THE AUSTRALIAN JOURNAL OF ADVANCED NURSING

VOLUME 26 NUMBER 1

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Editorial

Jill Iliffe

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Guest Editotial
Reflections on nursing

Rosemary Bryant

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How general practice nurses view their expanding role
The purpose of this research was to explore the barriers and enablers that nurses working in general medical practice experience in relation to the Australian Government driven expansion of their roles (nurses working in general medical practice are titled general practice nurses in Australia).

Key words: general practice, practice nurse, division of general practice, expanded role

Elizabeth Senior, DipAppSc., B.SW, GradDipHealthEdandProm, MPH, Program Manager, Greater South Eastern Division of General Practice, Oakleigh, Victoria, Australia. esenior@gsdegp.com.au

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The changing role of practice nurses in Australia: an action research study
The original aim of the study was to report on the methods used to develop a new model of service delivery, namely nurse led well women’s clinics. However participants identified several key barriers to an expansion of their role that had not been accounted for in either the original policy directive or in the continuing professional development delivered as preparation for their accreditation to deliver cervical screening services from a general medical practice. How the group addressed these barriers became the objective of this action research study.

Key words: Australia; general practice; nurse in general practice; practice nurse; cervical screening

Jane Mills, PhD, RN, Senior Research Fellow (NHMRC), School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia. jane.mills@med.monash.edu.au
Mary Fitzgerald, PhD, RN, Professor of Nursing, School of Nursing, Midwifery and Nutrition, James Cook University, Cairns Campus, Smithfield, Queensland, Australia.

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Nurses’ descriptions of changes in cognitive function in the acute care setting
The purpose of this research was to describe nurses’ documentation of cognition and behavioural changes in patients in acute care settings. Hospitalised patients often present with multiple co-morbidities including declining levels of cognitive functioning and this is particularly so for older people.

Key words: confusion, delirium, quality nursing care, dementia, cognitive functioning, clinical audit

Malcolm Hare, RN, BSc (Nursing) (Honours), Nurse Manager, Informatics Support, Fremantle Hospital; Research Associate, School of Nursing and Midwifery, Curtin University of Technology, Western Australia. malcolm.hare@health.wa.gov.au
Sunita McGowan, RN, M.Sc (Nursing), Director Nursing Research and Evaluation, Fremantle
Hospital; Adjunct Research Fellow, School of Nursing and Midwifery, Curtin University of Technology, Western Australia.
Dianne Wynaden, RN, RMHN, PhD, Associate Professor, School of Nursing and Midwifery,
Curtin University of Technology; Research Consultant (Mental Health), Adjunct Senior Research Consultant, Department of Nursing Research, Evaluation and Informatics, Fremantle Hospital, Western Australia.
Gaye Speed, RN, B.AppSc (Nursing), PGradDip HAdmin, Nurse Consultant Clinical Improvement, Fremantle Hospital, Fremantle, Western Australia.
Ian Landsborough, RN, RMHN, M.Ed, Lecturer, School of Nursing and Midwifery, Curtin University of Technology, Western Australia.

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Nurses’ views and practices regarding use of validated nutrition screening tools
The aim of this research was to explore nurses’ views and practices regarding use of the Malnutrition Screening Tool (MST) and the Malnutrition Universal Screening Tool (MUST) in acute hospital wards.

Key words: nutrition screening, nurses, nutrition assessment, malnutrition, hospitalisation, Australia

Rubina Raja, MSc, Accredited Practising Dietitian, Southern Health, Victoria, Australia. Rubina.Raja@southernhealth.org.au
Simone Gibson, BSc; GradDipDiet, Accredited Practising Dietitian, Southern Health, Victoria, Australia.
Alana Turner, BNutrDiet, Provisional Accredited Practising Dietitian, Southern Health, Victoria, Australia.
Jacinta Winderlich, BNutrDiet, Accredited Practising Dietitian (APD), Southern Health, Victoria, Australia.
Judi Porter, PhD, Accredited Practising Dietitian (APD), Southern Health, Victoria, Australia.
Robyn Cant, MHSc, Accredited Practising Dietitian (APD), Monash Institute of Health Services Research, Monash University, Victoria, Australia.
Rosalie Aroni, PhD, Monash Institute of Health Services Research; Monash University, Victoria, Australia.

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Exploring women’s reactions to a diagnosis of endometrial carcinoma: a pilot study of Australian women
Endometrial carcinoma (cancer of the uterus) is the fifth most common cancer in women world wide and the most common gynaecological cancer. Each woman confronted with such a diagnosis will respond in different ways, as will their family and friends; therefore each will vary in their supportive needs. This study aimed to acquire some insight into the initial impact of a diagnosis of endometrial carcinoma on women and factors relating to support for them.

Key words: cancer nursing, endometrial cancer, gynaecological cancer, women's views, semi-structured interviews, pilot study.

Wendy Linford, BN, RM, Associate Unit Manager, Gynaecology/Oncology Unit, Mercy Hospital for Women, Heidelberg, Victoria, Australia. wlinford@mercy.com.au
Della Forster, RN, RM, DipAppSci, BHealthSci, Mmid, PhD, Senior Research Fellow, La Trobe University, Melbourne, Victoria, Melbourne, Australia. d.forster@latrobe.edu.au

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Nurses’ knowledge and practice involving patients’ resuming sexual activity following myocardial
infarction: implications for training

The main aim of the study was to determine the knowledge level of cardiology nurses in relation to sexual and other lifestyle adjustments required of their patients following myocardial infarction (MI).

Key words: Sexuality, medical nursing, myocardial infarction

Leyla Özdemir, PhD, RN, Lecturer, Hacettepe University School of Nursing, Medical Nursing, Turkey. leylac@hacettepe.edu.tr
Nuran Akdemir, RN, Professor, Hacettepe University School of Nursing, Head of Medical Nursing, Tukey.

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Critical care nurses' knowledge about the care of deceased adult patients in an intensive care unit
The purpose of this study was to identify knowledge deficits about the care of deceased patients among critical care nurses.

Key words: intensive care nurse, post-mortem care, nursing care, deceased patient

Sevim Çelik, PhD, RN, Assistant Professor, Zonguldak Karaelmas University, Zonguldak School of Nursing, Department of Surgical Nursing, Zonguldak, Turkey. sevimak@superonline.com; sevimakcel@yahoo.com
Gülay Altun Uğraş, MSc, RN, Research Assistant, Istanbul University, Florence Nightingale College of Nursing, Department of Surgical Nursing, Turkey.
Sabahat Durdu, RN, Registered Nurse, Istanbul University, Istanbul Medical Faculty, Neurosurgery Intensive Care Unit, Turkey.
Meryem Kubaş, MSc, RN, Head Nurse, Istanbul University, Istanbul Medical Faculty, Neurosurgery Intensive Care Unit, Turkey.
Güler Aksoy, PhD, RN, Professor, Istanbul University, Florence Nightingale College of Nursing, Department of Surgical Nursing, Turkey.

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The impact of therapeutic relationship on preoperative and postoperative patient anxiety
The aim of this study was to determine the effectiveness of Peplau’s Interpersonal Relations
Model on preoperative and postoperative patient anxiety.

Key words: Preoperative Anxiety, Postoperative Anxiety, Interpersonal Relations Model, Nursing Intervention

Behice Erci, PhD, RN, Associate Professor, Public Health Nursing Department, School of Nursing, Atatürk University, Erzurum, Turkey. behiceerci@hotmail.com; behice@atauni.edu.tr
Serap Sezgin, PhD, Assistant Professor, Psychiatry Nursing Department, Samsun School of Health, Ondokuz Mayıs University, Erzurum, Turkey.
Zennure Kaçmaz, MsC, Assistant Research, Fundamentals of Nursing Department, Health Science Institude Atatürk University, Erzurum, Turkey.

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Assessing leadership in nurse practitioner candidates
The aim of this study was to explore the concept of leadership as it applies to nurse practitioners (NPs) and examine the issues around assessing NP candidates in Australia for leadership qualities.

Key words: Nurse practitioner, leadership, assessment

Cathy Watson, RN, RM, MCHN, NP, BA, Grad Dip in Advanced Nursing (Women’s Health), MNSc (Nurse Practitioner), Certificate of Tropical Community Medicine and Health Nurse Practitioner, Women’s Health, Gynaecology Assessment Clinic, Royal Women’s Hospital, Victoria, Australia. catherinejwatson@bigpond.com

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Legality, morality and reality - the role of the nurse in maintaining standards of care
This paper explores the legal and ethical frameworks that inform nursing practice and health care cultures. Using methodologies informed by critical race and feminist jurisprudence (also called ‘outsider scholarship’), images of nursing and the positive and negative effects of these images and their legal, moral and ethical impact on nursing practice, are explored. This exploration assists in exposing some of the power structures and assumptions which govern
contemporary nursing practice and standards of care and which impact on factors such as workforce retention.

Key words: law, ethics, power, status and image of nursing, retention

Mary Chiarella, RN , CM, Dip N.Ed. LLB (Hons) (CNAA), PhD, FRCNA, Professor of Clinical Practice, Development and Policy Research, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, New South Wales, Australia. mary.chiarella@uts.edu.au
Elizabeth McInnes, BA(Hons); Grad Dip App Sci (Nursing); MPH, Project Officer for Policy Research and Development, Faculty of Nursing, Midwifery and Health, University of
Technology, Sydney, New South Wales, Australia. elizabeth.mcinnes@uts.edu.au

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Sampling methods: methodological issues involved in the recruitment of older people into a study of sexuality
Sexual desire experienced by people over 65 years of age is a sensitive topic deserving serious and ethical research. The recruitment of participants into a potentially sensitive study poses particular difficulties including ethical challenges such as informed consent and confidentiality. This paper, drawing on a study of sexual desire in an older aged population group, outlines a range of purposive sampling methods that resulted in a high rate of recruitment, thus validating the methodology employed. The paper reports the outcomes of four recruitment strategies: word of mouth, advertising, community-based seminars and direct solicitation that were employed in a study on sexual desire and ageing. The paper aims to encourage researchers and health professionals to consider looking more closely at topics often considered to be socially forbidden and outside the ambit of nursing research. Some of the ethical issues involved in recruitment for the study will also be considered.

Key words: sampling, sexual desire, ageing, ethics

Susan Gledhill, RN, RM, BHA, MHA, PhD Candidate, Queensland University of Technology, Queensland, Australia. s.gledhill@student.qut.edu.au
Jennifer Abbey, PhD, BEd(Nursing), Dip Teach(Nursing), RN, FRCNA, Professor of Nursing (Aged Care), Faculty of Health, Queensland University of Technology School of Nursing, Dementia Collaborative Research Centre, Brisbane, Queensland, Australia. j.abbey@qut.edu.au
Robert Schweitzer, BSocSci(Hons), MA(ClinPsy), PhD, Associate Professor/Course Co-ordinator: Master of Clinical Psychology, Queensland University of Technology, Brisbane, Queensland, Australia. r.schweitzer@qut.edu.au

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Where have all the nurses gone?
The aim of this article is to highlight a crisis that has developed in UK nursing.

Key words: UK, policy, NHS

Linda Shields, PhD, FRCNA, Professor of Paediatric and Child Health Nursing, Curtin Health Innovation Research Institute, Curtin University of Technology, Perth, Australia; Honorary
Professor, Medical School, The University of Queensland, Australia. L.Shields@hull.ac.uk
Roger Watson, RN, PhD, FBiol, FRSA, Professor of Nursing, University of Sheffield, England,
UK; Visiting Professor of Nursing, Hong Kong Polytechnic University, Hong Kong.

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A nurses’ guide to the critical reading of research
A sound theoretical foundation to guide practice is enhanced by the ability of nurses to critique research. This article provides a structured route to questioning the methodology of nursing research.

Key words: Research critiquing, research methodology, evidence based practice

Rebecca (Becky) Ingham-Broomfield, RN (NSW), Cert.Ed, Dip.N (London), BSc, MSc, PhD student
Lecturer, University of New England, Armidale, NSW, Australia. rbroomf3@une.edu.au

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