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Collegian ; 2022.
Article in English | ScienceDirect | ID: covidwho-1689332


Background When a disaster occurs, a health response must adapt to meet the needs of the community. Nursing students may be able to assist in supporting the nursing workforce to meet the community's health needs during and/or following a disaster. However, there is a paucity of literature regarding the educational needs of nursing students regarding disaster preparedness. Further, the disaster-related content that is important to be included in undergraduate nursing curricula is poorly understood. Methods This study used a modified three-round Delphi design guided by the principles of the Guidance on Conducting and REporting DElphi Studies . Data was collected from Australian clinical and academic nurses via online surveys. Analysis was undertaken using descriptive statistics including means of central tendency, with disaster content topic areas and statements considered a priority if they obtained a mean score of four out of five, or greater. Results A total of 38 nurses participated in this study. Across the three rounds, eight topic areas and 37 different statements were included. High priority statements for topic inclusions in undergraduate curricula were “disaster knowledge,” “assessment and triage,” “critical thinking,” and “technical skills.” Additionally, statements relating to “mental wellbeing” and “teamwork in stressful situations” were ranked as the highest. Conclusions Disaster-related content should be included in undergraduate nursing curricula. This content could be embedded within existing units of study and/or delivered as a standalone unit of study. The educational method for delivering disaster content could vary from a didactic approach to simulation exercises depending on the content and local context.

Collegian ; 2020.
Article in English | Web of Science | ID: covidwho-970486


Background Research on missed nursing care reveals individual and systems failure. Research on infection control missed care is minimal. Aims Investigate nurse perceptions of missed infection control. Design Qualitative in-depth interviews with 11 Australian infection control nurse experts. Methods Participants were asked whether nursing and hospital-wide care tasks fundamental to infection control were missed, and what were the underlying causes and contributing factors for these omissions. Qualitative data was mapped against fundamental nursing practice and Australian infection control guidelines. Findings Omission of infection control care occur at the individual clinician and organisational level. Nurses describe failure to perform standard precautions as well as failure to perform basic care activities. Participants identified a range of institutional and cultural factors which contributed to cascade iatrogenesis resulting in healthcare associated infections for patients. Some factors are outside nurses’ control and include: environmental cleanliness;ward layout;ward culture;resourcing and staffing;integration of infection control into clinical governance;action following audit results;and reviewing evidence base of protocols. Discussion Care occurs in complex and conflicted settings, with prioritisation essential. Potentially harmful practices are generally done with the intention of care. Nurses are key, but not sole performers in the creation of quality infection control. Conclusion Mapping missed care related to infection control against standard frameworks of nursing practice revealed “gaps in the chain of infection” that contribute to “cascade iatrogenesis” with negative outcomes for patients.

Australas J Ageing ; 39(3): 283-286, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-868008


OBJECTIVE: We developed interim guidance for the care of patients with cognitive impairment in hospital during the COVID-19 pandemic. METHODS: A Guidance Committee and Readers Group were recruited. The content was identified by the Committee and content-specific subgroups, resulting in a draft document, which was sent to the Readers for review. People with dementia and care partners were involved in all aspects of the process. RESULTS: Infection control measures can lead to an escalation of distress. In an environment where visiting bans are applied to care partners/advocates, hospitals need to ensure care partners can continue to provide decision-making support. Health-care professionals can proactively engage care partners using videoconferencing technologies. Developing models of care that proactively support best practice can minimise the risk of delirium, mitigate escalating symptoms and guide the use of non-pharmacological, pharmacological (start low, go slow) or physical restraint in managing behavioural and psychological symptoms.

Betacoronavirus , Cognitive Dysfunction/psychology , Cognitive Dysfunction/therapy , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Infection Control/organization & administration , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Adult , Australia , COVID-19 , Coronavirus Infections/transmission , Hospitalization , Humans , Pneumonia, Viral/transmission , SARS-CoV-2