Recognising difference : the need to develop culturally appropriate care.

The article considers aspects of trust within the nursing relationship utilizing a trans-cultural nursing framework

The bricoleur: Rechoreographing lives, rewriting the master script. The phenemomenon of mothering as described by Mothers of children living with spastic cerebral palsy.

Aim: The aim of this study was to explore the phenomenon of mothering a child with spastic cerebral palsy through the lens of the Mother. The study is situated within an Australian, regional environment. Methodology: The methodology underpinning this inquiry was that of Descriptive Phenomenology in the tradition of Edmund Husserl. Method: Information was gathered through the use of face-to-face interviews complemented by the use of photo, olfactory, tactile elicitations, and the use of soundscapes. Building on the works of Edwards and Welch (2011) an extension of Colaizzi’s (1978) method of data analysis (1978) informed the analysis process. Results: Ten themes were explicated through the process of analysis: Phoenix arising; Normality; Facing the abyss; Keeping all the balls in the air; Struggling with Self-identity; Being judged and disempowered; The imposition of the medical model; Being re-traumatised; On a positive note, and Letting it all out. Conclusion: This study revealed a spectrum of positive, negative, and cathartic experiences. The cathartic process, achievements of mothers, and acknowledgement of their dedication to raising their child, are highlighted within this research. Implications and recommendations in relation to clinical practice, policy review, and future research are presented to address issues of concern arising from the study. Priority recommendations include changes to policy perspectives and audit recommendations for NDIS and enhancing the role of Nurse Navigators. Recommendations for future research include new methods in working with vulnerable populations and sensitive information and further implementation of the novel Distress- Redirect, Opt-out Protocol (DROP).</p

No picket fences

The article discusses the challenges and benefits that are associated with providing nursing services in remote and rural locations in Australia. The benefits that distance education and telehealth services can provide to nurses in rural and remote areas are discussed. The important role that therapeutic relationships plays in rural and remote nursing services is examined

Dual roles and conflict: nurses as mothers of critically ill neonates

Positional paper

The Bricoleur: Re-choreographing lives, rewriting the master script. The phenomenon of mothering as described by Mothers of children living with spastic cerebral palsy

Aim: The aim of this study was to explore the phenomenon of mothering a child with spastic cerebral palsy through the lens of the Mother. The study is situated within an Australian, regional environment. Methodology: The methodology underpinning this inquiry was that of Descriptive Phenomenology in the tradition of Edmund Husserl. Method: Information was gathering through the use of face-to-face interviews complemented by the use of photo, olfactory, tactile elicitations, and the use of soundscapes. Building on the works of Edwards and Welch (2011) an extension of Colaizzi’s (1978) method of data analysis (1978) informed the analysis process. Results: Ten themes were explicated through the process of analysis: Phoenix arising; Normality; Facing the abyss; Keeping all the balls in the air; Struggling with Self-identity; Being judged and disempowered; The imposition of the medical model; Being re-traumatised; On a positive note, and, Letting it all out. Conclusion: This study revealed a spectrum of positive, negative, and cathartic experiences. The cathartic process, achievements of mothers, and acknowledgement of their dedication to raising their child, are highlighted within this research. Implications and recommendations in relation to clinical practice, policy review, and future research are presented for addressing issues of concern arising from the study. Priority recommendations include changes to policy perspectives and audit recommendations for NDIS and enhancing the role of Nurse Navigators. Recommendations for future research include new methods in working with vulnerable populations and sensitive information and further implementation of the novel Distress- Redirect, Opt-out Protocol (DROP).</p

No more "fake it": it's time to fashion stake it!

The article details options for consideration in child health in relation to therapeutic equipment and devices

Review of antibiotic use in respiratory disorders at a regional hospital in Queensland

Adherence to antibiotic guidelines has been shown to improve outcomes in several clinical situations.Respiratory conditions are a major cause of mortality and morbidity in Queensland. A recent study showed low levels of compliance with antibiotic guidelines in a Queensland metropolitan hospital. We undertook an audit of antibiotic use in a regional Queensland hospital against Therapeutic Guideline recommendations. Therapeutic Guideline recommendations were followed in 16% of cases with ceftriaxone the most commonly prescribed. Re-admission rate within 28 days was for 53%, 26%, 11% and 5% respectively for ceftriaxone, benzylpenicillin, amoxicillin/clavulanate and ceftriaxone combined doxycycline. Less than half of patients treated for pneumonia had concordant radiographic changes. Admission via the emergency department may be a factor in the preference for intravenous injection of ceftriaxone and presence of non-infective co-morbidities may also contribute to re-admissions. Considerable challenges exist in improving compliance with antibiotic guidelines which can improve patient outcomes and antibiotic stewardship

Administer one puppet PRN

Administer one puppet PR

Student nurses' pain knowledge and attitudes towards pain management over the last 20 years: A systematic review

Objective: To discover if nursing students have improved their level of pain knowledge and their attitudes towards pain management over the last 20 years. Design: Systematic review utilising the Kable, Pich, and Maslin-Prothero 12 step approach to document a search strategy. Data sources: A search was conducted from 2000 to 2020 using CINAHL, PubMed, Embase and ProQuest. Review methods: Studies exploring the level of pain management knowledge and attitudes of nursing students were included. The Critical Review Form - Quantitative Studies provided the appraisal framework (Law et al., 1998). A narrative synthesis of eligible studies was undertaken. Results: Six studies with a total of 1454 participants were included. The studies demonstrated that nursing students have not improved their level of pain knowledge and attitudes towards pain management in the last 20 years. Whilst many nursing students thought they possessed adequate pain knowledge, the studies all demonstrated that their pain knowledge is lacking and that they do not have appropriate attitudes towards pain. Students did not recognise the patient who was not grimacing as being in pain despite the patient report of pain. Conclusions: These findings support the notion that nursing education does not include sufficient focus on pain identification and management. Alignment of nursing pain education with the curriculum developed in 1993 by the International Association for the Study of Pain is needed to ensure nurses have appropriate knowledge so that patients can receive effective pain management

On scale parameter monitoring of the Rayleigh distributed data using a new design

In recent years, many supplementary designs have been developed incorporating the assumption that data follow the particular non-normal distribution. The VR-control chart is one such design proposed to monitor the parameter 2 of the single parameter Rayleigh distributed data. Commonly, in authentic situations, practitioners need to estimate the scale parameter in the observed processes instead of 2. However, the positive square root of the VR-statistic used in the existing design of VR-control chart is not anunbiased estimator of and thus could not be practiced to monitor the scale parameter of the Rayleigh distributed process. A new structure of the VR-control chart namely VSQR for monitoring the scale parameter of the Rayleigh distributed data has been originally developed in this study. The statistical basis of this newly VSQR design in terms of average run length .ARL/, characteristic function and power curve have been derived. The analytical results are utilized further to determine the parameters of VSQR-chart and in comparing the performance of the proposed control chart with existing competitors. Comparative results illustrate the effectiveness of the proposed design in view of statistical power. Finally, the computational procedure of this newly VSQR-chart has been demonstrated using simulated data and real data on the breaking strength of carbon fibers