Impact of WeChat-based 'three good things' on turnover intention and coping style in burnout nurses
- Authors: Guo, Yu-Fang , Plummer, Virginia , Cross, Wendy , Lam, Louisa , Zhang, Jing-Ping
- Date: 2020
- Type: Text , Journal article
- Relation: Journal of Nursing Management Vol. 28, no. 7 (2020), p. 1570-1577
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- Description: Background: Few studies have considered functions of nurses’ positive personality and behaviours on addressing their turnover intention. Aims: To explore the effects of WeChat-based 'three good things' (3GT) on burnout nurses’ turnover intention and coping styles. Methods: A randomized controlled trial. 73 nurses were included in the intervention group (n = 33) and the control group (n = 40). The intervention group received WeChat-based 3GT. Turnover intention and coping style were measured before and after the intervention. Results: WeChat-based 3GT effectively reduced turnover intention and negative coping style (each p <.05). Positive coping style was promoted after the intervention (p <.05). Time effects as well as intervention and time interactions were significant in turnover intention and negative coping style (each p <.05). Conclusion: Benefits of WeChat-based 3GT on turnover intention and coping style in burnout nurses were found. Nurses experienced lower levels of turnover intention and negative coping style and increased the usage of positive coping style after the intervention. Implications for nursing management: Nurse managers should incorporate 3GT intervention with popular social communication programmes to improve nurses’ coping strategies towards clinical issues and maintain the stability of nursing teams. © 2020 John Wiley & Sons Ltd
- Description: The authors thank the Science and Technology Research Project of Hebei Higher Education Institutions for financial support (QN2018169). The authors would like to thank Hui Li, Yizheng Yin and Jie Zhang for their help in collecting the data. We would also like to thank the Second Xiangya Hospital of Central South University for their assistance in recruiting the participants. We acknowledge the participant nurses who were involved in this study.
Quality indicators for a community-based wound care centre : an integrative review
- Authors: Seaton, Philippa , Cant, Robyn , Trip, Henrietta
- Date: 2020
- Type: Text , Journal article
- Relation: International Wound Journal Vol. 17, no. 3 (2020), p. 587-600
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- Description: The purpose of this review was to identify the role and contribution of community-based nurse-led wound care as a service delivery model. Centres increasingly respond proactively to assess and manage wounds at all stages – not only chronic wound care. We conducted an integrative review of literature, searching five databases, 2007–2018. Based on inclusion and exclusion criteria, we systematically approached article selection and all three authors collaborated to chart the study variables, evaluate data, and synthesise results. Eighteen studies were included, representing a range of care models internationally. The findings showed a need for nurse-led clinics to provide evidence-based care using best practice guidelines for all wound types. Wound care practices should be standardised across the particular service and be integrated with higher levels of resources such as investigative services and surgical units. A multi-disciplinary approach was likely to achieve better patient outcomes, while patient-centred care with strong patient engagement was likely to assist patients' compliance with treatment. High-quality community-based wound services should include nursing leadership based on a hub-and-spoke model. This is ideally patient-centred, evidence-based, and underpinned by a commitment to developing innovations in terms of treatment modalities, accessibility, and patient engagement. © 2020 Medicalhelplines.com Inc and John Wiley & Sons Ltd
- Description: This study was supported by The Nurse Maude Association, Christchurch, New Zealand, a community‐based nursing service in New Zealand. We acknowledge the contribution of the following Nurse Maude Association staff: Mary‐Anne Stone (MPH), Senior Manager of Research, Innovation and Aged Residential Care. Cathy Hammond (MA–Clinical Nursing), Clinical Nurse Specialist – Specialist Wound Service. Denise Brankin (RN, PGDipHSc), Service Manager, Specialty Nursing Services. Gill Coe (BA), Research Officer.creative
Tracking a century of change in trophic structure and dynamics in a floodplain wetland: Integrating palaeoecological and palaeoisotopic evidence
- Authors: Kattel, Giri , Gell, Peter , Perga, Marie-Elodie , Jeppesen, Erik , Grundell, Rosie , Weller, Sandra , Zawadzki, Atun , Barry, Linda
- Date: 2015
- Type: Text , Journal article
- Relation: Freshwater Biology Vol. 60, no. 4 (2015), p. 711-723
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- Description: The palaeoecological assessment, and the use of stable isotopes of carbon in subfossils of herbivores and omnivores, represents a novel approach to understand transitions in past food-web structure and the dynamics of lake ecosystems in response to natural perturbations and human impacts. Combined with records of subfossil assemblages of cladocerans and chironomids, it may be possible to decipher whether changes are attributable to external forces or internally derived system shifts. A sediment record taken from the shallow (2.3 m depth) Kings Billabong in the River Murray floodplain (Australia) was analysed to explore changes in trophic dynamics over the past century. The palaeoecological assessment revealed that littoral assemblages of cladocerans and benthic diatoms were gradually replaced by planktonic (planktonic and facultative planktonic) assemblages after river regulation in the 1920s. The stable isotopic composition of carbon (
All for Nothing? Accounting for Land under Roads by Australian Local Governments
- Authors: Elhawary, Hassan , West, Brian
- Date: 2015
- Type: Text , Journal article
- Relation: Australian Accounting Review Vol. 25, no. 1 (2015), p. 38-44
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- Description: Accounting for land under roads by local governments has been one of the most controversial and protracted episodes in the setting of Australian accounting standards. However, after more than two decades of exposure drafts, regulation, transitional provisions and re-regulation, most land under roads has not been recognised in local government balance sheets. Australian Accounting Standard AAS 27 Financial Reporting by Local Governments was first issued in 1991 and, among other significant reforms, proposed that local governments report land under roads as an asset in their financial reports. However, persistent opposition to this requirement and practical difficulties associated with its implementation gave rise to a succession of transitional provisions deferring its mandatory application. Finally, in 2007 - 16 years after AAS 27 was first promulgated - the Australian Accounting Standards Board (AASB) sought to bring closure to this issue with the release of AASB 1051 Land Under Roads. However, in the interim some state governments had pursued their own resolutions, forbidding the recognition of land under roads. This research reports the results of a survey of the impact of land under roads on local government financial reports. After two decades of debate and regulation, diversity is found to persist in the extent and manner of recognition of this 'asset'. However, recognition remains the exception rather than the norm and is typically confined to recent acquisitions that comprise only a very small portion of total assets. These circumstances are suggestive of an episode of regulatory failure. © 2015 CPA Australia.
Immunohistochemical analysis of pancreatic islets of platypus (Ornithorhynchus anatinus) and echidna (Tachyglossus aculeatus ssp.)
- Authors: He, Chuan , Myers, Mark , Forbes, Briony , Grützner, Frank
- Date: 2015
- Type: Text , Journal article
- Relation: Journal of Anatomy Vol. 226, no. 4 (2015), p. 373-380
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- Description: Monotremes have undergone remarkable changes to their digestive and metabolic control system; however, the monotreme pancreas remains poorly characterized. Previous work in echidna demonstrated the presence of pancreatic islets, but no information is available for platypus and the fine structure has not been described for either monotreme. Based on our recent finding that monotremes lack the ghrelin gene, which is expressed in mouse and human pancreatic islets, we investigated the structure of monotreme islets in more detail. Generally, as in birds, the islets of monotremes were smaller but greater in number compared with mouse. b-cells were the most abundant endocrine cell population in platypus islets and were located peripherally, while a-cells were observed both in the interior and periphery of the islets. d-cells and pancreatic polypeptide (PP)-cells were mainly found in the islet periphery. Distinct PP-rich (PP-lobe) and PP-poor areas (non-PP-lobe) are present in therian mammals, and we identified these areas in echidna but not platypus pancreas. Interestingly, in some of the echidna islets, a- and b-cells tended to form two poles within the islets, which to our knowledge is the first time this has been observed in any species. Overall, monotreme pancreata share the feature of consisting of distinct PP-poor and PP-rich islets with other mammals. A higher number of islets and a- or b-cell only islets are shared between monotremes and birds. The islets of monotremes were larger than those of birds but smaller compared with therian mammals. This may indicate a trend of having fewer larger islets comprising several endocrine cell types during mammalian evolution. © 2015 Anatomical Society.
Commentary on van der Pol etal. (2014): Reconsidering the association between cannabis exposure and dependence
- Authors: Temple, Elizabeth
- Date: 2014
- Type: Text , Journal article
- Relation: Addiction Vol. 109, no. 7 (July 2014 2014), p. 1110-1111
- Full Text: false
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- Description: C1
John Maynard Keynes and the Keynes of the Commonwealth, Douglas Copland
- Authors: Millmow, Alex
- Date: 2015
- Type: Text , Journal article
- Relation: Australian Economic History Review Vol. 55, no. 1 (2015), p. 1-19
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- Description: When Douglas Copland of the University of Melbourne was about to go abroad in 1933, a leading Australian businessman, Herbert Gepp, hailed him as the 'Keynes of the Commonwealth'. Gepp was referring to Copland's contributions to Australian economic policy, not that of the British Commonwealth, but there were similarities between Copland and John Maynard Keynes. In full flight, Copland impressed his compatriots with his prodigious work ethic, networking skills, persuasive powers with policy-makers, and practice of popularising economics in order to effect stabilisation policy. For a short time, there were two Keynes, one at the centre, the other at the periphery. © 2015 Economic History Society of Australia and New Zealand and Wiley Publishing Asia Pty Ltd.
Factors contributing to COPD hospitalisations from 2010 to 2015 : Variation among rural and metropolitan Australians
- Authors: Terry, Daniel , Nguyen, Hoang , Kim, Jeong-Ah , Islam, Rafiqul
- Date: 2019
- Type: Text , Journal article
- Relation: Clinical Respiratory Journal Vol. 13, no. 5 (2019), p. 306-313
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- Description: Introduction: Rural and remote populations experience the greatest burden of chronic obstructive pulmonary disease (COPD), the fifth leading cause of death in Australia. Currently there is a need to prioritise health services to improve health outcomes among those at higher risk of COPD. Objectives: To investigate the differences in COPD hospitalisation between rural and urban populations and determine predictive factors contributing to COPD hospitalisation. Methods: Statewide hospitalisation data from 2010 to 2015 were obtained through the Victorian Admitted Episodes Dataset and other key data sets. The rates of hospitalisation were analysed using hierarchical multiple regression to examine the association between COPD hospitalisations and a number of predictor variables. Results: The highest COPD incidence occurred in metropolitan males aged 85 years of age and older (35.092 hospitalisations per 1000 population). Among metropolitan residents, smoking, population density and household income had a significant association with COPD hospitalisations for both sexes. Among rural males, smoking rates, household income and rural land use (farming) were significant predictors of COPD hospitalisations. There was an overall stability in statewide COPD hospitalisation over the 5 years to 2015, P = 0.420. Conclusion: This investigation highlights many rural and regional areas have much lower COPD hospitalisation rates than metropolitan areas. Between males and females, there are heterogenetic factors that contribute to the significant variation associated with COPD hospitalisation in metropolitan and rural areas, such as rural land use among rural males. This indicates that risk factor assessments, beyond smoking alone, need to be individualised and prioritised in practice to optimise care.
Improving the information content in soil pH maps: a case study
- Authors: Robinson, Nathan , Benke, Kurt , Norng, Sorn , Kitching, Matt , Crawford, Deborah
- Date: 2017
- Type: Text , Journal article
- Relation: European Journal of Soil Science Vol. 68, no. 5 (2017), p. 592-604
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- Description: Uncertainties associated with legacy data contribute to the spatial uncertainty of predictions for soil properties such as pH. Examples of potential sources of error in maps of soil pH include temporal variation and changes in land use over time. Prediction of soil pH can be improved with a linear mixed model (LMM) to analyse factors that contribute to uncertainty. Probabilities from conditional simulations in combination with agronomic critical thresholds for acid-sensitive species can be used to identify areas that are likely, or very likely, to be below these critical thresholds for plant production. Because of rapid changes in farming systems and management practices, there is a need to be vigilant in monitoring changes in soil acidification. This is because soil acidification is an important factor in primary production and soil sustainability. In this research, legacy data from south-western Victoria (Australia) were used with model-based geostatistics to produce a map of soil pH that accommodates a variety of error sources, such as the time of sampling, seasonal variation, differences in analytical method, effects of changes in land use and variable soil sample depth in legacy data. Spatial covariates that are representative of soil-forming factors were used to improve predictions. To transform spatial prediction and estimates of error in soil pH into more informative and usable maps with more information content, simulations from the conditional distribution were used to compute the probability of a soil's pH being less than critical agronomic production thresholds at each of the prediction locations. These probabilities were mapped to reveal areas of potential risk. Highlights: Can maps of soil pH be improved by accounting for temporal variation and change in land use? First example of taking account of temporal variability in sampling for pH in spatial models. Key factors for uncertainty in spatial prediction include time of sampling and sample depth. Accuracy improved by accounting for additional sources of error combined with conditional simulations. © 2017 British Society of Soil Science
Emerging threats and persistent conservation challenges for freshwater biodiversity
- Authors: Reid, Andrea , Carlson, Andrew , Creed, Irena , Eliason, Erika , Gell, Peter , Johnson, Pieter , Kidd, Karen , MacCormack, Tyson , Olden, Julian , Ormerod, Steve , Smol, John , Taylor, William , Tockner, Klement , Vermaire, Jesse , Dudgeon, David , Cooke, Steven
- Date: 2019
- Type: Text , Journal article
- Relation: Biological Reviews Vol. 94, no. 3 (2019), p. 849-873
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- Description: In the 12 years since Dudgeon et al. (2006) reviewed major pressures on freshwater ecosystems, the biodiversity crisis in the world's lakes, reservoirs, rivers, streams and wetlands has deepened. While lakes, reservoirs and rivers cover only 2.3% of the Earth's surface, these ecosystems host at least 9.5% of the Earth's described animal species. Furthermore, using the World Wide Fund for Nature's Living Planet Index, freshwater population declines (83% between 1970 and 2014) continue to outpace contemporaneous declines in marine or terrestrial systems. The Anthropocene has brought multiple new and varied threats that disproportionately impact freshwater systems. We document 12 emerging threats to freshwater biodiversity that are either entirely new since 2006 or have since intensified: (i) changing climates; (ii) e-commerce and invasions; (iii) infectious diseases; (iv) harmful algal blooms; (v) expanding hydropower; (vi) emerging contaminants; (vii) engineered nanomaterials; (viii) microplastic pollution; (ix) light and noise; (x) freshwater salinisation; (xi) declining calcium; and (xii) cumulative stressors. Effects are evidenced for amphibians, fishes, invertebrates, microbes, plants, turtles and waterbirds, with potential for ecosystem-level changes through bottom-up and top-down processes. In our highly uncertain future, the net effects of these threats raise serious concerns for freshwater ecosystems. However, we also highlight opportunities for conservation gains as a result of novel management tools (e.g. environmental flows, environmental DNA) and specific conservation-oriented actions (e.g. dam removal, habitat protection policies, managed relocation of species) that have been met with varying levels of success. Moving forward, we advocate hybrid approaches that manage fresh waters as crucial ecosystems for human life support as well as essential hotspots of biodiversity and ecological function. Efforts to reverse global trends in freshwater degradation now depend on bridging an immense gap between the aspirations of conservation biologists and the accelerating rate of species endangerment.
Cultural aspects of death notification following cardiopulmonary resuscitation
- Authors: Hassankhani, Hadi , Haririan, Hamidreza , Porter, Joanne , Heaston, Sondra
- Date: 2018
- Type: Text , Journal article
- Relation: Journal of Advanced Nursing Vol. 74, no. 7 (2018), p. 1564-1572
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- Description: Aims: To explore the lived experience of resuscitation team members involved in notifying family members when a patient dies following a resuscitation event in an Iranian cultural context. Background: Death notification to the family is indeed a difficult and an important issue for resuscitation team members. The way health professionals deliver news to family members should incorporate elements of sensitivity, timing and adequate clinical explanations with emphasis on the efforts made by the professionals during the resuscitation. Design: A phenomenological study. Method: Over a period of 5 months (June 2016–November 2016) eleven nurses and six physicians were interviewed using an in-depth interview process applying Van Manen's hermeneutic phenomenological approach for data collection and analysis. The participants were recruited from six tertiary hospitals in Tabriz, Iran. Findings: There were two main themes that emerged from the data analysis including: “contributing factors on the impact of notification” and “notification strategies”. A further 13 subthemes emerged under the main themes. Several culturally related issues emerged with the participants feeling more comfortable informing male rather than female relatives about the death of the patient following a resuscitation. Conclusions: Notifying family members of a patient's death is a stressful and culturally sensitive task for the resuscitation team members. The nature of the patient's presenting condition, together with the various resuscitation interventions can result in relatives responding unpredictably. Providing health professionals with the appropriate training and skills to effectively communicate with family members will ensure that the families’ level of preparedness, understanding and cultural beliefs are taken into consideration. © 2018 John Wiley & Sons Ltd
Are we being served? Emotional labour in local government in Victoria, Australia
- Authors: Rayner, Julie , Lawton, Alan
- Date: 2018
- Type: Text , Journal article
- Relation: Australian Journal of Public Administration Vol. 77, no. 3 (2018), p. 360-374
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- Description: This paper explores how front-line street-level bureaucrats (SLBs) cope with the expectations of citizens, clients, or ‘customers’ in daily work and how SLBs may be impacted by emotional labour. The study analyses data from 41 interviews with SLBs in local councils in Victoria, Australia. Although exploratory, it builds awareness and understanding of the emotional labour associated with public service. The situations that SLBs engage with on a daily basis are many and varied and take the form of increased expectations and intense encounters. Respondents experienced abuse, threats, violence, but also ‘sparkle moments’. Resources that helped SLBs cope are diverse and located both within and outside organisations. Implications are discussed and issues that merit additional investigation are raised concerning how SLBs can be supported to better meet the demands of the public. The research is of value to public managers and SLBs operating in a changing society with increased ‘customer’ expectations.
Families' needs of critical care Muslim patients in Saudi Arabia : A quantitative study
- Authors: Al Mutair, Abbas , Plummer, Virginia , Clerehan, Rosemary , O'Brien, Anthony
- Date: 2014
- Type: Text , Journal article
- Relation: Nursing in Critical Care Vol. 19, no. 4 (2014), p. 185-195
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- Description: Aim: To identify the needs of families of adult intensive care unit (ICU) patients in Saudi Arabia as perceived by family members and health care providers. Background: Family members of critically ill patients are likely to have specific needs that should be addressed by the critical care team and which, if unmet, may produce stress for patients' families and health care providers. The literature has yet to identify the needs of Muslim families in relation to religious beliefs and cultural values in critical care settings in Saudi Arabia. Design: A cross-sectional survey design. Method: A total of 176 family members and 497 intensive health care providers were recruited from eight adult mixed medical-surgical ICUs between November 2011 and February 2012 utilizing a four-point Likert type scale self-administered questionnaire. Results: The findings revealed that family members and health care providers ranked assurance, information and cultural and spiritual needs as the most important, and support and proximity as least important. There were significant differences in the mean values found between family members and health care providers. A significant finding not identified in other studies was 'The need to have the health care providers handle the body of the dead Muslim with extreme caution and respect' which, under the dimension of cultural and spiritual needs, was perceived by family members to be the most important and by the health care providers as the fifth most important need. Conclusion: The recognition of family needs in the critical care unit informed the development of interventions to meet family needs and improve the care quality. © 2013 British Association of Critical Care Nurses.
The rhetoric of "The Mandate" in contemporary Australian context
- Authors: Strating, Bec , Harkness, Alistair
- Date: 2018
- Type: Text , Journal article
- Relation: Australian Journal of Politics and History Vol. 64, no. 4 (2018), p. 624-640
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- Description: The “electoral mandate” serves a useful function as a political weapon in competitive party democracies, notwithstanding the ambiguities, multi-layered complexities and uncertainty of many of the issues which the concept involves. The diverse uses of “mandate” indicate competing ideas in Australian politics about the responsibilities of parties to pursue commitments made during campaigns and the extent of rights to govern. This article portrays mandate not as a “theory” or “doctrine”, but as a rhetorical device that needs to be examined in the context of “contested word use” in political speech. The renewed interest in the study of rhetoric reflects the usefulness of examining multiple and layered meanings that exist under what ostensibly may appear as “empty rhetoric”, and to understand how rhetoric is used to persuade an audience of the validity of a particular action or viewpoint. While mandate often comes under attack as “meaningless”, it is a useful persuasive tool employed by politicians to consolidate their legitimacy and justify their rights to implement a political agenda and, as such, it contributes to public discourses relating to the nature of political representation.
The effects of resilience and turnover intention on nurses’ burnout : Findings from a comparative cross-sectional study
- Authors: Guo, Yu-fang , Plummer, Virginia , Lam, Louisa , Wang, Yan , Cross, Wendy , Zhang, Jing-ping
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 28, no. 3-4 (2019), p. 499-508
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- Description: Aims and objectives: To investigate burnout among nurses from Australia and China and explore the effects of resilience and turnover intention on nurse burnout between the two countries. Background: Nursing shortages and burnout have become serious problems worldwide in recent years. In both developed and developing countries, such as Australia and China, nurse burnout levels are high and therefore attract concern from nurse managers, hospital administrators, nurse educators and researchers. However, few studies have been conducted exploring the differences in burnout and its predictors between Australian and Chinese nurses, particularly investigating the differences in the effect sizes of the predictors. Design: A comparative cross-sectional design was employed. Methods: A total of 100 Australian nurses and 197 Chinese nurses participated in the study. Australian participants completed an online questionnaire, while Chinese participants completed a hardcopy questionnaire. Burnout, resilience and turnover intention were measured. Results: Burnout was worse for Australian participants than Chinese participants. Only having turnover intention significantly predicted burnout in Australian participants, while low resilience, having turnover intention and low level of regular exercise strongly predicted burnout in Chinese participants. The effect size of turnover intention on burnout in the Australian group was almost twice that of the Chinese group. Conclusion: The findings of this study show that there are differences in burnout between Australian and Chinese nurses. The effects of resilience and turnover intention on burnout between the two groups are also identified. Relevance to clinical practice: The differences in nurse burnout and the effects of resilience and turnover intention on burnout should be better understood by nurse managers from Australia and China. Moreover, developing effective strategies relevant to their own country to reduce nurse burnout is recommended.
Care of patients in emergency department waiting rooms - an integrative review
- Authors: Innes, Kelli , Jackson, Debra , Plummer, Virginia , Elliott, Doug
- Date: 2015
- Type: Text , Journal article , Review
- Relation: Journal of Advanced Nursing Vol. 71, no. 12 (2015), p. 2702-2714
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- Description: Aim: To conduct an integrative review of primary research examining patient care roles introduced into emergency department waiting rooms. Background: Internationally, emergency departments are under pressure to meet increasing patient demand with limited resources. Several initiatives have been developed that incorporate a healthcare role in waiting rooms, to assess and initiate early interventions to decrease waiting times, detect patient deterioration and improve communication. The literature reporting these roles has not been systematically evaluated. Design: Integrative review. Data sources: Published English-language peer reviewed articles in CINAHL, Scopus, Medline and Web of Knowledge between 2003-2014. Review methods: Identified literature was evaluated using an integrative review framework, incorporating methodological critique and narrative synthesis of findings. Results: Six papers were included, with three waiting room roles identified internationally - clinical initiative nurse, Physician-Nurse Supplementary Assessment Team and clinical assistants. All roles varied in terms of definitions, scope, responsibilities and skill sets of individuals in the position. There was limited evidence that the roles decreased waiting times or improved patient care, especially during busy periods. Of note, staff members performing these roles require high-level therapeutic relationship and effective interpersonal skills with patients, family and staff. The role requires support from other staff, particularly during periods of high workload, for optimal functioning and effective patient care. Conclusion: Generalisations and practice recommendations are limited due to the lack of available literature. Further research is required to evaluate the impact emergency department waiting room roles have on patient outcomes and staff perspectives. © 2015 John Wiley & Sons Ltd.
Engaging Gadamer and qualia for the mot juste of individualised care
- Authors: Peck, Blake , Mummery, Jane
- Date: 2019
- Type: Text , Journal article
- Relation: Nursing Inquiry Vol. 26, no. 2 (2019), p. 1-10
- Full Text: false
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- Description: The cornerstone of contemporary nursing practice is the provision of individualised nursing care. Sustaining and nourishing the stream of research frameworks that inform individualised care are the findings from qualitative research. At the centre of much qualitative research practice, however, is an assumption that experiential understanding can be delivered through a thematisation of meaning which, it will be argued, can lead the researcher to make unsustainable assumptions about the relations of language and meaning-making to experience. We will show that an uncritical subscription to such assumptions can undermine the researcher's capacity to represent experience at the high level of abstraction consistent with experience itself and to thus inform genuinely individualised care. Instead, using qualia as a touchstone for the possibilities of understanding and representing experience, we trace the ‘designative’ and ‘expressive’ distinction to language in order to raise critical questions concerning both these assumptions and common practices within qualitative research. Following the ‘expressive’ account of language, we foreground in particular the hermeneutic work of Gadamer through which we explore the possibilities for a qualitative research approach that would better seek the mot juste of individual experience and illuminate qualia in order to better inform genuinely individualised care.
Child protection and fathering where there is domestic violence : Contradictions and consequences
- Authors: Smith, Joanie , Humphreys, Cathy
- Date: 2019
- Type: Text , Journal article
- Relation: Child & Family Social Work Vol. 24, no. 1 (2019), p. 156-163
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- Description: Children live in different contexts of protection and vulnerability when exposed to domestic violence. The negative impacts for many children are consistent and widely acknowledged. However, the implication that this requires men who use violence to address their fathering has been slower to emerge. This article draws from 69 in-depth qualitative interviews with men, women, and workers across four men's behaviour change programmes in rural Victoria, Australia. Particular attention is given to men's attitudes to their fathering and the formal and informal consequences they experienced as a result of their violence and its impact on their fathering. Although most men came to recognize that their violence impacted their children, they failed to make the connection that the involvement of statutory child protection services in their lives was a direct consequence of their abusive behaviour. This article explores this disconnection by fathers who use violence, their attitude to the involvement of statutory child protection services, and identifies the implications for social work practitioners in addressing this issue.
Herbicide efficacy for aquatic Alternanthera philoxeroides management in an early stage of invasion : Integrating above-ground biomass, below-ground biomass and viable stem fragmentation
- Authors: Clements, Daniel , Dugdale, Tony , Butler, Kym , Florentine, Singarayer , Sillitoe, Jim
- Date: 2017
- Type: Text , Journal article
- Relation: Weed Research Vol. 57, no. 4 (2017), p. 257-266
- Full Text: false
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- Description: Alternanthera philoxeroides is a problematic invasive plant in many regions of the world that is difficult to control once naturalised. It poses a threat to agricultural productivity, biodiversity and social amenity values of aquatic environments. Significant research has been conducted internationally, regarding the efficacy of different herbicides for control of A. philoxeroides. However, no studies have looked at key aspects of control for effective management in an early stage of invasion of aquatic environments, hindering eradication and control programmes. This study evaluates the efficacy of herbicides and surfactants on key A. philoxeroides response metrics, including control of above-ground biomass, below-ground biomass and production of viable stem fragments. This study concluded that glyphosate (isopropylamine salt) minimises viable stem fragment production post-herbicide application, compared with imazapyr and metsulfuron, thus reducing the potential for dispersal throughout catchments and waterways. In contrast, imazapyr and metsulfuron provided more effective control than glyphosate for A. philoxeroides growing on exposed embankments. We propose that an effective management strategy for early invasion of aquatic A. philoxeroides, using herbicides, would be to conduct initial applications of glyphosate to control overwater biomass and limit dispersal of viable stem fragments. Once infestations have been forced back to the embankment, imazapyr or metsulfuron treatments will provide longer term control. © 2017 European Weed Research Society
The impact of a Web-based educational program on the recognition and management of deteriorating patients
- Authors: Liaw, Sok , Chng, Devon , Wong, Lai , Ho, Jasmine , Mordiffi, Siti , Cooper, Simon J. , Chua, Wei , Ang, Emily
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 26, no. 23-24 (2017), p. 4848-4856
- Full Text: false
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- Description: Aims and objectives: To evaluate the effectiveness of a Web-based educational program to enhance enrolled nurses’ knowledge and skills in the recognition and management of deteriorating patients. Background: Ward nurses of different skill levels play a pivotal role in detecting and responding to deteriorating patients. A skill mix of registered nurses, enrolled nurses, licensed practical nurses or healthcare assistants is often employed for the provision of nursing care in acute settings. Non-registered nurses frequently perform bedside care and are in the best position to detect deteriorating patients and initiate immediate actions, including commanding the attention of registered nurses. Education is needed to improve the knowledge and skills of these nurses. Design: A randomised controlled trial with a pretest–post-test design. Methods: The sample included enrolled nurses from an acute care tertiary hospital. Following a baseline evaluation, the experimental group received a Web-based educational intervention. Pre–post assessment of skills and knowledge was performed with a simulated scenario and a knowledge questionnaire. Sixty-four nurses completed the entire study. Results: Following the intervention, participants from the experimental group were significantly more likely than those in the control group to monitor the patient's respiratory and pulse rates. In addition, they had significantly higher post-test mean scores for knowledge and skills in assessing and managing clinical deterioration and reporting deterioration. Conclusion: The Web-based educational intervention significantly improved enrolled nurses’ knowledge and skills in the recognition and management of a deteriorating patient in a simulated setting. Relevance to clinical practice: Ease of access to the Web-based platform contributed to the feasibility and acceptability of this study, which has the potential to positively impact patient safety. © 2017 John Wiley & Sons Ltd