An exploration of the capacity of general practice nurses to improve the prevention and management of childhood obesity
- Authors: Paliadelis, Penny , Parmenter, Glenda
- Date: 2009
- Type: Text , Conference paper
- Relation: Primary Health Care Conference
- Full Text: false
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- Description: E1
Rewriting the ‘rights' to get it right: An explorative study of medication administration practices
- Authors: Harris, J , Paliadelis, Penny , Parmenter, Glenda
- Date: 2012
- Type: Text , Conference paper
- Relation: NETNEP 2012 4th International Nurse Education Conference
- Full Text: false
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- Description: E1
The challenges confronting clinicians in rural acute care settings: a participatory research project
- Authors: Paliadelis, Penny , Parmenter, Glenda , Parker, Vicki , Giles, Michelle , Higgins, Isabel
- Date: 2012
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 12 (online), no. (2012), p.
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- Description: In Australia, as in many other developed countries, the current healthcare environment is characterised by increasing differentiation and patient acuity, aging of patients and workforce, staff shortages and a varied professional skills mix, and this is particularly so in rural areas. Rural healthcare clinicians are confronted with a broad range of challenges in their daily practice. Within this context, the challenges faced by rural acute care clinicians were explored and innovative strategies suggested. This article reports the findings of a study that explored these challenges across disciplines in acute healthcare facilities in rural New South Wales (NSW), Australia. METHODS: A mixed method approach, involving a consultative, participatory 3 stage data collection process was employed to engage with a range of healthcare clinicians from rural acute care facilities in NSW. Participants were invited to complete a survey, followed by focus group discussions and finally facilitated workshops using nominal group technique. RESULTS: The survey findings identified the respondents' top ranked challenges. These were organised into four categories: (1) workforce issues; (2) access, equity and opportunity; (3) resources; and (4) contextual issues. Participants in the focus groups were provided with a summary of the survey findings to prompt discussion about the challenges identified and impact of these on their professional and personal lives. The results of the final workshop stage of the study used nominal group process to focus the discussion on identifying strategies to address identified challenges. CONCLUSIONS: This study builds on research conducted in a large metropolitan tertiary referral hospital. While it was found that rural clinicians share some of the challenges identified by their metropolitan counterparts, some identified challenges and solutions were unique to the rural context and require the innovative solutions suggested by the participants. This article provides insight into the working world of rural healthcare clinicians and offers practical solutions to some of the identified issues. The findings of this study may assist rurally based healthcare services to attract and retain clinical staff.
Leading conversations: A reflection on building nurse manager's leadership capacity
- Authors: Paliadelis, Penny , Campbell, S
- Date: 2010
- Type: Text , Conference paper
- Relation: National Australian Conference on Evidence-based Clinical Leadership
- Full Text: false
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- Description: E1
An exploration of the role that expert knowledge plays in the assessment of undergraduate clinical competence: registered nurses' experiences
- Authors: Paliadelis, Penny , Cruickshank, Mary
- Date: 2003
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 3, no. 2 (2003 2003), p. 191-191
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- Description: INTRODUCTION: This phenomenological study, conducted in rural Australia, explored the experiences of registered nurses (RNs) responsible for assessing the clinical competence of undergraduate nursing students. The purpose of the study was to gain insight into the experiences of a group of registered nurses who assess student competence by exploring how they perform the assessment process. A key assumption on which this study was based is that the participants are 'expert nurses', as defined by Benner. METHOD: Participants were recruited using purposive sampling from a population of registered nurses who assessed the clinical performance of undergraduate nursing students studying at a rural university in New South Wales, Australia. Individual unstructured interviews were conducted and audiotaped with the participants' permission. The analysed data were given to all participants to check for accuracy and validation and a thematic analysis of the data was conducted. RESULTS: Four themes were identified; the major theme, described in this article, was identified in all the narratives. The participants all acknowledged that they use their expert nursing knowledge to assist them when assessing the clinical competence of nursing students. The participants used a variety of terms to describe this type of knowledge such as intuition, instinct, gut feeling and 'just knowing'. CONCLUSION: While the findings of this study confirmed that experienced nurses unconsciously use their expert nursing knowledge when making decisions about students' competence, the findings also indicated a lack of awareness or underestimation of the value of expert clinical knowledge. These findings reinforce the need for further investigation to determine the role of expert nursing knowledge in the clinical competency assessment process. This is particularly significant for rural registered nurses employed in small health-care facilities, who often assume the role of assessors of student clinical competence.
The development and evaluation of online stories to enhance clinical learning experiences across health professions in rural Australia
- Authors: Paliadelis, Penny , Stupans, Ieva , Parker, Vicki , Piper, Donella , Gillan, Pauline , Lea, Jackie , Jarrott, Helen Mary , Wilson, Rhonda , Hudson, Judith , Fagan, Anthea
- Date: 2015
- Type: Text , Journal article
- Relation: Collegian Vol. 22, no. 4 (2015), p.397-400
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'Right' for publication: Strategies for supporting novice writers across health and medical disciplines
- Authors: Paliadelis, Penny , Parker, Vicki , Parmenter, Glenda , Maple,
- Date: 2014
- Type: Text , Journal article
- Relation: Australian Health Review Vol. , no. (2014), p.165-168
- Full Text: false
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The working world of nursing unit managers
- Authors: Paliadelis, Penny
- Date: 2008
- Type: Text , Journal article
- Relation: Australian Health Review Vol. 32, no. 2 (2008), p. 256-264
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- Description: his paper seeks to explore the responsibility and power of the role of nursing unit managers (NUMs) in rural New South Wales using Kanter's theory of organisational power as a framework. Using in-depth individual interviews with twenty NUMs, data were analysed from four perspectives to gain a deep understanding of the NUMs' working world. The findings show that the NUMs' role is substantive, encompassing both clinical and managerial functions. Overall, the findings indicate that the participants lacked power commensurate with their role responsibilities.
Developing clinical judgement : a case scenario approach
- Authors: Paliadelis, Penny
- Date: 2008
- Type: Text , Book
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Exploring understandings of chronic-care self-management models in a rural context
- Authors: Paliadelis, Penny , Forster, Natalie , Carr, Susan , Lhussier, Monique , Eaton, Simon
- Date: 2012
- Type: Text , Conference paper
- Relation: Enhancing Practice 2012
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Implementing and evaluating
- Authors: Paliadelis, Penny
- Date: 2012
- Type: Text , Book chapter
- Relation: Kozier & Erb's Fundamentals of nursing p. 501
- Full Text: false
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Looking after yourself : Clinical understandings of chronic-care self-management strategies in rural and urban contexts of the United Kingdom and Australia
- Authors: Carr, Susan , Paliadelis, Penny , Lhussier, Monique , Forster, Natalie , Eaton, Simon , Parmenter, Glenda , Death, Catharine
- Date: 2014
- Type: Text , Journal article
- Relation: Sage Open Medicine Vol. 2, no. (2014), p.1-9
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- Description: Objectives: This article reports on the outcomes of two similar projects undertaken during 2011–2012 in Australia (Rural Northern New South Wales) and the United Kingdom (Urban Northern United Kingdom) that sought to identify the strategies that health professionals employ to actively involve patients with chronic conditions in the planning and delivery of their care. In particular, this study explored understandings and contexts of care that impacted on the participants’ practices. This study was informed by the global shift to partnership approaches in health policy and the growing imperative to deliver patient or client-centred care. Methods: An ethnomethodological design was used, as ethnomethodology does not dictate a set of research methods or procedures, but rather is congruent with any method that seeks to explore what people do in their routine everyday lives. Focus groups and interviews were employed to explore the strategies used by a range of primary health-care providers, such as general practitioners, nurses, social workers, diabetes educators, dieticians and occupational therapists, to support clients to effectively manage their own chronic conditions. Results: Data from both studies were synthesised and analysed thematically, with the themes reflecting the context, similarities and differences of the two studies that the participants felt had either facilitated or blocked their efforts to support their clients to adopt self-care strategies. Conclusion: Supporting patients/clients to engage in actively self-managing their health-care needs requires changes to clients’ and clinicians’ traditional perspectives on their roles. The barriers and enablers to supporting clients to manage their own health needs were similar across both locations and included tensions in role identity and functions, the discourse of health-care professionals as ‘experts’ who deliver care and their level of confidence in being facilitators who ‘educate’ clients to effectively manage their health-care needs, rather than only the ‘providers’ of care.
Implementing and evaluating
- Authors: Paliadelis, Penny
- Date: 2010
- Type: Text , Book chapter
- Relation: Kozier & Erb's Fundamentals of nursing p. 461
- Full Text: false
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Rural nursing unit managers : Education and support for the role
- Authors: Paliadelis, Penny
- Date: 2005
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 5, no. 1 (January 2005), p. 325
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- Description: INTRODUCTION: Nursing unit managers (NUMs) occupy the often unenviable position of first-line management in many health services in Australia. As such, their role is complex and multifaceted requiring an intertwining of their clinical and managerial responsibilities. While there is an abundance of studies that explore and describe the various management roles in many professions and industries, little is known about the experiences of nurses as managers, particularly in rural settings. This article focuses on the education and support needs of rural nursing unit managers. METHODS: A qualitative study design was used to explore the stories of a number of nursing unit managers in rural New South Wales, Australia. Data was collected using semi-structured individual interviews. Data was analysed using a voice-relational method as a framework for more clearly hearing the voices of participants. This method of data analysis is particularly useful for hearing from those who do not usually have a 'strong' voice, for gaining an understanding of the context of the interviews, and for acknowledging the role of the researcher in the research process. All NUMs employed in a single regional health authority in rural Australia were invited to participate. RESULTS: Out of 42 NUMs in the region, 20 agreed to be interviewed. Nursing unit managers were asked to reflect on their experiences prior to and during the early days within the position. In summary, all the NUMs: believed they were promoted because of their clinical expertise; felt unprepared for the managerial and administrative aspects of their role; continued to identify as nurses rather than as managers; found the role isolated them from their former peer group. Those employed in small facilities had limited opportunities for education and peer support. CONCLUSIONS: Based on the NUMs' experiences and suggestions, the following information would have helped them to cope with the demands of their new role: information and discussions about the role expectations of first-line manager, from both an employee and employer perspective; human resource and financial management skill development; leadership skills; negotiation and conflict resolution; a clear and realistic role description.
Nurses as managers; Education and support for the role
- Authors: Paliadelis, Penny
- Date: 2004
- Type: Text , Book chapter
- Relation: Education: Concepts and practices p. 775
- Full Text: false
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All together now! – An exploration of the value of a simulated interprofessional learning program for a range of rural health students
- Authors: Paliadelis, Penny , Stupans, Ieva , Fagan, Anthea , Turner, Linda , Puxty, Maree
- Date: 2012
- Type: Text , Conference paper
- Full Text: false
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- Description: E1
A person-centred approach to assessing the cardiovascular and lymphatic systems
- Authors: Paliadelis, Penny
- Date: 2014
- Type: Text , Book chapter
- Relation: Medical-surgical nursing; Critical thinking in client care p.
- Full Text: false
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Nurse managers don't get the corner office
- Authors: Paliadelis, Penny
- Date: 2010
- Type: Text , Conference paper
- Relation: 7th Biennial International Conference in Organisational Behaviour in Health Care
- Full Text: false
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Overcoming writers' block: The development of a new collaborative nursing and midwifery journal that encourages and supports novice writers to publish research projects
- Authors: Parmenter, Glenda , Paliadelis, Penny , Parker, Vicki , Giles, Michelle , Turner, Catherine
- Date: 2010
- Type: Text , Conference paper
- Relation: 21st international nursing research congress
- Full Text: false
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The lure of the bush : Do rural placements influence student nurses to seek employment in rural settings?
- Authors: Lea, Jackie , Cruickshank, Mary , Paliadelis, Penny , Parmenter, Glenda , Sanderson, Helena , Thornberry, Patricia
- Date: 2008
- Type: Text , Journal article
- Relation: Collegian Vol. 15, no. 2 (May 2008), p. 77-82
- Full Text: false
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- Description: The aim of this study was to investigate whether rural clinical placements for student nurses at a rural university in New South Wales influence their decision to join the rural and remote Registered Nurse workforce. The study utilised a convenience sample of final year Bachelor of Nursing students at a rural university campus, and consisted of two stages of data collection. Stage One employed a pre- and post-clinical placement survey design that elicited both demographic and qualitative data. Stage Two consisted of individual interviews with a sample of final year nursing students while they were on a rural clinical placement. The findings highlight the factors that influence final year students' decisions to seek employment in rural healthcare facilities. These findings will be of interest to nurse academics concerned with ensuring that undergraduate nursing curricula relate to rural nursing practice in Australia and to those involved in recruitment of new graduate RN's to rural nursing practice.