Publications by authors named "Rebekkah Middleton"

Aim: To explore how postgraduate leadership education is translated into practice and how leadership practices and behaviours are sustained following completion of a leadership program.

Design: A qualitative exploratory study using an appreciative inquiry approach.

Methods: A single Health District, partnered with a regional university, offering a 12-month leadership program, the Effective Leadership in Health Program.

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Article Synopsis
  • The paper aims to explore the challenges rural nurses face during resuscitations, highlighting how this contributes to their professional isolation, and to propose strategies to alleviate these issues.
  • It emphasizes that professional isolation is prevalent in low-resourced rural healthcare settings, particularly where small emergency departments are located far from major hospitals, and notes a lack of research on effective interventions.
  • The findings suggest that professional isolation hinders skill development and career intent among rural nurses, and recommends solutions like leadership training, mentorship, and debriefing sessions to help improve their professional experiences and connections.
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Healthcare systems are facing unprecedented need to respond to an ever-evolving context of providing safe person-centred care to its citizens and staff. This transformation requires a rethink of healthcare leadership. Systems leaders are critical for culture change; to support safe patient care, facilitate innovation, build person-centred teams, and develop a collaborative workforce.

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Aims: To identify facilitators and barriers and tailor implementation strategies to optimize emergency clinician's use of adult and paediatric sepsis pathways.

Design: A qualitative descriptive study using focus group methodology.

Methods: Twenty-two emergency nurses and ten emergency medical officers from four Australian EDs participated in eight virtual focus groups.

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Unlabelled: Person-centred care is an international healthcare priority. Strategies are needed to support nurses and midwives to understand the meaning of person-centredness and support them to embed this philosophy into practice. Clinical supervision has been proposed as a strategy to support this but requires more evidence.

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Aim: The focus of this paper is to provide a detailed ethnographic exploration of rural nurses' experiences of their resuscitation preparedness and the subsequent post-resuscitation period.

Design: An ethnographic study across two small rural hospital sites in New South Wales, Australia.

Methods: Fieldwork was undertaken between December 2020 and March 2022 and included over 240 h of nonparticipant observation, journalling and interviews.

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Aim: To explore pressure injury prevention practices and evaluate the impact of an educational intervention on PI prevalence before and after an educational intervention.

Design: A multi-centre observational study.

Method: Data were collected at two time points in May 2021 and April 2022 using a Qualtrics® online form.

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Background: mHealth applications (apps) are tools that can enhance research by efficiently collecting and storing large amounts of data. However, data collection alone does not lead to change. Innovation and practice change occur through utilisation of evidence.

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Background: In the University setting, striving for consistency and reliability of assessment evaluation is essential to reducing the impact of marking variations. Marking processes such as consensus calibration have the potential to reduce issues which arise from the influence of markers professional knowledge and experience, as well as fixed and acquired marking habits. Furthermore, the influence of marker feedback which supports learning development is associated with the feedback literacy of both the teacher and the student.

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Introduction: Rural nurses play a vital role in the provision of resuscitation care, as first responders and often the sole healthcare professionals delivering timely interventions with greater role autonomy and extended scope of practice. Whilst there is a developing body of literature describing the 'generalist' roles of rural nurses when providing care in acute care settings, little is known about the roles rural nurses assume during a resuscitation.

Aim: The aim of this study was to explore the role/s that rural nurses enact when delivering resuscitative care to their rural community.

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Objective: To explore nurses' knowledge and attitudes towards pressure injury prevention before and after implementing an educational intervention.

Design/method: A pre-and post-intervention study. Pre-intervention data collection involved administering an instrument, including demographic information, the Pressure Ulcer Knowledge Assessment Tool version 2, and the Attitudes towards Pressure Ulcer Prevention instruments.

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Background: Chronic lung disease is a common and complex condition. Pulmonary rehabilitation programmes-either hospital-based or in the community are recommended in evidence-based clinical practice guidelines.

Aim: To explore the experience of older people with chronic lung disease involved in a peer support community-based exercise maintenance programme.

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Background: Australia has been confronted with a severe nursing deficit, making it difficult to maintain a strong healthcare workforce capable of meeting the mounting demands of healthcare organizations.

Aims: This study aimed to understand how personal and organizational resources influence career optimism and job-related affective well-being of Australian nurses during a pandemic using the Conservation of Resource Theory.

Methods: A cross-sectional online survey was emailed to 123 Australian nurses from January to February 2021.

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Aim: To evaluate the self-reported leadership practices and behaviours of health professionals following a leadership program and explore factors that impacted leadership style.

Design: An online cross-sectional survey was conducted from August to October 2022.

Methods: The survey was disseminated via email to leadership program graduates.

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Undertaking research involving vulnerable groups, such as those requiring resuscitation involves careful analysis during the ethical review process. When a person lacks the capacity to make an informed choice about their participation in a research study, a waiver of consent offers an alternative. This paper is based on a doctoral research study using ethnography to explore the resuscitative practices and experiences of rural nurses through observation and interviews.

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How we engage in and with nature is of growing interest in relation to our health and well-being. For nurses with stressful workloads that are contributing to fatigue, psychological burden, insomnia, and decreased coping strategies, interactions with nature or green space are essential as it has been demonstrated to facilitate better environments and outcomes for nurses. Evidence of the impact of nature is limited.

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Aim: Explore how nurses and midwives use patient experience data collected from a mobile health app to influence the development of person-centred practice.

Design: Participatory action research, underpinned by the Person-Centred Nursing Framework and Practice Development principles.

Methods: Six clinical units in a large health district engaged in three action cycles from 2018 to 2020 using a mobile health app.

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Aim: To explore newly graduated nurse's understandings and practices of adaptability and resilience in clinical environments.

Background: The everyday practice of nursing work involves managing emotional and practical everyday demands related to the role. Adaptability and resilience are two critical attributes that equip nurses for this by enabling them to manage challenges and be flexible with their practices and expectations in the face of rapidly changing and unpredictable circumstances.

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Aim: To explore the coping strategies used by Australian preregistration nursing students during the COVID-19 pandemic 'lockdown' period.

Background: COVID-19 has had a significant impact on preregistration nursing students, both physically and psychologically. As campuses closed and online learning commenced, clinical placement access was reduced, with heightened concern about personal and family safety.

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Background: Rapid alterations to study environments during COVID-19 raised concerns for nursing students about their academic progression.

Aim: The study aim was to investigate the psychometric properties of the Altered Student Study Environment Tool (ASSET) and the relationship between students' concerns, demographics, COVID-19-related knowledge, and communication received from the university.

Method: The 11-item ASSET and investigator-developed questions were administered to prelicensure nursing students using an anonymous online survey.

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Aim: This study was conducted in three phases. Phase 1 aimed to adapt the Cancer Information Overload Scale and conduct content validity testing. Phase 2 aimed to conduct factorial validity testing of the scale.

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Aims And Objectives: To explore how nurses and midwives engage with patient experience data collected via a mobile health app to inform person-centred practice improvements.

Background: A large amount of data is collected in healthcare, yet there is limited evidence outlining how nursing and midwifery staff utilise patient experience data to inform person-centred quality and safety improvements.

Methods: This study utilised action research, underpinned by Practice Development methodology and has been reported using the SQUIRE 2.

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Background: The emergence of COVID-19 has substantially impacted frontline health care workers, including nurse managers. To date, no studies have been conducted to examine the impact COVID-19 has had on Nurse Managers' mental health, coping strategies and organisational commitment.

Aim: To investigate the mental health, coping behaviours, and organisational commitment among Nurse Managers during the COVID-19 pandemic.

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: COVID-19 has caused significant disruption. This has been particularly evident within the university student population where their traditional ways of learning were abruptly reorganised and support structures removed.: This paper aims to explore undergraduate student nurses' perceptions of the support required from the university during COVID-19 using the Achievement Goal Theory framework.

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Background: Many nursing programmes have had to swiftly move online in response to COVID-19. Nursing students are often a heterogenous group that traverses generational boundaries. Exploring generational differences may assist in developing support systems for specific groups.

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