Search

Your search keyword '"Eley R."' showing total 328 results
Start Over Author "Eley R."
328 results on '"Eley R."'

6. The ILRI Graduate Fellows Programme: A Case Study of Impact (1978-1997).

Author

Eley, R., Ibrahim, H., Hambly, H., Demeke, Mulat, and Smalley, M.

Abstract

Data from 30 Kenyan and 30 Ethiopian fellows of the International Livestock Research Institute indicated that the institute provided high-quality training for graduate students and contributed to capacity building in national agricultural research systems. Such fellowship programs can help reverse the brain drain in African nations. (Contains 16 references.) (SK)

Published
2003

9. Chronic disease management in emergency department patients presenting with dyspnoea.

Author

Jones P., Kelly A.-M., Keijzers G., Klim S., Holdgate A., Graham C.A., Craig S., Kuan W.S., Laribi S., McNulty R., Tan C., Cowell D.L., Jain N., Devillecourt T., Forrester A., Lee K., Chalkley D., Gillett M., Lozzi L., Asha S., Duffy M., Watkins G., Stone R., Rosengren D., Thone J., Martin S., Orda U., Thom O., Kinnear F., Eley R., Ryan A., Morel D., May C., Furyk J., Thomson G., Smith S., Smith R., Maclean A., Grummisch M., Meyer A., Meek R., Rosengarten P., Chan B., Haythorne H., Archer P., Wilson K., Knott J., Ritchie P., Bryant M., MacDonald S., Lee T., Mahlangu M., Mountain D., Rogers I., Otto T., Stuart P., Bament J., Brown M., Greven-Garcia R., Scott M., Cheri T., Nguyen M., Graham C., Wong C.-P., Wong T.W., Leung L.-P., Man C.K., Saiboon I.M., Rahman N.H., Lee W.Y., Yue Lee F.C., Russell K., Lawoko C., Jones P., Kelly A.-M., Keijzers G., Klim S., Holdgate A., Graham C.A., Craig S., Kuan W.S., Laribi S., McNulty R., Tan C., Cowell D.L., Jain N., Devillecourt T., Forrester A., Lee K., Chalkley D., Gillett M., Lozzi L., Asha S., Duffy M., Watkins G., Stone R., Rosengren D., Thone J., Martin S., Orda U., Thom O., Kinnear F., Eley R., Ryan A., Morel D., May C., Furyk J., Thomson G., Smith S., Smith R., Maclean A., Grummisch M., Meyer A., Meek R., Rosengarten P., Chan B., Haythorne H., Archer P., Wilson K., Knott J., Ritchie P., Bryant M., MacDonald S., Lee T., Mahlangu M., Mountain D., Rogers I., Otto T., Stuart P., Bament J., Brown M., Greven-Garcia R., Scott M., Cheri T., Nguyen M., Graham C., Wong C.-P., Wong T.W., Leung L.-P., Man C.K., Saiboon I.M., Rahman N.H., Lee W.Y., Yue Lee F.C., Russell K., and Lawoko C.

Abstract

Objectives: Guideline recommended treatments for chronic conditions are thought to reduce ED presentations. Method(s): We used data from 1958 ED patients with dyspnoea to describe medication use in patients with chronic conditions. Result(s): A total of 1233 (63.5%) patients had one or more of: chronic obstructive pulmonary disease 547 (28%), asthma 454 (23%), atrial fibrillation 368 (19%) or heart failure 401 (21%). Approximately, 70% were prescribed appropriate preventative medication for their chronic condition when they presented to ED with dyspnoea. Conclusion(s): Prescription of guideline recommended therapies for chronic conditions in patients presenting to the ED in Australasia with acute dyspnoea is similar or higher than reported previously.Copyright © 2020 Australasian College for Emergency Medicine

Published
2021

10. Get with the guidelines: management of chronic obstructive pulmonary disease in emergency departments in Europe and Australasia is sub-optimal.

Author

Furyk J., Stuart P., Bament J., Brown M., Greven-Garcia R., Scott M., Cheri T., Nguyen M., Wong C.-P., Wong T.W., Leung L.-P., Man C.K., Bryant M., MacDonald S., Lee T., Mahlangu M., Mountain D., Rogers I., Otto T., Saiboon I.M., Rahman N.H., Lee W.Y., Lee F.C.Y., Russell S., Lawoko C., Laribi S., Al Dandachi G., Maignan M., Hermand D., Tessier C., Roy P.-M., Bucco L., Carbone G., Cosentini R., Truta S., Hrihorisan N., Cimpoesu D., Rotaru L., Petrica A., Cojocaru M., Nica S., Tudoran R., Vecerdi C., Puticiu M., Schonberger T., Coolsma C., Baggelaar M., Fransen N., van den Brand C., Idzenga D., Maas M., Franssen M., Mackaij-Staal C., Schutte L., de Kubber M., Mignot-Evers L., Penninga-Puister U., Jansen J., Kuijten J., Bouwhuis M., Reuben A., Smith J., Ramlakhan S., Darwent M., Gagg J., Keating L., Bongale S., Hardy E., Keep J., Jarman H., Crane S., Lawal O., Hassan T., Corfield A., Reed M., Smolarsky Y., Blaschke S., Jerrentrup C., Hohenstein C., Brunnler F., Ghuysen A., Vranckx M., Ergin M., Dundar Z.D., Altuncu Y.A., Arziman I., Avcil M., Katirci Y., Kokkonen L., Valli J., Kiljunen M., Tolonen J., Kaye S., Makela J., Metsaniitty J., Vaula E., Duytsche N., Garmilla P., Kelly A.-M., Van Meer O., Keijzers G., Motiejunaite J., Jones P., Body R., Craig S., Karamercan M., Klim S., Harjola V.-P., Verschuren F., Holdgate A., Christ M., Golea A., Graham C.A., Capsec J., Barletta C., Garcia-Castrillo L., Kuan W.S., McNulty R., Tan C., Cowell D.L., Jain N., Devillecourt T., Forrester A., Lee K., Chalkley D., Gillett M., Lozzi L., Asha S., Duffy M., Watkins G., Stone R., Rosengren D., Thone J., Martin S., Orda U., Thom O., Kinnear F., Eley R., Ryan A., Morel D., May C., Thomson G., Smith S., Smith R., Maclean A., Grummisch M., Meyer A., Meek R., Rosengarten P., Chan B., Haythorne H., Archer P., Wilson K., Knott J., Ritchie P., Furyk J., Stuart P., Bament J., Brown M., Greven-Garcia R., Scott M., Cheri T., Nguyen M., Wong C.-P., Wong T.W., Leung L.-P., Man C.K., Bryant M., MacDonald S., Lee T., Mahlangu M., Mountain D., Rogers I., Otto T., Saiboon I.M., Rahman N.H., Lee W.Y., Lee F.C.Y., Russell S., Lawoko C., Laribi S., Al Dandachi G., Maignan M., Hermand D., Tessier C., Roy P.-M., Bucco L., Carbone G., Cosentini R., Truta S., Hrihorisan N., Cimpoesu D., Rotaru L., Petrica A., Cojocaru M., Nica S., Tudoran R., Vecerdi C., Puticiu M., Schonberger T., Coolsma C., Baggelaar M., Fransen N., van den Brand C., Idzenga D., Maas M., Franssen M., Mackaij-Staal C., Schutte L., de Kubber M., Mignot-Evers L., Penninga-Puister U., Jansen J., Kuijten J., Bouwhuis M., Reuben A., Smith J., Ramlakhan S., Darwent M., Gagg J., Keating L., Bongale S., Hardy E., Keep J., Jarman H., Crane S., Lawal O., Hassan T., Corfield A., Reed M., Smolarsky Y., Blaschke S., Jerrentrup C., Hohenstein C., Brunnler F., Ghuysen A., Vranckx M., Ergin M., Dundar Z.D., Altuncu Y.A., Arziman I., Avcil M., Katirci Y., Kokkonen L., Valli J., Kiljunen M., Tolonen J., Kaye S., Makela J., Metsaniitty J., Vaula E., Duytsche N., Garmilla P., Kelly A.-M., Van Meer O., Keijzers G., Motiejunaite J., Jones P., Body R., Craig S., Karamercan M., Klim S., Harjola V.-P., Verschuren F., Holdgate A., Christ M., Golea A., Graham C.A., Capsec J., Barletta C., Garcia-Castrillo L., Kuan W.S., McNulty R., Tan C., Cowell D.L., Jain N., Devillecourt T., Forrester A., Lee K., Chalkley D., Gillett M., Lozzi L., Asha S., Duffy M., Watkins G., Stone R., Rosengren D., Thone J., Martin S., Orda U., Thom O., Kinnear F., Eley R., Ryan A., Morel D., May C., Thomson G., Smith S., Smith R., Maclean A., Grummisch M., Meyer A., Meek R., Rosengarten P., Chan B., Haythorne H., Archer P., Wilson K., Knott J., and Ritchie P.

Published
2020

11. The Australasian Resuscitation In Sepsis Evaluation: Fluids or vasopressors in emergency department sepsis (ARISE FLUIDS), a multi-centre observational study describing current practice in Australia and New Zealand.

Author

Tan E., Burcham J., Coggins A.R., Delaney A., Fatovich D.M., Fraser J.F., Harley A., Jones P., Kinnear F.B., May K., Peake S., Williams P., Nguyen K., Foong L.H., Hullick C., McNulty R., Na A., Trethewy C., Lutze L., Zhang M., Cowan T., Middleton P., Avis S., Vidler S., Salter M., Janes S., Harwood T., Oliver M., Jazayeri F., Jones S., Davoren M., Coggins A., Pradhananga B., Newby L., Beck S., Sandleback B., Rabas S., Harger S., Song R., Gutenstein M., Munro A., Connely M., Goodson J., Mclean A., Brabyn C., Mukerji S., Simmonds H., Young P., Sugeng Y., Bird C., McConnell A., Henderson P., Johnson D., Perez S., Mahani A., Orda U., Thom O., Roberts K., Kinnear F., Hazelwood S., Pham H., Eley R., Livesay G., Devlin M., Murdoch I., Wood E., Williams J., Brown N., King A., Sadewasser J., Jones L., Gangathimmaiah V., Manudhane A., Haustead D., Ascencio-Lane J.-C., Taylor D.M., Buntine P., Walker K., Pouryahya P., Crompton D., Sultana R., Campbell T., Dwyer R., Blecher G., Knott J., Mitra B., Luckhoff C., Young R., Rudling N., Mukherjee A., Dyke K.-L., Parker C., Cooper A., Nagree Y., Koay K., Kruger C., Ghedina N., Smedley B., Macdonald S., Hamersley H., Keijzers G., Macdonald S.P.J., Udy A.A., Arendts G., Bailey M., Bellomo R., Blecher G.E., Tan E., Burcham J., Coggins A.R., Delaney A., Fatovich D.M., Fraser J.F., Harley A., Jones P., Kinnear F.B., May K., Peake S., Williams P., Nguyen K., Foong L.H., Hullick C., McNulty R., Na A., Trethewy C., Lutze L., Zhang M., Cowan T., Middleton P., Avis S., Vidler S., Salter M., Janes S., Harwood T., Oliver M., Jazayeri F., Jones S., Davoren M., Coggins A., Pradhananga B., Newby L., Beck S., Sandleback B., Rabas S., Harger S., Song R., Gutenstein M., Munro A., Connely M., Goodson J., Mclean A., Brabyn C., Mukerji S., Simmonds H., Young P., Sugeng Y., Bird C., McConnell A., Henderson P., Johnson D., Perez S., Mahani A., Orda U., Thom O., Roberts K., Kinnear F., Hazelwood S., Pham H., Eley R., Livesay G., Devlin M., Murdoch I., Wood E., Williams J., Brown N., King A., Sadewasser J., Jones L., Gangathimmaiah V., Manudhane A., Haustead D., Ascencio-Lane J.-C., Taylor D.M., Buntine P., Walker K., Pouryahya P., Crompton D., Sultana R., Campbell T., Dwyer R., Blecher G., Knott J., Mitra B., Luckhoff C., Young R., Rudling N., Mukherjee A., Dyke K.-L., Parker C., Cooper A., Nagree Y., Koay K., Kruger C., Ghedina N., Smedley B., Macdonald S., Hamersley H., Keijzers G., Macdonald S.P.J., Udy A.A., Arendts G., Bailey M., Bellomo R., and Blecher G.E.

Abstract

Objectives: To describe haemodynamic resuscitation practices in ED patients with suspected sepsis and hypotension. Method(s): This was a prospective, multicentre, observational study conducted in 70 hospitals in Australia and New Zealand between September 2018 and January 2019. Consecutive adults presenting to the ED during a 30-day period at each site, with suspected sepsis and hypotension (systolic blood pressure <100 mmHg) despite at least 1000 mL fluid resuscitation, were eligible. Data included baseline demographics, clinical and laboratory variables and intravenous fluid volume administered, vasopressor administration at baseline and 6- and 24-h post-enrolment, time to antimicrobial administration, intensive care admission, organ support and in-hospital mortality. Result(s): A total of 4477 patients were screened and 591 were included with a mean (standard deviation) age of 62 (19) years, Acute Physiology and Chronic Health Evaluation II score 15.2 (6.6) and a median (interquartile range) systolic blood pressure of 94 mmHg (87-100). Median time to first intravenous antimicrobials was 77 min (42-148). A vasopressor infusion was commenced within 24 h in 177 (30.2%) patients, with noradrenaline the most frequently used (n = 138, 78%). A median of 2000 mL (1500-3000) of intravenous fluids was administered prior to commencing vasopressors. The total volume of fluid administered from pre-enrolment to 24 h was 4200 mL (3000-5661), with a range from 1000 to 12 200 mL. Two hundred and eighteen patients (37.1%) were admitted to an intensive care unit. Overall in-hospital mortality was 6.2% (95% confidence interval 4.4-8.5%). Conclusion(s): Current resuscitation practice in patients with sepsis and hypotension varies widely and occupies the spectrum between a restricted volume/earlier vasopressor and liberal fluid/later vasopressor strategy.Copyright © 2020 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian

Published
2020

12. Get with the guidelines: management of chronic obstructive pulmonary disease in emergency departments in Europe and Australasia is sub-optimal

Author

Kelly, AM, Van Meer, O, Keijzers, G, Motiejunaite, J, Jones, P, Body, R, Craig, S, Karamercan, M, Klim, S, Harjola, VP, Verschuren, F, Holdgate, A, Christ, M, Golea, A, Graham, CA, Capsec, J, Barletta, C, Garcia-Castrillo, L, Kuan, WS, Laribi, S, McNulty, R, Tan, C, Cowell, DL, Jain, N, Devillecourt, T, Forrester, A, Lee, K, Chalkley, D, Gillett, M, Lozzi, L, Asha, S, Duffy, M, Watkins, G, Stone, R, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Eley, R, Ryan, A, Morel, D, May, C, Furyk, Jeremy, Thomson, G, Smith, S, Smith, R, Maclean, A, Grummisch, M, Meyer, A, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Lee, T, Mahlangu, M, Mountain, D, Rogers, I, Otto, T, Stuart, P, Bament, J, Brown, M, Greven-Garcia, R, Scott, M, Cheri, T, Nguyen, M, Wong, CP, Wong, TW, Leung, LP, Man, CK, Saiboon, IM, Rahman, NH, Lee, WY, Lee, FCY, Russell, SK, Lawoko, C, Al Dandachi, G, Maignan, M, Hermand, DC, Tessier, C, Roy, PM, Bucco, L, Duytsche, N, Garmilla, P, Carbone, G, Cosentini, R, Truță, S, Hrihorișan, N, Cimpoeșu, D, Rotaru, L, Petrică, A, Cojocaru, M, Kelly, AM, Van Meer, O, Keijzers, G, Motiejunaite, J, Jones, P, Body, R, Craig, S, Karamercan, M, Klim, S, Harjola, VP, Verschuren, F, Holdgate, A, Christ, M, Golea, A, Graham, CA, Capsec, J, Barletta, C, Garcia-Castrillo, L, Kuan, WS, Laribi, S, McNulty, R, Tan, C, Cowell, DL, Jain, N, Devillecourt, T, Forrester, A, Lee, K, Chalkley, D, Gillett, M, Lozzi, L, Asha, S, Duffy, M, Watkins, G, Stone, R, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Eley, R, Ryan, A, Morel, D, May, C, Furyk, Jeremy, Thomson, G, Smith, S, Smith, R, Maclean, A, Grummisch, M, Meyer, A, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Lee, T, Mahlangu, M, Mountain, D, Rogers, I, Otto, T, Stuart, P, Bament, J, Brown, M, Greven-Garcia, R, Scott, M, Cheri, T, Nguyen, M, Wong, CP, Wong, TW, Leung, LP, Man, CK, Saiboon, IM, Rahman, NH, Lee, WY, Lee, FCY, Russell, SK, Lawoko, C, Al Dandachi, G, Maignan, M, Hermand, DC, Tessier, C, Roy, PM, Bucco, L, Duytsche, N, Garmilla, P, Carbone, G, Cosentini, R, Truță, S, Hrihorișan, N, Cimpoeșu, D, Rotaru, L, Petrică, A, and Cojocaru, M

Published
2020

13. The Australasian Resuscitation In Sepsis Evaluation: Fluids or vasopressors in emergency department sepsis (ARISE FLUIDS), a multi-centre observational study describing current practice in Australia and New Zealand

Author

Keijzers, G, Macdonald, SPJ, Udy, AA, Arendts, G, Bailey, M, Bellomo, R, Blecher, GE, Burcham, J, Coggins, AR, Delaney, A, Fatovich, DM, Fraser, JF, Harley, A, Jones, P, Kinnear, FB, May, K, Peake, S, Taylor, DM, Williams, P, Khanh, N, Foong, LH, Hullick, C, McNulty, R, Na, A, Trethewy, C, Lutze, L, Zhang, M, Cowan, T, Middleton, P, Avis, S, Vidler, S, Salter, M, Janes, S, Harwood, T, Oliver, M, Jazayeri, F, Jones, S, Davoren, M, Coggins, A, Pradhananga, B, Newby, L, Beck, S, Sandleback, B, Rabas, S, Harger, S, Tan, E, Song, R, Gutenstein, M, Munro, A, Connely, M, Goodson, J, Mclean, A, Brabyn, C, Mukerji, S, Simmonds, H, Young, P, Sugeng, Y, Bird, C, McConnell, A, Henderson, P, Johnson, D, Perez, S, Mahani, A, Orda, U, Thom, O, Roberts, K, Kinnear, F, Hazelwood, S, Hanh, P, Eley, R, Livesay, G, Devlin, M, Murdoch, I, Wood, E, Williams, J, Brown, N, King, A, Sadewasser, J, Jones, L, Gangathimmaiah, V, Manudhane, A, Haustead, D, Ascencio-Lane, J-C, Buntine, P, Walker, K, Pouryahya, P, Crompton, D, Sultana, R, Campbell, T, Dwyer, R, Blecher, G, Knott, J, Mitra, B, Luckhoff, C, Young, R, Rudling, N, Mukherjee, A, Dyke, K-L, Parker, C, Cooper, A, Nagree, Y, Koay, K, Kruger, C, Ghedina, N, Smedley, B, Macdonald, S, Hamersley, H, Keijzers, G, Macdonald, SPJ, Udy, AA, Arendts, G, Bailey, M, Bellomo, R, Blecher, GE, Burcham, J, Coggins, AR, Delaney, A, Fatovich, DM, Fraser, JF, Harley, A, Jones, P, Kinnear, FB, May, K, Peake, S, Taylor, DM, Williams, P, Khanh, N, Foong, LH, Hullick, C, McNulty, R, Na, A, Trethewy, C, Lutze, L, Zhang, M, Cowan, T, Middleton, P, Avis, S, Vidler, S, Salter, M, Janes, S, Harwood, T, Oliver, M, Jazayeri, F, Jones, S, Davoren, M, Coggins, A, Pradhananga, B, Newby, L, Beck, S, Sandleback, B, Rabas, S, Harger, S, Tan, E, Song, R, Gutenstein, M, Munro, A, Connely, M, Goodson, J, Mclean, A, Brabyn, C, Mukerji, S, Simmonds, H, Young, P, Sugeng, Y, Bird, C, McConnell, A, Henderson, P, Johnson, D, Perez, S, Mahani, A, Orda, U, Thom, O, Roberts, K, Kinnear, F, Hazelwood, S, Hanh, P, Eley, R, Livesay, G, Devlin, M, Murdoch, I, Wood, E, Williams, J, Brown, N, King, A, Sadewasser, J, Jones, L, Gangathimmaiah, V, Manudhane, A, Haustead, D, Ascencio-Lane, J-C, Buntine, P, Walker, K, Pouryahya, P, Crompton, D, Sultana, R, Campbell, T, Dwyer, R, Blecher, G, Knott, J, Mitra, B, Luckhoff, C, Young, R, Rudling, N, Mukherjee, A, Dyke, K-L, Parker, C, Cooper, A, Nagree, Y, Koay, K, Kruger, C, Ghedina, N, Smedley, B, Macdonald, S, and Hamersley, H

Abstract

OBJECTIVES: To describe haemodynamic resuscitation practices in ED patients with suspected sepsis and hypotension. METHODS: This was a prospective, multicentre, observational study conducted in 70 hospitals in Australia and New Zealand between September 2018 and January 2019. Consecutive adults presenting to the ED during a 30-day period at each site, with suspected sepsis and hypotension (systolic blood pressure <100 mmHg) despite at least 1000 mL fluid resuscitation, were eligible. Data included baseline demographics, clinical and laboratory variables and intravenous fluid volume administered, vasopressor administration at baseline and 6- and 24-h post-enrolment, time to antimicrobial administration, intensive care admission, organ support and in-hospital mortality. RESULTS: A total of 4477 patients were screened and 591 were included with a mean (standard deviation) age of 62 (19) years, Acute Physiology and Chronic Health Evaluation II score 15.2 (6.6) and a median (interquartile range) systolic blood pressure of 94 mmHg (87-100). Median time to first intravenous antimicrobials was 77 min (42-148). A vasopressor infusion was commenced within 24 h in 177 (30.2%) patients, with noradrenaline the most frequently used (n = 138, 78%). A median of 2000 mL (1500-3000) of intravenous fluids was administered prior to commencing vasopressors. The total volume of fluid administered from pre-enrolment to 24 h was 4200 mL (3000-5661), with a range from 1000 to 12 200 mL. Two hundred and eighteen patients (37.1%) were admitted to an intensive care unit. Overall in-hospital mortality was 6.2% (95% confidence interval 4.4-8.5%). CONCLUSION: Current resuscitation practice in patients with sepsis and hypotension varies widely and occupies the spectrum between a restricted volume/earlier vasopressor and liberal fluid/later vasopressor strategy.

Published
2020

16. Individual and environmental determinants of burnout among nurses

Author

Rees, C.S., Eley, R., Osseiran-Moisson, R., Francis, K., Cusack, L., Heritage, B., Hegney, D., Rees, C.S., Eley, R., Osseiran-Moisson, R., Francis, K., Cusack, L., Heritage, B., and Hegney, D.

Abstract

Objective Burnout is a significant problem affecting the nursing workforce and is associated with significant personal suffering and high rates of nurse turnover. Efforts to further understand the variables that explain burnout are needed. The aim of this cross-sectional study was to examine both environmental and individual factors that may explain burnout among nurses. Method We recruited 1848 Australian nurses to complete several online questionnaires measuring the practice environment (Practice Environment Scale of the Nursing Work Index), burnout (Professional Quality of Life Scale), trait negative affect (Spielberger State-Trait Anxiety Inventory form Y2) and resilience (Connor Davidson Resilience Scale). Correlational analysis as well as hierarchical regression was used to determine the relative importance of variables in explaining burnout scores. Results All of the practice environment scales were significantly related to burnout in the negative direction, and these relationships were above .3 for all except the relationship scale (r = –.256) and the participation in hospital affairs scale (r = –.285). Overall, the regression model accounted for 62% of the variance in nurse burnout scores. Trait negative affect, resilience and two aspects of practice environment (Manager sub-scale and Staffing sub-scale) all explained significant variance in burnout scores. The largest contribution came from the two individual variables (resilience and trait negative affect) that together explained 55% of the variance in burnout scores. Conclusions Findings suggest that health service administrators should provide nursing staff with education and support to build individual resilience. Workplaces that attend to staffing and resource issues and have managers who provide high levels of support to their staff appear to be essential strategies to help prevent nurse burnout.

Published
2019

18. Perceptions of nursing workloads and contributing factors, and their impact on implicit care rationing: A Queensland, Australia study

Author

Hegney, D., Rees, Clare, Osseiran-Moisson, R., Breen, Lauren, Eley, R., Windsor, C., Harvey, C., Hegney, D., Rees, Clare, Osseiran-Moisson, R., Breen, Lauren, Eley, R., Windsor, C., and Harvey, C.

Abstract

© 2018 John Wiley & Sons Ltd Aims: To explore nurses’ perceptions of factors affecting workloads and their impact on patient care. Background: Fiscal restraints and unpredictable patient illness trajectories challenge the provision of care. Cost containment affects the number of staff employed and the skill-mix for care provision. While organisations may acknowledge explicit rationing of care, implicit rationing takes place at the point of service as nurses are forced to make decisions about what care they can provide. Method: A self-report cross sectional study was conducted using an on-line survey with 2,397 nurses in Queensland, Australia. Results: Twenty to forty per cent reported being unable to provide care in the time available; having insufficient staff; and an inadequate skill-mix. The respondents reported workload and skill-mix issues leading to implicit care rationing. Over 60% believed that the processes to address workload issues were inadequate. Conclusions: Institutional influences on staffing levels and skill-mix are resulting in implicit care rationing. Implications for Nurse Managers: Adequate staffing should be based on patient acuity and the skill-mix required for safe care. Managers should be more assertive about adequate clinical workloads, involve staff in decision-making, and adopt a systematic planning approach. Failure to do so results in implicit care rationing impacting on patient safety.

Published
2018

19. The Effects of Occupational Violence on the Well-being and Resilience of Nurses

Author

Rees, Clare, Wirihana, L., Eley, R., Ossieran-Moisson, R., Hegney, D., Rees, Clare, Wirihana, L., Eley, R., Ossieran-Moisson, R., and Hegney, D.

Abstract

© 2018 Wolters Kluwer Health, Inc. All rights reserved. OBJECTIVE This article reports findings from a 2016 survey exploring the working life of nurses/midwives in Queensland, Australia. Responses related to occupational violence (OV) are reported. BACKGROUND OV is linked to high rates of burnout. It is imperative to continue efforts to understand how to avoid burnout and build nurse/midwives' resilience. METHODS A total of 2397 nurse/midwives working in Queensland responded to the survey and were asked to answer 8 questions related to OV. RESULTS In the last 3 months, 53% of nurses/midwives had experienced OV. Those respondents had significantly higher rates of burnout and lower resilience and rated the practice environment lower than their counterparts who had not experienced violence. CONCLUSIONS The experience of OV significantly impacts nurse resilience and levels of burnout. To retain nurses, attention must be given to reduce OV and support nurses who have experienced it.

Published
2018

20. Moral Distress

Author

Burston, A., Eley, R., Parker, D., and Anthony TUCKETT

Subjects
InformationSystems_GENERAL, Geriatric Nursing, ComputingMilieux_THECOMPUTINGPROFESSION, Attitude of Health Personnel, Ethics, Nursing, Australia, Humans, ComputingMilieux_COMPUTERSANDSOCIETY, Professional Autonomy, ComputingMilieux_LEGALASPECTSOFCOMPUTING, Morals, Job Satisfaction, Stress, Psychological
Abstract

Practicing within a moral framework is expected professionally and framed within documents such as the Code of Ethics for Nurses in Australia (Nursing & Midwifery Board of Australia, 2013a) and Code of Professional Conduct for Nurses in Australia (Nursing & Midwifery Board of Australia, 2013b). The challenge is for the profession to embrace our role as moral agents, actively educate staff and provide forums for multi-disciplinary teams to discuss and debate ethical challenges in practice.

Published
2017

23. An Observational Study of Dyspnea in Emergency Departments: The Asia, Australia, and New Zealand Dyspnea in Emergency Departments Study (AANZDEM).

Author

Nguyen M., MacDonald S., Mahlangu M., Scott M., Cheri T., Chor M.S.Y., Wong C.P., Wong T.W., Leung L.-P., Man C.K., Rahman N.H., Lee W.Y., Lee F.C.Y., Goh S.E., Russell K., Kelly A.M., Keijzers G., Klim S., Graham C.A., Craig S., Kuan W.S., Jones P., Holdgate A., Lawoko C., Laribi S., Cowell D.L., Jain N., De Villecourt T., Lee K., Chalkley D., Lozzi L., Asha S.E., Duffy M., Watkins G., Rosengren D., Thone J., Martin S., Orda U., Thom O., Kinnear F., Watson M., Eley R., Ryan A., Morel D.G., Furyk J., Smith R.D.B., Grummisch M., Meek R., Rosengarten P., Chan B., Haythorne H., Archer P., Wilson K., Knott J., Ritchie P., Bryant M., Nguyen M., MacDonald S., Mahlangu M., Scott M., Cheri T., Chor M.S.Y., Wong C.P., Wong T.W., Leung L.-P., Man C.K., Rahman N.H., Lee W.Y., Lee F.C.Y., Goh S.E., Russell K., Kelly A.M., Keijzers G., Klim S., Graham C.A., Craig S., Kuan W.S., Jones P., Holdgate A., Lawoko C., Laribi S., Cowell D.L., Jain N., De Villecourt T., Lee K., Chalkley D., Lozzi L., Asha S.E., Duffy M., Watkins G., Rosengren D., Thone J., Martin S., Orda U., Thom O., Kinnear F., Watson M., Eley R., Ryan A., Morel D.G., Furyk J., Smith R.D.B., Grummisch M., Meek R., Rosengarten P., Chan B., Haythorne H., Archer P., Wilson K., Knott J., Ritchie P., and Bryant M.

Abstract

Objectives: The objective was to describe the epidemiology of dyspnea presenting to emergency departments (EDs) in the Asia-Pacific region, to understand how it is investigated and treated and its outcome. Method(s): Prospective interrupted time series cohort study conducted at three time points in EDs in Australia, New Zealand, Singapore, Hong Kong, and Malaysia of adult patients presenting to the ED with dyspnea as a main symptom. Data were collected over three 72-hour periods and included demographics, comorbidities, mode of arrival, usual medications, prehospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome, and final hospital diagnosis. The primary outcomes of interest are the epidemiology, investigation, treatment, and outcome of patients presenting to ED with dyspnea. Result(s): A total of 3,044 patients were studied. Patients with dyspnea made up 5.2% (3,105/60,059, 95% confidence interval [CI] = 5.0% to 5.4%) of ED presentations, 11.4% of ward admissions (1,956/17,184, 95% CI = 10.9% to 11.9%), and 19.9% of intensive care unit (ICU) admissions (104/523, 95% CI = 16.7% to 23.5%). The most common diagnoses were lower respiratory tract infection (20.2%), heart failure (14.9%), chronic obstructive pulmonary disease (13.6%), and asthma (12.7%). Hospital ward admission was required for 64% of patients (95% CI = 62% to 66%) with 3.3% (95% CI = 2.8% to 4.1%) requiring ICU admission. In-hospital mortality was 6% (95% CI = 5.0% to 7.2%). Conclusion(s): Dyspnea is a common symptom in ED patients contributing substantially to ED, hospital, and ICU workload. It is also associated with significant mortality. There are a wide variety of causes however chronic disease accounts for a large proportion.Copyright © 2016 by the Society for Academic Emergency Medicine

Published
2017

24. An Observational Study of Dyspnea in Emergency Departments: The Asia, Australia, and New Zealand Dyspnea in Emergency Departments Study (AANZDEM)

Author

Kelly, AM, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Holdgate, A, Lawoko, C, Laribi, S, Cowell, DL, Jain, N, De Villecourt, T, Lee, K, Chalkley, D, Lozzi, L, Asha, SE, Duffy, M, Watkins, G, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Watson, M, Eley, R, Ryan, A, Morel, DG, Furyk, Jeremy, Smith, RD, Grummisch, M, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Mahlangu, M, Scott, M, Cheri, T, Nguyen, M, Chor, MS, Wong, CP, Wong, TW, Leung, LP, Man, CK, Rahman, NH, Lee, WY, Lee, FCY, Goh, SE, Russell, K, Kelly, AM, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Holdgate, A, Lawoko, C, Laribi, S, Cowell, DL, Jain, N, De Villecourt, T, Lee, K, Chalkley, D, Lozzi, L, Asha, SE, Duffy, M, Watkins, G, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Watson, M, Eley, R, Ryan, A, Morel, DG, Furyk, Jeremy, Smith, RD, Grummisch, M, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Mahlangu, M, Scott, M, Cheri, T, Nguyen, M, Chor, MS, Wong, CP, Wong, TW, Leung, LP, Man, CK, Rahman, NH, Lee, WY, Lee, FCY, Goh, SE, and Russell, K

Published
2017

25. Validation of an instrument to measure moral distress within the Australian residential and community care environments

Author

Burston, A, Eley, R, Parker, D, Tuckett, A, Burston, A, Eley, R, Parker, D, and Tuckett, A

Abstract

© 2016 John Wiley & Sons Ltd Aim and objectives: The aim of this study was to gain insight into the experience of moral distress within the aged care workforce. The objective of this study was to use and validate an existing instrument to measure moral distress within the aged care setting. Background: Moral distress, a phenomenon associated with worker satisfaction and retention, is common within nursing. Instruments to measure moral distress exist; however, there are no validated instruments to measure moral distress within an aged care setting. Design and method: An existing instrument, the Moral Distress Scale (Revised) was identified and amended. Amendments were subject to expert review for face and content validity. Data were collected from aged care nurses working in residential and community aged care, in Australia. Reliability was assessed using Cronbach's alpha with exploratory factor analysis undertaken for construct validity. Results: 106 participants completed the survey, 93 (87.7%) identified as female and 13 (12.3%) male. Participants ranged in age from 21 to 73 years, with a mean time working in nursing of 20.6 years. The frequency component of the instrument demonstrated an alpha of 0.89, the intensity component 0.95 and the instrument as a whole 0.94. Three factors were identified and labelled as: Quality of Care, Capacity of Team and Professional Practice. Mean scores indicate a low occurrence of moral distress, but this distress, when experienced, was felt with a moderate level of intensity. Primary causes of moral distress were insufficient staff competency levels, poor quality care because of poor communication and delays in implementing palliation. Conclusion: The instrument demonstrates validity and reliability within the Australian aged care setting. Further analysis with larger populations is required to support these findings. Implications for practice: Australian aged care workers do experience moral distress. They suffer adverse conseque

Published
2017

26. Moral Distress

Author

Parker, D, Eley, R, Burston, A, Tuckett, A, Parker, D, Eley, R, Burston, A, and Tuckett, A

Abstract

Practicing within a moral framework is expected professionally and framed within documents such as the Code of Ethics for Nurses in Australia (Nursing & Midwifery Board of Australia, 2013a) and Code of Professional Conduct for Nurses in Australia (Nursing & Midwifery Board of Australia, 2013b). The challenge is for the profession to embrace our role as moral agents, actively educate staff and provide forums for multi-disciplinary teams to discuss and debate ethical challenges in practice.

Published
2017

28. It Takes Two to Tango: Improving Patient Referrals from the Emergency Department to Inpatient Clinicians

Author

Lawrence, S., Spencer, L. M., Michael Sinnott, and Eley, R.

Subjects
Original Research
Abstract

The transfer of responsibility for patient care across clinical specialties is a complex process. Published and anecdotal data suggest that referrals often fail to meet the needs of one or both parties and that patient focus can be lost during the process. Little is known about the Australian situation.To obtain a more complete understanding of the referral process, including the nature of communication in an Australian context, we conducted semistructured interviews in a convenience sample of 25 volunteers. Two established strategies for analyzing qualitative data were used.All respondents considered the following information essential components of a referral: an account of the patient's current condition, a working diagnosis or problem statement and history of the presenting concern, key test results or tests awaiting results, a potential management plan, and any special characteristics of the patient. Respondents acknowledged implied, if not literal, power to accept or reject an emergency department (ED) referral and said the imbalance of power was reinforced when the ED physician was junior to the inpatient clinician. Respondents also noted that in addition to the predominant organizational culture, an independent culture is associated with specific shifts. Foremost among the nonclinical aspects of a referral considered to be important was the timeliness of the contact made to achieve the transition. Respondents also said the success of a referral depended on the speaking and listening abilities of all parties. The individual's motivation to accept or reject a referral can also have an impact on communication.Respondents attributed the difficulty of negotiating the transfer of a patient's care across the ED and inpatient interface to three distinct factors: variations in the clinical information required, the culture of the organization and of the clinical team in which the transaction takes place, and the characteristics of the individuals involved in the process. Improving communication skills has the potential to improve patient outcomes.

Published
2015

29. Epidemiology, prehospital care and outcomes of patients arriving by ambulance with dyspnoea: An observational study

Author

Kelly, AM, Holdgate, A, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Lawoko, C, Laribi, S, McNulty, R, Cowell, DL, Jain, N, De Villecourt, T, Lee, K, Chalkley, D, Lozzi, L, Asha, SE, Duffy, M, Watkins, G, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Watson, M, Eley, R, Ryan, A, Morel, DG, Furyk, J, Smith, RDB, Grummisch, M, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Mahlangu, M, Scott, M, Cheri, T, Nguyen, M, Chor, MSY, Wong, CP, Wong, TW, Leung, LP, Man, CK, Saiboon, IM, Rahman, NH, Lee, WY, Lee, FCY, Goh, SE, Russell, K, Kelly, AM, Holdgate, A, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Lawoko, C, Laribi, S, McNulty, R, Cowell, DL, Jain, N, De Villecourt, T, Lee, K, Chalkley, D, Lozzi, L, Asha, SE, Duffy, M, Watkins, G, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Watson, M, Eley, R, Ryan, A, Morel, DG, Furyk, J, Smith, RDB, Grummisch, M, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Mahlangu, M, Scott, M, Cheri, T, Nguyen, M, Chor, MSY, Wong, CP, Wong, TW, Leung, LP, Man, CK, Saiboon, IM, Rahman, NH, Lee, WY, Lee, FCY, Goh, SE, and Russell, K

Abstract

© 2016 The Author(s). Background: This study aimed to determine epidemiology and outcome for patients presenting to emergency departments (ED) with shortness of breath who were transported by ambulance. Methods: This was a planned sub-study of a prospective, interrupted time series cohort study conducted at three time points in 2014 and which included consecutive adult patients presenting to the ED with dyspnoea as a main symptom. For this sub-study, additional inclusion criteria were presentation to an ED in Australia or New Zealand and transport by ambulance. The primary outcomes of interest are the epidemiology and outcome of these patients. Analysis was by descriptive statistics and comparisons of proportions. Results: One thousand seven patients met inclusion criteria. Median age was 74 years (IQR 61-68) and 46.1 % were male. There was a high rate of co-morbidity and chronic medication use. The most common ED diagnoses were lower respiratory tract infection (including pneumonia, 22.7 %), cardiac failure (20.5%) and exacerbation of chronic obstructive pulmonary disease (19.7 %). ED disposition was hospital admission (including ICU) for 76.4 %, ICU admission for 5.6 % and death in ED in 0.9 %. Overall in-hospital mortality among admitted patients was 6.5 %. Discussion: Patients transported by ambulance with shortness of breath make up a significant proportion of ambulance caseload and have high comorbidity and high hospital admission rate. In this study, >60 % were accounted for by patients with heart failure, lower respiratory tract infection or COPD, but there were a wide range of diagnoses. This has implications for service planning, models of care and paramedic training. Conclusion: This study shows that patients transported to hospital by ambulance with shortness of breath are a complex and seriously ill group with a broad range of diagnoses. Understanding the characteristics of these patients, the range of diagnoses and their outcome can help inform trainin

Published
2016

30. Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM) study: Rationale, design and analysis.

Author

Orda U., Holdgate A., Lawoko C., Laribi S., McNulty R., Tan C., Cowell D.L., Jain N., Devillecourt T., Forrester A., Lee K., Chalkley D., Gillett M., Lozzi L., Asha S., Duffy M., Watkins G., Stone R., Rosengren D., Thone J., Martin S., Thom O., Kinnear F., Eley R., Ryan A., Morel D., May C., Furyk J., Thomson G., Smith S., Smith R., Maclean A., Grummisch M., Meyer A., Meek R., Rosengarten P., Chan B., Haythorne H., Archer P., Wilson K., Knott J., Ritchie P., Bryant M., MacDonald S., Lee T., Mahlangu M., Mountain D., Rogers I., Otto T., Stuart P., Bament J., Brown M., Greven-Garcia R., Scott M., Cheri T., Nguyen M., Chi-Pang Wong, Wong T.W., Ling-Pong Leung, Man C.K., Saiboon I.M., Rahman N.H., Lee W.Y., Lee F.C.Y., Russell K., Anne-Maree Kelly, Kelly A.-M., Keijzers G., Klim S., Graham C.A., Craig S., Kuan W.S., Jones P., Orda U., Holdgate A., Lawoko C., Laribi S., McNulty R., Tan C., Cowell D.L., Jain N., Devillecourt T., Forrester A., Lee K., Chalkley D., Gillett M., Lozzi L., Asha S., Duffy M., Watkins G., Stone R., Rosengren D., Thone J., Martin S., Thom O., Kinnear F., Eley R., Ryan A., Morel D., May C., Furyk J., Thomson G., Smith S., Smith R., Maclean A., Grummisch M., Meyer A., Meek R., Rosengarten P., Chan B., Haythorne H., Archer P., Wilson K., Knott J., Ritchie P., Bryant M., MacDonald S., Lee T., Mahlangu M., Mountain D., Rogers I., Otto T., Stuart P., Bament J., Brown M., Greven-Garcia R., Scott M., Cheri T., Nguyen M., Chi-Pang Wong, Wong T.W., Ling-Pong Leung, Man C.K., Saiboon I.M., Rahman N.H., Lee W.Y., Lee F.C.Y., Russell K., Anne-Maree Kelly, Kelly A.-M., Keijzers G., Klim S., Graham C.A., Craig S., Kuan W.S., and Jones P.

Abstract

Objectives: Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. Methods/Design: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. Discussion(s): This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.Copyright © 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

Published
2015

31. The contribution of individual psychological resilience in determining the professional quality of life of Australian nurses.

Author

Hegney, Desley, Rees, Clare, Eley, R., Osseiran-Moisson, Rebecca, Francis, K., Hegney, Desley, Rees, Clare, Eley, R., Osseiran-Moisson, Rebecca, and Francis, K.

Abstract

Research Topic: The aim of this study was to determine the relative contribution of trait negative affect and individual psychological resilience in explaining the professional quality of life of nurses. Materials and Methods: One thousand, seven hundred and forty-three Australian nurses from the public, private, and aged care sectors completed an online Qualtrics survey. The survey collected demographic data as well as measures of depression, anxiety and stress, trait negative affect, resilience, and professional quality of life. Results: Significant positive relationships were observed between anxiety, depression and stress, trait negative affectivity, burnout, and secondary traumatic stress (compassion fatigue). Significant negative relationships were observed between each of the aforementioned variables and resilience and compassion satisfaction (CS). Results of mediated regression analysis indicated that resilience partially mediates the relationship between trait negative affect and CS. Conclusion: Results confirm the importance of both trait negative affect and resilience in explaining positive aspects of professional quality of life. Importantly, resilience was confirmed as a key variable impacting levels of CS and thus a potentially important variable to target in interventions aimed at improving nurse’s professional quality of life.

Published
2015

35. Nursing and the nursing workplace in Queensland, 2001 - 2010: What the nurses think

Author

Eley, R., Francis, K., Hegney, Desley, Eley, R., Francis, K., and Hegney, Desley

Abstract

The purpose of the study was to inform policy for reform in nursing. A survey mailed to members of the Queensland Nurses' Union four times between 2001 and 2010 elicited views on their employment and working conditions, professional development and career opportunities. Results across years and sectors of nursing consistently showed dissatisfaction in many aspects of employment, particularly by nurses working in aged care. However, views on staffing numbers, skill mix, workload, work stress, pay and staff morale all showed significant improvements over the decade. For example in 2001, 48.8% of nurses believed that their pay was poor, whereas in 2010, this had reduced to 35.2%. Furthermore, there was a significant rise throughout the decade in the opinion of the value of nursing as a good career. In light of the need to address nurse workforce shortages, the trends are encouraging; however, more improvements are required in order to support recruitment and retention.

Published
2013

36. Career progression - the views of Queensland's nurses

Author

Eley, R., Francis, K., Hegney, Desley, Eley, R., Francis, K., and Hegney, Desley

Abstract

Objectives: To inform policy through determination of the views of Queensland nurses on career progression. Design: A quantitative cross-sectional cohort design with mailed survey. Setting: Financial members of the Queensland Nurses’ Union .Main outcome measures: Extent of the relationship between opportunity for career progression in nursing with turnover and retention. Results: A majority (54.4%) of the 1365 respondents were satisfied with their career progression. Only 11.6% were dissatisfied. Satisfaction was not related to length of time in nursing, but did increase among nurses enrolled in further education programs. Dissatisfaction was related to four themes: lack of support to advance knowledge; lack of opportunities for promotion; number of career options; and costs associated with advancement. A quarter of the nurses were contemplating a move within nursing in the next year and most of these nurses (62%) indicated that the move was for the purpose of career advancement. One in six nurses were contemplating leaving nursing altogether; however only 12.8% of those cited lack of career as the factor for intended departure. Results continued the trend seen in previous surveys over the last decade of a small but significant reduction in the perception that career prospects in nursing were limited. Conclusion: Although the perception that there are limitations to career advancement in nursing has reduced in the last decade, there is still room for improvement. Lack of career progression remains a concern of nurses; however this is not generally manifested in an intention to leave nursing. Rather, nurses are prepared to consider moves within nursing to further their careers.

Published
2013

37. Queensland nursing staffs' perceptions of the preparation for practice of registered and enrolled nurses

Author

Hegney, Desley, Eley, R., Francis, K., Hegney, Desley, Eley, R., and Francis, K.

Abstract

Introduction: In Australia, unlike other countries, programmes which lead to registration as a registered or enrolled nurse (called “entry to practice” programmes) are carried out solely in the tertiary sector. In Australian nursing and the wider community, there continues to be a debate over the place of preparation and the “work readiness” of graduates. Background: Despite several opinion papers on the preparation of registered nurses, there is a dearth of published research on the perceptions of the clinical nursing workforce on the suitability of the current preparation for practice models. Methods: Data were collected from approximately 3000 nurses in Queensland, Australia in 2007 and 2010. The aim of these studies was to ascertain issues around nursing work. This paper reports on qualitative data that were collected as part of that larger survey. Specifically this paper provides the thematic analysis of one open-ended question: “what are the five key issues and strategies that you see could improve nursing and nursing work?” as it was apparent when we undertook thematic analysis of this question that there was a major theme around the preparation of nurses for the nursing workforce. We therefore carried out a more detailed thematic analysis around this major theme.Results: The major sub-themes that we identified from comments on the preparation of the nursing workforce were: perceptions of lack of clinical exposure and the need to increase the amount of clinical hours; the design of the curriculum, the place of preparation (solely within industry or a great focus on industry), financial consideration (students to be paid for their work); and in 2007 only, the need for students to have better time management. Discussion: The findings suggest that a majority of respondents believed there should be changes to the entry to practice preparation for nurses. The major focus of these comments was the perception of insufficient clinical experience and inappropriate cur

Published
2013

38. The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: A qualitative snapshot

Author

Tuckett, A., Hegney, Desley, Parker, D., Eley, R., Dickie, R., Tuckett, A., Hegney, Desley, Parker, D., Eley, R., and Dickie, R.

Abstract

The attainment of a work–life balance is an important issue for recruitment, retention and workforce planning. This paper aims to report on the free text data provided by the aged-care sector nurses around perceptions of important work–life issues. Data were written responses of aged-care nurses to the open-ended request at the end of a survey, which asked them to list up to five political/social/environmental issues concerning them outside of their work. For aged-care nurses, when asked to list political/social/environmental issues they were concerned about outside of work in late 2007, there emerged considered issues around work and life. Among the top eight themes there is an intriguing balance between the themes work, industrial relations, aged care/elder care and health-care services compared with the themes environment, water, societal values and housing. Qualitative insights into the political/social/environmental issues aged-care nurses are concerned about outside of your work suggest their desire for a labour/life or work/life harmony. Aged-care nurses place an equal importance on the nature of labour and the basics of life. The findings provide information for aged-care sector managers and workforce planners on areas in need of consideration to recruit and retain a workforce within aged care.

Published
2011

40. Trapped Annular Pressure—A Spacer Fluid That Shrinks

Author

Bloys, B., additional, Gonzalez, M., additional, Hermes, R., additional, Bland, R., additional, Foley, R., additional, Tijerina, R., additional, Davis, J., additional, Cassel, T., additional, Daniel, J., additional, Robinson, I., additional, Billings, F., additional, and Eley, R., additional

Published
2007
Full Text
View/download PDF

46. Didgeridoos, songs and boomerangs for asthma management.

Author

Eley R, Gorman D, Gately J, Eley, Robert, Gorman, Don, and Gately, Jane

Abstract

Issue Addressed: In Australia, asthma is more prevalent among Indigenous than non-Indigenous people. Awareness of asthma and compliance with management plans are poor, as is engagement with health services in general. The study explored whether offering culturally appropriate music lessons could enhance asthma awareness and engagement to improve asthma and general wellbeing.Methods: Two studies undertaken in 2007 and 2009 offered music lessons to Indigenous asthmatics in a junior school and a senior school, an Aboriginal Medical Service and a community centre. Males were taught the didgeridoo and females singing and clap sticks. Associated activities of painting and boomerang throwing were offered. At regular intervals participants were assessed for their asthma status. At completion participants reported on the benefits of the study.Results: Excellent retention occurred in Study 1 for adolescents and junior males but was poor for junior females and adults. Contributory factors to retention were parental and school support for minors and other health factors for adults. Respiratory function improved in males and both males and females reported increased wellbeing. In Study 2 retention of all participants was excellent. In addition there was increased engagement of both participants and their families with medical services. In both studies awareness of asthma and compliance with asthma management plans increased. Social skills improved as did cultural awareness.Conclusion: The offering of music lessons is a culturally appropriate and enjoyable intervention to promote asthma, general health awareness and engagement with medical services. [ABSTRACT FROM AUTHOR]

Published
2010
Full Text
View/download PDF

48. Barriers to use of information and computer technology by Australia's nurses: a national survey.

Author

Eley R, Fallon T, Soar J, Buikstra E, and Hegney D

Abstract

Aims and objectives. To support policy planning for health, the barriers to the use of health information and computer technology (ICT) by nurses in Australia were determined. Background. Australia, in line with many countries, aims to achieve a better quality of care and health outcomes through effective and innovative use of health information. Nurses form the largest component of the health workforce. Successful adoption of ICT by nurses will be a requirement for success. No national study has been undertaken to determine the barriers to adoption. Design. A self-administered postal survey was conducted. Method.Aquestionnaire was distributed to 10,000 members of the Australian Nursing Federation. Twenty possible barriers to the use of health ICT uptake were offered and responses were given on a five point Likert scale. Results. Work demands, access to computers and lack of support were the principal barriers faced by nurses to their adoption of the technology in the workplace. Factors that were considered to present few barriers included age and lack of interest. While age was not considered by the respondents to be a barrier, their age was positively correlated with several barriers, including knowledge and confidence in the use of computers. Conclusions. Results indicate that to use the information and computer technologies being brought into health care fully, barriers that prevent the principal users from embracing those technologies must be addressed. Factors such as the age of the nurse and their level of job must be considered when developing strategies to overcome barriers. Relevance to clinical practice. The findings of the present study provide essential information not only for national government and state health departments but also for local administrators and managers to enable clinical nurses to meet present and future job requirements. [ABSTRACT FROM AUTHOR]

Published
2009
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results