'It's those first few weeks': Women's views about breastfeeding support in an Australian outer metropolitan region
- Authors: Hall, Helen , McLelland, Gayle , Gilmour, Carole , Cant, Robyn
- Date: 2014
- Type: Text , Journal article
- Relation: Women and birth : journal of the Australian College of Midwives Vol. 27, no. 4 (2014), p. 259-265
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- Description: To examine factors that influence the establishment and continuation of breastfeeding among women living in a southern region of Victoria.
A narrative review of pharmacotherapy treatment for opioid addiction and application in a community-based model in Victoria, Australia
- Authors: Vishwanath, Tejaswini , Cash, Penelope , Penney, Wendy , Cant, Robyn
- Date: 2020
- Type: Text , Journal article
- Relation: International Journal of Mental Health and Addiction Vol. 18, no. 1 (2020), p. 66-76
- Full Text: false
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- Description: To review the literature regarding the value and consumer focus of research on opioid replacement therapy (ORT) programs, relevant to the Australian rural context and community pharmacy. We conducted a narrative review of literature published between 1995 and 2015, searching EBSCOhost, PubMed and Google Scholar. Three authors collaborated to screen and synthesise studies. Effectiveness, cost affordability, diversion and retention benefits were reported from pharmacological or prescribers’ or dispensers’ standpoint. Research was fragmented and evaluated contributions of these individual types of stakeholders with less discussion of consumers, or consumers’ everyday experiences of ORT. No studies took into account consumers’ psychosocial aspects or power discourses. We found ORT as a beneficial treatment for opioid dependence is well researched, although overall Australian program evaluation was lacking. A gap within ORT literature should be addressed by making consumer experiences central in designs for future research and for program evaluation. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
A systematic review of the effectiveness of empathy education for undergraduate nursing students
- Authors: Levett-Jones, Tracy , Cant, Robyn , Lapkin, Samuel
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Nurse Education Today Vol. 75, no. (2019), p. 80-94
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- Description: Objective: The objective of this systematic review was to identify, critically appraise and synthesize evidence for the effectiveness of empathy interventions in undergraduate nursing education. Design: A systematic review of literature. Data Sources: A three-stage systematic search of six electronic databases was conducted. Review Methods: The Preferred Reporting Items for Systematic reviews and Meta-Analyses guided the review. English language articles published between 2000 and 2018 were eligible. Methodological rigour was examined using the Medical Education Research Study Quality Instrument. Changes in empathy were assessed using Cohen's effect size correlation (r) and reported as effective when the variance was >0.2 standard deviations (r
A trial of e-simulation of sudden patient deterioration (FIRST2ACT WEB
- Authors: Bogossian, Fiona , Cooper, Simon J. , Cant, Robyn , Porter, Joanne , Forbes, Helen , McKenna, Lisa , Kinsman, Leigh , Endacott, Ruth , Devries, Brett , Philips, Nicole , Bucknall, Tracey , Young, Susan , Kain, Victoria
- Date: 2015
- Type: Text , Journal article
- Relation: Nurse Education Today Vol. 35, no. 10 (2015), p. e36-e42
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- Description: Background: High-fidelity simulation pedagogy is of increasing importance in health professional education; however, face-to-face simulation programs are resource intensive and impractical to implement across large numbers of students. Objectives: To investigate undergraduate nursing students' theoretical and applied learning in response to the e-simulation program-FIRST2ACT WEBTM, and explore predictors of virtual clinical performance. Design and setting: Multi-center trial of FIRST2ACT WEBTM accessible to students in five Australian universities and colleges, across 8 campuses. Participants: A population of 489 final-year nursing students in programs of study leading to license to practice. Methods: Participants proceeded through three phases: (i) pre-simulation-briefing and assessment of clinical knowledge and experience; (ii) e-simulation-three interactive e-simulation clinical scenarios which included video recordings of patients with deteriorating conditions, interactive clinical tasks, pop up responses to tasks, and timed performance; and (iii) post-simulation feedback and evaluation.Descriptive statistics were followed by bivariate analysis to detect any associations, which were further tested using standard regression analysis. Results: Of 409 students who commenced the program (83% response rate), 367 undergraduate nursing students completed the web-based program in its entirety, yielding a completion rate of 89.7%; 38.1% of students achieved passing clinical performance across three scenarios, and the proportion achieving passing clinical knowledge increased from 78.15% pre-simulation to 91.6% post-simulation.Knowledge was the main independent predictor of clinical performance in responding to a virtual deteriorating patient R2=0.090, F(7, 352)=4.962, p<0.001. Discussion: The use of web-based technology allows simulation activities to be accessible to a large number of participants and completion rates indicate that 'Net Generation' nursing students were highly engaged with this mode of learning. Conclusion: The web-based e-simulation program FIRST2ACTTM effectively enhanced knowledge, virtual clinical performance, and self-assessed knowledge, skills, confidence, and competence in final-year nursing students. © 2015 Elsevier Ltd.
Addressing information needs of vulnerable communities about incontinence: a survey of ten CALD communities
- Authors: Cross, Wendy , Cant, Robyn , Manning, Deborah , McCarthy, Susan
- Date: 2014
- Type: Text , Journal article
- Relation: Collegian (Royal College of Nursing, Australia) Vol. 21, no. 3 (2014), p. 209-216
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- Description: Urinary incontinence is a common and distressing condition. Using focus groups, we explored the views of ten ethnic language groups in Melbourne about knowledge and awareness of incontinence. The 218 participants (with or without incontinence) spoke with trained interpreters. Twenty focus group discussions of single and mixed sex groups were audio-recorded and transcribed into English. Narratives were analyzed using thematic analysis with open coding and also incorporated themes from literature. Participants' knowledge of incontinence was low and incontinence was thought to be an inevitable consequence of ageing. There was little understanding of treatments or assistance available under government-funded programmes. No group was aware of the national continence programme or phone helpline. Sensitivities of the topic plus language barriers in immigrant culturally and linguistically diverse communities may impose barriers to accessing help. Several groups thought they would cope with incontinence by themselves, while all groups suggested they would be able to discuss the condition with a doctor. Various preferences voiced about social limitations and permissible communications with others are described. Nurses should be aware of the needs and communication preferences of ethnic language groups regarding continence information and continence service delivery.
An Australian mixed methods pilot study exploring students performing patient risk screening
- Authors: Gibson, Simone , Golder, Janet , Cant, Robyn , Davidson, Zoe
- Date: 2016
- Type: Text , Journal article
- Relation: Nursing and Health Sciences Vol. 18, no. 2 (2016), p. 203-209
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- Description: Clinical placement shortages and rising costs have created demand to provide low-resource, high value student learning opportunities. Malnutrition screening provides a vehicle for achieving this. A mixed methods explanatory sequential intervention study investigated time costs, and students' perceptions of preparedness after performing routine patient screening tasks, as well as students' overall views on their feelings of confidence and preparedness when commencing their first clinical placements. Pre-clinical student dietitians commencing initial placements participated (n=58), with 16 of these forming a subgroup who performed malnutrition screening tasks while the others attended usual placement orientation. The time saved when students undertook screening tasks usually assigned to nurses was substantial. Questionnaires revealed that student perceived confidence increased in the screening group when compared with controls. Focus group themes included "anxiety and confidence," "learning in the clinical learning environment," "communication skill development," and "the pre-placement screening experience." Students performing routine patient-screening tasks prior to initial clinical placement has potential cost savings for healthcare organizations and was perceived to be valuable for learning. © 2016 John Wiley & Sons Australia, Ltd.
An educator's anthology of virtual simulation applications for nursing curricula : a mapping review
- Authors: Cant, Robyn , Ryan, Colleen
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Clinical Simulation in Nursing Vol. 74, no. (2023), p. 87-97
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- Description: Virtual (screen-based) simulations have been utilized to help progress pre-licensure nursing students’ remote clinical learning during the recent pandemic. This mapping review, reports an anthology of virtual simulation technology sources from simulation education web sites and library sources. Two authors verified available sources and categorized these based on cost; either open access, or subscription-based. A list of 40 virtual simulation sources including virtual simulations, virtual reality simulations and virtual games, is presented. These provide faculty with a choice of virtual simulation modalities for various levels of nurse learners. Numerous virtual simulation technology applications are available for educators to utilize in teaching nursing students. Results from this review meet a need for educators to access virtual simulation applications to include in their education curricula. © 2022
An evidence-based checklist for improving scoping review quality
- Authors: Cooper, Simon J. , Cant, Robyn , Kelly, Michelle , Levett-Jones, Tracy , McKenna, Lisa
- Date: 2021
- Type: Text , Journal article
- Relation: Clinical Nursing Research Vol. 30, no. 3 (2021), p. 230-240
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- Description: A scoping review aims to systematically explore and map the research available from a wide range of sources. The objective of this study was to produce a scoping review checklist to guide future scoping studies to enable rigorous review and critique of phenomena of interest. The methods used included a review of literature, expert consensus group meetings, a modified Delphi survey and, finally, verification against recent scoping study examples. Results showed that the checklist was able to identify key elements of scoping reviews. The 22-item Scoping Review Checklist (SRC), which includes two optional stakeholder consultation items, has been developed using rigorous recommended approaches. The checklist can be used to guide the conduct and critique of scoping studies. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Simon Cooper and Robyn Cant” is provided in this record**
An update on the most influential nursing simulation studies : a bibliometric analysis
- Authors: Cant, Robyn , Cooper, Simon , Liaw, Sok
- Date: 2022
- Type: Text , Journal article
- Relation: Clinical Simulation in Nursing Vol. 69, no. (2022), p. 7-17
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- Description: Background: Simulation studies in nursing education are increasing, highlighting the need to identify the most cited and influential studies. Method: A bibliometric analysis aimed to describe performance characteristics of the top 40 cited nursing simulation studies within the last three years, mined from the Scopus database. Results: The top 40 studies were published between 2003 and 2017. There was a median study age of 13 years and citations ranged from 674 down to 70. Overall, using 2019 citations as a baseline, extracted articles showed strong citation gains of a median 21% over the last three years. The top cited studies focused on development of simulation-based education and associated learning outcomes. Literature reviews emerged as key information sources, accruing significantly higher citation counts than primary research and descriptive studies. Conclusions: The scholarship of evidenced based simulation is still maturing. Findings from this study enable an understanding of citation outcomes and foci for future impactful research. Additional mapping is required to further understand relationships between the research constituents. © 2022
Assessing preregistration nursing students' clinical competence : A systematic review of objective measures
- Authors: Cant, Robyn , McKenna, Lisa , Cooper, Simon J.
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Nursing Practice Vol. 19, no. 2 (2013), p. 163-176
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- Description: Nursing students are required to develop clinical knowledge, skills and attitudes for professional practice. However, objectivity and parity of students' clinical assessments has been questioned. In the last decade, more objective techniques have been developed, with increased use of Objective Structured Clinical Examinations. We reviewed objective clinical assessment measures used in preregistration nursing courses to determine utilization and the validity and reliability of assessment techniques. A systematic search was made of quantitative research publications between 2000 and May 2011, identifying 16 studies that were subsequently reviewed. The validity and reliability of studies varied, with six studies judged as high quality, using various methodologies. This paper describes methods of instrument development and reports on their application in preregistration nursing programs. © 2013 Wiley Publishing Asia Pty Ltd.
Assessment of clinical competence of pre-registration nursing students: a systematic review of objective measures
- Authors: Cant, Robyn , McKenna, Lisa , Cooper, Simon J.
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Nursing Practice Vol. 19, no. 2 (2013), p. 163-76
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- Reviewed:
- Description: Nursing students are required to develop clinical knowledge, skills and attitudes for professional practice. However, objectivity and parity of students' clinical assessments has been questioned. In the last decade, more objective techniques have been developed, with increased use of Objective Structured Clinical Examinations. We reviewed objective clinical assessment measures used in preregistration nursing courses to determine utilization and the validity and reliability of assessment techniques. A systematic search was made of quantitative research publications between 2000 and May 2011, identifying 16 studies that were subsequently reviewed. The validity and reliability of studies varied, with six studies judged as high quality, using various methodologies. This paper describes methods of instrument development and reports on their application in preregistration nursing programs.
Australian nursing students’ experience of bullying and/or harassment during clinical placement
- Authors: Budden, Lea , Birks, Melanie , Cant, Robyn , Bagley, Tracy , Park, Tanya
- Date: 2017
- Type: Text , Journal article
- Relation: Collegian Vol. 24, no. 2 (2017), p. 125-133
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- Description: Bullying and harassment in nursing are unacceptable behaviours in the workplace. There is a large body of evidence relating this problem, however little of it focuses on the experiences of nursing students. This prospective cross-sectional survey investigated Australian undergraduate nursing students’ (N = 888) experiences of bullying and/or harassment during clinical placement. Half (50.1%) of the students indicated they had experienced this behaviour in the previous 12 months. Younger students were more likely to be bullied/harassed than older students (p = 0.05). Participants identified perpetrators of bullying/harassment as registered nurses (56.6%), patients (37.4%), enrolled nurse's (36.4%), clinical facilitators (25.9%), preceptors (24.6%), nurse managers (22.8%) and other student nurses (11.8%). The majority of students reported that the experience of being bullied/harassed made them feel anxious (71.5%) and depressed (53.6%). Almost a third of students (32.8%) indicated that these experiences negatively affected the standard of care they provided to patients with many (46.9%) reconsidering nursing as their intended career. In the face of workforce attrition in nursing, the findings of this study have implications for education providers, clinical institutions and the profession at large. © 2015 Australian College of Nursing Ltd
Bibliometric Scan of the 100 Most Cited Nursing Simulation Articles
- Authors: Cant, Robyn , Cooper, Simon J.
- Date: 2019
- Type: Text , Journal article
- Relation: Clinical Simulation in Nursing Vol. 36, no. (2019), p. 1-7
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- Description: Background: Bibliometrics involves statistical analyses of publication data, particularly citation analysis, to determine popularity/impact of articles and authors. Methods: Citation analysis was conducted on the "top 100'' cited nursing simulation articles in the Scopus database in April 2019. Results: The median number of article citations was 84 (mean = 100.4; range, 53-557). Citations were steadily accumulated after publication; the majority between year four and year seven. Two-thirds of the articles were led by authors from the United States. Conclusions: This report on bibliometric mapping helps to graphically illustrate the evolution of simulation articles in the field of nursing.
Building empathy awareness in undergraduate traditional Chinese Medicine students via an undercover ‘mystery shopper’ experience
- Authors: Dean, Sue , Razavy, Shohreh , Walsh, Sean , Zaslawski, Christopher , Levett-Jones, Tracy , Cant, Robyn
- Date: 2021
- Type: Text , Journal article
- Relation: Advances in Integrative Medicine Vol. 8, no. 4 (2021), p. 267-271
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- Description: Objective: To measure empathy within the therapeutic relationship between fourth year Traditional Chinese Medicine (TCM) intern practitioners and their patients, who are first-year students within the same program. Methods: An observational design was used to examine the interns’ empathic communication, evaluated by first year students ‘mystery shoppers’ using the Consultation and Relational Empathy Measure (CARE). First year TCM students went undercover to experience a clinical treatment (acupuncture) by a fourth-year intern in a public Chinese Medicine clinic attached to a metropolitan university in Sydney, Australia. Results: Thirty-nine consultations were assessed by 39 undercover shopper students. The Intern practitioners’ consultation and relational empathy was rated as a mean 76.4% (38.2 points of a possible 50 (median 78%; 39); range 24–50. Significant response differences were found between female and male interns with males rated higher. The underlying elements are presented and discussed. Conclusion: The intern practitioners’ level of empathy averaged 76.4% which is consistent with empathy ratings for international studies of healthcare students. Results showed that males were rated higher for empathy than females, indicating further studies examining the specific behaviours that characterise empathy of different genders would be a useful addition to knowledge and assist teaching. © 2021 Elsevier Ltd
Building empathy through a design thinking project : a case study with middle secondary schoolboys
- Authors: Dawbin, Benjamin , Sherwen, Matthew , Dean, Sue , Donnelly, Samantha , Cant, Robyn
- Date: 2021
- Type: Text , Journal article
- Relation: Issues in Educational Research Vol. 31, no. 2 (2021), p. 440-457
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- Description: Adolescents' empathy is an essential socio-emotional concept that helps mediate friendships and family relationships. Year 10 boys, aged 14-15 years, were invited to participate in a five-day experiential education program (Design Week) based on a social equity challenge using a Design Thinking concept. Students worked in small groups, mentored by experts. Student groups developed innovative solutions to support women who experienced domestic and family violence. As a key outcome, students' empathy measured by the Comprehensive State Empathy Scale increased significantly from a baseline of 63% to 75% at post-test, representing a large effect size (d= 1.06). Six empathy subscale factors were also significantly increased (p= <0.05). The program was feasible and was rated by teachers and students as engaging, relevant to learning, and learning about complex social issues. This paper presents a case study of the Design Week program, shown to be worthy of further testing with secondary school adolescents. © 2021, Western Australian Institute for Educational Research Inc. All rights reserved.
Clinical placements in contemporary nursing education: Where is the evidence?
- Authors: McKenna, Lisa , Cant, Robyn , Bogossian, Fiona , Cooper, Simon J. , Levett-Jones, Tracy , Seaton, Philippa
- Date: 2019
- Type: Text , Journal article , Editorial
- Relation: Nurse Education Today Vol. 83, no. (2019), p.
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- Description: Clinical practice is fundamental to the learning of undergraduate and entry-level nursing students. It provides the milieu whereby students apply classroom theory and simulated practice to the real world of nursing and become socialised into the profession. In contemporary nursing education, there is often competition among tertiary education providers to locate quality, appropriate placements; substantial costs may be incurred to access suitable placements.
Compassion satisfaction and compassion fatigue in Australian emergency nurses : a descriptive cross-sectional study
- Authors: O'Callaghan, Erin , Lam, Louisa , Cant, Robyn , Moss, Cheryle
- Date: 2020
- Type: Text , Journal article
- Relation: International Emergency Nursing Vol. 48, no. (Jan 2020), p. 8
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- Description: Introduction: Emergency nurses are at risk of compassion fatigue. Compassion fatigue caused by exposure to suffering may compromise the individual's personal wellbeing and reduce work efficiency. Methods: A quantitative cross-sectional survey with open responses was conducted using the Professional Quality of Life: Compassion Satisfaction and Compassion Fatigue (ProQOL) scale and open-ended questions. Responses from a convenience sample of 86 nurses from two hospital emergency departments in Victoria, Australia, were analysed. Results: The median score for Compassion Satisfaction was 78% with all nurses reporting average to high scores. Most had average levels of Compassion Fatigue: Burnout median score was 53% and Secondary Traumatic Stress median score 49%. No statistically significant correlation was found between scales nor with influencing demographic characteristics. A qualification in emergency nursing was predictive of Compassion Satisfaction. Six descriptive job-associated factors contributed to nurses' stress: human resources, the organisation, job-specific components, patient mix and professional and personal components. Conclusion/s: Average to high levels of Compassion Satisfaction and low to average levels of Compassion Fatigue were found in emergency nurses. Issues contributing to stress were work and role related. An understanding of these stressors may help nurses and nurse managers to ameliorate emergency nurses' levels of stress and help limit staff burnout.
Decade of Medicare : The contribution of private practice dietitians to chronic disease management and diabetes group services
- Authors: Cant, Robyn , Ball, Lauren
- Date: 2015
- Type: Text , Journal article
- Relation: Nutrition and Dietetics Vol. 72, no. 3 (2015), p. 284-290
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- Description: Aim: To review changes in utilisation of dietetics services through the Medicare Chronic Disease Management program over the last decade and describe patient uptake in 2013. Methods: Dietetics service data were extracted from published Medicare statistics for the periods (i) January 2004 to December 2013 and (ii) January to December 2013. Data comprised individual dietetics services by state and patient demography, and group services data for provider professions regarding type 2 diabetes: dietitians, diabetes educators and exercise physiologists. t-test was used to investigate the association of dietetics' individual service utilisation and workforce statistics. Results: Individual dietetics Chronic Disease Management consultations in private practice have increased annually since 2004. Dietetics has remained the third largest provider. In 2013, a total of 302910 individual consultations were conducted; 7% of allied health consultations. Likewise, individual services for Indigenous Australians increased since 2008. Utilisation of group services for type 2 diabetes comprised <2% of dietetics services. Dietitians provided more group services than diabetes educators but considerably fewer than exercise physiologists. Middle-aged and older patients were common, with highest uptake by those aged 55-74 years. Overall, total and per capita utilisation rates were considerably higher in NSW, Victoria and Queensland compared to less populous states, although this disparity has reduced since 2010. Conclusions: As 10 years has elapsed since the program's inception, further evaluation of the policy is needed to examine large variations in dietetics' Chronic Disease Management uptake by state and territory in both individual and group services. © 2015 Dietitians Association of Australia.
Deteriorating patients : Global reach and impact of an e-simulation program
- Authors: Cooper, Simon J. , Hopmans, Ruben , Cant, Robyn , Bogossian, Fiona , Giannis, Anita , King, Rosemary
- Date: 2017
- Type: Text , Journal article
- Relation: Clinical Simulation in Nursing Vol. 13, no. 11 (2017), p. 562-572
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- Description: Background E-simulation may enable a feasible education solution to the management of deteriorating patients. Method The study involves a pre–post quasi-experimental evaluation of global data on educational outcomes from an e-simulation program. Results Qualified nurses (n = 1,229) and final year nursing students (n = 1,742) were among 5,511 participants from 20 countries who completed the program. Both groups’ knowledge and performance improved significantly (p = <.001) with no difference between groups. Regression analysis revealed predictors of performance were education level, knowledge, experience, and being female. Participants positively evaluated the program and mode of delivery. Conclusion E-simulation may enhance students’ preparation for practice and improve qualified nurses’ management of deteriorating patients. © 2017 International Nursing Association for Clinical Simulation and Learning
Developing advanced rural nursing practice: A whole new scope of responsibility
- Authors: Cant, Robyn , Birks, Melanie , Porter, Joanne , Jacob, Elisabeth , Cooper, Simon J.
- Date: 2011
- Type: Text , Journal article
- Relation: Collegian Vol. 18, no. 4 (2011), p. 177-182
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- Description: Rural registered nurses' experiences of advanced clinical nursing practice were explored whilst they were enrolled in an advanced primary care course of study. Thirty-two nurses employed in rural health services in Victoria, Australia, studied advanced practice nursing by distance education with a clinical component. At course conclusion, focus groups and a quantitative on-line survey were conducted to explore outcomes. Nurses reported positive self-perceptions of their educational preparation with scores of >7/10 for competence, confidence, preparedness for advanced practice and job satisfaction. Focus group discussions concurred with positive survey results. The course was valuable in developing skills and knowledge, enabling more holistic patient care. The main themes that emerged related to the advancement of the nurse as a professional, and enhancement of patient care. Within their scope of practice, nurses assessed, diagnosed and treated minor patient illness presentations either independently or collaboratively with medical advice. The context of rural health services dictated practice and levels of autonomy. Nurses perceived the new role reduced an overload of medical work, whilst increasing patients' access to care. As a result of the course 24% of participants reported a change in their work role. Nurses employed in rural health services reported positive potential for advanced collaborative practice in rural health care, in association with medical professionals. Defined role boundaries, role responsibilities and dedicated advanced practice positions will be required to achieve implementation of the role. © 2011 Royal College of Nursing, Australia.