National Nursing Forum 2023 - Program

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Welcome from the ACN President

Welcome to the 2023 National Nursing Forum. While it is always a pleasure to come together with colleagues for ACN’s signature annual leadership and educational event, the National Nursing Forum, it is more of a pleasure this year as we can meet in person while also offering a virtual experience.

In 2023, the National Nursing Forum theme is Reflect, Replenish, Renew – A world of opportunities. This theme provides us with an opportunity to explore the pivotal role nurses play in policy development, implementation, and reform in order to ensure systems meet the demands of a changing health environment and that they are sustainable for the coming generations.

The Forum brings together Fellows, Members, nurses, students, industry leaders, and distinguished guests, and provides us with a unique setting in which to engage with colleagues from all over the country. At the frontline of care delivery and as advocates for our patients and residents, the nursing voice should and must be heard in policy discussions now and into the future. Over the course of this three-day event, oral and poster presentations will examine how we can be a powerful force for system change through four different lenses: Extraordinary, Possibilities, Sustainability, and Visionary.

As always, the Forum provides a platform for the Australian nursing community to connect and network

with peers, share our professional expertise, discuss changes to clinical practice, and examine how we can collectively drive policy and practice changes within the health and aged care systems. Our program features a number of keynote speakers and concurrent sessions delivered by nurses with expertise across the nursing, health, and aged care industries who will use their experiences to address key issues, challenges, and priorities facing our workforce

Once again, we will be running our very popular Speed Leaders session, where delegates can meet several influential nursing leaders who have a wealth of professional experience and expertise to share. I encourage you all to embrace these opportunities to network, grow and learn from each other and meet people you may not have met otherwise!

Thank you for joining us in Adelaide for the National Nursing Forum this year. Together, let’s explore how we can maximise our influence and strengthen our voice in pursuit of a more integrated, contemporary, and sustainable healthcare system. Considering the leadership the nursing profession has shown through natural disasters and the pandemic, now is the time to exercise our power as leaders in health and aged care policy reform.

Emeritus Professor Christine Duffield PhD (UNSW), MHP (UNSW), BScN (UWO), DNE (Armidale), RN, FACN, FAICD, FACHSM

Welcome from the ACN CEO

Welcome to the 2023 National Nursing Forum! The Australian College of Nursing (ACN) is proud to be able to bring the profession together during a time of incredible challenges for us all. The COVID-19 pandemic has seen us have to find new ways of working, whether it be on the frontlines directly supporting patients, residents, and the community, helping to support changes in the operations of facilities and communities, or advocating for policy changes to support Australia through this testing time.

ACN is proud to raise the status and profile of nursing through this year’s theme, Reflect, Replenish Renew – A world of opportunities. The days ahead will bring together stories of how we continue to be advocates for our profession and the people we serve, no matter what roles we hold.

ACN believes that nurses have a discernible voice in affecting positive and meaningful change in health care and social impact by influencing policy directions at every level. I am sure you will gain invaluable insights through many sessions and discussions over the next few days that will inspire you to continue to be an effective nurse leader and advocate for consumers, as well as our profession.

For many years throughout my nursing career, a highlight was attending and, on many occasions, presenting at our

national conference because I had a successful abstract submission. I loved getting away to places in Australia I might never have travelled to, as well as reconnecting with other nurses I would often see annually. The energy and connection with peers who became friends filled my heart and inspired me to give my all for the year ahead, to keep developing myself and the teams I led, and to deliver excellence in health care. I still hold those memories as some of the fondest of my career. My hope for each of you is that you learn much, be filled with inspiration, and most importantly, feel the joy of connecting with your tribe.

For those who have attended the ACN NNF previously, welcome back! And for those joining us for the first time, welcome! There is no substitute for human connection, especially when hundreds of talented, motivated, and committed nurses, nursing students, and retired nurses get together to celebrate and share our profession.

For those I know, I look forward to connecting again. And for those I haven’t met before, please don’t be a stranger, come and say hello to me.

Warmest regards,

Adjunct Professor Kylie Ward FACN ACN Chief Executive Officer

General information

VENUE

Adelaide Convention Centre

North Terrace, Adelaide, South Australia 5000

GETTING THERE

Parking

If you are driving to the Centre there are two undercover car parking options. The North Terrace and Riverbank carparks. The Riverbank car park is accessible from Morphett Street / Festival Drive.

Both car parks are located directly under the Centre and operate 24 hours a day, 7 days a week. Each is fitted with video surveillance camera systems and security patrols both areas. Clearance is 2 metres and automated payment stations accept payment via card only (major credit cards, debit cards and mobile pay). Please note that their car parks can reach capacity early in the day during busy events.

• 0-1 hour $7.50

• 1-2 hours $12.00

• 2-3 hours $16.00

• 3-4 hours $18.00

• Early bird* $17.00

*Early Bird rate available 7 days for entry between 5:30am – 9:30am and exit between 2:30pm – 6:30pm. An additional $1.00 will be charged for each additional hour to a maximum of $30.50 over a 24-hour period. Rates subject to change without notice.

The Adelaide Convention Centre provides a range of accessibility options and facilities. All car parks and buildings are wheelchair accessible.

Public Transport

For airport transfers and public transport travel information, click here

SOCIAL MEDIA – #NNF2023

Join the NNF conversation using #NNF2023 and follow:

Facebook: @acnursing

Twitter: @acn_tweet

Instagram: @acn_nursing

LinkedIn: australian-college-of-nursing

YouTube: Australian College of Nursing

SOCIAL EVENTS

ACN Club Lounge

Date: Tuesday 8 August

Time: 5:00pm - 7:00pm

Venue: Foyer F & G Adelaide Convention Centre

Networking Reception

Date: Wednesday 9 August

Time: 5:00pm - 6:00pm

Venue: Exhibition Halls

Gala Dinner

Date: Thursday 10 August

Time: 6.30pm - 11:00pm

Venue: Adelaide Convention Centre

Dress Code

Forum: smart casual

Networking Reception: smart casual

Gala Dinner: cocktail attire

CATERING AND DIETARY REQUIREMENTS

Morning teas, lunches and afternoon teas will be served in the exhibition area. If you have pre-arranged special dietary requirements, please visit the ‘special dietary requirements table’ in the exhibition area, and a member of staff will be able to assist.

PHOTOGRAPHY AND FILMING

For promotional purposes, a professional photographer and/or videographer may be present during the event. Attendees who do not wish to be filmed or recorded should advise the photographer/videographer on-site and remove themselves from the camera view.

MOBILE PHONES AND DEVICES

Attendees are asked to switch their mobile phones and other devices to silent when in sessions.

REGISTRATION

Registration will open Tuesday 8 August from 5pm. Get in early to avoid Wednesday morning crowds.

REGISTRATION DESK HOURS

Tuesday 8 August: 5:00pm - 7:00pm

Wednesday 9 August: 8:00am - 5:00pm

Thursday 10 August: 8:00am - 5:00pm

Friday 11 August: 8:00am - 5:00pm

Upon arrival, please make your way to the registration desk to collect your name badge.

NAME BADGES

Name badges must be worn at all times during the Forum and will be required for access to the exhibition and all Forum sessions.

POSTERS

Poster presentations and judging sessions will be held on Thursday 10 August, from 8:00am to 8:45am in the exhibition area.

CPD HOURS

CPD hours are awarded to professional development activities that are organised by ACN or have been endorsed or accredited by ACN. One point equates to 60 minutes of education.

Forum Delegates will receive the following:

Attendance date Session CPD hours

Wednesday 9 August Forum day one 7

Thursday 10 August Forum day two7

Friday 11 AugustForum day three6

CERTIFICATE OF ATTENDANCE

Following the Forum, delegates will be emailed a Certificate of Attendance detailing their CPD hours and a link to provide feedback on their Forum experience.

DISCLAIMER

ACN reserves the right to make alterations to the program where necessary and without notice, either before or during the event. Please note, this program is correct at the time of publishing.

VENUE MAP

Please access the map here

Exhibitor listing

For more information visit www.adelaidecc.com.au

Keynote speakers

WEDNESDAY (LIST BY PRESENTATION ORDER)

KAREN COOK FACN

Master of Ceremonies

Karen has been a registered nurse for 40 years. Her nursing career has been everything a nursing career should be. Equal parts rewarding, frustrating and exciting. She has worked in a variety of settings and roles here and in the UK. Prior to her retirement she was Senior Nursing and Midwifery Adviser in the Office of the Chief Nursing and Midwifery Officer in the Australian Government Department of Health. She has held positions as Nursing Adviser at Health Workforce Australia and Chief Executive Officer of the Australian Nursing and Midwifery Council.

Given that she is not really the retiring type she is back at work as a member of the Nursing Taskforce in the Australian Government Department of Health working on development of the National Nursing Workforce Strategy and the Nurse Practitioner 10 year plan. Work that is equal parts rewarding, frustrating and exciting!

In her spare time Karen is a marriage celebrant, event MC and proud grandmother.

Emeritus Professor Christine Duffield PhD (UNSW), MHP (UNSW), BScN (UWO), DNE (Armidale), RN, FACN, FAICD, FACHSM

President, Australian College of Nursing

Christine Duffield is an internationally renowned and passionate nurse who has worked across direct care, consultancy, academia, research and in leadership roles to spearhead the advancement of the nursing profession in Canada, New Zealand, the UK, and Australia for over 40 years. She is a Professor of Nursing and Health Services Management at Edith Cowan University, Perth; Emeritus Professor University of Technology Sydney and President/ Chair Australian College of Nursing.

Having published over 200 research papers, Christine was named in Mendeley’s Top 100,000 Cited Researchers of the World in 2020. Christine is also the Associate Editor for the International Journal of Nursing Studies, the most highly ranked international nursing journal.

Christine led the development of the first five industry funded Chairs of Nursing in Australia and has been instrumental in establishing key institutions including the Centre for Graduate Nursing Studies (1989) and the Centre for Health Services Management (1999).

Christine has held numerous senior University roles on Academic and Graduate Students Committees and has made a significant impact to the nursing profession by attracting over $14M in research funding as Chief Investigator, supervised 30+ research students and examined 30+ research theses.

Christine is an experienced Board Director who has established and chaired Clinical Governance Committees for two aged care Boards.

As the President/Chair of the Australian College of Nursing (ACN), she has led the review of the ACN Constitution, governance policies and procedures and assisted in moving to a skills-based Board.

A skilled leader, Christine has been a member of State and Commonwealth Committees including Health Workforce Australia; Grants Committee Rosemary Bryant Centre; NHMRC and ARC expert review panels; Australian Commission on Safety and Quality Advisory Committee –Recognising and Responding to Clinical Deterioration and has represented Australia on panels for the International Council of Nurses.

CHRIS PICTON MP Minister for Health and Wellbeing, South Australia

Chris is passionate about improving health care outcomes for all South Australians, and delivering improved services and opportunities for people in his southern suburbs electorate.

Chris has previously served as Minister for Police, Correctional Services, Emergency Services and Road Safety, Assistant Minister to the Treasurer and Convenor of SA Labor’s Policy Platform Committee.

Before election to Parliament he served as Adviser and Chief of Staff to the federal former Health Minister and Attorney-General, Nicola Roxon, as Chief of Staff to former SA Health Minister John Hill and as an Associate Director at Deloitte Access Economics. His areas of policy work included tobacco plain packaging and national public hospital funding reforms.

He was educated at public schools in Adelaide and graduated from Flinders University with a Bachelor of Laws and Legal Practice and a Bachelor of Arts.

Chris is the lucky husband to Connie and proud dad of two young kids. When has free time he enjoys walking his dog on the beach, taking his kids to the playground, volunteer surf life saving at Moana and barracking for the Crows.

WING COMMANDER (RET’D) SHARON BOWN AM, RN, FACN

Non-Executive Director, Australian War Memorial

Sharon Bown is a Returned Service Nurse, having served in the Royal Australian Air Force as a Nursing Officer for over 16 years, retiring at the rank of Wing Commander in 2015. Her operational deployments include Timor-Leste in 2000 and 2004; Afghanistan in 2008 as Officer-in-Charge of the Australian Medical Task Force in Tarin Kowt, Afghanistan; and on various aeromedical evacuation tasks, including Bali, following the terrorist bombings in 2005.

With a Bachelor of Nursing and a Bachelor of Psychological Science and having cared for Australian Defence Force personnel and their families in Australia and overseas, Sharon is a passionate advocate within the field of military and veteran’s health. She demonstrates a unique insight into the welfare and health care needs of those adversely affected by trauma and promotes a health care approach which promotes post-traumatic growth.

Sharon also draws upon her own personal experience of surviving a helicopter crash whilst serving as an aero-medical evacuation nurse in Timor-Leste in 2004. An event which left her with enduring physical and psychological injuries, and which forced her into the lived experience of an Australian healthcare consumer.

Sharon is the award-winning author of One Woman's War and Peace: a nurse's journey in the Royal Australian Air Force; a Member of the Council of the Australian War Memorial, an Ambassador for Phoenix Australia, Centre for Posttraumatic Mental Health; Ambassador for the Air Force Association; and a Fellow of the Australian College of Nursing.

Keynote speakers

WEDNESDAY (list by presentation order)

NANCY ARNOLD FACN Director of Nursing, Tasmanian Department of Health

In September 2022 Nance joined the New Norfolk District Hospital as Director of Nursing and has held previous leadership roles in Community, Emergency and Aged care nursing. She is passionate in promoting nursing leadership and ensuring the future of nursing is bright and believes that nurses need to be well supported, empowered, and provided with the skills and knowledge to follow their chosen nursing career pathway.

Nance has a long history with the Australian College of Nursing as a member and is the Chair of the Tasmanian Regional Team. In 2019 Nance was humbled to achieve a Fellowship with the ACN and proudly supports the ACN in all of their initiatives.

ASSOCIATE PROFESSOR SAM LAPKIN MACN

Course Coordinator, Southern Cross University

Associate Professor Sam Lapkin is a dedicated and accomplished nurse, researcher, and academic who currently holds a position at Southern Cross University. He is the Course Coordinator for the Master of Nursing (Graduate Entry) programme. Sam's passion for nursing education and research is evident in his extensive contributions to the field.

Sam has been an active member of the Australian College of Nursing (ACN) since 2014, where he actively engages in professional development and collaboration. Recognising his expertise, Sam has been serving as an ACN Career Coach since 2018, mentoring and guiding aspiring nurses in their career paths.

Before joining Southern Cross University, Sam held a Senior Lecturer position at the University of Wollongong's School of Nursing, where he made important contributions to teaching and research. He has also held various academic and research positions, including a role as Postdoctoral Research Fellow at the Centre for Research in Nursing and Health, a Lecturer at the University of Technology Sydney, and a Lecturer at CQUniversity.

His scholarly impact is further reflected in his h-index of 25, indicating the wide reach and influence of his research. With 74 publications to his name, including 72 research articles and two book chapters, Sam's work has been widely disseminated and recognised within the academic community. Throughout his career, Sam has received support for his research endeavours from numerous internal and external sources.

KYLA PIZZINO Business Development Manager, HESTA

Kyla Pizzino is the Business Development Manager for South Australia at HESTA.

With over a decade of experience in financial services, Kyla is passionate about connecting with industry and businesses to improve the retirement outcomes for superannuation members. With a strong focus on the social good that can be delivered through financial literacy she enjoys making a difference in people’s lives both now and in the future.

She holds a Diploma in Finance and mortgage broking management and her experience spans over Sales and Marketing, personal financial and superannuation advice and for the most part of her career she has been dedicated to forming and nurturing business to business strategic partnerships.

Kyla’s decision to join HESTA in 2021 was influenced by her aligned values to HESTA’s purpose to invest in and for people who make our world better.

ASSOCIATE PROFESSOR DENISE HEINJUS FACN 2023

Orator

Denise trained as a general nurse at Albury Base Hospital and as a midwife at Preston and Northcote Community Hospital in Melbourne. She has a Graduate Certificate in Law and Management and a Masters (Honours) in Health Science Management.

Denise has a background in rural and regional health, managing community based services in The Greater Murray Area Health Service for many years.

Previous nurse leadership roles include Area Director of Nursing and Midwifery, Northern Sydney Central Coast Health Service; Area Director of Nursing and Midwifery, Illawarra Health Service; and Executive Director Nursing and Midwifery at Monash Health prior to her appointment to the Royal Melbourne Hospital as the Executive Director of Nursing Services, Allied Health and Residential Aged Care in July 2007.

Denise has a strong interest in building clinical and operational leadership capability and facilitating a healthy workplace culture for all staff to thrive in their careers. Through her executive roles, she has a long history in both NSW and Victoria in emergency management preparedness and responsiveness. She was the RMH Emergency Commander following the Bourke Street attack in Jan 2017 and more recently has had been responsible for leading RMH in planning and responding to COVID-19.

Keynote speakers

THURSDAY (list by presentation order)

ASSOCIATE PROFESSOR NAOMI

DOBROFF FACN

Chief Nursing and Midwifery Information Officer, Monash Health

A/Prof Naomi Dobroff is Chief Nursing and Midwifery Information Officer and General Manager of the EMR and Informatics Program at Monash Health. Naomi has a master’s degree in Public Health and is an Adjunct Associate Professor at Deakin University. She is also a Fellow with the Australian College of Nursing and Chair of the Nurse Informatics & Digital Health Faculty. Naomi has an extensive nursing career and has held many senior leadership roles within Victorian public health services.

Lesley is a retired registered nurse and midwife who worked as a midwife in various Sydney Hospitals with experience in management, education and clinical areas. She is currently an honorary archivist helping to preserve the history of nursing at the Australian College of Nursing (ACN). She is also the chair of the College’s History Faculty and immediate past chair of the Independent Scholars Association of Australia (ISAA). Lesley is also a member of the Randwick and Eastern Suburbs Soroptimists.

Lesley has an eclectic academic background with a Bachelor in Theology, Masters in English Literature and a PhD in Nursing/Midwifery History. Her current research interests focus on the history of nursing, midwifery and the health care sector particularly of the colonial period. Lesley has authored and co-authored a number of publications and is the editor of the book, No Longer Silent: Voices of 21st century Nurses published by the ACN.

DR. LESLEY POTTER FACN Chair, ACN History Faculty

As a dedicated registered nurse with a specialization in theatre nursing, she witnessed firsthand the alarming amount of clean medical supplies being wasted in hospitals. Determined to make a positive change, Claire founded SOS to collect and repurpose these supplies, redirecting them to communities in need around the world. Her passion for sustainability, coupled with her expertise in healthcare, has led SOS to save over a million dollars of clean medical waste every year and support those who lack access to essential medical care.

CLAIRE LANE MACN Health Minister’s Award for Nursing Trailblazers – 2022 Winner

Keynote speakers

FRIDAY (list by presentation order)

SENATOR THE HON. ANNE RUSTON

Shadow Minister for Health and Aged Care

Senator the Hon Anne Ruston has been a Senator since September 2012. She is currently the Shadow Minister for Health and Aged Care, Shadow Minister for Sport and Manager of Opposition Business in the Senate.

In July 2014, Anne was elected Senior Deputy Government Whip in the Senate and Chair of the Senate Environment and Communications Legislation Committee. She was also an active participant in the Rural and Regional Affairs and Transport Committee.

Senator Ruston was appointed Assistant Minister of Agriculture and Water Resources in September 2015. She was subsequently appointed as Assistant Minister for International Development and the Pacific in August 2018. Prior to the 2022 election, Senator Ruston was a Cabinet Minister, holding the positions of Minister for Families and Social Services, Minister for Women’s Safety and Manager of Government Business in the Senate for three years.

Prior to becoming a Senator, Anne held several senior positions in government and the private sector, including as the inaugural chief executive of the National Wine Centre. She was also a primary producer and irrigator, owning and operating the largest commercial rose garden in Australia.

Born and raised in Renmark, on the River Murray in South Australia, Anne continues to have a strong connection with the Riverland community. She is passionate about regional South Australia and is the only SA Senator who maintains a regional electorate office.

DAVID STEWART

Deputy Chief Nurse, Nursing and Health Policy, ICN Adjunct Professor, Queensland University of Technology Certified Global Nurse Consultant, PhD Candidate, MHM, BNRN David is a highly accomplished, passionate, and strategically focused health professional and leader offering nearly three decades of experience within the healthcare sector at the global level and across Australia. Focused on providing advice, guidance and leadership on the development and execution of strategies, policies, frameworks, and management systems. Plays a pivotal role in improving health care accessibility, services, and patient outcomes by enabling key stakeholders to embrace change, drive reform and integrate innovation. Recognised as a values-based, collaborative leader, who is able to empower teams, influence decisions, secure buy-in and achieve mutual yet favourable outcomes.

David has been with ICN since 2016 and throughout this time has led sentinel pieces of work that have led to the transformation of healthcare and nursing. He has accomplished this through engaging with nursing and other health professional thought leaders across the world.

David is currently a PhD candidate undertaking studies at the University of Technology Sydney, WHO Collaborative Centre. His research focus is on factors influencing global health policy. David has a Masters of Health Management from the Queensland University of Technology and a Bachelor’s Degree in Nursing.

Prior to working for the International Council of Nurses, David held various executive and high-level leadership positions in Queensland Health. This included working as a Director of Nursing in the Office of the Chief Nursing and Midwifery Office; Director of Central Integrated Cancer Service; Director of Data Integrity and Patient Safety; and Nursing Director of Cancer Services. This has given David a broad depth of experience in health service delivery, policy and regulatory environments, and project management. This experience level is reflected on requests to serve on boards across health and social sectors. As such David has strategic vision for budgeting, governance, and regulatory reporting requirements.

ADJUNCT PROFESSOR SHELLEY

NOWLAN, RN BN MHM G.DIPPM GCERT. PA FACN, GAICD

Deputy National Rural Health Commissioner – Nursing and Midwifery

Adjunct Professor Shelley Nowlan is Chief Nursing and Midwifery Officer, Queensland Health; and

• Adjunct Professor – School of Nursing and Midwifery, University of Queensland

• Adjunct Professor – School of Nursing, Faculty of Health, Queensland University of Technology

• Adjunct Professor – School of Nursing and Midwifery, University of Southern Queensland

• Adjunct Professor – School of Medicine, Griffith University.

Adjunct Professor Nowlan is also an ICN Global Nursing Leadership Institute Alumni and attended the WHO assembly as an Alumni delegate in 2021. She is Chair of the Australia and New Zealand Council of Chief Nursing and Midwifery Officers.

A RN with more than 34 years’ experience, Adjunct Professor Nowlan holds a long-standing interest in the health outcomes of rural and remote Australians. She has worked for decades to ensure nurses and midwives are supported to meet the needs of people living in rural, remote and regional Australia. As Deputy Rural Health Commissioner, Adjunct Professor Nowlan plays a key role in the Federal Government’s agenda to increase access to rural health services and address rural workforce shortages.

DR LOUISE MAHLER Life Coach / Consultant

A rare breed as one of the world’s leading keynote speakers, Dr. Louise Mahler has been voted in the top experts in both Body Language and Communication globally. She is a certified Adjunct Professor.

Obsessed with creating exceptional human connection, Louise helps leaders and teams to elevate their body language, voice and divulges the algorithms of engagement in high-stakes engagement.

While her tools and techniques are useful, practical and highly relevant, she is best known on-stage and in the media for her in-the-moment, deeply insightful analysis and hilarious impersonations of world leaders. Her skills in translating and articulating how leaders communicate creates a powerful world-class, incredibly engaging and interactive experience that delegates often say is “lifechanging”.

Louise is a highly sought-after media figure and commentator. From analysing politicians during the federal election such as Scott Morrison and Anthony Albanese to the royals such as Prince Harry and Meghan, her recent analysis of the Johnny Depp and Amber Herd trial attracted over 2 million views on YouTube. She is regularly interviewed on Sunrise, The Today Show, SBS, the ABC, and radio stations across Australia.

Louise also makes regular appearances on highly ranked prime-time TV with Hughesy We Have a Problem. Quoted in USA and British media, she is a weekly contributor to digital and print news throughout Australia. She recorded 36 videos for the Australian Financial Review and was chosen by IBM as a key creative source worldwide. She is the host of her own podcast POP: Perspectives on Performance featuring stories, tools and techniques of all performing arts and their applicability to leadership.

ACN Board - Q&A Panel Discussion

PANELLISTS

Emeritus Professor Christine Duffield PhD (UNSW), MHP (UNSW), BScN (UWO), DNE (Armidale), RN, FACN, FAICD, FACHSM President, Australian College of Nursing

Christine Duffield is an internationally renowned and passionate nurse who has worked tirelessly across direct care, consultancy, academia, research and in leadership roles to spearhead the advancement of the nursing profession in Canada, New Zealand, the UK, and Australia for over 40 years. She is an Emeritus Professor of Nursing and Health Services Management at Edith Cowan University, Perth; Emeritus Professor University of Technology Sydney and President/Chair of the Australian College of Nursing.

Having published over 200 research papers, Christine was named in Mendeley’s Top 100,000 Cited Researchers of the World in 2020. Christine is also the Associate Editor for the International Journal of Nursing Studies, the most highly ranked international nursing journal.

ADJUNCT PROFESSOR DAVID PLUNKETT

FACN, GDIPBA, MBA, MAICD

Chief Executive, Eastern Health Melbourne

David Plunkett FACN GAICD, MBA, RN is Chief

Executive Eastern Health Melbourne Victoria, where he operationalises the strategic plan, quality and financial plan for the current and future financial years of the health service. David has been an Executive for Eastern Health in Melbourne for a number of years where he provided professional leadership to the nurses and midwives within Eastern Health. He has a deep understanding of the need to manage and mitigate risk, scope, assess and implement improvements to performance – on any aspect of health service performance.

PANELLISTS

CARMEN MORGAN FACN, BNURS, GDIPIH, MHSM, MAICD Director of Nursing, Broome Hospital

Carmen has 30 plus years’ experience as a nurse. Much of her clinical career has spanned rural, regional and remote health in Western Australia. For the last 13 years she has taken on progressively more senior nursing leadership roles and is now the Director of Nursing of the Broome Hospital in WA and Regional Nurse Director for the acute care, primary health care, mental health, aged care and public health practice areas. Carmen was elected to the board in 2013 for a two year term and reelected in 2015 for a further four years until 2019.

PROFESSOR GEORGINA WILLETTS FACN, BHSC(NURS), GDIP(ADVNURS), MED, EDD, CMGR, FIML

Head of Discipline & Course Director in Nursing, Swinburne University

Professor Georgina Willetts has over 30 years nursing experience and more than a decade of experience in leading nursing and midwifery reform within the healthcare industry, moving to academia in 2011. She has completed two educational programs at Harvard Macy institute in Boston USA and continues to be a visiting faculty there, she received her doctorate of education in 2014 and was awarded the University wide Monash Teacher Accelerator Program honours in 2015.

Georgina is currently Head of Discipline & Course Director in Nursing within the Department of Health Professions at Swinburne University, where she established a new discipline of nursing and contemporary nursing curriculum using innovative teaching strategies. Her clinical interests are medical/surgical nursing, models of care, interprofessional practice/education and professional identity. Her research interests include translational research into the areas of healthcare education, health care workforce, and the performance of professional identity in practice.

Georgina has been an active member of ACN and the Royal College of Nursing for more than 15 years, she is involved in the ACN Policy Chapters and the Emerging Nurse Leader program. Georgina is a Fellow of ACN.

ACN Board - Q&A Panel Discussion

PANELLISTS

ADJUNCT PROFESSOR CHRIS RAFTERY FACN, RN, NP, BNUR, MEMERGN, MBA(HSM), MNSC(NP), PHD(C)

Deputy Chair, Queensland Clinical Senate

Adjunct Professor Chris Raftery FACN is a well-respected published and endorsed nurse practitioner, as well as distinguished and dynamic nursing leader who has been part of the profession for over 2 decades. He is Deputy Chair of the Queensland Clinical Senate and a strong advocate for nursing in Queensland and nationally, maximising the full potential of our profession in our current and future health system. As the former national president of the Australian College of Nurse Practitioners, Adjunct Professor Raftery, having broad clinical and systems leadership experience and credibility across the sector, is a leading identity with the development and growth of advanced practice nursing and the role of the nurse practitioner at the local, state and national levels, informing healthcare policy, strategy, reform and regulation. He also influences capacity building across the system in partnership with key stakeholders, to deliver nursing solutions for state and national health priorities. With additional strengths in innovation, technology and health economics, his contribution and strategic influence in shaping and advancing the nursing profession nationally, continues to maximise our individual and collective opportunities now and into the future.

HEATHER KEIGHLEY FACN, MIHM, AFACHSM, CHM

Chair of ACN's Rural Nursing and Midwifery Faculty

Heather is a respected and professionally connected nurse leader within the NT and nationally with expertise in health workforce, clinical governance, and leadership. She is a strong advocate for rural and remote nursing and midwifery, health workforce, and primary healthcare. Current chair of the Rural Nursing and Midwifery Faculty for the Australian College of Nursing and Board Director for the National Rural Health Alliance.

Her nursing experience is extensive within NT rural and remote settings, from ED and ICU in Alice Springs and Director of Nursing in Tennant Creek, to the Top-End remote communities of Ramingining and Gunbalanya in Arnhem Land. Heather has worked in clinical roles in women’s health and midwifery care, public health management and Director of Nursing for Primary Health Care. As the Chief Nursing and Midwifery Officer from 2016-2018 Heather coordinated the NTG review of remote nurse safety and led the implementation of the review recommendations to keep remote Territory nurses safe at work.

PANELLISTS

PROFESSOR DONNA WATERS FACN, BA, MPH, PHD

Deputy Executive Dean, Faculty of Medicine and Health, University of Sydney

Donna is currently Deputy Executive Dean (Projects) for the Faculty of Medicine and Health at the University of Sydney. This Faculty consists of seven cognate Schools of Health, including the Susan Wakil School of Nursing and Midwifery (formerly the Faculty of Nursing and Midwifery). Previously, Donna was Dean of the Faculty of Nursing and Midwifery (2014 – 2020), following six years as the Associate Dean (Research).

Her career has included clinical research roles at The Children’s Hospital, Westmead (Sydney), Director of an independent nursing and health services research organisation and Manager of Research and Projects at the former NSW College of Nursing. Donna’s first academic role (Clinical Chair) was with the University of Technology Sydney as Associate Professor of Nursing for the NSW Justice Health service.

Leadership, management and research are three areas in which Donna has excelled throughout her career. She has successfully conducted health services research projects under competitive grant and consultancy arrangements and continues to grow health research capability through teaching, student supervision and contributions to peer reviewed literature and professional texts.

Donna is passionate about the health of children and youth and has recently completed a ten-year term as a Board Member of the Sydney Children’s Hospital Network where she also served as Chair of the Network Safety and Quality Committee. In 2021, Donna completed a one-year program in Safety, Quality, Informatics and Leadership through Harvard Medical School and continues to pursue an active interest in lifelong learning, research-led practice, person-centred approaches to health and implementation science.

ROSS LEWIN BCOM, CA, F FIN

Founder/Managing Director, Brenowen Cross Capital Ross M Lewin B.Com CA F.FIN is a Chartered Accountant who has over 35 years of experience in investment banking and corporate advice. He is the Founder/ Managing Director of independent investment firm, Brenowen Cross Capital.

Ross gained his experience in large financial services organisations (ABN Amro, ANZ Bank), as well as boutique advisory and specialist restructuring firms. In his current and previous roles, Ross has provided insightful strategic recommendations and conducted mandates in capital raising, mergers and acquisitions, divestment, shareholder and bank negotiations.

TUESDAY 8 AUGUST 2023 Program

5:00pm ACN Club Lounge

Program

WEDNESDAY 9 AUGUST 2023

8:45am Welcome to Country

9:00am Welcome and Introduction Karen Cook FACN, Master of Ceremonies

9:10am Welcome Emeritus Professor Christine Duffield PhD (UNSW), MHP (UNSW), BScN (UWO), DNE (Armidale), RN, FACN, FAICD, FACHSM, President, Australian College of Nursing

9:15am Ministerial Address: Chris Picton MP, Minister for Health and Wellbeing, South Australia

9:35am Australian College of Nursing – Video Presentation: Lieutenant Colonel Vivian Bullwinkel

9:40am Keynote Speaker: Sharon Bown FACN, Non-Executive Director, Australian War Memorial

10:00am Keynote Speakers: Nancy Arnold FACN and Associate Professor Sam Lapkin MACN – ACN South Africa Study Tour 2022

10:20am Corporate Partner Address HESTA

10:30am Morning tea with exhibitors (Day 1)

11:30am

CONCURRENT SESSION ONE

ReflectionCreating a new paediatric heart transplant service overnight

Presenter: Charlene Casey

11:50am 4100 in 8 days

Presenter: Angela Ramsey MACN

A river is made out of raindrops

Presenter: Danielle Causer MACN

The Heart of Caring: How We Are Cultivating Compassionate Leaders

Presenters: Sally Peters, Suzanne Murray

ICU clinicians’ perspectives on Voluntary Assisted Dying in Queensland

Presenter: Prof Melissa Bloomer FACN

Ready, set, go! Fostering nursing informatics integration into our curricula

Presenter: Dr Alexis Harerimana MACN

Everyone’s business: Preparing nurses for interprofessional practice in child protection

Presenter: Dr Lauren Lines MACN

Nursing Leadership has never been more vital

Presenters: Dr Bernadette Eather MACN, Rachel Gale, Hannah Chilton

The cumulative impacts of the COVID-19 pandemic on Victorian Nurses

Presenter: Prof Leanne Boyd FACN

Are standardised assessment requirements impeding genuine and effective patient assessment?

Presenter: Paul Mcliesh

12:10pm

Nurse-led service improves children’s vascular access outcomes whilst upskilling doctors

Presenter: Catherine Miller

12:30pm

Shared Model of Care a Rural Hospital’s Experience

Presenters: Nancy Arnold FACN, Tammy Harvey, Dr Lester Pepingco

1:00pm Lunch

Reimaging reflective practise: Using digital storytelling for undergraduate nursing students

Presenters: Dr Caroline Browne MACN, Helen Dugmore

Please move to another session

Nursing Action Towards the Sustainable Development Goals: Barriers and Opportunities

Presenter: Lorraine Fields

Co-production of a more homogenous Nursing ‘assistant’ workforce

Presenter: Adj A/Prof Tony McGillion MACN, Alana Hrehoresen MACN

Reflect, replenish, and renew thinking about Napping on Night Duty

Presenter: Dr Paula Foran MACN

A Collective Critical Thinking Intervention to Reduce Falls Alarms Use

Presenters: Maureen Mullen FACN, Edmore Chisango

The role of the enrolled nurse: A journey to recognition

Presenters: Rebecca Leon FACN, A/Prof Samual Lapkin MACN

Behaviour of Concern Management in An Adult Intensive Care Setting

Presenter: Sam Miller MACN

2:00pm Speed Leaders Session SPONSORED BY 4:00pm Afternoon tea with exhibitors (Day 1)

4:30pm Oration, Investiture & Award Ceremony

Introduction of 2023 Orator Associate Professor Denise Heinjus FACN

5:30pm Networking Drinks Reception

THURSDAY 10 AUGUST 2023 Program

7:00am National Nursing Workforce Strategy Breakfast

8:00am Poster Presentations and Voting SPONSORED BY

9:00am Welcome Back (Day 2) Karen Cook FACN, Master of Ceremonies

9:10am Keynote Speaker: Associate Professor Naomi Dobroff FACN, Chief Nursing and Midwifery Information Officer, Monash Health

9:30am ACN Address: Dr. Lesley Potter FACN, Chair, ACN History Faculty

9:50am Keynote Speaker: Claire Lane MACN, Health Ministers Trailblazer - Award Winner 2022

10:30am Morning tea with exhibitors (Day 2)

11:00am CONCURRENT SESSION TWO

Extraordinary Stream 2 Possibilities (or Reimaged) Stream 2

11:00am The nurses’ experience in hotel quarantine during the Covid-19

Pandemic

Presenter: Dr Diana Jefferies MACN

11:20am

Inclusive

CommunicationImproving Health for people with Down syndrome

Presenters: Natalie Graham, Naomi Lake

11:40am South Australia

Inpatient

Diabetes Survey 2022: assessing diabetes inpatient care

Presenter: Dr Rebecca Munt MACN

12:00pm Student experienced barriers to learning on placement during Covid- 19

Presenter: Sam Miller MACN

A retrospective chart review of vital signs in hospitalized children

Presenter: Connor Hawken

Nurse practitioner led mobile paediatric assessment clinic for interprofessional education

Presenter: Alicia Bell

Please move to another session

Reflecting on global nursing practice ariations: an international case study

Presenters: Dr Caroline Browne MACN, Elizabeth Tollenaere FACN

We were the acceptable casualty of the pandemicRecognising shared trauma

Presenter: Tatiana Zecher MACN

Nurses working in Rural Urgent Care: A learning needs analysis

Presenter: Tracy Kidd MACN

The Three C’s Cafe - Check in Connect Chat

Presenter: Dr Wendy McIntosh MACN

Networked and interconnected clinical trials system using Australasian Teletrial Model

Presenter: Katrina Brosnan

A place for nurses to discover, learn and grow

Presenters: Adj.Prof Kate Gillan FACN, Claire Sime, Scott Bulger

eFluids Mop Up - embedding e-culture and connecting humans

Presenter: Tat Garwood MACN

A conflicted tribe under pressure

Presenter: Tash Hawkins MACN

Shaping the future practice of aged care delivery

Presenters: Dr Melanie Murray MACN, Prof Jennifer Weller-Newton, Jo Schlieff

Please move to another session

Sustaining the Rural Urgent Care Nursing Workforce with placement opportunities

Presenter: Kate Hancock

Disrupting discipline specific educational siloes – Health and Innovation

Precincts

Presenter: Alison Jeffers

Sustainable Standards for a Future of Safe Practice

Presenters: Casey Ip, Petrina Halloran, Kelda Gilmore, Leah Bradley

12:20pm Lunch

1:30pm

CONCURRENT SESSION THREE Extraordinary Stream 3 Possibilities (or Reimaged) Stream 3

MH-CORE: Pioneering a new approach to prehospital mental health care

Presenters: Eva Gill-Minero MACN, Kathryn Beharrie

1:50pm Re-entering the nursing workforce: a review of the NMBA approach

Virtual care: a renewed strategy for paediatric acute ambulatory services

Presenters: Emily Chapman, Stefanie Rienmueller

Building a Trauma-Informed Workforce: A quasiexperimental study of experienced nurses

Presenter: Clarissa Torcasio

Infection prevention and control: Supporting nursing students at point-of-care

Presenters: Dr Gift Mutsonziwa, Rona Pillay

Redeployment Reimagined –Co-Designing a Solution for Critical Care Nurses

Presenter: Louise White

Can nurse-led care effectively reduce HbA1c in patients with diabetes

Clinical Supervision

Framework for ACT Nurses and Midwives: strong foundations

Navigating moral discomfort of paediatric ward nurses providing colorectal care

Presenter: Duncan Baulch

Changing Educational paradigms to provide multidisciplinary comprehensive person-centred care

Presenters: Dr Therese Riley, Chris Sargeant, Karlee Mueller, Beatrice Kidenya

Serious Games: Breaking down silos to build

Interprofessional Teams

Presenter: Bernadette Thomson MACN

Healthcare quality and safety for inpatient children with intellectual disability

Presenter: Dr Laurel Mimmo MACN

Presenter: Danielle Holloway

Presenter: Sue Harvey

Presenters: Jessica Taranto MACN, Suzie Jackson-Fleurus 2:10pm

Improve Ethnic Female Minority Representation In Healthcare Leadership

Presenter: Aishwarya Gummadavelly MACN

Bending the Rules: Integrating EMR/PAS in Mental Health Care

Presenter: Dr Michael Leocadio MACN

Reinvigorating Enrolled Nurse study days, increasing engagement and clinical understanding

Presenter: Georgia Sze-Tho MACN 2:30pm

Expanding scope of practice in nurse led primary care clinics

Presenter: Jon Howes

Novel model of care delivery for patients with atrial fibrillation

Presenter: Prof Jeroen Hendriks MACN

Please move to another session

Stepping stones to clinician research for Nurses

Presenters: Katherine McBrearty MACN, Jade Murphy, Virginia Walker

Efficacy and Safety of Acupuncture and Moxibustion for Primary Dysmenorrhea

Presenter: PhDc Weiting Liu 2:50pm Afternoon tea with exhibitors (Day 2)

3:20pm Faculty Session: ACN Military Nursing Faculty

Presenters: LCDR Anthony Russell FACN, GPCAPT Kathryn Stein FACN, LTCOL Kylie Hasse MACN and MAJ Bree Looker MACN

Location: E1

Faculty Session: ACN Global Nursing Faculty

Presenters: Ms Elizabeth Tollenaere FACN, Dr. Caroline Browne MACN and Dr Ylona Chun Tie MACN

Location: E2

Faculty Session: ACN Next Generation Faculty

Presenters: Lucy Osborn FACN, Aya Torbey MACN, Andrea Jansen Van Rensburg MACN, Caitlyn Moore MACN and Liam Jackson MACN

Location: E3

FRIDAY 11 AUGUST 2023

8:45am Welcome Back (Day 3) Karen Cook FACN, Master of Ceremonies

8:55am Ministerial Address: Senator the Hon. Anne Ruston, Shadow Minister for Health and Aged Care

9:05am Keynote Speaker: David Stewart, Deputy Chief Nursing Officer, Nursing and Health Policy, International Council of Nurses

9:25am Keynote Speaker: Associate Professor Shelley Nowlan FACN, Chief Nursing and Midwifery Officer, Deputy National Rural Health Commissioner

9:45am Morning tea with exhibitors (Day 3)

10:30am

CONCURRENT SESSION FOUR

Extraordinary Stream 4

Location: E1

10:30am

Identifying influences on nursing behaviours in infection prevention and control

Presenters: Dr Paul Glew MACN, Dr Gift Mutsonziwa

10:50am Rethinking what we do to provide sustainable healthcare

Presenter: Sarah Webb MACN (Associate)

11:10am

Replenishing the Academic Workforce

Presenter: Dr Dianne Stratton-Maher MACN

11:30am Back to the bedside: Using MedApp to save Nursing time

Presenters: Daniel Graham MACN, Karen Tuquiri

Possibilities (or Reimaged) Stream 4

Location: E2

The symbiosis between nursing and artificial intelligence: Systematic Umbrella Review

Presenters: A/Prof Samuel Lapkin MACN, Tawanda Kujenga, Lucy Shinners

Translating Paediatric Nursing Practice To Virtual Healthcare

Presenter: Joanne Henderson

Couldn’t have done it without them; RN/RUSON work experiences

Presenter: Katherine McBrearty MACN

Reimagining Abortion Care

Presenters: Kerinda Burton, Linda Kirby

11:50am Lunch with exhibitors (Day 3)

12:50pm ACN Board - Q&A Panel Discussion

Sustainability Stream 4

Location: E3

Perspectives of familycentred care at the endof-life during COVID-19

Presenter: Prof Melissa Bloomer FACN

Visionary Stream 4

Location: GILBERT SUITE

Nightingale Covid Care Centre: A visionary approach to field hospitals

Presenter: Corey Sclater MACN

A Structured Approach to Performance Management

Presenter: Marli Millas MACN

Facilitated Supervision for NUMs ‘A Space to Call our Own’

Presenters: Natalie Maier, Inge Vuuregge

The Transition of Nigerian-educated Nurses to the Australian Healthcare System

Presenter: Adeniyi Adeleye MACN

Improving patient experience on Victorian public elective surgery waiting lists

Presenter: Elizabeth Walkley

The Evolution of the Professional Identity of the Military Nurse

Presenters: MAJ Madeleine Secco, MAJ Emma Kadziolka

Implementation of a nurse led directly observed Tuberculosis treatment program

Presenter: Hiu Kwan Wong

2:30pm Afternoon tea with exhibitors (Day 3)

3:00pm Closing Keynote Speaker: Dr. Louise Mahler, Life Coach

3:45pm Announcement of 2023 Poster Winners, Prizes, and Closing Remarks: Adjunct Professor Kylie Ward FACN, Chief Executive Officer, Australian College of Nursing

4:25pm National Nursing Forum 2024, Location Announcement

4:30pm Farewell Drinks

With thanks to the 2023 Speed Leaders

FACILITATED BY ADJ PROF KYLIE WARD FACN

Chief Executive Officer, Australian College Of Nursing

ADJ PROF ALANNA GEARY FACN

Chair of ACN National Nursing Executive Faculty

CATRIONA BOOKER FACN

Chair of ACN Leadership Faculty

LCDR ANTHONY RUSSELL FACN

Chair of ACN Military Nursing Faculty

ELIZABETH TOLLENAERE FACN

Chair of ACN Global Nursing Faculty

BELYNDA ABBOTT FACN

ACN State Chair - Queensland ACN Region Chair - Brisbane

JAIPREET KAUR MACN

ACN State Chair - South Australia

CATHERINE FRAME MACN

ACN Region Chair - Darling Downs, Queensland

DR LESLEY POTTER FACN

Chair of ACN History Faculty

LISA-MAREE PATTERSON MACN

ACN Region Chair - Central and Far West NSW

LUCY OSBORN FACN

Chair of ACN Next Generation Faculty

PATRICE MURRAY MACN

ACN Territory ChairAustralian Capital Territory

ADJ ASSOC PROF NAOMI DOBROFF FACN

Chair of ACN Chief Nursing Informatics Officers Faculty

Chair of ACN Nursing Informatics and Digital Health Faculty

NANCY ARNOLD FACN

ACN State ChairTasmania

NICOLE NORMAN MACN

ACN Territory ChairNorthern Territory

PROFESSOR PATSY YATES AM FACN

Chair of ACN End of Life Care Faculty

SUBJECT TO CHANGE

ROBYN QUINN FACN

ACN State Chair - New South Wales ACN Region Chair - Sydney Chair of ACN Chronic Disease Faculty

SHAUNA WILSON MACN

Chair of ACN Enrolled Nurses Faculty

ADJ PROF TONY MCGILLION MACN

ACN State Chair - Victoria ACN Region ChairMelbourne

With thanks to the 2023 abstract review committee

NANCY ARNOLD FACN

Director of Nursing

Tasmanian Department of Health

DR BEVERLEY BIRD FACN

Lecturer

James Cook University

DR ELIZABETH EMMANUEL FACN

Senior Nurse Lecturer

Southern Cross University

ADJ ASSOC PROF SARAS HENDERSON FACN

Retired

SUE HUGHES FACN

Nurse Immuniser

Tasmanian Department of Health

ELIZABETH HUTCHINGS FACN

Senior Medical Writer

WriteSource Medical

ASSOC PROF JASON MILLS FACN

Associate Professor

University of South Australia

CAROL MIRCO FACN

Registered Nurse

WA Country Health Services

AMANDA NICIAK FACN

Advisory consultant - Curriculum Design

TAFE Queensland

DR DALE PUGH FACN

Director Safety, Quality & Performance Health Investigations Plus

DR MICHAEL ROCHE FACN

Professor of Mental Health Nursing

University of Canberra

KATHRYN STEIN FACN

Director of Defence Force Nursing

Australian Defence Force

DR PETER TARATARA M ACN

Clinical Nurse Manager

WA Country Health Services

PROF DONNA WATERS FACN

Deputy Executive Dean, Faculty of Medicine and Health

The University of Sydney

PROF KATE WHITE FACN

Professor of Cancer Nursing

The University of Sydney

DISTINGUISHED PROF PATSY YATES AM FACN

Executive Dean of Faculty of Health & Director of Centre of Healthcare Transformation

Queensland University of Technology

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

EXTRAORDINARY (01)

Room: East 1 11:30am - 12:50pm

NURSING REFLECTION- CREATING A NEW PAEDIATRIC HEART TRANSPLANT SERVICE OVERNIGHT

MS CHARLENE CASEY1

1Sydney Children’s Hospital Network, Westmead, Australia

Introduction: Australia has one nationally funded centre for Paediatric heart transplants (PHTx) in Victoria. Children undergoing this surgery have to relocate for months whilst bridging to transplant. Clinical urgency, coupled with pandemic state border closures, necessitated the first PHTx in New South Wales (NSW). This service was created almost overnight.

Main Body: The first patient transplanted was an adolescent, in Paediatric Intensive Care Unit (PICU), supported by Extracorporeal Membrane Oxygenation. The patient had suffered cardiac arrests secondary to Hypertrophic Cardiomyopathy. Their only chance for survival: a Heart Transplant. Too unstable to travel, the parents agreed to the surgery being performed in NSW, supported by an experienced adult transplant team.

Transplantation is rarely just a story about the surgical procedure: for success the patient requires a robust multidisciplinary team (MDT) of; nurses, pharmacists, medics, psychologists etc. The commencement of the NSW PHTx programme required the singular Clinical Nurse Consultant (CNC) assigned to this portfolio to act as support, educator and service developer for all relevant clinical teams, hospital executive, and the patient’s family.

The CNC led service development including; documentation and policies, practical logistics, staff and patient education, and collaborating with other clinical teams locally and interstate. Clinically, the CNC provided direct patient care and out of hours on call cover; assisting the PICU and medical teams prior to and after the surgery, whilst simultaneously continuing care for other patients in their clinical portfolio.

Limited support was available from the wider CNC team, as many staff were redeployed to other areas during the pandemic, resulting in extra workload for the team overall.

Conclusion: Commencing a new service is time and resource consuming, specifically with limited experience and expertise across the team. Recommendations for future practice include creation of a wide and supportive MDT, whilst collaborating with other teams and specialities.

4100 IN 8 DAYS

MS ANGELA RAMSEY1

1Nsw Refugee Health Service, LiverpoolC Australia

The NSW Refugee Health Service (RHS) is a nurse led team that focuses on primary health care, health promotion and advocacy. It is time to reflect on one of Australia’s largest airlift evacuations. Australia evacuated around 4,100 people on 32 flights from Kabul between 18 and 26 August 2021. The nursing team at NSW RHS were deployed all over Sydney in August 2021 – mass vaccination hubs, COVID assessment calls and contract tracing. The borders had been shut for more than a year and there was only a trickle of humanitarian visas welcomed into Australia. The city of Kabul fell to the Taliban on the 15th August. Sydney was the destination for thousands of people arriving with nothing. Some not even a form of ID let alone a spare pair of undies or a nappy for their newborn baby. The nurses at NSW RHS were called back to their work, which they eagerly missed. We were facing an acute influx on highly vulnerable, deeply distressed and acutely traumatised people in the height of a lockdown and COVID wave. We had to reimage our normal face to face assessment and become more dynamic as we changed the shape of our model of care. The majority of our work was over the phone with interpreters and clients. Usually large, extended families with complex health needs and minimal privacy. The new arrivals were alone, needy and in a hypervigilant state. NSW RHS rallied around them, organising private fundraising and providing high risk, hotel visits where the new arrivals were temporarily located. When dropping off clothes, medicines, and baby items the nursing staff undertook opportunistic assessments of skin infections, malnourished children and pregnant women. This presentation will highlight the

Abstracts – concurrent sessions

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

EXTRAORDINARY (01)

Room: East 1 11:30am - 12:50pm

work of extraordinary nurses and the emphasise the need to reflect, replenish and renew.

NURSE-LED SERVICE IMPROVES CHILDREN’S VASCULAR ACCESS OUTCOMES WHILST UPSKILLING DOCTORS

MS CATHERINE MILLER1, 2

1South Australian Medical Imaging, Nailsworth, Australia, 2University of South Australia, Adelaide, Australia

A misnomer about nurses performing duties perceived as doctors’ domain is doctors will be deskilled. The nurseled FAAIRI (Fast Advice and Access for Intravenous Routes with Imaging) Service supports children and women with either difficult vascular access (DIVA) or central vascular access device (CVAD) needs. FAAIRI nurses have been upskilled to place difficult IVs using ultrasound-guidance (usually on the first attempt) and book/insert CVADs. Children with DIVA and their families are traumatised by multiple IV attempts and they have provided feedback that having US-guided IV insertions have vastly improved their experience. The FAAIRI Service was met with reticence by many doctors, who believed that paediatric TMOs (Trainee Medical Officers) would be deskilled by referring children with DIVA to the FAAIRI nurse. Catherine, who leads the FAAIRI Service, devised a training program ‘Planning for Successful IV insertion in children’, which she delivers to all paediatric TMO’s at commencement of WCH rotation. Assessment for DIVA, escalation pathways, vascular access (VA) choices and child-focused planning are embedded within this education. In addition, TMOs are able to contact the FAAIRI Service for bedside support if they wish to attempt IV insertion but are inexperienced in inserting IVs in children. Rather than nurses deskilling TMO’s, Catherine has been able to show through surveys that TMOs have increased their confidence and perceived competence in choosing the most appropriate VA device and inserting IVs in children. Early FAAIRI Service referrals have decreased unsuccessful IV insertions for

children, increasing vessel preservation and decreasing psychological trauma. Increasingly, children with longerterm IV access requirements are being referred for CVADs rather than having multiple IV cannulas during their treatment. The nurse-led FAAIRI Service has led to extraordinary improvement in the VA landscape across WCH, with much more collaboration between all modalities to provide best practice for each patient.

SHARED MODEL OF CARE A RURAL HOSPITAL’S EXPERIENCE

MS NANCY ARNOLD FACN1, MS TAMMY HARVEY1, DOCTOR LESTER PEPINGCO2

1Tasmanian Health Service -NNDH, New Norfolk, Australia, 2Derwent Valley Medical Practice, Richmond, Australia

Unpinned by the increased demands placed on the major hospitals there has been an emerging need for health care to be provided back in the communities in which people live and work. Over a period of time a partnership has been developed between the Derwent Valley Medical Centre (DVMC) and the Tasmanian Health Service which has resulted in a joint venture and unique Model of Care with patient care delivery at the forefront.

New Norfolk District Hospital (NNDH) is a 14-bed facility situated 35 kms from Hobart in the regional town of New Norfolk. The facility provides six (6) beds to DVMC General Practitioners (GPs) for direct admission of local patients. A further eight (8) beds provide subacute care for patients of the Royal Hobart Hospital (RHH) admitted under the short-term care of DVMC GPs with the support of a Nurse Practitioner (NP).

NNDH has a comprehensive nursing team and onsite NP that acts as a conduit between the RHH, the NNDH and the DVMC team. An Allied Health team is also based at NNDH to facilitate functional improvement and safe discharge. In this way the NNDH provides services to its local community, contributes to hospital avoidance for the RHH and supports the movement of patients within the RHH to the most appropriate care

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

EXTRAORDINARY (01)

Room: East 1 11:30am - 12:50pm

The NPs have helped to create opportunity for growth and development of both their role and the NNDH model of care with the support of the nursing team, a geriatrician and the GPs. The NPs have a broad scope of practice and provide the day-to-day clinical care of the patients. They are influencing change at multiple levels and continue to demonstrate vision and leadership toward future projects that address the key strategic objectives for RHH.

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

POSSIBILITIES (OR REIMAGED) (01)

Room: East 2 11:30am - 12:50pm

A RIVER IS MADE OUT OF RAINDROPS

MRS DANIELLE CAUSER MACN1

1CWHHS, Longreach, Australia

The theme for this National Forum is to Reflect, Replenish and Renew. How much do you really know about rural and remote nursing and midwifery leaders in Australia? How can you make a difference for rural and remote healthcare? This presentation takes you on a journey down the dirt track that is rural and remote nursing leadership. The pioneers, the untold stories of strength, resilience, innovation and compassion. To REPLENISH the landscape of rural and remote nursing workforce we must first REFLECT on the pioneers of the past; stronger together we become the power of many rain drops forming a river. In many meeting discussing health strategy and policy I thought where is the voice of the nurse and where is the voice of rural and remote nurse? In 2020 “A Nurse Out Where” podcast was born. Through conversation and sharing, A Nurse Out Where gives a voice to; explores and ultimately celebrates all that is unique in rural and remote nursing. This RENEWED promotion of rural and remote nursing hopes to spark interest in others to become ‘a nurse out where...’ The success of the podcast has seen it listed in the top 50 podcasts in Australia in the first 6 months of production. 96% of listeners are located in Australia, but it certainly has a global reach. In 2022 was listed in the top 10 Australian podcasts shared internationally. It has had anecdotal evidence of success in recruiting nurses into rural and remote areas. Sharing stories, knowledge and wisdom as well as tips and tricks to consider before working in rural and remote nursing, these are the modern pioneers and leaders in rural and remote nursing across Australia. Through innovation and ‘good old fashioned yarning’, we can harness and RENEW and ultimately change the topography of the lands.

Abstracts – concurrent sessions

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

POSSIBILITIES (OR REIMAGED) (01)

Room: East 2 11:30am - 12:50pm

ICU CLINICIANS’ PERSPECTIVES ON VOLUNTARY ASSISTED DYING IN QUEENSLAND

PROFESSOR MELISSA BLOOMER FACN1,2, PROFESSOR ANN BONNER1, DR JAYNE HEWITT3, MS KYLIE O’NEILL 2, MR ANDREW WHEATON2, EMERITUS PROFESSOR MARGARET O’CONNOR4,5

1Griffith University, Nathan, Australia, 2Princess Alexandra Hospital, Metro South Health, Woolloongabba, Australia, 3Griffith University, Gold Coast, Australia, 4Victorian Voluntary Assisted Dying Review Board, Australia, 5Monash University, Peninsula Campus, Australia

Introduction: Voluntary Assisted Dying (VAD) commenced in QLD in January 2023. Requests for VAD may occur in any setting, including an intensive care unit (ICU). Previous research has highlighted mixed views and support amongst hospital clinicians about VAD, but the views of ICU clinicians are not known.

Aim: To explore ICU clinicians’ (i) understanding of, and preparedness for VAD, and (ii) perspectives on caring for patients or family who may ask about VAD.

Methods: Qualitative descriptive design. Individual semi-structured interviews, prompted by a hypothetical scenario, were conducted between Nov-Dec 2022, with participants from three ICUs in Queensland. Data were analysed using inductive content analysis.

Results: Participants included registered nurses (n=20), physicians (n=2), and allied health (n=4). The notion that death was not the worst outcome was raised by several participants, and in response to the hypothetical scenario, participants described witnessing intense, often protracted patient suffering in the ICU. Whilst there was general support for VAD in terms of individual choice, few participants understood the legislative implications, what it meant for their scope of practice, or how VAD may be managed in the ICU. Concerns were raised about the appropriateness of the ICU environment and the allocation of finite resources. Others indicated they were not prepared to respond to questions about VAD from patients or family members, and questioned the

appropriateness of VAD when a patient’s decisionmaking capacity could be impacted. Others dismissed the possibility of VAD in the ICU, suggesting any patient requests would be referred to the palliative care team.

Conclusions: Despite frequent exposure to death and a common dedication to alleviating suffering, these findings emphasise a naivety in assuming VAD was irrelevant in ICU. Given questions or requests for VAD are likely, ICU clinicians must access education and address practise implications as a matter of priority.

REIMAGING REFLECTIVE PRACTISE: USING DIGITAL STORYTELLING FOR UNDERGRADUATE NURSING STUDENTS

DR CAROLINE BROWNE MACN1, MS HELEN DUGMORE1

1Murdoch University, Murdoch, Australia

Introduction: Developing reflective practise in undergraduate nursing students is an important outcome of any Bachelor of Nursing (BN) program. Integrating reflection helps students: understand their values and expectations; link theoretical knowledge to clinical practise; improves professional competence; and manages the stress and anxiety of transitioning to practise. Traditionally reflective thinking has been assessed through written reflections, with findings from previous research suggesting that written reflections completed by BN nursing students may demonstrate lower levels of reflection. Digital storytelling allows individual reflection through construction of stories from personal experience using images, sound and narration, and group reflection through story circles.

The aim of this project was to explore how BN nursing students use different methods to engage with reflective practise.

Intervention: Final semester nursing students completed two reflective practise exercises: a written reflection and a digital storytelling workshop. At the conclusion of the semester students completed on online survey and focus group to assess reflective thinking practises, and evaluate

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

POSSIBILITIES (OR REIMAGED) (01)

Room: East 2 11:30am - 12:50pm

the process of written reflection and digital storytelling.

Results: There was a response rate of 21% (n=65), with a split in preference between the two methods of reflection. Survey results suggest that a proportion of students were able to incorporate elements of critical reflection into their practise. Time was considered the biggest challenge for students using written reflection, whilst students commented on the emotional challenge of sharing their digital story.

Conclusion: This research project evaluated an innovative teaching strategy introduced into the BN curricula. The initial results suggest that offering alternate methods to develop reflective practise will allow more students to engage with the reflective process. Enhancing the integration of reflective practise will prepare final semester BN nursing students for the transition to professional practise.

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

SUSTAINABILITY (01)

Room: East 3 11:30am - 12:50pm

THE HEART OF CARING: HOW WE ARE CULTIVATING COMPASSIONATE LEADERS

MS SALLY PETERS1, MS SUZANNE MURRAY1

1South Eastern Sydney Local Health District, Caringbah, Australia

Multiple reports have identified the need for a caring and compassionate workforce that is focused on the delivery of person centred care. We know that where leaders model a commitment compassionate care, both patient and staff outcomes are significantly improved. The Heart of Caring Reflective Resource (Edition 1) captured nurses and midwives’ stories of ‘caring and compassion’. Thematic analysis of the stories saw the emergence of 4 major themes, ‘engaging as a team’, ‘effective workplace cultures’, ‘connecting human to human’ and ‘promoting self-care and wellbeing’; these became ‘The Heart of Caring Framework’ to lead person centred compassionate care. The framework underpins leadership development programs across South Eastern Sydney Local Health District including the Effective Leadership Program and Nursing and Midwifery Leadership Teams. Workshops explore each framework domain with the intention of strengthening leadership capabilities to influence the delivery of person centred compassionate care. Since 2016 over 140 participants have completed the ELP, using the framework and portfolios of evidence to demonstrate transfer of learning into practice. During 2018-2019 eight NMLT workshops have been facilitated, including 42 NMLT’s (173 leaders). Qualitative evaluation, including ‘Emotional Touch Points’ story themes include: ‘ improved role clarity’, ‘importance of resilience building and self-care’, ‘clearer leadership purpose’, ‘recognising leadership attributes’, ‘strengths and personality types’ and the ‘influence of creating effective workplace cultures’. ‘Our People’ (95 health care professionals & consumers) was published in 2019, sharing stories of caring and compassion, thematic analysis aligning with the 4 domains of the framework. Compassionate leadership can influence and inspiring a shared vision, it is a key deliverable to transform workplace culture towards being positive and inclusive. Leading person centred compassionate care is a whole of health care system approach which requires a focus on the experience of staff as well as patient and family to transform care delivery.

Abstracts – concurrent sessions

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

SUSTAINABILITY (01)

Room: East 3 11:30am - 12:50pm

READY, SET, GO! FOSTERING NURSING INFORMATICS INTEGRATION INTO OUR CURRICULA

DR ALEXIS HARERIMANA MACN1, DR KRISTIN WICKING, DR NARELLE BIEDERMANN, DR KAREN YATES

1James Cook University, Townsville, Australia

Background: The healthcare industry is rapidly evolving, and technology plays an essential role in that transformation. The presence of nursing informatics (NI) in undergraduate nursing curricula responds to the national and international demands for educating digitally competent nurses. Integrating NI into nursing curricula requires nursing schools to have a comprehensive approach to technology readiness to prepare nursing students effectively to work in the digitalised healthcare environment.

Aim: This presentation aims to explore factors enabling the integration of NI into undergraduate nursing curricula.

Methodology: A holistic multiple-case study approach guided this study. Four case study settings were selected, consisting of four universities offering undergraduate nursing programs in Australia and South Africa. Twentyone academic faculty members participated in this study. Data sources included interviews, document analysis, and field notes. Data were analysed using content analysis, and the QSR NVivo Software (Version 12) assisted in organising and managing data.

Findings: Data emerging from categorical aggregation revealed that the factors enabling the integration of NI included: socialisation to IT, NI champions, support and capacity building, a collaborative partnership between health and education institutions, a technology-driven curriculum, and enabling policies and guidelines.

Conclusion: Understanding and being prepared to use technology tools in nursing education and practice is imperative. Technology readiness responds to inequalities caused by digital health adoption and a requirement for NI inclusion into undergraduate nursing curricula.

NURSING ACTION TOWARDS THE SUSTAINABLE DEVELOPMENT GOALS: BARRIERS AND OPPORTUNITIES

MRS LORRAINE FIELDS1, PROFESSOR TRACEY MORONEY2, DOCTOR BONNIE DEAN1, DOCTOR STEPHANIE PERKISS1

1University Of Wollongong, Wollongong, Australia, 2Curtin University, Perth, Australia

Introduction: Today’s wicked problems have a devastating impact on health and healthcare. Climate change, gender inequality, poverty, hunger, communicable and non-communicable disease are some of the many concerns affecting people globally. The United Nations’ Sustainable Development Goals (SDGs) provide a framework of action to combat these global problems, with nurses identified as key players in achievement of the goals. It is important that the future nursing workforce be educated on the SDGs to equip them to solve present and future challenges. There was limited research exploring the education of nurses on the SDGs and the aim of this study was to determine the impact of including the goals in undergraduate curriculum for nursing graduates.

Methods: This research used a qualitative case study methodology. Graduate nurses who undertook education on the SDGs in an undergraduate Bachelor of Nursing program were interviewed to determine their action towards the goals in the clinical practice setting. The interviews were transcribed and thematically analysed.

Results: Despite being educated on the goals in their undergraduate nursing program there was limited evidence of graduates’ contributions to the SDGs, with the exception of SDG3 (Good Health and Well-being). Barriers to nurses impacting the goals included a lack of time and staffing restraints, hierarchical concerns and feeling powerless. Opportunities for maximising contributions to the goals in the future were also identified, including strengthening leadership, increasing the visibility of the SDGs in the clinical setting, and exploring sustainable resourcing and waste management.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

SUSTAINABILITY (01)

Room: East 3 11:30am - 12:50pm

Conclusion: Educating undergraduate nurses on the SDGs had limited impact on specific graduate action towards the goals due to significant barriers within the healthcare system. However, graduates appreciated the importance of nurses contributing to the SDGs and recognised opportunities for future action. Education providers and industry should work in partnership to create a more sustainable future for healthcare.

CO-PRODUCTION OF A MORE HOMOGENOUS NURSING ‘ASSISTANT’ WORKFORCE

ADJUNCT ASSOCIATE PROFESSOR TONY

MCGILLION MACN1, MS ALANA HREHORESEN2, 1Western Health, St Albans, Australia, 2Western Health, St Albans, Australia

The Registered Undergraduate Student of Nursing (RUSON) role has existed for some time as part of a non-standard nomenclature for the ‘assistant’ workforce and is distinctly different to the role borne out through vocational pathways as used in some contexts. The protagonist of the role has been the nursing workforce shortage and a healthcare setting of increased comorbidities, decreased patient length of stay across many contexts, as well as increasing patient age, which has portrayed an environment of increasing acuity. Successful deployment of these roles has been supported by stakeholder frameworks and support, as well as the ‘opportunity’ afforded by the pandemic. Research and evaluation data has shown significant advantages for patients, staff and the RUSONs themselves including the release of time to care and incidental learning opportunities in symbiosis with the University requirements of this workforce. Many settings and health services currently utilise this assistant model in Victoria but the pooling and capture of the successful evolution of the workforce is largely anecdotal and suggests that there may be advantages in exploring a ‘best practice’ model which incorporates the lived experiences of health services, patients and RUSONs themselves. The intent is not to over-standardise

how the workforce continues to evolve but to provide guidance and transferability to a national perspective without stifling innovation. This project will use the guiding principles of co-design and co-production as espoused by Safer Care Victoria, recognising that ultimate improvements may be made at direct care, service and system levels, and enriched by the sharing of power among participants. Sustainability of the RUSON workforce will potentially feed the necessary ingredients into the nursing workforce pipeline to produce a recipe for success based on the holistic paradigm co-produced by the key production ‘players’ across a range of contexts.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

VISIONARY (01)

Room: Gilbert Suite 11:30am - 12:50pm

EVERYONE’S BUSINESS: PREPARING NURSES FOR INTERPROFESSIONAL PRACTICE IN CHILD PROTECTION

DR LAUREN LINES MACN1, MS TRACY KAKYO1, PROFESSOR JULIAN GRANT3, ASSOCIATE PROFESSOR HELEN MCLAREN4, MS REBECCA STARRS4, ASSOCIATE PROFESSOR LANA ZANNETTINO4, ASSOCIATE PROFESSOR DONNA HARTZ2, DR NINA SIVERTSEN1, DR MEGAN COOPER1, PROFESSOR ALISON HUTTON2

1Caring Futures Institute, Flinders University, Adelaide, Australia, 2School of Nursing and Midwifery, University of Newcastle, Newcastle Callaghan, Australia, 3Faculty of Science and Health, Bathurst, Australia, 4College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia

Introduction: Nurses are core to an interprofessional approach that supports children and families experiencing adversity and prevents child abuse and neglect. In accordance with the Safe and Supported: National Framework for Protecting Australia’s Children (2021-2031), everyone working with children should aim for early intervention that supports families so children can thrive within their own communities and cultures. Interprofessional practice is essential to prevent children from falling through the gaps or unnecessary duplication of services. However, little is known about whether current undergraduate (preservice) education adequately equips nurses, midwives and social workers for interprofessional practice for effective early intervention and prevention of child abuse.

Methods: This research has multiple phases. Firstly, an international scoping review explores the nature and scope of existing evidence in child protection interprofessional preservice education for health and allied health professionals. The scoping review is followed by surveys and interviews with Australian university educators who provide preservice child protection education to nurses, midwives or social workers. Finally, collaborative online roundtables enable findings and implications for future health professional education, policy, practice and research to be explored with key stakeholders.

DAY 1 WEDNESDAY 9 AUGUST 2023 CONCURRENT SESSION ONE

Results: Preliminary results of this project (scoping review) will be shared, with a focus on mapped interprofessional curriculum across nursing, midwifery and social work in Australia.

Conclusions: Nurses are essential to ensuring children grow up safe and supported in their own families, communities and cultures. A greater understanding of effective educational interventions that prepare nurses for interprofessional working is required so future graduates are equipped to ensure all Australian children can reach their full potential.

NURSING LEADERSHIP HAS NEVER BEEN MORE VITAL

DR BERNADETTE EATHER MACN1, MS RACHEL GALE, MS

HANNAH CHILTON

1Ramsay Health Care, St Leonards, Australia

Introduction: NUMs are the key retention officers within healthcare. These leaders are not only responsible for managing the delivery of high-quality clinical care but also the operational running of a department. These nurses create the bridge between executive leadership and clinical nursing staff and Ramsay relies on these leaders to impact every corner of our industry. Nurses step into these managerial roles with varying levels of experience, and Ramsay has identified a need for direct development opportunities for this cohort.

Aim: The program focusses on People, Business, Consumer and Clinical Leadership. The delivery of targeted education to the NUM group is through both virtual & face to face development days, inclusive of masterclasses, quarterly town halls, nationally standardised resources as well as allowing dedicated time for self-directed professional growth and education. Ramsay’s vision is to empower our key leaders and provide:

• Professional development and training

• Mentorship and coaching suppor

• A NUM support network

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

VISIONARY (01)

Room: Gilbert Suite 11:30am - 12:50pm

• Career progression and development opportunities

• Support to develop and build a workforce of the future

Method: 500+ NUM/MUM staff nationally to join 8 masterclass sessions, over 2 years. Key executive leaders from all avenues of the company, along with subject matter specialists and peers delivered targeted education to meet development needs of the participants. Engagement was solidified by providing regular peer discussion groups and each day was evaluated with anonymous feedback.

Result: On evaluation of the first session 99% of attendees strongly agreed the session was relevant to their role and 99% strongly agreed they could apply their learnings to their role. Engagement was high, and participation was consistent throughout the delivery of the delivered sessions to date.

Conclusion: 6 months into the program, feedback suggests that participants feel valued, invested in, empowered and connected with peers.

REFLECT, REPLENISH, AND RENEW THINKING ABOUT ‘NAPPING ON NIGHT DUTY

DR

PAULA FORAN MACN1

1University Of Tasmania, Hobart, Australia

Topic overview: Fatigue presents an all-pervasive challenge to anyone engaged in shift work. However, night duty workers have been shown to have the greater risk of fatigue and cognitive impairment. This potentially poses a higher safety risk to themselves, their patients under their care and the wider community as nurses make their way home, often driving a motor vehicle while drowsy. Despite robust evidence revealing the positive attributes of increased working abilities from napping on night duty, and overall agreement by nurse managers and organisations of the positive effects, this practice has been slow to be introduced into nursing. Research by Dalky et al. (2018) revealed 55 per cent of nurse managers felt the greatest barrier to implementation was

the lack of policy and supervision around this practice. Presentation objectives: This presentation will present research supporting this implementation, challenge nurses, managers, and organisations to take note of current work health and safety guidelines and change thinking and culture by looking at napping on night duty as a ‘safety’ implementation for staff, patients, and the wider community. The development of policies and procedures to support this implementation will be recommended and future research suggested into length and type of naps, and positive and/or negative effects for staff and health care facilities (Gamble & Foran 2021).

References: Dalky, H, A Raeda, and A Esraa. 2018. 'Nurse managers’ perception of nightshift napping: A cross-sectional survey', Nurs Forum, 53: 173-78. Gamble, J, and P Foran. 2021. 'Asleep on the job: Can night shift napping provide greater safety for both staff and patients?', Journal of Perioperative Nursing, 34: e-23-e26.

A COLLECTIVE CRITICAL THINKING INTERVENTION TO REDUCE FALLS ALARMS USE

MS MAUREEN MULLEN FACN1,2, MR EDMORE CHISANGO1, MS MELINDA WEBB ST-MART1, MR PETER MICHELL1, PROFESSOR PETERIS DARZINS1,3, PROFESSOR LEANNE BOYD1

1Eastern Health, Box Hill, Australia, 2Deakin University, Geelong, Australia, 3Monash University, Clayton, Australia

Introduction: Reducing falls and falls with injury is a national and international patient safety priority. Despite bed and chair falls alarms being commonly used as a falls prevention strategy, there is no clear evidence that they have a significant effect on reducing falls or falls with injury.

Purpose: The aim of this study was to explore the effect of a collective critical thinking intervention to reduce falls alarm use in a Geriatric Evaluation and Management (GEM) setting.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

VISIONARY (01)

Room: Gilbert Suite 11:30am - 12:50pm

Methods: Using a pre-post test approach, 222 falls in 110 patients (1/7/2019-30/06/2020) were compared to 69 falls in 50 patients (1/1/2022-30/06/2022). Data were collected from the incident reporting system and record audit. Data were analysed using descriptive statistics and Chi-Square test. The intervention used a co-design approach. From August 2021, under senior nursing leadership, each patient with a falls alarm was reviewed at nursing handover and nursing huddles. A collective decision was made (retain falls alarm, trial without the falls alarm, alarm removal) and patient-specific alternative falls prevention strategies were reviewed.

Results: At patient level, there were no significant differences in age, gender, median admission functional independence scores or cognitive impairment (4AT). The median number of falls alarms rental days (and associated costs) decreased from 350 days ($3999) to 146 days ($1989)(p<0.001; p<0.027) per month. The median number of falls per month decreased from 17 to 10.0 (p<0.001). There were no significant differences in timing of falls (AM, PM or night shift); activity at time of fall, or proportion of unwitnessed falls. There were no falls resulting in death or severe injury, and no moderate injury falls in the post-test group. There was a significant reduction in falls resulting in minor injury (56.6% vs 40.9%, p=0.023).

Conclusion: Falls alarms use can safely be reduced using a collective, critical thinking approach to falls prevention.

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

VISIONARY (01)

Room: Gilbert Suite 11:30am - 12:50pm

THE CUMULATIVE IMPACTS OF THE COVID-19 PANDEMIC ON VICTORIAN NURSES

PROFESSOR LEANNE BOYD1, MR BRIAN LEE1,2, DR ELIZABETH CLANCY2, PROFESSOR JULIE CONSIDINE3, DR ALISON DWYER1, DR PHILLIP TCHERNEGOVSKI4, PROFESSOR ANDREA REUPERT4, MISS CAITLYN HERRICK 2, ASSOCIATE PROFESSOR JADE SHEEN2, 1Eastern Health, Box Hill, Australia, 2School of Psychology, Deakin University, Burwood, Australia, 3Centre for Quality and Patient Safety, Institute for Health Transformation, School of Nursing and Midwifery, Deakin University, Geelong, Australia, 4School of Educational Psychology and Counselling, Monash University, Clayton, Australia

Background: The initial impacts of the COVID-19 pandemic on healthcare systems have been well documented and wide ranging. Unfortunately, three years on, nurses and midwives continue to work under significant stress. Although efforts have been made to provide multi-faceted support, the pandemic’s dynamic nature and longevity is eroding the benefits gained.

Aims: This study investigates the cumulative, longitudinal impact of frontline work on Victorian nurses and midwives and posits participant based solutions

Methods: Semi-structured interviews were conducted over three timepoints since December 2020 (Timepoint 1=39 participants, Timepoint 2=34 participants, Timepoint 3=31 participants). Participants included Victorian Nurses and Midwives living with their families and working in high-risk areas (Emergency Departments, Intensive Care Units, COVID Wards, Hospital In The Home, and Aged Care). Reflexive thematic analysis was conducted on transcripts from each timepoint separately, then whole group comparisons were made between timepoints to identify changes and the nature of the changes.

Results: Findings suggest there has been increasing workplace demands and stress among FHWs across the three timepoints. Workloads have increased over time

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

ALL INCLUSIVE (01)

Room: Hall C 11:30am - 12:50pm

and fears of contagion, which reduced in T2 following vaccination and increased confidence in infection control, have returned with new COVID-19 variants. With enduring strain, themes regarding workplace tension and conflict have emerged, specifically increased rates of conflict with the wider community and increased tension in the workplace. Existing supports that were once relied on, such as collegial and familial support, have also been impacted in recent timepoints. Lastly, due to these challenges many have cited various reasons to quit or change roles if they have not already done so.

Conclusion: While healthcare organisations have made efforts to support their staff, these challenges observed by participants demonstrates the need for more supports and highlights important areas that can be targeted by workplace and public health strategies.

ARE STANDARDISED ASSESSMENT REQUIREMENTS IMPEDING GENUINE AND EFFECTIVE PATIENT ASSESSMENT?

MR PAUL MCLIESH1

1University Of Adelaide, Adelaide, Australia

Introduction: Part of presenters PhD research. Internationally healthcare systems and nurses are under pressure to maintain delivery of services under mounting pressures. While many elements of care delivery are being reviewed to create efficiencies, there is value is taking a step back and considering the core of how and what we do as nurses, especially in relation to assessing patient needs.

Body: Nurses are generally required to undertake patient assessment activities at various points of the patient’s healthcare journey. There is a prescribed way that assessment is to be conducted and documented and this does not vary despite the experience or expertise level of the nurse. Standardised requirements have been driven by an emphasis on safety and quality to reduce risk and improve outcomes. While the intentions of these requirements are good, there is a risk that the complexity of the requirements have become burdensome, time consuming and restrictive. There is evidence that while

each individual assessment practice (ie conducting a falls risk) is effective in isolation. But the combination of a wide range of assessment requirements has often been implemented in a way that results in duplication of data collection and ineffective practice that are seen by nurses as hindering identification of patient needs. It has also been suggest that the standardised nature of these requirements in leading nurses towards a screening type approach to assessment and away from critical thought and efficient/individualised care.

Conclusions: There is value is considering how assessment requirements (both process and documentation) are designed and implemented. Can redesign of patient assessment requirements, at a broad level, offer improvements in nurse and patient satisfaction, increase effective use of nurses’ limited time while still ensuring risks are minimised and adverse events avoided?

THE ROLE OF THE ENROLLED NURSE: A JOURNEY TO RECOGNITION

MRS REBECCA LEON FACN1, ASSOCIATE PROFESSOR SAMUEL LAPKIN2, MRS LORRAINE FIELDS3, PROFESSOR TRACEY MORONEY4

1South Western Sydney Local Health District, Warwick Farm, Australia, 2Southern Cross University, Gold Coast, Australia, 3University of Wollongong, Wollongong, Australia, 4Curtin University, Perth, Australia

Introduction: The role of the enrolled nurse is a regulated nursing role that provides hands-on bedside nurs ing care to support and assist registered nurses. Persistent challenges have been identified in the enrolled nurse workforce. Therefore, the aim of this study was to gain a better understanding of the role of enrolled nurses in the Australian nursing workforce.

Methods: An exploratory sequential mixed methods design was used, comprising 10 focus groups in 2019 and a self-administered questionnaire in 2020, resulting in 400 completed questionnaires. The data were analysed

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

VISIONARY (01)

Room: Gilbert Suite 11:30am - 12:50pm

using the pragmatism and transformative approach, informed by the organisational behaviour framework.

Results: The results revealed three themes: the enrolled nurse as an individual, in the workplace, and in the profession. They also identified significantly different experiences and expectations between registered and enrolled nurses. These influenced levels of job satisfaction, occupational stress in the team and organisational culture. At a professional level, the title does not reflect the role, and there are no career pathways with the perception it is a transitional role to becoming a registered nurse.

Conclusion: Intrinsic and extrinsic motivators influence the enrolled nurses’ level of job satisfaction. Within the work environment three determinants affect job satisfaction and the level of occupational stress: the enrolled nurse understands their role; the registered nurse understands their role when working with the enrolled nurse; and the organisation understands how the nursing team works together to ensure they function within their respective scope of practice. At the professional level there is a need for career pathways with titles and industrial structures that recognise enrolled nurses. Changes will ensure sustainability of the nursing workforce at an individual, team, organisational and professional level.

BEHAVIOUR OF CONCERN MANAGEMENT IN AN ADULT INTENSIVE CARE SETTING

MS SAM MILLER MACN

1Alfred Health, Melbourne, Australia, 2The University of Melbourne, Melbourne, Australia

Background and Aim/s: Behaviours of concern (BOC) are defined as actions which cause physical harm or distress. BOC directed towards health staff is a complex issue with significant consequences. Intensive care (ICU) is a unique setting therefore potential exists that BOC management strategies are unique.

Aims: to describe the management strategies implemented for BOC incidents, to identify variations in

management related to patient demographic or health status and to establish compliance with unit policy.

Methods: A one-month, prospective, twice daily audit of the intensive care unit was conducted to identify BOC episodes within the intensive care unit. If an episode was identified on the audit, the nurse involved was invited to complete a questionnaire.

Results: Male patients were more likely to be involved in BOC events than female patients (74% and 26% respectively). 46% of patients involved in BOC events were ventilated at the time of the event. 90% of BOC events were managed combined strategies. Verbal reassurance and chemical restraint were the most common strategies (n=74 and n=71 respectively). 93% of BOC events involving females and 77% BOC events involving males were managed with verbal reassurance. Patients managed with verbal reassurance and or chemical restraint had higher rates of pre admission substance abuse (n=75 and n=81). CAM-ICU completion was consistent across all strategies (averaged 74%). History of alcohol abuse in the verbal reassurance group was recorded as n=12, however only n=2 had AWS recorded.

Conclusion: Male patients are more likely to be involved in a BOC event. BOC events were commonly managed with a combination of management strategies. Hands off management strategies were more likely to be utilized than hands on management. Gender influenced the management strategy implemented. Screening tools were under-utilized which may have contributed to initial and recurring BOC events in this sub-population.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 1 WEDNESDAY 9 AUGUST 2023

CONCURRENT SESSION ONE

EXTRAORDINARY (02)

Room: East 1 11:00am - 12:20pm

THE NURSES’ EXPERIENCE IN HOTEL QUARANTINE DURING THE COVID-19 PANDEMIC

DR DIANA JEFFERIES MACN1, PROFESSOR LUCIE RAMJAN, MS TRACY STANBROOK, MR ZAC REILLY, DR SHYAMA RATNAYAKE

1School Of Nursing And Midwifery, Western Sydney University, Penrith, Australia

Aim: To explore how nursing and nursing knowledge contributed to the success of the nurse-led Special Health Accommodation (SHA) during the COVID-19 pandemic.

Background: In March 2020, there were 2182 confirmed cases of COVID-19 in New South Wales (NSW)–mostly in returning overseas travelers. SHA was established by the Sydney Local Health District to quarantine travelers with suspected or confirmed cases of COVID-19 or travelers with complex health needs who required care not provided in other quarantine facilities. Later, SHA expanded to include people from the community who could not isolate effectively due to complex social and medical problems.

Method: This descriptive qualitative study explored how nurses in SHA contributed to the low transmission incidence of COVID-19 infection in NSW. Twelve semistructured interviews were conducted on Zoom from February to May 2022 with all levels of nursing staff (nurse managers to assistants in nursing) who had worked in SHA for three months or more. The nurses were asked to describe their experiences, the challenges they faced and how they overcame them. The data were rich and were analysed using Braun and Clarke’s six-step thematic analysis.

Findings: Four broad themes were generated to demonstrate how nurses played a pivotal role in contributing to the success of SHA. Through the development of policies, nurses minimised risk to self and others. Nurses supported upskilling and capacity building of staff, particularly new graduates with SHA becoming a community of learning. Teamwork and a positive workplace culture supported their resilience

and promoted self-care. The nurses were proud of their achievements and their tenacity to develop strategies to overcome unanticipated difficulties in this unique clinical setting.

Conclusion: Despite the difficulties and the uncertainties most would do it all again. The experience of working in SHA has shaped these nurses into strong, resilient, and compassionate healthcare professionals.

INCLUSIVE COMMUNICATIONIMPROVING HEALTH FOR PEOPLE WITH DOWN SYNDROME

MISS NATALIE GRAHAM1, MS NAOMI LAKE1

1Down Syndrome Australia, North Melbourne, Australia

Inclusive Communication – Improving Health Outcomes for People with Down syndrome

This presentation aims to improve knowledge, attitudes and communication towards and with people with Down syndrome (more generally people with intellectual disability) to improve health outcomes.

Background: There are inequalities in society and health for people with disability in Australia. People with intellectual disability have approximately 50% of their health conditions undiagnosed due to complexity and limited resources, preventative healthcare needs are poorly addressed and have significantly high rates of premature and potentially avoidable deaths.

In July 2021, The National Roadmap for Improving the Health of People with Intellectual Disability was released. The Roadmap sets out a vision for reforms across the health system to meet the needs and improve health outcomes of people with intellectual disability in an integrated and holistic way. It has a strong focus on strengthening the communication between health professionals and people with intellectual disability.

Presentation: To overcome these inequalities and positively influence health outcomes, Down Syndrome Australia (DSA) has employed self-advocates to educate health professionals.

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023 CONCURRENT SESSION TWO

EXTRAORDINARY (02)

Room: East 1 11:00am - 12:20pm

The presentation will:

• E xamine the current literature outlining the need for healthcare reform.

• Recall common co-occurring medical concerns for people with Down syndrome.

• Hear directly from one of the DSA Health Ambassadors, about their experiences in the health care system.

• Demonstrate the importance of language when referring to someone with Down syndrome.

• Investigate effective communication to facilitate better health outcomes for people with Down syndrome.

• Give the participants the tools to improve the health outcomes of people with Down syndrome.

SOUTH AUSTRALIA INPATIENT DIABETES SURVEY 2022: ASSESSING DIABETES INPATIENT CARE

DR REBECCA MUNT MACN1, DR LUCIA GAGLIARDI2, DR KIRSTEN CAMPBELL 2, RACHEL WOODS2, DR JUI HO3, LINDA BALDACCHINO3, DR ANTHONY ZIMMERMANN4, BROOKE FRITH4, COLLETTE HOOPER5, DR TAMARA PAGE6

1CALHN and University of Adelaide, Adelaide, Australia, 2CALHN, Adelaide, Australia, 3SALHN, Adelaide, Australia, 4NALHN, Adelaide, Australia, 5Rural Support Service, SA Health, Wallaroo, Australia, 6University of Adelaide and St Andrew's Hospital, Adelaide, Australia

Introduction/purpose: The prevalence of diabetes in Australia is increasing, as is the prevalence of people in hospital with diabetes (1-3). People with diabetes may be admitted to hospital with a variety of primary admission diagnoses, other than dysglycaemia (4-8). Dysglycaemia is common among inpatients with diabetes leading to increased length of stay, development of hospital acquired complications and increased mortality (4,9,10). The purpose of this study was to assess the quality of care received by inpatients with diabetes, examine the

inpatients experience and examine hospitals’ workforce characteristics.

Methods: The study used a cross sectional audit in a number of hospitals across the metropolitan, regional and rural areas of SA. Three data collection tools were used; hospital characteristics survey, a bedside audit and a patient experience survey. Data analysis used SPSS v28 to perform statistical analysis.

Results: 550 bedside audits were completed for inpatients with diabetes. Across SA 25% of inpatients during the data collection period had diabetes. Harm is being caused to inpatients with diabetes through medication errors and mismanagement of hyperglycaemia. Inpatients with type 1 diabetes experienced low good diabetes days (12.7% per 100 patient days) and hypoglycaemia rates were higher compared to other types of diabetes. 36% of inpatients required a diabetes specialist review in hospital but did not receive one. Only 52% of inpatients with diabetes had a management plan when undergoing surgery. 252 inpatients participated with the majority being satisfied with the care they received however, aspects of self-management in hospital were lacking. Access to workforce for inpatient diabetes care varied across the state however, in some hospitals it was non-existent.

Conclusions: A number of issues for the inpatient population with diabetes were identified. These issues require action to be taken to improve outcomes for inpatients with diabetes and ongoing evaluation to monitor improvement in practice.

STUDENT EXPERIENCED BARRIERS TO LEARNING ON PLACEMENT DURING COVID-19

MS SAM MILLER MACN

1Alfred Health, Melbourne, Australia

Background and Aim/s: The Covid pandemic placed several pressures on healthcare students. Curriculum was taught online and clinical placement activity was disrupted. This project was undertaken to understand the

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

EXTRAORDINARY (02)

Room: East 1 11:00am - 12:20pm

barriers to learning faced by student nurses undertaking clinical placement activity at a metropolitan tertiary public hospital. Data generated by this project was utilised to develop several initiatives implemented during periods of peak Covid activity.

Methods: Electronic surveys were sent to all undergraduate student nurses in the week following completion of their placements to evaluate their learning experiences in the period January to December 2021. Surveys were short and anonymous. Clinical nurse preceptors and nurse educators were also surveyed post placement to evaluate their experiences. Response rates were as follows: Students n=182 (12%), Preceptors n=70 (5%) and Nurse Educators n=8 (80%). Data were then thematically analysed.

Results: Four themes were identified. 1) University preparation of students 2) Student specific factors 3) Preceptor specific factors and 4) Clinical environment variables. University preparation of students included students understanding of scope and not demonstrating the theoretical knowledge in clinical practice. Student specific factors included anxiety, students’ commitment to placement, professional behaviour and language challenges. Preceptor specific factors included personality challenges, clinical workload, unfamiliarity with assessments, and seeing students as an additional responsibility. Clinical environment variables included education cultures, students being socially excluded from the team, differing clinical leadership styles and irregular learning opportunities.

Conclusion: Understanding the student, preceptor and CSN perceived barriers to students learning during clinical placements allowed the organisation to address and remove these therefore increasing the positivity of the placement experience for all involved. Student engagement in designing the support required for their placement was vital to understand the needs of the learner during the challenged of Covid.

POSSIBILITIES (OR REIMAGED) (02)

Room: East 2 11:00am - 11:40am

A RETROSPECTIVE CHART REVIEW OF VITAL SIGNS IN HOSPITALISED CHILDREN

MR CONNOR HAWKEN1, MRS LISA SEALEY1, DR LAUREL MIMMO1,3, PROFESSOR MARILYN CRUICKSHANK FACN1,2

1Sydney Childrens Hospitals Network, Sydney, Australia, 2University of Technology Sydney, Sydney, Australia, 3Macquarie University, Macquarie Park, 2109

Introduction: Recognising clinical deterioration in children is complex and includes the recording of vital signs (VS) at regular intervals. Evidence suggests that omitted individual VS, or incomplete VS sets, may contribute to failure to recognise deterioration. This study aimed to determine completeness and time intervals of VS in two tertiary children’s hospitals.

Method: As part of a larger program of research, a retrospective chart review of medical records from February 2020 was undertaken. Extracted data included the number and type of seven VS documented in a 24hour period in accordance with local policy. Individual VS, and sets of seven VS, were examined for completeness and time intervals. Children whose VS remained within the normal range were compared to those who did not.

Results: VS were recorded for 449 patients aged 0–3 months (n=76), 3–12 months (n=100), 1–4 years (n=100), 5–11 years (n=100) and 12–15 years (n=73). Completeness by individual VS were respiratory rate 92.5%, heart rate 92.3%, oxygen saturation 90.8%, temperature 90.2%, work of breathing 84.4%, level of consciousness 76.2%, and pain score 52.5%. VS sets were complete for 42.5%. Of the 449 patients, 415 (92%) recorded one or more VS outside the normal range.

Conclusions: Omitted VS and incomplete VS sets are common. It is also common for VS to be outside normal ranges with only a small proportion of children requiring escalation of care. Therefore, VS alone do not determine if there is clinical deterioration. Experienced nurses assess other non-measurable signs, use clinical judgement, and consider input from parents/carers. The role of VS monitoring in detecting deterioration is unclear. Furthermore, nurses’ assessment of non-measurable

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DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

POSSIBILITIES (OR REIMAGED) (02)

Room: East 2 11:00am - 11:40am

signs, using clinical judgment, are neither weighted equally with VS, nor well-articulated. New possibilities need to be explored to address the mismatch between policy and nurses’ assessment practices.

NURSE PRACTITIONER LED MOBILE PAEDIATRIC ASSESSMENT CLINIC FOR INTERPROFESSIONAL EDUCATION

MS ALICIA BELL 2, DR LAUREN LINES MACN1, DR SARAH HUNTER1, MS JILL WILLIAMS2, MS TRACY KAKYO1, DR LOUISE MATWIEJCZYK1, DR CLAIRE BALDWIN1

1Caring Futures Institute, Flinders University, Adelaide, Australia, 2College of Nursing and Health Sciences, Flinders University, Adelaide, Australia

Introduction: Interprofessional practice is essential for the provision comprehensive and client-centred health care in community care settings. Our research team developed and delivered a novel nurse practitioner led mobile paediatric developmental screening service that provided interprofessional placements for nursing and allied health students. In this service, the nurse practitioner supervised up to three students from nursing and allied health to deliver paediatric developmental screening for children at-risk of developmental challenges in early learning centres within South Australia. Study aims were to 1) determine if the model supported student confidence in interprofessional practice and 2) identify key elements that influenced perceived development of interprofessional practice.

Methods: This project used a multi methods approach to explore student experiences of interprofessional practice (survey and interview) which were complemented by the nurse practitioner’s daily field notes. Ethical approval was provided by Flinders University Social and Behavioural Research Ethics Committee (HEL1858).

Results: This presentation shares key learnings from student interviews and nurse practitioner field notes to highlight successes and areas for future development of this model of interprofessional education. Key interview

findings demonstrated that students unequivocally found the placement a valuable learning opportunity to build their interprofessional skills. Furthermore, nurse practitioner field notes highlighted how the nurse practitioner leveraged core elements of the model to create teachable moments where students could critically reflect on the meaning, application and potential for interprofessional practice.

Conclusions: Our project demonstrated the success of a nurse practitioner led interprofessional placement model in a paediatric setting. Further exploration is needed to identify whether this model could be replicated in other settings with different nurse practitioner supervisors.

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

SUSTAINABILITY (02)

Room: East 3 11:00am - 12:20pm

REFLECTING ON GLOBAL NURSING PRACTICE VARIATIONS: AN INTERNATIONAL CASE STUDY

DR CAROLINE BROWNE1,2, DR YLONA CHUN

TIE1,3, MS MELISSA HOZJAN1,5, MS ELIZABETH TOLLENAERE (MATTERS)1,4

1ACN Global Nursing Faculty, Canberra, Australia, 2Murdoch University, Perth, Australia, 3James Cook University, Townsville, Australia, 4University Hospital Freiburg, Freiburg, Germany, 5Médecins Sans Frontières Australia / Médecins Sans Frontières New Zealand, Sydney, Australia

Introduction: Nursing is a mobile profession with many countries reliant on the international migration of nurses to support their health systems. In 2020, one in every eight nurses worldwide was practicing outside their country of birth or nursing education (WHO, 2020). Internationally qualified Registered Nurses (IQRNs) make up approximately 30% of the Australian nursing workforce (Chun Tie et al, 2019; Department of Health, 2017). The formation of cross-cultural nursing teams can highlight varied nursing practice traditions and expectations. As a case study, nursing practice in Australia was compared with to that of Germany, another well resourced, OECD nation with a robust healthcare system but a markedly different nursing tradition.

Main Body: While increased workforce mobility comes with benefits for individual nurses and health systems, the integration of IQRNs can be challenging. Despite having fulfilled the accreditation requirements of the host nation, workplace discrimination is still reported by IQRNs (WHO, 2020). In turn, host health systems are often concerned about identifying knowledge and skill deficits in IQRNs as a safeguard against care-related errors.

International variations in nursing practice contribute to the challenges of building successful crosscultural nursing teams. Differing regulatory, political, educational, and historical structures influence contextspecific understandings of nursing practice. Nurses and consumers in other healthcare settings, may not understand these differences.

Conclusion: Nurses are encouraged to question their assumptions about ‘standard’ nursing practice and reflect on the knowledge and experience which IQRNs bring to their Australian nursing team. Increased knowledge of the global variations in nursing practice can sensitise nurses to the diversity of the profession beyond their local context.

SHARED TRAUMA

TATIANA ZECHER MACN1

1Gandel Simulation Service, North Melbourne, Australia, 2The Royal Womens Hospital, Parkville, Australia, 3The University of Melbourne, Parkville, Australia

Introduction: Nurses and midwives encounter emotionally complex care on a regular basis which was exacerbated by the COVID-19 pandemic. While many are overwhelmed with discussions of the pandemic, those who worked though it have a shared trauma that could result in harm both to the individual and to the profession if not addressed. Those who cared for women and families experiencing pregnancy loss during this time had a time critical, psychologically intense role that was often deprioritised.

Purpose: This study intended to gain a more thorough understanding of the emotional and psychological impact that nurses and midwives faced when caring for women experiencing pregnancy loss during pandemic restrictions in Melbourne, Australia during 2020-2022.

Methods: This study interviewed 12 nurses and midwives who cared for women experiencing miscarriage during the mandated lockdown in Melbourne. Semi-structured individual interviews encompassed how the restrictions affected the psychosocial care provided to patients and how that in turn affected healthcare providers.

Results: Results were broken down into how the work affected them professionally and personally. Subthemes were based on participant quotes including ‘We were

WE WERE THE ACCEPTABLE CASUALTY OF THE PANDEMIC- RECOGNISING

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

SUSTAINABILITY (02)

Room: East 3 11:00am - 12:20pm

an acceptable casualty of the pandemic’, ‘We really felt like on one was battling for us down here’, and ‘I was the good guy, the bad guy, a shoulder to cry on and a punching bag’.

Conclusion: Issues that arose due to pandemic restrictions highlighted problems that are not new, are not isolated and continue even with restrictions having lifted. Research has shown that nurses feel exhausted, overlooked, and emotionally drained. This research adds the additional element of emotional labour and second victim trauma. If we are to sustain the workforce and thrive as a profession it is vital to recognise how the pandemic affected the nursing and midwifery workforce, to make changes at systemic level and to collectively heal.

NURSES WORKING IN RURAL URGENT CARE: A LEARNING NEEDS ANALYSIS

MRS TRACY KIDD MACN1

1Alfred Health, Melbourne, Australia

Introduction: Meeting the learning needs of nurses working in rural health settings has been challenging for decades. The Rural Urgent Care Nursing – Capability Development Program (RUCN-CDP) is a Department of Health funded, state-wide program that supports rural health service nurses to maintain the skills and confidence to work in Urgent Care Centres (UCCs) across Victoria.

Main body: Following broad consultation with key stakeholders across Victoria, a relevant, convenient, highquality program was developed that includes tailored online materials, face-to-face activities and clinical placement opportunities for nurses working in Urgent Care Centres. When nurses first enrol into the program, they complete an introductory module and a professional development plan (PDP). A representative sample of 200 PDPs were analysed using NVivo with the focus on 3 questions: What skills do you want to increase in UCC nursing? What knowledge do you want to increase in UCC nursing and what are the benefits of a placement for

you? Participants identified skill deficits related to both specific types of presentations and cohorts of patients. Desired knowledge was related to clinical confidence and placement opportunities to increased exposure to a variety of patient presentations.

Conclusion: Results of the learning needs analysis informed content of all aspects of the RUCN-CDP program. Our findings may also help to inform the education and support for other rural health services across Australia. Providing targeted education to meet the learning needs of nurses working in rural urgent care centres is one way to both support and sustain this nursing workforce.

SUSTAINING THE RURAL URGENT CARE NURSING WORKFORCE WITH PLACEMENT OPPORTUNITIES

MRS KATE HANCOCK1

1Alfred Health, PRAHRAN, Australia

Introduction: The dilemma surrounding the maintenance of skills and knowledge of nurses working in rural settings is well described in literature, however, few solutions have been available to address the issue. The RUCNCDP program has been specifically designed to increase the confidence of nurses working in rural urgent care settings in Victoria, consisting of free online modules, face-to-face workshops, elective modules and placement opportunities. This paper will describe the placement element of the program.

Main body: In the consultation phase of this program, it was identified that many nurses working in rural urgent care experience professional isolation, knowledge gaps due to infrequent exposure, and lack of confidence related to working in the urgent care environment. One element to address this was to facilitate a clinical placement in a higher acuity health setting possible for these nurses with the additional benefit of building relationships across health services and the interdisciplinary team. RUCN-CDP learners have been able to attend placement in their referral hospital – usually

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

SUSTAINABILITY (02)

Room: East 3 11:00am - 12:20pm

a large regional hospital for 3-5 days which allowed for greater exposure to varying patient presentations. Evaluation of placement experiences revealed many benefits of this experience, some of which were unexpected. Feedback was resoundingly positive from all who were involved, including placement venues.

Conclusion: This program helped renew nurses’ passion for nursing through learning new skills, giving them the opportunity to reflect on their own practice through observation and interventional opportunities whilst on placement. Clearly, such placement opportunities are an important part of sustaining the rural urgent care nursing workforce.

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

VISIONARY (02)

Room: Gilbert Suite 11:00am - 12:20pm

THE THREE C'S CAFE - CHECK IN CONNECT CHAT

DR WENDY MCINTOSH MACN1

1Global Nurses & Midwives Rotary Club, Laidley Heights, Australia

This presentation will share the visionary idea and reality to create a virtual cafe that is open to nursing and midwifery colleagues around the world. The Three C's Cafe, Check in Connect and Chat was launched on the 4th May 2022 by the Global Nurses & Midwives Rotary Club (GNMRC).

The GNMRC is one of the first based Rotary Clubs chartered in the world. In September 2020 a group of passionate and committed nursing & midwifery colleagues got together and decided that starting a Rotary Club just for nurses & midwives would be a worthwhile initiative. The Three C's Cafe concept was inspired from the Frazzled Cafe initiative created by comedian Ruby Wax in the UK. It was clear that the Frazzled Cafe created a space for people who felt lonely, disconnected and isolated to sit and chat with trained facilitators and reconnect. As a professional group (GNMRC) we envisaged that The Three C's Cafe could create a similar experience of connection and storytelling and hopefully a decreased sense of isolation for colleagues. Members of the GNMRC knew the value of meeting together in the virtual space of zoom twice a month. We looked forward to being able to connect and yarn with our Rotarian colleagues. We learnt from each other, we appreciated the chatting space our club created for us. This presentation will share the journey of training GNMRC members to become virtual cafe facilitators (an 8 week training program). It will share the experiences of GNMRC members who have faciiitated cafe's. Stories of the ways in which the cafe provided support and connection for colleagues in Australia and from other countries around the world will be presented. This presentation is the story of a vision, a reality, a shared journey and adventures for the future.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

VISIONARY (02)

Room: Gilbert Suite 11:00am - 12:20pm

NETWORKED AND INTERCONNECTED CLINICAL TRIALS SYSTEM USING AUSTRALASIAN TELETRIAL MODEL

KATRINA BROSNAN1, DR KHAN REDZWAN HABIB1

1Queensland Health, Brisbane, Australia

Traditionally clinical trial activities take place in healthcare settings which are mostly based in metropolitan areas. Often this acts as a barrier for patients living in rural, regional and remote locations to have access to life saving trial medications, devices or procedures due to the distance patients have to travel and other associated factors. Equally, COVID-19 had a major impact on clinical trial activities worldwide limiting peoples’ movements. The Australian Teletrial Program (ATP) is an innovative solution to address disparity in access to clinical trials, enabling patients to access clinical trials closer to home. A teletrial is a clinical trial that is delivered closer to home, particularly for regional, rural and remote patients. Patients will benefit significantly as they will be able to participate in a clinical trial with family, community and local healthcare support along with reduced travel time and cost. Most importantly the ATP will provide equity of access for all Australians to clinical trials and improved access to novel therapies. Along with closing the gap in access to care, the ATP will increase Australia’s clinical trials capacity and capability, including workforce. Clinicians and healthcare workers in rural, regional and remote healthcare settings have access to clinical and teletrial education and training through the ATP. The ATP will also increase collaboration and communication between metropolitan and rural, regional and remote hospitals as well as primary health networks. Teletrials is an innovative model that allows the lead clinician who is often located in a metropolitan area to engage associate clinicians at satellite sites to form a cluster of sites and conduct a clinical trial under the lead clinician’s supervision. The safety and integrity of the teletrial is ensured through strict procedures, specific supervision and delegation plans. This is underpinned by a strong regulatory environment in Australia.

A PLACE FOR NURSES TO DISCOVER, LEARN AND GROW

ASSOCIATE PROFESSOR KATHERINE GILLAN1, MS

CLAIRE SIME1, MR SCOTT BULGER1

1Epworth Healthcare, Richmond, Australia

The Brookes Nursing & Midwifery Academy: Epworth HealthCare is establishing an Academy to attract, nurture and generate future talent. This will be the first dedicated centre of nursing and midwifery excellence in Australia. Workforce shortages are impacting our sector's ability to meet the health needs of Australians. Nurses and midwives are leaving the profession as demand is increasing, which has serious implications for the quality of healthcare services. We need long-term strategies to attract and retain nurses and midwives. Nurses prioritise opportunities for development when searching for a role, according to a survey of NHS nurses (2019). As a private not-for-profit organisation, we can play a critical role in providing these opportunities for development, for the benefit of nurses, midwives, and the communities we serve. The Academy will be a place for nurses and midwives to discover, learn and grow.

Building and delivering attractive learning pathways: Professional pathways provide choice and clarity about the development opportunities available to nurses and midwives. They align to:

a. priority clinical areas

b. leadership

c. clinical education

d. nursing research

Pathways empower nurses and midwives to shape their own careers. We provide the guidance and direction for them to grow and excel. Meeting the healthcare needs of our community: Academy offerings are prioritised, structured and supported to ensure we can adapt to evolving workforce challenges over time. The Academy acts as a generator of nursing and midwifery talent, now and into the future. Removing participation barriers: In collaboration with leading academic institutions, the Academy provides an inspirational and accessible

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

VISIONARY (02)

Room: Gilbert Suite 11:00am - 12:20pm

learning environment. Blended learning delivery and financial support remove traditional barriers for learners.

Conclusion: By empowering our people to forge their own careers in a globally-recognised learning environment, our highly skilled, compassionate nurses and midwives will deliver exceptional healthcare for the benefit of every patient.

DISRUPTING DISCIPLINE SPECIFIC EDUCATIONAL SILOES – HEALTH AND INNOVATION PRECINCTS

MS. ALISON (ALLY) JEFFERS1, DISTINGUISHED PROFESSOR TRACY LEVETT-JONES2,1, PROFESSOR ADRIENNE TORDA 1,3,4,5

1Randwick Health & Innovation Precinct, Sydney, Australia, 2University of Technology, Sydney, Australia, 3University of New South Wales, Sydney, Australia, 4School of Clinical Medicine, 5Faculty of Medicine and Health

Introduction: There is growing evidence that Interprofessional Education (IPE) enables effective, collaborative practice. Whilst there are pockets of IPE occurring across universities and healthcare facilities, the traditional approach of discipline specific healthcare education is the most common. Health and Innovation Precincts continue to emerge both nationally and internationally providing greater opportunity for interprofessional educational approaches across healthcare disciplines.

Main body: The healthcare workforce is changing rapidly. Skill shortages, new models of care and emerging technologies are some of the driving forces behind this changing landscape. Health and Innovation Precincts bring together education, research, and healthcare organisations to address challenges and opportunities, as well as healthcare students from a variety of institutions and backgrounds. IPE is such an opportunity. IPE increases mutual respect and trust, creates effective teamwork, increases job satisfaction, and positively changes healthcare outcomes for patients,

(Reeves et al, 2017, IPEC, 2016, WHO, 2010). Discipline specific educational approaches stem from meeting learning outcomes and practice standards set by each discipline to qualify as a professional, advance in career progression or maintenance of continuing professional development. An extensive Training Needs Analysis (TNA) was conducted at an Australian Health and Innovation Precinct spanning two universities and a range of healthcare facilities. The TNA analysed clinical placement patterns across disciplines, educational resources, and future educational priorities. It also identified educational intersections across nursing, medicine, and allied health. These intersections present an opportunity to offer education differently across the education continuum from student to healthcare professional and move away from discipline specific educational models.

Conclusion: Health and Innovation Precincts are growing worldwide and offer a unique opportunity for nursing to learn, with, from and about other healthcare disciplines throughout the career continuum. Breaking down traditional barriers between universities and healthcare organisations creates new visionary educational opportunities for the nursing workforce.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

ALL INCLUSIVE (02)

Room: Hall C 11:00am - 12:20pm

eFLUIDS

MOP UP- EMBEDDING e -CULTURE AND CONNECTING HUMANS

MS TAT GARWOOD MACN1

1South Eastern Sydney Local Health District, Caringbah, Australia

Intro: Fluid balance charts (FBCs) have always been a tribal tool on paper that reflects needs of the specialty using them. Variation in practice and compliance existed on paper and moving paper processes to an electronic, binary module (eFluids) in the electronic medical record was always going to be a challenge. Nurses and midwives (N&M) also demonstrate wide variation in digital literacy and competence. Understanding the local supports needed when e-workflows differ to paper also prepares us for the impending implementation of the state-wide single digital patient record (SDPR).

Body: The eFluids Mop Up (eMU) Program was developed to bridge the gap left when the formal eFluids Project moved on.

The aim of the eMU included:

1. Maintain the tailored FBC practices where possible while adapting to the new medium

2. Educate N&M on safe e-design principles, limitations and opportunities

3. Establish specialty networks to identify, innovate; standardise optimisation and share workflow specific support after hours

4. Escalate identified socio-technical risks to appropriate governance bodies for mitigation

5. Reinforce agreed practice to improve standardisation (and enable research opportunities)

6. Adapt and evolve policies to support digital documentation.

N&M leadership representing paediatric, maternity and emergency departments from each SESLHD facility were invited to collaborate. These areas had specific workflows or requirements that were not clearly supported by the original build. Users reported improvements in understanding risks, escalation and governance

processes, quicker and more comprehensive support responses, improved confidence, digital literacy and collaboration. Secondary benefits included district wide agreement of workflows to support discussions for the impending state-wide single digital patient record.

Conclusion: Establishing and maintaining networks between specialty users provides a platform for discussion of shared scenarios, solutions and support. Users reported benefits in identifying, understanding and escalating risks; establishing and maintaining support and governance networks while improving digital competence.

A CONFLICTED TRIBE UNDER PRESSURE

MRS TASH HAWKINS1,2, ASSOCIATE PROFESSOR JENNY SIM6,4,7,8, ADJUNCT PROFESSOR SARAH JEONG3, ASSOCIATE PROFESSOR TONY SMITH2

1University Of Newcastle Department Of Rural Health, Armidale, Australia, 2The School of Nursing and Midwifery University of Newcastle , Callaghan, Australia, 3The School of Nursing and Midwifery, University of Sydney, Sydney, Australia, 4School of Nursing, University of Wollongong, Wollongong, Australia, 5Australian Health Services Research Institute, Wollongong, Australia , 6University of Technology Sydney, Sydney, Australia, 7School of Nursing and Midwifery University of Newcastle, Newcastle, Australia, 8School of Nursing and Midwifery University of Newcastle

Background: Negative workplace behaviour in the nursing profession is commonplace and it’s been reported that up to 60% of nurses will leave their first job due to the negative behaviours of their co-workers (Clarke et al., 2012). Nurses are reported to face greater risk of exposure to negative workplace behaviours due to the high stress environments in which nursing work is situated and the high level of personal involvement nurses have in their work (Shorey & Wong, 2021).

Aim: This study explored workplace interactions of Australian nurses in regional acute care hospitals through

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION TWO

ALL INCLUSIVE (02)

Room: Hall C 11:00am - 12:20pm

examination of nurses’ experiences and perceptions of workplace behaviour.

Methods: This research is informed by Social Worlds Theory and is the qualitative component of an overarching mixed methods sequential explanatory study. Between January and March 2019, data were collected from thirteen nursing informants from varying nursing levels and roles, who engaged in semi-structured, indepth, face-to-face interviews. Data analysis was guided by Straussian grounded theory to identify the core category and subcategories.

Results: The core category identified is A conflicted tribe under pressure, which is comprised of five inter-related subcategories: Belonging to the tribe; ‘It’s a living hell’; Zero tolerance – ‘it's a joke’; Conflicted priorities; and Shifting the cultural norm.

Conclusion: This study provides valuable insight into the nursing social world and the organisational constraints within which nurses work. Although the inclination for an individual to exhibit negative behaviours cannot be dismissed, this behaviour can either be facilitated or impeded by organisational influences.

Clarke, C. M., Kane, D. J., Rajacich, D. L., Lafreniere, K. D. (2012). Bullying in undergraduate clinical nursing education. Journal of Nursing education, 51(5), 269-276. Shorey, S., & Wong, P. Z. E. (2021). A qualitative systematic review on nurses’ experiences of workplace bullying and implications for nursing practice. Journal of Advanced Nursing, 77(11), 4306-4320.

SHAPING THE FUTURE PRACTICE OF AGED CARE DELIVERY

DR MELANIE MURRAY MACN1,4, PROFESSOR JENNIFER WELLER-NEWTON2,4, MS JO SCHLIEFF3,4 1Murdoch University, Murdoch, Australia, 2University of Canberra, Canberra, Australia, 3Eastern Health, Melbourne, Australia, 4Australian College of Nursing, Canberra, Australia

Background: The Australian Royal Commission into Aged Care Safety and Quality illuminated the significant

inadequacies and failings in the sector. Residential aged care facilities (RACFs) vary greatly in their delivery of care. Staffing levels, skill mix, resourcing and communication have all been shown to impact delivery of care. Fundamental changes are necessary to ensure person centred care is foremost.

Method: A scoping review of literature pertaining to appropriate staffing and skill mix in residential aged care.

Discussion: As we age, our care needs change. For some, this means leaving the familiar surrounds of their home and community and moving into some form of supported residential care. For many, it seems, the move to a RACF signals a decrease in love, dignity and kindness, elements necessary for respectful care. Care needs can become increasingly complex suggesting the need for a commensurate increase in knowledge of attending staff. There is an increasing body of evidence that inappropriate staffing and lean skill mix impacts on the safety and quality of care delivery within RACFs. Registered nurses play a pivotal role in delivery of safe quality care through communication between medical practitioners, allied health clinicians, residents, and their families to ensure individualised care needs are met.

Conclusion: There is a significant dearth of literature reporting on adequate levels of staffing and skill mix in residential aged care highlights the need for considerable attention in this area. A person-centred approach is necessary to increase the safety and quality of care provided in all RACFs through education and training of unregulated care workers, as well as increased numbers of registered nurses. Residents regardless of complexity deserve to live in an environment where love, dignity and kindness is considered the norm. This will entail a rethink of the design and funding model of RACFs.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

EXTRAORDINARY (03)

Room: East 1 1:30pm - 2:50pm

MH-CORE: PIONEERING A NEW APPROACH TO PREHOSPITAL MENTAL HEALTH CARE

MS EVA GILL-MINERO1, MS KATHRYN BEHARRIE 2 , MS MELISSA MATULKA1, MR RAUL AGUILERA1

1Southern Adelaide Local Health Network, Division of Mental Health, Bedford Park, Australia, 2Central Adelaide Local Health Network, Division of Mental Health, Tranmere, Australia

The Mental Health Co-Response Service (MH CORE) is a tri-network interagency collaboration between public mental health services and the South Australian Ambulance Service which partners senior mental health nurses with advanced crisis intervention and emergency assessment skills and paramedics in an ambulance to respond to 000 calls. Historically, paramedics have had limited resources for responding to mental healthrelated emergencies, with approximately 50% of South Australia's mental health presentations arriving to the emergency department via ambulance. This new initiative, based on pre-existing international models, curved this trend by supporting 82% of presentations attended by MH CORE to access hospital-alternative pathways, reducing ramping and easing pressure on our health system by offering parallel mental state and physical health assessment.

With the aim of providing early intervention, holistic assessment, and streamlining access to appropriate services, MH CORE nurses have created a new personcentred gold standard that focuses on reducing coercive practice and stigma, improving patient advocacy, and the delivery of trauma-informed care in the prehospital setting. The implementation of this nursing model has the potential to bring about sustainable change by enabling frontline clinical decisions and directing individuals to access the right service at the right time. Backed by a tertiary-level mental health assessment team, and clinical support from senior psychiatrists, MH-CORE has been able to deliver a comprehensive service previously only available within the emergency department, including a streamlined direct inpatient admission process where required. MH-CORE nurses are playing an important

role in serving as mental health ambassadors within a traditionally generalist service, which encourages greater continuity of care and patient autonomy under dynamic and often heightened circumstances, whilst reducing the demand for other agencies such as police involvement. The team's vision is that the service will become a pioneering contribution to improve prehospital emergency mental health services in Australia.

RE-ENTERING THE NURSING WORKFORCE: A REVIEW OF THE NMBA APPROACH

DUNCAN BAULCH1

1Australian Health Practitioner Regulation Agency, Melbourne, Australia

The Nursing and Midwifery Board of Australia

Registration Standard: Recency of Practice and the Reentry to practice for nurses and midwives policy together provide a regulatory framework for those nurses and midwives who hold general or non-practising registration, or have previously held registration as a nurse and/or a midwife in Australia, and are seeking to return to clinical and/or non-clinical practice but do not meet the recency of practice requirements.

This includes those nurses and midwives who:

• have had a lapse in practice of five years or more, or

• have held non-practising registration for five or more years, or

• are no longer on the register.

The review of the approach to re-entry to practice considered NMBA and Ahpra's approach to workforce re-entry, how the Policy and other associated documentation is administered, and how education providers, employers, nurses and midwives apply the prescribed approach across settings.

The project identified what is working with the current approach, but also future opportunities to amend NMBA’s

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

EXTRAORDINARY (03)

Room: East 1 1:30pm - 2:50pm

and Ahpra’s approach to workforce re-entry in order to improve the timeliness and quality of nurses and midwives re-entering the workforce. The project focused on:

• how recency of practice informs competence to practise

• scope of application of provisional registration, and prescribed conditions to undertake supervised practice or an approved re-entry program

• challenges associated with maintaining recency of practice according to current RoP standard

• barriers around access to supervised practice and approved re-entry programs (particularly the challenges experienced by individual nurses, midwives and employers)

• barriers to administration of approved re-entry programs by education providers.

This presentation will focus on the findings from this project and the NMBA proposed revised approach to reentry to practice.

SERIOUS GAMES: BREAKING DOWN SILOS TO BUILD INTERPROFESSIONAL TEAMS

MS BERNADETTE THOMSON MACN1, MS KATHERINE DELANY1, MS ANGELA WOOD1, MS RACHEL PHILLIPS1, DR NIGEL FELLOWS1, DR SUSAN STOIKOV2, DR HANNAH MAYR 2

1Metro South Health, Brisbane, Australia, 2Centre for Functioning and Health Research, Brisbane, Australia

Introduction: Healthcare professionals continue to predominately train and work in silos, impacting how interprofessional teams’ function in the workplace. Persistent challenges embedding a culture of interprofessional education (IPE) and interprofessional collaboration (IPC) into clinical practice demands consideration of novel interventions to support behaviour change beyond didactic education. Use of low-fidelity

simulation games with interprofessional team may provide a solution.

Aim: To evaluate the impact of an experiential interprofessional education intervention (“Friday Night at the ER©” [FNER]) across clinical care teams within a large metropolitan health service.

Methods: To introduce principles of IPEC, FNER was piloted with established interprofessional clinical teams in 2.5 to 3-hour workshops. Consenting participants provided demographic data and completed the Systems Thinking Scale (STS), Attitudes Towards Interprofessional Health Care Teams (ATIHCT) and Adapted Interprofessional Collaboration Scale (ICS) immediately prior to the workshop, and with a 6-8 week follow up. Available pre- and post-intervention data was compared using parametric (STS) and non-parametric tests (ATIHCT and ICS).

Results: A total of 211 staff, from 11 teams participated in Friday Night at the ER sessions between August 2022 and January 2023. One hundred and sixty-two eligible staff completed the pre-evaluation survey and 50 post surveys have been completed to date. Participants were from Medicine (n=5), Nursing (n=14), and the Allied Health Professions (n=26). Preliminary data demonstrates a significant improvement in participant’s scores on the STS (mean change 61±8 to 65±7, p <0.001), ten of the 14 subscales of the ATICHT, and one subscale of the Adapted ICS. Data collection is ongoing.

Discussion: Serious games are an emerging pedagogy within the education of health professionals, with this simulation demonstrating a positive shift in attitudes towards IPE, IPC and systems thinking. The opportunity to leverage from this attitudinal shift supports future translation of IPE and IPC creating strong and sustainable interprofessional teams.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

EXTRAORDINARY (03)

Room: East 1 1:30pm - 2:50pm

EXPANDING SCOPE OF PRACTICE IN NURSE LED PRIMARY CARE CLINICS

MR JON HOWES

With increasing burdens placed on Emergency departments (ED), strain on General Practitioner services, and the COVID19 pandemic, innovation in nursing roles can provide alternate healthcare options for consumers. Walk in Centres (WiC) in the ACT are a nurse led primary healthcare service staffed by Advanced Practice Nurses and Nurse Practitioners providing care for minor illness and injury. Advanced Practice Nurses work autonomously within set clinical treatment protocols, in collaboration with Nurse Practitioners and specialty teams. To address limitations in accessing healthcare over the COVID19 pandemic, the Walk in Centres broadened their model of care to include 1-year olds, where previously the service had a lower age limit of 2 years of age. In the first 2 months of this expanded scope of practice, the Walk in Centres treated 423 1-year olds for minor illness and injury, and demonstrated improved access to health care and an alternative to presenting to ED. This presentation number was comparable to 1 year old presentations to ED in that same period, with presentation reasons and clinical impressions largely comparable for 1-year olds treated both in ED and WiC. The most common presentation to both ED and WiC was for viral infections, with preliminary data demonstrating a positive impact on reduced presentations in this age group to ED for minor illness and injury, and positive consumer sentiment from consumers accessing the service. The Walk in Centres are an example of innovation in nursing that have improved access to health care in the Canberran community. Ongoing visionary work and reimaging of this service helped to fill a gap in healthcare services, delivering high quality nursing care to a broader age group.”

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

POSSIBILITIES (OR REIMAGED) (01)

Room: East 2 1:30pm - 2:50pm

VIRTUAL CARE: A RENEWED STRATEGY FOR PAEDIATRIC ACUTE AMBULATORY SERVICES

MS EMILY CHAPMAN1, MS STEFANIE RIENMUELLER1

1virtualKIDS, Sydney Children's Hospitals Network, Westmead, Australia

Introduction: June 2022 saw an increasing trend of presentations and representations to the two Sydney Children’s Hospitals Network (SCHN) emergency departments (ED). This created an urgent need to develop and implement an innovative, sustainable model of care. It is well established that face to face paediatric Acute Review Clinics (ARC) are a safe, efficient and cost-effective method of delivering acute care in an outpatient setting; often reducing ED representations. The nurse led SCHN virtualKIDS Acute Review service was established, aiming to deliver a traditional acute review service virtually; reducing the need for physical clinical space including isolation rooms whilst supporting families to care for their children at home and reducing representations to ED.

Method: SCHN EDs referred suitable children with acute viral illnesses to the service. Once enrolled, children were scheduled for a telehealth appointment/s with a nurse and families additionally had access to a 24/7 phone line. A medical officer was available for escalation. Children were followed up for a maximum of 72 hours. Appointments were focused on respiratory and hydration assessments with simple interventions, education and support provided.

Results: July 1st to September 30th, 2022, saw 1,363 referrals with 1,716 virtual appointments. 1,339 appointments were with a nurse and 377 (15%) were with a medical officer. The most common diagnoses were febrile illness (fever, URTI, rash) and dehydration (reduced intake, vomiting, diarrhoea). A 33% reduction in ED representation was observed compared to the same timeframe in 2019.

Conclusion: Virtual ARC services will never completely replace face-to-face care however; this early success reflects a renewed model of care with a significant

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

POSSIBILITIES (OR REIMAGED) (03)

Room: East 2 1:30pm - 2:50pm

impact. Virtual care offers a world of opportunity and this service has potential to be scaled up and applied to other patient cohorts, to enable continued delivery of safe, efficient care whilst reducing ED representation.

CHANGING EDUCATIONAL PARADIGMS TO PROVIDE MULTIDISCIPLINARY COMPREHENSIVE PERSON-CENTRED CARE

DR THERESE RILEY1,2, MR CHRIS SARGEANT2, MS BEATRICE KIDENYA1,2, MS KARLEE MUELLER1, MRS KAREN TUQIRI1,2,3

1Prince of Wales Hospital, Randwick, Australia, 2Sydney Hospital and Sydney Eye Hospital, Sydney, Australia, 3University of Technology, Sydney, Australia

Introduction: An educational mapping and gap analysis report was undertaken across two acute care hospitals identifying clinician knowledge gaps for key aspects related to the assessment of risk, screening, and assessment processes for inpatients. A multidisciplinary educational session was developed to explore and enhance awareness of each clinician’s roles and responsibilities when planning, delivering, and evaluating a comprehensive person-centred care plan with a patient. Our vision is to enable sustained collaborative approaches that shape the future delivery of personcentred comprehensive care.

Main Body: This one-hour interactive session integrated the key principles of the Comprehensive Care Standard. (Standard 5 of the National Safety and Quality Health Standards). It included the six elements of the Comprehensive Care Framework (CFF) contextualised to a patient journey. The use of a patient scenario guided discipline specific decision-making regarding the assessments, care planning, delivery, and the evaluation of care. A pilot was undertaken which consisted of seven one-hour education sessions attended by 47 multidisciplinary staff across five acute care wards in two facilities using a co-facilitation model. The evaluation included questionnaires and facilitators’ critical

reflections. Success of the pilot included achievement of learning objectives, increased awareness regarding the six elements of the CCF, risk screening and assessments, improved communication and shared decision-making by the MDT and the patient, families, and carers. The second phase, which is currently ongoing, involves implementation of the program more broadly across the two acute care facilities.

Conclusion: Reimaging the traditional discipline specific approach to education has enabled the development of a multidisciplinary educational program focusing on comprehensive person-centred care. Participants have benefitted from a greater understanding of discipline specific interventions and management of patient complexities. Collaborative multidisciplinary ways of working within health care settings can achieve comprehensive person-centred care.

HEALTHCARE QUALITY AND SAFETY FOR INPATIENT CHILDREN WITH INTELLECTUAL DISABILITY

DR LAUREL MIMMO MACN1

1The Sydney Children's Hospitals Network, Randwick, Australia, 2Population Child Health, Faculty of Medicine, University of New South Wales, Sydney, Australia, 3Australian Institute of Health Innovation, Macquarie University, Sydney, Australia

Inpatient children with intellectual disability are frequent users if healthcare, have longer median length of stay and have heightened risks of harm from healthcare delivery (Mimmo et al, 2021). However, this data only tells part of the story. Patient experience data can inform enhancements to quality and safety, particularly those that are intended to be patient centred. Yet, this data is not routinely collected for people with intellectual disability. When it comes to children and young people, there have been a few surveys developed, however there are none that have been developed specifically for or with children and young people with intellectual disability, or even with their needs in mind. Enabling

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

POSSIBILITIES (OR REIMAGED) (03)

Room: East 2 1:30pm - 2:50pm

children and young people with intellectual disability to share their experiences provides a unique insight into healthcare delivery for this seldom heard group. In this session I will describe the healthcare quality and safety deficits experienced by this group of children, and share participatory research methods learnt through my coresearcher training workshops with two young people with intellectual disability. I will discuss how identifying and reflecting on good experiences of care with nurses resulted in a model of care delivery. In addition, I will share the process for co-developing and co-authoring a study protocol to co-design a tool for eliciting patient experience data with and for children with intellectual disability. Finally, I will present practical tips for nurses caring for inpatient children with intellectual disability to optimise the quality and safety experiences, and enhance the nurses' experiences, for this vulnerable group.

NOVEL MODEL OF CARE DELIVERY FOR PATIENTS WITH ATRIAL FIBRILLATION

PROFESSOR JEROEN HENDRIKS MACN1,2,3, MS

GEMMA WILSON2,3, MS EMMA D'ARCY2,3, MISTER DONALD OLSON2,3, MS SARA NOONAN1, DR LEMMA BULTO1, MS DONNA STEVENS2, PROFESSOR PRASHANTHAN SANDERS2,3

1Flinders University, Caring Futures Institute, College of Nursing and Health Sciences, Adelaide, Australia,

2Central Adelaide Local Health Network, Department of Cardiology, Heart and Lung Program, Adelaide, Australia, 3University of Adelaide, Centre for Heart Rhythm Disorders, Adelaide, Australia

Introduction: Atrial Fibrillation (AF) is a prevalent cardiac arrhythmia, associated with increased risk of stroke, hospitalisation and mortality. Integrated care is a systemic approach to provide sustainable and comprehensive care. Previous research demonstrated nurse-led AF-clinics to result in improved outcome. However, such clinics have not been evaluated for reproducibility and not in the Australian healthcare setting before.

Methods: The AF-Clinic is an innovative model of care integrating significant care components: 1) patientcentred approach, 2) multidisciplinary teams, 3) comprehensive treatment, 4) and use of technology. Nurses have a significant role in providing patient education, empowering patients to undertake selfmanagement and support lifestyle modification. The clinic has been translated to the Australian setting and implemented at the Royal Adelaide Hospital, Adelaide. A prospective randomised controlled trial is being conducted, to demonstrate effectiveness in terms of unplanned all-cause hospitalisation and mortality (primary endpoint). Patients ≥18 years with a confirmed diagnosis of AF on ECG or rhythm strip are eligible to participate in the study and will be followed for a period of 24 months.

Results: It is hypothesised that care provided in the AFClinic will be associated with improved clinical outcome. The trial is currently being conducted and recruiting patients. Consumer feedback has been very positive; patients feel empowered and value the education and shared decision making. Crucial requirements for the clinic are: nurses leading the clinic and coordinating care, presence of supervising cardiologists, and software to support the integrated approach.

Conclusion: Integrated care for patients with AF has been demonstrated to result in significant improvement of clinical outcome. The current trial aims to evaluate the nurse-led AF-Clinic concept in the Australian healthcare setting and to confirm previous results. These finding have potential to provide compelling evidence for implementing an integrated approach in AF management, and the significance of nursing roles herein.

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

SUSTAINABILITY (03)

Room: East 3 1:30pm - 2:50pm

BUILDING A TRAUMA-INFORMED WORKFORCE: A QUASI-EXPERIMENTAL STUDY OF EXPERIENCED NURSES

DR RACHEL ZORDAN1,2, MR JOHN FORSTER, MS CLARISSA TORCASIO, MS DARLENE DREISE, MS KATHERINE MCBREARTY, MS VIRGINIA WALKER, DR CARRIE LETHBORG1,3

1St Vincent's Hospital, Melbourne, Fitzroy, Australia, 2University of Melbourne, Melbourne, Australia, 3University of Tasmania, Launceston, Australia

Introduction: The chance of hospital staff encountering a patient with a trauma history is high. Implementing training in trauma-informed care (TIC) is part of a cultural change of benefit to both patients and staff. Simulationbased training provides an opportunity for staff to practice the skills required to deliver TIC. This reduces fear and anxiety when working with distressed individuals and creates opportunity to address bias and stigma.

Trauma Informed-Simulation Based Training (TI-SBT) is delivered face-to-face over one day and encompasses an education component followed by three immersive simulations using paid actors. It has demonstrated effectiveness to significantly increase TIC knowledge and promote TIC behaviours amongst graduate nurses. Our aim was to provide TI-SBT to more experienced nurses.

Method: A pre/post-test within-groups study was undertaken with 36 nurses employed at a tertiary teaching hospital in Melbourne, Victoria in 2022 to assess the effectiveness of TI-SBT.

Results: Participants predominately identified as women (n=34, 95%), born in Australia (n=24, 66%). On average, they reported 17 years in the nursing profession (range 1-49), with most identifying as specialist practice nurses from a variety of settings (acute inpatient, emergency, community, mental and corrections health). Three (8%) participants reported previous training in TIC. Analysis found significant improvement in TIC knowledge (p=<.001, 95% CI=-9.01,-4.40) and behaviours (p=0.004, 95% CI=-5.45,-.88). Satisfaction with all aspects of the training was high. Qualitatively, participants provided concrete examples of changes to their current practice to facilitate TIC.

Conclusions: TI-SBT is an effective way of educating experienced nurses about TIC by providing foundational knowledge and opportunities to practice new TIC skills in a safe environment. Many participants were working with patients who were likely to have a trauma history, yet most had minimal to no training in TIC. Demand for TISBT remains high and highlights a gap in current nursing education.

CAN NURSE-LED CARE EFFECTIVELY REDUCE HBA1C IN PATIENTS WITH DIABETES

MRS DANIELLE HOLLOWAY1

1University of the Sunshine Coast, Caboolture, Australia

Introduction: In 2021, around 537 million people worldwide were estimated to be living with diabetes, a figure expected to rise to 783 million by 2045. Nurse-led care offers these patients an alternative to traditional care models, with increased accountability and responsibility remaining with the nurse.

Purpose: Was to determine the effectiveness of nurseled care in reducing HbA1c in adults with type 1 or 2 diabetes.

Methods: Methodology from the Joanna Briggs Institute Method for Systematic Review Research and PRISMA guidelines were followed, including identifying publications, assessing study quality, summarising evidence, and interpreting findings. The search strategy involved using MeSH headings and keyword variations when searching MEDLINE (Ovid), Scopus, PubMed and CINAHL databases. Inclusion criteria were samples with type 1 or 2 diabetes, mean age ≥18 years, English language studies and publication date January 2011-December 2021.

Results: Overall, 34 articles from 16 countries met inclusion criteria. Though not always clinically significant, results indicated that nurse-led care had beneficial HbA1c impacts, with reductions from 0.03-2.0%. This was evident when nurses received formal training, used

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

SUSTAINABILITY (03)

Room: East 3 1:30pm - 2:50pm

treatment algorithms, had limited medical support, utilised technology and offered defined culturally sensitive and appropriate diabetes care.

Presently Data analysis is in progress, examining retrospective data from 300 patients who received nurseled or doctor-led care in general practices, using the chronic disease management (CDM) program funded by Medicare to determine the effectiveness of nurse-led care in reducing HbA1c in patients with diabetes.

Publication: Systematic review of the effectiveness of nurse-led care in reducing glycated haemoglobin in adults with Type 1 or 2 diabetes

Authored by: Danielle Holloway BH, MCL, RN, RM, PhD Student, Dr Steven James PhD, FHEA, RN, A/prof Elif Ekinci PhD, MBBS, FRACP, Dr Judy Craft PhD, GradCertAcadPrac, BAppSc. https:// doi.org/10.1111/ijn.13135

IMPROVE ETHNIC FEMALE MINORITY REPRESENTATION IN HEALTHCARE LEADERSHIP

MISS AISHWARYA GUMMADAVELLY MACN1

1The University Of Queensland, Brisbane, Australia

Racial and gender discrimination is prevalent within healthcare systems and contributes to negative workplace culture (Eze, 2020). This is reflected in the lack of ethnic female minorities (EFM) represented in leadership roles within the Australian healthcare system. The ethnic demographic of Australia is rapidly changing however, this has not reflected in the number of ethnic minorities appointed to leadership roles. Although woman make up the majority of the healthcare workforce, they hold a small number of leadership positions (World Health Organisation, 2021). Lack of workforce diversity has been associated with lower profits, decreased productivity, slowed innovation, and reduced accuracy in risk assessments which contributes to poor health outcomes (Gomez & Bernet, 2019). This perspective piece aims to identify effective diversity inclusion strategies that will increase representation of EFM in health leadership roles and improves workforce engagement. This is a call to

action to provide funding and create racial and gender inclusive policies that enhance leadership diversity if we want to eliminate health disparities and decrease health expenditure. Australia is a melting pot of diversity; our multicultural society needs a multicultural leadership team.

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

VISIONARY (03)

Room: Gilbert Suite 1:30pm - 2:50pm

INFECTION PREVENTION AND CONTROL: SUPPORTING NURSING STUDENTS AT POINT-OF-CARE

DR GIFT MUTSONZIWA, MS RONA PILLAY, DR PAUL GLEW

1Western Syndey University, Parramatta South Campus, Australia, 2Western Syndey University, Parramatta South Campus, Australia, 3Western Syndey University, Parramatta South Campus, Australia

Background: The waves of mutant virus outbreaks posed a serious threat to global health at the height of the COVID-19 pandemic and have disrupted healthcare services and contributed to national nursing workforce shortages. In Australia and abroad, undergraduate Bachelor of Nursing (BN) students were deployed at the point-of-care (POC) in a wide range of healthcare settings, including testing and vaccination centres through Work Integrated Learning (WIL) programs. These unprecedented circumstances presented new learning opportunities for nursing students and new challenges for their learning trajectories. The rapid transmission of COVID-19 through communities meant that nursing students placed in frontline healthcare settings needed to swiftly adapt to infection prevention and control (IPC) practice and their care responsibilities.

Purpose: This project aimed to firstly examine the literature on nursing student knowledge of COVID-19 transmissibility and preventative measures, and secondly explore opportunities for nursing programs to partner with health services to design innovative curriculum and education measures that foster student preparedness at POC during WIL and as future healthcare professionals.

Method: The initial phase of the project is a systematic review using Covidence, Johanna Briggs Institutes appraisal tools and PRISMA guidelines to investigate literature on factors influencing nursing student behaviours toward infection prevention and control (IPC) practices at POC. The second phase will entail partnering with health services using a national survey on IPC practice preparedness and POC education supports for clinical nursing placements.

Results and conclusion: The findings from this study revealed that social media, knowledge, gender, clinical support and the healthcare environment are central factors influencing nursing students' behaviours towards IPC practices. Future collaboration with health services will advance the design of nursing education programs and strategies to equip nursing students with IPC knowledge and practice for the current COVID-19 context and in managing future virus variant outbreaks.

CLINICAL SUPERVISION FRAMEWORK FOR ACT NURSES AND MIDWIVES: STRONG FOUNDATIONS

MS SUE HARVEY1, MR ANTHONY DOMBKINS2, MS PATRICE MURRAY2, MR PAUL SPURR1, MS CHRISTINA CAIRNS1

1Clinical Supervision Consultancy, Dundas Valley, Australia, 2 ACT Health Directorate, Canberra, Australia

A visionary approach is essential for the long term sustainability of the nursing workforce, nationally and internationally. Nurses are vital for quality healthcare and have demonstrated the capacity to be innovative and progressive. The increased focus and concern about the health and wellbeing of nurses is well founded given a pervasive climate of staff shortages, additional workplace stress and recruitment/retention challenges. A range of strategies are needed to achieve the longterm vision of nurses working in an environment where support and development are effectively embedded and sustained. A key strategy is reflective Clinical Supervision (CS) where dedicated time for critical reflection and support is a routine and accepted part of professional practice. Release of the Position Statement on Clinical Supervision in 2019 by the Australian College of Nursing, Australian College of Mental Health Nursing and Australian College of Midwives articulated the vision for all nurses and midwives. The presentation provides an overview of the Clinical Supervision Framework for ACT Nurses and Midwives (the Framework), as a strong foundation for CS implementation based on the Position Statement. The Chief Nursing and Midwifery

Abstracts – concurrent sessions

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CONCURRENT SESSION THREE

VISIONARY (03)

Room: Gilbert Suite 1:30pm - 2:50pm

Officer (CNMO) ACT Health Directorate had the vision of access to CS for all ACT nurses and midwives and wanted to explore how CS could be implemented successfully. Amidst high operational challenges, including the impact of COVID-19, the expected benefits of CS from time to reflect, replenish and renew was a driver for development of the Framework. Six integrated core principles provide the structure for the Framework and underpin CS implementation. The Framework is a tangible commitment to the vision of CS where nurses are provided regular time to reflect, to increase their wellbeing, development and contribute creatively to nursing practice. It is hoped this work will encourage others to collaborate in this vision for the future.

BENDING THE RULES: INTEGRATING EMR/PAS IN MENTAL HEALTH CARE

DR MICHAEL LEOCADIO MACN1, RICHARD BOSTWICK1, CATHERINE THOMAS1, MAEVE FRANKS1, DONELLE RIVETT1

1Bethesda Clinic, Australia

Evidence regarding the implementation of EMRs in mental health settings is scarce. Many attempts have been made to adopt EMRs in mental health; however, the majority failed because the personal, detailed, narrative, and exploratory character of evaluation, diagnosis and treatment of mental health conditions presents unique challenges to EMR implementation. Bethesda Clinic is one of the first mental health clinics in Australia to use a cloud-based Patient Administration System (PAS) known as Electronic Health, Archive, Records, and Technology (e-HART v.1). It has the following features:

• A dynamic EMR that is not confined to the traditional and linear clinical pathway but rather to the iterative nature of the mental health journey.

• Ensures the development of a treatment, support, and discharge plan based on holistic quadrants and the linking of therapeutic activities to care goals.

• Connects to a Bed Board that provides information about the consumers' schedule, care plan review,

multidisciplinary meetings, clinical alerts, and care team.

• Enables the multidisciplinary team with EMR conditions, access, security permissions, and features that satisfy individual roles and responsibilities, legislative requirements, and standards

• Comprises care, resource, scheduling, events/therapy, administrative, and financial management; hence, acts as a patient administrative system (PAS).

• Provides learning opportunities and resources to consumers and staff through built-in, evidence-based knowledge articles and educational materials

• Generates reports to inform business processes and directions, such as the monitoring of key performance indicators (KPIs) and care outcomes

• Integrates with Mentegram, a platform complying with the Privacy Act that monitors the treatment progress of consumers.

The presentation provides conference attendees with learning and insights based on the development, testing, and evaluation of e-HART. It also highlights the enablers and barriers experienced during staff training and system adoption. E-HART's future directions are shared to emphasise the potential benefits and collaborative solutions that technology offers towards the advancement of mental healthcare.

STEPPING STONES TO CLINICIAN RESEARCH FOR NURSES

MS KATHERINE MCBREARTY MACN1, MS JADE MURPHY1, MS VIRGINIA WALKER1, DR RACHEL ZORDAN1,2

1St Vincent's Hospital Melbourne, Melbourne, Australia, 2The University of Melbourne, Parkville, Australia

Introduction: Nurses and midwives make up more than 57% of Australia’s health workforce, however nurse clinician researcher roles are rare. Despite the lack of

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

VISIONARY (03)

Room: Gilbert Suite 1:30pm - 2:50pm

clinical-based research taking place, nursing research demonstrates significant economic benefits and leads to healthcare benefits for patients. Funding small research projects driven by nurses is one pathway to develop nurse-led research.

Method: Philanthropic funding was bequeathed to the Education and Learning (E&L) department and allocated to nurse-led clinically-focused research projects. This was formalised as the Ann Cook Scholarship, designed to engage nurses interested in research through the provision of funds to complete a finite research project (within 12 months) relevant to their current clinical practice. A committee governs the scholarship allocation and administration processes which includes reviewing applications and undertaking interviews. Scholarships of $5000 are awarded annually.

Results: 13/27 projects have received funding since 2018. Additionally, recipients receive training to support the completion of their research (e.g., conducting a literature search). To date:

• Two recipients have received further funding for clinician buy-out research time (>$100,000)

• One recipient was awarded a further scholarship to a state-wide research methods training program

• Four recipients have presented their research at local and national conferences

• Two projects facilitated completion of masters theses

• A ll projects have positively impacted local clinical practice and patients

Mentoring the recipients has been key to success.

Conclusion: The scholarship financially and academically supports nurses to examine clinical problems, using research methods to leverage and improve patient care. Clinical problems are rigorously examined, and recipients move beyond citing anecdotal evidence to creating a data driven evidence-base, which can then be used to change outdated practice. The scholarship is a great starting point for a nurse clinician researcher.

DAY 2 THURSDAY 10 AUGUST 2023 CONCURRENT SESSION THREE

ALL INCLUSIVE (03)

Room: Hall C 1:30pm - 2:50pm

REDEPLOYMENT REIMAGINED – CODESIGNING A SOLUTION FOR CRITICAL CARE NURSES

MRS LOUISE WHITE1, JO SCHLIEFF1, LEE BOYD1, PROF JULIE CONSIDINE1, DR NANTANIT VANGULIK1

1Eastern Health, Australia

Background: The escalating shortage of nurses in critical care areas requires urgent attention if health providers are to positively shape healthcare and advance nursing. Organisationally, redeployment has been identified as a factor impacting retention of critical care nurses which prompts further review. Staff experience surveys and complaints have identified that frequent redeployment of staff contributes to dissatisfaction, a reduction in working hours and, often, the intention to resign. Much is already understood about redeployment of nurses into ICUs to support patients during periods of increased demand; less is understood about the impact of critical care nurses being redeployed out of the ICU during periods of decreased demand.

Aim: This study aims to explore the issues and impact of redeployment out of ICU from both a management and critical care nurses’ perspectives, and to identify co-designed solutions that will better meet both health service and nurses’ needs.

Method: Data collection: A mixed-methods approach enabled the collection and subsequent analysis of data relating to the redeployment of critical care nurses’ over 24 months.

Analysis of data: A review of rostering data and structured interview data from a representative sample of senior leaders and redeployed staff formed the basis to inform co-design workshops focused on reimagining redeployment. The data analysed validated our understanding of redeployment of critical care nurses. Identification of Options: Co-design workshops involving staff and management identified potential approaches that could be pursued to resolve the issues associated with redeployment and proposed actions that could address many of these issues.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

ALL INCLUSIVE (03)

Room: Hall C 1:30pm - 2:50pm

Results/Conclusion: Using co-designed solutions to meet service needs and reduce the impost of redeployment for critical care nurses has highlighted the value of local level engagement and refreshed relationships between stakeholders to deliver positive outcomes. Further research to evaluate these interventions is required to identify impact on retention. REFRESH, REPLENISH, RENEW

NAVIGATING MORAL DISCOMFORT OF PAEDIATRIC WARD NURSES PROVIDING COLORECTAL CARE

MS JESSICA TARANTO MACN1,2,3, MRS SUZIE JACKSON-FLEURUS1,2, PROFESSOR SEBASTIAN KING1,2,3, PROFESSOR FIONA NEWALL1,2,3, DR. MISEL TRAJANOVSKA1,2

1The Royal Children's Hospital, Parkville, Australia, 2Murdoch Children's Research Institute, Parkville, Australia, 3The University of Melbourne, Parkville, Australia

J, a two-year-old, tracheostomy-dependent boy with congenital abnormalities and a neurodevelopmental disorder required twice daily anal dilatations for seven months prior to his stoma closure. This case study describes how the Clinical Nurse Consultants (CNCs) from the Colorectal and Pelvic Reconstruction Service (CPRS) at The Royal Children’s Hospital (RCH) Melbourne navigated ethical concerns and mitigated the moral distress of medical ward nurses providing this care. J was a long-term patient on a medical ward at RCH, where the nurses were expert in managing his complex medical needs. J also had an anorectal malformation requiring reconstructive surgery and the formation of a stoma. To enable J’s stoma closure, ward nurses were asked to facilitate twice daily anal dilatations. The anal dilatation procedure requires a metal dilator to be inserted into the anus to stretch the wound and prevent stricture formation. This allows stool to pass safely after stoma closure. The medical nursing team were unfamiliar with the process of dilatations and found

them ethically confronting. The CPRS CNCs listened to the concerns of ward nurses at individual and group meetings. They then worked collaboratively with ward nurses to provide support, education, clinical expertise, and positive feedback. This reframed the care pathway that enabled J to receive the dilatations he required, while addressing the nurses’ moral distress. Colorectal procedures are often invasive and confronting. This may cause unaccustomed nurses to experience psychological and/or emotional discomfort. We actively listened to, and identified, the concerns of the ward nurses. We re-framed the intervention and implemented strategies which enabled J to undergo necessary dilatations while leaving the ward nurses feeling heard and empowered. This case study highlights the contribution that advanced practice nurses make to inpatient clinical care of patients with complex needs and emphasises the value of dedicated colorectal nurses in a paediatric service.

REINVIGORATING ENROLLED NURSE STUDY DAYS, INCREASING ENGAGEMENT AND CLINICAL UNDERSTANDING

MISS GEORGIA SZE-THO1, MR ROBERT WILLIAMS1

1Alfred Health, Prahran, Australia

Background: In 2021 the Enrolled Nurse (EN) cohort were a new staff group within a large metropolitan tertiary public hospital. This group required a tailored suite of education giving rise to an opportunity to remodel existing study days. Nurse Educators undertook the redesign of the study day content guided by current research relating to high fidelity simulation and holistic patient centered care and aligned to organisational priorities.

Aims: To redesign the content and delivery of acute care study days to increase participant engagement and model holistic patient centered care.

Project description: The study day was restructured to utilise a flipped classroom approach and focused on the care of one patient and their journey from admission to discharge. The day encompassed an innovative use of

Abstracts – concurrent sessions

DAY 2 THURSDAY 10 AUGUST 2023

CONCURRENT SESSION THREE

ALL INCLUSIVE (03)

Room: Hall C 1:30pm - 2:50pm

a training electronic medical record, hands on practical components and interactive tutorial style learning. Pre and post-education surveys were taken to understand student learning styles, learning expectations and selfrated understanding of content. The facilitators reported an increase in engagement after implementing the flipped classroom approach and the students reported enjoying the immersive high-fidelity simulation. 73 participants self-reported increases in confidence and competence in all topics covered in the education day. These topics included comprehensive handover, risk assessments, Blood result interpretation, wound management, sepsis and delirium management.

Discussion: The Nursing Education team noted an increase in engagement after implementing the flipped classroom approach and the students reported enjoying the immersive high-fidelity simulation. The success of this study day and its integrative patient centered nature has inspired a review of other study days.

Conclusion: The use of innovative high-fidelity simulation and an integrative patient scenario has positively improved the EN acute care study days. Increased student engagement and a wide range of learning opportunities were noted.

EFFICACY AND SAFETY OF ACUPUNCTURE AND MOXIBUSTION FOR PRIMARY DYSMENORRHEA

DR WEITING LIU1, PHD; RN CAROL CHUNFENG WANG, PHD KHUI HUNG LEE, PRO; MD; PHD XIAOPENG MA, MD;PHD TIMOTHY LEEN KANG

1Edith

Cowan University, Joondalup, Australia

Background: Acupuncture and moxibustion have been accepted as add-on options for primary dysmenorrhea (PD); however, the clinical evidence is still inadequate. Therefore, this review aimed to provide updated knowledge by synthesizing the best available evidence for PD.

Methods: We searched AMED, CENTRAL, EMBASE, PubMed, Web of Science, CBM, CNKI, VIP, Wangfang

database, ANZCTR, ClinicalTrials.gov, and the WHO ICTRP, from their inception to February 2021. The efficacy of acupuncture and moxibustion for PD, the treatment regimen (acupoints formula and intervention dosage), and any related adverse events (AEs) and the potential reasons were measured. All analyses were conducted using Meta-Analysis Packages in R Software (Balduzzi et al., 2019).

Results: Twenty-two studies comprised 1634 randomized PD participants included, with 4 studies published in English and 18 studies published in Chinese; trials were mainly conducted in China (n=21) and Thailand (n=1). The pooled analysis of 13 RCTs with 675 participants for VAS showed that acupuncture and moxibustion were more effective in managing PD than the control group with the MD of −1.93 (95% CI [−2.80, −1.06] and −2.67 (95% CI [−4.96, −0.38]). With the CMSS, seven studies with 487 participants showed that these modalities were more effective than the control group with the MD of −7.58 (95% CI [−10.97, −4.19]) and −3.78 (95% CI [−6.90, −0.66]). We found a set of frequently used points for PD: SP6, CV4, BL32, SP8, CV6, and GV14. In addition, 30 minutes per session, once a day for three consecutive period cycles were the most common intervention duration in this review. No serious AEs, while 9 minor events were reported including local and minor irritation, bleeding, bruises, blisters, and these reactions were mild and all recovered.

Conclusions: The findings indicated that acupuncture and moxibustion could relieve pain effectively and has fewer adverse events (AEs) in managing PD.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

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CONCURRENT SESSION FOUR

EXTRAORDINARY (04)

Room: East 1 10:30am - 11:50am

IDENTIFYING INFLUENCES ON NURSING BEHAVIOURS IN INFECTION PREVENTION AND CONTROL

DR PAUL GLEW MACN1, DR GIFT MUTSONZIWA, MS MARWA MOJAB, MS MEGHA KATUWAL

1Western Sydney University, School of Nursing and Midwifery, Richmond, Australia, 2Western Sydney University, School of Nursing and Midwifery, Parramatta, Australia, 3Western Sydney University, School of Nursing and Midwifery, Parramatta, Australia, 4Western Sydney University, School of Nursing and Midwifery, Parramatta, Australia

Introduction: Nurses are central to infection prevention and control (IPC) in healthcare environments. Knowledge of factors influencing compliance with IPC precautions is imperative for a sustainable nursing workforce focussed on staff and patient safety, and care quality. This was critical during the COVID-19 pandemic and post lockdown periods in Australia given the accompanying increases in mortality and morbidity and wide-ranging impacts on health and aged-care services. Whilst immunisation intensification can reduce the severity of this illness, the WHO promotes IPC strategies as a critical measure. Throughout this period the virulence and resulting transmissibility of COVID-19 variants resulted in nurses and pre-registration nursing students taking extreme precautions to minimise risk to themselves, their families, patients and their carers, and visitors to healthcare.

Purpose: This project aimed to systematically examine literature on IPC during COVID-19 by engaging undergraduate nurses in research to identify behavioural models that influence practice.

Method: Nursing students participated with researchers to integrate studies from qualitative and quantitative paradigms for this systematic review on IPC practices by refining the question and appraising the quality of literature using Covidence, Joanna Briggs quality assessment tools, PROSPERO registration and PRISMA checklists in summarising evidence.

Results and conclusion: This study has increased not

only the knowledge of these nursing students on factors influencing the IPC practice behaviours of nurses in COVID-19 but has revealed that preventive behaviours for infection is significantly higher in healthcare professionals with more knowledge of COVID-19 and preparedness in using IPC strategies. This rigorous review will be used to further research on promoting work health and safety measures, patient safety and quality nursing care practices. Outcomes of the project will inform the sustainable design of IPC clinical placement education for nursing students, and contribute to furthering effective strategies, guidelines and policies to support our nursing healthcare workforce.

RETHINKING WHAT WE DO TO PROVIDE SUSTAINABLE HEALTHCARE

MRS SARAH WEBB MACN (ASSOCIATE)1

1Eastern Health in partnership with General Practice and Funded by the EMPHN

Introduction: Eastern Health identified opportunities to improve the patient experience in Urology outpatients for patients presenting from the Emergency Department with ureteric stones. The demand for outpatient services was surpassing clinic capacity, which in turn led to long waits, frustration by patients and less than ideal experiences for patients and staff.

Intervention/Model of care: Through the support of the Primary Health Network (PHN) and collaboration with local GPs, the ureteric stone diversion project was developed. The aim of the project was to support care in the community for suitable patients.

Results: On average 76% (407 out of 532) of patients presenting to the Emergency Department met the criteria to be on the ureteric stone diversion pathway and be followed up by a General Practitioner. 85 patients declined to be part of the project. There was a significant reduction in the total number of patients waiting for a stone clinic review (total fell from 425 to 84 patients) and the period of time that they now wait reduced across all categories (urgent patients wait an average of 15 days

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

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Room: East 1 10:30am - 11:50am

as opposed to 85 days). Patient and staff feedback was overwhelmingly positive

Conclusion: This project demonstrates what can be achieved by collaborative partnerships that aim to refine current practice to achieve sustainable and improved outcomes for our patients and staff.

REPLENISHING THE ACADEMIC WORKFORCE

DR DIANNE STRATTON-MAHER1, PROFESSOR JENNIFER KELLY, ASSOCIATE PROFESSOR KAREN LIVESAY

1RMIT, Ipswich, Australia

Background: The pivotal role of nurse academics is educating nurses to ensure a sustainable future workforce. However, there is limited Australian literature surrounding preparation of registered nurses for the intense workload and diversity of skills required by academics.

Aim: A phenomenological study was conducted to uncover registered nurses’ lived experiences as they transitioned from a clinician to novice nurse academic in Australia.

Method: This study explored the lived experiences of 11 registered nurses who transitioned into the role of a nurse academic at six Australian universities in 2020. Individual semi-structured interviews were undertaken, audio recorded and transcribed verbatim. Thematic analysis uncovered rich data providing lived experience exemplars.

Results: Findings from this study revealed that transitioning into academia involved alienation, confusion and anxiety after leaving behind clinical practice and moving into teaching, research and scholarship. Further, the majority of participants claimed they felt isolated, unsupported and overworked during their transition to academia.

Discussion: The novice nurse academics that participated in this study entered the academic

environment as capable and autonomous clinicians. However, participants felt undervalued causing them to question the decision to remain in academia.

Conclusion: A university-wide vision to ensure a safe, healthy, respectful learning and work environment is needed to enhance novice nurse academics’ adjustment to academia. Study findings suggest that sustainability of the academic workforce, depends on cultivating and growing the academic work environment through high levels of collaboration, collegiality and teamwork. Thus, constructing a sense of belonging, emotional connection, trust and acceptance to ultimately build self-efficacy.

BACK TO THE BEDSIDE: USING MEDAPP TO SAVE NURSING TIME

MR DANIEL GRAHAM MACN1, MR TOM COLLINS1, KAREN TUQUIRI

1Med Apps, Sydney, Australia

Administrative tasks involved with orientation of nurses, plus skill development / competency attainment in the workplace are often multi-step, paper-based processes, resulting in duplication of work through scanning, printing, and manual re-entry into databases. Productive time savings can be achieved through the digitisation of nursing workflows. Administrative load on nursing educators can impact job satisfaction, retention and engagement due to disconnected systems, duplication of tasks, and extensive time completing administrative tasks. Paper-based systems and clunky processes similarly impacts clinical nurses - loss of paperwork, delayed access to information due to delays in translation from paper to LMS, and de-skilling the workforce if a staff member decides to leave the organisation. Time in motion studies conducted with nursing teams and verbal validation from educators across multiple facilities indicates the process of paper sign-off, to transcription into excel for reporting, and upload to LMS takes approx. 3 to 5 minutes of CNE time (per skill, per person). Delays can occur due illegible handwriting, limited knowledge of staff numbers and bulk uploading of data. Quantifiable productive time can be saved. Large departments can

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Abstracts are printed as submitted to ACN

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Room: East 1 10:30am - 11:50am

have 100+ nurses and upwards of 15 competencies to complete per nurse . Based on this example department, 4500 mins of potential admin time could be redirected to education and clinical care. At scale, the productive clinical time savings for health services are immense, allowing nursing staff to have more time at the bedside and educators to have more time on the floor to support staff. Regardless of the digital solutions used, automating administration and moving education back to the bedside is critical for the Nursing workforce. Moving in this direction provides greater governance and accountability while materially reducing paper and manual administration. The broader economic benefits include:

• Productive time savings

• Increased engagement

• Service improvement (financial & performance)

DAY 3 FRIDAY 11 AUGUST 2023

CONCURRENT SESSION FOUR

POSSIBILITIES (OR REIMAGED) (04)

Room: East 2 10:30am - 11:50am

THE SYMBIOSIS BETWEEN NURSING AND ARTIFICIAL INTELLIGENCE: SYSTEMATIC UMBRELLA REVIEW

ASSOCIATE PROFESSOR SAMUEL LAPKIN MACN1, MR TAWANDA KUJENGA1,2,3, LUCY SHINNERS4

1Southern Cross University, Gold Coast, Australia, 2Bond University, , Australia, 3Caliba Group, 4Australian Institute of Digital Health

Introduction: There has been a significant increase in publications related to the integration of artificial intelligence (AI) in nursing, but the acceptance and adoption of AI by nurses have been mixed. To better comprehend the factors influencing nurses' acceptance and use of transformational technologies, an umbrella review informed by the Technology Acceptance Model (TAM) was performed.

Methods: We searched four electronic databases for systematic reviews published between January 2018 and January 2023 that investigated the impact of AI in nursing and were informed by the TAM. Two independent reviewers screened the articles, extracted the data and assessed the quality of the included studies.

Results: A total of 396 systematic reviews were retrieved, and 17 met the inclusion criteria. The reviews considered studies conducted in various healthcare settings and explored the use of AI in decision-making, diagnosis, detection, patient monitoring, wound management, and documentation. The TAM constructs of perceived usefulness and perceived ease of use were the most commonly investigated factors influencing nurses' acceptance of AI. Other factors included social influence, fear of job displacement, ethical concerns such as patient privacy, data security, and potential algorithmic bias.

Conclusion: The results of this review suggest that nurses' acceptance and adoption of AI is influenced by several factors. The TAM provides a useful framework for understanding the factors that impact the acceptance of AI in nursing. Integrating AI in nursing has the potential to improve the quality and safety of care, but it requires a more anticipatory, strategic, and collaborative approach to ensure successful implementation. Future research

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Room: East 2 10:30am - 11:50am

should focus on addressing the barriers to the adoption of AI in nursing, including the need for training and education and concerns about the impact of AI on the role of nurses in care delivery.

TRANSLATING PAEDIATRIC NURSING PRACTICE TO VIRTUAL HEALTHCARE

MRS JOANNE HENDERSON1, MS KYLIE OLCAYTO1, MRS GISELA OLSON1

1The Sydney Children's Hospitals Network, Westmead, Australia

Background: Modern technological advancements, coupled with an increasing need to provide healthcare closer to home, have allowed opportunities in care innovation. Delivering a predominantly nurse led virtual health service for paediatrics, clinicians have learnt to adapt their practices whilst providing home-based clinical service.

Aim: To describe the practice changes and specific skills required in delivering a virtual health service for children and their families, whilst demonstrating the benefits of professional development.

Discussion: Over the past two years a paediatric virtual care service underpinned by multiple models of care has been implemented. The nursing team have varying clinical expertise, from critical care, general medicine, surgical and chronic care. This provides a unique cohort of skills within the team. In a virtual health model these skills have been challenged, as the normal clinical domain is hands on. Adapting our nursing practice, the parents/ carers have become our hands and thus, part of the assessing team.

Results: Approximately 8000 consults were undertaken in a six month period under the Acute, Urgent and Chronic Care models, addressing multiple healthcare needs. The team have learnt to adapt their assessments to the virtual platform, achieving a high standard of safe patient care.

Conclusion: Caring for children in their own home

provides a reassuring supportive environment that allows the nurse to assess the child in a non-clinical setting. Audio-visual assessments in the family home requires development of a unique skill set, not otherwise practiced in tradition nursing cares. By supporting care in the home, early discharge is feasible and Non urgent ED presentations are reduced.

COULDN'T HAVE DONE IT WITHOUT THEM; RN/RUSON WORK EXPERIENCES

MS KATHERINE MCBREARTY MACN1, DR RACHEL ZORDAN1,2, MS JADE MURPHY1, MS VIRGINIA

WALKER, PROFESSOR ELIZABETH MCINNES1,3,4, DOCTOR ELISABETH JACOB4

1St Vincent's Hospital Melbourne, Fitzroy, Australia, 2The University of Melbourne, Parkville, Australia, 3Nursing Research Institute, Australia, 4Australian Catholic University, Melbourne, Australia

Background: Nursing support workforces optimise existing workforces whilst maintaining patient care standards. Recently introduced in Victoria is a Registered Undergraduate Student of Nursing (RUSON) workforce, comprising undergraduate nursing students who work to a specific position description and scope. There are few studies examining the RUSON model. This qualitative study explores the experience of introducing RUSONs to an established nursing workforce during the COVID-19 pandemic, drawing on the perspectives of RUSONs and RNs.

Participants: A purposive sample of RUSONs (n=11) and Registered Nurses (RNs) (n=16) from eight inpatient wards and two subacute wards.

Methods: RUSONs were individually interviewed. Four focus groups consisting of 2-4 RNs and two individual RN interviews were conducted using Zoom video communication. Interviews took place between OctoberDecember 2020, while RUSONs were still employed. Audio recordings were transcribed and coded using NVivo software. Reflexive thematic analysis using an inductive approach was undertaken.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

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POSSIBILITIES (OR REIMAGED) (03)

Room: East 2 10:30am - 11:50am

Findings: Four major themes were revealed: i) Navigating a RUSON program, ii) Team members; iii) Patient care; iv) Performance on placement. This RUSON workforce had several benefits for RUSONs and RNs. RUSONs and RNs reported positive experiences of working together. RNs value RUSONs knowledge, providing examples of RUSONs preventing falls, recognising and responding to patient deterioration, and improving the delivery of timely care. RUSONs and RNs believed RUSON employment improves student confidence and efficiency on clinical placements. Initial difficulties were reported, (e.g., RNs understanding the RUSON scope) which were mitigated by training and ongoing support.

Conclusions: This work highlights benefits for RUSONs (relationships, experience, and knowledge), and RNs (relationships, workplace satisfaction). It was observed that in the absence of ongoing support, challenges were more likely to occur, remain unresolved, and negatively impact the experience for RNs. However, the evidence overwhelmingly supports the ongoing use of RUSONs as a nursing support workforce.

REIMAGINING ABORTION CARE

MS KERINDA BURTON1, MS LINDA KIRBY 1QNMU, Yeppoon, Australia, 2 ANCP, ANC, ANMU, Yeppoon, Australia

The termination of a pregnancy is a procedure that has strict time constraints, increasing in complexity and risk with gestation. Ideally, pregnant people seeking an abortion can choose between medical or surgical abortion methods. In Australia for people with a uterus access to abortion care in metropolitan areas, rural and remote settings is becoming increasingly difficult to access timely and effective care.

Registered Nurses (RN), Registered Midwives (RMW) and Nurse Practitioners (NP) are adept at providing indispensable patient-centred health care services with a knowledge base to provide safe abortion care. Evidence from the World Health Organisation (WHO) shows that nurse and midwife-led abortion care models are clinically safe, effective and acceptable to pregnant

people. Currently pregnant people receive disjointed and protracted appointment scheduling as part of the termination of pregnancy pathway. This is due to limited staffing of trained doctors, PBS and MBS structure and mixed models of care. The model routinely consists of a nurse completing the initial consultation for a patient seeking an abortion to ensure essential information required by the medical officer such as ultrasounds and blood work is completed. Due to an RN or NP unable to request a bulk- billed pelvic ultrasounds, prescribe the MS2Step, the medical officer has to request the ultrasound and prescribe the medication further protracting the time taken to achieve all elements required for a termination of pregnancy. Reimagining the pathway of a termination of pregnancy will include a wider scope of practice for RN’s, RMWs and NPs to allow people with uterus a patient centric, streamlined and trauma informed care. A reimagined health care system of MBS and PBS to include the ability for specialist nurses to to request a bulk billed pelvic ultrasound and prescribe MS2Step.

Abstracts – concurrent sessions

DAY 3 FRIDAY 11 AUGUST 2023

CONCURRENT SESSION FOUR

SUSTAINABILITY (04)

Room: East 3 10:30am - 11:50am

PERSPECTIVES OF FAMILY-CENTRED CARE AT THE END-OF-LIFE DURING COVID-19

PROFESSOR MELISSA BLOOMER FACN1,2,3, DR EVA YUEN4,5,6, DR RUTH WILLIAMS4,5,6, ASSOCIATE PROFESSOR STEPHANE BOUCHOUCHA4,5, ASSOCIATE PROFESSOR PETER POON7,8, DR FIONA RUNACRES7,8,9, MS CHRISTINE MOONEY 7, ALFRED DEAKIN PROFESSOR ALISON HUTCHINSON4,5,10

1Griffith University, School of Nursing and Midwifery, Nathan, Australia, 2Intensive Care Unit, Princess Alexandra Hospital, Metro South Health, Woolloongabba, Australia, 3Menzies Health Institute Queensland, Griffith University, Gold , Australia, 4Deakin University, School of Nursing and Midwifery, Geelong, Australia, 5Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Australia, 6 Centre for Quality and Patient Safety Research, Monash Health Partnership, Clayton, Australia, 7Supportive and Palliative Care Unit, Monash Health, Clayton, Australia, 8School of Medicine, Monash University, Cayton, Australia, 9Department of Palliative Care, Calvary Health Care Bethlehem, Parkdale, Australia, 10 Centre for Quality and Patient Safety Research - Barwon Health Partnership, Geelong, Australia

Background: Restricted hospital access for nonessential workers and visitors was instituted in hospitals as one of several measures to minimise the transmission of COVID-19. Restricting visitor access created significant challenges for the provision of family-centred care at the end of life.

Aim: To explore nurses’ and family members’ perspectives of family-centred care at the end of life, during restricted visitation associated with the COVID-19 pandemic.

Methods: Using a qualitative descriptive approach based on naturalistic inquiry, individual semi-structured interviews were undertaken with registered nurses who cared for patients who died from any cause, during visitor

restrictions associated with the COVID-19 pandemic at a large public hospital in Melbourne. Twenty-one bereaved family members of patients who died, also participated. Data were analysed using thematic analysis.

Results: Fifteen registered nurses participated in interviews lasting 14-52 minutes (mean 33 minutes). Twenty-one bereaved family members also participated in interviews, with one family member requesting a second interview. Bereaved family interviews lasted 1799 minutes (mean 40 minutes). As there was no intent to compare experiences, all interviews were analysed together, resulting in five themes: (i) Impact of visitor restrictions, as a consequence of unclear, ambiguous and arbitrary rules, onerous and inconsistent requirements; (ii) challenges for nurse-family communication; (iii) familycentred care and interrupted connections; (iv) prioritising wellbeing; and (v) a better way – moving away from rigid rules so communication, compassion and advocacy are prioritised.

Conclusions: The evolving COVID-19 rules that were frequently revised and applied at short notice, and the subsequent consequences for clinical practices and care were felt deeply. Nurses and bereaved family similarly experienced negative consequences for communication and the patient-family connection at the end of life, causing distress and trauma. Future planning must prioritise actions to protect, support and promote patientfamily connections, prioritise wellbeing, and address logistical challenges through consistent, comprehensive, clear communication.

A STRUCTURED APPROACH TO PERFORMANCE MANAGEMENT

MS MARLI MILLAS MACN1 1SCHHS, Bongaree, Australia

Performance management is challenging for any clinician turned manager and will face all managers during their journey. Managing performance is essential in nursing in line with clinical governance and ensuring the provision of safe and quality care to our patients, whilst concurrently

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ensuring the wellbeing of our team. The challenge is to balance performance with an underpinning values-based approach. Literature into managing performance is limited due to the complexities of different professions, workplace cultures and the ways in which performance can be assessed and managed. Nursing leaders need a structured approach to ensure performance management can meet the needs of the organisation, manager, and employee whilst prioritising a values-based approach.

Utilising a structured approach to performance management ensures that the issue is defined and articulated, the expectations are known, feedback and follow through is ensured and supported through understanding the shared goal whilst optimising wellbeing in a challenging time. This presentation will provide a structured approach for a nurse manager to optimise their approach from identification of initial concerns and throughout the process.

Nursing is a caring, compassionate profession which makes performance management challenging. By approaching it in a structured way, nurses can balance compassion with performance, ensure confidence and increase likelihood of success.

The presentation will talk through the PERFORM approach to these challenging processes:

• Preparation – be prepared

• E xpectations – set the expectations

• Respect – ensure confidentiality and treat the team member with respect

• Feedback – structured, regular and in person

• Ownership – encourage co-ownership and work together

• Refle ction – encourage reflection and self-assessment

• Monitoring – progress against expectations

This presentation will highlight a structured approach to challenging conversations for nursing leaders can ensure the maintenance of relationships whilst growing a safe and competent workforce which ultimately benefits patients and colleagues.

FACILITATED SUPERVISION FOR NUMS ‘A SPACE TO CALL OUR OWN'

MS NATALIE MAIER1, MS PAMELA LIM1, MS KARLY BEVAN1, MS INGE VUUREGGE1, MR JED YOUNG1

1Prince Of Wales Hospital, Randwick, Australia

Introduction: The implementation of facilitated reflective supervision group (RSG) for Nursing Unit Managers (NUMs) has demonstrated a positive influence on their leadership and workplace culture. We will discuss how this innovative program of work has already begun to shape healthcare delivery across twelve clinical units.

Main Body: The monthly RSG provide a person-centered space where NUMs are enabled through critical reflection to develop professionally and enhance their wellbeing and resilience in order to provide exceptional leadership The group, established in March 2021, is based on clinical supervision principles providing opportunities for supervisees to be supported and enabled to review and reflect on their role and to consider actions to further develop their practice and their relevant services. With skilled facilitation, the committed attendance of participants and taking place within a nurturing environment that enables individuals to realise their professional goals the group has grown from strength to strength. The critical discussion amongst participants is providing a forum for both emerging and experienced managers to share ideas, experiences, while fostering collegiality within a safe environment. Most importantly, supervision is ensuring that the NUMs reserve an hour in a busy and demanding schedule each month, a space for themselves, for self-care and professional connection and where positivity and humour is evident. Key highlights include the introduction of leader rounding for staff and patients, improved performance management of staff, increased engagement in leading and implementing quality initiatives.

Conclusion: NUMs have found their involvement within the supervision group has enhanced their sense of confidence in dealing with challenging issues they face in their respective units. The shared connection inherent in the group has enabled them to grow and develop their leadership and management skills as one NUM said “This

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group has provided me with a safe space to realise my goals and leadership purpose.”

THE TRANSITION OF NIGERIANEDUCATED NURSES TO THE AUSTRALIAN HEALTHCARE SYSTEM

MR ADENIYI ADELEYE1, DR ADELE BALDWIN1, DR OBREY ALEXIS2, DR SHANE HOPKINSON1

1Central Queensland University, Mackay, Australia, 2Oxford Brookes University, Swindon, United Kingdom

Background: The requirement for immigrant nurses to complete the overseas qualified nurses’ program (OQNP) or the more recently introduced outcomesbased assessment (OBA) varies from country to country, depending on the initial nursing registration. The number of Nigerian-educated nurses (NENs) practising in Australia is unknown, but their transition to working and living in Australia remains poorly understood.

Method: This study adopted an exploratory qualitative study design using focus group discussion and individual interviews to collect data. The snowball sampling technique was used to select research participants for the study. The study collected qualitative data from research participants using focus group discussions and 15 individual interviews. One participant was excluded from data analyses due to study ineligibility. Using the work-life learning framework as a lens, thematic data analysis identified emerging themes.

Findings: Preliminary data analysis shows that the experiences of the Nigerian nurses who immigrated to Australia are mixed and complex depending on some factors. These factors include access to social support or mentors from other settled Nigerian nurses, areas of practice before immigration, program location, immigration status, personality and personal belief system. Some participants found that the transition program did not prepare them for their current Australian nursing practice. In contrast, others found the program helpful, or without it, they would not be able to practise in Australia.

Conclusion: NENs found their Australian journey to be both rewarding and challenging. One of the potential outcomes of the current study is the opportunity for policies and processes to be developed that acknowledge the unique needs of NENs surrounding their transition. In this way, the findings may contribute valuable insights impacting the recruitment and retention of registered nurses to address current and predicted nursing workforce shortages, especially nurses and other health practitioners immigrating from developing countries.

Abstracts – concurrent sessions

DAY 3 FRIDAY 11 AUGUST 2023

CONCURRENT SESSION FOUR

VISIONARY (04)

Room: Gilbert Suite 10:30am - 11:50am

NIGHTINGALE COVID CARE CENTRE: A VISIONARY APPROACH TO FIELD HOSPITALS

MR COREY SCLATER MACN1

1St John Ambulance

The Nightingale Covid Care Centre was developed in the first COVID-19 wave within Port Moresby, Papua New Guinea (PNG) in March 2020. As COVID-19 became background static within the country, until September 2021, the facility was in idle. As COVID-19, specifically the Delta strain, started to sweep across Papua New Guinea, the Nightingale Covid Care Centre reopened to assist with the overburdening pressure on the national health system. Although, this time, the facility admitted the same number of patients in two days of opening, that were previously admitted over 3 months in 2020, with an additionally increased junior workforce, and an increase in the severity of the disease. It was time to reflect, replenish and renew, and turn a nationally negative situation into a new world of positive opportunities. The Nightingale Covid Care Centre, reflected on its operations, and challenged the ‘status quo’ of field hospitals, by being visionary in its approach to incorporating a holistic person-centred care model to its patients and staff. This replenished, unique and varied service delivery, saw the introduction and utilisation of a nationally unprecedented, within PNG, New Graduate Program for the nursing staff, and additionally, also nationally unprecedented across PNG, the introduction of a Clinical Nurse Educator for Acute Care. As opposed to the usual ‘status quo’ of field hospitals, the Nightingale Covid Care Centre, introduced holistic person-centred care in various forms including a patient garden, which included gardening classes, a library, a mental health ‘safe space’ for both patients and staff, and models of care which incorporated allied health, and other members of the multi-disciplinary team. The holistic person centred-care focus of the Nightingale Covid Care Centre is a precedent model of care which focused on long term, collaborative and national solutions to help shape global health care during a worldwide pandemic.

IMPROVING PATIENT EXPERIENCE ON VICTORIAN PUBLIC ELECTIVE SURGERY WAITING LISTS

MS ELIZABETH WALKLEY1,2

1Austin Health, 2University of Melbourne

Introduction: Public Health patients are waiting for longer than acceptable periods of time for elective surgery in Victoria and this time has been perpetuated by the COVID-19 pandemic. Many patients waiting report discomfort, pain, limited mobility and independence, and evidence indicates that delays to treatment lead to physiological and psychological harm. Governing policies indicate that the responsibility of care for these patients is shared between the health service, the referring specialist medical practitioner and the general practitioner, however no additional information is provided to guide this process.

Body: We have identified a need to consider, and an opportunity to explore, the lived experience of individuals who are currently waiting for elective surgery in the public health system to determine where and how future care delivery can be optimized. This presentation will include a detailed summary of findings from a comprehensive scoping review and insights obtained from ongoing research involving semi-structured surveys and interviews with the surgical liaison nurses who care for patients waiting for surgery. These two pieces of work will form the basis for a co-designed interventional study aimed at improving the experience of patients on the waiting list for elective surgery. This project will be implemented at Austin Health as a pilot with the intention of developing a translatable and comprehensive framework of care that can be implemented at other organisations.

Conclusion: Such an approach to the elective surgery waiting time crisis is evidence-based, patientcentric, and strengthens existing health care delivery. The outcome of this project will ideally support patients as they continue to wait for elective surgery as well as the staff that care for them and encourage much needed further research in this area.

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DAY 3 FRIDAY 11 AUGUST 2023

CONCURRENT SESSION FOUR

VISIONARY (04)

Room: Gilbert Suite 10:30am - 11:50am

THE EVOLUTION OF THE PROFESSIONAL IDENTITY OF THE MILITARY NURSE

MAJOR MADELEINE SECCO1, MAJOR EMMA KADZIOLKA1, CAPTAIN AMELIA THOMPSON1

1Australian Army, Canberra, Australia

Introduction: Australian Military Nurses have supported domestic and international military operations since 1899 with the onset of the Boer War. From then until now, the development of the nursing profession, technological advancements and ongoing geopolitical priorities, coupled with the rise in natural disasters as a result of Climate Change, continue to influence the role, and demonstrate the importance of the Military Nurse. While these inputs may influence military nursing, they do not shape the Professional Identity of Military Nurses.

Main Body: Military Nurses working within the Australian Defence Force require an understanding of the geopolitical and strategic environment, the immediate tactical situation, the logistical plan, the communications architecture. While ensuring an intimate understanding of the health support plan, providing direct patient care and delivering clinical training often in remote and austere environments. All of this demonstrates the unique specialisation and skillsets required of military nurses. Understanding the professional identity of current military nurses, through a scoping review not only allows reflection of recent and historical events but also identifies opportunities to harness cultural development and elevate the specialty to allow an agile capability to support the Australian Defence Force in its mission to protect and defend Australia and its National Interests.

Conclusion: The professional identity of Military Nurses needs to continue to be studied and harnessed to release the passion and motivation of Military Nurses as they prepare for and support a complex ever-changing environment. This continual learning journey to advance the profession and contribute to advancements to keep patients safe is critical to the ongoing development of the overall nursing community.

IMPLEMENTATION OF A NURSE LED DIRECTLY OBSERVED TUBERCULOSIS TREATMENT PROGRAM

HIU KWAN WONG1, JENNIFER ANNEAR1, MICHELLE BRIGHAM1, JAMES GEAKE1, HYEJIN JEON1, ANTONIETTA MALDARI1, GEORGINA PATERSON1, USHA RITCHIE 2, ALICE SAWKA1, JEANNE ESTOQUE1, XIAODAN ZHU1, DR SIMONE BARRY1,3,4

1Department of Thoracic Medicine, Royal Adelaide Hospital, Adelaide, Australia, 2CALHN Integrated Care, Adelaide, Australia, 3Precision Theme, South Australian Health Medical Research Institute, Adelaide, Australia, 4Harvard T. H Chan School of Public Health, Boston, United States

Introduction: Directly Observed Therapy (DOT) is recognised by the WHO as a standard of care in the programmatic management of Tuberculosis (TB). Historically South Australia (SA) TB Services provided outsourced synchronous virtual DOT. In 2023 SA TB services launched an “in-house” asynchronous DOT program using a bespoke web-based platform. This program is managed by the specialist TB nursing team. The goals of this initiative were to improve patient DOT satisfaction, increase medication adherence, provide a robust safety framework and assist with patient education.

Methods: SA TB services collaborated with CALHN Integrated Care and a private South Australian Digital Health Provider to develop an integrated web-based platform that allowed for digital upload of a video file confirming correct medication administration and reporting of possible drug-related adverse events. Videos are observed by a nurse with advanced TB treatment knowledge. The nurse also provides efficient and rapid response to patients who require nursing support. Drug information sheets and TB education documents were embedded into the platform, and work continues on creating multi-lingual versions. Pre- and postimplementation surveys were conducted to record patient experience.

Abstracts – concurrent sessions

Abstracts are printed as submitted to ACN

DAY 3 FRIDAY 11 AUGUST 2023

CONCURRENT SESSION FOUR

VISIONARY (04)

Room: Gilbert Suite 10:30am - 11:50am

Results: Between 1st December 2022 and 1st February 2023, 42 patients were successfully transitioned to the new DOT program. Pre-implementation, 45% of patients reported that DOT negatively impacted their work and life activities. Qualitative analysis indicated that appointment time and location inflexibility negatively impacted on DOT experience and adherence. The stigma associated with health-branded vehicles attending domiciliary appointments was also a concern. Finally, delays in obtaining advice for concerns about medication adverse effects were an important issue raised by patients. Assessment and analysis of patient-reported outcomes and safety data will continue to be analysed from the post-implementation phase.

Conclusion: Implementation of an asynchronous virtual DOT program is possible and can potentially provide a safe and patient-centred system for TB programs.

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Poster presentation and judging

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DAY 2 THURSDAY 10 AUGUST 2023 EXHIBITION HALL 8:00am - 8:45am

SCOPING REVIEW: EXPERIENCES OF RURAL AND REMOTE NURSES IN DISASTERS

MS CATHERINE BREWER1

1University Of Newcastle (Callaghan), Newcastle, Australia

Aim: The aim of this paper is to provide an overview of the literature regarding the experiences of rural and remote nurses during and following disasters.

Background: Disasters affect all areas of the globe. Rural and remote nurses are required to respond to disasters. These nurses are faced with unique challenges in their daily practice due to geographical isolation and reduced resources. Nurses roles and experiences in times of disaster have been discussed in the past, however in the setting of rural and remote areas, it remains largely under-reported.

Method: This scoping review was guided by Arksey and O’Malley’s methodological framework for scoping reviews. Electronic databases CINHAL, MEDLINE, Scopus, Cochrane, Joanna Briggs Institute, Embase were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) Checklist was used to guide the reporting of this review. Key concepts and themes were identified using Braun and Clarkes six step framework for thematic analysis.

Results: Eight articles met the inclusion criteria for this review. Themes that were identifiedincluded disaster roles, pre-disaster and preparations, psychological and emotional traits, and community involvement and relationships.

Conclusions: Minimal literature exists that explores what rural and remote nurses experience in times of disaster. In this review, the experience of rural and remote nurses included the relationships between their personal and professional status and the influence this has on nurses ability to respond to disasters. Further research is required in this domain, particularly in the context of Australia, to better understand the phenomena and address knowledge gaps that exists in the existing literature.

Keywords: Disasters, Nursing, Remote Rural Nursing

EFFECTIVENESS OF NURSE-LED INTERVENTIONS TO MANAGE HYPERTENSION

DR LEMMA BULTO1, MS JACKIE ROSELEUR 2, MS SARA NOONAN1, DR ALEJANDRA PINERO DE PLAZA1, DR STEPHANIE CHAMPION1, DR HILA DAFNY1, MR VINCENT PEARSON1, MS KATIE NESSBIT1, DR LEMLEM GEBREMICHAEL1, DR ALLINE BELEIGOLI1, DR TIMOTHY SCHULTZ 2, PROFESSOR ROBYN CLARK1, DR SONIA HINES3, PROFESSOR JEROEN HENDRIKS1

1Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia, 2Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia, 3Flinders Rural and Remote Health, NT. College of Medicine and Public Health, Flinders University, Adelaide, Australia

Aim: This review aimed to investigate the effectiveness of nurse-led interventions versus usual care on hypertension management, lifestyle behaviour, and patients’ knowledge of hypertension and associated risk factors.

Methods: A systematic review with meta-analysis was conducted following Joanna Briggs Institute (JBI) guidelines. MEDLINE (Ovid), Emcare (Ovid), CINAHL (EBSCO), Cochrane library and ProQuest (Ovid) were searched from inception to 15th of February 2022. Randomised controlled trials (RCTs) examining the effect of nurse-led interventions on hypertension management were identified. Title and abstract, and full text screening, assessment of methodological quality, and data extraction were conducted by two independent reviewers using JBI tools. A statistical meta-analysis was conducted using RevMan version 5.4.1.

Results: A total of 37 RCTs and 9,731 participants were included. The overall pooled data demonstrated that nurse-led interventions significantly improved systolic blood pressure (Mean difference -5.39; 95% CI -7.59, -3.34; I2 = 81.33; 23 RCTs; moderate certainty evidence) and diastolic blood pressure (Mean difference –1.94; 95% CI -3.27, -0.60; I2 = 79.66; 22 RCTs; moderate certainty evidence) compared to usual care. The duration of interventions contributed to the magnitude of blood pressure reduction. Nurse-led interventions had a positive impact on lifestyle behaviour and effectively modified

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diet and physical activity, but the effect on smoking and alcohol consumption was inconsistent.

Conclusion: Nurse-led interventions are emerging and have been found to be effective in hypertension management. This review identified a variety of nurse-led intervention approaches. Overall, nurse-led interventions were found to be superior in terms of effectiveness in the management of hypertension as compared to usual care. The magnitude of reduction in SBP was decreased from 6 or less months follow up duration to 12 months and longer, and it disappeared for DBP. Nurseled interventions improved diet and physical activity, however, the effect on smoking and alcohol consumption was inconsistent across studies.

RECOVERY CIRCLES OF SUPPORT: SAUDI CONSUMERS, CARERS AND NURSES’ PERCEPTIONS

MRS TAHANI HAWSAWI1,2, DR JESSICA APPLETON1, PROFESSOR AMANDA WILSON1, PROFESSOR (ASSOCIATE)

PETER SINCLAIR1

1University Of Technology Sydney, Camperdown, Australia, 2King Abdulaziz University, Jeddah, Saudi Arabia

Introduction: Recovery-oriented approach is the leading model of care in many mental health care systems. This approach is aimed at supporting consumers’ personal recovery. It was developed based on research conducted among consumers of western societies that are often considered individualist. For consumers from other cultural backgrounds, such as collectivists, a recovery-oriented approach was not fully established to support their personal recovery. Thus, culturally sensitive support to consumers of other cultural backgrounds was regarded as important for achieving personal recovery.

Aim: Therefore, our study explored Saudi consumers, carers and nurses’ perceptions about how to best support and achieve personal recovery in a collectivist society. Study design: Descriptive qualitative approach was employed as a research design.

Method: Semi-structured interviews were conducted among 16 consumers, 10 carers and 8 nurses. Analysis: data were analysed using an inductive thematic approach.

Findings: Tow themes and five subthemes emerged: Theme 1: Distinguished experiences of recovery care among carers, nurses and consumers; subtheme 1: Carers’ perceptions of recovery care, subtheme 2: Nurses’ perceptions of recovery care and subtheme

3: Consumers' perceptions of being active recipients of recovery care, Theme 2: Consumers, carers and nurses’ shared recovery caring moments; subtheme 1: Shared moments to comfort and subtheme 2: Shared moments to empower and Theme 3: Consumers, carers and nurses’ perceptions of recovery-supportive care; subtheme 1: Consumers’ and carers’ shared experiences of consumers’ co-decided care planning and subtheme

2: Consumers, carers and nurses’ similar demands for improving mental health care.

Recommendations: Our findings indicated that specific cultural considerations related to how consumers use religious practices as a coping mechanism, involving carers’ strength-based support and utilising techniques to comfort and empower consumers, should be employed in the mental health care system to better support consumers’ personal recovery and eventually the establishment of recovery-oriented practice in a collectivist culture.

NURSE-LED POST-PSYCHOLOGICAL INTERVENTIONS TO SUPPORT BARIATRIC PATIENT LONG-TERM WEIGHT LOSS

MRS DIANE HEART MACN1, MRS JENNIFER HEART1

1Thermo Fisher Group, Australind, Australia, 2St John of God Private Hospital, Bunbury, Australia

Introduction: Obesity has become a worldwide concern, touching all parts of the globe except sub–Saharan Africa and Antarctica. Medical interventions to support those categorised as Obese include pharmaceutical regimes, diet and exercise plans, and surgery are common treatments, with surgery as the most drastic. However, support for obese patients’ mental health has long been lacking, resulting regain, eating disorders, and worsening general health outcomes. This comparative literature review looks at programs including pre and postoperative mental health support to identify if patients seeking weight loss through surgical intervention could achieve greater long-term success with greater support.

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Method: A review of the literature found that key psychological pre-operative motivators included increased life expectancy and better management of diabetes. Low income, larger families, and levels of physical activity were some of the key pre-operative barriers.

Discussion: Key psychological post-operative challenges for bariatric patients included body image issues, different eating techniques, and working through dietary habits and practices. Reduced internal pressure to be thin, increased quality of life, and better cardiovascular health were some of the psychological motivators.

Conclusion: Recommendations to support the long-term weight loss and improved health of bariatric patients include early and repeated nurse-led patient education throughout the pre and postoperative phases to ensure adequate nutrition and changes to prior eating habits, support through physical changes to the body including excess skin and options for removal where necessary, nurse-led management and support for anxiety and depressive symptoms because of bodily changes and lifestyle affects, increased physical activity daily, lifelong regular medical, dietary and psychological check-ups and utmost importance is tailoring the approach to the patient’s needs, understanding and emotional intelligence to ensure they engage with and feel supported rather than judged.

A SCHEME FOR THE ORIENTATION AND INDUCTION OF NEW STAFF NURSES: LESSONS FROM A MENTAL HEALTH CLINIC

Dr Michael Leocadio MACN1, Richard Bostwick1, Catherine Thomas1

1Bethesda Clinic, Australia

The presentation highlights the effectiveness of an orientation and induction program based on an innovative SCHEME. The S-scheme model guides the Orientation and Induction Program to ensure that all mental health and professional practice requirements are adequately and effectively integrated into the program. The program includes orientation and induction on:

• Structure – illustrates how our is an essential service

component of a bigger healthcare institution, whereas its employee standards, procedures and policies are adopted and implemented at our clinic.

• Standards – refers to national and mental health standards that serve as the foundations and frameworks of professional practice at our mental health clinic.

• Safety – as one of the core elements of mental health practice, staff will be exposed to different assessments, clinical scenario testing, and safety standards and framework of practice. BLS competency assessment, code drills, trauma-informed care, and Safewards are vital components of safe mental health care delivery.

• System – as an innovation-driven institution, BCC ensures that technology is incorporated into our practice and maximised to deliver consumer-centred care.

• Services – BCC uses the four holistic quadrants (i.e., physical, psychological, social, spiritual) in the delivery of comprehensive services to our consumers

• Synergy of Experiences – the consumer lived experiences is at the centre of our healthcare delivery. Multidisciplinary professional practice is intertwined with the consumer journey.

• Sequel – BCC uses its quality improvement plan and clinical governance to monitor and improve its services.

The presentation provides attendees insight and learning experience on how the program was planned, implemented, and evaluated. Positive feedback was received by the learning and development team, and recommendations were raised to enhance future orientation and induction programs. A diagram or framework is presented together with this abstract.

PoMHNULA: FACILITATING CAREER ADVANCEMENT OF MENTAL HEALTH NURSESPO

DR MICHAEL LEOCADIO MACN1, RICHARD BOSTWICK1, CATHERINE THOMAS1

1Bethesda Clinic, Australia

In many mental health hospitals, the turnover of highly qualified nurses is a concern. In addition to the risks

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DAY 2 THURSDAY 10 AUGUST 2023

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associated with mental health treatment, nurses leave the profession due to the need for a clear career path or direction. Many nurses cited career progression, professional development, status, autonomy, and increased work stability, as essential factors in preventing turnover. Considering this, we have designed a career PorMHNULA (Portfolio for Mental Health Nurses' Learning and Advancement) as a new and reimaged pathway assisting nurses in exploring the prospects and possibilities of mental health practice. A diagram is presented on the poster to explain the pathway. The nurses must meet the minimum and mandatory requirements for infection control, safe medication administration, basic life support, and work health and safety before working at our mental health clinic. Nurses undergo training and education to advance mental health competencies, such as sexual safety, breakaway skills, Safewards, and the Mental Health Act.

Following meeting institutional and mental health requirements, nurses are encouraged to select a career route with an accompanying competency package.

• Clinical Nurse: Management, Mentoring and Learning Package

• Therapist: Therapy, Group Facilitation and Learning Package

• Educator: Learning and Preceptorship Package

• Researcher: Evidence, Mentoring and Learning Package

The nurses who specialise in mental health practice are invited to participate in various leadership programmes through our clinic or external providers (i.e., the Australian College of Nursing). By completing the requirements of accrediting authorities, nurses are then aided in building a portfolio towards a nursing leadership role, nurse practitioner role, or credentialed mental health nurse.

During the orientation and induction program, the PorMHNULA framework was presented to mental health nurses and encouraging responses and interest was received. In the future, the institution will assess its impact on mental health nurses' turnover rate, job satisfaction, and performance.

REGISTERED NURSES EXPERIENCES IN SUPPORTING NURSING STUDENTS DURING CLINICAL PLACEMENT

MRS REBECCA LEON FACN1, MRS KATRIONA GILBERT1, PROFESSOR LUCIE RAMJAN2, MR CARLO PIZARRO1, PROFESSOR YENNA SALAMONSON3, MS LIEN LOMBARDO2, MS SUSAN WILLIS2, DR LEANNE HUNT2

1South Western Sydney Local Health District, Warwick Farm, Australia, 2Western Sydney Univeristy, Liverpool, Australia, 3University of Wollongong, Wollongong, Australia

Introduction: An ageing workforce and increased nursing vacancies requires an increase in nursing students. This created a need to re-think clinical placement opportunities to offer increased placement capacity while ensuring quality student experiences and staff satisfaction in their support role. Therefore the aim of this study was to gain insights into the experiences of registered nurses who support nursing students during clinical placement using a facility-based model.

Method: A quasi-experimental design where a crosssectional survey related to staff satisfaction was administered to participants as a baseline and repeated after the intervention in 2020. Following the intervention participants were invited to a focus group or an interview. Participants were registered nurses/midwives, facilitybased liaison support staff, and nurse managers from three wards in a hospital and a community health setting. The intervention was a 24/7 facility-based model, where each nursing student was allocated to one registered nurse, a formal buddy, for the duration of their clinical placement period. This included following the registered nurse’s roster pattern.

Results: There was no statistically significant changes in the levels of staff satisfaction from baseline to post intervention; with personal fulfilment scoring the highest and workload the lowest. Staff who worked in the community health setting were less satisfied with this model of student support.

Conclusion: Whilst individual participants reported high personal satisfaction, it was acknowledged that the model needs to be tailored to the setting. At an organisational level there needs to be acknowledgement of the additional workload for registered nurses when

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EXHIBITION HALL 8:00am - 8:45am

implementing a direct buddy 24/7 student placement model.

MENOPAUSE: UNDERREPORTED, UNDERDIAGNOSED, UNDERTREATED AND IMPACTING THE NURSING WORKFORCE

DR FIONA MCDERMID MACN1, DR KATE O'REILLY, PROFESSOR KATH PETERS

1Western Sydney University, CHIPPING NORTON, Australia

Introduction: Menopause is a both a personal and workplace issue that is underreported, underdiagnosed, and undertreated (Bourgault, 2021). Globally, there is little education provided to women about menopause (Harper et al, 2022) and as a consequence, many women have little knowledge about menopause and do not receive appropriate care in this life phase. As nursing is an ageing workforce and a predominantly female profession, issues around perimenopause and menopause must be taken into consideration in order to create a sustainable workforce.

Aim of the study: To explore Australian women’s knowledge and experiences of perimenopause and menopause

Methods: Drawn from a larger concurrent mixed methods study, this poster is a representation of the analysis of the qualitative data focused on menopause and implications for the nursing workforce.

Results/Findings: The results consist of three overall themes: “Prior knowledge”,” Unexpected symptoms” and “Psychosocial impact” in relation to women working with perimenopause and menopause. The participants had a basic understanding of perimenopause and menopause; however, they did not expect the spectrum or extent of symptoms, nor the psychological impact it had on their lives and work.

Conclusion: Australian women had limited understanding of the extent of perimenopause and menopause symptoms. While they expected hot flushes and weight gain, they were unprepared and unaware of other symptoms and the impact it would have on their lives. The psychosocial impacts were felt by all participants

with some experiencing devasting consequences as a result of anxiety and depression leading to resignations from work and restricted social lives. Education is a key factor in providing relevant and appropriate information on menopause and the management of symptoms.

AWARENESS AROUND ENGLISH REQUIREMENTS WHILST QUALIFYING AS A REGISTERED NURSE

MRS OLGA NOVAK MACN1,2

1Goulburn Valley Health, Shepparton, Australia, 2MACN, ENL

This presentation will endeavour to explore the fundamental elements around the English language requirements as determined by the Nursing and Midwifery Board of Australia (NMBA). At the beginning of the registration process with the Australian Health Practitioner Regulation Agency (Ahpra), it is important to provide all the required documentation, such as completion of course details. Also, a prospective nurse needs to meet the requirements of the English proficiency language skills for applicants choosing the English language pathway which coincides with the NMBA required registration standard.

Currently, there are four different English tests approved by the NMBA, including the International English Language Testing System Academic (IELTS Academic), the Pearson Test of English Academic (PTE Academic), Occupational English Test (OET) and Test of English as a Foreign Language internet-based test (TOEFL iBT) within an obtained time frame of two years before the date, the applicant lodges the Ahpra application. The minimum score for a nursing requirement in each test is set by the NMBA.

Research shows that there is a significant number of students who have successfully completed the Bachelor of Nursing in Australia, yet they are not able to apply for their nursing registration due the fact they miss a pivotal component, which is passing the English language academic test.

This presentation will also outline challenges faced by applicants and the awareness around the reality of this requirement. Furthermore, it will focus on promoting effective support for future nurses entering into the

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DAY 2 THURSDAY 10 AUGUST 2023

EXHIBITION HALL 8:00am - 8:45am

profession while studying the Bachelor of Nursing, attending placements and finalizing their degree to officially become a Registered Nurse.

Lastly, it will promote and suggest new ways to enhance support for future nurses hoping to pass their professional English exam being the last obstacle on their way to become a nurse. The Australian College of Nursing could potentially assist.

NURSING LEADERSHIP IN FOSTERING CIVILITY IN RURAL AND REGIONAL SETTINGS

MRS MARIANNE OTA1, ASSOCIATE PROFESSOR

LOUISA LAM1,2,3, DR JULIA GILBERT1, PROFESSOR

DANNY HILLS1, DR GEORGINA WILLETTS1

1Federation University Australia, Mt Helen, Australia, 2Monash University, Clayton, Australia, 3Australian Catholic University, Fitzroy, Australia

Purpose: Workplace incivility is a prevalent and concerning issue affecting nurses worldwide. While nurse leaders are widely recommended to command cultural change through strong leadership and civility interventions, it is unclear how they achieve this. There is thus a significant need to identify empirically tested practices to enhance the experiences of nurse leaders in fostering civility. The aim of this scoping review is to identify the existing evidence on how nurse leaders promote and maintain civility amongst all nurses in healthcare settings.

Methods: A scoping review of published literature was undertaken using CINAHL, Emerald Insight, MEDLINE, PsychINFO, PubMed and Scopus. Google Scholar was used to search for grey literature. The authors utilised the Joanna Briggs Institute Methodology for JBI Scoping Reviews as a guide to inform this review. Abstracts were appraised by a team of three reviewers. Sources written in English, published between 2000 and 2021 and included nurses who were able to report on the practices of nurse leaders were included in the search. Studies were assessed for quality using the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies and the JBI Critical Appraisal Checklist for Qualitative Research.

Results: Eight studies were included in this review. Four key themes were identified across the studies including 1)

creating a shared vision, 2) educating self and others, 3) fostering accountability, and 4) supporting others.

Conclusion: The review highlights the need for further research, especially in rural and regional settings that face specific challenges, such as sustaining a skilled workforce. Preliminary research exploring this topic in rural and regional health and aged care settings reveals that communicating clearly, nurturing the team and encouraging accountability among all staff are key features of promoting civility by nurse leaders. Reported challenges relate to a perceived lack of support and training in managing workplace incivility.

SKILL GAP ANALYSIS GRADUATE NURSES IN RESIDENTIAL AGED CARE SETTINGS

MRS DIANE PIPER FACN1, MRS JANELLE McFARLANE1

1Southern Cross Care, Perth, Australia

Key message: Southern Cross Care (SCC) has identified that undertaking routine skill gaps analysis with graduate nurses, is an important safety measure for residential aged care. Aged care providers completing trend analysis of these gaps could be valuable in informing university curriculum to better prepare graduate nurses for safe practice.

Background: Newly graduated RNs often feel underprepared for the aged care setting. Arguably the aged care setting is more complex than the hospital environment, as the RN role involves being the most senior staff member onsite and this requires significantly developed skills in assessment, leadership, and care planning. The skills shortage of RNs now necessitates that some graduates are being asked to assume this role and understandably they feel underprepared.

Outcomes: Graduate nurses identified their gerontological skills gaps prior to their clinical performance impacting on the care of residents. There were common themes to the skill gaps that have been addressed as part of Southern Cross Care WA’s aged care graduate nurse program.

Approach: Skills gap analysis were conducted through interview and completion of ‘essential clinical skills checklist’. Resources were provided to close the gap, which included allocation of mentor/buddies, additional

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DAY 2 THURSDAY 10 AUGUST 2023

professional education, aligned to care of the ageing person, and support through our RISE graduate nurse program.

Results: Common skill gaps included swallowing assessment, AN ACC documentation, insertion and management of subcutaneous cannula and palliative care management.

Conclusion: The goal for SCC, is to close the skill gaps early, therefore graduates will be able to work independently providing safe care to residents and be confident to continue to work in residential aged care facilities. With University engagement, this proactive, resident safe approach, could provide industry led curriculum improvements to improve clinical safety for aged care staff and residents.

GAMIFICATION IN EDUCATION: THE AMAZING PATIENT JOURNEY RACE

MRS TRINA PITTS1, MRS LYNDA ACKROYD1, MISS VALENTINA AWRAM1, MISS SARAH FRAY1

1Cairns and Hinterland Hospital and Health Service, Queensland Health, Cairns, Australia

Background and Aim/s: Gamification in education is the application of gaming elements to an educational activity. Gamification can assist with creating and energising teaching and learning opportunities. The aim of this project is to build leadership capability in clinical nurses using gamification.

Methods: The Amazing Patient Journey Race was designed based on the television show “The Amazing Race”, with the theme focusing on the patient journey. The activity incorporated the role responsibilities of the clinical nurse and integrated gaming elements to gamify the learning. This gamified educational activity was conducted as a pilot in November 2022, with the view to explore the repeatability and scalability of the activity with larger and more diverse groups. The pilot involved 6 clinical nurses from an acute medical ward that formed two teams. The Kirkpatrick evaluation model was used to evaluate the activity. Level one, Reaction, was measured using a post activity questionnaire. Level two, Learning, was measured using observation from the clinical nurses’ line manager and participant self-assessment, reported via a pre and post (10 weeks) survey.

Results: The post activity questionnaire (Level 1: Reaction) revealed all participants were very satisfied with the gamified educational activity and agreed it was fun, engaging and promoted learning. The line manager and participants reported an overall increase in leadership capability (Level 2: Learning). The organiser observed that the teams focus during the activity was on earning to win rather than learning to win. Therefore, this lesson learnt will assist with refining the design to encourage future teams to focus on achievement through learning rather than earning, to win the race.

Conclusion: Gamification is an alternative education approach to energising teaching and learning opportunities that build leadership capability in clinical nurses. The future direction will explore the repeatability and scalability of this gamified educational activity.

QUARANTINE GUIDELINES, FUTUREPROOFING THE NEXT PANDEMIC RESPONSE

MRS ANGELA SHEEDY1, PROFESSOR DIANNE STEPHENS1, ASSOCIATE PROFESSOR LISA VERMEULEN1, MR ALLAN ANDERSON1

1CDU Menzies School of Medicine, Charles Darwin University, Casuarina, Australia

Introduction: Based in the Northern Territory, The Centre for National Resilience, Howard Springs Quarantine Facility presented a leading, evidence-based approach to quarantine services during the COVID-19 pandemic. With a health staff team primarily consisting of nurses, the health-led model of quarantine care implemented an innovative national solution to safely accommodate over 33,000 domestic, international, humanitarian and repatriated people. This repurposed quarantine facility was considered a model of best practice in Australia with successful prevention of COVID-19 transmission from the facility into the community.

Purpose: This project sought to determine those policies and practices which contributed to the site’s success to present an open-access quarantine guide for future use. This included reviewing the experiences of the health and axillary staff, the leadership team and the residents, noting two-thirds of health staff attending the site were nurses.

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Methods: With a translational research approach, this project implemented mixed methods to analyse the outcomes of post-closure staff and leadership team surveys and existing resident surveys. A rigorous grounded theory-based analysis was conducted on deidentified audit data and information on site functions and infrastructure from the facility’s operational period.

Results: The outcomes of the survey and data analysis have been collated to inform a set of guidelines with practical instructions and processes for implementation in future pandemic responses. This consists of six core sections: Processes, infrastructure and communication; Infection prevention and control; Health Workforce, Resident care; Health, wellbeing and clinical care and; Government legislation and pandemic strategies.

Conclusions: It is anticipated by establishing guidelines with applicable resources for open global access under the six core domains there can be real impact to improve future isolation and quarantine models of care for Australia and beyond. These guidelines can improve public health responses in the event of another pandemic and ultimately save lives.

SETTING THE STANDARDS - CLINICAL RESEARCH NURSING, AN EMERGING SPECIALITY

MRS GILL TULLOCH1, MRS MELANIE GENTGALL 2

1Fiona Stanley Hospital, Murdoch, Australia, 2University of the Sunshine Coast, Sunshine Coast, Australia

Introduction: Clinical research contributes significantly to improved health outcomes and delivers important benefits to the Australian economy. Yet, the value and impact of the critical role played by Clinical Research Nurses (CRNs) in the conduct of clinical research remains poorly recognised. As a result, CRNs feel undervalued for the substantial contributions they make to the success of the clinical research enterprise in Australia. Recognising the risk this poses to the sustainability of the CRN workforce, a working group was formed. The initial goal was to produce a set of professional practice standards for Australian CRNs.

Aims: Describe the specialised functions, roles and responsibilities of CRNs, Differentiate the roles of the CRN and the Nurse Researcher, Articulate the value of

nurses in delivering clinical research.

Methods: An extensive scoping review was undertaken by examining international CRN practice standards and cross-discipline practice standards exemplars. The "Nursing and Midwifery Board of Australia RN Standards for Practice" was used as a framework for creation, with the inclusion of additional tiers. This allowed for description of the enhanced role of the CRN within recognised practice domains and an accepted framework. A national consultation was undertaken to ensure broad engagement and workforce input. To ensure consistency in language two lead authors were nominated. They maintained regular collaboration with the working group throughout the document development process.

Conclusion: The Standards describe seven essential CRN domains for practice designed to ensure the delivery of safe, high-quality nursing care and clinical research practice across various health care settings. The “Clinical Research Nurse (CRN) Australian Standards for Practice” was endorsed and released by the Australian College of Nursing in August 2022. This project was instrumental in establishing the ACN’s inaugural CRN Faculty. The Standards provide the foundation for further advancement of Clinical Research Nursing as a speciality practice in Australia.

EARLY PATIENT ENGAGEMENT TO IMPROVE UPTAKE IN CARDIAC REHABILITATION

MRS AMY WILSON1, MS HANNAH KRAUSE1, MRS SHEEBA KURIAN1, MS RENEE HENTHORN1, MS HAYLEY SURMAN1, PROFESSOR JEROEN HENDRIKS1,2

1CALHN Heart & Lung Program, Adelaide, Australia, 2Flinders University - College of Nursing and Health Sciences, Bedford Park, Australia

Introduction: Cardiac Rehabilitation (CR) is a fundamental evidence-based program for all patients following an acute cardiac event and evidence has demonstrated reduced morbidity and mortality and reduced rehospitalisation. Attendance and completion rates of CR programs remain suboptimal. Throughout the COVID-19 pandemic, significant challenges arose

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impacting on patient’s ability to attend CR programs, with multiple service closures and reduced access.

Methods: In response to this COVID-19 challenge, the Central Adelaide Local Health Network CR service, implemented an early post discharge telehealth review to follow up and support cardiac patients. Those meeting inclusion criteria (i.e. post myocardial infarction and coronary bypass or valve surgery) were contacted within 2-7 days following discharge via videoconference or phone review. The review covered education based on the Heart Foundation’s CR 6 steps to cardiac recovery and reviewed any issues post discharge. People who did not access the telehealth review were posted a letter of invite for the CR program. The telehealth review was implemented into regular practice following COVID-19. We recently performed a prospective observational study; data was collected between July 2022 and October 2022, aiming to review the uptake of the CR program for patients who accessed the post discharge telehealth review versus the uptake for those who did not.

Results: In total 80 patients were included in this analysis (75% males, mean age 63), with 47 (59%) patients accessing the telehealth review and 33 posted letters of invite. 30 out of 47 patients (64%) receiving telehealth review went on to commence the CR program versus 7 out of 33 (21%) receiving the invitation letter. The early review received excellent feedback from consumers and is an ongoing quality improvement for the service.

Conclusion: Early engagement with patients following hospital discharge provides the opportunity to deliver education, support and increase their likelihood of attending CR.

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