JBI database of systematic reviews and implementation reports, 2006
The objective of the review was to summarise the best available evidence supporting overseas nurs... more The objective of the review was to summarise the best available evidence supporting overseas nurses' adjustment to Australian nursing practice. The specific review question was: what supportive interventions assist overseas nurses to adjust to Australian nursing practice? The review considered qualitative and quantitative papers that addressed adjustment issues of overseas qualified nurses coming and working in Australia. The types of participants were nurses who have received basic nursing education outside Australian, and either nurses who already registered and were working as nurses in Australia or nurses who were undertaking courses required for registration in Australia. Interventions of interest included creating positive work and educational environments that support overseas qualified overseas nurses' adjustment to nursing practice in Australia. The search strategy sought to find both published and unpublished papers in English language. The search was performed using the following databases: Medline, CINAHL, ERIC, AUSTRUM, APAIS, Sociological Abstract, ProQuest, Dissertation Abstract. In addition, the reference lists and bibliographies of the articles were also hand-searched to identify other studies. Relevant worldwide websites were also searched. Each paper was assessed by two reviewers for methodological quality prior to inclusion in the review using a critical appraisal instrument from Qualitative Assessment and Review Instrument (QARI) software developed by the Joanna Briggs Institute (JBI). A total of 12 papers, qualitative, quantitative and textual in nature, were included in the review. Sixty-four papers were identified and 52 papers were excluded as they did not meet the inclusion criteria. There were: three papers utilising qualitative methodology (two phenomenology, one grounded theory), three program evaluation reports, two descriptive studies, and four expert opinions being included. Findings from two qualitative studies utilising a phenomenological approach were extracted and meta-synthesised using JBI-QARI. Two syntheses were derived: (i) overseas nurses find entry into Australian culture very difficult; and (ii) overseas nurses who feel lonely, isolated or 'outsiders' experience difficulty in settling in to nursing in Australia. Findings from other papers were discussed in narrative form. The clash of cultures between overseas nurses and the dominant Australian culture should be addressed in a transition program. If strategies to assist overseas nurses to establish informal networks of friends and professional colleagues are in place, the transition to becoming effective practitioners could be greatly enhanced.
International Journal of Evidence-based Healthcare, Sep 1, 2014
Background:The challenge of appropriate pain assessment for people with dementia is a world-wide ... more Background:The challenge of appropriate pain assessment for people with dementia is a world-wide concern. This presentation provides an overview and preliminary findings of a systematic review project aiming to improve pain assessment for older people who have dementia. The present review is part of a 3-year project aiming to improve palliative care for people with dementia in Japan. Objective:This systematic review aims to determine the best pain assessment strategies for people with dementia who have difficulty in communicating pain. The two objectives are: 1) to determine the best pain assessment tools; and 2) to determine the best interventions for improving pain assessment for older people with dementia. Methods:The review includes study designs such as randomized controlled trials, pseud-randomized controlled trials and observational studies. The population of interest are people aged 60 and over with a formal diagnosis of dementia. The review includes studies addressing pain assessment tools and studies examining the effectiveness of interventions for improving pain assessment for this population. Studies reporting on pharmacological drugs and complementary therapies for treating pain are excluded. The database search strategy included an MEDLINE, CINAHL, EMBASE, Cochrane and other major databases. Papers published in the English and Japanese languages are considered for inclusion. Results:Preliminary findings indicate that only a small number of rigorous studies address existing tools or new tools. Discussion:The final analysis of the review is expected to be completed in August 2014. One systematic review that was published eight years ago in 2006 similarly identified only weak evidence and concluded that further studies were required to determine the best assessment approach. Conclusion:The results of this review will form an evidence base for practice guidelines for palliative care targeting older people with dementia together with other systematic reviews in the project.
International journal of child health and human development, Apr 1, 2011
IntroductionThe objectives of this systematic review were to: assess the efficacy of single dose ... more IntroductionThe objectives of this systematic review were to: assess the efficacy of single dose oral paracetamol plus codeine in acute postoperative pain, to determine whether there was an increase in efficacy due to the codeine component and to determine if there were any associated adverse events.Relevance for nursingParacetamol is one of the most commonly used antipyretic and analgesic drugs worldwide. This medication is largely used for adult patients who cannot take salicylates or other NSAIDs (nonsteroidal anti-inflammatory drugs) such as patients with asthma, salicylate allergies or a history of peptic ulcer. Combining paracetamol with opioids has been an established approach that is thought to optimise the efficacy and tolerability of analgesic drugs. This review focuses on providing updated information (up to October 2008) in relation to the analgesic efficacy and side effects when used for acute postoperative pain in adults.Study characteristicsThe review included 28 studies containing a total of 4,964 participants. All studies were randomised double-blinded trials comparing paracetamol plus codeine with either placebo or paracetamol alone for the treatment of acute postoperative pain in adults (15 years and older). The included studies were of adequate or good methodological quality. Types of surgery included: impacted third molar extraction (n=18), orthopaedic surgery (n=4), oral surgery (n=1), Caesarean section (n=1), and others (n=4).Pain relief and/or pain intensity were measured at intervals over four to six hours using validated pain scales (visual analogue scales or categorical scales or both). Data on the use of rescue medication, adverse events and withdrawals were also collected. Studies of any dosage were included in the review. The majority of studies used paracetamol 600 to 650mg plus codeine 60mg while a few used higher (paracetamol 800-1000mg plus 60mg codeine) or lower (paracetamol 300 mg plus codeine 30 mg) doses. Meta-analysis was undertaken where possible.Summary of key evidence· In 17 studies comparing paracetamol 600 to 650 mg plus codeine 60 mg (857 participants) with placebo (556 participants), the combination was significantly better than placebo, with RR (Risk Ratio) = 2.6 (95% Confidence Intervals [CI]: 2.2 to 3.2, P· Paracetamol 800 to 1000mg with 60mg codeine (192 participants in three studies) and paracetamol 300mg with 30 mg codeine (690 participants in six studies), also showed significant pain relief effects over 4-6 hours compared with placebo, with RR = 6.3 (95% CI: 2.9 to 14, P
Objective: The objective of this review was to estimate the population-based incidence and determ... more Objective: The objective of this review was to estimate the population-based incidence and determine the types of severe infection and deaths experienced by patients with rheumatoid arthritis taking biologic agents. Introduction: Since the late 1990s, various biologic and synthetic drugs have been developed to treat rheumatoid arthritis. In recent years, the incidence of severe infection in patients with rheumatoid arthritis in Western nations has been determined by observational studies; however, no systematic review has been conducted on this topic. Inclusion criteria: The following inclusion criteria were considered: i) observational studies on patients with rheumatoid arthritis treated with biologic agents; ii) studies reporting the number of severe infections requiring hospitalization for treatment; iii) studies reporting person-years of observation data; and iv) studies based on rheumatoid arthritis registries, medical records from rheumatology centers, or insurance claim data...
International journal of child health and human development, 2011
IntroductionThe objectives of this systematic review were to: assess the efficacy of single dose ... more IntroductionThe objectives of this systematic review were to: assess the efficacy of single dose oral paracetamol plus codeine in acute postoperative pain, to determine whether there was an increase in efficacy due to the codeine component and to determine if there were any associated adverse events.Relevance for nursingParacetamol is one of the most commonly used antipyretic and analgesic drugs worldwide. This medication is largely used for adult patients who cannot take salicylates or other NSAIDs (nonsteroidal anti-inflammatory drugs) such as patients with asthma, salicylate allergies or a history of peptic ulcer. Combining paracetamol with opioids has been an established approach that is thought to optimise the efficacy and tolerability of analgesic drugs. This review focuses on providing updated information (up to October 2008) in relation to the analgesic efficacy and side effects when used for acute postoperative pain in adults.Study characteristicsThe review included 28 stud...
Background Family caregivers of people with dementia (PWDs) experience significant physical, psyc... more Background Family caregivers of people with dementia (PWDs) experience significant physical, psychological, and social burdens. Empowerment, which refers to the process of gaining power in society through behavioral change, is important to coping successfully with care-related burdens. The high burden of care faced by family caregivers in Japan often makes accepting social support difficult for caregivers of PWDs, resulting in feelings of isolation. Clarifying what components constitute empowering experiences for family caregivers of PWDs is necessary to gain a better understanding of their empowerment experiences and to develop relevant support schemes. Purpose This study was developed to describe the components of empowerment experienced by family caregivers of community-dwelling PWDs in Japan. Methods This qualitative descriptive study used semistructured in-depth interviews to explore components of empowerment experienced by family caregivers of adults/older adults with dementia...
OBJECTIVE To estimate the population-based incidence and determine the types of severe infection ... more OBJECTIVE To estimate the population-based incidence and determine the types of severe infection experienced by patients with rheumatoid arthritis who are taking biological agents. INTRODUCTION Since the late 1990 s, a variety of biological and synthetic drugs have been developed to treat rheumatoid arthritis. In recent years, the incidence of severe infection in patients with rheumatoid arthritis in Western nations has been reported by observational studies; however, no systematic review has been conducted on this topic. INCLUSION CRITERIA The following criteria will be considered for inclusion: i) observational studies on patients with rheumatoid arthritis who are on biological treatment; ii) studies reporting the number of severe infections requiring hospitalization for treatment; and iii) studies with person-years of observational data. METHODS MEDLINE, CINAHL, Embase, and Web of Science will be searched to identify published studies. The reference list of all studies that are s...
OBJECTIVE The objective of this review update is to determine the best strategies for assisted ba... more OBJECTIVE The objective of this review update is to determine the best strategies for assisted bathing or showering of older people with dementia. INTRODUCTION Bathing is a high-risk activity that can worsen agitated behavior in people with dementia, becoming a source of stress or burden for nurses and caregivers. Since a review was originally published in 2013, new studies have been conducted reporting on various interventions related to assisted bathing and showering. INCLUSION CRITERIA The review will consider people older than 60 years with dementia, their families, nurses, and formal caregivers. The quantitative component will consider studies that examine interventions aiming to reduce agitated behaviors during assisted bathing. The qualitative component will include studies reporting on experiences of assisted bathing of older people with dementia. METHODS This review update will follow the JBI mixed methods review approach. Published and unpublished studies will be identified from searches of the major international databases and relevant databases for gray literature. Two independent reviewers will carry out screening, critical appraisal, and data extraction. The extracted data will include details about the study characteristics, quantitative results, and qualitative findings relevant to the review. Where possible, quantitative data will be statistically pooled. Qualitative results will be synthesized using the meta-aggregation approach developed by JBI. Finally, the findings from both quantitative and qualitative components will be organized into a line of argument to produce an overall configured analysis. Where configuration is not possible, the findings will be presented in narrative form. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020208048.
To conduct a best-evidence review of non-pharmacological interventions for resistance-to-care beh... more To conduct a best-evidence review of non-pharmacological interventions for resistance-to-care behaviours of nursing home residents with dementia in a personal-care context. Resistance to care is a major source of staff burnout in nursing homes and it is also a safety issue for the staff. Best-evidence review. We searched for non-pharmacological intervention studies published from 1990-2012, written in English. The search identified 19 intervention studies that examined the effects of interventions to reduce the resistance-to-care behaviours of nursing home residents with dementia in a personal-care context. These 19 papers met the quality assessment requirements of the critical appraisal criteria for experimental studies, which were published by the Joanna Briggs Institute. Only three studies were RCTs and the rest were quasi-experimental. The sample size ranged from 7-127. Nine music interventions, such as pre-recorded music played to a group or playing a resident's preferred music, during his or her personal care, resulted in significant reductions in resistance-to-care behaviours. Resistance-to-care behaviours also were significantly reduced in three of four bathing interventions that focused on person-centred care. In the ability-focused interventions, only two out of five studies reported significant reductions in resistance-to-care behaviours. Non-pharmacological interventions are options to consider to reduce resistance-to-care behaviours in older people with dementia, even though the evidence level is low, given the lack of alternatives. More randomized controlled trials are recommended to confirm the effects of non-pharmacological interventions during personal care.
The objective of the review was to summarise the best available evidence supporting overseas nurs... more The objective of the review was to summarise the best available evidence supporting overseas nurses' adjustment to Australian nursing practice. The specific review question was: what supportive interventions assist overseas nurses to adjust to Australian nursing practice? The review considered qualitative and quantitative papers that addressed adjustment issues of overseas qualified nurses coming and working in Australia. The types of participants were nurses who have received basic nursing education outside Australian, and either nurses who already registered and were working as nurses in Australia or nurses who were undertaking courses required for registration in Australia. Interventions of interest included creating positive work and educational environments that support overseas qualified overseas nurses' adjustment to nursing practice in Australia. The search strategy sought to find both published and unpublished papers in English language. The search was performed usi...
The globalisation of the world has facilitated the international movement of the nursing workforc... more The globalisation of the world has facilitated the international movement of the nursing workforce. Along with other immigration destination countries, Australia is now accepting nurses from more diverse national and educational backgrounds than ever before, in order to secure adequate staffing for its nursing workforce. This thesis reports on a research project which investigated the lived experiences of overseas-qualified nurses (OQNs) from non-English-speaking backgrounds (NESB) in coming to, and working in, Australia. The study used a qualitative design informed by the philosophy of Hermeneutic Phenomenology of Heidegger and Gadamer. The researcher individually interviewed a total of 24 OQNs of NESB from all over the world using a semi-structured interview method. The data were analysed by the case studies and thematic analysis method. From the analysis, a total of four important themes emerged that structured the lived experiences of the OQNs from NESB. 1) From the Past to the ...
JBI database of systematic reviews and implementation reports, 2006
The objective of the review was to summarise the best available evidence supporting overseas nurs... more The objective of the review was to summarise the best available evidence supporting overseas nurses' adjustment to Australian nursing practice. The specific review question was: what supportive interventions assist overseas nurses to adjust to Australian nursing practice? The review considered qualitative and quantitative papers that addressed adjustment issues of overseas qualified nurses coming and working in Australia. The types of participants were nurses who have received basic nursing education outside Australian, and either nurses who already registered and were working as nurses in Australia or nurses who were undertaking courses required for registration in Australia. Interventions of interest included creating positive work and educational environments that support overseas qualified overseas nurses' adjustment to nursing practice in Australia. The search strategy sought to find both published and unpublished papers in English language. The search was performed using the following databases: Medline, CINAHL, ERIC, AUSTRUM, APAIS, Sociological Abstract, ProQuest, Dissertation Abstract. In addition, the reference lists and bibliographies of the articles were also hand-searched to identify other studies. Relevant worldwide websites were also searched. Each paper was assessed by two reviewers for methodological quality prior to inclusion in the review using a critical appraisal instrument from Qualitative Assessment and Review Instrument (QARI) software developed by the Joanna Briggs Institute (JBI). A total of 12 papers, qualitative, quantitative and textual in nature, were included in the review. Sixty-four papers were identified and 52 papers were excluded as they did not meet the inclusion criteria. There were: three papers utilising qualitative methodology (two phenomenology, one grounded theory), three program evaluation reports, two descriptive studies, and four expert opinions being included. Findings from two qualitative studies utilising a phenomenological approach were extracted and meta-synthesised using JBI-QARI. Two syntheses were derived: (i) overseas nurses find entry into Australian culture very difficult; and (ii) overseas nurses who feel lonely, isolated or 'outsiders' experience difficulty in settling in to nursing in Australia. Findings from other papers were discussed in narrative form. The clash of cultures between overseas nurses and the dominant Australian culture should be addressed in a transition program. If strategies to assist overseas nurses to establish informal networks of friends and professional colleagues are in place, the transition to becoming effective practitioners could be greatly enhanced.
International Journal of Evidence-based Healthcare, Sep 1, 2014
Background:The challenge of appropriate pain assessment for people with dementia is a world-wide ... more Background:The challenge of appropriate pain assessment for people with dementia is a world-wide concern. This presentation provides an overview and preliminary findings of a systematic review project aiming to improve pain assessment for older people who have dementia. The present review is part of a 3-year project aiming to improve palliative care for people with dementia in Japan. Objective:This systematic review aims to determine the best pain assessment strategies for people with dementia who have difficulty in communicating pain. The two objectives are: 1) to determine the best pain assessment tools; and 2) to determine the best interventions for improving pain assessment for older people with dementia. Methods:The review includes study designs such as randomized controlled trials, pseud-randomized controlled trials and observational studies. The population of interest are people aged 60 and over with a formal diagnosis of dementia. The review includes studies addressing pain assessment tools and studies examining the effectiveness of interventions for improving pain assessment for this population. Studies reporting on pharmacological drugs and complementary therapies for treating pain are excluded. The database search strategy included an MEDLINE, CINAHL, EMBASE, Cochrane and other major databases. Papers published in the English and Japanese languages are considered for inclusion. Results:Preliminary findings indicate that only a small number of rigorous studies address existing tools or new tools. Discussion:The final analysis of the review is expected to be completed in August 2014. One systematic review that was published eight years ago in 2006 similarly identified only weak evidence and concluded that further studies were required to determine the best assessment approach. Conclusion:The results of this review will form an evidence base for practice guidelines for palliative care targeting older people with dementia together with other systematic reviews in the project.
International journal of child health and human development, Apr 1, 2011
IntroductionThe objectives of this systematic review were to: assess the efficacy of single dose ... more IntroductionThe objectives of this systematic review were to: assess the efficacy of single dose oral paracetamol plus codeine in acute postoperative pain, to determine whether there was an increase in efficacy due to the codeine component and to determine if there were any associated adverse events.Relevance for nursingParacetamol is one of the most commonly used antipyretic and analgesic drugs worldwide. This medication is largely used for adult patients who cannot take salicylates or other NSAIDs (nonsteroidal anti-inflammatory drugs) such as patients with asthma, salicylate allergies or a history of peptic ulcer. Combining paracetamol with opioids has been an established approach that is thought to optimise the efficacy and tolerability of analgesic drugs. This review focuses on providing updated information (up to October 2008) in relation to the analgesic efficacy and side effects when used for acute postoperative pain in adults.Study characteristicsThe review included 28 studies containing a total of 4,964 participants. All studies were randomised double-blinded trials comparing paracetamol plus codeine with either placebo or paracetamol alone for the treatment of acute postoperative pain in adults (15 years and older). The included studies were of adequate or good methodological quality. Types of surgery included: impacted third molar extraction (n=18), orthopaedic surgery (n=4), oral surgery (n=1), Caesarean section (n=1), and others (n=4).Pain relief and/or pain intensity were measured at intervals over four to six hours using validated pain scales (visual analogue scales or categorical scales or both). Data on the use of rescue medication, adverse events and withdrawals were also collected. Studies of any dosage were included in the review. The majority of studies used paracetamol 600 to 650mg plus codeine 60mg while a few used higher (paracetamol 800-1000mg plus 60mg codeine) or lower (paracetamol 300 mg plus codeine 30 mg) doses. Meta-analysis was undertaken where possible.Summary of key evidence· In 17 studies comparing paracetamol 600 to 650 mg plus codeine 60 mg (857 participants) with placebo (556 participants), the combination was significantly better than placebo, with RR (Risk Ratio) = 2.6 (95% Confidence Intervals [CI]: 2.2 to 3.2, P· Paracetamol 800 to 1000mg with 60mg codeine (192 participants in three studies) and paracetamol 300mg with 30 mg codeine (690 participants in six studies), also showed significant pain relief effects over 4-6 hours compared with placebo, with RR = 6.3 (95% CI: 2.9 to 14, P
Objective: The objective of this review was to estimate the population-based incidence and determ... more Objective: The objective of this review was to estimate the population-based incidence and determine the types of severe infection and deaths experienced by patients with rheumatoid arthritis taking biologic agents. Introduction: Since the late 1990s, various biologic and synthetic drugs have been developed to treat rheumatoid arthritis. In recent years, the incidence of severe infection in patients with rheumatoid arthritis in Western nations has been determined by observational studies; however, no systematic review has been conducted on this topic. Inclusion criteria: The following inclusion criteria were considered: i) observational studies on patients with rheumatoid arthritis treated with biologic agents; ii) studies reporting the number of severe infections requiring hospitalization for treatment; iii) studies reporting person-years of observation data; and iv) studies based on rheumatoid arthritis registries, medical records from rheumatology centers, or insurance claim data...
International journal of child health and human development, 2011
IntroductionThe objectives of this systematic review were to: assess the efficacy of single dose ... more IntroductionThe objectives of this systematic review were to: assess the efficacy of single dose oral paracetamol plus codeine in acute postoperative pain, to determine whether there was an increase in efficacy due to the codeine component and to determine if there were any associated adverse events.Relevance for nursingParacetamol is one of the most commonly used antipyretic and analgesic drugs worldwide. This medication is largely used for adult patients who cannot take salicylates or other NSAIDs (nonsteroidal anti-inflammatory drugs) such as patients with asthma, salicylate allergies or a history of peptic ulcer. Combining paracetamol with opioids has been an established approach that is thought to optimise the efficacy and tolerability of analgesic drugs. This review focuses on providing updated information (up to October 2008) in relation to the analgesic efficacy and side effects when used for acute postoperative pain in adults.Study characteristicsThe review included 28 stud...
Background Family caregivers of people with dementia (PWDs) experience significant physical, psyc... more Background Family caregivers of people with dementia (PWDs) experience significant physical, psychological, and social burdens. Empowerment, which refers to the process of gaining power in society through behavioral change, is important to coping successfully with care-related burdens. The high burden of care faced by family caregivers in Japan often makes accepting social support difficult for caregivers of PWDs, resulting in feelings of isolation. Clarifying what components constitute empowering experiences for family caregivers of PWDs is necessary to gain a better understanding of their empowerment experiences and to develop relevant support schemes. Purpose This study was developed to describe the components of empowerment experienced by family caregivers of community-dwelling PWDs in Japan. Methods This qualitative descriptive study used semistructured in-depth interviews to explore components of empowerment experienced by family caregivers of adults/older adults with dementia...
OBJECTIVE To estimate the population-based incidence and determine the types of severe infection ... more OBJECTIVE To estimate the population-based incidence and determine the types of severe infection experienced by patients with rheumatoid arthritis who are taking biological agents. INTRODUCTION Since the late 1990 s, a variety of biological and synthetic drugs have been developed to treat rheumatoid arthritis. In recent years, the incidence of severe infection in patients with rheumatoid arthritis in Western nations has been reported by observational studies; however, no systematic review has been conducted on this topic. INCLUSION CRITERIA The following criteria will be considered for inclusion: i) observational studies on patients with rheumatoid arthritis who are on biological treatment; ii) studies reporting the number of severe infections requiring hospitalization for treatment; and iii) studies with person-years of observational data. METHODS MEDLINE, CINAHL, Embase, and Web of Science will be searched to identify published studies. The reference list of all studies that are s...
OBJECTIVE The objective of this review update is to determine the best strategies for assisted ba... more OBJECTIVE The objective of this review update is to determine the best strategies for assisted bathing or showering of older people with dementia. INTRODUCTION Bathing is a high-risk activity that can worsen agitated behavior in people with dementia, becoming a source of stress or burden for nurses and caregivers. Since a review was originally published in 2013, new studies have been conducted reporting on various interventions related to assisted bathing and showering. INCLUSION CRITERIA The review will consider people older than 60 years with dementia, their families, nurses, and formal caregivers. The quantitative component will consider studies that examine interventions aiming to reduce agitated behaviors during assisted bathing. The qualitative component will include studies reporting on experiences of assisted bathing of older people with dementia. METHODS This review update will follow the JBI mixed methods review approach. Published and unpublished studies will be identified from searches of the major international databases and relevant databases for gray literature. Two independent reviewers will carry out screening, critical appraisal, and data extraction. The extracted data will include details about the study characteristics, quantitative results, and qualitative findings relevant to the review. Where possible, quantitative data will be statistically pooled. Qualitative results will be synthesized using the meta-aggregation approach developed by JBI. Finally, the findings from both quantitative and qualitative components will be organized into a line of argument to produce an overall configured analysis. Where configuration is not possible, the findings will be presented in narrative form. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020208048.
To conduct a best-evidence review of non-pharmacological interventions for resistance-to-care beh... more To conduct a best-evidence review of non-pharmacological interventions for resistance-to-care behaviours of nursing home residents with dementia in a personal-care context. Resistance to care is a major source of staff burnout in nursing homes and it is also a safety issue for the staff. Best-evidence review. We searched for non-pharmacological intervention studies published from 1990-2012, written in English. The search identified 19 intervention studies that examined the effects of interventions to reduce the resistance-to-care behaviours of nursing home residents with dementia in a personal-care context. These 19 papers met the quality assessment requirements of the critical appraisal criteria for experimental studies, which were published by the Joanna Briggs Institute. Only three studies were RCTs and the rest were quasi-experimental. The sample size ranged from 7-127. Nine music interventions, such as pre-recorded music played to a group or playing a resident's preferred music, during his or her personal care, resulted in significant reductions in resistance-to-care behaviours. Resistance-to-care behaviours also were significantly reduced in three of four bathing interventions that focused on person-centred care. In the ability-focused interventions, only two out of five studies reported significant reductions in resistance-to-care behaviours. Non-pharmacological interventions are options to consider to reduce resistance-to-care behaviours in older people with dementia, even though the evidence level is low, given the lack of alternatives. More randomized controlled trials are recommended to confirm the effects of non-pharmacological interventions during personal care.
The objective of the review was to summarise the best available evidence supporting overseas nurs... more The objective of the review was to summarise the best available evidence supporting overseas nurses' adjustment to Australian nursing practice. The specific review question was: what supportive interventions assist overseas nurses to adjust to Australian nursing practice? The review considered qualitative and quantitative papers that addressed adjustment issues of overseas qualified nurses coming and working in Australia. The types of participants were nurses who have received basic nursing education outside Australian, and either nurses who already registered and were working as nurses in Australia or nurses who were undertaking courses required for registration in Australia. Interventions of interest included creating positive work and educational environments that support overseas qualified overseas nurses' adjustment to nursing practice in Australia. The search strategy sought to find both published and unpublished papers in English language. The search was performed usi...
The globalisation of the world has facilitated the international movement of the nursing workforc... more The globalisation of the world has facilitated the international movement of the nursing workforce. Along with other immigration destination countries, Australia is now accepting nurses from more diverse national and educational backgrounds than ever before, in order to secure adequate staffing for its nursing workforce. This thesis reports on a research project which investigated the lived experiences of overseas-qualified nurses (OQNs) from non-English-speaking backgrounds (NESB) in coming to, and working in, Australia. The study used a qualitative design informed by the philosophy of Hermeneutic Phenomenology of Heidegger and Gadamer. The researcher individually interviewed a total of 24 OQNs of NESB from all over the world using a semi-structured interview method. The data were analysed by the case studies and thematic analysis method. From the analysis, a total of four important themes emerged that structured the lived experiences of the OQNs from NESB. 1) From the Past to the ...
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