To examine the relationships among nurse and work characteristics, job satisfaction, stress, burnout environment of haemodialysis nurses.Haemodialysis nursing is characterised by frequent intense contact with patients in a complex environment.A cross-sectional online survey 417 nurses that included Brisbane Practice Environment Measure, Index Work Satisfaction, Nursing Stress Scale Maslach Burnout Inventory.Haemodialysis reported an acceptable level satisfaction perceived their positively,...

Chronic kidney disease (CKD) leads to a range of symptoms, which are often under-recognised and little is known about the multidimensional symptom experience in advanced CKD.To examine (1) burden at CKD stages 4 5, dialysis modalities, (2) demographic renal history correlates burden.Using cross-sectional design, convenience sample 436 people with was recruited from three hospitals. The Symptom Burden Index (CKD-SBI) used measure prevalence, severity, distress frequency 32 symptoms....

To examine the effectiveness of a self-management intervention compared with usual care in adults chronic kidney disease (CKD) on self-management, knowledge, self-efficacy, health-related quality life, and blood pressure.A parallel group randomized controlled trial.Patients aged ≥ 18 years CKD stages 3-5 were recruited between November 2015 June 2016. Participants randomly allocated into either (N = 68) or control 67). The received care, while plus programme from nurse. was guided by social...

Abstract Aims To explore the existence of symptom clusters in advanced chronic kidney disease. Background People with disease commonly report multiple symptoms. However, complex relationships among these symptoms are still poorly understood. Design Cross‐sectional. Methods A total 436 people stage 4 and 5 were recruited from three tertiary hospitals during 2013–2014. Participants completed Chronic Kidney Disease–Symptom Burden Index that assesses four dimensions (occurrence, distress,...

Monitoring body temperature is essential for safe perioperative care. Without patient monitoring during each surgical phase, alterations in core will not be recognised, prevented, or treated. Safe use of warming interventions also depends on monitoring. Yet there has been limited evaluation practices as the primary endpoint.To investigate all stages We examined what characteristics are associated with rate monitoring, along clinical variables such intervention exposure to hypothermia.An...

To develop and psychometrically test the Barriers to Nurses' use of Physical Assessment Scale.There is growing evidence failure recognize hospitalized patients at risk clinical deterioration, in part due inadequate physical assessment by nurses. Yet, little known about barriers nurses' acute hospital setting no validated scales have been published.Instrument development study.Scale was based on a comprehensive literature review, focus groups, expert review psychometric evaluation. The scale...

Abstract There is debate around the scope of physical assessment skills that should be taught in undergraduate nursing programs. Yet this largely uninformed by evidence on what learned and practiced students. This study examined pattern correlates skill utilization 208 graduating students at an Australian university, including measures knowledge, frequency use, perceived barriers to during clinical practice. Of 126 surveyed, average, only five were used every time practiced. Core reflected...

The aim of this study was to test a symptom cluster model in chronic kidney disease patients based on the Theory Unpleasant Symptoms, accounting for relationships between influencing factors, experience and consequences quality life.The evaluation clusters is new field scientific inquiry directed towards more focused management. Yet, little known about clusters, predictors synergistic effect multiple symptoms outcomes.Cross-sectional.Data were collected from 436 with advanced stages during...

The purpose of this study was to describe Japanese hospital nurses' perceptions the nursing practice environment and examine its association with nurse-reported ability provide quality care, patient ward morale. A cross-sectional survey design used including 223 nurses working in 12 acute inpatient wards a large teaching hospital. Nurses rated their work favorably overall using version Practice Environment Scale Nursing Work Index. Subscale scores indicated high physician relations...

People with chronic kidney disease (CKD) must self-manage their illness to assist slowing disease-progression, but this is a complex task requiring support from healthcare professionals. Despite the established importance of person-centred care, people CKD are rarely consulted regarding desires for self-management (SMS).A cross-sectional survey was conducted face-to-face in Queensland primary care clinic and distributed Australia-wide via an online interface promoted by Kidney Health...

Objectives To determine whether there was variation in nurse staffing across hospitals Queensland prior to implementation of nurse-to-patient ratio legislation targeting medical-surgical wards, and if so, the extent which associated with poor outcomes for patients nurses. Design Analysis cross-sectional data derived from surveys linked admitted patient data. Setting Public Queensland. Participants 4372 nurses 146 456 68 public hospitals. Main outcome measures 30-day mortality, quality safety...

The last two decades have seen a significant restructuring of work across Australia and other industrialised economies, critical part which has been the appearance competency based education assessment. movement is about creating more flexible mobile labour force to increase productivity it does so by redefining as set transferable or 'soft' generic skills that transportable possession individual. This article sought develop an analysis clinical assessment nursing students bachelor degree...

Aims and objectives To determine consensus across acute care specialty areas on core physical assessment skills necessary for early recognition of changes in patient status general wards. Background Current approaches to are inconsistent have not evolved meet increased system demands. New models nursing needed wards that ensure a proactive safety approach. Design A modified Delphi study. Methods Focus group interviews with 150 registered nurses at large tertiary referral hospital generated...

To achieve optimal health outcomes, people with chronic kidney disease must make changes in their everyday lives to self-manage condition. This can be challenging, and there is a need for self-management support interventions which assist become successful self-managers. While have been developed, the literature this area sparse limited by lack of both individualisation sound theoretical basis. The aim study was implement evaluate Chronic Kidney Disease-Self-Management Support intervention:...

Perhaps no other patient safety intervention depends so acutely on effective interprofessional teamwork for survival than the hospital rapid response system. Yet, little is known about nurse-physician relationships when rescuing at-risk patients. This study compared nursing and medical staff perceptions of a mature system at large tertiary hospital. Findings indicate that may be failing to address hierarchical culture systems-level barriers early recognition deterioration.