THE AUSTRALIAN JOURNAL OF ADVANCED NURSING

VOLUME 34 ISSUE 1

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Knowledge, attitudes and practices relating to fertility among nurses working in primary health care
To explore knowledge, attitudes and practice relating to factors that affect fertility among nurses working in general practice and other primary health care settings.

KEY WORDS: practice nurses, primary health care, health promotion, fertility, reproductive health.

Karin Hammarberg, RN, BSc, PhD, Senior Research Fellow, Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Lisa Collison, RN, Grad Dip Nurs Sci GP, Professional Development Coordinator, Australian Primary Health Care Nurses Association, South Melbourne, Victoria, Australia
Lisa Collison, RN, Grad Dip Nurs Sci GP, Professional Development Coordinator, Australian Primary Health Care Nurses Association, South Melbourne, Victoria, Australia
Hau Nguyen, B Econ, Project Officer, Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Jane Fisher, BSc (Hons), PhD, MAPS Director, Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Victoria, Australia

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A mental health nursing transition program for enrolled nurses at a forensic mental health hospital
There are difficulties in recruiting enrolled nurses to mental health positions. A six month program was developed with the aim to bridge possible knowledge gaps for enrolled nurses, and to provide them practical support to consolidate skills and knowledge for nursing in a forensic mental health hospital.

KEY WORDS: enrolled nurse, mental health, training program.

Chris Quinn, RN, DAS (Nurs), Cert PN, Grad Dip (MHN), PhD, Clinical Nurse Consultant, Forensicare, Thomas Embling Hospital, Fairfield, Victoria, Australia
Jo Ryan, RN, Bed, Director of Nursing, Forensicare, Thomas Embling Hospital, Fairfield, Victoria, Australia

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Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice
To identify barriers to implementing evidence-based practice initiatives in small to medium sub-acute facilities in Queensland.

KEY WORDS: evidence based practice, nursing, risk, clinical audit, research.

Associate Professor Clint Moloney, PhD, MHealth, BNur, Associate Professor in Nursing, School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Queensland, Australia
Melissa Taylor, PhD Candidate, MHealth (Sci), BNur, Senior Lecturer (Nursing), School of Nursing and Midwifery, University of Southern Queensland, Ipswich, Queensland, Australia
Dr Nicholas Ralph, PhD, MClinPrac (with Distinction), BN, RN, Senior Lecturer (Nursing), School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Queensland, Australia

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Stoma and shame: engaging affect in the adaptation to a medical device
The objective is to understand difficulties some patients have with their adaptation to a medical device, specifically a stoma and an ostomy appliance, following gastro-enterologic surgery. A partial or total colectomy is typically performed in cases of digestive cancers, Crohn’s disease, or anal incontinence. A psychotherapeutic application deduced from this understanding is described. The therapeutic approach is informed by Lacanian psychoanalysis.

KEY WORDS: stoma, ostomy appliance, colostomy, Lacanian psychoanalysis, shame, transference

Lionel Diebold, MCP, PhD, Associate member, Epsylon Laboratory, Montpellier University; Institutional base: Marseille Hospital (La Timone) Digestive surgery service, Toulon, France

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Access to healthcare services for people living with HIV experiencing homelessness – a literature review
People living with HIV (PLHIV) who are homeless or at risk of homelessness experience significantly worse health outcomes than those in stable housing. They are more likely to be diagnosed late, use substances, engage in high–risk sexual activities and have difficulty adhering to treatments. This review identifies strategies described and evaluated in the international social science literature which can improve access to HIV–treatment and care for PLHIV who are homeless or at risk of homelessness, to inform policy and service development in Australia.

KEY WORDS: HIV, PLHIV, assertive outreach, community nursing, engagement and retention in HIV care

Elizabeth Crock, PhD, MPH, RN, BSc, Grad Dip Ed, ACRN, Certificate in Infectious Disease Nursing, Clinical Nurse Consultant – HIV – Northern and Western Regions and HIV Team Coordinator, Royal District Nursing Service, West Melbourne, Victoria, Australia

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Nurse empathy and the care of people with dementia
Empathy is widely accepted as an essential nursing attribute yet the relationship between nurse empathy and the care of people with dementia in the hospital setting has rarely been explored. A number of themes have emerged from the relevant literature regarding the influences which shape a nurse’s ability to deliver empathetic care to this patient cohort. These issues include a lack of hospital resources, an organisational focus on operational issues such as patient flow and risk management, and widespread stigmatisation of dementia in society.

KEY WORDS: Dementia, empathy, nursing care, compassion, in-patient, hospital

Robin Digby, RN, MN, PhD candidate, Monash University, School of Nursing and Midwifery, Peninsula Campus, Victoria, Australia
Associate Professor Allison Williams, RN PhD M Nurs BAppSci (AdvNurs) GradDipAdvNurs (ClinNursEd) FACN, Director, Monash Nursing Academy, Clayton, Victoria, Australia
Dr Susan Lee, PhD, MBioeth, BAppSci (Nsg Ed), DipAppSc (Nsg), RN, Senior Lecturer, Monash University, School of Nursing and Midwifery, Victoria, Australia

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Doctoral education for nurses today: the PhD or professional doctorate?
This paper seeks to stimulate discussion and debate about the future of doctoral education for nurses in Australia.

KEY WORDS: doctoral education, research, professional development, nurses, healthcare improvement

Kim Walker, RN, PhD, Professor of Healthcare Improvement, St Vincent’s Private Hospital & School of Health Sciences, University of Tasmania; Paddington, NSW, Australia
Steven Campbell, RN, PhD, Professor of Clinical Redesign, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
Jed Duff, RN, PhD, Senior Research Fellow, St Vincent’s Private Hospital & School of Health Sciences, University of Tasmania; Paddington, NSW, Australia
Elizabeth Cummings, RN, PhD, Associate Professor, Graduate Research Coordinator, School of Health Sciences, Hobart, Tasmania, Australia

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