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ABSTRACT Aim Design Method Results Conclusion Implications for the Profession and/or Patient Care Patient or Public Contribution Reporting Method Incontinence‐associated dermatitis poses a significant risk for sacral pressure injuries, infection and morbidity in healthcare settings. Despite the availability of best practice guidelines, implementation remains a challenge.To outline the implementation of a hospital‐wide programme using the Integrated Promoting Action on Research Implementation in Health Services framework to prevent and manage incontinence‐associated dermatitis and improve hospital‐acquired pressure injuries.This is an empirical research study using mixed methods.The study, conducted across surgical, medical and critical care wards between June and October 2023, aimed to address knowledge gaps, enhance clinical practice and evaluate the effectiveness of interventions. The implementation strategy included education modules, engagement of staff through focus groups and targeted interventions such as individualised toileting plans and structured skin care regimens. Data collection involved audits, incident reporting and clinician knowledge surveys.Findings indicate a reduction in hospital‐acquired incontinence‐associated dermatitis and pressure injuries postimplementation, with observed improvements in clinician knowledge. However, challenges including workload, skill mix and resource limitations were identified as barriers to implementation. The sustainability and scalability of the programme were emphasised, with ongoing monitoring and evaluation essential for long‐term success.This study underscores the importance of evidence‐based interventions, interdisciplinary collaboration and leadership support in improving patient outcomes and reducing healthcare costs associated with preventable skin injuries. Further research is needed to assess implementation in community settings and scale up interventions across healthcare networks.Analysing a hospital‐wide programme using the Integrated Promoting Action on Research Implementation in Health Service framework to prevent and manage incontinence‐associated dermatitis and improve hospital‐acquired pressure injuries, could help identify the challenges for delivering patient‐centred care.No patient or public involvement.To describe the implementation study, we referred to the StaRI Guideline.Trial Registration: This intervention study was applied to the whole population and was therefore not a trial and did not require trial registration. The study was considered low risk and the Human Research Ethics Application (HREA) was approved [ABSTRACT FROM AUTHOR]

Aim: The aim of the study was to evaluate a person‐centred model of clinical supervision to enhance person‐centredness. Design: Experimental, quantitative. Methods: One hundred and three New Graduates were supported to reflect through a person‐centred lens (July–December 2020). Evaluation was undertaken at 6 months using: the Manchester Clinical Supervision Scale‐26 (effectiveness of supervision) and the Person‐centred Practice Inventory (measures attributes of the nurse/midwife, the care environment and person‐centred processes). Due to participation difficulties, scores were calculated by attendance rates using descriptive and inferential statistics. Results: Regular attendees scored higher on the supervision's effectiveness; however, this did not reach efficacy. 'Finding time' to attend contributed to low scores. Supervision scored well on its supportive function when attended. Many New Graduates perceived a decline in their care environment. Attendance aside, New Graduates averaged an increased in their person‐centred attributes and processes. Greater participation was found in those who scored higher at baseline on their person‐centred attributes and processes, and this higher scoring continued at 6 months than those who attended less. Conclusion: New Graduates who perceive themselves as person‐centred and reflective at baseline are more likely to attend a person‐centred clinical supervision and score higher at 6 months than those who attended less often. New Graduates found support within supervision during challenging times. Implications for Practice for Professional and/or Patient Care: For successful implementation of Person‐centred Clinical Supervision, New Graduates need support to attend, as attendance supports them to begin seeing value in the process. Impact: This intervention kept person‐centred practice at the forefront of New Graduates reflection, in a time of extreme change. The research has implications for nursing and midwifery management with the imperative to deliver person‐centred care and create the person‐centred cultures for staff to feel supported and empowered. Reporting Method: Transparent Evaluation of Non‐randomized Designs (TREND). Patient of Public Contribution: No patient or public contribution. Contribution to Wider Community: New Graduates grow their person‐centredness over their transitioning year; however, this can be enhanced with regular clinical supervision underpinned by person‐centred theory.Clinical supervisors can provide support to New Graduates when the environment is challenged. [ABSTRACT FROM AUTHOR]

Aims and Objectives: To evaluate the influence of an ageing simulation intervention on qualified acute care nurses' empathy towards older people. Background: Life expectancy is increasing globally with an increased incidence of older people accessing healthcare services. As such, it is essential for qualified nurses within hospital settings to connect with older people by establishing healthful relationships. Empathy is an essential component of healthful nurse‐patient relationships. Fortunately, empathy can be taught through education. Design: A convergent mixed‐methods design was utilised. Methods: Nurses (N = 95) undertook an 8‐hour ageing simulation intervention. Data were collected from April 2019 to May 2020 across three time points: before the intervention (T0); immediately after (T1) and at three months follow‐up (T2). A mix of convenience (intervention) and purposeful (follow‐up) sampling techniques were utilised. Quantitative data were collected via the Interpersonal Reactivity Index survey (n = 86) and analysed using repeat measures ANOVA to compare mean scores across time points. Qualitative data were collected via debriefing discussions (N = 95) and focus groups (n = 38), and analysed using a systematic thematic analysis method. Data convergence occurred during the interpretation phase. Study reported with the TREND checklist. Results: Primarily, when quantitative and qualitative findings were merged they confirmed each others' empathy outcomes. Quantitative results showed a statistically significant increase in affective and cognitive empathy levels among nurses post‐intervention. Qualitative findings expanded on quantitative results and revealed an increase in nurses' affective, cognitive and behavioural empathy represented in themes 'enhancing my empathy', 'impact of ageing', 'from self to others' and 'person‐centred moments'. Conclusions: This study adds empirical evidence how a mixed‐methods design can be used to evaluate the influence of an ageing simulation intervention on nurses' empathy levels. Relevance to clinical practice: Ageing simulation interventions are a suitable experiential educational approach to improve acute care nurses' affective, cognitive and behavioural empathy towards older people. [ABSTRACT FROM AUTHOR]

Aims: To explore whether clinical supervision has an influence on person‐centred practice. Background: The ability to deliver person‐centred care and the ability to engage in reflective practice are two key skills expected of nurses. Person‐centred care shifts nurses thinking from the patient's disease state to their personhood. Clinical supervision has been proposed as a place to explore person‐centred care. Person‐centred practice extends person‐centredness to enhance healthful relationships between care providers, services users and their significant others. Methods: An integrative literature was conducted with the key words 'clinical supervision' and 'person‐centredness' within CINAHL, Medline, PsychInfo and Google Scholar. The PRISMA statement was used to report the identification, selection, appraisal and synthesis of articles and PRISMA diagram reports the selection process. The Mixed Methods Appraisal Tool was used to appraise the articles, followed by a thematic analysis. The Template for Intervention Description and Replication was used to explore the concept of clinical supervision. Results: Twelve articles met the inclusion criteria. Person‐centredness and clinical supervision are not universally defined concepts. Clinical supervision in this context was mainly an adjunct to educative programmes. Clinical supervision has a positive influence on participants' person‐centred attributes, but the influence on others is less clear. The clinical supervisor's qualities are pivotal to supervisions' success. Conclusions: Clinical supervision is a common reflective strategy used to explore nursing practice, yet as a strategy to enhance person‐centred practices, is under‐researched. Participants can experience person‐centredness when their supervisor has person‐centred attributes, an important aspect in delivering person‐centred care. Relevance to clinical practice: This review identified a gap in the literature between two common nursing concepts 'clinical supervision' and 'person‐centred care/practices'. There is a need to conduct further research into the combination of these concepts to seek ways to embed person‐centredness into health care and everyday nursing practice. [ABSTRACT FROM AUTHOR]

Aims and Objectives: To explore how nurses and midwives engage with patient experience data collected via a mobile health app to inform person‐centred practice improvements. Background: A large amount of data is collected in healthcare, yet there is limited evidence outlining how nursing and midwifery staff utilise patient experience data to inform person‐centred quality and safety improvements. Methods: This study utilised action research, underpinned by Practice Development methodology and has been reported using the SQUIRE 2.0 checklist. Six clinical units (medical short stay, acute medical, surgical, oncology/haematology, day surgery and maternity) in a large health district in Australia engaged in three cycles of data collection using a mobile health app. The app captured patient experience data relating to the person‐centred KPIs developed and tested by McCance et al. (2012). Staff used the data to develop and evaluate person‐centred practice. Results: A number of improvements in scores and practice occurred through engaging with the data in a cyclical way. All six clinical units saw an improvement in four or more of the KPIs in the patient survey results from cycle one to cycle three, with two clinical units improving in all eight. On average across the six units, there was also an increase in time nurses/midwives were visible to their patients, an increase in clinical documentation reflecting the patients' needs and what was important to them, an increase in positive comments and a decrease in negative comments in patient stories. Conclusion: This study shows that collecting and utilising data from the person‐centred KPIs in a collaborative and cyclical way lead to enhanced patient experience and the development and implementation of person‐centred quality and safety improvements. Relevance to clinical practice: Capturing and utilising data that are meaningful to nursing/midwifery teams in a cyclical, action‐orientated approach result in person‐centred practice improvements that enhance the experience of those that are receiving and delivering patient care. [ABSTRACT FROM AUTHOR]

Aim: Explore how nurses and midwives use patient experience data collected from a mobile health app to influence the development of person‐centred practice. Design: Participatory action research, underpinned by the Person‐Centred Nursing Framework and Practice Development principles. Methods: Six clinical units in a large health district engaged in three action cycles from 2018 to 2020 using a mobile health app. Nursing/midwifery staff on the units (N = 177) utilized data collected via the app to evaluate and improve person‐centred practice. A pre–post survey using the PCPI‐S was conducted to evaluate staff perceptions of person‐centredness. Data from the surveys (n = 101 in 2018 and n = 102 in 2020) and 17 semi‐structured interviews were used to understand the influence working with these data had on person‐centred practice. The Guidelines for Best Practices in the Reporting of Participatory Action Research have been used to report this study. Results: Improvements in person‐centred practice were noted across both data sets. There was a statistically significant increase in two domains of the PCPI‐S in the independent t‐test and across all three domains in the paired t‐test results. Thematic analysis resulted in the identification of six themes: Getting everyone on board, once we understood, keeping on track, there's a person in the bed, knowing you're doing a good job and improving over time. Conclusion: Engaging with the data collected from the app in a facilitated and collaborative way results in increases in person‐centredness. Impact This study provides insight into how nurses and midwives used data from a mHealth app to evaluate and improve person‐centred practice. Utilizing the data generated by the app resulted in increased person‐centredness amongst staff and changes to practice and culture. Nursing and midwifery teams who are supported to engage with patient experience data in an action‐oriented way will see person‐centred practice improvements, affecting patients and staff. [ABSTRACT FROM AUTHOR]

Aim and objectives: To explore the thoughts and experiences of aged care nurses following participation in an ageing‐suit simulation intervention. Background: Globally, people are living longer, and for nurses, there are increasing challenges to meet the needs of the higher numbers of older people in hospital. Educating nurses to understand the ageing process and the experiences of older people in hospital is crucial to addressing these challenges. Ageing‐suits were identified as a possible approach to assist with these educational needs. Design: This study adopted a qualitative descriptive design. Method: A convenience sample of nurses (n = 15) were selected from a single aged care ward. Volunteered nurses participated in a four‐hour ageing‐suit simulation session. Their immediate thoughts and experiences were explored via postsimulation debriefs, and three 30‐to 50‐min follow‐up focus groups were conducted at 3 months to explore perceptions on the impact of their experience on clinical practices. The data were analysed with the Braun and Clarke's six‐step thematic analysis method. To ensure quality reporting of this study, the COREQ checklist was utilised (see Appendix S1). Results: Data analysis generated three main themes. Nurses in the study highlighted that the experience of the ageing‐suit resulted in "it feels real" (theme 1) and helped them in "enhancing understanding" (theme 2) about older people and their practices and supported a process of "changing me" (theme 3). Conclusion: Ageing‐suits are emerging as a promising innovative educational approach for aged care nurses to gain insight into the challenges of ageing and subsequently making changes to themselves and their individualised practices towards older people. Future research is required to determine whether this educational approach is useful for a broader population of healthcare professionals. Relevance to clinical practice: Ageing‐suits were identified as a worthwhile educational approach for aged care nurses to improve their specialised clinical practices with older people. [ABSTRACT FROM AUTHOR]

Aims and Objectives: To assess the impact of the proactive organisational resource allocation in terms of a 6‐week well‐being initiative to support public healthcare professionals' workplace engagement, well‐being and job satisfaction. Background: Burnout of healthcare professionals can be a major cost to the Australian economy and public healthcare sector. According to the social exchange theory, when healthcare professionals perceive that their organisation proactively allocates resources to caring for its employees, then they are more likely to reciprocate and become more engaged in their work roles. Design: The study used a pre‐ and postsurvey of healthcare professionals who participated in the well‐being initiative. Methods: Between February–June 2019, 172 healthcare professionals were surveyed before and after a well‐being initiative. The survey included questions on workplace engagement, workplace well‐being and job satisfaction. Paired t tests were used to determine whether the difference between before and after averages was significant. The TREND statement was used to ensure the quality reporting of this study. Results: The well‐being initiative had a positive impact on the healthcare professionals involved in the initiative. Nursing staff benefitted the most from the well‐being initiative, while the full‐time staff members and highly experienced demonstrated an increase in engagement. Conclusion: Well‐being initiatives can be a targeted strategy to help alleviate burnout amongst healthcare professionals and build a mutually beneficial relationship between management and employees. Relevance to clinical practice: This study shows how implementing a staff well‐being initiative increases workplace engagement, which benefits both the individual and the organisation. [ABSTRACT FROM AUTHOR]

Aims and objectives To present survey findings on parental experiences with a hospital-based bead programme for children with congenital heart disease. Background The Heart Beads programme commenced at a paediatric hospital in Australia in 2008. Children enrolled in the programme are awarded a distinctive bead for every procedure/treatment they have while in hospital. A previous evaluation study on the programme revealed that the beads are therapeutic for the child and parents; however, due to a small sample size, the results were representative of the experiences of a small number of families who participated in the programme. Design This was an evaluation study which employed a nonexperimental descriptive design. Methods Surveys were mailed to all eligible families who enrolled in the programme. Data collection occurred between July-December 2012. Questions on parental experiences with the Heart Beads programme were divided into three categories: understanding, acknowledgement and quality. Descriptive statistics were obtained and analysed. Results/findings One hundred and sixty-two mothers and 136 fathers responded to the survey. Heart Beads assisted mothers (83%) and fathers (80%) with understanding their child's condition and helped them with communication (mothers 80%, fathers 58%). The majority of fathers felt that their experience was acknowledged by nursing staff (64%) and medical staff (62%), while mothers indicated a higher response from nurses (76%) compared to medical staff (67%). Overall, parents rated the programme positively; however, there was some concern that children at times missed out on beads. Conclusion Understanding how mothers and fathers experience the programme differently can guide staff in their communication with parents and inform future initiatives. Relevance to clinical practice The Heart Beads help nurses understand how parents are experiencing care and ways in which they can provide support and acknowledgement of the parent's experience. [ABSTRACT FROM AUTHOR]

Aims To examine how results and data from multiple Family Centred Nursing Index surveys help the development of family-centred nursing at organizational and ward levels. Design A critical analysis of survey data. Background The Family Centred Nursing Index provides a valid and reliable assessment of aspects of nursing, through a comprehensive survey of traditional indicators of practice development and a broader range of aspects of practice. Methods A survey with 113 questions, each to be answered on 7-point Likert scale conducted six times in the last 7 years. Surveys have been in 2006, 2008, 2009, 2010, 2011/2012 and 2012/2013. All nurses employed by the organization can participate. Results These are reported as means across 19 constructs linked to five key domains and their significance is examined by year and (in the clinical settings) and compared against the organizational (whole population) averages. Ongoing survey and analysis of nurses' views of their work is providing a valuable source of developmental data. The results show unexpected associations between constructs e.g. - a high level of work stress does not correlate with a lower level of job satisfaction (and vice versa). A clear historical picture of many elements of developing family-centred care is emerging at both the organizational and individual-ward levels. Conclusion This study provides insights into aspects of organizational and wards working environment for nurses and how these aspects of nurses' work interact in unexpected ways. It is appropriate for providing information to organizations and ward teams in relation to their development towards family-centred cultures. [ABSTRACT FROM AUTHOR]

Aims. To present and discuss the significance of a bead program in assisting families to put together the story of a child's journey through cardiac intervention. The main focus of the article is the importance to families of developing a narrative in making sense of the experience of discovering their child has a cardiac condition and how this is enhanced by the bead program. Background. The Heart Beads Program involved giving families beads related to procedures and processes the children undergo while they are in hospital. Research on narratives related to illness suggests that forming a narrative that incorporates the health condition facilitates the ability to talk about these experiences and helps to make sense of and deal with the stressors related to such traumatic life events. Design. A qualitative methodology was used to evaluate the program employing semi-structured interviews and content analysis following a grounded theory approach. Methods. Interviews were undertaken with 11 families to highlight their experiences of being involved in the Heart Beads Program. Themes were identified from the interviews and critical discussion was used to structure and connect the themes. Results. The major theme that emerged from the analysis of the interviews was the importance of the beads in enabling the telling of the child's story. Five subthemes were identified in this theme: symbolism, encouraging/uplifting, acknowledgement, connection with others and imagining the future. The themes are outlined and expressed through specific comments from interviews. Conclusions. The Heart Beads are seen as presenting a significant way for children and families to comprehend their time in hospital as part of the child's life story. Relevance to clinical practice. The program can offer the opportunity for health care professionals to relate to the child and family's story and to engage with that story in a person centred way. [ABSTRACT FROM AUTHOR]