Cant, RP, Cooper, SJ & Lam, LL 2020, 'Hospital Nurses' Simulation-Based Education Regarding Patient Safety: A Scoping Review', Clinical Simulation in Nursing, vol. 44, pp. 19-34.View/Download from: Publisher's site
© 2019 International Nursing Association for Clinical Simulation and Learning Background: Little is known about the clinical impact of simulation-based education (SBE) for hospital nurses. Method: Scoping review methodology was used to examine the impact of nurse SBE programs within six patient safety domains. Results: Twenty-six articles described over 20 education topics. Based on Kirkpatrick's four levels of evaluation, programs prioritized superficial levels of evaluation: Level 1—Reaction, Level 2—Learning. Only seven studies measured Level 3—Behavior change (nurses' performance) or Level 4—Results (impact on patient care). Conclusion(s): Nurses' CPD programs should include both short-term evaluations and longitudinal measures to detect practice improvements that may advance patient safety.
Seaton, PCJ, Cant, RP & Trip, HT 2020, 'Quality indicators for a community-based wound care centre: An integrative review', INTERNATIONAL WOUND JOURNAL, vol. 17, no. 3, pp. 587-600.View/Download from: Publisher's site
Hall, HG, Cant, R, Munk, N, Carr, B, Tremayne, A, Weller, C, Fogarty, S & Lauche, R 2020, 'The effectiveness of massage for reducing pregnant women's anxiety and depression; systematic review and meta-analysis', Midwifery, vol. 90.View/Download from: Publisher's site
© 2020 Elsevier Ltd Objective: To critically appraise and synthesize the best available evidence on the effectiveness of massage to reduce antenatal women's anxiety and/ or depression. Design: Systematic review with meta-analysis Participants, interventions: Pregnant women over the age of 18 years who receive massage interventions. Measurements and findings: Eight studies were included in the review; seven were randomized controlled trials. Data were collected via pregnant women's self-reported ratings of anxiety or depression using validated tools. Meta-analysis of four studies revealed a moderate effect of massage therapy on women's depressive symptoms as measured by the Center for Epidemiologic Studies Depression Scale (CES-D) (MD = -5.95, 95%CI = -8.11 to -3.80, I2 = 0%) compared with usual care. A moderate effect of massage interventions on women's anxiety were also found based on five studies using various measures (SMD = -0.59, 95%CI = -1.06 to -0.12, I2 = 75%) when compared with usual care. However, none of the trials had a low risk of bias. Key conclusions: Non-pharmacologic treatments for mental health symptoms are an important option for women to use during pregnancy. As shown in meta-analysed data, massage therapy might be more effective in reducing pregnant women's anxiety and depression than usual care, although the current results may be prone to bias. Further high-quality research is required to fully evaluate the impact of massage therapy on pregnant women's mental health symptoms in the immediate and also longer term. Implications for practice: Massage therapy may be an acceptable and feasible approach for pregnant women to employ to reduce their anxiety and depressive symptoms. More research evidence examining the safety and effectiveness of massage is required before practice recommendations can be made.
Cooper, S, Cant, R, Kelly, M, Levett-Jones, T, McKenna, L, Seaton, P & Bogossian, F 2020, 'An Evidence-Based Checklist for Improving Scoping Review Quality.', Clinical Nursing Research.View/Download from: Publisher's site
A scoping review aims to systematically explore and map the research available from a wide range of sources. The objective of this study was to produce a scoping review checklist to guide future scoping studies to enable rigorous review and critique of phenomena of interest. The methods used included a review of literature, expert consensus group meetings, a modified Delphi survey and, finally, verification against recent scoping study examples. Results showed that the checklist was able to identify key elements of scoping reviews. The 22-item Scoping Review Checklist (SRC), which includes two optional stakeholder consultation items, has been developed using rigorous recommended approaches. The checklist can be used to guide the conduct and critique of scoping studies.
Levett-Jones, T & Cant, R 2020, 'The Empathy Continuum: An evidenced-based teaching model derived from an integrative review of contemporary nursing literature.', Journal of Clinical Nursing, vol. 29, no. 7-8, pp. 1026-1040.View/Download from: Publisher's site
AIMS AND OBJECTIVES:This paper has two objectives: first, to explain the concept of empathy derived from an integrative review of contemporary nursing literature; and second, to profile a new conceptual model of empathy that can be used to inform the teaching of empathy. BACKGROUND:Empathy is fundamental to therapeutic communication and integral to quality patient care. However, the lack of agreement on the definition or conceptualisation of empathy in the nursing literature can make teaching and evaluating this skill challenging and inconsistent. DESIGN:Integrative review of literature. DATA SOURCES:Publications from January 2000 to July 2018 in Ovid Medline, Scopus, CINAHLPlus, PsychINFO, and PubMed. REVIEW METHODS:As no integrative review checklists are currently available, a PRISMA checklist was adapted to guide this review. A two-stage approach was used to explore the concept of empathy. Key definitions and attributes of empathy were identified from 11 primary studies and tabulated to allow for display and comparison. Next, the definitions and attributes of empathy drawn from a purposeful sample of 18 nursing education studies were examined, tabulated and summarized. Finally, the two samples were integrated and synthesized to form a cohesive summary, which was then illustrated with teaching and learning exemplars. RESULTS:Despite the lack of consensus on the definitions of empathy evident in the literature, recurring attributes and elements of empathy were evident, leading to the development of a new empathy model. CONCLUSION:Patterns of consistency in the attributes of empathy that emerged from the review provided the basis for a new conceptual model, termed 'The Empathy Continuum'. RELEVANCE TO CLINICAL PRACTICE:Each of the stages in The Empathy Continuum can be used to teach learners the meaning, attributes and application of empathy in practice. The model will be relevant to nurse educators as well as educators from other disciplines. WHAT DOES THIS PAPE...
Cant, R, Cooper, S, Sussex, R & Bogossian, F 2019, 'What's in a Name? Clarifying the Nomenclature of Virtual Simulation', Clinical Simulation in Nursing, vol. 27, pp. 26-30.View/Download from: Publisher's site
© 2018 International Nursing Association for Clinical Simulation and Learning Clinical simulation is an essential component of health professional education. Digital technologies can provide students with near-reality, interactive virtual simulation learning experiences on static and mobile appliances. Clarification is needed, however, regarding the various types of virtual simulation and the different program components. We drew on published literature to define virtual simulation modalities and to offer definitive terminology to clarify the nomenclature and composition of virtual simulation. Reporting should include description of 'Fidelity' 'Immersion' and 'Patient' to add clarity and utility to research in the field.
Bogossian, FE, Cant, RP, Ballard, EL, Cooper, SJ, Levett-Jones, TL, McKenna, LG, Ng, LC & Seaton, PC 2019, 'Locating "gold standard" evidence for simulation as a substitute for clinical practice in prelicensure health professional education: A systematic review', JOURNAL OF CLINICAL NURSING, vol. 28, no. 21-22, pp. 3759-3775.View/Download from: Publisher's site
Levett-Jones, T, Cant, R & Lapkin, S 2019, 'A systematic review of the effectiveness of empathy education for undergraduate nursing students.', Nurse education today, vol. 75, pp. 80-94.View/Download from: Publisher's site
OBJECTIVE:The objective of this systematic review was to identify, critically appraise and synthesize evidence for the effectiveness of empathy interventions in undergraduate nursing education. DESIGN:A systematic review of literature. DATA SOURCES:A three-stage systematic search of six electronic databases was conducted. REVIEW METHODS:The Preferred Reporting Items for Systematic reviews and Meta-Analyses guided the review. English language articles published between 2000 and 2018 were eligible. Methodological rigour was examined using the Medical Education Research Study Quality Instrument. Changes in empathy were assessed using Cohen's effect size correlation (r) and reported as effective when the variance was >0.2 standard deviations (r ≥ 0.2). RESULTS:Of 23 included studies, four were experimental and four were case-control studies. Of these, the mean effect size was r = 0.45 and three were regarded as effective empathy interventions. Although 10 of 13 single group studies demonstrated a significant change in empathy between pre-test and post-test (p < 0.05), effect sizes were often low (mean r = 0.26). Six single-group studies reported an intervention effect of r > 0.2. The most effective empathy education involved immersive and experiential simulation-based interventions. Simulation modalities ranged from role plays, manikin-based scenarios, to 3D e-simulations and point-of-view simulations where students wore a hemiparesis suit\ CONCLUSIONS: Nine of 23 empathy education studies in undergraduate nurse education demonstrated practical improvements in empathy. The most effective interventions were immersive and experiential simulations that focused on vulnerable patient groups and provided opportunities for guided reflection. We noted the research designs were limited in terms of levels of evidence and use of subjective measures. Larger experimental studies are required to provide higher levels of evidence to identify unequivocal outcomes in terms of empathy...
McKenna, L, Cant, R, Bogossian, F, Cooper, S, Levett-Jones, T & Seaton, P 2019, 'Clinical placements in contemporary nursing education: Where is the evidence?', Nurse education today, vol. 83, pp. 104202-104202.View/Download from: Publisher's site
Seaton, P, Levett-Jones, T, Cant, R, Cooper, S, Kelly, M, McKenna, L, Ng, L & Bogossian, F 2019, 'Exploring the extent to which simulation-based education addresses contemporary patient safety priorities: A scoping review', Collegian, vol. 26, no. 1, pp. 194-203.View/Download from: Publisher's site
© 2018 Background: There is unprecedented increase in use of simulation-based education in healthcare settings. The key driver is improving quality and safety in healthcare. To date, there is limited understanding of the degree to which this goal has been achieved. Aim: This scoping review aimed to explore the extent to which simulation-based education in healthcare has addressed and impacted contemporary patient safety priorities. Methods: Systematic searches of literature (2007–2016) were based on each of 10 patient safety priorities articulated in Australia's National Safety and Quality Health Service Standards and New Zealand's Health, Quality and Safety Indicators and markers. Included primary studies evaluated transferability to practice and/or behavioural change and improved patient outcomes, based on Kirkpatrick's training evaluation model Level 3 and Level 4. Findings: Fifteen papers met inclusion criteria. Studies aligned with four of ten National Safety and Quality Health Service Standards: (3). Preventing and controlling healthcare associated infections; (4). Medication safety; (6). Clinical handover; (9). Recognising and responding to clinical deterioration. The studies were indicative of potential for simulation-based education to have a significant impact on patient safety. Discussion: Studies that qualify as translational science, demonstrating changes in clinician behaviours and improved patient outcomes, are emerging. Little evidence from Australian and New Zealand contexts suggests that outcomes of simulation-based education in this region are not commensurate with the significant government investments. Conclusion: Translational studies, despite being difficult to design and conduct, should form part of a thematic, sustained and cumulative program of simulation-based research to identify translational science.
McKenna, L, Cooper, SJ, Cant, R & Bogossian, F 2018, 'Research publication performance of Australian Professors of Nursing & Midwifery', JOURNAL OF ADVANCED NURSING, vol. 74, no. 3, pp. 495-497.View/Download from: Publisher's site
Minton, C, Birks, M, Cant, R & Budden, LM 2018, 'New Zealand nursing students' experience of bullying/harassment while on clinical placement: A cross-sectional survey', COLLEGIAN, vol. 25, no. 6, pp. 583-589.View/Download from: Publisher's site
Hall, H, Brosnan, C, Cant, R, Collins, M & Leach, M 2018, 'Nurses' attitudes and behaviour towards patients' use of complementary therapies: A mixed methods study.', Journal of advanced nursing, vol. 74, no. 7, pp. 1649-1658.View/Download from: Publisher's site
AIM:To explore Registered Nurses' attitudes and behaviour towards patients' use of complementary therapies. BACKGROUND:Despite high rates of use of complementary therapies by the general population, little is known of how nurses respond to patients' use of these therapies. DESIGN:A two-phase sequential exploratory mixed methods design. METHODS:Nineteen Registered Nurses working in Australia participated in a semi-structured interview in 2015-2016 and emerging themes informed the development of a quantitative survey instrument administered online nationwide in 2016. FINDINGS:Emerging key themes "Promoting safe care"; "Seeking complementary therapies knowledge";" Supporting holistic health care"; and "Integrating complementary therapies in practice" were reflected in survey results. Survey responses (N = 614) revealed >90% agreement that complementary therapies align with a holistic view of health and that patients have the right to use them. Most nurses (77.5%) discussed complementary therapies with patients and 91.8% believed nurses should have some understanding of the area. One-third did not recommend complementary therapies and there was a lack of overall consensus as to whether these therapies should be integrated into nursing practice. Nurses with training in complementary therapies held more positive views than those without. CONCLUSION:Nurses were generally supportive of patients' interest in complementary therapies, although their primary concern was safety of the patient. Despite broad acceptance that nurses should have a basic understanding of complementary therapies, there was a lack of consensus about recommendation, integration into nursing practice and referral. Further research should explore how nurses can maintain safe, patient-centred care in the evolving pluralistic healthcare system.
Hall, H, Leach, MJ, Brosnan, C, Cant, R & Collins, M 2018, 'Registered Nurses' communication about patients' use of complementary therapies: A national survey', PATIENT EDUCATION AND COUNSELING, vol. 101, no. 8, pp. 1403-1409.View/Download from: Publisher's site
Cant, RP, Levett-Jones, T & James, A 2018, 'Do Simulation Studies Measure up? A Simulation Study Quality Review', CLINICAL SIMULATION IN NURSING, vol. 21, pp. 23-39.View/Download from: Publisher's site
Cooper, S, Seaton, P, Absalom, I, Cant, R, Bogossian, F, Kelly, M, Levett-Jones, T & McKenna, L 2018, 'Can scholarship in nursing/midwifery education result in a successful research career?', JOURNAL OF ADVANCED NURSING, vol. 74, no. 12, pp. 2703-2705.View/Download from: Publisher's site
Budden, LM, Birks, M, Cant, R, Bagley, T & Park, T 2017, 'Australian nursing students' experience of bullying and/or harassment during clinical placement', COLLEGIAN, vol. 24, no. 2, pp. 125-133.View/Download from: Publisher's site
Cant, RP & Cooper, SJ 2017, 'The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis', NURSE EDUCATION IN PRACTICE, vol. 27, pp. 45-62.View/Download from: Publisher's site
Cooper, SJ, Hopmans, R, Cant, RP, Bogossian, F, Giannis, A & King, R 2017, 'Deteriorating Patients: Global Reach and Impact of an E-Simulation Program', CLINICAL SIMULATION IN NURSING, vol. 13, no. 11, pp. 562-572.View/Download from: Publisher's site
Bogossian, F, Cooper, S, Cant, R, Beauchamp, A, Porter, J, Main, V, Bucknall, T & Phillips, NM 2016, 'Undergraduate nursing students' performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: An Australian multi-centre study (vol 34, pg 691, 2014)', NURSE EDUCATION TODAY, vol. 38, pp. 154-154.View/Download from: Publisher's site
Browning, M, Cooper, S, Cant, R, Sparkes, L, Bogossian, F, Williams, B, O'Meara, P, Ross, L, Munro, G & Black, B 2016, 'The use and limits of eye-tracking in high-fidelity clinical scenarios: A pilot study', INTERNATIONAL EMERGENCY NURSING, vol. 25, pp. 43-47.View/Download from: Publisher's site
Cooper, S, Cant, R, Connell, C, Sims, L, Porter, JE, Symmons, M, Nestel, D & Liaw, SY 2016, 'Measuring teamwork performance: Validity testing of the Team Emergency Assessment Measure (TEAM) with clinical resuscitation teams', RESUSCITATION, vol. 101, pp. 97-101.View/Download from: Publisher's site
Cooper, SJ, Kinsman, L, Chung, C, Cant, R, Boyle, J, Bull, L, Cameron, A, Connell, C, Kim, J-A, McInnes, D, McKay, A, Nankervis, K, Penz, E & Rotter, T 2016, 'The impact of web-based and face-to-face simulation on patient deterioration and patient safety: protocol for a multi-site multi-method design', BMC HEALTH SERVICES RESEARCH, vol. 16.View/Download from: Publisher's site
Gibson, SJ, Golder, J, Cant, RP & Davidson, ZE 2016, 'An Australian mixed methods pilot study exploring students performing patient risk screening', NURSING & HEALTH SCIENCES, vol. 18, no. 2, pp. 203-209.View/Download from: Publisher's site
Birks, M, Ralph, N, Cant, R, Hillman, E & Chun Tie, Y 2015, 'Teaching science content in nursing programs in Australia: A cross-sectional survey of academics', BMC Nursing, vol. 14, no. 1.View/Download from: Publisher's site
© Birks et al.; licensee BioMed Central. Background: Professional nursing practice is informed by biological, social and behavioural sciences. In undergraduate pre-registration nursing programs, biological sciences typically include anatomy, physiology, microbiology, chemistry, physics and pharmacology. The current gap in the literature results in a lack of information about the content and depth of biological sciences being taught in nursing curricula. The aim of this study was to establish what priority is given to the teaching of science topics in these programs in order to inform an understanding of the relative importance placed on this subject area in contemporary nursing education. Method: This study employed a cross-sectional survey method. This paper reports on the first phase of a larger project examining science content in nursing programs. An existing questionnaire was modified and delivered online for completion by academics who teach science to nurses in these programs. This paper reports on the relative priority given by respondents to the teaching of 177 topics contained in the questionnaire. Results: Of the relatively small population of academics who teach science to nursing students, thirty (n = 30) completed the survey. Findings indicate strong support for the teaching of science in these programs, with particular priority given to the basic concepts of bioscience and gross system anatomy. Of concern, most science subject areas outside of these domains were ranked as being of moderate or low priority. Conclusion: While the small sample size limited the conclusions able to be drawn from this study, the findings supported previous studies that indicated inadequacies in the teaching of science content in nursing curricula. Nevertheless, these findings have raised questions about the current philosophy that underpins nursing education in Australia and whether existing practices are clearly focused on preparing students for the demands of contempor...
Bogossian, FE, Cooper, SJ, Cant, R, Porter, J, Forbes, H, McKenna, L, Kinsmen, L, Endacott, R, Devries, B, Philips, NM, Bucknall, T, Young, S & Kain, V 2015, 'A trial of e-simulation of sudden patient deterioration (FIRST2ACT WEB™) on student learning', Nurse Education Today, vol. 35, no. 10, pp. e36-e42.View/Download from: Publisher's site
© 2015 Elsevier Ltd. Background: High-fidelity simulation pedagogy is of increasing importance in health professional education; however, face-to-face simulation programs are resource intensive and impractical to implement across large numbers of students. Objectives: To investigate undergraduate nursing students' theoretical and applied learning in response to the e-simulation program-FIRST2ACT WEBTM, and explore predictors of virtual clinical performance. Design and setting: Multi-center trial of FIRST2ACT WEBTM accessible to students in five Australian universities and colleges, across 8 campuses. Participants: A population of 489 final-year nursing students in programs of study leading to license to practice. Methods: Participants proceeded through three phases: (i) pre-simulation-briefing and assessment of clinical knowledge and experience; (ii) e-simulation-three interactive e-simulation clinical scenarios which included video recordings of patients with deteriorating conditions, interactive clinical tasks, pop up responses to tasks, and timed performance; and (iii) post-simulation feedback and evaluation.Descriptive statistics were followed by bivariate analysis to detect any associations, which were further tested using standard regression analysis. Results: Of 409 students who commenced the program (83% response rate), 367 undergraduate nursing students completed the web-based program in its entirety, yielding a completion rate of 89.7%; 38.1% of students achieved passing clinical performance across three scenarios, and the proportion achieving passing clinical knowledge increased from 78.15% pre-simulation to 91.6% post-simulation.Knowledge was the main independent predictor of clinical performance in responding to a virtual deteriorating patient R2=0.090, F(7, 352)=4.962, p<0.001. Discussion: The use of web-based technology allows simulation activities to be accessible to a large number of participants and completion rates indicate that 'Net Generation...
Cant, R & Ball, L 2015, 'Decade of Medicare: The contribution of private practice dietitians to chronic disease management and diabetes group services', NUTRITION & DIETETICS, vol. 72, no. 3, pp. 284-290.View/Download from: Publisher's site
Cant, R, Young, S, Cooper, SJ & Porter, J 2015, 'E-simulation Preregistration Nursing Students' Evaluation of an Online Patient Deterioration Program', CIN-COMPUTERS INFORMATICS NURSING, vol. 33, no. 3, pp. 108-114.View/Download from: Publisher's site
Cooper, S, Cant, R, Bogossian, F, Kinsman, L & Bucknall, T 2015, 'Patient Deterioration Education: Evaluation of Face-to-Face Simulation and e-Simulation Approaches', CLINICAL SIMULATION IN NURSING, vol. 11, no. 2, pp. 97-105.View/Download from: Publisher's site
Cooper, S, Cant, RP, Bogossian, F, Bucknall, T & Hopmans, R 2015, 'Doing the Right Thing at the Right Time Assessing Responses to Patient Deterioration in Electronic Simulation Scenarios Using Course-of-Action Analysis', CIN-COMPUTERS INFORMATICS NURSING, vol. 33, no. 5, pp. 199-207.View/Download from: Publisher's site
McLelland, G, Hall, H, Gilmour, C & Cant, R 2015, 'Support needs of breast-feeding women: Views of Australian midwives and health nurses', MIDWIFERY, vol. 31, no. 1, pp. E1-E6.View/Download from: Publisher's site
Anderson, A, Cant, R & Hood, K 2014, 'Measuring students perceptions of interprofessional clinical placements: Development of the Interprofessional Clinical Placement Learning Environment Inventory', NURSE EDUCATION IN PRACTICE, vol. 14, no. 5, pp. 518-524.View/Download from: Publisher's site
Birks, M, James, A, Chung, C, Cant, R & Davis, J 2014, 'The teaching of physical assessment skills in pre-registration nursing programmes in Australia: Issues for nursing education', COLLEGIAN, vol. 21, no. 3, pp. 245-253.View/Download from: Publisher's site
Bogossian, F, Cooper, S, Cant, R, Beauchamp, A, Porter, J, Kain, V, Bucknall, T & Phillips, NM 2014, 'Undergraduate nursing students' performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: An Australian multi-centre study', NURSE EDUCATION TODAY, vol. 34, no. 5, pp. 691-696.View/Download from: Publisher's site
Cant, RP & Cooper, SJ 2014, 'Simulation in the Internet age: The place of Web-based simulation in nursing education. An integrative review', NURSE EDUCATION TODAY, vol. 34, no. 12, pp. 1435-1442.View/Download from: Publisher's site
Cooper, S, Cant, R, Browning, M & Robinson, E 2014, 'Preparing nursing students for the future: Development and implementation of an Australian Bachelor of Nursing programme with a community health focus', CONTEMPORARY NURSE, vol. 49, no. 1, pp. 68-74.View/Download from: Publisher's site
Cooper, SJ & Cant, RP 2014, 'Measuring non-technical skills of medical emergency teams: An update on the validity and reliability of the Team Emergency Assessment Measure (TEAM)', RESUSCITATION, vol. 85, no. 1, pp. 31-33.View/Download from: Publisher's site
Cross, W, Cant, R, Manning, D & McCarthy, S 2014, 'Addressing information needs of vulnerable communities about incontinence: A survey of ten CALD communities', COLLEGIAN, vol. 21, no. 3, pp. 209-216.View/Download from: Publisher's site
Hall, H, McLelland, G, Gilmour, C & Cant, R 2014, ''It's those first few weeks': Women's views about breastfeeding support in an Australian outer metropolitan region', WOMEN AND BIRTH, vol. 27, no. 4, pp. 259-265.View/Download from: Publisher's site
Hood, K, Cant, R, Baulch, J, Gilbee, A, Leech, M, Anderson, A & Davies, K 2014, 'Prior experience of interprofessional learning enhances undergraduate nursing and healthcare students' professional identity and attitudes to teamwork', NURSE EDUCATION IN PRACTICE, vol. 14, no. 2, pp. 117-122.View/Download from: Publisher's site
Hood, K, Cant, R, Leech, M, Baulch, J & Gilbee, A 2014, 'Trying on the professional self: nursing students' perceptions of learning about roles, identity and teamwork in an interprofessional clinical placement', APPLIED NURSING RESEARCH, vol. 27, no. 2, pp. 109-114.View/Download from: Publisher's site
McKenna, L, Missen, K, Cooper, S, Bogossian, F, Bucknall, T & Cant, R 2014, 'Situation awareness in undergraduate nursing students managing simulated patient deterioration', Nurse Education Today, vol. 34, no. 6.View/Download from: Publisher's site
Background: Nursing work often occurs in complex and potentially hazardous settings. Awareness of patient and practice environments is an imperative for nurses in practice. Objectives: To explore nursing students' situation awareness while engaging in simulated patient deterioration scenarios. Design: The educational process of FIRST2ACT was the model for the nurse intervention. Situation awareness was measured quantitatively using the Situation Awareness Global Assessment tool. Four domains were measured: physiological perception (patient parameters), global perception (surroundings), comprehension (interpretation of information), and projection (forecasting outcomes). Settings: Clinical laboratories at each of three participating universities. Participants: Ninety-seven nursing students from three Australian universities. Methods: Between March and July 2012, students participated in three video-recorded simulation events, in which a trained actor played patient roles and groups of three students worked as teams. To measure situation awareness, following the simulation each team leader was taken to a separate room and asked to report on a question set regarding the patient's vital signs, bedside setting and medical diagnosis. Results and Conclusions: Overall, situation awareness was low (41%). Of the four domains, physiological perceptions scored the lowest (26%) and projection the highest (59%).Final year nursing students may not have well developed situation awareness skills, especially when dealing with these types of scenarios. Education providers need to consider ways to assist students to fully develop this attribute. Findings suggest that this is an aspect of undergraduate nursing education that requires significant consideration by curriculum developers. © 2014.
Birks, M, Cant, R, James, A, Chung, C & Davis, J 2013, 'The use of physical assessment skills by registered nurses in Australia: Issues for nursing education', COLLEGIAN, vol. 20, no. 1, pp. 27-33.View/Download from: Publisher's site
Biro, MA, Cant, R, Hall, H, Bailey, C, Sinni, S & East, C 2013, 'How effectively do midwives manage the care of obese pregnant women? A cross-sectional survey of Australian midwives', WOMEN AND BIRTH, vol. 26, no. 2, pp. 119-124.View/Download from: Publisher's site
Cant, R, McKenna, L & Cooper, S 2013, 'Assessing preregistration nursing students' clinical competence: A systematic review of objective measures', INTERNATIONAL JOURNAL OF NURSING PRACTICE, vol. 19, no. 2, pp. 163-176.View/Download from: Publisher's site
Cant, RP & Foster, MM 2013, 'Update on Medicare-funded allied health chronic disease management consultations in dietetics and the five most referred professions in 2010', NUTRITION & DIETETICS, vol. 70, no. 1, pp. 42-48.View/Download from: Publisher's site
Cooper, S, Cant, R, Porter, J, Missen, K, Sparkes, L, McConnell-Henry, T & Endacott, R 2013, 'Managing patient deterioration: assessing teamwork and individual performance', EMERGENCY MEDICINE JOURNAL, vol. 30, no. 5, pp. 377-381.View/Download from: Publisher's site
Peters, L, Cant, R, Payne, S, O'Connor, M, McDermott, F, Hood, K, Morphet, J & Shimoinaba, K 2013, 'Emergency and palliative care nurses' levels of anxiety about death and coping with death: A questionnaire survey', Australasian Emergency Nursing Journal, vol. 16, no. 4, pp. 152-159.View/Download from: Publisher's site
Background: Caring for dying patients and their families presents many challenges, and may be negatively affected by nurses' Fear of Death. This study investigates attitudes of emergency and palliative care nurses towards death and dying. Methods: A mixed methods design including questionnaire and interview, was utilised. This paper reports questionnaire results from the Death Attitude Profile-Revised Scale and coping skills. Results: Twenty-eight emergency nurses and 28 palliative care nurses from two health services participated. Nurses held low to moderate Fear of Death (44%), Death Avoidance (34%), Escape Acceptance (47%) and Approach Acceptance (59%). Emergency nurses reported higher death avoidance and, significantly lower coping skills than palliative care nurses. Both reported high acceptance of the reality of death (Neutral Acceptance 82%), and indicated they coped better with a patient who was dying than with, the patient's family. Conclusions: Nurses generally held positive attitudes towards death and dying. Participants could cope with caring for dying patients, but were significantly less comfortable coping with patients' family members. Nurses should be aware of the impact their attitude towards death may have on providing supportive nursing care for the dying. © 2013 College of Emergency Nursing Australasia Ltd.
Peters, L, Cant, R, Payne, S, O'Connor, M, McDermott, F, Hood, K, Morphet, J & Shimoinaba, K 2013, 'How death anxiety impacts nurses' caring for patients at the end of life: A review of literature', Open Nursing Journal, vol. 7, no. 1, pp. 14-21.View/Download from: Publisher's site
Nurses are frequently exposed to dying patients and death in the course of their work. This experience makes individuals conscious of their own mortality, often giving rise to anxiety and unease. Nurses who have a strong anxiety about death may be less comfortable providing nursing care for patients at the end of their life. This paper explores the literature on death anxiety and nurses' attitudes to determine whether fear of death impacts on nurses' caring for dying patients. Fifteen quantitative studies published between 1990 and 2012 exploring nurses' own attitudes towards death were critically reviewed. Three key themes identified were: i). nurses' level of death anxiety; ii). death anxiety and attitudes towards caring for the dying, and iii). death education was necessary for such emotional work. Based on quantitative surveys using valid instruments, results suggested that the level of death anxiety of nurses working in hospitals in general, oncology, renal, hospice care or in community services was not high. Some studies showed an inverse association between nurses' attitude towards death and their attitude towards caring for dying patients. Younger nurses consistently reported stronger fear of death and more negative attitudes towards end-of-life patient care. Nurses need to be aware of their own beliefs. Studies from several countries showed that a worksite death education program could reduce death anxiety. This offers potential for improving nurses' caring for patients at the end of their life. © Peters et al.
Buykx, P, Cooper, S, Kinsman, L, Endacott, R, Scholes, J, McConnell-Henry, T & Cant, R 2012, 'Patient deterioration simulation experiences: Impact on teaching and learning', COLLEGIAN, vol. 19, no. 3, pp. 125-129.View/Download from: Publisher's site
Cant, R, Cooper, S, Chung, C & O'Connor, M 2012, 'The divided self: Near death experiences of resuscitated patients - A review of literature', INTERNATIONAL EMERGENCY NURSING, vol. 20, no. 2, pp. 88-93.View/Download from: Publisher's site
Cooper, S, Beauchamp, A, Bogossian, F, Bucknall, T, Cant, R, DeVries, B, Endacott, R, Forbes, H, Hill, R, Kinsman, L, Kain, VJ, McKenna, L, Porter, J, Phillips, N & Young, S 2012, 'Managing patient deterioration: A protocol for enhancing undergraduate nursing students' competence through web-based simulation and feedback techniques', BMC Nursing, vol. 11.View/Download from: Publisher's site
Aims: To describe a funded proposal for the development of an on-line evidence based educational program for the management of deteriorating patients.Background: There are international concerns regarding the management of deteriorating patients with issues around the 'failure to rescue'. The primary response to these issues has been the development of medical emergency teams with little focus on the education of primary first responders.Design/Methods: A mixed methods triangulated convergent design.In this four phase proposal we plan to 1. examine nursing student team ability to manage deteriorating patients and based upon these findings 2. develop web based educational material, including interactive scenarios. This educational material will be tested and refined in the third Phase 3, prior to evaluation and dissemination in the final phase.Conclusion: This project aims to enhance knowledge development for the management of deteriorating patients through rigorous assessment of team performance and to produce a contemporary evidence-based online training program. © 2012 Cooper et al.; licensee BioMed Central Ltd.
Cooper, S, Cant, R, Porter, J, Bogossian, F, McKenna, L, Brady, S & Fox-Young, S 2012, 'Simulation based learning in midwifery education: A systematic review', WOMEN AND BIRTH, vol. 25, no. 2, pp. 64-78.View/Download from: Publisher's site
Gibson, S, Sequeira, J, Cant, R & Ku, C 2012, 'Identifying malnutrition risk in acute medical patients: Validity and utility of Malnutrition Universal Screening Tool and Modified Malnutrition Screening Tool', NUTRITION & DIETETICS, vol. 69, no. 4, pp. 309-314.View/Download from: Publisher's site
Kinsman, L, Buykx, P, Cant, R, Champion, R, Cooper, S, Endacott, R, McConnell-Henry, T, Missen, K, Porter, J & Scholes, J 2012, 'The FIRST2ACT simulation program improves nursing practice in a rural Australian hospital', AUSTRALIAN JOURNAL OF RURAL HEALTH, vol. 20, no. 5, pp. 270-274.View/Download from: Publisher's site
Birks, M, Cant, R, Al-Motlaq, M & Jones, J 2011, '"I don't want to become a scientist": undergraduate nursing students' perceived value of course content', AUSTRALIAN JOURNAL OF ADVANCED NURSING, vol. 28, no. 4, pp. 20-27.
Birks, M, Cant, R, Al-Motlaq, M & Rickards, A 2011, 'Increasing the pool of students in rural locations: A satellite model of nurse education', AUSTRALIAN JOURNAL OF RURAL HEALTH, vol. 19, no. 2, pp. 103-104.View/Download from: Publisher's site
Buykx, P, Kinsman, L, Cooper, S, McConnell-Henry, T, Cant, R, Endacott, R & Scholes, J 2011, 'FIRST(2)ACT: Educating nurses to identify patient deterioration - A theory-based model for best practice simulation education', NURSE EDUCATION TODAY, vol. 31, no. 7, pp. 687-693.View/Download from: Publisher's site
Cant, R & Pomeroy, S 2011, 'Facilitating patients' dietary change: A review of dietitians' correspondence practices with general practitioners', NUTRITION & DIETETICS, vol. 68, no. 2, pp. 140-148.View/Download from: Publisher's site
Cant, R, Birks, M, Porter, J, Jacob, E & Cooper, S 2011, 'Developing advanced rural nursing practice: A whole new scope of responsibility', COLLEGIAN, vol. 18, no. 4, pp. 177-182.View/Download from: Publisher's site
Cant, RP & Cooper, SJ 2011, 'The benefits of debriefing as formative feedback in nurse education', AUSTRALIAN JOURNAL OF ADVANCED NURSING, vol. 29, no. 1, pp. 37-47.
Cant, RP & Foster, MM 2011, 'Investing in big ideas: utilisation and cost of Medicare Allied Health services in Australia under the Chronic Disease Management initiative in primary care', AUSTRALIAN HEALTH REVIEW, vol. 35, no. 4, pp. 468-474.View/Download from: Publisher's site
Cooper, S, McConnell-Henry, T, Cant, R, Porter, J, Missen, K, Kinsman, L, Endacott, R & Scholes, J 2011, 'Managing deteriorating patients: Registered nurses' performance in a simulated setting', Open Nursing Journal, vol. 5, pp. 120-126.View/Download from: Publisher's site
Aim: To examine, in a simulated environment, rural nurses' ability to assess and manage patient deterioration using measures of knowledge, situation awareness and skill performance. Background: Nurses' ability to manage deterioration and 'failure to rescue' are of significant concern with questions over knowledge and clinical skills. Simulated emergencies may help to identify and develop core skills. Methods: An exploratory quantitative performance review. Thirty five nurses from a single ward completed a knowledge questionnaire and two video recorded simulated scenarios in a rural hospital setting. Patient actors simulated deteriorating patients with an Acute Myocardial Infarction (AMI) and Chronic Obstructive Pulmonary Disease (COPD) as the primary diagnosis. How aware individuals were of the situation (levels of situation awareness) were measured at the end of each scenario. Results: Knowledge of deterioration management varied considerably (range: 27%-91%) with a mean score of 67%. Average situation awareness scores and skill scores across the two scenarios (AMI and COPD) were low (50%) with many important observations and actions missed. Participants did identify that 'patients' were deteriorating but as each patient deteriorated staff performance declined with a reduction in all observational records and actions. In many cases, performance decrements appeared to be related to high anxiety levels. Participants tended to focus on single signs and symptoms and failed to use a systematic approach to patient assessment. Conclusion: Knowledge and skills were generally low in this rural hospital sample with notable performance decrements as patients acutely declined. Educational models that incorporate high fidelity simulation and feedback techniques are likely to have a significant positive impact on performance. © Cooper et al.; Licensee Bentham Open.
Mills, J, Field, J & Cant, R 2011, 'Factors affecting evidence translation for general practice nurses', INTERNATIONAL JOURNAL OF NURSING PRACTICE, vol. 17, no. 5, pp. 455-463.View/Download from: Publisher's site
Mills, J, Field, J & Cant, R 2011, 'Rural and remote Australian general practice nurses' sources of evidence for knowledge translation: A cross-sectional survey', International Journal of Evidence-Based Healthcare, vol. 9, no. 3, pp. 246-251.View/Download from: Publisher's site
Purpose: This paper explores nurses' sources of knowledge for evidence-based practice, comparing rural/remote, urban and regional participants. Methods: A cross-sectional survey of practice nurses in the state of Victoria was conducted in 2008. The instrument used was the Developing Evidence-based Practice Questionnaire - Au, distributed to a convenience sample of nurses with response of 590 (33%). Survey data were stratified by geographical location for this exploratory report. Results: The sample was representative of practice nurses, with half employed in either regional or rural and remote areas. Rural and remote nurses were less qualified in nursing than urban nurses. However, rural, remote and regional nurses were significantly less likely to apply experiential knowledge as evidence and were more likely to source knowledge from clinical nurse specialists or nurse practitioners, local audit reports or articles in research and medical journals. Nurses in each work category reported in-service training, conferences and information shared by colleagues as important in developing their knowledge for practice. According to participants, evidence-based practice would be promoted by allocation of work time, education and training in research skills, and improved access to resources. Conclusions: Rural and remote practice nurses prioritised the development of their skills in sourcing and appraising evidence for practice as a strategy to facilitate knowledge translation at the point of care. © 2011 The Authors. International Journal of Evidence-Based Healthcare © 2011 The Joanna Briggs Institute.
Cant, RP 2010, 'Investing in patients' nutrition: nutrition risk screening in hospital', AUSTRALIAN JOURNAL OF ADVANCED NURSING, vol. 28, no. 2, pp. 81-87.
Cant, RP 2010, 'Patterns of delivery of dietetic care in private practice for patients referred under Medicare Chronic Disease Management: results of a national survey', AUSTRALIAN HEALTH REVIEW, vol. 34, no. 2, pp. 197-203.View/Download from: Publisher's site
Cant, RP 2010, 'Public Health Nutrition: The Accord of Dietitian Providers in Managing Medicare Chronic Care Outpatients in Australia', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol. 7, no. 4, pp. 1841-1854.View/Download from: Publisher's site
Cant, RP 2010, 'Today's profession: Views and practices of private practice dietitians re Medicare Chronic Disease Management program', NUTRITION & DIETETICS, vol. 67, no. 2, pp. 77-83.View/Download from: Publisher's site
Cooper, S, Cant, R, Porter, J, Sellick, K, Somers, G, Kinsman, L & Nestel, D 2010, 'Rating medical emergency teamwork performance: Development of the Team Emergency Assessment Measure (TEAM)', RESUSCITATION, vol. 81, no. 4, pp. 446-452.View/Download from: Publisher's site
Frew, E, Sequeira, J & Cant, R 2010, 'Nutrition screening process for patients in an acute public hospital servicing an elderly, culturally diverse population', NUTRITION & DIETETICS, vol. 67, no. 2, pp. 71-76.View/Download from: Publisher's site
Pomeroy, SEM & Cant, RP 2010, 'General practitioners' decision to refer patients to dietitians: insight into the clinical reasoning process', AUSTRALIAN JOURNAL OF PRIMARY HEALTH, vol. 16, no. 2, pp. 147-153.View/Download from: Publisher's site
Cant, R 2009, 'Constructions of competence within dietetics: Trust, professionalism and communications with individual clients', NUTRITION & DIETETICS, vol. 66, no. 2, pp. 113-118.View/Download from: Publisher's site
Cant, R & Aroni, R 2009, 'Eleven process evaluation strategies for education of individual clients in dietetic practice', NUTRITION & DIETETICS, vol. 66, no. 2, pp. 87-93.View/Download from: Publisher's site
Cant, R & Aroni, RA 2009, 'Validation of performance criteria for Australian dietitians' competence in education of individual clients', NUTRITION & DIETETICS, vol. 66, no. 1, pp. 47-53.View/Download from: Publisher's site
Cant, RP 2009, 'Communication competence within dietetics: dietitians' and clients' views about the unspoken dialogue - the impact of personal presentation', JOURNAL OF HUMAN NUTRITION AND DIETETICS, vol. 22, no. 6, pp. 504-510.View/Download from: Publisher's site
Mills, J, Field, J & Cant, R 2009, 'The Place of Knowledge and Evidence in the Context of Australian General Practice Nursing', WORLDVIEWS ON EVIDENCE-BASED NURSING, vol. 6, no. 4, pp. 219-228.View/Download from: Publisher's site
Porter, J, Raja, R, Cant, R & Aroni, R 2009, 'Exploring issues influencing the use of the Malnutrition Universal Screening Tool by nurses in two Australian hospitals', JOURNAL OF HUMAN NUTRITION AND DIETETICS, vol. 22, no. 3, pp. 203-209.View/Download from: Publisher's site
Cant, R 2008, 'What outcome measures do Australian dietitians use to evaluate nutrition education interventions with individual patients?', NUTRITION & DIETETICS, vol. 65, no. 4, pp. 284-291.View/Download from: Publisher's site
Cant, R & Aroni, R 2008, 'From competent to proficient; nutrition education and counselling competency dilemmas experienced by Australian clinical dietitians in education of individuals', NUTRITION & DIETETICS, vol. 65, no. 1, pp. 84-89.View/Download from: Publisher's site
Cant, RP & Aroni, RA 2008, 'Exploring dietitians' verbal and nonverbal communication skills for effective dietitian-patient communication', JOURNAL OF HUMAN NUTRITION AND DIETETICS, vol. 21, no. 5, pp. 502-511.View/Download from: Publisher's site
Raja, R, Gibson, S, Turner, A, Winderlich, J, Porter, J, Cant, R & Aroni, R 2008, 'Nurses' views and practices regarding use of validated nutrition screening tools', AUSTRALIAN JOURNAL OF ADVANCED NURSING, vol. 26, no. 1, pp. 26-33.