Technique and its application as a consensus-generating approach in nursing research. The approach incorporates face-to-face meetings to explore opinions, generate ideas, and determine priorities. The nominal group technique process, which is based on a study designed to develop a nursing student clinical placement (clinical practicum) evaluation tool, is described. Advantages of the approach include creative face-to-face discussions with minimal resource demands. The nominal group technique is beneficial and can be used to achieve consensus in nursing research, but a lack of anonymity may preclude the process in some investigations.

Untimely animations: Waltz with Bashir and the incorporation of historical difference

- Atkinson, Paul, Cooper, Simon

Authors: Atkinson, Paul , Cooper, Simon
Date: 2012
Type: Text , Journal article
Relation: Screening the Past Vol. 34, no. (2012), p. 1-13
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Description: Waltz with Bashir (Israel 2008) concerns itself with time on a number of formal and thematic levels, from its investigation of history to the use of animation to allow the recreation of an otherwise visually inaccessible past. The animated documentary’s plot interweaves historical and personal time in the form of Israeli soldiers remembering, or attempting to remember, their involvement in the 1982 Israeli invasion of Lebanon. A central preoccupation of the documentary is the untimeliness of trauma, where a repressed memory kept “out of time” will return to the present in unexpected and distorted forms. This personal experience of trauma is extended to the sphere of national identity in the degree to which the documentary re-examines events that have been largely silenced within the official versions of history within Israel. It is untimely insofar as it disrupts accepted understandings and exposes events that certain constructions of Israeli national identity would rather forget. Of course the dynamic between remembering and forgetting and how best to relate to history, a theme that informs the politics surrounding Waltz with Bashir, was addressed directly by Nietzsche in his Untimely Meditations. In “On the Advantages and Disadvantages of History for Life,” he warned of the dangers of an excessive concern for the past, and of the necessity for a certain amount of forgetting as a condition for acting. While Waltz with Bashir investigates directly the repression of the past, of the Sabra and Shatila massacre in 1982, it is also haunted by the events of the Holocaust. The forgetting of one is enabled by the specific forms of remembering the other, a question central to the reading of the politics of the documentary.

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