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The objective of this study was to assess the viability and acceptability of an innovative Virtual Wound Care Command Centre where patients in the community, and their treating clinicians, have access to an expert wound specialist service that comprises a digitally enabled application for wound analysis, decision-making, remote consultation, and monitoring. Fifty-one patients with chronic wounds from 9 centres, encompassing hospital services, outpatient clinics, and community nurses in one metropolitan and rural state in Australia, were enrolled and a total of 61 wounds were analysed over 7 months. Patients received, on average, an occasion of service every 4.4 days, with direct queries responded to in a median time of 1.5 hours. During the study period, 26 (42.6%) wounds were healed, with a median time to healing of 66 (95% CI: 56-88) days. All patients reported high satisfaction with their wound care, 86.4% of patients recommended the Virtual Wound Care Command Centre with 84.1% of patients reporting the digital wound application as easy to use. Potential mean travel savings of $99.65 for rural patients per visit were recognised. The data revealed that the Virtual Wound Care Command Centre was a viable and acceptable patient-centred expert wound consultation service for chronic wound patients in the community.

Wound documentation is integral to effective wound care, health data coding and facilitating continuity of care. This study evaluated the usability and effectiveness of an artificial intelligence application for wound assessment and management from a clinician-and-patient user perspective. A quasi-experimental design was conducted in four settings in an Australian health service. Data were collected from patients in the standard group (n = 166, 243 wounds) and intervention group (n = 124, 184 wounds), at baseline and post-intervention. Clinicians participated in a survey (n = 10) and focus group interviews (n = 13) and patients were interviewed (n = 4). Wound documentation data were analysed descriptively, and bivariate statistics were used to determine between-group differences. Thematic analysis of interviews was conducted. Compared with the standard group, wound documentation in the intervention group improved significantly (more than two items documented 24% vs 70%, P .001). During the intervention, 101 out of 132 wounds improved (mean wound size reduction = 53.99%). Positive evaluations identified improvements such as instantaneous objective wound assessment, shared wound plans, increased patient adherence and enhanced efficiency in providing virtual care. The use of the application facilitated remote patient monitoring and reduced patient travel time while maintaining optimal wound care.

Interprofessional education (IPE) has been described as occurring ‘when students from two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcome’. IPE has been mandated internationally across health curricula and the development of interprofessional competency-based education has been identified as a priority in many tertiary institutions. Historically, IPE within health curricula has been opportunistic with little consideration given to formation of professional identity. Professional identity is developed throughout a person's life and career, and this identity has three distinct elements: in being members of groups (social identity), having certain roles (role identities), or being the unique biological entities that they are (personal identities). With increasing exposure and utilisation of IPE amongst healthcare students, all three aspects of their identity formation are altered. Subsequently, their professional identity can be well formed and even rigidly set, long before they graduate from their respective degrees into the healthcare environment, affecting their sense of belonging and the ability to simultaneously identifying themselves with both their own profession, and that of the interprofessional community Therefore, the need to develop a suitable professional identity and professionalism, in relation to one's colleagues as well as themselves, is essential for ensuring optimal patient care from practitioners working as part of a healthcare team.

Background Traditionally, healthcare students have been educated in discipline-specific silos with minimal interprofessional socialisation. Interprofessional education is fundamental for interprofessional socialisation and is an essential component of healthcare education. Objectives To evaluate the effect of a large-scale interprofessional workshop implemented for first year medical, nursing and pharmacy students on changes in attitudes towards interprofessional socialisation and its perceived value. Design A quasi-experimental study design using pre and post questionnaires. Setting A Faculty of Medicine and Health at a large university in Australia. Participants 1008 students from the 2018 and 2019 cohorts of pre-qualification first year medical students (n = 444), nursing (n = 461) and pharmacy (n = 103) enrolled in a graduate entry degree program participated in the workshop. Complete data sets were collected from 37.1% (n = 374) of the participants. Methods The short-form Interprofessional Socialisation and Valuing Scale (ISVS-9) was administered before and after the IPE workshop. Linear mixed models were used to compare both the within group and between group pre- and post- questionnaire data. Percentages and frequencies were used to analyse data pertaining to participants' perceptions and experience of the workshop. Descriptive qualitative analysis of free-text responses was undertaken. Results Findings indicated that 80.8% (n = 440) of participants rated their workshop experience as good/very good. 64.6% (n = 352) of participants reported that it had changed how they considered other health professionals. Significant higher (p Conclusion Findings provide support for the implementation of IPE for nursing, and pharmacy students. It is recommended that these initiatives are introduced at an early stage in their education to promote interprofessional socialisation and are repeated throughout the curricula.

Background Practising skills to competency level in a simulated clinical environment is thought to prepare nursing students for the real world setting. The ability to prioritise and plan nursing care is also essential for effective work performance. There is, however, limited evidence to support that simulated learning improves preparation for clinical practice. Aim To examine the effectiveness of a time management intervention using simulation to improve nursing students' preparedness for medication administration in a clinical setting. Methods Quasi-experimental, pre-post-test design with a non-equivalent comparison group. Participants were second year university nursing students (n=180 total, n=92 intervention, n=88 comparison group). Time management activities were integrated into a low fidelity simulated environment. A self-administered validated questionnaire measured student nurse perception of preparedness for medication administration in a clinical setting. Findings While there was no significant difference for overall perceived preparedness for medication administration, the intervention group showed significantly improved perceived ability to clarify unclear instructions (p=0.019), monitor patients' conditions post medication administration (p=0.032) and assess medication effectiveness (p=0.034). Discussion and conclusion A time management intervention using simulation can effectively enhance students' preparedness for, and confidence in, medication administration in a clinical setting. Adequate theoretical pharmacology knowledge is crucial in preparing nursing students for medication administration in the clinical setting.

Interprofessional learning (IPL) during formal training enables interprofessional collaboration (IPC) in the workforce; however, on-campus IPL opportunities are seldom incorporated into curricula. We describe the development and implementation of two hospital simulation tutorials between nursing and pharmacy students. Students were required to provide "usual care" to a simulated patient at admission and discharge. A pre-post survey design was used to evaluate changes in Interdisciplinary Education Perception Scale (IEPS) score and student perceived educational value of the tutorials. The tutorials had a positive effect on IEPS scores (p 0.001), whereas gender and profession did not appear to influence scores (p = 0.082 and p = 0.923, respectively). Tutorials were rated either good or very good by 89.9% of students and 79.6% of students reporting new insights into the other profession This tutorial format could be easily adapted by other institutions as an engaging and rewarding strategy to better prepare students for IPC the workforce.

Background: Blood pressure measurement is a complex skill to master and we sought to determine whether nursing students could measure blood pressure accurately on patients during their first clinical placement. We also examined whether clinical facilitator’s subjective rating of nursing student’s competence and confidence was related to blood pressure measurement. Methods: First year nursing students (n = 105) blood pressure measurement was determined at the end of 40 hours of clinical placement. Clinical facilitators (n = 17) assessed blood pressure accuracy of the students using a double-headed stethoscope on clinical patients and rated the student’s confidence and competence levels in blood pressure measurement across the clinical practicum. Results: Bland Altman plots revealed that there was no systematic bias and that that majority of student’s blood pressure readings were within ±4 mmHg of the clinical facilitators. Blood pressure measurement was not significantly different between students and clinical facilitators (systolic: p = .29; diastolic: p = .96). Statistically significant correlations between clinical facilitator’s ratings of student confidence, competence and blood pressure accuracy were found. Conclusions: These findings show that blood pressure accuracy in nursing students during their first clinical placement is high. Clinical facilitators can also correctly assess student’s blood pressure accuracy using subjective ratings of competence and confidence, which may be sufficient to determine clinical proficiency.

Mastery of auscultatory blood pressure is challenging for preregistration nursing students. This phenomenon has been attributed to the psychomotor skills required, knowledge about blood pressure measurement, and the teaching modality type. Most studies focus on developing blood pressure proficiency without determining the measurement accuracy. We sought to determine the efficacy of simulation-based learning on blood pressure measurement accuracy in first-year preregistration nursing students.First-year preregistration nursing students from a clinical subject were randomly assigned to laboratory groups, which formed the control and intervention groups. Each group received identical blood pressure measurement education, with the intervention group undertaking 2 additional hours of tuition, using human patient simulators programmed with a wide range of blood pressure measurements to replicate patient's blood pressures observed in clinical settings. At the end of the semester and after 40 hours of hospital clinical practice, participants were assessed for blood pressure accuracy on live subjects and completed a questionnaire on self-ratings of confidence and technical ability.Blood pressure accuracy was not significantly different between participants and assessors or between the control and intervention groups (all P0.05). The intervention group reported greater levels of confidence (P = 0.02) and self-rated technical ability (P = 0.01) in blood pressure measurement at week 14 of the semester; however, these difference were not observed at the end of 40 hours of clinical practice (P0.05).Accuracy in taking blood pressure was not enhanced by the use of a patient simulator, despite improvements in self-reported confidence and technical competency. Further research is required to evaluate the inclusion of simulation-based learning for blood pressure training in nursing students.