Papers by Jane Stein-parbury
Australasian Psychiatry, 2014
To consider the possibility that adverse aspects of psychiatric hospitalisation may precipitate s... more To consider the possibility that adverse aspects of psychiatric hospitalisation may precipitate suicide contributing significantly to the increased rate of suicide among inpatients, given little has been published about this. Results and Conclusions: It is likely that psychiatric hospitalisation itself contributes to some inpatient suicides. This has significant implications for the delivery of inpatient psychiatric care.
Neurodegenerative disease management, Jan 19, 2015
To answer questions on the essential components (services, operations and resources) of a person-... more To answer questions on the essential components (services, operations and resources) of a person-centered aged care home (iHome) using computer simulation. iHome was developed with AnyLogic software using extant study data obtained from 60 Australian aged care homes, 900+ clients and 700+ aged care staff. Bayesian analysis of simulated trial data will determine the influence of different iHome characteristics on care service quality and client outcomes. Interim results: A person-centered aged care home (socio-cultural context) and care/lifestyle services (interactional environment) can produce positive outcomes for aged care clients (subjective experiences) in the simulated environment. Further testing will define essential characteristics of a person-centered care home.
Issues in Mental Health Nursing, 2015
The concept of therapeutic alliance is relevant in contemporary mental health care, as the consum... more The concept of therapeutic alliance is relevant in contemporary mental health care, as the consumer-led recovery movement promotes the development of collaborative relationships, and is focussed on the consumer's individual concept of wellbeing. An evolutionary concept analysis was undertaken to establish a contemporary interpretation of therapeutic alliance for mental health nursing. The CINAHL, Scopus and PsycINFO databases were searched for articles (n = 322), with 52 deemed appropriate for analysis. Therapeutic alliance is characterised by mutual partnerships between nurses and consumers, and is dependent on a humanistic healthcare culture. Therapeutic alliance is associated with enhanced consumer outcomes and experiences with care.
Communicating in Hospital Emergency Departments, 2015
American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2004
Anxiety is difficult to detect in patients receiving mechanical ventilation because clinical sign... more Anxiety is difficult to detect in patients receiving mechanical ventilation because clinical signs are confounded and patients often cannot respond to validated anxiety measures. Most patients can respond to the single-item Faces Anxiety Scale. To assess the validity of the Faces Anxiety Scale, the frequency and severity of state anxiety, and correlates of anxiety in intensive care patients. A research assistant made a single clinical judgment of anxiety in the range of 1 to 10 on the basis of patients' nonverbal responses (ie, nods) to 9 questions about mood and their physical and behavioral signs. Patients then responded to the Faces Anxiety Scale. Demographic, clinical, and pharmacological data were obtained from the patients' charts. Mean age of the 106 patients was 61 years; 62% were men. Admission diagnoses were cardiovascular in 26% of patients, respiratory in 26%, trauma in 18%, neurological in 12%, gastrointestinal in 12%, and other in 6%. At the time of anxiety ass...
Nursing & Health Sciences, 2014
Emergency department nurses are challenged to provide safe, quality care to older people; however... more Emergency department nurses are challenged to provide safe, quality care to older people; however, nurses' perceptions of their role and experiences are seldom investigated. This focus-group study investigated emergency department nurses' perceptions and experiences of caring for older people, using four focus groups of nurses with a minimum three months' experience in the emergency department and a demographic survey. Data were thematically analyzed. Two themes emerged. The first was the clash of expectations between nurses and family/carers related to safety and quality of nursing care. Older people were perceived to be vulnerable in the emergency department, and nurses were frustrated that competing priorities decreased their ability to ensure them safe and quality care. Nurses felt family/carers were disappointed with care provided, and might not empathize with or understand their predicament. The second theme concerned nurses' perception that family/carers could provide a safety net for the older person in the emergency department in times of high workload. Nurses need support to care for older people in the emergency department to ensure safe and optimal care, and a shared understanding of care provision between nurses and family needs development.
Journal of Clinical Nursing, 2013
To establish how nurses ensure weight gain and a positive inpatient experience for the treatment ... more To establish how nurses ensure weight gain and a positive inpatient experience for the treatment of adolescents with anorexia nervosa by considering consumer perspectives. Consumer perspective literature indicates approval and dissatisfaction with certain aspects of the inpatient experience, and there is a limited understanding of what consumers perceive to be effective nursing practice. The design of this study was qualitative, the data being interpreted with a thematic analysis. This study sought the perspectives of eight (n = 8) recovered consumers through semi-structured interviews. Nurses were considered highly influential over the inpatient experience. The findings of this study are characterised by three overall themes regarding nursing practice: (1) ensuring weight gain, (2) maintaining a therapeutic milieu, and (3) the nursing relationship. Consumers have clear perspectives of how nurses effectively ensure weight gain and how nurses ensure a positive inpatient experience. The quality of relationships between consumers and nurses had implications for both weight gain and the perceived quality of the inpatient experience. By relying on the strength of positive, thoughtful and well-timed interactions, nurses may contribute to productive physical outcomes and a positive inpatient experience. Consumers indicated that motivation to adhere to care was derived from strong relationships with nurses. Ensuring both weight gain and a positive experience involves achieving a productive 'balance of restrictions'. Consumers also valued nurses that created a comfortable and productive environment. This study indicates that the process of weight gain may be enhanced when accompanied by a process of therapeutic engagement. Therapeutic alliance may be an effective way for nurses to ensure weight gain and an enhanced inpatient experience. Therapeutically beneficial relationships may enhance treatment and possibly enhance outcomes for consumers.
Journal of Advanced Nursing, 2006
154 pages, £16AE99, ISBN 0 335 21087 2. Understanding and appreciating the ethical considerations... more 154 pages, £16AE99, ISBN 0 335 21087 2. Understanding and appreciating the ethical considerations of human research is an important aspect of research students' education, yet can be one that is addressed in a superficial and/or mechanistic fashion. This book does neither and comprehensively addresses this important subject. The examples that are used throughout the book focus on educational research, but it has appeal beyond this discipline, offering knowledgeable insights that are applicable to all human or social research including nursing practice. A major strength of the text is its readability. The author presents complex ideas in an easily accessible manner and does not treat the subject matter superficially. The result is a book that students should find useful as a guide when embarking on human research. The style encourages readers to think in an anticipatory way when designing research studies and Oliver does not fall into the trap of preaching about ethical matters. Rather, he presents ethical dilemmas in a manner that encourages readers to resolve such dilemmas in an informed and considered fashion. The use of concrete examples of ethical considerations throughout the text serves the subject matter well, bringing to life the real world of research ethics. Part 1 of the book is organized in a sequential fashion, following standard steps in a research process. The first chapter presents a broad overview of research ethics. Subsequent chapters address issues for consideration that are specific to a particular phase of a research project, beginning with recruit-ment and informed consent and concluding with ethical matters pertaining to the publication of research results. This organizing framework aids the flow of the text, as the reader is invited to consider ethical issues at each step of the research journey. In Part 2, matters of privacy, nuances in research context and the ethics of funded research are addressed in separate chapters. The inclusion of a chapter about dissemination of research findings is a strength, as this area may not be apparent to new researchers as pertinent to ethical considerations. The section on the review of research reports is one that would be useful to experienced researchers who review articles for publication. The sensitivity in which this matter is discussed demonstrates Oliver's respect for researchers themselves, not just their research participants.
Intensive and Critical Care Nursing, 2002
The purpose of this research was to gain an understanding of the experience of being a seriously ... more The purpose of this research was to gain an understanding of the experience of being a seriously ill patient in an intensive care unit (ICU). Fourteen former patients, aged 17-71 years old, who had been in ICU 3-53 days, participated in focus group interviews 3-6 months after discharge. The focus groups met 3 times each for 1.5 hours, resulting in 13-14 hours of audiotaped discussions. The transcribed data were qualitatively analysed to identify themes representing participants' experiences. Vulnerability emerged as a central concept that captured the identified themes. The data reveal that patient vulnerability while in ICU was related to extreme physical and emotional dependency. Lack of information and depersonalizing care were associated with fear, anxiety and increased vulnerability. Lack of sleep and rest also contributed to patient fear and anxiety. Vulnerability decreased when patients were kept informed of what was occurring while in ICU, received care that was personalized to their individual needs, and when their families were present. The results of this study suggest that ICU patients' vulnerability may be decreased by the security that they experience when they are adequately informed about what is happening, and when nursing and medical care is personalized to their individual needs. C
Collegian, 1996
Professional INTERPERSONAL SKILLS for Nurses CAROLYN KAGAN AND JOSIE EVANS C/) (V c o -c c o (V c... more Professional INTERPERSONAL SKILLS for Nurses CAROLYN KAGAN AND JOSIE EVANS C/) (V c o -c c o (V c I ... Professional INTERPERSONAL SKILLS for Nurses CAROLYN KAGAN AND JOSIE EVANS CO a; c i_ o -c c o j/) <v c I ... Professional Interpersonal Skills for ...
Clinical Gerontologist, 2012
ABSTRACT Person-centered care (PCC) for people with dementia is a system of care that is based on... more ABSTRACT Person-centered care (PCC) for people with dementia is a system of care that is based on the belief that personhood can be maintained despite cognitive impairment. A recently conducted cluster randomized trial (Chenoweth et al., 2009) demonstrated that PCC was effective in reducing agitation in people with dementia who were in residential care. This article provides a detailed overview of the PCC intervention arm of the study and describes the training and procedures used to facilitate implementation of PCC. Training emphasized the impact of the social world on the person with dementia and promoted the skills of interpersonal engagement, especially in relation to feeling expression. Facilitated on-site learning involved care planning that included obtaining a life story of the person with dementia and observing social interactions. The success of the PCC intervention was related to this two-pronged approach, which included support from managers. Implementation of PCC requires a whole-of-system approach, which includes formal and informal learning.
Australasian Emergency Nursing Journal, 2007
Abstracts of glenohumeral reduction with the Oxford Chair Technique, a rate which is hoped will g... more Abstracts of glenohumeral reduction with the Oxford Chair Technique, a rate which is hoped will get higher with more experience of using it.
American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2011
Postoperative delirium in older patients results in worse outcomes and increased costs. The preva... more Postoperative delirium in older patients results in worse outcomes and increased costs. The prevalence and predictors of postoperative delirium in patients undergoing major colorectal surgery are not clear. To determine the prevalence and predictors of postoperative delirium in older patients after major colorectal surgery. Patients older than 50 years, without preexisting cognitive impairment, were recruited before surgery. These patients were assessed after surgery for delirium daily for 3 days by using the Confusion Assessment Method. Regression analysis was used to determine independent predictors of postoperative delirium. Patients (n=118) had a mean age of 71.81 years, and approximately half were women (54%). Most participants (64%) were married, and comorbid conditions were common. Delirium developed in 35% of the patients in the 3 days after surgery and in 21% in the first 24 hours. New cases of delirium were identified on each of the 3 days after surgery, and a few patients...
The Centre aims to contribute to the development and application of health economics and health s... more The Centre aims to contribute to the development and application of health economics and health services research through research, teaching and policy support. CHERE's research program encompasses both the theory and application of health economics. The main theoretical research theme pursues valuing benefits, including understanding what individuals value from health and health care, how such values should be measured, and exploring the social values attached to these benefits. The applied research focuses on economic and the appraisal of new programs or new ways of delivering and/or funding services. CHERE's teaching includes introducing clinicians, health services managers, public health professionals and others to health economic principles. Training programs aim to develop practical skills in health economics and health services research. Policy support is provided at all levels of the health care system by undertaking commissioned projects, through the provision of formal and informal advice as well as participation in working parties and committees.
Communicating in Hospital Emergency Departments, 2015
Circulation, Oct 31, 2007
International Emergency Nursing, 2015
Nurses provide the majority of care in the ED, so increases in the number of older people (≥60 ye... more Nurses provide the majority of care in the ED, so increases in the number of older people (≥60 years) may impact nursing workload and provision of care. To determine whom, of older people, emergency nurses perceive as using the most nursing resources and to profile this subgroup from the ED dataset, including illustrative cases. A mixed-methods design study in a metropolitan hospital. Data were collected from focus group interviews with emergency nursing staff (n = 27), from the patient dataset for the corresponding year, and an audit of 13 patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; medical records. Emergency nurses perceived that the highest demand for their resources came from the older persons representing multiple times in short timeframes (cluster presenter). Cluster presenters had a longer length of stay and required intensive nursing time and vigilance because they had one or more chronic illnesses and comorbid conditions such as limited mobility and dementia. Cluster presenters had to have a full assessment each presentation, were usually admitted to the hospital and admitting specialists were reluctant to assume care. Emergency nurses associate a high workload with cluster presenters for reasons including ED processes and availability of expertise. Further research should examine more objectively and precisely nursing workload in this area.
International Journal of Older People Nursing, 2008
Aim. To identify the factors associated with better self-management in people with moderate to h... more Aim. To identify the factors associated with better self-management in people with moderate to high levels of Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease following an acute illness event. Design and methods. A prospective, descriptive study conducted with 75 persons with Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease over the age of 55, collected twice: within a week of an acute event and 1 month later, after resuming usual life at home. Participants completed a questionnaire on self-rated health status, self-efficacy, sense of coherence, symptom monitoring and medication and general self-management. Background. Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease is a chronic neurological condition that affects many dimensions of life, including threats to self-identity and confidence in self-management. Self-management has the potential to reduce costs through decreased hospital admissions, disease progression and avoidance of complications. While evidence for the relationships between self-management and self-efficacy and sense of coherence has been demonstrated in some chronic illness groups, this has not previously been demonstrated in Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease. Results. The independent predictors of better self-management were not being hospitalized in the last 6 months, more frequent symptom checking and better self-efficacy for self-management. The influence of other factors on self-management, such as sense of coherence, was mediated through self-efficacy. Support of family and others was associated with better self-efficacy both directly and through an improved sense of coherence. Conclusions and relevance to nursing practice. The presence of informal support plays an important role in sustaining self-efficacy and sense of coherence and hence self-management in persons with Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease. Since these attributes are amenable to change, nurses are in a good position to encourage participation in Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s support groups, teach self-management skills through regular symptom monitoring and to assess and promote self-efficacy and sense of coherence.
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Papers by Jane Stein-parbury