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Oral care of hospitalised older patients in the acute medical setting

Oral health care is an essential aspect of nursing care. There are many variances in the quality and frequency of the oral care that is delivered to patients by nursing staff, such as oral care being given a low priority when compared to other nursing care elements, oral care being neglected, and oral care delivery being dependent on the nurse’s knowledge of oral hygiene. Additionally, there are some particular patient groups known to be at risk of oral health problems or who have existing oral diseases and conditions. As people age their susceptibility increases to chronic and life-threatening diseases, and they can be at increased risk of acute infections increases compromised by ageing immune systems. The aim of this literature review was to ignite the discussion related to the oral care practices of nurses for older acute medical hospitalised patients. The review revealed that nursing staff know that good nursing includes oral health care, but this knowledge does not always mean that oral health care is a…

Author: Salamone, Kathryn, Yacoub, Elaine, Mahoney, Anne-Marie, Edward, Karen-...
Publication year: 2013
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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A hospital nursing research enhancement model

Evidence-based practice is fundamental to nursing, yet there are many reports in the literature of the difficulty associated with incorporating research activity that leads to evidence-based practice into daily practice. This study used a hospital-based research enhancement model (HREM) to plan, develop, and implement a research outreach ward-based seminar (ROWS) program and evaluate its effectiveness as a means for nurses to increase their knowledge and capacity in research and evidence-based practice. A survey was used to collect both quantitative and qualitative data for evaluation of the program. A total of 78 evaluations were returned after ROWS attendance. Three main themes from the survey were explored. These include accessibility of research, appreciation and application of research, and training in research. The results suggested that nurses are interested in participating in research activities, including projects, best practice forums, journal clubs, and seminars. The HREM can address some common b…

Author: Edward, Karen-Leigh, Mills, Cally
Publication year: 2013
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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Understanding compliance with protective eyewear amongst peri-operative nurses: a phenomenological inquiry

Objective: The objective of this study is to obtain an in-depth understanding of the phenomenon of peri-operative nurses’ use of protective eyewear in the operating room (OR), and to understand nurses’ attitudes and beliefs towards protective eyewear. Design: Data was collected via one-on-one interviews with eight peri-operative nurses working in a private hospital in Melbourne. The data collected underwent rigorous thematic analysis using an extended version of Colaizzi’s method of phenomenological inquiry. Setting: The participating site is a large, private, metropolitan hospital that has 420 beds and employs 1,100 nurses and midwives, of which 31% are peri-operative nurses. Subjects: Eight registered nurses were recruited. They were all female, aged between early 20s to early 60s, ranging in experience in the peri-operative setting from more than six months to approximately twenty years. Main outcome measure: The investigation of the phenomenon of peri-operative nurses’ use of protective eyewear in the OR …

Author: Neo, Felicia, Edward, Karen-leigh, Mills, Cally
Publication year: 2013
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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Empowering cardiac patients using resilience as a practice strategy (Guest Editoral)

Abstract not available.

Author: Edward, Karen-leigh
Publication year: 2014
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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Effective research without walls: reflections on an international partnership

The growth in international research collaboration is a substantial change from the research picture some time ago. Research ‘without walls’ is now a reality within the grasp of many nurse clinicians and researchers alike. The need to promote evidence and research based practice in the area of wound care is significant with communication being the ‘key’ to the success of research teams. The example we present here is of nurses working together on research in wound care. The paper profiles the strategies used in the development and facilitation of research in this important area of nursing care. This collaboration has culminated in a larger scale study anticipated to be conducted over 3 countries resulting in more networks being developed, truly opening up the internationalisation nursing research potential.

Author: Ousey, Karen, Edward, Karen-leigh
Publication year: 2014
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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Facilitating knowledge of mental health nurses to undertake physical health interventions: a pre-test/post-test evaluation

AIM: The aim of this project was to develop and deliver an evidence-based educational package with a physical and mental health focus to clinicians and other health care workers in mental health settings. BACKGROUND: For individuals who experience mental disorders, pharmacotherapy is often considered as a first line of treatment. However, owing to adverse drug reactions and pre-existing physical conditions, outcomes for clients/service users may be compromised. Mortality and morbidity rates of people diagnosed with a serious mental illness caused by physical health conditions do not compare favourably with the general population. This paper reports on a physical skills project that was developed in collaboration between the University of Huddersfield and South West Yorkshire Partnership Foundation Trust. METHOD: Pre-post study design: five workshops were conducted in the fields of intramuscular injections, diabetes, health improvement, oral health and wound care. A total of 180 pairs of questionnaires to asse…

Author: Hemingway, Steve, Clifton, Andrew, Stephenson, John, Edward, Karen-Lei...
Publication year: 2014
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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Nursing and aggression in the workplace: a systematic review

Personal experiences of aggression or violence in the workplace lead to serious consequences for nurses, their patients, patient care and the organisation as a whole. While there is a plethora of research on this topic, no review is available that identifies types of aggression encountered, individuals perceived to be most at risk and coping strategies for victims. The aim of this systematic review was to examine occupational anxiety related to actual aggression in the workplace for nurses. Databases (MEDLINE, CINAHL and PsycINFO) were searched, resulting in 1543 titles and abstracts. After removal of duplicates and non-relevant titles, 137 papers were read in full. Physical aggression was found to be most frequent in mental health, nursing homes and emergency departments while verbal aggression was more commonly experienced by general nurses. Nurses exposed to verbal or physical abuse often experienced a negative psychological impact post incident.

Author: Edward, Karen-leigh, Ousey, Karen, Warelow, Philip, Lui, Steve
Publication year: 2014
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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Using visual processing training to enhance standard cognitive remediation outcomes in schizophrenia: a pilot study

Approaches to cognitive remediation (CR) that address sensory perceptual skills before higher cognitive skills, have been found to be effective in enhancing cognitive performance in schizophrenia. To date, however, most of the conducted trials have concentrated on auditory processing. The aim of this study was to explore whether the addition of visual processing training could enhance standard CR outcomes in a schizophrenia population. Twenty participants were randomised to either receive 20 hours of computer-assisted CR alone or 20 hours of visual processing training modules and CR training. All participants were assessed at baseline and at the end of CR training on cognitive and psychosocial (i.e. self-esteem, quality of life) measures. At the end of the study participants across both groups improved significantly in overall cognition and psychosocial functioning. No significant differences were observed between groups on any of the measures. Of potential interest, however, was that the Cohen's d assessing …

Author: Contreras, Natalia A., Tan, Eric J., Lee, Stuart J., Castle, David J.,...
Publication year: 2017
Publication type: Article in Press
Status: Live|Last updated:September 21, 2017 6:32 PM
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Challenges in acute care of people with co-morbid mental illness

Acute secondary care settings are complex environments that offer a range of challenges for healthcare staff. These challenges can be exacerbated when patients present with a co-morbid mental illness. This article is a systematic review of the literature that has investigated the challenges imposed on health professionals working in acute secondary care settings where they care for patients who experience co-morbid physical and mental illnesses. A systematic search of the bibliographic databases was conducted and a total of 25 articles were included in this review. A number of challenges were identified including experience of fear, negative attitudes, poor mental health literacy, being positive and optimistic in providing care as a profession and environmental factors. Health professionals working in acute secondary care settings require organisational support and training in mental health care. Acute secondary care environments conducive to providing holistic care to patients experiencing mental illness co-…

Author: Giandinoto, Jo-Ann, Edward, Karen-leigh
Publication year: 2014
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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The effectiveness of specialist roles in mental health metabolic monitoring: a retrospective cross-sectional comparison study

Background: People with serious mental illness (SMI) exhibit a high prevalence of cardiovascular diseases. Mental health services have a responsibility to address poor physical health in their consumers. One way of doing this is to conduct metabolic monitoring (MM) of risk factors for cardiovascular diseases. This study compares two models of MM among consumers with SMI and describes referral pathways for those at high risk of cardiovascular diseases. Methods: A retrospective cross-sectional comparison design was used. The two models were: (1) MM integrated with case managers, and (2) MM integrated with case managers and specialist roles. Retrospective data were collected for all new episodes at two community mental health services (CMHS) over a 12-month period (September 2012 - August 2013). Results: A total of 432 consumers with SMI across the two community mental health services were included in the analysis. At the service with the specialist roles, MM was undertaken for 78% of all new episode consumers, …

Author: McKenna, Brian, Furness, Trentham, Wallace, Elizabeth, Happell, Brenda...
Publication year: 2014
Publication type: Journal article
Status: Live|Last updated:September 21, 2017 6:32 PM
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