Judith Anderson

Objective: Despite more than two decades of implementation, there is limited peer‐reviewed evidence evaluating whether the multipurpose service (MPS) model effectively meets the contemporary health and aged care needs of rural and regional communities. This gap is particularly significant given recent government inquiries highlighting persistent inequities in rural health service access. The objective of this scoping review was to examine whether the key recommendations of the Royal Commission into Aged Care Quality and Safety and the New South Wales Parliamentary inquiry into Health outcomes for rural, regional and remote New South Wales support whether the multipurpose service model (MPS) is effective as a model of care for service delivery. Methods: A scoping review of five databases was undertaken. The first stage included title and abstract review followed by full text reviews. A thematic analysis was undertaken, informed by Braun and Clarke. Results: Nine articles met the criteria for review. Themes that were derived from the data that aligned with the two independent government reports were: MPS model and its infrastructure; funding; staffing and skill mix; and community engagement and needs. Conclusions: Overall, this scoping review established that the MPS model of care is an appropriate model to meet the recommendations of the two government reports. However, there needs to be further investment in staff development to extend scopes of practice when working in rural, regional and remote New South Wales.

Introduction/purpose: Workplace bullying and harassment are pervasive issues that have detrimental effects on the well-being and productivity of individuals. A literature review conducted for this study demonstrated that workplace bullying and harassment was under researched amongst paramedics. Methods: A qualitative interpretive methodology was implemented, involving convenience sampling which resulted in six working paramedics from Australia and Canada becoming participants. Individual semi-structured interviews were conducted with each participant, lasting approximately one hour. This allowed for a deep exploration of the personal experiences and perspectives by the paramedics. The interview data collected was thematically analysed using Braun and Clarke's (2006) six-step framework. By utilising this method, this study contributed to a better understanding of impacts of workplace bullying and harassment amongst paramedics. Results: Two core themes were identified from interview data which were the impact of negative behaviours and organisational culture. The research identified some impacts that workplace bullying and harassment can have on paramedics. Conclusion: This study explores workplace bullying, harassment, and organisational culture within the paramedic profession. Through interviews with six paramedics, the research highlights the varied nature of negative behaviours, disparities, and effects on job satisfaction, performance, and mental health. Organisational culture such as power dynamics, diversity, and generational change was found to influence workplace behaviours.

Background: There is increased interest in implementing structured clinical handover frameworks to improve clinical handover processes. Research postulates that structured clinical handover frameworks increase the quality of handovers; yet inconsistencies enacting these frameworks exist which has a potential to jeopardise the quality of communication during handovers thereby defeating the purpose of these frameworks.Aim: This scoping review aims to analyse and synthesise what is currently known of the nurses' experiences and perceptions in implementing structured clinical handover frameworks and identify knowledge gaps in relation to this topic area.Design: A scoping review guided by the PRISMA‐ScR checklist.Methods: A systematic search of five electronic databases was undertaken to identify peer‐reviewed primary research studies which met the predetermined eligibility criteria. In total, 301 studies were imported into COVIDENCE, screened and assessed for eligibility resulting in 23 studies remaining. From the eligible studies, data was extracted, collated, appraised, summarised and interpreted.Data Sources: MEDLINE, CINHAL, ProQuest, EMCARE, Web of Science and Informit.Results: Twenty three studies were included in this review which yielded the following major themes: (1) quality and completeness of information transfer; (2) interprofessional collaboration; (3) challenges impacting the experience of implementing the structured clinical handover frameworks and (4) perceived impacts on quality, patient safety and health outcomes.Conclusion: There are key benefits and issues experienced and perceived by nurses implementing structured clinical handover frameworks and this review identifies opportunities for further improvements. Future research should explore the perceived associations with patient outcomes.Relevance to Clinical Practice: This review highlights the importance of structured clinical handover frameworks, the nurses' experiences in implementing these frameworks and strategies to improve the effectiveness of these frameworks.Patient or Public Contributions: No Patient or Public Contributions as this study is a review of published primary evidence.

Residential aged care managers play an important role which can influence outcomes for their staff, their residents, and the organisations they work for. Burnout in residential aged care employees has been researched however burnout in residential aged care managers has received little attention. This scoping review sought to identify literature examining burnout in residential aged care managers. To investigate the literature currently available on what stressors were experienced by residential aged care managers that led to burnout. This scoping review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) checklist. Five databases were searched, including CINAHL, MEDLINE, EMCARE, SCOPUS, and INFORMIT using primo search. The first review of title and abstracts was conducted by three authors to determine eligibility, using the program JBI SUMARI. Two authors were involved in the final screening of each full-text article. Where disagreement occurred, a collaborative discussion took place until consensus was reached. The review included peer-reviewed journal articles focusing on burnout, stress, fatigue, moral distress, exhaustion, or resilience in residential aged care managers or leaders published after 2012 in English. An initial search of the databases found 275 articles, of which 5 articles met the inclusion criteria for final review. Articles were categorised into the following groups Responsibilities, Reaction, and Regulation. These groups encapsulated risk factors for burnout in residential aged care managers. As a result of the scoping review, it is suggested that burnout in residential aged care managers can be attributed to environmental stressors, those being situational and organisational (Maslach, 2003), which are outside the control of the individual. Strategies that support residential aged care managers to manage and lessen the phenomenon of burnout require further exploration.

Objective: The aim of this research was to understand core knowledge areas offered by Masters courses in health services management in Australian universities. Design: A Google search identified relevant Masters’ degrees in health services management. Course syllabus was then extracted from each university’s website. Common core subjects were then collated and compared. Setting: Data for this study was collected from Australian university websites.Main outcome measures: Findings were compared with those presented in a similar study conducted in 2013. Interpretation was also informed by an appraisal of key issues that characterise the current context of health care in Australia. Results: Masters’ degrees in health services management were offered by 18 universities. Common core subjects included management, evaluation, evidence, health system, governance, law and human resource management. A comparison with an earlier study conducted by Ritchie and Yen [1] found an increase in the following subjects: health system, quality management, health economics, policy and research, and a decrease in health information, epidemiology and resourcing. New knowledge areas included leadership, planning and project management, change management, and strategy. Conclusions: This paper presents a discussion on knowledge areas that comprise syllabus in masters level health services management education nationally. Key findings revealed differences between courses and the responsiveness of core syllabus to the current health care environment. The emergence of leadership, planning and project management was unsurprising while an absence of subjects that gave explicit reference to First Nations peoples was a notable finding.

Edited byMichelle Cleary, PhD, RNSchool of Nursing, Midwifery & Social Sciences, Central Queensland University, Sydney, NSW, AustraliaMental health disorders amongst older populations have long bee...

Edited byMichelle Cleary, PhD, RNSchool of Nursing, Midwifery & Social Sciences, Central Queensland University, Sydney, NSW, Australia“It’s too much to expect in an academic setting that we should ...

Edited byMichelle Cleary, PhD, RNSchool of Nursing, Midwifery & Social Sciences, CQ University, Sydney, AustraliaAs the COVID-19 pandemic continues to spread worldwide, there has been a dire need f...

Descriptor- note the term “First Nations peoples” is used here to be respectful and inclusive of all Indigenous Peoples whose countries and nations have been and still are impacted by colonisation.

Aim(s) To understand how nurse managers facilitate learning in clinical workplaces. Background Meeting staff learning needs in the complex workplaces of contemporary health care is paramount to the delivery of safe patient care. Hospitals employ a range of strategies to address these needs. However, nurse managers’ contribution to staff learning at the unit level is under-explored in contemporary literature. Method(s) A Gadamerian philosophical hermeneutic framework guided data collection and analysis. Thirteen nurse managers from two Australian hospitals each participated in two interviews and a period of observation. Findings Nurse managers’ learning facilitation practices were enacted with staff individually, within teams, and through artefacts, and were shaped by their identities, perspectives on staff learning, knowledge of staff performance, and motivations. Power was revealed as a uniquely enacted driver of their learning facilitation practices. Conclusion(s) This paper illuminates an aspect of nurse managers’ practice that has been poorly acknowledged in contemporary nursing literature. Nurse managers’ learning facilitation practices were found to be complex, fluid, and embedded in their every-day work routines. Implications for Nursing Management Given current concerns about safety and quality in healthcare, this research opens up possibilities for definition and enrichment of nurse managers’ practice as facilitators of learning.