This article explores the impact of technology on perioperative nursing roles and the development of the phenomenon coined 'technology stress'. It begins by reviewing the ongoing debate of technical versus caring nursing practices. The impact of advanced technology on perioperative nursing roles is explored, highlighting the development of technology stress. The article concludes with some recommendations for further research.
Kerr, D, Holden, D, Smith, J, Kelly, AM & Bunker, S 2006, 'Predictors of ambulance use in patients with acute myocardial infarction in Australia', Emergency Medicine Journal, vol. 23, no. 12, pp. 948-952.View/Download from: Publisher's site
Aims: To determine ambulance transport rates and investigate predictors for ambulance use by patients with acute myocardial infarction (AMI) in Australia. Methods: A prospective, cross-sectional descriptive survey using structured interviews. It included patients who were admitted to two hospitals (Western, Bendigo, Melbourne, Victoria, Australia) with AMI between 1 October 2004 and 31 March 2005, and data were collected by semistructured interview and medical record review. Data were analysed by descriptive statistics, univariate and multivariate analysis using SPSS. Results: 105 patients were interviewed. 48 (46%) participants called for an ambulance as their initial medical contact. Participants who called for an ambulance had a shorter interval between symptom onset and presentation to hospital than those who did not (non-ambulance participants)(median 2.1 v 7.8 h; p=0.001). Predictors of ambulance transport were older age (p=0.008), symptom onset on the weekend (p=0.022), presence of sharp chest pain (p=0.011), self-administered anginine (p=0.007), symptom onset at home (p=0.027) and having a lower income (<$A20 000; p=0.022). After multivariate analysis, self-administered anginine, sharp chest pain and occurrence of symptom onset at home remained as independent predictors of ambulance use. Conclusion: A substantial number of patients do not call for an ambulance as their first medical contact after the onset of AMI symptoms. Public education on the benefits of ambulance transport and early treatment, as well as recognition of AMI symptoms, is required.
Kralik, D, Smith, J & Kelly, A 2006, 'Commentary on clinical nurse specialists and the practice of community nurses', Journal of Advanced Nursing, vol. 54, no. 5, pp. 551-552.View/Download from: Publisher's site
Purpose - The purpose of this paper is to describe a clinical governance framework applied in a community nursing setting. Significant opportunities for improving quality and safety of clinical practice through clinical governance within a community-nursing organisation are idendified. Design/methodology/approach - The intention in this paper is to achieve quality client outcomes by translating a clinical governance framework into the day-to-day practice and processes of all staff, and by developing a system of leadership that supports improvement as a fundamental part of organisational processes. Findings - The paper finds that a comprehensive project plan was developed which involved six interrelated steps or stages that would serve as indicators of project progress. Research limitations/implicati ons - In the paper, the organisation continues down the journey of implementing a comprehensive clinical governance framework over a five-year implementation plan. Originality/value - The paper shows that the improvement plan offers many exciting challenges for the organisation over the coming years.