Burnout, stress and resilience of an Australian regional hospital during COVID-19 : a longitudinal study
- Armstrong, Samantha, Porter, Joanne, Larkins, Jo-Ann, Mesagno, Christopher
- Authors: Armstrong, Samantha , Porter, Joanne , Larkins, Jo-Ann , Mesagno, Christopher
- Date: 2022
- Type: Text , Journal article
- Relation: BMC Health Services Research Vol. 22, no. 1 (2022), p.
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- Description: Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic. © 2022, The Author(s).
- Authors: Armstrong, Samantha , Porter, Joanne , Larkins, Jo-Ann , Mesagno, Christopher
- Date: 2022
- Type: Text , Journal article
- Relation: BMC Health Services Research Vol. 22, no. 1 (2022), p.
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- Description: Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic. © 2022, The Author(s).
Australian men’s sheds and their role in the health and wellbeing of men : a systematic review
- Barbagallo, Michael, Brito, Sara, Porter, Joanne
- Authors: Barbagallo, Michael , Brito, Sara , Porter, Joanne
- Date: 2023
- Type: Text , Journal article
- Relation: Health & Social care in the Community Vol. 2023, no. (2023), p. 1-9
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- Description: Men’s sheds are a community-based organisation that allows a space for a community of men to interact and engage with one another with hands-on activities. As such, men’s sheds form an appropriate setting to deliver health and wellbeing initiatives. This review aims to understand the role of Australian men’s sheds with respect to the health and wellbeing of their male participants. This review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis (PRISMA) following a three-step process of planning, conducting, and reporting the review. All three authors reviewed all the eligible articles. There was significant methodological heterogeneity between the sources identified (n = 11). A narrative synthesis identified three key themes: health promotion, wellbeing, and socialisation intergenerational mentoring and Aboriginal and Torres Strait Islander men’s health. Men’s sheds serve as ideal locations for the delivery of initiatives that can positively impact on the health and wellbeing of their male participants. Furthermore, research is needed to explore the implementation and evaluation of these health and wellbeing initiatives for men in their respective communities.
- Authors: Barbagallo, Michael , Brito, Sara , Porter, Joanne
- Date: 2023
- Type: Text , Journal article
- Relation: Health & Social care in the Community Vol. 2023, no. (2023), p. 1-9
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- Description: Men’s sheds are a community-based organisation that allows a space for a community of men to interact and engage with one another with hands-on activities. As such, men’s sheds form an appropriate setting to deliver health and wellbeing initiatives. This review aims to understand the role of Australian men’s sheds with respect to the health and wellbeing of their male participants. This review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis (PRISMA) following a three-step process of planning, conducting, and reporting the review. All three authors reviewed all the eligible articles. There was significant methodological heterogeneity between the sources identified (n = 11). A narrative synthesis identified three key themes: health promotion, wellbeing, and socialisation intergenerational mentoring and Aboriginal and Torres Strait Islander men’s health. Men’s sheds serve as ideal locations for the delivery of initiatives that can positively impact on the health and wellbeing of their male participants. Furthermore, research is needed to explore the implementation and evaluation of these health and wellbeing initiatives for men in their respective communities.
Public health education by emergency nurses : a scoping review and narrative synthesis
- Coombs, Nicole, Porter, Joanne, Barbagallo, Michael, Plummer, Virginia
- Authors: Coombs, Nicole , Porter, Joanne , Barbagallo, Michael , Plummer, Virginia
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Patient Education and Counseling Vol. 105, no. 5 (2022), p. 1181-1187
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- Description: Objective: To identify the extent, range, and nature of the evidence on public health education provided by emergency nurses. Methods: A scoping review, using the methodological guidance of Joanna Briggs Institute, was conducted to scope and map the literature and research activity. Using predetermined criteria, databases, grey literature, and reference lists were searched for eligible sources. At least two authors reviewed each article. A narrative synthesis methodology was utilised to analyse and report the findings. Results: There was significant methodological heterogeneity between sources (n = 6). Three themes were identified: 1) Benefits of the system: An opportunity to inform the public, 2) The barriers: Time pressures and being prepared and 3) The strategies: Plan for structured and created teachable moments Conclusion: Limited research is being conducted in this area. Further research is needed to understand emergency nurse's practice and attitudes towards providing public health messages. Practice implications: Emergency nurses need to utilise the ‘teachable moment‘ for every emergency admission, providing opportunistic preventative education to improve health outcomes and reduce demand on the healthcare system. © 2021 Elsevier B.V.
- Authors: Coombs, Nicole , Porter, Joanne , Barbagallo, Michael , Plummer, Virginia
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Patient Education and Counseling Vol. 105, no. 5 (2022), p. 1181-1187
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- Description: Objective: To identify the extent, range, and nature of the evidence on public health education provided by emergency nurses. Methods: A scoping review, using the methodological guidance of Joanna Briggs Institute, was conducted to scope and map the literature and research activity. Using predetermined criteria, databases, grey literature, and reference lists were searched for eligible sources. At least two authors reviewed each article. A narrative synthesis methodology was utilised to analyse and report the findings. Results: There was significant methodological heterogeneity between sources (n = 6). Three themes were identified: 1) Benefits of the system: An opportunity to inform the public, 2) The barriers: Time pressures and being prepared and 3) The strategies: Plan for structured and created teachable moments Conclusion: Limited research is being conducted in this area. Further research is needed to understand emergency nurse's practice and attitudes towards providing public health messages. Practice implications: Emergency nurses need to utilise the ‘teachable moment‘ for every emergency admission, providing opportunistic preventative education to improve health outcomes and reduce demand on the healthcare system. © 2021 Elsevier B.V.
Public health messaging during disasters : a qualitative study of emergency department key informants
- Coombs, Nicole, Porter, Joanne, Barbagallo, Michael
- Authors: Coombs, Nicole , Porter, Joanne , Barbagallo, Michael
- Date: 2023
- Type: Text , Journal article
- Relation: Australasian Emergency Care Vol. 26, no. 4 (2023), p. 284-289
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- Description: Background: Patient education is a professional obligation for all nurses. Public health messaging in emergency departments during disasters can help prevent further risk or illness for affected communities. In this study, Australian emergency nurse Key Informants share their perceptions and experiences of preventative messaging provided in their departments during disasters and the governance and processes in place to support this practice. Methods: The qualitative phase of a mixed methods study, where semi structured interviews were utilised, and data analysed using a six step Thematic analysis. Results: Three themes were identified: (1) Part of the Job; (2) It's all in the delivery; and (3) Preparation is the key. These themes include concepts involving the confidence and competence of nurses providing messages, what, when and how messages are being given and how prepared both the department and staff are regarding patient education during disaster events. Conclusions: Nurse confidence is a key factor in the delivery of preventative messages during disasters, potentially resulting from a lack of exposure, a junior workforce and minimal training. Leaders agree that departments are not preparing or supporting messaging practice, with an absence of specific training, formal guidelines, and patient education resources; and that improvement is needed. © 2023
- Authors: Coombs, Nicole , Porter, Joanne , Barbagallo, Michael
- Date: 2023
- Type: Text , Journal article
- Relation: Australasian Emergency Care Vol. 26, no. 4 (2023), p. 284-289
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- Description: Background: Patient education is a professional obligation for all nurses. Public health messaging in emergency departments during disasters can help prevent further risk or illness for affected communities. In this study, Australian emergency nurse Key Informants share their perceptions and experiences of preventative messaging provided in their departments during disasters and the governance and processes in place to support this practice. Methods: The qualitative phase of a mixed methods study, where semi structured interviews were utilised, and data analysed using a six step Thematic analysis. Results: Three themes were identified: (1) Part of the Job; (2) It's all in the delivery; and (3) Preparation is the key. These themes include concepts involving the confidence and competence of nurses providing messages, what, when and how messages are being given and how prepared both the department and staff are regarding patient education during disaster events. Conclusions: Nurse confidence is a key factor in the delivery of preventative messages during disasters, potentially resulting from a lack of exposure, a junior workforce and minimal training. Leaders agree that departments are not preparing or supporting messaging practice, with an absence of specific training, formal guidelines, and patient education resources; and that improvement is needed. © 2023
The effect of positively framed and negatively framed messages on televised smoking cessation advertisement success : a systematic review
- James, Michelle, Porter, Joanne, Reimers, Vaughan, Prokopiv, Valerie
- Authors: James, Michelle , Porter, Joanne , Reimers, Vaughan , Prokopiv, Valerie
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Journal of Health Research Vol. 37, no. 2 (2023), p. 129-138
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- Description: Background: Smoking cessation campaigns aim to decrease the prevalence of smoking in the community. However, smoking cessation campaigns can be expensive to develop and implement, therefore is it essential that campaigns have high impact and broad reach to ensure the most efficient use of resources. Method: A systematic review was conducted in October 2020 to assess the efficacy of positively framed and negatively framed messages used in televised smoking cessation advertisements. The search was restricted to quantitative primary research published between 2010 and 2020, yielding 4640 results. Study selection was performed using the PRISMA method. Population was inclusive of all ages and smoking status. A total of 15 articles met the criteria for review. Results: Negative messages were found to increase the likelihood of a smoker intending to quit, attempting to quit, successfully quitting, or calling a quitline, while some studies found that positive messages increased confidence to quit and calls to quitline. Combination of negative and positive messages were found to complement one another and were more successful at influencing quit behaviour than using either message type alone. However, findings were not consistent across all studies. Conclusion: The results of this review may be used to inform the development of future smoking cessation advertisements to ensure content is relevant, effective, and cost-efficient. Further exploration of the efficacy of positive and negative messages on target populations would be valuable to advise the design of cessation campaigns. © 2023 College of Public Health Sciences, Chulalongkorn University. This is an open access article under the CC BY license.
- Authors: James, Michelle , Porter, Joanne , Reimers, Vaughan , Prokopiv, Valerie
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Journal of Health Research Vol. 37, no. 2 (2023), p. 129-138
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- Description: Background: Smoking cessation campaigns aim to decrease the prevalence of smoking in the community. However, smoking cessation campaigns can be expensive to develop and implement, therefore is it essential that campaigns have high impact and broad reach to ensure the most efficient use of resources. Method: A systematic review was conducted in October 2020 to assess the efficacy of positively framed and negatively framed messages used in televised smoking cessation advertisements. The search was restricted to quantitative primary research published between 2010 and 2020, yielding 4640 results. Study selection was performed using the PRISMA method. Population was inclusive of all ages and smoking status. A total of 15 articles met the criteria for review. Results: Negative messages were found to increase the likelihood of a smoker intending to quit, attempting to quit, successfully quitting, or calling a quitline, while some studies found that positive messages increased confidence to quit and calls to quitline. Combination of negative and positive messages were found to complement one another and were more successful at influencing quit behaviour than using either message type alone. However, findings were not consistent across all studies. Conclusion: The results of this review may be used to inform the development of future smoking cessation advertisements to ensure content is relevant, effective, and cost-efficient. Further exploration of the efficacy of positive and negative messages on target populations would be valuable to advise the design of cessation campaigns. © 2023 College of Public Health Sciences, Chulalongkorn University. This is an open access article under the CC BY license.
The effects of the ward environment and language in palliative care : a qualitative exploratory study of Victorian nurses’ perspectives
- Miller, Elizabeth, Porter, Joanne, Barbagallo, Michael
- Authors: Miller, Elizabeth , Porter, Joanne , Barbagallo, Michael
- Date: 2023
- Type: Text , Journal article
- Relation: Health Environments Research and Design Journal Vol. 16, no. 4 (2023), p. 146-158
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- Description: Objectives: The current study aimed to explore regional nurses’ perspectives of how bad news is delivered and the physical, natural, social, and symbolic environments where these conversations occur. Background: In regional hospitals within Victoria, Australia, palliative and end-of-life patients are cared for in acute wards that are often busy, noisy, and do not have a palliative psychosocial focus. On the other hand, Palliative Care Units (PCUs) have more home-like dedicated spaces, yet nearly all these facilities are in metropolitan areas. Diagnostic/prognostic (bad news) conversations about life-limiting illnesses often occur at the bedside in both environments. Method: Nurses providing palliative or end-of-life care in regional or metropolitan Victorian hospital inpatient wards were invited to interview and recruited through social media and snowballing. Six semi-structured, audio-recorded online interviews were conducted between March and May 2022, and themes were developed using reflexive thematic analysis. Results: Semi-structured online interviews were conducted with six female, registered nurses, four of whom worked in regional Victorian hospitals and two in metropolitan PCUs as Nurse Unit Managers. Three central themes were developed: “conducting family meetings,” “palliative care practice,” and “the environment matters.” Conclusions: A therapeutic environment for palliative patients and their families consists of home-like ambience and aesthetics and a psychosocial environment created by staff who can provide holistic palliative care. Holistic palliative care requires mentoring and mirroring of expert practice to increase the expertise and capacity of the palliative care workforce in acute general hospital wards. © The Author(s) 2023.
- Authors: Miller, Elizabeth , Porter, Joanne , Barbagallo, Michael
- Date: 2023
- Type: Text , Journal article
- Relation: Health Environments Research and Design Journal Vol. 16, no. 4 (2023), p. 146-158
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- Description: Objectives: The current study aimed to explore regional nurses’ perspectives of how bad news is delivered and the physical, natural, social, and symbolic environments where these conversations occur. Background: In regional hospitals within Victoria, Australia, palliative and end-of-life patients are cared for in acute wards that are often busy, noisy, and do not have a palliative psychosocial focus. On the other hand, Palliative Care Units (PCUs) have more home-like dedicated spaces, yet nearly all these facilities are in metropolitan areas. Diagnostic/prognostic (bad news) conversations about life-limiting illnesses often occur at the bedside in both environments. Method: Nurses providing palliative or end-of-life care in regional or metropolitan Victorian hospital inpatient wards were invited to interview and recruited through social media and snowballing. Six semi-structured, audio-recorded online interviews were conducted between March and May 2022, and themes were developed using reflexive thematic analysis. Results: Semi-structured online interviews were conducted with six female, registered nurses, four of whom worked in regional Victorian hospitals and two in metropolitan PCUs as Nurse Unit Managers. Three central themes were developed: “conducting family meetings,” “palliative care practice,” and “the environment matters.” Conclusions: A therapeutic environment for palliative patients and their families consists of home-like ambience and aesthetics and a psychosocial environment created by staff who can provide holistic palliative care. Holistic palliative care requires mentoring and mirroring of expert practice to increase the expertise and capacity of the palliative care workforce in acute general hospital wards. © The Author(s) 2023.
Exploring mental health clinicians' perceptions of the zero suicide prevention Initiative
- Porter, Joanne, Dabkowski, Elissa, Connolly, Owen, Prokopiv, Valerie
- Authors: Porter, Joanne , Dabkowski, Elissa , Connolly, Owen , Prokopiv, Valerie
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Mental Health Nursing Vol. 31, no. 3 (2022), p. 536-543
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- Description: Suicide continues to impact rural and regional families and communities across Australia and has become a key focus of healthcare, research, and government policy in recent years. The challenge for healthcare organizations is to translate policy visions and research for clinicians to effectively embed in day to day practice when supporting people who experience suicidal crisis. This study explored the introduction of an evidence-based Zero Suicide framework that includes a suicide prevention pathway and training package to a rural and regional community mental health team in Victoria, Australia. A qualitative semi-structured interview technique was used to explore the perceptions of mental health clinicians of the Zero Suicide approach, the training package and the barriers to inform its implementation across a specialist mental health service. Clinicians were complimentary of the intent of Zero Suicide and the training package and felt they had increased confidence in delivering suicide safe care. Four major themes were identified through thematic analysis: (i) Minimizing risk with realistic expectations; (ii) A good approach to making a difference; (iii) Lessons learnt; and (iv) Barriers to implementation needing to change culture. Overall participants identified the importance of continued regular suicide prevention training for all staff but also in tailoring it to different consumer and clinician needs. In addition, organizational structure and adequate staff resourcing were important to participants as was working within a safety culture. © 2021 John Wiley & Sons Australia, Ltd.
- Authors: Porter, Joanne , Dabkowski, Elissa , Connolly, Owen , Prokopiv, Valerie
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Mental Health Nursing Vol. 31, no. 3 (2022), p. 536-543
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- Description: Suicide continues to impact rural and regional families and communities across Australia and has become a key focus of healthcare, research, and government policy in recent years. The challenge for healthcare organizations is to translate policy visions and research for clinicians to effectively embed in day to day practice when supporting people who experience suicidal crisis. This study explored the introduction of an evidence-based Zero Suicide framework that includes a suicide prevention pathway and training package to a rural and regional community mental health team in Victoria, Australia. A qualitative semi-structured interview technique was used to explore the perceptions of mental health clinicians of the Zero Suicide approach, the training package and the barriers to inform its implementation across a specialist mental health service. Clinicians were complimentary of the intent of Zero Suicide and the training package and felt they had increased confidence in delivering suicide safe care. Four major themes were identified through thematic analysis: (i) Minimizing risk with realistic expectations; (ii) A good approach to making a difference; (iii) Lessons learnt; and (iv) Barriers to implementation needing to change culture. Overall participants identified the importance of continued regular suicide prevention training for all staff but also in tailoring it to different consumer and clinician needs. In addition, organizational structure and adequate staff resourcing were important to participants as was working within a safety culture. © 2021 John Wiley & Sons Australia, Ltd.
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