36 results on '"Crowe, Shane"'
Search Results
2. Psychosocial impact of the covid-19 pandemic on Australian nurses and midwives: A cross-sectional study
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Holton, Sara, Wynter, Karen, Considine, Julie, Street, Maryann, Hutchinson, Ana, Khaw, Damien, Stephenson, Paula, Hutchinson, Alison M, Ockerby, Cherene, Nankervis, Katrina, Crowe, Shane, Trueman, Melody, Sweeney, Susan, Bruce, Suellen, and Rasmussen, Bodil
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- 2022
3. Bring in the 'RUSOM'
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Sweet, Linda, Sweeney, Susan, Vasilevski, Vidanka, Watson, Wendy, and Crowe, Shane
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- 2022
4. How to take a hotel walkies
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Crowe, Shane
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- 1993
5. Australian and Danish nurses’ and midwives’ wellbeing during COVID-19: A comparison study
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Holton, Sara, Wynter, Karen, Rothmann, Mette Juel, Skjøth, Mette Maria, Considine, Julie, Street, Maryann, Hutchinson, Anastasia F, Khaw, Damien, Hutchinson, Alison M, Ockerby, Cherene, Crowe, Shane, Trueman, Melody, Sweeney, Susan, Bruce, Suellen, and Rasmussen, Bodil
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- 2022
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6. The impact of the COVID-19 pandemic on Australian hospital-based nursing and midwifery educators
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Wynter, Karen, Holton, Sara, Considine, Julie, Hutchinson, Alison M, Munt, Rebecca, Williams, Ruth, Balson, Jessica, Dibella, Valerie, McDonald, Elisa, Trueman, Melody, Crowe, Shane, Schutte, Sandy, and Rasmussen, Bodil
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- 2022
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7. Nurse, midwife and patient perspectives and experiences of diabetes management in an acute inpatient setting: a mixed-methods study
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Holton, Sara, Rasmussen, Bodil, Turner, Joy, Steele, Cheryl, Ariarajah, Deepa, Hamblin, Shane, Crowe, Shane, Schutte, Sandy, Wynter, Karen, and Hussain, Ilyana Mohamed
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- 2022
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8. End PJ Paralysis: An initiative to reduce patient's functional decline
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Sweeney, Sue, Crowe, Shane, Watson, Wendy, Rasmussen, Bodil, Wynter, Karen, and Holton, Sara
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- 2020
9. Worsening psychological wellbeing of Australian hospital clinical staff during three waves of the coronavirus (COVID-19) pandemic.
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Holton, Sara, Rasmussen, Bodil, Crowe, Shane, Trueman, Melody, Dabscheck, Adrian, Booth, Sarah, Hitch, Danielle, Said, Catherine M., and Haines, Kimberley J.
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MENTAL depression risk factors ,HEALTH facility employees ,WELL-being ,KRUSKAL-Wallis Test ,STATISTICS ,HEALTH policy ,CROSS-sectional method ,TERTIARY care ,MENTAL health ,MANN Whitney U Test ,RISK assessment ,SURVEYS ,COMPARATIVE studies ,PSYCHOSOCIAL factors ,MENTAL depression ,HOSPITAL nursing staff ,DESCRIPTIVE statistics ,QUESTIONNAIRES ,CHI-squared test ,ANXIETY ,PHYSICIANS ,SOCIODEMOGRAPHIC factors ,DATA analysis software ,STATISTICAL sampling ,DATA analysis ,COVID-19 pandemic ,PSYCHOLOGICAL stress ,ALLIED health personnel ,LONGITUDINAL method - Abstract
Objective. This study aimed to assess and compare the psychological wellbeing of Australian hospital clinical staff at three timepoints during the coronavirus disease 2019 (COVID-19) pandemic. Methods. An anonymous, online, cross-sectional survey was conducted at three timepoints during the COVID-19 pandemic (T1: May–June 2020; T2: October–December 2020; T3: November 2021–January 2022). The surveys were completed by nurses, midwives, doctors and allied health staff employed at a large metropolitan tertiary health service located in Melbourne, Australia. The Depression, Anxiety and Stress Scale (DASS-21) assessed respondents’ psychological wellbeing in the past week. General linear models were used to measure the effects of survey timepoint on DASS-21 subscale scores, adjusting for selected sociodemographic and health characteristics. Results. A total of 1470 hospital clinical staff completed at least one survey (T1: 668 (14.7%), T2: 358 (7.9%) and T3: 444 (9.8%)). Respondents’ sociodemographic characteristics were similar across the three timepoints and within professional discipline groups. Respondents’ psychological wellbeing was worse at T3 compared to the earlier survey timepoints. Adjusting for respondent characteristics, depression, anxiety and stress scores were significantly higher for respondents of the third survey compared to the first (P < 0.001). Conclusions. There was a significant and persistent negative impact on the psychological wellbeing of hospital clinical staff in Australia across waves of the COVID-19 pandemic. Hospital clinical staff would benefit from ongoing and continued wellbeing support during and after pandemic waves. [ABSTRACT FROM AUTHOR]
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- 2023
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10. Psychosocial impact of the COVID-19 pandemic on Australian nurses and midwives: a cross-sectional study
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Holton, Sara, primary, Wynter, Karen, additional, Considine, Julie, additional, Street, Maryann, additional, Hutchinson, Ana, additional, Khaw, Damien, additional, Stephenson, Paula, additional, Hutchinson, Alison M, additional, Ockerby, Cherene, additional, Nankervis, Katrina, additional, Crowe, Shane, additional, Trueman, Melody, additional, Sweeney, Susan, additional, Bruce, Suellen, additional, and Rasmussen, Bodil, additional
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- 2023
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11. Psychosocial impact of the COVID-19 pandemic on Australian nurses and midwives:a cross-sectional study
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Holton, Sara, Wynter, Karen, Considine, Julie, Street, Maryann, Hutchinson, Ana, Khaw, Damien, Stephenson, Paula, Hutchinson, Alison, Ockerby, Cherene, Nankervis, Katrina, Crowe, Shane, Trueman, Melody, Sweeney, Susan, Bruce, Suellen, Rasmussen, Bodil, Holton, Sara, Wynter, Karen, Considine, Julie, Street, Maryann, Hutchinson, Ana, Khaw, Damien, Stephenson, Paula, Hutchinson, Alison, Ockerby, Cherene, Nankervis, Katrina, Crowe, Shane, Trueman, Melody, Sweeney, Susan, Bruce, Suellen, and Rasmussen, Bodil
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Objective: To investigate the psychosocial effects of the COVID-19 pandemic on nurses and midwives working in acute care settings, specifically psychological distress, self-reported concerns, and perceived impact on their work and personal lives. Background: Little is known about the psychosocial impact of the pandemic on nurses and midwives in Australia, a country with a substantially lower number of COVID-19 cases and deaths than many others. Few studies investigating the prevalence of psychological distress among nurses during the pandemic have been conducted in more than one setting, especially in the Australian context. Study design and methods: Cross-sectional survey design (STROBE checklist). Nurses and midwives (n=1,611) at four metropolitan tertiary health services in Melbourne, Australia completed an anonymous online survey between 15 May and 31 August 2020, which assessed symptoms of depression, anxiety and stress (DASS-21); concerns related to COVID-19; and other effects of COVID-19. Space was provided for free-text comments. Results: Approximately one fifth of respondents reported moderate to extremely severe symptoms of depression, anxiety and stress. Fewer years of clinical experience were significantly associated with higher levels of psychological distress. More than half of the respondents were extremely/very concerned about passing COVID-19 on to family members and about their family's health, and almost half were concerned about caring for a patient who had confirmed or suspected COVID-19. Respondents reported that certain precautionary measures such as personal protective equipment (PPE) interfered with their ability to provide optimal patient care. Positive aspects of the pandemic were also reported including a sense of togetherness and cooperation among staff. Conclusion: The COVID-19 pandemic has had a considerable impact on the psychological wellbeing and work and personal lives of nurses and midwives working in acute care settings in Melbou, Objective: To investigate the psychosocial effects of the COVID-19 pandemic on nurses and midwives working in acute care settings, specifically psychological distress, self-reported concerns, and perceived impact on their work and personal lives. Background: Little is known about the psychosocial impact of the pandemic on nurses and midwives in Australia, a country with a substantially lower number of COVID-19 cases and deaths than many others. Few studies investigating the prevalence of psychological distress among nurses during the pandemic have been conducted in more than one setting, especially in the Australian context. Study design and methods: Cross-sectional survey design (STROBE checklist). Nurses and midwives (n=1,611) at four metropolitan tertiary health services in Melbourne, Australia completed an anonymous online survey between 15 May and 31 August 2020, which assessed symptoms of depression, anxiety and stress (DASS-21); concerns related to COVID-19; and other effects of COVID-19. Space was provided for free-text comments. Results: Approximately one fifth of respondents reported moderate to extremely severe symptoms of depression, anxiety and stress. Fewer years of clinical experience were significantly associated with higher levels of psychological distress. More than half of the respondents were extremely/very concerned about passing COVID-19 on to family members and about their family's health, and almost half were concerned about caring for a patient who had confirmed or suspected COVID-19. Respondents reported that certain precautionary measures such as personal protective equipment (PPE) interfered with their ability to provide optimal patient care. Positive aspects of the pandemic were also reported including a sense of togetherness and cooperation among staff. Conclusion: The COVID-19 pandemic has had a considerable impact on the psychological wellbeing and work and personal lives of nurses and midwives working in acute care settings in Mel
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- 2023
12. Attendance at, and experiences of, urban hospital outpatient appointments:informing a new model of care for urban-dwelling Aboriginal and Torres Strait Islander patients
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Wynter, Karen, Mullan, Leanne, Druce, Tanya, Freeman, Gilbert, Maguire, Graeme, Davidson, Lauren, Karunajeewa, Harin, Crowe, Shane, Rasmussen, Bodil, Wynter, Karen, Mullan, Leanne, Druce, Tanya, Freeman, Gilbert, Maguire, Graeme, Davidson, Lauren, Karunajeewa, Harin, Crowe, Shane, and Rasmussen, Bodil
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Objectives To compare outpatient attendance rates for Aboriginal and Torres Strait Islander ('Aboriginal') and non-Aboriginal patients at a large metropolitan health service in Melbourne, Australia, and to describe the barriers and enablers experienced by urban-dwelling Aboriginal patients in attending hospital outpatient appointments. Methods This study used a mixed-method approach. Proportions of referred patients who booked and attended outpatient appointments were extracted from a health service database. Aboriginal versus non-Aboriginal cohorts were compared using chi-squared tests. Eleven patients, one parent of a patient and two community nurses were interviewed by telephone to investigate perceived barriers and enablers to attending outpatient appointments among Aboriginal patients. Results Outpatient referrals were greater among Aboriginal than non-Aboriginal people; however, referrals were significantly less likely to result in an outpatient clinic booking and attendance for Aboriginal compared to non-Aboriginal people. Interview participants reported several barriers to attending appointments, related to logistical, quality of care and cultural factors. Suggested facilitators to make appointment attendance easier included: provision of transport support, improving clinic scheduling, utilising a variety of appointment reminder formats, providing food in waiting rooms, flexible appointment timing options, outreach services, access to Aboriginal support workers, improving communication and relationships with Aboriginal people, cultural awareness training for staff and the provision of culturally appropriate spaces. Conclusion Some barriers faced by Aboriginal patients in attending hospital outpatient appointments in urban areas can be addressed through implementation of enablers suggested by participants. Data have informed the development of a tailored, inclusive, culturally and consumer-focused appropriate hospital outpatient service model of care.
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- 2023
13. Attendance at, and experiences of, urban hospital outpatient appointments: informing a new model of care for urban-dwelling Aboriginal and Torres Strait Islander patients
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Wynter, Karen, primary, Mullan, Leanne, additional, Druce, Tanya, additional, Freeman, Gilbert, additional, Maguire, Graeme, additional, Davidson, Lauren, additional, Karunajeewa, Harin, additional, Crowe, Shane, additional, and Rasmussen, Bodil, additional
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- 2023
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14. Hospital clinicians' psychosocial well-being during the COVID-19 pandemic:Longitudinal study
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Wynter, Karen, Holton, Sara, Trueman, Melody, Bruce, Suellen, Sweeney, Sue, Crowe, Shane, Dabscheck, Adrian, Eleftheriou, Paul, Booth, Sarah, Hitch, Danielle, Said, Catherine M., Haines, Kimberley J., Rasmussen, Bodil, Wynter, Karen, Holton, Sara, Trueman, Melody, Bruce, Suellen, Sweeney, Sue, Crowe, Shane, Dabscheck, Adrian, Eleftheriou, Paul, Booth, Sarah, Hitch, Danielle, Said, Catherine M., Haines, Kimberley J., and Rasmussen, Bodil
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Background Hospital clinicians report poor psychosocial well-being during the COVID-19 pandemic. Few studies have reported data at more than one time point. Aims To compare psychosocial well-being among hospital clinicians at two different time points during the COVID-19 pandemic in 2020. Methods Participants included doctors, nurses, midwives and allied health clinicians at a multi-site, public health service in Melbourne, Australia. Data were collected via two cross-sectional, online surveys: May to June (wave 1; n = 638) and October to December 2020 (wave 2; n = 358). The Depression, Anxiety and Stress Scale (DASS-21) assessed psychological well-being in the past week. Investigator-devised questions assessed COVID-19 concerns and perceived work impacts. General linear models were used to assess impact of wave on psychological distress. Results There were no significant demographic differences between the two groups. Both positive (e.g. learning experience) and negative (e.g. risk of getting COVID-19) impacts were reported. In both waves, staff were most concerned about health risks to family members. Wave 2 respondents were significantly more likely than wave 1 respondents to indicate concerns about colleagues having COVID-19, increased workloads, leave cancellation and increased conflict at work (all P < 0.001). Adjusting for sex, age, self-rated health and discipline group, depression, anxiety and stress scores were significantly higher for respondents in the second than the first wave (all P < 0.001). Conclusions Psychological well-being of hospital clinicians was significantly worse during the second wave of the COVID-19 pandemic than the first. Sustained occupational and psychosocial support is recommended even when immediate COVID-19 concerns and impacts resolve., Background: Hospital clinicians report poor psychosocial well-being during the COVID-19 pandemic. Few studies have reported data at more than one time point. Aims: To compare psychosocial well-being among hospital clinicians at two different time points during the COVID-19 pandemic in 2020. Methods: Participants included doctors, nurses, midwives and allied health clinicians at a multi-site, public health service in Melbourne, Australia. Data were collected via two cross-sectional, online surveys: May to June (wave 1; n = 638) and October to December 2020 (wave 2; n = 358). The Depression, Anxiety and Stress Scale (DASS-21) assessed psychological well-being in the past week. Investigator-devised questions assessed COVID-19 concerns and perceived work impacts. General linear models were used to assess impact of wave on psychological distress. Results: There were no significant demographic differences between the two groups. Both positive (e.g. learning experience) and negative (e.g. risk of getting COVID-19) impacts were reported. In both waves, staff were most concerned about health risks to family members. Wave 2 respondents were significantly more likely than wave 1 respondents to indicate concerns about colleagues having COVID-19, increased workloads, leave cancellation and increased conflict at work (all P < 0.001). Adjusting for sex, age, self-rated health and discipline group, depression, anxiety and stress scores were significantly higher for respondents in the second than the first wave (all P < 0.001). Conclusions: Psychological well-being of hospital clinicians was significantly worse during the second wave of the COVID-19 pandemic than the first. Sustained occupational and psychosocial support is recommended even when immediate COVID-19 concerns and impacts resolve.
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- 2022
15. Nurse, midwife and patient perspectives and experiences of diabetes management in an acute inpatient setting:a mixed-methods study
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Holton, Sara, Rasmussen, Bodil, Turner, Joy, Steele, Cheryl, Ariarajah, Deepa, Hamblin, Shane, Crowe, Shane, Schutte, Sandy, Wynter, Karen, Hussain, Ilyana Mohamed, Holton, Sara, Rasmussen, Bodil, Turner, Joy, Steele, Cheryl, Ariarajah, Deepa, Hamblin, Shane, Crowe, Shane, Schutte, Sandy, Wynter, Karen, and Hussain, Ilyana Mohamed
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Background In an acute hospital setting, diabetes can require intensive management with medication modification, monitoring and education. Yet little is known about the experiences and perspectives of nursing/midwifery staff and patients. The aim of this study was to investigate diabetes management and care for patients with diabetes in an acute care setting from the perspectives of nursing/midwifery staff and patients. Methods A convergent mixed-methods study design. Patients with diabetes (Type 1, Type 2 or gestational diabetes) recruited from a public health service in Melbourne, Australia completed a survey and nurses and midwives employed at the health service participated in focus groups. Descriptive statistics were used to summarise the survey data. Thematic analysis was used for the free-text survey comments and focus group data. Results Surveys were completed by 151 patients. Although more than half of the patients were satisfied with the diabetes care they had received (n = 96, 67.6%), about a third felt the hospital nursing/midwifery staff had ignored their own knowledge of their diabetes care and management (n = 43, 30.8%). Few reported having discussed their diabetes management with the nursing/midwifery staff whilst in hospital (n = 47, 32.6%) or thought the nurses and midwives had a good understanding of different types of insulin (n = 43, 30.1%) and their administration (n = 47, 33.3%). Patients also reported food related barriers to their diabetes management including difficulties accessing appropriate snacks and drinks (n = 46, 30.5%), restricted food choices and timing of meals (n = 41, 27.2%). Fourteen nurses and midwives participated in two focus groups. Two main themes were identified across both groups: 1. challenges caring for patients with diabetes; and 2. lack of confidence and knowledge about diabetes management. Conclusions Patients and nursing/midwifery staff reported challenges managing patients' diabetes in the hospital setting, ens
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- 2022
16. Australian and Danish nurses’ and midwives’ wellbeing during COVID-19:A comparison study
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Holton, Sara, Wynter, Karen, Rothmann, Mette Juel, Skjøth, Mette Maria, Considine, Julie, Street, Maryann, Hutchinson, Anastasia F., Khaw, Damien, Hutchinson, Alison M., Ockerby, Cherene, Crowe, Shane, Trueman, Melody, Sweeney, Susan, Bruce, Suellen, Rasmussen, Bodil, Holton, Sara, Wynter, Karen, Rothmann, Mette Juel, Skjøth, Mette Maria, Considine, Julie, Street, Maryann, Hutchinson, Anastasia F., Khaw, Damien, Hutchinson, Alison M., Ockerby, Cherene, Crowe, Shane, Trueman, Melody, Sweeney, Susan, Bruce, Suellen, and Rasmussen, Bodil
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Background: Most investigations of nurses’ and midwives’ psychological wellbeing during the COVID-19 pandemic have been conducted in a single setting. Aim: To assess and compare the psychological wellbeing of nurses and midwives in Australia and Denmark during the COVID-19 pandemic. Methods: Nurses and midwives employed at four metropolitan health services in Australia and one in Denmark completed an anonymous online survey, which assessed depression, anxiety, and stress symptoms (The Depression, Anxiety and Stress Scale - 21 Items (DASS-21)), and sociodemographic and employment factors. Findings: Completed surveys were received from 3001 nurses and midwives (1611 Australian and 1390 Danish). Overall, approximately one in seven of the nurses and midwives surveyed reported moderate to extremely severe levels of depression (n = 399, 13.5%), anxiety (n = 381, 12.9%) and stress (n = 394, 13.4%). Australian nurses’ and midwives’ scores on all DASS-21 subscales were significantly higher (representing higher levels of depression, anxiety and stress) than the scores for the Danish nurses and midwives. Fewer years of clinical experience, living in Australia and being employed on a part-time basis were significantly associated with higher levels of psychological distress. Discussion: A considerable proportion of nurses and midwives experienced distress during the COVID-19 pandemic; however, the proportion and severity varied by country. Australian nurses and midwives experienced higher levels of distress than their Danish colleagues. Conclusion: Nurses and midwives working in countries with relatively low numbers of COVID-19 cases and deaths are also likely to experience psychological distress. Nurses and midwives would benefit from targeted country-specific support and wellbeing initiatives.
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- 2022
17. Hospital clinicians’ psychosocial well-being during the COVID-19 pandemic: longitudinal study
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Wynter, Karen, primary, Holton, Sara, additional, Trueman, Melody, additional, Bruce, Suellen, additional, Sweeney, Sue, additional, Crowe, Shane, additional, Dabscheck, Adrian, additional, Eleftheriou, Paul, additional, Booth, Sarah, additional, Hitch, Danielle, additional, Said, Catherine M, additional, Haines, Kimberley J, additional, and Rasmussen, Bodil, additional
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- 2022
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18. The context, contribution and consequences of addressing the COVID ‐19 pandemic: A qualitative exploration of executive nurses' perspectives
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Riddell, Kathryn, primary, Bignell, Laura, additional, Bourne, Debra, additional, Boyd, Leanne, additional, Crowe, Shane, additional, Cucanic, Sinéad, additional, Flynn, Maria, additional, Gillan, Kate, additional, Heinjus, Denise, additional, Mathieson, Jac, additional, Nankervis, Katrina, additional, Reed, Fiona, additional, Townsend, Linda, additional, Twomey, Bernadette, additional, Weir‐Phyland, Janet, additional, and Bagot, Kathleen, additional
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- 2022
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19. Additional file 1 of Nurse, midwife and patient perspectives and experiences of diabetes management in an acute inpatient setting: a mixed-methods study
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Holton, Sara, Rasmussen, Bodil, Turner, Joy, Steele, Cheryl, Ariarajah, Deepa, Hamblin, Shane, Crowe, Shane, Schutte, Sandy, Wynter, Karen, and Hussain, Ilyana Mohamed
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Additional file 1.
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- 2022
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20. Additional file 3 of Nurse, midwife and patient perspectives and experiences of diabetes management in an acute inpatient setting: a mixed-methods study
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Holton, Sara, Rasmussen, Bodil, Turner, Joy, Steele, Cheryl, Ariarajah, Deepa, Hamblin, Shane, Crowe, Shane, Schutte, Sandy, Wynter, Karen, and Hussain, Ilyana Mohamed
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Additional file 3.
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- 2022
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21. Nurses’ and midwives’ experiences of the first phase of the implementation of an electronic medical records system
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Wynter, Karen, primary, Holton, Sara, additional, Nguyen, Lemai, additional, Sinnott, Helen, additional, Wickramasinghe, Nilmini, additional, Crowe, Shane, additional, and Rasmussen, Bodil, additional
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- 2021
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22. Nurses' and midwives' experiences of the first phase of the implementation of an electronic medical records system
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Wynter, Karen, Holton, Sara, Nguyen, Lemai, Sinnott, Helen, Wickramasinghe, Nilmini, Crowe, Shane, Rasmussen, Bodil, Wynter, Karen, Holton, Sara, Nguyen, Lemai, Sinnott, Helen, Wickramasinghe, Nilmini, Crowe, Shane, and Rasmussen, Bodil
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Objective: The aim of this study was to describe nurses' and midwives' experiences following the first phase of the implementation of an electronic medical record (EMR) system at a large public health service in metropolitan Melbourne, Australia. Methods: Four focus groups were held 8-10 months after implementation of the EMR. Transcripts were analysed using thematic analysis. Results: Of 39 participants, 25 were nurses (64%), 12 were midwives (31%) and two did not provide this information. The mean (±s.d.) duration of clinical experience was 15.6 ± 12.2 years (range 2-40 years). Three main themes were identified: (1) effects on workflow: although some participants reported that EMR facilitated easier access to real-time patient data, others indicated that workflow was disrupted by the EMR being slow and difficult to navigate, system outages and lack of interoperability between the EMR and other systems (2) effects on patient care and communication: some participants reported that the EMR improved their communication with patients and reduced medication errors, whereas others reported a negative effect on patient care and communication and (3) negative effects of the EMR on nurses' and midwives' personal well-being, including frustration, stress and exhaustion. These experiences were often reported in the context of cognitive workload due to having to use multiple systems simultaneously or extra work associated with EMR outages. Conclusion: Nurses' and midwives' experiences of the EMR were complex and mixed. Nurses and midwives require significant training and ongoing technical support in the first 12 months after implementation of an EMR system. Including nurses and midwives in the design and refinement of the EMR will ensure that the EMR aligns with their workflow. What is known about the topic?: Studies reporting nurses' and midwives' experiences of using EMR are scarce and mostly based in countries where whole-of-service implementations are carried out, funde
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- 2021
23. Immediate impact of the COVID-19 pandemic on the work and personal lives of Australian hospital clinical staff
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Holton, Sara, Wynter, Karen, Trueman, Melody, Bruce, Suellen, Sweeney, Susan, Crowe, Shane, Dabscheck, Adrian, Eleftheriou, Paul, Booth, Sarah, Hitch, Danielle, Said, Catherine M., Haines, Kimberley J., Rasmussen, Bodil, Holton, Sara, Wynter, Karen, Trueman, Melody, Bruce, Suellen, Sweeney, Susan, Crowe, Shane, Dabscheck, Adrian, Eleftheriou, Paul, Booth, Sarah, Hitch, Danielle, Said, Catherine M., Haines, Kimberley J., and Rasmussen, Bodil
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Objective. This study investigated the short-term psychosocial effects of the COVID-19 pandemic on hospital clinical staff, specifically their self-reported concerns and perceived impact on their work and personal lives.Methods. Nurses, midwives, doctors and allied health staff at a large metropolitan tertiary health service in Melbourne, Australia, completed an anonymous online cross-sectional survey between 15 May and 10 June 2020. The survey assessed respondents' COVID-19 contact status, concerns related to COVID-19 and other effects of COVID-19. Space was provided for free-text comments.Results. Respondents were mostly concerned about contracting COVID-19, infecting family members and caring for patients with COVID-19. Concerns about accessing and using personal protective equipment, redeployment and their ability to provide high-quality patient care during the pandemic were also reported. Pregnant staff expressed uncertainty about the possible impact of COVID-19 on their pregnancy. Despite their concerns, few staff had considered resigning, and positive aspects of the pandemic were also described.Conclusion. The COVID-19 pandemic has had a considerable impact on the work and personal lives of hospital clinical staff. Staff, particularly those who are pregnant, would benefit from targeted well-being and support initiatives that address their concerns and help them manage their work and personal lives.
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- 2021
24. Psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic
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Holton, Sara, Wynter, Karen, Trueman, Melody, Bruce, Suellen, Sweeney, Susan, Crowe, Shane, Dabscheck, Adrian, Eleftheriou, Paul, Booth, Sarah, Hitch, Danielle, Said, Catherine M., Haines, Kimberley J., Rasmussen, Bodil, Holton, Sara, Wynter, Karen, Trueman, Melody, Bruce, Suellen, Sweeney, Susan, Crowe, Shane, Dabscheck, Adrian, Eleftheriou, Paul, Booth, Sarah, Hitch, Danielle, Said, Catherine M., Haines, Kimberley J., and Rasmussen, Bodil
- Abstract
Objective. This study assessed the psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic.Methods. An anonymous online cross-sectional survey was conducted in a large metropolitan tertiary health service located in Melbourne, Australia. The survey was completed by nurses, midwives, doctors and allied health (AH) staff between 15 May and 10 June 2020. The Depression, Anxiety and Stress Scale - 21 items (DASS-21) assessed the psychological well-being of respondents in the previous week.Results. In all, 668 people responded to the survey (nurses/midwives,n = 391; doctors,n = 138; AH staff,n = 139). Of these, 108 (16.2%) had direct contact with people with a COVID-19 diagnosis. Approximately one-quarter of respondents reported symptoms of psychological distress. Between 11% (AH staff) and 29% (nurses/midwives) had anxiety scores in the mild to extremely severe ranges. Nurses and midwives had significantly higher anxiety scores than doctors (P <0.001) and AH staff (P <0.001). Direct contact with people with a COVID-19 diagnosis (P <0.001) and being a nurse or midwife (P <0.001) were associated with higher anxiety scores. Higher ratings of the health service's pandemic response and staff support strategies were protective against depression (P <0.001), anxiety (P <0.05) and stress (P <0.001).Conclusions. The COVID-19 pandemic had a significant effect on the psychological well-being of hospital clinical staff, particularly nurses and midwives. Staff would benefit from (additional) targeted supportive interventions during the current and future outbreaks of infectious diseases.
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- 2020
25. Immediate impact of the COVID-19 pandemic on the work and personal lives of Australian hospital clinical staff
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Holton, Sara, primary, Wynter, Karen, additional, Trueman, Melody, additional, Bruce, Suellen, additional, Sweeney, Susan, additional, Crowe, Shane, additional, Dabscheck, Adrian, additional, Eleftheriou, Paul, additional, Booth, Sarah, additional, Hitch, Danielle, additional, Said, Catherine M., additional, Haines, Kimberley J., additional, and Rasmussen, Bodil, additional
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- 2021
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26. The person-centred care of older people with cognitive impairment in acute care scale (POPAC)
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EDVARDSSON, DAVID, NILSSON, ANITA, FETHERSTONHAUGH, DEIRDRE, NAY, RHONDA, and CROWE, SHANE
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- 2013
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27. Nurses' and midwives' experiences of the first phase of the implementation of an electronic medical records system.
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Wynter, Karen, Holton, Sara, Nguyen, Lemai, Sinnott, Helen, Wickramasinghe, Nilmini, Crowe, Shane, and Rasmussen, Bodil
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MIDWIVES ,WELL-being ,NURSES' attitudes ,FOCUS groups ,ATTITUDES of medical personnel ,INFORMATION resources management ,PUBLIC health ,MEDICATION errors ,WORKFLOW ,LABOR supply ,NURSES ,COMMUNICATION ,ELECTRONIC health records ,THEMATIC analysis ,PATIENT care - Abstract
Objective: The aim of this study was to describe nurses' and midwives' experiences following the first phase of the implementation of an electronic medical record (EMR) system at a large public health service in metropolitan Melbourne, Australia. Methods: Four focus groups were held 8–10 months after implementation of the EMR. Transcripts were analysed using thematic analysis. Results: Of 39 participants, 25 were nurses (64%), 12 were midwives (31%) and two did not provide this information. The mean (±s.d.) duration of clinical experience was 15.6 ± 12.2 years (range 2–40 years). Three main themes were identified: (1) effects on workflow: although some participants reported that EMR facilitated easier access to real-time patient data, others indicated that workflow was disrupted by the EMR being slow and difficult to navigate, system outages and lack of interoperability between the EMR and other systems; (2) effects on patient care and communication: some participants reported that the EMR improved their communication with patients and reduced medication errors, whereas others reported a negative effect on patient care and communication; and (3) negative effects of the EMR on nurses' and midwives' personal well-being, including frustration, stress and exhaustion. These experiences were often reported in the context of cognitive workload due to having to use multiple systems simultaneously or extra work associated with EMR outages. Conclusion: Nurses' and midwives' experiences of the EMR were complex and mixed. Nurses and midwives require significant training and ongoing technical support in the first 12 months after implementation of an EMR system. Including nurses and midwives in the design and refinement of the EMR will ensure that the EMR aligns with their workflow. What is known about the topic?: Studies reporting nurses' and midwives' experiences of using EMR are scarce and mostly based in countries where whole-of-service implementations are carried out, funded by governments. What does this paper add?: Nurses and midwives perceive benefits of using an EMR relatively soon after implementation in terms of their workflow and patient care. However, in the first year after EMR implementation, nurses and midwives experience some negative effects on workflow, patient care and their own well-being. The effects on clinical workflow are further compounded by EMR downtime (scheduled and unscheduled) and hybrid systems that require users to access other technology systems alongside the EMR. What are the implications for practitioners?: In countries like Australia, whole-of-service, simultaneous implementation of EMR systems using best-available server technology may not be possible due to funding constraints. In these circumstances, nurses and midwives may initially experience increased workload and frustration. Ongoing training and technical support should be provided to nurses and midwives for several months following implementation. Including nurses and midwives in the design of the EMR will result in better alignment with their specific workflow, thus maximising benefits of EMR implementation. [ABSTRACT FROM AUTHOR]
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- 2022
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28. Psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic
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Holton, Sara, primary, Wynter, Karen, additional, Trueman, Melody, additional, Bruce, Suellen, additional, Sweeney, Susan, additional, Crowe, Shane, additional, Dabscheck, Adrian, additional, Eleftheriou, Paul, additional, Booth, Sarah, additional, Hitch, Danielle, additional, Said, Catherine M., additional, Haines, Kimberley J., additional, and Rasmussen, Bodil, additional
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- 2020
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29. Psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic.
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Holton, Sara, Wynter, Karen, Trueman, Melody, Bruce, Suellen, Sweeney, Susan, Crowe, Shane, Dabscheck, Adrian, Eleftheriou, Paul, Booth, Sarah, Hitch, Danielle, Said, Catherine M., Haines, Kimberley J., and Rasmussen, Bodil
- Subjects
WELL-being ,HEALTH facility employees ,CROSS-sectional method ,INTERNET ,TERTIARY care ,MENTAL health ,SURVEYS ,PSYCHOSOCIAL factors ,MENTAL depression ,ANXIETY ,COVID-19 pandemic ,PSYCHOLOGICAL distress - Abstract
Objective: This study assessed the psychological well-being of Australian hospital clinical staff during the COVID-19 pandemic. Methods: An anonymous online cross-sectional survey was conducted in a large metropolitan tertiary health service located in Melbourne, Australia. The survey was completed by nurses, midwives, doctors and allied health (AH) staff between 15 May and 10 June 2020. The Depression, Anxiety and Stress Scale – 21 items (DASS-21) assessed the psychological well-being of respondents in the previous week. Results: In all, 668 people responded to the survey (nurses/midwives, n = 391; doctors, n = 138; AH staff, n = 139). Of these, 108 (16.2%) had direct contact with people with a COVID-19 diagnosis. Approximately one-quarter of respondents reported symptoms of psychological distress. Between 11% (AH staff) and 29% (nurses/midwives) had anxiety scores in the mild to extremely severe ranges. Nurses and midwives had significantly higher anxiety scores than doctors (P < 0.001) and AH staff (P < 0.001). Direct contact with people with a COVID-19 diagnosis (P < 0.001) and being a nurse or midwife (P < 0.001) were associated with higher anxiety scores. Higher ratings of the health service's pandemic response and staff support strategies were protective against depression (P < 0.001), anxiety (P < 0.05) and stress (P < 0.001). Conclusions: The COVID-19 pandemic had a significant effect on the psychological well-being of hospital clinical staff, particularly nurses and midwives. Staff would benefit from (additional) targeted supportive interventions during the current and future outbreaks of infectious diseases. What is known about the topic?: The outbreak of COVID-19 is having, and will have, a considerable effect on health services. No Australian data about the effect of COVID-19 on the psychological well-being of hospital clinical staff are available. What does this paper add?: Australia healthcare providers have experienced considerable emotional distress during the COVID-19 pandemic, particularly nurses and midwives and clinical staff who have had direct contact with people with a COVID-19 diagnosis. In this study, nurses and midwives had significantly higher levels of anxiety, depression and stress during the pandemic than general Australian adult population norms, and significantly more severe anxiety symptoms than medical and AH staff. Despite a lower number of COVID-19 cases and a lower death rate than in other countries, the proportion of Australian hospital clinical staff experiencing distress is similar to that found in other countries. What are the implications for practitioners?: Targeted well-being interventions are required to support hospital clinical staff during the current and future outbreaks of infectious diseases and other 'crises' or adverse events. [ABSTRACT FROM AUTHOR]
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- 2021
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30. The Communication Link and Error ANalysis (CLEAN) simulator
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Ebel, William J, Ingels, Frank M, and Crowe, Shane
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Computer Programming And Software - Abstract
During the period July 1, 1993 through December 30, 1993, significant developments to the Communication Link and Error ANalysis (CLEAN) simulator were completed and include: (1) Soft decision Viterbi decoding; (2) node synchronization for the Soft decision Viterbi decoder; (3) insertion/deletion error programs; (4) convolutional encoder; (5) programs to investigate new convolutional codes; (6) pseudo-noise sequence generator; (7) soft decision data generator; (8) RICE compression/decompression (integration of RICE code generated by Pen-Shu Yeh at Goddard Space Flight Center); (9) Markov Chain channel modeling; (10) percent complete indicator when a program is executed; (11) header documentation; and (12) help utility. The CLEAN simulation tool is now capable of simulating a very wide variety of satellite communication links including the TDRSS downlink with RFI. The RICE compression/decompression schemes allow studies to be performed on error effects on RICE decompressed data. The Markov Chain modeling programs allow channels with memory to be simulated. Memory results from filtering, forward error correction encoding/decoding, differential encoding/decoding, channel RFI, nonlinear transponders and from many other satellite system processes. Besides the development of the simulation, a study was performed to determine whether the PCI provides a performance improvement for the TDRSS downlink. There exist RFI with several duty cycles for the TDRSS downlink. We conclude that the PCI does not improve performance for any of these interferers except possibly one which occurs for the TDRS East. Therefore, the usefulness of the PCI is a function of the time spent transmitting data to the WSGT through the TDRS East transponder.
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- 1993
31. Building Refurbishment: How to Take a Hotel Walkies
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Crowe, Shane
- Published
- 1993
32. The person-centred care of older people with cognitive impairmentin acute care scale (POPAC)
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Edvardsson, David, Nilsson, Anita, Fetherstonhaugh, Deirdre, Nay, Rhonda, Crowe, Shane, Edvardsson, David, Nilsson, Anita, Fetherstonhaugh, Deirdre, Nay, Rhonda, and Crowe, Shane
- Abstract
Aim: To construct and evaluate psychometric properties of the person-centred care of older people with cognitive impairment in acute care settings (POPAC) scale. Background: Older people with cognitive impairment are admitted frequently to acute care, with needs not always met through standard practice. Best practice models have been suggested, but few assessment scales exist. Methods: Psychometric evaluation using statistical estimates of validity and reliability based on an Australian sample of acute care nursing staff (n = 212). Results: The final 15-item questionnaire consists of three subscales, using cognitive assessments and care interventions, using evidence and cognitive expertise and individualizing care. Estimates of validity and reliability were highly satisfactory. Conclusion: The POPAC scale makes a valuable contribution by providing valid and reliable measures of the extent to which acute nursing staff report using best practice care processes to identify and consider cognitive impairment and to employ nursing interventions to meet the needs associated with old age and cognitive impairment. Implications for nursing management: The POPAC scale is short, easy to administer and not time consuming to complete, but still provides clinically relevant information. It can be used as a conceptual fundament in developing best practice nursing care in the acute clinical setting, as well as for nursing research.
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- 2013
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33. Person-Centred Care of Older People with Cognitive Impairment in Acute Care Scale
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Edvardsson, David, primary, Nilsson, Anita, additional, Fetherstonhaugh, Deirdre, additional, Nay, Rhonda, additional, and Crowe, Shane, additional
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- 2013
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34. The person-centred care of older people with cognitive impairment in acute care scale (POPAC)
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EDVARDSSON, DAVID, primary, NILSSON, ANITA, additional, FETHERSTONHAUGH, DEIRDRE, additional, NAY, RHONDA, additional, and CROWE, SHANE, additional
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- 2012
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35. Australian and Danish nurses’ and midwives’ wellbeing during COVID-19: a comparison study
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Holton, Sara, Wynter, Karen, Rothmann, Mette Juel, Skjoeth, Mette Maria, Considine, Julie, Street, Maryann, Hutchinson, Ana, Khaw, Damien, Hutchinson, Alison M, Ockerby, Cherene, Crowe, Shane, Trueman, Melody, Sweeney, Susan, Bruce, Suellen, and Rasmussen, Bodil
- Abstract
Most investigations of nurses’ and midwives’ psychological wellbeing during the COVID-19 pandemic have been conducted in a single setting.
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- 2021
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36. The impact of the COVID-19 pandemic on Australian hospital-based nursing and midwifery educators
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Wynter, Karen, Holton, Sara, Considine, Julie, Hutchinson, Alison M, Munt, Rebecca, Williams, Ruth, Balson, Jessica, Dibella, Valerie, McDonald, Elisa, Trueman, Melody, Crowe, Shane, Schutte, Sandy, and Rasmussen, Bodil
- Abstract
The COVID-19 pandemic significantly disrupted health services and their staff, including nursing and midwifery educators. Nursing and midwifery educators were tasked with meeting nurses’ and midwives’ rapidly-changing educational requirements, and supporting the nursing and midwifery workforce through the pandemic. Thus, nursing and midwifery educators were pivotal to the pandemic response.
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- 2021
- Full Text
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