Contemporary Nurse[JOURNAL]
Sun
200 papers
Insights from the rapid implementation of digital technologies in nursing practice during COVID-19 - a survey.
Lokmic-Tomkins Z, Lin YF, Robinson E … +3 more , Bichel-Findlay J, Faisal M, Dowding D
Contemp Nurse · 2026 Feb · PMID 40536228 · Publisher ↗
AIM: To explore nurses' adoption of digital technologies during the COVID-19 pandemic and their perceived impact on nursing practice in Australia, focusing on technology-supported workforce preparedness for future public...
AIM: To explore nurses' adoption of digital technologies during the COVID-19 pandemic and their perceived impact on nursing practice in Australia, focusing on technology-supported workforce preparedness for future public health emergencies. DESIGN: A cross-sectional survey design. METHODS: Nurses who worked in clinical settings during the COVID-19 lockdown period were eligible to participate in this study. Participants ( = 94) completed a 41-item online survey of forced-choice responses, free-text open-ended questions, and a system usability rating. Data were analysed using descriptive statistics and content analysis. RESULTS: Ninety-four respondents representing various fields of nursing reported on 102 distinct digital technologies. These technologies were categorized into online communication ( = 42; 41.2%), patient monitoring/data sharing ( = 20; 19.6%), virtual appointments ( = 16; 15.7%), electronic medical records ( = 15; 14.7%), mobile applications ( = 5; 4.9%), information systems ( = 3; 2.9%), and e-prescribing ( = 1; 0.9%). System usability varied across different types of technology. Barriers to successful technology use included inadequate infrastructure, low staff and patient digital literacy, lack of organizational support and training, particularly when redeployed, and clinician attitudes. CONCLUSION: Although study participants demonstrated high agility and adaptability when digital technologies were rapidly implemented, the data suggests a need for greater organizational support and proactive preparation for similar public health emergencies. One of the most critical lessons learned from the COVID-19 pandemic is that even though digital technologies may need to be rapidly deployed to effectively support healthcare delivery during public health emergencies, this deployment needs to be thoughtful. As climate change increases the frequency and severity of such crises, investing in the digital preparedness of the nursing workforce emerges as a strategic imperative and as an essential component to fostering workforce resilience and long-term sustainability.
A pilot randomised trial of group versus individual education for obese adults with type 2 insulin dependent diabetes.
MacDonald A, Zhen XM, Ahlenstiel G … +2 more , Phu A, Wynne R
Contemp Nurse · 2025 Dec · PMID 40526822 · Publisher ↗
BACKGROUND: Studies of group versus individual education for T2DM have shown favourable outcomes but evidence to support group-based education for patients affected by obesity and T2DM is scant. METHODS: A parallel-group...
BACKGROUND: Studies of group versus individual education for T2DM have shown favourable outcomes but evidence to support group-based education for patients affected by obesity and T2DM is scant. METHODS: A parallel-group, randomised pilot trial was designed to determine the feasibility and acceptability of group-based education compared to individualised (usual care) education for patients affected by obesity, and T2DM requiring insulin. Adults (>18 years, N = 51) completing the 'Living Healthy with Diabetes' education program in a specialist bariatric service, with a body mass index (BMI) of greater than 35 kg/m and T2DM requiring more than 1u/kg/day of insulin were invited to participate. Program delivery was one-on-one (Control, n = 25) or in group sessions (Intervention, n = 26), face-to-face in clinic, or via telehealth during COVID-19 lockdowns. Feasibility endpoint measures were recruitment, protocol adherence, participation rates, and engagement. Secondary endpoints were depression and anxiety, quality of life, sleepiness, body weight, diabetes distress score, metabolic parameters, and daily insulin dose. RESULTS: Protocol adherence and participation rates indicate group sessions were feasible and acceptable. There were no group differences in anthropometric or biochemical baseline measures, 12-month follow-up was complete. Both groups reduced and sustained weight loss with significant within-group improvements in diabetes distress score and daily dose of Insulin. Improvements in health-related quality of life were evident within and between groups but there was no evidence to indicate a difference in the effectiveness of the two educational approaches on weight loss. CONCLUSIONS: Group-based education is feasible and acceptable but efficacy in achieving superior outcomes compared to individual education needs further investigation. Optimising nurse-led education delivery methods could enhance intervention effectiveness for patients affected by obesity and T2DM.
Advancing healthcare through quality improvement processes.
Davies H, Massey D, Saunders R
Contemp Nurse · 2025 · PMID 40439318 · Publisher ↗
Abstract loading — click title to view on PubMed.
The interplay and divergence between measurement of loneliness and lack of social support - results from a questionnaire survey.
Blakoe M, Berg SK, Olesen CS … +3 more , Palm P, Højskov IE, Christensen AV
Contemp Nurse · 2026 Apr · PMID 40439094 · Publisher ↗
BACKGROUND: Loneliness and lack of social support are theoretically distinguished phenomena, but simultaneously overlap and mutually influence each other, challenging the measurement of these phenomena within health rese...
BACKGROUND: Loneliness and lack of social support are theoretically distinguished phenomena, but simultaneously overlap and mutually influence each other, challenging the measurement of these phenomena within health research. OBJECTIVE: To contribute to the understanding of the interplay and divergence of loneliness and lack of social support by investigating the convergent validity between two social support questionnaires and a loneliness questionnaire, in a population of patients treated for cardiac disease. METHOD: In total, 573 patients >18 years of age treated for cardiac disease were approached from October 2022 to May 2023 and answered two social support questionnaires and one loneliness questionnaire, and 365 patients (63.7%) completed the questionnaire. The interplay and divergence between loneliness and lack of social support were assessed by calculating convergent validity between the questionnaires. RESULTS: The correlation coefficients between the two social support questionnaires ranged between = 0.281-0.568, which is comparable to the correlation coefficient between the social support questionnaire and the loneliness questionnaire, ranging from = 0.317-0.601, suggesting a dynamic interplay between social support and loneliness, yet also a challenge for maintaining conceptual and measurement-based divergence. CONCLUSION: This finding implies that, although loneliness and lack of social support are conceptually distinct, differentiating between these dimensions in a questionnaire survey is challenging.
The development of patient safety and the influence of the nurse: A discursive narrative.
Swift L, Kearney L, Levett-Jones T … +1 more , Bogossian F
Contemp Nurse · 2025 Aug · PMID 40411746 · Publisher ↗
BACKGROUND: Death, harm, or adverse outcomes as a result of accessing healthcare were recognised as a global endemic in the late 1990s and the trigger for the contemporary patient safety discipline. AIM: To critically re...
BACKGROUND: Death, harm, or adverse outcomes as a result of accessing healthcare were recognised as a global endemic in the late 1990s and the trigger for the contemporary patient safety discipline. AIM: To critically review the development of the patient safety movement; and, to determine the influence of the practitioner, in particular, nurses on patient safety. DESIGN: A discursive narrative using a conceptual framework. METHODS: We developed a conceptual framework consisting of the patient, practitioner, clinical setting, profession, clinical setting, culture of risk, wider society, and the healthcare system, to analyse the development of the patient safety movement. The data sources were considered across three eras commencing with Ancient Greece to the twenty-first century. FINDINGS: There has been no reduction in patient harm rates across two decades either in Australia or globally, despite resourcing and financial investment. The application of a conceptual model to analyse the influences on the development of the patient safety movement is the contemporary innovation of this discursive narrative. The importance of the practitioner and their influence across all eras was illustrated. The practitioner is the final critical line of defence to maintain the minimum requirement of patient safety. CONCLUSION: Patients are no safer accessing healthcare then they were two decades ago. Nurses spend more time with patients than any other health discipline and therefore have a critical role in monitoring and maintaining safe care. Yet, the influence of the nursing profession on the development of the patient safety movement is largely absent in the literature. There is a need for a standardised approach to teaching and evaluating patient safety curricula. REPORTING METHOD: No EQUATOR guidelines were discovered for the discursive paper format.
Trialling the Distress Thermometer tool on non-oncology general medical and surgical inpatients.
Jedwab RM, Baker JG, Gogler J … +4 more , Pham AT, Redley B, White K, Dobroff NK
Contemp Nurse · 2026 Feb · PMID 40377971 · Publisher ↗
BACKGROUND: Risk assessment tools are intended to support nurses' decision-making in the continuous Nursing Process of comprehensive assessment, planning, implementation and evaluation for each patient in their care. Whi...
BACKGROUND: Risk assessment tools are intended to support nurses' decision-making in the continuous Nursing Process of comprehensive assessment, planning, implementation and evaluation for each patient in their care. While patient distress is common during periods of ill-health, tools to formally assess distress are not routinely used by nurses. AIM: The purpose of this study was to explore the utility of the distress thermometer by nurses for general medical and surgical inpatients. METHODS: An audit of 2370 electronic medical records was used to extract data on risk assessment completion for adult patients admitted across three wards from December 2020 to March 2021. An online survey using the System Usability Scale and free-text comments collected data on nurses' perceptions of the Distress Thermometer. RESULTS: Only 33% of patients had the Distress Thermometer tool completed by nurses during patient risk assessment on their admission to the hospital ward (393/2370). Only 12.86% of nurses reported scores indicating acceptable usability of the Distress Thermometer in electronic medical records (greater than 68). Distress Thermometer completion was significant between wards (chi-square analysis X (2, = 2,370) = 84.902, = <.001). Factors contributing to low usability included unnecessary addition to their workload and tool perceived as not useful to care planning. DISCUSSION: Nurses reported the Distress Thermometer was an unnecessary addition to their workload and not perceived to add any value to patient assessment in general medical and surgical inpatients. CONCLUSION: Nursing risk assessments in electronic medical records carry a high workload burden. The perceived usability, usefulness and suitability for specific patient groups are important considerations for uptake and implementation of any additional tools.
Reducing peripheral intravenous catheter related blood stream infections: findings from a quality improvement audit of taskforce strategies.
Sammut M, Omarit R, Canning M … +3 more , Cornford C, Monohan J, Wynne R
Contemp Nurse · 2025 · PMID 40367276 · Publisher ↗
Peripheral intravenous indwelling catheters (PIVC) are the most frequently used medical device in acute care settings. Approximately 80% of patients require the insertion of at least one PIVC at some point during their h...
Peripheral intravenous indwelling catheters (PIVC) are the most frequently used medical device in acute care settings. Approximately 80% of patients require the insertion of at least one PIVC at some point during their hospital stay. PIVC associated bloodstream infections are preventable and account for almost 40% of all hospital acquired bloodstream related infections. A taskforce was convened to plan, develop and implement hospital-wide, evidence-based practice approaches, aligned with clinical care standards, to reduce the incidence of PIVC related infection. A prospective observational audit was designed to evaluate taskforce efficacy. The primary aim of the audit was to determine the effectiveness of the taskforce in reducing the incidence of PIVC-related infection. The PIVC-related bloodstream infection rate per 10,000 occupied bed days fell below the expected benchmark from the initial implementation of taskforce strategies. In the 12 months following taskforce strategy implementation there were 7 (58.3%) months in which there were no infections reported. Successful infection prevention programs require a multitude of initiatives and processes. Transparency in governance and leadership support for implementing prevention strategies in crucial as contextual factors impact barriers and facilitators for the uptake and implementation of behaviour change initiatives.
A cross-sectional study of cardiac rehabilitation enrollment barriers in patients at risk for suboptimal outcomes from acute coronary syndrome.
Kamran A, Grace SL, Arena R … +3 more , Aggarwal S, Campbell TS, Rouleau CR
Contemp Nurse · 2025 Dec · PMID 40353594 · Publisher ↗
PURPOSE: Cardiac rehabilitation (CR) is an effective treatment to reduce the burden of cardiovascular disease (CVD) but is underutilized. This study characterized CR enrollment barriers and perceived physician endorsemen...
PURPOSE: Cardiac rehabilitation (CR) is an effective treatment to reduce the burden of cardiovascular disease (CVD) but is underutilized. This study characterized CR enrollment barriers and perceived physician endorsement of CR in patient subgroups at increased risk of poor outcomes. MATERIALS AND METHODS: The association between sociodemographic and clinical characteristics and Cardiac Rehabilitation Barriers Scale (CRBS) item and subscale scores were examined using secondary data analysis of patients with acute coronary syndrome referred to, but not yet enrolled in, a 12-week CR program. Participants rated perceived strength of recommendation to attend CR on 1-5 scale. RESULTS: The three most endorsed CRBS items were inclement weather, travel, and work responsibilities. Additional barriers (e.g. time constraints, already exercising, family responsibilities) emerged in certain patient subgroups. Perceived strength of physician endorsement was high in the overall sample. After statistical adjustment for confounds, depressed mood was positively associated with logistical ( = 0.05, = 0.002), and comorbidity-related barriers ( = 0.02, < 0.001). Female sex ( = 0.62, = 0.004), higher body mass index ( = 0.05, = 0.009), and diabetes ( = 1.08, < 0.001), were associated with logistical barriers. CONCLUSIONS: Patients require individualized support to address CR enrollment barriers. Given their crucial role in supporting patients to access CR, nurses are well-positioned to identify and address CR barriers.
No more Nightingale.
Power T, Mackay J, Smallwood R … +2 more , Best O, West R
Contemp Nurse · 2025 Apr · PMID 40350166 · Publisher ↗
Abstract loading — click title to view on PubMed.
Predictors of psychosocial adaptation in haemodialysis patients according to haemodialysis vintage: a quantitative study.
Chang AK, Kim AY
Contemp Nurse · 2025 Aug · PMID 40350163 · Publisher ↗
BACKGROUND: Haemodialysis (HD) patients face difficulties adapting to the drastic life changes associated with their treatment, emphasising the crucial role of psychosocial adaptation in improving long-term health outcom...
BACKGROUND: Haemodialysis (HD) patients face difficulties adapting to the drastic life changes associated with their treatment, emphasising the crucial role of psychosocial adaptation in improving long-term health outcomes. The level of psychosocial adaptation and its predictors are different according to the duration of HD therapy. AIM: The objective was to compare the predictors of psychosocial adaptation in HD patients based on the duration of haemodialysis, with a reference point of one year since initiating HD. DESIGN: A comparative cross-sectional survey design was used. METHODS: Patients from one outpatient and four community-based haemodialysis centres in South Korea completed a paper-based survey during their dialysis admission. The survey included self-report questionnaires on psychosocial adaptation, depression, perceived social support, dialysis-related symptoms, and self-management. RESULTS: The adaptation score of short-term patients was below the average and lower than that of long-term patients. The predictors of adaptation were dialysis symptoms, social support, depression, and self-management for short-term patients, and depression and self-management for long-term patients. CONCLUSIONS: The findings highlight the need for interventions that address depression and promote self-management in HD patients, regardless of the duration of HD. Strategies aimed at increasing social support and effectively managing dialysis-related symptoms should also be considered, particularly for short-term patients within one year of initiating HD. Based on the identified predictors of adaptation in this study, tailored nursing interventions that effectively promote adaptation, consideringthe duration of the patient's HD, should be developed, and implemented in clinical practice.
Co-designed technologies and people living with dementia: A qualitative systematic review.
Moyle W, Sriram D, Murfield J … +2 more , Pu L, Lion K
Contemp Nurse · 2026 Apr · PMID 40323305 · Publisher ↗
BACKGROUND: Co-designing technologies for people living with dementia can develop a product that benefits their needs and preferences. AIMS: To systematically evaluate the use of co-designed technologies for dementia, as...
BACKGROUND: Co-designing technologies for people living with dementia can develop a product that benefits their needs and preferences. AIMS: To systematically evaluate the use of co-designed technologies for dementia, assess the extent of involvement of people living with dementia in the studies, and analyse the impact of co-design on the final technology and its usage. DESIGN: This qualitative systematic review followed the Joanna Briggs methodology. METHODS: Five electronic databases (CINAHL, EMBASE, PubMed, PsycINFO, Medline) were searched for qualitative papers published before November 2023. Inclusion criteria were established according to the PICO principle. Four independent reviewers used Covidence to independently screen abstracts and then full text of selected articles. Quality assessments were performed using the JBI quality assessment tool. RESULTS: The review included nine primary studies involving 354 participants from three countries and identified three interconnected themes. Various technologies were developed, with apps being the most popular tool. The technologies were not well developed, with the majority (n = 7) developed in the early stages of development. Participants' main involvement was in the consultation stage, where they were asked about an assessment of their needs to determine a product, followed by their involvement in the useability and acceptability of the products. CONCLUSIONS: While co-design is employed in developing certain technologies for people living with dementia, its effectiveness is hindered by the lack of involvement of people living with dementia in the actual conceptualization and design stages. Researchers, nursing professionals, and developers must embrace co-design as standard practice and employ consistent terminology in this process.
Rural maternity care 'Things need to change': a cross-sectional survey.
Brundell K, Vasilevski V, Farrell T … +1 more , Sweet L
Contemp Nurse · 2025 Oct · PMID 40305647 · Publisher ↗
BACKGROUND: Maternity service closure across Australia over the last 20 years has significantly impacted maternity care accessibility, particularly rural areas. How rural health service board members and executives consi...
BACKGROUND: Maternity service closure across Australia over the last 20 years has significantly impacted maternity care accessibility, particularly rural areas. How rural health service board members and executives consider maintaining maternity service is unknown. AIM: To examine how rural Victorian (Australian) boards and health executives consider ongoing maternity service provision and factors that influence continued maternity operation or closure. METHODS: A cross-sectional online survey gathered perspectives from rural Victorian board members and health executives, with data analysed using descriptive statistics, correlation analysis, and thematic analysis. FINDINGS: Responses from 44 participants revealed that rural maternity workforce availability, funding, midwifery leadership, community factors, and regional health service support critically impact service continuation decisions. DISCUSSION: Findings highlight disconnects between prioritising continuity of care and implementing flexible workforce models like midwifery group practice. Critical deficits in workforce, leadership, and 24/7 theatre staffing challenge rural maternity service sustainability. CONCLUSION: Targeted funding through regional partnerships and strong midwifery leadership are essential for maintaining accessible, safe rural maternity services.
Bridging historical understanding with culturally safe nursing and midwifery care for indigenous people: a scoping review's telling gap in literature.
Mackay J, Clapham K, Molloy L … +2 more , Smith K, Best O
Contemp Nurse · 2025 Aug · PMID 40138551 · Publisher ↗
AIM: The purpose of this paper is to explore the need for historically informed, culturally safe nursing and midwifery literature about Australian Indigenous people. BACKGROUND: The cultural safety framework, developed b...
AIM: The purpose of this paper is to explore the need for historically informed, culturally safe nursing and midwifery literature about Australian Indigenous people. BACKGROUND: The cultural safety framework, developed by Irihapeti Ramsden, has long identified the importance of historical literacy in delivering culturally safe nursing and midwifery care. However, little evidence is available exploring the links between these domains. In the Australian setting, this is particularly relevant due to the health gap and, therefore, life differentials between Indigenous and non-Indigenous Australians and the potential of culturally safe nursing and midwifery care to contribute to rectifying this. METHODS: A scoping literature review was conducted by searching four databases for both articles and grey literature that explored historically informed, culturally safe nursing and midwifery practice for Indigenous people internationally. This search spanned from 2003 onwards and required discussion of clinical practice by registered nurses or midwives. A discursive method was utilised to analyse the discourse surrounding these domains. RESULTS: The review found only two texts that explored the connection between Indigenous peoples, history, cultural safety, nursing and midwifery in depth. This highlights a large literature gap internationally. Following this review, a discursive argument was created that highlights how a lack of culturally safe, historically informed care in Australia has resulted in unsafe and racist health experiences for Indigenous people. CONCLUSIONS: Australian nurses, midwives, healthcare organisations and health academics are provided with recommendations on how they can create the mandated cultural safety through historically informed environments and care practices. These include but are not limited to, ongoing Indigenous-led professional development, appropriate remuneration for Indigenous knowledge holders, and professional development for all nursing and midwifery academics.
A cross-sectional survey of patient safety culture in an emergency medicine division.
Davies N, Omarit R, Shelly P … +2 more , Davidson L, Wynne R
Contemp Nurse · 2025 Oct · PMID 40085691 · Publisher ↗
BACKGROUND: In the emergency department (ED) a positive patient safety culture exhibits characteristics that include a shared understanding of the importance of safety, constructive communication, mutual trust and the ab...
BACKGROUND: In the emergency department (ED) a positive patient safety culture exhibits characteristics that include a shared understanding of the importance of safety, constructive communication, mutual trust and the ability to recognise and learn from adverse events. METHODS: A cross-sectional survey of multidisciplinary staff from a major metropolitan emergency medicine and access (EMA) division was undertaken. The Australian Hospital Survey on Patient Safety Culture (Version 2.0) was distributed to all staff employed in the EMA Division; three emergency departments (ED), and six general medicine and specialty medicine inpatient wards. RESULTS: There were 333 (29.3%) responses, and 61 surveys were excluded due to missing data for a final response rate of 24% ( = 272). The number of responses from staff in ED ( = 148, 54%) and in-patient wards ( = 124, 46%) was similar. The 'teamwork', 'communication openness' and 'supervisor/manager support for patient safety' subscales were highly scored. The lowest percentage positive scores were reported for items within the 'hospital management support for patient safety', 'handovers' and 'response to error' subscales. CONCLUSION: Teamwork and supervisor/manager support for patient safety were highly valued in this cohort. There is scope for improvement in how hospital level management supports patient safety culture.
Preoperative prediction models for postoperative delirium in cardiac surgery patients - a scoping review.
Blakoe M, Olsen DB, Noergaard MW
Contemp Nurse · 2025 Dec · PMID 40063006 · Publisher ↗
BACKGROUND: Postoperative delirium is believed to be preventable in up to 40% of all cases. Researchers have proposed various preoperative risk prediction models for postoperative delirium in patients undergoing cardiac...
BACKGROUND: Postoperative delirium is believed to be preventable in up to 40% of all cases. Researchers have proposed various preoperative risk prediction models for postoperative delirium in patients undergoing cardiac surgery, however, no consensus exists on which model is the most suitable. AIM: To identify and map existing preoperative risk prediction models, detecting cardiac surgery patients at elevated risk of developing postoperative delirium. DESIGN: This scoping review considered cohort and case-control studies eligible if they developed or validated preoperative prediction models for postoperative delirium, in adult patients admitted for cardiac surgery via sternotomy. DATA SOURCES: The primary search was conducted on May 6th, 2022, and a secondary search was conducted on September 18th, 2024. We searched MEDLINE, CINAHL, Embase, and PsycINFO where 2126 references were identified and 15 were included for full-text analysis. METHOD: This scoping review was conducted in line with the Systematic Reviews and Meta-Analyses extension for Scoping Reviews (the PRISMA-ScR) guideline. RESULTS: Twelve unique risk prediction models and three validation studies were included in this review, comprising between 77 and 45,744 participants. In total, 157 candidate prognostic variables were investigated of which 40 had a predictive value and thus, were included in the prediction models. The included models revealed an AUC from 0.68-0.93 in the derivation cohorts and 0.61-0.89 in the validation cohorts. CONCLUSIONS: Twelve unique prediction models and 3 validation studies were identified and mapped. Collectively, the models demonstrated an AUC ranging from 0.61-0.93, indicating a fair to good discrimination performance. PROTOCOL REGISTRATION: A protocol is registered at Open Science Framework (OSF) https://osf.io/wr93y/?view_only=d129c3bb6be04357bac35c2c41ba2a40.
Managing intravenous potassium infusion: a quality improvement study on clinician's beliefs and practice.
Colgan J, Balmer R, Allan L … +2 more , McCormack C, Kourouche S
Contemp Nurse · 2025 · PMID 40048385 · Publisher ↗
BACKGROUND: Hypokalemia is a frequently occurring electrolyte disorder in hospital patients and is often treated with intravenous (IV) potassium replacement. In Australia, most hospital departments use IV potassium repla...
BACKGROUND: Hypokalemia is a frequently occurring electrolyte disorder in hospital patients and is often treated with intravenous (IV) potassium replacement. In Australia, most hospital departments use IV potassium replacement therapies, which are known anecdotally to cause pain. To our knowledge, there have been no studies on Australian clinicians' practices in managing IV potassium replacement. AIMS: To investigate the management of IV potassium infusions by clinical staff in a regional Local Health District in New South Wales, Australia. METHODS: An interprofessional team of clinicians was formed and utilised the Plan-Do-Study-Act (PDSA) cycle. An online case-based survey was created to collect infusion management issues from clinicians' perspectives. The survey utilised a fictional case study with multiple-choice questions. It aimed to investigate clinicians' self-reported clinical practice behaviours when managing potassium infusions, which were analysed descriptively. Data from open-ended questions about managing potassium infusion pain were analysed using inductive content analysis. RESULTS: The study found that clinicians ( = 177) manage IV replacement, with two-thirds reporting multiple weekly instances. Clinicians observed that patients report pain during infusions. Factors such as potassium concentration ( = 130), patient anxiety ( = 118), peripheral administration ( = 109) and cannula sites in the lower arm ( = 102) were reported as pain risk factors. Clinicians reported using various strategies to manage infusion pain, including slowing the infusion, simple pain relievers, and topical applications. Severe potassium deficiency was a barrier to managing pain. Clinicians felt the management of pain to be challenging both clinically and ethically. Survey comments also suggest that IV potassium may be overused, presenting an opportunity for future improvement. CONCLUSION: The PDSA cycle structured the quality improvement initiative. This research explores how clinicians manage IV potassium infusions. Our findings uncover how frequently clinicians manage pain caused by IV potassium infusions, an area that is not well-documented. Further research is needed for pain management strategies.
Engagement, satisfaction and motivation in online and hybrid learning environments among nursing students: a cross-sectional comparative study.
Kavuran E, Hamdan-Mansour AM, Fawaz M
Contemp Nurse · 2025 Aug · PMID 40016932 · Publisher ↗
BACKGROUND: The COVID-19 pandemic has abruptly enforced the adoption of online learning approaches in nursing education, which have placed both students and educators under various challenges such as student academic ach...
BACKGROUND: The COVID-19 pandemic has abruptly enforced the adoption of online learning approaches in nursing education, which have placed both students and educators under various challenges such as student academic achievement, reduced curricular completion, reduced teacher-student interaction, and decreased information retention. AIM: This study aimed to explore the engagement, satisfaction, and motivation in online and hybrid learning environments among Lebanese and Turkish nursing students. METHODS: A sample of 650 Lebanese and 654 Turkish nursing students took part in this study. A quantitative cross-sectional research design was adopted. RESULTS: The results of independent -tests showed that Lebanese students scored significantly higher on the level of self-efficacy (5.49 ± .098), yet Turkish students scored higher on the level of distance learning satisfaction with connectivity (3.40 ± 0.72). The regression analysis showed that higher motivation ( < 0.001), lower satisfaction ( < 0.001), and the type of education ( = 0.001) were predictors of higher engagement. The effect of nationality on these outcomes needs to be further investigated, as the comparison showed association only in two subscales. CONCLUSION: This implies that nurse educators are encouraged to investigate the factors that increase nursing student satisfaction thus to increase their engagement. This research encourages further educational and psychological research among nursing students to explore the factors and predictors of academic achievement in online and hybrid learning environments.
A contemporary approach to improve understanding of the midwifery student continuity of care experience: designing an infographic using appreciative inquiry.
Tierney O, Vasilevski V, Kinsman L … +1 more , Sweet L
Contemp Nurse · 2025 Aug · PMID 40014815 · Publisher ↗
BACKGROUND: Continuity of Care Experience is a mandated inclusion in all Australian degrees leading to registration as a midwife. AIM: Translating the objectives and learning outcomes of the midwifery student Continuity...
BACKGROUND: Continuity of Care Experience is a mandated inclusion in all Australian degrees leading to registration as a midwife. AIM: Translating the objectives and learning outcomes of the midwifery student Continuity of Care Experience learning model into practice via an infographic. DESIGN: Underpinned by an Appreciative Inquiry approach, this process used a strengths-based approach to engage participants to develop the design of an infographic. METHOD: Participants were Australian midwives working in a healthcare clinical or academic setting and were invited to provide feedback via an online survey on the design elements to inform the development of an infographic. RESULTS: An expert midwifery panel included 11 participants representing midwives in clinical practice and academic positions. Content analysis of the survey identified strengths such as flow and visual appeal and what design elements needed improvement to enhance the sense-making of the infographic. DISCUSSION: This study describes a process that engages participants meaningfully to contribute to how research findings are communicated. The process used in this study engaged participants meaningfully to develop an infographic for the midwifery student Continuity of Care Experience. This infographic provides a visual representation of learning objectives and outcomes for this learning model to aid translation into practice. CONCLUSION: Infographics are an effective tool in education and healthcare settings. Engaging participants in how an infographic is depicted can enhance the translation of learning outcomes and objectives of the midwifery student Continuity of Care Experience in education settings.
Exploring first nations nursing and midwifery leadership development: an international scoping review.
Best O, Richards C, Stuart L … +2 more , Deravin L, Ward A
Contemp Nurse · 2025 Aug · PMID 39918046 · Publisher ↗
BACKGROUND: The development of First Nations nurses and midwives is crucial to addressing health inequities stemming from systemic injustices. However, this workforce is significantly underrepresented globally. Understan...
BACKGROUND: The development of First Nations nurses and midwives is crucial to addressing health inequities stemming from systemic injustices. However, this workforce is significantly underrepresented globally. Understanding the reasons for this underrepresentation and identifying key challenges and opportunities for leadership is necessary. AIM: This scoping review aimed to explore the challenges and opportunities in leadership development of First Nations nursing and midwifery professionals internationally. DESIGN: A scoping review was conducted following the framework developed by Arksey and O'Malley (2005). DATA SOURCES: Six databases including PubMed, CINAHL, Scopus, PsychInfo, Proquest and Australian Indigenous Health were searched. METHODS: The search was performed on 30 January 2024. Items were included if the research focus was on First Nations nursing and midwifery leadership. Full texts were then thematically analysed for overarching themes, and extracted data was charted. After charting, key findings were reviewed, and emerging themes were grouped into common categories. RESULTS: The scoping review identified a paucity in the contemporary literature, with only ten articles retrieved. Analysis revealed five main theses: (1) systemic injustices impacting leadership opportunities, (2) complex responsibilities beyond typical roles, (3) underrepresentation in leadership positions, (4) shifting from colonial leadership models and (5) effective methods for leadership development. Opportunities identified included promoting equitable leadership, fostering integrated relationships, building cultural resilience and emphasising community-orientated leadership approaches. CONCLUSION: Promoting adequate representation and developing culturally safe leadership models are essential steps towards empowering First Nations nurses and midwives in their leadership development. The study highlights the need for targeted leadership development strategies for First Nations nurses and midwives to enhance representation and impact within healthcare systems globally.
Exploring nurses' experiences of caring for older adults with cancer: a meta-synthesis of qualitative evidence.
Li H, Cheng C, Yu H … +2 more , Wang Q, Christensen M
Contemp Nurse · 2025 Apr · PMID 39905664 · Publisher ↗
Nurses' important role in cancer treatment shows the need to explore their experiences caring for older adults with cancer, an area where previous research has identified a research gap. This review aimed to synthesize t...
Nurses' important role in cancer treatment shows the need to explore their experiences caring for older adults with cancer, an area where previous research has identified a research gap. This review aimed to synthesize the existing qualitative findings on nurses' experiences of caring for older adults with cancer. Meta-synthesis. A systematic search of four electronic databases was conducted using relevant keywords, from January 2000 to April 2024, with an update in July 2024. A meta-synthesis using thematic analysis was employed to integrate the primary qualitative findings. The reporting of this review adhered to the ENTREQ guidelines. Four analytical themes emerged: (1) unpacking the emotional and psychological toll, (2) facilitating effective connections with patients, (3) addressing practical and logistical challenges, and (4) navigating role dynamics in cancer care. This meta-synthesis identified the need of prioritizing nurses' emotional, psychological, and practical well-being in cancer care, particularly when caring for older adults. By acknowledging and addressing the emotional and psychological strain, fostering meaningful patient connections, managing practical challenges, and navigating role dynamics, healthcare systems can enhance the quality of care for older cancer patients and support the well-being of nurses in this critical role.
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