The role of peer-assisted learning in enhancing the learning of undergraduate nursing students in clinical practice: a qualitative systematic review protocol.

Review question/objective: The objective of this qualitative systematic review is to identify and synthesize the best available evidence on experiences of peer teaching and learning among student nurses in the clinical environment. The specific objectives are: To identify nursing students’ experiences of peer-assisted learning (PAL) and teaching within the clinical setting. To identify qualitative data that highlight the strengths and weaknesses of PAL among student nurses in clinical settings. To explore whether PAL enhances the competence of student nurses’ learning in clinical settings

European neonatal intensive care nursing research priorities: an e-Delphi study.

OBJECTIVE: This study aimed to identify and prioritise neonatal intensive care nursing research topics across Europe using an e-Delphi technique. DESIGN: An e-Delphi technique with three questionnaire rounds was performed. Qualitative responses of round one were analysed by content analysis and research statements were generated to be ranged on importance on a scale of 1-6 (not important to most important). SETTING: Neonatal intensive care units (NICUs) in 17 European countries. POPULATION: NICU clinical nurses, managers, educators and researchers (n=75). INTERVENTION: None. MAIN OUTCOME MEASURES: A list of 43 research statements in eight domains. RESULTS: The six highest ranking statements (≥5.0 mean score) were related to prevention and reduction of pain (mean 5.49; SD 1.07), medication errors (mean 5.20; SD 1.13), end-of-life care (mean 5.05; SD 1.18), needs of parents and family (mean 5.04; SD 1.23), implementing evidence into nursing practice (mean 5.02; SD 1.03), and pain assessment (mean 5.02; SD 1.11). The research domains were prioritised and ranked: (1) pain and stress; (2) family centred care; (3) clinical nursing care practices; (4) quality and safety; (5) ethics; (6) respiratory and ventilation; (7) infection and inflammation; and (8) professional issues in neonatal intensive care nursing. CONCLUSIONS: The results of this study might support developing a nursing research strategy for the nursing section of the European Society of Paediatric and Neonatal Intensive Care. In addition, this may promote more European researcher collaboratives for neonatal nursing research

An analysis of Australian graduate critical care nurse education.

BACKGROUND: Preparation of specialist critical care nurses in Australia is at graduate level, although there remains considerable variation in courses offered in relation to qualification, content, assessment and outcomes. As higher education providers must now comply with the Australian Qualifications Framework (AQF) a study was conducted to examine existing critical care courses and graduate practice outcomes. METHODS: Twenty-two critical care courses were reviewed. Data sources included course provider, websites, course curricula and telephone interviews with course coordinators. A framework approach, was used consisting of five key stages: preliminary immersion of raw data, conceptualising a thematic framework, indexing, charting, mapping and interpretation of data. FINDINGS: Analysis revealed considerable variations in course delivery and graduate practice outcomes. Most courses used professional competency standards as a framework for course curricula and clinical assessment, with inconsistency in their translation to graduate practice outcomes. Twenty-one courses included clinical assessment at graduate certificate level with no clinical assessment conducted at master level. The expected practice outcome for fifteen courses was safe practice with graduates not expected to practice at a specialist or team leadership level. Minimum graduate practice standards were not included in three courses as an expected outcome. CONCLUSION: The AQF requires graduate nurse education to be compliant with academic outcome standards. The findings of our study indicate variations between courses and subsequent graduate practice outcomes. It is therefore timely to establish national critical care education graduate practice standards

Regarding “Development of a postgraduate interventional cardiac nursing curriculum” by Currey et al.

publisher: Elsevier articletitle: Regarding “Development of a postgraduate interventional cardiac nursing curriculum” by Currey et al. journaltitle: Australian Critical Care articlelink: http://dx.doi.org/10.1016/j.aucc.2015.12.038 content_type: simple-article copyright: © 2015 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved

Implantable Doppler Probe as a Vascular Monitoring Device in Kidney Transplant Patients: Investigation of Use at a Single Center.

OBJECTIVES: Vascular complications account for 30% to 35% of total kidney grafts lost during the first 3 months posttransplant. Early detection of vascular complications allows an opportunity for prompt intervention, which is critical to reducing graft loss. In this study, we evaluated the usefulness of an implantable Doppler probe as a vascular monitoring device in kidney transplant patients. MATERIALS AND METHODS: An implantable Doppler probe is used intermittently for postoperative monitoring of kidney transplant patients at our center. In this retrospective study, we analyzed prospectively maintained medical data in which we compared clinical outcomes of kidney transplant recipients who had postoperative implantable Doppler probe monitoring versus standard care clinical observation. Between January 2016 and October 2021, 324 kidney transplant patients were seen at our center. Patients were divided into 2 groups: group 1 (n = 194; 60%) included kidney transplant recipients with postoperative implantable Doppler probe monitoring and group 2 (n = 129; 40%) included kidney transplant recipients with standard care clinical observation. We compared number of vascular complications, number of departmental ultrasonographic scans required posttransplant, and graftloss at 3 months between the 2 groups. RESULTS: Vascular complications were identified in 13.5% of total patients, with graft loss identified in 2.1%. Both groups were similar in demographical characteristics. Group 1 had more vascular complications (17.5% vs 9.3%; relative risk = 1.88), fewer ultrasonographic scans during the first 24 hours posttransplant (71.1% vs 83.7%; relative risk = 0.84), and lower graft loss (1.5% vs 3.1%; relative risk = 0.48) than group 2. All probes were removed safely after 72 hours, and no complications related to the device were reported. CONCLUSIONS: The monitoring device may be used as an additional adjunct for graft monitoring in kidney transplant patients. Further controlled studies are warranted to evaluate this device in clinical practice

A novel tag-recovery model with two size classes for estimating fishing and natural mortality, with implications for the southern rock lobster (Jasus edwardsii) in Tasmania, Australia

Multi-year tag-recovery models can be used to derive estimates of age- and year-specific annual survival rates and year-specific instantaneous fishing and natural mortality rates. The latter, which are often of interest to fisheries managers, usually can only be estimated when the tag-reporting rate (lambda) and the short-term tag-induced mortality and tag-shedding rate (phi) are known a priori. We present a new multi-year tagging model that permits estimation of instantaneous mortality rates independently of philambda provided tagged animals from two adjacent size groups are released simultaneously. If the two size groups comprise animals just above and below the minimum harvestable size limit, then it is possible to estimate year-specific instantaneous fishing and natural mortality rates after 2 yr of tagging and tag-recovery. In addition to the standard assumptions of multi-year tag-recovery models, it is necessary to assume that recruited animals have equal selectivity, pre-recruited animals become fully recruited in 1 or 2 yr, and the size groups experience the same natural mortality rate. Applicability of the model to the Tasmania southern rock lobster (Jasus edwardsii) fishery is evaluated using a simulation model and parameters based on data from the lobster fishery; assumptions are likely to be met and precision should be adequate if at least 1000 animals are tagged per year in each size group. (C) 2003 International Council for the Exploration of the Sea

Development of Australian clinical practice outcome standards for graduates of critical care nurse education.

AIMS AND OBJECTIVES: To develop critical care nurse education practice standards. BACKGROUND: Critical care specialist education for registered nurses in Australia is provided at graduate level. Considerable variation exists across courses with no framework to guide practice outcomes or evidence supporting the level of qualification. DESIGN: An eDelphi technique involved the iterative process of a national expert panel responding to three survey rounds. METHODS: For the first round, 84 statements, organised within six domains, were developed from earlier phases of the study that included a literature review, analysis of critical care courses and input from health consumers. The panel, which represented the perspectives of four stakeholder groups, responded to two rating scales: level of importance and level of practice. RESULTS: Of 105 experts who agreed to participate, 92 (88%) completed survey round I; 85 (92%) round II; and 73 (86%) round III. Of the 98 statements, 75 were rated as having a high level of importance - median 7 (IQR 6-7); 14 were rated as having a moderate level of importance - median 6 (IQR 5-7); and nine were rated as having a low level of importance - median 4 (IQR 4-6)-6 (IQR 4-6). The majority of the panel rated graduate level of practice as 'demonstrates independently' or 'teaches or supervises others' for 80 statements. For 18 statements, there was no category selected by 50% or more of the panel. The process resulted in the development of 98 practice standards, categorised into three levels, indicating a practice outcome level by the practitioner who can independently provide nursing care for a variety of critically ill patients in most contexts, using a patient- and family-focused approach. CONCLUSION/RELEVANCE TO CLINICAL PRACTICE: The graduate practice outcomes provide a critical care qualification definition for nursing workforce standards and can be used by course providers to achieve consistent practice outcomes