List of Titles

No one said he was dying : Families’ experiences of end-of-life care in an acute setting

- Odgers, Jade, Fitzpatrick, Denise, Penney, Wendy, Shee, Anna Wong

Authors: Odgers, Jade , Fitzpatrick, Denise , Penney, Wendy , Shee, Anna Wong
Date: 2018
Type: Text , Journal article
Relation: Australian Journal of Advanced Nursing Vol. 35, no. 3 (2018), p. 21-31
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Description: Objective To explore the family’s experience of end-of-life care for their dying family member during the last few days of life in an acute rural hospital. Design Interpretive design using qualitative methods, including 1: 1 semi- structured interviews. Setting The study was undertaken in a large regional health service in Victoria. Subjects Twelve relatives who were next of kin of people who died between 1 January 2012 and 30 June 2013 in an acute ward at the health service agreed to participate in the study. Main outcome measure Families’ perceptions of end-of-life care for their dying family member. Results Data analysis identified five themes that were grouped into two general dimensions - communication (guidance for family member’s role in end of life care, the family’s preparation for death, the dying experience) and care and support (the hospital care experience, follow-up after death). Conclusion A lack of open and candid communication hindered family members’ engagement in decision-making and involvement in their loved ones’ last days of life. The absence of formal processes for end of life (EOL) care planning resulted in families being unprepared for what they perceived as their family member’s ‘sudden death’.

Effective interprofessional collaboration in rural contexts : A research protocol

- Mitchell, Rebecca, Paliadelis, Penny, McNeil, Karen, Parker, Vicki, Giles, Michelle, Higgins, Isabel, Parmenter, Glenda, Ahrens, Yvonne

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.

Supporting new graduate nurses making the transition to rural nursing practice : Views from experienced rural nurses

- Lea, Jackie, Cruickshank, Mary

Authors: Lea, Jackie , Cruickshank, Mary
Date: 2015
Type: Text , Journal article
Relation: Journal of Clinical Nursing Vol. 24, no. 19-20 (2015), p. 2826-2834
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Description: Aims and objectives. To present the findings from the experienced rural nurse participants of a larger study that explored the transitional experiences of newly graduated nurses making the role transition in rural health care facilities in Australia. Background. There are specific and unique aspects of rural nursing practice that influence the nature and timing of support for new graduate nurses that have not been explored or acknowledged as influencing the new graduate nurses’ experience of transition. Specifically, the difficulties and challenges that experienced rural nurses face in providing effective and timely support for new graduate nurses who are making the transition to rural nursing practice is yet to be explored. Design. Using a qualitative case study framework, this study specifically aimed to investigate and describe the nature and timing of support required during the transition to nursing practice that is specific for the rural context and capacity. Methods. Individual in-depth interviews were conducted with 16 experienced rural nurses who, at the time of the study, worked with new graduate nurses in the rural practice environment. Results. The findings from this study showed that the provision of timely on-ward support for new graduates making the transition to rural nursing practice is affected and influenced by the skill mix and staffing allocation within the rural environment. As well, there is a lack of awareness by rural nurses of how to meet the on-ward support needs of new graduate nurses. Conclusions. This study has identified the specific and unique aspects of the rural nurse’s role and responsibilities for which the new graduate nurse requires incremental learning and intensive clinical support. Relevance to clinical practice. The findings can be used by rural health services and experienced rural registered nurses to assist in implementing adequate and timely support for new graduate nurses.

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