Abstract Aim To report a concept analysis of nursing‐sensitive indicators within the applied context acute care setting. Background The ‘nursing sensitive indicators’ is valuable to elaborate nursing performance. conceptual foundation, theoretical role, meaning, use and interpretation tend differ. elusiveness ambiguity its attributes may have hindered research efforts advance application in practice. Design Concept analysis. Data sources Using ‘clinical or ‘quality care’ as subject headings...

Undergraduate student nurses’ expectations and their self‐reported preparedness for the graduate year role Aims of study. The study identifies third‐year nurse ascertains how prepared they feel to fulfil this role. Background. literature substantiates that university‐workplace transition is marked by differences between students’ realities practice encounter in workforce setting. Nursing professionals health service employers continue debate required new graduate. Yet there little assessment...

Improving continuity of care across psychiatric and emergency services: combining patient data within a participatory action research framework Presented with the concerns department nurses about providing appropriate co‐ordinated for patients seeking mental health services, Monash University School Nursing, Victoria, Australia, team chose strategy. Jointly executed staff from Peninsula Health Care Network, process brought together in number fora multiple disciplines involved management...

The care coordination workforce includes a range of clinicians who manage for patients with multiple chronic conditions both within and outside hospital, in the community, or patient's home. These require multi-skilled approach to support complex social needs as they are typically high users health, services. In Australia, structures have not kept pace this new emerging workforce. aim study was develop, map, analyse functions team. Workflow modelling informed development an activity log that...

High-cost users generate extremely high costs when compared with average in the same diagnostic-related group (DRG). They represent a major financial loss for health service organization. The research was conducted using an area patient database online analytical processing to produce descriptive statistics and graphs of 'high-cost' 'non-high-cost users'. Trends patterns were identified across key variables derived from clinical, operational categories. main results are: 20% are spent by 3%...

A discussion of the implications and opportunities arising from Commonwealth Australia health care reform agenda; linking pricing with quality, particular reference to directions for nursing-focused services outcomes research directed improve safety quality practices.National activity-based funding in is a policy-focused development. As relationship between cost becomes apparent, role clinicians their contribution high has become pressing issue leadership, teaching, research.Discussion paper...

Background Evidence shows that engaging consumers and clinicians in development of health services creates a more responsive, integrated service better meets the needs community practice it serves. Further, consumer clinician participation processes can boost confidence motivation levels organisational employees help foster clinical accountability. Objective To see where consumers’ care experiences could be improved by understanding coordination systems needed improvement. Methods...

Australia has a long history of patient level costing initiated when casemix funding was implemented in several states the early 1990s. includes, to some extent, hospital payment based on nursing intensity adopted within policy and Diagnostic Related Group system. Costing services not changed significantly last few decades despite widespread introduction at state level. Recent Commonwealth National Health Reform presents change management delivery health care including health-care costing....

To assess the usefulness and effectiveness of a wellness guide to identify whether its use by group older "new" carers would make them healthier knowledgeable community resources.Pretest, posttest measures physical mental health questionnaire with associated focus groups. A purposive sample 21 who were was selected for study.Locus control (LOC), Short Form 12, depression anxiety stress scale, questionnaire.Participants embraced as an excellent resource. It changed their behavior improved on...

Emergency nurses apply specialist knowledge to the practice of emergency care. This paper discusses ways in which three understand nature their care from own frames reference and experiences presents some data collected a larger study. Various discourses, compete inform nurses' understandings practice, are linked with notion as subjects; that is, each discourse may inform, shape constitute nurse and, turn, patient comes be known understood. I will examine come experience or position...

Oates J, Heslop L, Boord N. International Journal of Nursing Practice 1997; 3: 166–172 The elderly adult in the emergency department Over 65‐year olds were nominated by staff at a Melbourne regional hospital as patient group particular concern. With nurse academics from Monash University, collaborative study was undertaken patients and circumstances their attendance. focus on those who triaged non‐acute may have been disadvantaged priority given to acute cases. triage records obtained over 5...

Abstract Objectives To examine how delivery time impacted on undergraduate nursing students’ preparedness for evidence-based practice (EBP) by comparing the traditional semester mode and block of models. Methods This two-group experimental study compared modes using a self-reported questionnaire. The factor was variable in relation to learning with being compressed timeframe. Results From purposive sample, 219 students participated There were only two significant differences responded less...

The Nursing Services Reference Model (NSRM) is presented as a theoretical position and discussion paper. aims are to describe the components of NSRM concept, explain why such model needs be developed explore methodological issues in development NSRM. concept important address it may illuminate most pressing problem faced by Australian health care industry where content activity nursing practice not embedded computer processable data information system structures. Digital documentation...