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Publisher: RMIT Publishing   (Total: 397 journals)

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Showing 1 - 200 of 397 Journals sorted alphabetically
40 [degrees] South     Full-text available via subscription   (Followers: 3)
Aboriginal and Islander Health Worker J.     Full-text available via subscription   (Followers: 15)
Aboriginal Child at School     Full-text available via subscription   (Followers: 6)
About Performance     Full-text available via subscription   (Followers: 13)
Access     Full-text available via subscription   (Followers: 26)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 12)
Accounting, Accountability & Performance     Full-text available via subscription   (Followers: 18)
ACORN : The J. of Perioperative Nursing in Australia     Full-text available via subscription   (Followers: 19, SJR: 0.198, CiteScore: 0)
Adelaide Law Review     Full-text available via subscription   (Followers: 23, SJR: 0.122, CiteScore: 0)
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 1)
Agenda: A J. of Policy Analysis and Reform     Full-text available via subscription   (Followers: 1)
Agora     Full-text available via subscription   (Followers: 6)
Agricultural Commodities     Full-text available via subscription   (SJR: 0.123, CiteScore: 0)
Agricultural Science     Full-text available via subscription   (Followers: 2)
AIMA Bulletin     Full-text available via subscription   (Followers: 4)
AJP : The Australian J. of Pharmacy     Full-text available via subscription   (Followers: 13, SJR: 0.142, CiteScore: 0)
Analysis     Full-text available via subscription   (Followers: 3)
Ancient History : Resources for Teachers     Full-text available via subscription   (Followers: 6)
Anglican Historical Society J.     Full-text available via subscription   (Followers: 3)
Annals of the Royal Australasian College of Dental Surgeons     Full-text available via subscription   (Followers: 5)
ANZSLA Commentator, The     Full-text available via subscription   (Followers: 4)
Appita J.: J. of the Technical Association of the Australian and New Zealand Pulp and Paper Industry     Full-text available via subscription   (Followers: 14, SJR: 0.168, CiteScore: 0)
AQ - Australian Quarterly     Full-text available via subscription  
Arena J.     Full-text available via subscription   (Followers: 1)
Around the Globe     Full-text available via subscription   (Followers: 1)
Art + Law     Full-text available via subscription   (Followers: 12)
Art Monthly Australia     Full-text available via subscription   (Followers: 10)
Artefact : the journal of the Archaeological and Anthropological Society of Victoria     Full-text available via subscription   (Followers: 3)
Artlink     Full-text available via subscription   (Followers: 5)
Asia Pacific J. of Clinical Nutrition     Full-text available via subscription   (Followers: 11, SJR: 0.697, CiteScore: 2)
Asia Pacific J. of Health Management     Full-text available via subscription   (Followers: 4)
Aurora J.     Full-text available via subscription  
Australasian Biotechnology     Full-text available via subscription   (Followers: 1, SJR: 0.1, CiteScore: 0)
Australasian Catholic Record, The     Full-text available via subscription   (Followers: 5)
Australasian Drama Studies     Full-text available via subscription   (Followers: 1)
Australasian Epidemiologist     Full-text available via subscription  
Australasian Historical Archaeology     Full-text available via subscription   (Followers: 7, SJR: 0.212, CiteScore: 0)
Australasian J. of Early Childhood     Full-text available via subscription   (Followers: 5, SJR: 0.535, CiteScore: 1)
Australasian J. of Gifted Education     Full-text available via subscription   (Followers: 7, SJR: 0.123, CiteScore: 0)
Australasian J. of Human Security     Full-text available via subscription   (Followers: 1, SJR: 0.144, CiteScore: 0)
Australasian J. of Irish Studies, The     Full-text available via subscription   (Followers: 8)
Australasian J. of Regional Studies, The     Full-text available via subscription   (Followers: 1, SJR: 0.118, CiteScore: 0)
Australasian Law Management J.     Full-text available via subscription   (Followers: 7)
Australasian Leisure Management     Full-text available via subscription   (Followers: 2)
Australasian Musculoskeletal Medicine     Full-text available via subscription   (Followers: 3)
Australasian Music Research     Full-text available via subscription   (Followers: 5)
Australasian Parks and Leisure     Full-text available via subscription   (Followers: 2)
Australasian Plant Conservation: J. of the Australian Network for Plant Conservation     Full-text available via subscription   (Followers: 4)
Australasian Policing     Full-text available via subscription   (Followers: 6)
Australasian Public Libraries and Information Services     Full-text available via subscription   (Followers: 33)
Australasian Review of African Studies, The     Full-text available via subscription   (Followers: 2)
Australian Aboriginal Studies     Full-text available via subscription   (Followers: 9, SJR: 0.13, CiteScore: 0)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Ageing Agenda     Full-text available via subscription   (Followers: 6)
Australian and Aotearoa New Zealand Psychodrama Association J.     Full-text available via subscription   (Followers: 1)
Australian and New Zealand Continence J.     Full-text available via subscription   (Followers: 4)
Australian and New Zealand Sports Law J.     Full-text available via subscription   (Followers: 9)
Australian Art Education     Full-text available via subscription   (Followers: 8)
Australian Bookseller & Publisher     Full-text available via subscription   (Followers: 1)
Australian Bulletin of Labour     Full-text available via subscription   (Followers: 2)
Australian Canegrower     Full-text available via subscription   (Followers: 2)
Australian Coeliac     Full-text available via subscription   (Followers: 1)
Australian Cottongrower, The     Full-text available via subscription   (Followers: 1)
Australian Educational and Developmental Psychologist, The     Full-text available via subscription   (Followers: 9, SJR: 0.146, CiteScore: 0)
Australian Family Physician     Full-text available via subscription   (Followers: 3, SJR: 0.317, CiteScore: 1)
Australian Field Ornithology     Full-text available via subscription   (Followers: 4, SJR: 0.209, CiteScore: 0)
Australian Forest Grower     Full-text available via subscription   (Followers: 4)
Australian Grain     Full-text available via subscription   (Followers: 2)
Australian Holstein J.     Full-text available via subscription   (Followers: 1)
Australian Humanist, The     Full-text available via subscription   (Followers: 4)
Australian Indigenous Law Review     Full-text available via subscription   (Followers: 21)
Australian Intl. Law J.     Full-text available via subscription   (Followers: 22)
Australian J. of Acupuncture and Chinese Medicine     Full-text available via subscription   (Followers: 4, SJR: 0.116, CiteScore: 0)
Australian J. of Adult Learning     Full-text available via subscription   (Followers: 15, SJR: 0.297, CiteScore: 0)
Australian J. of Advanced Nursing     Full-text available via subscription   (Followers: 14, SJR: 0.299, CiteScore: 1)
Australian J. of Asian Law     Full-text available via subscription   (Followers: 4)
Australian J. of Cancer Nursing     Full-text available via subscription   (Followers: 9)
Australian J. of Civil Engineering     Full-text available via subscription   (Followers: 5, SJR: 0.158, CiteScore: 0)
Australian J. of Dyslexia and Learning Difficulties     Full-text available via subscription   (Followers: 8, SJR: 0.1, CiteScore: 0)
Australian J. of Emergency Management     Full-text available via subscription   (Followers: 23, SJR: 0.354, CiteScore: 0)
Australian J. of French Studies     Full-text available via subscription   (Followers: 7, SJR: 0.123, CiteScore: 0)
Australian J. of Herbal Medicine     Full-text available via subscription   (Followers: 5)
Australian J. of Language and Literacy, The     Full-text available via subscription   (Followers: 3, SJR: 0.282, CiteScore: 1)
Australian J. of Legal History     Full-text available via subscription   (Followers: 15)
Australian J. of Mechanical Engineering     Full-text available via subscription   (Followers: 5, SJR: 0.119, CiteScore: 0)
Australian J. of Medical Science     Full-text available via subscription   (Followers: 1)
Australian J. of Multi-Disciplinary Engineering     Full-text available via subscription   (Followers: 2)
Australian J. of Music Education     Full-text available via subscription   (Followers: 4)
Australian J. of Music Therapy     Full-text available via subscription   (Followers: 9, SJR: 0.549, CiteScore: 1)
Australian J. of Parapsychology     Full-text available via subscription   (Followers: 2, SJR: 0.511, CiteScore: 0)
Australian J. of Social Issues     Full-text available via subscription   (Followers: 5, SJR: 0.399, CiteScore: 1)
Australian J. of Structural Engineering     Full-text available via subscription   (Followers: 7, SJR: 0.281, CiteScore: 1)
Australian J. of Water Resources     Full-text available via subscription   (Followers: 5, SJR: 0.156, CiteScore: 0)
Australian J. on Volunteering     Full-text available via subscription   (Followers: 2)
Australian J.ism Review     Full-text available via subscription   (Followers: 8)
Australian Life Scientist     Full-text available via subscription   (Followers: 2)
Australian Literary Studies     Full-text available via subscription   (Followers: 5)
Australian Mathematics Teacher, The     Full-text available via subscription   (Followers: 7)
Australian Nursing J. : ANJ     Full-text available via subscription   (Followers: 6)
Australian Orthoptic J.     Full-text available via subscription  
Australian Primary Mathematics Classroom     Full-text available via subscription   (Followers: 5)
Australian Screen Education Online     Full-text available via subscription   (Followers: 3)
Australian Senior Mathematics J.     Full-text available via subscription   (Followers: 2)
Australian Sugarcane     Full-text available via subscription  
Australian TAFE Teacher     Full-text available via subscription   (Followers: 4)
Australian Tax Forum     Full-text available via subscription   (Followers: 3)
Australian Universities' Review, The     Full-text available via subscription   (Followers: 4)
Australian Voice     Full-text available via subscription   (Followers: 6)
Bar News: The J. of the NSW Bar Association     Full-text available via subscription   (Followers: 7)
Bioethics Research Notes     Full-text available via subscription   (Followers: 14)
BOCSAR NSW Alcohol Studies Bulletins     Full-text available via subscription   (Followers: 4)
Bookseller + Publisher Magazine     Full-text available via subscription   (Followers: 5)
Breastfeeding Review     Full-text available via subscription   (Followers: 18, SJR: 0.183, CiteScore: 0)
British Review of New Zealand Studies     Full-text available via subscription   (Followers: 4)
Brolga: An Australian J. about Dance     Full-text available via subscription   (Followers: 3)
Cancer Forum     Full-text available via subscription   (SJR: 0.115, CiteScore: 0)
Cardiovascular Medicine in General Practice     Full-text available via subscription   (Followers: 7)
Chain Reaction     Full-text available via subscription  
Childrenz Issues: J. of the Children's Issues Centre     Full-text available via subscription  
Chiropractic J. of Australia     Full-text available via subscription   (SJR: 0.111, CiteScore: 0)
Chisholm Health Ethics Bulletin     Full-text available via subscription   (Followers: 1)
Church Heritage     Full-text available via subscription   (Followers: 4)
Commercial Law Quarterly: The J. of the Commercial Law Association of Australia     Full-text available via subscription   (Followers: 5)
Communicable Diseases Intelligence Quarterly Report     Full-text available via subscription   (Followers: 2, SJR: 0.563, CiteScore: 1)
Communication, Politics & Culture     Open Access   (Followers: 14)
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 3)
Connect     Full-text available via subscription   (Followers: 2)
Contemporary PNG Studies     Full-text available via subscription  
Context: J. of Music Research     Full-text available via subscription   (Followers: 8)
Corporate Governance Law Review, The     Full-text available via subscription   (Followers: 7)
Creative Approaches to Research     Full-text available via subscription   (Followers: 13)
Critical Care and Resuscitation     Full-text available via subscription   (Followers: 23, SJR: 1.032, CiteScore: 1)
Cultural Studies Review     Full-text available via subscription   (Followers: 16)
Culture Scope     Full-text available via subscription   (Followers: 4)
Current Issues in Criminal Justice     Full-text available via subscription   (Followers: 12)
Dance Forum     Full-text available via subscription   (Followers: 4)
DANZ Quarterly: New Zealand Dance     Full-text available via subscription   (Followers: 3)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Deakin Law Review     Full-text available via subscription   (Followers: 15)
Developing Practice : The Child, Youth and Family Work J.     Full-text available via subscription   (Followers: 19)
Early Days: J. of the Royal Western Australian Historical Society     Full-text available via subscription  
Early Education     Full-text available via subscription   (Followers: 8)
EarthSong J.: Perspectives in Ecology, Spirituality and Education     Full-text available via subscription   (Followers: 1)
East Asian Archives of Psychiatry     Full-text available via subscription   (Followers: 3, SJR: 0.36, CiteScore: 1)
Educare News: The National Newspaper for All Non-government Schools     Full-text available via subscription  
Educating Young Children: Learning and Teaching in the Early Childhood Years     Full-text available via subscription   (Followers: 20)
Education in Rural Australia     Full-text available via subscription   (Followers: 2)
Education, Research and Perspectives     Full-text available via subscription   (Followers: 14)
Educational Research J.     Full-text available via subscription   (Followers: 18)
Electronic J. of Radical Organisation Theory     Full-text available via subscription   (Followers: 3)
Employment Relations Record     Full-text available via subscription   (Followers: 3)
English in Aotearoa     Full-text available via subscription   (Followers: 2)
English in Australia     Full-text available via subscription   (Followers: 2, SJR: 0.18, CiteScore: 0)
Essays in French Literature and Culture     Full-text available via subscription   (Followers: 8)
Ethos: Official Publication of the Law Society of the Australian Capital Territory     Full-text available via subscription   (Followers: 5)
Eureka Street     Full-text available via subscription   (Followers: 5)
Extempore     Full-text available via subscription  
Family Matters     Full-text available via subscription   (Followers: 10, SJR: 0.228, CiteScore: 1)
Fijian Studies: A J. of Contemporary Fiji     Full-text available via subscription   (Followers: 1)
Focus on Health Professional Education : A Multi-disciplinary J.     Full-text available via subscription   (Followers: 7)
Food New Zealand     Full-text available via subscription   (Followers: 4)
Fourth World J.     Full-text available via subscription   (Followers: 1)
Frontline     Full-text available via subscription   (Followers: 18)
Future Times     Full-text available via subscription   (Followers: 4)
Gambling Research: J. of the National Association for Gambling Studies (Australia)     Full-text available via subscription   (Followers: 5)
Gay and Lesbian Law J.     Full-text available via subscription   (Followers: 2)
Gender Impact Assessment     Full-text available via subscription   (Followers: 2)
Geographical Education     Full-text available via subscription   (Followers: 2)
Geriatric Medicine in General Practice     Full-text available via subscription   (Followers: 8)
Gestalt J. of Australia and New Zealand     Full-text available via subscription   (Followers: 2, SJR: 0.1, CiteScore: 0)
Globe, The     Full-text available via subscription   (Followers: 3)
Government News     Full-text available via subscription   (Followers: 2)
Great Circle: J. of the Australian Association for Maritime History, The     Full-text available via subscription   (Followers: 7)
Grief Matters : The Australian J. of Grief and Bereavement     Full-text available via subscription   (Followers: 10)
He Puna Korero: J. of Maori and Pacific Development     Full-text available via subscription   (Followers: 4)
Headmark     Full-text available via subscription   (Followers: 2)
Health Inform     Full-text available via subscription  
Health Issues     Full-text available via subscription   (Followers: 2)
Health Promotion J. of Australia : Official J. of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8, SJR: 0.531, CiteScore: 1)
Health Voices     Full-text available via subscription  
Heritage Matters : The Magazine for New Zealanders Restoring, Preserving and Enjoying Our Heritage     Full-text available via subscription   (Followers: 2)
High Court Quarterly Review, The     Full-text available via subscription   (Followers: 3)
History of Economics Review     Full-text available via subscription   (Followers: 9)
HIV Australia     Full-text available via subscription   (Followers: 3)
HLA News     Full-text available via subscription   (Followers: 3, SJR: 0.438, CiteScore: 1)
Hong Kong J. of Emergency Medicine     Full-text available via subscription   (Followers: 4, SJR: 0.19, CiteScore: 0)
Idiom     Full-text available via subscription   (Followers: 1)
Impact     Full-text available via subscription   (Followers: 2)
InCite     Full-text available via subscription   (Followers: 17)
Indigenous Law Bulletin     Full-text available via subscription   (Followers: 21)
InPsych : The Bulletin of the Australian Psychological Society Ltd     Full-text available via subscription   (Followers: 2)
Inside Film: If     Full-text available via subscription   (Followers: 6)
Institute of Public Affairs Review: A Quarterly Review of Politics and Public Affairs, The     Full-text available via subscription   (Followers: 12)
Instyle     Full-text available via subscription   (SJR: 0.116, CiteScore: 0)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 11)
Interaction     Full-text available via subscription   (Followers: 4)
Intl. Employment Relations Review     Full-text available via subscription   (Followers: 3)
Intl. J. of Disability Management Research     Full-text available via subscription   (Followers: 3)
Intl. J. of e-Business Management     Full-text available via subscription  
Intl. J. of Employment Studies     Full-text available via subscription   (Followers: 8)

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Australian Journal of Advanced Nursing
Journal Prestige (SJR): 0.299
Citation Impact (citeScore): 1
Number of Followers: 14  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 0813-0531 - ISSN (Online) 1447-4328
Published by RMIT Publishing Homepage  [397 journals]
  • Volume 36 Issue 4 - Evaluating the efficacy and impact of the nursing and
           midwifery exchange program: A study protocol
    • Abstract: Byrne, Amy-Louise; Harvey, Clare; Baldwin, Adele; Heritage, Brody; Chamberlain, Diane; Wood, Elspeth
      Objective: The following research protocol evaluates the Queensland Health Nursing and Midwifery Exchange Program (NMEP) and evaluates how exposure to diverse clinical settings, may impact the nursing and midwifery workforce on individual and organisational levels.

      Design: This protocol details a mixed methodology allowing for both quantitative and qualitative data. The study is being undertaken in three stages; a survey of the participating nurses and midwives; a systematic review; and a Delphi study with an expert review group.

      Setting: The study is a Queensland wide study across rural/remote, regional and metropolitan locations.

      Subjects: This study will follow approximately 70 nurses and midwives employed by Queensland Health from diverse areas and streams at various stages within their clinical career.

      Interventions: Nurses and Midwives participate in a three or six-month professional exchange to a rural/remote or metropolitan location.

      Main outcome measure(s): This study will evaluate the impact and sustainability of the NMEP program through measurement of burnout, job embeddedness, job strain, job satisfaction and attrition through a series of surveys. In addition to this, a systematic review and Delphi with executive experts will be conducted to consider a future pathway/model for nursing and midwifery exchange.

      Results: This study has commenced and will be completed September of 2019.

      Conclusion: The NMEP program is one novel approach to nursing and midwifery workforce concerns and looks to present excellent opportunities for the crossover of skills and ideas related to clinical, professional and service integration between metropolitan and rural practice.

      PubDate: Thu, 18 Jul 2019 18:54:49 GMT
       
  • Volume 36 Issue 4 - Workplace environment for nurses and healthcare
           assistants in residential aged care facilities in New Zealand
    • Abstract: Kussmaul, Joerg; Peri, Kathy; Boyd, Michal
      Objective: Continuous work under environmental and thermal discomfort such as cold, heat, and dim light has the potential to affect the health of nurses and healthcare assistants working in Residential Aged Care Facilities (RACF). The resulting health issues to workers from exposure to thermal discomfort include fatigue, concentration difficulty and work-related diseases such as cold and muscle tensions. Consequently, this often leads to higher labour absenteeism due to sick-leave which in turn correlates to poor nursing care quality for residents. This research investigated environmental factors which are temperature, humidity, noise, and lighting in nurse offices and resident lounges in RACFs in New Zealand and compared them with international standards.

      Design: Quantitative study approach.

      Setting: Seventeen Residential Aged Care Facilities (RACF) participated in this study, which were categorised in stand-alone (S-RACF), chain (C-RACF), and religious and charitable (RC-RACF) providers. The environmental measurements were conducted for 24 hours in the nurse offices and 12 hours in resident lounges.

      Results: The findings demonstrated that the environmental factors, noise and humidity level met international standards predominately, but temperature and lighting levels failed to comply in nursing offices and resident lounges in RACF.

      Conclusion: These findings indicate that nurses and healthcare assistants are working in environmental conditions that partially impedes the health and safety of nursing staff, and could affect their nursing care performance adversely for residents in RACF.

      PubDate: Thu, 18 Jul 2019 18:54:49 GMT
       
  • Volume 36 Issue 4 - Exploring life history methodology in chronic illness:
           A study in relapsing remitting multiple sclerosis
    • Abstract: Burke, Therese; Patching, Joanna
      Objective: The aim of this study was to gain insights into the lived experience of a chronic disease, Relapsing Remitting Multiple Sclerosis (RRMS). Selecting the most effective methodology to reflect the life span proved challenging. However, the life history approach proved to be a data-rich methodology for this study and is explored in detail in this paper as a qualitative nursing tool.

      Setting: This study recruited participants through a state based Multiple Sclerosis organisation in the community.

      Subjects: Thirteen participants living with RRMS were purposively recruited, ten female and three male, to discuss their lived experience. Participants were from diverse backgrounds and were at various stages of disease progression.

      Primary argument: Ethnography and life history is an under-utilised methodology in nursing research. However, the life history approach was used effectively to collect data to explore the life trajectory of living with a chronic illness. Semi-structured interviews and Braun and Clarke's (2006) method of thematic data analysis ensured a systematic, robust exploration of the lived experience of RRMS. The study developed eight key themes and over 70 subthemes, providing clarity into the experience of living with RRMS.

      Conclusion: Employing the life history approach to living with RRMS reflected the ebbs and flows of life, themes intertwining and changing positions of importance according to life events, whether directly or indirectly related to RRMS. Life history proved to be an effective method to gain a greater understanding of chronic illness and although often overlooked in nursing research, may represent an excellent methodology choice for nurse researchers working in other areas of chronic illness.

      PubDate: Thu, 18 Jul 2019 18:54:49 GMT
       
  • Volume 36 Issue 4 - Side effects of chemotherapy in children with cancer:
           Effects of nursing training administered to caregivers
    • Abstract: Uzun, Zeynep; Kucuk, Sibel
      Objective: The present study aimed to assess the consequences of providing nursing training to caregivers of children with cancer on the side effects associated with chemotherapy.

      Design: The present study used a pre-test-post-test experimental design.

      Setting: The study was conducted in a paediatric hematological oncology hospital in Ankara, Turkey

      Subjects: This study was conducted with 40 caregivers responsible for looking after child patients, all of which had been recently diagnosed with cancer, but who had not started chemotherapy.

      Primary argument: The knowledge scores of the caregivers on issues related to infection and bleeding risk, nutrition and oral care and total scores were significantly higher than their pre-test scores before undergoing training (p
      PubDate: Thu, 18 Jul 2019 18:54:49 GMT
       
  • Volume 36 Issue 4 - Pressure injury point prevalence: State-wide survey to
           identify variability in western Australian hospitals
    • Abstract: Ferguson, Chantal; Crouchley, Kathryn; Mason, Louise; Prentice, Jenny; Ling, Amanda
      Objective: A point prevalence survey was conducted across Western Australia to monitor adherence to national safety and quality health service standards, and to create baseline data on which to improve. The study identified significant areas for targeted interventions.

      Design: A state-wide point prevalence survey of patients and their medical records.

      Setting: Public hospitals in Western Australia (WA).

      Subjects: Data was collected from 2,281 inpatients.

      Main outcome measure(s): The aim of the study was to determine pressure injury prevalence and characteristics, adherence to guidelines, significant related factors and their attributable burdens.

      Results: 8.7% of patients had pressure injuries. 6.3% were hospital-acquired (HAPIs). Over 1,000 HAPIs per year were attributed to being older, a long-term patient, having acute renal failure or volume depletion. 65% of patients had a skin inspection; less likely in birthing mothers and long-term patients. 70% of patients were screened with a risk assessment tool. 36% of patients were identified as at risk of a pressure injury; and of these, 71% had prevention plans in place. One third of all adults with HAPIs were not identified as at risk using current practices.

      Conclusion: The prevalence and characteristics of pressure injuries and HAPIs was comparable with prior state-wide results. The survey identified variations in rates of: skin inspections, using risk assessment tools; and applying plans for those at risk of pressure injuries. Multivariable logistic regression identified areas for improvement: the main groups at risk of pressure injuries; and patient groups with lower rates of skin inspections and screening.

      PubDate: Thu, 18 Jul 2019 18:54:49 GMT
       
  • Volume 36 Issue 3 - Bioelectrical impedance analysis as a marker of
           nutritional status in chronically ill patients
    • Abstract: Krel, Cvetka; Piko, Nejc; Tomazic, Jozica; Bevc, Sebastjan
      Objective: The aim of the study was to evaluate different methods of nutritional status analysis like basic anthropometric data, laboratory data and bioelectrical impedance analysis (BIA) with phase angle (PA) in patients with chronic diseases.

      Setting: Clinic for Internal Medicine, Department of Nephrology, University Clinical Centre Maribor, a tertiary referral centre in Slovenia, Europe.

      Subjects: Patients with chronic disease and increased nutritional risk (>=1 fulfilled NRS 2002 criterion) at the time of inclusion in the study.

      Results: Patients had chronic kidney disease (93%), arterial hypertension (80%), active infection (33.3%), heart failure (23.3%), diabetes mellitus (20%), active malignancy (10%), autoimmune disease (6.6%), history of stroke (6.6%), chronic obstructive pulmonary disease (3.3%) and/or liver cirrhosis (3.3%). Mean serum albumin was 33.6+-5.7 g/L, mean BMI 25.6+-4.4 kg/m2 and mean PA 4.4+-1.2 degrees. No correlation between serum albumin and BMI was found. Lower PA was associated with lower serum albumin (p=0.045) and advanced age (p=0.043). The department nurses conducted nutritional education for all patients included in the study. Study was performed in accordance with the Strengthening the reporting of observational studies in epidemiology.

      Conclusion: Results of the study show the importance of nutritional risk assessment in all chronically ill patients. BIA is a promising method of determining nutritional status. PA values have important diagnostic, therapeutic and prognostic implications as they are a marker of body cell mass, membrane function and metabolic health. A multifaceted approach to assess malnutrition in patients with chronic diseases is important, followed by a prompt nutritional intervention.

      PubDate: Thu, 18 Apr 2019 20:21:19 GMT
       
  • Volume 36 Issue 3 - The art of clinical supervision: Strategies to assist
           with the delivery of student feedback
    • Abstract: Russell, Kylie
      Objective: The Art of Clinical Supervision (ACS) seminar was developed to provide health professionals with the essential knowledge, skill and attitude to support student clinical learning. This paper provides an outline of the strategies provided to participants to support the delivery of feedback to students on clinical placement.

      Setting: Western Australian health services.

      Primary argument: The provision of timely and descriptive feedback to students on clinical placement is essential for learning and achievement of competence. Health professionals working with students in the delivery of patient care, termed clinical supervisors, require effective strategies to support this communication technique.

      Conclusion: ACS participant feedback supports the use of both strategies to formulate the delivery of feedback. This ensures that the student and supervising health professional have discussed the required learning needs, strategies for learning and evaluation.

      PubDate: Thu, 18 Apr 2019 20:21:19 GMT
       
  • Volume 36 Issue 3 - Quality control circle improves self-monitoring of
           blood glucose in type 2 diabetic patients
    • Abstract: Wu, Jun; Su, Xiaoyou; Lian, Hong; Lin, Aijuan; Wei, Huiyan; Hu, Jibo
      Objective: To determine the effect of quality control circle (QCC) activity on self-monitoring of blood glucose (SMBG) in type 2 diabetic patients.

      Design: Pre-test Post-test study.

      Setting: Outpatient clinic of a tertiary hospital in Eastern China.

      Subjects: A total of 110 insulin-treated type 2 diabetic patients.

      Interventions: Quality control circle.

      Main outcome measures: Quality of self-monitoring of blood glucose and blood glucose control in patients.

      Results: At the end of QCC activity, the proportion of patients performingregular SMBG and the frequency of SMBG were significantly increased. The incidence of using expired test strips, incorrect timing of blood glucose monitoring, improper operation and non-calibration of meters were all significantly decreased. Consequently, the levels of glycosylated hemoglobin,one-week fasting blood glucose, and one-month incidence of hypoglycemia were significantly decreased in these patients.

      Conclusion: The QCC activity plays an active and beneficial role in improving SMBG and blood glucose control in patients with diabetes. This activity should be promoted in future clinical work.

      PubDate: Thu, 18 Apr 2019 20:21:19 GMT
       
  • Volume 36 Issue 3 - Fast-track rehabilitation and nursing care in
           post-anesthesia care unit on orthopedic patients
    • Abstract: Zou, Xiulan; Cong, Ling; Yu, Zhiping; Wang, Junru
      Objective: To assess the efficacy and outcome of fast-track rehabilitation (FTR) for orthopedic surgery patients.

      Design: Randomised trial.

      Setting: primary care.

      Subjects and Methods: Two hundred and twenty patients undergoing orthopedic surgery under general anesthesia between November 2015 to March 2017 were randomly divided into traditional care (control, n=110) and fast-track rehabilitation (FTR, n=110) groups. Patients in the control group were given regular and routine care, while those in FTR group were cared for with multimodal rehabilitation. Demographic and data, postoperative hospital stays, surgical and general complications were assessed.

      Results: One hour postoperative body temperature was higher in FTR group than in the control, and the incidence of restlessness, pain and 24 hour postoperative nausea and vomiting were significantly lower (P < 0.05, P < 0.01). The hospital stays were shorter following the FTR, but the difference was not statistically significant as compared with the control.

      Conclusion: FTR can effectively reduce the complications and promote the recovery of the orthopedic patient.

      PubDate: Thu, 18 Apr 2019 20:21:19 GMT
       
  • Volume 36 Issue 3 - Validity and reliability of the teamwork evaluation of
           non-technical skills tool
    • Abstract: Lin, Wei-Ting; Mayer, Celeste; Lee, Bih-O
      Background: TENTS (Teamwork Evaluation of Non-Technical Skills) is a valuable team performance, 13 item observational assessment tool that has been used in clinical settings, but validity and reliability have not been tested.

      Objective: This study conducted validity and reliability tests on the TENTS observation tool.

      Method: This study used a convenience sample of 109 teamwork event observations conducted in an academic medical center in the United States of America (USA). Five different events were observed; new admissions, transfers to and from other units, rapid response team events, morning rounds, and medical procedures. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted and the Cronbach's alpha coefficients of the inventory were obtained.

      Result: The EFA results indicated the TENTS tool consisted of three factors; communication, leadership, and crossmonitoring. These three factors accounted for 46.30% of the total variance and their internal consistencies (Cronbach's alpha) were .71-.79 (.88 overall).

      Conclusion: TENTS is a valid and reliable instrument for observing a variety of clinical teamwork events. EFA and CFA demonstrated that the tool is well-aligned with long-standing essential teamwork components described in the literature and in the TeamSTEPPS system.

      PubDate: Thu, 18 Apr 2019 20:21:19 GMT
       
  • Volume 36 Issue 2 - Exploring the experiences of internationally and
           locally qualified nurses working in a culturally diverse environment
    • Abstract: O'Callaghan, Cathy; Loukas, Patty; Brady, Michelle; Perry, Astrid
      Objective: This article explores the support needs, attitudes and experiences of both internationally and locally qualified nurses working within a culturally diverse environment.

      Design: Open and closed survey questions.

      Setting: Hospital in Sydney, Australia.

      Subjects: 108 nurses were surveyed, representing 14% of the nursing staff at the hospital.

      Main outcome measure(s): The research project measured the experiences encountered by internationally qualified nurses (IQNs) in relation to language use, discrimination, culture and differing health systems. It provided a forum to discuss how their cultural background, professional background and linguistic skills affect interactions with patients and other staff. It also explored suggestions for improvement in cross-cultural relations between staff, and support for IQNs and their peers in a diverse staff environment.

      Results: Although IQNs feel they are adjusting well to their role, locally qualified nurses largely disagree. Staff were aware of discrimination from patients towards staff, and from other staff towards staff. The research revealed that IQNs are unsure when to use their language skills, have different approaches to nursing and expectations of the staff-patient/family relationship.

      Conclusion: Adjustment to the Australian healthcare system for IQNs is challenging. There are a number of strategies that can support both IQNs in their integration, as well as all nurses to work more effectively together in a cross-cultural work environment.

      PubDate: Wed, 23 Jan 2019 10:09:18 GMT
       
  • Volume 36 Issue 2 - Emergency management of patients with Supratherapeutic
           INRs on Warfarin: A multidisciplinary education study
    • Abstract: Safatly, Inaam; Singleton, Hugh; Decker, Kelly; Roman, Cristina; Bystrzycki, Adam; Mitra, Biswadev
      Objective: Supratherapeutic INRs exceeding 4.5 are associated with increased risk of haemorrhage. The aim of this study was to evaluate the efficacy of an educational program focused at improving emergency clinician compliance with the Thrombosis and Haemostasis Society of Australia and New Zealand (THANZ) guidelines.

      Design: A pre and post-intervention study was undertaken. Retrospective data from 1 July 2014 to 30 June 2015 and prospective data 1 January 2016 to 31 December 2016 were collected.

      Setting: This study was conducted in a large tertiary care hospital in Melbourne, Victoria, Australia.

      Subjects: Included were all consecutive patients in the study periods that presented to the emergency department with an initial INR result of > 4.5 on warfarin only.

      Interventions: Development and delivery of an educational program in accordance with the current THANZ guidelines was implemented.

      Main outcome measures: To improve education regarding the correct management of emergency patients on warfarin with a supratherapeutic INR.

      Results: Data on 158 patients with an INR > 4.5 were collected. Data on 46 patients were excluded. Management in 31 patients did not follow recommended guidelines. There was no difference detected between groups with 17 compliant with guidelines pre-intervention and 14 post intervention; p=0.87.

      Conclusion: Emergency department management of patients on warfarin with supratherapeutic INR's requires continual quality improvement. Frequency of emergency clinician compliance with the current evidence-based guidelines was moderate and did not improve significantly with targeted education. This highlights the complexities of warfarin management and the need for multi-disciplinary engagement of patients presenting with supratherapeutic INRs.

      PubDate: Wed, 23 Jan 2019 10:06:33 GMT
       
  • Volume 36 Issue 2 - Perceived barriers and enablers to conducting nursing
           assessments in residential aged care facilities in Victoria, Australia
    • Abstract: Bauer, Michael; Fetherstonhaugh, Deirdre; Winbolt, Margaret
      Objective: Nurses working in aged care facilities need to be adequately prepared to manage the increasingly complex care needs of older people. This paper reports on the views of nurses on the barriers and enablers to conducting nursing assessments with older people in residential aged care, six weeks after attending a four day education and training workshop on this topic.

      Design: Descriptive evaluation.

      Setting: Data were collected in a range of venues in which the education was delivered.

      Subjects: Registered (RNs) and enrolled (ENs) nurses (n= 345) working in residential aged care facilities in Victoria, Australia.

      Findings: Fourteen barriers and eight enablers, which affect the capacity of nurses to conduct assessments with older people, were identified. The most common cited barriers included lack of time (78%), residents' poor state of health (41%) and the absence of equipment (33%). Common enablers were organisational support (38%); staff education and training (29%); having the appropriate equipment (22%); positive staff attitudes (17%) and the resident's condition and cooperation (16%).

      Conclusion: Nursing assessments are vital to the delivery of quality and evidence based aged care. The issues identified provide aged care services and managers with a basis for ensuring that nurses have the necessary preparation, training and ongoing support to perform the appropriate and required assessments to provide the best possible care.

      PubDate: Mon, 21 Jan 2019 16:14:10 GMT
       
  • Volume 36 Issue 2 - Analysis of interviews to uncover the effects of nurse
           prescribing on the doctor-nurse relationship
    • Abstract: Pritchard, Michael
      Objective: The introduction of nurse prescribing has had a profound effect on how patients obtain a prescription. Yet very little has been researched about the effects of nurse prescribing on the professional relationship between nurses and doctors since its introduction. It was this lack of enquiry that led to this research study to see if this relationship has changed since the introduction of the nurse prescriber.

      Design methods: A purposeful sample approach was chosen, interviews were undertaken using a semi-structured method and interpretative phenomenological analysis was used to analyse the data.

      Setting: A large teaching hospital in the north west of England.

      Subjects: Four nurse prescribers and four doctors working in orthopaedics, breast surgery or urology looking after adult elective surgery patients.

      Main outcomes: What emerged from this study is a complex pattern of readjustment within this relationship. The power once enjoyed by the medical profession is now challenged by the introduction of the nurse prescriber. A number of themes emerged around the topics of prescribing, relationship, educational and communication. Each help to focus how this change manifests itself in the relationship and how it needs to evolve if the maximum benefit from nurse prescribing is to be achieved.

      Conclusions: What has emerged from this research is how complex the relationship between the nurse prescriber and doctor really is. The power to prescribe medication that was once the sole preserve of the medical profession is now shared with the nurse prescriber. But this shared authority remains unequal; the medical profession remains at least unwilling to give up its position of control just yet, but the dialogue has begun.

      PubDate: Mon, 21 Jan 2019 16:14:10 GMT
       
 
 
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