The aim of this study is to describe the experience of caregivers of individuals who have had a p... more The aim of this study is to describe the experience of caregivers of individuals who have had a percutaneous coronary intervention (PCI). Background. Decreased lengths of hospital stay and an increased emphasis on chronic disease self-management increase the importance of carers in assisting in recovery and lifestyle modification. Design. Cross-sectional dual-moderated focus group design. Method. Three focus groups using a dual facilitation approach were held in the cardiac rehabilitation setting of a tertiary referral hospital in metropolitan Sydney. All sessions were audio recorded, transcribed and thematically analysed. Results. Four themes emerged from the data: (1) a gendered approach to health, illness and caring; (2) shock, disbelief and the process of adjustment following PCI; (3) challenges and changes of the carer-patient relationship and (4) the needs of the carer for support and information. Issues emerging from this study parallel other findings describing the experience, yet provide new insights into the issues surrounding PCI. Conclusion. These findings highlight the need for including carers in care planning and decision-making and providing them with support and resources. Relevance to clinical practice. • Emphasises the importance of preparing carers of the likely experience following a PCI. • Demonstrates the degree to which vigilance, deferment of carer-health needs and role conflict impact on the carer's personal relationship. • Demonstrates the need for formal support interventions for carers of patients who have had PCI.
The aim of this paper is to present a set of nursing clinical practice guidelines for individuals... more The aim of this paper is to present a set of nursing clinical practice guidelines for individuals undergoing percutaneous coronary interventions (PCIs) together with a summary of the evidence to support these recommendations. Background: Percutaneous coronary intervention is a common procedure requiring expert nursing care delivered within an interdisciplinary team. Although evidencebased medical practice guidelines exist, they include minimal information to guide nursing-specific care.
1. Aust Nurs J. 2008 Jul;16(1):33-4. Diabetes and heart disease. Rolley J, Salamonson Y, Davidson... more 1. Aust Nurs J. 2008 Jul;16(1):33-4. Diabetes and heart disease. Rolley J, Salamonson Y, Davidson P. Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Curtin University of Technology, Australia. PMID: 18985830 [PubMed - indexed for MEDLINE] ...
Although there is high-level evidence to guide optimal medical care for percutaneous coronary int... more Although there is high-level evidence to guide optimal medical care for percutaneous coronary interventions, there are less explicit guidelines to support nurses in providing care. This study describes the practice standards and priorities of care of cardiovascular nurses in Australia and New Zealand. Item generation for the survey was informed by an integrative literature review and existing clinical guidelines. A 116-item Web-based survey was administered to cardiovascular nurses, via electronic mail lists of professional cardiovascular nursing organizations, using a secure online data collection system. Data were collected from March 2008 to March 2009. A total of 148 respondents attempted the survey, with 110 (74.3%) completing all items. All respondents were registered nurses with an average of 12.3 (SD, 7.61) years of clinical experience in the cardiovascular setting. A range of practice patterns was evident in ambulation time after percutaneous coronary intervention, methods of sheath removal, pain relief, and patient positioning. Respondents consistently rated psychosocial care a lower priority than other tasks and also identified a knowledge deficit in this area. This survey identified diversity of practice patterns and a range of educational needs. Increasing evidence to support evidence-based practice and guideline development is necessary to promote high-quality care and improved patient outcomes.
After an acute cardiac event, adhering to recommendations for pharmacologic therapy is important ... more After an acute cardiac event, adhering to recommendations for pharmacologic therapy is important in achieving optimal health outcomes. Considering the impressive evidence base for cardiovascular pharmacotherapy, strategies for promoting adherence are less well developed. Furthermore, accessing reliable, valid, and cost-effective mechanisms of monitoring adherence in the research and clinical settings is challenging. The aim of this article was to review published self-report measures assessing and monitoring medication adherence in cardiovascular disease and provide recommendations for research into medication adherence. The electronic databases CINAHL, Medline, and Science Direct were searched using the key search terms medication adherence and/or compliance, cardiovascular, self-report measures, and questionnaires. The World Wide Web was searched using the Google and Google Scholar search engines, and reference lists of retrieved documents were reviewed. The search strategy was verified by a health librarian. Instruments were included if they specifically addressed medication adherence as a discrete construct rather than a disease-specific or a generic health status measurement. Despite of the problems with medication adherence identified in the literature, only 7 instruments met the search criteria. There was limited use of instruments across studies and settings to enable comparison across populations and extensive psychometric evaluation. Medication adherence is a complex, multifaceted construct dependent on a range of physical, social, economic, and psychological considerations. In spite of the importance of adherence in ensuring optimal cardiovascular outcomes, conceptual underpinnings and methods of assessing medication adherence require further discussion and debate.
The healthcare workplace can be a stress-laden environment for new graduates and job performance ... more The healthcare workplace can be a stress-laden environment for new graduates and job performance indicators are an important sign of developing confidence and expertise that will lead to improved patient outcomes. What is not evident from nursing studies is whether new graduate nurse competencies relate to the frequency of their use. This study sought to determine the relationship between perceived nursing competence and self-assessed frequency of use by new graduate nurses. Three cohorts (n = 116) of new graduate nurses undertaking year-long transition to graduate practice programs responded to a questionnaire that utilised the 2001 ANCI competencies and the Nurse Competency Scale and a Visual Analogue scale to self assess their perceived competence and the relative frequency of use for specific competence items. Results indicate that a relationship exists between perceived competence and frequency of use and that research competency scores are substantially lower than all other categories of competency. Implications for education and practice indicate that assessment of nurse competency for the new graduate nurse should focus on the development of generic nursing competencies rather than current expectation of advanced and workplace specific nurse competencies.
Abstract This study assessed organisational readiness and factors to drive clinical practice impr... more Abstract This study assessed organisational readiness and factors to drive clinical practice improvement for VAP, CRBSI and PU in a Malaysian intensive care unit (ICU). A mixed method study approach was undertaken in a 16-bed ICU in regional Malaysia using an environmental scan, key informant interviews, staff surveys, and patient audit to elucidate factors contributing to planning for clinical practice improvement. Measurements of sustainability of practice and regard for the practice environment were assessed using ...
… and Disability: Principles for Nursing Care, Jan 1, 2008
'Spirituality'is a word laden with myst... more 'Spirituality'is a word laden with mystery that is a source of both comfort and uncertainty. It can not be touched or tasted, defies attempts at 'pinning it down', as in a laboratory, yet it flows out to connect every part of life. This ambiguity in understanding spirituality has led many to use metaphors: pictures to aid understanding. However, this only aids the inquirer so far. It is, after all, a mystery and you, the reader, are invited to contemplate. For nurses, it is contemplation vital to the health and wellbeing of those for whom they facilitate care. To ...
The aim of this study is to describe the experience of caregivers of individuals who have had a p... more The aim of this study is to describe the experience of caregivers of individuals who have had a percutaneous coronary intervention (PCI). Background. Decreased lengths of hospital stay and an increased emphasis on chronic disease self-management increase the importance of carers in assisting in recovery and lifestyle modification. Design. Cross-sectional dual-moderated focus group design. Method. Three focus groups using a dual facilitation approach were held in the cardiac rehabilitation setting of a tertiary referral hospital in metropolitan Sydney. All sessions were audio recorded, transcribed and thematically analysed. Results. Four themes emerged from the data: (1) a gendered approach to health, illness and caring; (2) shock, disbelief and the process of adjustment following PCI; (3) challenges and changes of the carer-patient relationship and (4) the needs of the carer for support and information. Issues emerging from this study parallel other findings describing the experience, yet provide new insights into the issues surrounding PCI. Conclusion. These findings highlight the need for including carers in care planning and decision-making and providing them with support and resources. Relevance to clinical practice. • Emphasises the importance of preparing carers of the likely experience following a PCI. • Demonstrates the degree to which vigilance, deferment of carer-health needs and role conflict impact on the carer's personal relationship. • Demonstrates the need for formal support interventions for carers of patients who have had PCI.
The aim of this paper is to present a set of nursing clinical practice guidelines for individuals... more The aim of this paper is to present a set of nursing clinical practice guidelines for individuals undergoing percutaneous coronary interventions (PCIs) together with a summary of the evidence to support these recommendations. Background: Percutaneous coronary intervention is a common procedure requiring expert nursing care delivered within an interdisciplinary team. Although evidencebased medical practice guidelines exist, they include minimal information to guide nursing-specific care.
1. Aust Nurs J. 2008 Jul;16(1):33-4. Diabetes and heart disease. Rolley J, Salamonson Y, Davidson... more 1. Aust Nurs J. 2008 Jul;16(1):33-4. Diabetes and heart disease. Rolley J, Salamonson Y, Davidson P. Centre for Cardiovascular and Chronic Care, School of Nursing and Midwifery, Curtin University of Technology, Australia. PMID: 18985830 [PubMed - indexed for MEDLINE] ...
Although there is high-level evidence to guide optimal medical care for percutaneous coronary int... more Although there is high-level evidence to guide optimal medical care for percutaneous coronary interventions, there are less explicit guidelines to support nurses in providing care. This study describes the practice standards and priorities of care of cardiovascular nurses in Australia and New Zealand. Item generation for the survey was informed by an integrative literature review and existing clinical guidelines. A 116-item Web-based survey was administered to cardiovascular nurses, via electronic mail lists of professional cardiovascular nursing organizations, using a secure online data collection system. Data were collected from March 2008 to March 2009. A total of 148 respondents attempted the survey, with 110 (74.3%) completing all items. All respondents were registered nurses with an average of 12.3 (SD, 7.61) years of clinical experience in the cardiovascular setting. A range of practice patterns was evident in ambulation time after percutaneous coronary intervention, methods of sheath removal, pain relief, and patient positioning. Respondents consistently rated psychosocial care a lower priority than other tasks and also identified a knowledge deficit in this area. This survey identified diversity of practice patterns and a range of educational needs. Increasing evidence to support evidence-based practice and guideline development is necessary to promote high-quality care and improved patient outcomes.
After an acute cardiac event, adhering to recommendations for pharmacologic therapy is important ... more After an acute cardiac event, adhering to recommendations for pharmacologic therapy is important in achieving optimal health outcomes. Considering the impressive evidence base for cardiovascular pharmacotherapy, strategies for promoting adherence are less well developed. Furthermore, accessing reliable, valid, and cost-effective mechanisms of monitoring adherence in the research and clinical settings is challenging. The aim of this article was to review published self-report measures assessing and monitoring medication adherence in cardiovascular disease and provide recommendations for research into medication adherence. The electronic databases CINAHL, Medline, and Science Direct were searched using the key search terms medication adherence and/or compliance, cardiovascular, self-report measures, and questionnaires. The World Wide Web was searched using the Google and Google Scholar search engines, and reference lists of retrieved documents were reviewed. The search strategy was verified by a health librarian. Instruments were included if they specifically addressed medication adherence as a discrete construct rather than a disease-specific or a generic health status measurement. Despite of the problems with medication adherence identified in the literature, only 7 instruments met the search criteria. There was limited use of instruments across studies and settings to enable comparison across populations and extensive psychometric evaluation. Medication adherence is a complex, multifaceted construct dependent on a range of physical, social, economic, and psychological considerations. In spite of the importance of adherence in ensuring optimal cardiovascular outcomes, conceptual underpinnings and methods of assessing medication adherence require further discussion and debate.
The healthcare workplace can be a stress-laden environment for new graduates and job performance ... more The healthcare workplace can be a stress-laden environment for new graduates and job performance indicators are an important sign of developing confidence and expertise that will lead to improved patient outcomes. What is not evident from nursing studies is whether new graduate nurse competencies relate to the frequency of their use. This study sought to determine the relationship between perceived nursing competence and self-assessed frequency of use by new graduate nurses. Three cohorts (n = 116) of new graduate nurses undertaking year-long transition to graduate practice programs responded to a questionnaire that utilised the 2001 ANCI competencies and the Nurse Competency Scale and a Visual Analogue scale to self assess their perceived competence and the relative frequency of use for specific competence items. Results indicate that a relationship exists between perceived competence and frequency of use and that research competency scores are substantially lower than all other categories of competency. Implications for education and practice indicate that assessment of nurse competency for the new graduate nurse should focus on the development of generic nursing competencies rather than current expectation of advanced and workplace specific nurse competencies.
Abstract This study assessed organisational readiness and factors to drive clinical practice impr... more Abstract This study assessed organisational readiness and factors to drive clinical practice improvement for VAP, CRBSI and PU in a Malaysian intensive care unit (ICU). A mixed method study approach was undertaken in a 16-bed ICU in regional Malaysia using an environmental scan, key informant interviews, staff surveys, and patient audit to elucidate factors contributing to planning for clinical practice improvement. Measurements of sustainability of practice and regard for the practice environment were assessed using ...
… and Disability: Principles for Nursing Care, Jan 1, 2008
'Spirituality'is a word laden with myst... more 'Spirituality'is a word laden with mystery that is a source of both comfort and uncertainty. It can not be touched or tasted, defies attempts at 'pinning it down', as in a laboratory, yet it flows out to connect every part of life. This ambiguity in understanding spirituality has led many to use metaphors: pictures to aid understanding. However, this only aids the inquirer so far. It is, after all, a mystery and you, the reader, are invited to contemplate. For nurses, it is contemplation vital to the health and wellbeing of those for whom they facilitate care. To ...
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Papers by John Rolley