Professor John Daly RN, PhD, HonDNursing, FACN, FAAN is the current Dean of the Faculty of Health and Head of the UTS/World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development at the University of Technology, Sydney. He was previously Dean of the Faculty of Nursing, Midwifery and Health at UTS (appointed 2008).
Professor Daly is an active professional and academic leader, educator, administrator, consultant, researcher, author and editor. He has published widely on leadership in nursing and health, nursing education, cardiovascular health, role transition in nursing, aged care, cross-cultural nursing and nursing workforce issues. Professor Daly is a former Chair of the Global Alliance for Leadership in Nursing Education and Science (GANES), a former Chair of the Council of Deans of Nursing and Midwifery (Australia and New Zealand) and former Editor-In-Chief of Collegian: The Australian Journal of Nursing Practice, Scholarship & Research (the refereed journal of the Australian College of Nursing which is published by Elsevier) a position he held for 9 years.
Professor Daly has served on many committees and working parties over many years with local, national and international organizations including: NSW Health, The Health-Science Alliance, Sydney Alliance for Healthcare, Research & Training (SAHRT), the Council of Deans of Nursing & Midwifery (Australia and New Zealand),the World Health Organization, Sigma Theta Tau International(STTI), and the International Network for Doctoral Education in Nursing. He is a member of the Board of Directors of AccessUTS, and the Health Science Alliance, and of the Council of the Sydney Partnership for Health Education, Research and Enterprise(SPHERE).
In 2008 Professor Daly was awarded the title Emeritus Professor by the University of Western Sydney for distinguished service to the university and contributions to the discipline and profession of nursing at national and international levels. In 2013 he was elected to Fellowship in the American Academy of Nursing (FAAN). In July 2014 he was invested as Secretary-General for the Global Network of World Health Organization Collaborating Centres for Nursing & Midwifery(www.globalnetworkwhocc.com), and he was the only Australian nurse academic appointed to the STTI Global Advisory Panel on the Future of Nursing(GAPFON). Professor Daly continues to play an active leadership role in academic publishing having been appointed to the position of Editor-In-Chief of the Journal of Nursing Management (Wiley,Oxford) in August, 2014. In 2016 he was awarded the honorary degree of Doctor of Nursing by Oxford Brookes Univesity, UK in recognition of outstanding contribution to the pursuit of academic excellence. He currently holds a number of adjunct, conjoint or visiting appointments with other academic institutions including:Curtin University,University of New South Wales Sydney, Oxford Brookes University,UK and Johns Hopkins University, Baltimore, USA.
Secretary-General, Global Network of World Health Organization Collaborating Centres for Nursing & Midwifery
Member, Global Advisory Panel on the Future of Nursing(GAPFON), STTI
Member, Board of Directors, Health Science Alliance
Company Director, AccessUTS
Member, Advisory Committee, WHO Collaborating Centre for Community Health Services, School of Nursing, Hong Kong Polytechnic University, Hong Kong
Member, External Advisory Committee, World Health Organization Collaborating Centre for Nursing & Midwifery Education & Research Capacity Building, School of Nursing, Midwifery & Nutrition, James Cook University, Queensland
Member, Executive Committee, Global Network of World Health Organization Collaborating Centres for Nursing and Midwifery
Membership of learned societies
Australian College of Nursing
American Heart Association
Sigma Theta Tau International
American Academy of Nursing
Can supervise: YES
Leadership in healthcare
In addition, this book explores how leadership is not possible until one has an understanding of self and what motivates others.
Chang, E. & Daly, J. 2008, Transitions in nursing: Preparing for professional practice, 2nd ed., Elsevier, Sydney.
This text is an important book for undergraduate nurses and recent graduates as they move from student nurse to graduate nurse. As with the 1st edition, this book has been written by a breadth of academics and clinical nurse practitioners. It deals with all the professional issues nursing students need to consider as they prepare to move from university to the workplace of the graduate nurse. Among the many topics, the book deals with issues involving transition from student to practicing nurse, the Australian health care system, organisational structure, workplace culture, professional nursing development, applying for jobs, reflective practice, clinical governance and occupational health and safety. With an ever increasing focus on professional issues in nursing, this is an outstanding and valuable book that will help educate and prepare nurses for practice. It will be of great use to senior undergraduate nurses, newly registered nurses, nurses in management and leadership positions and nurse educators in both tertiary and clinical sectors. - Provides nursing students with all they need to know to tackle the transition from student to graduate - High profile contributors, including many new ones who have been selected for their expertise in specific areas. - Maintains the popular structure, format and style of the 1st edition with additions such as cases and OH&S content and increased and updated content on IR
Chang, E., Daly, J. & Elliott, D. 2006, Pathophysiology Applied to Nursing Practice, Elsevier Australia.
Has been written to provide a fundation for understanding major pathophysiological process, applied pharmacology and related nursing implications. The text includes a holistic framework for assessment of major health breakdown problems.
Daly, J. 2005, Professional Nursing Concepts, Issues, and Challenges, Springer Publishing Company.
Daly, J., Speedy, S. & Jackson, D. 2004, Nursing Leadership, Elsevier Health Sciences.
considered leadership material; and finally, those who fall somewhere in
between. Given the right circumstances, this third groupmight justemergeas
leaders.He goes onto point outthatin many cases,due tothe nature of the complex
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.
Romanini, J. & Daly, J. 1994, Critical Care Nursing Australian Perspectives, W B Saunders Company.
Provides a comprehensive, theoretical foundation for the practice of nursing in the critical care setting. Offers a holistic framework, and a human biological systems approach to the consideration of biophysical problems.
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: UTS OPUS or Publisher's site
Hayes, C.J., Jackson, D., Davidson, P.M., Daly, J. & Power, T. 2018, 'Pondering practice: Enhancing the art of reflection', Journal of Clinical Nursing.View/Download from: UTS OPUS or 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...
Hayes, C., Jackson, D., Davidson, P.M., 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: UTS OPUS or 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.
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
To explore the perceptions of early career nursing academics on leadership in academia.There is growing emphasis on leadership capacity building across all domains of nursing. However, there is limited evidence on leadership capacity in early career academics. This study tested an intervention to develop leadership capacity amongst early career nursing academics in two Australian universities.A sequential mixed methods design, using online surveys and semi-structured interviews, was used to collect data.Twenty-three early career nursing academics participated. Most had experience of formal leadership roles and were aware of its importance to them as they developed their academic careers. Participants were able to discuss their own views of themselves as leaders; their perceptions of their own needs for leadership development, and ways in which they could seek to develop further as leaders.There is a need to provide initial and ongoing opportunities for leadership development amongst nurse academics. These opportunities should be contextualised and recognise factors such as gender, and the effects of structural oppression.Nurse academics are involved in the preparation of the next generation of clinical leaders and it is imperative that they are able to articulate a clear view of leadership.
It is acknowledged that novice nurse academics face many challenges on commencement of their new role. Most are recruited from the clinical arena, with little understanding of the academic triumvirate of teaching, research and service. They struggle with role expectation and experience feelings of isolation and anxiety.The aim of this paper is to report on an exploration of 14 new nurse academics from two major nursing education institutions as they utilised and developed resilience building strategies.The paper is drawn from a qualitative study that sought to see the world through the eyes of the participants through storytelling. Data was collected using semi-structured, conversational style interviews. Interviews were audio recorded and revealed themes that captured resilience strategies.These themes were: Developing supportive collegial relationships; Embracing positivity; and Reflection and transformative growth. The first theme, developing supportive relationships, provides insight into the mentoring process and the relationships developed with peers and colleagues. The second theme, embracing positivity, describes the factors that assisted them to face the adversity and challenges in the new role. The final theme, reflection and transformative growth, demonstrated participants' reflecting on difficult situations and demonstrating the ability to learn from the experiences and move forward.The strategies utilised by the participants in this study were key factors in the development of resilience which assisted in the transition from clinical nurse to academic. These strategies were often tacit and it is imperative that in a time of acute nurse academic shortages where retention is paramount, that employing organisations support employees and contribute to resilience development. Education on resilience building strategies is fundamental for all new academics and is essential in the transition from clinical nurse to academic.
Rumsey, M., Thiessen, J., Buchan, J. & Daly, J. 2016, 'The consequences of English language testing for international health professionals and students: An Australian case study', INTERNATIONAL JOURNAL OF NURSING STUDIES, vol. 54, pp. 95-103.View/Download from: UTS OPUS or Publisher's site
Travaglia, J., Robertson, H., Davidson, P.M. & Daly, J. 2016, 'Problematizing the practice of policy.', Journal of nursing management, vol. 24, no. 4, pp. 435-438.View/Download from: UTS OPUS or Publisher's site
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: UTS OPUS or Publisher's site
Intelligent, robust and courageous nursing leadership is essential in all areas of nursing, including mental health. However, in the nursing leadership literature, the theoretical discourse regarding how leaders recognise the need for action and make the choice to act with moral purpose is currently limited. Little has been written about the cognitions, capabilities and contextual factors that enable leader courage. In particular, the interplay between leader values and actions that are characterised as good or moral remains underexplored in the nursing leadership literature. In this article, through a discursive literature synthesis we seek to distill a more detailed understanding of leader moral courage; specifically, what factors contribute to leaders' ability to act with moral courage, what factors impede such action, and what factors do leaders need to foster within themselves and others to enable action that is driven by moral courage. From the analysis, we distilled a multi-level framework that identifies a range of individual characteristics and capabilities, and enabling contextual factors that underpin leader moral courage. The framework suggests leader moral courage is more complex than often posited in theories of leadership, as it comprises elements that shape moral thought and conduct. Given the complexity and challenges of nursing work, the framework for moral action derived from our analysis provides insight and suggestions for strengthening individual and group capacity to assist nurse leaders and mental health nurses to act with integrity and courage.
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.
Kim, M.J., Park, C.G., McKenna, H., Ketefian, S., Park, S.H., Klopper, H., Lee, H., Kunaviktikul, W., Gregg, M.F., Daly, J., Coetzee, S., Juntasopeepun, P., Murashima, S., Keeney, S. & Khan, S. 2015, 'Quality of nursing doctoral education in seven countries: survey of faculty and students/graduates', JOURNAL OF ADVANCED NURSING, vol. 71, no. 5, pp. 1098-1109.View/Download from: UTS OPUS or Publisher's site
Mannix, J., Wilkes, L. & Daly, J. 2015, 'Aesthetic Leadership: Its Place in the Clinical Nursing World.', Issues in mental health nursing, vol. 36, no. 5, pp. 357-361.View/Download from: Publisher's site
Clinical leadership has been identified as crucial to positive patient/client outcomes, across all clinical settings. In the new millennium, transformational leadership has been the dominant leadership style and in more recent times, congruent leadership theory has emerged to explain clinical leadership in nursing. This article discusses these two leadership models and identifies some of the shortcomings of them as models for clinical leadership in nursing. As a way of overcoming some of these limitations, aesthetic leadership is proposed as a style of leadership that is not antithetical to either model and reflects nursing's recognition of the validity of art and aesthetics to nursing generally. Aesthetic leadership is also proposed as a way to identify an expert clinical leader from a less experienced clinical leader, taking a similar approach to the way Benner (1984) has theorised in her staging of novice to expert clinical nurse.
Mannix, J., Wilkes, L. & Daly, J. 2015, ''Good ethics and moral standing': a qualitative study of aesthetic leadership in clinical nursing practice', Journal of Clinical Nursing, vol. 24, no. 11-12, pp. 1603-1610.View/Download from: Publisher's site
Mannix, J., Wilkes, L. & Daly, J. 2015, 'Grace under fire: Aesthetic leadership in clinical nursing', Journal of Clinical Nursing, vol. 24, no. 17-18, pp. 2649-2658.View/Download from: Publisher's site
© 2015 John Wiley & Sons Ltd. Aims and objectives: This paper reports the results of an online descriptive survey that sought to determine nurses' perceptions of aesthetic leadership among clinical leaders in nursing. Background: Clinical leadership has been identified as an essential component to ensuring the delivery of safe, high-quality health care. Leadership has been increasingly linked in the literature to aesthetics. However, little consideration has been given to aesthetics in relation to clinical leadership in nursing. Design: A mixed-method, online descriptive survey. Methods: Participants were recruited via e-learning platforms and social media. A total of 66 surveys were completed, including 31 written accounts of aesthetic leadership in practice. Results: Aesthetic leadership characteristics in clinical leaders most valued are support, communication and the approach taken to colleagues. Taking risks and challenging processes were least likely to be evident among effective clinical leaders. Conclusion: Aesthetic leadership is multi-dimensional and a style of leadership to positively influence the clinical workplace. Support, effective communication and taking into consideration the feelings of colleagues are important dimensions of aesthetic leadership. Relevance to clinical practice: Aesthetic leadership represents a way for clinical leaders to create and sustain a calm and positive clinical workplace.
Mannix, J., Wilkes, L. & Daly, J. 2015, ''Watching an artist at work': Aesthetic leadership in clinical nursing workplaces', Journal of Clinical Nursing, vol. 24, no. 23-24, pp. 3511-3518.View/Download from: Publisher's site
© 2015 John Wiley & Sons Ltd. Aims and objectives: To explore how clinical leaders enact aesthetic leadership in clinical nursing workplaces. Background: Clinical leadership is heralded as vital for safe and effective nursing. Different leadership styles have been applied to the clinical nursing workplace over recent years. Many of these styles lack an explicit moral dimension, instead focusing on leader qualities and developing leader competence around team building, quality and safety. Aesthetic leadership, with its explicit moral dimension, could enhance clinical leadership effectiveness and improve nursing workplaces. How aesthetic leadership is enacted in clinical nursing settings requires exploration. Design: A qualitative design, employing conversation-style interviews with experienced registered nurses and written responses gathered from an online descriptive survey. Methods: Narrative data were gathered from interviews with 12 registered nurses and written accounts from 31 nurses who responded to an online survey. Together, transcribed interview data and the written accounts were subject to thematic analysis. Results: Three main themes emerged: Leading by example: 'be seen in the clinical area'; Leading with composure: 'a sense of calm in a hideous shift'; and Leading through nursing values: 'create an environment just by your being'. Conclusions: Aesthetic leadership was shown to enhance clinical leadership activities in the nursing workplace. The capacity for clinical leaders to be self-reflective can positively influence the nursing workplace. It was apparent that clinical leader effectiveness can be enhanced with nursing values underpinning leadership activities and by being a visible, composed role model in the clinical workplace. Relevance to clinical practice: Aesthetic leadership can enhance clinical nursing workplaces with its explicit moral purpose and strong link to nursing values. Clinical leaders who incorporate these attributes with being a...
AIM: To determine which characteristics of academic leadership are perceived to be necessary for nursing deans to be successful. BACKGROUND: Effective leadership is essential for the continued growth of the discipline. METHOD: 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. RESULT: 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. CONCLUSION: Both positional and personal aspects of academic leadership are important to assist in developing a succession plan and education for new deans. IMPLICATIONS FOR NURSING MANAGEMENT: 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.
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: UTS OPUS or 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.
Daly, J., Jackson, D., Rumsey, M., Patterson, K. & Davidson, P.M. 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, P.M., 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: UTS OPUS or 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...
Gero, A., Fletcher, S.M., Rumsey, M., Thiessen, J., Kuruppu, N., Buchan, J., Daly, J. & Willetts, J.R. 2015, 'Disasters and climate change in the Pacific: Adaptive capacity of humanitarian response organisations', Climate and Development, vol. 7, no. 1, pp. 35-46.View/Download from: UTS OPUS or Publisher's site
Climate change is likely to affect the pattern of disasters in the Pacific and, by extension, the organizations and systems involved in disaster response. This research focused on how immediate humanitarian health-related needs following disasters are met using the concept of adaptive capacity to investigate the resilience of organizations and the robustness of the broader system of disaster response. Four case study countries (Cook Islands, Fiji, Samoa, and Vanuatu) were chosen for deeper investigation of the range of issues present in the Pacific. Key findings were that adaptive capacity was enhanced by strong informal communication and relationships as well as formal relationships, appropriate participation of traditional leaders and churches, and recognition and support for the critical role national disaster management offices play in disaster coordination. Adaptive capacity was found to be constrained by lack of clear policies for requesting international assistance, lack of coordinated disaster assessments, and limited human resources for health in disaster response. Limitations in psychosocial support and Australian medical services to meet specific needs were observed. Finally, the research revealed that both Pacific and Australian disaster-response agencies would benefit from a strengthened 'future' focus to better plan for uncertainty and changing risks.
Jackson, D., Daly, J. & Saltman, D.C. 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: UTS OPUS or Publisher's site
Jackson, D.E., 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.
Kennedy, M.S., Barnsteiner, J. & Daly, J. 2014, 'Honorary and ghost authorship in nursing publications.', Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, vol. 46, no. 6, pp. 416-422.View/Download from: Publisher's site
The purposes of this study were to (a) assess the prevalence of articles with honorary authors and ghost authors in 10 leading peer-reviewed nursing journals between 2010 to 2012; (b) compare the results to prevalence reported by authors of articles published in high-impact medical journals; and (c) assess the experiences of editors in the International Academy of Nursing Editors with honorary and guest authorship.Corresponding authors of articles published in 10 nursing journals between 2010 and 2012 were invited to complete an online survey about the contributions of coauthors to see if the International Committee of Medical Journal Editors () criteria for authorship were met. Additionally, members of the International Academy of Nursing Editors were invited to complete an online survey about their experiences in identifying honorary or ghost authors in articles submitted for publication.The prevalence of articles published in 10 nursing journals with honorary authors was 42%, and the prevalence of ghost authorship was 27.6%. This is a greater prevalence than what has been reported among medical journals. Qualitative data yielded five themes: lack of awareness around the rules for authorship; acknowledged need for debate, discussion, and promotion of ethical practice; knowingly tolerating, and sometimes deliberately promoting, transgressions in practice; power relations and expectations; and avoiding scrutiny. Among the 60 respondents to the editor survey, 22 (36.7%) reported identifying honorary authors and 13 (21.7%) reported ghost authors among papers submitted to their publications.Inappropriate authorship is a significant problem among scholarly nursing publications.If nursing scholarship is to maintain integrity and be considered trustworthy, and if publications are to be a factor in professional advancement, editors, nursing leaders, and faculty need to disseminate and adhere to ethical authorship practices.
Mannix, J., Wilkes, L. & Daly, J. 2014, 'Pragmatism, persistence and patience: A user perspective on strategies for data collection using popular online social networks', COLLEGIAN, vol. 21, no. 2, pp. 127-133.View/Download from: Publisher's site
McDermid, F., Peters, K., Jackson, D.E. & 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.
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: UTS OPUS or 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, P.M., Newton, P.J., Ferguson, C., Daly, J., Elliott, D., Homer, C.S., Duffield, C.M. & Jackson, D.E. 2014, 'Rating and Ranking the Role of Bibliometrics and Webometrics in Nursing and Midwifery', The Scientific World Journal, vol. 2014.View/Download from: UTS OPUS or 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.
Rumsey, M., Fletcher, S.M., Thiessen, J., Gero, A., Kuruppu, N., Daly, J., Buchan, J. & Willetts, J.R. 2014, 'A qualitative examination of the health workforce needs during climate change disaster response in Pacific Island Countries', Human Resources for Health, vol. 12, no. 1, pp. 2-20.View/Download from: UTS OPUS or Publisher's site
There is a growing body of evidence that the impacts of climate change are affecting population health negatively. The Pacific region is particularly vulnerable to climate change; a strong health-care system is required to respond during times of disaster. This paper examines the capacity of the health sector in Pacific Island Countries to adapt to changing disaster response needs, in terms of: (i) health workforce governance, management, policy and involvement; (ii) health-care capacity and skills; and (iii) human resources for health training and workforce development.
Cleary, M., Walter, G., Jackson, D.E. & Daly, J. 2013, 'Dealing with peer-review: What is reasonable and what is not?', Collegian, vol. 20, no. 3, pp. 123-125.View/Download from: UTS OPUS or Publisher's site
Jackson, D.E., Daly, J., Mannix, J., Potgieter, I.L. & 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.
Mannix, J., Wilkes, L. & Daly, J. 2013, 'Attributes of clinical leadership in contemporary nursing: An integrative review', Contemporary Nurse, vol. 45, no. 1, pp. 10-21.View/Download from: UTS OPUS or Publisher's site
Effective clinical leadership is offered as the key to healthy, functional and supportive work environments for nurses and other health professionals. However, as a concept it lacks a standard definition and is poorly understood. This paper reports on an
McDermid, F., Peters, K., Daly, J. & Jackson, D.E. 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: UTS OPUS or 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.
Healthcare systems are in a state of flux and change (Casabonne & Kenny 2012, Naylor & Naylor 2012). Globally, there are pressures to meet the increasing and diversifying healthcare needs of individuals and populations.
Dignam, D.M., Duffield, C.M., Stasa, H., Gray, J.E., Jackson, D.E. & 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: UTS OPUS or 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.
Gallagher, R., Kirkness, A., Zelestis, E., Kneale, C., Armari, E., Bennett, T., Daly, J., Tofler, G. & Hollams, D. 2012, 'A randomised trial of a weight loss intervention for overweight and obese people diagnosed with coronary heart disease and/or type 2 diabetes', Annals of Behavioral Medicine, vol. 44, no. 1, pp. 119-128.View/Download from: UTS OPUS or Publisher's site
The goal of this study was to make a head-to-head comparison of 2 common forms of multidisciplinary chronic heart failure (CHF) management.
McDermid, F., Peters, K., Jackson, D.E. & 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: UTS OPUS or 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.
Davidson, P.M., Mitchell, J., DiGiacomo, M., Inglis, S., Newton, P.J., Harman, J. & Daly, J. 2012, 'Cardiovascular disease in women: implications for improving health outcomes', Collegian, vol. 19, no. 1, pp. 5-13.View/Download from: UTS OPUS or Publisher's site
This literature review collated data on women and cardiovascular disease in Australia and globally to inform public health campaigns and health care interventions. If found that women with acute coronary syndromes show consistently poorer outcomes than men, independent of comorbidity and management, despite less anatomical obstruction of coronary arteries and relatively preserved left ventricular function. Higher mortality and complication rates are best documented amongst younger women and those with STsegment-elevation myocardial infarction. Sex differences in atherogenesis and cardiovascular adaptation have been hypothesised, but not proven. Atrial fibrillation carries a relatively greater risk of stroke in women than in men, and anticoagulation therapy is associated with higher risk of bleeding complications. The degree of risk conferred by single cardiovascular risk factors and combinations of risk factors may differ between the sexes, and marked postmenopausal changes are seen in some risk factors. Sociocultural factors, delays in seeking care and differences in self-management behaviours may contribute to poorer outcomes in women. Differences in clinical management for women, including higher rates of misdiagnosis and less aggressive treatment, have been reported, but there is a lack of evidence to determine their effects on outcomes, especially in angina. Although enrolment of women in randomised clinical trials has increased since the 1970s, women remain underrepresented in cardiovascular clinical trials. Improvement in the prevention and management of CVD in women will require a deeper understanding of womenâs needs by the community, health care professionals, researchers and government.
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).
Daly, J., Davidson, P., Duffield, C.M., Campbell, T. & Ward, R. 2011, 'Interdisciplinary, cross- institutional collaborations: The Academic Health Sciences Centre as a key to addressing complex health problems and advancing research-based health care', Collegian, vol. 18, no. 1, pp. 1-2.View/Download from: UTS OPUS
Daly, J., Davidson, P.M., Duffield, C.M., Campbell, T. & Ward, R. 2011, 'Interdisciplinary, cross- institutional collaborations: The Academic Health Sciences Centre as a key to addressing complex health problems and advancing research-based health care', Collegian, vol. 15, no. 1, pp. 1-2.View/Download from: Publisher's site
Changes in disease patterns and the economic climate have created challenges for contemporary health care systems (Bennett, 2009). Meeting increased demands for care in a fiscally responsible manner requires new collaborative approaches involving not only health care professionals but also, managers, researchers, educators and basic scientists. In addition it is increasingly recognised that unless we engage consumers, policy makers and clinicians actively in the research process, the relevance, application and uptake of research findings are limited (Lavis et al., 2005). Unfortunately, efforts to ensure the collaboration and synergy required between all of these stakeholders are often challenged by organisational boundaries, and differences in research cultures and paradigms (Smith, Mitton,Peacock,Cornelissen, & MacLeod, 2009). It is not uncommon for researchers and clinicians working in the same organisation to have limited conversations and dialogue. Yet when they come together solutions to challenging problems are often enabled by merging unique perspectives and the sharing of knowledge (Boivin et al., 2009).
Globally social and health systems are rallying to address the tsunami of chronic disease and the burden of population ageing (Partridge, Mayer-Davis, Sacco, & Balch, 2011). Although technology and innovation have rampaged ahead in scientific advances, our health and education systems have been slower to adapt to changing times. In the scholarly literature and popular press we are continually reminded of the frailties and inadequacies of our health care system and nurses are often the target of criticism (Jackson & Daly, 2008). In particular the method and standards of educational preparation of nurses has been a focus of discussion and debate (Shields, Purcell, & Watson, 2011). Current methods of nursing education in universities, have been accused of failing to prepare nurses for the challenges of contemporary health care systems. These censures can be readily challenged as they commonly fail to address the broader social, political and economic contexts that shape the role and scope of health care and specifically nursing and midwifery practice. Albeit important, nursing and midwifery education is only but one dimension of the complex mosaic of contemporary health care systems. Therefore considering methods of nursing and midwifery education in isolation from other factors influencing health care systems is futile and a disservice to the communities we serve.
Davidson, P.M., Daly, J., Leung, D., Ang, E., Paull, G., DiGiacomo, M., Hancock, K., Cao, Y., Du, H. & Thompson, D.R. 2011, 'Health-seeking beliefs of cardiovascular patients: A qualitative study', International Journal of Nursing Studies, vol. 48, no. 11, pp. 1367-1375.View/Download from: UTS OPUS or Publisher's site
The study aims were to (a) describe the experiences of Chinese Australians with heart disease following discharge from hospital for an acute cardiac event; (b) identify patterns and cultural differences of Chinese Australians following discharge from hospital; and (c) illustrate the illness/health seeking behaviors and health beliefs of Chinese Australians. Design Qualitative study Methods Interview data were obtained from the following sources: (a) focus groups of Chinese community participants without heart disease; (b) interviews with patients recently discharged from hospital following an admission for an acute cardiac event; and (c) interviews with Chinese-born health professionals working in Australia. Qualitative thematic analysis was undertaken. Results Study themes generated from the data were: (1) linking traditional values and beliefs with Western medicine; (2) reverence for health professionals and family; and (3) juxtaposing traditional beliefs and self-management. Conclusions Considering the influence of cultural values in developing health care plans and clinical decision making is important.
Davidson, P.M., DiGiacomo, M., Thompson, S.C., Abbott, P.A., Davison, J., Moore, L., Daly, J., McGrath, S., Taylor, K. & Usherwood, T. 2011, 'Health workforce issues and how these impact on Indigenous Australians', Journal of Australian Indigenous Issues, vol. 14, no. 4, pp. 69-84.View/Download from: UTS OPUS
Indigenous Australians suffer a disproportionate burden of iII health estimated to be 2.5 times higher than other Australians. A number of complex and multifaceted factors impact not only on health inequity but also imbalance in the health workforce. Addressing workforce issues for both Indigenous and non-Indigenous health workers is vital in decreasing the gap in health and social outcomes for Indigenous Australians. It is widely recognised that the capacity of the lndigenous health workforce is a crucial factor in responding effectively to Indigenous health needs. Using the typology of workforce imbalances proposed by Zurn and colleagues, this paper critically analyses issues within Australia impacting on the health workforce, arguing that it is impossible to consider workforce issues for Indigenous health without regard for global, sociodemographic, cultural, geographic and economic factors.
Davidson, P.M., Homer, C.S., Duffield, C.M. & Daly, J. 2011, 'A moment in history and a time for celebration: The performance of nursing and midwifery in Excellence in Research for Australia', Collegian, vol. 18, no. 2, pp. 43-44.View/Download from: Publisher's site
The long awaited and much anticipated results of Australia's first national university system wide research evaluation exercise were delivered in February this year. The Excellence in Research Assessment (ERA) examined `research quality within Australia's higher education institutions using a combination of indicators and expert review by committees comprising experienced, internationally-recognised experts' (Australian Research Council, 2011). In the discipline review for nursing some twenty three universities were assessed. Midwifery was included in the Nursing category as the Field of Research (FoR) code (the way the groups were clustered together) for nursing includes midwifery. The results for nursing and midwifery were impressive and they demonstrated that nine of the twenty three research programs in this category that were assessed were world class or above world class. In fact, nursing and midwifery in the FoR code 1110 was noted to be a `particularly strong performer' (Australian Research Council, 2011). This demonstrates that nurses and midwives in Australia are engaged in high quality research which is influencing practice and policy and making a difference to the health care of Australians. In addition, the research of many nurses and midwives was also considered in other categories including public health, health services and clinical medicine. This shows that our disciplines are well represented across the health field and the commitment to interdisciplinary practice to solve complex health care problems.
DiGiacomo, M., Davidson, P.M., Zecchin, R.P., Lamb, K. & Daly, J. 2011, 'Caring for others, but not themselves: implications for health care interventions in women with cardiovascular disease', Nursing Research and Practice, vol. 2011.View/Download from: UTS OPUS or Publisher's site
Cardiovascular disease is the largest killer of women internationally and women often suffer inferior outcomes following an acute cardiac event as compared to men. A gendered approach to investigating cardiovascular disease in women incorporates the unique social, cultural, and economic circumstances that being a woman brings to the health encounter. The multiple roles enacted by many women may be important factors in this health discrepancy. In order to more fully understand the impact of the roles of women on health, a questionnaire was administered to participants of the Heart Awareness for Women group cardiac rehabilitation program which assessed womenâs role perceptions followed by discussions. We found that caregiving can be both positive and negative. It gives a sense of purpose, meaning, and community connection as well as burden and conflict. Emphasis must be placed on promoting strategies in women to achieve a balance between caregiving responsibilities and prioritisation of cardiovascular health.
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).
Chang, E., Daly, J., Johnson, A., Harrison, K., Easterbrook, S., Bidewell, J., Stewart, H., Noel, M. & Hancock, K. 2009, 'Challenges for professional care of advanced dementia', International Journal of Nursing Practice, vol. 15, no. 1, pp. 41-47.View/Download from: UTS OPUS or Publisher's site
Qualitative methodology based on action research identified challenges when caring for persons with advanced dementia, as perceived by key professional providers. Data collection was via five focus groups (total n = 24) and 20 follow-up individual interviews. Participants included palliative care, aged care and dementia specialist nurses, medical specialists from an area health service, residential aged care staff and general medical practitioners. Responses emphasized the need for improved knowledge and skills, and clearer policy. Concerns included accurate assessment, especially of pain, owing to the inability of people with advanced dementia to communicate their symptoms. Assessment, managing physical and behavioural symptoms, and communicating with family presented as further challenges. Conclusions are that the need for a palliative approach to care in advanced dementia should be recognized. Aged care staff can deliver palliative care to people with advanced dementia only if the staff receive relevant education and training beyond their generalist competencies.
Johnson, A., Chang, E., Daly, J., Harrison, K., Noel, M., Hancock, K. & Easterbrook, S. 2009, 'The communication challenges faced in adopting a palliative care approach in advanced dementia', International Journal of Nursing Practice, vol. 15, no. 5, pp. 467-474.View/Download from: UTS OPUS or Publisher's site
This paper discusses one aspect from the findings of an Australian study aimed at understanding the needs of people with advanced dementia. Specifically, this paper focuses on the communication issues that might potentially inhibit the implementation of a palliative care approach for a person with advanced dementia in a residential aged care facility (RACF). Six focus groups consisting of 34 participants and 24 semistructured interviews were conducted. Participants were drawn from palliative care specialty staff, palliative care volunteers, designated aged or dementia specialist staff from an area health service, general practitioners, RACF staff and family carers. The findings show communication issues identified by the participants were a significant factor impacting on their capacity to adopt a palliative care approach in caring for people with advanced dementia. The findings support the need for education, skill development and networking to occur among the key providers of care in RACFs to ensure the provision of 'best practice' palliative care to residents with advanced dementia and their families.
Factors to consider when submitting articles to peer-reviewed journals
Daly, J., Macleod Clark, J., Lancaster, J., Orchard, C. & Bednash, G. 2008, 'The Global Alliance for Nursing Education and Scholarship: Delivering a vision for nursing education (Editorial)', International Journal of Nursing Studies, vol. 45, no. 8, pp. 1115-1117.
Griffiths, R. & Daly, J. 2008, 'Towards a culturally competent nurse workforce (Editorial)', Contemporary Nurse, vol. 28, no. 1, pp. 98-100.
Huntington, A., Bidewell, J., Gilmour, J., Chang, E., Daly, J., Wilson, H., Lambert, V.A. & Lambert, C.E. 2008, 'The relationship between workplace stress, coping strategies and health status in New Zealand nurses', The Journal of Occupational Health and Safety: Australia and New Zealand, vol. 24, no. 2, pp. 131-141.View/Download from: UTS OPUS
This study was part of an international project examining workplace stress among nurses and their coping strategies, and the relationship between stress, coping and health in the Asia-Pacific region. The aim of the present study was to identify dominant workplace stressors for New Zealand nurses, their most used coping strategies, and variables that best predict their mental and physical health. Postal surveys were sent to 190 randomly selected New Zealand nurses employed in clinical areas. Workload was the most common stressor, while 'planful' problem solving, seeking social support, and self controlling were the most frequently used ways of coping. The link between stressors such as workload and reduced mental health is concerning, especially as effective coping strategies such as problem solving are already predominantly used by nurses. The findings suggest that nurses' mental health could benefit from a workload that minimises stress, and from increased support in the workplace and encouragement of planned problem solving
Davidson, P.M., DiGiacomo, M., Zecchin, R., Clarke, M., Paul, G., Lamb, K., Hancock, K., Chang, E. & Daly, J. 2008, 'A cardiac rehabilitation program to improve psychosocial outcomes of women with heart disease', Journal of Women's Health, vol. 17, no. 1, pp. 123-134.View/Download from: UTS OPUS or Publisher's site
Background and aims: Heart disease in women is characterised by greater disability and a higher rate of morbidity and early death after an acute coronary event compared with men. Women also have lower participation rates than men in cardiac rehabilitation. This study sought to describe development of a nurse-directed cardiac rehabilitation program tailored to the needs of women following an acute cardiac event to address their psychological and social needs. Methods: The Heart Awareness for Women program (HAFW) commenced in 2003 with phase I involving development of program elements and seeking validation through consumers and clinical experts. The program was then trialed in an 8-week program in a convenience sample of 6 women. Phase II applied the revised program using action research principles focusing on enabling clinical staff to implement the ongoing program. A total of 54 women participated in this phase, 48 of whom completed baseline questionnaires. A mixed-method evaluation, using questionnaires, interviews, and observation, assessed the impact of the intervention on psychological and social aspects of womens recovery following an acute coronary event. Results: Women welcomed the opportunity to discuss their individual stories, fears, and challenges and to derive support from contact with other women. Via health professional facilitation, women were able to develop strategies collectively to address risk factor modification and achieve optimal cardiovascular health. No statistically significant changes in depression, anxiety, stress, cardiac control, role integration, or perceived social support were found; however, descriptive and qualitative findings revealed decreases in anxiety and an increased sense of social support.
Davidson, P.M., Dracup, K., Phillips, J.L., Daly, J. & Padilla, G. 2008, 'Preparing for the worst while hoping for the best: The relevance of hope in the heart failure illness trajectory', Journal of Cardiovascular Nursing, vol. 22, no. 3, pp. 159-165.View/Download from: UTS OPUS or Publisher's site
Background: Patients with heart failure have higher mortality rates than those with most malignant diseases. The heart failure illness trajectory is one of gradual decline characterized by unpredictable events such as acute decompensation of heart failure or a sudden cardiac death. Health professionals have an obligation to give patients and their families concise and honest information concerning their prognosis. The challenge exists to give what ostensibly may seem a bleak prognosis within a context of hope and optimism. Aim: To explore the role of hope in heart disease and the potential utility of this construct in the development of nursing interventions. Methods: The electronic databases CINAHL, MEDLINE, EmBASE, and PSYCHlit were searched from 1982 to August 2004 using the key words "hope," "hopelessness," "heart disease," and "heart failure." Articles were subsequently sorted to meet the inclusion criteria of (1) a philosophical discussion of the construct of hope and/or (2) investigation of hope in heart disease. Results: This search retrieved 768 articles, and 24 met the inclusion criteria. Key findings from the review indicate that "hope" and "hopelessness" are underdeveloped, yet important constructs and conceptually linked with depression and spirituality. Intriguing findings from descriptive, observational studies have demonstrated the positive impact of expression of hope on cardiovascular outcomes. These findings need to be validated in randomized controlled trials.
Goddard, L., Davidson, P.M., Daly, J. & Mackey, S. 2008, 'People with an intellectual disabilitiy in the discourse of chronic and complex conditions: an invisible group?', Australian Health Review, vol. 32, no. 3, pp. 405-414.View/Download from: UTS OPUS
People with an intellectual disability and their families experience poorer health care compared with the general population. Living with an intellectual disability is often challenged by coexisting complex and chronic conditions, such as gastrointestinal and respiratory conditions. A literature review was undertaken to document the needs of this vulnerable population, and consultation was undertaken with mothers of children with disabilities and with professionals working within disability services for people with an intellectual disability and their families. Based on this review, there is a need to increase the profile of people with an intellectual disability in the discourse surrounding chronic and complex conditions. Strategies such as guideline and competency development may better prepare health professions to care for people with disabilities and chronic and complex care needs and their families
Goddard, L., Davidson, P.M., Daly, J. & Mackey, S. 2008, 'People with an intellectual disability in the discourse of chronic and complex conditions: an invisible group?', Australian Health Review, vol. 32, no. 3, pp. 405-414.View/Download from: UTS OPUS or Publisher's site
People with an intellectual disability and their families experience poorer health care compared with the general population. Living with an intellectual disability is often challenged by coexisting complex and chronic conditions, such as gastrointestina
Halcomb, E., Davidson, P.M., Griffiths, R. & Daly, J. 2008, 'Cardiovascular disease management: time to advance the practice nurse role?', Australian Health Review, vol. 32, no. 1, pp. 44-53.View/Download from: UTS OPUS or Publisher's site
More than two-thirds of health expenditure is attributable to chronic conditions, of which a significant proportion are related to cardiovascular disease. This paper identifies and explores the factors cited by practice nurses as impacting on the development of their role in cardiovascular disease management. Sequential mixed methods design combining postal survey and telephone interviews with general practice nurses were used. The most commonly cited barriers to role extension were legal implications (51.6%), lack of space (30.8%), a belief that the current role is appropriate (29.7%), and general practitioner attitudes (28.7%). Australian government policy demonstrates a growing commitment to an extended role for general practice in primary health care and cardiovascular disease management. By addressing the barriers and enabling features identified in this investigation, there is potential to further develop the Australian practice nurse role in cardiovascular disease management.
Chang, E., Bidewell, J., Huntington, A., Daly, J., Johnson, A., Wilson, H., Lambert, V.A. & Lambert, C.E. 2007, 'A survey of role stress, coping and health in Australian and New Zealand Hospital Nurses', International Journal of Nursing Studies, vol. 44, no. 8, pp. 1354-1362.View/Download from: UTS OPUS or Publisher's site
Background Previous research has identified international and cultural differences in nurses workplace stress and coping responses. We hypothesised an association between problem-focused coping and improved health, emotion-focused coping with reduced health, and more frequent workplace stress with reduced health. Objectives Test the above hypotheses with Australian and New Zealand nurses, and compare Australian and New Zealand nurses experience of workplace stress, coping and health status. Participants and settings Three hundred and twenty-eight New South Wales (NSW) and 190 New Zealand (NZ) volunteer acute care hospital nurses (response rate 41%) from randomly sampled nurses. Design and method Postal survey consisting of a demographic questionnaire, the Nursing Stress Scale, the WAYS of Coping Questionnaire and the SF-36 Health Survey Version 2
Daly, J. 2007, 'Another step forward for Collegian (Editorial)', Collegian, vol. 14, no. 2, pp. 2-2.
Daly, J. & Bryant, R. 2007, 'Professional organisations and regulatory bodies: Forging and advancing the role of nurses in Australian primary care (Editorial)', Contemporary Nurse, vol. 26, no. 1, pp. 27-28.
Brookes, K., Davidson, P.M., Halcomb, E. & Daly, J. 2007, 'Role theory: A framework to investigate the community nurse role in contemporary health care systems', Contemporary Nurse, vol. 25, no. 1-2, pp. 146-155.View/Download from: UTS OPUS
Nurses' perceptions of their role are influenced by societal attitudes, government policies and trends in professional issues. Dynamic factors in contemporary health environments challenge traditional nursing roles, in particular those of community nurses. Role theory is a conceptual framework that defines how individuals behave in social situations and how these behaviours are perceived by external observers. This paper reviews the role theory literature as a conceptual framework to explore community nurses' perceptions of their role. Three theoretical perspectives of role theory have emerged from the literature review: 1. social structuralism; 2. symbolic interactionism; and 3. the dramaturgical perspective. These philosophical perspectives provide a useful framework to investigate the role of community nurses in the contemporary health care system
Davidson, P.M., Dracup, K., Phillips, J.L., Padilla, G. & Daly, J. 2007, 'Maintaining hope in transition: A conceptual framework to guide interventions for people with heart failure', Journal of Cardiovascular Nursing, vol. 22, no. 1, pp. 58-64.View/Download from: UTS OPUS or Publisher's site
Theoretical frameworks provide a structure for the planning and delivery of nursing care and for research. Heart failure (HF), a condition of increasing prevalence in communities internationally, is responsible for high rates of morbidity, mortality, and great societal burden. The HF illness trajectory can be unpredictable and uncertain. Markers of transition, such as functional decline and increasing dependence, can signal the need for transition to a more palliative approach. This transition challenges clinicians to deliver information and interventions and to support patients and their families not only in relation to their physical status but also in the social, psychological, and existential dimensions. This article describes a theoretical framework, Maintaining Hope in Transition, informed by transition theory, to assist patients to cope with a diagnosis of HF and to guide development of nursing interventions. Transition theory provides a useful context to assist clinicians, patients, and their families adjust to the challenges inherent in a diagnosis of HF and negotiating the illness trajectory. Key factors acknowledged in the Maintaining Hope in Transition framework that determine its utility in models of care for HF patients are (1) acknowledging the changing of life circumstances, (2) restructuring reality, (3) dealing with vulnerability, (4) achieving normalization, and (5) resolving uncertainty. It is likely that incorporation of these factors in care planning, information, and interventions can facilitate patients' and their families' abilities to negotiate the HF illness trajectory, particularly in the advanced stages.
Davidson, P.M., Macdonald, P., Moser, D., Ang, E., Paull, G., Choucair, S., Daly, J., Gholizadeh, L. & Dracup, K. 2007, 'Cultural diversity in heart failure management: Findings from the Discover Study (Part 2)', Contemporary Nurse, vol. 25, no. 1-2, pp. 50-62.View/Download from: UTS OPUS
Self-management is a critical dimension in managing chronic conditions, particularly in heart failure (HF). Knowledge, attitudes and beliefs, relating to both illness and wellness, are strongly influenced by culture and ethnicity, impacting upon an individual's capacity to engage in self-care behaviours. Effective management of HF is largely dependent on facilitation of culturally informed, self-care behaviours to increase adherence to both pharmacological and non- pharmacological strategies. The understanding the cultural experiences of individuals with chronic heart failure (CHF) in South East Health (DISCOVER) study is an exploratory, observational study investigating health patterns, information needs and the adjustment process for overseas-born people with HF living in Australia. An integrative literature review was augmented by qualitative data derived from key informant interviews, focus groups and individual interviews. A key finding of this study is that culture provides an important context to aid interpretations of attitudes, values, beliefs and behaviours, not only in illness but in health. While individual differences in attitudes and beliefs were observed among participants, common themes and issues were identified across cultural groups. Data from the DISCOVER study revealed the primacy of family and kinship ties. These relationships were important in making decisions about treatment choices and care plans.
Halcomb, E., Davidson, P.M., Yallop, J., Griffiths, R. & Daly, J. 2007, 'Strategic directions for developing the Australian general practice nurse role in cardiovascular disease management', Advances in Contemporary Nursing, vol. 26, no. 1, pp. 125-135.View/Download from: UTS OPUS
Practice nursing is an integral component of British and New Zealand primary care, but in Australia it remains an emerging specialty. Despite an increased focus on the Australian practice nurse role, there has been limited strategic role development, particularly relating to national health priority areas. This paper reports the third stage of a project exploring the Australian practice nurse role in the management of cardiovascular disease (CVD). This stage involved a consensus development conference, undertaken to identify strategic, priority recommendations for practice nurse role development. Key issues arising from the conference included: 1. practice nurses have an important role in developing systems and processes for CVD management; 2. a change in the culture of general practice is necessary to promote acceptance of nurse-led CVD management; 3. future research needs to evaluate specific models of care, incorporating outcome measures sensitive to nursing interventions; 4. considerable challenges exist in conducting research in general practice; and 5. changes in funding models are necessary for widespread practice nurse role development. The shifting of funding models provides evidence to support interdisciplinary practice in Australian general practice. The time is ripe, therefore, to engage in prospective and strategic planning to inform development of the practice nurse role.
Chang, E., Daly, J., Hancock, K., Bidewell, J., Johnson, A., Lambert, V. & Lambert, C.E. 2006, 'The relationships among workplace stressors, coping methods, demographic characteristics and health in Australian nurses', Journal of Professional Nursing, vol. 22, no. 1, pp. 30-38.View/Download from: UTS OPUS or Publisher's site
Nursing is known to be stressful. Stress detrimentally can influence job satisfaction, psychological well-being, and physical health. There is a need for increased understanding of the stress that nurses experience and how best to manage it. Three hundred twenty Australian acute care public hospital nurses participated in a study by completing four questionnaires that examined (a) how various workplace stressors relate to ways of coping, demographic characteristics, and physical and mental health and (b) which workplace stressors, coping mechanisms, and demographic characteristics were the best predictors of physical and mental health. Significant correlations were found between stressors and physical and mental health. Multiple regression showed age to be the only significant predictor of physical health. The best coping predictors of mental health were escapeavoidance, distancing, and self-control. Other significant predictors of mental health were support in the workplace, the number of years worked in the unit, and workload. Mental health scores were higher for nurses working more years in the unit and for those who used distancing as a way of coping. Mental health scores were lower for nurses who used escapeavoidance, lacked workplace support, had high workload, and used self-control coping. The findings have implications for organizational management, particularly in terms of recommendations for stress management, social support, and workload reduction.
Daly, J. 2006, 'Positioning Collegian for the future (Editorial)', Collegian, vol. 13, no. 1, pp. 2-2.
Davidson, P.M., Elliott, D. & Daly, J. 2006, 'Clinical leadership in contemporary clinical practice: implications for nursing in Australia', Journal of Nursing Management, vol. 14, no. 3, pp. 180-187.View/Download from: UTS OPUS or Publisher's site
Leadership in the clinical practice environment is important to ensure both optimal patient outcomes and successive generations of motivated and enthusiastic clinicians. The present paper seeks to define and describe clinical leadership and identify the facilitators and barriers to clinical leadership. We also describe strategies to develop clinical leaders in Australia. Key drivers to the development of nursing leaders are strategies that recognize and value clinical expertise. These include models of care that highlight the importance of the nursing role; evidence-based practice and measurement of clinical outcomes; strategies to empower clinicians and mechanisms to ensure participation in clinical decision-making. Significant barriers to clinical leadership are organizational structures that preclude nurses from clinical decision making; the national shortage of nurses; fiscal constraints; absence of well evaluated models of care and trends towards less skilled clinicians. Systematic, strategic initiatives are required to nurture and develop clinical leaders. These strategies need to be collegial collaborations between the academic and health care sectors in order to provide a united voice for advancing the nursing profession.
Hancock, K., Chang, E., Johnson, A., Harrison, K., Daly, J., Easterbrook, S., Noel, M., Luhr-Taylor, M. & Davidson, P.M. 2006, 'Palliative care for people with advanced dementia: Illuminating evidence-based practice needs', Alzheimer's Care Quarterly, vol. 7, no. 1, pp. 49-57.View/Download from: UTS OPUS
AB The aims of this article are to (1) identify the barriers associated with palliative care for persons with advanced dementia, (2) argue the need for increased collaboration and partnerships between aged care and palliative key providers, and (3) discuss the need for the development and evaluation of evidence-based guidelines for care. Studies addressing these issues are discussed. A key finding of the material reviewed for this article underscores the importance of the development, implementation, and evaluation of guidelines that are empirically based, developed collaboratively, and incorporated into models of care for people with advanced dementia
Phillips, J.L., Davidson, P.M., Jackson, D.E., 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.View/Download from: UTS OPUS
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, J.L., Davidson, P.M., Jackson, D.E., 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: UTS OPUS or 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.
Chang, E., Hancock, K., Johnson, A., Daly, J. & Jackson, D.E. 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.View/Download from: UTS OPUS
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.
Chang, E., Hancock, K., Harrison, K., Daly, J., Johnson, A., Easterbrook, S., Noel, M., Luhr-Taylor, M. & Davidson, P.M. 2005, 'Palliative care for end-stage dementia: A discussion of the implications for education of health care professionals', Nurse Education Today, vol. 25, no. 4, pp. 326-332.View/Download from: UTS OPUS or Publisher's site
The increasing burden of chronic disease demands that palliative care clinicians address the needs of patients with non-malignant disease. This discussion document seeks to address some of the challenges to providing palliative care for end-stage dementia (ESD) and the need for skill enhancement in key providers of care. In spite of the intent, there is an apparent lack of appropriate, co-ordinated and comprehensive palliative care available for these individuals and their families. There is an absence of well-articulated models to assist health care providers of ESD clients. It would appear that the development and evaluation of guidelines, implementation of education programs and collaborative associations between palliative and aged-care providers of care are key strategies to facilitate palliative care for ESD clients.
Davidson, P.M., Paull, G., Rees, D., Daly, J. & Cockburn, J. 2005, 'Activities of home-based heart failure nurse specialists: A modified narrative analysis', American Journal Of Critical Care, vol. 14, no. 5, pp. 426-433.View/Download from: UTS OPUS
Background Heart failure nurse specialists strive to optimize patients outcomes in home-based settings. Objective To document the activities of home-based heart failure nurse specialists. Method A modified narrative analysis of clinical notes of home-based heart failure nurse specialists during a 12-month period was used. Results Data analysis revealed 7 key activities of home-based heart failure nurse specialists: (1) monitoring signs and symptoms and reinforcing patients self-management: identifying trends and appropriate action; (2) organization, liaison, and consultation with other health professionals to deal with changes in clinical status; (3) clarifying and reinforcing patients self-care strategies; (4) assisting patients in their desire to avoid institutionalized care; (5) identifying patients psychosocial issues: dealing with social isolation; (6) providing support: journeying with patients and patients families; and (7) helping patients and patients families deal with death and dying. Conclusions A major proportion of the activities of home-based heart failure nurse specialists are related to facilitating communication between health professionals and providing information and support to patients and patients families.
Halcomb, E., Daly, J., Davidson, P.M., Elliott, D. & Griffiths, R. 2005, 'Life beyond severe traumatic injury: an integrative review of the literature', Australian Critical Care, vol. 18, no. 1, pp. 17-23.View/Download from: UTS OPUS or Publisher's site
It is only recently that recognition of the serious and debilitating sequelae of trauma has prompted exploration of outcomes beyond survival, such as disability, health status and quality of life. This paper aims to review the literature describing outcomes following severe traumatic injury to provide clinicians with a greater understanding of the recovery trajectory following severe trauma and highlight the issues faced by those recovering from such injury. Electronic databases, published reference lists and the Internet were searched to identify relevant literature. The heterogeneous nature of published literature in this area prohibited a systematic approach to inclusion of papers in this review. Trauma survivors report significant sequelae that influence functional status, psychological wellbeing, quality of life and return to productivity following severe injury. Key themes that emerge from the review include: current trauma systems which provide inadequate support along the recovery trajectory; rehabilitation referral which is affected by geographical location and provider preferences; a long-term loss of productivity in both society and the workplace; a high incidence of psychological sequelae; a link between poor recovery and increased drug and alcohol consumption; and valued social support which can augment recovery. Future research to evaluate interventions which target the recovery needs of the severely injured patients is recommended. Particular emphasis is required to develop systematic, sustainable and cost-effective follow-up to augment the successes of existing acute trauma services in providing high quality acute resuscitation and definitive trauma management.
Halcomb, E., Davidson, P.M., Daly, J., Griffiths, R., Yallop, J. & Tofler, G. 2005, 'Nursing in Australian general practice: directions and perspectives', Australian Health Review, vol. 29, no. 2, pp. 156-166.View/Download from: UTS OPUS
Primary health care services, such as general practices, are the first point of contact for many Australian health care consumers. Until recently, the role of nursing in Australian primary care was poorly defined and described in the literature. Changes in policy and funding have given rise to an expansion of the nursing role in primary care. This paper provides a review of the literature and seeks to identify the barriers and facilitators to implementation of the practice nurse role in Australia and identifies strategic directions for future research and poiicy development.
Hancock, K., Davidson, P.M., Daly, J., Webber, D. & Chang, E. 2005, 'An exploration of the usefulness of motivational interviewing in facilitating secondary prevention gains in cardiac rehabilitation.', Journal of cardiopulmonary rehabilitation, vol. 25, no. 4, pp. 200-206.View/Download from: Publisher's site
Motivational interviewing is a client-centered, directive counseling approach aimed at promoting motivation in clients to change certain behaviors. Its effect is to reduce defensiveness and promote disclosure, engagement, and participation, thereby motivating the client to make behavioral changes. Motivational interviewing marries well with the principles of cardiac rehabilitation (CR) in terms of increasing motivation among CR clients, promoting a client-centered approach and in the cost- and time-effective practices of CR. Very little research has been conducted examining the effectiveness of motivational interviewing in enhancing CR outcomes. This article discusses research that has been conducted in motivational interviewing that relates to the components of CR, provides examples of how motivational interviewing can be applied to CR, and recommends further exploration, development, and investigation of the usefulness of motivational interviewing in the field of CR.
Hancock, K., Davidson, P.M., Daly, J., Weber, D. & Chang, E. 2005, 'An exploration of the usefulness of motivational interviewing in facilitating secondary prevention gains in cardiac rehabilitation', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 25, no. 1, pp. 200-206.View/Download from: UTS OPUS
Motivational interviewing is a client-centered, directive counseling approach aimed at promoting motivation in clients to change certain behaviors. Its effect is to reduce defensiveness and promote disclosure, engagement, and participation, thereby motivating the client to make behavioral changes. Motivational interviewing marries well with the principles of cardiac rehabilitation (CR) in terms of increasing motivation among CR clients, promoting a client-centered approach and in the cost- and time-effective practices of CR. Very little research has been conducted examining the effectiveness of motivational interviewing in enhancing CR outcomes.
Ketefian, S., Davidson, P., Daly, J., Chang, E. & Srisuphan, W. 2005, 'Issues and challenges in international doctoral education in nursing.', Nursing & health sciences, vol. 7, no. 3, pp. 150-156.View/Download from: Publisher's site
Education is a driving force in improving the health and welfare of communities globally. Doctoral education of nurses has been identified as a critical factor for provision of leadership in practice, scholarship, research, policy and education. Since the genesis of doctoral education in nursing in the USA in the 1930s, this movement has burgeoned to over 273 doctoral programs in over 30 countries globally. The present article seeks to identify the issues and challenges in nursing doctoral education globally, and those encountered by doctoral program graduates in meeting the challenges of contemporary health care systems. Information was derived from a comprehensive literature review. Electronic databases and the Internet, using the Google search engine, were searched using the key words "doctoral education"; "nursing"; "International Network for Doctoral Education in Nursing"; "global health"; "international research collaboration". Doctoral education has been a critical force in developing nurse leaders in education, management, policy and research domains. An absence of consensus in terminology and of accurate minimum data sets precludes comparison and debate across programs. The complexity and dynamism of contemporary globalized communities render significant challenges in the conduct of doctoral programs. Addressing funding issues and faculty shortages are key issues for doctoral programs, especially those in developing countries, to achieve an identity uniquely their own. These challenges can also afford considerable opportunities for discussion, debate and the formulation of innovative and collaborative solutions to advance nursing knowledge and scholarship. In spite of discrete differences between countries and regions, the similarities in the issues facing the development of doctoral programs internationally are more striking than the differences. The harnessing of a global collective to address these issues will likely serve to not only forge the future...
Ketefian, S., Davidson, P.M., Daly, J., Chang, E. & Srisuphan, W. 2005, 'Issues and challenges in international doctoral education in nursing (solicited paper)', Nursing and Health Sciences, vol. 7, no. 3, pp. 150-156.View/Download from: UTS OPUS
Education is a driving force in improving the health and welfare of communities globally. Doctoral education of nurses has been identified as a critical factor for provision of leadership in practice, scholarship, research, policy and education. Since the genesis of doctoral education in nursing in the USA in the 1930s, this movement has burgeoned to over 273 doctoral programs in over 30 countries globally. The present article seeks to identify the issues and challenges in nursing doctoral education globally, and those encountered by doctoral program graduates in meeting the challenges of contemporary health care systems. Information was derived from a comprehensive literature review. Electronic databases and the Internet, using the Google search engine, were searched using the key words 'doctoral education'; 'nursing'; 'International Network for Doctoral Education in Nursing'; 'global health'; 'international research collaboration'. Doctoral education has been a critical force in developing nurse leaders in education, management, policy and research domains. An absence of consensus in terminology and of accurate minimum data sets precludes comparison and debate across programs. The complexity and dynamism of contemporary globalized communities render significant challenges in the conduct of doctoral programs. Addressing funding issues and faculty shortages are key issues for doctoral programs, especially those in developing countries, to achieve an identity uniquely their own
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.
Davidson, P.M., Cockburn, J., Daly, J. & Sanson-Fisher, R. 2004, 'Patient-centered needs assessment: Rationale for a psychometric measure for assessing needs in heart failure', Journal of Cardiovascular Nursing, vol. 19, no. 3, pp. 164-171.View/Download from: UTS OPUS
Determining an individual's unique perspective of an illness experience remains a challenge for clinicians, administrators, and researchers. A range of concepts and psychometric measures have been developed and evaluated to capture this information. These include patient satisfaction, quality of life, and utility measures. Needs assessment as a tool for evaluating perceptions of health status and determining patient satisfaction and treatment plans has been explored in oncology. Studies have demonstrated that a high proportion of patients have unmet needs in relation to activities of daily living, information sources, and comfort. Heart failure (HF), a condition with significant individual and societal burden, mirrors the illness of experience of cancer, as individuals process issues related to prognosis, treatment regimens, and decreased functional status. A needs-based assessment of health status, expectations, and perceptions is patient-centered and has the capacity to not only evaluate current health status but also plan and project care plans.
Davidson, P.M., Daly, J. & Hancock, K. 2004, 'Community health nursing in Australia: a critical literature review and implications for professional development.', Contemporary Nurse, vol. 16, no. 3, pp. 195-207.View/Download from: UTS OPUS
BACKGROUND: Increasing emphasis on community-based mandates an examination of the community health nurse (CHN). AIM: A critical literature review of the CHN role internationally, with an emphasis on Australia, was undertaken in order to understand historical precedents and inform policy and strategic directions for the CHN. METHOD: A search of the CINAHL, EMBASE, and COCHRANE electronic data-bases from 1982 to June 2002 using community' and 'nursing' as key words and hand searching of books and government reports was undertaken. FINDINGS: This search strategy revealed a lack of literature compared with other areas of nursing. Key themes emerging from this review are: (1) an absence of clear role definitions and lack of clarity of roles; (2) variability in educational requirements for CHNs; (3) diminished CHN power in policy decision making; (3) conflicting role expectations between different facets of the health care system; (4) underutilisation and untapped potential of the role of the CHN in the contemporary health care system; (5) the emerging influence of specialist nurses in community based-care; (6) uptake of traditional nursing roles by non-nurses and (7) an absence of a cohesive model of professional development of CHN that is able to articulate with contemporary social, political and economic trends in health care delivery.
Davidson, P.M., Macdonald, P., Ang, E., Paull, G., Choucair, S., Daly, J., Moser, D. & Dracup, K. 2004, 'A case for consideration of cultural diversity in heart failure management - part 1: rationale for the DISCOVER Study.', Contemporary Nurse, vol. 17, no. 3, pp. 204-210.View/Download from: UTS OPUS
Heart failure is a condition increasing in prevalence and responsible for high health care utilisation, morbidity and mortality. Randomised controlled trials of nurse-coordinated interventions have determined self care and the incorporation of the patient and their family in care planning as critical elements of service delivery. Coping with a chronic illness, such as heart failure, forces the individual to adjust to changed physical, social and emotional functioning and to modify their lifestyle according. Clinicians increasingly use models of care that focus care delivery on the community setting. In order to develop strategies to assist patients and their families with self care it is important that clinicians understand the healthcare seeking behaviours of all individuals targeted in the community. Australia is a culturally diverse nation, yet evaluations of models of care have been undertaken largely in individuals from predominately Anglo-Celtic origins. The end result of this approach is failure to understand the full range of diverse perspectives that individuals hold that can have an impact on self care behaviours. Consideration of cultural diversity should extend beyond language to a broader appreciation of cultural values, health seeking beliefs and engagement of culturally unique communities.
Davidson, P.M., Rees, D., Brighton, T., Enis, J., McCrohon, J., Elliott, D., Cockburn, J., Paull, G. & Daly, J. 2004, 'Non-valvular atrial fibrillation and stroke: implications for nursing practice and therapeutics', Australian Critical Care, vol. 17, pp. 65-73.View/Download from: UTS OPUS or Publisher's site
Atrial fibrillation (AF) is the most common sustained cardiac rhythm disturbance and is increasing in prevalence due to the ageing of the population, and rates of chronic heart failure. Haemodynamic compromise and thromboembolic events are responsible for significant morbidity and mortality in Australian communities. Non-valvular AF is a significant predictor for both a higher incidence of stroke and increased mortality. Stroke affects approximately 40,000 Australians every year and is Australia's third largest killer after cancer and heart disease. The burden of illness associated with AF, the potential to decrease the risk of stroke and other embolic events by thromboprophylaxis and the implications of this strategy for nursing care and patient education, determine AF as a critical element of nursing practice and research. A review of the literature was undertaken of the CINAHL, Medline, EMBASE and Cochrane Databases from 1966 until September 2002 focussing on management of atrial fibrillation to prevent thrombotic events. This review article presents key elements of this literature review and the implications for nursing practice.
Halcomb, E., Daly, J., Jackson, D.E. & Davidson, P.M. 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.View/Download from: UTS OPUS
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
Halcomb, E., Davidson, P.M., Daly, J., Yallop, J. & Tofler, G. 2004, 'Australian nurses in general practice based heart failure management: Implications for innovative collaborative practice', European Journal of Cardiovascular Nursing, vol. 3, no. 2, pp. 135-147.View/Download from: UTS OPUS
The growing global burden of heart failure (HF) necessitates the investigation of alternative methods of providing co-ordinated, integrated and client-focused primary care. Currently, the models of nurse-coordinated care demonstrated to be effective in randomized controlled trials are only available to a relative minority of clients and their families with HF. This current gap in service provision could prove fertile ground for the expansion of practice nursing [The Nurse in Family Practice: Practice Nurses and Nurse Practitioners in primary health care. 1988, Scutari Press, London: Impact of rural living on the experience of chronic illness. Australian Journal of Rural Health, 2001. 9: 235240]. Aim: This paper aims to review the published literature describing the current and potential role of the practice nurse in HF management in Australia. Methods: Searches of electronic databases, the reference lists of published materials and the internet were conducted using key words including `Australia, `practice nurse, `office nurse, `nurs*, `heart failure, `cardiac and `chronic illness. Inclusion criteria for this review were English language literature; nursing interventions for heart failure (HF) and the role of practice nurses in primary care.
Lambert, V., Lambert, C.E., Daly, J., Davidson, P.M., Kunaviktikul, W. & Shin, K.R. 2004, 'Nursing education on women's health care in Australia, Japan, South Korea and Thailand', Journal of Transcultural Nursing, vol. 15, no. 1, pp. 44-53.View/Download from: UTS OPUS
Only within the last 3 decades have a select number of countries addressed issues surrounding the all-inclusive health and well-being of women. This factor has had a major influence on nursing education within these countries and the subsequent development of curricula. Because the preparation of nurses is pivotal in shaping a societys health care agenda, this article compares and contrasts demographic characteristics, curricular frameworks, the role of the nurse, quality control of nursing curricula, and the focus of nursing courses related to womens health care among the countries of Australia, Japan, South Korea, and Thailand. Recommendations based on infant mortality rates, life expectancy, leading causes of death, and country-based health care issues are provided to inform and guide the future focus of nursing education courses on womens healthcare within these countries.
This paper seeks to locate issues for aged care service provision and development in Australia in the broader context of changes in the health care system overall in the last decade. Issues that arise out of these changes are discussed, as well as factors that have impacted on and affected aged care services. Issues that need to be addressed in the area of research for aged care services and in particular nursing practice are also discussed. The authors' perspective is that research endeavour directed towards development practice in this field is best conducted using a collaborative model which addresses nationally identifiable research priorities and issues in aged care. This paper presents some of the authors' experiences in establishing collaborative partnerships for development of aged care research and practice development. Challenges and benefits that we have identified through our shared work and in one large funded research project are presented, as well as some of the challenges, which need to be considered in collaborative work.
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.
Jackson, D.E., Mannix, J. & Daly, J. 2003, 'Nursing staff shortages: Issues in Australian residential aged care', Australian Journal of Advanced Nursing, vol. 21, no. 1, pp. 44-47.View/Download from: UTS OPUS
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.
Kirschling, J., Amarsi, Y., Chang, E., Chernomas, W., Daly, J., Gamel, C., De, J.A., Kim, S., Mintes, D.G.J., Tsai, S. & Wong, T. 2003, 'Nursing education across the globe: Challenges and opportunities for the future', Reflections on Nursing Leadership, vol. Autumn, pp. 20-24.
McMurray, A. & Daly, J. 2003, 'Recommendation 20 from the National Review of Nursing Education: to build faculty practice into the workload and performance expectations of nurse academics.', Collegian (Royal College of Nursing, Australia), vol. 10, no. 1, pp. 6-7.View/Download from: Publisher's site
McMurray, A. & Daly, J. 2003, 'Response to recommendation 20 from the National Review of Nursing Education: To build faculty practice into the workload and performance expectations of nurse academics (Invited submission)', Collegian, vol. 10, no. 1, pp. 6-7.
Wade, V., Jackson, D.E. & Daly, J. 2003, 'Coronary heart disease in Aboriginal communities: towards a model for self-management', Advances in Contemporary Nursing, vol. 15, no. 3, pp. 300-309.View/Download from: UTS OPUS
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.
Davidson, P.M., Daly, J., Hancock, K. & Jackson, D.E. 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.View/Download from: UTS OPUS
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.
Davidson, P.M., Daly, J., Hancock, K., Moser, D., Chang, E. & Cockburn, J. 2003, 'Perceptions and experiences of heart disease: A literature review and identification of a research agenda in older women', European Journal of Cardiovascular Nursing, vol. 2, no. 4, pp. 255-264.View/Download from: UTS OPUS
Background: Following diagnosis of heart disease women have poorer health related outcomes compared with men. Nursing science lacks well-evaluated interventions to address the specific rehabilitative needs of older women with heart disease. AIMS: This paper seeks to inform the development of nursing intervention studies by a review of published studies on the experiences and rehabilitative needs of older women with heart disease.
Davidson, P.M., Hancock, K., Daly, J., Cockburn, J., Moser, D., Goldston, K., Elliott, D., Webster, J., Speerin, R., Wade, V., Clarke, M., Anderson, M., Newman, C. & Chang, E. 2003, 'A cardiac rehabilitation program to enhance the outcomes of older women with heart disease: development of the group rehabilitation for older women (GROW) program', Journal of the Australasian Rehabilitation Nurses Association, vol. 6, no. 4, pp. 8-15.View/Download from: UTS OPUS
Davidson, P.M., Hancock, K., Leung, D., Ang, E., Chang, E., Thompson, D. & Daly, J. 2003, 'Traditional Chinese Medicine and heart disease: What does Western medicine and nursing science know about it?', European Journal of Cardiovascular Nursing, vol. 2, no. 3, pp. 171-181.View/Download from: UTS OPUS
Interest in Traditional Chinese Medicine (TCM) is growing rapidly beyond China. This interest is driven by a combination of factors including recognition of potential benefits of TCM; dissatisfaction with the traditional Western medical model; an increasing commitment to holistic care and increasing evidence for the interaction of psychological factors and outcomes of disease and treatment and health consumer demand. AIMS: This review article was prompted by the need to understand and interpret the increasing trend towards the use of TCM in heart disease. In particular, this article defines and describes TCM, and analyses implications and challenges for Western health care delivery models. LITERATURE SEARCH: This article provides a review of accessible evidence, to English speaking health care professionals. The CINAHL, MEDLINE, HealthSTAR, Academic ASAP and Cochrane databases were searched, identifying literature published from 1982. Search engines on the Internet were also used. Examples of keywords used were `Traditional Chinese Medicine and `heart. CONCLUSION: Difficulties in accessing information regarding TCM have implications for health education in coronary heart disease and patient safety. The rapid uptake of TCM in both Western and Chinese societies mandates an understanding of the principles and potential interactions when TCM is complemented with Western medical treatment for heart disease. Development of this knowledge and understanding is essential in order to provide safe and effective health care to patients who use combination therapies.
Davidson, P.M., Introna, K., Daly, J., Paull, G., Jarvis, R., Angus, J., Wilds, T., Cockburn, J., Dunford, M. & Dracup, K. 2003, 'Cardiorespiratory nurses' perceptions of palliative care in nonmalignant disease: Data for the development of clinical practice', American Journal Of Critical Care, vol. 12, no. 1, pp. 47-53.View/Download from: UTS OPUS
Nurses lack a comprehensive body of scientific knowledge to guide the palliative care of patients with nonmalignant conditions. Current knowledge and practice reveal that nurses in many instances are not well prepared to deal with death and dying. Focus groups were used in an exploratory study to examine the perceptions of palliative care among cardiorespiratory nurses (n = 35). Content analysis was used to reveal themes in the data. Four major themes were found: (1) searching for structure and meaning in the dying experience of patients with chronic disease, (2) lack of a treatment plan and a lack of planning and negotiation, (3) discomfort in dealing with death and dying, and (4) lack of awareness of palliative care philosophies and resources. The information derived from this sample of cardiorespiratory nurses represents a complex interplay between personal, professional, and organizational perspectives on the role of palliative care in cardiorespiratory disease. The results of the study suggest a need for nurses to be equipped on both an intellectual and a practical level about the concept of palliative care in nonmalignant disease.
Davidson, P.M., Meleis, A., Daly, J. & Douglas, M. 2003, 'Globalization as we enter the 21st century: Reflections and directions for nursing education, science, research and clinical practice', Advances in Contemporary Nursing, vol. 15, no. 3, pp. 162-174.View/Download from: UTS OPUS
The events of September 11th, 2001 in the United States and the Bali bombings of October 2002 are chastening examples of the entangled web of the religious, political, health, cultural and economic forces we experience living in a global community. To view these forces as independent, singular, linearly deterministic entities of globalisation is irrational and illogical.
Chang, E., Daly, J., Bell, P., Brown, T., Allan, J. & Hancock, K. 2002, 'A continuing educational initiative to develop nurses' mental health knowledge and skills in rural and remote areas', Nurse Education Today, vol. 22, no. 7, pp. 542-551.View/Download from: Publisher's site
Chang, E., Daly, J., Bell, P., Brown, T., Allan, J. & Hancock, K. 2002, 'A continuing educational initiative to develop nurses' mental health knowledge and skills in rural and remote areas', Nurse Education Today, vol. 22, no. 7, pp. 542-551.View/Download from: Publisher's site
Daly, J. & Jackson, D.E. 2002, 'Commentary on Long, T. & Johnson, M. Research in Nurse Education Today: Do we meet our aims and scope? (By invitation)', Nurse Education Today, vol. 22, no. 1, pp. 94-95.
Daly, J., Davidson, P.M., Chang, E., Hancock, K., Rees, D. & Thompson, D. 2002, 'Cultural aspects of adjustment to coronary heart disease in Chinese-Australians : A review of the literature', Journal of Advanced Nursing, vol. 39, no. 4, pp. 391-399.View/Download from: Publisher's site
The burden of illness associated with Coronary Heart Disease (CHD) has determined this as a key focus for research at a basic science, individual and population level. Although considerable research has been conducted on specific aspects of the experience of CHD, such as anxiety or depression, there is a lack of research investigating the global aspects of the illness experience from the individual's perspective. Furthermore, there is a paucity of research examining the cross-cultural experiences of patients from Non-English Speaking Backgrounds (NESB). Given the multicultural nature of Australian society, and that health and illness are culturally constructed experiences (Manderson 1990), it is important to include the perspectives of people from minority cultures in health related research in order to provide culturally sensitive and appropriate health care and information during an illness. Further, the potential to prevent and modulate the course of CHD, by strategies such as smoking cessation and lipid management, mandate a health promotion agenda based on equity and access for all members of society. This article discusses cultural aspects of CHD in relation to nursing and allied health care during the recovery phase of an acute cardiac event. It reviews the research that has been conducted in this area, focusing on the Chinese-Australian population. Chinese-Australians are one of the fastest growing populations in Australia, and are at increased risk of CHD upon settling to Australia. Recommendations for future research and for the practice of nursing are provided.
Daly, J., Sindone, A., Thompson, D., Hancock, K., Chang, E. & Davidson, P.M. 2002, 'Barriers to participation in and adherence to cardiac rehabilitation programs: A critical literature review', Progress in Cardiovascular Nursing, vol. 17, no. 1, pp. 8-17.
Davidson, P.M., Introna, K., Cockburn, J., Daly, J., Dunford, M., Paull, G. & Dracup, K. 2002, 'Synergizing acute care and palliative care to optimise nursing care in end-stage cardiorespiratory disease', Australian Critical Care, vol. 15, no. 2, pp. 64-69.
Advances in the practice of medicine and nursing science have increased survival for patients with chronic cardiorespiratory disease. Parallel to this positive outcome is a societal expectation of longevity and cure of disease. Chronic disease and the inevitability of death creates a dilemma, more than ever before, for the health care professional, who is committed to the delivery of quality care to patients and their families. The appropriate time for broaching the issue of dying and determining when palliative care is required is problematic. Dilemmas occur with a perceived dissonance between acute and palliative care and difficulties in determining prognosis. Palliative care must be integrated within the health care continuum, rather than being a discrete entity at the end of life, in order to achieve optimal patient outcomes. Anecdotally, acute and critical care nurses experience frustration from the tensions that arise between acute and palliative care philosophies. Many clinicians are concerned that patients are denied a good death and yet the moment when care should be oriented toward palliation rather than aggressive management is usually unclear. Clearly this has implications for the type and quality of care that patients receive. This paper provides a review of the extant literature and identifies issues in the end of life care for patients with chronic cardiorespiratory diseases within acute and critical care environments. Issues for refinement of acute and critical care nursing practice and research priorities are identified to create a synergy between these philosophical perspectives
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.
Davidson, P., Stewart, S., Elliott, D., Daly, J., Sindone, A. & Cockburn, J. 2001, 'Addressing the burden of heart failure in australia: the scope for home-based interventions', Journal of Cardiovascular Nursing, vol. 16, no. 1, p. 1392.
Davidson, P.M., Daly, J., Romanini, J. & Elliott, D. 2001, 'Quality use of medicines (QUM) in critical care: an imperative for best practice', Australian Critical Care, vol. 14, no. 3, pp. 122-126.View/Download from: UTS OPUS or Publisher's site
Quality use of medicines (QUM) as a discrete concept is gaining increasing importance in Australia and is supported by a policy platform which has federal government and health professional support. The QUM movement is also supported by a strong consumer base and this lobby group has been responsible for endorsement as a major health initiative. However, the importance of QUM to achievement of optimal patient outcomes has not achieved sufficient recognition in the critical care literature. Implicit in the discussion of QUM is the rational, ethical, safe and effective use of drugs within a best practice framework. Successful implementation of QUM requires appropriate infrastructure and the commitment and cooperation of medical, nursing and pharmacy staff. Support, education and training provide the prerequisites of knowledge, skills and awareness for quality use of medicines for all groups. An emphasis upon evidence based practice and the prevalence of polypharmacy in contemporary health care systems requires examination of factors that are barriers to best practice. QUM in critical care areas requires appropriately skilled staff who are competent to manage patients with a wide range of selected drugs, often in highly stressful situations. In many situations in critical care, the role of the critical care nurse is one of patient advocate. It is important to note that the delivery of critical care is not limited to a discrete setting and is inclusive of management at the trauma scene, assessment and delivery of care in the emergency department, through to intensive, coronary care and high dependency units. This paper presents a discussion of the concept of QUM and its relevance in the critical care context. Key theoretical, policy and research considerations for establishment of QUM in critical care are reviewed and discussed. This paper seeks to describe key issues in QUM and endorse the need for a research agenda in critical care.
Davidson, P.M., Stewart, S., Elliott, D., Daly, J., Sindone, A. & Cockburn, J. 2001, 'Addressing the burden of heart failure in Australia: the scope of home based interventions', Journal of Cardiovascular Nursing, vol. 16, no. 1, pp. 56-68.View/Download from: UTS OPUS
The growing burden of heart failure (HF) challenges health practitioners to implement and evaluate models of care to facilitate optimal health related outcomes. Australia supports a publicly funded universal health insurance system with a strong emphasis on primary care provided by general practitioners. The burden of chronic HF, and a social and political framework favoring community-based, noninstitutionalized care, represents an ideal environment in which home-based HF programs can be implemented successfully. Cardiovascular nurses are well positioned to champion and mentor implementation of evidence-based, patient-centered programs in Australian communities. This paper describes the facilitators and barriers to implementation of best practice models in the Australian context. These include the challenge of providing care in a diverse, multicultural society and the need for clinical governance structures to ensure equal access to the most effective models of care.
Introna, K., Davidson, P.M., Jarvis, R., Fox, J., Pauil, G. & Daly, J. 2001, 'Synergising acute care and palliative care philosophies to optimise nursing care in cardiorespiratory disease', Respirology, vol. 6, no. SUPPL. 1.
Advances in the practice of acute care medicine and nursing science have created more favourable mortality outcomes for patients with chronic cardiorespiratory disease. However, in the chronic disease illness experience, the inevitability of death is raising a dilemma, more than ever before, for the health care professional involved in delivering appropriate care to patients and their families. The appropriate time for broaching of this issue with patients and their families and determining when related intervention is required is problematic. This may be attributed to the perceived dissonance between acute and palliative care and difficulties in determining prognosis. Focus groups were conducted to assess the needs and attitudes of nurses working in acute care areas in respect of palliative care. Within these focus groups frustration was expressed by acute care nurses as to what appears to be the tensions between acute and palliative care nursing philosophies. A lack of understanding of palliative care principles was also evident. It was the concern of many clinicians that patients were often denied a good death, and that palliative care was viewed as a discrete entity in the last days of life rather than a phenomenon entrenched within the health continuum. Qualitative thematic analysis identified lack of planning and communication between patients, relatives and health care professionals as a major theme. This poster identifies the issues in the care of patients with chronic diseases within acute care environments as provided by focus groups and review of the extant literature. Issues for refinement of acute nursing practice and research priorities are identified to create a synergy between acute care and palliative care nursing philosophies.
Daly, J., Elliott, D., Cameron-Traub, E., Salamonson, Y., Davidson, P.M., Jackson, D.E., 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, D.E., Daly, J., Davidson, P.M., 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.
Chang, E., Daly, J., Hawkins, A., McGirr, J., Fielding, K., Hemmings, L., O'Donoghue, A. & Dennis, M. 1999, 'An evaluation of the nurse practitioner role in a major rural emergency department.', Journal of advanced nursing, vol. 30, no. 1, pp. 260-268.View/Download from: Publisher's site
The purpose of this pilot study was to investigate whether nurse practitioners are able to provide a level of primary health service applicable to remote/isolated settings in wound management and treatment of blunt limb trauma. It was hypothesized that there would be no significant difference in the quality of care, or the level of client satisfaction, provided by the medical officers and the nurse practitioners in the study. Two groups participated in the study, nurse practitioners and medical officers. The study used a randomized trial design. Data were collected using quantitative and qualitative methods. Two hundred and thirty-two clients participated in the study. Of this number 63 were supervised cases in the pilot trial. In the randomized trial participants were distributed between nurse practitioners and medical officers (n = 169), of which 91 were randomized to medical officers and 78 to nurse practitioners. Telephone interviews were conducted to evaluate client satisfaction. The majority of study participants were surveyed for client satisfaction (n = 132). This represents approximately 78% of the randomized sample and multivariate analysis was carried out on the data. Study results indicate that there were no significant differences between the two groups in relation to client satisfaction. Very positive outcomes of treatment were consistent across groups in the study. The study also found that there was strong support for the role of the nurse practitioner in the rural emergency setting. Recommendations include further research to measure the efficacy of nurse practitioners utilizing the selected competencies in remote/isolated settings.
International Consortium of Parse Scholars 1999, 'A nursing position on global healthcare: our commitment to humankind.', Nursing science quarterly, vol. 12, no. 4, p. 347.View/Download from: Publisher's site
Daly, J., Jackson, D. & Davidson, P.M. 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.
Chang, E. & Daly, J. 1998, 'Priority areas for clinical research in palliative care nursing.', International journal of nursing practice, vol. 4, no. 4, pp. 247-253.View/Download from: Publisher's site
This report highlights a number of current research issues and concerns in palliative care nursing. The aim of the study was to identify high clinical nursing research priorities in palliative care, drawing on the expertise of nine (n = 9) clinical nurse consultants currently working in this specialty. The Delphi method was used to collect and process data in the study. Thirteen high research priorities emerged which have relevance for nursing practice, patient and family care in the hospice and community care setting. In the context of this study, the concept of high priority relates to research participant consensus on the most pressing nursing research problems which require investigation to improve clinical practice. Study findings provide direction for clinical research and continuing education in palliative care which may benefit expert nurses and their patients.
Daly, J., Jackson, D.E., Davidson, P.M., 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
Tonkin, A., Aylward, P., Colquhoun, D., Glasziou, P., Harris, P., MacMahon, S., Magnus, P., Newel, D., Nestel, P., Sharpe, N., Hunt, D., Shaw, J., Simes, R.J., Thompson, P., Thomson, A., West, M., White, H., Simes, S., Hague, W., Caleo, S., Hall, J., Martin, A., Mulray, S., Barter, P., Beilin, L., Collins, R., McNeil, J., Meier, P., Willimott, H., Smithers, D., Wallace, P., Sullivan, D., Keech, A. & Ischaemic, L.-.T.I.P. 1998, 'Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels', NEW ENGLAND JOURNAL OF MEDICINE, vol. 339, no. 19, pp. 1349-1357.
Bell, P.F., Daly, J. & Chang, E.M. 1997, 'A study of the educational and research priorities of registered nurses in rural Australia.', Journal of advanced nursing, vol. 25, no. 4, pp. 794-800.View/Download from: Publisher's site
This study set out to identify the educational and research priorities of registered nurses practising in rural and remote areas of Australia. It included two groups of participants, one which identified as rural and another which identified as remote. The findings for the rural cohort in the study are presented in this article. Research participants represented a national sample. The Delphi method was used to obtain the most reliable consensus of the nurse participants. In the final phase of the study, 13 high priorities were identified. Study findings highlight perceived needs for clinical nursing research and continuing education for nurses practising in rural Australia.
Daly, J., Adamson, L., Chang, E. & Bell, P. 1997, 'The research and educational priorities of rural occupational therapists.', Australian health review : a publication of the Australian Hospital Association, vol. 20, no. 1, pp. 129-138.
The aim of this pilot research project was to identify the research and educational priorities of occupational therapists practising in rural New South Wales. Eight participants were recruited in the south-western region of the State. The Delphi technique was used to obtain the most reliable consensus of the research participants. Priorities emerged in four designated areas: (1) research that would be of value to clients; (2) research that would be of value in providing community care for clients; (3) research that would be of value in facilitating health promotion and disease prevention; and (4) research that would be of value to professional and educational needs. In the final phase of the study, 23 high priorities were identified. The findings of the study suggest directions for research and continuing education in occupational therapy which may benefit rural practitioners and their clients.
Chang, E. & Daly, J. 1996, 'Clinical research priorities in oncology nursing: an Australian perspective.', International journal of nursing practice, vol. 2, no. 1, pp. 21-28.View/Download from: Publisher's site
The aims of the research project were to identify areas for research in oncology nursing that have potential for improvement in patient care and to advise about nursing-research policy and priorities that have relevance to areas of patients' needs. Research participants included 10 Clinical Nurse Consultants (CNC) representing 10 area health authorities in New South Wales, Australia. The Delphi method was used to obtain the most reliable consensus of the specialist nurses, and more than 31 high priorities were identified. Quality of life and symptom management emerged as the top two priority categories in the study. The findings of the study provide direction for clinical nursing research in oncology.
Daly, J., Chang, E.M. & Bell, P.F. 1996, 'Clinical nursing research priorities in Australian critical care: a pilot study.', Journal of advanced nursing, vol. 23, no. 1, pp. 145-151.View/Download from: Publisher's site
The aims of this research project were to identify areas for research in Australian critical care nursing with potential for improvement in patient care, and to advise nursing research policy and priorities with relevance to areas of patients' needs. Research participants represented a national sample of clinical nurse specialists (CNSs) and clinical nurse consultants (CNCs). The Delphi method was used to obtain the most reliable consensus of the specialist nurses, and over 238 research priorities were identified initially. In the final phase of the research nine high priorities were identified. The findings of this study suggest directions for clinical nursing research in critical care.
Daly, J., Mitchell, G.J. & Jonas-Simpson, C.M. 1996, 'Quality of life and the human becoming theory: exploring discipline-specific contributions.', Nursing science quarterly, vol. 9, no. 4, pp. 170-174.View/Download from: Publisher's site
This article explores the concept of quality of life. Current understandings of quality of life are considered in relation to the notion of discipline-specificity. The authors contend that different disciplines require distinct definitions of quality of life and that research which informs practitioners about quality of life needs to be discipline-specific and theory-based. The contribution of the human becoming theory to knowledge and understanding of quality of life in nursing science is explored, drawing on insights from theory-guided practice and research.
Daly, J.P. & Chang, E.M. 1996, 'A study of clinical nursing research priorities of renal specialist nurses caring for critically ill people.', Intensive & critical care nursing, vol. 12, no. 1, pp. 45-49.View/Download from: Publisher's site
The aim of this pilot research project was to identify priority areas for clinical nursing research for renal specialist nurses practising in general critical care. Research participants in the study included Clinical Nurse Specialists (CNSs) and Clinical Nurse Consultants (CNCs), n = 12. The study sample was national with representation from a number of major metropolitan teaching hospitals in Australia. The Delphi technique was used to obtain the most reliable consensus of the specialist nurses. Research priorities emerged in four areas: 1) clinical research which is of highest value to patients; 2) clinical research which is of highest value to CNSs/CNCs; 3) clinical research which would provide improved community care and 4) research that would be of value for CNSs/CNCs professional needs. In the final phase of the study nine high priorities were identified. The findings of the study suggest directions for clinical nursing research which would benefit renal specialist nurses and their patients.
Nursing attracts people from many walks of life, motivated largely by a concern and a desire to understand and help people confronted by a range of actual or potential health problems and challenges.
Daly, J. & Davidson, P.M. 2010, 'Reciprocal and supportive mentoring (Chapter 77)' in Rollins Gantz, N. (ed), 101 global leadership lessons for nurses: Shared legacies from leaders and their mentees, Sigma Theta Tau International, Indianapolis, USA, pp. 407-411.View/Download from: UTS OPUS
101 Global Leadership Lessons for Nurses covers the daily challenges facing health care leadersâcommunications, negotiations, resource management, and work-life balance, to name a fewâwith the unique feature of a mentor-mentee team authoring each chapter. These established and emerging mentors and mentees come from every corner of the globe and share their lessons learned, providing a rich legacy for nurses everywhere. 101 Global Leadership Lessons for Nurses offers: - An alphabetical subject order for quick topic access. - Authors from 32 countries spanning six continents. - A wealth of resources, with topics ranging from academic-service partnerships to writing for professional journals, and 99 other topics in between. - Reflective questions at the end of each chapter to help you integrate ideas into your professional life.
Daly, J., Elliott, D. & Chang, E. 2009, 'Research in nursing: Concepts and processes (Chapter 9)' in Daly, J., Speedy, S. & Jackson, D. (eds), Contexts of nursing, 3rd Ed, Churchill- Livingston, Elsevier, Sydney, pp. 129-144.
Daly, J., Jackson, D.E. & 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, D.E. 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.
Chang, E. & Daly, J. 2008, 'Managing the transition from student to graduate nurse (Chapter 1)' in Chang, E. & Daly, J. (eds), Transitions in nursing: Preparing for professional practice (2nd Ed), Elsevier, Sydney, Australia, pp. 1-15.
Thompson, D.R., Daly, J., Elliott, D. & Chang, E. 2006, 'Research in nursing: concepts and processes' in Daly, J., Speedy, S. & Jackson, D. (eds), Contexts of Nursing: an Introduction, Churchill Livingstone, Sydney, Australia, pp. 114-128.
Davidson, P.M., Leung, D. & Daly, J. 2006, 'Cardiac health breakdown (Chapter 5)' in Chang, E., Daly, J. & Elliott, D. (eds), Pathophysiology applied to nursing practice, Elsevier, Sydney, pp. 105-137.View/Download from: UTS OPUS
Davidson, P.M., Leung, D. & Daly, J. 2006, 'Cardiovascular health breakdown (Chapter 5)' in Chang, E., Daly, J. & Elliott, D. (eds), Pathophysiology Applied to Nursing Practice, Elsevier, Sydney, pp. 105-137.
Anders, R., Daly, J., Thompson, D.R., Elliott, D. & Chang, E. 2005, 'Research in Nursing (Chapter 8)' in Daly, J., Speedy, S., Jackson, D., Lambert, V. & Lambert, C. (eds), Professional nursing: Concepts, issues and challenges, Springer Publishing Company, New York, pp. 153-174.
Daly, J., Chang, E., Hancock, K. & Crookes, P. 2004, 'Leading and managing change in nursing (Chapter 11)' in Daly, J., Speedy, S. & Jackson, D. (eds), Nursing leadership, Churchill Livingstone, Sydney, pp. 183-196.
Daly, J., Chang, E., Hancock, K. & Thompson, D. 2004, 'The context of nursing and health care research' in Crookes, P. & Davies, S. (eds), Research into practice, Bailliere Tindall, Edinburgh, UK.
Jackson, D.E., 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.
Thompson, D., Daly, J., Elliott, D. & Chang, E. 2002, 'Research in nursing: Concepts and processes (Chapter 8)' in Daly, J., Speedy, S., Jackson, D. & Darbyshire, P. (eds), Contexts of nursing (UK/European adaptation), Blackwell Publishing, Oxford, pp. 84-100.
Homer, C.S., Rumsey, M., Brodie, P.M., Dawson, A., Copeland, F.H. & Daly, J. 2013, 'Helping build foundations for improved maternal health in PNG', International Council of Nurses 25th Quadrennial Congress, Melbourne.
Gero, A., Fletcher, S.M., Rumsey, M., Thiessen, J., Kuruppu, N., Daly, J., Buchan, J. & Willetts, J.R. 2013, 'Disaster response and adaptive capacity in the Pacific', Climate Adaptation 2013: Knowledge + Partnerships, National Climate Change Adaptation Research Facility (NCCARF) National Conference, Sydney, Australia.
Fletcher, S., Gero, A., Rumsey, M., Willetts, J.R., Daly, J., Buchan, J., Thiessen, J. & Kuruppu, N. 2012, 'Understanding adaptive capacity to emergencies in the Pacific in the context of climate change', National Climate Change Adaptation Research Facility's (NCCARF's) Climate Adaptation in Action 2012: Sharing knowledge to adapt, Melbourne, Australia.
Hancock, K., Chang, E., Johnson, A., Harrison, K., Daly, J., Easterbrook, S., Noel, M., Luhr-Taylor, M. & Davidson, P.M. 2006, 'Palliative care for people with advanced dementia: The need for a collaborative, evidence-based approach', Alzheimer's Care Quarterly, pp. 49-57.
The aims of this article are to (1) identify the barriers associated with palliative care for persons with advanced dementia, (2) argue the need for increased collaboration and partnerships between aged care and palliative key providers, and (3) discuss the need for the development and evaluation of evidence-based guidelines for care. Studies addressing these issues are discussed. A key finding of the material reviewed for this article underscores the importance of the development, implementation, and evaluation of guidelines that are empirically based, developed collaboratively, and incorporated into models of care for people with advanced dementia. ©2006 Lippincott Williams & Wilkins, Inc.
Fletcher, S.M., Gero, A., Thiessen, J., Willetts, J.R., Rumsey, M., Daly, J., Buchan, J. & Kuruppu, N. Institute for Sustainable Futures, and WHO Collaborating Centre, UTS 2013, Understanding the Pacific's adaptive capacity to emergencies in the context of climate change: Country Report - Fiji, pp. 1-35, Sydney.View/Download from: UTS OPUS
Fletcher, S.M., Gero, A., Thiessen, J., Willetts, J.R., Rumsey, M., Daly, J., Buchan, J. & Kuruppu, N. Institute for Sustainable Futures, and WHO Collaborating Centre, UTS 2013, Understanding the Pacific's adaptive capacity to emergencies in the context of climate change: Country Report - Samoa, pp. 1-30, Sydney.View/Download from: UTS OPUS
Fletcher, S.M., Rumsey, M., Thiessen, J., Gero, A., Kuruppu, N., Buchan, J., Daly, J. & Willetts, J.R. Institute for Sustainable Futures, and WHO Collaborating Centre, UTS 2013, Disaster response systems in the Pacific: Policy Brief, pp. 1-4, Sydney.View/Download from: UTS OPUS
Fletcher, S.M., Rumsey, M., Thiessen, J., Gero, A., Kuruppu, N., Buchan, J., Daly, J. & Willetts, J.R. Institute for Sustainable Futures, and WHO Collaborating Centre, UTS 2013, Disaster response systems in the Pacific: Policy Brief for Regional Organisations, pp. 1-4, Sydney.View/Download from: UTS OPUS
Gero, A., Fletcher, S.M., Rumsey, M., Thiessen, J., Kuruppu, N., Buchan, J., Daly, J. & Willetts, J.R. National Climate Change Adaptation Research Facility 2013, Disaster response and climate change in the Pacific, pp. 1-216, Sydney.View/Download from: UTS OPUS
Disasters, and therefore disaster response, in the Pacific are expected to be affected by climate change. This research addressed this issue, and focused on the immediate humanitarian needs following a disaster, drawing upon adaptive capacity as a concept to assess the resilience of individual organisations and the robustness of the broader system of disaster response. Four case study countries (Fiji, Cook Islands, Vanuatu and Samoa) were chosen for deeper investigation of the range of issues present in the Pacific. The research process was guided by a Project Reference Group, which included key stakeholders from relevant organisations involved in Pacific disaster response to guide major decisions of the research process and to influence its progression
Gero, A., Fletcher, S.M., Rumsey, M., Thiessen, J., Kuruppu, N., Buchan, J., Daly, J. & Willetts, J.R. Institute for Sustainable Furtures and WHO Collaborating Centre, UTS 2013, Disaster response systems in the Pacific: Policy Brief for Pacific Island Countries, pp. 1-4, Sydney.View/Download from: UTS OPUS
Gero, A., Fletcher, S.M., Thiessen, J., Willetts, J.R., Rumsey, M., Daly, J., Buchan, J. & Kuruppu, N. Institute for Sustainable Futures, and WHO Collaborating Centre, UTS 2013, Understanding the Pacific's adaptive capacity to emergencies in the context of climate change: Country Report - Vanuatu, pp. 1-36, Sydney.View/Download from: UTS OPUS
Gero, A., Fletcher, S.M., Thiessen, J., Willetts, J.R., Rumsey, M., Daly, J., Buchan, J. & Kuruppu, N. National Climate Change Adaptation Research Facility (NCCARF) 2013, Understanding the Pacific's adaptive capacity to emergencies in the context of climate change: Country Report- Cook Islands, pp. 1-33, Australia.View/Download from: UTS OPUS
Fletcher, S.M., Gero, A., Rumsey, M., Willetts, J.R., Daly, J., Buchan, J., Kuruppu, N. & Thiessen, J. WHO Collaborating Centre and the Institute for Sustainable Futures, UTS 2012, Review of Australia's Overseas Disaster and Emergency Response, pp. 1-30, Sydney.
Gero, A., Willetts, J.R., Daly, J., Buchan, J., Rumsey, M., Fletcher, S.M. & Kuruppu, N. Institute for Sustainable Futures and WHO Collaborating Centre, UTS 2012, Background Review: Disaster Response System of Four Pacific Island Countries, pp. 1-66, Sydney, Australia.
Gero, A., Willetts, J.R., Daly, J., Buchan, J., Rumsey, M., Fletcher, S.M. & Kuruppu, N. Institute for Sustainable Futures and WHO Collaborating Centre, UTS 2012, Projected climate change impacts in the Pacific: A summary, pp. 1-22, Sydney, Australia.
Daly, J., Rumsey, M. & Buchan, J. Scientific Institute of the Medical Association of German Doctors (WIAD) 2011, Mobility of Health Professionals - Australia National Report., Sydney, Australia.View/Download from: UTS OPUS
Rumsey, M., Conlon, L., Daly, J., Seaton, L. & Thiessen, J. World Health Organization – Western Pacific Region 2011, Emergency and Disaster (E&D) Nursing/Midwifery care: pilot course. WHO PNG, pp. 1-45, Manila, Philippines.