Professor Debra Jackson AO, RN, PhD, SFHEA, FACN is Professor of Nursing and in addition to her post at UTS, holds a number of international roles including Professor of Nursing at Oxford Health NHS Foundation Trust (UK), Visiting Professor at Florence Nightingale Faculty, Kings College London (UK), Bournemouth University (UK), and Auckland University of Technology (NZ). She is Editor-in-Chief of Journal of Clinical Nursing.
In 2019 Professor Jackson was awarded Officer of the Order of Australia for distinguished service to medical education in the field of nursing practice and research as an aademic and author. She is a Fellow of the Australian College of Nursing, a member of Sigma Theta Tau International Honor Society of Nursing (Xi Omicron), and Senior Fellow, Higher Education Academy. In 2016, Professor Jackson was named as a Principal Fellow, NIHR Oxford Biomedical Research Centre (http://oxfordbrc.nihr.ac.uk/principal-fellow-competition-winners-announced/ ); awarded in recognition of the quality and volume of her internationally excellent research, and outstanding and sustained contribution, to translational clinical research that has improved the lives of NHS patients. She has undertaken advanced leadership training at Said Business School
Professor Jackson leads research programs in patient safety and harm-free care, with a particular focus on pressure injury; and workforce development and adversity, particularly leadership and workplace culture. She is passionately concerned with health equity and social justice, and a key objective of her work is to enhance the safety and well-being of people in the care of health services through the development of sustainable and culturally sensitive supportive interventions.
She is a committed and experienced mentor and supervisor of developing researchers, scholars and leaders. Professor Jackson has published widely, with over 400 publications including journal articles, books and book chapters. She has co-edited three widely used text books, two of which are into their 4th and subsequent editions.
Editor-in-Chief - Journal of Clinical Nursing
Editorial Boards: International Journal of Mental Health Nursing; Journal of Child Health Care; Nursing Inquiry
Memberships: European Pressure Ulcer Advisory Panel; Drug and Alcohol Nurses Assocation of NSW; International Network of Nurse Editors; Australian College of Mental Health Nurses; Council on Publication Ethics; Sigma Theta Tu International (Xi Omicron & Phi Mu).
Fellowship: Australian College of Nursing.
Awards include: Officer of the Order of Australia, Senior Fellowship of the Higher Education Academy, Principle Fellowship of the Oxford Biomedical Research Centre, Distinguished Alumni, Flinders University of South Australia.
Can supervise: YES
Research areas: patient safety, pressure injury, harm-free care, cultural issues in health care, leadership, health services management (including Nursing management), mental health, paediatric, child and adolescent nursing, story telling, women's, community and family health, case study, survey methods, mixed methods
Research degree supervision
In addition, this book explores how leadership is not possible until one has an understanding of self and what motivates others.
Contexts of Nursing: An Introduction offers a comprehensive overview of the fundamental ideas and perspectives underpinning the practice of contemporary nursing. The book is an essential resource for any program that addresses professional nursing, theory and knowledge. Each chapter focuses on a foundational area of study. Among these are philosophical, ethical, legal, theoretical, professional, technological, and research aspects of nursing. Ideas regarding nursing practice are considered, including nursing practice with individuals, communities and groups with special needs. There is a chapter on becoming a critical thinker and another on maximising learning opportunities and preparing for professional practice. * Introductory textbook for all diploma and degree Foundation program nursing students * A concise yet comprehensive overview of professional nursing studies * Outstanding pedagogical features including learning objectives, keywords, reflective questions and recommended reading * The Australian edition of this book is the highest selling nursing book ever published in Australasia * Painstakingly adapted to make it invaluable to every UK student nurse * Contributions from some of the top nursing names.
Power, T, Kelly, R, Usher, K, East, L, Travaglia, J, Robertson, H, Wong, A & Jackson, D 2020, 'Living with diabetes and disadvantage: A qualitative, geographical case study', JOURNAL OF CLINICAL NURSING.View/Download from: Publisher's site
Alharbi, J, Jackson, D & Usher, K 2020, 'Compassion fatigue in critical care nurses and its impact on nurse-sensitive indicators in Saudi Arabian hospitals', Australian Critical Care.View/Download from: Publisher's site
© 2020 Australian College of Critical Care Nurses Ltd Aim: To examine the previously untested relationship between the level of compassion fatigue (CF) in critical care nurses and the rates of three nurse-sensitive indicators in four critical care units in hospitals in Saudi Arabia. Background: CF can manifest in nurses who provide direct, intimate care to patients with different levels of illness including nurses working in specialty areas such as critical care where they care for patients experiencing challenging illnesses. Pressure injuries, patient falls, and medication errors are key nurse-sensitive indicators that identify critical care nurses as the primary causal agent. These indicators also correlate with burnout and poor multidisciplinary team communication, both factors that govern CF. Methods: A multisite survey was conducted to collate and examine the number of reported pressure injuries, falls, and medication errors over 3 months at four hospitals in two Saudi Arabian cities during 2018 to determine the relationship between the occurrence of these nurse-sensitive indicators and the level of CF in critical care (intensive care unit [ICU]) nurses. A survey of 516 critical care nurses was undertaken; analysis was performed using the Professional Quality of Life Scale, version 5 (ProQol-5), and results were further analysed using Pearson's correlations and three-way analysis of variance. Results: The results of the regression analysis indicated resilience as a predictor explained 66% of the compassion satisfaction (CS) variance (B = 0.318, R2 = 0.436, F(2, 12.495) = 123.013, p < 0.001) and 26% of the burnout (BO) variance (B = 0.152, R2 = 0.067, F(2, 11.500) = 3.279, p < 0.001). In addition, the level of resilience as a predictor explained 15.4% of the secondary traumatic stress (STS) variance (B = 0.063, R2 = 0.024, F(2, 7.758) = 2.785, p = 0.006). Conversely, coping strategies did not predict CS, BO, or STS (p > 0.05) at a statistically significant le...
Alharbi, J, Jackson, D & Usher, K 2020, 'Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross-sectional study.', Nursing and Health Sciences.View/Download from: Publisher's site
Compassion fatigue is known to impact the well-being of nurses and patient safety outcomes. Currently, there is limited academic understanding of the role of demographic factors in contributing to compassion fatigue in critical care nurses. The aim of this study was to examine the relationship between nurse demographic characteristics and the development of compassion fatigue, as indicated by level of burnout and compassion satisfaction in critical care nurses in Saudi Arabia. The cross-sectional study design included administering three surveys to critical care nurses (n = 321) in four Saudi public hospitals to examine the nurse demographic variables in relation to compassion fatigue, the compassion fatigue coping strategies of nurses, and nurse resilience. The results show both demographic and workplace structural elements, such as length of work shift, education level, and nationality, were all significant factors in resilience to compassion fatigue among Saudi critical care nurses, whereas factors of age and sex were not significant. This study concludes that the demographic characteristics of critical care nurses enable the identification of levels of compassion fatigue and compassion satisfaction, and their resilience to the effects of compassion fatigue.
This article is protected by copyright. All rights reserved. As of April 2020, more than 2 million people worldwide had tested positive for COVID-19, and more than 200,000 deaths are attributed to this virus. It is estimated that around 15% of patients diagnosed with COVID-19 will develop severe health complications, and around 5- 10% will require intensive level care due to the seriousness of the symptoms and the high mortality risk (3-5%)(Baud et al., 2020; Murthy, Gomersall, & Fowler, 2020). At the time of writing, COVID-19 has caused the need for hospitalisation of thousands of people due to the serious pneumonia type symptoms that result in extreme breathing difficulty.
Alzyood, M, Jackson, D, Aveyard, H & Brooke, J 2020, 'Erratum: Use of focus group data from countries with linguistic differences: translation, analysis and presentation (Nurse researcher (2020))', Nurse researcher, vol. 28, no. 1, pp. 17-24.View/Download from: Publisher's site
© 2020 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers. BACKGROUND: The use of focus groups to collect data has increased in nursing research and provides rich, in-depth understanding of a phenomenon that can inform clinical practice. Guidance has been developed on facilitating focus groups. However, there is little guidance about how to translate, analyse or present focus group data from countries with linguistic differences. AIM: To explore contemporary examples of translating, analysing and presenting focus group data from countries with linguistic differences and to provide an in-depth example of decision-making in a study involving focus group data from two countries. DISCUSSION: The study highlights the need for a clear rationale and transparency in the reporting of the translation, analysis and presentation of data. Detailed and transparent reporting needs to include not only translation, but also when this occurred and if the data were amalgamated. CONCLUSION: There is a need for evidence-based guidance concerning how to report the translation, transcription and analysis of focus group data from countries with linguistic differences. IMPLICATIONS FOR PRACTICE: The authors provide recommendations concerning information that researchers should provide about translation when publishing studies, and argue for the use of a bilingual lead researcher.
Bristow, S, Power, T, Jackson, D & Usher, K 2020, 'Conquering the great divide: Rural mothers of children with chronic health conditions accessing specialist medical care for their children', Collegian.View/Download from: Publisher's site
© 2019 Australian College of Nursing Ltd Background: Globally, the number of children with chronic health conditions (CHCs) is increasing and mothers are mostly responsible for their care. Aim: Few studies have focused on rural mothers and their experiences of sourcing health care for their children who have CHCs. The purpose of this study was to explore these experiences. Method: Using a phenomenological approach, semi-structured interviews were conducted in early 2018. The Consolidated criteria for Reporting Qualitative research (COREQ) guidelines were followed. Sixteen rural mothers were interviewed regarding their experiences of accessing health care to provide optimal management of their children's CHC. Findings: Thematic analysis of resulting data revealed the overarching theme ‘Conquering the great divide’. From this overarching theme, four themes emerged. This paper focuses on the first theme, ‘Heading to the big smoke: access’. Discussion: Rural mothers felt challenged accessing health care for their children in the major cities whilst also maintaining routine family life back home. Conclusion: Understanding these rural women's experiences could assist health care professionals to develop strategies to facilitate rural mothers accessing services for their children with a CHC.
Older prisoners are the fastest growing group in the prison population, with an accelerated aging process they are at a high risk of developing dementia. However, no systematic review has explored the impact of dementia in the prison setting. The objectives of this review were to identify the prevalence of dementia in the prison setting and how prison, health and social care providers assess, diagnose, treat, support and care for prisoners with dementia. A systematic search of the literature from the following databases was undertaken: CINHAL, PubMed, BNI, PsychINFO, and MEDLINE. Search strategies were tailored for each database and included recognised Medical Subject Headings. Hand searching of prominent journals in correctional services and dementia, as well as reference lists of included papers was completed. Open Grey website was searched to identify relevant government, local council and charity publications regarding dementia in the prison setting. The appropriate Critical Appraisal Skills Programmes Checklist for all included studies was completed. Following the application of inclusion and exclusion criteria, 10 studies were included in the review. Due to the nature of the data extracted, a meta-synthesis was not possible; therefore, a thematic synthesis was completed. Three themes emerged: prevalence of dementia in the prison population, identification of older prisoner's needs, and knowledge of correctional officers and legal professionals. The prevalence and incidence of dementia in prison populations remain largely unknown. There is a need for national policies and local strategies that support a multi-disciplinary approach to early detection, screening and diagnosis of cognitive impairment and dementia across prison settings. Alongside the development of structured prison environments, non-pharmacological interventions, continued assessment of prisoners with a dynamic care plan, and training for health, social and prison staff and prisoners.
Davey, Z, Henshall, C & Jackson, D 2020, 'The value of nurse mentoring relationships: Lessons learnt from a work-based resilience enhancement programme for nurses working in the forensic setting.', International journal of mental health nursing.View/Download from: Publisher's site
This study aimed to evaluate a mentoring programme embedded in a work-based personal resilience enhancement intervention for forensic nurses. This qualitative study formed part of a wider mixed-methods study that aimed to implement and evaluate the intervention. Twenty-four semistructured interviews were carried out with forensic nurse mentees and senior nurse mentors; these explored their experiences of the mentoring programme and any benefits and challenges involved in constructing and maintaining a mentor-mentee relationship. Qualitative data were analysed thematically using the Framework Method. Four key themes relating to the initiation and maintenance of mentor-mentee relationships were identified: finding time and space to arrange mentoring sessions; building rapport and developing the relationship; setting expectations of the mentoring relationship and the commitment required; and the impact of the mentoring relationship for both mentees and mentors. Study findings highlight the benefits of senior nurses mentoring junior staff and provide evidence to support the integration of mentoring programmes within wider work-based resilience enhancement interventions. Effective mentoring can lead to the expansion of professional networks, career development opportunities, increased confidence and competence at problem-solving, and higher levels of resilience, well-being, and self-confidence.
Durkin, J, Jackson, D & Usher, K 2020, 'Defining compassion in a hospital setting: consensus on the characteristics that comprise compassion from researchers in the field', CONTEMPORARY NURSE.View/Download from: Publisher's site
East, L, Hutchinson, M, Power, T & Jackson, D 2020, '“Being a father”: constructions of fatherhood by men with absent fathers', Journal of Family Studies, pp. 1-11.View/Download from: Publisher's site
© 2018 Informa UK Limited, trading as Taylor & Francis Group Family dynamics and parenting styles are influential on children's wellbeing [Walsh, F. (2016). Strengthening family resilience (3rd ed.). New York: Guilford Press]. Additionally, childhood experiences and how an individual experienced being parented can impact on how individuals as mothers and fathers choose to parent their own children [Herland, M. D., Hauge, M.-I., & Helegland, I. M. (2015). Balancing fatherhood: Experiences of fatherhood among men with a difficult past. Qualitative Social Work, 14(2), 242–258]. However, growing up in a home with an absent parent may create challenges associated with parenting for individuals, due to not having these experiences themselves. Therefore, the article reports findings on men who grew up in a father-absent household and how their experiences influenced their understanding of fatherhood and becoming a father. Twenty-one men participated in this qualitative study. Findings revealed that although men felt unprepared for fatherhood they attempted to learn to be a father and expressed the importance of not wanting their children to experience father absence. The study findings provide important insights in the provision of support for fathers who have experienced father absence.
English, M, Gathara, D, Nzinga, J, Kumar, P, Were, F, Warfa, O, Tallam-Kimaiyo, E, Nandili, M, Obengo, A, Abuya, N, Jackson, D, Brownie, S, Molyneux, S, Jones, COH, Murphy, GAV & McKnight, J 2020, 'Lessons from a Health Policy and Systems Research programme exploring the quality and coverage of newborn care in Kenya', BMJ Global Health, vol. 5, no. 1.View/Download from: Publisher's site
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. There are global calls for research to support health system strengthening in low-income and middle-income countries (LMICs). To examine the nature and magnitude of gaps in access and quality of inpatient neonatal care provided to a largely poor urban population, we combined multiple epidemiological and health services methodologies. Conducting this work and generating findings was made possible through extensive formal and informal stakeholder engagement linked to flexibility in the research approach while keeping overall goals in mind. We learnt that 45% of sick newborns requiring hospital care in Nairobi probably do not access a suitable facility and that public hospitals provide 70% of care accessed with private sector care either poor quality or very expensive. Direct observations of care and ethnographic work show that critical nursing workforce shortages prevent delivery of high-quality care in high volume, low-cost facilities and likely threaten patient safety and nurses' well-being. In these challenging settings, routines and norms have evolved as collective coping strategies so health professionals maintain some sense of achievement in the face of impossible demands. Thus, the health system sustains a functional veneer that belies the stresses undermining quality, compassionate care. No one intervention will dramatically reduce neonatal mortality in this urban setting. In the short term, a substantial increase in the number of health workers, especially nurses, is required. This must be combined with longer term investment to address coverage gaps through redesign of services around functional tiers with improved information systems that support effective governance of public, private and not-for-profit sectors.
Gathara, D, Serem, G, Murphy, GAV, Obengo, A, Tallam, E, Jackson, D, Brownie, S & English, M 2020, 'Missed nursing care in newborn units: a cross-sectional direct observational study.', BMJ Quality and Safety, vol. 29, no. 1, pp. 19-30.View/Download from: Publisher's site
BACKGROUND:Improved hospital care is needed to reduce newborn mortality in low/middle-income countries (LMIC). Nurses are essential to the delivery of safe and effective care, but nurse shortages and high patient workloads may result in missed care. We aimed to examine nursing care delivered to sick newborns and identify missed care using direct observational methods. METHODS:A cross-sectional study using direct-observational methods for 216 newborns admitted in six health facilities in Nairobi, Kenya, was used to determine which tasks were completed. We report the frequency of tasks done and develop a nursing care index (NCI), an unweighted summary score of nursing tasks done for each baby, to explore how task completion is related to organisational and newborn characteristics. RESULTS:Nursing tasks most commonly completed were handing over between shifts (97%), checking and where necessary changing diapers (96%). Tasks with lowest completion rates included nursing review of newborns (38%) and assessment of babies on phototherapy (15%). Overall the mean NCI was 60% (95% CI 58% to 62%), at least 80% of tasks were completed for only 14% of babies. Private sector facilities had a median ratio of babies to nurses of 3, with a maximum of 7 babies per nurse. In the public sector, the median ratio was 19 babies and a maximum exceeding 25 babies per nurse. In exploratory multivariable analyses, ratios of ≥12 babies per nurse were associated with a 24-point reduction in the mean NCI compared with ratios of ≤3 babies per nurse. CONCLUSION:A significant proportion of nursing care is missed with potentially serious effects on patient safety and outcomes in this LMIC setting. Given that nurses caring for fewer babies on average performed more of the expected tasks, addressing nursing is key to ensuring delivery of essential aspects of care as part of improving quality and safety.
Gathara, D, Zosi, M, Serem, G, Nzinga, J, Murphy, GAV, Jackson, D, Brownie, S & English, M 2020, 'Developing metrics for nursing quality of care for low- And middle-income countries: A scoping review linked to stakeholder engagement', Human Resources for Health, vol. 18, no. 1.View/Download from: Publisher's site
© 2020 The Author(s). Background: The use of appropriate and relevant nurse-sensitive indicators provides an opportunity to demonstrate the unique contributions of nurses to patient outcomes. The aim of this work was to develop relevant metrics to assess the quality of nursing care in low- and middle-income countries (LMICs) where they are scarce. Main body: We conducted a scoping review using EMBASE, CINAHL and MEDLINE databases of studies published in English focused on quality nursing care and with identified measurement methods. Indicators identified were reviewed by a diverse panel of nursing stakeholders in Kenya to develop a contextually appropriate set of nurse-sensitive indicators for Kenyan hospitals specific to the five major inpatient disciplines. We extracted data on study characteristics, nursing indicators reported, location and the tools used. A total of 23 articles quantifying the quality of nursing care services met the inclusion criteria. All studies identified were from high-income countries. Pooled together, 159 indicators were reported in the reviewed studies with 25 identified as the most commonly reported. Through the stakeholder consultative process, 52 nurse-sensitive indicators were recommended for Kenyan hospitals. Conclusions: Although nurse-sensitive indicators are increasingly used in high-income countries to improve quality of care, there is a wide heterogeneity in the way indicators are defined and interpreted. Whilst some indicators were regarded as useful by a Kenyan expert panel, contextual differences prompted them to recommend additional new indicators to improve the evaluations of nursing care provision in Kenyan hospitals and potentially similar LMIC settings. Taken forward through implementation, refinement and adaptation, the proposed indicators could be more standardised and may provide a common base to establish national or regional professional learning networks with the common goal of achieving high-quality care throu...
Hawsawi, T, Power, T, Zugai, J & Jackson, D 2020, 'Nurses' and consumers' shared experiences of seclusion and restraint: A qualitative literature review', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING.View/Download from: Publisher's site
Henshall, C, Davey, Z & Jackson, D 2020, 'The implementation and evaluation of a resilience enhancement programme for nurses working in the forensic setting', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, vol. 29, no. 3, pp. 508-520.View/Download from: Publisher's site
Jackson, D & Bradbury-Jones, C 2020, 'Top ten reasons papers are rejected during initial screening and some tips to avoid early rejection', Journal of Clinical Nursing.View/Download from: Publisher's site
Jackson, D, Anders, R, Padula, WV, Daly, J & Davidson, PM 2020, 'Vulnerability of nurse and physicians with COVID-19: Monitoring and surveillance needed', Journal of Clinical Nursing.View/Download from: Publisher's site
This article is protected by copyright. All rights reserved. SARS-CoV-2, the virus that causes COVID-19, is wreaking havoc around the world. This unprecedented pandemic has led to illness, death, and economic destruction. The pandemic has challenged health care systems globally for a range of reasons. In developed economies the focus on non-communicable diseases rather than infectious diseases have caught us short. A period of complacency and a lack of focus on potential pandemics has meant that documented shortages of personnel, workforce and equipment has limited healthcare delivery.
Jackson, D, Bradbury-Jones, C, Baptiste, D, Gelling, L, Morin, K, Neville, S & Smith, GD 2020, 'Life in the pandemic: Some reflections on nursing in the context of COVID-19', Journal of Clinical Nursing, vol. 29, no. 13-14, pp. 2041-2043.View/Download from: Publisher's site
Jackson, D, Bradbury-Jones, C, Baptiste, D, Gelling, L, Morin, KH, Neville, S & Smith, GD 2020, 'International Nurses Day 2020: Remembering nurses who have died in the COVID-19 pandemic', Journal of Clinical Nursing, vol. 29, no. 13-14, pp. 2050-2052.View/Download from: Publisher's site
Klages, D, East, L, Usher, K & Jackson, D 2020, 'Modes of Informed Caring: Perspectives of Health Professionals Who Are Mothers of Adult Children with Schizophrenia', Issues in Mental Health Nursing.View/Download from: Publisher's site
© 2020, © 2020 Taylor & Francis Group, LLC. Schizophrenia is a global concern, and, this paper, describes the caring roles of health professionals who are mothers of adult children with schizophrenia. A thematic analysis of data from a doctoral study identified a blending of expertise into an informed care model. Caring roles included: constant carer; coordinator carer; watchful bystander carer; and life coach carer. Previous research has not explored these dual roles. This paper elucidates their responsive approaches and contributions to mothering and caregiving roles. Informed by a fusion of professional and mothering knowledges, their insights into mental health care have been forged by their experiences and is an untapped resource.
Peake, RM, Jackson, D, Lea, J & Usher, K 2020, 'Meaningful Engagement With Aboriginal Communities Using Participatory Action Research to Develop Culturally Appropriate Health Resources', Journal of Transcultural Nursing.View/Download from: Publisher's site
© The Author(s) 2020. Introduction: This article outlines the processes used to meaningfully and authentically engage Australian Aboriginal communities in Northern New South Wales, Australia, to develop culturally appropriate stroke health resources. Methodology: Participatory action research using the research topic yarning framework is a collaborative, culturally safe way to uncover vital information and concepts. There were two stages in the participatory action research project: community engagement and evaluation of the processes involved in developing the localised, culturally appropriate health resources. Results: Establishing relationships built on trust, mutual sharing of knowledge, and bringing together the wider community, enabled the health message to be embedded within the community, ensuring the message was culturally appropriate and sustainable. Discussion: The stroke education resource is a tangible outcome and a major achievement; however, the process of authentic engagement to achieve the final product was the ultimate accomplishment.
Power, T, Baker, A & Jackson, D 2020, ''Only ever as a last resort': Mental health nurses' experiences of restrictive practices', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING.View/Download from: Publisher's site
Ryan, EJ, Jackson, D, Woods, C & Usher, KJ 2020, 'Pre-registration nursing students’ perceptions and experience of intentional rounding: A cross-sectional study', Nurse Education in Practice, vol. 42.View/Download from: Publisher's site
© 2020 Elsevier Ltd This paper examines pre-registration nursing students’ perceptions of the practice of intentional rounding and perceived benefits for nurses and patients. Intentional rounding was developed to ensure nursing staff regularly check on patients to ensure that all care needs are met. It has been linked to a reduction in falls and call bell use, and an increase in patient safety. No previous studies have examined pre-registration nursing students’ role in the practice of intentional rounding during clinical placements nor the perceptions of rounding practices, important from a future workforce perspective. A cross-sectional multisite study was undertaken, and pre-registration nursing students completed the Nurses’ Perceptions of Patient Rounding Scale between August 2017– June 2018, distributed using online education platforms and email. Strobe reporting guidelines were used to report findings. Participants perceived positive benefits in intentional rounding for nurses and patients. Mixed opinions surrounded the sufficiency of education received around the intervention. Previous nursing experience was linked to opposing opinions of intentional rounding, depending on education levels. Participants had a positive perception of intentional rounding practices overall. Education surrounding intentional rounding needs to be consistent, and introduced before students are expected to actively participate in the practice of rounding on clinical placement.
AIM:To better understand occupational stress faced by nurse academics. METHODS:A mixed-methods systematic review, following the Joanna Briggs Institute [JBI], (Joanna Briggs Institute Reviewers' Manual: 2014 edition, 2014) process. Studies were assessed for quality and risk of bias by using standardised critical appraisal instruments from the Joanna Briggs Institute. In addition, processes and reporting were checked against the Equator guidelines. See Appendix S1. RESULTS:The review revealed that nursing academics do experience occupational stress, including burnout. Occupational stress for academic nurses is associated with various factors including work-life balance, workload issues, resources and support, and adapting to change. However, much of the literature focuses on nurses during the initial transition from clinical to academic environment, with rather less focus on established mid-to-late career nurse academics. DISCUSSION:Occupational stress and burnout are evident in the university academic workforce, adversely affecting the well-being of academic nurses, and the long-term sustainability of the academic nursing workforce. While there is considerable literature focusing on the novice academic nurse, particularly during the transition period, rather less is known about occupational stress among academic nurses across the career trajectory. Various strategies to deal with the negative consequences of occupational stress are identified, including (a) quality mentors for novice and younger nursing academics; (b) training in resilience building for novice academics; (c) supporting collegial relationships and reducing bullying; (d) assistance for professional development and research; (e) better support and resources to overcome increasing workloads; and (f) greater work-related empowerment to enhance job satisfaction. CONCLUSION:There is a need for a broader whole-of-career research focus to more fully identify, explore and mitigate the occupational stressor...
Usher, K, Bhullar, N, Durkin, J, Gyamfi, N & Jackson, D 2020, 'Family violence and COVID-19: Increased vulnerability and reduced options for support', International Journal of Mental Health Nursing.View/Download from: Publisher's site
This article is protected by copyright. All rights reserved. Family violence refers to threatening or other violent behaviour within families that may be physical, sexual, psychological, or economic, and can include child abuse and intimate partner violence (Peterman et al. 2020, van Gelder et al. 2020). Family violence during pandemics is associated with a range of factors including economic stress, disaster-related instability, increased exposure to exploitative relationships, and reduced options for support (Peterman et al. 2020). Due to the social isolation measures implemented across the globe to help reduce the spread of COVID-19, people living in volatile situations of family violence are restricted to their homes. Social isolation exacerbates personal and collective vulnerabilities while limiting accessible and familiar support options (van Gelder et al. 2020). In many countries, including Australia, we have already seen an increase in demand for domestic violence services and reports of increased risk for children not attending schools (Duncan, 2020); a pattern similar to previous episodes of social isolation associated with epidemics and pandemics (Boddy, Young & O'Leary 2020).
Wilson, D, Mikahere-Hall, A, Jackson, D, Cootes, K & Sherwood, J 2020, 'Aroha and Manaakitanga—That’s What It Is About: Indigenous Women, “Love,” and Interpersonal Violence', Journal of Interpersonal Violence: concerned with the study and treatment of victims and perpetrators of physical and sexual violence.View/Download from: Publisher's site
© The Author(s) 2019. Māori women (Aotearoa New Zealand’s Indigenous women) experience a high burden of harm and homicide associated with intergenerational family violence, complicated by the ongoing effects of colonialism. Also, the historical, social, and cultural complexities, such as poverty and structural racism, challenge further Māori women seeking help. In this project, we sought to answer two questions: What are Māori women’s sociocultural constructions of “love” within relationships with violent partners? What roles do traditional cultural values play in their relationships? Using Kaupapa Māori (by Māori, for Māori) methodology, we conducted in-depth semi-structured interviews with 27 Māori women and analyzed them using thematic analysis. We identified three core themes that explain how Māori women enter into, stay in, and leave a relationship with a violent partner: (a) it begins with a connection, (b) downplaying the signs, and (c) needing to leave. We found that Māori women’s compassion and caring for their partner was underpinned by their recognition that partners had the potential to be nonviolent and resembled Māori cultural concepts of aroha (compassion, empathy, and respect) and manaakitanga (hospitality, sharing, and caring for others). Through sharing their stories, these women revealed the strength of cultural imperatives that include the importance of whakapapa (genealogy) and whanaungatanga (connections) of which aroha and manaakitanga are integral parts. Our findings highlight the complexity and competing tensions underpinning Māori women’s decision-making when entering and exiting violent relationships. These cultural imperatives are essential for understanding how these influence the decision-making of Māori women, which can position them at odds with those who would tell them they must walk away and not look back.
Rolls, KD, Hansen, MM, Jackson, D & Elliott, D 2020, 'Intensive care nurses on social media: An exploration of knowledge exchange on an intensive care virtual community of practice.', Journal of clinical nursing.View/Download from: Publisher's site
AIMS AND OBJECTIVES:To explore the nature of knowledge exchange on a multi-disciplinary Australasian intensive care virtual community of practice, 'ICUConnect'. BACKGROUND:Current organisational structures and cultures constrain the social networks of healthcare professionals, limiting access to contemporary best practice knowledge. While virtual communities can facilitate knowledge and clinical expertise exchange in professional networks, their effectiveness has not been established. DESIGN:A sequential mixed methods design with a quantitative core and qualitative supplementary component was used to explore the content of discussions from an intensive care virtual community. SRQR has been used to report this study. METHODS:E-mail archives of an intensive care listserv (2003-2013) were mined using a two-stage sampling technique to identify discussion threads (with > 2 posts) concerning ventilator or airway practices (cluster) and two sets of 20 threads (stratified across years). Summative content analysis was used to examine both manifest and latent content. RESULTS:Forty threads containing 326 emails posted by 133 individuals from 80 organisations were analysed. Nurses contributed 68% (55% were in clinical leadership roles) and physicians 27%. Three subject areas were identified: clinical practices (71%); equipment (23%); and clinical governance (6%). 'Knowledge-requested' and 'knowledge-supplied' posts were categorised as: experiential and explicit (33% and 16%, respectively); experiential (27% and 35%); or explicit (40% and 17%). Knowledge supplied was also categorised as 'know-how' (20%); 'know-why' (5%) or 'no knowledge' exchanged (6%). The central construct of virtual community work was identified with six elements that facilitated participation and knowledge exchange including: 1. the discussion thread; 2. sharing of artefacts; 3. community; 4. cordiality; 5. maven work; and 6. promotion of the VC. Members asked questions to benchmark their practice, while...
Wright, R, Ferguson, C, Bodrick, M, Balkhy, H, Jackson, D & Davidson, PM 2020, 'Social media and drug resistance in nursing training: Using a Twitterchat to develop an international community of practice for antimicrobial resistance', JOURNAL OF CLINICAL NURSING.View/Download from: Publisher's site
Babatunde-Sowole, O, DiGiacomo, M, Power, T, Davidson, P & Jackson, D 2020, 'Resilience of African migrant women: implications for mental health practice', International Journal of Mental Health Nursing, vol. 29, pp. 92-92.View/Download from: Publisher's site
Migrants from areas affected by war, especially refugee migrants, are susceptible to mental health issues. In addition to recognising trauma, health professionals, such as mental health nurses, need to be aware of the strength and resilience of refugees and migrants. The capacity to provide trauma-informed-care that is shaped by the recognition of clients’ strength and resilience is required/paramount to meet the current demand of multiculturalism emanating from increased global migration. To facilitate increased awareness about West African women’s resilience prior to migration and support trauma-informed care, we used a qualitative strengths-based storytelling approach with 22 West African women residing in Sydney, Australia. Thematic analysis of the women’s stories identified two major themes: when the world falls apart and battered but strong. Findings revealed that past personal experiences significantly influenced participants’ strength and resilience and contributed to their mental health. Mental health professionals such as nurses can play an important role by incorporating knowledge about the resilience of migrants and refugees into providing appropriate trauma-informed-care.
Babatunde-Sowole, OO, Power, T, Davidson, PM, DiGiacomo, M & Jackson, D 2020, 'Health screening and preventative health care in refugee women: A qualitative analysis', Contemporary Nurse.View/Download from: Publisher's site
© 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group. Background: Regular health screening provides opportunities for early detection and effective treatment of disease. There is underutilisation of health services by migrants from culturally and linguistically diverse backgrounds, particularly refugees in Australia. Aim: To explore the beliefs, understandings, and use of health and healthcare screening services among African refugee women living in Australia. Design/Method: Qualitative secondary analysis. Method: Oral narratives derived from two primary qualitative datasets of Sub-Saharan women in New South Wales, Australia, underwent secondary thematic analysis. Findings: Twenty-two of the forty-two women had refugee status on migrating to Australia. Thematic findings reflection of misinformation, low health literacy, and health screening as not a priority. Conclusions: There is an urgent need to develop innovative strategies to engage refugee migrant women in health screening by provision of culturally meaningful health information. Relevance to clinical practice: Including refugee women’s suggestions for information to be provided by health services may improve attitudes towards screening and preventative health care.
Murray-Parahi, P, DiGiacomo, M, Jackson, D, Phillips, J & Davidson, P 2020, 'Primary health care content in Australian undergraduate nursing curricula', Collegian: The Australian Journal of Nursing Practice, Scholarship and Research.View/Download from: Publisher's site
Alharbi, J, Jackson, D & Usher, K 2019, 'Compassion fatigue in critical care nurses. An integrative review of the literature', Saudi Medical Journal, vol. 40, no. 11, pp. 1087-1097.View/Download from: Publisher's site
Atsalos, C, Payk, M, O'Neill, A, Inglis, S, Cheung, NW & Jackson, D 2019, 'Meeting the challenges posed by an escalating diabetes healthcare burden: A mixed methods study.', Contemporary Nurse, pp. 1-17.View/Download from: Publisher's site
Background: The ongoing escalation in the incidence of diabetes is contributing to a growing burden on health services because patients with diabetes as a co-morbidity are now spread throughout the hospital (rather than being located in specific areas). Thus, there is a need for expertise in diabetes care throughout services to ensure optimal care and reduce threats to patient safety. Aims and objectives: To identify new strategies to maintain optimal care for patients with diabetes while in hospital. Design: Mixed methods underpinned by Appreciative Inquiry. Methods: The Diabetes Knowledge Questionnaire Survey (DKQS) (n = 173); focus group interviews with nurses and midwives (n = 40), and individual interviews with recently discharged hospital patients (n = 6). Quantitative data were analysed using descriptive statistics and qualitative data by thematic analysis. Results: Highlight a need to enhance knowledge and confidence of diabetes management among nursing, midwifery, medical and ancillary staff through the introduction of focused education strategies. This, together with improved communication and team work, is required to relieve the burdens on frontline nursing staff and patients caused by delays in prescribing and reviewing insulin requirements and in accessing needed food for people with diabetes. Conclusions: In seeking solutions to the challenges in caring for hospitalised patients with diabetes there is a need to work across the entire hospital workforce and to develop effective and efficient methods for ensuring appropriate skills and knowledge of diabetes management for staff across complex and rapidly changing hospital systems. Relevance to clinical practice: The introduction and implementation of innovative educational and organisational strategies are needed to assist in meeting the challenges posed by an escalating diabetes healthcare burden. The safety of patients with diabetes can be optimised with the timely availability of appropriate meals...
Bellia, S, East, L, Hutchinson, M & Jackson, D 2019, 'Misperceptions and stereotypes in nursing care for sexually transmitted infections and domestic violence: a qualitative exploratory study.', Contemporary Nurse, vol. 55, no. 6, pp. 533-542.View/Download from: Publisher's site
Background: Sexually transmitted infections (STI) and domestic violence (DV) are common healthcare issues experienced worldwide with DV increasing the risk of acquiring STI/s. Although nurses are well-placed to provide care for both issues, little is known about how and whether nurses perceive STI risk within the context of DV and whether this informs nursing care. Aim: To explore nurses' perceptions of STI acquisition within the context of DV and whether this informs nursing care. Design: Qualitative exploratory descriptive design. Methods: Eight participant narratives were collected from Australian Registered Nurses (RNs), with 1-17 years of clinical practice in varied settings. Participants were required to be registered with the Australian Health Practitioner Regulation Agency (AHPRA) and converse in English. Semi-structured interviews were undertaken via face-to-face, telephone and computer-mediated communication (CMC). Thematic analysis was guided by Braun and Clarke (2006). Results: Three themes emerged from the data: 'Perceptions: They don't talk about it, 'Stereotypes: Just that stigma and 'Provision of Care for STIs/DV: Physical and emotional. Participants held various perceptions associated with STIs and DV including the covert nature of both issues, the care of STIs within the context of DV, and how the nature of nursing care differed between STIs and DV. Conclusions: Nurses need to recognise the impact that nurse perceptions and stereotyping have on disclosures and provision of care for STIs, particularly in the context of DV. Consideration is also needed in relation to sexual and reproductive autonomy, the impact on disclosure and provision of care.
Bosley, H, Appleton, J, Henshall, C & Jackson, D 2019, 'Using local communities to establish geographical boundaries for case studies', Nurse Researcher, vol. 27, no. 1.View/Download from: Publisher's site
© RCN Publishing Company Limited 2019 Background Case studies are widely used in the social sciences to explore complex phenomena in natural settings. Applying boundaries is vital to ensure cases are easily identifiable and similar enough to be treated as instances of the same phenomenon. Aim To discuss using local communities to establish geographical boundaries in case studies. Discussion Postal codes can be used to define geographical boundaries. A broad range of statistical data can be collected from these areas, including demographic information, which can assist in identifying communities that have issues or characteristics that may benefit from further research. Collecting data from communities enables researchers to access appropriate populations. Conclusion Using local communities to identify case boundaries helps to provide a clear periphery to the case and generate local solutions to local problems. Implications for practice This approach enables researchers to immerse themselves in the local community, ensuring it engages with research projects and findings.
Brooke, J & Jackson, D 2019, 'An exploration of the support provided by prison staff, education, health and social care professionals, and prisoners for prisoners with dementia', JOURNAL OF FORENSIC PSYCHIATRY & PSYCHOLOGY.View/Download from: Publisher's site
Diaz-Gil, A, Brooke, J, Kozlowska, O, Pendlebury, S & Jackson, D 2019, 'Care needs of people with dementia in the peri-operative environment: A systematic review.', Dementia: the international journal of social research and practice.View/Download from: Publisher's site
The care of people with dementia within the hospital setting is challenging for healthcare professionals. Hospital design and services are not optimized for people with dementia, owing to the lack of preparation of healthcare professionals and the busy environment of the acute hospital. The peri-operative environment may present particular difficulties but little is known about the experience and care of people with dementia in this setting. The aim of this review was to examine the care of surgical patients who have dementia and their family members in peri-operative environments and describe strategies adopted by healthcare professionals. A systematic search of the following databases was completed: BNI, CINAHL, PubMED and PsychINFO in accordance with PRISMA guidelines. Data were extracted and analysed within a thematic analysis framework as described by Braun and Clarke . Ten papers based on eight studies were included, five (n = 355,010 participants) containing quantitative data and five reporting qualitative data (n = 395 participants). People with dementia who go undergo surgery experienced higher adverse post-operative outcomes such as respiratory problems or urinary tract infections. The key elements in surgical care for people with dementia included: health assessment throughout the surgical trajectory (pre-, intra- and post-operative) and the resources used by healthcare professionals in the peri-operative care. Healthcare professionals reported difficulties in the completion of health assessments due to the cognitive status of people with dementia and a lack of skills in dementia management. The use of restraints was still a common practice and a source of conflict. Dementia-specific training and guidelines focused on the care of surgical patients who have dementia in peri-operative environments are required to improve care and post-operative outcomes. More research is required to develop effective interventions to improve care and decrease the risk of...
Douglas, L, Jackson, D, Woods, C & Usher, K 2019, 'Innovations in research dissemination: research participants sharing stories at a conference.', Nurse researcher, vol. 27, no. 4, pp. 8-12.View/Download from: Publisher's site
BACKGROUND:The dissemination of findings is a crucial part of research. There are many forms of dissemination and audiences differ depending on the focus of the dissemination. AIM:To present using a recent experience as an example an overview of the benefits to vulnerable research participants of participating in the dissemination of research, as well as potential issues that may occur. DISCUSSION:There are many benefits to involving research participants in conference presentations. However, it is crucial to provide appropriate support and debriefing, and to put plans in place to ensure they are safe. CONCLUSION:Multifaceted dissemination strategies are needed to meet the various audiences for research. Involving research participants can provide unique perspectives. However, careful planning is required to produce the best possible outcomes. IMPLICATIONS FOR PRACTICE:Researchers preparing to disseminate research findings with research participants in a conference setting can use this article to assist with the recognition of benefits and challenges that may arise.
Douglas, LJ, Jackson, D, Woods, C & Usher, K 2019, 'Rewriting stories of trauma through peer-to-peer mentoring for and by at-risk young people.', International journal of mental health nursing, vol. 28, no. 3, pp. 744-756.View/Download from: Publisher's site
Adverse childhood experiences are strongly associated with the development of mental health disorders during the life span. When mental health issues are not effectively dealt with during the adolescent period, young people can become long-term consumers in the mental health system. A widely accepted method of intervention is the provision of mentoring. More recently, young people have been fulfilling the role of mentor to their peers and mentoring has played a large role in supporting young people who are considered at-risk of not achieving the expected psychosocial, educational, and/or developmental goals. What is not known is why young people, previously identified as being at-risk, are motivated to mentor their at-risk peers. The study aim was to examine what motivates previously recognized at-risk young people to provide mentoring to their at-risk peers. Participants were twelve previously recognized at-risk young people recruited through a formal peer-to-peer mentoring programme. Semi-structured interviews were conducted, and the data analysed through narrative inquiry and reported in accordance with the consolidated criteria for reporting qualitative research guidelines (COREQ). Results indicate that young people are motivated by their own lived experiences of trauma(s) to provide at-risk peer mentoring. The experience of mentoring afforded opportunities to rewrite individual personal journeys of trauma through mentoring their at-risk peers, thus constructing a more positive self-identity. Outcomes of developing positive peer relationships and prosocial behaviours could significantly assist mental health clinicians in providing more acceptable care to clients in an age group known to be reluctant to accept traditional mental health intervention.
Durkin, J, Usher, K & Jackson, D 2019, 'Embodying compassion: A systematic review of the views of nurses and patients.', Journal of Clinical Nursing, vol. 28, pp. 1380-1392.View/Download from: Publisher's site
AIMS AND OBJECTIVES:To provide a review of empirical research investigating how compassion is expressed by nurses and received by patients in hospital settings. BACKGROUND:Compassion is viewed as an important and fundamental part of a health professional practice. Universally, reports from both media and government agencies have addressed perceived deficits of compassion in healthcare with nurses accused of a lack of compassion. Research into compassion to date has largely focused on the problematic nature of compassion such as burnout, fatigue and other negative personal and work-related outcomes. DESIGN:A systematic literature review of empirical research guided by a meta-ethnographic approach supported the systematic comparison and translation of the included studies. Six online databases were searched from January 2006-December 2016. METHODS:This review was carried out according to the PRISMA-P reporting guidelines. How compassion in healthcare was defined was extracted alongside findings on how compassion was expressed by nurses and received by patients. Synthesis of the research was completed resulting in new interpretations. RESULTS:Eleven papers met the inclusion criteria and were included in the review. Multiple differing definitions of compassion in healthcare were applied. Nurses embody and enact compassion through behaviours such as spending time with patients and communicating effectively with patients. Patients experience compassion through a sense of togetherness with nurses. CONCLUSION:Existing research demonstrated dissonance between the expression of compassion by nurses and how compassion is experienced by patients. The themes identified in this review should be considered by health professionals providing patient care. RELEVANCE TO CLINICAL PRACTICE:Health providers should acknowledge and account for the time that nurses need with patients to demonstrate compassion in practice. Nursing education relating to the expression of compassion should ...
© 2019 RCN Publishing Company Limited. Background Consensus methods such as Delphi studies or the group nominal method have long been used in healthcare research to develop services, processes or policies and inform further research. However, concept analysis and meta-synthesis tools are used more frequently to seek a collective understanding of subjective terms. Aim To examine the use of consensus methods to develop linguistic clarity in healthcare research. Discussion The authors argue that consensus methods are appropriate for determining linguistic clarity when researching subjective terms. The paper includes a sample research design that incorporates this approach. Consensus methods, supported by interpretive synthesis of the concept and research, can enrich our understanding of subjective terms used in healthcare research. Conclusion Understanding the importance of linguistic clarity is an important step for healthcare researchers. Consensus methods, if managed effectively and conducted in line with the appropriate research guidelines, can bring a richer understanding to concepts. Implications for practice This paper presents a research example that incorporates the use of a consensus method and which healthcare researchers can use to reduce the potential ambiguity of subjective terms in their research.
Durrant, LA, Taylor, J, Thompson, H, Usher, K & Jackson, D 2019, 'Health literacy in pressure injury: Findings from a mixed-methods study of community-based patients and carers.', Nursing & health sciences, vol. 21, no. 1, pp. 37-43.View/Download from: Publisher's site
The present study, drawn from a larger mixed-methods case study, provides insights into the health literacy of community-based patients with pressure injuries, and their carers, and critically analyzes the patient information resources available; crucial because health literacy is associated with patient care and outcomes for patients. Two datasets were used to better understand patient literacy in relation to pressure injury: (i) narratives from patients and carers; and (ii) analysis of patient education resources. Narratives were subject to content analysis and patient education resources available to the patients were analyzed drawing on the Simplified Measure of Gobbledygook, the National Health Service Toolkit for Producing Patient Resources, and compared to an internationally-advocated pressure injury leaflet. The study findings indicated that despite leaflets broadly meeting required production and content guidelines, patients appeared to poorly engage with these materials and demonstrated limited health literacy in relation to pressure injury. Although improvements in leaflet production and readability might be advantageous, emphasis should remain on quality patient-health-care professional relationships to enable tailored patient education that can enhance awareness and engagement with treatment and prevention interventions.
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group. Background: Whilst the terms vulnerability and resilience are commonly used within professional nursing discourses, they are often poorly understood. Vulnerability is often framed negatively and linked to being at risk of harm, whilst resilience is often perceived as the ability to withstand challenges. Aim: The aim of this paper is to explore resilience and vulnerability; re-positioning them within the context of contemporary professional nursing practice. Design: Discussion paper. Method: Drawing upon historical and contemporary international literature, both concepts are de-constructed and then re-constructed, examining them from the position of patient care as well as from the perspective of nurses and the nursing profession. Conclusion: Resilience and vulnerability have an interdependent relationship as resilience comes into play in situations of vulnerability. Yet, contrary to the popular discourse they are multi-faceted, complex phenomena based on factors such as individual circumstances, supports, and resources.
Hall, CL, Brooke, J, Pendlebury, ST & Jackson, D 2019, 'What is the impact of volunteers providing care and support for people with dementia in acute hospitals? A systematic review', Dementia, vol. 18, no. 4, pp. 1410-1426.View/Download from: Publisher's site
A quarter of acute hospital beds are occupied by people with dementia, and a hospital stay may impact negatively on their health and wellbeing. The development and implementation of volunteers to provide social, activity-based, one-to-one support for people with dementia in acute hospitals has become routine practice. However, the evidence to support this practice has not been identified or evaluated. This systematic review considers the effect of volunteers on the care and experience of people with co-morbid cognitive impairment/dementia in acute hospitals. The systematic search identified 444 papers, although only three papers included specific analysis relating to the impact of volunteers. The evidence suggests volunteers may have potential to enhance the experiences of people with dementia in acute hospitals; however, there is currently a marked lack of evidence to support the widespread implementation of volunteers. There is therefore an urgent need for multi-site robust research to provide evidence of the impact of volunteers supporting people with cognitive impairment/dementia during an acute hospital stay.
Heaslip, V, Wilson, D & Jackson, D 2019, 'Are Gypsy Roma Traveller communities indigenous and would identification as such better address their public health needs?', Public Health, vol. 176, pp. 43-49.View/Download from: Publisher's site
© 2019 Introduction: Across Europe, large numbers of Gypsy Roma Traveller communities experience significant health inequities such as higher morbidity, mortality and infant mortality. This health inequity is perpetuated by wider determinants such as a lower social status, lower educational attainment and substandard accommodation. This is not dissimilar to other indigenous peoples, even though many Gypsy Roma Traveller communities are not identified as indigenous. Methods: This article presents contemporary literature and research alongside the internationally agreed principles of indigenous peoples, examining similarities between Gypsy Roma Traveller communities and other indigenous peoples. Results: We argue that Gypsy Roma Traveller communities could be recognised as indigenous in terms of the internationally agreed principles of indigeneity and shared experiences of health inequity, colonisation and cultural genocide. Doing so would enable a more robust public health strategy and development of public health guidelines that take into account their cultural views and practices. Conclusion: Recognising Gypsy Roma Traveller communities in this way is important, especially concerning public health, as formal recognition of indigeneity provides certain rights and protection that can be used to develop appropriate public health strategies. Included within this are more nuanced approaches to promoting health, which focus on strengths and assets rather than deficit constructs that can perpetuate problematising of these communities.
Jackson, D, Hutchinson, M, Neville, S, Padula, WV, Usher, K, Gardner, S, Betteridge, R & Durrant, L 2019, 'Characteristics of people with pressure ulcers using one year's routinely collected data in a defined diverse community.', Journal of Wound Care, vol. 28, no. 9, pp. 576-584.View/Download from: Publisher's site
OBJECTIVE:To determine if meaningful patient characteristics pertaining to pressure ulcers (PU) can be derived from routinely collected community health data. METHODS:A retrospective cohort analysis of records was carried out. To provide a detailed dataset on PU for the community of interest, demographic, general medical and PU data were extracted from mandatory incident reports and audit of electronic and paper medical records. This study is reported in accordance with the RECORD Guidelines from the Equator Network. Adult patients were enrolled from a district nursing service in the target region (n=1085) during 2015. The target region was based on a geographical region bounded by a single postcode district (target region) consisting of 62,000 people of whom approximately 50,000 were adults, 3000 of whom were aged >75 years. RESULTS:The total number of recorded PUs was n=137 in 103 individuals. Data from mandatory incident reports was obtainable for nearly all variables. Electronic and paper medical records were less reliable due to missing data. CONCLUSION:Detailed characteristics of community-dwelling PU patients can be derived from routinely collected data, and provides various forms and levels of information which could feed into different projects. The use of mandatory reporting fields increases the level of reporting and reduces missing data. Data enriched with information from electronic and paper records could inform the addition of variables to mandatory forms to improve characterisation of community dwellers with PUs.
Jackson, D, Sarki, AM, Betteridge, R & Brooke, J 2019, 'Medical device-related pressure ulcers: A systematic review and meta-analysis.', International journal of nursing studies, vol. 92, pp. 109-120.View/Download from: Publisher's site
OBJECTIVE:To review observational studies reporting medical device-related pressure injuries and to identify the medical devices commonly associated with pressure injuries. DESIGN:A systematic review of primary research was undertaken, according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. DATA SOURCES:A comprehensive electronic literature search of AMED, CINAHL, MEDLINE, PsycINFO, Web of Science, British Nursing Database and Google Scholar was conducted from inception to 31st December 2018. Studies that reported the prevalence or incidence of medical device-related pressure injuries and published in English language were included in the review. REVIEW METHODS:The eligibility of studies was evaluated independently by three of the four authors and audited by an independent researcher. The titles and abstracts of all studies were screened to identify studies that met the inclusion criteria. Full-text articles of the remaining studies were obtained and screened against the inclusion criteria. Risk of bias was assessed using the Newcastle-Ottawa scale. Meta-analysis was conducted using the 'metaprop' routine, with estimates of medical device-related pressure injuries from the included studies pooled using DerSimonian-Laird random-effects model. Meta-regression analysis was also conducted to examine between-study heterogeneity. RESULTS:Twenty-nine studies (17 cross-sectional studies; 12 cohort studies) comprising data on 126,150 patients were eligible for inclusion in this review. The mean ages for patients were approximately 36.2 years (adults) and 5.9 years (children). The estimated pooled incidence and prevalence of medical device-related pressure injuries were 12% (95% CI 8-18) and 10% (95% CI 6-16) respectively. These results should be interpreted with caution given the high levels of heterogeneity observed between included studies. The commonly identified medical devices associated with the risk of developing med...
Joanne McCallum, K, Jackson, D, Walthall, H & Aveyard, H 2019, 'Erratum: A focused mapping review and synthesis of current practice in qualitative end of life research with the bereaved (Nurse researcher (2019))', Nurse researcher, vol. 27, no. 3, pp. 14-19.View/Download from: Publisher's site
©2019 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers. BACKGROUND: Nursing research is dedicated to improving care, but research into end of life care can be challenging because of a possible reluctance by researchers to invite bereaved people to take part in studies. AIM: To use a focused mapping approach to explore the recruitment to studies of grieving and bereaved people. DISCUSSION: There is no 'gold standard' method of recruitment and no best way to approach participants. The outcome of each method, measured by the percentage of potential participants recruited, appears to be unrelated to the approach used. CONCLUSION: There is no evidence that participation in research harms those who have recently been bereaved, but there is evidence of benefits from participating. IMPLICATIONS FOR PRACTICE: Researchers should not feel they need to protect the bereaved from participating in research and can invite bereaved individuals to join a study without worrying about causing them harm.
Joanne McCallum, K, Jackson, D, Walthall, H & Aveyard, H 2019, 'Erratum: A focused mapping review and synthesis of current practice in qualitative end of life research with the bereaved (Nurse researcher (2019))', Nurse researcher, vol. 27, no. 3, pp. 14-19.View/Download from: Publisher's site
©2019 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers. BACKGROUND: Nursing research is dedicated to improving care, but research into end of life care can be challenging because of a possible reluctance by researchers to invite bereaved people to take part in studies. AIM: To use a focused mapping approach to explore the recruitment to studies of grieving and bereaved people. DISCUSSION: There is no 'gold standard' method of recruitment and no best way to approach participants. The outcome of each method, measured by the percentage of potential participants recruited, appears to be unrelated to the approach used. CONCLUSION: There is no evidence that participation in research harms those who have recently been bereaved, but there is evidence of benefits from participating. IMPLICATIONS FOR PRACTICE: Researchers should not feel they need to protect the bereaved from participating in research and can invite bereaved individuals to join a study without worrying about causing them harm.
Khan, N, Jackson, D, Stayt, L & Walthall, H 2019, 'Factors influencing nurses' intentions to leave adult critical care settings.', Nursing in critical care, vol. 24, no. 1, pp. 24-32.View/Download from: Publisher's site
BACKGROUND:The shortage of critical care and specialist nurses has been an ongoing issue for many decades. Although all areas of nursing are affected, critical care areas are especially vulnerable to recruitment and retention problems. High nursing turnover in critical care areas is evident; however, research into the factors that influence nurses' intentions to leave adult critical care areas is limited. AIM:To explore factors that may influence nurses' intentions to leave adult critical care areas. OBJECTIVES:To appraise existing evidence and highlight gaps in knowledge regarding factors that may influence nurses' intentions to leave adult critical care areas. METHODS:A systematic mixed-method literature review was conducted. The search strategy was developed using the List, Keep and Delete approach, a framework used to identify search terms for systematic health care reviews. The following key words were used: intentions to leave, nurses, adult and critical care. The databases searched were BNI, CINAHL, PubMed, PsycINFO, Embase and Health B Elite from 2005 to 2016. Primary data from non-critical care areas and neonatal and paediatric critical care areas were excluded. Comprehensive supplementary searching was performed. Papers were critically appraised using the NICE (2012) checklists. Data were analysed using the Braun and Clarke (2006) thematic framework. RESULTS:A total of 15 studies, including 13 cross-sectional studies and 2 qualitative studies, were reviewed. Three main themes emerged following data analysis. These themes were quality of the work environment, nature of working relationships and traumatic/stressful workplace experiences. CONCLUSIONS:The literature review highlighted the need for further research and greater understanding of how these themes may impact critical care nurses. Nurse managers and leaders should consider these findings when developing strategies to improve nurse retention. RELEVANCE TO PRACTICE:The shortage of critical care nur...
Kitson, A, Carr, D, Conroy, T, Feo, R, Grønkjær, M, Huisman-De Waal, G, Jackson, D, Jeffs, L, Merkley, J, Muntlin Athlin, Å, Parr, J, Richards, DA, Sørensen, EE & Wengström, Y 2019, 'Speaking up for Fundamental Care: The ILC Aalborg Statement', BMJ Open, vol. 9, no. 12.View/Download from: Publisher's site
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objective The International Learning Collaborative (ILC) is an organisation dedicated to understanding why fundamental care, the care required by all patients regardless of clinical condition, fails to be provided in healthcare systems globally. At its 11th annual meeting in 2019, nursing leaders from 11 countries, together with patient representatives, confirmed that patients' fundamental care needs are still being ignored and nurses are still afraid to 'speak up' when these care failures occur. While the ILC's efforts over the past decade have led to increased recognition of the importance of fundamental care, it is not enough. To generate practical, sustainable solutions, we need to substantially rethink fundamental care and its contribution to patient outcomes and experiences, staff well-being, safety and quality, and the economic viability of healthcare systems. Key arguments We present five propositions for radically transforming fundamental care delivery: Value: fundamental care must be foundational to all caring activities, systems and institutions Talk: fundamental care must be explicitly articulated in all caring activities, systems and institutions. Do: fundamental care must be explicitly actioned and evaluated in all caring activities, systems and institutions. Own: fundamental care must be owned by each individual who delivers care, works in a system that is responsible for care or works in an institution whose mission is to deliver care. Research: fundamental care must undergo systematic and high-quality investigations to generate the evidence needed to inform care practices and shape health systems and education curricula. Conclusion For radical transformation within health systems globally, we must move beyond nursing and ensure all members of the healthcare team - educators, students, consumers, clinicians,...
Klages, D, East, L, Jackson, D & Usher, K 2019, 'A four-stage framework for conducting feminist storytelling research.', Nurse researcher, vol. 27, no. 1, pp. 8-11.View/Download from: Publisher's site
BACKGROUND:Storytelling is a contemporary research method increasingly used in qualitative interpretive research. Despite its popularity, there is a paucity of information providing detailed processes for conducting storytelling research that also incorporates a feminist perspective. AIM:To provide a four-stage framework for conducting feminist storytelling research. DISCUSSION:Systematic approaches or frameworks can help researchers conducting feminist storytelling studies. The authors discuss a framework for the sequential process of conducting storytelling research that embraces the tenets of feminist standpoint theory. This four-staged framework consists of the steps taken to prepare for the collection and analysis of data, as well as to disseminate the research's findings, from etic (procedural) and emic (feminist) perspectives. The authors demonstrate the use of the framework by applying it to a study of mothering. CONCLUSION:Use of a purposeful approach to feminist storytelling research may increase its auditability and verification. IMPLICATIONS FOR PRACTICE:The authors anticipate that the framework can be adapted into an effective tool to support researchers interested in conducting feminist storytelling research.
Massey, D, Ion, R & Jackson, D 2019, 'I want it all and I want it now. Challenging the traditional nursing academic paradigm.', Nurse education today, vol. 80, pp. 12-14.View/Download from: Publisher's site
Neville, S, Montayre, J & Jackson, D 2019, 'What's in a name: How nursing positions older people negatively.', Journal of clinical nursing, vol. 28, no. 11-12, pp. 2033-2034.View/Download from: Publisher's site
Pascale Blakey, E, Jackson, D, Walthall, H & Aveyard, H 2019, 'Memory in narratives and stories: implications for nursing research.', Nurse researcher, vol. 27, no. 3, pp. 27-32.View/Download from: Publisher's site
BACKGROUND:Memory, as a concept, is rarely discussed or described in qualitative research. However, memories are central to the stories people tell about their experiences of health and illness, which are often the focus of nursing enquiry. Memories also have the potential to be sensitive or traumatic. AIM:To consider the implications of memory for qualitative research by exploring the following issues: What is memory? What are the implications for using it in research? How can research participants and researchers best be supported in qualitative research when sensitive or traumatic memories are involved? DISCUSSION:Memory is imperfect, complex and dependent on context. Memories are connected to meaning and are central to identity. Qualitative research should appreciate the complexities of memory. Nurses undertaking qualitative research should be mindful of the potentially sensitive or traumatic nature of memories. Both participants and researchers can be affected and care should be taken during the research. CONCLUSION:Memory should not be taken for granted. The meanings underpinning memories are central to qualitative enquiry and are to be valued. IMPLICATIONS FOR PRACTICE:The strategies described in this paper can support researchers and participants when dealing with traumatic or sensitive memories.
Peake, RM, Jackson, D, Lea, J & Usher, K 2019, 'Investigating the processes used to develop and evaluate the effectiveness of health education resources for adult Indigenous people: A literature review.', Contemporary nurse, vol. 55, no. 4-5, pp. 421-449.View/Download from: Publisher's site
Purpose: Aboriginal and Torres Strait Islander communities need to participate in the development of health education material to gain connection with and ownership of concepts. This review extracted and synthesized evidence to answer the question: what processes are used to develop health education resources for adult Aboriginal and Torres Strait Islander people, and what makes them effective?Design: A review was conducted using the PRISMA guidelines. Five databases were searched (OvidSP Medline, CINAHL, Informit, OvidSP Embase and ProQuest) and 438 non duplicate records were screened.Findings: Twenty-two articles were identified; 18 reporting qualitative studies, two reporting mixed-method studies and two discussion papers. No quantitative studies met the inclusion criteria. Synthesis of the evidence revealed five themes: collaborative relationships, community ownership, lack of evaluation, cultural sensitivity, and health literacy.Discussions/Conclusions: Limitations identified include barriers due to distance, time, and funding, and a need for cultural competency in mainstream health.
Pocock, M, Jackson, D & Bradbury-Jones, C 2019, 'Intimate partner violence and the power of love: A qualitative systematic review', HEALTH CARE FOR WOMEN INTERNATIONAL.View/Download from: Publisher's site
Ramluggun, P, Nathoo, S, Jackson, D & Usher, K 2019, 'Does compassion matter in custodial care?', International journal of mental health nursing, vol. 28, no. 2, pp. 365-368.View/Download from: Publisher's site
Redona, P, Jackson, D, Woods, C & Usher, K 2019, 'Increasing use of stimulants in Australia: Cause for health services concern.', International journal of mental health nursing, vol. 28, no. 4, pp. 795-797.View/Download from: Publisher's site
Ryan, L, Jackson, D, Woods, C & Usher, K 2019, 'Intentional rounding - An integrative literature review.', Journal of Advanced Nursing, vol. 75, no. 6, pp. 1151-1161.View/Download from: Publisher's site
AIMS:To establish current knowledge about the efficacy and acceptance of intentional rounding in current practice, from the perspective of nurses, patients, patient satisfaction and safety indicators. BACKGROUND:Intentional rounding is a formal means of nursing staff checking care needs of patients in hospital settings on a regular basis. DESIGN:An integrative literature review conducted following the Joanna Briggs Institute manual. DATA SOURCES:A literature search from 2000 - 2017 was conducted using the following electronic databases: The Cumulative Index to Nursing and Allied Health Literature, ProQuest, PubMed, Informit, Sage and Scopus. REVIEW METHODS:Articles were assessed for quality and rigor using the Critical Appraisal Skills Program tool and the Effective Public Health Practice Project Quality Assessment tool for Quantitative Studies. A sequential explanatory mixed studies approach was used to combine qualitative and quantitative evidence in a single review. In-depth parallel reviews of the quantitative and qualitative evidence were undertaken, and then a synthesis of the combined qualitative and quantitative evidence conducted. RESULTS:Intentional rounding has positive outcomes on patient satisfaction and safety. Nurses perceive benefits related to intentional rounding; however, some nurses perceive it as an additional, unnecessary task. The effectiveness of intentional rounding is influenced by external factors including leadership and formal rounding education, workload, ward layout, staffing and experience level. CONCLUSION:Intentional rounding is a positive intervention in patient safety and satisfaction generally, but needs further research and consideration about actual impact, staff delegation, education and engagement, student nurse involvement, documentation and specializing the structure of intentional rounding.
Spence, D, Zambas, S, Mannix, J, Jackson, D & Neville, S 2019, 'Challenges to the provision of clinical education in nursing', CONTEMPORARY NURSE, vol. 55, no. 4-5, pp. 458-467.View/Download from: Publisher's site
Usher, K, Douglas, L & Jackson, D 2019, 'Mental health and substance use disorders: The reality of youth in custody.', International journal of mental health nursing, vol. 28, no. 3, pp. 633-634.View/Download from: Publisher's site
Walthall, H, Dolan, B & Jackson, D 2019, 'Trapped in care: Recognising and responding to frailty as a cause of delayed transfers of care.', Journal of clinical nursing, vol. 28, no. 1-2, pp. 5-6.View/Download from: Publisher's site
Wilson, D, Cootes, K, Mikahere-Hall, A, Sherwood, J, Berryman, K & Jackson, D 2019, 'Reflecting and learning: A grounded theory on reframing deficit views of young indigenous women and safety', Health Care for Women International.View/Download from: Publisher's site
© 2019, © 2019 Taylor & Francis Group, LLC. Often young indigenous women are framed in ways that problematize and pathologize them, which overlooks their strengths. We interviewed 16 young Indigenous Māori women aged 14 to 18 years about their understandings of safety, being safe, and how they kept themselves and their friends safe. Reflecting and Learning, aided by progressing age and maturity, is the process that mediated their feeling unsafe and keeping safe and resulted in being safe. Young Māori women’s reflecting and learning facilitates relatively mature levels of resourcefulness for navigating being safe, including situations they encountered appear unsafe.
Wilson, S, McCloughen, A, Parr, J & Jackson, D 2019, '“If you are homeless you are welcome here”: Social obligations for the homeless and socially disadvantaged', Journal of Clinical Nursing, vol. 28, no. 15-16, pp. 2721-2723.View/Download from: Publisher's site
Dawson, S, Jackson, D & Elliott, D 2019, 'Challenges and reflections from an international, humanitarian, short-term surgical mission on collecting ethnographic data in a remote environment', Nurse Researcher, vol. 27, no. 2.View/Download from: Publisher's site
© 2019 RCN Publishing Company Limited. Background The experiences of nurses participating in ethnographic fieldwork have been well documented, but often feature short-term, intermittent periods in the field of less than a day. Aim To provide an overview of methodological issues related to collecting data while undertaking a focused ethnography of nurses volunteering with a humanitarian organisation providing surgical care in a remote setting. Discussion Particular challenges during the fieldwork included limited space and privacy influencing data collection and secure storage; sporadic and unreliable communications limiting contact with other members of the research team; the challenges of withdrawing from the intensity of the setting; and navigating blurred boundaries between the roles of clinician and researcher. Conclusion Social research in practice, despite the best of intentions and significant planning, may not always travel the expected path of rational enquiry. Implications for practice Awareness of the challenges involved before embarking on longer term entry into remote environments may help prepare future nurse ethnographers.
Innes, K, Jackson, D, Plummer, V & Elliott, D 2019, 'A profile of the waiting room nurse in emergency departments: An online survey of Australian nurses exploring implementation and perceptions.', International Emergency Nursing, vol. 43, pp. 67-73.View/Download from: Publisher's site
BACKGROUND:In response to increasing waiting times, adverse patient outcomes and patient dissatisfaction, some emergency departments introduced a Waiting Room Nurse role. Despite implementation into routine practice, there remains limited formal evaluation of the role. AIM:To explore the implementation of a Waiting Room Nurse role in Australian emergency departments and emergency nurses' perceptions. METHODS:Survey design. A 40-item survey was developed, piloted and then distributed to members of a professional College for online completion. Responses for closed-ended and open-ended items were reported using frequencies or proportions, and quantitative content analysis, respectively. RESULTS:Respondents (n = 197) reported that 51 emergency departments allocated a Waiting Room Nurse, with varying hours of operation. Five key areas of responsibility were: patient care, patient safety, escalation of care, triage and communication. Role variations were identified in experience, preparation and supporting policies. Challenges, including workload and personal safety issues, were reported. CONCLUSIONS:The role was perceived as vital, especially at times of high demand, in ensuring that patients were safe to wait, detecting deterioration and escalating care as needed. Communication and therapeutic relationships were key to effective performance. Challenges identified had clear implications for the welfare of nurses performing the role.
Rolls, KD, Hansen, MM, Jackson, D & Elliott, D 2019, 'Why Health Care Professionals Belong to an Intensive Care Virtual Community: Qualitative Study.', Journal of medical Internet research, vol. 21, no. 11.View/Download from: Publisher's site
BACKGROUND:Clinical practice variation that results in poor patient outcomes remains a pressing problem for health care organizations. Some evidence suggests that a key factor may be ineffective internal and professional networks that limit knowledge exchange among health care professionals. Virtual communities have the potential to overcome professional and organizational barriers and facilitate knowledge flow. OBJECTIVE:This study aimed to explore why health care professionals belong to an exemplar virtual community, ICUConnect. The specific research objectives were to (1) understand why members join a virtual community and remain a member, (2) identify what purpose the virtual community serves in their professional lives, (3) identify how a member uses the virtual community, and (4) identify how members used the knowledge or resources shared on the virtual community. METHODS:A qualitative design, underpinned by pragmatism, was used to collect data from 3 asynchronous online focus groups and 4 key informant interviews, with participants allocated to a group based on their posting behaviors during the previous two years-between September 1, 2012, and August 31, 2014: (1) frequent (>5 times), (2) low (≤5 times), and (3) nonposters. A novel approach to focus group moderation, based on the principles of traditional focus groups, and e-moderating was developed. Thematic analysis was undertaken, applying the Diffusion of Innovation theory as the theoretical lens. NCapture (QRS International) was used to extract data from the focus groups, and NVivo was used to manage all data. A research diary and audit trail were maintained. RESULTS:There were 27 participants: 7 frequent posters, 13 low posters, and 7 nonposters. All participants displayed an external orientation, with the majority using other social media; however, listservs were perceived to be superior in terms of professional compatibility and complexity. The main theme was as follows: "Intensive care profession...
Tankumpuan, T, Anuruang, S, Jackson, D, Hickman, LD, DiGiacomo, M & Davidson, PM 2019, 'Improved adherence in older patients with hypertension: An observational study of a community-based intervention.', International journal of older people nursing, vol. 14, no. 3.View/Download from: Publisher's site
AIMS AND OBJECTIVES:This study sought to assess the effect of a community-based intervention influencing adherence status at baseline, 1, 3 and 6 months, and to evaluate the impact that a community-based intervention and socio-economic factors have on adherence. BACKGROUND:Although high-quality treatment and modern hypertension clinical practice guidelines have been developed worldwide, the outcomes of patients with hypertension in Thailand are not optimal. Implementing a person-centred and integrated health services model to improve hypertension management, such as a community-based intervention, is challenging for healthcare providers in Thailand. DESIGN:An observational study of a community-based intervention. METHODS:The study comprised residents in 17 villages in one province of Thailand. A sample of 156 participants was allocated into the intervention and the control groups. Inclusion criteria were people aged 60 years or older diagnosed with hypertension. Exclusion criteria included the latest record of extreme hypertension and having a documented history of cognitive impairment. The intervention group received the 4-week community-based intervention programme. Multiple linear regression was applied to predict the adherence status at each phase. Multiple logistic regression was then implemented to predict influencing factors between the groups. RESULTS:Patients who received the intervention had significantly lower adherence scores (reflecting a higher level of adherence) at 3 and 6 months after intervention by 1.66 and 1.45 times, respectively, when adjusting for other variables. After 6 months, the intervention was associated with a significant improvement in adherence when adjusting for other variables. CONCLUSION:This study provides evidence to support the use of community-based interventions as an effective adjunct to hospital-based care of hypertension patients in Thailand. IMPLICATIONS FOR PRACTICE:Understanding factors between health outcomes and so...
Ferguson, C, Hickman, L, Macbean, C & Jackson, D 2019, 'The wicked problem of patient misidentification: How could the technological revolution help address patient safety?', Journal of clinical nursing, vol. 28, no. 13-14, pp. 2365-2368.View/Download from: Publisher's site
Carrick-Sen, D, Moore, A, Davidson, P, Gendong, H & Jackson, D 2019, 'International perspectives of nurses, midwives and allied health professionals clinical academic roles: Are we at tipping point?', International Journal of Practice-Based Learning in Health and Social Care, vol. 7, no. 2, pp. 1-15.View/Download from: Publisher's site
© 2019 Debbie Carrick-Sen, Ann Moore, Patricia Davidson, Han Gendong, & Debra Jackson. Healthcare research activity improves patient outcomes. Nurses, Midwives and Allied Health Professions (NMAHPs) make an important contribution to clinical research. Within the United Kingdom (UK), there is a 25-year history of increasing healthcare research capacity and capability through clinical academic roles. Medical colleagues were the first to introduce the role in 2005. In 2007, a national policy identified inequalities in access to and success of research training fellowships between medical and nursing healthcare professionals. This was followed by a number of national initiatives, which continue to evolve to the present day. There is evidence that the UK has reached the 'tipping point' to increase NMAHP research capacity and capability through clinical academic roles. Despite these initiatives substantial gaps remain. Outside, the UK, the term 'clinical academic' is not well understood. There is evidence of the presence of senior clinical academic roles, a clinical professor within Australia and the United States, for example, but there is a lack of opportunities and of a formulised research training pathway at a junior level. There is interest and appreciation of the NMAHP research-active clinical academic within the clinical setting in the Nordic countries and China, but the pace of change is slow due to co-existing priorities involving change and innovation. There is a need to develop and agree both national and international definitions that describes the NMAHP research-focused clinical academic role activity.
Hayes, C, Power, T, Davidson, PM, Daly, J & Jackson, D 2019, 'Corrigendum to "Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses" [Nurse Educ. Today 35 (99), September 2015, 981-986].', Nurse education today, vol. 78, pp. 58-58.View/Download from: Publisher's site
Hayes, C, Power, T, Davidson, PM, Daly, J & Jackson, D 2019, 'Learning to liaise: using medication administration role-play to develop teamwork in undergraduate nurses.', Contemporary Nurse, vol. 55, no. 4-5, pp. 278-287.View/Download from: Publisher's site
To describe undergraduate nursing students' situational awareness and understanding of effective liaison and collaboration within the nursing team during interrupted medication administration.Medication errors related to interruptions are a major problem in health care, impacting on patient morbidity and mortality and increasing the burden of related costs. Effective liaison, teamwork and situation awareness are requisite skills for nurses to facilitate the safe management of interruptions during medication administration.A role-play simulation was offered to 528 second-year undergraduate Bachelor of Nursing students. Qualitative written reflective responses were subsequently collected and subject to thematic analysis to derive themes.Participants (451:528) reported an improved understanding of an unfamiliar and challenging situation that required cooperation and collaboration amongst the nursing team to improve outcomes.This simulation exposed undergraduate nurses with limited clinical experience to a situation otherwise unavailable to them. The skills required to engage in effective liaison and teamwork in dynamic situations are vital elements in achieving quality care and must begin to be taught at an undergraduate level.
Disler, RT, White, H, Franklin, N, Armari, E & Jackson, D 2019, 'Reframing evidence-based practice curricula to facilitate engagement in nursing students.', Nurse education in practice, vol. 41.View/Download from: Publisher's site
Evidence-based practice underscores a modern approach to nursing to ensure delivery of safe, up-to-date and person-centred care in the evolving clinical environment. While most entry-to-practice nursing courses incorporate elements of evidence-based research curricula, nursing students commonly struggle to see the relevance of research in their training. This study sought to understand nursing students' satisfaction and perspectives on research after an undergraduate research subject was redesigned to make overt the connection between research and professional nursing practice. Satisfaction significantly improved on routinely collected satisfaction surveys over a one-year period (mean increase 0.57, 95% CI 0.40-0.77, P < 0.001; medium effect size, 0.64). Open-ended questions elicited five themes: change to preconceived ideas of research to something accessible and useful; clear link between research and clinical and professional nursing practice; comments on subject format and scaffolded learning; increased skills in effective searching and extracting evidence; and improvements for the future. Student satisfaction increased when the connection between research learning and professional practice was made overt in a core research subject. This approach, along with scaffolded activities to increase confidence, had a marked positive impact on student's attitude and understanding of the utility of evidence-based practice and confidence in scrutinising practice in the clinical environment.
Alzyood, M, Jackson, D, Brooke, J & Aveyard, H 2018, 'An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting', JOURNAL OF CLINICAL NURSING, vol. 27, no. 7-8, pp. 1329-1345.
Bosley, H, Henshall, C, Appleton, JV & Jackson, D 2018, 'A systematic review to explore influences on parental attitudes towards antibiotic prescribing in children.', Journal of clinical nursing, vol. 27, no. 5-6, pp. 892-905.View/Download from: Publisher's site
To understand the factors influencing parental attitudes towards antibiotic prescribing.Overuse of antibiotics and inappropriate prescribing has resulted in rapid development of antimicrobial resistance (AMR) and is a significant global threat to patient safety. In primary care settings, substantial numbers of antibiotics are prescribed for young children, despite viral nature of illness for which antibiotics are ineffective. Parents play a vital role in decision-making regarding accessing healthcare services and requesting treatment for their children.A systematic review was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement (Moher et al., Systematic Reviews, 4, 2015, p. 1).The CINAHL, MEDLINE, PsycINFO, The Cochrane Library, BRITISH NURSING INDEX, EMBASE and PUBMED databases were searched for primary research published between 2006-2016. All types of primary research were searched and screened against inclusion criteria. The Critical Appraisal Skills Programme tool was used to appraise identified publications. Quantitative data were summarised descriptively, and qualitative data were thematically analysed.A total of 515 publications were initially screened, and 55 full-text articles were eligibility assessed. Twenty papers met inclusion criteria. Four main themes were identified: the quality of relationships with healthcare providers, dealing with conflicting messages, rationalising antibiotic use and parental practices informed by past experience.Parents wanted reassurance and advice regarding children's illnesses, had poor antibiotic knowledge and were influenced by personal past experiences. More accessible education, including simple information leaflets, is required. Further research on the influence of culture, ethnicity and socio-economic factors would be beneficial.Healthcare professionals must provide adequate time for reassurance and explanations of decision-making. Easy-to-read inform...
Bristow, S, Jackson, D, Shields, L & Usher, K 2018, 'The rural mother's experience of caring for a child with a chronic health condition: An integrative review', JOURNAL OF CLINICAL NURSING, vol. 27, no. 13-14, pp. 2558-2568.View/Download from: Publisher's site
Cleary, M, Wilson, S & Jackson, D 2018, 'Betrayal in Nursing: Recognizing the Need for Authentic and Trusting Relationships', ISSUES IN MENTAL HEALTH NURSING, vol. 39, no. 5, pp. 447-449.View/Download from: Publisher's site
Fourie, S, Jackson, D & Aveyard, H 2018, 'Living with Inflammatory Bowel Disease: A review of qualitative research studies', INTERNATIONAL JOURNAL OF NURSING STUDIES, vol. 87, pp. 149-156.View/Download from: Publisher's site
Green, J, Darbyshire, P, Adams, A & Jackson, D 2018, 'Neonatal nurses' response to a hypothetical premature birth situation: What if it was my baby?', Nursing Ethics, vol. 25, no. 7, pp. 880-896.View/Download from: Publisher's site
BACKGROUND: Evolving technology and scientific advancement have increased the chances of survival of the extremely premature baby; however, such survival can be associated with some severe long-term morbidities. RESEARCH QUESTION: The research investigates the caregiving and ethical dilemmas faced by neonatal nurses when caring for extremely premature babies (defined as ≤24 weeks' gestation). This article explores the issues arising for neonatal nurses when they considered the philosophical question of 'what if it was me and my baby', or what they believed they would do in the hypothetical situation of going into premature labour and delivering an extremely premature baby. PARTICIPANTS: Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in New South Wales, Australia. ETHICAL CONSIDERATIONS: Relevant ethical approvals have been obtained by the researchers. FINDINGS: A qualitative approach was used to analyse the data. The theme 'imagined futures' was generated which comprised three sub-themes: 'choice is important', 'not subjecting their own baby to treatment' and 'nurses and outcome predictions'. The results offer an important and unique understanding into the perceptions of nursing staff who care for extremely premature babies and their family, see them go home and witness their evolving outcomes. The results show that previous clinical and personal experiences led the nurses in the study to choose to have the belief that if in a similar situation, they would choose not to have their own baby resuscitated and subjected to the very treatment that they provide to other babies. CONCLUSION: The theme 'imagined futures' offers an overall understanding of how neonatal nurses imagine what the life of the extremely premature baby and his or her family will be like after discharge from neonatal intensive care. The nurses' past experience has led them to believe that they would not want this life fo...
Hutchinson, M, Jackson, D & Wilson, S 2018, 'Technical rationality and the decentring of patients and care delivery: A critique of ‘unavoidable’ in the context of patient harm', Nursing Inquiry, vol. 25, no. 2.View/Download from: Publisher's site
© 2017 John Wiley & Sons Ltd In recent decades, debate on the quality and safety of healthcare has been dominated by a measure and manage administrative rationality. More recently, this rationality has been overlaid by ideas from human factors, ergonomics and systems engineering. Little critical attention has been given in the nursing literature to how risk of harm is understood and actioned, or how patients can be subjectified and marginalised through these discourses. The problem of assuring safety for particular patient groups, and the dominance of technical forms of rationality, has seen the word ‘unavoidable’ used in connection with intractable forms of patient harm. Employing pressure injury policy as an exemplar, and critically reviewing notions of risk and unavoidable harm, we problematise the concept of unavoidable patient harm, highlighting how this dominant safety rationality risks perverse and taken-for-granted assumptions about patients, care processes and the nature of risk and harm. In this orthodoxy, those who specify or measure risk are positioned as having more insight into the nature of risk, compared to those who simply experience risk. Driven almost exclusively as a technical and administrative pursuit, the patient safety agenda risks decentring the focus from patients and patient care.
Jackson, DE, Durrant, LA, Hutchinson, M, Ballard, CA, Neville, S & Usher, K 2018, 'Living with multiple losses: Insights from patients living with pressure injury', Collegian.View/Download from: Publisher's site
© 2017 Australian College of Nursing Ltd. Background: Pressure injury is a common problem. Its prevention and treatment is predominantly focussed on views, perceptions and knowledge of healthcare staff rather than on patient experience, particularly those patients living in their own homes. Aim: This paper reports findings on patients experiences and perceptions of loss associated with PI. These findings are drawn from a larger study of pressure injury patients living and receiving care in the community. Methods: Qualitative interviews with 12 participants with pressure injury and five carers. Data was audio recorded and thematically analysed. The study is reported in accordance with the COREQ guidelines. Findings: Having a pressure injury negatively affected many aspects of life for our participants resulting in multiple losses. These losses included loss of mobility and independence, privacy and dignity, and social engagement and ability to engage in preferred activities. Discussion: Although the effects of a pressure injury may be similar for many people, the most important issues will differ from person-to-person thus treatment and prevention of pressure injury requires a multidisciplinary team having a holistic care approach. Some patients' pressure injury will never heal and it is increasingly important to involve the patient to find out what matters most to them and how their wound is impacting on them, to jointly develop a holistic, person-centred plan. Conclusion: Policy and practice should recognise and reflect that patients living with a pressure injury at home have different challenges and needs to those in acute or long term care. Pragmatic solutions in the delivery of pressure injury care are needed to compliment the drive to move healthcare from the hospital-to-home.
Jeffs, L, Athlin, AM, Needleman, J, Wasserman, PK, Jackson, D & Kitson, A 2018, 'Building the foundation to generate a fundamental care standardised data set', JOURNAL OF CLINICAL NURSING, vol. 27, no. 11-12, pp. 2481-2488.View/Download from: Publisher's site
McCallum, KJ, Jackson, D, Walthall, H & Aveyard, H 2018, 'Exploring the quality of the dying and death experience in the Emergency Department: An integrative literature review', International Journal of Nursing Studies, vol. 85, pp. 106-117.View/Download from: Publisher's site
© 2018 Elsevier Ltd Aim: The aim of this integrative literature review was to explore the quality of the dying and death experience in the Emergency Department from the perspective of staff and carers. Background: Death in the Emergency Department is common. Understanding the quality of the death and dying experience of patients and their family members is crucial to building knowledge and improving care. Design: Systematic integrative literature review reported following the PRISMA guidelines. Data sources: Pubmed, Cumulative Index to Nursing and Allied Health Literature, Magonline (internurse), and the Cochrane library. Articles used were published in English during 1990- 2017. Review method: Appraisal and thematic analysis. Results: Sixteen articles are included. Eight themes emerged from the literature: care in the Emergency Department is about living not dying, staff perceive that death is a failure, staff feel underprepared to care for the dying patient and family in this environment, there is limited time for safe standards of care, staff stress and distress, staff use of distancing behaviours, the care of the dying role is devolved from medics to nurses at the end of life, and patients and staff perceive that the Emergency Department is not the preferred place of death Conclusion: There are areas of concern about end of life care in the Emergency Department. To improve practice and to ensure that a good death occurs, further research is needed. There is a need to understand more about the experience of caregivers when a relative or friend dies in the Emergency Department.
Murphy, G, Peters, K, Wilkes, L & Jackson, D 2018, 'Adult children of parents with mental illness: Dehumanization of a parent - 'She wasn't the wreck in those years that she was to become later'.', International Journal of Mental Health Nursing, vol. 27, no. 3, pp. 1015-1021.View/Download from: Publisher's site
Children who have lived with parental mental illness experience long-standing reduced health and social outcomes, alongside ongoing personal distress. While there has been some dialogue regarding interventions to support children who are living with parental mental illness, there remains a paucity of knowledge regarding adult children's experiences and potential needs. Given this, the aim of the present study was to establish parenting narratives of adult children who had experienced childhood parental mental illness. This included their experiences of being parented alongside their own subsequent parenting roles. Three men and 10 women, ranging from 30 to 78 years old, met individually with a researcher to tell their stories. Narratives were thematically analysed to establish themes. The findings of the study demonstrated that individuals who have lived with childhood parental mental illness dehumanized their parent with mental illness. The authors argue that all mental health services should be underpinned with a whole of family assessment and care philosophy. There is also a need for all mental health services to consider how policies and procedures might inadvertently dehumanize clients who are parents, which could contribute to familial dehumanization. This could prevent the dehumanization of parents who experience mental illness to preserve parental and child relationships.
© 2018 The Author(s). Background: Individuals who have lived with childhood parental mental illness are at increased risk of developing mental health concerns. Yet there is limited knowledge about how a person's childhood experiences of parental mental illness may influence their subsequent parenting roles. Methods: This narrative study generated parenting narratives of adult children who had lived with childhood parental mental illness. Interviewees included 10 women and three men. Inductive thematic analysis was used to establish themes and sub-themes from the narratives. Results: The theme of parenting journeys with sub-themes of: 'adult children living with parenting worries' and 'adult children seeking emotional connectivity with their children and others' are presented. Conclusions: Parenting anxiety may be a common experience shared by all parents. However, adult children's worries in relation to their child/ren developing mental illness may be associated with their own experiences of childhood parental mental illness. All health professionals have a pinnacle role in supporting families to build resilience and harness positive experiences within familial relationships to recognise and mitigate parenting anxiety.
Neville, S, Adams, J, Napier, S, Shannon, K & Jackson, D 2018, '"Engaging in my rural community": perceptions of people aged 85 years and over', INTERNATIONAL JOURNAL OF QUALITATIVE STUDIES ON HEALTH AND WELL-BEING, vol. 13, no. 1.View/Download from: Publisher's site
Oozageer Gunowa, N, Hutchinson, M, Brooke, J & Jackson, D 2018, 'Pressure injuries in people with darker skin tones: A literature review.', Journal of Clinical Nursing, vol. 27, no. 17-18, pp. 3266-3275.View/Download from: Publisher's site
In this article, we aimed to explore the literature to ascertain what research evidence exists in relation to the identification of pressure injuries in people with dark skin tones.Pressure injuries development has been widely researched and documented; however, much of this work does not address ethnicity or race and assumes Caucasian-ness. Thus, the perceptions of people with dark skin tones and the influence of skin pigmentation on identification and management of pressure injuries is under examined.Literature review.A comprehensive electronic database search was undertaken of PubMed, Cumulative Index for Nursing and Allied Health Literature, Cochrane and British Nursing Index (BNI) between 1990-July 2016. Alongside the electronic data, journals, books, papers from conferences, relevant national and international organisations and reference lists were also used to help source key studies.A search of the literature revealed 11 relevant articles. The foci of studies included the following: risk of sustaining a pressure injuries based on skin tones, identification of pressure injuries amongst people with dark skin tones, pressure injuries and place of care and socio-economic impact on pressure injuries development. Overall, findings indicate that people with darker skin tones are more likely to develop higher stage pressure injuries. Reasons for this are not fully elucidated; however, it may be associated with current skin assessment protocols being less effective for people who have darker skin tones resulting in early damage arising from pressure not being recognised.From the literature reviewed, it can be seen that there is a lack of guidance and evidence, and people with darker skin tones are more likely in comparison with people presenting as Caucasian to develop higher stage pressure injuries.The current literature suggests a need for researchers and clinicians to consider skin tone variances rather than ethnicity when exploring comprehensive skin assessmen...
Reeves, E, Henshall, C, Hutchinson, M & Jackson, D 2018, 'Safety of service users with severe mental illness receiving inpatient care on medical and surgical wards: A systematic review', International Journal of Mental Health Nursing, vol. 27, no. 1, pp. 46-60.View/Download from: Publisher's site
© 2018 Australian College of Mental Health Nurses Inc. This review aimed to synthesize the evidence on the likelihood of harm and mortality on medical and surgical inpatient wards for people with severe mental illness (SMI). From 937 results identified through database searching, and a further 10 papers identified through citation searching and hand searching, 11 papers met the criteria for inclusion in the final review. This review did not find strong evidence for higher in-hospital mortality in people with SMI. There was evidence that adverse events are higher in people with SMI. A higher likelihood of emergency instead of planned care, and poorer access to treatment were identified as potential contributing factors to these adverse events. In addition, service users with SMI were more likely to have a longer length of stay, associated with a higher cost of care. The severity of the mental illness increased the likelihood of harm or death, and people with schizophrenia were more likely than people with other mental illnesses to experience these adverse outcomes. There is evidence that people with SMI are provided with lower-quality health care, whereas higher-quality, better-planned care is required to overcome the inequalities in access faced by this vulnerable population.
Roche, MA, Jackson, D, Usher, K & Cross, W 2018, 'Meeting the needs of young people with psychosis: We must do better.', International Journal of Mental Health Nursing.View/Download from: Publisher's site
Smith, GD, Gelling, L, Haigh, C, Barnason, S, Allan, H & Jackson, D 2018, 'The position of reporting guidelines in qualitative nursing research', Journal of Clinical Nursing, vol. 27, no. 5-6, pp. 889-891.View/Download from: Publisher's site
Smith, GD, Gelling, L, Haigh, C, Barnason, S, Allan, H, Penny, K & Jackson, D 2018, 'Transparency in the reporting of nursing research', Journal of Clinical Nursing, vol. 27, no. 3-4, pp. 475-477.View/Download from: Publisher's site
Usher, K, Woods, C, Brown, J, Power, T, Lea, J, Hutchinson, M, Mather, C, Miller, A, Saunders, A, Mills, J, Zhao, L, Yates, K, Bodak, M, Southern, J & Jackson, D 2018, 'Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study', International Journal of Nursing Studies, vol. 81, pp. 14-20.View/Download from: Publisher's site
© 2018 Elsevier Ltd Aim: The aim of this study was to assess student nurses’ knowledge of and attitudes towards pressure injury prevention evidence-based guidelines. Background: Pressure injuries are a substantial problem in many healthcare settings causing major harm to patients, and generating major economic costs for health service providers. Nurses have a crucial role in the prevention of pressure injuries across all health care settings. Design: A multi-centered, cross-sectional study was conducted using a paper-based questionnaire with undergraduate nursing students enrolled in seven universities with campuses across five Australian states (Queensland, New South Wales, Western Australia, Victoria and Tasmania). Methods: Data were collected from nursing students using two validated instruments (Pressure Ulcer Knowledge Assessment Instrument and Attitude Toward Pressure Ulcer Prevention Instrument), to measure students’ pressure injury prevention knowledge and attitudes. Results: Students reported relatively low pressure injury prevention knowledge scores (51%), and high attitude scores (78%). Critical issues in this study were nursing students’ lack of knowledge about preventative strategies to reduce the amount and duration of pressure/shear, and lower confidence in their capability to prevent pressure injury. Level of education and exposure to working in a greater number of different clinical units were significantly related to pressure injury prevention knowledge and attitude scores. Conclusion: The study findings highlight the need to implement a comprehensive approach to increasing Australian nursing students’ pressure injury prevention and management knowledge, as well as ensuring that these students have adequate experiences in clinical units, with a high focus on pressure injury prevention to raise their personal capability.
Usher, K, Woods, C, Conway, J, Lea, J, Parker, V, Barrett, F, O'Shea, E & Jackson, D 2018, 'Patient safety content and delivery in pre-registration nursing curricula: A national cross-sectional survey study', Nurse Education Today, vol. 66, pp. 82-89.View/Download from: Publisher's site
© 2018 Background: Patient safety is a core principle of health professional practice and as such requires significant attention within undergraduate curricula. However, patient safety practice is complex requiring a broad range of skills and behaviours including the application of sound clinical knowledge within a range of health care contexts and cultures. There is very little research that explores how this is taught within Australian nursing curricula. Objectives: To examine how Australian nursing curricula address patient safety; identify where and how patient safety learning occurs; and describe who is responsible for facilitating this learning. Design: A cross-sectional study. Setting: Eighteen universities across seven Australian States and Territories. Participants: The sample consisted of 18 nursing course coordinators or those responsible for the inclusion of patient safety content within a Bachelor of Nursing course at Australian universities. Methods: An online survey was conducted to evaluate the patient safety content included and teaching methods used in Australian pre-registration nursing curricula. Results: Approaches to teaching patient safety vary considerably between universities where patient safety tended to be integrated within undergraduate nursing course subjects rather than explicitly taught in separate, stand-alone subjects. Three-quarters of the surveyed staff believed patient safety was currently being adequately covered in their undergraduate nursing curricula. Conclusion: Although there is consensus in relation to the importance of patient safety across universities, and similarity in views about what knowledge, skills and attitudes should be taught, there were differences in: the amount of time allocated, who was responsible for the teaching and learning, and in which setting the learning occurred and was assessed. There was little indication of the existence of a systematic approach to learning patient safety, with most participa...
Wilson, D, Heaslip, V & Jackson, D 2018, 'Improving equity and cultural responsiveness with marginalised communities: Understanding competing worldviews', JOURNAL OF CLINICAL NURSING, vol. 27, no. 19-20, pp. 3810-3819.View/Download from: Publisher's site
Yates, M, Perry, L & Jackson, D 2018, 'Women travelling without men, and their health care needs.', International Journal of Nursing Practice, vol. 24, no. 5, pp. e12701-e12701.View/Download from: Publisher's site
Innes, K, Elliott, D, Plummer, V & Jackson, D 2018, 'Emergency department waiting room nurses in practice: An observational study.', Journal of Clinical Nursing, vol. 27, no. 7-8, pp. e1402-e1411.View/Download from: Publisher's site
To identify the activities and behaviours of waiting room nurses in emergency department settings.Emergency care has expanded into waiting rooms in some emergency departments. Often viewed as an adjunct to triage, the aim of waiting room nurses is to commence care early, reassess patients and improve communication between patients, families and staff. There is however a paucity of literature relating to waiting room nurses, especially in relation to their current activities and behaviours.Part of a larger exploratory sequential mixed methods designed study. This phase used a nonparticipant observer role to observe waiting room nurses in their natural setting undertaking normal care and responsibilities. One observer, using a tool and reflective journal, collected data on participant interactions, processes and practices on eight waiting room nurses over 13 episodes of observation (total 65 hr:50 min) in two emergency departments. Data analysis used descriptive statistics and thematic analysis.Participants were observed to anticipate and prioritise to deliver holistic, patient-centred care in emergency department waiting rooms. Waiting room nurses had a varied and unpredictable workload, including facilitating the flow of patients from the waiting room. They contributed to patient safety in the waiting room, primarily by reassessing and detecting clinical deterioration.Further research into this role is required, including linking efficacy with experience of nurses, impact the role has on patient safety, and patient and family perceptions of the role.Therapeutic engagement allowed waiting room nurses to reassure and calm patients and families, and deliver holistic, patient-centred care. Waiting room nurses contributed to patient safety in the waiting room, by promptly commencing episodes of care in the waiting room and through close monitoring and assessment to detect patient deterioration.
Ferguson, C, Hickman, L, Wright, R, Davidson, PM & Jackson, D 2018, 'Preparing nurses to be prescribers of digital therapeutics', CONTEMPORARY NURSE, vol. 54, no. 4-5, pp. 345-349.View/Download from: Publisher's site
Davidson, P, Rushton, CH, Kurtz, M, Wise, B, Jackson, D, Beaman, A & Broome, M 2018, 'A social-ecological framework: A model for addressing ethical practice in nursing.', Journal of Clinical Nursing, vol. 27, no. 5-6, pp. e1233-e1241.View/Download from: Publisher's site
To develop a framework to enable discussion, debate and the formulation of interventions to address ethical issues in nursing practice.Social, cultural, political and economic drivers are rapidly changing the landscape of health care in our local environments but also in a global context. Increasingly, nurses are faced with a range of ethical dilemmas in their work. This requires investigation into the culture of healthcare systems and organisations to identify the root causes and address the barriers and enablers of ethical practice. The increased medicalisation of health care; pressures for systemisation; efficiency and cost reduction; and an ageing population contribute to this complexity. Often, ethical issues in nursing are considered within the abstract and philosophical realm until a dilemma is encountered. Such an approach limits the capacity to tangibly embrace ethical values and frameworks as pathways to equitable, accessible, safe and quality health care and as a foundation for strengthening a supportive and enabling workplace for nurses and other healthcare workers.Conceptual framework development.A comprehensive literature review was undertaken using the social-ecological framework as an organising construct.This framework views ethical practice as the outcome of interaction among a range of factors at eight levels: individual factors (patients and families); individual factors (nurses); relationships between healthcare professionals; relationships between patients and nurses; organisational healthcare context; professional and education regulation and standards; community; and social, political and economic.Considering these elements as discrete, yet interactive and intertwined forces can be useful in developing interventions to promote ethical practice. We consider this framework to have utility in policy, practice, education and research.Nurses face ethical challenges on a daily basis, considering these within a social-ecological framework can ass...
Padula, WV, Davidson, PM, Jackson, D, Pedreira, R & Pronovost, PJ 2018, 'Unintended consequences of quality improvement programs on the prevention of hospital-acquired conditions: Avoiding the temptation to bite into low-hanging fruit', Journal of Patient Safety and Risk Management, vol. 23, no. 3, pp. 123-127.View/Download from: Publisher's site
Frawley, JE, McIntyre, E, Wardle, J & Jackson, D 2018, 'Is there an association between the use of complementary medicine and vaccine uptake: results of a pilot study.', BMC research notes, vol. 11, no. 1, pp. 217-217.View/Download from: Publisher's site
Despite the incredible success of paediatric immunisation, support is not universal. It has been suggested that complementary medicine practitioners enable vaccine rejection and his study aims to explore the relationship between complementary medicine use and paediatric vaccination. A total of 149 Australian parents were recruited via a parenting website and Facebook groups to complete an online questionnaire.The majority of parents (66.4%) stated that their children's vaccination status was up-to-date. Vaccination status was associated with parental education, area of residence, income, private health insurance, and having a Health Care Card (p < 0.05). Children's vaccinations were more likely to be up-to-date if they had consulted a general practitioner in the previous 12 months (OR 21.75; p < 0.001), and less likely to be up-to-date if they had consulted a complementary medicine practitioner (OR 0.10; p < 0.001) in the same period. Concerns about vaccine safety and efficacy were the most common reasons for a child's immunisation status not being up-to-date. These findings highlight an interface between lower vaccine uptake and visits to complementary medicine practitioners. These results emphasise the need to examine the routine paediatric care practices of complementary medicine practitioners as a crucial piece of the puzzle in understanding vaccine rejection.
Babatunde-Sowole, O, Power, TJ, Davidson, PM, Ballard, C & Jackson, D 2018, 'Exploring the diet and lifestyle changes contributing to weight gain among Australian West African women following migration: A qualitative study', Contemporary Nurse, vol. 54, no. 2, pp. 150-159.View/Download from: Publisher's site
Aims and objectives: This paper reports on women’s experiences of weight gain and obesity as they became acculturated to the Australian diet and lifestyle.
Background: Migrants from sub-Saharan Africa have a much higher risk of obesity than the native population when settling in industrialised countries.
Results: Women in this study reported weight gain post-migration. This was attributed to increased access to a wide variety of food including takeaway food and more sedentary lifestyles.
Conclusions: Obesity has long-term consequences for health and well-being. Further research is needed to support a healthy transition to life in Australia.
Relevance to clinical practice: Gaining insight into the underlying reasons that West African immigrants to Australia become obese could contribute to assisting health professionals design culturally appropriate interventions and health education programmes to support new arrivals.
Hickman, L, DiGiacomo, M, Phillips, J, Rao, A, Newton, P, Jackson, D & Ferguson, C 2018, 'Improving evidence based practice in postgraduate nursing programs: Asystematic review', Nurse Education Today, vol. 63, pp. 69-75.View/Download from: Publisher's site
The nursing profession has a significant evidence to practice gap in an increasingly complex and dynamic health care environment.
To evaluate effectiveness of teaching and learning strategies related to a capstone project within a Masters of Nursing program that encourage the development of evidence based practice capabilities.
Systematic review that conforms to the PRISMA statement. Sample: Master's Nursing programs that include elements of a capstone project within a university setting.
Data Sources/Review Methods
MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, ERIC and PsycInfo were used to search for RCT's or quasi experimental studies conducted between 1979 and 9 June 2017, published in a peer reviewed journal in English.
Of 1592 studies, no RCT's specifically addressed the development of evidence based practice capabilities within the university teaching environment. Five quasi-experimental studies integrated blended learning, guided design processes, small group work, role play and structured debate into Masters of Nursing research courses. All five studies demonstrated some improvements in evidence based practice skills and/or research knowledge translation, with three out of five studies demonstrating significant improvements.
There is a paucity of empirical evidence supporting the best strategies to use in developing evidence based practice skills and/or research knowledge translation skills for Master's Nursing students. As a profession, nursing requires methodologically robust studies that are discipline specific to identify the best approaches for developing evidence-based practice skills and/or research knowledge translation skills within the university teaching environment. Provision of these strategies will enable the nursing profession to integrate the best empirical evidence into nursing practice.
Wyllie, A, DiGiacomo, M, Jackson, D, Davidson, P & Phillips, J 2018, 'Corrigendum to "Acknowledging attributes that enable the career academic nurse to thrive in the tertiary education sector: A qualitative systematic review" [Nurse Educ. Today 45, October 2016, 212-218].', Nurse Education Today, vol. 62, pp. 164-164.View/Download from: Publisher's site
Fowler, C, Rossiter, C, Dawson, A, Power, T, Jackson, D & Roche, M 2018, 'When parenting doesn’t 'come naturally’: providers’ perspectives on parenting education for incarcerated mothers and fathers', Studies in Continuing Education, vol. 40, no. 1, pp. 98-114.View/Download from: Publisher's site
Learning to parent sensitively and safely can be challenging for adults with childhood abuse and neglect experiences. Such childhood experiences are prevalent among incarcerated parents whose ability to parent their own children is also limited by separation from them. Several prisons have developed programs to foster pro-social parenting skills among incarcerated mothers and fathers to assist them on release. This paper reports a qualitative research study that explored the factors affecting the delivery and outcomes of parenting programs in correctional facilities in New South Wales Australia from the perspective of individuals involved in developing and implementing the programs. Thematic analysis of 19 interviews identified two main themes: supporting parents’ learning in correctional settings and providers’ learning about parent education in correctional settings. Respondents reported the benefits of providing creative learning opportunities enabling parents to build on their strengths and to develop relationships. These factors contributed to changing prisoners’ attitudes and supporting them to consider alternative parenting approaches. The co-productive approach to parent education supported enhanced parenting knowledge among parents and greater insights among educators. Parenting education can be successfully delivered in correctional settings and can assist incarcerated parents to build on existing knowledge and adapt it to their own needs.
Hayes, CJ, Jackson, D, Davidson, PM, Daly, J & Power, T 2018, 'Pondering practice: Enhancing the art of reflection', Journal of Clinical Nursing, vol. 27, no. 1-2, pp. 345-353.View/Download from: Publisher's site
Aims and objectives
The aim of this study was to describe the effect that immersive simulation experiences and guided reflection can have on the undergraduate nurses' understanding of how stressful environments impact their emotions, performance and ability to implement safe administration of medications.
Patient safety can be jeopardised if nurses are unsure of how to appropriately manage and respond to interruptions. Medication administration errors are a major patient safety issue and often occur as a consequence of ineffective interruption management. The skills associated with medication administration are most often taught to, and performed by, undergraduate nurses in a controlled environment. However, the clinical environment in which nurses are expected to administer medications is often highly stressed and nurses are frequently interrupted.
This study used role-play simulation and written reflections to facilitate deeper levels of student self-awareness. A qualitative approach was taken to explore students' understanding of the effects of interruptions on their ability to undertake safe medication administration. Convenience sampling of second-year undergraduate nursing students enrolled in a medical–surgical subject was used in this study. Data were obtained from 451:528 (85.42%) of those students and analysed using thematic analysis.
Students reported increasing consciousness and the importance of reflection for evaluating performance and gaining self-awareness. They described self-awareness, effective communication, compassion and empathy as significant factors in facilitating self-efficacy and improved patient care outcomes.
Following a role-play simulation experience, student nurses reported new knowledge and skill acquisition related to patient safety, and new awareness of the need for empathetic and compassionate care during medication administration. Practicing medication administration in realis...
McDermid, F, Mannix, J, Jackson, D, Daly, J & Peters, K 2018, 'Factors influencing progress through the liminal phase: A model to assist transition into nurse academic life.', Nurse Education Today, vol. 61, pp. 269-272.View/Download from: Publisher's site
Blakey, EP, Jackson, D, Walthall, H & Aveyard, H 2017, 'What is the experience of being readmitted to hospital for people 65 years and over? A review of the literature', Contemporary Nurse, vol. 53, no. 6, pp. 698-712.View/Download from: Publisher's site
© 2018 Informa UK Limited, trading as Taylor & Francis Group. Aim: To explore the experience of readmissions to hospital from the perspective of older adults. Methods: A systematic review with an interpretative approach was conducted. CINAHL, Embase, and Medline were consulted in October 2016. Results: Six studies with data collection between 2004 and 2013 fit the relevant criteria and included a total of 68 older adults. Two overarching themes were developed with relevant subthemes: Experience during initial hospital stay distinguished by exclusion (Feeling powerless; Feeling disregarded; Perception of readiness for discharge); Patients experience uncertainty following discharge (Perception that community-based services are not available or adequate; Perception that hospital is the only safe place; Difficulty in adapting to a “new normal”). Conclusions: A cycle of exclusion exists during the initial hospital stay and beyond. The experience of being readmitted to hospital is challenging, mostly perceived as negative, and, existential, emotional and psychological well-being is not satisfactorily addressed by healthcare professionals.
Cleary, M, Jackson, D, Sayers, JM & Lopez, V 2017, 'Building Early Academic Career Capacity Through Mentoring', Issues in Mental Health Nursing, vol. 38, no. 11, pp. 971-973.View/Download from: Publisher's site
Cleary, M, Jackson, D, Woods, C, Kornhaber, R, Sayers, J & Usher, K 2017, 'Experiences of Health Professionals Caring for People Presenting to the Emergency Department After Taking Crystal Methamphetamine (“ICE”)', Issues in Mental Health Nursing, vol. 38, no. 1, pp. 33-41.View/Download from: Publisher's site
2016 Copyright © Taylor & Francis Group, LLCGlobally, addiction to “ICE” (crystal methamphetamine) is increasing and presents emergency health care services personnel with a number of challenges. This paper reports the first of two major themes arising from a qualitative study investigating health professionals' experiences' managing people presenting to the Emergency Department (ED) after taking “ICE.” The theme “Caring for people who use ‘ICE’ when presenting to EDs” comprises five subthemes. These are: (a) expecting the unexpected: “they're just off their heads”; (b) complexity of care: “underlying trauma and emotional dysregulation”; (c) connecting and relationships: “engaging in a calm and helpful way”; (d) coordinating care and teamwork: “keeping them quiet and away from everybody” and (e) learning and reflection: “we need to rethink our treatment options.” These findings highlight the complexity and resource-intensity associated with providing emergency care to persons affected by ICE, and the need for thoughtful strategies that can further develop the capacity and capability of health professionals to provide optimal care to people using ICE.
Cleary, M, Sayers, J, Bramble, M, Jackson, D & Lopez, V 2017, 'Overview of Substance Use and Mental Health Among the "Baby Boomers" Generation.', Issues in Mental Health Nursing, vol. 38, no. 1, pp. 61-65.View/Download from: Publisher's site
As the population ages, risk factors commonly shared by chronic degenerative disease can be exacerbated by behaviours and lifestyle choices. There is increasing evidence that those affected by chronic disease (and associated symptoms such as pain), depression and adverse behavioural and lifestyle patterns are at risk of substance misuse. This paper overviews substance use in Baby Boomers, which are defined as people aged between 52-70 years old, and the implications this may have on their mental health and well-being. We provide an overview of the characteristics of the Baby Boomer generation, their health status and what is currently known about their substance use and misuse. A strengthening of older adult mental health outpatient services is recommended to prevent and address substance use among older adults. Further research examining factors that influence substance use among this group could better inform health promotion programs targeting Baby Boomers.
Douglas, L, Jackson, D & Usher, K 2017, 'Extending our understanding of mentoring: The potential of peer mentoring for, and by, at-risk young people', International Journal of Mental Health Nursing, vol. 26, no. 2, pp. 107-109.View/Download from: Publisher's site
East, L, Hutchinson, M, Power, T & Jackson, D 2017, 'Men's constructions of mothering: Growing up in father-absent families', International Journal of Men's Health, vol. 16, no. 1, pp. 37-48.View/Download from: Publisher's site
© 2017 by the Men's Studies Press, LLC. All rights reserved. The purpose of this article is to consider adult men's retrospective constructions of mothering and growing up in father-absent households. An exploratory qualitative design using semi-structured interviews was utilised and interviews were conducted with 21 adult men. Collected data were transcribed verbatim and subject to thematic analysis. Findings revealed memories of loss and missed opportunities, poverty and disadvantage. Men recollected their mothers attempting to balance their physical and financial security with their emotional needs. Findings from this study suggest that men who experience father absence from an early age can experience an ongoing sense of loss and disadvantage that may be carried throughout life. We recommend this population of men be provided with opportunities to disclose feelings about their experiences as father-absent boys when coming into contact with health and social services.
East, L, Hutchinson, M, Power, TJ & Jackson, D 2017, 'A qualitative study of men's recollections of growing up with father absence: Childhood father figures and family resilience', Contemporary Nurse, vol. 53, no. 4, pp. 436-444.View/Download from: Publisher's site
Background: Families come in many forms and single parent women headed households are common with nurses being well positioned to provide support for these women and their children. For children growing up in lone parent households, the nature of family relationships and the availability of a social support network are important factors in reducing developmental risks.
Aim: The aim of this study was to explore adult men’s recollections of growing up in a father-absent home.
Design: This study utilised a qualitative methodology.
Methods: Semi-structured interviews were conducted with 21 adult men who grew up in a father-absent home due to family discord. Interview transcripts were thematically analysed using an inductive approach.
Findings: Analysis of the interview transcripts revealed two themes relating to childhood father figures and family relational networks. For some men, ambivalent, violent or unavailable father figures stepped into the void created by the absent father. Others experienced positive father figures or multigenerational relationships, which provided positive relational supports and attachments.
Conclusion: The findings illuminate the dynamics of family resilience and provide important insights for nurses and other family healthcare workers.
East, L, Peters, K & Jackson, D 2017, 'Violated and vulnerable: women's experiences of contracting a sexually transmitted infection from a male partner.', Journal of clinical nursing, vol. 26, no. 15-16, pp. 2342-2352.View/Download from: Publisher's site
To explore women's stories of contracting a sexually transmitted infection from a male partner and elucidate the gendered constructs and violence experienced that made the women vulnerable to these infections.Violence against women can result in both physical and psychological consequences and expose women to multiple health risks including sexual health adversity.Feminist storytelling approach.Qualitative interviews were conducted with 10 women. All data underwent thematic analysis.Findings from this study revealed the women were vulnerable to contracting sexually transmitted infection/s from their male sexual partners as a result of unequal gender and abusive relationship dynamics. Subsequently, contracting a sexual infection within this context potentially increased their vulnerability in both current and future relationships, through their loss of self-confidence and perceived ability to have a trusting loving heterosexual relationship as women with sexually transmitted infection/s.Women in relationships in which they are subordinate to their male partner are at heightened risk of sexual health adversity, including contracting a sexually transmitted infection. Contracting a sexually transmitted infection within the context of an abusive relationship can further increase women's vulnerability to dominant male partners, thus further exposure to sexual risk and adversity.Nurses working in clinical settings are well placed to conduct opportunistic screening of women's sexual health, including assessment of sexually transmitted infections and the nature of the encounter in which they were contracted. Thorough assessment can potentially identify relationship and personal factors that can increase a woman's risk to both sexual adversity and forms of abuse. Also, if women do divulge that they have suffered abuse, nurses are positioned to provide support and guidance in implementing strategies to minimise risk as well as referring them to specialised services.
Frawley, JE, Anheyer, D, Davidson, S & Jackson, D 2017, 'Prevalence and characteristics of complementary and alternative medicine use by Australian children.', Journal of Paediatrics and Child Health, vol. 53, no. 8, pp. 782-787.View/Download from: Publisher's site
This study was conducted to evaluate the use of complementary and alternative medicine (CAM) among Australian children within the previous 12 months.Parents with children up to the age of 18 years were recruited from online parenting groups. Questions addressed demographic factors, socio-economic status, conventional health service use, including vaccination status and use of CAM.A total of 149 parents responded to the study of which 73.8% (n = 110) had taken their child to visit a CAM practitioner or given their child a CAM product in the previous 12 months. The two most frequently visited CAM practitioners were naturopath/herbalist (30.4%) and chiropractor (18.4%). The most commonly used products were vitamins/minerals (61.7%), and herbal medicine (38.8%). Children had also consulted with a general practitioner (89.8%), community health nurse (31.29%) and paediatrician (30.3%) over the same period. A total of 52% of parents did not disclose their child's use of CAM to their medical provider. Children's vaccination status was less likely to be up-to-date if they visited a CAM practitioner (OR 0.16; CI 0.07, 0.36; P < 0.001) or used a CAM product (OR 0.25; CI 0.09, 0.64; P = 0.004).Despite a lack of high quality research for efficacy and safety, many children are using CAM products and practices in parallel with conventional health services, often without disclosure. This highlights the need to initiate conversations with parents about their child's use of CAM in order to ensure safe, coordinated patient care. The association between vaccine uptake and CAM use requires further investigation.
Gardiner, S, Glogowska, M, Stoddart, C, Pendlebury, S, Lasserson, D & Jackson, D 2017, 'Older people's experiences of falling and perceived risk of falls in the community: A narrative synthesis of qualitative research', International Journal of Older People Nursing, vol. 12, no. 4, pp. 1-8.View/Download from: Publisher's site
To examine qualitative research exploring older people's experiences of falling and the perceived risk of falling in the community. This will contribute new insights into how falling is perceived by the older community.
Falls are a major problem for older people and healthcare services across the world. Accidental falls in the community are a persistent problem that is generally recognised as an intrinsic risk of ageing. This review provides a new synthesis of evidence that considers older people's perception of falls in the community as new insights are needed if the increasing problems of falls are to be addressed.
Synthesis of the qualitative literature employing Noblit and Hare's method of reciprocal translation. CINAHL, Medline, EMBASE, PsychINFO and BNI were searched 1999–2015.
Noblit and Hare's method of reciprocal translations was used to conceive this meta‐ethnographic synthesis. The ENTREQ statement was employed as a tool for reporting the synthesis of qualitative research. The PRISMA statement was used for reporting the different phase of the literature search, and the Critical Appraisal Skills Programme qualitative research checklist was used as an appraisal framework.
Eleven papers fit the inclusion criteria and revealed a series of themes. These were falls as a threat to personal identity, falls as a threat to independence, falls as a threat to social interaction and carefulness as a protective strategy.
Many older people reject the label of “at risk of falling” because of the perceived implication of dependency and incompetence. To be considered “at risk” of falling is perceived as threatening the identity of individuals who are comfortable maintaining their own independence. However, there are also those who accept the risk of falling and in doing so choose carefulness as a personal strategy to manage the risk. For the majority of older people, maintaining independence is the key motivator infl...
Green, J, Darbyshire, P, Adams, A & Jackson, D 2017, 'Quality versus quantity: The complexities of quality of life determinations for neonatal nurses.', Nursing Ethics, vol. 24, no. 7, pp. 802-820.View/Download from: Publisher's site
The ability to save the life of an extremely premature baby has increased substantially over the last decade. This survival, however, can be associated with unfavourable outcomes for both baby and family. Questions are now being asked about quality of life for survivors of extreme prematurity. Quality of life is rightly deemed to be an important consideration in high technology neonatal care; yet, it is notoriously difficult to determine or predict. How does one define and operationalise what is considered to be in the best interest of a surviving extremely premature baby, especially when the full extent of the outcomes might not be known for several years?The research investigates the caregiving dilemmas often faced by neonatal nurses when caring for extremely premature babies. This article explores the issues arising for neonatal nurses when they considered the philosophical and ethical questions about quality of life in babies ≤24 weeks gestation.Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in New South Wales, Australia.Ethical processes and procedures have been adhered to by the researchers.A qualitative approach was used to analyse the data. The theme 'difficult choices' was generated which comprised three sub-themes: 'damaged through survival', 'the importance of the brain' and 'families are important'. The results show that neonatal nurses believed that quality of life was an important consideration; yet they experienced significant inner conflict and uncertainty when asked to define or suggest specific elements of quality of life, or to suggest how it might be determined. It was even more difficult for the nurses to say when an extremely premature baby's life possessed quality. Their previous clinical and personal experiences led the nurses to believe that the quality of the family's life was important, and possibly more so than the quality of life of the surviving baby. This ...
Hutchinson, M, Higson, M & Jackson, D 2017, 'Mapping trends in the concept of nurse rounding: A bibliometric analysis and research agenda', International Journal of Nursing Practice, vol. 23, no. 6.View/Download from: Publisher's site
© 2017 John Wiley & Sons Australia, Ltd Aims: Examine the growth and diffusion of research on the concept of nurse rounding and provide definitional clarity on forms of nurse rounding. Methods: Bibliometric and content analysis of primary research on nurse rounding were used to map development of the field. Manuscripts were identified from a keyword search of MEDLINE, CINAHL, and PsycINFO databases for the period 2000 to 2015. Titles, country of origin, and year of publication along with details on the characteristics and sample of each study were coded on a database. Content analyses were performed on the coded data to derive a taxonomic understanding and identify publication trends. Results: Thirty-eight primary research studies were identified. Overall, there has been an increase in the number and diversity of studies on nursing rounding. A typology of 4 variants of nurse rounding was devised to enhance clarity and enable comparative analysis. Conclusion: There has been continued interest in nurse rounding and its potential benefits. However, poor definitional clarity is evident in this body of research, with various label used interchangeably in studies reporting similar rounding designs. The field would benefit from improved conceptual clarity and investigation into forms of nurse rounding that remain largely unexamined.
Jackson, DE, Usher, K, Woods, C, Sayers, J, Kornhaber, R & Cleary, M 2017, 'Safety, Risk and Aggression: Health Professionals Experiences of Caring for People affected by crystal methamphetamine (ICE) when presenting for Emergency Care', International Journal of Mental Health Nursing, vol. 26, no. 5, pp. 437-444.View/Download from: Publisher's site
The crystalline form of methamphetamine, commonly known as crystal meth (crystal methamphetamine) or ICE, is a highly‐addictive and powerful stimulant. Users of crystal meth often require emergency care, and are associated with a substantial burden of care by emergency care providers. The aim of the present qualitative study was to explore health professionals’ experiences of providing care for patients affected by ICE who presented to the emergency department (ED). Nine semistructured interviews were conducted. The major theme, ‘staying safe’, was revealed, in which participants described their experiences of being exposed to potentially unsafe situations, and their responses to challenging behaviours, including aggression. The findings highlight the need for ED staff to understand the nature of ICE use and its adverse impact on the mental and physical health of users. Furthermore, it is clear that establishing and maintaining safety in the emergency care setting is of utmost importance, and should be a priority for health‐care managers.
Klages, D, Usher, K & Jackson, D 2017, ''Canaries in the mine'. Parents of adult children with schizophrenia: An integrative review of the literature.', International Journal of Mental Health Nursing, vol. 26, no. 1, pp. 5-19.View/Download from: Publisher's site
The purpose of this integrative review was to evaluate the current state of knowledge of parents who have adult children diagnosed with schizophrenia and their relationship with mental health professionals. Findings indicated that parents (primarily mothers) believed they intuitively knew when their adult children were becoming unwell and that they doggedly pursued connections with mental health care providers. Five themes were evident in the literature: trusting your instincts, feeling dismissed and devalued, making connections and making concessions, living with distress and sorrow, and becoming your own health-care provider. The implications of the findings on mental health nursing practice indicate that professional family relationships were not ideal, and that parents wanted to improve these relationships. Parents wanted health-care professionals to respond to their requests for help for both their children and for themselves, and wanted to be able to help the mental health team to help their adult children.
Messum, D, Wilkes, L, Peters, C & Jackson, D 2017, 'Senior managers' and recent graduates' perceptions of employability skills for health services management', Asia-Pacific Journal of Cooperative Education, vol. 18, no. 2, pp. 115-128.
If work-integrated learning (WIL) is intended by universities to meet the demand for work-ready graduates, identification of skill requirements for development on placements is a critical part of the learning process. Health services management specific employability skills perceived to be important by managers and recent graduates working in the field and their perceptions of skills they need to improve are not readily available in the literature. This research acknowledges the context specific nature or employability skills. Senior managers and recent graduates working in health services management were identified from a placement data base used at a NSW university, and were emailed a common questionnaire. A total of 38 senior managers and 42 recent graduates completed emailed surveys, rating importance and skills observed for 44 employability skills items. Items were informed by the literature and content analysis of advertisements for graduate health management positions. There was strong agreement between the two groups on important employability skills, and the top seven items on which they agreed were all generic in nature. Skill gaps were also revealed, many of which recent graduates did not appear to recognize.
Murphy, G, Peters, K, Wilkes, L & Jackson, D 2017, 'Adult children of parents with mental illness: Navigating stigma', Child and Family Social Work, vol. 22, pp. 330-338.View/Download from: Publisher's site
© 2015 John Wiley & Sons Ltd. The experiences of children who live with parental mental illness are becoming increasingly recognized. However, there remains a limited body of knowledge in relation to an individual's longer term experiences. This study sought adult children's experiences of childhood parental mental illness. It generated reflections of 13 adult children who had lived with parents with mental illness during their childhood. The narrative design of the study facilitated a voice for participants. The paper presents one main theme of the findings. The findings offer a unique insight into childhood awareness of social stigmas and children's behavioural changes to avoid disclosure of parental mental illness. Participants noted that they were aware of social stigmas associated with mental illness during their childhood. This contributed to their fear of disclosure to others that fuelled a culture of familial secrecy, reinforcing the children's own sense of difference. Further work is required to enhance community understanding about the familial journeys of parental mental illness and the impact of negative-natured stigmas.
Usher, K, Woods, C, Parmenter, G, Hutchinson, M, Mannix, J, Power, T, Chaboyer, W, Latimer, S, Mills, J, Siegloff, L & Jackson, D 2017, 'Self-reported confidence in patient safety knowledge among Australian undergraduate nursing students: A multi-site cross-sectional survey study.', International Journal of Nursing Studies, vol. 71, pp. 89-96.View/Download from: Publisher's site
Patient safety is critical to the provision of quality health care and thus is an essential component of nurse education.To describe first, second and third year Australian undergraduate nursing students' confidence in patient safety knowledge acquired in the classroom and clinical settings across the three years of the undergraduate nursing program.A cross-sectional online survey conducted in 2015.Seven Australian universities with campuses across three states (Queensland, New South Wales, South Australia).A total of 1319 Australian undergraduate nursing students.Participants were surveyed using the 31-item Health Professional Education in Patient Safety Survey (H-PEPSS). Descriptive statistics summarised the sample and survey responses. Paired t-tests, ANOVA and generalized-estimating-equations models were used to compare responses across learning settings (classroom and clinical), and year of nursing course.Participants were most confident in their learning of clinical safety skills and least confident in learning about the sociocultural dimensions of working in teams with other health professionals, managing safety risks and understanding human and environmental factors. Only 59% of students felt confident they could approach someone engaging in unsafe practice, 75% of students agreed it was difficult to question the decisions or actions of those with more authority, and 78% were concerned they would face disciplinary action if they made a serious error. One patient safety subscale, Recognising and responding to remove immediate safety risks, was rated significantly higher by third year nursing students than by first and second year students. Two broader aspects of patient safety scales, Consistency in how patient safety issues are dealt with by different preceptors, and System aspects of patient safety are well covered in our program, were rated significantly higher by first year nursing students than by second and third year students. One scale, Understandi...
Allen, E, Elliott, D & Jackson, D 2017, 'Recognising and responding to in-hospital clinical deterioration: An integrative review of interprofessional practice issues', JOURNAL OF CLINICAL NURSING, vol. 26, no. 23-24, pp. 3990-4012.View/Download from: Publisher's site
Dawson, S, Elliott, D & Jackson, D 2017, 'Nurses' contribution to short-term humanitarian care in low- to middle-income countries: An integrative review of the literature.', Journal of Clinical Nursing, vol. 26, no. 23-24, pp. 3950-3961.View/Download from: Publisher's site
To appraise the literature related to voluntary humanitarian work provided by international nurses in low- to middle-income countries.Nurses and other health professionals are engaged with both governmental and nongovernmental organisations to provide care within international humanitarian relief and development contexts. Current literature describes accounts of charitable health professional activity within short-term health-focused humanitarian trips; however, there is minimal research describing the care that nurses provide and the professional roles and tasks they fulfil whilst participating in international volunteer healthcare service.Integrative review.A search of articles published between 1995-2015 was conducted using seven bibliographic databases. Inclusion criteria incorporated nurses and allied health professionals' involvement in a volunteer short-term medical team capacity. Papers describing military and/or disaster response with a service-learning focus were excluded. Nineteen papers were selected for review, description and discussion of findings.Findings revealed limited data describing the care nurses provide and the professional roles and tasks they fulfil within the context of international humanitarian short-term medical trips. Issues raised included a description of demographic data regarding participants and sending agencies, motivation for volunteer participation, perceptions of effectiveness of particular programmes and sustainability issues related to cultural, ethical or moral obligations of foreign health professionals working in a low- to middle-income countries.Study findings highlighted that although nurses are recruited and participate in health-focused humanitarian activities in low- to middle-income countries, there is extremely limited documented research about the amount and type of care that nurses specifically provide in this context. Furthermore, when identified, it is most often hidden within studies outlining services prov...
Innes, K, Jackson, D, Plummer, V & Elliott, D 2017, 'Emergency department waiting room nurse role: A key informant perspective.', Australasian Emergency Nursing Journal, vol. 20, no. 1, pp. 6-11.View/Download from: Publisher's site
Emergency departments have become overcrowded with increased waiting times. Strategies to decrease waiting times include time-based key performance indicators and introduction of a waiting room nurse role. The aim of the waiting room nurse role is to expedite care by assessing and managing patients in the waiting room. There is limited literature examining this role.This paper presents results of semi-structured interviews with five key informants to explore why and how the waiting room nurse role was implemented in Australian emergency departments. Data were thematically analysed.Five key informants from five emergency departments across two Australian jurisdictions (Victoria and New South Wales) reported that the role was introduced to reduce waiting times and improve quality and safety of care in the ED waiting room. Critical to introducing the role was defining and supporting the scope of practice, experience and preparation of the nurses. Role implementation required champions to overcome identified challenges, including funding. There has been limited evaluation of the role.The waiting room nurse role was introduced to decrease waiting times and contributed to risk mitigation. Common to all roles was standing orders, while preparation and experience varied. Further research into the role is required.
Ferguson, C & Jackson, D 2017, 'Selecting, appraising, recommending and using mobile applications (apps) in nursing', Journal of Clinical Nursing, vol. 26, no. 21-22, pp. 3253-3255.View/Download from: Publisher's site
It's more than likely that a patient, their family member or a colleague may have recently asked you “Is there an app for that?” Mobile technology is inescapable. It is pervasive in almost every aspect of daily life. Wherever we look, people are often hunched over and fully immersed by a small 6 x 3 inch screen, whether it be walking on the street, travelling on the bus, at the coffee shop or in the clinic waiting room. Mobile devices have infiltrated most aspects of our lives and offer quick, adaptive tech-based solutions to many previously administrative, repetitive or otherwise time-consuming tasks. Everyday tasks such as banking, planning a trip on public transport, maintaining a diary or reviewing the weather all easily accomplished for most, via their mobile device. At the beginning of 2017 more than 2.2 million apps were available to download to various iOS devices such as iPads, iPhones and iPods, and more than 2.6 million apps were available in the Google Play store, formerly known as the Android Market (Statista 2017a, b). Mobile applications in the ‘Health’ category are now prolific and wide ranging including popular apps such as the ‘Nursing Drug Handbook’, ‘Lark’, ‘Medscape’ and BUPA's ‘FoodSwitch’ App. It's likely you already make use of a few nursing-related mobile apps, and possibly have even made recommendations to patients about health-related apps in the past. Yet, what informed your decision to download or recommend to patients?
Jackson, D, Durrant, L, Bishop, E, Walthall, H, Betteridge, R, Gardner, S, Coulton, W, Hutchinson, M, Neville, S, Davidson, PM & Usher, K 2017, 'Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries', Contemporary Nurse, vol. 53, no. 3, pp. 378-389.View/Download from: Publisher's site
© 2017 Informa UK Limited, trading as Taylor & Francis Group. Background: Health care within the home setting is a vital and growing component of pressure injury (PI) prevention and management. Objectives: To describe the use of health services and pressure-redistributing devices in community dwelling patients with PI’s. Design: Mixed-methods collective case study of a defined, diverse geographic postcode area in the United Kingdom. Methods: Quantitative retrospective analysis of electronic and paper medical records of adult PI patients from 2015 district nursing reports. Qualitative semi-structured interviews of community dwelling adult patients receiving, or received, treatment for PI in 2016. Results: Mandatory reports (n = 103) revealed that 90 patients were supplied with a variety of pressure-redistributing devices but only one-third of patients used the equipment as recommended. Qualitative interviews (n = 12), reported to COREQ guidelines, revealed that patients felt reliant on community health services, and were concerned about the consistency of their care. Conclusions: Authentic patient involvement is required to provide care and interventions that are acceptable to PI patients and can be incorporated into self-care strategies and effectively monitored.
Jackson, D, Durrant, L, Bishop, E, Walthall, H, Betteridge, R, Gardner, S, Coulton, W, Hutchinson, M, Neville, S, Davidson, PM & Usher, K 2017, 'Pain associated with pressure injury: A qualitative study of community-based, home-dwelling individuals.', Journal of Advanced Nursing, vol. 73, no. 12, pp. 3061-3069.View/Download from: Publisher's site
The aim of this study was to provide deep insights into the pain associated with pressure injuries in home-dwelling individuals using narrative accounts.Pressure injuries or pressure ulcers are burdensome and costly. Prevalence data, surveys and systematic reviews demonstrate that pain associated with pressure injury is widespread, but voices of home-dwelling patients have remained largely unheard.Concurrent mixed methods case study of a UK community of approximately 50,000 adults.Qualitative interviews, conducted in 2016, of 12 home-dwelling adult participants with a current pressure injury (n = 10), or a recently healed pressure injury (n = 2).Pain had an adverse impact on activities of daily living, mobility and sleep. Participants described days that were clouded in pain; a pain they felt was poorly understood and often out of control. Thematic content analysis revealed two major themes; these are: Poorly controlled pain: "I just want the pain to go away"; and, Uncertainty for the future: "it almost seems insurmountable."Findings of our study support the need to develop an appropriate assessment tool for pressure injury patients in the community to enable healthcare professionals and patients to recognize and manage pressure injury-related pain effectively.
Fowler, C, Rossiter, C, Power, T, Dawson, A & Jackson, D 2017, 'Becoming a ‘better’ father: Supporting the needs of incarcerated fathers', The Prison Journal, vol. 97, no. 6, pp. 692-712.View/Download from: Publisher's site
Given the importance of fathering to the well-being and development of children, paternal incarceration has a major impact on children and families. Drawing on interviews with 64 incarcerated fathers in New South Wales, Australia, this article explores their experiences. The men’s childhood familial separation and disconnection is frequently repeated in adulthood, with limited contact with their own families even when not in custody. Despite barriers to connection, the interviewees express strong aspirations to be “good” fathers and to achieve a “better life” for their children. The absence of stable models of responsive fathering in early life is a common theme that has implications for the development of education and support programs for imprisoned fathers.
Rossiter, C, Power, T, Fowler, C, Jackson, D, Roche, M & Dawson, A 2017, '"Learning to become a better man": Insights from a fathering programme for incarcerated indigenous men', Australian Journal of Social Issues, vol. 52, no. 1, pp. 13-31.View/Download from: Publisher's site
Hayes, C, Jackson, D, Davidson, PM, Daly, J & Power, T 2017, 'Calm to chaos: Engaging undergraduate nursing students with the complex nature of interruptions during medication administration.', Journal of Clinical Nursing.View/Download from: Publisher's site
AIMS AND OBJECTIVES: To describe undergraduate student nurse responses to a simulated role-play experience focussing on managing interruptions during medication administration. BACKGROUND: Improving patient safety requires that we find creative and innovative methods of teaching medication administration to undergraduate nurses in real-world conditions. Nurses are responsible for the majority of medication administrations in health care. Incidents and errors associated with medications are a significant patient safety issue and often occur as a result of interruptions. Undergraduate nursing students are generally taught medication administration skills in a calm and uninterrupted simulated environment. However, in the clinical environment medication administration is challenged by multiple interruptions. DESIGN/METHODS: A qualitative study using convenience sampling was used to examine student perceptions of a simulated role-play experience. Data were collected from 451 of a possible 528 student written reflective responses and subject to thematic analysis. RESULTS: Students reported an increased understanding of the impacts of interruptions while administering medications and an improved awareness of how to manage disruptions. This study reports on one of three emergent themes: "Calm to chaos: engaging with the complex nature of clinical practice." CONCLUSIONS: Interrupting medication administration in realistic and safe settings facilitates awareness, allows for students to begin to develop management strategies in relation to interruption and increases their confidence. Students were given the opportunity to consolidate and integrate prior and new knowledge and skills through this role-play simulation.
Fagan, A, Parker, V & Jackson, D 2016, 'A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment', JOURNAL OF ADVANCED NURSING, vol. 72, no. 10, pp. 2346-2357.View/Download from: Publisher's site
Girvin, J, Jackson, D & Hutchinson, M 2016, 'Contemporary public perceptions of nursing: a systematic review and narrative synthesis of the international research evidence', JOURNAL OF NURSING MANAGEMENT, vol. 24, no. 8, pp. 994-1006.View/Download from: Publisher's site
Green, J, Darbyshire, P, Adams, A & Jackson, D 2016, 'It's agony for us as well: Neonatal nurses reflect on iatrogenic pain', NURSING ETHICS, vol. 23, no. 2, pp. 176-190.View/Download from: Publisher's site
Hutchinson, M & Jackson, D 2016, 'Editorial: Intentional rounding: Unpacking the ritual, routine and evidence impasse', Journal of Clinical Nursing, vol. 25, no. 1-2, pp. 5-7.View/Download from: Publisher's site
Hutchinson, M, Higson, M, Cleary, M & Jackson, D 2016, 'Nursing expertise: A course of ambiguity and evolution in a concept', Nursing Inquiry, vol. 23, no. 4, pp. 290-304.View/Download from: Publisher's site
© 2016 John Wiley & Sons Ltd.In this article, we clarify and describe the nature of nursing expertise and provide a framework to guide its identification and further development. To have utility and rigour, concept-driven research and theories of practice require underlying concepts that are robust, valid and reliable. Advancing understanding of a concept requires careful attention to explicating its knowledge, metaphors and conceptual meaning. Examining the concepts and metaphors of nursing expertise, and how they have been interpreted into the nursing discourse, we aimed to synthesise definitions and similarities between concepts and elicit the defining characteristics and properties of nursing expertise. In clarifying the concept, we sought to move beyond the ambiguity that currently surrounds expertise in nursing and unravel it to make explicit the characteristics of nursing expertise from published peer-reviewed studies and structured literature synthesis. Findings indicate a lack of clarity surrounding the use of the term expertise. Traditional reliance upon intuition as a way of explaining expert performance is slowly evolving. Emerging from the analysis is a picture of expertise as the relationship between networks of contextual reasoning, understanding and practice. Striking absences in the discourse include limited explication of ethical reasoning and theorising a broader interpretation of expertise reflective of contemporary forms of nursing.
Jackson, D 2016, '60 seconds with Debra Jackson', Nursing times, vol. 112, no. 8, p. 24.
Jackson, D, Hutchinson, M, Barnason, S, Li, W, Mannix, J, Neville, S, Piper, D, Power, T, Smith, GD & Usher, K 2016, 'Towards international consensus on patient harm: perspectives on pressure injury policy.', Journal of nursing management, vol. 24, no. 7, pp. 902-914.View/Download from: Publisher's site
To analyse influential policies that inform practice related to pressure injury management in Australia, England, Hong Kong, New Zealand, Scotland and the United States of America.Pressure injuries are associated with significant harm to patients, and carry economic consequences for the health sector. Internationally, preventing and managing pressure injuries is a key nursing activity and quality indicator.Comparative review and synthesis of pressure injury policies that inform practice.The predominant focus of policy is on patient risk assessment, compliance with documentation and pressure relief. Financial penalty for institutions is emerging as a strategy where pressure injuries occur. Comparisons of prevalence rates are hampered by the lack of consensus on data collection and reporting. To date there has been little evaluation of policy implementation and implemented policy strategies, associated guidelines remain founded upon expert opinion and low-level evidence.The pressure injury policy agenda has fostered a discourse of attention to incidents, compliance and penalty (sanctions). Prevention and intervention strategies are informed by technical and biomedical interpretations of patient risk and harm, with little attention given to the nature or design of nursing work. Considerable challenges remain if this policy agenda is successfully to eliminate pressure injury as a source of patient harm.
Jackson, D, McDonald, G, Luck, L, Waine, M & Wilkes, L 2016, 'Some strategies to address the challenges of collecting observational data in a busy clinical environment', Collegian, vol. 23, no. 1, pp. 47-52.View/Download from: Publisher's site
© 2015 Australian College of Nursing Ltd. Studies drawing on observational methods can provide vital data to enhance healthcare. However, collecting observational data in clinical settings is replete with challenges, particularly where multiple data-collecting observers are used. Observers collecting data require shared understanding and training to ensure data quality, and particularly, to confirm accurate and consistent identification, discrimination and recording of data. The aim of this paper is to describe strategies for preparing and supporting multiple researchers tasked with collecting observational data in a busy, and often unpredictable, hospital environment. We hope our insights might assist future researchers undertaking research in similar settings.
Jackson, D, Wilson, S & Hutchinson, M 2016, 'Editorial: Harm-free care or harm-free environments: expanding our definitions and understandings of safety in health care', Journal of Clinical Nursing, vol. 25, no. 21-22, pp. 3081-3083.View/Download from: Publisher's site
McDonald, G, Jackson, D, Vickers, MH & Wilkes, L 2016, 'Surviving workplace adversity: a qualitative study of nurses and midwives and their strategies to increase personal resilience', JOURNAL OF NURSING MANAGEMENT, vol. 24, no. 1, pp. 123-131.View/Download from: Publisher's site
Messum, D, Wilkes, L, Peters, K & Jackson, D 2016, 'Content analysis of vacancy advertisements for employability skills: Challenges and opportunities for informing curriculum development', Journal of Teaching and Learning for Graduate Employability, vol. 7, no. 1, pp. 72-86.View/Download from: Publisher's site
Messum, D., Wilkes, L., Peters, K., & Jackson, D. (2016). Content analysis of vacancy advertisements for employability skills: Challenges and opportunities for informing curriculum development. Journal of Teaching and Learning for Graduate Employability, 6(1), 72-86.72Content analysis of vacancy advertisements for employability skills: Challenges and opportunities for informing curriculum developmentDiana Messum1, Lesley Wilkes1, Kath Peters1&Debra Jackson2d.email@example.com; firstname.lastname@example.org; email@example.com; firstname.lastname@example.orgWestern Sydney University, 2Oxford Brookes University, UKAbstractThe process of curriculum development can be informed by seeking the views of stakeholders,including employers, academics, students and recent graduates, about the skills, attributes and personal characteristics required by various professions. The views of several stakeholders may also be compared to help ensure reliability of results and identify areas of agreement or variance. However, there are documented limitations regarding the perceptions of academics and students of employability skills, and also problems with employers’ and recent graduates’ views. Another approach to identifying the skills required in various professions is contentanalysis of job vacancy advertisements. Contentanalysis of advertisements isa versatile way of identifying current skills required by various professions, and allows comparison across countries and over time to identify trends. Yet there is little evidence to suggest that this information is used to inform curriculum development. This paper presents a qualitative integrative review of studies looking at employability skills (ES) through the use of content analysis of job vacancy advertisements. Here ES are equated with essential requirements stated in vacancy advertisements. ES is the term adopted in Australia by DEST (2002) to define skills required to bo...
Murphy, G, Peters, K, Wilkes, L & Jackson, D 2016, 'A partnership model for a reflective narrative for researcher and participant', NURSE RESEARCHER, vol. 24, no. 1, pp. 15-19.View/Download from: Publisher's site
Murphy, G, Peters, K, Wilkes, LM & Jackson, D 2016, 'Adult Children of Parents with Mental Illness: Losing Oneself. Who am I?', Issues in Mental Health Nursing, vol. 37, no. 9, pp. 668-673.View/Download from: Publisher's site
There is a limited body of research that focuses on experiences of families of people with mental illness. While the body of knowledge concerning children of parents with mental illness is increasing, there remains limited discourse surrounding the experiences of adults who have lived with childhood parental mental illness. This paper examined one major theme of a study focusing on parenting narratives of adults who had experienced childhood parental mental illness. The narrative study from a metropolitan area of Australia reflects adult children's experiences of being overwhelmed with parental mental illness. They felt unsure of their own emotions and felt they had lost a sense of who they were as individual people. Adult children felt confused about their sense of reality, particularly for those whose parent had a diagnosis of schizophrenia or psychosis. Their experiences of loss were closely associated with changing self identity. Furthermore, many of the narratives demonstrated experiences of grief for adult children. Greater understanding of adult children's perceptions of being parented by a person with mental illness, alongside their experiences of loss, has the potential to help health and social care professionals to facilitate greater resilience for families who are living with parental mental illness.
Neville, S, Adams, J, Moorley, C & Jackson, D 2016, 'The condom imperative in anal sex - one size may not fit all: A qualitative descriptive study of men who have sex with men (MSM).', Journal of Clinical Nursing, vol. 25, no. 23-24, pp. 3589-3596.View/Download from: Publisher's site
To explore men who have sex with mens' views about condom use when having anal intercourse.Internationally, health promotion campaigns utilise behavioural change strategies to support men who have sex with men to always use condoms when having anal sex with other men. The health promotion message given to this group is consistent and explicitly stated; use a condom every time for anal sex regardless of relationship status.Qualitative analysis of data from a cohort of New Zealand men who have sex with men.A total of 960 useable questionnaires were completed; 571 online and 389 in hard copy. Qualitative data were analysed using a thematic data analytic process.Three themes relating to condom use in men who have sex with men were identified. These are: "Safer sex is good sex", "Condom use is good but …" and "I use condoms sometimes".The range of responses towards condom use for anal sex in MSM in our sample, reveal this as a complex public health issue, with not all MSM willing to consistently use condoms.It is important that nurses do not assume that all MSM are willing to use condoms for anal sex, and should create opportunities for MSM to raise any concerns about the use of condoms. In this way, nurses can assist in providing information that may help MSM to make decisions that will minimise risk of contracting infections associated with sexual activity. This article is protected by copyright. All rights reserved.
Neville, S, Napier, S, Adams, J, Wham, C & Jackson, D 2016, 'An integrative review of the factors related to building age-friendly rural communities.', Journal of clinical nursing, vol. 25, no. 17-18, pp. 2402-2412.View/Download from: Publisher's site
To identify the theories and concepts related to building age-friendly rural communities.Global population is rapidly ageing. Creating environments that support active ageing was a catalyst for the World Health Organization to develop Global Age-Friendly Cities guidelines. Although the age-friendly movement has captured the attention of some countries, little is known about the participation of older people in rural settings.An integrative review approach was employed to summarise the research literature on this topic. Using a systematic search strategy, databases including Discover (EBSCO's electronic database system), Web of Science, Scopus, PubMed, CINAHL, PsycINFO, Medline and Google Scholar were searched. Primary, peer-reviewed studies were included if published during 2007-2014 in the English language.Nine studies were eligible for inclusion. The studies were set predominantly in Canada, with the exception of one from Ireland. The findings were summarised and clustered into main topics which included: theoretical perspectives; geographic and demographic characteristics; collaboration and partnerships; sustainability and capacity; and finally, future research agendas.Rural communities are changing rapidly and are becoming increasingly diverse environments. Community characteristics can help or hinder age-friendliness. Importantly, the fundamental starting point for age-friendly initiatives is establishing older peoples' perceptions of their own communities.It is important for nurses, working in primary health care settings, to understand the needs of older people in the communities in which they practice. This includes the community characteristics that can be enablers and barriers to older people being able to remain and age within their own communities.
Neville, S, Russell, J, Adams, J & Jackson, D 2016, 'Living in your own home and being socially connected at 95 years and beyond: a qualitative study', CONTEMPORARY NURSE, vol. 52, no. 2-3, pp. 258-268.View/Download from: Publisher's site
Pascale Blakey, E & Jackson, D 2016, 'Editorial: Reflections on being a new nurse: 10 insights after four weeks as a registered nurse', Journal of Clinical Nursing, vol. 25, no. 11-12, pp. 1483-1485.View/Download from: Publisher's site
Peters, K, Cunningham, C, Murphy, G & Jackson, D 2016, 'Helpful and unhelpful responses after suicide: Experiences of bereaved family members', International Journal of Mental Health Nursing, vol. 25, no. 5, pp. 418-425.View/Download from: Publisher's site
Individuals who are bereaved by suicide and other traumatic natured deaths are thought to be at greater risk of psychological complications, than people bereaved by other means. While it is recognized that interventions can influence the bereavement process, there remains limited communications about both helpful responses and those that may adversely influence the grieving process for the suicide bereaved. This paper presents findings from a narrative study, which sought the experiences of family members after the loss of a loved one as a result of suicide. The study findings demonstrated that responses by agencies are often insensitive and not aligned with the needs of those bereaved. We argue that training is paramount for all services to increase awareness of the needs of people bereaved by suicide and available support services. Changes to organizational policies in relation to finance support would greatly support the bereaved during their time of grief and heightened distress.
Peters, K, Cunningham, C, Murphy, G & Jackson, D 2016, ''People look down on you when you tell them how he died': Qualitative insights into stigma as experienced by suicide survivors', International Journal of Mental Health Nursing, vol. 25, no. 3, pp. 251-257.View/Download from: Publisher's site
This paper aims to present findings that convey how people felt stigmatized after the loss of a loved one to suicide. A qualitative design was used for the purpose of this study. Data were collected using in-depth, face-to-face interviews. Audio-recordings of the interviews were transcribed and thematically analyzed. Ten people bereaved by suicide participated in the study. Four themes emerged from the data namely: Feeling blamed, shamed and judged; Feeling isolated/rejected by friends and community; Feeling silenced and Feeling the burden of others' discomfort. Findings show that stigmatization of the bereaved by suicide had detrimental effects on their relationships and their help seeking behaviours. Further, due to stigma imposed on them by others, participants were denied the opportunity to tell their stories which further complicated their grieving process. Further education and training is required for health professionals to enhance understanding of the specific needs of those bereaved by suicide.
Trajkovski, S, Schmied, V, Vickers, MH & Jackson, D 2016, 'Experiences of neonatal nurses and parents working collaboratively to enhance family centred care: The destiny phase of an appreciative inquiry project', Collegian, vol. 23, no. 3, pp. 265-273.View/Download from: Publisher's site
© 2015 Australian College of Nursing Ltd Aim The aim of this paper is to report on the process and experiences of neonatal nurses and parents who worked collaboratively in an appreciative inquiry (AI) project to enhance family centred care (FCC) in the neonatal unit with a focus on the destiny phase. Background The concept of FCC is internationally recognised as an ideal way of caring for hospitalised children however, research suggests health professionals experience difficulties integrating FCC principles into daily practice. A fundamental principle of FCC is the need to develop respectful partnerships between health professionals and parents of infants requiring neonatal care. AI offers a positive, strength based, participatory approach that promotes organisational learning and positive organisational change. AI facilitates change from the ground up and lends itself to building effective sustainable partnerships and collaborations. Design Qualitative interpretive approach. Methods Two focus groups (4 neonatal nurses in the first group and 2 neonatal nurses, 1 physiotherapist and 1 occupational therapist in the second) and four individual face-to-face interviews were conducted (2 neonatal nurses and 2 parents of infants previously discharged from the neonatal unit) (total n = 12). Data were analysed using thematic analysis. Results Data analysis revealed four key themes: ‘creating a physical and mental space’, ‘building and maintaining momentum’, ‘ongoing organisational support’ and ‘continuing collaborations’. Conclusion Parents and health care professionals worked collaboratively to facilitate FCC. Implications for future practice/research AI provides a framework that enables parent–nurse collaboration needed to develop action plans that can form the catalyst for organisational change in health care research and practice.
Weir-Hughes, D & Jackson, D 2016, 'Magnet recognition in the United Kingdom: Recognising international evidence or remaining in splendid isolation?', Journal of Nursing Management, vol. 24, no. 2, pp. 137-138.View/Download from: Publisher's site
Wilson, D, Jackson, D & Herd, R 2016, 'Confidence and connectedness: Indigenous Maori women's views on personal safety in the context of intimate partner violence', HEALTH CARE FOR WOMEN INTERNATIONAL, vol. 37, no. 7, pp. 707-720.View/Download from: Publisher's site
Rolls, K, Hansen, M, Jackson, D & Elliott, D 2016, 'How Health Care Professionals Use Social Media to Create Virtual Communities: An Integrative Review', JOURNAL OF MEDICAL INTERNET RESEARCH, vol. 18, no. 6.View/Download from: Publisher's site
Rolls, K, Hansen, M, Jackson, D & Elliott, D 2016, 'Why We Belong - Exploring Membership of Healthcare Professionals in an Intensive Care Virtual Community Via Online Focus Groups: Rationale and Protocol.', JMIR Research Protocols, vol. 5, no. 2, pp. 1-14.View/Download from: Publisher's site
Many current challenges of evidence-based practice are related to ineffective social networks among health care professionals. Opportunities exist for multidisciplinary virtual communities to transcend professional and organizational boundaries and facilitate important knowledge transfer. Although health care professionals have been using the Internet to form virtual communities for many years, little is known regarding "why" they join, as most research has focused on the perspective of "posters," who form a minority of members.Our aim was to develop a comprehensive understanding of why health care professionals belong to a virtual community (VC).A qualitative approach will be used to explore why health care professionals belong to an intensive care practice-based VC, established since 2003. Three asynchronous online focus groups will be convened using a closed secure discussion forum. Participants will be recruited directly by sending emails to the VC and a Google form used to collect consent and participant demographics. Participants will be stratified by their online posting behaviors between September 1, 2012, and August 31, 2014: (1) more than 5 posts, (2) 1-5 posts, or (3) no posts. A question guide will be used to guide participant discussion. A moderation approach based on the principles of focus group method and e-moderation has been developed. The main source of data will be discussion threads, supported by a research diary and field notes. Data analysis will be undertaken using a thematic approach and framed by the Diffusion of Innovation theory. NVivo software will be used to support analyses.At the time of writing, 29 participants agreed to participate (Focus Group 1: n=4; Focus Group 2: n=16; Focus Group 3: n=9) and data collection was complete.This study will contribute to a growing body of research on the use of social media in professional health care settings. Specifically, we hope results will demonstrate an enhancement of health care professio...
Murray-Parahi, P, DiGiacomo, M, Jackson, D & Davidson, PM 2016, 'New Graduate Registered Nurse Transition into Primary Health Care roles: An integrative literature review', Journal of Clinical Nursing, vol. 25, pp. 3084-3101.View/Download from: Publisher's site
Aims and objectives. To summarise the literature describing new graduate nursetransition to professional practice within the primary health care (PHC) setting.Background. There is a plethora of research literature spanning several decadesabout new graduate nurse transition in the acute care setting. Yet, the experiencesof new graduate nurse in the PHC setting is unremarkable particularly consider-ing the increasing demand for skilled health care workers and focus of healthreform to provide care where people work and live.Design. Electronic data bases, Academic Search Complete, EBSCO, Medline, Psy-cINFO, CINHAL, and ERIC were searched using a combination of terms andsynonyms arising from three key concepts which identify the phenomenon; ‘tran-sition’, ‘new graduate registered nurse’ and ‘primary health care. An inclusivesearch strategy placed no limits on language or publication date.Results. Of the 50 articles located and examined for relevance; 40 were sourcedthrough databases and 10 from Google Scholar/Alerts and hand-searching refer-ences. None of the 19 articles retained for analysis addressed all key concepts.Conclusions. Some challenges of researching the professional transition of gradu-ate nurses in PHC settings included, an absence of deﬁnitive transition models, adearth of literature and deference to acute care research.Relevance to clinical practice. Nursing in PHC settings, particularly the client’shome is notably different to hospital settings because of higher levels of isolationand autonomy. Societal changes, health reform and subsequent demand for skilledworkers in PHC settings has caused health care providers to question the logicthat such roles are only for experienced nurses. Implications arise for educationand health service providers who desire to close the theory practice gap and miti-gate risk for all stakeholders when next generation nurses have limited opportuni-ties to experience PHC roles as undergraduates and newly graduated registered...
Babatunde-Sowole, OO, Jackson, D, Davidson, PM & Power, T 2016, '“Coming to a Strange Land”: The West African Migrant Women’s Establishment of Home and Family in a New Culture Within Australia', Journal of Transcultural Nursing, pp. 1-9.View/Download from: Publisher's site
Purpose: Migrating and establishing a new life in another culture can have diverse health effects especially for women.
This article explores the struggles and social adjustment issues that might constitute negatively to the health of West
African migrant women living in Australia. Design: Qualitative storytelling. Audiotaped voluntary stories from 20 West
African migrant women living in Sydney, Australia were transcribed and analyzed. Findings: Three themes are presented for
discussion: (1) But it is different here: life in a new country; (2) I have to do it all by myself: communal versus individual living; and
(3) They don’t listen to parents: perceived threats to the family unit. Conclusion/Implication for Practice: The demand for
and the importance of nurses and midwives in supporting migrant families is demonstrated by findings suggesting that social
adjustment into the Australian culture has a significant impact on both the nuclear and extended family unit of women.
Sowole, O, Power, T, Jackson, D, Davidson, PM & DiGiacomo, M 2016, 'Resilience of African migrant women: an integrative review', Health Care for Women International, vol. 37, no. 9, pp. 946-963.View/Download from: Publisher's site
African migrant women represent a rapidly growing cohort of new arrivals in many countries. Many of these women demonstrate strength and resilience throughout the stressful migration process. In this integrative review, we explore the literature on African migrants' resilience using an ecological framework. Nine peer-reviewed journal articles and six grey literature documents were reviewed. Key internal and external factors in achieving resilience were identified, discussed, and diagrammatically represented using Bronfenbrenner's Ecological Framework under micro-, meso-, exo-, and macro-levels. Our findings show that the capacity for resilience demonstrated during migration could have implications for policy and practice.
Forber, J, DiGiacomo, M, Carter, B, Davidson, P, Phillips, J & Jackson, D 2016, 'In pursuit of an optimal model of undergraduate nurse clinical education: An integrative review', Nurse Education in Practice, vol. 21, pp. 83-92.View/Download from: Publisher's site
Clinical learning experiences are an essential part of nurse education programs. Numerous approaches to clinical education and student supervision exist. The aim of this integrative review was to explore how studies have compared or contrasted different models of undergraduate nurse clinical education. A search of eight databases was undertaken to identify peer-reviewed literature published between 2006 and 2015. Eighteen studies met the inclusion criteria. A diverse range of methodologies and data collection methods were represented, which primarily explored student experiences or perceptions. The main models of undergraduate nurse clinical education identified were: traditional or clinical facilitator model; the preceptorship or mentoring model; and the collaborative education unit model in addition to several novel alternatives. Various limitations and strengths were identified for each model with no single optimal model evident. Thematic synthesis identified four common elements across the models: the centrality of relationships; the need for consistency and continuity; the potential for variety of models; and the viability/sustainability of the model. The results indicate that effective implementation and key elements within a model may be more important than the overarching concept of any given model. Further research is warranted to achieve an agreed taxonomy and relate model elements to professional competence.
Wyllie, A, DiGiacomo, M, Phillips, J, Davidson, PM & Jackson, D 2016, 'Acknowledging attributes that enable the career academic nurse to thrive in the tertiary education sector: a qualitative systematic review', Nurse Education Today, vol. 45, pp. 212-218.View/Download from: Publisher's site
Power, T, Virdun, C, Sherwood, J, Parker, N, Van Balen, J, Gray, J & Jackson, D 2016, 'REM: A Collaborative Framework for Building Indigenous Cultural Competence', JOURNAL OF TRANSCULTURAL NURSING, vol. 27, no. 5, pp. 439-446.View/Download from: Publisher's site
Halcomb, E, Jackson, D, Daly, J, Gray, J, Salamonson, Y, Andrew, S & Peters, K 2016, 'Insights on leadership from early career nurse academics: findings from a mixed methods study', JOURNAL OF NURSING MANAGEMENT, vol. 24, no. 2, pp. E155-E163.View/Download from: Publisher's site
Ferguson, C, DiGiacomo, M, Saliba, B, Green, J, Moorley, C, Wyllie, A & Jackson, D 2016, 'First year nursing students' experiences of social media during the transition to university: a focus group study.', Contemporary Nurse, vol. 52, no. 5, pp. 625-635.View/Download from: Publisher's site
Social media platforms such as Facebook allow users to connect with each other online. They are also used as tools for creating communities, which can then be utilised as a mean for supportive, professional and social learning.
This study aimed to explore first year Bachelor of Nursing student experiences with social media in supporting student transition and engagement into higher education.
Qualitative focus groups Methods: First year Bachelor of Nursing students were conveniently sampled for inclusion in this study. Ten students were included in three face-to-face focus groups which lasted between 45 minutes and one hour each. When it became apparent that no new information was emerging from focus groups, recruitment stopped. Sessions were audio-recorded and transcribed verbatim. Data were analysed using qualitative thematic content analysis.
Three key themes emerged from the data that illustrates the experiences of transition and engagement of first year student nurses using social media at university. These were; 1) Facilitating familiarity and collaboration at a safe distance; 2) Promoting independent learning by facilitating access to resources; and 3) Mitigating hazards of social media.
This study has demonstrated the importance of social media applications such as Facebook in supporting informal peer-peer learning and support, augmenting online and offline relationships, and building professional identity as a nurse. Students reported active increased use when assessments were due and while on clinical placement. Students found Facebook useful as an avenue to debrief and reflect, whilst on clinical placement, and as a tool to meet new friends and strengthen existing relationships. There is need for future research and evaluation of interventions that bridge the divide between traditional learning platforms such as Blackboard and social media platforms.
Wyer, M, Jackson, D, Iedema, R, Hor, S-Y, Gilbert, GL, Jorm, C, Hooker, C, O Sullivan, MVN & Carroll, K 2015, 'Involving patients in understanding hospital infection control using visual methods', Journal of clinical nursing, vol. 24, pp. 1718-1729.
Cleary, M, Escott, P, Walter, G, Horsfall, J & Jackson, D 2015, '"Keeping the Peace": Relevance of the Concept for Mental Health Nursing', ISSUES IN MENTAL HEALTH NURSING, vol. 36, no. 9, pp. 737-739.View/Download from: Publisher's site
Cleary, M, Usher, K & Jackson, DE 2015, 'Money, money, money: not so funny in the research world', Journal of Clinical Nursing, vol. 24, no. 5-6, pp. 5-6.
Haigh, C, Smith, G, Gelling, L, Barnason, S & Jackson, D 2015, 'Editorial: Nursing research in the 21st century - who sets the agenda?', Journal of Clinical Nursing, vol. 24, no. 7-8, pp. 889-890.View/Download from: Publisher's site
Hayman, B, Wilkes, L, Halcomb, E & Jackson, D 2015, 'Lesbian Women Choosing Motherhood: The Journey to Conception', Journal of GLBT Family Studies, vol. 11, no. 4, pp. 395-409.View/Download from: Publisher's site
Increasingly, lesbian women are choosing to have children in the context of a same-sex relationship, and their journey to conception and on to motherhood involves a range of decisions that are unique to lesbian couples. While creating a de novo family is burdened with decisions, choosing to be parents was a deliberate and conscious decision made by lesbian women participating in our study. The findings presented in this article focus on choosing which partner would be pregnant, donor decisions, as well as methods of conception used by lesbian women participating in a qualitative study that examined the experiences of lesbian mothers in Australia. This article is not intended to be interpretive, but rather a description of the processes engaged by participants.
Hutchinson, M & Jackson, D 2015, 'Patient satisfaction surveys and care quality: A continuum conundrum', Journal of Nursing Management, vol. 23, no. 7, pp. 831-832.View/Download from: Publisher's site
Hutchinson, M & Jackson, D 2015, 'Promoting organisational recovery after wrongdoing: Is this next challenge for nurse leaders?', Journal of Nursing Management, vol. 23, no. 2, pp. 139-142.View/Download from: Publisher's site
Hutchinson, M & Jackson, D 2015, 'The construction and legitimation of workplace bullying in the public sector: insight into power dynamics and organisational failures in health and social care', NURSING INQUIRY, vol. 22, no. 1, pp. 13-26.View/Download from: Publisher's site
Jackson, D & Usher, K 2015, 'Understanding expressions of public grief: 'Mourning sickness', 'grief-lite', or something more?', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, vol. 24, no. 2, pp. 93-94.View/Download from: Publisher's site
Jackson, D, Peters, K & Murphy, G 2015, 'Suicide of a close family member through the eyes of a child: A narrative case study report', JOURNAL OF CHILD HEALTH CARE, vol. 19, no. 4, pp. 495-503.View/Download from: Publisher's site
Murphy, G, Peters, K, Wilkes, L & Jackson, D 2015, 'Childhood Parental Mental Illness: Living with Fear and Mistrust', ISSUES IN MENTAL HEALTH NURSING, vol. 36, no. 4, pp. 294-299.View/Download from: Publisher's site
Perrone, L, Vickers, MH & Jackson, D 2015, 'Financial Independence as an Alternative to Work', Employee Responsibilities and Rights Journal, vol. 27, no. 3, pp. 195-211.View/Download from: Publisher's site
© 2015, Springer Science+Business Media New York. Paid work, in some form, is traditionally viewed as being a necessity, both to support one’s livelihood and to save for retirement; however, people's increasing disillusionment with employment has led some individuals to search for alternative ways to live. The twenty-one Australians in this exploratory, qualitative study were all seeking, or had achieved, financial independence. This is a lifestyle alternative that provides economic freedom from work, without necessitating a reduction in preferred living standards. To the best of our knowledge, this is the first social research into the lived experiences, beliefs and meanings surrounding financial independence, and offers significant and critical insights into the usual expectations that surround paid work; in particular, routine expectations that continuing paid work until one’s senior years is, and should be, an economic necessity.
Power, TJ, Jackson, DE, Carter, B & Weaver, R 2015, 'Misunderstood as mothers: Women's stories of being hospitalised for illness in the post-partum period', Journal of Advanced Nursing, vol. 71, no. 2, pp. 370-380.View/Download from: Publisher's site
Abstract Aim. This paper aims to explore womens experiences with healthcare providers to ascertain ways health care may be improved for women disrupted in their mothering.
Salamonson, Y, Everett, B, Halcomb, E, Hutchinson, M, Jackson, DE, Mannix, J, Peters, K & Weaver, R 2015, 'Unravelling the complexities of nursing students' feedback on the clinical learning environment: a mixed methods approach', Nurse Education Today, vol. 35, no. 1, pp. 206-211.View/Download from: Publisher's site
Background: Clinical placement is an essential part of nursing education, and students' experiences on clinical placement can affect the quality of their learning. Understanding nursing students' positive and negative perceptions of clinical placement experience is therefore important. Objectives: To describe nursing students' satisfaction with their clinical placement experiences and identify any variations in satisfaction based on demographic characteristics. Design: Mixed methods - online survey with qualitative items. Setting: Four universities in Australia. Participants: Students (n = 213) enrolled in an undergraduate nursing degree. Methods: Between 2010 and 2012, students completed online surveys following their clinical placement experiences. The surveys included demographic questions and the Clinical Learning Environment Inventory (CLEI-19), a 19-item tool measuring students' satisfaction with clinical placement. The surveys included two open-ended questions asking students to share their most satisfying and challenging experiences whilst on placement. Descriptive statistics and thematic analyses were undertaken. Results: Of the 213 participants, those in health-related employment and those with English as an additional language (EAL) were less satisfied with the clinical facility and with clinical facilitator support respectively, as indicated by the CLEI-19 subscale scores. Qualitative findings showed students were positive about the opportunity to make a difference and be involved in nursing, and negative about clinical facilitator support. Nevertheless, those who were most critical in their written comments about their placement were those who only spoke English at home. Conclusions: Although the study found overall satisfaction with clinical placement, the lower satisfaction reported by students in health-related employment, and the mixed findings regarding language spoken and satisfaction, warrant further attention.
Singh, C, Cross, W & Jackson, D 2015, 'Staff Burnout - a Comparative Study of Metropolitan and Rural Mental Health Nurses within Australia', ISSUES IN MENTAL HEALTH NURSING, vol. 36, no. 7, pp. 528-537.View/Download from: Publisher's site
Trajkovski, S, Schmied, V, Vickers, M & Jackson, DE 2015, 'Using appreciative inquiry to bring neonatal nurses and parents together to enhance family centred care: A collaborative workshop', Journal of Child Health Care, vol. 19, no. 2, pp. 239-253.View/Download from: Publisher's site
Family-centred care (FCC) has been well recognised, accepted and reported in the literature as an optimised way of caring for hospitalised children. While neonatal units strive to adopt this philosophy, published research suggests there are difficulties implementing FCC principles in daily practice. Appreciative inquiry (AI) is a philosophy and methodology that offers a unique, strength-based approach to promoting organisational learning and positive organisational change. As a participatory approach, AI facilitates change from the ground up and lends itself to building effective partnerships or collaborations. This article reports the findings of a one-day workshop using an AI methodology to bring neonatal nurses and parents together to enhance the FCC within a neonatal intensive care unit in Sydney, Australia. Participants (n = 15) developed collaborative insights of optimal FCC that can be built upon to support neonates and their families in the future. Shared visions were formed, strategies identified and a development plan made for ongoing collaborations and partnerships. AI provides a flexible framework that enables the mandatory collaboration needed to develop action plans that can form the catalyst for organizational change in health-care research and practice.
East, L, Jackson, D, O'Brien, L & Peters, K 2015, 'Being diagnosed with a sexually transmitted infection (STI): sources of support for young women', CONTEMPORARY NURSE, vol. 50, no. 1, pp. 50-57.View/Download from: Publisher's site
Green, J, Darbyshire, P, Adams, A & Jackson, D 2015, 'Balancing hope with reality: how neonatal nurses manage the uncertainty of caring for extremely premature babies', JOURNAL OF CLINICAL NURSING, vol. 24, no. 17-18, pp. 2410-2418.View/Download from: Publisher's site
Green, J, Darbyshire, P, Adams, A & Jackson, D 2015, 'Desperately seeking parenthood: neonatal nurses reflect on parental anguish', JOURNAL OF CLINICAL NURSING, vol. 24, no. 13-14, pp. 1885-1894.View/Download from: Publisher's site
Green, J, Darbyshire, P, Adams, A & Jackson, D 2015, 'The myth of the miracle baby: how neonatal nurses interpret media accounts of babies of extreme prematurity', NURSING INQUIRY, vol. 22, no. 3, pp. 273-281.View/Download from: Publisher's site
Green, J, Darbyshire, P, Jackson, D & Adams, A 2015, 'A burden of knowledge; A qualitative study of experiences of neonatal intensive care nurses concerns when keeping information from parents.', Journal of Child Health Care, vol. 19, no. 4, pp. 485-494.View/Download from: Publisher's site
Green, JA, Darbyshire, P, Adams, A & Jackson, D 2015, 'Looking like a proper baby: nurses' experiences of caring for extremely premature infants', Journal Of Clinical Nursing, vol. 24, no. 1-2, pp. 81-89.View/Download from: Publisher's site
Aims and objectives
To explore the ways in which neonatal nurses draw meaning and deal with the challenges associated with caring for extremely premature babies.
Current literature suggests that nurses face challenges providing care to certain patients because of their appearance. This article will focus on those difficulties in relation to neonatal nurses caring for infants ≤24 weeks of gestation in the neonatal intensive care unit. Extremely premature babies often have more the appearance of a foetus than the appearance of a baby, and this presented challenges for the neonatal nurses.
This paper has used interviews and drew insights from interpretative phenomenology.
This paper used a series of interviews in a qualitative study informed by phenomenology. The analysis of the interview data involved the discovery of thematic statements and the analysis of the emerging themes.
This paper outlines the difficulties experienced by neonatal nurses when caring for a baby that resembles a foetus more than it does a full-term infant. The theme the challenges of caregiving was captured by three subthemes: A foetus or a viable baby?; protective strategies and attributing personality.
This study identified that neonatal nurses experience a range of difficulties when providing care for an infant who resembled a foetus rather than a full-term baby. They employed strategies that minimised the foetal appearance and maximised the appearance and attributes associated with a newborn baby.
Relevance to clinical practice
Increasing survival of extremely premature infants will see nurses caring for more babies ≤24 weeks of gestation. Caring for extremely premature babies has been reported as being stressful. It is important to understand the nature of stress facing this highly specialised neonatal nursing workforce. Supportive work environments could help to ameliorate stress, facilitate better care of tiny babies and decrease staff ...
Allen, E, Jackson, D & Elliott, D 2015, 'Exploring interprofessional practices in rapid response systems: a case study protocol.', Nurse Researcher, vol. 22, no. 3, pp. 20-27.View/Download from: Publisher's site
AIM: To describe the development of a proposed case study protocol investigating interprofessional relationships in a rapid response system (RRS) in a socioculturally complex clinical environment. BACKGROUND: Suboptimal care of deteriorating ward patients remains a concern for many acute healthcare organisations. Despite the advent of RRSs, emergency response teams are not always used to their full potential. How and why interprofessional relationships influence practices associated with the care and management of ward patients at risk of clinical deterioration requires investigation. DATA SOURCES: Theoretical and empirical literature describing case study research and RRSs. Review methods An integrative review approach of the literature, focusing on key terms relating to 'case study research' and 'rapid response system', provided context and informed development of the study protocol. DISCUSSION: A single-site mixed-method instrumental case study protocol was developed using methodological triangulation and a multi-level model to examine interprofessional relationships between a broad range of stakeholders. Concurrent data collection and analysis will occur using document review of clinical scenarios, non-participant observations and semi-structured interviews. CONCLUSION: Case study research is an effective method for investigating socioculturally complex clinical environments. A strength of this approach is the flexibility in the choice of methods, which allows the researcher to build the design most suitable for the subjects or phenomena being investigated. Although this flexibility may be considered a potential weakness, rigour can be achieved by application of the strategies described. IMPLICATIONS FOR RESEARCH/PRACTICE: Findings from this research will provide rich descriptive insights into RRS relationships and healthcare professional practices during day-to-day management of acute ward patients at risk of or experiencing clinical deterioration. Descripti...
Innes, K, Jackson, D, Plummer, V & Elliott, D 2015, 'Care of patients in emergency department waiting rooms - an integrative review.', Journal of advanced nursing, vol. 71, no. 12, pp. 2702-2714.View/Download from: Publisher's site
To conduct an integrative review of primary research examining patient care roles introduced into emergency department waiting rooms.Internationally, emergency departments are under pressure to meet increasing patient demand with limited resources. Several initiatives have been developed that incorporate a healthcare role in waiting rooms, to assess and initiate early interventions to decrease waiting times, detect patient deterioration and improve communication. The literature reporting these roles has not been systematically evaluated.Integrative review.Published English-language peer reviewed articles in CINAHL, Scopus, Medline and Web of Knowledge between 2003-2014.Identified literature was evaluated using an integrative review framework, incorporating methodological critique and narrative synthesis of findings.Six papers were included, with three waiting room roles identified internationally - clinical initiative nurse, Physician-Nurse Supplementary Assessment Team and clinical assistants. All roles varied in terms of definitions, scope, responsibilities and skill sets of individuals in the position. There was limited evidence that the roles decreased waiting times or improved patient care, especially during busy periods. Of note, staff members performing these roles require high-level therapeutic relationship and effective interpersonal skills with patients, family and staff. The role requires support from other staff, particularly during periods of high workload, for optimal functioning and effective patient care.Generalisations and practice recommendations are limited due to the lack of available literature. Further research is required to evaluate the impact emergency department waiting room roles have on patient outcomes and staff perspectives.
Forber, J, DiGiacomo, M, Davidson, PM, Carter, B & Jackson, D 2015, 'The context, influences and challenges for undergraduate nurse clinical education: Continuing the dialogue', Nurse Education Today, vol. 35, no. 11, pp. 1114-1118.View/Download from: Publisher's site
Approaches to clinical education are highly diverse and becoming increasingly complex to sustain in complex milieu
To identify the influences and challenges of providing nurse clinical education in the undergraduate setting and to illustrate emerging solutions.
A discursive exploration into the broad and varied body of evidence including peer reviewed and grey literature.
Internationally, enabling undergraduate clinical learning opportunities faces a range of challenges. These can be illustrated under two broad themes: (1) legacies from the past and the inherent features of nurse education and (2) challenges of the present, including, population changes, workforce changes, and the disconnection between the health and education sectors. Responses to these challenges are triggering the emergence of novel approaches, such as collaborative models.
Hayes, C, Jackson, D, Davidson, PM & Power, T 2015, 'Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration', JOURNAL OF CLINICAL NURSING, vol. 24, no. 21-22, pp. 3063-3076.View/Download from: Publisher's site
Anuruang, S, Davidson, PM, Jackson, D & Hickman, L 2015, 'Strategies to enhance recruitment of rural-dwelling older people into community-based trials.', Nurse researcher, vol. 23, no. 1, pp. 40-43.View/Download from: Publisher's site
To describe strategies that can enhance the recruitment of rural-dwelling older people into clinical trials.Recruitment to studies can be time-consuming and challenging. Moreover, there are challenges associated with recruiting older people, particularly those living in rural areas. Nevertheless, an adequate sample size is crucial to the validity of randomised controlled trials (RCTs).The authors draw on the literature and their personal experiences, to present a range of flexible and inclusive strategies that have been successfully used to recruit older people into clinical trials.This paper describes attempts to improve recruitment of rural-dwelling, older Thai people to a clinical trial.To attract potential participants, researchers should consider minimising the burden of their study and maximising its benefits or convenience for participants. Three factors that may influence participation rates are: personal factors of participants, researchers' personal attributes, and protocol factors. In addition, three important strategies contribute to improving recruitment: understanding the culture of the research setting, identifying the 'gatekeepers' in the setting and building trust with stakeholders.Even though the study covered did not recruit a large number of participants, these understandings were crucial and enabled recruitment of a sufficient number of participants in a reasonable timeframe.These strategies may be of use in rural settings and with different communities including urban communities.
Ferguson, C, Davidson, PM, Scott, PJ, Jackson, D & Hickman, LD 2015, 'Augmented reality, virtual reality and gaming: an integral part of nursing', CONTEMPORARY NURSE, vol. 51, no. 1, pp. 1-4.View/Download from: Publisher's site
Ferguson, C, Moorley, C & Jackson, D 2015, '8 reasons why every doctoral student should have a Twitter account', Advances in Nursing Doctoral Education & Research (ANDER); The official journal of the International Network for Doctoral Education in Nursing (INDEN), vol. 3, no. 1, pp. 15-19.
There has been much advancement in the scholarship of digital nursing in recent years. Social media was once frowned upon as a waste of time, and potentially dangerous to credibility and reputation. This paper provides a summary of key benefits of social media to nursing early career
researchers. We support a targeted approach to social media. Social media has many potential benefits including building a profile, attracting funding, as a data source, as a means of engagement with consumers and NGOs, a strategy to assist research translation into practice, dissemination to academic and non-academic audiences, and a valuable source of knowledge and networking. It is important for all doctoral students to explore the potential and possibilities of social media within the time constraints of PhD studies. With all interventions, it is important to gauge return on investment, and carefully evaluate outcomes.
Rossiter, C, Power, T, Fowler, C, Jackson, D, Hyslop, D & Dawson, A 2015, 'Mothering at a Distance: What Incarcerated Mothers Value About a Parenting Program', Contemporary Nurse, vol. 50, no. 2-3, pp. 238-255.View/Download from: Publisher's site
Background: Children with incarcerated mothers experience adverse health, social and emotional circumstances, and are a particularly vulnerable group. Mothers in custody face significant challenges in parenting their children.
Aims: The study aimed to identify participants’ views on impact of a parenting support programme for incarcerated mothers in NSW Australia.
Methods: The mixed-methods study examined 134 responses to open and closed questions on a questionnaire for programme participants.
Results: Participants found the programme worthwhile, engaging and relevant. It enhanced their parenting knowledge and confidence. Open-ended responses highlighted program elements which participants valued, specifically support for their parenting role in complicated circumstances, greater understanding of child development and perspectives, and practical strategies for facilitating connections with their children during their incarceration.
Conclusions: The study informs nurses working with women who have experienced incarceration and their children, both in custodial and community settings.
Daly, J, Jackson, D, Rumsey, M, Patterson, K & Davidson, PM 2015, 'Building Nursing Leadership Capacity: An Australian Snapshot', Nurse Leader, vol. 13, no. 5, pp. 36-39.View/Download from: Publisher's site
© 2015 Mosby, Inc. Leadership is a highly prized commodity across a range of contemporary industries, and healthcare is no exception where the stakes are high. Healthcare, previously viewed as peripheral to many other societal structures, is now front and center, largely due to increasing costs and the increased consumption of gross domestic product. Australia is a culturally diverse and pluralistic society supporting a system of universal healthcare that is accountable and transparent. There are over 200,000 nurses in Australia, working in hospitals, clinics, aged care facilities, and schools, and these individuals are integrally important to the effective and functional health system. Moreover, Australia is intensely aware of the effects of globalization and the importance of a global strategy for human resources for health.
Hayes, C, Power, T, Davidson, PM, Daly, J & Jackson, D 2015, 'Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses.', Nurse education today, vol. 35, no. 9, pp. 981-986.View/Download from: Publisher's site
BACKGROUND: Medication errors are a global phenomenon. Each year Australia-wide there are up to 96,000 preventable medication errors and in the United States there are approximately 450,000 preventable medication errors. One of the leading causes of errors is interruption yet some interruptions are unavoidable. In the interest of patient safety, nurses need to not only understand the impact of interruptions, but also be empowered with the knowledge and skills required to develop effective interruption management strategies. Well-planned simulation experiences have the potential to expose students to authentic clinical cases, otherwise unavailable to them, building critical thinking and clinical reasoning skills and preparing them for practice. AIM: This paper describes a simulated role-play experience that was developed to enable undergraduate nurses to experience, reflect on and analyse their responses to interruptions during medication administration. METHODS: The simulation design presented in this paper was underpinned by both nursing and educational theorists, in combination with established simulation frameworks. SETTING AND PARTICIPANTS: Embedded within a clinical subject in 2013, the simulation experience was run over two campuses within a large Australian University. Participants included 528 second year undergraduate nursing students and 8 academic teaching staff. OUTCOME MAPPING: To stimulate reflective learning debriefing immediately followed the simulation experience. Written reflections were completed and submitted over the following 4weeks to extend the reflective learning process and review the impact of the experience from the student perspective. CONCLUSIONS: Undergraduate student nurses often have limited experiential background from which to draw knowledge and develop sound clinical judgements. Through exposure to clinical experiences in a safe environment, simulation technologies have been shown to create positive learning experiences and imp...
Hutchinson, M, Daly, J, Usher, K & Jackson, D 2015, 'Editorial: Leadership when there are no easy answers: applying leader moral courage to wicked problems', JOURNAL OF CLINICAL NURSING, vol. 24, no. 21-22, pp. 3021-3023.View/Download from: Publisher's site
Hutchinson, M, Jackson, D, Daly, J & Usher, K 2015, 'Distilling the Antecedents and Enabling Dynamics of Leader Moral Courage: A Framework to Guide Action', ISSUES IN MENTAL HEALTH NURSING, vol. 36, no. 5, pp. 326-335.View/Download from: Publisher's site
Jackson, D, Peters, K, Andrew, S, Daly, J, Gray, J & Halcomb, E 2015, 'Walking alongside: a qualitative study of the experiences and perceptions of academic nurse mentors supporting early career nurse academics.', Contemporary Nurse, vol. 51, no. 1, pp. 69-82.View/Download from: Publisher's site
This study explores the experiences and perceptions of academic nurse mentors supporting early career nurse academics (ECNAs).Interviews were undertaken with mentors following a mentoring partnership with ECNAs. Data were transcribed verbatim and analysed using a process of thematic analysis.Four themes emerged from the data, namely; motivation for mentoring; constructing the relationship; establishing safe boundaries and managing expectations.This study provides a unique insight into the experiences of mentoring within the context of an academic leadership programme for nurses. Such insights highlight the issues facing academics from professional disciplines and can inform strategies to support their career development.A sustainable academic nursing workforce is crucial to ensure that effective preparation of future generations of expert clinical nurses. Therefore, it is important to consider strategies that could strengthen the academic nursing workforce.
Wilkes, L, Cross, W, Jackson, D & Daly, J 2015, 'A repertoire of leadership attributes: an international study of deans of nursing.', Journal of Nursing Management, vol. 23, no. 3, pp. 279-286.View/Download from: Publisher's site
To determine which characteristics of academic leadership are perceived to be necessary for nursing deans to be successful.Effective leadership is essential for the continued growth of the discipline.A qualitative study using semi-structured interviews with 30 deans (academics in universities who headed a nursing faculty and degree programmes) was conducted in three countries--Canada, England and Australia. The conversations were analysed for leadership attributes.Sixty personal and positional attributes were nominated by the participants. Of these, the most frequent attribute was 'having vision'. Personal attributes included: passion, patience, courage, facilitating, sharing and being supportive. Positional attributes included: communication, faculty development, role modelling, good management and promoting nursing.Both positional and personal aspects of academic leadership are important to assist in developing a succession plan and education for new deans.It is important that talented people are recognised as potential leaders of the future. These future leaders should be given every chance to grow and develop through exposure to opportunities to develop skills and the attributes necessary for effective deanship. Strategic mentoring could prove to be useful in developing and supporting the growth of future deans of nursing.
Cleary, M, Escott, P, Horsfall, J, Walter, G & Jackson, DE 2014, 'Qualitative Research: The Optimal Scholarly Means of Understanding the Patient Experience', Issues in Mental Health Nursing, vol. 35, no. 11, pp. 902-904.
Cleary, M, Jackson, DE & Hungerford, C 2014, 'Mental Health Nursing in Australia: Resilience as a means of sustaining the specialty', Issues in Mental Health Nursing, vol. 35, no. 1, pp. 33-40.View/Download from: Publisher's site
As a concept, resilience is continuing to attract considerable attention and its importance across various life domains is increasingly recognised. Few studies, however, have defined or considered the notion of the group or collective resilience of a profession, including the capacity of that profession to withstand adversity and continue to develop positively in the face of change. This article considers the notion of resilience from the perspective of the specialty of mental health nursing, including the ways the specialty has adapted and continues to develop to changes experienced since deinstitutionalisation. Insights are drawn from a national Delphi study undertaken in Australia to develop a Scope of Practice for Mental Health Nurses, with responses used as a springboard to consider the impact of the perceived loss of professional identity on the collective resilience of the profession. Recommendations for a way forward for the profession are considered, including the ways in which a collective professional resilience could be developed to sustain and strengthen the professional identity of mental health nursing in Australia and across the globe.
Cleary, M, Lopez, V, Jackson, DE & Hungerford, C 2014, 'Student assignments and writing for publication', Nurse Author & Editor (online), vol. 24, no. 2.
Writing scholarly papers for publication is not a skill that is generally taught formally to nursing students. Instead, nurse academics set assessment pieces, and nursing students direct their efforts toward successfully completing these assessments to fulfill the requirements of the course. Students are well positioned to develop the requisite skill set to write for publication especially if supported by faculty and sound mentoring practices. Scholarly writing is a skill that can be encouraged right from the beginning of career, even from student days.
Cleary, M, Walter, G & Jackson, D 2014, 'Above all, 'do no harm': Key considerations when including students as research participants in higher education settings', Contemporary Nurse, vol. 49, pp. 93-95.View/Download from: Publisher's site
Cleary, M, Walter, G & Jackson, DE 2014, 'Above all, 'do no harm': key considerations when including students as research participants in higher education settings', Contemporary Nurse, no. 49, pp. 93-95.View/Download from: Publisher's site
Cleary, M, Walter, G, Siegfried, N & Jackson, DE 2014, 'Contemplating an Expatriate Health Care Position? Key Factors to Consider', Issues in Mental Health Nursing, vol. 35, no. 5, pp. 406-409.
Working overseas as a student, nurse, academic, visiting professor, or consultant is not uncommon for nurses and health care workers. Whatever the expatriate experience, it is an experience that is not easily forgotten. Hopefully, there will be a reciprocal appreciation by both parties for the mutual opportunities and benefits provided during the course of employment.
East, L, Jackson, DE, Power, T, Woods, A & Hutchinson, M 2014, 'Growing up without a father: Narratives from adult men (abstract)', International Journal of Mental Health Nursing, vol. 23, no. Supplement 1, pp. 9-9.
East, L, Jackson, DE, Power, TJ, Woods, A & Hutchinson, M 2014, '"Holes in my memories": A qualitative study of men affected by father absence', Issues in Mental Health Nursing, vol. 35, no. 0, pp. 604-612.View/Download from: Publisher's site
This qualitative study explored adult men's experience of father absence.
Green, J, Wyllie, A & Jackson, D 2014, 'Social networking for nurse education: Possibilities, perils and pitfalls', Contemporary Nurse, vol. 47, no. 1-2, pp. 180-189.View/Download from: Publisher's site
In this paper, we consider the potential and implications of using social networking sites such as Facebook® in nurse education. The concept of social networking and the use of Facebook will be explored, as will the theoretical constructs specifi c to the use of online technology and Web 2.0 tools. Theories around Communities of Inquiry (Garrison, Anderson, & Archer, 2000), Communities of Practice (Wenger, 1998), Activity Theory (Daniels, Cole, & Wertsch, 2007) and Actor-Network theory (Latour, 1997) will be briefl y explored, as will the work of Vygotsky (1978), as applies to thesocial aspects of learning. Boundary issues, such as if and how faculty and students should or could be connected via social networking sites will also be explored.
Green, JA, Wyllie, AM & Jackson, DE 2014, 'Electronic portfolios in nursing education: A review of the literature', Nurse Education in Practice, vol. 14, no. 1, pp. 4-8.View/Download from: Publisher's site
As health professionals, nurses are responsible for staying abreast of current professional knowledge and managing their own career, professional growth and development, and ideally, practices to support these activities should start during their student years. Interest in electronic or e-portfolios is gathering momentum as educationalists explore their potential as a strategy for fostering lifelong learning and enhancing on-going personal and professional development. In this paper, we present an overview of e-portfolios and their application to nurse education, highlighting potential benefits and considerations of usage. We argue that the e-portfolio can represent an authentic means of assessing cognitive, reflective and affective skills. Furthermore, the e-portfolio provides a means through which nurses can record and provide evidence of skills, achievements, experience, professional development and on-going learning, not only for themselves, but for the information and scrutiny of registration boards, employers, managers and peers.
Green, JA, Wyllie, AM & Jackson, DE 2014, 'Literature Review: Social networking for nurse education: Possibilities, perils and pitfalls', Contemporary Nurse, vol. 47, no. 1-2, pp. 180-189.View/Download from: Publisher's site
In this paper, we consider the potential and implications of using social networking sites such as Facebook ® in nurse education. The concept of social networking and the use of Facebook will be explored, as will the theoretical constructs specific to the use of online technology and web 2.0 tools. Theories around Communities of Inquiry (Garrison, Anderson & Archer 2000), Communities of Practice (Wenger 1998), Activity Theory (Daniels, Cole &Wertsch 2007) and Actor Network Theory (Latour 1997) will be briefly explored, as will the work of Vygotsky (1978), as applies to the social aspects of learning. Boundary issues, such as if and how faculty and students should or could be connected via social networking sites will also be explored.
Hutchinson, M & Jackson, DE 2014, 'Troubling fragments and small stories: An analysis of public commentary on nursing through a web blog', Collegian, vol. 21, no. 2, pp. 81-88.View/Download from: Publisher's site
In recent years the media in the United Kingdom has engaged in intense debate on standards of nursing care in the National Health Service (NHS). Much of the public engagement with this debate has been carried out through social media, including blogs and micro blogs. In this manuscript we analyse a single episode of public commentary appearing on a web blog about standards of nursing in the NHS. The blog entries featured brief stories and fragments of stories about care experiences, and perceptions of nursing care. Content analysis of the published narratives identified a troubling undercurrent of indifference experienced by patients, clients and their families. These stories represent a counter narrative to contemporary grand narratives of nursing, and as such, they sit on the outer edges of contemporary professional discourse. Increasing use of social media such as web blogs provides patients and carers with a public forum for comment that makes failures (or perceived failures) more visible to more people. Web blogs provide an important new mechanism through which patients and carers can have a voice about their own experiences of nursing care, and wider health care.
Hutchinson, M, East, L, Stasa, H & Jackson, D 2014, 'Deriving Consensus on the Characteristics of Advanced Practice Nursing: Meta-summary of More Than 2 Decades of Research', Nursing Research, vol. 63, no. 2, pp. 116-128.View/Download from: Publisher's site
Ijumba, P, Doherty, T, Jackson, D, Tomlinson, M, Sanders, D & Persson, L-A 2014, 'Social circumstances that drive early introduction of formula milk: an exploratory qualitative study in a peri-urban South African community', MATERNAL AND CHILD NUTRITION, vol. 10, no. 1, pp. 102-111.View/Download from: Publisher's site
Jackson, D, Wilkes, L, Waine, M & Luck, L 2014, 'Determining the frequency, kinds and cues of violence displayed by patients in an acute older person ward environment: findings from an observational study', INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, vol. 9, no. 4, pp. 317-323.View/Download from: Publisher's site
Jackson, DE 2014, 'Editorial: Telling our stories of practice through the genre of the case report', Clinical Case Reports, vol. 2, no. 3, pp. 65-65.
Case reports are very well established in the literature. Despite the fact we live in an evidence-based age, in which the information that can be generated from a single case is positioned rather low on the hierarchy of evidence, case reports continue to be popular. It is the humanity of the accounts and the fact they are centered on the therapeutic encounter between a real patient and a treating clinical team that makes them so engaging and absorbing and that brings events to life and makes case reports such a valuable educational resource.
Jackson, DE, Wilkes, L & Luck, L 2014, 'Cues that predict physical violence in the hospital setting: Findings from an observational study', Collegian, vol. 21, no. 1, pp. 65-70.View/Download from: Publisher's site
Background: The prevalence of violent acts in the health care environment has been the cause of increasing concern. Several cues associated with violence towards nurses in the acute care setting have been identified qualitatively. However, larger scale observational studies to deter-mine the potential of these cues to predict physical violence, are lacking in the acute health setting. Purpose: To report an observational study determining whether particular behavioural cues are predictive of patient-to-nurse physical violence. Method: Non-participant structured observations. Discussion: Clinical observation (n = 1150 h) resulted in 1501 observed cues for violence in 220patients; 36 of whom were observed to become violent. Five (5) behavioural cues were found to predict violent acts. Conclusions: Findings suggest five behavioural cues could be used to assess potential physical violence. Additional research needs to be undertaken to further validate the efficacy of these cues in the acute hospital setting.
McCloughen, A, O'Brien, L & Jackson, D 2014, 'Journey to become a nurse leader mentor: past, present and future influences', Nursing Inquiry, vol. 21, no. 4, pp. 301-310.View/Download from: Publisher's site
Mentorship, often viewed as a central capacity of leadership, is acknowledged as influential in growing nurse leaders. Mentoring relationships are perceived as empowering connections offering a dynamic guided experience to promote growth and development in personal and professional life. A hermeneutic phenomenological approach informed by Heidegger and Gadamer was used to explore understandings and experiences of mentorship for nurse leadership by 13 Australian nurse leaders. We found that learning and transformation associated with becoming a nurse leader mentor was experienced as an enduring evolutionary process. Participants' life journeys provided experiences that developed their understandings and established their personal identity as a leader and mentor. We considered the journey motif in terms of its inextricable connection with lived time and used Heidegger's ecstasies of temporality as a lens to understand how the temporal dimensions of past, present and future influenced and shaped the development of nurse leader mentors. We found that our temporal existence influences interpretation of ourselves and the world. Individuals can benefit from multiple separate mentoring interludes, with different mentors, over a lifetime. For some nurses, becoming a leader and mentor is a lifelong transformative process that grows from diverse experience and influential role modelling rather than formal instruction.
O'Reilly, R, Wilkes, L, Luck, L & Jackson, D 2014, 'Being Parents and Workers: Qualitative Insights from Child Protection Workers', CHILD ABUSE REVIEW, vol. 23, no. 5, pp. 311-323.View/Download from: Publisher's site
Raeburn, T, Jackson, D, Walter, G, Escott, P & Cleary, M 2014, 'Clinical Case Reports in mental health: the need for nuance and context.', Clinical Case Reports, vol. 2, no. 6, pp. 241-242.View/Download from: Publisher's site
Usher, K, Woods, C, Casella, E, Glass, N, Wilson, R, Mayner, L, Jackson, D, Brown, J, Duffy, E, Mather, C, Cummings, E & Irwin, P 2014, 'Australian health professions student use of social media', Collegian, vol. 21, no. 2, pp. 95-101.View/Download from: Publisher's site
ROLLS, K, HANSEN, M, JACKSON, D & ELLIOTT, D 2014, 'Analysis of the Social Network Development of a Virtual Community for Australian Intensive Care Professionals', CIN: Computers, Informatics, Nursing, vol. 32, no. 11, pp. 536-544.View/Download from: Publisher's site
Social media platforms can create virtual communities, enabling healthcare professionals to network with a broad range of colleagues and facilitate knowledge exchange. In 2003, an Australian state health department established an intensive care mailing list to address the professional isolation experienced by senior intensive care nurses. This article describes the social network created within this virtual community by examining how the membership profile evolved from 2003 to 2009. A retrospective descriptive design was used. The data source was a de-identified member database. Since 2003, 1340 healthcare professionals subscribed to the virtual community with 78% of these (n = 1042) still members at the end of 2009. The membership profile has evolved from a single-state nurse-specific network to an Australia-wide multidisciplinary and multi-organizational intensive care network. The uptake and retention of membership by intensive care clinicians indicated that they appeared to value involvement in this virtual community. For healthcare organizations, a virtual community may be a communications option for minimizing professional and organizational barriers and promoting knowledge flow. Further research is, however, required to demonstrate a link between these broader social networks, enabling the exchange of knowledge and improved patient outcomes.
Al Abed, NA, Hickman, L, Jackson, DE, DiGiacomo, M & Davidson, PM 2014, 'Older Arab migrants in Australia: Between the hammer of prejudice and the anvil of social isolation', Contemporary Nurse, vol. 46, no. 2, pp. 259-262.
Anuruang, S, Hickman, L, Jackson, DE, Dharmendra, T, Van Balen, J & Davidson, PM 2014, 'Community-based interventions to promote management for older people: an integrative review', Journal Of Clinical Nursing, vol. 23, no. 15-16, pp. 2110-2120.View/Download from: Publisher's site
Aims and objectives To review community programmes promoting self-care or self-management for older people with chronic disease in Thailand. Background Identifying successful elements of culturally appropriate and effective community-based interventions to promote self-care with chronic illness is increasingly important. Design Integrative review. Data sources CINAHL, Medline, Health Source Nursing Academic databases. Methods Integrative review of peer-reviewed articles written between 19462012. Articles were included if they described self-care, self-management, chronic disease and community care interventions targeting older people in Thailand. Results Of the 58 articles retrieved, only 13 articles met the eligibility criteria. Elements of effective interventions included: (1) providing culturally sensitive information, (2) including approaches of shared decision-making and mutual goal setting and (3) flexibility within the intervention to adapt to participant needs. Conclusions Shared decision-making and mutual goal setting between interventionists and patients improved health behaviours and outcomes. Moreover, the flexibility to adopt the intervention to local characteristics demonstrated positive results.
Jackson, D, Hickman, LD, Hutchinson, M, Andrew, S, Smith, J, Potgieter, I, Cleary, M & Peters, K 2014, 'Whistleblowing: An integrative literature review of data-based studies involving nurses.', Contemporary Nurse, vol. 48, no. 2, pp. 240-252.View/Download from: Publisher's site
Abstract Aim: To summarise and critique the research literature about whistleblowing and nurses.Whistleblowing is identified as a crucial issue in maintenance of healthcare standards and nurses are frequently involved in whistleblowing events. Despite the importance of this issue, to our knowledge an evaluation of this body of the data-based literature has not been undertaken.An integrative literature review approach was used to summarise and critique the research literature. A comprehensive search of five databases including Medline, CINAHL, PubMed and Health Science: Nursing/Academic Edition, and Google, were searched using terms including: 'Whistleblow*,' 'nurs*.' In addition, relevant journals were examined, as well as reference lists of retrieved papers. Papers published during the years 2007-2013 were selected for inclusion.Fifteen papers were identified, capturing data from nurses in seven countries. The findings in this review demonstrate a growing body of research for the nursing profession at large to engage and respond appropriately to issues involving suboptimal patient care or organisational wrongdoing.Nursing plays a key role in maintaining practice standards and in reporting care that is unacceptable although the repercussions to nurses who raise concerns are insupportable. Overall, whistleblowing and how it influences the individual, their family, work colleagues, nursing practice and policy overall, requires further national and international research attention.
Jackson, D, Hickman, LD, Hutchinson, M, Andrew, S, Smith, J, Potgieter, I, Cleary, M & Peters, K 2014, 'Whistleblowing: An integrative literature review of data-based studies involving nurses.', Contemporary nurse, pp. 5495-5513.View/Download from: Publisher's site
Abstract Aim To summarise and critique the research literature about whistleblowing and nurses. Background Whistleblowing is identified as a crucial issue in maintenance of healthcare standards and nurses are frequently involved in whistleblowing events. Despite the importance of this issue, to our knowledge an evaluation of this body of the data-based literature has not been undertaken. Method An integrative literature review approach was used to summarise and critique the research literature. A comprehensive search of five databases including Medline, CINAHL, PubMed and Health Science: Nursing/Academic Edition, and Google, were searched using terms including: 'whistleblow*', 'nurs*'. In addition, relevant journals were examined, as well as reference lists of retrieved papers. Papers published during the years 2007-2013 were selected for inclusion. Findings Fifteen papers were identified, capturing data from nurses in seven countries. The findings in this review demonstrate a growing body of research for the nursing profession at large to engage and respond appropriately to issues involving suboptimal patient care or organisational wrongdoing. Conclusions Nursing plays a key role in maintaining practice standards and in reporting care that is unacceptable although the repercussions to nurses who raise concerns are insupportable. Overall, whistleblowing and how it influences the individual, their family, work colleagues, nursing practice and policy overall, requires further national and international research attention.
Jackson, D, Hickman, LD, Power, T, Disler, R, Potgieter, I, Deek, H & Davidson, PM 2014, 'Small group learning: graduate health students' views of challenges and benefits.', Contemporary nurse, pp. 5297-5312.View/Download from: Publisher's site
Abstract Background: For health care professionals, particularly nurses, the need to work productively and efficiently in small groups is a crucial skill required to meet the challenges of the contemporary health-care environment. Small group work is an educational technique that is used extensively in nurse education. The advantage of group work includes facilitation of deep, active and collaborative learning. However, small group work can be problematic and present challenges for students. Many of the challenges occur because group work necessitates the coming together of collections of individuals, each with their own personalities and sets of experiences. Aim: This study aimed to identify challenges and benefits associated with small group work and to explore options for retaining the positive aspects of group work while reducing or eliminating the aspects the students experienced as negative. Method: Online survey; thematic analysis. Results: Over all, students experienced a range of challenges that necessitated the development of problem-solving strategies. However, they were able to elucidate some enjoyable and positive aspects of group work. Implications for teaching and learning are drawn from this study. Conclusion: The ability to work effectively in small groups and teams is essential for all health care workers in the contemporary health environment. Findings of this study highlight the need for educators to explore novel and effective ways in which to engage nurses in group work.
Jackson, D, Hickman, LD, Power, T, Disler, R, Potgieter, I, Deek, H & Davidson, PM 2014, 'Small group learning: Graduate health students’ views of challenges and benefits', Contemporary Nurse, vol. 48, no. 1, pp. 117-128.View/Download from: Publisher's site
Background: For health-care professionals, particularly nurses, the need to work productively and efficiently in small groups is a crucial skill required to meet the challenges of the contemporary health-care environment. Small group work is an educational technique that is used extensively in nurse education. The advantage of group work includes facilitation of deep, active and collaborative learning. However, small group work can be problematic and present challenges for students. Many of the challenges occur because group work necessitates the coming together of collections of individuals, each with their own personalities and sets of experiences. Aim: This study aimed to identify challenges and benefits associated with small group work and to explore options for retaining the positive aspects of group work while reducing or eliminating the aspects the students experienced as negative. Method: Online survey; thematic analysis. Results: Over all, students experienced a range of challenges that necessitated the development of problem-solving strategies. However, they were able to elucidate some enjoyable and positive aspects of group work. Implications for teaching and learning are drawn from this study. Conclusion: The ability to work effectively in small groups and teams is essential for all health-care workers in the contemporary health environment. Findings of this study highlight the need for educators to explore novel and effective ways in which to engage nurses in group work.
Would you be tempted to take a photo of someone else's slides at a conference or research seminar? Perhaps it may be of interest to a colleague, or has a reference you may wish to refer to at a later stage? Should you or would you then share these over social media?.....
Medication related incidents and errors continue to be a significant patient safety issue in health care settings internationally and despite decades of research and quality improvement initiatives, we have failed to identify innovative and sustainable solutions. The importance and significance of this problem not only challenges us, but emphasises the need to develop and implement sustainable interventions that are realistic and appropriate for the clinical setting. Nurses are not only the largest group of health professionals who administer medications, but are also considered to be in the best position to recognise and prevent medication errors before patient safety is compromised. Hence the need to adequately prepare student nurses by providing appropriate learning opportunities. Such approaches are likely able to afford benefits for patients, nurses and others involved in medication administration, and the broader health care system.
Dawson, A, Pritchard, C, Dean, S & Jackson, D 2014, 'Trauma Informed Treatment for women with SUD and PTSD: Evidence to inform NGO programs in Australia', The International Journal of Interdisciplinary Social and Community Studies, vol. 8, pp. 67-91.
Dawson, A, Pritchard, C, Dean, S & Jackson, DE 2014, 'Towards Gender-responsive, Trauma-informed Care for Substance Use Disorders and PTSD: Evidence to Inform Non-government Services in Australia', The International Journal of Interdisciplinary Social and Community Studies, vol. 8, no. 1, pp. 67-91.
Trauma-informed care assumes an understanding of trauma is integrated in all aspects of service delivery and care. In women with substance use disorders (SUD) and post-traumatic stress disorder (PTSD), the disorders are treated simultaneously. Existing evidence in this sector points to the need for a gender-specific program approach to drug and alcohol disorders and health workers who have the knowledge, skills, expertise, and confidence to deliver these programs for women. The objective of this review is to identify characteristics associated with outcomes for SUD and PTSD and the experiences and needs of women in treatment contexts. A narrative synthesis of peer-reviewed literature from 2003 to 2013 was undertaken, with retrieved documents assessed using an inclusion/exclusion criterion and quality appraisal guided by critical assessment tools. Concepts were analysed thematically. Eleven papers were found that related to the topic under study. This review found that trauma-informed care models can lead to reduced alcohol and drug severity symptoms, improved abstinence rates, and reduced PTSD symptoms. However, a trauma-informed approach may be the most beneficial for women with severe SUD and PTSD symptoms. Trauma-informed care appears to be a promising treatment for women with SUD and PTSD. However, this appears to be mediated by client baseline characteristics and treatment program composition. This highlights the need for proper baseline assessment and flexible treatment programming delivered by a well-supported workforce.
Daly, J, Jackson, D, Mannix, J, Davidson, P & Hutchinson, M 2014, 'The importance of clinical leadership in the hospital setting', Journal of Healthcare Leadership, vol. 6, pp. 75-83.View/Download from: Publisher's site
In many areas of the developed world, contemporary hospital care is confronted by workforce challenges, changing consumer expectations and demands, fiscal constraints, increasing demands for access to care, a mandate to improve patient centered care, and issues concerned with levels of quality and safety of health care. Effective governance is crucial to efforts to maximize effective management of care in the hospital setting. Emerging from this complex literature is the role of leadership in the clinical setting. The importance of effective clinical leadership in ensuring a high quality health care system that consistently provides safe and efficient care has been reiterated in the scholarly literature and in various government reports. Recent inquiries, commissions, and reports have promoted clinician engagement and clinical leadership as critical to achieving and sustaining improvements to care quality and patient safety. In this discursive paper, we discuss clinical leadership in health care, consider published definitions of clinical leadership, synthesize the literature to describe the characteristics, qualities, or attributes required to be an effective clinical leader, consider clinical leadership in relation to hospital care, and discuss the facilitators and barriers to effective clinical leadership in the hospital sector. Despite the widespread recognition of the importance of effective clinical leadership to patient outcomes, there are some quite considerable barriers to participation in clinical leadership. Future strategies should aim to address these barriers so as to enhance the quality of clinical leadership in hospital care.
Davidson, PM, Newton, PJ, Ferguson, C, Daly, J, Elliott, D, Homer, CS, Duffield, CM & Jackson, DE 2014, 'Rating and Ranking the Role of Bibliometrics and Webometrics in Nursing and Midwifery', The Scientific World Journal, vol. 2014.View/Download from: Publisher's site
Background. Bibliometrics are an essential aspect of measuring academic and organizational performance. Aim. This review seeks to describe methods for measuring bibliometrics, identify the strengths and limitations of methodologies, outline strategies for interpretation, summarise evaluation of nursing and midwifery performance, identify implications for metric of evaluation, and specify the implications for nursing and midwifery and implications of social networking for bibliometrics and measures of individual performance.
Jackson, D, Daly, J & Saltman, DC 2014, 'Aggregating case reports: a way for the future of evidence-based health care?', Clinical Case Reports, vol. 2, no. 2, pp. 23-24.View/Download from: Publisher's site
Jackson, DE, Walter, G, Daly, J & Cleary, M 2014, 'Editorial: Multiple outputs from single studies: acceptable division of findings vs. 'salami' slicing', Journal Of Clinical Nursing, vol. 23, no. 1-2, pp. 1-2.View/Download from: Publisher's site
In this information age, transgressions in publishing ethics can readily occur and many people are concerned that these behaviours are on the rise. The term `salami slicing is considered to be a publication transgression, carrying connotations of inappropriate practice and referring to publishing an excessive number of papers from a single study.
McDermid, F, Peters, K, Jackson, DE & Daly, J 2014, 'Conducting qualitative research in the context of pre-existing peer and collegial relationships', Nurse Researcher, vol. 21, no. 5, pp. 28-33.View/Download from: Publisher's site
Aim: To highlight issues and challenges faced in recruitment and interviewing during a study that sought to explore the transition of nurses into academic life and the associated ethical implications. Background: This paper explores the challenges faced in conducting research where the potential participants are peers and workplace colleagues. There are advantages when conducting research with those among whom a pre-existing relationship is shared. However, difficulties can also arise. Review methods: A methodological review was undertaken. Key database searches included CINAHL, MEDLINE, PubMed, Scopus and Google Scholar using the keywords as search terms. Studies were included if they described in detail issues surrounding qualitative interviewing of peers and colleagues. Discussion: Management of the issues involved is discussed, with emphasis on boundaries, trust and rapport, the use of self-disclosure and maintaining confidentiality. Conclusion: Research involving peers and colleagues has received relatively little consideration in the literature. There are difficulties associated with interviewing participants with whom the researcher has a pre-existing and ongoing relationship in the same organisation. To ensure ethical conduct, strategies can be used to mitigate negative situations such as issues surrounding dual roles, practising reflexivity, trust and rapport, self-disclosure and confidentiality. Implications for research/practice It is imperative that dual roles are declared and acknowledged. Researchers need to be mindful of the difficulties that may occur and prioritise participants confidentiality and privacy.
Barron, P, Pillay, Y, Doherty, T, Sherman, G, Jackson, D, Bhardwaj, S, Robinson, P & Goga, A 2013, 'Eliminating mother-to-child HIV transmission in South Africa', BULLETIN OF THE WORLD HEALTH ORGANIZATION, vol. 91, no. 1, pp. 70-74.View/Download from: Publisher's site
Blythe, SL, Halcomb, E, Wilkes, L & Jackson, DE 2013, 'Caring for vulnerable children: Challenges of mothering in the Australian foster care system', Contemporary Nurse, vol. 44, no. 1, pp. 87-98.View/Download from: Publisher's site
Foster carers have a significant responsibility in caring for vulnerable children. In order to support and facilitate foster carers it is important to understand how they perceive and fulfi l this responsibility. A qualitative storytelling study, informe
Blythe, SL, Halcomb, E, Wilkes, L & Jackson, DE 2013, 'Perceptions of Long-Term Female Foster-Carers: I'm Not a Carer, I'm a Mother', British Journal of Social Work, vol. 43, no. 6, pp. 1056-1072.View/Download from: Publisher's site
The need for foster-carers has significantly increased in recent decades as growing numbers of children are in need of out-of-home care. However, despite their importance to the foster-care system, the foster-carer role is imbued with ambiguity. The perc
Aim: To describe the challenges related to being an 'insider' researcher in a study that uses a feminist-informed storytelling research design and to discuss practical strategies to manage these challenges. Background: The positioning of the researcher in qualitative research has numerous methodological implications. Often, qualitative researchers share similar experiences or characteristics with their participants. Such an 'insider' position provides challenges for the researcher in conducting the research. Understanding these challenges and planning how to manage them is beneficial for the researcher and for the conduct of the project. Data sources: This paper is based on the research team's experience of undertaking a feminist-informed storytelling study exploring the experiences of Australian women providing long-term foster care. Review methods: This paper provides a discussion of the methodology used in the investigation. Discussion: Four challenges resulting from the insider status of the primary researcher were identified as affecting the research: assumed understanding, ensuring analytic objectivity, dealing with emotions and participants' expectations. Strategies to address these challenges include: 'participant probing', 'researcher reflexivity', review by an 'outsider' researcher. Identifying the risk, debriefing, making the aims and use of study outcomes clear, and acknowledging participants' expectations. Methods to implement these strategies are described. Conclusion: The use of an insider researcher was beneficial to our study design and helped with recruitment and rapport, enabling collaboration and the generation of stories rich in content. By identifying the challenges associated with insider research and using strategies to mitigate them, researchers can effectively use an insider position in conjunction with a storytelling research design. Implications for future research/practice: Further investigation of the insider in different qualitat...
Cleary, M, Horsfall, J & Jackson, DE 2013, 'Professional mental health nursing bodies: Issues relevant to leadership within and beyond', Contemporary Nurse, vol. 43, no. 2, pp. 257-260.
Positive patient-focused mental health reforms do not happen by chance, but can be attributed to the hard work of inspirational, dedicated and motivated professionals who display cross-discipline leadership skills and behaviors; and advocate assertively for changes to improve client care and treatment. Workplace changes for improved personalized outcomes for clients of mental health services can arise within any relevant sector including the community, targeted public housing priorities, employment preparation programs, welfare legislation, restructured service provision, clinical innovations, mental health policy changes and client lead strategies such as self-help groups. Better working conditions for nurses can make a contribution to improved client outcomes by enabling mental health nurses to spend more meaningful time with patients, freeing them up to work in more appropriately therapeutic ways, and having less of a focus on bureaucratically determined outcomes that might have little positive impact on patient wellbeing. Potentially therefore, mental health nursing professional organizations can contribute both to improve the care of clients and families, and better the working conditions for nurses.
Cleary, M, Horsfall, J & Jackson, DE 2013, 'Role models in mental health nursing: The good, the bad, and the possible', Issues in Mental Health Nursing, vol. 34, no. 8, pp. 635-636.
Role models are valuable assets in any mental health setting. However, given the sophistication of skills and attributes associated with ideal role models it is evident that many senior nurses will only provide partial opportunities for those less experienced than them. As the needs of novices fluctuate, the qualities required of a role model change, and the potential for timely inspiration and opportunities for enhanced self-belief will also alter.
Cleary, M, Horsfall, J & Jackson, DE 2013, 'Teaching Mental Health Nursing is, at the Very Least, a Craft, an Art, and a Science', Issues in Mental Health Nursing, vol. 34, pp. 136-137.View/Download from: Publisher's site
Cleary, M, Horsfall, J, Jackson, DE, Muthulakshmi, P & Hunt, GE 2013, 'Recent graduate nurse views of nursing, work and leadership', Journal Of Clinical Nursing, vol. 22, no. 19-20, pp. 2904-2911.View/Download from: Publisher's site
Aims and objectives. To assess recent nurse graduates of a large university and seeks their views of university preparation, requisite nursing skills and qualities, workplace transition, supports received, nurse leadership and role models, and career development and retention.
Cleary, M, Horsfall, J, Muthulakshmi, P & Jackson, DE 2013, 'A good day in nursing: Views of recent Singaporean graduates', Contemporary Nurse, vol. 45, no. 1, pp. 126-133.View/Download from: Publisher's site
This paper arises from the analysis of data from a large Singapore-based survey and a complementary qualitative series of 17 individual interviews. Some results from both arms of the research have been previously analysed and are reported elsewhere. Answers to a series of questions within the questionnaire and the structured interviews have been drawn together under the umbrella of investigating of recent Singaporean graduates views about the characteristics of a good nurse, a good day at work, and how they uphold ethical standards. Overall five themes emerged, these are: caring for others; respectful interpersonal interaction; rational clinical decision-making; the harsh reality of the workplace; and personal qualities (not easily influenced by formal education). Interviewees believed that potential nursing students should be made aware of the harsh realities they will face on graduation, which may seem counter-intuitive. However, graduates recalled their own struggles and perseverance and toughness to simply survive the early months as a key component of transition shock, indicating that an earlier awareness may be beneficial.
Cleary, M, Jackson, DE & Walter, G 2013, 'Editorial: Research data ownership and dissemination: Is it too simple to suggest that 'possession is nine-tenths of the law'?', Journal Of Clinical Nursing, vol. 22, no. 15-16, pp. 2087-2089.
The expression `Possession is nine-tenths of the law', derived from the Roman law, `Uti possidetis, ita possideatis' (`as you possess, thus may you possess'), is applicable in many spheres of life. When it comes to ownership of research data, however, the matter is more complex and warrants, in our opinion, careful examination.
Cleary, M, Jackson, DE, Watson, R & Chan, SW 2013, 'Quality Doctoral Programmes: Views From The East Asian Forum Of Nursing Scholars', Journal Of Clinical Nursing, vol. 22, no. 7-8, pp. 1198-1200.View/Download from: Publisher's site
Cleary, M, Siegfried, N, Jackson, DE & Hunt, GE 2013, 'Making a difference with research: Measuring the impact of mental health research', International Journal Of Mental Health Nursing, vol. 22, no. 2, pp. 103-105.View/Download from: Publisher's site
Cleary, M, Siegfried, N, Jackson, DE & Hunt, GE 2013, 'Making a difference with research: Measuring the impact of mental health research', International Journal of Mental Health Nursing, vol. 22, no. 2, pp. 103-105.View/Download from: Publisher's site
In a perfect world, all research is of a high quality and has social benefits and impact, improves health-care quality, and achieves positive consumer outcomes (Smith 2001).
Cleary, M, Walter, G & Jackson, DE 2013, 'Editorial: Is that for real? Curriculum vitae padding', Journal Of Clinical Nursing, vol. 22, no. 17-18, pp. 2363-2365.
In this editorial, we address the thorny topic of curriculum vitae (CV) padding. The term refers to the practice of misrepresenting one's achievements or contributions to a particular field, with the aim of inflating one's record or role(s) for the purpose of securing an unfair advantage over others in competitive endeavours.
Cleary, M, Walter, G, Andrew, S & Jackson, DE 2013, 'Negative workplace behaviours at the University of Hard Knocks', Contemporary Nurse, vol. 44, no. 2, pp. 253-256.View/Download from: Publisher's site
Cleary, M, Walter, G, Horsfall, J & Jackson, DE 2013, 'Promoting integrity in the workplace: A priority for all academic health professionals', Contemporary Nurse, vol. 45, no. 2, pp. 264-268.View/Download from: Publisher's site
The performance-driven culture of universities challenges faculty to meet workplace expectations. In this paper, we draw on the literature to identify key aspects of, and requirements for, promoting integrity in the academic workplace. Integrity is a crucial personal characteristic that can exert a powerful influence in any setting. Any threat to integrity in the workplace can result in a toxic and corrupt environment that may be deleterious to faculty and students. Such an environment can act to prevent faculty from speaking up about ethical issues or workplace concerns, which can result in failure to identify areas for improvement, continuation of suboptimal practices, and problematic professional relationships. The aim of this paper, therefore, is to present an overview of the concept of integrity in the academic workforce and to discuss some of the issues and dimensions, in the hope of creating greater awareness. This is essential if health professional faculties are to recruit and retain staff and create optimal working environments conducive to facilitating high quality outcomes.
Discusses the crucial role of nurses in sexuality and sexual health, in particular in the area of reducing the prevalence of STIs in the community.
Hayman, B, Wilkes, L, Halcomb, E & Jackson, DE 2013, 'Marginalised mothers: Lesbian women negotiating heteronormative healthcare services', Contemporary Nurse, vol. 44, no. 1, pp. 120-127.View/Download from: Publisher's site
Lesbian mothers share mainstream existence with other mothers by virtue of their motherhood, but remain marginalised by their non-heterosexual identity. This paper will draw on the qualitative findings of a recent Australian study that examined the experiences of lesbian mothers. Using a story-sharing method, data were collected using three methods; a demographic data sheet, in-depth semi-structured interviews and journaling. The findings demonstrated that participants experienced various forms of homophobia when interfacing with healthcare services and providers and included exclusion, heterosexual assumption, inappropriate questioning and refusal of services. Strategies used to avoid homophobia included screening and crusading.
Hayman, B, Wilkes, L, Jackson, DE & Halcomb, E 2013, 'De Novo Lesbian Families: Legitimizing the Other Mother', Journal of GLBT Family Studies, vol. 9, no. 3, pp. 273-287.View/Download from: Publisher's site
This study aimed to explore the experiences of other mothers in de novo or planned lesbian-led families in Australia to elaborate on one theme: legitimizing our families. Little is known or understood about how lesbians construct mothering within their families. Even less is understood about the experiences of the often marginalized and invisible other mother; that is, the non-birth mother in lesbian families. Fifteen self-identified lesbian couples participated in semistructured, in-depth interviews (as couples) using a story-sharing approach, undertook journaling, and completed a demographic data collection sheet. To be included in the study, participants had to have planned, conceived, birthed, and be raising their children together. A process of constant comparative analysis was used to analyse the data and generate themes and subthemes. Legitimizing our families was described by participants in terms of several subthemes, including the following: the role of the other mother in planning, conception, pregnancy, and birth; symbols of family connection; and negotiating health care. Other mothers participating in the study were acutely aware that people in society generally did not perceive them as genuine parents. This finding was consistent with the concepts of Others and Othering. To this end, other mothers sought to legitimize their role within their families by establishing symbols and using ceremonies, names, and other methods of formal recognition to justify their role as an authentic mother and signify legitimate de novo family connections.
Hayter, M, Haigh, C & Jackson, D 2013, 'Editorial: Representations of sexuality: A snapshot of 5 years of scholarship in the Journal of Clinical Nursing', Journal of Clinical Nursing, vol. 22, no. 23-24, pp. 3237-3238.View/Download from: Publisher's site
Hayter, M, Haigh, C & Jackson, DE 2013, 'Representations of sexuality: A snapshot of five years of scholarship in the Journal of Clinical Nursing', Journal Of Clinical Nursing, vol. 22, no. 23-24, pp. 3237-3238.
Sexual health care is an area of practice that can be both rewarding and challenging. There is general acceptance that adequately addressing health concerns and risk in relation to sexuality is essential to the provision of holistic care; however, integrating this domain into practice can represent challenges (Hayter et al. 2012). Furthermore, human sexuality is multidimensional incorporating biological, social, emotional, psychological, cultural and spiritual dimensions, so that in addition to having an understanding of the physiological, there is also a need to understand the many other facets that influence human sexuality and sexual behaviour. We have gathered a snapshot of papers published in the journal over the past five years. We hope this review provides a stimulating perspective on `where we are' now and also helps to move the research agenda in this key area of nursing practice forward.
Demonstrates how to identify a core set of journals that frequently publish in a particular field and rank them using various bibliometric indicators rather than the JIF in isolation and to list the top 10 articles that have received the most number of citations. The nurse education field is used to illustrate how this method can be used to rank like journals to help readers identify a more inclusive family of journals relevant to their particular field and interests.
Hutchinson, M & Jackson, DE 2013, 'Hostile clinician behaviours in the nursing work environment and implications for patient care: a mixed-methods systematic review', BMC Nursing, vol. 12, no. 25, pp. 1-12.View/Download from: Publisher's site
Although there is a sizeable body of evidence regarding the nature of hostile behaviours among clinicians in the nursing workplace, what is less clear is the nature of the relationship between these behaviours and patient care. To inform the development of appropriate intervention strategies we examine the level of evidence detailing the relationships between hostile clinician behaviours and patient care.
Transformational leadership in nursing: towards a more critical interpretation Effective nurse leadership is positioned as an essential factor in achieving optimal patient outcomes and workplace enhancement. Over the last two decades, writing and research on nursing leadership has been dominated by one conceptual theory, that of transformational leadership. This theoretical framework has provided insight into various leader characteristics, with research findings presented as persuasive evidence.
Hutchinson, M, Jackson, DE, Haigh, C & Hayter, M 2013, 'Editorial: Five years of scholarship on violence, bullying and aggression towards nurses in the workplace: what have we learned?', Journal Of Clinical Nursing, vol. 22, no. 7-8, pp. 903-905.View/Download from: Publisher's site
Workplace violence in its various forms is a continuing concern for nurses. Few nurses are completely untouched by this violence, with many being exposed to violence and aggression in their day-to-day work.
Hutchinson, M, Jackson, DE, Walter, G & Cleary, M 2013, 'Coercion and the Corruption of Care in Mental Health Nursing: Lessons from a Case Study', Issues in Mental Health, vol. 34, no. 6, pp. 476-480.View/Download from: Publisher's site
Given that a large number of nurses experience or witness bullying and other forms of counterproductive behaviours in their work teams, the likely flow-on effect of these behaviours in relation to patient care warrants attention. In this column, we analyse a case study of coercive bullying that involved nurses within a mental health unit and identify the corrupting impact of this behaviour upon patient care. For the patient affected, his family, and the staff implicated, the chain of events had devastating consequences.
Ijumba, P, Doherty, T, Jackson, D, Tomlinson, M, Sanders, D & Persson, L-A 2013, 'Free formula milk in the prevention of mother-to-child transmission programme: voices of a peri-urban community in South Africa on policy change', HEALTH POLICY AND PLANNING, vol. 28, no. 7, pp. 761-768.View/Download from: Publisher's site
Jackson, D 2013, 'Supervision provides a sense of professional satisfaction.', Nurse researcher, vol. 20, no. 3, p. 44.
Jackson, D, Power, T, Dean, S, Potgieter, I & Cleary, M 2013, 'Supporting parents and parenting: An overview of data-based papers recently published in Contemporary Nurse.', Contemporary nurse.View/Download from: Publisher's site
Abstract Nurses have a crucial role in play in supporting parents and in delivering and referring parents to family-support services. In this editorial, we reflect on papers recently published in Contemporary Nurse. We sought to consider data-based papers on parenting published between 2008 and 2012 and elucidate the role/s and potential roles of nurses in enhancing and supporting parenting. Parenting is recognised as a crucial variable for achieving positive outcomes for children (Dawson et al 2012). Poor, inconsistent or abusive parenting is linked to poor outcomes (Griffin et al. 2000, Holt et al.2008, Patterson et al.1989), while consistent and effective parenting is associated with enhanced child outcomes (Lamb 2012, Landry et al.2001). In addition to being important to outcomes for children, perceived parenting quality is also important to parents themselves. Disrupted relationships between parents and their children have been identified as distressing and potentially damaging to both parties (Jackson 2000; East 2006, 2007; Power 2012).
Jackson, DE, Andrew, S & Cleary, M 2013, 'A reason, a season or a lifetime? The importance of positive collegial relationships and networks in establishing career sustainability and resilience', Contemporary Nurse, vol. 45, no. 1, pp. 2-3.
Jackson, DE, Andrew, S & Cleary, M 2013, 'A reason, a season or a lifetime? The importance of positive collegial relationships and networks in establishing career sustainability and resilience', Contemporary Nurse, vol. 45, no. 1, pp. 2-3.View/Download from: Publisher's site
Positive collegial relationships can not only mitigate the negative effects of a noxious or unhappy working environment, but are fundamental to the development of a successful career.
Ethical behaviours are much discussed and their importance is widely acknowledged (Cleary, Horsfall, Jackson, & Hunt, 2012). While many ethical guideline documents and codes of conduct aim to promote ethical conduct in the workplace (Cleary, Walter, Andrew, & Jackson, in press), their efficacy is questionable, given the continued reports in the literature of workplace violations and poor collegial behaviours (Hutchinson, Jackson, Vickers, & Wilkes, 2006a; Jackson et al., 2010b).
Jackson, DE, Hutchinson, M, Luck, L & Wilkes, L 2013, 'Mosaic of verbal abuse experienced by nurses in their everyday work', Journal Of Advanced Nursing, vol. 69, no. 9, pp. 2066-2075.View/Download from: Publisher's site
Aims. To report observational data collected as part of a multi-phased study examining violence in the health sector. The findings presented detail the nature of verbal abuse experienced by nurses during their everyday interactions with patient, their fa
Jackson, DE, Hutchinson, M, Peters, K, Luck, L & Saltman, D 2013, 'Understanding avoidant leadership in health care: findings from a secondary analysis of two qualitative studies', Journal of Nursing Management, vol. 21, no. 3, pp. 572-580.View/Download from: Publisher's site
To illuminate ways that avoidant leadership can be enacted in contemporary clinical settings.
Jackson, DE, Power, TJ, Sherwood, J & Geia, LK 2013, 'Amazingly resilient Indigenous people! Using Transformative Learning to facilitate positive student engagement with sensitive material', Contemporary Nurse, vol. 46, no. 1, pp. 105-112.View/Download from: Publisher's site
If health professionals are to effectively contribute to improving the health of Indigenous people understanding, of the historical, political, and social disadvantage that has lead to health disparity is essential. This paper describes a teaching and learning experience in which four Australian Indigenous academics in collaboration with a non-Indigenous colleague ran an intensive workshop for masters level postgraduate students. Drawing upon the pedagogy of Transformative Learning, the aims of the day included facilitating students to explore their existing understandings of Indigenous people, the impact of ongoing colonisation, the diversity of Australias Indigenous people, and developing respect for alternative world views. Using a range of resources including personal stories, autobiography, film and interactive sessions, students were challenged intellectually and emotionally by the content. Students experienced the workshop as a significant educational event, and described feeling transformed by the content, better informed, more appreciative of other world views and Indigenous resilience and better equipped to contribute in a meaningful way to improving the quality of health care. Where this workshop differs from other Indigenous classes was in the use of an Indigenous teaching team. Rather than a lone academic who can often feel vulnerable teaching a large cohort of non-Indigenous students, a teaching team implied Indigenous authority and created an emotionally and culturally safe space within which students were allowed to confront and explore difficult truths. Findings support the value of multiple teaching strategies underpinned by the theory of transformational learning, and the potential benefits of facilitating emotional as well as intellectual student engagement when presenting sensitive material.
Mannix, J, Wilkes, L & Jackson, DE 2013, 'Marking out the clinical expert/clinical leader/clinical scholar: Perspectives from nurses in the clinical arena', BMC Nursing, vol. 12, no. 1, pp. 1-8.View/Download from: Publisher's site
Background Clinical scholarship has been conceptualised and theorised in the nursing literature for over 30 years but no research has captured nurses clinicians views on how it differs or is the same as clinical expertise and clinical leadership. The aim of this study was to determine clinical nurses understanding of the differences and similarities between the clinical expert, clinical leader and clinical scholar. Methods A descriptive interpretative qualitative approach using semi-structured interviews with 18 practising nurses from Australia, Canada and England. The audio-taped interviews were transcribed and the text coded for emerging themes. The themes were sorted into categories of clinical expert, clinical leader and clinical scholarship as described by the participants. These themes were then compared and contrasted and the essential elements that characterise the nursing roles of the clinical expert, clinical leader and clinical scholar were identified. Results Clinical experts were seen as linking knowledge to practice with some displaying clinical leadership and scholarship. Clinical leadership is seen as a positional construct with a management emphasis. For the clinical scholar they linked theory and practice and encouraged research and dissemination of knowledge.
McDonald, G, Jackson, DE, Wilkes, L & Vickers, M 2013, 'Personal resilience in nurses and midwives: Effects of a work-based educational intervention', Contemporary Nurse, vol. 45, no. 1, pp. 134-143.View/Download from: Publisher's site
Nurses and midwives commonly face a variety of challenges and difficulties in their everyday work. Stress, pressure, fatigue and anxiety are acknowledged sources of workplace adversity, which causes decreased perceptions of health and wellbeing. This study reports the effects of a work-based, educational intervention to promote personal resilience in a group of 14 nurses and midwives working in a busy clinical environment. The intervention encouraged participants to focus on the key characteristics of a resilient person and the elements that assisted them in their maintenance of personal resilience. The intervention also explored potential strategies for the future. Opportunities were provided for experiential learning, creative self-expression and exposure to new ideas. Primary effects of the intervention were found to benefit the participants in personal and professional areas; by enhanced confidence, self-awareness, assertiveness and self-care. This intervention had implications for the education and practice of nurses and midwives in terms of building and maintaining their personal resilience, especially those exposed to workplace adversity.
Nsibande, D, Doherty, T, Ijumba, P, Tomlinson, M, Jackson, D, Sanders, D & Lawn, J 2013, 'Assessment of the uptake of neonatal and young infant referrals by community health workers to public health facilities in an urban informal settlement, KwaZulu-Natal, South Africa', BMC HEALTH SERVICES RESEARCH, vol. 13.View/Download from: Publisher's site
Ogunsiji, O, Wilkes, L, Peters, K & Jackson, DE 2013, 'Knowledge, Attitudes And Usage Of Cancer Screening Among West African Migrant Women', Journal Of Clinical Nursing, vol. 22, no. 7-8, pp. 1026-1033.View/Download from: Publisher's site
Aims and objectives To explore West African migrant women's knowledge, attitude and usage of cancer screening in Australia. Background Despite strong evidence that cancer screening saves lives through early detection and treatment, there is lack of empirical studies on West African migrant women's knowledge, attitude and usage of cancer screening in Australia. Design Qualitative naturalistic inquiry. Methods Twenty-one West African migrant women who consented to participate in the study were recruited through a snowballing technique. These women were engaged in face-to-face audiotaped in-depth interviews which lasted for about 90 minutes. Interviews were transcribed verbatim and thematically analysed. Results The following three themes emerged from the data: knowledge of cancer screening, attitude towards cancer screening and usage of cancer screening Irrespective of the women's place of birth in Africa, twenty of the participants had no knowledge of cancer screening prior to migration, and most had a negative attitude towards screening. Women who had given birth after migrating to Australia were more likely to have had cervical cancer screening. Women who had passed their child-bearing years or had not presented to healthcare facilities for medical issues were more likely to be unaware of cancer screening. Conclusions Improved health promotion strategies that provide accessible information and education to West African migrant women regarding cancer screening are required to enhance the uptake of such screening in this migrant group. Relevance to clinical practice Nurses who encounter West African migrant women in their day-to-day practice have the opportunity to provide this group with education related to the importance of cancer screening.[
Few would argue against the essential need for a strong, responsive and well educated health workforce. Yet providing it continues to cause challenges, and the Australian Bureau of Statistics (ABS) website makes the point that though the health workforce `has been growing at a faster rate than the population, patient demand for health services has been increasing at an even faster rate.1 The nursing shortage is by no means a new phenomenon nationally and internationally, with strategies to improve recruitment and retention rates having thus far only limited success. One such government strategy has been the provision of additional funding for universities to increase enrolments into their undergraduate nursing courses. In fact in 2010, new enrolments in Australian undergraduate nursing programmes increased by 9.2% (Nursing Review, 2011). Despite this tactic resulting in increased numbers of new graduates eligible to practice as nurses, as a strategy, it may not address the on-going challenge of providing the Australian community with a skilled nursing workforce due to a decrease in positions offered to graduate nurses by both public and private hospitals. This mismatch between the number of positions offered in new graduate programmes and the number of nurses graduating from university has led to the unemployment of a substantial amount of nursing graduates.
Peters, K, Murphy, G & Jackson, DE 2013, 'Events Prior to Completed Suicide: Perspectives of Family Survivors', Issues in Mental Health Nursing, vol. 34, no. 5, pp. 309-316.View/Download from: Publisher's site
Relatively little is known about the experiences of those bereaved by suicide, particularly in the weeks leading to the death of a loved one. This study used a qualitative methodology to explore the perspectives of close survivors of a completed suicide.
Trajkovski, S, Schmied, V, Vickers, M & Jackson, DE 2013, 'Implementing The 4d Cycle Of Appreciative Inquiry In Health Care: A Methodological Review', Journal of Advanced Nursing, vol. 69, no. 6, pp. 1224-1234.View/Download from: Publisher's site
Aim. To examine and critique how the phases of the 4D cycle (Discovery, Dream, Design, and Destiny) of appreciative inquiry are implemented in a healthcare context. Background. Appreciative inquiry is a theoretical research perspective, an emerging research methodology and a world view that builds on action research, organizational learning, and organizational change. Increasing numbers of articles published provide insights and learning into its theoretical and philosophical underpinnings. Many articles describe appreciative inquiry and the outcomes of their studies; however, there is a gap in the literature examining the approaches commonly used to implement the 4D cycle in a healthcare context. Design. A methodological review following systematic principles. Data sources. A methodological review was conducted including articles from the inception of appreciative inquiry in 1986 to the time of writing this review in November, 2011. Key database searches included CINAHL, Emerald, MEDLINE, PubMed, PsycINFO, and Scopus. Review methods. A methodological review following systematic principles was undertaken. Studies were included if they described in detail the methods used to implement the 4D cycle of appreciative inquiry in a healthcare context. Results. Nine qualitative studies met the inclusion criteria. Results highlighted that appreciative inquiry application is unique and varied between studies. The 4D phases were not rigid steps and were adapted to the setting and participants. Conclusion. Overall, participant enthusiasm and commitment were highlighted suggesting appreciative inquiry was mostly positively perceived by participants. Appreciative inquiry provides a positive way forward shifting from problems to solutions offering a new way of practicing in health care and health research.
Amid tremendous changes in contemporary health care stimulated by shifts in social, economic and political environments, health care managers are challenged to provide new structures and processes to continually improve health service delivery. The general public and the media are becoming less tolerant of poor levels of health care, and health care professionals need to be involved and supported to bring about positive change in health care. Appreciative inquiry (AI) is a philosophy and method for promoting transformational change, shifting from a traditional problem-based orientation to a more strength-based approach to change, that focuses on affirmation, appreciation and positive dialog. This paper discusses how an innovative participatory approach such as AI may be used to promote workforce engagement and organizational learning, and facilitate positive organizational change in a health care context.
Weaver, R, Salamonson, Y, Koch, J & Jackson, DE 2013, 'Nursing on television: student perceptions of television's role in public image, recruitment and education', Journal Of Advanced Nursing, vol. 69, no. 12, pp. 2635-2643.View/Download from: Publisher's site
AimsTo explore nursing students' perceptions of how their profession is portrayed on medical television programmes. BackgroundRecruitment and retention in nursing have been linked to the image of the profession in society. Images of nursing in popular me
Wilkes, L & Jackson, DE 2013, 'Enabling research cultures in nursing: insights from a multidisciplinary group of experienced researchers', Nurse Researcher, vol. 20, no. 4, pp. 28-34.View/Download from: Publisher's site
To identify characteristics of enabling and disabling research cultures.
There is a scarcity of research published on clinical scholarship. Much of the conceptualisation has been conducted in the academy. Nurse academics espouse that the practice of nursing must be built within a framework of clinical scholarship. A key concept of clinical scholarship emerging from discussions in the literature is that it is an essential component of enabling evidencebased nursing and the development of best practice standards to provide for the needs of patients/clients. However, there is no comprehensive definition of clinical scholarship from the practicing nurses. The aim of this study was to contribute to this definitional discussion on the nature of clinical scholarship in nursing.
This article seeks to identify factors to be considered in embracing perspectives of diversity in doctoral programs from the perspective of the extant literature and personal reflec-tion of experienced supervisors
Dawson, A & Jackson, DE 2013, 'The primary health care service experiences and needs of homeless youth: A narrative synthesis of current evidence', Contemporary Nurse, vol. 44, no. 1, pp. 62-75.View/Download from: Publisher's site
Homeless youth are a growing, vulnerable population with specific primary health care (PHC) requirements. There are no systematic reviews of evidence to guide the delivery of PHC interventions to best address the needs of homeless youth in Australia. We present a narrative synthesis of peer reviewed research designed to determine: (1) the PHC services homeless youth access; (2) experiences of services, reported outcomes and barriers to use; and, (3) the PHC service needs of homeless youth. Findings show that homeless youth access a variety of services and delivery approaches. Increased PHC use is associated with youth who recognise they need help. Street-based clinic linked services and therapy and case management alongside improved housing can positively impact upon mental health and substance use outcomes. Barriers to service use include knowledge; provider attitudes, financial constraints and inappropriate environments. Findings support targetted, co-ordinated networks of PHC and housing services with nurses working alongside community workers.
Dawson, A, Brookes, L, Carter, B, Larman, G & Jackson, DE 2013, 'Stigma, health and incarceration: Turning the tide for children with a parent in prison', Journal Of Child Health Care, vol. 17, no. 1, pp. 3-5.View/Download from: Publisher's site
Dawson, A, Brooks, L, Carter, B, Larman, G & Jackson, DE 2013, 'Stigma, health and incarceration: Turning the tide for children with a parent in prison', Journal of Child Health Care, vol. 17, no. 1, pp. 3-5.
Children affected by parental imprisonment are vulnerable to a range of suboptimal health and social outcomes. The incarceration of a parent has a profound effect on children who may have already been exposed to a range of life adversity issues. Parental imprisonment is a growing global concern, not least because of the impact of social, economic and ethnic inequities upon incarceration but because the influence of mass imprisonment `extends far beyond parents to entire families and neighborhoods (Wakefield and Wildeman, 2011: 806). Parental incarceration results in enforced separation of parents and children, infrequent and restricted contact and inconsistent caregiving arrangements that may pose further risk to child outcomes (Kobak and Madsen, 2008). This separation is not associated with the level of community support provided for other forms of separation such as the death of a parent (Phillips and Gates, 2011). Indeed, loss associated with parental imprisonment not only separates the child from their parent but often separates them from friends and community. It is a loss that extends well beyond the parent simply being absent (Geller et al., 2012).
Dawson, A, Jackson, DE & Cleary, M 2013, 'Mothering on the Margins: Homeless Women with an SUD and Complex Mental Health Co-Morbidities', Issues in Mental Health Nursing, vol. 34, no. 4, pp. 288-293.View/Download from: Publisher's site
Substance use disorder (SUD) and co-morbid mental health conditions are a serious and growing issue associated with 14% of the global health burden, and affecting family social wellness and the future potential of children (World Health Organization [WHO], 2008). Women with co-occurring substance use and mental health disorders are at particular risk as they may have dependent children and are vulnerable to poverty, family dysfunction, violence, and homelessness. In 2001, the World Health Report called for interconnected primary health and community-based interventions and human resource development to address mental health and SUD (WHO, 2001). Gender-based approaches have been highlighted as essential in order to engage women in treatment tailored to their needs (United Nations Of?ce on Drugs and Crime [UNODC], 2004). In this column, we provide an epidemiological overview of this vulnerable group of mothers and examine current progress and opportunities for improving health and social outcomes for these women.
In today's internet age there is an expectation that we not only become acquainted with social media, but that we use it; and wisely too. This expectation is reinforced by the proliferation of social media use by government agencies which, increasingly, have active social media profiles, and use Twitter and other forms of social media as an essential aspect of their communication strategy. Social-media savvy professionals have access to reports and information very quickly as many reports are released on Twitter and are immediately accessible and downloaded....
Saltman, D, Jackson, DE, Newton, PJ & Davidson, PM 2013, 'In pursuit of certainty: can the systematic review process deliver?', BMC Medical Informatics and Decision Making, vol. 13, no. 25.View/Download from: Publisher's site
There has been increasing emphasis on evidence-based approaches to improve patient outcomes through rigorous, standardised and well-validated approaches. Clinical guidelines drive this process and are largely developed based on the findings of systematic reviews (SRs). This paper presents a discussion of the SR process in providing decisive information to shape and guide clinical practice, using a purpose-built review database: the Cochrane reviews; and focussing on a highly prevalent medical condition: hypertension. Methods We searched the Cochrane database and identified 25 relevant SRs incorporating 443 clinical trials. Reviews with the terms `blood pressure or `hypertension in the title were included. Once selected for inclusion, the abstracts were assessed independently by two authors for their capacity to inform and influence clinical decision-making. The inclusions were independently audited by a third author. Results Of the 25 SRs that formed the sample, 12 provided conclusive findings to inform a particular treatment pathway. The evidence-based approaches offer the promise of assisting clinical decision-making through clarity, but in the case of management of blood pressure, half of the SRs in our sample highlight gaps in evidence and methodological limitations. Thirteen reviews were inconclusive, and eight, including four of the 12 conclusive SRs, noted the lack of adequate reporting of potential adverse effects or incidence of harm. Conclusions These findings emphasise the importance of distillation, interpretation and synthesis of information to assist clinicians. This study questions the utility of evidence-based approaches as a uni-dimensional approach to improving clinical care and underscores the importance of standardised approaches to include adverse events, incidence of harm, patients needs and preferences and clinicians expertise and discretion.
Jackson, DE, Power, TJ, Dean, S, Potgieter, IL & Cleary, M 2013, 'Supporting parents and parenting: An overview of data-based papers recently published in Contemporary Nurse', Contemporary Nurse, vol. 46, no. 2, pp. 142-147.
Jackson, DE, Daly, J, Mannix, J, Potgieter, IL & Cleary, M 2013, 'An overview of data-based papers on undergraduate nurse education recently published in Contemporary Nurse: Progress, challenges and the need for a strategic agenda', Contemporary Nurse, vol. 45, no. 2, pp. 146-151.View/Download from: Publisher's site
The history of nurse education is strongly grounded in the apprenticeship-style of training that pre-dated the delivery of nurse education in the higher education sector. The apprenticeship model was essentially premised on a belief that students of nursing learned by being exposed to the clinical environment, and being supported to learn on-the-job (Mannix et al. 2006). Because of this and despite the many dedicated nurse teachers who worked within hospital-based schools of nursing, for many years, nurse education was barely problematised; nor was it the subject of particular debate, scrutiny or interrogation. The move to transfer nurse education raised the profile of nurse education as an issue for debate and discussion in the literature, and the transfer itself has been the catalyst for a strong and growing discourse on issues around nurse education. Several specialist journals focus on nurse education, and tend to embrace undergraduate, postgraduate and continuing educational issues. Even general journals such as Contemporary Nurse attract quite a number of papers that focus on nurse education and related matters. However, despite the energies and focus on educational issues, concerns are still regularly raised about the nature and quality of nurse education (Jackson & Daly 2008), particularly in the media (see for example 2011, 2013). In this editorial, we consider data-based papers recently published in the journal on undergraduate nurse education (see Table 1), contemplate some of the strengths and weaknesses of this combined discourse, and recommend some ways forward.
McDermid, F, Peters, K, Daly, J & Jackson, DE 2013, ''I thought I was just going to teach': Stories of new nurse academics on transitioning from sessional teaching to continuing academic positions', Contemporary Nurse, vol. 45, no. 1, pp. 46-55.View/Download from: Publisher's site
Currently many nursing faculties and schools employ high numbers of sessional teachers to meet the demands of teaching. Sessional teachers are a source for future continuing academic staff; however, there is little exploration on the experiences of sessional teachers as they transition into the full-time nurse academic role. A qualitative study of 14 registered nurse participants used a story-telling approach to explore the experiences of sessional teachers as they transitioned into full-time and continuing academic roles. Findings revealed that participants had only a very limited understanding of the requirements of the academic role when appointed to it. Thematic analysis revealed two major themes. These were: `Uncertainty: Dealing with role expectation' and `Mitigating lack of confidence'. The implications of this paper contributes to and enhances knowledge of the transition experiences of sessional teachers and provides new evidence to suggest that adequate support processes are essential for sessional staff transitioning into permanent, full-time academic positions.
Virdun, C, Gray, JE, Sherwood, J, Power, TJ, Phillips, AB, Parker, NJ & Jackson, DE 2013, 'Working together to make Indigenous health care curricula everybody's business: a graduate attribute teaching innovation report', Contemporary Nurse, vol. 46, no. Special Issue, pp. 97-104.View/Download from: Publisher's site
Previously there has been commitment to the idea that Indigenous curricula should be taught by Indigenous academic staff, whereas now there is increasing recognition of the need for all academic staff to have confidence in enabling Indigenous cultural competency for nursing and other health professional students. In this way, Indigenous content can be threaded throughout a curriculum and raised in many teaching and learning situations, rather than being siloed into particular subjects and with particular staff. There are many sensitivities around this change, with potential implications for Indigenous and non-Indigenous students and staff, and for the quality of teaching and learning experiences. This papers reports on a collaborative process that was used to reconceptualise how Indigenous health care curricula would be positioned throughout a program and who would or could work with students in this area. Effective leadership, establishing a truly collaborative environment, acknowledging fears and perceived inadequacies, and creating safe spaces for sharing and learning were crucial in effecting this change.
Andrew, S, Cleary, M & Jackson, D 2012, 'Facing a New Frontier Safety in Cyberspace and Challenges for Nursing', JOURNAL OF PSYCHOSOCIAL NURSING AND MENTAL HEALTH SERVICES, vol. 50, no. 8, pp. 4-5.View/Download from: Publisher's site
Becquet, R, Marston, M, Dabis, F, Moulton, LH, Gray, G, Coovadia, HM, Essex, M, Ekouevi, DK, Jackson, D, Coutsoudis, A, Kilewo, C, Leroy, V, Wiktor, SZ, Nduati, R, Msellati, P, Zaba, B, Ghys, PD & Newell, M-L 2012, 'Children Who Acquire HIV Infection Perinatally Are at Higher Risk of Early Death than Those Acquiring Infection through Breastmilk: A Meta-Analysis', PLOS ONE, vol. 7, no. 2.View/Download from: Publisher's site
Stigma is a powerful social phenomenon with insidious health implications. Understanding stigma as it applies to various populations is imperative for nurses as it enables nurses to enhance individual patient care and nurses are well positioned to influe
Carter, B, Jackson, D, Hayter, M & Nyamathi, A 2012, 'Children out of place: Vulnerability and risk in the countryside?', CONTEMPORARY NURSE, vol. 42, no. 2, pp. 298-300.View/Download from: Publisher's site
Carter, B, Jackson, DE, Hayter, M & Nyamathi, A 2012, 'Editorial: Children out of place: Vulnerability and risk in the countryside?', Contemporary Nurse, vol. 42, no. 2, pp. 298-300.
Nurses and other health care professionals working with children in research and practice espouse and embed childrens rights views and perspectives (Carter 2009, Pelander and Leino-Kilpi 2004, Mattsson et al. 2011, Carter 2011) into their work. We practice in such a way that we respect and honour their abilities to be competent decision makers and we acknowledge their active agency and citizenship (Pelander and Leino-Kilpi 2004, Carter 2009). Beliefs which underpin our practice are focused on supporting resilience, promoting confidence, self esteem and well-being...
Cleary, M, Deacon, M, Jackson, D, Andrew, S & Chan, SWC 2012, 'Stigma in mental illness: A continuing concern', Contemporary Nurse, vol. 41, no. 1, pp. 48-50.
Cleary, M, Horsfall, J, Jackson, DE & Hunt, GE 2012, 'Ethical Conduct In Nurse Education: Creating Safe Staff-Student Boundaries', Nurse Education Today, vol. 32, no. 3, pp. 320-324.View/Download from: Publisher's site
This article synthesises principles and ideas from relevant literature on professional boundaries and applies them to higher education settings with the intention of contributing to contemporary debates on appropriate, respectful, and ethical conduct in
Cleary, M, Jackson, D, Vehvilainen-Julkunen, K, Lim, JC-C & Chan, SW-C 2012, 'Editorial: Nursing alumni building a strong voice for the future', JOURNAL OF CLINICAL NURSING, vol. 21, no. 9-10, pp. 1197-+.View/Download from: Publisher's site
Cross, W, Hayter, M, Jackson, DE & Cleary, M 2012, 'Editorial: Meeting the health care needs associated with poverty, homelessness and social exclusion: the need for an interprofessional approach', Journal Of Clinical Nursing, vol. 21, pp. 907-908.View/Download from: Publisher's site
Deacon, M, Jackson, DE, Andrew, S, Chan, SW & Cleary, M 2012, 'Stigma in mental illness: A continuing concern', Contemporary Nurse, vol. 41, no. 1, pp. 48-50.
Doherty, T, Sanders, D, Jackson, D, Swanevelder, S, Lombard, C, Zembe, W, Chopra, M, Goga, A, Colvin, M, Fadnes, LT, Engebretsen, IMS, Ekstrom, E-C & Tylleskar, T 2012, 'Early cessation of breastfeeding amongst women in South Africa: an area needing urgent attention to improve child health', BMC PEDIATRICS, vol. 12.View/Download from: Publisher's site
Sexually transmitted infections have long been associated with stigma and stereotypes due to their very nature. Throughout history sexually transmitted infections have been associated with female prostitution and deviant immoral behaviour making women who contract these infections particularly vulnerable to being stigmatised and stereotyped. Although the stigma attached to such infections has previously been documented in the literature, the aim of this research was to gain in depth insight into young Australian womenâs experiences of having a sexually transmitted infection from a feminist perspective. Findings from this study provide insight into the onerous effects stigma can have on women with these infections and sheds light on how these effects can influence self-perceptions, fear of rejection and feelings of unworthiness. These findings can provide nurses with greater understanding and insight into the effects of stigma on womenâs experiences of having a sexually transmitted infection. Having this understanding and insight has the potential to promote therapeutic care and minimise the stigma that may be felt among women who have contracted this type of infection.
Elmir, R, Jackson, DE, Schmied, V & Wilkes, L 2012, '"Less Feminine and Less a Woman": The impact of unplanned postpartum hysterectomy on women', International Journal of Childbirth, vol. 2, no. 1, pp. 51-60.View/Download from: Publisher's site
This article is a report of the womenâs experiences of unplanned emergency hysterectomy following severe postpartum hemorrhage (PPH).
Elmir, R, Schmied, V, Jackson, DE & Wilkes, L 2012, 'Between life and death: Women's experiences of coming close to death, and surviving a severe postpartum haemorrhage and emergency hysterectomy', Midwifery, vol. 28, pp. 228-235.View/Download from: Publisher's site
Objective: to describe women's experiences of having an emergency hysterectomy following a severe postpartum haemorrhage. Design: a qualitative research approach was used to guide this study. Data were collected through semi-structured, tape recorded face to face, email internet and telephone interviews. Setting: three States in Australia: New South Wales, Victoria and Western Australia. Participants: twenty-one Australian women who experienced a severe post partum followed by an emergency hysterectomy participated in the study. The median age of participants at time of interview was 42 years and the median time since having the hysterectomy was four years. Findings: a process of inductive analysis revealed the major theme, 'between life and death' and three sub-themes, 'being close to death: bleeding and fear', 'having a hysterectomy: devastation and realisation' and 'reliving the trauma: flashbacks and memories'. Conclusion: formulating a plan of care for women identifiably at risk of PPH and ensuring appropriate follow-up counselling is made, is key to help reduce the emotional and psychological symptoms experienced by these women in the aftermath of severe postpartum haemorrhage and hysterectomy.
Elmir, R, Schmied, V, Wilkes, L & Jackson, DE 2012, 'Separation, Failure And Temporary Relinquishment: Women's Experiences Of Early Mothering In The Context Of Emergency Hysterectomy', Journal Of Clinical Nursing, vol. 21, no. 7-8, pp. 1119-1127.View/Download from: Publisher's site
Aim. To describe the experiences of women who have had an emergency hysterectomy following a severe postpartum haemorrhage and the impact on their early mothering experiences. Background. Postpartum haemorrhage and subsequent hysterectomy is a traumatic
Grimwood, A, Fatti, G, Mothibi, E, Eley, B & Jackson, D 2012, 'Progress of preventing mother-to-child transmission of HIV at primary healthcare facilities and district hospitals in three South African provinces', SAMJ SOUTH AFRICAN MEDICAL JOURNAL, vol. 102, no. 2, pp. 81-83.View/Download from: Publisher's site
Aims: To identify the challenges associated with using journaling as a method of data collection and to offer strategies for effectively managing those challenges. Background: While journaling can be used for a variety of reasons, in the context of this paper, journaling refers to the process of participants sharing thoughts, ideas, feelings and experiences through writing and/or other media. Journaling is used in phenomenological research studies to record participant experiences in their natural contexts. Data sources: The findings are based on the experiences of the researchers during a qualitative study that explored the experiences of lesbian mothers and used journaling as one method of data collection. Review methods: This is a methodological paper. Discussion: Three main challenges affect journaling as a method of data collection: poor participation, feeling exposed and staying on track. Six strategies to promote participation in journaling are: coaching participants, limiting the journaling period, providing follow-up contact, promoting comfort, ensuring safety and providing clear content expectations. Each strategy is discussed and methods of implementing the strategies are offered. Conclusion: Journaling as a method of data collection has long been accepted as a valid method of accessing rich qualitative data. By acknowledging the common challenges associated with the process of journaling that are experienced by the participants, researchers employing this data collection method can promote constructive and valuable participation. Implications for future research: Further research examining participants' experiences of journaling as a method of qualitative data collection would be useful in determining challenges, barriers and benefits of the method. © RCN Publishing / Nurse Researcher.
Hayman, B, Wilkes, L, Jackson, DE & Halcomb, E 2012, 'Exchange and equality during data collection: relationships through story sharing with lesbian mothers', Nurse Researcher, vol. 19, no. 4, pp. 6-10.View/Download from: Publisher's site
To explore how reciprocity is achieved through a method of self-disclosure, namely story sharing.
Hayman, B, Wilkes, L, Jackson, DE & Halcomb, E 2012, 'Story-sharing as a method of data collection in qualitative research', Journal Of Clinical Nursing, vol. 21, no. 1-2, pp. 285-287.View/Download from: Publisher's site
Aim: The aim of this article is to demonstrate the use of storysharing as a practical and valuable method of data collection in qualitative research interviews. The benefits and limitations of the method will be evaluated and discussed.
Hayter, M, Jackson, DE, Carter, B & Nyamathi, A 2012, 'The three developmental phases of addressing sexuality in nursing care: Where do we go from here?', Contemporary Nurse, vol. 42, no. 2, pp. 187-189.
Horsfall, J, Jackson, DE, O'Hara-Aarons, M, Hunt, GE & Cleary, M 2012, 'Patients' views and experiences of pro re nata medication in acute mental health settings', International Journal of Mental Health Nursing, vol. 21, no. 6, pp. 533-539.View/Download from: Publisher's site
In the present study, we interviewed 40 patients in acute inpatient mental health settings regarding their experience of, and views about, receiving pro re nata (PRN) medication. Patient requests for PRN were primarily to relieve anxiety or to aid sleep, and the majority of the participants (80%) could describe a situation where this medication was very helpful. From the perspective of patients, interactions surrounding the immediate administration of PRN medication were inadequate, in that half of the interviewees were simply told to take the medication, and three-quarters said that, in their experience, formal consent was not commonly sought. Three-quarters of respondents came up with alternatives to PRN, and half wanted more information about the medication itself. These findings could contribute to improved nursing assessment for PRN medication need, administration, and monitoring.
Horsfall, J, O'Hara-Aarons, M, Jackson, DE, Cleary, M & Hunt, GE 2012, 'Mental health nurses' perceptions of good work in an acute setting', International Journal of Mental Health Nursing, vol. 21, no. 5, pp. 471-479.View/Download from: Publisher's site
Frequently, research and conference papers explore difficult or problematic areas of practice that can inadvertently render daily nursing accomplishments invisible and create the perception of a discipline in crisis. In this qualitative study, we explore the views of registered nurses about achievements in the workplace and good nursing work in an acute inpatient mental health setting in Sydney, Australia. Mental health nurses were asked a series of questions about their experiences and understanding of what constitutes good nursing work as well as their sense of optimism about their work. A total of 40 structured face‐to‐face interviews were completed. Among the responses to questions about achievements and good nursing practice, five broad themes were identified: i) teamwork; (ii) interpersonal interactions with patients; (iii) providing practical and holistic support to patients; (iv) patients' mental health improvements; and (v) optimism–pessimism continuum. Findings contribute to a discussion of good nursing work in acute mental health settings, as well as self‐perceptions of optimism and hopefulness, which are important contributors to positive, supportive health‐care settings and patient recovery.
Horsfall, J, O'Hara-Aarons, M, Mannix, J, Jackson, DE, Hunt, GE & Cleary, M 2012, 'Views and experiences of mental health nurses working with undergraduate assistants in nursing in an acute mental health setting', International Journal of Mental Health Nursing, vol. 21, no. 2, pp. 184-190.View/Download from: Publisher's site
Undergraduate nurses are employed as assistants in nursing (AIN) in inpatient mental health settings; however, there is a paucity of published research exploring registered nurses' (RN) views about the AIN role in these settings. This qualitative study documents the views and experiences of RN working with undergraduate AIN. Fifty structured face-to-face interviews were analysed, and the results are discussed in three sections.
Hunt, GE, Watson, R, Jackson, DE & Cleary, M 2012, 'A bibliometric review of the Journal of Advanced Nursing, 1976-2010', Journal Of Advanced Nursing, vol. 68, no. 3, pp. 492-495.
In this article, we look back at some of the achievements of the JAN and the key papers in the last 35-year history based on a citation analysis. In a previous editorial, Tierney (2011a) mentioned that they extracted data from WoS to identify the top 100 papers published in JAN since the year 2000. She noted that this list contained five papers that have accumulated over 100 citations each; the top one by Hasson et al (2000) was a methodological paper on the Delphi technique. Thirty papers were cited over 50 times. It has previously been suggested that a paper receiving ten citations in a nursing journal is a good paper, 50 citations means it is a very good paper, and 100 or more citations for a single article means it is an excellent paper (Hack et al. 2010). In this editorial, we wanted to make a more comprehensive examination of highly cited papers appearing in JAN and identify the top ten articles receiving the most citations. We used two databases (Web of Science-WoS and MEDLINE) to examine the journals performance according to various bibliometric indicators from December 2011. The findings suggest that JAN has grown substantially over the last three and a half decades based on the increased number of citations it has attracted. Figure 1 shows the number of citations to all articles in 5-year periods and shows the exponential growth of citations received.
Jackson, D, Andrew, S & Cleary, M 2012, 'Telling our stories: Writing for publication to enhance reflective and contextualised family and community practice', Contemporary Nurse, vol. 41, no. 1, pp. 2-4.
Jackson, DE, Andrew, S & Cleary, M 2012, 'Family and community health nursing: Challenges and moving forward', Contemporary Nurse, vol. 41, no. 1, pp. 141-144.
Jackson, DE, Andrew, S & Cleary, M 2012, 'Telling our stories: Writing for publication to enhance reflective and contextualised family and community practice', Contemporary Nurse, vol. 41, no. 1, pp. 2-4.
Jackson, DE, Cleary, M & Walter, G 2012, 'Editorial: Research ideas and academic integrity: consideration of some key issues', Journal Of Clinical Nursing, vol. 21, no. 11-12, pp. 1497-1498.View/Download from: Publisher's site
Research and academic settings are unique. The `publish or perish ethos creates high expectations for staff, who are expected to publish on a regular basis in high quality, international, peer reviewed journals to demonstrate academic success and meet performance measures. Considerable value is also placed on writing research grants and collaborating with others in national and international research programs. While there has been much written on research ethics and the ethics of writing, including on the subject of plagiarism, there has been less of a focus on the development of ideas, and who owns these.
Jackson, DE, Hayter, M, Carter, B & Nyamathi, A 2012, 'Revisiting the concept of vulnerability: Recognising strength and resilience in the context of risk and susceptibility', Contemporary Nurse, vol. 42, no. 2, pp. 142-144.
Jackson, DE, Walter, G, Watson, R, Hunt, GE & Cleary, M 2012, 'Editorial: Location, location, location - the position of authors in scholarly publishing', Journal Of Clinical Nursing, vol. 21, pp. 809-811.View/Download from: Publisher's site
Kelleher, L, Cleary, M & Jackson, DE 2012, 'Compulsory participation in a child protection and family enhancement program: Mother's experiences', Contemporary Nurse, vol. 41, no. 1, pp. 101-110.View/Download from: Publisher's site
The purpose of this study was to examine the experiences of parents who were directed by child protection authorities to attend a tertiary level child protection and family enhancement program.
Kerber, K, Tuaone-Nkhasi, M, Dorrington, RE, Nannan, N, Bradshaw, D, Jackson, D & Lawn, JE 2012, 'Progress towards Millennium Development Goal 4', LANCET, vol. 379, no. 9822, pp. 1193-1193.View/Download from: Publisher's site
Mackey, S, Hunt, GE, Jackson, DE, Thompson, D, Cleary, M & Walter, G 2012, 'Reputations: a critical yet neglected area of scholarly enquiry (editorial)', Journal of Advanced Nursing, vol. 68, pp. 2137-2139.
Mackey, S, Jackson, DE, Walter, G, Happell, B & Cleary, M 2012, 'Editorial: 'Face' and its cultural dimensions: some considerations for nurse educators', Journal Of Clinical Nursing, vol. 21, pp. 1797-1798.View/Download from: Publisher's site
Mcdonald, G, Jackson, DE, Wilkes, L & Vickers, MH 2012, 'A Work-Based Educational Intervention To Support The Development Of Personal Resilience In Nurses And Midwives', Nurse Education Today, vol. 32, no. 4, pp. 378-384.View/Download from: Publisher's site
A work-based educational programme was the intervention used in a collective case study aiming to develop, strengthen and maintain personal resilience amongst fourteen nurses and midwives. The participants attended six, monthly workshops and formed a participatory learning group. Post-intervention, participants reported positive personal and professional outcomes, including enhanced self-confidence, self-awareness, communication and conflict resolution skills. They strengthened relationships with their colleagues, enabling them to build helpful support networks in the workplace. The intervention used new and innovative ways of engaging nurses and midwives exhibiting the effects of workplace adversity fatigue, pressure, stress and emotional labour. Participants were removed from their usual workplace environment and brought together to engage in critical reflection, experiential learning and creativity whilst also learning about the key characteristics and strategies of personal resilience. Participants' experiences and skills were valued and respected; honest airing of the differences within the group regarding common workplace issues and concerns was encouraged. The new contribution of this intervention for nursing and midwifery education was supporting the learning experience with complementary therapies to improve participants' wellbeing and reduce stress.
Naik, R, Tabana, H, Doherty, T, Zembe, W & Jackson, D 2012, 'Client characteristics and acceptability of a home-based HIV counselling and testing intervention in rural South Africa', BMC PUBLIC HEALTH, vol. 12.View/Download from: Publisher's site
Nor, B, Ahlberg, BM, Doherty, T, Zembe, Y, Jackson, D & Ekstrom, E-C 2012, 'Mother's perceptions and experiences of infant feeding within a community-based peer counselling intervention in South Africa', MATERNAL AND CHILD NUTRITION, vol. 8, no. 4, pp. 448-458.View/Download from: Publisher's site
Nyamathi, A, Jackson, DE, Carter, B & Hayter, M 2012, 'Creating culturally relevant and sustainable research strategies to meet the needs of vulnerable populations', Contemporary Nurse, vol. 42, no. 2, pp. 243-246.
Ogunsiji, O, Wilkes, L, Jackson, DE & Peters, K 2012, 'Beginning Again: West African Women's Experiences of Being Migrants in Australia', Journal of Transcultural Nursing, vol. 23, no. 3, pp. 279-286.View/Download from: Publisher's site
Settling in a new country exposes immigrants to various health risk factors, and the existing literature alludes to immigrant women being more vulnerable than men. This article highlights some of the difficulties faced by West African women while settling into life in Australia. A qualitative design was used to explore the experiences of West African immigrant women living in Sydney, Australia. Data were collected using audiotaped face-to-face interviews, and narratives were transcribed verbatim and thematically analyzed. Twenty-one West African women participated in this study. The findings revealed the many challenges that participants faced after immigrating to their new country, and these are presented under the following themes: beginning again and experiencing loneliness and isolation. Participants encountered difficulties in developing social networks and obtaining employment, and as a result, they felt lonely and isolated. Therefore, nurses and health care professionals need to incorporate screening for precursors of emotional and social well-being issues when caring for this population.
Ogunsiji, O, Wilkes, L, Jackson, DE & Peters, K 2012, 'Suffering and smiling: West African immigrant women's experience of intimate partner violence', Journal Of Clinical Nursing, vol. 21, no. 11-12, pp. 1659-1665.View/Download from: Publisher's site
Aims and objectives. This study reports the intimate partner violence experiences of West African women living in Australia.
Background. Increasing diversity in Australia’s population presents new and complex challenges to nurses and other health care providers, particularly in relation to the health needs of immigrant women.
Design. A qualitative naturalistic inquiry design was used.
Method. A convenience sample of 21 West African immigrant women in Australia who were 18 years and over were engaged in face‐to‐face, in‐depth interviews and asked to talk about their health experiences. The interviews were transcribed verbatim and analysed thematically. Intimate partner violence was revealed as a major theme in this analysis.
Results. Data revealed that eighteen of the women had experienced intimate partner violence. The women’s accounts of intimate partner violence were dominated by two subthemes ‘suffering in silence’ and ‘reluctance to seek help.’
Conclusion. Findings revealed intimate partner violence as a significant issue for the newly migrated African women who participated in this study.
Relevance to clinical practice. Intimate partner violence is associated with significant adverse physical and psychological health outcomes. It is important that nurses understand the cultural barriers that can impede immigrant women’s ability to seek out and receive appropriate support and intervention and provide opportunities for women to disclose experiences of intimate partner violence.
Power, TJ, Jackson, DE, Weaver, R, Wilkes, L & Carter, B 2012, 'Autobiography As Genre For Qualitative Data: A Reservoir Of Experience For Nursing Research', Collegian, vol. 19, no. 1, pp. 39-43.View/Download from: Publisher's site
This paper is concerned with the use of published literary autobiographies that contain first-hand accounts of illness narratives, to explore their usefulness as a form of qualitative data to generate knowledge that can inform nursing practice. There is
Saltman, D, Kidd, M, Jackson, DE & Cleary, M 2012, 'Transportability of tertiary qualifications and CPD: A continuing challenge for the global health workforce', BMC Medical Education, vol. 12, no. 51, pp. 1-6.View/Download from: Publisher's site
In workforces that are traditionally mobile and have long lead times for new supply, such as health, effective global indicators of tertiary education are increasingly essential. Difficulties with transportability of qualifications and cross-accreditation are now recognised as key barriers to meeting the rapidly shifting international demands for health care providers. The plethora of mixed education and service arrangements poses challenges for employers and regulators, let alone patients; in determining equivalence of training and competency between individuals, institutions and geographical locations. This paper outlines the shortfall of the current indicators in assisting the process of global certification and competency recognition in the health care workforce. Using Organisation for Economic Cooperation and Development (OECD) data we highlight how International standardisation in the tertiary education sector is problematic for the global health workforce. Through a series of case studies, we then describe a model which enables institutions to compare themselves internally and with others internationally using bespoke or prioritised parameters rather than standards. The mobility of the global health workforce means that transportability of qualifications is an increasing area of concern. Valid qualifications based on workplace learning and assessment requires at least some variables to be benchmarked in order to judge performance.
Sharkey, AB, Chopra, M, Jackson, D, Winch, PJ & Minkovitz, CS 2012, 'Pathways of care-seeking during fatal infant illnesses in under-resourced South African settings', TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, vol. 106, no. 2, pp. 110-116.View/Download from: Publisher's site
Tabana, H, Doherty, T, Swanevelder, S, Lombard, C, Jackson, D, Zembe, W & Naik, R 2012, 'Knowledge of HIV status prior to a community HIV counseling and testing intervention in a rural district of south Africa: results of a community based survey', BMC INFECTIOUS DISEASES, vol. 12.View/Download from: Publisher's site
Trajkovski, S, Schmied, V, Vickers, M & Jackson, DE 2012, 'Neonatal nurses' perspectives of family-centred care: a qualitative study', Journal Of Clinical Nursing, vol. 21, pp. 2477-2487.View/Download from: Publisher's site
The aim of this study is to explore neonatal nurses' perspectives of their role in faciliatating family centred care in the neonatal intensive care unit.
Uwimana, J, Zarowsky, C, Hausler, H & Jackson, D 2012, 'Engagement of non-government organisations and community care workers in collaborative TB/HIV activities including prevention of mother to child transmission in South Africa: Opportunities and challenges', BMC HEALTH SERVICES RESEARCH, vol. 12.View/Download from: Publisher's site
Watson, R, Cleary, M, Jackson, DE & Hunt, GE 2012, 'Open access and online publishing: a new frontier in nursing?', Journal of Advanced Nursing, vol. 68, no. 9, pp. 1905-1908.
Weaver, R & Jackson, DE 2012, 'Tragic heroes, moral guides and activists: Representations of maternal grief, child death and tragedy in Australian newspapers', Health Sociology Review, vol. 21, no. 4, pp. 432-440.View/Download from: Publisher's site
Newspapers are a highly influential media that reflect and powerfully influence the views and cultural practices of individuals and societies.
Over the past two decades, the number of clinical trials conducted globally has increased thereby increasing demand for nurses working as Clinical Trial Nurses (CTNs), sometimes known as Clinical Research Nurses. The role and professional issues for these nurses in Australia has not been empirically formulated. Sixty-seven clinical trial nurses were surveyed nationally using a modified version of the Clinical Trials Nursing Questionnaire (CTNQ). Findings revealed the complex CTN role can include the coordination of the trials on one or more sites. This involves all domains listed in the questionnaire from protocol development, ethics approval applications, recruitment and consenting of participants in trials, to administering or assisting with treatments within the bounds of their practice code and the evaluation of protocols. Professional issues documented were: being undervalued in the nursing workforce, having no formal educational preparation for the role and minimal recognition in publications emanating from research in which they were involved. These nurses bring their practice knowledge to benefit research outcomes that may contribute to improving patient/client care.
Wilkes, L, Mannix, J & Jackson, DE 2012, ''I am going to be a dad': experiences and expectations of adolescent and young adult expectant fathers', Journal Of Clinical Nursing, vol. 21, no. 1-2, pp. 180-188.View/Download from: Publisher's site
Aim. To explore the experiences of prospective adolescent fathers regarding their impending fatherhood. Background. Several studies indicate adolescent fatherhood is associated with multiple risk factors. Despite this, it is well documented that these young males have a potentially vital role in the lives of their child/ren and partners. Adolescent pregnancy has often been viewed with a particular emphasis on the mother and relatively little is known about the experiences and expectations of young males facing imminent fatherhood. Design. Narrative methods were used to collect qualitative data. Method. Narratives were elicited through in-depth interviews with seven adolescent expectant fathers aged 16-22 years. Results. Impending fatherhood presented these young men with mixed emotions and many challenges. The pregnancies were all unplanned and though participants were all willing to face the responsibilities associated with fatherhood, they also reported feeling ill-prepared for the challenges that lay ahead. Impending fatherhood had caused the young men to reflect on the quality of fathering they had received themselves. The young men were hoping to provide their own infant with a better quality of fathering than they had experienced. Conclusions. Nurses and midwives are ideally placed to provide support to young men facing impending fatherhood to better prepare them to meet the demands of their forthcoming role. Relevance to clinical practice. Prenatal classes should include specific sessions for prospective fathers and provide opportunities to assist young men to discuss their thoughts and concerns about impending fatherhood. It could also be useful to encourage young expectant fathers to engage in discussions with their own fathers and grandfathers. For those young men who do not have effective relationships with their own fathers, it could be useful to organise mentoring with experienced mature men who have successfully engaged in the fatherhood role.
Zembe-Mkabile, W, Doherty, T, Sanders, D, Jackson, D, Chopra, M, Swanevelder, S, Lombard, C & Surender, R 2012, 'Why do families still not receive the child support grant in South Africa? A longitudinal analysis of a cohort of families across South Africa', BMC INTERNATIONAL HEALTH AND HUMAN RIGHTS, vol. 12.View/Download from: Publisher's site
Dawson, A, Jackson, DE & Nyamathi, A 2012, 'Children of incarcerated parents: Insights to addressing a growing public health concern in Australia', Children and Youth Services Review, vol. 34, no. 12, pp. 2433-2441.View/Download from: Publisher's site
In Australia, the children of incarcerated parents are a growing and vulnerable population at risk for life adversity and social inequity. There is little understanding of these children's experiences, perceived risks, reported outcomes and needs. There is also a lack of knowledge regarding evidence-based interventions that can address the multiple risk factors to which these children may be exposed. The aim of this study was to provide insight into the multiple perspectives of children with incarcerated parents, their carers, parents and service providers so that social and health programs may be tailored to best serve their needs. We undertook an integrative literature review of qualitative research studies using a narrative synthesis methodology to explore the effect of parental incarceration upon the social and health outcomes of children and perceptions of interventions designed to support them. Findings revealed that children of incarcerated parents grieved their parent's absence which they reported had a profound effect on their behavior and resulted in exposure to discrimination, violence and abuse. However, resiliency was manifested by a number of coping strategies that could be harnessed to better support the children and young adults of incarcerated parents. Rigorous and innovative intervention studies are required to better inform comprehensive evidence-based policy and practice.
Dignam, DM, Duffield, CM, Stasa, H, Gray, JE, Jackson, DE & Daly, J 2012, 'Management and leadership in nursing: an Australian educational perspective', Journal of Nursing Management, vol. 20, no. 1, pp. 65-71.View/Download from: Publisher's site
Aim: In this article, we present an Australian perspective on issues influencing management and leadership education in nursing. Background: Nurse leaders and managers work in a context of high pressure, uncertainty and rapid change, and face unprecedented challenges on a daily basis. Evaluation and Key Issues: In the present paper, we reflect on the issues and challenges facing providers of management education for nursing, and consider these challenges in relationship to current trends and imperatives. Conclusions: Collaborative approaches between educational and clinical settings are needed to ensure quality, relevant educational support for managers and leaders, and enhance curriculum integrity. Implications for Nursing Management: There is a need for contemporaneous and relevant research to inform innovative models of collaborative education.
McDermid, F, Peters, K, Jackson, DE & Daly, J 2012, 'Factors contributing to the shortage of nurse faculty: A review of the literature', Nurse Education Today, vol. 32, no. 5, pp. 565-569.View/Download from: Publisher's site
The aim of this paper is to provide a critical review of the literature, identify issues relevant to the nurse faculty shortage and provide direction for further research.
Cleary, M, Horsfall, J & Jackson, DE 2011, 'Mental Health Nursing: Transitions from clinical roles to academia', Perspectives in Psychiatric Care, vol. 47, no. 2, pp. 93-97.View/Download from: Publisher's site
Internationally, as the current generation of nurse academics reach retirement, nursing is facing an academic workforce shortage (Allan & Aldebron, 2008; Anderson, 2009; Potempa, Redman, & Landstrom, 2009). In order to meet workforce requirements, the higher education sector will need to recruit considerable numbers of new academic staff. In this paper, some challenges facing mental health nurses transitioning to academic life are identified and possible strategies to ameliorate or prevent foreseeable difficulties are suggested. All parties, new and existing faculty, will benefit from a greater awareness of barriers and developing entry protocols to enhance the transition experience and reduce early workplace stressors.
This discussion paper argues for the critical importance of successful leadership for effective mental health nursing, observing that nursing leadership has long been regarded problematically by the profession. Using empirical and theoretical evidence we debate what leadership styles and strategies are most likely to result in effective, recovery-orientated mental health nursing. Models of transformational and distributed leadership are found to be highly congruent with mental health nursing values, yet the literature suggests it is a type of leadership more often desired than experienced. We note how the scholarly literature tends to ignore the 'elephant in the room' that is organizational power; and we question whether transformational leadership pursued within a specific clinical context can influence beyond those confines. Nevertheless it is within these contexts that consumers experience nursing, effective or otherwise, thus we should advocate what is known about effective leadership whereever it is required.
Cleary, M, Horsfall, J, Mannix, J, O'Hara-Aarons, M & Jackson, DE 2011, 'Valuing teamwork: Insights from newly-registered nurses working in specialist mental health services', International Journal of Mental Health Nursing, vol. 20, pp. 454-459.View/Download from: Publisher's site
In this qualitative study, the experiences of a small cohort of registered nurses (RN) during the first 2 years of mental health employment were documented. A total of 13 semistructured interviews were completed from within a specialist mental health setting. Eleven issues were identified: (i) teamwork; (ii) experiential learning; (iii) self-development; (iv) confidence; (v) listening; (vi) rapport; (vii) keen observation; (viii) patience; (ix) empathy; (x) learning from colleagues; and (xi) maintaining a positive approach towards patients. The nurses focused on the here-and-now circumstances, rather than on future plans, or past preparation, and were able to elucidate the qualities and skills that they brought to their clinical work. Participants were most proud of achievements that bridged the personal and professional, such as self-development, working closely with patients to develop rapport, experiential learning, and teamwork. Findings highlight the importance of teamwork to newly-graduated RN entering the mental health environment. It is known that teamwork can convey a sense of belonging and help create an environment in which applied experiential clinical learning can occur. Therefore, it is important that efforts are made to facilitate team building and opportunities for teamwork when new graduates are transitioning into the mental health clinical practice environment.
Cleary, M, Horsfall, J, O'Hara-Aarons, M, Jackson, DE & Hunt, GE 2011, 'The views of mental health nurses on continuing professional development', Journal Of Clinical Nursing, vol. 20, pp. 3561-3566.View/Download from: Publisher's site
Aims and objectives. To determine clinical mental health nurses views and preferences about continuing professional development. Background. Participation in continuing professional development is now expected for nurse and midwifery registration. However, it is unclear how clinically based mental health nurses view continuing professional development and its relevance to career intentions. Design. Qualitative. Method. Semi-structured face-to-face interviews with mental health nurses (n = 50) drawn from inpatient mental health units. Results. The most prominent factor identified through this research is that the majority of the fifty participants valued continuing professional development and sought more opportunities to participate. They particularly favoured in-house locally based sessions targeting patient-related clinical skills enhancement. Importantly, this interest in continuing professional development was not confined to new graduates needing to consolidate their skills. Work-based flexibility, the types of courses available and opportunities for study leave were also identified as important factors. Of the 50 nurses interviewed, 40% expressed a desire for continuing professional development vis-a` -vis remaining in the service; 30% of nurses responded to the same question with an emphasis on the importance of collegial support amongst peers and management; and 30% of the nurses indicated their primary focus for continuing professional development was to further their tertiary studies. Conclusions. These results are not only timely given the requirements around continuing professional development, but are also important to drive improvements in quality continuing professional development where needs are prioritised, discussed and agreed on.
Cleary, M, Hunt, GE & Jackson, DE 2011, 'Demystifying Phds: A Review Of Doctorate Programs Designed To Fulfil The Needs Of The Next Generation Of Nursing Professionals', Contemporary Nurse, vol. 39, no. 2, pp. 273-280.View/Download from: Publisher's site
Commonly, the expression 'PhD' evokes a level of trepidation amongst potential candidates from both the clinical and academic spheres. In contemporary settings, a Doctor of Philosophy is highly regarded and increasingly necessary for a successful academi
Cleary, M, Walter, G & Jackson, DE 2011, '"Not Always Smooth Sailing": Mental Health Issues Associated with the Transition from High School to College', Issues in Mental Health Nursing, vol. 32, no. 4, pp. 250-254.View/Download from: Publisher's site
Students who transition from high school to college are often excited by the new phase of their lives. However, they are exposed to circumstances and expectations which place them at risk for psychiatric disorders or that may exacerbate pre-existing problems. In this paper, we discuss risk factors and other issues associated with students transitioning to college or university life, identify challenges for health professionals, and suggest possible strategies to improve the mental health of young adults on college campuses. Academic staff and health care providers need to be aware of how best to engage and assist students during an important phase of their life. Processes and care pathways also need to be easily understood, user friendly, and appropriately resourced. It is anticipated that staff, students, and industry health care providers will benefit from a greater awareness of some of the mental health issues that may occur in higher education.
Doherty, T, Sanders, D, Goga, A & Jackson, D 2011, 'Implications of the new WHO guidelines on HIV and infant feeding for child survival in South Africa', BULLETIN OF THE WORLD HEALTH ORGANIZATION, vol. 89, no. 1, pp. 62-67.View/Download from: Publisher's site
East, L, Jackson, DE, O'Brien, L & Peters, K 2011, 'Condom Negotiation: Experiences Of Sexually Active Young Women', Journal of Advanced Nursing, vol. 67, no. 1, pp. 77-85.View/Download from: Publisher's site
Aim. This paper is a report of a study of sexually active young women's experiences of negotiating condom use both before and after diagnosis of a sexually transmitted infection. Background. The male condom is the most efficient method in preventing and
East, L, Jackson, DE, O'Brien, L & Peters, K 2011, 'Healthcare experiences of women who have been diagnosed with a sexually transmitted infection', Journal Of Clinical Nursing, vol. 20, no. 15/16, pp. 2259-2265.View/Download from: Publisher's site
Aim. This paper reports the healthcare experiences of women who have been diagnosed with a sexually transmitted infection. Background. The incidence of sexually transmitted infections is increasing throughout the globe on an annual basis. To effectively curb this trend and reduce the spread of these infections, effective education and treatment is essential. Design. This study used a feminist approach. Methods. Ten women participated in this study. Interviews were conducted online and transcripts were thematically analysed. Results. Findings from this study revealed that the women generally characterised their healthcare experiences as negative. Some women perceived being negatively judged by healthcare professionals and felt they were not provided with sufficient information or support when diagnosed with a sexually transmitted infection. Conclusion. This paper reveals how healthcare professionals have the ability to exacerbate the adversity felt by women diagnosed with a sexually transmitted infection and how providing appropriate therapeutic care can assist young women who have been diagnosed with these types of infections. Relevance to clinical practice. Nurses and other healthcare professionals can better serve patients by providing motional and therapeutic support and information about the possible effects and long-term sequelae of sexually transmitted infections. Further, by providing sufficient information and support, the negative effects of having a sexually transmitted infection can be reduced and womenâs ability to cope with a sexually transmitted infection can be enhanced.
East, L, Jackson, DE, Peters, K & O'Brien, L 2011, 'Response to Hayter M (2010) Commentary on East L, Jackson B, Peters K & O'Brien L (2010) Disrupted sense of self: young women and sexually transmitted infection. Journal of Clinical Nursing 19, 2952-2953', Journal Of Clinical Nursing, vol. 20, pp. 2378-2379.View/Download from: Publisher's site
Edenborough, M, Wilkes, L, Jackson, DE & Mannix, J 2011, 'Development and validation of the Child-to-Mother violence scale', Nurse Researcher, vol. 18, no. 2, pp. 63-76.View/Download from: Publisher's site
This article describes the development and tests the reliability and validity of a new survey instrument, the Child-to-Mother Violence Scale (CMVS). This instrument was devised specifically to measure data regarding the incidence, perpetrators, targets, experiences and influences on child-to-mother violence as the first phase of a larger study that investigated child-to-mother violence in the western suburbs of Sydney, Australia.
Aim This paper explores the challenges of interviewing people about sensitive topics. It uses existing literature and the first authorâs experience of interviewing women traumatised by having an emergency hysterectomy following a severe postpartum haemorrhage. It also highlights the strategies that can assist interviews. Background Interviewing participants about sensitive topics requires skill and special techniques. Certain research topics have the potential to cause participants and researchers distress and discomfort. Identifying ways to prevent vicarious traumatisation and researcher burnout is imperative to the integrity of the research. Data sources Twenty one Australian women took part in in-depth, tape-recorded, face-to-face, email, internet and telephone interviews. Review methods This is a methodology paper on the first authorâs experience of interviewing women on potentially sensitive topics. Conclusion Some participants may find telling their stories to be cathartic, providing them with a sense of relief. Implementing techniques that may be helpful in initiating the interview process can be challenging.
Fadnes, LT, Jackson, D, Engebretsen, IMS, Zembe, W, Sanders, D, Sommerfelt, H & Tylleskar, T 2011, 'Vaccination coverage and timeliness in three South African areas: a prospective study', BMC PUBLIC HEALTH, vol. 11.View/Download from: Publisher's site
Hunt, GE, Cleary, M, Jackson, DE, Watson, R & Thompson, DR 2011, 'Editorial: Citation analysis - focus on leading Australian nurse authors', Journal Of Clinical Nursing, vol. 20, pp. 3273-3275.View/Download from: Publisher's site
Indices such as the h-index are being used increasingly in nursing (Thompson & Watson 2010, Hunt & Cleary 2011). Publication analyses of Canadian (Hack et al. 2010) and UK nurses (Thompson & Watson 2010) have previously been undertaken, and we now present an Australian-based nursing citation analysis. Hack et al. (2010) observed that nurses with an h-index of 1014 indicated an excellent publication record, so we sought to identify nurses working in Australia with an h-index of 10 or more.
Jackson, DE 2011, 'Editorial: People not paper: challenging document dependence and audit addiction in contemporary health care', Journal Of Clinical Nursing, vol. 20, pp. 301-302.View/Download from: Publisher's site
Jackson, DE & Cleary, M 2011, 'Practical advice to support mid-career doctoral students in nursing: Some considerations for academic supervisors', Contemporary Nurse, vol. 38, no. 1-2 Special Issue, pp. 171-179.View/Download from: Publisher's site
Mid-career students who undertake doctoral studies have often achieved standing and success in their careers and may already hold quite senior leadership positions in the sector. In view of this, mid-career students may struggle with the transition to student, particularly if they have not studied for a number of years and have multiple pressures on their time. Supervisors, on the other hand, operate within cultures of performance based indicators, and are under pressure to facilitate timely student completions.
Jackson, DE & Saltman, D 2011, 'Recognising the impact of social exclusion: The need for advocacy and activism in healthcare', Contemporary Nurse, vol. 40, no. 1, pp. 57-59.
Social exclusion has been identified as an issue of concern in Australia and internationally, and describes the inability to fully engage in society because of social characteristics that reduce opportunities for successful social engagement
Jackson, DE & Saltman, DC 2011, 'Preparing health professionals for community-based practice: some issues for consideration', Contemporary Nurse, vol. 38, no. 1-2, pp. 201-203.
Changes to models of health care delivery and chronic disease management have shifted the focus of care from in-patient hospital settings to the community. This provides an impetus for educationalists to facilitate adequate student clinical exposure to the range of community based and interdisciplinary health care options and service models.
Jackson, DE & Watson, R 2011, 'Editorial: Workplace learning: A continuing concern in nurse education', Contemporary Nurse, vol. 38, no. 1-2, pp. 3-5.
Jackson, DE, Hutchinson, M, Everett, B, Mannix, J, Peters, K, Weaver, R & Salamonson, Y 2011, 'Struggling for legitimacy: nursing students' stories of organisational aggression, resilience and resistance', Nursing Inquiry, vol. 18, no. 2, pp. 102-110.View/Download from: Publisher's site
There is a considerable body of literature scrutinising and theorising negative and hostile behaviour such as violence and interpersonal conflict in the nursing workplace. However, relatively little empirical work has examined the experiences of undergraduate nursing students in the context of negative workplace cultures, and even fewer studies have explored how students develop and enact strategies to counter hostile behaviours in the clinical workplace. Based on qualitative analysis of open-ended survey questions, this study explored undergraduate students' experiences of negative behaviours in the clinical environment to identify strategies used to manage and resist such behaviours. While dominant individuals in the clinical environment sought to enforce and uphold their version of legitimacy - one where students were relegated to complete subordination - the tenacity and resourcefulness of students was evident in their attempts to counter this oppression with acts of resistance. Our findings provide new and valuable insights into organisational aggression and acts of resistance in the nursing workplace. The resistance offered by these students draws attention to the struggles for legitimacy within institutions. In drawing attention to organisational aggression as a mechanism by which students are 'othered' through pejorative behaviour, homogenisation, and de-authentication, and the dynamics of resistance offered by these student nurses, we provide an alternative explanation of nursing socialisation.
Jackson, DE, Peters, K, Andrew, S, Salamonson, Y & Halcomb, E 2011, '"If you haven't got a PhD, you're not going to get a job": The PhD as a hurdle to continuing academic employment in nursing', Nurse Education Today, vol. 31, no. 4, pp. 340-344.View/Download from: Publisher's site
This paper is drawn from a larger study that sought to identify and examine issues around the employment of sessional academic staff in baccalaureate nurse education. Twelve sessional teachers and 12 continuing academics participated in the interviews. Examination of the data revealed the PhD was perceived as a hurdle to continuing employment in nurse education in the university sector. In the current climate, sessional teachers continue to be an essential part of the nursing academic workforce and are necessary to meet the teaching and learning demands associated with implementing nursing curricula. Findings suggest a need for scrupulous processes in relation to the recruitment of sessional staff, and highlight the difficulties that sessional teachers may have in securing continuing academic employment. We provide recommendations to facilitate the appointment of appropriate individuals into sessional roles and highlight the need to mentor and support sessional teachers wishing to pursue a career as nurse academics. Questions are raised about how nursing can plan for future academic workforce needs in a context of an aging academic workforce, the demand for doctoral training for nurse academics, and widespread casualisation of the nursing academic workforce.
Jackson, DE, Peters, K, Hutchinson, M, Edenborough, M, Luck, L & Wilkes, L 2011, 'Exploring confidentiality in the context of nurse whistle blowing: issues for nurse managers', Journal of Nursing Management, vol. 19, no. 5, pp. 655-663.View/Download from: Publisher's site
Aim The aim of this paper is to reveal the experiences and meaning of confidentiality for Australian nurses in the context of whistle blowing. Background Despite the ethical, legal and moral importance of confidentiality within the health-care context, little work has addressed the implications of confidentially related to whistle-blowing events. Methods: The study used qualitative narrative inquiry. Eighteen Australian nurses, with first-hand experience of whistle blowing, consented to face-to-face semistructured interviews. Results Four emergent themes relating to confidentiality were identified: (1) confidentiality as enforced silence; (2) confidentiality as isolating and marginalizing; (3) confidentiality as creating a rumour mill; and (4) confidentiality in the context of the public's 'right to know'. Conclusions The interpretation and application of confidentiality influences the outcomes of whistle blowing within the context of health-care services. Conversely, confidentially can be a protective mechanism for health-care institutions. Implications for nursing management It is beholden upon nurse manager to carefully risk manage whistle-blowing events. It is important that nurse managers are aware of the consequences of their interpretation and application of confidentiality to whistle-blowing events, and the potentially competing outcomes for individuals and the institution.
Marston, M, Becquet, R, Zaba, B, Moulton, LH, Gray, G, Coovadia, H, Essex, M, Ekouevi, DK, Jackson, D, Coutsoudis, A, Kilewo, C, Leroy, V, Wiktor, S, Nduati, R, Msellati, P, Dabis, F, Newell, M-L & Ghys, PD 2011, 'Net survival of perinatally and postnatally HIV-infected children: a pooled analysis of individual data from sub-Saharan Africa', INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, vol. 40, no. 2, pp. 385-396.View/Download from: Publisher's site
McCloughen, A, O'Brien, L & Jackson, DE 2011, 'Nurse leader mentor as a mode of being: findings from an Australian Hermeneutic Phenomenological Study', Journal Of Nursing Scholarship, vol. 43, no. 1, pp. 97-104.View/Download from: Publisher's site
The purpose of this study is to develop an interpretation of Australian nurse leaders' understandings and experiences of mentorship for nurse leadership. The study aimed to explore experiential meanings and understandings that Australian nurse leaders apply to their mentoring relationships; determine whether mentoring relationships contribute to nurse leader development in Australia; and identify how Australian nurse leaders conceptualize mentorship.
Messum, D, Wilkes, L & Jackson, DE 2011, 'Employability Skills: essential requirements in health manager vacancy advertisements', Asia Pacific Journal of Health Management, vol. 6, no. 2, pp. 22-28.
Background: Common understandings of what constitutes employability skills (ES), for graduate entry level jobs in health services management, are not well articulated. The Australian Department of Science and Training (DEST) provides a generic profile only which changes over time. In health, this is compounded by endemic reform. What is agreed is that a degree is not enough. Recruitment and personnel policies/practices have been found inconsistent, and wish lists for ES unreliable. In addition, different levels of managers in an organisation require different attributes for the same position. Higher education shows interest in generic skills because of pressure from employers.
Murphy, G, Peters, K, Jackson, DE & Wilkes, L 2011, 'A qualitative meta-synthesis of adult children of parents with a mental illness', Journal Of Clinical Nursing, vol. 20, no. 23-24, pp. 3430-3442.View/Download from: Publisher's site
Aims and objectives. This article presents a qualitative meta-synthesis that explores the experiences of adult children of parents with a mental illness. Background. There has been growing interest in the experiences of children whose parents have mental illness. However, little literature explores the experiences of adult children. Design. Qualitative meta-synthesis. Method. A review of English language literature search engines was undertaken and identified 905 relevant articles. Articles were excluded if they used quantitative methodology, had other methodological issues or had a focus on parental drug/alcohol issues. Twelve articles were identified as using qualitative or mixed methods studies, which were reviewed using the Critical Appraisal Skills Programme (Public Health Resource Unit 2006). Following this, seven studies were included in the metasynthesis. The main findings and themes identified by the original study authors were extracted from the results and discussions sections and further categorised into four main themes using content analysis methods.
Nkonki, LL, Chopra, M, Doherty, TM, Jackson, D & Robberstad, B 2011, 'Explaining household socio-economic related child health inequalities using multiple methods in three diverse settings in South Africa', INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, vol. 10.View/Download from: Publisher's site
O'Reilly, R, Luck, L, Wilkes, L & Jackson, DE 2011, 'Child protection workers: What they do', International Journal of Multiple Research Approaches, vol. 5, no. 1, pp. 122-138.View/Download from: Publisher's site
Child protection organisations face the challenge of ensuring provision of adequate child protection, while maintaining a stable workforce. It is essential therefore, to appreciate the daily work demands of Child Protection Workers (CPWs). This paper draws from a larger case study which aimed to investigate CPW work practices and the challenges they cause for the workers. Specifi cally, this paper describes what CPWs do in their daily work. A mixed methods approach to data collection and analysis was used in the study where 15 CPWs participated in both observations and interviews. The results demonstrated that while the majority of worker job tasks are client focused, the time spent by CPWs on non-therapeutic job tasks and worker actions are substantial, and the ability to multitask was revealed as a vital CPW skill. Findings suggest a need for child protection policy makers, organisations and other key stakeholders to consider implementing time effective and efficient strategies for managing the challenges that multi-tasking presents to CPWs.
Peters, K, Jackson, DE & Rudge, T 2011, 'Surviving the adversity of childlessness: Fostering resilience in couples', Contemporary Nurse, vol. 40, no. 1, pp. 130-140.View/Download from: Publisher's site
In contemporary Western society, infertility has the capacity to impact greatly on couples, emotionally and socially.
Peters, K, Jackson, DE, Andrew, S, Halcomb, E & Salamonson, Y 2011, 'Burden versus benefit: Continuing nurse academics' experiences of working with sessional teachers', Contemporary Nurse, vol. 38, no. 1, pp. 35-44.View/Download from: Publisher's site
Sessional teachers are taking an increasing role in classroom teaching in Schools of Nursing. However, there is a paucity of literature reporting the experiences of, and impact on, career academics working with or alongside the burgeoning numbers of sessional teachers. Therefore, the purpose of this paper is to explore the experiences of continuing academics working with sessional teachers.
Peters, K, Luck, L, Hutchinson, M, Wilkes, L, Andrew, S & Jackson, DE 2011, 'The emotional sequelae of whistleblowing: findings from a qualitative study', Journal Of Clinical Nursing, vol. 20, no. 19-20, pp. 2907-2914.View/Download from: Publisher's site
Whistleblowing has the potential to have a negative impact on individuals physical and emotional well-being. However, few empirical studies have been conducted using qualitative methods to provide an in-depth exploration of the emotional consequences for those involved in whistleblowing incidents.
Power, TJ, Jackson, DE, Weaver, R & Carter, B 2011, 'Social support for mothers in illness: a multifaceted phenomenon', Contemporary Nurse, vol. 40, no. 1, pp. 27-40.View/Download from: Publisher's site
Background: Many women privilege the mothering role over other areas of their lives, and for ill women, it can be difficult to relinquish maternal responsibility. Not being able to mother in their usual way can have consequences for women's wellbeing and view of themselves as `good' mothers. Method: In this study, twenty-seven mothers of dependent children were interviewed about their experiences of illness, and the social support they received. Results: Despite their illnesses, participants in this study continued to feel they were primarily responsible for the wellbeing and care of their children, and were distressed if they were unable to adequately fulfil the primary carer role. As participants sometimes found it difficult to care for their children, help with childcare emerged as an important element of social support. Seeking assistance with care for children revealed a tension between support that was accessible and support that was acceptable. Conclusion: Mothering while ill is difficult and women facing illness may need encouragement to accept help to continue to meet their maternal responsibilities. Nurses are in an excellent position to encourage women to identify and draw upon sources of support to assist them in maintaining their mothering role while ill.
Salamonson, Y, Andrew, S, Clauson, J, Cleary, M, Jackson, DE & Jacobs, S 2011, 'Linguistic diversity as sociodemographic predictor of nursing program progression and completion', Contemporary Nurse, vol. 38, no. 1-2 Special Issue, pp. 84-93.View/Download from: Publisher's site
Attrition from undergraduate nursing programs continues to warrant investigation particularly in the climate of nursing shortages and fiscal reflection on academic institutional programs. This three-year study used a prospective longitudinal survey design to determine entry characteristics of students, attrition, progression and completion in an undergraduate program.
Salamonson, Y, Bourgeois, S, Everett, B, Weaver, R, Peters, K & Jackson, DE 2011, 'Psychometric testing of the abbreviated Clinical Learning Environment Inventory (CLEI-19)', Journal of Advanced Nursing, vol. 67, no. 12, pp. 2668-2676.View/Download from: Publisher's site
Aim. This paper is a report of a test of the psychometric properties of a 19-item version of the Clinical Learning Environment Inventory. Background. Although the clinical learning environment provides the 'real-life' context essential for preparing nursing students for their professional role, the quality of student learning is influenced by the quality of the clinical placement. Methods. Nursing students completed an abbreviated (19-item) form of the Clinical Learning Environment Inventory to rate their perception of the clinical learning environment. Descriptive statistics, principal component analysis, discriminant validity and Cronbachâs alpha reliabilities were computed.
Sharkey, A, Chopra, M, Jackson, D, Winch, PJ & Minkovitz, CS 2011, 'Influences on Healthcare-seeking during Final Illnesses of Infants in Under-resourced South African Settings', JOURNAL OF HEALTH POPULATION AND NUTRITION, vol. 29, no. 4, pp. 379-387.View/Download from: Publisher's site
Stevens, J, Dahlen, H, Peters, K & Jackson, DE 2011, 'Midwives' and doulas' perspectives on the role of the doula in Australia: A qualitative study', Midwifery, vol. 27, no. 4, pp. 509-516.View/Download from: Publisher's site
Objective: to explore midwives' and doulas' perspectives of the role of the doula in Australia. Background: doulas are relatively new in Australia; nevertheless demand for them is increasing. Research has not previously explored the role of a doula in Australia. This research aimed to answer the question: What are midwives and doulas perspectives of the role of a doula in Australia. Design: qualitative study using focus groups that were digitally recorded , transcribed and the data analysed using thematic analysis. Setting: New South Wales` Australia Participants: 11 midwives and six doulas Findings: the key theme that emerged was that `the broken maternity system' is failing women and midwives. The system is preventing midwives from providing woman- centred care. As a result, doulas are 'filling the gap' and midwives feel that doulas are 'taking our role'. Doulas fill the gap by providing continuity of care, advocating for women, protecting normal birth and by providing breast-feeding advice ancl emotional support in the community. Midwives are concerned that doutas are taking the caring part of their role from them and want the 'broken' maternity system fìxed. Midwives described that doulas take their role from them by changing the relationship between themselves and labouring women, by reducing their role to obstetric nurses` by overstepping the doula role boundaries, and by holding the power at births. Implications for practice: despite the conflict reported between midwives and doulas, both groups identified that they see the potential for future collaboration. Taking into account the continued employment of doulas, it is important to improve collaboration between midwives and doulas for the sake of childbearing women.
Tomlinson, M, Doherty, T, Jackson, D, Lawn, JE, Ijumba, P, Colvin, M, Nkonki, L, Daviaud, E, Goga, A, Sanders, D, Lombard, C, Persson, LA, Ndaba, T, Snetro, G & Chopra, M 2011, 'An effectiveness study of an integrated, community-based package for maternal, newborn, child and HIV care in South Africa: study protocol for a randomized controlled trial', TRIALS, vol. 12.View/Download from: Publisher's site
Tylleskar, T, Jackson, D, Meda, N, Engebretsen, IMS, Chopra, M, Diallo, AH, Doherty, T, Ekstrom, E-C, Fadnes, LT, Goga, A, Kankasa, C, Klungsoyr, JI, Lombard, C, Nankabirwa, V, Nankunda, JK, Van de Perre, P, Sanders, D, Shanmugam, R, Sommerfelt, H, Wamani, H & Tumwine, JK 2011, 'Exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa (PROMISE-EBF): a cluster-randomised trial', LANCET, vol. 378, no. 9789, pp. 420-427.View/Download from: Publisher's site
Weaver, R & Jackson, DE 2011, 'Evaluating an academic writing program for nursing students who have English as a second language', Advances in Contemporary Nursing, vol. 38, no. 1-2, pp. 130-138.View/Download from: Publisher's site
Academic writing skills are essential to the successful completion of preregistration nursing programs, yet the development of such skills is a challenge for many nursing students, particularly those who speak English as a second language (ESL). It is vital to develop and evaluate strategies that can support academic writing skills for ESL nursing students.
Analysis of Australian nursing research output is becoming more important as academic institutions move into implementing quality programs of research output. Notable in determining research quality is the publication of research papers in journals with a high ranking within the Institute for Scientific Information (ISI) or Excellence in Research for Australia (ERA). This paper reports an analysis of Australian nurse researcher output in journals highly ranked by the ISI and ERA. Research abstracts were analysed for topic, sources of data, location of research and methodological paradigm. A total of 530 articles from five Australian and from five USA and UK journals were analysed. There was an increase in output from the period of prior analyses in 2000. Practice issues are the most common topic followed closely by nurse education. While most studies used nurses as sources of data there were more studies in which consumers of nursing care were the point of inquiry. Both qualitative and quantitative methods were utilised. Given the importance of rationalising nursing practice and adding new knowledge to evidence based care, it is imperative for the nursing profession to disseminate research findings. Failure to do this may result in poor return in investment outcomes for the future of nursing in Australia and internationally.
Wilkes, L, Peters, K, Weaver, R & Jackson, DE 2011, 'Nurses Involved In Whistleblowing Incidents: Sequelae For Their Families', Collegian, vol. 18, no. 3, pp. 101-106.View/Download from: Publisher's site
Nurses involved in whistleblowing often face economic and emotional retaliation, victimization and abuse. Yet for many nurses, one major part of their whistleblowing experience is the negative impact it has on their families. This paper reports findings
To lead is to live dangerously because when leadership counts, when you lead people through difficult change, you challenge what people hold dear - their daily habits, tools, loyalties, and ways of thinking - with nothing more to offer perhaps than a possibility. And people resist in all kinds of creative and unexpected ways that can get you taken out of the game: pushed aside, undermined, or eliminated (Heifetz R, Linsky M, Leadership on the Line, 2002).
It is a given that university research underpins economic and social developments. In 2010, it was reported that Â£3.5 Billion of publicly funded research generates Â£45 Billion a year in job creation and new products (THE, 2010). However, the benefits are not limited to industrial innovation and products. In the United Kingdom (UK), the Arts and Humanities Research Council asserted that for every Â£1 spent on arts and humanities research each year, the UK reaps up to Â£10 in immediate benefit and another Â£15-Â£20 in the long term (Owens, 2010). Similar metrics have been provided in Australia with similar returns on investment for research dollars spent. In Australia it has been estimated that there is a $5 AUD return for every $1 AUD invested in health and medical research (National Health & Medical Research Council, 2003).
Andrew, S, Halcomb, E, Jackson, DE, Peters, K & Salamonson, Y 2010, 'Sessional Teachers In A BN Program: Bridging The Divide Or Widening The Gap?', Nurse Education Today, vol. 30, no. 5, pp. 453-457.View/Download from: Publisher's site
Casualisation of the academic workforce has resulted in an increase in the employment of sessional teachers in Bachelor of Nursing (BN) programs. Many of these teachers are drawn from specialty clinical areas and continue to work clinically while teachin
Cleary, M, Hunt, GE, Walter, G & Jackson, DE 2010, 'Fostering Real-World Clinical Mental Health Research', Journal Of Clinical Nursing, vol. 19, no. 23-24, pp. 3453-3458.View/Download from: Publisher's site
Aims and objectives. In this article, we identify key aspects for enhancing real-world research in mental health care clinical settings and broadly discuss some practicalities and issues that must be considered beforehand. Background. Practice which is e
Daniels, K, Nor, B, Jackson, D, Ekstroem, E-C & Doherty, T 2010, 'Supervision of community peer counsellors for infant feeding in South Africa: an exploratory qualitative study', HUMAN RESOURCES FOR HEALTH, vol. 8.View/Download from: Publisher's site
East, L, Jackson, DE, O'Brien, L & Peters, K 2010, 'Storytelling: an approach that can help to develop resilience', Nurse Researcher, vol. 17, no. 3, pp. 17-25.
Stories convey values and emotions, and can reveal the differences and similarities between peopleâs experiences. Elucidating personal stories involves sharing which can help form bonds and supportive networks. With reflection, these can help to develop resilience. While the literature recognises the potential cathartic and therapeutic benefits associated with storytelling in research, links between the development of personal resilience and storytelling for research purposes have not been drawn. This paper argues that storytelling aids the development of personal resilience and provides opportunities to celebrate the hardiness of research participants who contribute to knowledge by recounting their stories of difficulty and adversity.
East, L, Jackson, DE, Peters, K & O'Brien, L 2010, 'Disrupted Sense Of Self: Young Women And Sexually Transmitted Infections', Journal Of Clinical Nursing, vol. 19, no. 13-14, pp. 1995-2003.View/Download from: Publisher's site
Aim. This article is an exploration of young women's experiences of having a sexually transmitted infection. Background. Sexually transmitted infections are prevalent worldwide and have serious physical and psychological sequelae. Although some aspects o
Elmir, R, Jackson, DE, Beale, B & Schmied, V 2010, 'Against all odds: Australian women's experiences of recovery from breast cancer', Journal Of Clinical Nursing, vol. 19, no. 17-18, pp. 2531-2538.View/Download from: Publisher's site
Aim. The aim of this study was to generate insight into younger womenâs experiences of recovery from breast cancer-related breast surgery and to contribute to the knowledge base for clinicians practising in this field. Background. Despite the abundance of literature concerning the impact of breast cancer and breast loss on older women over 50 years of age, fewer studies have been conducted specifically with women younger than 50 years focusing on the recovery from breast cancer and related breast surgery. The effects of breast cancer on younger women differ to those of older women; younger women may have difficulty coming to terms with loss of fertility, perceived loss of femininity, sexuality and may experience body image disfigurement. Younger women may face these issues as a result of the treatment and surgery they have received to confine the breast cancer and attempt to improve their chances of survival. Design. A phenomenological qualitative methodology was used to capture the true essence and lived experience of four Australian women under the age of 50, who had undergone surgery as a result of being diagnosed with breast cancer. Methods. Tape-recorded semi-structured face-to-face interviews. Results. Thematic analysis revealed four major themes. These were âIt absolutely encompassed me,â âBeing overwhelmed,â âLiving with fear and uncertaintyâ and âFinding strength within.â Conclusions. Findings of this study shed light on the experiences of recovery from breast cancer-related surgery in women under 50. Relevance to clinical practice. This research study will assist clinicians in understanding the needs of younger women undergoing breast cancer-related breast surgery, who may require counselling in relation to fertility and relationship issues and assistance in coping with the demands of work and home life.
Elmir, R, Schmied, V, Wilkes, L & Jackson, DE 2010, 'Women's Perceptions And Experiences Of A Traumatic Birth: A Meta-Ethnography', Journal of Advanced Nursing, vol. 66, no. 10, pp. 2142-2153.View/Download from: Publisher's site
P>Aim. This study presents the findings a meta-ethnographic study reporting women's perceptions and experiences of traumatic birth. Background. Childbirth is viewed by many as a life transition that can bring a sense of accomplishment. However, for some
Haigh, C, Hayter, M, Jackson, DE & Watson, R 2010, 'Editorial: How many roads? Building and sustaining collaborative relationships in an increasingly global environment', Journal Of Clinical Nursing, vol. 19, no. 19-20, pp. 2671-2672.
Halcomb, E, Andrew, S, Peters, K, Salamonson, Y & Jackson, DE 2010, 'Casualisation Of The Teaching Workforce: Implications For Nursing Education', Nurse Education Today, vol. 30, no. 6, pp. 528-532.View/Download from: Publisher's site
Internationally, nursing faculty shortages have been reported and there is a potential for them to worsen into the next decade as existing faculty age. To, in part, address this issue, across disciplines there is clearly an international trend towards th
Hutchinson, M, Vickers, M, Jackson, DE & Wilkes, L 2010, 'Bullying as circuits of power: an Australian nursing perspective', Administrative Theory & Praxis, vol. 32, no. 1, pp. 25-47.
It is not possible to understand bullying without considering the concept of power, and yet power has received little systematic attention in the literature on bullying. Framed largely as a manifestation of conflict, or as a consequence of organizational characteristics that trigger unwitting individuals to engage in abusive acts, superficial and clichÃ©d understandings of the power dynamics involved in bullying are commonplace. The focus on conflict-based understandings offers limited insights into less readily observable forms of power that manifest within institutions. In this article, we draw upon Cleggs (1989a) circuits of power framework to map out an alternative understanding of workplace bullying one that moves beyond the link with conflict. We employ a multidimensional model of bullying and offer interview exemplars from our study of bullying in the Australian nursing workplace. The analysis reveals the complex flows of power associated with bullying and suggests that commonly accepted assumptions and frameworks about workplace bullying have provided limited insight into the phenomenon, while potentially masking inappropriate manifestations of power within institutions.
Hutchinson, M, Vickers, MH, Wilkes, L & Jackson, DE 2010, 'A Typology Of Bullying Behaviours: The Experiences Of Australian Nurses', Journal Of Clinical Nursing, vol. 19, no. 15-16, pp. 2319-2328.View/Download from: Publisher's site
Aim and objective. This study sought to explore the nature of bullying in the Australian nursing workplace. Background. While there is widespread concern about the extent and consequences of bullying among nurses, to date, there have been no published re
Hutchinson, M, Wilkes, L, Jackson, DE & Vickers, MH 2010, 'Integrating individual, work group and organizational factors: testing a multidimensional model of bullying in the nursing workplace', Journal of Nursing Management, vol. 18, no. 2, pp. 173-181.View/Download from: Publisher's site
Aim The aim of the present study was to test a multidimensional model of bullying in the nursing workplace. Background This paper is part of a larger study of bullying in the Australian nursing workforce. While a number of studies have documented the fre
Jackson, D & Haigh, C 2010, 'Nursing workforce and workplaces: Contemporary concerns and challenges', Contemporary Nurse, vol. 36, no. 1-2, pp. 003-005.
Jackson, D, Peters, K, Andrew, S, Edenborough, M, Luck, L, Salamonson, Y, Weaver, R & Wilkes, L 2010, 'Trial and retribution: A qualitative study of whistleblowing and workplace relationships in nursing', Contemporary Nurse, vol. 36, no. 1-2, pp. 34-44.
This paper reports a study aiming to present and describe the effects of whistleblowing episodes on nurses' workplace relationships. Eighteen participants with direct experience of whistleblowing were recruited into the study, which was informed by a qualitative narrative inquiry design. Findings were clustered into four main themes, namely: Leaving and returning to work-The staff don't like you; Spoiled collegial relationships-Barriers between me and my colleagues; Bullying and excluding-They've just closed ranks; and, Damaged inter-professional relationships-I did lose trust in doctors after that. Findings suggest a need to facilitate a climate in which it is safe for nurses (and others) to raise concerns about patient care or organisational wrongdoing, and to eliminate the existing belief that whistleblowing is a negative act fuelled by revenge or sedition. © 1992-2011 eContent Management.
Jackson, DE & Haigh, C 2010, 'Editorial: Nursing workforce and workplaces: contemporary concerns and challenges', Contemporary Nurse, vol. 36, no. 1-2, pp. 3-5.
Jackson, DE, Peters, K, Andrew, S, Edenborough, M, Halcomb, E, Luck, L, Salamonson, Y & Wilkes, L 2010, 'Understanding Whistleblowing: Qualitative Insights From Nurse Whistleblowers', Journal of Advanced Nursing, vol. 66, no. 10, pp. 2194-2201.View/Download from: Publisher's site
P>Aim. This paper is a report of a study conducted to explore the reasons behind the decision to blow the whistle and provide insights into nurses' experiences of being whistleblowers. Background. Whistleblowing is a stigmatized and hidden activity that
Jackson, DE, Peters, K, Andrew, S, Edenborough, M, Halcomb, E, Luck, L, Salamonson, Y, Weaver, R & Wilkes, L 2010, 'Trial And Retribution: A Qualitative Study Of Whistleblowing And Workplace Relationships In Nursing', Advances in Contemporary Nursing, vol. 36, no. 1-2, pp. 34-44.
This paper reports a study aiming to present and describe the effects of whistleblowing episodes on nurses' workplace relationships. Eighteen participants with direct experience of whistleblowing were recruited into the study, which was informed by a qua
McCloughen, A, O'Brien, L & Jackson, DE 2010, 'More Than Vision Imagination As An Elemental Characteristic Of Being A Nurse Leader-Mentor', Advances in Nursing Science, vol. 33, no. 4, pp. 285-296.View/Download from: Publisher's site
Mentoring relationships are dynamic alliances that can be used as a supportive mechanism for growing nurse leaders and promoting the future of the nursing profession. This article explores imagination as one of the central meanings of being a mentor for
Mcdonald, G, Mohan, S, Jackson, DE, Vickers, MH & Wilkes, L 2010, 'Continuing Connections: The Experiences Of Retired And Senior Working Nurse Mentors', Journal Of Clinical Nursing, vol. 19, no. 23-24, pp. 3547-3554.View/Download from: Publisher's site
Aims and objectives. This paper reports the benefits and challenges of a mentoring programme through which retired and senior nurses continued to support and nurture nurses and midwives currently working in the health system. Background. Nursing has an a
Mcdonald, G, Vickers, MH, Mohan, S, Wilkes, L & Jackson, DE 2010, 'Workplace Conversations: Building And Maintaining Collaborative Capital', Advances in Contemporary Nursing, vol. 36, no. 1-2, pp. 96-105.
Heavy, pressured workloads are a feature of health workplaces internationally, presenting challenges to communication and contributing to tension and negative emotions. This paper explores supportive and unsupportive workplace conversations between nurse
McDonald, GE, Vickers, MH, Mohan, S, Wilkes, L & Jackson, D 2010, 'Workplace conversations: Building and maintaining collaborative capital', Contemporary Nurse, vol. 36, no. 1-2, pp. 96-105.
Heavy, pressured workloads are a feature of health workplaces internationally, presenting challenges to communication and contributing to tension and negative emotions. This paper explores supportive and unsupportive workplace conversations between nurses and midwives and their colleagues. The findings focus on qualitative interviews of ten nurses and midwives that were audio-taped and analysed for perceptions about the role of workplace conversations. Conversations between colleagues were significant for building and maintaining collaborative capital, but unsupportive conversations also threatened it. Findings suggest the need for considering the impact of co-worker conversations on workplace culture. Nurse managers and management may play a pivotal role in establishing and maintaining supportive conversations. Recognising the role and potential of workplace conversations for building capacities for support, conflict resolution, job satisfaction and the personal resilience of nurses and midwives can raise the collaborative capital of the workplace. © 1992-2011 eContent Management.
O'reilly, R, Wilkes, L, Luck, L & Jackson, DE 2010, 'The Efficacy Of Family Support And Family Preservation Services On Reducing Child Abuse And Neglect: What The Literature Reveals', Journal of child health care, vol. 14, no. 1, pp. 82-94.View/Download from: Publisher's site
Globally, child protection services are under-resourced and unable to meet the demands associated with the increasing numbers of families who are being exposed to child abuse and neglect. Family support and family preservation interventions are the metho
Power, TJ, Jackson, DE & O'Brien, L 2010, 'Nurses' Management of adolescent sleep disturbance: a qualitative study', Journal Of Clinical Nursing, vol. 19, no. 3-4, pp. 324-331.View/Download from: Publisher's site
Aims and objectives. To evaluate nurses' knowledge of adolescent sleep and sleep disturbance and the strategies they employ to facilitate sleep in adolescent patients. Background. Sleep disturbance in adolescents is common and associated with potentially
Power, TJ, Wilkes, L, Carter, B & Jackson, DE 2010, 'Mothering Disrupted By Illness: A Narrative Synthesis Of Qualitative Research', Journal of Advanced Nursing, vol. 66, no. 7, pp. 1435-1445.View/Download from: Publisher's site
Title. Mothering disrupted by illness: a narrative synthesis of qualitative research. Aim. This paper is a report of a literature review of qualitative empirical research investigating women's experiences of mothering disrupted by illness. Background. As
Salamonson, Y, Halcomb, E, Andrew, S, Peters, K & Jackson, DE 2010, 'A Comparative Study of Assessment Grading and Nursing Students' Perceptions of Quality in Sessional and Tenured Teachers', Journal Of Nursing Scholarship, vol. 42, no. 4, pp. 423-429.View/Download from: Publisher's site
Purpose: Although the global nursing faculty shortage has led to increasing reliance upon sessional staff, limited research has explored the impact of these sessional staff on the quality of teaching in higher education. We aim to examine differences in (a) student satisfaction with sessional and tenured staff and (b) assessment scores awarded by sessional and tenured staff in students' written assignments. Design: A comparative study method was used. Participants were recruited from students enrolled in the three nursing practice subjects across the 3 years of the baccalaureate program in an Australian university during the second semester of 2008. Methods: This study collected student data via an online version of the Perceptions of Teaching and Course Satisfaction scale and compared the grades awarded by sessional and tenured academics for a written assessment in a single assignment in each of the nursing practice subjects. Of the 2,045 students enrolled in the nursing practice subjects across the 3 years of the bachelor of nursing (BN) program, 566 (28%) completed the online teaching and course satisfaction survey, and 1,972 assignment grades (96%) were available for analysis. Findings: Compared with tenured academics, sessional teachers received higher rating on students' perception on teaching satisfaction by students in Year 1 (p = .021) and Year 2 (p = .002), but not by students in Year 3 (p = .348). Following the same trend, sessional teachers awarded higher assignment grades to students in Year 1 (p < .001) and Year 2 (p < .001) than tenured academics, with no significant disparity in grades awarded to students in Year 3.
Salamonson, Y, Koch, J, Weaver, R, Everett, B & Jackson, DE 2010, 'Embedded Academic Writing Support For Nursing Students With English As A Second Language', Journal of Advanced Nursing, vol. 66, no. 2, pp. 413-421.View/Download from: Publisher's site
Title. Embedded academic writing support for nursing students with English as a second language. Aim. This paper reports a study which evaluated a brief, embedded academic support workshop as a strategy for improving academic writing skills in first-year
Wilkes, L, Jackson, DE, Mohan, S & Wallis, M 2010, 'Close Observation By 'Specials' To Promote The Safety Of The Older Person With Behavioural Disturbances In The Acute Care Setting', Advances in Contemporary Nursing, vol. 36, no. 1-2, pp. 131-142.
This paper reports a two-phased pilot study that explored the concept of 'specialling' older patients with challenging behaviours in acute ward situations. Previous research suggests that the nursing workforce is not equipped with the skills and resource
Wilkes, L, Jackson, DE, Mohan, S & Wallis, M 2010, 'Close observations by "specials" to promote the safety of the older person with behavioural disturbances in the acute care setting', Contemporary Nurse, vol. 36, no. 1-2, pp. 131-142.
This paper reports a two-phased pilot study that explored the concept of `specialling older patients with challenging behaviours in acute ward situations. Previous research suggests that the nursing workforce is not equipped with the skills and resources required to provide quality care for these patients. The hospital in which this study was conducted, instigated a model where these patients were closely observed by `specials. Phase 1 of the study involved a retrospective analysis of de-identified `Specials Observation Charts and `Request for Patient Special forms of patients aged 65 years and above, over 12 months in 2006. Phase 2 involved in-depth interviews with the nurses caring for these patients. Findings revealed inadequacy of the forms, gaps in service provision for this vulnerable group of patients and the need for education of specials and ward staff, with suggestions to improve care for this patient group. Findings suggest the necessity to design and structure the observation forms more efficiently. It is important to formulate clear assessment criteria for these patients and incorporate in-service education programmes for `specials and ward staff and adequately prepare and support them to meet the challenges of caring for older persons with behavioural disturbances in ward situations.
Violence against nurses is an on-going issue in healthcare settings, and is regularly documented in the literature. Assessing the potential for violence against nurses in the emergency department is essential to maintain their safety. The aim of this study was to develop a violence assessment tool by refining a list of predictive cues identified from both a previous study and existing literature. Using the Delphi technique, a panel of 11 expert nurse academics and clinicians developed a 37-item questionnaire and used three rounds of Delphi to refine the violence assessment questionnaire. The resulting tool comprises 17 cues of potential violence that can be easily observed and requires no prior knowledge of the perpetrators' medical history.
Wilkes, L, Mohan, S, Luck, L & Jackson, DE 2010, 'Issues in research:development of a violence tool in the emergency hospital setting', Nurse Researcher, vol. 17, no. 4, pp. 70-82.
Violence against nurses is an on-going issue in healthcare settings, and is regularly documented in the literature. Assessing the potential for violence against nurses in the emergency department is essential to maintain their safety. The aim of this study was to develop a violence assessment tool by refining a list of predictive cues identified from both a previous study and existing literature. Using the Delphi technique, a panel of 11 expert nurse academics and clinicians developed a 37-item questionnaire and used three rounds of Delphi to refine the violence assessment questionnaire. The resulting tool comprises 17 cues of potential violence that can be easily observed and requires no prior knowledge of the perpetrators' medical history.
Clinton, M & Jackson, DE 2009, 'Prologue: Challenges in nurse education: A shared international perspective', Advances in Contemporary Nursing, vol. 32, no. 1-2, pp. 6-8.
Cody, WL, Pritchett, CL, Jones, AK, Carterson, AJ, Jackson, D, Frisk, A, Wolfgang, MC & Schurr, MJ 2009, 'Pseudomonas aeruginosa AlgR Controls Cyanide Production in an AlgZ-Dependent Manner', JOURNAL OF BACTERIOLOGY, vol. 191, no. 9, pp. 2993-3002.View/Download from: Publisher's site
Hutchinson, M, Wilkes, L, Jackson, DE & Vickers, M 2009, ''The worse you behave, the more you seem, to be rewarded': bullying in nursing as organizational corruption', Employee Responsibilities and Rights Journal, vol. 21, no. 3, pp. 213-229.View/Download from: Publisher's site
This paper reports findings from the first, qualitative stage of a national sequential, mixed method study of bullying in the Australian nursing workplace. Twenty-six nurses who had experience of workplace bullying were recruited from two Australian public sector health care organizations. Examining the narrative data from the viewpoint of bullying being a corrupt activity we present an alternative perspective on group acts of bullying. By exploring bullying as corrupt behaviour, this paper challenges the assumption that bullying can be principally considered a series of isolated events stemming from interpersonal conflict, organizational pressures, or poor work design. Corruption in organizations has not previously been linked with or compared to bullying. In revealing themanner in which actors can engage in corrupt conduct that includes bullying, the findings from our study offer important implications for the management of workplace bullying as a serious and corrupt activity.
Jackson, D, Darbyshire, P, Luck, L & Peters, K 2009, 'Intergenerational reflections on doctoral supervision in nursing', CONTEMPORARY NURSE, vol. 32, no. 1-2, pp. 83-91.View/Download from: Publisher's site
Jackson, DE 2009, 'Editorial: Educating nurses for clinical practice', Journal Of Clinical Nursing, vol. 18, no. 8, pp. 1083-1084.
There is an increasing amount of literature focusing on the experience, quality and readiness for practice of newly graduated nurses (ie: Kelly & Ahern 2009, Wangensteen et al. 2008, Bjorkstrom et al. 2008). It is clear from the literature that undergraduate education programs (and their product) have an enormous influence both on the quality of the services that can be provided to patients and families and the nature of the nursing workplace itself (Watson 2006). Thus, the quality and nature of the undergraduate classroom and clinical learning experiences to which nurses are exposed are critical matters for the practice of clinical nursing.
Jackson, DE 2009, 'Editorial: Nursing on television: are we being served?', Journal Of Clinical Nursing, vol. 18, no. 16, pp. 2249-2250.
Few would argue that television has had a profound affect on modern life. As a source of popular information, it is unparalleled. In the Western world at least, there are few homes without television, and not many with only a single television. The modern (Western) home often has televisions in multiple living areas and bedrooms, and some models of refrigerator even feature an in-built television in the door, so that, even while foraging for sustenance, not a moment of television viewing needs to be missed. With the development of television reception capacity in mobile phones, todayâs television viewer can potentially tune in wherever they are â on the train, at the beach, or at the mall.
It is crucial to engage in discussion, reflection and robust critical debate about the problems and challenges that we are facing as a profession. However, it is also vitally important and necessary that we retain a sense of positivity and optimism about nursing and nursing work.
Jackson, DE 2009, 'Mentored Residential Writing Retreats: A Leadership Strategy To Develop Skills And Generate Outcomes In Writing For Publication', Nurse Education Today, vol. 29, no. 1, pp. 9-15.View/Download from: Publisher's site
There is an increasing expectation that academic and clinical nurses will contribute to disciplinary and professional discourses through scholarly writing. However, the difficulties and challenges associated with writing for publication mean that many pa
Jackson, DE & Carter, B 2009, 'Fear, failure, outrage and grief: the dissonance between public outrage and individual action', Journal of child health care, vol. 13, no. 1, pp. 4-6.View/Download from: Publisher's site
Recently the case of Baby P has galvanised public opinion in the United Kingdom. Awareness of the details of the tragic life and death of the toddler has resulted in an outpouring of community outrage and grief. However, the sad case of Baby P is not an isolated event. On the other side of the world, in New Zealand, a similarly dreadful fate befell toddler Nia Glassie. Before them have been other terrible and heart-rending cases of children abused by those who should have loved and cared for them, and failed by systems that should have been able to protect them.
Jackson, DE & Clinton, M 2009, 'Epilogue: The value of a fourth year?', Advances in Contemporary Nursing, vol. 32, no. 1-2, pp. 215-216.
Above all, nursing is a practice discipline, and as such, is incredibly complex because it involves the synthesis and application of knowledge drawn from many areas. Nursing graduates are required to have high level skills across various domains of practice, and the challenges associated with adequate preparation of nurses within six short academic semesters calls for high quality, well resourced and effective education systems. The challenges facing those charged with preparing nurses are compounded by a student demographic that has radically altered over recent years - many entering nursing preparatory programs are not school leavers, rather they come to nursing as mature aged students, with a range of life experiences and varying degrees of literacy and numeracy (Walker 2009). Notwithstanding the concerns that are sometimes raised about the quality of graduates and their fitness for practice (Mannix, Wilkes, & Luck 2009), nursing graduates have been readily employed into the health sector.
Jackson, DE & Watson, R 2009, 'Editorial: Lead us not', Journal Of Clinical Nursing, vol. 18, no. 14, pp. 1961-1962.
Leadership is a word that invites critique and interrogation; it is a term that is nebulous, in that it is widely used and rarely defined. Leadership tends to be presented as a panacea for all of the ills that we face. However, leadership is not necessarily a virtue. While it is generally presented in positive terms, one does not have to look very far back in history to find examples of leaders who led people and even whole nations to disaster.
Jackson, DE, Darbyshire, P, Luck, L & Peters, K 2009, 'Intergenerational Reflections On Doctoral Supervision In Nursing', Advances in Contemporary Nursing, vol. 32, no. 1-2, pp. 84-92.
Increasing numbers of nurses seek to undertake doctoral education as nursing continues to develop as a discrete area of clinical and theoretical scholarship. Effective supervision is a crucial aspect of doctoral education and has been identified as essen
Luck, L, Jackson, DE & Usher, K 2009, 'Conveying Caring: Nurse Attributes To Avert Violence In The ED', International journal of nursing practice, vol. 15, no. 3, pp. 205-212.View/Download from: Publisher's site
Violence towards nurses in Emergency Department's is a world wide problem that some contend is increasing in severity and frequency, despite the many strategies implemented to prevent violent events. This paper presents the findings of an instrumental ca
McCloughen, A, O'Brien, L & Jackson, DE 2009, 'Esteemed Connection: Creating A Mentoring Relationship For Nurse Leadership', Nursing Inquiry, vol. 16, no. 4, pp. 326-336.View/Download from: Publisher's site
Mentoring relationships occur across a range of nursing contexts and are shown to have multiple, favourable personal and professional outcomes. Specifically, mentoring has been associated with the development of nurse leaders. This study describes featur
Nor, B, Zembe, Y, Daniels, K, Doherty, T, Jackson, D, Ahlberg, BM & Ekstrom, E-C 2009, '"Peer but Not Peer": Considering the Context of Infant Feeding Peer Counseling in a High HIV Prevalence Area', JOURNAL OF HUMAN LACTATION, vol. 25, no. 4, pp. 427-434.View/Download from: Publisher's site
O'reilly, R, Peters, K, Beale, B & Jackson, DE 2009, 'Women's Experiences Of Recovery From Childbirth: Focus On Pelvis Problems That Extend Beyond The Puerperium', Journal Of Clinical Nursing, vol. 18, no. 14, pp. 2013-2019.View/Download from: Publisher's site
This study aimed to build understandings of women's recovery experiences in the presence of continued pelvic problems extending beyond the puerperium to provide nurses and other health care professionals with information to enhance current practice. Trau
Peters, K & Jackson, DE 2009, 'Mothers' Experiences Of Parenting A Child With Attention Deficit Hyperactivity Disorder', Journal of Advanced Nursing, vol. 65, no. 1, pp. 62-71.View/Download from: Publisher's site
Mothers' experiences of parenting a child with attention deficit hyperactivitydisorder. This paper is a report of a study to explore the perceptions and experiences of mothers parenting a child with attention deficit hyperactivity disorder. Previous quan
Peters, K & Jackson, DE 2009, 'Mothers' experiences of parenting a child with attention deficit hyperactivity disorder', Journal of Advanced Nursing, vol. 65, no. 1, pp. 62-71.View/Download from: Publisher's site
Aim. This paper is a report of a study to explore the perceptions and experiences of mothers parenting a child with attention deficit hyperactivity disorder. Background. Previous quantitative studies have focussed on parenting styles and treatments, and highlight that attention deficit hyperactivity disorder has a negative impact on family functioning. However, fewer researchers have explored maternal experiences of parenting a child with this disorder. A narrative-based feminist approach can provide greater insights into complex issues related to mothering a child with this disorder. Method. Data were collected in 2007 with a volunteer sample of 11 mothers of children with attention deficit hyperactivity disorder via in-depth interviews. Analysis was completed by listening for self-evaluative statements, paying attention to meta-statements and by identifying both consistencies and incongruities within participant's narratives. Findings. Dominant issues identified were: It's been 10 years of being on edge: The caring responsibility as overwhelming; If I had my time over again, I wouldn't tell the truth: Stigmatized, scrutinized and criticized; What have I done? What did I do? How come I've got this child: Guilt and self-blame and He doesn't stand a chance: Mother as advocate. Conclusion. Mothering a child with attention deficit hyperactivity disorder is stressful and demanding, and mothers felt marginalized. Media portrayal of this disorder contributes to confusion related to causes, diagnosis and treatment choices. More education for healthcare professionals is needed to enable them to give appropriate guidance and support to enhance outcomes for children and their parents.
Power, TJ, Jackson, DE & O'Brien, L 2009, 'Mad, Sad And Hormonal: The Gendered Nature Of Adolescent Sleep Disturbance', Journal of child health care, vol. 13, no. 1, pp. 7-18.View/Download from: Publisher's site
Up to 40 percent of adolescents experience some form of sleep difficulty, with adolescent girls often reporting higher levels of sleep disturbance and daytime fatigue than boys. This article explores the literature surrounding female adolescent sleep dis
Power, TJ, Peters, K, O'Brien, L & Jackson, DE 2009, 'Sleep In Adolescence: A Review Of Issues For Nursing Practice', Journal Of Clinical Nursing, vol. 18, no. 13, pp. 1819-1826.View/Download from: Publisher's site
The aim of this review was to explore the literature to determine what is known about adolescent sleep, the causes and consequences of disturbed sleep in adolescence and the implications this has for nursing practice. Sleep disorders are relatively commo
Sgorbini, M, O'Brien, L & Jackson, DE 2009, 'Living With Hepatitis C And Treatment: The Personal Experiences Of Patients', Journal Of Clinical Nursing, vol. 18, no. 16, pp. 2282-2291.View/Download from: Publisher's site
Aim. The purpose of the study was to explore the issues surrounding chronic hepatitis C, combination therapy and its impact on personal relationships to enhance understanding of the experiences of patients living with hepatitis C. This paper focuses on t
Tomlinson, M, Solomon, W, Singh, Y, Doherty, T, Chopra, M, Ijumba, P, Tsai, AC & Jackson, D 2009, 'The use of mobile phones as a data collection tool: A report from a household survey in South Africa', BMC MEDICAL INFORMATICS AND DECISION MAKING, vol. 9.View/Download from: Publisher's site
Vallido, T, Jackson, D & O'Brien, L 2009, 'A patchwork of knowledge and commonsense strategies: A qualitative study of nurses' knowledge and strategies for managing adolescent sleep disturbance', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, vol. 18, pp. A24-A24.
East, L, Jackson, DE, O'Brien, L & Peters, K 2008, 'The Benefits Of Computer-Mediated Communication In Nursing Research', Contemporary Nurse, vol. 30, no. 1, pp. 83-88.
Use of the Internet, and the opportunity to utilise computer-mediated communication (CMC) provides new alternatives for nurse researchers to collect data. The use of CMC for research purposes is advantageous for both researchers and participants. Through
Edenborough, M, Jackson, DE, Mannix, J & Wilkes, L 2008, 'Living In The Red Zone: The Experience Of Child-To-Mother Violence', Child and Family Social Work, vol. 13, no. 4, pp. 464-473.View/Download from: Publisher's site
Child-to-mother violence is an area of family violence that has received limited attention over the past 20 years but is a problem for many families. It is poorly understood in the community and this lack of understanding creates a basis for families and
Gabrielle, S, Jackson, DE & Mannix, J 2008, 'Adjusting To Personal And Organisational Change: Views And Experiences Of Female Nurses Aged 40-60 Years', Collegian, vol. 15, no. 3, pp. 85-91.View/Download from: Publisher's site
The Australian nursing workforce is ageing and there is a well-documented shortage of nurses. This global phenomenon means that retaining nurses in the workforce is gaining in importance as older nurses retire and leave nursing. The existing literature r
Gabrielle, S, Jackson, DE & Mannix, J 2008, 'Older Women Nurses: Health, Ageing Concerns And Self-Care Strategies', Journal Of Advanced Nursing, vol. 61, no. 3, pp. 316-325.View/Download from: Publisher's site
Aim. This paper is a report of a study of the health and ageing concerns and self-care strategies of older female Registered Nurses currently working in direct care-giving roles in acute public hospitals and community facilities. Background. Nursing is a
Hutchinson, M, Jackson, D, Wilkes, L & Vickers, MH 2008, 'A new model of bullying in the nursing workplace organizational characteristics as critical antecedents', Advances in Nursing Science, vol. 31, no. 2.View/Download from: Publisher's site
Providing a safe work environment where nurses can practice without fear or threat of aggression is acknowledged as a critical global issue for healthcare organizations. Although there has been growing recognition that workplace bullying is one of the most concerning forms of aggression experienced by nurses, to date, there has been little progress in developing explanatory models. In this article, we outline our recently validated model of bullying, which specifies organizational characteristics as critical antecedents. The model has important implications for the management of bullying, identifying that to be effective, interventions need to address features of workplace climate. Copyright © 2008 Wolters Kluwer Health.
Hutchinson, M, Wilkes, L, VICKERS, M & Jackson, DE 2008, 'The development and validation of a bullying inventory for the nursing workplace', Nurse Researcher, vol. 15, no. 2, pp. 19-29.
An Australian study of bullying that provides a putative model for further testing in nursing and other contexts.
The article presents the author's comment on the helpful and effective collegial relationships at workplaces. According to the author, the quality of their working lives is at least partially contingent on the quality of the relationships they have with their colleagues in the workplace. It is stated that collegial trust is essential to a smooth and safe work environment and shapes the relationships with colleagues in the workplace.
Jackson, DE 2008, 'Editorial: Organising care delivery: facilitator or impediment to supportive working relationships in nursing', Journal Of Clinical Nursing, vol. 17, no. 6, pp. 701-702.View/Download from: Publisher's site
The author discusses the role of various care delivery models in proper development of workplace environment for nurses. He states that nurses have to face several difficulties, including bullying, resource shortages and emotional exhaustion, that affects the collegial relationship among nurses. He mentions several care delivery models, including primary nursing and case management, and their role in workplace relationships.
The author focuses on patient experiences, family participation and professional roles in clinical nursing. She states that patient experiences and family participation are important in clinical nursing because it serves as a source of information that will be used by nurses and midwives in providing a better care for their patients. She stresses out that the increase in demand in professional role expansion causes a lot of issues including the impact of these demands in work environment.
The author reflects on professional generosity in nursing. She mentions that professional generosity can be in any forms for nurses contributes to the development of others that occurs in a range of informal and formal contexts. She also mentions that primary function of mentoring is to provide socialization and transitional support for nurses.
In the current professional climate, research activities are highly valued with nurses in all sectors actively encouraged to participate. However, working environments for many nurses are such that it can be difficult to privilege research activities in
The article presents the author's view concerning the impact of retirement to the brain drain of retiring nurses. The author cites several studies on the impact of creating of retired nurses, the willingness of retiring nurses to continue contributing their knowledge, and on the delaying retirement strategies. The author suggests the need to consider the ways hat nursing could continue to benefit from the knowledge and contributions of a very skilled and experienced retiring nurses.
The author reflects on the issue concerning whistleblowing in the health care industry. She asserts that whistleblowing focuses on the disclosure of misconduct and breaches carried by health care organisation which affects the services it provide to the public. The author contends that effective measures in addressing the issue includes ensuring fairness between the parties involved. She stresses that strategies should be considered in clearly evaluating wrongdoings within the industry.
Jackson, DE & Peters, K 2008, 'Use Of Drug Therapy In Children With Attention Deficit Hyperactivity Disorder (ADHD): Maternal Views And Experiences', Journal Of Clinical Nursing, vol. 17, no. 20, pp. 2725-2732.View/Download from: Publisher's site
Aims and objectives. The aim of this paper is to explore maternal views and experiences of stimulant pharmacotherapy in children with attention deficit hyperactivity disorder (ADHD). Background. The very nature of ADHD means that it exists in a climate o
Luck, L, Jackson, DE & Usher, K 2008, 'Innocent Or Culpable? Meanings That Emergency Department Nurses Ascribe To Individual Acts Of Violence', Journal Of Clinical Nursing, vol. 17, no. 8, pp. 1071-1078.View/Download from: Publisher's site
The purpose of the study was to explore the meaning(s) that emergency department nurses ascribe to acts of violence from patients, their family and friends and what impact these meaning(s) have upon how they respond to such acts. Violence in the health s
McCloughen, A, O'Brien, L & Jackson, D 2008, 'Developing the next generation of mental health leaders: The art of mentoring', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, vol. 17, pp. A21-A22.
This paper aims to report lifestyle factors of Asian Indians in Australia in relation to coronary heart disease. This issue has not been previously explored in the Australian context. This study also seeks to identify factors that could inform health edu
Title. Research on couples: are feminist approaches useful? Aim. This paper is an exploration of the utility and value of feminist approaches when undertaking narrative-based research with partner dyads (within both heterosexual and same sex partnerships
The article provides information on how the "Journal of Clinical Nursing" is reviewed. Accordingly, the people behind the journal have considered to operate double blind peer reviewing as the best way to maintain neutrality of both the authors and reviewers. It explores on the reviewing process of the journal through citing the procedures and approaches of the reviewers as well as the authors to provide an acceptable publicatio
This paper reports on existing literature on family members' experiences after placing their aged relative in a nursing home. The literature reports that family members commonly experience feelings of guilt, failure and concern for their older relative's wellbeing after they have been placed in a nursing home. In addition, factors such as dealing with guilt, coping with loneliness, loss of identity, role ambiguity and worry for wellbeing of the aged person and generic institutional care result in post placement carer stress. Very little support or counselling is provided to family members during and after placement in a nursing home. Despite a growing body of research that examines post placement stress for family members, there are not many support strategies or interventions to help family members cope with this stressful situation
This paper reports on an extensive literature review that focuses on family members' experiences of placing an older relative into residential care. Specific issues in the literature associated with the decision making process, including the decision to place a relative into a nursing home, are discussed. The search for a nursing home through to relocation of a relative into the facility and family members' emotional journeys through the entire relocation process are described. Placing a relative into a nursing home is a complex issue with family members being vulnerable after placement and often experiencing distress, loneliness, guilt and role confusion with unrelenting doubts about the placement decision and concern for their relatives' wellbeing. There is a clear need to pursue this research topic in the Australian context
Phillips, JL, Davidson, PM, Jackson, DE & Kristjanson, L 2008, 'Multi-Faceted Palliative Care Intervention: Aged Care Nurses' And Care Assistants' Perceptions And Experiences', Journal of Advanced Nursing, vol. 62, no. 2, pp. 216-227.View/Download from: Publisher's site
Aim. This paper is a report of a study to describe residential aged care nurses' and care assistants' perceptions of a multi-faceted palliative care intervention to identify potential areas to be addressed during subsequent action research phases. Backgr
Factors to consider when submitting articles to peer-reviewed journals
Atsalos, C, O'Brien, L & Jackson, DE 2007, 'Against The Odds: Experiences Of Nurse Leaders In Clinical Development Units (Nursing) In Australia', Journal of Advanced Nursing, vol. 58, no. 6, pp. 576-584.View/Download from: Publisher's site
Aim. This paper is a report of a longitudinal study to develop an understanding of the phenomena of Clinical Development Unit (Nursing) leadership by exploring the experiences of the nurse leaders of nine Australian units as they attempted to develop the
Colvin, M, Chopra, M, Doherty, T, Jackson, D, Levin, J, Willumsen, J, Goga, A & Moodley, P 2007, 'Operational effectiveness of single-dose nevirapine in preventing mother-to-child transmission of HIV', BULLETIN OF THE WORLD HEALTH ORGANIZATION, vol. 85, no. 6, pp. 466-473.View/Download from: Publisher's site
Doherty, T, Chopra, M, Jackson, D, Goga, A, Colvin, M & Persson, L-A 2007, 'Effectiveness of the WHO/UNICEF guidelines on infant feeding for HIV-positive women: results from a prospective cohort study in South Africa', AIDS, vol. 21, no. 13, pp. 1791-1797.View/Download from: Publisher's site
East, L & Jackson, DE 2007, ''I Don't Want To Hate Him Forever': Understanding Daughter's Experiences Of Father Absence', Australian Journal of Advanced Nursing, vol. 24, no. 4, pp. 14-18.
Objective. Father absence is associated with negative child and adolescent outcomes, including early sexual activity, teenage pregnancy, behavioural difficulties and life adversity. However there is a lack of literature that explores the lived experience
East, L, Jackson, D & O'Brien, L 2007, 'Exploring women's experiences of STIs.', Australian nursing journal (July 1993), vol. 15, no. 3, p. 33.
East, L, Jackson, DE & O'Brien, L 2007, 'Disrupted relationships: adult daughters and father absence', Advances in Contemporary Nursing, vol. 23, no. 2, pp. 252-261.
Changes in family structures have resulted in many children growing up in nontraditional families, where their father is not resident in the family home. Father absence that occurs as a result of the breakdown of the parental relationship is associated with life adversity and less than optimal outcomes for children and adolescents. However, little research exists that explores this phenomenon from the perspective of the father absent young person.This phenomenological study was conducted in 2005 and aimed to explore womens perceptions about relationships with their fathers within the context of a father absent childhood. Nine women participated in this study. Findings revealed that growing up without their father present in the family home disrupted the relationship these daughters held with their fathers. Due to the perceived lack of interest these daughters felt from their fathers, they expressed feelings of hurt and diminished respect for their fathers. F
East, L, Jackson, DE, O'Brien, L & Peters, K 2007, 'Use Of The Male Condom By Heterosexual Adolescents And Young People: Literature Review', Journal of Advanced Nursing, vol. 59, no. 2, pp. 103-110.View/Download from: Publisher's site
Title. Use of the male condom by heterosexual adolescents and young people: literature review. Aim. This paper is a report of a literature review to explore issues influencing condom use in heterosexual adolescents and young people. Background. Sexually
East, LS, Peters, K, O'Brien, L & Jackson, D 2007, 'A feminist exploration of women's experiences of having a sexually transmitted infection', SEXUAL HEALTH, vol. 4, no. 4, pp. 309-309.View/Download from: Publisher's site
Jackson, DE, Firtko, A & Edenborough, M 2007, 'Personal Resilience As A Strategy For Surviving And Thriving In The Face Of Workplace Adversity: A Literature Review', Journal of Advanced Nursing, vol. 60, no. 1, pp. 1-9.View/Download from: Publisher's site
Title. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review Aim. This paper is a report of a literature review to explore the concept of personal resilience as a strategy for responding to w
Jackson, DE, Wilkes, L & McDonald, G 2007, ''If I was in my daughter's body I'd be feeling devastated': Women's experiences of mothering an overweight or obese child', Journal of child health care, vol. 11, no. 1, pp. 29-39.
Overweight and obesity in children is a major and ongoing public health concern and the negative physical, social, and psychological sequelae of childhood obesity are well documented. Parents, particularly mothers, are implicated in discourses around childhood obesity; however, little is known about womens experiences of mothering an overweight or obese child. This article reports findings from a narrative-based study that sought to develop understandings into womens experiences of mothering an overweight or obese child. The findings provide insights into the experiences of mothering an overweight or obese child, and reveals how the climate of blame associated with mothering an overweight or obese child complicated the mothering experience for the women in this study. These insights can assist health, welfare and child care workers to understand the importance of establishing supportive and no-blame relationships with mothers of obese and overweight children, in order to develop supportive therapeutic alliances better.
Luck, L, Jackson, DE & Usher, K 2007, 'Stamp: Components Of Observable Behaviour That Indicate Potential For Patient Violence In Emergency Departments', Journal of Advanced Nursing, vol. 59, no. 1, pp. 11-19.View/Download from: Publisher's site
Aim. This paper is the report of a study to explicate the components of observable behaviour that indicate a potential for violence in patients, their family and friends when presenting at an emergency department. Background. Violence towards nurses is a
McDonald, G, O'Brien, L & Jackson, DE 2007, 'Guilt and shame: experiences of parents of self-harming adolescents', Journal of child health care, vol. 11, no. 4, pp. 298-310.
This paper reports the findings of a qualitative study that used a hermeneutic phenomenological methodology to develop insights into the experience of parents of young people who engage in self-harming behaviour. Six mothers (and one father who accompanied his wife) participated in the study. Findings reveal that mothers experienced guilt and shame, and that these feelings shaped their reactions and responses. These mothers described experiencing emotional dilemmas, such as the degree to which they could be responsible, uncertainty about how to understand self harm, and the best course of action to take with their child. They also encountered difficulties in combating the negative emotional effects for themselves and other family members. Findings provide insights that can help nurses and family health workers to understand and assist parents with greater effectiveness; by maintaining a non-judgemental stance, acknowledging the difficulties of their experiences, encouraging confidence in their parenting abilities, and promoting effective stress management strategies.
O'Brien, L & Jackson, DE 2007, 'It's A Long Way From The Office To The Creek Bed: Remote Area Mental Health Nursing In Australia', Journal of Transcultural Nursing, vol. 18, no. 2, pp. 135-141.View/Download from: Publisher's site
Mental health nursing in remote Australian Aboriginal communities provides opportunities and challenges unique from other experiences of nursing. The purpose of this article was to explore how mental health nurses experience working in remote communities
Ogunbona, P, Wilkes, L & Jackson, DE 2007, 'Female Genital Mutilation: Origin, Beliefs, Prevalence And Implications For Health Care Workers Caring For Immigrant Women In Australia', Contemporary Nurse, vol. 25, no. 1-2, pp. 22-30.
The recent wave of immigrants to Australia includes people from countries where female genital mutilation (FGM) is predominant. FGM is the terminology used by the World Health Organisation to describe all procedures involving partial or total removal of
Peters, K, Jackson, DE & Rudge, T 2007, 'Failures Of Reproduction: Problematising 'Success' In Assisted Reproductive Technology', Nursing Inquiry, vol. 14, no. 2, pp. 125-131.View/Download from: Publisher's site
This paper scrutinises the many ways in which 'success' is portrayed in representing assisted reproductive technology (ART) services and illuminates how these definitions differ from those held by participant couples. A qualitative approach informed by f
Peters, K, Jackson, DE & Rudge, T 2007, ''It Just Alienated Us': A case study to explore the impact of Assisted Reproductive Technology on family relationships', Advances in Nursing Science, vol. 30, no. 3, pp. 25-36.
New reproductive technologies have the capacity to impact on both personal and healthcare relationships. This article utilizes a case study approach to unpack experiences of one couple who encountered immense and unforeseen difficulties as a result of treatment with assisted reproductive technology. Findings of this case reveal both difficulties and breaches in obtaining informed consent and the consequences these breaches have on relationships. Comprehensive information contributes to positive relationships between patients and healthcare providers. Maintaining supportive relationships between all parties concerned with assisted reproductive technology services is essential, as rifts in these relationships can be devastating and long-lasting.
Tlebere, P, Jackson, D, Loveday, M, Matizirofa, L, Mbombo, N, Doherty, T, Wigton, A, Treger, L & Chopra, M 2007, 'Community-based situation analysis of maternal and neonatal care in South Africa to explore factors that impact utilization of maternal health services', JOURNAL OF MIDWIFERY & WOMENS HEALTH, vol. 52, no. 4, pp. 342-350.View/Download from: Publisher's site
Usher, K, Jackson, DE & O'Brien, L 2007, 'Shattered Dreams: Parental Experiences of Adolescent substance abuse', International Journal of Mental Health Nursing, vol. 16, no. 6, pp. 422-430.View/Download from: Publisher's site
Drug or substance abuse by adolescents continues to have a major impact on the health and well-being of young people and poses a serious management problem for health workers. While the majority of the problems surrounding adolescent substance abuse rest on the parents, little is actually known about their experiences. This study aimed to describe and construct an interpretation of the lived experiences of parenting an adolescent who abuses illicit substances. A qualitative approach, underpinned by the tenets of phenomenology, was used to conduct in-depth interviews with 18 parents. Thematic analysis revealed eight themes: confronting the lies, deceit, and suspicion; struggling to set limits; dealing with the consequences; living with the blame and the shame; trying to keep the child safe; grieving the child that was; living with the guilt; and choosing self-preservation. The results indicate that parents struggle to manage the problem, are left to deal with the consequences of the behaviour with little support, and are constantly looking for answers to the questions raised by the problem
J, P, Davidson, PM, Ollerton, R, Jackson, DE & Kristjanson, L 2007, 'Pain is a common symptom at the end of life in Residential Aged Care and Targeted Education can improve symptom managament: P1154', Pain Practice, vol. 7, no. Supplement 1, pp. 62-62.View/Download from: Publisher's site
Phillips, JL, Davidson, PM, Ollerton, R, Jackson, DE & Kristjanson, L 2007, 'A survey of commitment and compassion among nurses in residential aged care', International Journal of Palliative Nursing, vol. 13, no. 6, pp. 282-290.View/Download from: Publisher's site
To assess the views and attitudes of aged care staff providing direct care towards palliative care and to identify their learning needs. Design: Survey design using purposive sampling methods. Findings: Nurses and care assistants (n=222) employed within nine residential aged care facilities in regional Australia completed the survey. The majority had received on the job training and were committed to providing end-of-life care. Differences in the level of confidence to deal with patient/family interactions and manage complex palliative care scenarios were evident between nurses and care assistants (p<0.05). Both nurses and care assistants perceived a need for further education in symptom management and communication, yet their content need differed significantly between groups. Conclusions: Nurses and care assistants in residential aged care facilities demonstrate commitment to the delivery of palliative care and express a need for increased palliative care competencies. The heterogeneity of roles and educational preparation within the aged care workforce indicate that tailored palliative care education initiatives are required to meet the learning needs of aged care nurses and care assistants, particularly in relation to end-of-life care. These data have implications for skill-mix and model of care development.
East, L, Jackson, DE & O'Brien, L 2006, 'Father absence and adolescent development: a review of the literature', Journal of child health care, vol. 10, no. 4, pp. 283-295.
Rapid social change has seen increasing numbers of woman-headed singleparent families, meaning that more and more children are growing up without a father resident in the home. Father absence is a term that is not well defined and much of the literature does not discriminate between father absence due to death, parental relationship discord or other causes. This article presents a critical review of the extant literature on father absence, particularly as it relates to adolescent well-being and development. Findings from the literature point to the importance of father presence in children's lives and suggest that father absence has ramifications for children and adolescents. The conclusions drawn from this literature review suggest that father absence and its effects on children and families is an area for further research, with the view of developing strategies to ameliorate the impact of father absence on children and adolescents.
Hutchinson, M, Vickers, M, Jackson, D & Wilkes, L 2006, 'Erratum: Workplace bullying in nursing: Towards a more critical organisational perspective (Nursing Inquiry (2006) 13,2, (118-126))', Nursing Inquiry, vol. 13, no. 3, p. 239.View/Download from: Publisher's site
Hutchinson, M, Vickers, M, Jackson, D & Wilkes, L 2006, 'Workplace bullying in nursing: towards a more critical organisational perspective (vol 13, pg 118, 2006)', NURSING INQUIRY, vol. 13, no. 3, pp. 239-239.
Hutchinson, M, VICKERS, M, Jackson, DE & Wilkes, L 2006, 'Like wolves in a pack: Predatory alliances of bullies in nursing', Journal of Management & Organization, vol. 12, no. 3, pp. 235-250.
The findings from the first, qualitative stage of a larger sequential mixed method study of bullying in the Australian nursing workplace are reported. Interviews with twenty-six nurses, recruited from two health care organizations, were analysed using the constant comparative method. ParticiÂpants described informal organizational networks as the mechanism through which predatory, coÂoperative, and planned group bullying acts were promulgated. These predatory alliances enabled the co-option of legitimate organizational systems, the concealment of bullying, and the protection and promotion of perpetrators. By identifying the manner in which workplace bullying can be embedded within informal organizational networks, this research has important implications for further research in this field.
Hutchinson, M, Vickers, MH, Jackson, DE & Wilkes, L 2006, ''They stand you in a corner; you are not to speak': Nurses tell of abusive indoctrination in work teams dominated by bullies', Advances in Contemporary Nursing, vol. 21, no. 2, pp. 228-238.
This paper reports some of the findings from the first qualitative stage of a large national study of bullying in the nursing workplace currently being undertaken in Australia.The findings reported here reveal how relationships between bullies were embedded within informal organizational alliances, enabling bullies to control work teams and use emotional abuse and psychological violence as a means of enforcing bully-defined 'rules of work'.Within nursing teams, bullies controlled work roles, tasks, and status in the nursing hierarchy through enforcing their 'rules'. Bullies enforced these rules through a process of ritual indoctrination, destroying the self-confidence and self-image of those targeted, and forcing them to eventually resign their position or acquiesce to survive.The merciless, calculated and deliberate nature of the bullying resulted in profound harm for many of those targeted.The findings of this research have implications for the understanding and management of workplace bullying.
Hutchinson, M, Vickers, MH, Jackson, DE & Wilkes, L 2006, 'Workplace Bullying In Nursing: Towards A More Critical Organisational Perspective', Nursing Inquiry, vol. 13, no. 2, pp. 118-126.View/Download from: Publisher's site
Workplace bullying is a significant issue confronting the nursing profession. Bullying in nursing is frequently described in terms of 'oppressed group' behaviour or 'horizontal violence'. It is proposed that the use of 'oppressed group' behaviour theory
Jackson, D & Darbyshire, P 2006, 'Life in the 'family friendly' 21st Century: Finding the balance between work and family', Contemporary Nurse, vol. 23, no. 2, pp. v-vi.View/Download from: Publisher's site
Jackson, D, Usher, K & O'Brien, L 2006, 'Fractured families: Parental perspectives of the effects of adolescent drug abuse on family life', Contemporary Nurse, vol. 23, no. 2, pp. 321-330.View/Download from: Publisher's site
© eContent Management Pty Ltd. Drug use in young people has serious ramifications for health and well-being of young people and their families and continues to be an area of major concern for health workers. Though the task of dealing with drug-related problems falls on families, particularly parents, very little literature has explored parental experiences of managing drug use within the context of family life. Eighteen parents of drug-abusing young people were recruited into this qualitative study that aimed to develop understandings into the effects of adolescent drug use on family life. Findings revealed that the experience of having a drug-abusing adolescent family member had a profound effect on other members of the immediate family. Family relationships were fractured and split as a result of the on-going destructive and damaging behaviour of the drug-abusing young person. Five themes were identified that captured the concept of fractured families. These are: • Betrayal and loss of trust:'You had to have the doors locked'; • Abuse, threats and violence:'There were holes in the wall'; • Sibling anger and resentment:'Better off now with him gone'; • Isolated, disgraced and humiliated:'You are on your own with it'; and • Feeling blamed:'You are not a good parent.' Implications for practice and further research are drawn from the findings of this paper.
Jackson, DE & Darbyshire, P 2006, 'Epilogue: Adolescent health: We have a long way to go', Contemporary Nurse, vol. 23, no. 2, pp. 342-344.
In bringing this special issue of Contemporary Nurse to a conclusion, we would like to reflect on some of the health issues that impact on adolescents and young people.Though the majority of adolescents and young people experience very good mental and physical health (AIHW 2003) in comparison to other age groups, adolescence can be a period of high risk taking and habit forming behaviour, both of which can have long-term ramifications on health and wellbeing. During adolescence, health behaviours and patterns are set, and thus many health problems that will cause problems in later life are established (NSW Health 1999).
Jackson, DE & Darbyshire, P 2006, 'Life in the 'family friendly' 21st Century:Finding the balance between work and family', Contemporary Nurse, vol. 23, no. 2, pp. 5-6.
Jackson, DE & Darbyshire, P 2006, 'Parenting in public: 'Watching the directives'', Contemporary Nurse, vol. 23, no. 2, pp. 189-201.
II s there anything to be learned about the state of contemporary parenting by watching TV? We think so. Saying that you actually watch TV at all is more of a confession than a statement for good card-carrying academics like ourselves.The cultural script that those of our ilk are meant to trot out with a dismissive half-sneer of superiority is, `We dont watch television, or conferring more gravitas still,`We dont have a television. Humbug. If you want to know something of the current culture youre living in, turn on, tune in or drop out of a big part of understanding it.
Jackson, DE & McMurray, A 2006, 'Recognising, responding and resisting violence: A critical challenge for nurses', Contemporary Nurse, vol. 21, no. 2, pp. 324-326.
The ultimate weakness of violence is that it is a descending spiral, begetting the very thing it seeks to destroy. Instead of diminishing evil, it multiplies it. Through violence you may murder the liar, but you cannot murder the lie, nor establish the truth. Through violence you may murder the hater, but you do not murder hate. In fact, violence merely increases hate. So it goes. Returning violence for violence multiplies violence, adding deeper darkness to a night already devoid of stars. Darkness cannot drive out darkness; only light can do that.Hate cannot drive out hate: only love can do that. Martin Luther King Jr (1967: 62â63)
Jackson, DE, Usher, K & O'Brien, L 2006, 'Fractured families: Parental perspectives of the effects of adolescent drug abuse on family life', Advances in Contemporary Nursing, vol. 23, no. 2, pp. 321-330.
Drug use in young people has serious ramifications for health and well-being of young people and their families and continues to be an area of major concern for health workers.Though the task of dealing with drug-related problems falls on families, particularly parents, very little literature has explored parental experiences of managing drug use within the context of family life. Eighteen parents of drug-abusing young people were recruited into this qualitative study that aimed to develop understandings into the effects of adolescent drug use on family life. Findings revealed that the experience of having a drug-abusing adolescent family member had a profound effect on other members of the immediate family. Family relationships were fractured and split as a result of the on-going destructive and damaging behaviour of the drug-abusing young person. Five themes were identified that captured the concept of fractured families.These are: Betrayal and loss of trust: You had to have the doors locked; Abuse, threats and violence:There were holes in the wall; Sibling anger and resentment: Better off now with him gone; Isolated, disgraced and humiliated: You are on your own with it; and Feeling blamed:You are not a good parent.Implications for practice and further research are drawn from the findings of this paper.
Luck, L, Jackson, D & Usher, K 2006, 'Case study: a bridge across the paradigms (vol 13, pg 103, 2006)', NURSING INQUIRY, vol. 13, no. 3, pp. 239-239.
Luck, L, Jackson, D & Usher, K 2006, 'Erratum: Case study: A bridge across the paradigms (Nursing Inquiry (2006) 13,2, (103-109))', Nursing Inquiry, vol. 13, no. 3, p. 239.View/Download from: Publisher's site
Case study as a teaching and research tool has an extensive history in health and social sciences. Despite its suitability for many of the research questions that face nurses, nurses have not fully embraced case study as a comprehensive approach for research. The vagaries of the real-life clinical setting can confound methodologically purist researchers. Case study provides a milieu in which nurse researchers can respond to these vagaries and move towards a paradigmatic openness. In this paper, we argue that case study offers, as yet, under-explored and under-utilised potential as a bridge across the traditional research paradigms. We argue that case study has broad research application and epistemological, ontological and methodological flexibility. When used as a research approach, case study is both the process and end product of research. It provides a delineated boundary for inquiry, and a structural process within which any methods appropriate to investigating a research area can be applied.
Luck, L, Jackson, DE & Usher, K 2006, 'Survival of the fittest, or socially constructed phenomena? Theoretical understandings of aggression and violence towards nurses', Advances in Contemporary Nursing, vol. 21, no. 2, pp. 251-263.
Violence is an issue that is attracting increasing attention in the nursing literature.There is general agreement that nurses are exposed to unacceptable levels of violence and aggression in the workplace, and that levels of violence are increasing. Despite this attention and awareness, however, violence does not have a standard definition, and theoretical explanations of violence are seldom considered when discussing it in relation to nursing.This paper discusses current issues associated with defining violence, and presents an overview of some of the traditional and contemporary theories of aggression and violence in relation to nursing and the health context. Conflicting issues surrounding predictors and precipitators of violence are examined.We explore the notion that violence is 'part of the job' in nursing. In conclusion, we assert that the current discourses on aggression and violence maintain the status quo, and argue that new explanatory positions on aggression and violence towards nurses are needed.
Mannix, J, Faga, P, Beale, B & Jackson, DE 2006, 'Towards sustainable models for clinical education in nursing: An on-going conversation', Nurse Education in Practice, vol. 6, no. 1, pp. 3-11.
This paper grew from a series of conversations about the challenges associated with clinical education for undergraduate nurses. In it we consider clinical education for undergraduate nurses within the current context of increasing resource and industry constraints. Beginning level clinical competence is the major aim of undergraduate nurse education, and therefore clinical education is central to nursing curricula. However, almost 20 years after the transfer of nurse education to the tertiary sector in New South Wales, Australia, concerns about the clinical learning opportunities in undergraduate nursing curricula continue to be raised. Many educational providers have adopted various permeations of the sessional clinical facilitator model. However, this model has inherent problems that threaten its sustainability and usefulness for undergraduate nurse education. We call upon the discipline to explore alternative pathways for undergraduate clinical education, and present sustainable options for future development in this area.
McCloughen, A, O'Brien, L & Jackson, DE 2006, 'Positioning mentorship within Australian Nursing Contexts: A literature review', Contemporary Nurse, vol. 23, no. 1, pp. 120-134.
There are a variety of structured and unstructured supportive relationships available to nurses. Internationally, nurses commonly use preceptorship, clinical supervision, and mentorship to meet distinct needs and provide differing levels of commitment, intensity, and enabling functions. Of particular interest to the nursing profession is the use of mentoring relationships to support nurses in achieving leadership positions. In Australia, preceptorship and clinical supervision are freely used and understood by nurses however, mentoring relationships are less readily applied, and agreed meanings and understanding are lacking. This paper will explore the range of supportive relationships available to nurses. The terms used to define and describe these relationships, and how these relationships are contextualised, will be explored in order to better understand the position of mentorship for nurses in Australia. The potential value of mentorship in developing nursing leadership in Australia will also be identified.
Mohan, S, Wilkes, L & Jackson, DE 2006, 'Coronary heart disease in Asian Indians: Perspectives of family members', Advances in Contemporary Nursing, vol. 23, no. 2, pp. 189-201.
Despite the high prevalence rate and significant mortality and morbidity from coronary heart disease in Asian Indians (irrespective of their religious background), very few studies have reported on family membersâ experiences of caring for a person with coronary heart disease.This paper reports on family membersâ experiences of coronary heart disease in Asian Indians residing in Australia, and is part of a larger study that explored the experiences and/or understanding of coronary heart disease in Asian Indians from the perspective of patients, family members and âhealthyâ participants. Using a constructivist approach semi-structured in-depth interviews were conducted with five family members. Findings are represented under the following main categories: 1.A period of complexity for family members; 2.Indian culture: Its influence on health/health behaviour and illness experience; 3.Impact of migration and societal discrimination; 4.Disappointment with health care services and the health system; and 5.Strategies to prevent cardiac illness and attain optimal health. Cultural factors had both positive and negative influences not only on the illness experience but also on health behaviour and attitude.The impact of Indian culture in relation to coronary heart disease needs to be understood not only at the cultural level by providing culturally sensitive health care, but also by educating Asian Indians to change their health attitude and behaviour and improve their lifestyle.Asian Indians need education and advice to become more resilient and adaptable to a Western society and also to become aware of the acculturative effects of aWestern lifestyle.
Power, C, Koch, T, KRALIK, D & Jackson, DE 2006, 'Lovestruck: Women, romantic love and intimate partner violence', Advances in Contemporary Nursing, vol. 21, no. 2, pp. 174-185.
Intimate Partner Violence remains a significant problem globally despite health promotion aimed at raising awareness. In particular, there is a current trend for many young women to view some abusive/violent behaviours as acceptable in their relationships. Intimate Partner Violence has serious implications for its short and long term impacts on the health of women and children. Health workers may find working with women a challenging and sometimes frustrating experience. A way forward is to develop clearer understandings of the complexities of Intimate Partner Violence and to better understand womenâs investments in romantic relationships. In this paper a secondary analysis of data from a narrative study of women's recovery from IPV relationships is presented in order to illustrate discourses that inform underpinnings of romantic relationships. Transcriptions of audio-taped interviews were analysed using a feminist poststructural approach in order to make visible the ways in which the women negotiated their identities in the discourses of femininity. A critical review of current literature was also undertaken to develop the construct of romantic love. Women revealed that cues for Intimate Partner Violence were present early in the relationship but were not recognised at the time. Two positions within the discourse of romantic love were identified that underpinned their desires to establish and invest in the relationship despite the presence of cues for Intimate Partner Violence.These were 'Desperate for a man' and interpreting jealousy as a sign of love. Romantic love may be desirable for the sharing of warmth, safety and protection, and yet can mask behaviours that are cues for domestic violence. Understanding the complex nature of the ways that women's desires are located in the discourse of romantic love has implications for all nurses working to prevent and reduce the incidence of Intimate Partner Violence.
Stewart, M, Wilkes, L, Jackson, DE & Mannix, J 2006, 'Child-to-mother violence: A pilot study', Advances in Contemporary Nursing, vol. 21, no. 2, pp. 297-310.
There is vigorous research and debate into family violence. However, there is a paucity of enquiry into violence directed from child-to-mother. This paper presents preliminary results from the pilot of a larger study that examines child-to-mother violence in the western suburbs of Sydney Australia.The data are from questionnaires distributed to women who are or have been mothers of children aged 10 to 24 years. Descriptive analysis revealed that an overwhelming majority of the 129 women surveyed experienced some form of threatening behaviour or acts of violence from their child/ren. The main perpetrators were sons and targets mothers. More than half the women had not spoken to anyone about the behaviour previously and a number of women stated their child had witnessed violence in the home. Findings suggest the complexity for women is increased as women are often encouraged to separate from violent partners but their role as mothers prevents them from dividing from a violent child.The incidence appears high, however further evidence from larger samples is required to reveal the full extent of this important social issue.
Phillips, JL, Davidson, PM, Jackson, DE, Kristjanson, L, Bennett, M & Daly, J 2006, 'Enhancing palliative care delivery in a regional community in Australia', Australian Health Review, vol. 30, no. 3, pp. 370-379.
Although access to palliative care is a fundamental right for people in Australia and is endorsed by government policy, there is often limited access to specialist palliative care services in regional, rural and remote areas. This article appraises the evidence pertaining to palliative care service delivery to inform a sustainable model of palliative care that meets the needs of a regional population on the mid-north coast of New South Wales.
Phillips, JL, Davidson, PM, Jackson, DE, Kristjanson, L, Daly, J & Curran, J 2006, 'Residential aged care: The last frontier for palliative care', Journal Of Advanced Nursing, vol. 55, no. 4, pp. 416-424.View/Download from: Publisher's site
This paper is a report of an explorative study describing the perceptions and beliefs about palliative care among nurses and care assistants working in residential aged care facilities in Australia. Background. Internationally, the number of people dying in residential aged care facilities is growing. In Australia, aged care providers are being encouraged and supported by a positive policy platform to deliver a palliative approach to care, which has generated significant interest from clinicians, academics and researchers. However, a little is known about the ability and capacity of residential aged care services to adopt and provide a palliative approach to care. Methods. Focus groups were used to investigate the collective perceptions and beliefs about palliative care in a convenience sample of nurses and care assistants working in residential aged care facilities in Australia. Thematic content analysis was used to analyse the data, which were collected during 2004. Results. Four major themes emerged: (1) being like family; (2) advocacy as a key role; (3) challenges in communicating with other healthcare providers; (4) battling and striving to succeed against the odds. Although participants described involvement and commitment to quality palliative care, they also expressed a need for additional education and support about symptom control, language and access to specialist services and resources.
The huge outpouring of public tribute on the recent death of Ronald Reagan (RR), and the many statements attesting to his `great leadership came as a surprise to many. This was a President who was on the world stage at a time, when for many of us, less attention was being paid to international politics. Nevertheless, in many ways RR was portrayed as a somewhat unsophisticated man who had little conversation beyond movies and baseball.
Borbasi, S, Emden, C & Jackson, DE 2005, 'Nursing research programs gather strength in Australia', Collegian, vol. 12, no. 2, pp. 7-10.
To shed light on programmatic research through direct experience is highly beneficial to nursing scholarship. Following a recent description of a successful Australian program of research centered around people's chronic illness experience we are inspired to continue the commentary (Koch et al 2005). Koch et alâs (2005) case study reported on several 'core elements' they believe have contributed to the growth and effectiveness of their program. In this paper we consider some of these in light of current literature and our own challenging experiences within several Australian universities. Koch et al (2005) also makes a not too subtle distinction between dedicated research units independent of universities and research programs emanating from academia, suggesting the former are more productive. While one of the authors in the above paper, a UK scholar and nursing academic, makes interesting observations about this assertion, we contend that his UK perspective fails to capture the urgency of establishing nursing research programs in Australian universities. Consequently, we have chosen to extend the discussion about nursing research programs from the perspective of Australian academe, including comment on building productive relationships, strengthening a track record, research and practice as symbiotic processes, competitive funding strategies, and the integral role of research students. The entire commentary is located in a celebratory context of 20 years of Australian nursing education in the university sector, a context not without controversy.We give consideration to the best way ahead for the future of nursing research programs and hope our ideas spark further sharing of experiences.
Borbasi, S, Jackson, DE & Wilkes, L 2005, 'Fieldwork in nursing research: positionality, practicalities and predicaments', Journal of Advanced Nursing, vol. 51, no. 5, pp. 493-501.View/Download from: Publisher's site
Aims. This paper draws on the literature to explore some of the issues of concern to nurses undertaking fieldwork in contemporary healthcare settings. Background. The emergence of poststructuralist and postmodern perspectives has raised questions about e
Firtko, A & Jackson, DE 2005, 'Do The Ends Justify The Means? Nursing And The Dilemma Of Whistleblowing', Australian Journal of Advanced Nursing, vol. 23, no. 1, pp. 51-56.
Background: Patient advocacy and a desire to rectify misconduct in the clinical setting are frequently cited reasons for whistleblowing in nursing and healthcare. Aim: This paper explores current knowledge about whistleblowing in nursing and critiques cu
Hutchinson, M, Vickers, MH, Jackson, DE & Wilkes, L 2005, 'I'm Gonna Do What I Wanna Do. Organizational Change As A Legitimized Vehicle For Bullies', Health Care Management Review, vol. 30, no. 4, pp. 331-338.View/Download from: Publisher's site
In depth interviews with nurses who have been bullied depict bullies masking their bullying behaviour behind the cloak of legitimate organizational processes, resulting in extensive harm to targets.
Jackson, DE & Darbyshire, P 2005, 'Using a strengths approach to understand resilience & build health capacity in families', Contemporary Nurse - Advances in Contemporary Child and Family Health Care, vol. 18, no. 1-2, pp. 211-212.
Jackson, DE, Macdonald, GE, Mannix, J, Faga, P & Firtko, A 2005, 'Mothers' Perceptions Of Overweight And Obesity In Their Children', Australian Journal of Advanced Nursing, vol. 23, no. 2, pp. 8-13.
Background: Childhood obesity is a growing health concern and the literature implicates parents, particularly mothers. Aim: To develop understandings into the views of a group of mothers with an overweight or obese child, about their child's overweight o
Aim. This paper reports a study exploring the strategies a group of mothers of overweight and obese children were using and planned to use in the future to assist their children to achieve a healthy weight. Background. Over the past two decades, the prev
Johnson, A & Jackson, DE 2005, 'Using the arts and humanities to support learning about loss, suffering and death', International Journal of Palliative Nursing, vol. 11, no. 8, pp. 438-443.
In this article, the benefits of using the arts and humanities as teaching and learning strategies are explored. Their contribution to undergraduate nursing curricula, as a means of promoting a deeper understanding of the experiences of loss, suffering and death, cannot be undervalued. They need to be present equally alongside the physical and social sciences in nursing curricula. More than ever, is the need for all undergraduate nursing students to participate in self-reflection of these experiences, in order that they may meet the needs of their patients and families adequately, in a range of healthcare settings.
Usher, K, Jackson, DE & O'Brien, L 2005, 'Adolescent drug abuse: Helping families survive', International Journal of Mental Health Nursing, vol. 14, no. 3, pp. 209-214.View/Download from: Publisher's site
Drug use and abuse carries risk in people of all ages. However, adolescents are particularly vulnerable to substance misuse. Adolescent drug use continues to be an area of concern with a number of adolescents developing problems associated with the use of various drugs. Negative sequelae associated with adolescent drug use include areas such as schooling, health, and family relationships. Difficulties with the legal system, schooling, or within the family are commonly the triggers for recognition of substance misuse problems in a young person. However, problems are usually wellestablished before they are recognized. The challenge of dealing with these problems will fall on families, particularly parents. This is a crisis for families, and ongoing support is needed if they are to overcome the challenges. Health workers (including nurses) are well-positioned to support families who are dealing with adolescent drug problems. In this paper we propose the adoption of a strengths approach as a strategy for developing resilience in families.
Chang, E, Hancock, K, Johnson, A, Daly, J & Jackson, DE 2005, 'Role stress in nurses: Review of related factors and strategies for moving forward', Nursing and Health Sciences, vol. 7, no. 1, pp. 57-65.
The aim of this paper was to review the literature on factors related to role stress in nurses, and present strategies for addressing this issue based on the findings of this review while considering potential areas for development and research. Computerized databases were searched as well as hand searching of articles in order to conduct this review. This review identified multiple factors related to the experience of role stress in nurses. Role stress, in particular, work overload, has been reported as one of the main reasons for nurses leaving the workforce. This paper concludes that it is a priority to find new and innovative ways of supporting nurses in their experience of role stress. Some examples discussed in this article include use of stress education and management strategies; team-building strategies; balancing priorities; enhancing social and peer support; flexibility in work hours; protocols to deal with violence; and retention and attraction of nursing staff strategies. These strategies need to be empirically evaluated for their efficacy in reducing role stress.
Jackson, D & Mannix, J 2004, 'Giving voice to the burden of blame: A feminist study of mothers' experiences of mother blaming', International Journal of Nursing Practice, vol. 10, no. 4, pp. 150-158.View/Download from: Publisher's site
Mother blaming has been identified as a pervasive and serious problem and it is known that the professional literature has strong and entrenched mother-blaming messages. Using a feminist approach, this paper explores mother blaming as it has been experienced by a group of mothers themselves. Analysis of narrative exposes mother blaming as a burden that complicates the already-complex responsibilities that comprise mothering. Health providers are among those identified by women as being particularly likely to attribute problems with (even grown) children to maternal fault. Implications for practice and research are drawn from the findings of this paper. © Wiley Publishing Asia Pty Ltd.
Jackson, DE, Mannix, J, Faga, P & Gillies, D 2004, 'Raising families: Urban women's experiences of requiring support', Advances in Contemporary Nursing, vol. 18, no. 1-2, pp. 97-107.
Peters, K, Jackson, DE & Rudge, T 2004, '"Trigger shot" Administration in Emergency Department: what are the issues?', Australasian Emergency Nursing Journal, vol. 7, no. 2, pp. 13-19.
Assisted reproductive and other technologies present ethical dilemmas and practical challenges to nurses and other health care providers.The administration of drugs, such as Human Chorionic Gonadotrophin (commonly known as 'trigger shots') by nurses in emergency departments is an issue that has not been addressed. Women receiving treatment for infertility who present to emergency departments requesting a nurse administer a'trigger shot', cannot usually provide a legal drug order. When faced with this situation, emergency nurses need to make a prompt decision about giving this injection (or not) because timely administration of this drug is paramount to the success of the reproductive cycle.
Stewart, M, Jackson, D, Mannix, J, Wilkes, L & Lines, K 2004, 'Current state of knowledge on child-to-mother violence: a literature review.', Contemporary nurse : a journal for the Australian nursing profession, vol. 18, no. 1-2, pp. 199-210.
Child-to-mother violence is a common aspect of family violence, and presents nurses and health workers with continuing challenges. Though noted in the literature as early as the 1950's, this phenomenon remains poorly understood. A number of reasons for the lack of research scrutiny are proposed, the most compelling being that child-to-mother violence has been framed within the discourse of juvenile delinquency rather than family violence. Thus, unlike other forms of family violence, it has escaped close examination by health and welfare workers. A literature review was conducted to examine current knowledge of child-to-mother violence. Study of the literature reveals only partial understandings of this neglected aspect of family pathology. Directions for research to address these gaps in knowledge are drawn from the findings of this literature review.
Stewart, M, Jackson, DE, Mannix, J, Wilkes, L & Lines, K 2004, 'Current state of knowledge on child-to-mother violence: A literature review', Advances in Contemporary Nursing, vol. 18, no. 1/2, pp. 199-210.
Child-to-mother violence is a common aspect of family violence, and presents nurses and health workers with continuing challenges. Though noted in the literature as early as the 1950's, this phenomenon remains poorly understood. A number of reasons for the lack of research scrutiny are proposed, the most compelling being that child-to-mother violence has been framed within the discourse of juvenile delinquency rather than family violence. Thus, unlike other forms of family violence, it has escaped close examination by health and welfare workers. A literature review was conducted to examine current knowledge of child-to-mother violence. Study of the literature reveals only partial understandings of this neglected aspect of family pathology. Directions for research to address these gaps in knowledge are drawn from the findings of this literature review
Halcomb, E, Daly, J, Jackson, DE & Davidson, PM 2004, 'An insight into Australian nurses' experience of withdrawal/withholding of treatment in the ICU', Intensive and Critical Care Nursing, vol. 20, no. 4, pp. 214-222.
The success of biotechnology has created moral and ethical dilemmas concerning end-of-life care in the Intensive Care Unit (ICU). Whilst the competent individual has the right to refuse or embrace treatment, ICU patients are rarely able to exercise this right. Thus, decision-making is left to medical professionals and family/significant others. Aim: This study aimed to explore the lived experience of ICU nurses caring for clients having treatment withdrawn or withheld, and increase awareness and understanding of this experience amongst other health professionals. Methods: Van Manens (1990) phenomenological framework formed the basis of this study as it provided an in-depth insight into the human experience. A convenience sample of ten ICU Nurses participated in the study. Conversations were transcribed verbatim and analysed using a process of thematic analysis. Results: Five major themes emerged during the analysis. These were: (1) comfort and care, (2) tension and conflict, (3) do no harm, (4) nursefamily relationships and (5) invisibility of grief and suffering. Conclusion: The experience of providing care for the adult having treatment withdrawn or withheld in the ICU represents a significant personal and professional struggle. Improvements in communication between health professionals, debriefing and education about the process of withdrawing or withholding treatment would be beneficial to both staff and families and has the potential to improve patient care and reduce burden on nurses
This column is a discussion of nursing in Australia. The authors present current challenges and issues related to recruitment and retention, an aging workforce, violence and bullying, diversity, undergraduate and graduate education, professional development, information technology, clinical pathways, models of care delivery, and funding models. They also present what is happening in Australia in relation to nursings scope of practice, development of the nurse practitioner role, nursing leadership, and nursing research.
Jackson, D 2003, 'Broadening constructions of family violence: Mothers' perspectives of aggression from their children', Child and Family Social Work, vol. 8, no. 4, pp. 321-329.View/Download from: Publisher's site
This qualitative study used feminist insights to explore experiential aspects of the phenomenon of child-to-mother violence from the perspectives of six women survivors. Participants took part in conversational style audiotaped interviews lasting between two and four hours. Feminist analysis revealed that fear and violence had become a feature of mothering for these women. Three themes were identified: It was only a matter of time: feeling intimidated and under threat; He just punched me: physical violence from child to mother; and Other men in the house: violence directed to the mothers by friends and associates of their children. Currently the literature overwhelmingly constructs family violence as elder abuse, spousal/partner violence, or child abuse, and generally fails to acknowledge, or address, violence from children to parents. However, findings from this study suggest that the discourse about family violence needs to be broadened to include child-to-mother violence. Implications of this study for practice and research are discussed. © 2003 Blackwell Publishing Ltd.
Jackson, D 2003, 'Culture, health and social justice.', Contemporary nurse : a journal for the Australian nursing profession, vol. 15, no. 3, pp. 347-348.
Jackson, D & Mannix, J 2003, 'Then suddenly he went right off the rails: mothers' stories of adolescent cannabis use.', Contemporary nurse : a journal for the Australian nursing profession, vol. 14, no. 2, pp. 169-179.View/Download from: Publisher's site
Adolescent drug use provides challenges for parents, health professionals and the wider community. Of those adolescents who use drugs, cannabis is often the drug of choice. A number of adolescents will develop problems associated with cannabis use, and the burden of managing these problems will fall on the family, particularly the mother. This paper explores adolescent cannabis use from the perspective of mothers of affected young people. Twelve women took part in conversational style audio-taped interviews. Stories were extracted from the resulting narratives and were analysed guided by the work of Anderson and Jack (1991). Detailed findings are grouped under the themes: First awareness: 'I couldn't deny it was happening'; Constant vigilance: 'I watched his every move'; Cannabis and family life: 'I'd start to shake when he walked into the house'; Disrupted lives: 'I was terrified he'd go to prison'; Shifting aspirations: 'just staying alive'; and, Maintaining a loving relationship: 'always told him I loved him'. Implications for nursing practice are drawn from the findings.
Mohan, S, Wilkes, LM & Jackson, D 2003, 'Coronary heart disease in Indians: a review of literature.', Contemporary nurse : a journal for the Australian nursing profession, vol. 15, no. 3, pp. 274-286.View/Download from: Publisher's site
A literature review utilising literary databases, World Wide Web and hand checking of written articles was conducted to determine the magnitude of the problem of coronary heart disease (CHD) in Indians with a particular emphasis on those in Australia. Health care professionals need to be aware that Indians have a higher than average risk of CHD at an earlier age and poorer survival and this is impacted on by genetic, social and cultural factors. The experiences of Indians with CHD needs to be researched so that prevention and rehabilitation programs can be individualised for this well developed community group in Australia.
Davidson, PM, Daly, J, Hancock, K & Jackson, DE 2003, 'Australian women and heart disease: trends, epidemiological perspectives and the need for a culturally competent research agenda', Contemporary Nurse, vol. 16, no. 1-2, pp. 62-73.
Heart disease commonly manifests as acute coronary syndromes (unstable angina pectoris, or myocardial infarction) and heart failure (HF). These conditions are major causes of morbidity and mortality in Australia and internationally. Australian faces particular challenges in health care delivery given the cultural and ethnic diversity of society and unique issues related to rurality. These factors have significant implications for health care delivery. Following an acute cardiac event women have poorer outcomes: higher mortality rates, higher incidence of complications and greater psychological morbidity compared with men. Language barriers, socioeconomic factors, psychological trauma related to migration and alternate health seeking behaviors and varying perceptions of risk are likely to impact adversely on health outcomes. Self-management in chronic cardiovascular disease underscores the importance of models of care that incorporate aspects related to self-care and promotion of adherence to primary and secondary prevention initiatives. Implicit in this statement is the inclusion of the individual in negotiating and developing their care plan. Therefore health professionals need to be aware of the patient's needs, values, beliefs and health seeking behaviours. These factors are strongly influenced by culture and ethnicity.
Like many other countries in the world, Australia is grappling with a chronic shortage of registered nurses (RNs). All areas of nursing are currently affected by shortages and high care residential aged care services are no exception. Selection, recruitment and retention of suitable staff to meet the complex needs of residents in aged care facilities are becoming increasingly challenging and must be addressed as a matter of priority. This paper explores the current nursing shortage, looks ahead to identify future threats to a viable nursing workforce in residential aged care, and raises some issues for future consideration.
This paper explores the current nursing shortage, looks ahead to identify future threats to a viable nursing workforce in residential aged care, and raises some issues for future consideration.
Coronary heart disease (CHD) is one of the main causes of death and disability in the Aboriginal population, and is the major cause of the twenty-year gap in life expectancy of Aboriginal and non-Aboriginal Australians. This paper explores Aboriginal health in relation to CHD, and suggests self-management as a culturally acceptable therapeutic and sustainable ideology from which positive outcomes may be achieved.
Jackson, D, Clare, J & Mannix, J 2002, 'Who would want to be a nurse? Violence in the workplace - A factor in recruitment and retention', Journal of Nursing Management, vol. 10, no. 1, pp. 13-20.View/Download from: Publisher's site
In a climate of a declining nursing workforce where violence and hostility is a part of the day-to-day lives of most nurses, it is timely to name violence as a major factor in the recruitment and retention of registered nurses in the health system. Workplace violence takes many forms such as aggression, harassment, bullying, intimidation and assault. Violent acts are perpetrated against nurses from various quarters including patients, relatives, other nurses and other professional groups. Research suggests that nurse managers are implicated in workplace violence and bullying. Furthermore, there may be a direct link between episodes of violence and aggression towards nurses and sick leave, burnout and poor recruitment and retention rates. This paper explores what is known about workplace violence as it affects nurses, and calls for managerial support and policy to act to improve work environments for all nurses.
Jackson, DE & Mannix, J 2001, 'Clinical nurses as teachers: insights from students of nursing in their first semester of study', Journal Of Clinical Nursing, vol. 10, no. 2, pp. 270-277.View/Download from: Publisher's site
This paper reports the findings of a study which sought to gain insights about the role of clinical nursing staff in the planned clinical experience of undergraduate nursing students. This study differs from others in that the perspectives of students of nursing in their first year of the undergraduate programme are sought, and the role of clinical nurses rather than clinical teachers is of particular interest. Using a story-telling approach, an exploration of students' perspectives on the role of clinical nursing staff in their clinical learning was undertaken. Analysis allowed findings to be grouped into helpful and unhelpful behaviours. Helpful behaviours included understanding and being friendly, showing interest and explaining. Behaviours that students found unhelpful to their learning were often passive rather than active, but they made students feel acutely aware of being unwelcome in the clinical area. Several students described feeling intrusive, uncomfortable and even unwelcome in clinical areas because of the attitudes and behaviour of clinicians.
Nursing is facing a crisis nationally and internationally with Australia, the United States, New Zealand, Canada, the United Kingdom and Western Europe experiencing critical shortages of nurses. Problems with recruitment, retention and an ageing workforce means that attempts to ensure a viable nursing workforce must be placed at the top of the professional agenda. Strategies currently used to manage the crisis, such as overseas recruitment, are not sustainable and are ethically dubious.The demographic timebomb is ticking and up to half the current nursing workforce will reach retirement age by 2020. It is vital that there are adequate numbers of skilled and qualified nurses to take their places. Nursing and nurses are facing unprecedented challenges and pressures in the workplace. Job satisfaction is threatened as nurses are pressured to do more with less. Nursing productivity has increased phenomenally over the past ten years in response to increased demands and decreasing numbers of staff. The nursing workplace has disturbingly high levels of occupational violence, and many nurses operate within a culture of blame and scapegoating.
Jackson, D 2000, 'The Long Journey Back: The Bumpy Road to Recovery from Cybersex Addiction', The Australian Journal of Rehabilitation Counselling, vol. 6, no. 2, pp. 96-110.View/Download from: Publisher's site
Notwithstanding the current debate over the use of the term “addiction” to describe certain types of problematic internet use, it is clear that a significant number of people engage in excessive internet use despite its interference with their everyday life. There is also growing evidence to suggest that increasing numbers of regular internet users are using the net for the purposes of accessing pornographic material and adult chat. In a qualitative descriptive framework, this study examines evidence from recovering cybersex addicts to illuminate aspects of the recovery trajectory for persons negatively affected by excessive use of the internet for the purposes of sexual gratification. Significant disruption to functional daily activities was variously reported and included occupational and social impairment, depression, impotence, and relationship breakdown. The paper further examines the therapeutic recovery issues with this addiction and comments on the role of rehabilitation counsellors in this process. © 2000, Cambridge University Press. All rights reserved.
McCallum, J, Nakamura, T, Bye, R & Jackson, D 2000, 'Day surgery for older people (70+): Selection versus outcome effects', Ambulatory Surgery, vol. 8, no. 3, pp. 143-149.View/Download from: Publisher's site
As length of Australian hospital stays decreased, concerns were raised about benefits of shorter stays for older people. We investigated personal characteristics, perceived health outcomes (SF-36) and service use of day-only and other patients aged 70+, at one and 12 weeks after hospital discharge. Day-only patients were younger, had better self-reported health, were selected for orthopaedic, gastrointestinal and ophthalmic procedures and used similar levels of formal and informal services after discharge as people with longer stays. There was no evidence of ill effects of day surgery for older people, but improved selection and information giving procedures can improve outcomes. Copyright (C) 2000 Elsevier Science B.V.
Daly, J, Elliott, D, Cameron-Traub, E, Salamonson, Y, Davidson, PM, Jackson, DE, Chin, C & Wade, V 2000, 'Health status, perceptions of coping, and social support immediately after discharge of survivors of acute myocardial infarction', American Journal of Critical Care, vol. 9, pp. 62-69.
BACKGROUND: The period immediately after discharge from the hospital after an acute myocardial infarction is a stressful and vulnerable time about which little is known. OBJECTIVE: To explore health status, perceptions of coping, and social support among survivors of a recent myocardial infarction in the first 3 weeks after discharge from hospitals in southwestern Sydney, Australia. METHODS: A descriptive, exploratory approach with a triangulated methodology was used to assess the experiences of 38 survivors, detect patterns in these experiences, explore the health-support needs of survivors, and determine changes in health status in the first 3 weeks after discharge. Quantitative data were collected with the Medical Outcomes Study SF-36, New York Heart Association classification, Canadian Cardiovascular Society Angina Scale, and the Jalowiec Coping Scale. A semistructured interview schedule provided additional qualitative data about the experiences of the survivors. RESULTS: The health status of participants was relatively stable during the 3-week period; most had no activity limitation due to dyspnea or angina. However, the subjects' health status was considerably lower than that of their age-matched population. The most common and most effective coping strategies adopted during this period were confrontation, optimism, and self-reliance. In addition, the subjects experienced anxiety, depression, ambiguity and uncertainty, fear of recurrence of the infarction and of deterioration in health, of boredom and of inertia. CONCLUSION: These findings can help nurses in hospital and community settings assist survivors of acute myocardial infarction to prepare for and deal effectively with experiences during convalescence.
Jackson, DE, Daly, J, Davidson, PM, Elliott, D, Cameron-Traub, E, Wade, V, Chin, C & Salamonson, Y 2000, 'Women recovering from first-time myocardial infarction (MI): A feminist qualitative study', Journal of Advanced Nursing, vol. 32, no. 6, pp. 1403-1411.View/Download from: Publisher's site
Although myocardial infarction (MI) is a leading cause of death and disablement for women internationally, little is known about women's recovery. This paper describes an exploratory descriptive study that was informed by feminist principles, and which aimed to explore the recovery experiences of a group of women survivors of ®rst-time MI in the initial period following discharge from hospital.
Daly, J & Jackson, D 1999, 'On the Use of Nursing Theory in Nurse Education, Nursing Practice, and Nursing Research in Australia', Nursing Science Quarterly, vol. 12, no. 4, pp. 342-345.View/Download from: Publisher's site
Daly, JG & Jackson, DE 1999, 'On The Use Of Nursing Theory In Nurse Education, Nursing Practice, And Nursing Research In Australia', Nursing Science Quarterly, vol. 12, no. 4, pp. 342-345.
Jackson, D, Teale, G, Bye, R, McCallum, J & Stein, I 1999, 'Postacute care for older aboriginal people: an exploratory-descriptive study.', The Australian journal of rural health, vol. 7, no. 1, pp. 53-59.View/Download from: Publisher's site
Many Aboriginal people reside in rural and remote Australia. Aboriginal health workers were the informants in this exploratory-descriptive study, which explored issues pertaining to postacute care for older Aboriginal people. Qualitative analysis of interview data revealed several issues were viewed as being of crucial importance in the provision of effective postacute services to older Aboriginal people. These were: (i) identification of Aboriginality; (ii) perceived racism and stereotypical attitudes among hospital staff and healthcare workers; and (iii) effective discharge planning. Other issues which were believed to impact upon service use were identified as: (i) availability of services; (ii) knowledge of services and level of use; and (iii) the notion of mainstream versus Aboriginal-specific services. Findings are discussed in relation to available literature. Implications for further research are drawn from the findings of this exploratory study.
Jackson, DE & Sullivan, J 1999, 'Integrating The Creative Arts Into A Midwifery Curriculum: A Teaching Innovation Report', Nurse Education Today, vol. 19, no. 7, pp. 527-532.View/Download from: Publisher's site
The practice of midwifery has long been recognized as both art and science. However, educational programmes for midwifery are most often undertaken within an academic health sciences environment, and tend to be based on knowledge derived from the science
Jackson, DE, Brady, W & Stein, I 1999, 'Towards (Re)Conciliation: (Re)Constructing Relationships Between Indigenous Health Workers And Nurses', Journal Of Advanced Nursing, vol. 29, no. 1, pp. 97-103.View/Download from: Publisher's site
Currently in Australia, both Aboriginal and non-aboriginal Australians are attempting to reconcile themselves with a history of colonization/invasion, which resulted in human rights violations against Australia's indigenous people. Australian nursing has
A diagnosis of ovarian cancer is a crisis For any woman. Ovarian cancer has the highest mortality of all the gynaecological cancers. In addition to the very real threat of death, such a diagnosis raises critical issues concerning femininity, motherhood and sexuality. The high mortality associated with this disease is due (in part) to problems associated with early diagnosis. Women frequently experience non-specific symptoms, which may be attributed to other, less alarming causes. The lack of specific symptoms experienced by women, as well as the lack of effective mass screening strategics, make earlv detection difficult. This makes it crucial that nurses involved in the care of women be alert to the insidious and non-specific onset of this serious condition. © Wiley Publishing Asia Pty Ltd.
Daly, J, Jackson, D & Davidson, PM 1999, 'The experience of hope for survivors of acute myocardial infarction (AMI): a qualitative research study.', The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation, vol. 16, no. 3, pp. 38-44.
This qualitative study was undertaken to explore the relevance and meaning of the experience of hope for survivors of acute myocardial infarction (AMI). Depth interviews were conducted with eight survivors (n = 8) of AMI at four weeks following discharge from hospital. Analysis of transcribed interviews revealed three distinct narrative themes. These were holding on to human connectedness, finding and harnessing the 'will' to live, and, having faith in the primacy of a higher power. Study findings are discussed in relation to the literature. Findings of the study assist in building knowledge and understanding of the complex phenomenon of hope. Implications for nursing practice and research are drawn from study findings.
Raftos, M, Jackson, D & Mannix, J 1998, 'Idealised versus tainted femininity: Discourses of the menstrual experience in Australian magazines that target young women', Nursing Inquiry, vol. 5, no. 3, pp. 174-186.View/Download from: Publisher's site
Information and messages concerning health-related issues are not confined to material provided by official figures or sources. Much information exists in the community and comes from a variety of sources. One such source is the media. This paper reports the findings of a study conducted over a 12-month period of advertisements for menstrual products in a selection of four monthly Australian magazines (n = 48) directed towards young women. The study examined the way in which menstruation and the menstrual experience were depicted in terms of page space, textual content and visual images. Findings revealed that advertisements for menstrual products provided confusing, conflicting and paradoxical messages. These included stressing the normality of menstruation while also emphasising the importance of keeping it hidden and secret. Menstruation was depicted as being a state of tainted (idealised) femininity because of the potential for the menstrual silence to be shattered by people finding out. Protection failure was depicted as being the ultimate in tainted femininity and a result of a woman's incorrect choice of product. Choosing menstrual-care products was depicted as simple but, paradoxically, complex and confusing. Women were depicted as liberated and sophisticated but images and language related to infancy were used. Freedom and liberation were conferred by the use of the advertised product. Overall, in common with previous studies, menstruation was depicted as a crisis of hygiene that is a risk to femininity. Advertisements for pantyliners suggest that femininity itself poses a threat to (idealised) femininity. This study demonstrates the crucial role of the media as a source of health information for young women.
Daly, J, Jackson, DE, Davidson, PM, Wade, V, Chin, C & Brimelow, V 1998, 'The Experiences Of Female Spouses Of Survivors Of Acute Myocardial Infarction: A Pilot Study Of Lebanese-Born Women In South-Western Sydney, Australia', Journal Of Advanced Nursing, vol. 28, no. 6, pp. 1199-1206.View/Download from: Publisher's site
Lebanese migrants form a significant proportion of the population in southwestern Sydney (SWS), and in New South Wales, Australia, This pilot study was undertaken in south-western Sydney, a rapidly expanding and socioeconomically disadvantaged region, to
Jackson, D 1997, 'Feminism: a path to clinical knowledge development.', Contemporary nurse : a journal for the Australian nursing profession, vol. 6, no. 2, pp. 85-91.View/Download from: Publisher's site
Nurses are under increasing pressure to defend the efficacy, value and cost benefits of professional nursing care. Now more than ever, there is a need for nurses to undertake quality clinical research, through which practice may be shaped and guided. Feminist theory can provide a lens through which nurses may explore clinical issues. It also provides a framework by which socially constructed differences, such as gender and culture, may be incorporated into the design of clinical research projects. Because feminism is an openly political and transformative process, feminist concepts are suitable for use where the aim of the research is to catalyse practice change. This paper explores the use of feminism as a theoretical framework for nursing research.
Jackson, D & Raftos, M 1997, 'In uncharted waters: Confronting the culture of silence in a residential care institution', International Journal of Nursing Practice, vol. 3, no. 1, pp. 34-39.View/Download from: Publisher's site
This paper describes a study grounded in feminism, which explored the experiences of three registered nurses who were employed in a residential care institution in which they believed the standard of care to be unacceptably poor. Ultimately, the nurses became 'whistle blowers'. Data surrounding these events were gathered through serial encounters and analysed using feminist interpretive methods. Three distinct phases were revealed: (i) trepidation and optimizm; (ii) barriers and obstacles; and (iii) disillusionment and defeat. It was in this final phase that the whistle blowing occurred. For these women, whistle blowing was an intervention of last resort; a stressful and negative event that carried personal and professional cost. Issues pertaining to professional autonomy and patient advocacy are raised, together with concerns surrounding the appropriation by business people of the language and images of nursing, and the power of these people to negatively impact upon nursing practice.
Jackson, D & Raftos, M 1997, 'In uncharted waters: confronting the culture of silence in a residential care institution.', International journal of nursing practice, vol. 3, no. 1, pp. 34-39.View/Download from: Publisher's site
This paper describes a study grounded in feminism, which explored the experiences of three registered nurses who were employed in a residential care institution in which they believed the standard of care to be unacceptably poor. Ultimately, the nurses became 'whistle blowers'. Data surrounding these events were gathered through serial encounters and analysed using feminist interpretive methods. Three distinct phases were revealed: (i) trepidation and optimizm; (ii) barriers and obstacles; and (iii) disillusionment and defeat. It was in this final phase that the whistle blowing occurred. For these women, whistle blowing was an intervention of last resort; a stressful and negative event that carried personal and professional cost. Issues pertaining to professional autonomy and patient advocacy are raised, together with concerns surrounding the appropriation by business people of the language and images of nursing, and the power of these people to negatively impact upon nursing practice.
Raftos, M, Mannix, J & Jackson, DE 1997, 'More Than Motherhood? A Feminist Exploration Of 'Women'S Health' In Papers Indexed By Cinahl 1993-1995', Journal Of Advanced Nursing, vol. 26, no. 6, pp. 1142-1149.
Holism is claimed to be the signifying feature that sets women's health apart from traditional approaches to health care. As such, articles published in the nursing literature about women's health would, one might expect, reflect the centrality of holism
Jackson, D 1996, 'The multicultural workplace: comfort, safety and migrant nurses.', Contemporary nurse : a journal for the Australian nursing profession, vol. 5, no. 3, pp. 120-126.View/Download from: Publisher's site
The changing composition of Australian society has resulted in the reality of a multicultural workplace. With this comes the need to examine issues related to cultural wellbeing within an occupational setting. Migrant women nurses from non-English speaking backgrounds participated in this phenomenological study, which examined their experiences working as nurses within the New South Wales health care system. Participants described traumatic experiences around entering the nursing work environment. Familiar and comfortable roles such as being a woman, a colleague and a nurse were altered and made uncomfortable by the imposition of disturbing and unfamiliar roles. This discomfort was compounded by what was experienced as an uncomfortable and perilous work environment. The task for these women became one of finding sanctuary and comfort and finally, of establishing a place for themselves. This paper will take the reader on the journey from being a stranger to finding a place and will raise issues for discussion surrounding culture and safety in the nursing workplace.
Jackson, D, Raftos, M & Mannix, J 1996, 'Through the looking glass: reflections on the authorship and content of current Australian nursing journals.', Nursing inquiry, vol. 3, no. 2, pp. 112-117.View/Download from: Publisher's site
Over the past three years, Australian nurses have witnessed a proliferation of locally published refereed nursing journals. This paper considers the refereed content published in four selected Australian nursing journals over a recent twelve month period. Material appearing in the Australian Journal of Advanced Nursing (AJAN), Contemporary Nurse, Nursing Inquiry and Collegian was categorized according to subject matter and authorship by gender and discipline. Findings indicate that articles pertaining to clinical practice, the practice of research, and professional nursing issues are well represented in the literature. These findings mark a change from earlier analyses of Australian nursing journals, which suggested that the epistemologies of other disciplines were over-represented in Australian nursing journals, and thus exerted a powerful influence over the development of nursing theory and scholarship. The increase in the number of refereed Australian nursing journals is indicative of the dynamic state of Australian nursing, in terms of confidence, scholarship and clinical practice development.
This study explored the everyday experiences of a group of overseas qualified female nurses from non‐English speaking backgrounds (NESB) entering the New South Wales health‐care system. Migrant women from a variety of NESB participated by describing their experiences in the hospital environment as qualified nurses. Analysed data suggest that the experience of being a migrant woman has a profound effect on how these nurses construct nursing practice. National wealth and the dominant government ideologies operating in a nurse's country of qualification shape the practice of nurses. Nursing therefore is socially and culturally constructed, yet nurses seeking to practise in New South Wales (and other parts of Australia) are assessed against the Australian Nursing Council (Inc) competencies. Do these competencies support the current ideology of multiculturalism or do they reflect a monocultural view of the world? This paper raises questions concerning the use of competencies as an assessment tool for locally qualified and overseas qualified nurses. Copyright © 1995, Wiley Blackwell. All rights reserved
Jackson, DE & O'Brien, L 2012, 'The Effective Nursing' in Elder, R, Evans, K & Nizette, D (eds), Psychiatric and Mental Health Nursing, Elsevier, Chatswood, NSW, pp. 3-13.
Jackson, DE, McDonald, G & Wilkes, L 2011, 'Thriving in the workplace: learning from Innovative practices' in McAllister, M & Lowe, JB (eds), The Resilient Nurse, Springer Publishing Company, LLC, New York US, pp. 105-114.
Nurses need to thrive in workplacce that are often challemging and even personaIly harmful (Jackson, 2008a; Jackson, Claire, & Mannix, 2002; Jack.son and Daly, 2004). These issues are extensively documented in the literature and have been related to the reasons for nonretention of nurses in the workplace (Jackson, Mannix, & Daly, 2003; Stordeur, D'Hoore, & the NEXT Study Group 2006). In order to establish a successful career, nurses need to learn to manage these elements of the workplace environment and develop personal strategies that are meaningful to them as practitioners of their own resilience. This chapter focuses on the importance of resilience in dealing with workplace adversity. Professional support networks are presented as one innovative strategy that can be applied to help support the development of resilience in nurses and midwives experiencing workplace adversity. In the following story, Kylie, a new nursing graduate, reminds us of some of the inherent potential challenges of the nursing work place.
Borbasi, S, Jackson, DE & Lockwood, C 2010, 'Undertaking a clinical audit' in Courtney, M & McCutcheon, H (eds), Using Evidence to guide nursing practice, Elsevier Australia, Sydney, Australia, pp. 113-130.
Jackson, DE & Borbasi, S 2009, 'Nursing care and nurse caring: issues, concerns, debates' in Daly, J, Speedy, S & Jackson, D (eds), Contexts of Nursing 3rd Ed, Churchill- Livingston, Elsevier, Sydney, Australia, pp. 80-94.
Jackson, DE & O'Brien, L 2009, 'The effective nurse' in Elder, Evans, R, Nivette, K & Debra (eds), Psychiatric and Mental Health Nursing, Elsevier Australia, Australia, pp. 2-11.
Daly, J, Jackson, DE & Nay, R 2009, 'Visionary leadership for a 'greying' health system (Chapter 28)' in Nay, R & Garratt, S (eds), Older people: Issues and innovations in care (3rd Ed), Elsevier, Sydney, pp. 468-495.
Daly, J, Speedy, S & Jackson, DE 2009, 'Introducing Nursing... a career for life (Chapter 1)' in Daly, J, Speedy, S & Jackson, D (eds), Contexts of Nursing 3rd Ed, Churchill- Livingston, Elsevier, Sydney, pp. 1-14.
Borbasi, S, Hengstberger-Sims, C & Jackson, DE 2008, 'Quantitative research: summing it up' in Borbasi, S, Jackson, D & Langford, RW (eds), Navigating the Maze of Nursing Research: An Interactive Learning Adventure, Elsevier Australia, Sydney, Australia, pp. 103-152.
Quantitative research approaches are systematic logical processes used to answer questions about measurable concepts. Quantitative projects can be classified in numerous ways, including through the stated goals of a specific research project or by the choice of research design. The research process is a circular one comprising an orderly series of five phases that move the researcher from the formulation of researchable problems to the discovery of probable answers.
clare, J & Jackson, DE 2008, 'On gender in nursing: a discussion of issues and directions' in Chang, E & Daly, J (eds), Transitions in nursing: Preparing for professional practice, Elsevier, Sydney, Australia, pp. 180-193.
Jackson, DE & Borbasi, S 2008, 'Qualitative research: the whole picture' in Borbasi, S, Jackson, D & Langford, RW (eds), Navigating the Maze of Nursing Research: An Interactive Learning Adventure, Elsevier Australia, Sydney, Australia, pp. 153-178.
Qualitative research is used to examine subjective research experiences by using nonstatistical methods of analysis.
Jackson, DE & Edgecombe, G 2008, 'Caring for children and adolescents in the community' in Kralik, D & van Loon, A (eds), Community nursing in australia, Blackwell Publishing, Victoria, Australia, pp. 212-224.
Jackson, DE & Borbasi, S 2006, 'Nursing care and nurse caring : issues, concerns, debates' in Daly, J, Speedy, S & Jackson, D (eds), Contexts of nursing, Churchill Livingstone, Sydney, Australia, pp. 73-85.
Sinfield, M, Jackson, DE & Borbasi, S 2006, 'Ageing and Health Breakdown' in Chang, E, Daly, J & Elliott, D (eds), Pathophysiology applied to nursing practice, Elsevier, Sydney, Australia, pp. 404-424.
Australia and New Zealand, along with the rest of the world, have ageing populations. People are living longer than ever before due to various factors, including improved health services, and scientifIc and medical developments that have led to improvements ill pharmacology as well as other technologies that promote longevity. In addition, increasing consumerism has resulted in all enhanced awareness of the role of diet, exercise and general health maintenance ~nnong people in general, including older people. These factors, coupled with a declining birth rate, mean that Australia's population will continue to age at least until the middle of the century. From a health perspective, people are considered old once they are 65 years and old, old when over 85 years.
Borbasi, S, Jackson, DE & Lockwood, C 2005, 'Undertaking a clinical audit' in Courtney, M (ed), Evidence for Nursing Practice, Elsevier Australia, Sydney, australia, pp. 148-167.
Jackson, DE, Daly, J & Chang, E 2002, 'Approaches in qualitative research (Chapter 9)' in Schneider, Z, Elliott, D, LoBiondo-Wood, G & Haber, J (eds), Nursing research: Methods, critical appraisal and utilisation, Mosby, Sydney.
Murray-Parahi, P, DiGiacomo, M, Phillips, J, Jackson, D & Davidson, P 2018, 'Preparing next generation nurses for primary health care roles: the barriers and enablers of new graduate registered nurse professional transition', 7th International Nurse Education Conference, Banff, Canada.
Ferguson, C, DiGiacomo, M, Saliba, B, Green, J, Moorley, C, Wyllie, A & Jackson, D 2018, 'First year nursing students' experiences of social media during the transition to university: a focus group study', 7th International Nurse Education Conference.
Sowole, T, Power, T, Jackson, D, Davidson, PM & DiGiacomo, M 2016, 'West African women migrants in Australia: Implications for health care', African Studies Association of Australasia and the Pacific (AFSAAP) 2016 Conference, Perth, Australia.
Sowole, O, Power, T, Jackson, D, Davidson, P & DiGiacomo, M 2016, 'Overcoming trauma: West African migrant women's experiences of healing in Australia', 21st International Council on Women’s Health Issues (ICOWHI) Congress, International Council on Women’s Health Issues (ICOWHI) Congress, Baltimore, Maryland, USA.
Forber, J, DiGiacomo, Davidson, PM, Carter, B & Jackson, D 2015, 'Undergraduate nurse clinical education: Visioning the future.', NET2015 – 26th International Networking for Healthcare Education Conference, Cambridge, UK.
Allen, E, Elliott, D & Jackson, D 2014, 'Designing an instrumental case study to investigate interprofessional relationships of Rapid Response Systems in socio-culturally complex clinical environments', The National Nursing Forum: Staying Ahead of the Game, Adelaide, SA.
Al Abed, N, Davidson, PM, Hickman, L, DiGiacomo, M & Jackson, D 2013, 'Older Arab Migrants: Between the Hammer of Prejudice and the Anvil of Social Isolation', 2nd International Conference on Ageing in a Foreign Land, Adelaide, Australia.
Anuruang, S, Davidson, PM, Hickman, L & Jackson, D 2013, 'Integrative Review of Community Based Interventions to Promote Self-care/management for older people in Thailand', Sigma Theta Tau International's 24th International Nursing Research Congress, Prague, Czech Republic.
Dawson, A, Pritchard, C, Dean, S, Robertson, J & Jackson, DE 2013, 'Collaborative approaches to addressing the complex needs of women with post traumatic stress disorder and substance use disorder.', PHAA National Social Inclusion and Complex Needs Conference, PHAA National Social Inclusion and Complex Needs Conference, Public Health Association, Canberra, ACT, Australia, pp. 28-28.
In Australia, the health, social and economic burden of alcohol and drug dependence is profound. Women's substance use problems are highly stigmatized and often not acknowledged. Pregnant and parenting women face particular societal condemnation and encounter multiple systemic barriers that delay treatment seeking with women fearing consequences for them and their children. Rates of comorbid post-traumatic stress disorder (PTSD) and substance use disorder (SUD) are higher for women than men and are associated with trauma related to sexual abuse and family violence. Little research has been undertaken internationally or in Australia to determine the most effective treatment for women with PTSD and SUD. Given the high incidence of PTSD co morbidity, it is critical that treatment models accommodate the complex needs of these women and draw upon integrated services requiring multiple service providers and professionals. This paper reports on the trial of a unique program for women with SUD and PTSD at Jarrah House, a residential medical detoxification and rehabilitation NGO program for women and their children. Early findings show encouraging increases in client quality of life scores and insight into how the program has empowered women to make life changes and plan their recovery supported by various providers.
Dean, S, Dawson, A & Jackson, DE 2013, 'Towards gender responsive treatment for substance abuse disorder: issues for consideration when providing services.', 8th International Conference on Interdisciplinary Social Sciences., Prague, Czech Republic..
In Australia the health, social and economic burden of female alcohol and drug dependence is profound. Women's substance use problems are more stigmatized, less likely to be acknowledged than men's, pregnant and parenting women face particular societal condemnation and encounter multiple systemic treatment barriers and they often delay seeking treatment services for fear of the consequences for them and their children. This particularly applies for Government agencies and women often feel more supported in seeking treatment programs in the NGO sector. International studies have documented high rates of comorbid post-traumatic stress disorders (PTSD) and substance abuse disorders for men and for women although the rates appear to be higher for women and typically stem from different trauma. The relationship between PTSD and substance abuse disorders tells us very different stories in men and women and the social determinants and coocurring life problems are often very different with women experiencing issues with children more frequently than men. There is very little research internationally or Australia to determine what is the best type of treatment for women with PTSD and substance use disorders. Given the high incidence of this comorbidity, treatment models that do not address this critical issue may not be successful. This paper reports on a unique program being trialled in a residential medical detoxification and rehabilitation program for women and their children in NSW. Jarrah House is part of the NGO sector and it's mission is to promote the empowerment, health and well-being of women and children by providing an effective and therapeutic gender responsive drug and alcohol treatment service. The program being trialled is an integrated program addressing both trauma and substance use and is the focus of this paper.
Dean, S, Jackson, DE & Dawson, A 2012, 'The Impact of Short Term Residential Treatment Programs for Women Withdrawing from Alcohol and Other Drugs in Australia', International Council on Women's Health Issues (ICOWHI), Bangkok, Thailand..
Objectives: To determine the impact of short term residential treatment programs for women withdrawing from alcohol and other drugs in Australia. Methods: In this first phase of a longitudinal study of women (n=80) in a residential treatment program in NSW women were invited to complete questionnaires to measure quality of life, psychological health and confidence in their ability to abstain at the commencement of the 21 day program following a physical detoxification; after the 21 day program had concluded; and again at 42 days if they repeated the program cycle. The women completed questionnaires on quality of life, WHO-8: EUROHIS, psychological health Kessler -10 Plus and confidence to abstain from alcohol and other drugs. Results: Preliminary results indicate that outcomes were positive on all scales after completing the 21 day program with no marked difference when women repeated the program and remained in the program for a further 21 days. Conclusion: Residential treatment programs specifically for women withdrawing from alcohol and other drugs are scarce in Australia and in fact internationally. There are huge waiting lists for these types of services. Given the long waiting lists for treatment services, the chance of relapse following women making the initial call to self refer to a program and the long wait for admission to a service, the fact that women are often separated from their children, communities and social supports, taken out out of employment, the high cost of residential treatments particularly if they involve clinical input for detoxification, it would seem pertinent that more data are available on time in treatment as a predictor of outcomes. Whilst some literature seems to suggest that the longer time spent in treatment is a good predictor of good outcomes for some client groups there is little information available on the impact of short term programs as a predictor of good outcomes (Ross et al 2004). Results from this study will be use...
Jackson, D, Wilson, D, Mikahere-Hall, A, Sherwood, J & Cootes, K AUT 2019, WĀHINE MĀORI Keeping safe in unsafe relationships, AUT.
Oxford Heath NHS Foundation Trust (UK).
Health Education Engalnd (UK).