List of Titles

A comparison of the public's use of PPE and strategies to avoid contagion during the COVID-19 pandemic in Australia and Germany

- Moore, Kathleen, Bouchoucha, Stephane, Buchwald, Petra

Authors: Moore, Kathleen , Bouchoucha, Stephane , Buchwald, Petra
Date: 2021
Type: Text , Journal article
Relation: Nursing and Health Sciences Vol. 23, no. 3 (2021), p. 708-714
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Description: The SARS-CoV-2 or COVID-19 pandemic has raised public awareness around disease protection. The aims in this study were to recruit participants from Australia and Germany to determine their use of personal protective equipment and COVID-19 avoidance strategies using scales designed for this study. Principal components analysis with the Australian data revealed two factors in the Protection from Infection Scale, Self-Care and Protective Behaviors, and a single factor in the Infection Avoidance Scale, with each scale demonstrating strong internal reliability. Data from German participants were used to confirm the scales' structure using confirmatory factor analysis. A comparison of the two data sets data revealed that Australian participants scored higher overall on protection and avoidance strategies but at the item level there were several commonalities, including self-care behaviors people adopted to avoid contracting COVID-19. With no foreseeable end to this pandemic, it is important that follow-up studies ascertain whether the public continues to adopt high levels of PPE use and follows government advice or if pandemic fatigue sets in. © 2021 John Wiley & Sons Australia, Ltd.

A labour of love : reward and satisfaction for nurses : findings from a grounded theory study in dementia care

- Gilbert, Julia, Ward, Louise, Walter, Ruby

Authors: Gilbert, Julia , Ward, Louise , Walter, Ruby
Date: 2021
Type: Text , Journal article
Relation: Dementia Vol. 20, no. 5 (2021), p. 1697-1710
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Description: Aim: To understand nurses’ perceptions of quality nursing care in the dementia-specific care unit. As the world’s population ages, the incidence of dementia is projected to rise in tandem. The requirement for skilled, dementia-trained registered nurses who can provide quality nursing care will need to increase accordingly to meet the needs of these individuals. Extensive research has been completed on dementia nursing care in a variety of settings; however, little research has been undertaken into nurses’ perceptions of quality nursing care in the dementia-specific care unit. Understanding how registered nurses perceive quality nursing care in the dementia-specific care unit is important and provides valuable information about nursing practice in this environment for nurses and decision-makers. Gaining a better understanding of quality nursing care in this care unit may result in better nurse education and an improved patient experience. It may also assist nursing organisations, residential aged-care facilities, government bodies and nongovernment agencies that support, manage, and oversee dementia-specific care units. Method: A grounded theory study was conducted to understand nurses’ perceptions of quality nursing care in dementia-specific care units. The study involved interviewing nine registered nurses working in two dementia-specific care units on the Gold Coast, Queensland. Data were collected during semi-structured interviews and analysed using both constant comparison and thematic analysis. Findings: Three themes emerged from this study—Caring at the Coalface, Labour of love and the Business of Dementia Healthcare. The largest theme, Labour of love, represents the personal reward and feeling of satisfaction six nurses said they experienced when interacting with individuals living in the dementia-specific care unit. They identified and repeatedly discussed the joy and fulfilment they experienced when caring for them, and considered this to be an essential element of quality nursing care. It was evident from the data that the nurses cared very deeply about these individuals, and despite increased risks to personal safety at work, they did not want to work anywhere else. This article reports on the largest and key theme identified in the study Labour of Love. © The Author(s) 2020.

An evidence-based checklist for improving scoping review quality

- Cooper, Simon, Cant, Robyn, Kelly, Michelle, Levett-Jones, Tracy, McKenna, Lisa

Authors: Cooper, Simon , Cant, Robyn , Kelly, Michelle , Levett-Jones, Tracy , McKenna, Lisa
Date: 2021
Type: Text , Journal article
Relation: Clinical Nursing Research Vol. 30, no. 3 (2021), p. 230-240
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Description: A scoping review aims to systematically explore and map the research available from a wide range of sources. The objective of this study was to produce a scoping review checklist to guide future scoping studies to enable rigorous review and critique of phenomena of interest. The methods used included a review of literature, expert consensus group meetings, a modified Delphi survey and, finally, verification against recent scoping study examples. Results showed that the checklist was able to identify key elements of scoping reviews. The 22-item Scoping Review Checklist (SRC), which includes two optional stakeholder consultation items, has been developed using rigorous recommended approaches. The checklist can be used to guide the conduct and critique of scoping studies. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Simon Cooper and Robyn Cant” is provided in this record**

An exploration into suicide prevention initiatives for mental health nurses : a systematic literature review

- Dabkowski, Elissa, Porter, Joanne

Authors: Dabkowski, Elissa , Porter, Joanne
Date: 2021
Type: Text , Journal article , Review
Relation: International Journal of Mental Health Nursing Vol. 30, no. 3 (2021), p. 610-623
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Description: Mental health and suicide prevention are national health priorities in Australia, with research currently focussed towards the ZERO Suicide (ZS) initiative. The aim of this review was to evaluate the impact of suicide prevention programmes, in particular the ZS prevention initiative. A systematic review using the PRISMA guidelines was conducted using six EBSCO Host databases; Academic Search Complete, Australian/New Zealand Reference Centre, CINAHL Complete, MEDLINE, APA PsycINFO, and APA Psyc Articles. The data extracted from the eligible papers were analysed using a thematic approach. The final data set consisted of fourteen (n = 14) peer-reviewed articles meeting the eligibility criteria, which included quantitative (n = 10), mixed methods (n = 2), and qualitative studies (n = 2). Results indicated variances between suicide prevention programmes with some papers examining single workshops and others assessing multimodal, organizational interventions. Five major themes were produced from this review including measuring the success of suicide prevention programmes, improvements to the delivery of suicide prevention programmes, barriers to implementing changes, cultural considerations, and further research required for suicide prevention programmes. This review concludes that further long-term research is required to evaluate the implementation and efficacy of suicide prevention programmes in health care. Cultural awareness in suicide prevention training is another area that may benefit from further research. A growing body of evidence establishes the need for multimodal and organizational approaches for suicide prevention initiatives. © 2021 John Wiley & Sons Australia, Ltd

Association between psychological capital and spiritual care competencies of clinical nurses : a multicentre cross-sectional study

- Guo, Yu-Fang, Cross, Wendy, Lam, Louisa, Plummer, Virginia, Wang, Xin-Xin, Wang, Shuang-Shuang

Authors: Guo, Yu-Fang , Cross, Wendy , Lam, Louisa , Plummer, Virginia , Wang, Xin-Xin , Wang, Shuang-Shuang
Date: 2021
Type: Text , Journal article
Relation: Journal of Nursing Management Vol. 29, no. 6 (2021), p. 1713-1722
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Description: Aims: To investigate the status of spiritual care competencies among clinical nurses and their relationships with psychological capital. Background: Limited knowledge is about the influence of positive personal characteristics on nurses’ spiritual care competencies. Methods: A multicentre cross-sectional study. A total of 1717 nurses were recruited from nine separate Chinese hospitals. Online questionnaires were delivered through a local nursing association to assess socio-demographics, spiritual care competencies and psychological capital of nurses. Results: Nurses had mild-to-moderate levels of spiritual care competencies and moderate levels of psychological capital. Psychological capital and its two metrics (self-efficacy and hope), spiritual care education, professional qualification and shift work were the main predictors of spiritual care competencies (each p <.05). Conclusion: The findings of the study show a positive relationship between psychological capital and spiritual care competencies of clinical nurses. Strengthening nurses’ psychological capital could improve their spiritual care competencies. Implications for nursing managers: Nurse managers and hospital administrators should better understand the value of psychological capital for nurses’ capacity development. Effective interventions need to be implemented separately or combined with spiritual care education programmes to improve nurses’ psychological capital and spiritual care competencies. © 2021 John Wiley & Sons Ltd

Beyond crisis : enacted sense-making among ethnic minority carers of people with dementia in Australia

- Brijnath, Bianca, Gilbert, Andrew, Kent, Mike, Ellis, Katie, Browning, Colette

Authors: Brijnath, Bianca , Gilbert, Andrew , Kent, Mike , Ellis, Katie , Browning, Colette
Date: 2021
Type: Text , Journal article
Relation: Dementia Vol. 20, no. 6 (2021), p. 1910-1924
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Description: The ‘family crisis’ narrative is frequently used in dementia studies to explain ethnic minority families’ pathways to health and aged care and why there is delayed dementia diagnoses in ethnic minority communities. Such narratives may obscure the family carers’ agency in negotiating services and managing personal, social and structural burdens in the lead up to diagnosis. To illuminate agency, this article describes ethnic minority families’ pathways to a dementia diagnosis using the concept of sense-making. Three case studies were drawn from 56 video interviews with family carers of older adults with dementia from Chinese, Arab and Indian backgrounds. Interviews were conducted across Australia from February to August 2018, then translated, transcribed and thematically analysed. Findings suggest families did not enter into formal care because of a crisis, instead navigating fragmented systems and conflicting advice to obtain a dementia diagnosis and access to relevant care. This experience was driven by sense-making (a search for plausible explanations) that involved family carers interpreting discrepant cues in changes to the behaviour of the person with dementia over time, managing conflicting (medical) advice about these discrepancies and reinterpreting their relationships with hindsight. The sense-making concept offers a more constructive hermeneutic than the ‘family crisis’ narrative as it illuminates the agency of carers’ in understanding changed behaviours, negotiating services and managing personal, social and structural barriers pre-diagnosis. The concept also demonstrates the need for a multimodal approach to promoting timely diagnosis of dementia in ethnic minority communities through dementia awareness and literacy campaigns as well as initiatives that address structural inequities. © The Author(s) 2020. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Colette Browning” is provided in this record**

Caring self-efficacy of direct care workers in residential aged care settings : a mixed methods scoping review

- Shrestha, Sumina, Alharbi, Rayan, Wells, Yvonne, While, Christine, Rahman, Muhammad Aziz

Authors: Shrestha, Sumina , Alharbi, Rayan , Wells, Yvonne , While, Christine , Rahman, Muhammad Aziz
Date: 2021
Type: Text , Journal article
Relation: Geriatric Nursing Vol. 42, no. 6 (2021), p. 1429-1445
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Description: The caring self-efficacy of direct care workers in residential aged care has been explored in the literature mostly as a predictor rather than the focus of interest. This scoping review aimed to provide an overview of the existing literature on aged care workers’ caring self-efficacy and factors that influence it. A systematic search was performed in six electronic databases. All primary studies were included. A total of 41 studies met the inclusion criteria. Caring self-efficacy was most often described by aged care workers as their capacity to deal with difficult situations. The self-efficacy scores of direct care workers were high across studies. Self-efficacy was positively influenced by access to resources, relationships with residents and their families, the support of supervisors and co-workers, job satisfaction, and training opportunities, and negatively affected by work pressure and burnout. Findings indicate possible avenues for intervention to improve direct care workers’ self-efficacy in aged care. © 2021 Elsevier Inc.

Chinese mental health professionals’ perceptions of shared decision-making regarding people diagnosed with schizophrenia : a qualitative study

- Huang, Chongmei, Lam, Louisa, Zhong, Yaping, Plummer, Virginia, Cross, Wendy

Authors: Huang, Chongmei , Lam, Louisa , Zhong, Yaping , Plummer, Virginia , Cross, Wendy
Date: 2021
Type: Text , Journal article
Relation: International Journal of Mental Health Nursing Vol. 30, no. 1 (2021), p. 189-199
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Description: The implementation of shared decision-making regarding people diagnosed with schizophrenia is limited, although it is reported to have a positive impact on improving treatment adherence, therapeutic relationships and saving medical costs. The successful implementation of it is mainly dependent on the active engagement of mental health professionals. This study aims to identify mental health professionals’ perceptions of shared decision-making regarding people diagnosed with schizophrenia in collectivist cultures such as Chinese culture. A qualitative descriptive approach was used, involving ten individual interviews with psychiatrists and four focus groups with twenty-three mental health nurses from the psychiatry department of a tertiary hospital in mainland China. An inductive thematic approach was used to analyze the data. Two main themes with five subthemes generated: willingness to engage in shared decision-making and perceiving shared decision-making as unachievable. The last theme included five subthemes: (i) deference to authority, (ii) tension between family decision-making and patient autonomy, (iii) uncertainty of trusting therapeutic relationships, (iv) implicit persuasion and (v) insufficient consultation time. Patients often lack opportunity and support to engage in decision-making. Mental health nurses in other countries need to be aware that Chinese patients and patients with a similar background are not knowledgeable about or value shared decision-making to the extent that other countries might. They need to evaluate and support them, including encouraging them to engage in decision-making as well as providing appropriate information. Mental health nurses need to collaborate with patients and their families to achieve patient-centred care when family involvement is expected. © 2020 Australian College of Mental Health Nurses Inc.

Coping with chronic cardiovascular disease in Iran : a qualitative study

- Kalantarzadeh, Mozhgan, Alavi, Mousa, Yousefi, Hojatollah, Maghsoudi, Jahangir, Hungerford, Catherine, Cleary, Michelle

Authors: Kalantarzadeh, Mozhgan , Alavi, Mousa , Yousefi, Hojatollah , Maghsoudi, Jahangir , Hungerford, Catherine , Cleary, Michelle
Date: 2021
Type: Text , Journal article
Relation: Nursing and Health Sciences Vol. 23, no. 4 (2021), p. 843-851
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Description: The effects of chronic cardiovascular disease can challenge the achievement of treatment goals and recovery outcomes. This study explores the ways in which patients cope with the effects of chronic cardiovascular disease, from the perspectives of patients, family caregivers, and health professionals. The qualitative study was conducted from May 2019 to September 2020 in Isfahan, Iran. Thirteen people with chronic cardiovascular disease, 6 family caregivers, and 16 healthcare professionals participated in semi-structured individual interviews. Transcripts were analysed thematically. Findings suggest that people with chronic cardiovascular disease use a range of coping strategies, both positive and negative, to adjust to their conditions. The positive strategies include managing their health-related symptoms, drawing on religious or spiritual beliefs, and accessing social and relational supports. Negative strategies can include over-reliance on family members for support, leading to reduced activity and loss of independence. Understanding the nature of the strategies used by patients provides an important means by which health service providers can support patients to further develop positive coping strategies. This, in turn, will enable patients to achieve higher levels of wellbeing. © 2021 John Wiley & Sons Australia, Ltd.

Effect of recovery-based interventions on recovery knowledge and attitudes of mental health professionals, regarding recovery-oriented practice : a quantitative narrative review

- Sreeram, Anju, Cross, Wendy, Townsin, Louise

Authors: Sreeram, Anju , Cross, Wendy , Townsin, Louise
Date: 2021
Type: Text , Journal article
Relation: International journal of mental health nursing Vol. 30, no. 5 (2021), p. 1057-1069
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Description: Mental health recovery is an enabling process encouraging consumers to live a productive life, notwithstanding the presence of debilitating symptoms of illness. The recovery model has been integrated into all areas of mental health. However, literature shows that mental health professionals are not equipped to provide recovery-oriented care to consumers. Researchers have recommended recovery-based interventions to develop knowledge, attitudes and skills to promote recovery-oriented practice in mental health, yet there is a paucity of research regarding the effect of recovery-oriented interventions on the knowledge and attitudes of mental health professionals to improve recovery-oriented practice. Therefore, the purpose of the current review is to understand the effectiveness of interventions on recovery knowledge and attitudes of mental health professionals regarding recovery-oriented practice. The papers were identified through the Population Intervention Comparison and Outcome strategy. The heterogeneity of the selected papers led to a narrative review instead of a systematic review with meta-analysis. The analysis suggested that recovery-based interventions are effective in enhancing the recovery knowledge and attitudes of mental health professionals. Recovery-based interventions have the potential to reduce the use of physical restraints and improve work satisfaction among mental health professionals. The limitations of the studies were the heterogeneity of the selected populations and the absence of strong methodologies to assess the effect of the interventions. Therefore, future investigations should be focused on the effect of interventions on a homogeneous group using randomised controlled trials. Keywords: mental health professionals, mental health nurses, practice, recovery knowledge and attitude, recovery-based interventions.

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Exploration and model development for emergency department waiting room nurse role : synthesis of a three-phase sequential mixed methods study

- Innes, Kelli, Jackson, Debra, Plummer, Virginia, Elliott, Doug

Authors: Innes, Kelli , Jackson, Debra , Plummer, Virginia , Elliott, Doug
Date: 2021
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Relation: International Emergency Nursing Vol. 59, no. (2021), p.
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Description: Background: To improve flow and care in waiting rooms, some emergency departments introduced a specific nursing role to care for this patient cohort with the aim of commencing interventions early, improving patient safety by reassessing and enhancing communication. The objective of the research was to explore to what extent does qualitative interviews and quantitative survey contribute to describing emergency department waiting room nurses, through integration and synthesis of findings from a multiphase mixed methods study. Methods: Multiphase mixed methods exploratory sequential design with integration of findings. Data integration occurred during the phases and when assimilating all findings. Findings: Experienced emergency nurses, preferably with graduate qualifications, who are autonomous practitioners with highly developed communication skills, clinical decision making and proficiency in assessment and monitoring are required to perform the role. The waiting room nurse provides patient-centered care and ensures safe, timely care is delivered to those in the waiting room. A standardised approach and high risk of exposure to occupational stressors need to be considered. Conclusions: This mixed methods sequential design explored the waiting room nurse role from the perspective of emergency nurses generating new knowledge into the role. This advanced practice nursing role contributes to patient safety and delivery of patient centred care in the emergency department waiting room. © 2021 Elsevier Ltd

Exploration and model development for emergency department waiting room nurse role : synthesis of a three-phase sequential mixed methods study

- Innes, Kelli, Jackson, Debra, Plummer, Virginia, Elliott, Doug

Authors: Innes, Kelli , Jackson, Debra , Plummer, Virginia , Elliott, Doug
Date: 2021
Type: Text , Journal article
Relation: International Emergency Nursing Vol. 59, no. (2021), p.
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Description: Background: To improve flow and care in waiting rooms, some emergency departments introduced a specific nursing role to care for this patient cohort with the aim of commencing interventions early, improving patient safety by reassessing and enhancing communication. The objective of the research was to explore to what extent does qualitative interviews and quantitative survey contribute to describing emergency department waiting room nurses, through integration and synthesis of findings from a multiphase mixed methods study. Methods: Multiphase mixed methods exploratory sequential design with integration of findings. Data integration occurred during the phases and when assimilating all findings. Findings: Experienced emergency nurses, preferably with graduate qualifications, who are autonomous practitioners with highly developed communication skills, clinical decision making and proficiency in assessment and monitoring are required to perform the role. The waiting room nurse provides patient-centered care and ensures safe, timely care is delivered to those in the waiting room. A standardised approach and high risk of exposure to occupational stressors need to be considered. Conclusions: This mixed methods sequential design explored the waiting room nurse role from the perspective of emergency nurses generating new knowledge into the role. This advanced practice nursing role contributes to patient safety and delivery of patient centred care in the emergency department waiting room. © 2021 Elsevier Ltd

Learning needs of Iranian patients with coronary heart disease : a cross-sectional, comparative study

- 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
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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.

Measuring the safety climate in an Australian emergency department

- Connell, Clifford, Cooper, Simon, Endacott, Ruth

Authors: Connell, Clifford , Cooper, Simon , Endacott, Ruth
Date: 2021
Type: Text , Journal article
Relation: International Emergency Nursing Vol. 58, no. (2021), p.
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Description: Background: There are numerous intricate human, system and cultural factors that can impact upon the safe and effective implementation of patient safety systems (e.g. rapid response systems). Safety climate is one of these factors and is a measure of frontline healthcare workers’ shared perceptions, behaviours, beliefs and attitudes towards the organisation's culture of safety. Safety climate scores are also associated with the frequency of errors and adverse events in the healthcare setting. However, there is little evidence regarding the relationships between attitudes to patient safety and staff characteristics such as emergency care expertise and experience. The aims of this study were to measure perceptions of the safety climate in an Australian metropolitan Emergency Department and examine relationships between safety climate perceptions and staff characteristics. Methods: The Victorian Managed Insurance Authority Safety Climate Survey was administered to all doctors (n = 44) and nurses (n = 119) at an Australian emergency department. Results: Completed surveys were received from 127 (78%) respondents, 25 (52%) doctors and 100 (84%) nurses. Reliability analysis showed very good internal consistency of all 43-items of the survey (α = 0.94). With the exception of stress recognition, nurses rated the organisation's commitment to patient safety higher than doctors in all remaining attitudinal domains (p < 0.05). Both groups acknowledge that fatigue, increased workload and stress recognition negatively impacts upon patient safety. There was a significant trend for declining safety climate ratings related to participants’ clinical competence level and experience across all domains except stress recognition (p < 0.05). Conclusions: The Safety Climate Survey appears to be a reliable measure of patient safety climate for use in Emergency Departments. Emergency doctors and nurses did not perceive there to be a strong organisational commitment to patient safety in an Australian Emergency Department. Emergency Departments can provide a safer environment through genuine commitment to safety culture improvement which capitalises on the insights, intrinsic strengths and behaviours characteristic of the ED team's expertise and experience. This kind of commitment can positively influence the effectiveness of actions taken to minimise risk to patient safety and improve ED staff job satisfaction and effectiveness. © 2021 Elsevier Ltd

Nurse educator knowledge, attitude and skills towards using high-fidelity simulation : a study in the vocational education sector

- Akhter, Zainab, Malik, Gulzar, Plummer, Virginia

Authors: Akhter, Zainab , Malik, Gulzar , Plummer, Virginia
Date: 2021
Type: Text , Journal article
Relation: Nurse Education in Practice Vol. 53, no. (2021), p.
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Description: High-fidelity simulation has become an essential educational approach in nurse education globally. Several studies have explored the experience of undergraduate nursing students and educators with high-fidelity simulation; however, none have explored the experience of students in the vocational educational sector. The aim of the study was to explore nurse educators’ knowledge, attitude and skills toward using high-fidelity simulation in the setting of vocational education. An anonymous on-line survey design was conducted at three campuses of a major Australian Technical and Further Education vocational education setting. Forty-eight nurse educators teaching into Diploma of Nursing program for at least six months were invited to participate, 29 participated in the study, a response rate of 60%. Participants expressed lack of knowledge in managing technological issues, simulation facilitation procedures and conducting scenarios. Most participants had positive attitude towards high-fidelity simulation and rated their skills as ‘novice’. An urgent need for nurse educator training was identified to enhance knowledge and skills in technical and scenario management of high-fidelity simulation. A program of supportive mentoring by nurse educator mentors experienced in high-fidelity simulation, engaging with existing simulation associations, will enhance and sustain nurse educator knowledge, attitude and skills in a protected environment further, so that they can optimise training they provide to students for safe quality care of patients in the future. © 2021 Elsevier Ltd

Nursing education to enhance culturally and linguistically diverse (CALD) community access to mental health services : a scoping review

- Radhamony, Reshmy, Cross, Wendy, Townsin, Louise

Authors: Radhamony, Reshmy , Cross, Wendy , Townsin, Louise
Date: 2021
Type: Text , Journal article , Review
Relation: Issues in Mental Health Nursing Vol. 42, no. 11 (2021), p. 1048-1063
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Description: Research has found that training health care professionals can enhance the access of the culturally diverse community to appropriate mental health services. Yet, little research has been conducted that explicitly focuses on improving nursing knowledge, skills, attitudes, and behaviours that can enhance the access of the Culturally and Linguistically Diverse (CALD) community. This scoping review aims to locate, summarise, and recap what is known in the academic literature about educational interventions and programs to improve mental health nurses’ cultural competence. Examining how educational interventions and programs can improve mental health nurses’ knowledge, skills, attitudes, and behaviours to facilitate Culturally and Linguistically Diverse (CALD) community access to mental health services can also identify gaps in knowledge to report future research areas. Fifteen studies included in the review reported a positive effect of cultural competence interventions; however, it was difficult to establish a single effective intervention method due to the significant heterogenicity in cultural competence intervention strategies. Most studies in this scoping review included nurses as participants. However, only one study solely focussed on cultural competence intervention for mental health nurses. Two other studies included mental health nurses as participants, along with other mental health professionals. Henceforth, there is a prerequisite for more research focussing on enhancing mental health nurses’ cultural competency. Additional research is required to evaluate educational interventions’ impact on improving cultural competence attributes on specific practitioner behaviours and the effects on health care and health care outcomes. This review can form a basis for future research studies that will emphasise the impact of cultural competence interventions for mental health nurses. © 2021 Taylor & Francis Group, LLC.

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Nursing students’ perceptions and experiences of reflective practice : a qualitative meta-synthesis

- Barbagallo, Michael

Authors: Barbagallo, Michael
Date: 2021
Type: Text , Journal article
Relation: Teaching and Learning in Nursing Vol. 16, no. 1 (2021), p. 24-31
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Description: Reflective practice is a vital component of nursing education. It allows for the integration of core theoretical knowledge and the clinical experience. Despite a small and growing body of literature exploring the nursing students’ perceptions and experiences of this process, a review of the qualitative literature has not been published. The purpose of this meta-synthesis is to examine the qualitative data of nursing students’ perceptions and experiences of reflective practice. This meta-synthesis provides a model that suggests quality reflection results in an improvement in practice. Students perceive that quality reflection occurs when all facets of this model have been met. This encompasses an understanding of knowledge including, learning and the barriers and enablers to knowledge, as well as self-discovery including, facing emotions and personal growth. Understanding these experiences and perceptions will permit further understanding of the motivations and factors that influence the quality of reflective practice. © 2020 Organization for Associate Degree Nursing

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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.

Rapid visual search games and accuracy of students' clinical observation skills : a comparative study

- Al-Moteri, Modi, Alrehaili, Amani, Plummer, Virginia, Yaseen, Ruba, Alhakami, Reem

Authors: Al-Moteri, Modi , Alrehaili, Amani , Plummer, Virginia , Yaseen, Ruba , Alhakami, Reem
Date: 2021
Type: Text , Journal article
Relation: Clinical Simulation in Nursing Vol. 55, no. (2021), p. 19-26
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Description: Background: Rapid visual search (RVS) games require a player to search for a target against a distracting background. Playing RVS is known to improve observation and related skills for those professions that require ultimate observation skills. Aim: To examine whether using RVS games improves clinical observation of nursing students. Method: Post intervention assessment design was used in which participants were assigned to either RVS group or non-RVS group and their performance was compared to assess the impact of RVS games on students’ observational skills. Finding: Study findings revealed that RVS improved identification of cues that are highly visual in nature and related to liver cirrhosis. This may indicate that the RVS groups were more focused on the clinical markers than were the non-RVS group. © 2021. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Virginia Plummer” is provided in this record**

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