THE AUSTRALIAN JOURNAL OF ADVANCED NURSING

VOLUME 28 NUMBER 1

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Reasons for entering and leaving nursing: an Australian regional study
The objective was to compare and contrast the reasons that nurses and nursing students provide for entering and leaving nursing.

Key words: Nurses, retention, recruitment, career choice, survey

Robert Eley, MSc PhD, Senior Research Fellow, The University of Southern Queensland, Centre for Rural and Remote Area Health, Toowoomba, Queensland, Australia. eleyr@usq.edu.au
Diann Eley, MSc PhD, Senior Research Fellow, University of Queensland, Mayne Medical School, Herston, Queensland, Australia. d.eley@uq.edu.au
Cath Rogers-Clark, PhD RN, Professor of Nursing, The University of Southern Queensland, Department of Nursing and Midwifery, Toowoomba, Queensland, and The Australian Centre for Rural and Remote Evidence Based Practice, Toowoomba Health Services, Toowoomba, Queensland, Australia. rogerscl@usq.edu.au

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An analysis of nurses’ views of harm reduction measures and other treatments for the problems associated with illicit drug use
To analyse nurses’ views of harm reduction measures and other treatments for the problems associated with illicit drug use.

Key words: illicit drugs, nurse, education, harm reduction, abstinence

Dr Rosemary Ford, RN, RM, BHthMgt, GradDip Public Health, GradCert Addictions Studies, GradCert Higher Ed, Master Nursing, PhD, Postgraduate Coordinator Master of Health Science (Clinical Practice), School of Nursing & Midwifery, Australian Catholic University Fitzroy, Victoria, Australia. rosemary.ford@acu.edu.au

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Models of health service delivery in remote or isolated areas of Queensland: a multiple case study
This paper reports on models of health service delivery in remote or isolated areas of Queensland.

Key words: Health Care; Hospitals; Nurses; Primary; Remote Consultation; Rural; Rural Health Services

Dr Melanie Birks, PhD, RN, BN, MEd, FRCNA, Senior Lecturer, School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia. Melanie.birks@monash.edu
Dr Jane Mills, PhD, RN, BN, MN, MEd, Grad. Cert. Ed. (Tert. Teach), FRCNA, Senior Lecturer, James Cook University, School of Nursing, Midwifery and Nutrition, Queensland, Australia. Jane.mills@jcu.edu.au
Professor Karen Francis, PhD, RN, MEd, MHlth Sc PHC, Grad Cert Uni Teach/Learn, BHlth Sc Nsg, Dip Hlth Sc Nsg, FRCNA, Fellow JBI, Professor of Nursing. Karen.francis@monash.edu
Dr Meaghan Coyle, PhD, BHlthSc(Acup), Research Fellow, Meaghan.coyle@monash.edu
Ms Jenny Davis, RN, RM, Grad Dip Periop, Grad Dip Critical Care, BAppSci(Nsg), BHIM(Hons) Lecturer. Jenny.davis@monash.edu
Ms Jan Jones, RN, RM, MCM, Grad. Dip. Mid., BN, MRCNA, MACM, Lecturer. Janet.jones@monash.edu

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Registered nurses’ opinions about patient focused care
The aim of the present study was to investigate registered nurses’ (RN) opinions about the organisational change to patient focused care (PFC).

Key words: Patient focused care, nurse opinions, nursing care delivery model, management

Amelie Kjörnsberg, RN, Uppsala University Hospital, Uppsala, Sweden and Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
Louise Karlsson, RN, Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
Annika Babra, RN, Manager Assessment and Inspections, Drug Inspectorate, Uppsala, Sweden.
Barbro Wadensten, RN, PhD, Associate Professor, Senior Lecturer, Department of Public Health and Caring Sciences, BMC, Box 564, Uppsala University, Uppsala, Sweden. Barbro.Wadensten@pubcare.uu.se

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Casualisation in the nursing workforce – the need to make it work
The aim of this paper is to highlight some of the challenges faced by the nursing profession in response to increased casualisation of its workforce and why the presence of casualisation needs to be viewed in a positive light.

Key words: nursing workforce; non‑standard work; casualisation; flexibility

Mrs Susanne Becker, RN, MN, Grad Dip Nursing, BN, BTeach (Adults), PhD Scholar, MRCNA, Lecturer, School of Nursing and Midwifery, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia, Australia. susanne.becker@unisa.edu.au
Prof. Helen McCutcheon, RN, RM, BA, MPH, PhD, Head, School of Nursing and Midwifery, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia, Australia. helen.mccutcheon@unisa.edu.au
Prof. Desley Hegney, RN, Cert Occ Health Nursing, DipNursEd, BA (Hons), PhD, FRCNA, FCN (NSW), FAIM, Professor and Director of Research, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. desley_hegney@nuhs.edu.sg

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Nursing double degrees: a higher education initiative in times of nursing shortages
The aim of this paper is to raise awareness of nursing double degrees (DD) and pose questions about their possible impact on nursing shortages.

Key words: Double degrees, nursing shortages, nursing education

Noelene Hickey, RN, RM, BHlthSc(Nurs), Grad Dip Cont Ed, MN, MPET., Lecturer, School of Nursing and Midwifery, The University of Newcastle, Ourimbah, New South Wales, Australia. noelene.hickey@newcastle.edu.au
Jennifer Sumsion, BEcon, DipEd, MEd, PhD, Professor of Early Childhood, School of Teacher Education, Charles Sturt University, Bathurst, New South Wales, Australia. jsumsion@csu.edu.au
Linda Harrison, BSc.(Hons), MSc, DipT(EC), MEd, PhD, Associate Professor of Early Childhood, School of Teacher Education, Charles Sturt University, Bathurst, New South Wales, Australia. lharrison@csu.edu.au

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Nursing education: reducing reality shock for graduate Indigenous nurses – it’s all about time
Since the decision to transfer nurse education to tertiary institutions in 1984, there have been many follow up inquiries to assess if the issues around training, including the inadequate preparation for the stresses of work, had in fact been addressed. This paper aims to highlight a range of specific strategies explored and implemented during the delivery of a Bachelor of Nursing program in an attempt to improve the retention of Indigenous nursing students and to generate a more enhanced educational preparation for future nursing students.

Key words: Indigenous Australian nurses, maximum clinical practice hours, reality shock, intensive theory delivery.

Allison Hinton, RN, MNLead, BNurs(Hon), BNurs, AssDipAppSci(Lab Biol), CertIVA&WT, Clinical Nurse Specialist, Community and Primary Care Services, Palmerston Community Care Centre, Palmerston Health Precinct, Darwin, Northern Territory, Australia. allison.hinton@live.com.au
Dr. Sharon Chirgwin, PhD, MSc, BSc, DipTeach, Grad Cert Indig Knowl. Postgraduate Coordinator, Batchelor Institute of Indigenous Tertiary Education, Batchelor, Darwin, Northern Territory, Australia. sharon.chirgwin@batchelor.edu.au

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Nurse practitioners are well placed to lead in the effective management of delirium
To acknowledge the detrimental impact that delirium continues to have on an individual and at the system level in an Australian acute inpatient setting and highlight the potential role that nurse practitioners can play in evidenced based prevention and management.

Key words: Delirium, Nurse Practitioner, Australia, Acute care hospital

Deanne Burge, RN, Grad Cert CC, Grad Dip H M’ment,Grad Dip PH, MRCNA., Gerontology Nurse Practitioner Candidate, Northeast Health, Wangaratta, Victoria, Australia. Deanne.burge@nhw.hume.org.au
Wendy Kent, RN, RM, Masters Nursing Practice (Nurse Practitioner), Gerontology Nurse Practitioner Candidate, Northeast Health, Wangaratta, Victoria, Australia.
Jacqui Verdon, ADWS, BSW, COAG LSOP Project Officer Northeast Health, Wangaratta, Victoria, Australia.
Stephen Voogt, RN, Grad Dip Bus M’ment, Grad Cert Crit Care, Grad Cert Mental Health Nurs. Masters Nursing Practice (Nurse Practitioner) Gerontology Nurse Practitioner Northeast Health, Wangaratta, Victoria, Australia.
Helen M. Haines, RN, RM, MPH, Nurse Practitioner Project Officer, Lecturer, Rural Health Academic Network. The University of Melbourne, Rural Health Academic Centre and Northeast Health, Wangaratta, Victoria, Australia. hhaines@unimelb.edu.au

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Scope of emergency nurse practitioner practice: where to beyond clinical practice guidelines?
The aim of this paper is to discuss some of the issues around continuing development of the Emergency Nurse Practitioner (ENP) role in a Victorian metropolitan Emergency Department (ED) setting. More specifically the discussion will consider the evolving clinical practice of the ENP in relation to clinical practice guidelines (CPG) and optimal utilisation of ENP skills and expertise.

Key words: Emergency nurse practitioner, scope of practice, clinical practice guidelines, fast-track

Grainne Lowe, MN, BN(Hons), Cert Emerg Nsg, RN, Nurse Practitioner, Emergency Nurse Practitioner, Emergency and Trauma Centre, Alfred Hospital, Melbourne, Australia.

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Challenges for midwives: pregnant women and illicit drug use
The purpose of the paper is to introduce illicit drug use as a societal problem and describes the response of the Australian Government. Specifically the paper examines the use of illicit drugs by pregnant women and the role of midwives in supporting these women throughout pregnancy and birth.

Key words: Illicit drugs, pregnant, midwives, antenatal care

Maureen Miles, RN, MSocSci (MCHN), Grad Cert Midwifery, Grad Cert Family Studies, HVCert (Lond), PhD candidate, Lecturer, School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia. maureen.miles@med.monash.edu.au
Professor Karen Francis, RN, PhD, MHlth Sc, M Ed, PHC, Grad Cert Uni Teach/Learn, BHlth Sc. Nsg, Dip Hlth Sc. Nsg, Professor of Rural Nursing, School of Nursing and Midwifery, Monash University, Churchill, Victoria, Australia. Karen.Francis@med.monash.edu.au
Associate Professor Ysanne Chapman, PhD, MSc (Hons), Bed (Nsg), GDE, DNE, RN
School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia. Ysanne.Chapman@med.monash.edu.au

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