121 research outputs found
Future Challenges for Mixed Methods Research in Nursing and the Health Sciences
No full textNursing and health science researchers have, increasingly, embraced mixed methods to guide their exploration of the complex phenomena that infl uence human health. The mixed methods approach offers a fl exibility and depth of insight that is not possible to achieve through the use of either qualitative or quantitative methods alone. Despite a growth in popularity, it is clear to us that using mixed methods approaches in themselves does not mean that the research is inherently good. High quality application of the mixed methods approach requires consideration of the theoretical underpinnings and careful planning of data collection methods and analysis techniques. Like its qualitative and quantitative counterparts, the mixed methods approach can be of
variable quality and rigour. In order to maintain the integrity of mixed
methods as a research approach it is vital that researchers engage in scholarly debate within the literature not only regarding philosophical issues, but also practical considerations, to guide those using mixed methods in their research. This text has sought to do this by providing a combination of practical advice supplemented with contemporary examples from the literature and introducing the reader to the current issues faced by nursing and the health science researchers using mixed methods
Introduction to Mixed Methods Research for Nursing and the Health Sciences
No full textIn this chapter we have introduced the reader to the current trends in
mixed methods research, and to the terminology that will be expanded
and refi ned during progress through the text. We wish you well in your
research and studies and look forward to watching the science of mixed
methods develop and grow in the future
The evolution of nursing in Australian general practice: a comparative analysis of workforce surveys ten years on
Get PDFThis article describes the current demographic and employment characteristics of Australian nurses working in general practice, and explores trends in their role over time.
Abstract:
Background
Nursing in Australian general practice has grown rapidly over the last decade in response to government initiatives to strengthen primary care. There are limited data about how this expansion has impacted on the nursing role, scope of practice and workforce characteristics. This study aimed to describe the current demographic and employment characteristics of Australian nurses working in general practice and explore trends in their role over time.
Methods
In the nascence of the expansion of the role of nurses in Australian general practice (2003–2004) a national survey was undertaken to describe nurse demographics, clinical roles and competencies. This survey was repeated in 2009–2010 and comparative analysis of the datasets undertaken to explore workforce changes over time.
Results
Two hundred eighty four nurses employed in general practice completed the first survey (2003/04) and 235 completed the second survey (2009/10). Significantly more participants in Study 2 were undertaking follow-up of pathology results, physical assessment and disease specific health education. There was also a statistically significant increase in the participants who felt that further education/training would augment their confidence in all clinical tasks (p < 0.001). Whilst the impact of legal implications as a barrier to the nurses’ role in general practice decreased between the two time points, more participants perceived lack of space, job descriptions, confidence to negotiate with general practitioners and personal desire to enhance their role as barriers. Access to education and training as a facilitator to nursing role expansion increased between the two studies. The level of optimism of participants for the future of the nurses’ role in general practice was slightly decreased over time.
Conclusions
This study has identified that some of the structural barriers to nursing in Australian general practice have been addressed over time. However, it also identifies continuing barriers that impact practice nurse role development. Understanding and addressing these issues is vital to optimise the effectiveness of the primary care nursing workforce
Cardiovascular Nursing and Climate Change: A Call to Action From the CSANZ Cardiovascular Nursing Council
No full textOnline published-ahead-of-print 1 December 2022This Call to Action aims to provide key considerations for cardiovascular nursing, related to climate and environmental impacts. Strategies to optimise nursing preparation, immediate response and adaptation to climate emergencies are crucial to ensure those at greatest risk, including First Nations peoples, are protected from potentially avoidable harm. Professionals who manage climate consequences must also understand the impact of their care on the root cause of the problem.Sally C. Inglis, Caleb Ferguson, Rebecca Eddington, Julee McDonagh, Chris J. Aldridge, Kimberley Bardsley, Dion Candelaria, Y.Y. Chen, Robyn A. Clark, Elizabeth Halcomb, Jeroen M. Hendriks, Louise D. Hickman, Rochelle Wynn
Exploring the development of Australian general practice nursing: Where we have come from and where to from here?
No full textSignificant development has occurred in the role and scope of Australian general practice nursing in the last decade. Although there has been a nursing presence in Australian general practice for many years (Linn 1977). current workforce shortages and the growinq need for chronic and complex disease manaqement and provision of preventive health care in the community have fuelled role development (Halcomb, Patterson & Davidson 2006). In an effort to explore and document the evolution of scholarship and professional development in Australian general practice nursing a content analysis of the proceedings of the four Australian practice nursing conferences was undertaken. This framework allows the mapping of the trajectory related to professional development issues, policy, research and scholarship. Content analysis revealed that the papers presented at each of the four conferences could be broadly divided into six major themes, namely: (1) role of the practice nurse, (2) education and training, (3) research, (4) legal, ethical and risk issues, (5) innovation in clinical practice, and (6) operational and management issues in general practice. Documenting the evolution of this emerging specialty is important in planning initiatives to maximise practice nurses' important contribution to primary health care. Copyright © eContent Management Pty Ltd
Socioeconomic status and heart failure in Sydney
No full textOnline published-ahead-of-print 27 November 2013BACKGROUND: Socioeconomic disadvantage is associated with an increased risk of developing heart failure and with inferior health outcomes following diagnosis. METHODS: Data for hospitalisations and deaths due to heart failure in the Sydney metropolitan region were extracted from New South Wales hospital records and Australian Bureau of Statistics databases for 1999-2003. Standardised rates were analysed according to patients' residential local government area and correlated with an index of socioeconomic disadvantage. RESULTS: Eight of the 13 local government areas with standardised separation rate ratios significantly higher than all NSW, and those with the six highest standardised separation rate ratios, were in Greater Western Sydney. Rates of heart failure hospitalisations per local government area were inversely correlated with level of socioeconomic status. CONCLUSIONS: Higher rates of heart failure hospitalisations among residents of socioeconomically disadvantaged regions within Sydney highlight the need for strategies to lessen the impact of disadvantage and strategies to improve cardiovascular health.Glenn R. Close, Phillip J. Newton, Simon C. Fung, A. Robert Denniss, Elizabeth J. Halcomb, Pramesh Kovoor, Simon Stewart, Patricia M. Davidso
Job satisfaction among small rural hospital nurses: A cross‐sectional study
Get PDFPurpose: To explore the relationships between job satisfaction, community satisfaction, practice environment, burnout, and intention to leave of nurses working in Australian small rural hospitals. Design: A national cross-sectional survey of 383 nurses from Australian rural public hospitals of less than 99 beds during 2018. Methods: Job satisfaction was measured on a four-point Likert scale. Factors associated with community satisfaction, practice environment, burnout and intention to leave were analyzed using multiple linear regression to explore the predictors of job satisfaction. Findings: Overall job satisfaction was positive, with most nurses moderately (n = 146, 38.1%) or very satisfied (n = 107, 27.9%) with their current job. Emotional exhaustion, nurse manager ability, leadership and support of nurses were the most significant predictors of job satisfaction. Conclusion: This study provides new insight into the factors impacting the job satisfaction of nurses working in rural hospitals. The knowledge gained is important to inform strategies to retain nurses in rural areas and, in turn, ensure rural communities have access to quality health care. Clinical relevance: The impact of nurses' job satisfaction on burnout, patient safety, and intention to leave is well recognized; however, there is limited understanding of job satisfaction in a rural hospital context. This study provides an understanding of the factors that impact job satisfaction of nurses working in small rural hospitals and highlights the importance of improving the practice environment to reduce the high attrition rates of this workforce
Appraising Mixed Methods Research
No full textThere is increasing interest in the use of mixed methods research approaches among health researchers. While mixed methods research has the potential to reveal rich data and deeper understandings of complex phenomena, it needs to be evaluated with the same level of critical appraisal as other methodologies. To date, however, much of the discourse around the critical appraisal of mixed methods research has discussed the challenges and considerations underlying critical appraisal. There has been limited agreement reached on optimal methods of evaluating this body of literature. This chapter will synthesize the literature on critically appraising mixed methods research and provide advice to those reviewing mixed methods papers around considerations in critical appraisal for this type of research
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