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1.2 Oral presentations – Theme 2: Innovating education, policy, and/or practice

Tracks
Track 2
Wednesday, July 17, 2024
11:05 AM - 11:55 AM
Waterfront Room 2

Speaker

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Prof Tracy Levett-Jones
Distinguished Professor
University of Technology Sydney

An exploration of empathic/compassionate encounters with healthcare professionals

Abstract

Aim: Compassion and empathy are integral to safe and effective patient care. However, to date, most studies have focused on exploring, defining, measuring and analysing empathy and compassion from the perspective of researchers or clinicians. There has been limited attention to the views of patients. The aim of this presentation is to profile a study that explored examples of empathic/compassionate encounters with healthcare professionals from the perspective of patients and their significant others.
Methods: A survey was distributed via social media inviting potential participants to submit narratives describing encounters with healthcare professionals that they believed exemplified empathic/compassionate care or the antithesis of this. The results were analysed using framework analysis.
Results: A total of 85 participants from Europe, America, and the Pacific described their encounters with nurses, doctors, allied healthcare professionals and multidisciplinary teams. Four themes were identified: (1) Verbal and non-verbal communication conveys empathy and compassion, (2) Clinician attitudes and attributes are powerful in empathic and compassionate communication, (3) Small acts of kindness convey empathy and compassion, and (4) Empathic and compassionate care has an immediate and long-lasting impact on healthcare consumers’ experiences and outcomes.
Conclusion: Given the positive impact of empathy/compassion on people’s physical and psychosocial wellbeing, the results from this study are valuable and shed new light on patients’ views and experiences. The results also provide a deeper understanding of healthcare provider behaviours that exemplify empathic and compassionate healthcare interactions and can be used to inform the education of healthcare providers from all disciplines.

Biography

Tracy Levett-Jones is a Distinguished Professor at the University of Technology Sydney. She is a world-leading nursing researcher who leads the Planetary Health for Nursing & Midwifery Education & Research Collaborative and the Empathy Initiative research group. Tracy has been ranked as one of the world’s top 1% of nursing scientists by Stanford University. Her program of research includes planetary health, empathy, patient safety and clinical reasoning. Tracy has written 12 books and over 250 journal publications. She has been the recipient of multiple awards and over seven million dollars of research funding. She has also designed a number of educational websites including the Virtual Empathy Museum and The Patient Safety for Nursing Students website.
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Mr Paul Mcliesh
Program Director
University of Adelaide

Nursing documentation requirements: recognising the unintended consequences

Abstract

Aim: To determine whether the complexity of current nursing documentation requirements have created unintended consequences that negatively affect patient care. The knowledge provided by this research can be used to better govern nursing documentation requirements and to ensure nursing students' are equipped to conduct genuine patient assessment rather than using assessment tools to screen their patients’ needs.
Methods: An institutional ethnography was conducted to determine how the requirements that determine documentation practices were developed. The first phase, sought to identify whether nurses perceived that the existing documentation requirements negatively affected their delivery of care. Secondly, map the social construct of the institution they worked for in order to determine how and who directs that practice. This was established through a series of interviews, direct observations and mapping of all relevant documents and policies related to patient assessment documentation.
Results: Current documentation requirements have become burdensome, time consuming and interfere with the efficiency of nurses to delivery care. The complexity of requirements and the inability to tailor practice to meet individual patient needs frustrated nurses. The standardised nature of these requirements has resulted in a disproportionate emphasis on documentation compliance, reducing nursing to a task-based screening approach.
Conclusion: Documentation requirements have been poorly coordinated in recent history, resulting in a complex and time-consuming documentation processes. The impact of the existing documentation requirements and the time that nurses spend documenting care is poorly recognised and measured. There is an absence of effective mechanisms to utilise nurses’ feedback to refine the documentation requirements and a disproportionate focus on document compliance rather than assessing the effectiveness of care. It is important to understand the impact of current documentation requirements in order to develop more efficient requirements and improve the efficiency of care delivery. Nurse educators can use this knowledge to help student nurses develop critical thinking skills early in their careers and ensure that they are skilled in conducting genuine assessment of their patient needs.

Biography

Paul trained and worked as an orthopaedic nurse for 23 years at the Royal Adelaide Hospital. He moved to the University of Adelaide in 2010 and is now a program director in the Adelaide Nursing School. He is an education specialist through the Adelaide Education Academy and a PhD candidate focusing on the impact of patient assessment documentation requirements on nursing care.
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Dr Colleen Ryan
Industry Liaison Educator
Central Queensland University

Advancing nursing clinical learning through a national quality improvement project

Abstract

Aim: Health professional students must successfully complete clinical placements in order to graduate. Student experiences of learning during these placements is not always ideal¹; lack of quality/constructive feedback, inadequate supervision and lack of preparation for the placement hinder learning². It is essential that the quality of clinical learning during the placement is evaluated. An Australian/world first innovation, The National Placement Evaluation Centre, commenced formally evaluating student placements in 2022 for national benchmarking.
Methods: A multi-method multi-phase project. The first phase saw development and psychometric testing of Placement Evaluation Tools (PET) for nursing and midwifery students and for clinical supervisors³. Phase 2 featured development and testing of the NPEC website and education management system to house and report on PET data. Phase 3 was a national trial of the centre and the PET.
Results: By December 2023 more than 16000 student nurses and midwives have contributed evaluations of their clinical learning experience, 36 education providers offering a Bachelor of Nursing and 19 offering Midwifery courses are active members. NPEC members have produced peer reviewed publications about the centre, the PET and associated topics informing quality of nursing clinical learning in Australia.
Conclusion: The work is ongoing. Future plans for NPEC will offer Australia’s first nationally consistent approach to evaluating the quality of healthcare student clinical placements. This presentation includes 2023 outcomes and reports new knowledge and contemporary considerations for innovating healthcare students’ clinical learning education, policy and curricula.
References
1. Luders, E., et al., 2020. Nursing degree students’ clinical placement experiences in Australia: A survey design. NEP, 54, 103112.
2.Cant, R., et al., 2021. What helps, what hinders? Undergraduate nursing students’ perceptions of clinical placements based on a thematic synthesis of literature.Open Nursing, 7:1-20.
3. Cooper, S. et al., 2020. Measuring the quality of nursing clinical placements and the development of the Placement Evaluation Tool (PET) in a mixed methods co-design project. BMC Nursing,19, 101.

Biography

Dr Colleen Ryan is a Senior Lecturer and Head of Professional Practice in the School of Nursing, Midwifery and Social Sciences at CQUniversity. She has degrees in nursing and education and teaching awards for her work in simulation. Her teaching and early career research is focused on professional development for clinical teachers working in classroom and clinical settings. Professor Simon Cooper is a health professional who has worked in ICU and emergency care in the UK and Australia. He is an experienced senior manager, with a PhD in Leadership studies and 40 years’ work in the clinical and academic fields. He has led innovative educational and research programs across the world in the field of advanced practice development, patient safety, emergency care, leadership, teamwork, education and clinical simulation.
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Assoc Prof Jo McDonall
Director of Undergraduate Studies
Deakin University

Innovating through strategic workforce partnerships

Abstract

Aims/Background: The School of Nursing and Midwifery's proactive engagement with healthcare providers, and industry stakeholders exemplifies a forward-thinking approach to addressing the evolving needs of the healthcare sector. This innovative partnership model enables access to a wide variety of health care environments and clinical learning experiences for students. The aim of this presentation is to outline results from students’ experiences, and capacity building in the health workforce.
Methods: Across 2023, we used the National Placement Evaluation Centre (NPEC) survey to assess students' experiences of PEP. Complementing the NPEC feedback, the National Student Experience Survey, one of the Quality Indicators for Learning and Teaching (QILT) surveys and graduate destination data was used to determine graduate employability across our partnerships.
Results: The results from NPEC substantiate the success of our Partnerships in delivering enriching experiences for students. QILT results indicate a graduate employability rate of 94.1%, surpassing the national average of 89.6%. This success is notably attributed to the representation of the School’s Partnership network in shaping an education that aligns with industry needs.
Conclusion: The School of Nursing and Midwifery plays a pivotal role in cultivating a future-ready healthcare workforce, adept at navigating the complexities of a rapidly transforming healthcare landscape.
Keywords: Partnerships, workforce, student experiences

Biography

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Dr Susan Hunter
Director of Clinical Studies
Deakin University

Co-presenter

Biography

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Prof Nikki Phillips
Head, School of Nursing and Midwifery
Deakin University

Co-presenter

Biography


Chairperson

Frank Donnelly
Dean and Head of School
The University of Adelaide

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