Leonie Mosel Williams

Nurses' behaviour regarding CPR and the theories of reasoned action and planned behaviour.

Cardiopulmonary resuscitation (CPR) has been used in hospitals for approximately 40 years. Nurses are generally the first responders to a cardiac arrest and initiate basic life support while waiting for the advanced cardiac life support team to arrive. Speed and competence of the first responder are factors contributing to the initial survival of a person following a cardiac arrest. Attitudes of individual nurses may influence the speed and level of involvement in true emergency situations. This paper uses the theories of reasoned action and planned behaviour to examine some behavioural issues with CPR involvement.

Focus group methodology: explanatory notes for the novice nurse researcher.

Abstract Focus group methodology is a qualitative research approach that provides the potential for authentic quality data to be captured by using the candour and spontaneity of participants in an atmosphere of dynamic group interaction. The use of this methodology within nursing research is growing as it provides a qualitative approach that can produce quality data and can be used effectively by both experienced and novice researchers. The purpose of this paper is to provide guidance to the novice nurse researcher who may be considering using this methodology so that appropriate use is promoted and practical advice for its use may generate quality data.

Adopting narrative pedagogy to improve the student learning experience in a regional Australian university

Abstract A growing body of work in the literature describes and explains narrative pedagogy within nursing and midwifery programs. This paper continues the conversation by explaining, with examples, how narrative pedagogy has been interpreted and applied within a new nursing faculty in Australia. The aims of our nursing and midwifery programs are to provide students with a clear professional identity and to prepare them for contemporary Australian nursing practice. As part of these aims, we want students to develop their imaginations and to consciously examine, and challenge, nursing and healthcare paradigms and practices such as the enduring illness model of healthcare and the emphasis on technique-oriented care. Members of our teaching team, working together and individually, have used narrative pedagogy in a variety of ways, developing novel teaching and learning activities for use in real time classroom settings as well as online to provide a regionally and globally relevant educational experience.

Clinical decision-making in senior nursing students in Iran.

Clinical decision-making is the basis for professional nursing practice. This can be taught and learned through appropriate teaching and clinical experiences. Unfortunately, it has been observed that many graduates are unable to demonstrate suitable clinical decision-making skills. Research and study on the process of decision-making and factors influencing it assists educators to find the appropriate educational and clinical strategies to teach nursing students. To explore the experience of nursing students and their view points regarding the factors influencing their development of clinical decision-making skills. An exploratory qualitative approach utilizing grounded theory methods was used; focus group interviews were undertaken with 32 fourth year nursing students and data were analysed using constant comparative analysis. Four main themes emerged from the data: clinical instructor incompetency, low self-efficacy, unconducive clinical learning climate and experiencing stress. The data indicated that students could not make clinical decisions independently. The findings of this study support the need to reform aspects of the curriculum in Iran in order to increase theory-practice integration and prepare a conductive clinical learning climate that enhances learning clinical decision-making with less stress.

Steps towards empowerment: An examination of colleges, health services and universities

Abstract In Australia, nursing educators work across three main contexts – training colleges, health services and universities. Because the pace of change for nursing has increased dramatically and the curriculum is becoming even more crowded, educators in these contexts are likely to be experiencing workrelated stress. This study investigated this issue utilising a purposive sampling strategy to interview a cross section of nurse educators and those supporting educators. Eighteen in-depth interviews were completed, which included fourteen nurse educators and four key stakeholders. Qualitative analysis revealed that regardless of context, nurse educators found their role rewarding but there are common challenges. These included: Work role pressures, a non-validating culture, the pace of change, isolation and concern for the profession. There are also differences amongst the cohorts. Finally, participants elaborated on specific solutions to these problems and there is strong support for the establishment of a national community of practice to bring diverse educators together to share, support, extend and evaluate each others’ work.

In my day II: Reflecting on the transformative potential of incorporating celebrations into the nursing curriculum

Understanding ones history is a powerful way to build a sense of belonging, identity and connection. Similarly, history learning can be a powerful component in the core curriculum for undergraduate nursing. History learning develops thinking skills transferable to and necessary in nursing practice. Additionally, awareness about the professions struggles, achievements and enduring concerns is raised and belief that an individual or group can have influence is affirmed. Perseverance, commitment and seeing the big picture gives a nurses career meaning and purpose. All of these factors can produce a transformed perspective in todays learners, who are often present-focused, isolated and disconnected from the past and the profession. This paper reports an evaluation of a second interactive learning experience held at the University of the Sunshine Coast to celebrate International Nurses Day 2010. In a previous paper, we shared our initial insights after the success of the first event, and now build upon those insights by examining the transformative learning provoked by the experience, from the points of view of students and staff.

Academic Maturity: Qualifications to Teach the Nurse Professionals of the Future

In a recent survey of Queensland academic managers and graduates of pre-registration and nursing postgraduate programs, it was found that within levels of management there exists a disparity related to the minimal qualifications of educators of nurses. The preferred minimal level of academic preparation of heads of departments of nursing was generally ess than that proposed by recent consumers of tertiary education. Recent postgraduate and graduate students displayed their academic maturity through their preferences for highly qualified and academically qualified educators at all levels. The variety of educators involved in tertiary education included academics teaching within universities; clinical laboratory teachers teaching the skills of nursing practice; clinical faci itators who are responsible for groups of students in the clinical area; and clinical mentors, the clinicians who support and nurture students on a one-to-one basis. Ten managers of nursing programs (N=20), fourteen postgraduates (N=61) and 90 graduates (n=302) of Queensland tertiary nursing programs responded to the survey. While the final samples were small, the outcomes suggest increasing graduate expectations of thei educators and the need for a re-evaluation of measures of quality in academic teaching.