THE AUSTRALIAN JOURNAL OF ADVANCED NURSING

VOLUME 25 NUMBER 1

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Editorial

Jill Iliffe

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Guest Editorial
Reflections on nursing

David Arthur

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Determinants of burnout among public hospital nurses
This study extends our knowledge of the main determinants of burnout among nurses working in public hospitals and investigates the impact of work support on the stress-burnout relationship.

Key Words: job-specific stressors, role stressors, organisational support, burnout.

Dr Rebecca Spooner-Lane, B.Beh.Sci, BA(Hons), PhD, Lecturer, School of Learning and Professional Studies, Queensland University of Technology, Kelvin Grove Campus QLD Australia. rs.spooner@qut.edu.au.
Professor Wendy Patton, B.Ed, BA(Hons), PhD, MAPsS, Head of School, School of Learning and Professional Studies, Queensland University of Technology, Kelvin Grove Campus QLD Australia.

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Developing a tool to measure ‘magnetism’ in Australian nursing environments
This paper describes the development of an Australia-specific instrument that provides a valid and reliable measure of magnet features in Australian health facilities and is a key development in the ongoing application of the magnet concept in Australia.

Key Words: nurses roles, organisational development, magnet hospitals, Australian NWI-R tool (NWI-R:A), nurse retention

Joanne Joyce, Lecturer, Department of Nursing, University of Wollongong, RN, BA (Nursing), Grad Dip HSc( Health Education), MA (Nursing), Enrolled in PhD Nursing, University of Wollongong. joanne_joyce@uow.edu.au.
Professor Patrick Crookes, RN, RNT, Cert.Ed, BSc (Nurs), PhD, Head of Department of Nursing, University of Wollongong.

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Understanding the importance of effective orientation: what does this mean in psychiatric graduate nurse programs?
The main purpose of this project was to examine and describe specialist psychiatric graduate nurse programs (PGNP) in Victoria, Australia.

Key Words: orientation, graduate nurse, psychiatry, psychiatric/mental health nursing, nursing

Rosemary Charleston, RN, RPN, B.Hs, M.Nurs. Lecturer, Preceptorship in Psychiatric Nursing, Centre for Psychiatric Nursing Research and Practice, School of Nursing, the University of Melbourne, Carlton, Victoria, Australia. charle@unimelb.edu.au.
Karla Hayman-White, BA(Hons), PhD Candidate, Research Fellow, Centre for Psychiatric Nursing Research and Practice, School of Nursing, The University of Melbourne, Carlton, Victoria, Australia.
Mr Rob Ryan, RN, M.Ed, Psychiatric Nurse Consultant, Aged Persons Mental Health Program, North Western Mental Health, Sunshine Hospital, St Albans, Victoria, Australia.
Brenda Happell, RN, RPN, BA(Hons), Dip Ed, B.Ed, M.Ed, PhD, Associate Professor, Director, Centre for Psychiatric Nursing Research and Practice, School of Nursing, The University of Melbourne, Carlton, Victoria, Australia.

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Concordance with phase-one cardiac rehabilitation guidelines in the inpatient setting
The aim of the paper was to examine concordance with phase-one cardiac rehabilitation (CR) guidelines, undertake an intervention that might optimise adherence to the guidelines, and establish a benchmark for practice in the coronary care unit (CCU) setting.

Key Words: heart disease, rehabilitation, adherence, standards

Maria C Murphy, RN, PhD candidate, Lecturer, LaTrobe University/Austin Health Clinical School, Clinical Nurse Specialist, Austin Health, Melbourne, Australia, maria.murphy@austin.org.au.
Marcia V George, RN, RM, DN, Adjunct Professor of Nursing and Midwifery, RMIT University, Nurse Unit Manager, Coronary Care Unit, Austin Health, Melbourne, Australia.
Andrea L Driscoll, RN, PhD candidate, Deakin University, Cardiology Research Fellow, Austin Health, Melbourne, Australia.

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Prevalence rate of delirium at two hospitals in Western Australia
The aim of the paper was to estimate the prevalence of delirium in patients on 15 medical and surgical wards at two hospitals in Western Australia.

Key Words: delirium, confusion, dementia, acute care, prevalence audit, elderly patient

Gaye Speed, RN, B.AppSc (Nursing), PostGradDip H.Admin, Nurse Consultant Clinical Improvement, Fremantle Hospital, Fremantle, Western Australia, Gaye.speed@health.wa.gov.au.
Dianne Wynaden, RN, RMHN, PhD, Senior Lecturer, School of Nursing and Midwifery, Curtin University of Technology, and Research Consultant (Mental health), Fremantle Hospital, Western Australia.
Sunita McGowan, RN, M.Sc (Nursing), Director Nursing Research and Evaluation, Fremantle Hospital, Adjunct Research Fellow, School of Nursing and Midwifery, Curtin University of Technology, Western Australia.
Malcolm Hare, RN, B.Sc (Nursing), Research Assistant and Honours student, Fremantle Hospital and School of Nursing and Midwifery, Curtin University of Technology, Western Australia.
Ian Landsborough, RN, RMHN, M.Ed, Lecturer, School of Nursing and Midwifery, Curtin University of Technology, Western Australia.

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Progression from gastric tube feeds to full suckle feeds and discharge home of preterm infants
The aim of the paper was to estimate the time taken for preterm infants to progress from 50% suckle feeds to full suckle feeds and then to discharge.

Key Words: bottle feeding, breast feeding, discharge planning, infant, newborn, rooming-in care, tube feeding

Anndrea Flint, RN, RM, NICC, MHSc, Nurse Manager, Grantley Stable Neonatal Unit, Royal Women’s and Brisbane Hospital, Centre for Clinical Nursing, Royal Women’s and Brisbane Hospital, Brisbane, Australia, Anndrea_Flint@health.qld.gov.au.
Mark William Davies, MBBS, FRACP, DCH, Staff Neonatologist, Grantley Stable Neonatal Unit, Royal Women’s and Brisbane Hospital, Department of Paediatrics and Child Health, The University Of Queensland, Royal Children’s Hospital, Brisbane, Queensland, Australia.
Li-An Collie, RN, RM, Clinical Nurse, Grantley Stable Neonatal Unit, Royal Women’s and Brisbane Hospital, Brisbane, Australia.
Kristina Palmer-Field, RN, RM, Clinical Nurse/Lactation Consultant, Grantley Stable Neonatal Unit, Royal Women’s and Brisbane Hospital, Brisbane, Australia.

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Returning to nursing after a career break: elements of successful re-entry
The aim of the paper was to survey the literature to identify the special needs of the re-entry RN and suggest elements of a successful re-entry recruitment, training and retention policy.

Key Words: refresher, re-entry, recruitment, retention, career break

Janet Long, RN, BSc (Hons), Grad Cert Nurs (Clinical Studies), MRCNA, Eye Outpatients and Emergency, Sydney Hospital and Sydney Eye Hospital, Sydney, NSW, Australia, janet.long@sesiahs.health.nsw.gov.au.
Sandra West, RN, CM, Int. Care Cert, BSc, PhD, MRCNA, Associate Professor of Clinical Nursing, Faculty of Nursing and Midwifery, University of Sydney, NSW, Australia.

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The development of a critical thinking conceptual model to enhance critical thinking skills in middle-eastern nurses: a middle-eastern experience
This paper aims to describe the development of a critical thinking conceptual model which was constructed to guide the teaching and evaluation of critical thinking skills to Middle-Eastern nurses.

Key Words: conceptual model; critical thinking; critical thinking strategies

Elaine Simpson, PhD, RN, Manager, Regis, Corinya Aged Care Facility, Queensland, Australia, Elaine_phd@yahoo.com.
Mary Courtney, PhD, RN, Professor of Nursing and Assistant Dean (Research), Queensland University of Technology, Queensland, Australia.

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Advanced practice nurse’s role in alcohol abuse group therapy
The purpose of this paper is to discuss the importance of conducting groups for alcohol abuse and to present implications for the advanced practice nurse (APN) in leading these groups.

Kathryn Puskar, MN, MPH, DrPH, CS, FAAN, Associate Professor Psychiatric Nursing, University of Pittsburgh School of Nursing, 3500 Victoria St. Area 415, Pgh, Pa. USA 15261, krp12@pitt.edu.
Elizabeth McClure, FNPC, Family Nurse Practitioner, 65601 Barkcamp Park Road, Belmont OH USA 43718.
Kelley McGinnis, RN, BC, Psychiatric Home Care Nurse, 2173 Wood St. Latrobe, Pa. USA 15650.

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Homophobia and heterosexism: implications for nursing and nursing practice
This article explores the existence of discrimination against LGBT people among nurses and the implications this has for nursing and the quality of care delivered.

Key Words: nursing, homophobia, heterosexism, health care, gay, lesbian

Lyn Irwin, RN, CM, BA, M Litt, PhD, Senior Lecturer, School of Health, University of New England, New South Wales, Australia.

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Importance of nutrition for elderly persons with pressure ulcers or a vulnerability for pressure ulcers: a systematic literature review
The aim of the paper was to was to describe the importance of nutrition in reducing the risk of pressure ulcers and to focus on nursing interventions.

Key Words: decubitus, elderly, literature review, malnutrition, nursing, nutrition, pressure ulcer
Abstract

Birgitta Holm, RN, MNSc, Lecturer, Department of Health Sciences, Mid-Sweden University, Sundsvall, Sweden, birgitta.holm@miun.se.
Lisa Mesch, RN, BNsc, Department of Medicine, Sundsvall Hospital, Sundsvall, Sweden.
Hellzén Ove, RN, PhD, Associate Professor, Department of Health Sciences, Mid-Sweden University, Sundsvall, Sweden.

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Promoting quality care for older people in meal management: whose responsibility is it?
The aim of the paper was to examine the role of registered nurses and allied health workers in meal management, assessment, safe environment and care planning for older people in residential aged care.

Key Words: swallowing difficulties, choking, meal management, aged care

Julie Crack, RN, BN, MCN, Aged Care Consultant, The Park Group, Launceston, Tasmania, Australia.
Crack Geoff, RN, RM, BA (Hons), Lecturer, School of Nursing and Midwifery, University of Tasmania, Australia, g.crack@utas.edu.au.

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