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


Development of nurse practitioner metaspecialty clinical practice standards: A national sequential mixed methods study.

J Adv Nurs 2021 Mar 8;77(3):1453-1464. Epub 2020 Dec 8.

The Sydney Children's Hospital Network, Sydney, NSW, Australia.

Aim: To achieve profession-wide consensus on clinical practice standards for six broad Australian nurse practitioner specialty areas (termed metaspecialties).

Design: Sequential mixed methods with initial interpretive study (Interpretive Phase) followed by modified three-round Delphi study (Survey Phase).

Methods: Participants from all Australian jurisdictions were recruited. Read More

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Caregiver autonomy support: A systematic review of interventions for adults with chronic illness and their caregivers with narrative synthesis.

J Adv Nurs 2021 Apr 7;77(4):1667-1682. Epub 2020 Dec 7.

School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.

Chronic illnesses cause significant mortality in adults. Caregivers (spouses, adult children, friends) support adults with chronic illness in multiple ways, for instance through support of their autonomous decisions about how and why to engage in self-care.

Aim: To examine interventions designed to improve the health and well-being of adults with chronic illness by enhancing the autonomy supportive behaviours of caregivers. Read More

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What gets measured gets noticed. Tracking surgical site infection post caesarean section through community surveillance: A post intervention study protocol.

J Adv Nurs 2021 May 19;77(5):2530-2538. Epub 2021 Feb 19.

Nursing and Midwifery Research Centre, Hunter New England Local Health District and University of Newcastle, Newcastle, NSW, Australia.

Aim: This study aims to evaluate the effectiveness of HealthTracker, a surgical site infection surveillance system that aims to improve the notification of surgical site infection for women after giving birth by caesarean section.

Design: This protocol is an intervention study to evaluate the effectiveness of the surveillance system called "HealthTracker" in monitoring surgical site infections post caesarean section.

Methods: This study will use a mobile web application to automatically send a text message inviting all women who give birth to a live baby by caesarean section over six months during 2020-2021, at an Australian tertiary referral hospital. Read More

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Systematic review: An exploration of core componentry characterizing effective sustained nurse home visiting programs.

J Adv Nurs 2021 Jan 22. Epub 2021 Jan 22.

Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.

Aims: To identify the core components or potential 'active ingredients' of sustained nurse home visiting (SNHV) programs that have demonstrated positive effects on maternal or child health, psychosocial development, or self-sufficiency outcomes among disadvantaged families in high-income countries.

Design: Systematic review with narrative summary.

Data Sources: Programs were identified from searches of several reputable evidence clearing houses and the following bibliographic databases: Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and Cochrane Central Register of Controlled Trials. Read More

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January 2021

Women's tenacity following traumatic brain injury: Qualitative insights.

J Adv Nurs 2021 Apr 13;77(4):1934-1944. Epub 2021 Jan 13.

Western Sydney University, Sydney, NSW, Australia.

Aim: To explore perspectives of Australian women who had sustained a traumatic brain injury to develop a gendered understanding of their experiences.

Design: Qualitative findings from a concurrent mixed methods study.

Methods: Australian women who had sustained a traumatic brain injury participated in conversational interviews. Read More

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Pre-existing mental health disorders in patients admitted to the intensive care unit: A systematic review and meta-analysis of prevalence.

J Adv Nurs 2021 May 10;77(5):2214-2227. Epub 2021 Jan 10.

School of Nursing and Midwifery, University of Technology Sydney, Sydney, NSW, Australia.

Aims: To determine the reported prevalence rate of pre-existing mental health disorders in patients admitted to adult ICUs and identify the most commonly occurring types of these disorders.

Design: Systematic review and meta-analysis.

Data Sources: Five electronic databases were searched from 1 January 2000 -15 April 2020. Read More

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The experience of women following first acute coronary syndrome: An integrative literature review.

J Adv Nurs 2021 May 3;77(5):2228-2247. Epub 2021 Jan 3.

School of Nursing, Midwifery and Public Health, Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia.

Aim: There is lack of evidence and research understanding among women's lived experiences following first acute coronary syndrome, thus their recovery process remains poorly understood. To date research has largely focused on men's experience of acute coronary syndrome while this area of health care and recovery has considerable impact on women's health and quality of life. Our aim was to review the literature exploring lived experience of women following first acute coronary syndrome. Read More

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Nursing competencies for family-centred care in the hospital setting: A multinational Q-methodology study.

J Adv Nurs 2021 Apr 13;77(4):1783-1799. Epub 2020 Dec 13.

Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia.

Aim: to identify: (1) nursing competencies for FCC in a hospital setting; and (2) to explore perspectives on these competencies among Dutch and Australian professionals including lecturers, researchers, Registered Nurses and policy makers.

Design: A multinational cross-sectional study using Q-methodology.

Methods: First, an integrative review was carried out to identify known competencies regarding FCC and to develop the Q-set (search up to July 2018). Read More

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Cross-cultural applicability of the Self-Care Self-Efficacy Scale in a multi-national study.

J Adv Nurs 2021 Feb 9;77(2):681-692. Epub 2020 Dec 9.

School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.

Aim: The Self-Care Self-Efficacy Scale (SCSES) was newly developed as a self-report measure for self-care self-efficacy for chronic illness. This study investigated its measurement equivalence (ME) in different cultural groups, including United States, China (Hong Kong), Italy, and Brazil.

Design: A multi-national study for cross-cultural validation of the Scale. Read More

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February 2021

The effectiveness of interventions to improve pain assessment and management in people living with dementia: A systematic review and meta-analyses.

J Adv Nurs 2021 Mar 22;77(3):1127-1140. Epub 2020 Nov 22.

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

Aims: To synthesize and evaluate the effectiveness of interventions for nurses to improve the assessment and management of pain in people living with dementia.

Design: Systematic review and meta-analyses of randomized controlled trials.

Data Sources: CINAHL, Joanna Briggs Institute (JBI) EBP, Cochrane Library, PubMed, and Scopus databases were searched for all journal articles published between 2009 -2019. Read More

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Patient education interventions for health behaviour change in adults diagnosed with coronary heart disease: A protocol for a systematic review and meta-analysis.

J Adv Nurs 2021 Feb 18;77(2):1043-1050. Epub 2020 Nov 18.

Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Aim: To assess the efficacy of structured patient education on disease-related knowledge and health behaviour change outcomes in adults with coronary heart disease.

Design: Systematic review and meta-analyses including meta-regression on education duration.

Methods: Seven databases (including Medline, Pubmed (non-Medline), CINAHL, PsycINFO, Embase, Emcare and Cochrane central register of controlled trials) will be searched from inception through 2020 to identify relevant randomized controlled trials testing interventions to improve health behaviours and disease-related knowledge in adults with coronary heart disease. Read More

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February 2021

Systematic review: Effects of sustained nurse home visiting programs for disadvantaged mothers and children.

J Adv Nurs 2021 Jan 10;77(1):147-161. Epub 2020 Oct 10.

Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Vic., Australia.

Aims: To systematically evaluate published experimental studies of sustained nurse home visiting (SNHV) programs. This review summarizes the evidence and identifies gaps in the literature to inform practice, policy, and future research.

Design: Restricted systematic review with narrative summary. Read More

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January 2021

General practice nurses' communication strategies for lifestyle risk reduction: A content analysis.

J Adv Nurs 2020 Nov 8;76(11):3082-3091. Epub 2020 Sep 8.

Department of Health Services Research and Policy, Research School of Population Health, College of Medicine, Biology and the Environment, Australian National University, Acton, Australia.

Aims: To explore how general practice nurses (GPNs) communicate lifestyle risk reduction with patients presenting for chronic disease consultations.

Design: Qualitative content analysis of video observations.

Methods: The audio of 14 video-recorded GPN chronic disease management (CDM) consultations were transcribed verbatim. Read More

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November 2020

Perceptions of optimal end-of-life care in hospitals: A cross-sectional study of nurses in three locations.

J Adv Nurs 2020 Nov 4;76(11):3014-3025. Epub 2020 Sep 4.

Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.

Aim: To examine whether nurses' location of employment, demographics, or training influences their perceptions of what constitutes optimal care for dying patients in hospital.

Design: Questionnaire-based, cross-sectional study.

Methods: Between December 2016-June 2018, 582 registered or enrolled nurses from Australia (N = 153), South Korea (N = 241), and Hong Kong (N = 188) employed in a variety of hospital care units rated the extent to which they agreed with 29 indicators of optimal end-of-life care across four domains: patient, family, healthcare team, and healthcare system. Read More

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November 2020

Models of prescribing, scope of practice, and medicines prescribed, a survey of nurse practitioners.

J Adv Nurs 2020 Sep 21;76(9):2311-2322. Epub 2020 Jul 21.

Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.

Aims And Objectives: The aim of this study was to explore current Australian Nurse Practitioners (NPs) models of prescribing used and medicines prescribed within their scopes of practice.

Design: Descriptive online electronic national survey.

Methods: An online survey of Australian NPs was conducted in 2017. Read More

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September 2020

The pre-Medical Emergency Team response: Nurses' decision-making escalating deterioration to treating teams using urgent review criteria.

J Adv Nurs 2020 May 20. Epub 2020 May 20.

Alfred Health, Melbourne, Vic., Australia.

Aim: To describe nurses' decision-making, experiences and perceptions of escalating deteriorating patients to the treating medical team using urgent clinical review criteria.

Design: A qualitative design comprising individual in-depth interviews with nurses from a major Australian metropolitan tertiary teaching hospital.

Method: A purposive sample of 30 Registered Nurses from nine surgical and medical wards were interviewed in April 2018 using semi-structured interviews. Read More

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A qualitative meta-synthesis investigating the experiences of the patient's family when treatment is withdrawn in the intensive care unit.

J Adv Nurs 2020 Sep 20;76(9):2222-2234. Epub 2020 Jul 20.

School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Australia.

Aim: To synthesize qualitative studies of patients' families' experiences and perceptions of end-of-life care in the intensive care unit when life-sustaining treatments are withdrawn.

Design: Qualitative meta-synthesis.

Data Sources: Comprehensive search of 18 electronic databases for qualitative studies published between January 2005 - February 2019. Read More

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September 2020

Effectiveness of an avatar educational application for improving heart failure patients' knowledge and self-care behaviors: A pragmatic randomized controlled trial.

J Adv Nurs 2020 Sep 27;76(9):2401-2415. Epub 2020 Jul 27.

College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.

Aim: To evaluate the effectiveness of education using avatars for improving patients' heart failure knowledge and self-care.

Background: A lack of knowledge and self-care contributes to poor outcomes and rehospitalization for people with heart failure.

Design: A multi-centred, non-blinded pragmatic randomized controlled trial. Read More

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September 2020

Depression and self-care in older adults with multiple chronic conditions: A multivariate analysis.

J Adv Nurs 2020 Jul 23;76(7):1668-1678. Epub 2020 Apr 23.

University of Pennsylvania, Philadelphia, PA, USA.

Aims: To investigate the relationship between depression and self-care behaviours in older individuals with multimorbidity.

Design: Cross-sectional study. Data were collected between April 2017 - June 2019. Read More

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Forging, protecting, and repairing community resilience informed by the 2019-2020 Australian bushfires.

J Adv Nurs 2020 May 7;76(5):1095-1097. Epub 2020 Feb 7.

School of Nursing, College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia.

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Nurses' intentions to respond to requests for legal assisted-dying: A Q-methodological study.

J Adv Nurs 2020 Feb 26;76(2):642-653. Epub 2019 Nov 26.

Division of Business and Law, University of South Australia, Adelaide, South Australia, Australia.

Aims: To explore the intentions of nurses to respond to requests for legal assisted-dying.

Background: As more Western nations legalize assisted-dying, requests for access will increase across clinical domains. Understanding the intentions of nurses to respond to such requests is important for the construction of relevant policy and practice guidelines. Read More

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February 2020

Lifestyle risk factor communication by nurses in general practice: Understanding the interactional elements.

J Adv Nurs 2020 Jan 14;76(1):234-242. Epub 2019 Oct 14.

Department of Health Services Research and Policy, Research School of Population Health, College of Medicine, Biology and the Environment, Australian National University, Canberra, ACT, Australia.

Aim: This paper seeks to explore general practice nurses' perceptions of interactional factors supporting communication with patients about lifestyle risk.

Design: Qualitative descriptive study embedded in a concurrent mixed methods design.

Methods: Fifteen Australian general practice nurses were interviewed following video-recorded chronic disease management consultations between August 2017 - March 2018. Read More

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January 2020

Effectiveness of an Avatar application for teaching heart attack recognition and response: A pragmatic randomized control trial.

J Adv Nurs 2020 Jan 17;76(1):297-311. Epub 2019 Nov 17.

College of Nursing & Health Sciences, Flinders University, Adelaide, SA, Australia.

Aims: To evaluate the effectiveness of an Avatar application for educating people with acute coronary syndrome (heart attack).

Background: A lack of understanding of Acute Coronary Syndrome symptoms and appropriate responses often contribute to delay in seeking medical treatment.

Design: A single-centre, non-blinded, pragmatic randomized controlled trial. Read More

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January 2020

Mothers' views of health problems in the 12 months after childbirth: A concept mapping study.

J Adv Nurs 2019 Dec 8;75(12):3702-3714. Epub 2019 Nov 8.

School of Nursing, College of Health and Medicine, University of Tasmania, Launceston, TAS, Australia.

Aims: To identify the health problems that women feel require help and subsequent help-seeking behaviour during the 12 months period after childbirth.

Background: Many women experience physical and mental health problems after childbirth, but there is a gap in understanding how they perceive their health after childbirth. Studies suggested they are inhibited in expressing their needs and so seek informal rather than professional help for their health problems. Read More

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December 2019

Reasons for choosing or refusing care from a nurse practitioner: Results from a national population-based survey.

J Adv Nurs 2019 Dec 4;75(12):3668-3676. Epub 2019 Sep 4.

School of Nursing, Midwifery and Social Sciences, Central Queensland University, Rockhampton, Qld, Australia.

Aim: To understand the public's willingness or lack thereof, to be seen and treated by a nurse practitioner (NP) as the first point of contact when accessing healthcare services.

Design: This cross-sectional, population-based survey study used computer assisted telephone interviewing to elicit public opinions on the topic.

Methods: Data were collected in July and August 2015 from calls randomly placed to Australian households. Read More

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December 2019

Delaying voiding, limiting fluids, urinary symptoms, and work productivity: A survey of female nurses and midwives.

J Adv Nurs 2019 Nov 5;75(11):2579-2590. Epub 2019 Aug 5.

School of Health Sciences, University of Newcastle, Australia.

Aim: To examine the relationships between workplace bladder practices, urinary symptoms, and work productivity.

Design: Cross-sectional observational survey.

Methods: Surveys were distributed June-November 2016 to at least 600 female nurses and midwives at three urban hospitals in New South Wales, Australia. Read More

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November 2019

Does the Partners in Health scale allow meaningful comparisons of chronic condition self-management between men and women? Testing measurement invariance.

J Adv Nurs 2019 Nov 21;75(11):3126-3137. Epub 2019 Jul 21.

College of Medicine & Public Health, Flinders University, Adelaide, SA, Australia.

Aims: To determine if the Partners in Health scale, pertinent to assessing patient chronic condition self-management, operates equivalently for men and women.

Background: There are distinct gender-based differences in self-management behaviours and health perceptions. This may introduce non-invariance in self-report measures. Read More

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November 2019

A randomized controlled trial testing a decision support intervention for older patients with advanced kidney disease.

J Adv Nurs 2019 Nov 26;75(11):3032-3044. Epub 2019 Jul 26.

School of Nursing and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Qld, Australia.

Aim: To evaluate the effectiveness of a decision support intervention (OPTIONS) in facilitating the older person with advanced kidney disease to make a treatment choice.

Design: Pragmatic randomized controlled trial.

Methods: People aged ≥70 years with advanced kidney disease (eGFR ≤20 ml/min/1. Read More

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November 2019

The evaluation of nurse navigators in chronic and complex care.

J Adv Nurs 2019 Aug 10;75(8):1792-1804. Epub 2019 Jun 10.

Australian Centre for Health Services Innovation, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.

Aim: With increasing age and chronicity in populations, the need to reduce the costs of care while enhancing quality and hospital avoidance, is important. Nurse-led co-ordination is one such model of care that supports this approach. The aim of this research was to assess the impact that newly appointed Navigators have on service provision; social and economic impact; nurses' professional quality of life and compassion fatigue; and analysis of the change that has occurred to models of care and service delivery. Read More

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Study protocol: A randomized controlled trial assessing the avoidance of endotracheal suction in cardiac surgical patients ventilated for ≤ 12 hr.

J Adv Nurs 2019 Sep 17;75(9):2006-2014. Epub 2019 Jun 17.

School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

Aims: To assess the safety and efficacy of avoiding endotracheal suction in postoperative cardiac surgical patients mechanically ventilated for ≤ 12 hr.

Design: A prospective, single centre, single blind, non-inferiority, randomized controlled trial evaluating the safety and efficacy of avoiding suction in uncomplicated, postoperative, adult cardiac surgical patients mechanically ventilated for ≤ 12 hr.

Methods: Randomization will be performed on return to intensive care (ICU) with allocation to either usual postoperative care including suction or to usual care with no suction (intervention arm). Read More

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September 2019