Peta Drury

Aim: To examine institutional documents on Student Evaluation of Teaching implementation in nursing schools and explore how policy frameworks influence their governance and use: Design: A qualitative document analysis. Methods: Institutional documents related to student evaluation of teaching implementation, quality assurance and programme evaluation were purposively selected from two nursing schools. Documents produced between 2023 and 2024 and relevant to student evaluation of teaching processes in nursing education were included. Data were systematically extracted using a structured analytical framework and thematically analysed. Data Sources: Six institutional policy and quality documents from two nursing schools were analysed. Results: Five themes were identified: enhancing educational quality, fostering continuous improvement, promoting accountability, adopting inclusive evaluation approaches, and aligning with accreditation‐driven strategic planning. Policies positioned student evaluation of teaching primarily as instruments for accountability and accreditation, often prioritising compliance over direct teaching enhancement. Conclusion: SETs function as policy tools supporting quality assurance and institutional performance. However, their current use may limit their potential to enhance teaching practice and faculty development. Strengthening feedback mechanisms and promoting faculty engagement in evaluation processes may enable SETs to contribute more meaningfully to educational improvement. Implications for Nursing Practice and Education: Integrating student evaluation findings into faculty development and curriculum design can strengthen teaching quality and support student‐centred learning in nursing education. These improvements contribute to preparing a competent nursing workforce capable of addressing complex healthcare needs. The findings highlight the need for balanced policy approaches that support both accountability and pedagogical development, with relevance for nursing education systems internationally. Impact: This study highlights how policy, governance and accreditation shape Student Evaluation of Teaching in nursing education. The findings may inform nursing schools, academics and policymakers in strengthening evaluations for both accountability and teaching improvement. Reporting Method: This study adhered to the Standards for Reporting Qualitative Research (SRQR). Patient or Public Contribution: No patient or public contribution was involved in this study.

Aim: This study explores nursing educators' perspectives on the challenges and benefits of integrating generative artificial intelligence (AI) into nursing education. There is little empirical evidence on how educators perceive these technologies and how such perceptions influence their integration into curriculum design, teaching practices, assessment, and student research and learning. Design: Exploratory‐descriptive qualitative study underpinned by the Actor–Network Theory. Methods: Four focus group sessions were conducted with ten nursing educators across Australia, New Zealand, Austria and Hong Kong. Data were collected via Zoom, transcribed verbatim, and analysed thematically using Braun and Clarke's six‐step reflexive framework. Results: The nurse educators included five women and five men. Ages ranged between 25 and 64 years and a mean 8.75 [SD ±6.36] years of experience as an educator. Three main themes were constructed based on focus group discussions: (1) The AI Dilemma , revealing tensions surrounding academic integrity, policy ambiguity and ethical concerns; (2) The AI Toolkit , identifying pedagogical benefits alongside challenges to critical thinking development; and (3) Educator's AI Odyssey , exposing disparities in institutional preparedness and educator competence. Whilst AI was recognised for enhancing engagement and efficiency, substantive concerns persisted regarding equity, ethical implementation and organisational readiness. Conclusion: Generative AI presents a paradox in nursing education. Whilst it enables innovation and personalised learning, it poses risks to academic integrity and deep learning when implementation lacks ethical consideration and pedagogical rigour. Implications for Profession and Patient Care: AI‐enhanced nursing education must safeguard fundamental nursing values, critical thinking capabilities, ethical reasoning and clinical judgement to ensure the delivery of safe, competent patient care. Impact: Educational and institutional policies must facilitate balanced, ethical and equitable integration of AI in nursing education. Reporting Method: The Consolidated Criteria for Reporting Qualitative Research ( COREQ ). Patient or Public Contribution: No patient or public contribution.

Background: The rise in smartphone use presents opportunities and challenges in clinical settings. Despite guidelines restricting mobile phone use, nurses frequently rely on them for various purposes. While beneficial, smartphone use poses risks to information security, patient safety, and care quality, prompting the need for monitoring. Objective: This study examined smartphone usage among nursing students and their perspectives on acceptable and unacceptable use during clinical placements. Design: This cross‐sectional study used convenience sampling to recruit undergraduate nursing students from five universities in Australia and New Zealand. Participants completed the Attitude Towards Digital Device Use during Clinical Placement (Adduct) Scale online between September 2021 and August 2022. The survey included closed and open‐ended questions. Descriptive and inferential analyses were conducted using SPSS. Exploratory factor analysis identified attitudinal dimensions, while group comparisons assessed demographic variations. Qualitative responses were thematically analysed. Reporting followed the Consensus‐Based Checklist for Reporting of Survey Studies (CROSS). Results: Among 279 respondents, drawn from an eligible population of 2682 students, the response rate was 10.4%. Age significantly influenced perceptions of unacceptable smartphone use. Younger students (mean age = 25.0, SD = 9.8) were more likely to view such use as acceptable, with those up to 21 years reporting higher scores on the Unacceptable Use sub‐scale compared to older peers ( p = 0.024). Most respondents found smartphone use beneficial for accessing information and learning, though concerns included distractions and confidentiality breaches. Younger students were at greater risk of non‐adherence to guidelines. Conclusion: Smartphones can enhance learning and efficiency, but clear guidelines and education are needed to balance benefits with risks, particularly for younger students. Relevance to Clinical Practice: This study highlights the need for clear guidelines and structured training to balance educational benefits of smartphone use with the risks of distraction and breaches of patient confidentiality in clinical practice. Patient or Public Contribution: No patient or public pontribution.

The high prevalence of eating difficulties among nursing home residents living with dementia has a significant impact on their health and well-being. While various interventions have been evaluated to reduce eating difficulties and enhance nutritional intake, quantitative evaluation alone may not capture the full impact of the intervention given the trajectory of dementia. Following the implementation of a mealtime intervention, combining Spaced Retrieval with Montessori-based activities, 13 staff members who provided regular direct mealtime support to participating residents living with dementia were interviewed. Using a qualitative descriptive approach, individual semi-structured interviews were conducted. Thematic analysis guided the analysis and interpretation of the interviews. Three overarching themes represented the participants’ views: (1) Mealtime challenges , reflecting physical, cognitive, and behavioural impairments that hindered independent eating; (2) Individualised mealtime support , highlighting the critical role of person-centred strategies tailored to individual unique needs and abilities; and (3) Enhanced outcomes , describing improvements in eating independence, engagement, social interaction, mood, and self-esteem. Staff insights highlighted the importance of individualised, person-centred mealtime support grounded in a reablement approach. The specific challenges experienced by residents living with dementia should be proactively addressed when planning and implementing interventions. This intervention not only promoted eating independence but also enhanced psychosocial well-being, engagement, and mood. This emphasises the broad potential for such interventions to be integrated into daily clinical practice to improve both the quality of care and residents’ well-being and quality of life.

Cardiovascular disease (CVD) and stroke disproportionately affect people from culturally and linguistically diverse (CALD) backgrounds, with disparities driven by cultural, social, and systemic barriers. Despite these disparities, people of CALD backgrounds remain underrepresented throughout CVD research. The Transcultural Nursing theoretical framework provides a structure for culturally appropriate research by integrating patients’ beliefs, values, and preferences. This discussion paper examines the Transcultural Nursing theoretical framework and its relevance in CVD and stroke research and demonstrates its application through exemplars. Despite critiques concerning complexity and potential stereotyping, the Transcultural Nursing theoretical framework remains a valuable framework for culturally responsive research.

Aims: Healthcare is a significant contributor to environmental degradation, with cardiac catheterization laboratories (cath labs) recognized as high-resource clinical environments. The aim of this study was to identify modifiable drivers of clinical waste and co-develop practical, locally relevant strategies to improve environmental sustainability within a cath lab setting. Methods and results: A qualitative co-design workshop was conducted at a metropolitan tertiary hospital in Australia. Ten participants, including clinical staff, hospital administrators, support services personnel, and community members, engaged in structured discussions using a World Café model. Data were collected through field notes, participant-generated materials, and member checking, and were analysed thematically using an inductive approach. Six interrelated themes emerged: (i) excessive packaging and procurement practices, (ii) underutilization and disposability of clinical stock, (iii) behavioural norms and change readiness, (iv) infrastructure and feasibility constraints, (v) community and patient engagement, and (vi) measurement, leadership, and accountability. Participants expressed motivation to reduce waste but identified systemic and organizational barriers that limited the adoption of sustainable practices. Conclusion: Sustainability in the cath lab is shaped by modifiable factors beyond individual clinician behaviour, including procurement policies, stock management, and leadership structures. Embedding sustainability within organizational processes and engaging patients and communities are essential to achieving meaningful, lasting reductions in healthcare waste.

Aim(s): To conduct a systematic concept analysis of Ceiling of Care to clarify its definition and distinguish its core features within acute care settings. Method: The Walker and Avant’s concept analysis method was applied. Data Sources: A systematic search of six databases (APA PsycINFO, CINAHL, the Cochrane Library, MEDLINE, ProQuest Central and Scopus) was conducted from inception to July 2026, supplemented by manual reference list searches and AI‐assistance tools. Result: Nineteen records met the inclusion criteria. Five defining attributes were identified: (1) patient‐centred collaborative decision‐making; (2) comprehensive and structured prognostic evaluation; (3) establishment of explicit therapeutic boundaries; (4) proactive and continuous care strategy and (5) standardised documentation and communication. Antecedents included predisposing, precipitating and contextual factors, while key consequences included reduced nonbeneficial treatment and enhanced decision‐making clarity. The analysis distinguishes Ceiling of Care as a broad, anticipatory framework rather than a reactive, single‐intervention directive such as a do‐not‐resuscitate order. Conclusions: Ceiling of Care is defined as an anticipatory, documented clinical decision‐making approach that establishes the maximum appropriate level of treatment escalation for an individual patient, based on clinical assessment, anticipated benefit and patient values. Implication for Nursing Management: This conceptual clarity provides a foundation for standardised implementation in acute care settings. Nurse managers need to lead the integration of Ceiling of Care frameworks within acute care settings; this could support nursing management in standardising clinical decision‐making, reducing nonbeneficial treatment escalation, strengthening communication across multidisciplinary teams and ultimately enhancing the quality and dignity of patient care.

Stroke disproportionately affects individuals from culturally and linguistically diverse backgrounds, often leading to poorer outcomes. Although stroke guidelines are essential for ensuring evidence-based care, the extent to which they incorporate cultural considerations remains unclear. This document review aims to systematically review international stroke guidelines for the inclusion of culture-related recommendations that support equitable stroke care. We conducted a document review of English-language international stroke guidelines published between June 2019 and May 2024, using a structured search strategy. Paired reviewers independently screened and extracted cultural recommendations, with a third reviewer resolving discrepancies. Guideline quality was appraised using the Appraisal of Guidelines for Research and Evaluation II instrument. Among 24 included guidelines, only 3 (12%) contained culture-related recommendations. Of 2991 total recommendations, 6 (0.2%) addressed cultural considerations, spanning prehospital care, acute care, rehabilitation, and palliative care. Most were supported by low-to-moderate quality evidence. The majority (88%) of international stroke guidelines lack cultural recommendations. Incorporating cultural considerations is critical for promoting culturally safe and equitable stroke care. Future research should explore barriers and facilitators to integrating cultural recommendations into stroke guidelines.

Introduction: Eating difficulties significantly impact the nutrition, health, and well-being of people with dementia worldwide. Training strategies, such as Spaced Retrieval and Montessori-based activities, have the potential to enhance the self-eating ability of people with dementia but have not been widely tested. This paper reports the co-design and preliminary testing of the SPREMON (Spaced Retrieval and Montessori-based activities) intervention to enhance mealtime independence and experiences for people with dementia living in nursing homes. Methods: Informed by experience-based co-design methodology, this study used a three-phase approach to intervention development. Three initial sessions were conducted with aged care professionals to develop and refine the intervention. Four pilot sessions were conducted with people with dementia to assess the feasibility and suitability of intervention elements. A final consultation session explored the data and identified barriers and facilitators to successful implementation. While field notes were kept in early sessions, the final session was audio-recorded and transcribed for analysis. Thematic analysis was undertaken with all qualitative data, while observational data are reported using descriptive statistics. Findings: Six aged-care professionals, 3 researchers, and 9 people with dementia participated in the intervention development. The intervention approach was positively appraised for its potential to enhance self-feeding abilities in people with dementia while saving staff time. Participants suggested improvements to the Spaced Retrieval approach by incorporating visual and verbal cues to make it less confrontational. However, challenges regarding the lack of detail and guidance for implementing Montessori-based activities made them difficult to apply without clarification. Additional barriers included staff shortages, engagement difficulties, and scheduling conflicts. Pilot activities highlighted practical considerations for intervention implementation and patient engagement. Discussion and Implications: This study demonstrates that the SPREMON intervention holds significant potential to enhance the self-eating ability of people with dementia living in nursing homes. However, the paper also highlights potential challenges in the implementation.

Background: Difficulties in eating can profoundly influence the well‐being of those living with dementia. Previous research has shown that Spaced Retrieval and Montessori‐based interventions can enhance eating independence during meals and optimise nutritional health in people living with dementia in nursing homes. However, few studies examine the effects of these interventions on those living with dementia who follow western‐style eating etiquette.Aim: This pilot study aims to evaluate the effectiveness of the SPREMON (Spaced Retrieval and Montessori‐based activities) mealtime intervention on mealtime independence, mealtime engagement and affect (mood), and nutritional status among people living with dementia in a nursing home.Method: This quasi‐experimental study will involve people with dementia living in nursing homes. The intervention consists of Spaced Retrieval and Montessori‐based activities designed to enhance eating procedural memory and eating motor skills over 7 weeks. Data will be collected pre‐intervention and post‐intervention and at 3‐month follow‐up. Depending on the distribution of the data, an ANOVA or Friedman test will be used to examine the differences in the means for mealtime independence, engagement and affect, and nutritional status over time.Discussion: There is limited evidence of the impact of Spaced Retrieval and Montessori‐based activities in people living with dementia using western dining etiquette. This study bridges this knowledge gap and provides new knowledge about the effectiveness of such interventions to enhance mealtime independence and engagement and affect for people with dementia living in nursing homes.Trial Registration: ANZCTR identifier: ACTRN12623001031651p