'Postcards from practice': development of an innovative learner-centred online interprofessional learning program
- Authors: Stupans, Ieva , Paliadelis, Penny , Jarrott, Helen Mary
- Date: 2013
- Type: Text , Conference paper
- Relation: World Conference on E-Learning in Corporate, Government, Healthcare, and Higher Education
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- Description: This paper reports on the design and development of an innovative online learning program for clinical educators in Australia. The design was based on a story telling framework to engage learners. Each story had links to relevant multi-media resources to support and enhance skill development. The program featured some didactic resources; however there was a heavy emphasis on reflective activities. The program home page was developed as a series of attractive 'postcards from practice'. The program design which used a learner focused eclectic storytelling framework is potentially adaptable to other learner groups.
'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
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(W)riting across and within: Providing a vehicle for sharing local nursing and midwifery projects and innovation
- Authors: Parker, Vicki , Giles, Michelle , Parementer, Glenda , Paliadelis, Penny , Turner, Catherine
- Date: 2010
- Type: Text , Journal article
- Relation: Nurse education in pracice Vol. 10, no. 6 (2010), p. 327-332
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- Description: Summary Introduction This paper describes the development and outcomes of a locally-based journal that is contributed to and managed by nurses, midwives and academics within an area health service (AHS) in NSW, Australia. Background Nurses and midwives are often engaged in scholarly and rigorous activities aimed at improving practice and patient outcomes. However, often these endeavours remain unreported, unpublished and hence not shared for the benefit of others. Reasons given for nurses’ and midwives’ persistent reluctance to publish are well documented in the literature. Lack of expertise and understanding of the publication process, together with lack of confidence and opportunity are the reasons most often cited. To overcome these barriers we developed a local journal called Handover that provides a non-threatening, supportive opportunity for nurses and midwives to develop skills in writing and reviewing articles for publication. Handover was established and is managed by editorial committee members from the area health service and the two local universities. Each institution agreed to co-fund the journal which is published twice yearly. Two editions of the journal have been published with wide ranging content and contributions from across the AHS. Writing mentorship and support systems have been established. Reviewers workshop have been conducted and novice reviewers mentored by experienced reviewers. Conclusion Our experience indicates that a locally based and owned journal can motivate and support novice writers and offers one solution to many of the barriers to publication identified in the literature. Keywords
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.
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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
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- Description: E1
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
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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.
Assessing clients with haematological, peripheral vascular and lymphatic disorders
- Authors: White, Angela , Paliadelis, Penny
- Date: 2011
- Type: Text , Book chapter
- Relation: Medical-surgical nursing; Critical thinking in client care p. 1902
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Bush Battles: The Challenges of Providing Acute Health Care in Rural Contexts in Australia
- Authors: Parker, Vicki , Giles, Michelle , Parmenter, Glenda , Higgins, Isabel , Paliadelis, Penny , White, Angela
- Date: 2010
- Type: Text , Conference paper
- Relation: The 16th International Interdisciplinary Conference Vol. 9, p. 377-377
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- Description: Introduction. In Australia, the rural health care environment is characterized by increasing disadvantage in relation to access to services and resources. Within this context, health professionals are challenged to provide what they feel is good-quality health care in a community of which they are a part. This paper presents the results of a study which aimed to • identify challenges confronting health care professionals in rural acute care settings and • facilitate interprofessional collaboration in working toward improved patient outcomes and staff participation. Method. A mixed method approach involved a consultative, participatory process. An initial survey was followed by focus groups and workshops. The target population was health care professionals across disciplines, in rural acute care facilities within one large Area Health Service in NSW, Australia. Workshops facilitated interdisciplinary collaboration to identify strategies for addressing concerns with the aim of developing priorities for practice change projects. Results. Results highlighted issues to do with staffing, isolation and communication as most significantly impacting on staff and patient outcomes. Access to resources and support services was the most frequently cited challenge. Results were consistent across professions and sites within the Area Health service. Focus groups identified a range of issues related to geographic and professional isolation, working with and apart from larger centers, generalist practice, and insufficient services and staff. Conclusion. Findings point to the urgent need to support clinicians through the mobilization of strategies that are context specific, locally based and led, but at the same time transferrable across sites.
Caring for each other: How do nurse managers 'manage' their role?
- Authors: Paliadelis, Penny , Cruickshank, Mary , Sheridan, Alison
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Nursing Management Vol. 15, no. 8 (November 2007), p. 830-837
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- Description: Aim: This article will report on one aspect of a larger study that explored the working lives of nursing unit managers in Australia. The support of nursing unit managers is the focus of this article. Background: There is evidence in the recent literature that nurses are not generally supportive of each other and that nursing unit managers are not adequately supported to manage their expanding administrative and managerial responsibilities. Method: A qualitative feminist approach was used to conduct individual interviews with 20 nursing unit managers employed in the public healthcare system in Australia. Results: The results indicated that participants did not feel supported by the wider organization, but gained support from within their own ranks. Conclusions: The results showed a strong support system within the participant group, despite evidence in the literature that nurses, generally, are not supportive of each other. The results of this study may be used in the development of more effective support mechanisms for nurse managers.
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.
Developing clinical judgement : a case scenario approach
- Authors: Paliadelis, Penny
- Date: 2008
- Type: Text , Book
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Disseminating research
- Authors: Paliadelis, Penny , Parmenter, Glenda , Lea, Jackie
- Date: 2011
- Type: Text , Book chapter
- Relation: Research methods in nursing and midwifery; Pathways to evidence-based practice p. 416
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Disseminating research
- Authors: Paliadelis, Penny , Parmenter, Glenda , Lea, Jackie
- Date: 2014
- Type: Text , Book chapter
- Relation: Research methods in nursing and midwifery; Pathways to evidence-based practice p. 376
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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.
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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Factors that affect the job satisfaction of Saudi Arabian nurses
- Authors: Alotaibi, Jazi , Paliadelis, Penny , Valenzuela, Fredy‐Roberto
- Date: 2016
- Type: Text , Journal article
- Relation: Journal of Nursing Management Vol. 24, no. 3 (2016), p. 275-282
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- Description: Background Saudi Arabia has a chronic shortage of Saudi national nurses. This research contributes to a greater understanding of how job satisfaction influences the recruitment and retention of Saudi nationals within the nursing profession. Methods Qualitative data were gathered from Saudi nurses and content analysis was used to identify themes in the written responses. Results Four main themes emerged from the data: lack of educational opportunities and support and the poor image of the nursing profession, perceptions of favouritism, high workloads and stressful work environment and the effect of religion on job satisfaction. Conclusions Saudi nurses would be more satisfied with their jobs if they had greater access to educational opportunities and if there was a reduction in workload and the perceived favouritism in the workplace was addressed. Religion was also found to play a significant role in supporting job satisfaction. Implications for nursing management These findings suggest the development of educational scholarships, as well as policies that better support equity in the workplace, to address Saudi nurses’ level of job satisfaction. The generally positive impact of cultural and religious beliefs is also highlighted in this study.
Health managers and health reform
- Authors: Briggs, David , Cruickshank, Mary , Paliadelis, Penny
- Date: 2012
- Type: Text , Journal article
- Relation: Journal of Management & Organization Vol. 18, no. 5 (2012), p. 641-658
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- Description: This qualitative study was undertaken with a diverse sample of Australian health managers to examine their perceptions regarding the health system and to understand how they learned to become health managers. The findings showed that they viewed the health system as one of constant change, mostly non-adaptive, and a system of parts controlled by bureaucrats and political interests. While the respondents enjoyed their managerial role, they see it as contested between the professions. This study concluded that greater emphasis on the education and training of health managers and their continuing professional development is required if they are to manage increasingly complex, dynamic and changing health systems. In Australia, the health debate continues with the recently announced national health reform agenda. The perceptions of health managers in health reform and change management are important given that they are said to be central to the implementation of health reform and the management of change.
Implementation of personalised care planning in primary care – case examples of operationalisation models in the UK and Australia.
- Authors: Carr, Susan , Lhussier, Monique , Forster, Natalie , Paliadelis, Penny , 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
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