145 research outputs found
Industrial considerations for nurses responding to disasters
No full textLenson, Shane; Ranse, Jamie; Cusack, Lynett
To work or not to work: an analysis of the willingness of Australian emergency nurses to respond to a disaster
No full textPaul Arbon, Lynette Cusack, Jamie Ranse, Ramon Shaban, Julie Considine, Belinda Mitchell, Karen Hammad, Laura Bahnisch, Mayumi Kako, Richard Woodma
Australasian emergency nurses' willingness to attend work in a disaster: a survey
No full textAbstract not availablePaul Arbon, Jamie Ranse, Lynette Cusack, Julie Considine, Ramon Z. Shaban, Richard J. Woodman, Laura Bahnisch, Mayumi Kako, Karen Hammad, Belinda Mitchel
National consistency in industrial awards for disaster release for Australian nurses: An integrative review of enterprise arrangements
No full textThis research explores the types of provisions made available to nurses within Australian public employment agreements to respond to disasters and alternate provisions made available to provide personal property protection and personal care during a disaster. An integrative literature review methodology is used to collect, evaluate, analyse and integrate sources of evidence to inform a discussion on the current enterprise arrangements for nurses with respect to disaster response. Nursing and midwifery public sector enterprise agreements were sourced from each of the eight Australian jurisdictions. These were evaluated for the industrial provisions made available to nurses wanting to assist in responding to disasters. Only five of these agreements mentioned provisions for nurses to assist in disasters. Where these provisions exist, they vary in their consistency, terminology and the quantity of the entitlements, potentially leading to inequality and variability in the financial support frameworks for nurses involved in disaster events.S Lenson, J Ranse and L Cusac
Expression of ethical principles in Australia's disaster plans
No full textObjective: This qualitative study explores whether Australian mass casualty and disaster plans explicitly acknowledge or implicitly draw upon ethical principles. Methods: Federal, state and territory governmental websites were searched to identify mass casualty incident and/or disaster plans. The authors examined the documents to identify whether ethical principles were overtly stated or implied, and what those values or principles were. Results: Ten governmental documents were identified – two federal and one for each of the eight States and Territories. One of the documents had an explicit statement of the ethical values that informed the mass casualty and disaster planning decisions which were present. Utilitarianism was the dominant ethical principle informing the document in another seven documents. Conclusion: In Australian government documents for mass casualty and disaster management, although ethics is definitely considered, the ethical principles on which decisions are made are rarely explicit. Mass casualty and disaster decision-making could be improved by making the ethical basis for decision-making clear, transparent and comprehensively reasoned.No Full Tex
Understanding the characteristics of patient presentations of young people at outdoor music festivals
No full textOutdoor music festivals are unique events given that they are, for the most part, bounded and ticketed, and alcohol is served. They frequently have a higher incidence of patient presentations when compared with similar types of mass gatherings. Often, however, single events are reported in the literature, making it difficult to generalize the findings across multiple events and limiting the understanding of the “typical” patient presentations at these mass gatherings. The aim of this paper was to understand the characteristics of young people who have presented as patients to on-site health care at outdoor music festivals in Australia, and the relative proportion and type of injury and illness presentations at these events. This research used a nonexperimental design, utilizing a retrospective review of patient report forms from outdoor music festivals. Data were collected from 26 outdoor music festivals across four States of Australia during the year 2010. Females presented at greater numbers than males, and over two-thirds presented with minor illnesses, such as headaches. Males presented with injuries, in particular lacerations to their face and their hands, and alcohol and substance use made up 15% of all presentations.Alison Hutton, Jamie Ranse, Naomi Verdonk, Shahid Ullah, Paul Arbo
Disaster preparedness: A concept analysis and its application to the intensive care unit
No full textOBJECTIVES: The aim of the study is to understand the concept of disaster preparedness in relation to the intensive care unit through the review and critique of the peer-reviewed literature. REVIEW METHOD USED: Rodgers' method of evolutionary concept analysis was used in the study. DATA SOURCES: Healthcare databases included in the review were Cumulative Index to Nursing and Allied Health Literature, Public MEDLINE, Scopus, and ProQuest. REVIEW METHODS: Electronic data bases were searched using terms such as "intensive care unit" OR "critical care" AND prep∗ OR readiness OR plan∗ AND disaster∗ OR "mass casualty incidents" OR "natural disaster" OR "disaster planning" NOT paed∗ OR ped∗ OR neonat∗. Peer-reviewed articles published in English between January 2000 and April 2020 that focused on intensive care unit disaster preparedness or included intensive care unit disaster preparedness as part of a facility-wide strategy were included in the analysis. RESULTS: Eighteen articles were included in the concept analysis. Fourteen different terms were used to describe disaster preparedness in intensive care. Space, physical resources, and human resources were attributes that relied on each other and were required in sufficient quantities to generate an adequate response to patient surges from disasters. When one attribute is extended beyond normal operational capacities, the effectiveness and capacity of the other attributes will likely be limited. CONCLUSION: This concept analysis has shown the varied language used when referring to disaster preparedness relating to the intensive care unit within the research literature. Attributes including space, physical resources, and human resources were all found to be integral to a disaster response. Future research into what is required of these attributes to generate an all-hazards approach in disaster preparedness in intensive care units will contribute to optimising standards of care.No Full Tex
Characteristics, outcomes and care delivery for people brought in by police to the Emergency Department: a multi-methods study
No full textBackground: Internationally, the demand for timely and effective emergency department (ED) health care is increasing. Subsumed within this growing demand are people brought in by police (BIBP). People BIBP are vulnerable, often requiring complex care due to the prevalence and interplay between co-existing physical and psychological morbidities. Yet, there is a paucity of evidence surrounding the delivery of health care to people BIBP to EDs, which limits the design and implementation of targeted interventions that support optimal patient outcomes.
Aim: The overarching aim of this PhD research was to describe and understand the characteristics, outcomes and care delivery for people BIBP to the ED. [...]Thesis (PhD Doctorate)Doctor of PhilosophySchool of Nursing & MidwiferyGriffith HealthFull Tex
Review: The mental health imaginary vis-à-vis its nurses and Australian environs: An essay
No full textTo imagine what it might be like in the future for mental health nursing in Australia, one must not forget the past. Delving into the past allows for the building of a trajectory of a plausible evolution, giving insights into the imagined future. This work takes a unique exploration of the future of mental health nursing in the Australian environs. To do this, the author of this work presents an historical account of what it may have been like to be a mental health nurse in Australian in the late 1900s. This account is a philosophical view that does not necessarily aim to resolve an issue, build a theory or seek agreement, but instead is a philosophical work taking shape from the author’s lifeworld.No Full Tex
End-of-life care content in postgraduate critical care nursing programs:Structured telephone interviews to evaluate content-informing practice
No full textBackground: The provision of end-of-life care remains a significant component of work for clinicians in critical care settings. Critical care nurses report that this area of practice receives limited attention in education and training. Objectives: The objective of this study was to identify and describe the end-of-life care content in postgraduate critical care nursing programs in Australia. Methods: Using a descriptive exploratory research design, an Internet search was undertaken in August 2015, identifying 17 education providers offering postgraduate critical care nursing programs. Thirteen individuals agreed to participate in a structured telephone interview regarding end-of-life content in their postgraduate program. Descriptive statistics were calculated to summarise the data obtained. Results: Twelve participants reported that end-of-life care content was explicitly addressed in their postgraduate critical care nursing programs, yet variation in actual content areas covered was evident. The majority of programs addressed content related to organ donation (92%) and legal and ethical issues (77%). However, content least commonly identified as covered pertained to the work of the nurse in providing direct clinical care to the patient at the end of life and his or her family, including the physical changes experienced by the dying patient (31%), respiratory management encompassing withdrawal of ventilation and symptom management (23%), emotional support of family (23%), care of the body after death (23%), and the process of withdrawing life-sustaining treatment (15%). Participants (92%) agreed that end-of-life content was important in postgraduate critical care nursing programs, with 77% of participants agreeing that more time should be allocated to end-of-life content. Conclusions: This study provides preliminary evidence of the variation in end-of-life content in postgraduate critical care nursing programs in Australia. Addressing gaps in end-of-life care content in formal education, including clinical care of the dying patient, is urgently needed to address the complexity of this phase of care that is so frequently provided in critical care units.</p
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