Effective interprofessional collaboration in rural contexts : A research protocol
- Authors: Mitchell, Rebecca , Paliadelis, Penny , McNeil, Karen , Parker, Vicki , Giles, Michelle , Higgins, Isabel , Parmenter, Glenda , Ahrens, Yvonne
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Advanced Nursing Vol. 69, no. 10 (2013), p. 2317-2326
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- Description: Abstract AIM: To describe the research protocol that will be used to investigate factors contributing to effective interprofessional practice in a rural context in Australia. BACKGROUND: Interprofessional practice is a key strategy for overcoming rural health challenges; however, our knowledge of interprofessional initiatives and consequences in rural areas is limited. DESIGN: A modified realistic evaluation approach will be used to explore the structures, systems, and social processes contributing to effective interprofessional outcomes. This 'context-mechanism-outcome' approach provides a useful framework for identifying why and how interprofessional practice works in rural contexts. METHOD: Initial propositions regarding the factors that explain effective collaborative practice will be generated through interviews with lead clinicians, policy-makers, and clinician managers. Clinician interviews, document analysis, and multi-participant focus groups will be used as evidence to support, refine, or redevelop the initial propositions. This will allow the development of a model of rural interprofessional practice that will explain how and why collaborative approaches work in rural environments. This study is funded by an Institute of Rural Clinical Services and Teaching grant (January 2010). DISCUSSION: Rural healthcare challenges are well documented; however, studies investigating the nature of interprofessional practice in rural contexts are not common. Rural contexts also present research design, particularly data collection, challenges. This proposed research is one of the first to identify the factors that facilitate or constrain effective interprofessional work in rural settings. This is particularly important, given the continuing workforce shortages and maldistribution and poorer health outcomes in rural communities globally.
Using a voice-centered relational method of data analysis in a feminist study exploring the working world of nursing unit managers
- Authors: Paliadelis, Penny , Cruickshank, Mary
- Date: 2008
- Type: Text , Journal article
- Relation: Qualitative Health Research Vol. 18, no. 10 (2008), p. 1444-1453
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- Description: In this article, we discuss the application of a data analysis method used in a feminist study that explored the working world of nursing unit managers in Australia. The decision to use a voice-centered relational approach to the data was based on a desire to delve into the working world of nursing unit managers and uncover the layers within the narratives that specifically related to their perceptions of themselves, their world, and the context in which they work. Throughout this article, the focus is on how this method was applied to uncover multiple layers of meaning within the data, rather than on the researchers' and participants' roles in the coconstruction of interview data. An excerpt from an interview transcript is used to illustrate how the stories of the participants were explored using this method.
Conclusion : What now? Where to from here?
- Authors: Paliadelis, Penny
- Date: 2019
- Type: Text , Book chapter
- Relation: The road to nursing Chapter 18 p. 295-306
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- Description: The focus of this book has been on exploring the key concepts, knowledge and skills that are relevant to contemporary nursing practice, with a strong emphasis on 'meaning-making' - what things really mean; how this meaning is established; why particular knowledge is necessary or important; and how all this informs your road to nursing, your ongoing learning, practice and professional identity-formation and your conception of what it really means to be and act as a nurse. This final chapter weaves together some of the key focus areas that have made up this 'journey', using stories from practice that may provide you with some further insights to guide you on your path to becoming a skilled and experienced nurse. The second part of this chapter will focus your attention on the fact that once you enter the profession as a beginning-level nurse, this is not the end of your journey; it is only the first stage of your career. There are many options and learning opportunities that can further your career and assist you to develop into an expert nurse across a range of settings. The last part of this chapter will focus on how you can contribute to the further development of the nursing profession by role-modelling and promoting nursing, mentoring and supporting others, and developing and sharing your skills and knowledge with new generations of nurses.
Understanding self and others
- Authors: Arnott, Nick , Paliadelis, Penny , Cruickshank, Mary , Williams, Danielle
- Date: 2019
- Type: Text , Book chapter
- Relation: The road to nursing Chapter 10 p. 152-167
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- Description: As a society, we generally expect those working in professional roles to be 'professional', but this term is difficult to define. What does it actually mean to be professional? How can students develop their personal sense of self, and how might this interact with their professional identify and performance? This chapter explains self-awareness and the importance of understanding your own values, beliefs and motivations, which in turn will assist you to better understand the unique experiences and 'world-views' of others, and to develop and nurture the therapeutic and professional relationships that are essential for successful nursing practice.
The road to nursing
- Authors: Arnott, Nick , Paliadelis, Penny , Cuickshank, Mary
- Date: 2019
- Type: Text , Book
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- Description: Commencing a nursing qualification can be an exciting yet daunting prospect. The Road to Nursing empowers nursing students to become effective practitioners by providing an in-depth foundational knowledge of the key concepts and skills that will underpin their entire nursing journey. Written by an expert team of academics and practising nurses, this text emphasises the importance of meaning-making, supporting students to critically engage with key knowledge that informs their ongoing learning, development and professional identity. Each chapter supports learning through pedagogical features including case studies, nursing perspectives, reflections, key terms, review questions and research topics, The additional activities accessed through the VitalSource eBook reaffirm comprehension and encourage critical thinking. The Road to Nursing is written in an accessible narrative style, providing a friendly guiding voice that will support students from the classroom into practice.
The safe administration of medication : Nursing behaviours beyond the five-rights
- Authors: Martyn, Julie-Anne , Paliadelis, Penny , Perry, Chad
- Date: 2019
- Type: Text , Journal article
- Relation: Nurse Education in Practice Vol. 37, no. (2019), p. 109-114
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- Description: This paper discusses the findings from the observation phase of a more extensive, appreciative inquiry qualitative study exploring registered nurses' experiences of administering medications. The observations aimed to explore the participants' application of the five-rights of medication administration in practice. Twenty registered nurses working in inpatient medical/surgical units at a regional Australian hospital were observed administering medications from the commencement to the completion of their shift. A data collection tool based on the five-rights of medication administration was used. The findings indicated that medication administration was not as routine as the rights framework suggests. Indeed, what was observed rarely reflected all the criteria of the rights framework. Notably, in practice, some of the rights were unable to be observed because the critical thinking that underpins the rights are implicit. However, the participants were observed to implement strategies beyond those described by the rights framework that ensured safe and timely medication administration. In brief, medication administration in contemporary healthcare settings is more complicated than the linear process suggested by the rights framework. So more attention is warranted, to the safe practice strategies of nurses who, to deal with complex clinical contexts. Their person-centred strategies respond to patient circumstances and maintain safety.
The journey begins
- Authors: Arnott, Nick , Paliadelis, Penny , Cuickshank, Mary
- Date: 2019
- Type: Text , Book chapter
- Relation: The road to nursing Chapter 1 p. 3-15
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- Description: This opening chapter aims to set the scene for your undergraduate nursing journey. We welcome you to the wonderful, dynamic and diverse profession of nursing and encourage some initial thinking about what nursing is, why you have chosen this career and the sort of nurse you hope to be. We also outline the purpose, structure and features of this book, and introduce you to the key concepts and ideas underpinning your learning journey, many of which will be emphasised and explored further in subsequent chapters.
The history and evolving image of nursing
- Authors: Cruickshank, Mary , Paliadelis, Penny , Gazula, Swapnali , McAllister, Margaret
- Date: 2019
- Type: Text , Book chapter
- Relation: The road to nursing Chapter 7 p. 99-116
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- Description: The traditional stereotypical image of a nurse is closely linked to that of Florence Nightingale, the founder of modern nursing, who established a training system for nurses to teach them how to be completely dedicated to the taskes of care regardless of personal needs; dependent on and deferential to authorities such as medical doctors and matron supervisors; and modest and feminine. Of course, contemporary nursing is no longer a profession exclusive to females, and nor does nursing work predominantly involve dependent actions. However, these old ideas remain strong in the minds of the public and are often repeated in popular culture.