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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. [email protected]
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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.
[email protected]
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.
[email protected]
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.
[email protected]
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. [email protected]
Della Forster,
RN, RM, DipAppSci, BHealthSci, Mmid, PhD,
Senior Research Fellow, La Trobe University,
Melbourne, Victoria, Melbourne, Australia.
[email protected]
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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.
[email protected]
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.
[email protected]; [email protected]
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.
[email protected]; [email protected]
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.
[email protected]
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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.
[email protected]
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. [email protected]
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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.
[email protected]
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.
[email protected]
Robert Schweitzer,
BSocSci(Hons), MA(ClinPsy), PhD,
Associate Professor/Course Co-ordinator: Master
of Clinical Psychology, Queensland University of
Technology, Brisbane, Queensland, Australia.
[email protected]
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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.
[email protected]
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.
[email protected]
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