Trade agreements and the risks for the nursing workforce, nursing practice and public health : A scoping review
- Authors: Kidgell, Dianna , Hills, Danny , Griffiths, Debra , Endacott, Ruth
- Date: 2020
- Type: Text , Journal article , Review
- Relation: International Journal of Nursing Studies Vol. 109, no. (2020), p. 1-10
- Full Text: false
- Reviewed:
- Description: Background: Trade agreements in the 21st century have evolved to include provisions that affect domestic public policy and public health in signatory countries. There are growing calls for health professionals and public health advocates to pursue an active advisory role in trade negotiations in order to anticipate and prevent negative outcomes for health services and public health. Aim: This scoping review explored current literature to identify existing knowledge of the implications of trade agreements for the nursing workforce, nursing practice and public health using as an example the 2018 'Comprehensive and Progressive Agreement for Trans-Pacific Partnership'. Design: Scoping review Data sources: Emerald Insight, Informit, Ovid MEDLINE, PubMed, ProQuest, Scopus, and a number of specialist Economics, International Trade and Business, and International Relations databases. Grey literature included national and international policy documents. Review method: Literature was selected according to extraction field criteria, supplemented by hand searching of relevant grey literature and snowballing references from the selected literature reference lists. Analysis was undertaken to identify key themes emerging from the literature. Review results: Six key themes relevant to nursing workforce, nursing practice or public health were 1. Lack of consultation with public health and health professionals in trade negotiations; 2. Implications of strengthened intellectual property provisions for equitable access to medicines (including biologics) and medical devices; 3. Threats to government capacity to regulate domestic policy for public health and health services through 'Investor State Dispute Settlement' provisions 4. Threats to government capacity to regulate domestic policy for public health and health services through 'Regulatory Coherence' 5. Potential limited benefits to communities and increased health inequities 6. Potential implications of increased temporary migration. Gaps were identified in the literature for implications for nursing practice and the nursing workforce from regulatory and labour provisions of trade agreements. Conclusions: The analysis of the literature reviewed is of international importance for the nursing workforce, nursing practice and public health. Policymakers must anticipate and respond to how the inclusion of labour or regulatory provisions in trade agreements will affect nursing practice and the nursing workforce, and how this may subsequently impact on the health of communities globally. (C) 2020 Elsevier Ltd. All rights reserved.
Assessment of learning in contemporary nurse education : Do we need standardised examination for nurse registration?
- Authors: Wellard, Sally , Bethune, Elizabeth , Heggen, Kristin
- Date: 2007
- Type: Text , Journal article
- Relation: Nurse Education Today Vol. 27, no. 1 (2007), p. 68-72
- Full Text:
- Reviewed:
- Description: In Australia and Norway final examinations to determine eligibility for registration as a nurse were discontinued during the period when nurse education moved into the higher education sector. In response to recent calls for the reintroduction of final examinations we explore the range of knowledge needs for the practice of nursing. These various forms of knowledge demand different forms of mediation and acquisition as well as assessment. There are numerous problems identified in the literature about the shortcomings of examinations as the foundation of assessing clinically based professions. There is a need to develop systems of appropriate assessment to ensure that graduates of nursing demonstrate adequate knowledge and competence to enter their profession. © 2006 Elsevier Ltd. All rights reserved.
- Description: C1
- Description: 2003002546
Issues in the provision of nursing care to people undergoing cardiac surgery who also have type 2 diabetes
- Authors: Wellard, Sally , Cox, Helen , Bhujoharry, Claire
- Date: 2007
- Type: Text , Journal article
- Relation: International journal of nursing practice Vol. 13, no. 4 (2007), p. 222-228
- Full Text:
- Reviewed:
- Description: There has been little investigation of the issues associated with caring for patients presenting for cardiac surgery with a comorbid diagnosis of diabetes although there is some evidence that the diabetes management is suboptimal. This study aimed to identify issues that patients and cardiac specialist nurses experience with the provision of inpatient services for people undergoing cardiac surgery who also have type 2 diabetes. A qualitative interpretive design, using individual interviews with patients and nurses, provided data about some of these issues. The study found that nurses had high levels of confidence in their cardiac care but little confidence in diabetes management. Patients described concerns about their diabetes care and treatment regimens. A 'typical journey' for a person with diabetes undergoing cardiac surgery was identified. The findings support the need to build increased capacity in specialist nurses to support diabetes care as a secondary diagnosis.
- Description: C1
- Description: 2003005865
Spiritual health of professional nurses in the western region of Victoria : Investigation of a significant component of holistic health care
- Authors: Lea, Dorothy
- Date: 2001
- Type: Text , Journal article
- Relation: Australian Journal of Psychology Vol. 53, no. (2001), p. 119-119
- Full Text: false
- Reviewed:
From the margins to the mainstream : Facilitating the inclusion of students with disabilities into university nursing courses
- Authors: Ryan, Janette , Struhs, John
- Date: 2003
- Type: Text , Journal article
- Relation: International Journal of Learning Vol. 9, no. (2003), p. 1273-1295
- Full Text: false
- Reviewed:
- Description: C1
- Description: 2003000473
Effectiveness of a training program for ECT nurses
- Authors: Munday, Jo , Deans, Cecil , Little, John
- Date: 2003
- Type: Text , Journal article
- Relation: Journal of Psychosocial Nursing and Mental Health Services Vol. 41, no. 11 (2003), p. 21-26
- Full Text: false
- Reviewed:
- Description: Electroconvulsive therapy (ECT) is a highly technical procedure requiring a team that consists of an anesthetist, a psychiatrist, a clinical nurse specialist, and recovery nurses. Traditionally, nursing education and training in the context of providing a safe and high standard of care has not been addressed. Ninety-two nurses from 42 different health agencies participated in a training program focusing on defibrillation, electrocardiogram (ECG) and electroencephalogram (EEG) monitoring, intubation, stimulus dosing, setting up the ECT equipment, and caring for the patient. A non-experimental, one-group, pretest-posttest research design was used in this study to evaluate the effectiveness of the training program for nurses working with ECT. Effective training for nurses was hypothesized to make a difference in the standards of practice and clinical effectiveness for patients undergoing ECT. Findings from this study indicated a major knowledge deficit in key components of ECT among nurses who have responsibilities in this area of nursing care. With effective training, nurses’ confidence levels increased related to setting up the equipment, administering a double dose, helping with intubation, and using a defibrillator. If nurses are to effectively function as team members in the ECT procedure, they must receive the training necessary to prepare them for this important role. The results of this study support the recommendation of the Royal Australian and New Zealand College of Psychiatrists that ECT nurses should be appropriately trained in anaesthetic and resuscitation techniques and modern ECT practice.
- Description: C1
- Description: 2003000386
'Train the trainer' model : Implications for health professionals and farm family health in Australia
- Authors: Brumby, Susan , Smith, Andrew
- Date: 2009
- Type: Text , Journal article
- Relation: Journal Of Agromedicine Vol. 14, no. 2 (2009), p. 112-118
- Full Text: false
- Reviewed:
- Description: Australia is a large country with 60% of land used for agricultural production. Its interior is sparsely populated, with higher morbidity and mortality recorded in rural areas, particularly farmers, farm families, and agricultural workers. Rural health professionals in addressing health education gaps of farming groups have reported using behavioralist approaches. These approaches in isolation have been criticized as disempowering for participants who are identified as passive learners or 'empty vessels.' A major challenge in rural health practice is to develop more inclusive and innovative models in building improved health outcomes. The Sustainable Farm Families Train the Trainer (SFFTTT) model is a 5-day program developed by Western District Health Service designed to enhance practice among health professionals working with farm families in Australia. This innovative model of addressing farmer health asks health professionals to understand the context of the farm family and encourages them to value the experience and existing knowledge of the farmer, the family and the farm business. The SFFTTT program has engaged with health agencies, community, government, and industry groups across Australia and over 120 rural nurses have been trained since 2005. These trainers have successfully delivered programs to 1000 farm families, with high participant completion, positive evaluation, and improved health indicators. Rural professionals report changes in how they approach health education, clinical practice, and promotion with farm families and agricultural industries. This paper highlights the success of SFFTTT as an effective tool in enhancing primary health practice in rural and remote settings. The program is benefiting not only drought ravaged farmers but assisting rural nurses, health agencies, and health boards to engage with farm families at a level not identified previously. Furthermore, nurses and health professionals are now embracing a more 'farmer-centered model of care.'
- Description: 2003008066
Developing culturally competent reflective practitioners. Part 1. Cultural reflections
- Authors: Stockhausen, Lynette
- Date: 2007
- Type: Text , Journal article
- Relation: Asian Journal of Nursing Vol. 10, no. 4 (2007), p. 212-217
- Full Text: false
- Reviewed:
- Description: Reflective practice is principally a widely recognised Euro-western concept that has been used to promote inquiry; however, explanations of the natures and use of reflective practice in its present form may not be easily transferable to some Asian cultures. The cultural significance of introducing an educational practice as unfamiliar as reflective practice to experienced nurse practitioners and undergraduate nursing students in Japan and Vietnam are highlighted. Part 1 of this 2 part article on developing culturally competent reflective practitioners reflects on previous research studies, the literature, and the author's experiences as a teacher and consultant in Japan and Vietnam. © 2007 Scientific Communications International Limited.
- Description: C1
- Description: 2003005860
Levels of fatigue in people with ESRD living in far North Queensland
- Authors: Bonner, Ann , Wellard, Sally , Caltabiano, Marie
- Date: 2008
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 17, no. 1 (Jan 2008), p. 90-98
- Full Text: false
- Reviewed:
- Description: Aims. Levels of fatigue as experienced by people with end stage renal disease (ESRD), were assessed using the Fatigue Severity Scale (FSS). Background. Fatigue, a common symptom reported by people with ESRD, is a multifaceted, subjective experience, which is readily understood by individuals but difficult to measure. There is limited understanding of the level of fatigue experienced by people with ESRD, with research currently limited to people treated with haemodialysis. Method. The FSS was completed by 92 people with ESRD who were patients of a renal service in far North Queensland, Australia. Demographic and renal health history data were also collected with the self-report survey. Results. Comparisons were preformed between overall fatigue levels and different renal disorders, genders, ethnicity and renal replacement therapy (RRT). Participants in this study were more fatigued than the general population; there was no difference in levels of fatigue between gender and ethnicity. Participants with diabetic nephropathy and those who were predialysis were the most fatigued. A significant difference between mean fatigue scores was found for type of RRT [F(3,88) = 2.4, p < 0.05], with participants using peritoneal dialysis reporting the most fatigue. Additionally, participants categorized according to type of RRT, erythropoietin replacement therapy and current haemoglobin levels revealed significant mean differences on fatigue levels [F(3,88) = 2.74, p < 0.05]. Relevance to clinical practice. People with ESRD experience considerable fatigue; it is particularly important for nurses to understand this level of fatigue impacts on the daily life of patients. These findings provide the preliminary evidence to support the development of renal nursing practice guidelines related to symptom recognition and management of fatigue.
- Description: C1
Nursing education in Iran : Past, present, and future
- Authors: Tabari Khomeiran, Rasoul , Deans, Cecil
- Date: 2007
- Type: Text , Journal article
- Relation: Nurse Education Today Vol. 27, no. 7 (2007), p. 708-714
- Full Text: false
- Reviewed:
- Description: Nursing education in Iran has undergone significant change since its genesis with foreign missionaries over one hundred years ago. More recently, following the 1979 Islamic revolution, nurse education has followed the direction taken by most other countries in moving from an apprenticeship model of training to an academic model. A series of transformative changes to nursing education specifically-and across the higher education system generally-has resulted in nurses now being able to undertake study across all university-based programs up to and including doctoral level. Contemporary nursing students have access to full-text professional journals through the internet, and they may pursue their doctoral studies in other countries. Although these improvements in nursing education in Iran are to be applauded, much more needs to be accomplished to ensure that highly competent nurse practitioners continue to be produced in this country. This article presents an historical overview of the development of nursing education in Iran, within its economic and sociopolitical contexts. Recommendations based upon lessons learned from historical and contemporary realities are presented in order to advance nursing education in this part of world. © 2006 Elsevier Ltd. All rights reserved.
- Description: C1
- Description: 2003005859
Nurses' perceptions of leadership in an adult intensive care unit : A phenomenology study
- Authors: Linton, Jenelle , Farrell, Maureen
- Date: 2009
- Type: Text , Journal article
- Relation: Intensive and Critical Care Nursing Vol. 25, no. 2 (2009), p. 64-71
- Full Text:
- Reviewed:
- Description: The purpose of this research was to explore ICU nurses' perceptions of nursing leadership in the adult intensive care unit (ICU). The nursing profession needs leaders at all levels; ward, administration and executive and in an era in which there is a shortage of ICU nurses, nursing leadership is important, as positive leadership skills correlate with enhanced recruitment and retention of these specialist nurses. Six ICU nurses with at least 5 years experience in ICU nursing were recruited from a metropolitan hospital in Australia. Qualitative phenomenological methodology was used to depict the lived experiences of nurses' leadership in the adult ICU. Data were collected through individual semi-structured interviews using open-ended questions and analysed using Giorgi's [Giorgi A. Toward phenomenologically based research in psychology. J Phenomenol Psychol 1970;1:75-98] descriptive method for data analysis. Five themes emerged and these were all inter-related: leading by example, communication, ability to think outside the management square, knowing your staff and stepping up in times of crisis. These findings highlight the importance of nursing leadership in the adult ICU and the need to ensure that all current and future nursing ICU leaders are adequately prepared and educated for this role. This information may also be used to assist in the development of leadership skills in ICU nurses. © 2008 Elsevier Ltd. All rights reserved.
An Investigation into the experiences of occupational stress of graduate nurses in Hong Kong
- Authors: Lee, Irene
- Date: 2006
- Type: Text , Thesis , PhD
- Full Text: false
- Description: "The major criticism by hospital trained clinical nurses is that university graduates are perceived as not being competent practioners as a result of limited time spent in clinical areas. This lack of clinical experience is thought to contribute to new graduates' sense of occupational stress."--leaf xii.
- Description: Doctor of Philosophy
Clinical nursing professoriate : Reflections on Australian experiences
- Authors: Wellard, Sally , Heggen, Kristin
- Date: 2006
- Type: Text , Journal article
- Relation: Norwegian Journal of Nursing Research Vol. 2, no. 8 (2006), p. 13-21
- Full Text: false
- Reviewed:
- Description: Nursing, as a new discipline in the academic world, has to combine scientific traditions with its identity as a clinical profession. Joint clinical professorial appointments have been established in order to combine these two worlds.
- Description: C1
- Description: 2003001976
Incomplete or incorrect understanding of decimals: An important deficit for student nurses
- Authors: Pierce, Robyn , Steinle, Vicki
- Date: 2006
- Type: Text , Conference paper
- Relation: Paper presented at the 30th Conference of the International Group for the Psychology of Mathematics Education, PME30, Mathematics in the Centre, Prague, Czech Republic : 16th - 21st July, 2006 p. 161-169
- Full Text:
- Reviewed:
- Description: In this study more than 40% of the 355 student nurses who completed a pre-test, involving comparisons of decimal numbers, made errors that indicate an incomplete or incorrect conceptual understanding. This includes students who are sometimes able to achieve 100% on drug calculations tests. Seven test items with error rates of between 10% and 26% form the focus of our discussion. A sub-group of the students attended a one-hour remedial intervention using various physical materials to give conceptual meaning to decimal numbers. A matched post-test three months after the intervention, detected a statistically significant improvement for the intervention students but not for those who only practiced drug calculation procedures. Conceptual teaching for number sense is needed to underpin procedures.
- Description: E1
- Description: 2003001562
Navigating their way : how do women with hospitalised premature infants perceive their roles in regional special care nurseries?
- Authors: Knox, Catherine
- Date: 2006
- Type: Text , Thesis , Masters
- Full Text:
- Description: "Improved survival rates for premature infants have resulted in extended hospital stays in neonatal nurseries with consequent challenges for mothers assuming a parental role. Additionally, maternal medical complications associated with surgical birth, and a need to locate themselves in unfamiliar clinical environments, exacerbate women's experiences and transition to a maternal role competes with other roles at this time. For women living in rural and regional areas, who experience premature birth, there is additional hardship due to isolation, distance and limited support services. There has been little research on women's experiences with infants in special care nurseries in regional Australia."--(leaf ii).
- Description: Master of Nursing
Being active supports client control over health care
- Authors: Fiveash, Barbara , Nay, R.
- Date: 2004
- Type: Text , Journal article
- Relation: Contemporary Nurse Vol. 17, no. 3 (2004), p. 192-203
- Full Text:
- Reviewed:
- Description: The purpose of this study was to identify how healthcare clients achieve and maintain a sense of control over their health. The literature review conducted refers to: (i) key definitions of control, (ii) locus of control, and (iii) control and wellbeing. Participants with a range of acute and chronic health conditions and who had been hospitalised at some point were selected for the study. Symbolic interactionism (Blumer, 1969) and modified grounded theory of Strauss & Corbin (1998) provided the frameworks for this study. During the six month study period, data were collected from sixty participants and included interviews, participant observation, reviewing participants' records (nursing care plans, nursing notes and case histories), the nursing units' philosophy, organisational charts, policies and procedures, annual reports, consumer brochures and any other relevant information sources. Findings from the study indicated that participants moved from feeling vulnerable to having a sense of control through to being purposefully active. Vulnerability was associated with: (i) having limited choices in respect to their health, (ii) lacking adequate health information to make choices, (iii) being ignored by health providers with respect to their needs, and (iv) lacking friend/family supports. Purposefully activating was associated with three major categories: (i) reflecting, (ii) being self-determiningly involved and (iii) normalising. Findings from this study could be used by health care clients who want a sense of control over their health care, and also by health care providers who wish to support clients in the healthcare process.
- Description: C1
- Description: 2003000836
Constructions of chronic illness
- Authors: Wellard, Sally , Beddoes, Lenore
- Date: 2005
- Type: Text , Book chapter
- Relation: Living with illness : Psychosocial challenges for nursing Chapter 8 p. 97-113
- Full Text: false
- Description: 2003001054
The impact of fatigue on daily activity in people with chronic kidney disease
- Authors: Bonner, Ann , Wellard, Sally , Caltabiano, Marie
- Date: 2010
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 19, no. 21-22 (2010), p. 3006-3015
- Full Text: false
- Reviewed:
- Description: Aims and objectives: To examine the impact of fatigue on the daily activity levels of people with chronic kidney disease, compare whether being predialysis or receiving different renal replacement therapies had any effect on fatigue and activity and identify whether any items in the fatigue severity scale were more predictive of daily activity levels. Background: Chronic kidney disease is a complex and long-term disease where people commonly experience fatigue and reduced levels of fitness; both of which impact on an individual's ability to carry out routine activities of daily life. Design: A descriptive cross-sectional design. Methods: A convenience sample of 112 people completed the fatigue severity scale and Human Activity Profile. Participants differed in their renal history and were either predialysis or receiving renal replacement therapy. Results: Women or older participants were significantly more fatigued and less active than men or younger participants. A significant difference between mean fatigue and activity scores was found for type of renal replacement therapy, with participants receiving peritoneal dialysis being the most fatigued and the least active. Additionally, lower levels of albumin were significantly correlated with greater levels of fatigue and the ability to engage in fewer activities. Conclusion: People with chronic kidney disease regardless of whether they are predialysis or receiving either peritoneal or haemodialysis experience high levels of fatigue and are able to engage in fewer daily activities. The fatigue severity scale and the Human Activity Profile are useful indicators of fatigue and physical activities which can be used in routine assessment practices. Relevance to clinical practice: Renal nurses are ideally positioned to engage in early identification and regular monitoring of both fatigue and activity levels in people with chronic kidney disease. Individual care plans can be developed to incorporate supportive rehabilitative strategies which aim to reduce fatigue and maximise activity levels.
- Description: 2003008244
A scenario-based learning environment for critical care nursing
- Authors: Yearwood, John , Stranieri, Andrew
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at HIC 2005: Thirteenth National Health Informatic Conference, 31 July-2 August 2005, Melbourne, Australia, Melbourne : 31st July, 2005
- Full Text: false
- Reviewed:
- Description: Narrative or story telling has long been used to structure and organise human experience. In contrast to logical models of reasoning, narrative models enable complex situations to be understood and recalled by humans readily. In this work a narrative model is integrated into a logical reasoning model for the purpose of advancing a learning environment that promises to be engaging and effective. The narrative model includes a representation of the point of a story and a simple story grammar. The logical reasoning model is based on an argumentation model. The learning environment is designed to enable the automated generation of plausible scenarios that involves an intensive care unit nurse responding to a low oxygen level alarm.
- Description: E1
- Description: 2003001434
The phenomenon of presence within contemporary nursing practice : A literature review
- Authors: Welch, Di , Wellard, Sally
- Date: 2005
- Type: Text , Journal article
- Relation: Australian Journal of Holistic Nursing Vol. 12, no. 1 (2005), p. 4-10
- Full Text: false
- Reviewed:
- Description: Nursing practice underpinned by humanistic values may promote presence experiences within nurse-patient interactions. These interactions are powerful and beneficial both to nurse and patient. However, the phenomenon of presence is surrounded by competing and confused definitions. Whilst presence is arguably a core aspect of nursing practice, current health care environments significantly influence nurses' opportunities to experience presence.
- Description: C1
- Description: 2003001053