Winsome John - Academia.edu (original) (raw)

Papers by Winsome John

The Journal of Continuing Education in Nursing

ABSTRACT

Background. Some people with COPD manage more effectively than others, presumably because they ha... more Background. Some people with COPD manage more effectively than others, presumably because they have better coping skills, life skills and self-management strategies. A considerable amount of healthcare time and money is invested in delivering information and self-management ...

Persistent pain negatively impacts upon the individual suffering this condition. Almost all care ... more Persistent pain negatively impacts upon the individual suffering this condition. Almost all care related to persistent pain is self-managed. Decision-making is a critical skill of the self-manager and without these skills it would be improbable that effective self-management would emerge. However, current theories regarding decision-making and self-management have not adequately accounted for the many difficulties faced by individuals enduring persistent pain and the consequences of these experiences for the decision-maker. This grounded theory study revealed that individuals will transform into three distinct types of decision-makers using three different styles of decision-making in response to the many and varied problems related to the experience of persistent pain. These findings will provide nurses with valuable information to better equip individuals with persistent pain through the decision-making processes necessary for successful self-management.

Journal of Nursing Management, 2009

Aim: The aim of this study was to examine the level of burnout and factors that contribute to bur... more Aim: The aim of this study was to examine the level of burnout and factors that contribute to burnout in hospital nurses in the People's Republic of China.

Journal of Advanced Nursing, 2010

Aim. This paper is a report of an analysis of the concept of maternal distress. Background. Altho... more Aim. This paper is a report of an analysis of the concept of maternal distress. Background. Although not well-developed, the concept of maternal distress has offered an important viewpoint in nursing and midwifery practice since the mid-1990s. Traditionally, understanding of maternal distress has been based on the medical model and dysfunction. The concept of maternal distress needs development so that it describes responses ranging from normal stress responses to those indicating mental health problem/s. Data sources. The SCOPUS, CINAHL and Medline databases were searched for the period from 1995 to 2009 using the keywords 'psychological distress', 'emotional distress' and 'maternal distress'. Review methods. Steps from Rodgers' evolutionary concept analysis guided the conduct of this concept analysis. Results. Four attributes of maternal distress were identified as responses to the transition to motherhood, with the level of each response occurring along a continuum: stress, adapting, functioning and control, and connecting. Antecedents to maternal distress include becoming a mother, role changes, body changes and functioning, increased demands and challenges, losses and gains, birth experiences, and changes to relationships and social context. The consequences of maternal distress are compromised mental health status, maternal role development, quality of life, ability to function, quality of relationships and social engagement. The extent of the impact depends on the level of maternal distress. Conclusion. Clearer interpretation of maternal distress offers a comprehensive approach to understanding maternal emotional health during the transition to motherhood. Acknowledging women's experiences and providing more appropriate support could alleviate some of the struggles and hardships experienced by mothers.

Journal of Advanced Nursing, 2007

Title. Occupational health nurses' perceptions of their current and future roles Aim. This paper ... more Title. Occupational health nurses' perceptions of their current and future roles Aim. This paper is a report of an investigation of Australian occupational health nurses' perceptions of their current and future roles. Background. Occupational health nurses are expected to engage in a variety of traditional curative activities as well as emergent role activities focusing on injury prevention, health promotion, wellness, management and research. However, little is known about the importance they place on traditional and emergent activities in both current and future practice.

Collegian, 2013

Aim: The aim of this study was to develop understanding about how a registered nurse-provided car... more Aim: The aim of this study was to develop understanding about how a registered nurse-provided care coordination model can ''fit'' within organisational processes and professional relationships in general practice. Background: In this project, registered nurses were involved in implementation of registered nurse-provided care coordination, which aimed to improve quality of care and support patients with chronic conditions to maintain their care and manage their lifestyle. Method: Focus group interviews were conducted with nurses using a semi-structured interview protocol. Interpretive analysis of interview data was conducted using Normalization Process Theory to structure data analysis and interpretation. Results: Three core themes emerged: (1) pre-requisites for care coordination, (2) the intervention in context, and (3) achieving outcomes. Pre-requisites were adequate funding mechanisms, engaging organisational power-brokers, leadership roles, and utilising and valuing registered nurses' broad skill base. To ensure registered nurse-provided care coordination processes were sustainable and embedded, mentoring and support as well as allocated time were required. Finally, when registered nurse-provided care coordination was supported, positive client outcomes were achievable, and transformation of professional practice and development of advanced nursing roles was possible. Conclusion: Registered nurse-provided care coordination could ''fit'' within the context of general practice if it was adequately resourced. However, the heterogeneity of general practice can create an impasse that could be addressed through close attention to shared and agreed understandings. Successful development and implementation of registered nurse roles in care *

Collegian, 2006

This study investigated current activities of occupational health nurses (OHN) in Australia relat... more This study investigated current activities of occupational health nurses (OHN) in Australia related to the applicability of and their involvement in emergent role, wellness-based practices and traditional role and illness-based practices. A questionnaire encompassing the eight Areas of Practice as articulated by the Australian College of Occupational Health Nursing (ACOHN) competency standards was used to obtain data from 93 OHNs affiliated with ACOHN. More traditional role Areas of Practice such as treatment services, health assessment and rehabilitation services were seen as more applicable to their practice and a substantial amount of time was spent on them. Managing occupational health and safety (OH&amp;amp;S) service&amp;#39; was the only emergent area that was a substantial part of the OHN&amp;#39;s role. Less time was devoted to other emergent and pro-active areas of OHN practice, such as illness and injury prevention, health promotion, health education and research into OH&amp;amp;S. While less time was allocated to emergent Areas of Practice, and they were ranked more lowly they were considered to be applicable to practice. The findings of this study suggest that OHNs in Australia may not be engaging fully in all Areas of Practice that have been articulated by the ACOHN, particularly emergent role activities. Although Australian OHNs perform all the activities articulated in the ACOHN Areas of Practice, their focus is still primarily illness and injury based, and also management. While the profession is supportive of emergent role activities, there is a need to debate possibilities, undertake research into barriers and supports for emergent role activities, more clearly articulate future directions for the OHN role, and develop strategies to support OHNs as they develop their professional role.

Community-based continence care for women 2 of 23 Outcome evaluation of a multi-disciplinary comm... more Community-based continence care for women 2 of 23 Outcome evaluation of a multi-disciplinary community-based continence service for Australian women

Contemporary …, 2004

This paper presents an argument that there is a need to provide services that target community-dw... more This paper presents an argument that there is a need to provide services that target community-dwelling incontinence sufferers, and presents a demonstration case study of a multi-disciplinary, community-based conservative model of service delivery: The Waterworx Model. Rationale for approaches taken, implementation of the model, evaluation and lessons learned are discussed. In this paper community-dwelling sufferers of urinary incontinence are identified as an underserved group, and useful information is provided for those wishing to establish services for them. The Waterworx Model of continence service delivery incorporates three interrelated approaches. Firstly, client access is achieved by using community-based services via clinic and home visits, creating referral pathways and active promotion of services. Secondly, multi-disciplinary client care is provided by targeting a specific client group, multi-disciplinary assessment, promoting client self-management and developing client knowledge and health literacy. Finally, interdisciplinary collaboration and linkages is facilitated by developing multidisciplinary assessment tools, using interdisciplinary referrals, staff development, multi-disciplinary management and providing professional education. Implementation of the model achieved greater client access, improvement in urinary incontinence and client satisfaction. Our experiences suggest that those suffering urinary incontinence and living in the community are an underserved group and that continence services should be community focussed, multi-disciplinary, generalist in nature.