Employment of undergraduate nursing students for specialling of people with cognitive impairment: A pilot study

Article

Beccaria, Lisa, Hoey, Heather, Towler, Helen, Rees, Sharon, Brazier, Rebecca, Gordon, Karen, Neville, Christine and Knight, Bob. 2024. "Employment of undergraduate nursing students for specialling of people with cognitive impairment: A pilot study ." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 31 (2), pp. 84-91. https://doi.org/10.1016/j.colegn.2023.12.002
Article Title

Employment of undergraduate nursing students for specialling of people with cognitive impairment: A pilot study

ERA Journal ID14073
Article CategoryArticle
AuthorsBeccaria, Lisa, Hoey, Heather, Towler, Helen, Rees, Sharon, Brazier, Rebecca, Gordon, Karen, Neville, Christine and Knight, Bob
Journal TitleCollegian: The Australian Journal of Nursing Practice, Scholarship and Research
Journal Citation31 (2), pp. 84-91
Number of Pages8
Year2024
PublisherElsevier
Place of PublicationNetherlands
ISSN1322-7696
1876-7575
Digital Object Identifier (DOI)https://doi.org/10.1016/j.colegn.2023.12.002
Web Address (URL)https://www.collegianjournal.com/article/S1322-7696(23)00113-0/fulltext
Abstract

Background
Health services need to consider how best to care for and resource people with cognitive impairment, such as dementia and/or delirium, during an acute care hospital admission. Upskilling undergraduate students in nursing (USiNs) is one option. This paper describes a pilot model to prepare employed USiNs under the delegation of registered nurses (RNs).
Aim
The aim of this study was to evaluate a pre-registration employment model of USiNs and delegating RNs providing specialised person-centred care to people with cognitive impairment and complex behaviours and their perception of workplace preparation of the USiN.
Methods
Semi-structured interviews were held with 15 USiNs and 11 delegating RNs. A chart audit examined the types of care provided by the USiNs to see if these were aligned with current evidence-based practice. An online survey was administered post employment about perceptions of orientation and involvement in the pre-registration employment model.
Findings
USiNs provided physical care, monitored, and managed care in relation to changes in cognition, behaviour, and other clinical symptoms associated with dementia and delirium. All participants in the study articulated that the model benefited them as stakeholders.
Discussion
The pilot model provided effective orientation and enhanced the skills and knowledge of USiNs within their scope of practice under delegated supervision.
Conclusion
Innovative models developed in partnership between health services and universities can help to improve the care of people, provide employment opportunities, and support the development of a future registered nursing workforce attuned to the needs of vulnerable people population.

KeywordsStudents; Nurses; Dementia; Delirium; Workforce; Cognition
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420501. Acute care
420505. Nursing workforce
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Byline AffiliationsSchool of Nursing and Midwifery
Centre for Health Research
Darling Downs Health, Australia
School of Psychology and Wellbeing
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