List of Titles

Family presence during resuscitation : A descriptive study of nurses' attitudes from two Saudi hospitals

- Al Mutair, Abbas, Plummer, Virginia, Copnell, Beverley

Authors: Al Mutair, Abbas , Plummer, Virginia , Copnell, Beverley
Date: 2012
Type: Text , Journal article
Relation: Nursing in Critical Care Vol. 17, no. 2 (2012), p. 90-98
Full Text: false
Reviewed:
Description: Background: The presence of family in the patient care area during resuscitation events is a matter of current debate among health care professionals in many communities. Family presence is highly recommended by many health organizations worldwide for several reasons including patient and family rights. There are no policies or guidelines in Saudi Arabia to guide health professionals in their practice regarding the option of family being present during resuscitations. The purpose of this study was to identify the attitudes of nurses towards family presence during resuscitation in the Muslim community of Saudi Arabia. Design: This is a descriptive survey using data from a convenience sample of 132 nurses using a self-administered questionnaire. The study took place in two major trauma centres in the eastern region of Saudi Arabia. Results: The analysis of the data revealed that nurses (n = 132) had negative attitudes towards family presence during resuscitation. A high percentage (77·2%) agreed that witnessing resuscitation is a traumatic experience for the family members. Almost all participants (92·3%) disagreed with the statement that the practice of allowing family members to be present during the resuscitation of a loved one would benefit the patient and 78% disagreed with the statement that it would benefit families. The majority of the participants (65%) revealed that the presence of family would negatively affect the performance of the resuscitation team. However, almost half of the sample (43·8%) would prefer a written policy allowing the option of family presence during resuscitation in Saudi Arabia. Conclusion: The findings of the study strongly suggest the need for the development of written policies offering families the option to remain with patients during resuscitation in Saudi Arabia. The study further recommends the development of education programs for staff and public for the safe implementation of the practice. © 2012 The Authors. Nursing in Critical Care © 2012 British Association of Critical Care Nurses.

Babies and machines that go 'beep' : first-year nursing students' preferred areas of future practice

- Birks, Melanie, Missen, Karen, Al-Motlaq, Mohammad, Marino, Emma

Authors: Birks, Melanie , Missen, Karen , Al-Motlaq, Mohammad , Marino, Emma
Date: 2014
Type: Text , Journal article
Relation: International journal of nursing practice Vol. 20, no. 4 (2014), p. 353-359
Full Text: false
Reviewed:
Description: Students of nursing enter their programmes of study with preconceived ideas of what a career in their chosen profession will entail. The literature suggests that images from the media and past experiences contribute to these perceptions. Although it is positive images of the profession that will usually attract an individual to a career in nursing, often more negative perceptions will direct students away from potentially rewarding areas of specialization. This paper describes career projections of nursing students enrolled in the first year of four preservice nursing programmes at the rural campus of one Australian university. Part of a larger study, the data reported here indicate that most respondents intend to practice in the areas of midwifery, paediatrics and emergency nursing. Oncology, community nursing, aged care and mental health nursing all ranked poorly across three rounds of surveys. These findings have implications for practicing nurses and nurse educators who seek to dispel inaccurate images of these important specializations. © 2013 Wiley Publishing Asia Pty Ltd.

Hermeneutic phenomenology: a methodology of choice for midwives

- Miles, Maureen, Francis, Karen, Chapman, Ysanne, Taylor, Beverley

Authors: Miles, Maureen , Francis, Karen , Chapman, Ysanne , Taylor, Beverley
Date: 2013
Type: Text , Journal article
Relation: International journal of nursing practice Vol. 19, no. 4 (2013), p. 409-414
Full Text: false
Reviewed:
Description: Hermeneutic phenomenology has been used widely by researchers to understand lived experiences. This methodology asserts that individual people are as unique as their life stories. The practice of midwifery is underpinned by a philosophy that values women and the uniqueness of their child-bearing journey. The tenets of hermeneutics phenomenology align with those of contemporary midwifery practice, making it a useful research methodology for providing insights into issues relevant to the profession. The purpose of this paper is to unravel some foundational concepts of hermeneutic phenomenology and recommend it as a methodology of choice for midwives to apply to their application to midwifery-in-action.

I am the person who knows myself best : perception on shared decision-making among hospitalized people diagnosed with schizophrenia in China

- Huang, Chongmei, Plummer, Virginia, Wang, Yun, Lam, Louisa, Cross, Wendy

Authors: Huang, Chongmei , Plummer, Virginia , Wang, Yun , Lam, Louisa , Cross, Wendy
Date: 2020
Type: Text , Journal article
Relation: International Journal of Mental Health Nursing Vol. 29, no. 5 (2020), p. 846-855
Full Text: false
Reviewed:
Description: Shared decision-making is related to better health outcomes in serious mental illness. It is not well addressed in non-Western cultures, for example Chinese culture. Chinese could be influenced by both paternalism and familism when making treatment decisions. However, this is unexplored. The study purpose is to explore shared decision-making from perspectives of inpatients diagnosed with schizophrenia in China. This study adopted qualitative descriptive approach. Through semi-structured interviews, twelve participants from the psychiatry department of a tertiary hospital shared their perceptions of shared decision-making. An inductive thematic approach was used to analyse the transcripts. Primary results included three main themes with nine subthemes: (1) Having a positive attitude: i) wanting my voice to be heard, ii) needing my family to be involved, and iii) preferring the psychiatrist to decide; (2) Feeling excluded: i) having limited financial capacity, ii) lacking interactive communication, iii) too few psychiatrists, and iv) being unsatisfied with informed consent process; and (3) Self-motivation in decision-making by: i) easing the burden on the family and ii) actively collecting health information. In this context, patients have fewer treatment options and a limited role in SDM. Yet, they have preference for SDM, actively seeking health information from mental health professionals particularly nurses. © 2020 Australian College of Mental Health Nurses Inc.
Description: China Scholarship Council, CSC, [2017] 3109

New and emerging roles in out of hospital emergency care: A review of the international literature

- Cooper, Simon J., Grant, Julie

Authors: Cooper, Simon J. , Grant, Julie
Date: 2009
Type: Text , Journal article
Relation: International Emergency Nursing Vol. 17, no. 2 (2009), p. 90-98
Full Text: false
Reviewed:
Description: Aims The aim of the literature review was to identify new and emerging out of hospital emergency care roles and to describe their activity and impact. Background Demographic changes, increased demands for health services, altered working practices, and health system economic pressures have led to the development of a disparate set of new health care roles. Data sources MEDLINE, EMBASE and CINAHL databases, and the two search engines Google and Google Scholar were searched for contemporary studies in the identified study area. Review methods All publications identified through the search were assessed for relevance. Those that discussed new roles were included (n = 34) and empirical studies (n = 14) analysed in detail. Results Emergency care and paramedic practitioner roles (ECP & PP) are having an impact on patient care, including an average 25% reduction in the conveyance rate to hospital, improved inter-professional working, immediacy of treatment and referral, and high patient satisfaction. Limited economic data suggests savings of between £31 (USD 55) and £37 (USD 65) per case when ECPs replace standard ambulance responders. Concerns have been expressed about patient safety, recruitment and training levels, regulatory and role implementation issues. Conclusion Further work is required to fully understand the patient safety, clinical practice, professional role and financial implications of these new roles.

'Caring for' behaviours that indicate to patients that nurses 'care about' them

- Henderson, Amanda, Van Eps, Mary Ann, Pearson, Kate, James, Catherine, Henderson, Peter, Osborne, Yvonne

Authors: Henderson, Amanda , Van Eps, Mary Ann , Pearson, Kate , James, Catherine , Henderson, Peter , Osborne, Yvonne
Date: 2007
Type: Text , Journal article
Relation: Journal of Advanced Nursing Vol. 60, no. 2 (2007), p. 146-153
Full Text: false
Reviewed:
Description: Aim. This paper is a report of a study to explore what constitutes nurse-patient interactions and to ascertain patients' perceptions of these interactions. Background. Nurses maintain patient integrity through caring practices. When patients feel disempowered or that their integrity is threatened they are more likely to make a complaint. When nurses develop a meaningful relationship with patients they recognize and address their concerns. It is increasingly identified in the literature that bureaucratic demands, including increased workloads and reduced staffing levels, result in situations where the development of a 'close' relationship is limited. Method. Data collection took two forms: twelve 4-hour observation periods of nurse-patient interactions in one cubicle (of four patients) in a medical and a surgical ward concurrently over a 4-week period; and questionnaires from inpatients of the two wards who were discharged during the 4-week data collection period in 2005. Findings. Observation data showed that nurse-patient interactions were mostly friendly and informative. Opportunities to develop closeness were limited. Patients were mostly satisfied with interactions. The major source of dissatisfaction was when patients perceived that nurses were not readily available to respond to specific requests. Comparison of the observation and survey data indicated that patients still felt 'cared for' even when practices did not culminate in a 'connected' relationship. Conclusion. The findings suggest that patients believe that caring is demonstrated when nurses respond to specific requests. Patient satisfaction with the service is more likely to be improved if nurses can readily adapt their work to accommodate patients' requests or, alternatively, communicate why these requests cannot be immediately addressed. © 2007 Blackwell Publishing Ltd.
Description: C1

To have or not have a child in contemporary Taiwan? Motherhood decision making

- Chen, ShuLing, Holroyd, Eleanor, Jones, Linda

Authors: Chen, ShuLing , Holroyd, Eleanor , Jones, Linda
Date: 2012
Type: Text , Journal article
Relation: Australian Nursing Journal Vol. 19, no. 11 (2012), p. 41
Full Text: false
Reviewed:
Description: The article reports on research which was conducted through RMIT University, or the Royal Melbourne Institute of Technology, in an effort to investigate the factors which influence Taiwanese women’s decision to have children. A discussion of a decline in childbirth which has been seen in Taiwan, and of incentives and policies which the Taiwanese government has established to encourage Taiwanese women to have children, is presented.
Description: The article reports on research which was conducted through RMIT University, or the Royal Melbourne Institute of Technology, in an effort to investigate the factors which influence Taiwanese women’s decision to have children. A discussion of a decline in childbirth which has been seen in Taiwan, and of incentives and policies which the Taiwanese government has established to encourage Taiwanese women to have children, is presented

Engaging Gadamer and qualia for the mot juste of individualised care

- Peck, Blake, Mummery, Jane

Authors: Peck, Blake , Mummery, Jane
Date: 2019
Type: Text , Journal article
Relation: Nursing Inquiry Vol. 26, no. 2 (2019), p. 1-10
Full Text: false
Reviewed:
Description: The cornerstone of contemporary nursing practice is the provision of individualised nursing care. Sustaining and nourishing the stream of research frameworks that inform individualised care are the findings from qualitative research. At the centre of much qualitative research practice, however, is an assumption that experiential understanding can be delivered through a thematisation of meaning which, it will be argued, can lead the researcher to make unsustainable assumptions about the relations of language and meaning-making to experience. We will show that an uncritical subscription to such assumptions can undermine the researcher's capacity to represent experience at the high level of abstraction consistent with experience itself and to thus inform genuinely individualised care. Instead, using qualia as a touchstone for the possibilities of understanding and representing experience, we trace the ‘designative’ and ‘expressive’ distinction to language in order to raise critical questions concerning both these assumptions and common practices within qualitative research. Following the ‘expressive’ account of language, we foreground in particular the hermeneutic work of Gadamer through which we explore the possibilities for a qualitative research approach that would better seek the mot juste of individual experience and illuminate qualia in order to better inform genuinely individualised care.

Telephone triage in midwifery practice : A cross-sectional survey

- Bailey, Carolyn, Newton, Jennifer, Hall, Helen

Authors: Bailey, Carolyn , Newton, Jennifer , Hall, Helen
Date: 2019
Type: Text , Journal article
Relation: International Journal of Nursing Studies Vol. 91, no. (2019), p. 110-118
Full Text: false
Reviewed:
Description: Background: Childbearing women commonly access maternity services via the telephone. A midwife receiving these calls listens to the woman's concerns and then triages women according to their assessment. This may result in the provision of advice and instruction over the telephone or inviting the woman into the health service for further assessment. Midwives are responsible for all care and advice given to women, including via the telephone. Objectives: The purpose of this study was to explore the experiences and practices of midwives regarding their management of telephone triage. Design: A cross-sectional survey. Setting and participants: Purposive non-probabilistic sampling of currently practising midwife members of professional organisations was used to recruit participants. From this, 242 midwives responded and 230 returned valid surveys were used in data analysis. Methods: Participant demographics, telephone triage processes, skills, educational preparation, confidence and anxiety levels, and external factors that influence midwives’ management of telephone triage were collected via an on-line survey. Descriptive statistics and further analyses were conducted to explore relationships between variables. Results: Eighty-three percent of midwives respond to 2–5 telephone calls per shift, with only 11.7% (n = 24) of midwives reporting that this is included in their workloads. Telephone triage is frequently managed in environments with distractions. Most midwives (84%; n = 177) report receiving no training in this skill. Confidence in performing telephone triage was reported, with higher confidence levels related to midwives’ increased years of experience (p < 0.05) and age (p < 0.01). Anxiety related to managing telephone triage has been experienced by 73% (n = 151) of midwives, with this being greater in midwives with less years of experience. Anxiety is reported less by midwives in rural or remote settings compared to metropolitan or regional (p < 0.05) settings in this study. A variety of standards and aids to guide practice, and document calls are utilised in a range of ways. Conclusion: To the authors’ knowledge, this is the first study conducted to explore midwives’ practises in telephone triage. The findings suggest the need for appropriate environments to conduct telephone calls and the inclusion of telephone triage in midwifery workloads. In addition, consistent education and processes are required to reduce anxiety and support midwives provision of this service to women. © 2019 Elsevier Ltd

Using the lens of enablement to explore patients’ experiences of Nurse Practitioner care in the Primary Health Care setting

- Frost, Jane, Currie, Marian, Cruickshank, Mary, Northam, Holly

Authors: Frost, Jane , Currie, Marian , Cruickshank, Mary , Northam, Holly
Date: 2018
Type: Text , Journal article
Relation: Collegian Vol. 25, no. 2 (2018), p. 193-199
Full Text: false
Reviewed:
Description: Background: Patient enablement is a patient-centred concept reflecting a patient's ability to cope, understand and manage their own health. It can be used as a measure of the quality of care and has been linked with improved patient outcomes. While there have been studies into patient enablement following consultations with General Practitioners (GPs) and practice nurses, Nurse Practitioners’ (NPs) role in enabling patients remains unexplored. Aim: To use the lens of enablement to explore patients’ lived experience of NP care in a Primary Health Care (PHC) setting in Australia. Methods: Using a qualitative approach, 12 patients who had consulted an NP in PHC participated in unstructured interviews. An interpretative phenomenological approach was used to inform the study. A secondary analysis was conducted to explore possible synergies and resonance between the data and the constructs of the Patient Enablement Instrument (PEI). Findings: This small qualitative study found that, following consultations with NPs in PHC, patients reported personal approaches and behaviours consistent with enablement. Three key existential themes appeared to contribute to patient enablement: the way NPs used consultation time (temporality), the building of partnerships between NPs and patients (relationality) and through NPs’ holistic and hands-on consultation approach (corporality). The effective use of time in the consultation was seen as particularly important. Conclusion: The findings from this study suggest consultations with NPs do enable patients. This is a previously undocumented strength of NP care. Further research, using a variety of settings, methods and patient and health care provider populations, is recommended. © 2017 Australian College of Nursing Ltd

Nurses' cognitive and perceptual bias in the identification of clinical deterioration cues

- Al-Moteri, Modi, Cooper, Simon J., Symmons, Mark, Plummer, Virginia

Authors: Al-Moteri, Modi , Cooper, Simon J. , Symmons, Mark , Plummer, Virginia
Date: 2020
Type: Text , Journal article
Relation: Australian Critical Care Vol. 33, no. 4 (2020), p. 333-342
Full Text: false
Reviewed:
Description: Background: Perception and processing of clinical cues have rarely been investigated in the nursing literature despite their relevance to the early identification and management of clinical deterioration. Aim: This study used a hypovolemic shock scenario from the Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends (FIRST2ACT) virtual simulation program, equipped with an eye tracker, to investigate cue processing during the management of patient deterioration. Result: The study revealed that attention deviation distorted interpretation of subsequent cues, causing 63% of participants to exhibit a cognitive bias (heightened sensitivity to specific but noncritical cues) and 65% to exhibit at least one episode of nonfixation on clinically relevant cues. Attention deviation and distorted interpretations of clinical cues will have an impact on patient safety. Conclusion: The findings are likely to have important implications for understanding error and associated training implications. © 2019 Australian College of Critical Care Nurses Ltd

Developing team based acute care scenarios: a rural hospital experience

- Missen, Karen, Sparkes, Louise, Porter, Joanne, Cooper, Simon J., McConnell-Henry, Tracy

Authors: Missen, Karen , Sparkes, Louise , Porter, Joanne , Cooper, Simon J. , McConnell-Henry, Tracy
Date: 2013
Type: Text , Journal article
Relation: International Emergency Nursing Vol. 21, no. 3 (2013), p. 186-189
Full Text: false
Reviewed:
Description: Background Health professionals work in teams in a variety of health care settings especially in medical emergency teams at times of crisis. However, Registered Nurses (RNs) rarely have the chance to partake in educational programs designed for teams of nurses to practice working together in life-threatening situations. Further RN’s employed in rural setting have less opportunities for professional development than their city based counterparts. Simulated scenarios with a patient actor in a rural hospital have been utilised in this study to provide nurses with the opportunity to work as a team in the early recognition and management of patients with acute medical conditions. Aim This discussion paper focuses on one aspect of a larger research project with the aim of describing the development of team based scenarios for a rural hospital setting, focusing on the detection and management of a deteriorating patient. Methods Three team based scenarios, the related assessments and feedback techniques are all described. Conclusion Team based simulation provides a unique opportunity to assist registered nurses in rural settings in re-skilling or maintaining their emergency management skills.

Satisfaction of newly graduated nurses enrolled in transition-to-practice programmes in their first year of employment: a systematic review

- Missen, Karen, McKenna, Lisa, Beauchamp, Alison

Authors: Missen, Karen , McKenna, Lisa , Beauchamp, Alison
Date: 2014
Type: Text , Journal article
Relation: Journal of Advanced Nursing Vol. 70, no. 11 (2014), p. 2419-2433
Full Text: false
Reviewed:
Description: AIMS: To investigate job satisfaction and confidence levels of graduate nurses during their first year of employment and the impact various training programmes have on these factors. BACKGROUND: The transition from nursing student to practising nurse can be a challenging and stressful time for new nurses. Healthcare organizations provide transition programmes to support nurses through this vulnerable time and to assist in increasing graduates' job satisfaction and retention rates. However, no systematic review of transition programme outcomes has been undertaken to determine the impact of these programmes on improving satisfaction levels and on easing the challenges faced by nursing graduates in their new roles as Registered Nurses. DESIGN: Systematic review of effect using narrative synthesis. DATA SOURCES: Quantitative studies published between 2000-December 2012 were identified using electronic databases and reference lists and by searching 'grey literature'. Primary search terms were 'new graduate nurse' and 'transitional programmes'. REVIEW METHODS: The three authors, guided by standardized procedures, performed independent, blinded data extraction and quality assessment. RESULTS: From 338 studies initially identified, eleven studies were included in this review. These studies used a variety of study designs including quasi-experimental and pre- and posttesting. CONCLUSION: Evidence suggests that transition programmes are necessary in creating working environments that support new nurses in the clinical environment and this is demonstrated by increased job satisfaction and retention rates. However, optimum programme length and structure are unclear.

Measuring students perceptions of interprofessional clinical placements: Development of the interprofessional clinical placement learning environment inventory

- Anderson, Amanda, Cant, Robyn, Hood, Kerry

Authors: Anderson, Amanda , Cant, Robyn , Hood, Kerry
Date: 2014
Type: Text , Journal article
Relation: Nurse Education in Practice Vol. 14, no. 5 (2014), p. 518-524
Full Text: false
Reviewed:
Description: Pre-professional healthcare courses, including nursing, are increasingly focused on interprofessional learning and experimentation with clinical education in ‘training wards’. This involves students from at least two disciplines who, under supervision, are responsible for patients' care. There is no consensus on how students' clinical learning experiences in this context are evaluated. We report the development and testing of the Interprofessional Clinical Placement Learning Environment Inventory (ICPLEI) in the Australian context. A question set was developed to measure student's perceptions of key variables in an interprofessional clinical learning environment: orientation, supervision, roles, learning and autonomy. An expert nursing panel rated items for a Content Validity Index of .93. Reliability was tested with 38 students. After a 2-week interprofessional ward placement nursing, medical and allied health students (n = 38) rated their learning environment highly, with median responses 4 or 5 of five (mean total 83%). The scale was reliable with a Cronbach alpha of .80 and moderate item-to-total correlations for 22/26 items. The Interprofessional Clinical Placement Learning Environment Inventory is a reliable, feasible, fast to complete tool, suitable for use with pre-registration healthcare students in this setting. Further testing of the tool's psychometric properties is recommended.

Are we there yet? Graduate readiness for practice, assessment and final examinations

- Missen, Karen, McKenna, Lisa, Beauchamp, Alison

Authors: Missen, Karen , McKenna, Lisa , Beauchamp, Alison
Date: 2018
Type: Text , Journal article
Relation: Collegian Vol. 25, no. 2 (2018), p. 227-230
Full Text: false
Reviewed:
Description: Background This paper reports on one aspect of a larger doctoral project which investigated the perceptions of qualified nurses on the abilities of newly registered nursing graduates. Aims To explore qualified nurses’ perceptions on national examinations for registration in Australia.

Is simulation a substitute for real life clinical experiences in Midwifery? A qualitative examination of the perceptions of educational leaders

- McKenna, Lisa, Bogossian, Fiona, Hall, Helen, Bady, S, Fox-Young, Stephanie, Cooper, Simon J.

Authors: McKenna, Lisa , Bogossian, Fiona , Hall, Helen , Bady, S , Fox-Young, Stephanie , Cooper, Simon J.
Date: 2011
Type: Text , Journal article
Relation: Nurse Education Today Vol. 31, no. 7 (2011), p. 682-686
Full Text: false
Reviewed:
Description: This paper describes the perceptions of midwifery educational leaders concerning the potential for simulation to provide a realistic experience in midwifery education. A qualitative design was employed using focus groups which were audio-taped and transcribed verbatim. Data were analysed using thematic analysis. Eleven focus groups were conducted with 46 key midwifery academics across Australia. Three main themes emerged relating to realism and simulation in midwifery practice: 'we already use a lot of simulation', 'level of realism of manikins', and 'some things cannot be simulated'. Simulation is currently widely used in midwifery education, but this is limited due to realism of available models and equipment. Despite this, within a woman-centred, holistic approach to care there are many aspects of midwifery practice that cannot be easily simulated. There is a need for research and development of realistic simulation approaches to support the enhanced use of simulation. Furthermore, strategies for developing approaches that reflect midwifery care provision need to be developed.

The academic experiences of transitioning to blended online and digital nursing curriculum

- Porter, Joanne, Barbagallo, Michael, Peck, Blake, Allen, Louise, Tanti, Erin, Churchill, Anne

Authors: Porter, Joanne , Barbagallo, Michael , Peck, Blake , Allen, Louise , Tanti, Erin , Churchill, Anne
Date: 2020
Type: Text , Journal article
Relation: Nurse Education Today Vol. 87, no. (2020), p.
Full Text: false
Reviewed:
Description: Background: The blended online digital (BOLD) approach to teaching is popular within many universities. However, much of the research conducted in this area focusses on the student perspective. Aim The aim of this study is to explore the experiences and perspectives of academics involved in the development and implementation of an inaugural BOLD Bachelor of Nursing curriculum at a regional multi-campus institution in Victoria, Australia. Methods: Eleven academics across two regional campuses participated in one of five focus groups. Creswell's (2003) six step approach to thematic analysis was used to analyse the semi-structured interview data in order to capture the meaning of the transition experience. Findings: Three significant themes emerged from the focus group data: ‘Get Ready’, ‘Get Set’, and ‘Go’. Discussion: Three significant themes emerged, ‘Get Ready’, embodies insight from academic staff preparing to make the transition to a BOLD delivery model acknowledging the need for staff to be genuinely prepared, educated, guided and supported to understand the pedagogy of BOLD. Secondly, ‘Get Set’, acknowledges the period immediately after the preparatory phase and preparedness of academic staff to manage content and delivery for both face-to-face and online student cohorts within the learning platform. Thirdly, the theme ‘Go’ recognises the culmination of the previous two phases and is a recognition of the need for ongoing evaluation across the implementation phase. Conclusion: This qualitative exploration of nursing academics' experience contributes to contemporary pedagogical insights in relation to the blended approaches to teaching and learning. © 2020

The influence of anxiety on student nurse performance in a simulated clinical setting : A mixed methods design

- Al-Ghareeb, Amal, McKenna, Lisa, Cooper, Simon J.

Authors: Al-Ghareeb, Amal , McKenna, Lisa , Cooper, Simon J.
Date: 2019
Type: Text , Journal article
Relation: International Journal of Nursing Studies Vol. 98, no. (2019), p. 57-66
Full Text: false
Reviewed:
Description: Background: Anxiety has a powerful impact on learning due to activation of anxiety hormones, which target related receptors in the working memory. Experiential learning requires some degree of challenge and anxiety. Patient simulation, as a form of experiential learning, has been an integrated component of health professional education internationally over the last two decades, especially in undergraduate nursing education. Little information is available to determine if and how anxiety impacts nursing students’ clinical performance during simulation. Objectives: To investigate physiological and psychological anxiety during emergency scenarios in high-fidelity simulation and understand the effect of anxiety on clinical performance. Design: First2Act was the model for the simulation intervention. Second and third year undergraduate nursing students attended a two-hour simulation session and completed a demographic questionnaire plus pre-simulation self-reported psychological anxiety scale. A heart rate variability monitor was attached to each student's chest to measure heart rate variability (as a sign of anxiety) before engaging in two video-recorded simulated emergency scenarios (cardiac and respiratory) with a professional actor playing the patient. Performance was rated by a clinician followed by video-assisted debriefing. Finally, heart monitors were removed and students repeated self-reports of psychological anxiety. Results: Students’ psychological anxiety was high pre-simulation and remained high post-simulation. With regard to physiological anxiety, students were anxious at the start of the simulation but became more relaxed toward the end as they gained familiarly with the simulation environment (p < .007). Clinical performance increased significantly in the second scenario (p < .001). Factors found to positively affect clinical performance were length of enrolment in the nursing degree (p = .001), current employment in a nursing or allied healthcare field (p = .030), and previous emergency experience (p = .047). The relationship between physiological anxiety and clinical performance was statistically not significant, although there was an indication that low level anxiety led to optimal performance. Conclusion: High-fidelity patient simulation has the capacity to arouse novice nurses psychologically and physiologically while managing emergency situations. Indicative outcomes suggest that optimal performance was apparent when anxiety levels were low, indicating that they had received insufficient training to deal with situations that induced moderate to high anxiety levels.

Learning needs of Iranian patients with coronary heart disease : a cross-sectional, comparative study

- Hassankhani, Hadi, Haririan, Hamidreza, Jafari, Arezoo, Porter, Joanne, O’Brien, Frances, Feizollahzadeh, Hossein

Authors: Hassankhani, Hadi , Haririan, Hamidreza , Jafari, Arezoo , Porter, Joanne , O’Brien, Frances , Feizollahzadeh, Hossein
Date: 2021
Type: Text , Journal article
Relation: Clinical Nursing Research Vol. 30, no. 2 (2021), p. 193-199
Full Text: false
Reviewed:
Description: Background: Patient education requires modification as it is either nonexistent or implemented irregularly or inadequately. Study’s purpose: To examine the learning needs of patients with coronary heart disease from the perspective of the patients, their relatives, and health care providers. Methodology: The cross-sectional, comparative study conducted at two cardiac hospitals of Tabriz and Ardebil, Iran from May 2016 to September 2016.Through convenience sampling perceptions of 137 patients, 137 relatives, 33 cardiologists, and 108 nurses were compared using the Cardiac Learning Need Inventory questionnaire. Major results: The most important learning needs of patients from the perspective of physicians, nurses, and patients’ relatives was information about risk factors. In contrast, patient’s perceived information about medication to be their most important learning need. Clinical implications: Patients’ perceptions of their educational needs was different from the perceptions of physicians, nurses, and relatives of the patients. Therefore, when planning patient education a comprehensive review of the patients’ learning needs is required in order to develop a suitable education plan by prioritizing patients’ educational needs. © The Author(s) 2020.

Exercise

- Grace, Fergal, Baker, Julien

Authors: Grace, Fergal , Baker, Julien
Date: 2012
Type: Text , Book chapter
Relation: Perinatal mental health - A Clinical guide Part 6. Chapter 31 p. 389-401
Full Text: false
Reviewed:
Description: Health pregnant women are encouraged to partake in exercise, which is increasingly being shown to to be beneficial for both the mother and child (Davies et al., 2003; Dempsey et al., 2005). While exercise training during pregnancy is common practice among a subgroup of physically active women, pregnancy and postpartum studies reveal there is generally a high risk for inactivity among pregnant womwn, with signficant reductions in previously established levels of activity (Albright and Maddock, 2006; Downs and Hausenbals, 2004; Zhang and Savitz, 1996

Showing items 1 - 20 of 277