School of Nursing and Midwifery Publications - UQ eSpace

Dying in residential aged care facilities in Australia

Parker, Deborah — 2011-09-21T00:00:00Z

Dying in residential aged care – implementing an evidence-based model of palliative care

Parker, Deborah — 2011-09-13T00:00:00Z

Early findings from an evaluation of a post-registration staff development programme: The Flying Start NHS initiative in Scotland, UK

2010-03-11T00:00:00Z

Early intervention use in children born very preterm during the first postnatal year

2013-03-06T09:01:13Z

Early involvement of palliative care in motor neurone disease

Glaetzer, K. og Parker, Deborah — 2011-09-23T00:00:00Z

Economic analysis of a community-based falls prevention program

2010-01-08T14:50:39Z

Editorial

Huntington, A. D. — 2009-03-26T00:00:00Z

When asked to write an editorial for Nursing Praxis, having just completed my first year as Chairperson of the Nursing council, the topic that immediately came to mind was the pressing need for published research from New Zealand nurses. Having been involved in nursing education and research for a number of years I have long been committed to the publication of research by nurses as a means of developing knowledge to support practice.

Editorial: Handmaiden or right-hand man: Is the relationship between doctors and nurses still therapeutic?

Thompson, David R. og Stewart, Simon — 2009-03-23T14:41:30Z

No abstract

Editorial: How many roads? Building and sustaining collaborative relationships in an increasingly global environment

2010-11-26T00:00:00Z

Editorial: International collaboration and sharing lessons learned

Thompson , David R. — 2009-03-24T00:00:00Z

Editorial: JCN continues to 'go global'

Roger Watson — 2010-03-08T00:00:00Z

Editorial: Lead us not

Jackson, Debra og Watson, Roger — 2010-03-08T00:00:00Z

Editorial: Lies, damned lies and CVs

Thompson, David R. og Watson, Roger — 2009-06-10T00:00:00Z

No abstract

Editorial: lntermultidisciplinarity… a new concept for nursing research

Thompson, D. R. og Watson, R. — 2009-03-20T10:19:25Z

This editorial arises from our frustration with the lack of recognition in the UK of nursing as an entity that can stand on its own feet. The evidence in our working lives is abundant: rarely, if ever, are we able to pursue research into nursing issues or research conducted purely by nurses without involving another discipline; rarely are we able to have book proposals accepted which are purely about nursing or which do not ‘consider the multidisciplinary perspective’ – an oxymoron in any case; we see professorial nursing colleagues with job titles which do not reflect their nursing origins or their sphere of work, for example, professor of: health studies, health sciences, evidence-based healthcare; we witness the destruction of nursing departments across the UK as they metamorphose into departments/schools of ‘health’, ‘healthcare’, ‘health and social care’, ‘health sciences’ and ‘health studies’. This seems to be uniquely a UK phenomenon; it is non-existent in North America, for example, where nursing seems to be more mature and comfortable with itself. Indeed, in North America, faculties of nursing are the norm, alongside medicine and allied health.

Editorial: Nurses and publications – the impact of the impact factor

2010-03-08T00:00:00Z

Editorial: Nursing education in the United Kingdom – clocks forward or clocks backward?

2011-07-19T00:00:00Z

Editorial: Nursing for dummies or dummies for nursing?

Watson, Roger og Thompson, David R. — 2009-10-16T00:00:00Z

Editorial: Nursing innovations – Pro-Time Watches

Watson, Roger — 2010-03-04T00:00:00Z

Editorial: Nursing innovations: The Joey

Watson, Roger — 2010-03-08T00:00:00Z

Editorial: Online health communication in improving outcomes

Ski, Chantal F. og Thompson, David R. — 2011-07-27T00:00:00Z

Editorial: Professors as leaders

Watson, Roger og Thompson, David R. — 2009-05-08T14:03:46Z

Editorial: Rating research performance

Thompson, David R. og Watson, Roger — 2009-10-26T00:00:00Z

Editorial: The state of nursing in the United Kingdom

Thompson, DR og Watson, R — 2009-03-24T13:45:24Z

Editorial: The war on old age - Should nursing declare neutrality?

Watson, Roger — 2010-03-09T00:00:00Z

Editorial: What’s in a title?

Watson, Roger — 2010-03-11T00:00:00Z

Editorial: Whose paper is it anyway?

Thompson, DR og Watson, R — 2009-05-08T14:21:42Z

Editor-in-Chief stepping down

Watson, Roger — 2011-03-16T00:00:00Z

Educating home carers on faecal continence in people with dementia

Clemesha, L. og Davies, E. — 2007-08-15T00:00:00Z

Educational interventions for patients with heart failure: A systematic review of randomized controlled trials

2011-03-11T00:00:00Z

Education based on the theory of planned behavior promotes evidence-based fever management

2009-03-03T00:00:00Z

Education obligations to the overseas-trained health workforce

Huntington, A. D. — 2010-07-07T00:00:00Z

Effective communication and ethical consent in decisions related to ICDs

2011-08-23T00:00:00Z

This Review examines recommendations and principles that promote good decision-making with regard to the insertion, deactivation, and potential malfunction of implantable cardioverter-defibrillators (ICDs). This guidance is important because ICDs are now used for primary and secondary prevention of arrhythmias in more than 20 diverse clinical populations, which accounts for the exponential increase in insertion rates over the past decade. Current guidelines require clinicians to provide personalized, culturally appropriate, and easy to understand information to patients on the benefits and harms of proposed treatment choices; however, obtaining valid informed consent for insertion and deactivation of ICDs is challenging. Initiating early conversations with patients and continuing this dialogue over time, implementation of localized care protocols, increased collaboration (particularly between cardiac and palliative care teams), and the provision of training for all health professionals involved in the care of these patients, can help to ensure that adequate informed consent is maintained throughout their care. In addition to providing information, health professionals should identify and address high levels of anxiety in patients and their next of kin and promote effective communication throughout decision making. In the future, use of standardized checklists or decision aids based on a clear understanding of the principles underlying key topics could support this process.

Effectiveness of a Counseling Intervention Following a Traumatic Childbirth: A Randomized Controlled Trial

2009-01-19T16:10:21Z

Adverse childbirth experiences can evoke fear and overwhelming anxiety for some women and precipitate posttraumatic stress disorder. The objective of this study was to assess a midwife-led brief counseling intervention for postpartum women at risk of developing psychological trauma symptoms. Method: Of 348 women screened for trauma symptoms, 103met inclusion criteria and were randomized into an intervention (n=50) or a control (n=53) group. The intervention group received face-to-face counseling within 72 hours of birth and again via telephone at 4 to 6 weeks postpartum. Main outcome measures were posttraumatic stress symptoms, depression, self-blame, and confidence about a future pregnancy. Results: At 3-month follow-up, intervention group women reported decreased trauma symptoms, low relative risk of depression, low relative risk of stress, and low feelings of self-blame. Confidence about a future pregnancy was higher for these women than for control group women. Three intervention group women compared with 9 control group women met the diagnostic criteria for posttraumatic stress disorder at 3 months postpartum, but this result was not statistically significant. Discussion: A high prevalence of postpartum depression and trauma symptoms occurred after childbirth. Although most women improved over time, the intervention markedly affected participants’ trajectory toward recovery compared with women who did not receive counseling. Conclusions: A brief, midwife-led counseling intervention for women who report a distressing birth experience was effective in reducing symptoms of trauma, depression, stress, and feelings of self-blame. The intervention is within the scope of midwifery practice, caused no harm to participants, was perceived as helpful, and enhanced women’s confidence about a future pregnancy.

Effectiveness of a mutual support group for families of patients with schizophrenia

2007-08-15T00:00:00Z

Aim. This paper reports a study to examine the effectiveness of a 12-session mutual support group for Chinese families caring for a relative with schizophrenia compared with a psycho-educational group and routine family support services in Hong Kong. Background. Schizophrenia is a disruptive and distressing illness for patients and their families. With the current trend of community care for mental illness, there is evidence that family intervention reduces patient relapse and re-hospitalization, satisfies the health needs of families and enhances their coping capabilities. Methods. A randomized controlled trial was conducted from May 2002 to June 2003 with 96 Chinese families of a relative with schizophrenia selected from two psychiatric outpatient clinics in Hong Kong. Families were randomly assigned to receive mutual support (n = 32), psycho-education (n = 33) or standard care only (n = 31). The interventions were delivered at outpatient clinics over a 6-month period. Pre- and post- (1 week and 6 months) testing took place and families' functioning, mental health service utilization, patients' level of functioning and duration of re-hospitalization were measured. Results. At both post-test periods, family caregivers and patients in the mutual support group reported statistically significant improvements on family and patients' level of functioning, when compared with their counterparts in the psycho-education and standard care groups. Conclusions. The findings support the use of mutual support groups as an effective modality of family intervention in a Chinese population caring for a family member with schizophrenia to improve both family and patient functioning.

Effectiveness of a tool to improve role negotiation and communication between parents and nurses

2009-03-12T00:00:00Z

Effectiveness of educational interventions to raise men's awareness of bladder and bowel health

2011-05-25T00:00:00Z

Effectiveness of educational interventions to raise men's awareness of bladder and bowel health: A systematic review

2010-10-14T00:00:00Z

Effectiveness of interventions that assist caregivers to support people with dementia living in the community: a systematic review

2008-05-14T00:00:00Z

The objective of this review was to assess the effectiveness of interventions that assist caregivers to provide support for people living with dementia in the community. Types of participants Adult caregivers who provide support for people with dementia living in the community (non-institutional care). Types of interventions Interventions designed to support caregivers in their role such as skills training, education to assist in caring for a person living with dementia and support groups/programs. Interventions of formal approaches to care designed to support caregivers in their role, care planning, case management and specially designated members of the healthcare team – for example dementia nurse specialist or volunteers trained in caring for someone with dementia. Types of studies This review considered any meta-analyses, systematic reviews, randomised control trials, quasi-experimental studies, cohort studies, case control studies and observational studies without control groups that addressed the effectiveness of interventions that assist caregivers to provide support for people living with dementia in the community. Search strategy The search sought to identify published studies from 2000 to 2005 through the use of electronic databases. Only studies in English were considered for inclusion. The initial search was conducted of the databases, CINAHL, MEDLINE and PsychINFO using search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. A second more extensive search was then conducted using the appropriate Medical Subject Headings (MeSH) and keywords for other available databases. Finally, hand searching of reference lists of articles retrieved and of core dementia, geriatric and psycho geriatric journals was undertaken. Assessment of quality Methodological quality of each of the articles was assessed by two independent reviewers using appraisal checklist developed by the Joanna Briggs Institute and based on the work of the Cochrane Collaboration and Centre for Reviews and Dissemination. Data collection and analysis Standardised mean differences or weighted mean differences and their 95% confidence intervals were calculated for each included study reported in the meta-analysis. Results from comparable groups of studies were pooled in statistical meta-analysis using Review Manager Software from the Cochrane Collaboration. Heterogeneity between combined studies was tested using standard chi-square test. Where statistical pooling was not appropriate or possible, the findings are summarised in narrative form. Results A comprehensive search of relevant databases, hand searching and cross referencing found 685 articles that were assessed for relevance to the review. Eighty-five papers appeared to meet the inclusion criteria based on title and abstract, and the full paper was retrieved. Of the 85 full papers reviewed, 40 were accepted for inclusion, three were systematic reviews, three were meta-analysis, and the remaining 34 were randomised controlled trials. For the randomised controlled trials that were able to be included in a meta-analysis, standardised mean differences or weighted mean differences and their 95% confidence intervals were calculated for each. Results from comparable groups of studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed by using the chi-square test. Where statistical pooling was not appropriate or possible, the findings are summarised in narrative form. The results are discussed in two main sections. Firstly it was possible to assess the effectiveness of different types of caregiver interventions on the outcome categories of depression, health, subjective well-being, self-efficacy and burden. Secondly, results are reported by main outcome category. For each of these sections, meta-analysis was conducted where it was possible; otherwise, a narrative summary describes the findings. Effectiveness of intervention type Four categories of intervention were included in the review – psycho-educational, support, multi-component and other. Psycho-educational Thirteen studies used psycho-educational interventions, and all but one showed positive results across a range of outcomes. Eight studies were entered in a meta-analysis. No significant impact of psycho-educational interventions was found for the outcome categories of subjective well-being, self-efficacy or health. However, small but significant results were found for the categories of depression and burden. Support Seven studies discussed support only interventions and two of these showed significant results. These two studies were suitable for meta-analysis and demonstrated a small but significant improvement on caregiver burden. Multi-component Twelve of the studies report multi-component interventions and 10 of these report significant outcomes across a broad range of outcome measures including self-efficacy, depression, subjective well-being and burden. Unfortunately because of the heterogeneity of study designs and outcome measures, no meta-analysis was possible. Other interventions Other interventions included the use of exercise or nutrition which resulted in improvements in psychological distress and health benefits. Case management and a computer aided support intervention provided mixed results. One cognitive behavioural therapy study reported a reduction in anxiety and positive impacts on patient behaviour. Effectiveness of interventions using specific outcome categories In addition to analysis by type of intervention it was possible to analyse results based on some outcome categories that were used across the studies. In particular the impact of interventions on caregiver depression was available for meta-analysis from eight studies. This indicated that multi-component and psycho-educational interventions showed a small but significant positive effect on caregiver depression. Five studies using the outcome category of caregiver burden were entered into a meta-analysis and findings indicated that there were no significant effects of any of interventions. No meta-analysis was possible for the outcome categories of health, self-efficacy or subjective well-being. Implications for practice From this review there is evidence to support the use of well-designed psycho-educational or multi-component interventions for caregivers of people with dementia who live in the community. Factors that appear to positively contribute to effective interventions are those which: • Provide opportunities within the intervention for the person with dementia as well as the caregiver to be involved • Encourage active participation in educational interventions for caregivers • Offer individualised programs rather than group sessions • Provide information on an ongoing basis, with specific information about services and coaching regarding their new role • Target the care recipient particularly by reduction in behaviours Factors which do not appear to have benefit in interventions are those which: • Simply refer caregivers to support groups • Only provide self help materials • Only offer peer support

Effectiveness of interventions to raise men's awareness of bladder and bowel health

2011-09-06T00:00:00Z

Effectiveness of interventions to raise men's awareness of bladder and bowel health

2011-09-06T00:00:00Z

Effectiveness of medical compared to multidisciplinary models of care for adult persons with pre-dialysis chronic kidney disease: A systematic review

Strand, Haakan og Parker, Deborah — 2010-09-30T00:00:00Z

Effectiveness of medical compared to multidisciplinary models of care, for patients’ with pre-dialysis chronic kidney disease; a systematic review

2009-10-13T14:12:09Z

The objective for this systematic review is to compare the effectiveness of a multidisciplinary team care model on the progression of CKD by pre-dialysis adult patients in comparison to the model of traditional medical care. The review will explore clinical outcomes measuring renal function as well as patients’ wellbeing measured as QoL.

Effectiveness of staffing models in residential, subacute, extended aged care settings on patient and staff outcomes

2011-07-07T00:00:00Z

Effectiveness of tai chi as a community-based falls prevention intervention: a randomized controlled trial

2012-05-25T13:13:11Z

Effectiveness of the 'Who Safe Communities' model to prevent injury

2010-07-19T00:00:00Z

Effective nurse-led interventions in heart disease

2009-03-23T10:16:07Z

Nurses are increasingly being involved in initiatives to improve the co-ordination, delivery and eventual outcomes of health care. Key components of these initiatives include application of evidence-based treatments, ensuring individualised follow-up and the provision of ‘seamless’ care overall. There is evidence in key areas that nurse-led interventions for patients with heart disease are effective, and that they are likely to work in other areas if properly supported and appropriate structures and systems are put in place to promote such practice. Given the promising results to date, it would be disappointing if these issues remain unresolved and the potential value of this type of interventions unfulfilled.

Effect of a residential respite admission for older people on regional Queensland family carers

Neville, C. C. og Byrne, G. J. A — 2009-03-31T00:00:00Z

Objective: This study undertaken in regional Queensland aimed to determine the effect of a residential respite care (RRC) admission for older people on family carers. Method: The study used a repeated measures, prospective design. The participants were 100 family carers and their older dependants who were studied before and after the RRC admission. Results: Family carer psychological distress increased after a period of RRC [F (1, 57) = 250.9, p < .001] as did the level of caregiver burden [F (1, 57) = 189.8, p < .001]. The presence of dementia and hearing problems in the RRC recipients, the psychological distress of the family carer, being younger and a spouse of the RRC recipient all predicted carer burden. Conclusions: It is not surprising that RRC, once over, does not necessarily reduce psychological distress and carer burden if this is associated with ongoing caring responsibilities that are resumed after RRC. Nurses need to discuss these issues with family carers and inform them of the likely outcomes of RRC and how they may better utilise the ‘break’ provided by RRC to counteract some of this response.

Effect of computerised prescribing on use of antibiotics

2007-08-15T00:00:00Z

Effect of DHA supplementation during pregnancy on maternal depression and neurodevelopment of young children: A randomized controlled trial

2011-03-22T00:00:00Z

Effect of maternal epidural analgesia on fetal intrapartum oxygen saturation

East, Christine E. og Colditz, Paul B. — 2007-08-14T00:00:00Z

The use of maternal epidural analgesia in labor may be associated with nonreassuring fetal heart rate (FHR) patterns. Fetal oxygen saturation (FSpO(2)) monitoring may improve assessment of fetal well-being during this time. Mean FSpO(2) values were compared over seven 5-minute epochs: 5 minutes prior to an epidural event (combined insertion of epidural/top-up epidural analgesia and infusion pump bolus), to 30 minutes following the event, including possible effects of maternal position and FHR pattern on FSpO(2) values. Mean FSpO(2) values were significantly different between the 5 minutes prior (49.5%) versus 16-20 minutes (44.3%, p <0.05), 21-25 minutes (43%, p <0.01), and 26-30 minutes (43.8%,p <0.05) epochs; and 6-10 minutes (48.3%) versus 21-25 minutes (43%, p <0.05) epochs, but were not influenced by FHR pattern or maternal position. There were no differences in mean FSpO(2) values following administration of an epidural infusion bolus. We conclude that fetal oxygenation was affected following initial or top-up epidural analgesia and that fetal intrapartum pulse oximetry may be useful in assessing fetal status following these events.