285 results match your criteria Australian Journal Of Advanced Nursing[Journal]


Towards the idea of 'clinical capital': A longitudinal study exploring nurses' dispositions and workplace manifestations in an Australian intensive care unit.

J Adv Nurs 2022 Apr 27. Epub 2022 Apr 27.

Faculty of Medicine, University of Queensland, Hearson, Queensland, Australia.

Objective: To explore the concept of 'capital' through the study of successive interventions and outcomes (patient and staff) in a quaternity intensive care unit (ICU) across a 5-year time frame.

Design: A longitudinal intrinsic single site, a survey study was designed. The concept of 'capital' was explored through an adopted interpretive approach that involved understanding meanings from different sources, for example, discussions at compassion cafés, follow-up from staff-initiated activities, informal responses to organizational imperatives external to the unit (i. Read More

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'Smiles and laughter and all those really great things': Nurses' perceptions of good experiences of care for inpatient children and young people with intellectual disability.

J Adv Nurs 2022 Apr 22. Epub 2022 Apr 22.

Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.

Aim: To understand what constitutes a good experience of care for inpatient children and young people with intellectual disability as perceived by nursing staff.

Design: Interpretive qualitative study.

Methods: Focus groups with clinical nursing staff from speciality neurological/neurosurgical and adolescent medicine wards across two specialist tertiary children's hospitals in Australia were conducted between March and May 2021. Read More

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Nurse-led vascular risk assessment in a regional Victorian Indigenous primary care diabetes clinic: An integrated Diabetes Education and Eye disease Screening [iDEES] study.

J Adv Nurs 2022 Apr 20. Epub 2022 Apr 20.

Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia.

Aim: The aim was to describe vascular risk factors in Australian adults with diabetes attending an Indigenous primary care nurse-led diabetes clinic.

Design: This was a cross-sectional descriptive single-site study.

Methods: Vascular risk factor data were extracted from the electronic health records of participants in the nurse-led integrated Diabetes Education and Eye disease Screening (iDEES) study at a regional Victorian Indigenous primary health-care clinic between January 2018 and March 2020. Read More

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Documented nursing practices of pain assessment and management when communicating about pain in dementia care.

J Adv Nurs 2022 Apr 18. Epub 2022 Apr 18.

School of Nursing & Midwifery, University of Newcastle, Newcastle, Australia.

Aim: To evaluate nurses' documented practice when communicating about pain for people with dementia in hospital.

Design: Retrospective medical record review.

Method: Medical records were retrieved from four inpatient units in a district and a tertiary teaching hospital of people aged 65 years and over with documented dementia. Read More

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Adherence to screening and management guidelines of maternal Group B Streptococcus colonization in pregnancy.

J Adv Nurs 2022 Apr 15. Epub 2022 Apr 15.

The University of Notre Dame Australia, Fremantle, Western Australia, Australia.

Aims: To investigate Group B Streptococcus (GBS) colonization in pregnancy; adherence to antenatal GBS screening and adherence to the intrapartum antibiotics protocol within two models of care (midwifery and non-midwifery led).

Design: This retrospective quantitative study has employed a descriptive design using administrative health data.

Methods: Data from five maternity hospitals in metropolitan and regional Western Australia that included 22,417 pregnant women who gave birth between 2015 and 2019 were examined, applying descriptive statistics using secondary data analysis. Read More

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Self-efficacy, burnout and academic success in nursing students: A counterfactual mediation analysis.

J Adv Nurs 2022 Mar 21. Epub 2022 Mar 21.

Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Aim: To test the mediating role of burnout in the relationship between self-efficacy and academic success in nursing students.

Design: This was a cross-sectional secondary analysis of longitudinal research aimed at exploring the academic success of nursing students.

Methods: We enrolled a convenience sample of nursing students attending 21 Italian baccalaureate nursing degree programmes. Read More

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Working with or against the system: Nurses' and midwives' process of providing abortion care in the context of gender-based violence in Australia.

J Adv Nurs 2022 Mar 14. Epub 2022 Mar 14.

College of Nursing and Midwifery, CQUniversity, Cairns, Australia.

Aims: The aim of this study was to explain the process through which Australian nurses and midwives provide abortion care to people affected by gender-based violence (GBV).

Design: A constructivist grounded theory study.

Methods: This study took place between 2019 and 2021. Read More

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Communication strategies used by Parkinson's nurse specialists during healthcare interactions: A qualitative descriptive study.

J Adv Nurs 2022 Jun 14;78(6):1773-1786. Epub 2022 Mar 14.

School of Allied Health, Curtin University, Perth, Western Australia, Australia.

Aim: To explore the range and use of communication strategies by Parkinson's nurse specialists, and describe key communication strategies, to support health professionals in their healthcare interactions with people with Parkinson's.

Design: A qualitative descriptive study.

Methods: Due to the COVID-19 pandemic, the study took place in an online setting. Read More

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A nurse-led multicentre randomized controlled trial on effectiveness and cost-effectiveness of Chinese iSupport for dementia program: A study protocol.

J Adv Nurs 2022 May 14;78(5):1524-1533. Epub 2022 Mar 14.

Kiang Wu Nursing College of Macau, Macao, Hong Kong.

Aims: To describe a nurse-led multicentre randomized controlled trial protocol developed to evaluate the effectiveness and cost-effectiveness of a Chinese iSupport for Dementia program in Australia and Greater China including mainland China, Taiwan, Hong Kong and Macau.

Design: A multicentre randomized controlled trial following the SPIRIT checklist.

Methods: Participants in the study will be recruited from Australia and Greater China and will be randomly assigned to the intervention group or the usual care group. Read More

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The context, contribution and consequences of addressing the COVID-19 pandemic: A qualitative exploration of executive nurses' perspectives.

J Adv Nurs 2022 Feb 15. Epub 2022 Feb 15.

Data Drawer Consulting, Sandringham, Victoria, Australia.

Aims: To explore (1) the context in which nursing executives were working, (2) nursing's contribution to the healthcare response and (3) the impact from delivering healthcare in response to the pandemic.

Design: Retrospective, constructivist qualitative study.

Methods: Individual interviews using a semi-structured interview guide were conducted between 12 February and 29 March 2021. Read More

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February 2022

Registered nurses' awareness and implementation of reasonable adjustments for people with intellectual disability and/or autism.

J Adv Nurs 2022 Feb 7. Epub 2022 Feb 7.

Faculty of Health and Human Sciences and Health Clinic, Southern Cross University, Lismore, New South Wales, Australia.

Aim: To describe Australian registered nurses' awareness, and implementation of reasonable adjustments within their practice when caring for people with intellectual disability and/or autism. Additionally, the association between key demographic, workforce, and respondent variables and familiarity of the term and regularity of use was explored.

Design: Cross-sectional survey. Read More

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February 2022

Mixed diabetic retinopathy screening coverage results in Indigenous Australian primary care settings: A nurse-led model of integrated diabetes care.

J Adv Nurs 2022 Feb 7. Epub 2022 Feb 7.

Department of Medicine, University of Melbourne, Melbourne, Australia.

Aims: To determine eye screening coverage and adherence to national eye screening recommendations of a nurse-led retinal image-based model of diabetes education and eye screening in Indigenous primary care clinics.

Design: A pre-post study.

Methods: During January 2018-March 2020 Indigenous Australians with diabetes at three regional Australian clinics were offered eye screening by a nurse-diabetes educator/retinal imager. Read More

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February 2022

The characteristics of Australian Maternal and Child Health home visiting nurses undertaking family violence work: An interpretive description study.

J Adv Nurs 2022 Jan 27. Epub 2022 Jan 27.

Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.

Aims: To explore the family violence practice of home visiting nurses and identify the personal and professional characteristics of nurses undertaking family violence work.

Design: A qualitative research design using interpretive description.

Methods: The family violence nursing practice and characteristics of home visiting nurses in Victoria, Australia, were explored by analysing semi-structured interviews (n = 37) conducted over 4 months in 2019-2020. Read More

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January 2022

A Nurse Practitioner service designed to address the health needs of children living in housing instability: A non-randomised, concurrent mixed methods study protocol.

J Adv Nurs 2022 Apr 23;78(4):1166-1175. Epub 2022 Jan 23.

College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.

In 2019-2020 we conducted a pilot study of a Nurse Practitioner clinic working with housing insecure children (0-18 years) that found high levels of developmental delay, missed immunizations and dental caries. This present non-randomized, concurrent mixed-methods study protocol explains the next phase of the research designed proving proof of concept for a Nurse Practitioner model of care for these vulnerable children. Focusing on identifying and understanding clinic admission processes, tracking referral pathways and uptake, and how many vulnerable children miss potential care and why. Read More

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Improving patient-centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context.

J Adv Nurs 2022 May 17;78(5):1413-1430. Epub 2022 Jan 17.

St Vincent's Health Network Sydney, Sydney, New South Wales, Australia.

Aims: To increase the quality and safety of patient care, many hospitals have mandated that nursing clinical handover occur at the patient's bedside. This study aims to improve the patient-centredness of nursing handover by addressing the communication challenges of bedside handover and the organizational and cultural practices that shape handover.

Design: Qualitative linguistic ethnographic design combining discourse analysis of actual handover interactions and interviews and focus groups before and after a tailored intervention. Read More

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Health-risk behaviours among Indigenous Australians with diabetes: A study in the integrated Diabetes Education and Eye Screening (iDEES) project.

J Adv Nurs 2022 May 17;78(5):1305-1316. Epub 2022 Jan 17.

Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia.

Aim: To assess the prevalence of modifiable health-risk behaviours among Indigenous Australian adults with diabetes attending a regional Victorian Indigenous primary-care clinic.

Design: A cross-sectional observational single-site study.

Methods: As part of a multi-study project we administered the Smoking, Nutrition, Alcohol consumption, Physical activity and Emotional wellbeing (SNAPE) survey tool during the study baseline visit to methodically capture health-related behavioural data in the nurse-led integrated Diabetes Education and Eye Screening (iDEES) project in a regional Indigenous primary healthcare setting between January 2018 and March 2020. Read More

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Start Healthy and Stay Healthy: A workplace health promotion intervention for new graduate nurses: A mixed-methods study.

J Adv Nurs 2022 Feb 30;78(2):541-556. Epub 2021 Nov 30.

Susan Wakil School of Nursing and Midwifery, University of Sydney, Sydney, New South Wales, Australia.

Aims: This study explored the acceptability of a workplace health promotion intervention embedded into a transition to practice (TTP) programme to assist new graduate nurses in establishing healthy dietary and physical activity (PA) behaviours from career commencement.

Design: A sequential mixed methods design.

Methods: The Start Healthy and Stay Healthy (SH&SH) intervention, informed by the Behaviour Change Wheel, was conducted in an Australian Local Health District. Read More

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February 2022

Effect of an mHealth self-help intervention on readmission after adult cardiac surgery: Protocol for a pilot randomized controlled trial.

J Adv Nurs 2022 Feb 28;78(2):577-586. Epub 2021 Nov 28.

Western Sydney Nursing & Midwifery Research Centre, Blacktown Clinical & Research School, Western Sydney University & Western Sydney Local Health District, Blacktown Hospital, Blacktown, New South Wales, Australia.

Aim: To describe a protocol for the pilot phase of a trial designed to test the effect of an mHealth intervention on representation and readmission after adult cardiac surgery.

Design: A multisite, parallel group, pilot randomized controlled trial (ethics approval: HREC2020.331-RMH69278). Read More

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February 2022

Feasibility study protocol of the PainChek app to assess the efficacy of a social robot intervention for people with dementia.

J Adv Nurs 2022 Feb 26;78(2):587-594. Epub 2021 Nov 26.

Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.

Aim: This study aims to test the feasibility of the PainChek app to assess pain for people with dementia living in residential aged care facilities (RACFs). It will also identify the optimal dosage and efficacy of a social robot (personal assistant robot [PARO]) intervention on chronic pain for people with dementia.

Design: This is a feasibility randomized controlled trial with three groups. Read More

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February 2022

Smartphone-based exercise intervention for chronic pain: PainReApp randomized clinical trial protocol.

J Adv Nurs 2022 Feb 26;78(2):569-576. Epub 2021 Nov 26.

Biomedical Research and Innovation Institute of Cadiz (INiBICA), Cadiz, Spain.

Aim: To evaluate the effectiveness of PainReApp, an mHealth system, based on physical exercise recommendations for patients with chronic pain (low back pain, fibromyalgia and diabetic neuropathic pain) based on pain intensity, quality of life, anxiety and/or depression, and sleep quality.

Design: Single-blinded randomized controlled trial.

Methods: One hundred patients from three different chronic conditions (low back pain, fibromyalgia and neuropathic diabetic pain) will be recruited and randomized into two groups to receive the intervention with a physical activity program guided by the PainReApp system (experimental group) or with the program information in paper format (control group). Read More

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February 2022

Culturally safe, high-quality breast cancer screening for transgender people: A scoping review protocol.

J Adv Nurs 2022 Jan 24;78(1):276-281. Epub 2021 Nov 24.

UniSA Clinical & Health Sciences, Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, Australia.

Aim: To develop evidence-based recommendations for provision of culturally safe, high-quality services for breast cancer screening for transgender people.

Design: The scoping review will follow the JBI methodological guidance for scoping reviews.

Methods: A search using MEDLINE (PubMed), Embase (Ovid), Scopus, the Cochrane Library, including the Cochrane Methodology Register, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and the World Health Organization, Australia Government Department of Health and Google Scholar will be undertaken. Read More

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January 2022

Nursing and midwifery students' perspectives of using digital systems on placement: A qualitative study.

J Adv Nurs 2022 Apr 3;78(4):1128-1139. Epub 2021 Nov 3.

School of Nursing and Midwifery, Queens University Belfast, Belfast, Ireland.

Aim: To explore undergraduate nursing and midwifery student perspectives of using digital patient systems on clinical placements.

Design: This was an interpretative qualitative design study.

Methods: Undergraduate nursing and midwifery students in a large Australian metropolitan university were invited to participate in two focus groups from April to June 2019. Read More

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What factors influence nursing home use of hospital avoidance programs? An interview study.

J Adv Nurs 2022 Feb 7;78(2):510-522. Epub 2021 Oct 7.

Australian Centre for Evidence Based Aged Care, La Trobe University, Bundoora, Victoria, Australia.

Aims: To understand why some nursing homes use hospital avoidance programs more frequently than others.

Design: Two hospital avoidance programs, called residential-in-reach services in Victoria, Australia, were evaluated using a qualitative descriptive design.

Methods: Between 2014 and 2018, 127 semi-structured interviews were conducted with staff from nursing homes, general practitioners and staff from the residential-in reach services. Read More

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February 2022

The impact of COVID-19 on primary health care delivery in Australia.

J Adv Nurs 2022 May 23;78(5):1327-1336. Epub 2021 Sep 23.

Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Notting Hill, Victoria, Australia.

Aims: To validate the 'safe and effective staffing tool' and explore the impact of COVID-19 on the quality of Australian primary health care (PHC).

Design: A national survey was conducted from October to December 2020.

Methods: The online survey was distributed via social media and professional organisations to PHC nurses. Read More

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Factors influencing community-dwelling older adults' readiness to adopt smart home technology: A qualitative exploratory study.

J Adv Nurs 2021 Dec 3;77(12):4847-4861. Epub 2021 Sep 3.

School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.

Aims: Ageing-in-place for older people could be more feasible with the support of smart home technology. Ageing in-place may maximize the independence of older adults and enhance their well-being and quality of life, while decreasing the financial burden of residential care costs, and addressing workforce shortages. However, the uptake of smart home technology is very low among older adults. Read More

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December 2021

Illustrating a novel methodology and paradigm applied to Emergency Department research.

J Adv Nurs 2021 Oct 30;77(10):4045-4054. Epub 2021 Aug 30.

School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, Queensland, Australia.

Aim: To provide a practical example of how a novel methodology and paradigm was applied to a mixed methods study exploring the healthcare experiences of Australian adults who frequently use emergency department services.

Design: Discussion Paper.

Data Sources: We explored published literature discussing philosophical and methodological issues related to mixed methods research. Read More

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October 2021

Cross-cultural differences in nurse burnout and the relationship with patient safety: An East-West comparative study.

J Adv Nurs 2022 Apr 26;78(4):1001-1011. Epub 2021 Aug 26.

Rosemary Bryant AO Research Centre, Clinical & Health Sciences, University of South Australia, Adelaide, South Australia, Australia.

Aims: To compare levels of nurse burnout across eastern and western cultures, as well as examine the influence of burnout on patient safety cross-culturally.

Design: Comparative cross-sectional study.

Methods: Survey data were collected from nurses between August and October 2017 in Australia (n = 730) and between April and October 2019 in China (n = 1107). Read More

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A phenomenological exploration of source isolation in patients infected with multi-drug resistant organisms.

J Adv Nurs 2022 Jan 12;78(1):211-223. Epub 2021 Aug 12.

Faculty of Nursing & Midwifery, The University of Sydney, Sydney, NSW, Australia.

Background: The physical isolation of patients colonised or infected with multi-drug resistant organisms is a requirement in hospitals considering the risk of infecting other patients, healthcare workers and visitors. However, how these patients experience isolation in the current environment is not fully understood from the literature.

Aims: To explore and interpret the lived experience of the source isolation in patients infected with MDROs within an Australian setting. Read More

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January 2022

Milestones in the journey: The story of refugees becoming registered nurses in Australia.

J Adv Nurs 2021 Nov 19;77(11):4525-4536. Epub 2021 Jul 19.

School of Nursing and Midwifery, Western Sydney University, Kingswood, Australia.

Aims: To explore the experiences of refugees who became registered nurses after arriving to Australia.

Design: Qualitative description using a naturalistic inquiry framework.

Methods: Between February 2018 and September 2019, the lead author conducted semi-structured interviews with employed registered nurses (RNs) that are former refugees and English-speaking. Read More

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November 2021

Being an older nurse or midwife in the healthcare workplace- A qualitative descriptive study.

J Adv Nurs 2021 Nov 13;77(11):4500-4510. Epub 2021 Jul 13.

University of South Australia, Adelaide, South Australia, Australia.

Aim: To explore the experiences of being an older nurse or midwife employed in the healthcare workplace.

Design: A qualitative descriptive study.

Method: Semi-structured interviews were conducted with nurses and midwives who self-identified as older workers. Read More

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November 2021