School of Nursing

Permanent link for this collectionhttp://hdl.handle.net/10292/19640

The School of Nursing evolves with the latest research and needs of the healthcare sector. Our research focuses on advancing knowledge to improve patient outcomes and recovery.

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Tū Kaha: He Mōhio ki ngā Māori o Te Kōmaoa Waewae (Stand Strong: A Qualitative Study of Māori With Venous Leg Ulcers in Aotearoa New Zealand)
(SAGE Publications, 2024-10-18) Kidd, J; Wharakura, MK; Laking, G; McGregor, D; Dobson, R; Jull, A
Venous leg ulcers have impact on people’s lives far beyond that of a skin lesion but these impacts have not been explored from an Indigenous perspective. We used a Māori-centered narrative approach to interview 13 Māori in Aotearoa New Zealand with venous leg ulcers. Data analysis was informed by a reflexive thematic approach and four themes were identified: Ko waewae ahau (I wear the leg); Ngā mea hōhā (annoying things); Ka tangi te ngākau (heartfelt grief); and Mamae (pain, sore, hurt). Recognizing patients’ expertise in their condition, the inclusion of whānau (family) in care planning and provision, while providing consistent advice and resource access, would all enhance the experience of venous ulcer management. Training in venous leg ulcer care needs to move beyond a focus on the leg and toward a more holistic approach that encompasses a broader understanding of patient experiences and cultural contexts when managing venous ulcers.
What Is Known About Asthma Care and Management for Children and Young People Under 18 Years of age in New Zealand. A Scoping Review
(Wiley, 2025-12-02) Blamires, J; Foster, M; Kanengoni‐Nyatara, B
Introduction Asthma is the most common chronic health condition affecting children in Aotearoa New Zealand, with Māori and Pacific children disproportionately burdened by high morbidity and inequitable care. Despite clinical guidelines and growing research, inconsistencies in diagnosis, treatment adherence, and education persist. This scoping review identifies and maps literature on care models, service delivery, education and support strategies, and experiences of children, young people, and their family/whānau in asthma care and management for those under 18 in Aotearoa New Zealand. Methods This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta‐analyses Extension for Scoping Reviews (PRISMA‐ScR) guidelines. We searched MEDLINE, CINAHL, Scopus, PsychINFO, and grey literature for articles published between 2014 and 2024 on asthma care for children under 18 in Aotearoa New Zealand. Eligible articles from health or community settings were thematically analysed using conventional content analysis. Results Twenty‐one articles met inclusion criteria, including qualitative, quantitative, mixed‐methods, and policy or guideline documents. Thematic analysis revealed four interconnected themes: (1) medications and adherence, (2) education and health literacy, (3) children and whānau experiences, and (4) culture and beliefs. Findings reflect persistent inequities in asthma outcomes and care access, especially for Māori and Pacific children and highlight opportunities to strengthen culturally safe and family/whānau‐centred care to improve asthma care, treatment and its management. Conclusion This review identifies key gaps in asthma care for children in Aotearoa New Zealand and calls for more responsive, culturally grounded models to improve asthma outcomes across diverse settings.
Co-Designing a Web-Based, Gamified, Auditory-Cognitive Dual-Task Training System for Older Adults with Hearing Loss
(MDPI AG, 2025-11-15) Zhao, Ivy Yan; Lau, Tsz Wai; Li, Chen; Ng, Janet Ho-Yee; Holroyd, Eleanor; Sweetow, Robert; Chan, Engle Angela; Leung, Angela YM
Background: Age-related hearing loss (ARHL) is associated with decreased communication, reduced social engagement, cognitive decline and an increased risk of dementia globally. Although increasing studies report the benefits of combing auditory and cognitive training for older adults with ARHL, more evidence is needed to examine its effects. Moreover, existing training programs have been developed with minimal end-user involvement leading to low adherence rates. This study aimed to investigate the role of co-design in the development of an auditory-cognitive training system for older adults with ARHL. Methods: A co-design methodology was employed. Digital recordings of the co-design workshops were transcribed verbatim. An established reflexive thematic analysis methodology was used. Results: Fifteen older adults with ARHL, referred to as "co-researchers", participated in three co-design workshops until data saturation was achieved. Consultations were held with two key service providers. Three key themes emerged: (1) older adults with ARHL prefer a user-friendly auditory-cognitive training system; (2) clear, localized and colloquial instructions for the training tasks are necessary; and (3) diversified, tailor-made and dual-task training tasks, performed in an interactive and game-like mode, can motivate and sustain usage of the training system. As a result, a prototype of a web-based, gamified, and adaptive auditory-cognitive dual-task training system was co-designed. Conclusions: Our findings affirmed the importance of genuinely listening to the voices of end-users and creating a system that is responsive to their needs and preferences. Future study is recommended to examine the effects of this system on older adults with ARHL.
Does 2% Lignocaine Gel Reduce Urethral Catheterisation Pain in Women? A Systematic Review and Meta‐Analysis
(Wiley, 2025-11-24) Varndell, Wayne; Blamires, Julie; Sheppard‐Law, Suzanne
Urinary catheterisation is an important aspect of patient care yet commonly causes discomfort or pain. Current international guidelines recommend water‐based sterile lubricant during catheterisation of women, whereas local anaesthetic gel (e.g., lignocaine gel) is advocated in men, potentially highlighting a gender bias in clinical care. The purpose of this systematic literature review was to evaluate the effectiveness of 2% lignocaine gel compared to water‐based lubricant in reducing pain during urethral catheterisation of women. A systematic search using key terms and their alternate spellings was used to identify relevant studies. Studies were included that examined the use of 2% lignocaine during urethral catheterisation of women. This review searched Cochrane Library, Cumulated Index in Nursing and Allied Health Literature (CINAHL), Emcare Nursing and Allied Health Database, Excerota Medica Database (EMBASE), Maternity and Infant Care Database, MEDLINE, OVID, ProQuest, PubMed and SCOPUS. In addition, clinical trial and systematic review registries were also searched from inception to May 2025. A total of 2030 studies were identified and screened. Three randomised controlled studies involving 214 female participants were included in this review. Pooled results indicated a statistically significant difference in favour of 2% lignocaine gel compared to water‐based lubricant during urethral catheterisation in women (mean difference −10.81, 95% CI: −15.81 to −5.35). The application of 2% lignocaine gel is more effective in reducing catheterisation‐associated pain in women compared to water‐based lubricant. Current clinical guidelines suggest the use of a water‐based lubricant for women, but an anaesthetic‐based lubricant for men. The belief that women do not require local anaesthesia before catheterisation may be influenced by historical perspectives and warrants further investigation.
Indigenous People’s Experiences and Expectations of Health Care Professionals When Accessing Care for Family Violence: A Qualitative Evidence Synthesis
(Sage, 2020-10-07) Fiolet, R; Cameron, J; Tarzia, L; Gallant, D; Hameed, M; Hooker, L; Koziol-McLain, Jane; Glover, K; Spangaro, J; Hegarty, K
Although many Indigenous peoples demonstrate resilience and strength despite the ongoing impact colonization has on their peoples, evidence suggests poor experiences and expectations of health care professionals and access to health care. Health care professionals play an essential role in responding to family violence (FV), yet there is a paucity of evidence detailing Indigenous people’s experiences and expectations of health care professionals in the context of FV. Using a meta-synthesis of qualitative studies, this article aims to address the following research question: What are Indigenous people’s experiences and expectations of health care professionals when experiencing FV? The inclusion criteria comprised a qualitative study design, Indigenous voices, and a focus on expectations and experiences of health care professionals when FV is experienced. Reviewers independently screened article abstracts, and the findings from included papers were subject to a thematic analysis. Six studies were included in the final meta-synthesis representing studies from Australia, the Americas, and New Zealand. Three themes were identified. Health care professionals need to center the Indigenous person in the care they provide and demonstrate cultural awareness of how history and culture influence an individual’s care requirements. Health care professionals also need to ensure they are connecting for trust with the Indigenous person, by slowly developing a rapport, yarning, and investing in the relationship. Finally, Indigenous peoples want their health care professional to work on strengthening safety from culturally inappropriate care, institutional control, and potential lack of confidentiality associated with tight-knit communities.
Validity of the ACTS Intimate Partner Violence Screen in Antenatal Care: A Cross Sectional Study
(BioMed Central, 2021-09-24) Hegarty, K; Spangaro, J; Kyei-Onanjiri, M; Valpied, J; Walsh, J; Chapman, J; Koziol-McLain, Jane
Background: Intimate partner violence (IPV) is a major public health problem with harmful consequences. In Australia, there is no national standard screening tool and screening practice is variable across states. The objectives of this study were to assess in the antenatal healthcare setting: i) the validity of a new IPV brief screening tool and ii) women’s preference for screening response format, screening frequency and comfort level. Methods: One thousand sixty-seven antenatal patients in a major metropolitan Victorian hospital in Australia completed a paper-based, self-administered survey. The survey included four screening items about whether they were Afraid/Controlled/Threatened/Slapped or physically hurt (ACTS) by a partner or ex-partner in the last 12 months; and the Composite Abuse Scale (reference standard). The ACTS screen was presented firstly with a binary yes/no response format and then with a five-point ordinal frequency format from ‘never’ (0) to ‘very frequently’ (4). The main outcome measures were test statistics of the four-item ACTS screening tool (sensitivity, specificity, predictive values, and area under the curve) against the reference standard and women’s screening preferences. Results: Twelve-month IPV prevalence varied depending on the ACTS response format with 8% (83) positive on ACTS yes/no format, 12.8% (133) positive on ACTS ordinal frequency format and 10.5% (108) on the reference Composite Abuse Scale. Overall, the ACTS screening tool demonstrated clinical utility for the ordinal frequency format (AUC, 0.80; 95% CI = 0.76 to 0.85) and the binary yes/no format (AUC, 0.74, 95% CI = 0.69 to 0.79). The frequency scale (66%) had greater sensitivity than the yes/no scale (51%). The positive and negative predictive values were 56 and 96% for the frequency scale and 68 and 95% for the yes/no scale. Specificity was high regardless of screening question response options. Half (53%) of the women categorised as abused preferred the yes/no scale. Around half of the women (48%, 472) thought health care providers should ask pregnant women about IPV at every visit. Conclusions: The four-item ACTS tool (using the frequency scale and a cut-off of one on any item) is recommended for written self-administered screening of women to identify those experiencing IPV to enable first-line response and follow-up.
A Quest for Quality Care: Exploration of a Model of Leadership Relationships, Work Engagement, and Patient Outcomes
(Wiley, 2020-10-12) Koziol-McLain, Jane; Teo, S; Parr, JM
AIM: To explore the effects of resonant leadership, leader exchange relationships and perceived organizational support on work engagement and patient outcomes. DESIGN: A cross-sectional survey design. METHODS: Data were collected in June and July 2016 from 252 nurses and clerical staff and institutional patient safety (falls rates) and patient satisfaction (Friends and Family Test) in New Zealand. Data were analysed with structural equation modelling (SEM). RESULTS: The final model was an excellent fit to the data (χ2 (22, N = 252) = 39.048, p = 0.014). Resonant leadership was significantly and positively associated with relationships at work, perception of unit care quality (β = 0.28, p < 0.001), reduced falls rates (β = -0.14, p < 0.05) and better patient satisfaction (β = -0.41, p < 0.001). A direct effect of resonant leadership was demonstrated on patient satisfaction (β = 0.20, p < 0.01). Perceived organization support (β = 0.40, p < 0.001) and leader-member exchange (β = 0.46, p < 0.001) were confirmed antecedents of work engagement. Work engagement was confirmed as an antecedent of nurse perception of unit care quality (β = 0.21, p < 0.001). Where social exchanges exist, work engagement mediates these. Three further mediated paths bypassed work engagement altogether. CONCLUSION: Existing literature investigating the drivers and impacts of work engagement predominantly focuses on staff outcomes rather than patient outcomes. The findings identify modifiable factors to improve staff experience, patient safety, and ultimately patient satisfaction. Resonant leadership, a relational style, is a core antecedent of quality care and positively associated with staff experience and patient outcomes. IMPACT: This investigation into a real-world problem for nurse leaders also confirmed that an organizational focus on work engagement is not always required. Resonant leadership improves staff work experience, patient safety, and patient satisfaction. Nurse leaders should measure, foster, and develop resonant leadership in practice.
Hidden Behind a Cloak of Silence and Exclusion: A Qualitative Study of Healthcare Professionals and Mandated COVID-19 Vaccinations
(Informa UK Limited, 2025-03-12) Dewar, Jan; Barbarich-Unasa, Te Wai; Pacheco, Gail; Meehan, Lisa; Wilson, Denise
Aotearoa New Zealand (Aotearoa), like many countries, experienced widespread demand for health services, threatening to collapse the health system. In addition to stringent border control, isolation policies for those with COVID-19, and instituting lockdowns, the government imposed a COVID-19 vaccine mandate for groups of essential workers, including healthcare professionals. Some literature argues that the COVID-19 vaccine mandates restrict individuals’ freedoms through the loss of employment, income, and status as a healthcare professional. This qualitative research explored how COVID-19 vaccine mandates impacted healthcare professionals. Data from eight in-depth interviews with former healthcare professionals who experienced termination of their employment, and four managers or business owners were thematically analysed. The theme, Mandate-Induced Traumatic Decision-Making and Loss and two sub-themes, A Change in Attitudes and Ongoing Impacts on Lives, were identified. We found the COVID-19 vaccine mandates had detrimental impacts on those healthcare professionals affected by their decision not to have or complete COVID-19 vaccinations. Despite what participants believed were legitimate reasons for not being vaccinated, they experienced ongoing trauma and psychological, unemployment, and financial harm. The findings question the public good benefits of the vaccine mandate when it restricts the freedom, autonomy, and agency of much-needed healthcare professionals, which provide useful insights.
Does the Implementation of a Model of Care Improve the Value for Money of Mental Health Services in Prisons?
(Wiley, 2025-08-13) Rouse, P; Pillai, K; McKenna, B; Simpson, A; Cavney, J; Skipworth, J; Tapsell, R; Madell, D
BACKGROUND: There is little research into appropriate measures of value for money in prison mental health services. AIMS: To develop and evaluate an accountability framework for an enhanced Prison Model of Care for people with serious mental illness in five New Zealand prisons. A key objective was to identify people with such illnesses who were missing from existing caseloads. METHODS: A generic public sector accountability framework was modified to provide measures of value for money around efficiency in its three component criteria of effectiveness and economy using a pre/post design, allowing measurement of flows between successive stages of this prison healthcare model. Measures were arranged into common dimensions around outcomes, outputs, inputs and costs, varied across the stages. The framework was populated with data collected from five prisons for the pre- and post-implementation periods. RESULTS: Improvements in the three criteria were generally obtained across all five areas of service delivery but especially in the screening, assessment, intervention and reintegration stages. Since these three criteria are major components of value for money, they provide evidence for improvement in value for money of the mental health services in these prisons. Other desired operational changes achieved were a threefold increase in the nurse to doctor ratio at the triage stage and slight increase in doctor to nurse ratio at the treatment stage. Overall, the implementation of this model of care achieved an increase in the size of caseload from 6.1% to 7.3% of the prison muster, equivalent to an increase in caseload of 21%. CONCLUSIONS: This accountability framework confirmed the value for money of the Prison Model of Care for severe mental illness, highlighting areas of good performance as well as areas requiring further development. The framework also provides measures that can be used as key performance indicators in ongoing monitoring.
Nurses and Consumer Consultants Perspectives on the Implementation of a Novel Violence Risk Assessment and Intervention Framework
(Wiley, 2025-09-18) Maguire, Tessa; McKenna, Brian; Furness, Trentham; Daffern, Michael
Interventions to prevent aggression and reduce use of restrictive practices are essential for recovery‐oriented mental health nursing care. This study explored how nurses can best enhance employment of a structured risk assessment instrument paired with an aggression prevention protocol. Fourteen nurses with responsibilities for reducing restrictive practices attended focus groups, and three consumer consultants working with mental health nursing staff participated in one‐to‐one interviews. The focus groups and interviews were designed to elicit recommendations to assist nurses use of the violence risk assessment instrument and apply the protocol interventions. Thematic analysis was used to analyse the data. Four themes were interpreted from the data. Theme one: The nurses are experiencing incredible difficulty talking about how they can be supported. Theme two: ‘calming the farm’: The need to self‐regulate, with the subthemes: (1) some nurses may need support to ‘calm the farm’ and (2) if you can't ‘calm the farm’ another nurse may need to step in. Theme three was the need for robust training and education and the final theme was: The need for ‘decompressing’ before leaving the shift. Participants suggested while some nurses were very skilled at regulating their emotions while intervening to prevent violence, some had difficulty, or were not aware of their emotional state, and may need support from colleagues when intervening. Suggestions for enhancing the application of aggression prevention interventions include use of mental wellness check‐in forms, engaging in clinical supervision and safety huddles at the end of the shift to assist nurses to decompress before leaving.
“Waiting for Someone to Ask”: Successful Implementation of an IPV Response by Bicultural Settlement Staff with Refugee Women in Australia
(Informa UK Limited, 2025-09-01) Cameron, J; Spence, N; Spangaro, J; Toole-Anstey, C; Hegarty, K; Koziol-McLain, Jane; Zwi, A; Walsh, J; McMahon, T; Perry-Indermaur, A
Refugee women are less likely to seek support for intimate partner violence (IPV). This study examined an IPV intervention by bicultural settlement staff in Australia, aiming to enhance the capacity of settlement services to address IPV. The Safety and Health After Arrival (SAHAR) study was conducted in five settlement services in New South Wales. Bicultural caseworkers were trained to use the ACTS IPV screening tool and follow-up protocol, translated into several languages. Data were collected through focus groups (24 caseworkers, 4 IPV specialists) and interviews (5 managers). Seven themes emerged: (1) Confidence grew rapidly; (2) Clear and simple tools matter; (3) Language matching facilitates connection; (4) Settlement services can do this; (5) Disclosing is more complex for refugee women; (6) Care and inclusivity enable disclosure and help-seeking; (7) Women choose different pathways. Culturally tailored interventions and bicultural workers are crucial for supporting IPV disclosure and response. Implementing IPV screening in settlement services is feasible, increasing IPV awareness and providing disclosure opportunities. Ongoing training, support, and further research on long-term sustainability are needed.
Knowledge, Attitude, and Practice Regarding Trauma-Informed Care Among Nursing Students in Eastern China: A Cross-Sectional Study
(Belitung Raya Foundation, 2025-08-03) Zhang, Di; Songwathana, Praneed; Vachprasit, Ratjai; Holroyd, Eleanor
BACKGROUND: Patients with a history of traumatic life events who enter the healthcare system are especially vulnerable, often posing greater challenges to care delivery. However, little is known about the capacity of nursing staff, especially nursing students, to deliver trauma-informed care (TIC). OBJECTIVE: This study aimed to assess the knowledge, attitude, and practice of trauma-informed care among Chinese nursing students. METHODS: A cross-sectional study was employed to survey undergraduate nursing students from a medical college in eastern China. Data were collected using an established self-administered questionnaire on TIC knowledge, attitude, and practice (KAP) consisting of 21 items. The content validity scale-level CVI was 0.950, and the reliability with Cronbach's α coefficient was 0.963. RESULTS: A total of 118 undergraduate nursing students, ranging from first to fourth year, participated in the survey, and ultimately, 117 students were included in the study, yielding an effective response rate of 99.15%. The average scores for KAP were 70.83±14.58, 77.78±11.11, and 66.67±16.67; however, the good levels of KAP accounted for 16.2%, 45.3% and 6.0%, respectively. Additional analysis showed a weak positive correlation between knowledge and attitude (rs = 0.211, p = 0.022), while there was a moderate positive correlation between knowledge and practice, attitude and practice (rs = 0.309, p < 0.001; rs = 0.310, p < 0.001). Univariate analysis indicated that year of study and experience in caring for trauma patients were significantly related to practice (p = 0.039, p = 0.002). CONCLUSION: The students' KAP on trauma-informed care was not at a good level, especially regarding practice and knowledge, and required further strengthening. The findings provide baseline information for further development of a KAP-TIC comprehensive course and exploration of practice ability-centered TIC education for nursing students. Assessing the effectiveness of the newly developed TIC course and learning outcomes in clinical practice is also recommended.
A Critical Reading of Solastalgia Through Indigenous and Care Ethics Lenses
(Informa UK Limited, 2025-08-06) Baker, Eridani; Jones, David Kukutai; Brannelly, Tula
Solastalgia is the emotional response elicited by ecological degradation, originating from the concepts of solace, desolation, and pain. Climate change has profound societal and health impacts especially for marginalised communities who face food shortages, poverty and forced displacement. Indigenous peoples have deep relational ancestral connections with the land that are beyond connection to place, and experience unique intensified forms of distress resulting from environmental degradation. For Indigenous peoples, connections with land are disrupted through extractive politics such as colonisation and now climate emergency, legacies that leave deleterious effects on wellbeing. In collective Indigenous cultures, distress is embedded within wider contexts of community, history, and the earth itself. This paper critically reviews solastalgia from Māori and care ethics perspectives to demonstrate the power of adding relational, contextual, and embodied elements to the concept. This paper argues for the incorporation of Indigenous knowledge in the conceptualisation of climate-related distress. Māori notions of voice and place inform research approaches that are in solidarity with Indigenous voice to examine the impacts of climate degradation.
The Tīvaevae Methodology and its Application to Palliative Care Research
(Macmillan Brown Centre for Pacific Studies, 2025-08) Henry, Amy
Health researchers have an ethical responsibility to ensure their research aligns with the health and wellbeing needs, solutions, and aspirations of the communities they study. This ethical responsibility is often heightened in palliative care research. This article reflects on the use of the Tīvaevae methodology – a Cook Islands research methodology – in a study which aimed to understand what palliative care means to Cook Islands families in New Zealand. There is limited research on the needs and understanding of palliative care for Pacific peoples and a near absence of literature that focuses on the needs of Cook Islands peoples in palliative care. More broadly, there is little documented on Cook Islands cultural understandings and knowledge on death, dying, and end-of-life care. As the majority of Cook Islanders reside in New Zealand, and new generations of Cook Islanders in New Zealand find themselves in the position of becoming caregivers to palliative (and often older) family members, understanding what their needs are will be important for families and clinicians alike. In this article, I argue that the Tīvaevae methodology can be used as a guide in the process of contextualising the concept of palliative care to understand palliative care within a Cook Islands context.
Patterns, Advances, and Gaps in Using ChatGPT and Similar Technologies in Nursing Education: A PAGER Scoping Review
(Elsevier BV, 2025-07-05) Amankwaa, Isaac; Ekpor, E; Cudjoe, D; Kobiah, E; Fuseini, AKJ; Diebieri, M; Gyamfi, S; Brownie, S
Background and aim: Generative AI (GenAI) can transform nursing education and modernise content delivery. However, the rapid integration of these tools has raised concerns about academic integrity and teaching quality. Previous reviews have either looked broadly at artificial intelligence or focused narrowly on single tools like ChatGPT. This scoping review uses a structured framework to identify patterns, advances, gaps, evidence, and recommendations for implementing GenAI in nursing education. Methods: This scoping review followed the JBI methodology and PRISMA-ScR guidelines. We searched PubMed, CINAHL, SCOPUS, ERIC, and grey literature (October to November 2024). Data synthesis utilised the PAGER framework as a mapping tool to organise and describe patterns, advances, gaps, evidence for practice, and recommendations. Results: Analysis of 107 studies revealed GenAI implementation across four key domains: assessment and evaluation, clinical simulation, educational content development, and faculty/student support. Three distinct implementation patterns emerged: restrictive, integrative, and hybrid approaches, with hybrid models demonstrating superior adoption outcomes. Technical advances showed significant improvement from GPT-3.5 (75.3 % accuracy) to GPT-4 (88.67 % accuracy) in NCLEX-style assessments, with enhanced capabilities in multilingual assessment, clinical scenario generation, and adaptive content creation. Major gaps included limited methodological rigour (29.0 % of empirical studies), inconsistent quality control, verification challenges, equity concerns, and inadequate faculty training. Geographic distribution showed North American (42.1 %) and Asian (29.9 %) dominance, with ChatGPT representing 83.2 % of tool implementations. Key recommendations include developing institutional policies, establishing quality verification protocols, enhancing faculty training programs, and addressing digital equity concerns to optimise GenAI integration in nursing education. Conclusions: GenAI has transformative potential in nursing education. To realise its full potential and ensure responsible use, research should focus on developing standardised governance frameworks, empirically validating outcomes, developing faculty in AI literacy, and improving technical infrastructure for low-income contexts. Such efforts should involve international collaboration, highlighting the importance of the audience's role in the global healthcare community.
Rethinking Procedural Holding Through a Trauma-informed Lens [Editorial]
(Elsevier BV, 2025-07-18) Plummer, K; Kotzur, C; Foster, Mandie
Harnessing Technology in Pediatric Nursing: Balancing Innovation, Equity and Sustainability
(Elsevier, 2025-04-02) Plummer, Karen; Pope, Nicole; McCradden, Melissa; Foster, Mandie; Stinson, Jennifer; Griffin, Bronwyn
Consumer Engagement in Teaching and Learning Across Health Disciplines: A Systematic Quantitative Literature Review
(Elsevier BV, 2025-07-29) Coyne, Elisabeth; Corones-Watkins, Katina; Foster, Mandie; Jones, Virginia; Mitchell, Lana; Mongta, Hayley; Wardrop, Rachel; Hughes, Lynda
Aim: To understand how health consumers contribute to teaching and learning in undergraduate health professional programs. Background: Undergraduate health students need to understand the patient and family experience so they can truly support them to manage and improve their health outcomes. This literature review explores how patients and families known as health consumers, contribute to teaching and learning in undergraduate health programs. Design: Systematic quantitative literature review Methods: Searches conducted across: CINHAL, MEDLINE, ProQuest Nursing, Scopus, and Google Scholar. Data from included studies was extracted and evaluated using Towle's taxonomy level of consumer involvement, presented as binary data using the Pickering and Byrne method and narrative synthesis of conducted. Results: A total of 109 studies were included. Narrative synthesis generated three themes being educational perspective, human perspective, and logical perspective. Engaging health consumers in education is crucial but does have challenges and should be prioritized when designing curricula. Consumers real-world experiences help students better prepare for clinical practice and understand the consumer perspective. Conclusion: This review provides insights into fostering consumer involvement in teaching, enhancing student learning, and improving consumer outcomes. Training and research are needed to develop strategies that enable undergraduate health students and health consumers to partner together. By learning the consumer perspectives, students gain insights to guide their practice and improve consumer health outcomes.
Primary Health Care Nurses and Their Suspicion of Child Abuse: The Importance of Relationship-building With Families and Interdisciplinary Networks
(CSIRO Publishing, 2025-04-23) Platt, Susan; Zambas, Shelaine; Spence, Deb; Cook, Catherine
Introduction There is a knowledge gap around the experiences of New Zealand (NZ) primary health care (PHC) registered nurses and nurse practitioners when working with children whom they suspect are being abused or neglected. Aim This study aimed to explore what PHC nurses experience when building and nurturing family and interdisciplinary relationships amidst a suspicion that a child is being abused or neglected. Methods Using contacts and snowballing to recruit participants, 13 PHC nurses working in the Auckland region were interviewed using semi-structured interviews. Gadamerian hermeneutics guided the analysis, with other philosophers drawn on to deepen the analysis. Results Relationship building is precarious due to trust issues, tensions around reporting, and complex power relations. Nurses are central to coordinating interprofessional care. Discussion Building relationships with families, children, and colleagues is fundamental to child protection. It is only by knowing what building and nurturing relationships is like amidst suspicion of child abuse or neglect that those whom nurses work with can understand what this work is like.
Nurses’ Knowledge and Attitudes Regarding Children’s Pain Assessment and Management in Nepal
(SAGE Publications, 2023-08-11) Shrestha-Ranjit, Jagamaya; Ranjitkar, Uma Devi; Water, Tineke; Shrestha, Sulochana; Sharma, Chandrakala; Mukhia, Suzanna; Adhikari, Jamuna; Adhikari, Tulashi; Pandey, Archana; Sharma, Muna; Pandey, Apsara; Joshi, Nibaran; Tuck, Natalie
Pain is frequently experienced by children in hospital, and international guidelines for appropriate pain assessment and management are available. Optimal management of paediatric pain has important long-term health, psychosocial, and economic benefits. However, evidence indicates that globally there are deficits in nurses' understanding of paediatric pain assessment and management. This study explored knowledge and attitudes regarding paediatric pain assessment and management among nurses at a tertiary children's hospital in Nepal. In this cross-sectional study all 140 nurses at a tertiary children's hospital in Nepal, were invited to complete the validated Paediatric Nurses Knowledge and Attitudes Survey. Findings revealed substantial deficits in nurse's knowledge and erroneous attitudes towards pain assessment and management in children. Test scores ranged from 14% to 56%, with mean scores of 38%, with no nurses achieving a recommended pass score of 80% regarding knowledge and attitudes in paediatric pain management. Consistent with previous research, nurses had insufficient knowledge and attitudes that did not reflect best practice regarding pain assessment and management in children. Education programmes targeting both trainees and registered nurses are essential to enable nurses to deliver evidence-based care and improve outcomes for children and their families.

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