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
Public Notes

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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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Ralph, Nicholas, Graham, Coralie, Beccaria, Lisa and Rogers, Cath. 2019. "Entry requirements in nursing: results from a national survey of nurse academics on entry requirements in Australian bachelor of nursing programs." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 26 (1), pp. 140-145. https://doi.org/10.1016/j.colegn.2018.06.005
A confirmatory factor analysis of the student evidence-based practice questionnaire (s-ebpq) in an Australian sample
Beccaria, Lisa, Beccaria, Gavin and McCosker, Catherine. 2018. "A confirmatory factor analysis of the student evidence-based practice questionnaire (s-ebpq) in an Australian sample." Nurse Education Today. 62, pp. 69-73. https://doi.org/10.1016/j.nedt.2017.12.010
Wisdom across the ages and its modern day relevance
Mitchell, Leander. K., Knight, Bob G. and Pachana, Nancy. A.. 2017. "Wisdom across the ages and its modern day relevance." International Psychogeriatrics. 29 (8), pp. 1231-1234. https://doi.org/10.1017/S1041610217000783
Exploring nursing educators' use of theory and methods in search for evidence based credibility in nursing education
Beccaria, Lisa, Kek, Megan Y.C.A. and Huijser, Henk. 2018. "Exploring nursing educators' use of theory and methods in search for evidence based credibility in nursing education." Nurse Education Today. 65, pp. 60-66. https://doi.org/10.1016/j.nedt.2018.02.032
Role of health-promoting behaviours for on-campus and distance students
Beccaria, Lisa, Rogers, Cath, Burton, Lorelle and Beccaria, Gavin. 2016. "Role of health-promoting behaviours for on-campus and distance students." Distance Education. 37 (1), pp. 22-40. https://doi.org/10.1080/01587919.2016.1158768
Attentional avoidant biases as mediators in the association between experiential avoidance and blood pressure in dementia family caregivers
Marquez-Gonzalez, Maria, Cabrera, Isabel, Losada, Andres and Knight, Bob. 2018. "Attentional avoidant biases as mediators in the association between experiential avoidance and blood pressure in dementia family caregivers." Aging and Mental Health. 25 (2), pp. 669-677. https://doi.org/10.1080/13607863.2017.1293003
Understanding the Mechanisms of Change in a Lifestyle Intervention for Older Adults
Juang, Christine, Knight, Bob G., Carlson, Mike, Schepens Niemiec, Stacey L., Vigen, Cheryl and Clark, Florence. 2017. "Understanding the Mechanisms of Change in a Lifestyle Intervention for Older Adults." The Gerontologist. 58 (2), pp. 353-361. https://doi.org/10.1093/geront/gnw152
The effects of the MORE wisdom resources on spousal caregivers’ life satisfaction: an application of the resilience model
Kim, Seungyoun and Knight, Bob G.. 2017. "The effects of the MORE wisdom resources on spousal caregivers’ life satisfaction: an application of the resilience model." Clinical Gerontologist. 40 (5), pp. 413-427. https://doi.org/10.1080/07317115.2016.1209607
New Standards of Practice for Australian Mental Health Nurses
Neville, Christine, Eley, Diann, Hangan, Catherine, Weir, Jim, Quinn, John and Meehan, Tom. 2009. New Standards of Practice for Australian Mental Health Nurses. Australia. University of Southern Queensland.
Caregiving Subgroups Differences in the Associations Between the Resilience Resources and Life Satisfaction
Kim, Seungyoun and Knight, Bob G.. 2018. "Caregiving Subgroups Differences in the Associations Between the Resilience Resources and Life Satisfaction." Journal of Applied Gerontology. 37 (12), pp. 1540-1563. https://doi.org/10.1177/0733464816669804
Adapting psychotherapy for older adults with Parkinson's disease
Knight, Bob, Dissanayaka, Nadeeka N. W. and Pachana, Nancy A.. 2016. "Adapting psychotherapy for older adults with Parkinson's disease." International Psychogeriatrics. 28 (10), pp. 1631-1636. https://doi.org/10.1017/S1041610216000569
Brief on the role of psychologists in residential and home care services for older adults
Davison, Tanya E., Koder, Deborah, Helmes, Edward, Doyle, Colleen, Bhar, Sunil, Mitchell, Leander, Hunter, Carol, Knight, Bob and Pachana, Nancy. 2016. "Brief on the role of psychologists in residential and home care services for older adults." Australian Psychologist. https://doi.org/10.1111/ap.12209
Age differences in the connection of mood and cognition: evidence from studies of mood congruent effects
Knight, Bob G., Rastegar, Sarah and Kim, Seungyoun. 2016. "Age differences in the connection of mood and cognition: evidence from studies of mood congruent effects." Warner Schaie, K. and Willis, Sherry L. (ed.) Handbook of the psychology of aging. Tokyo. Elsevier. pp. 280-302
Psychological assessment and therapy with older adults
Knight, Bob G. and Pachana, Nancy A.. 2015. Psychological assessment and therapy with older adults. United Kingdom. Oxford University Press.
Age differences in interpreting ambiguous situations: the effects of content themes and depressed mood
Juang, Christine and Knight, Bob G.. 2016. "Age differences in interpreting ambiguous situations: the effects of content themes and depressed mood." Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 71 (6), pp. 1024-1033. https://doi.org/10.1093/geronb/gbv037
Australian distance students’ perceptions of individual and institutional responsibility for health and wellbeing
Beccaria, Lisa, Rogers, Cath and Burton, Lorelle. 2016. "Australian distance students’ perceptions of individual and institutional responsibility for health and wellbeing." Journal of the Australia and New Zealand Student Services Association. 47, pp. 18-30.
Influences on the perception of elder financial abuse among older adults in Southern California
Knight, Bob G., Kim, Seungyoun, Rastegar, Sarah, Jones, Scott, Jump, Victoria and Wong, Serena. 2015. "Influences on the perception of elder financial abuse among older adults in Southern California." International Psychogeriatrics. 28 (1), pp. 163-169. https://doi.org/10.1017/S1041610215000587
Parental emotional support during emerging adulthood and baby boomers' well-being in midlife
Poon, Cecilia Y. M. and Knight, Bob G.. 2013. "Parental emotional support during emerging adulthood and baby boomers' well-being in midlife." International Journal of Behavioral Development. 37 (6), pp. 498-504. https://doi.org/10.1177/0165025413498217
Cross-cultural differences in dementia: the sociocultural health belief model
Sayegh, Phillip and Knight, Bob G.. 2013. "Cross-cultural differences in dementia: the sociocultural health belief model." International Psychogeriatrics. 25 (4), pp. 517-530. https://doi.org/10.1017/S104161021200213X
Accreditation in the profession of psychology: a cautionary tale
Maiden, Robert, Knight, Bob G., Howe, Judith L. and Kim, Seungyoun. 2012. "Accreditation in the profession of psychology: a cautionary tale." Gerontology and Geriatrics Education. 33 (1), pp. 55-74. https://doi.org/10.1080/02701960.2012.640728
Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial
Clark, Florence, Jackson, Jeanne, Carlson, Mike, Chou, Chih-Ping, Cherry, Barbara J., Jordan-Marsh, Maryalice, Knight, Bob G., Mandel, Deborah, Blanchard, Jeanine, Granger, Douglas A., Wilcox, Rand R., Lai, Mei Ying, White, Brett, Hay, Joel, Lam, Claudia, Marterella, Abbey and Azen, Stanley P.. 2012. "Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial." Journal of Epidemiology and Community Health. 66 (9), pp. 782-790. https://doi.org/10.1136/jech.2009.099754
Positivity effects in older adults' perception of facial emotion: the role of future time perspective
Kellough, Jennifer L. and Knight, Bob G.. 2012. "Positivity effects in older adults' perception of facial emotion: the role of future time perspective." Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 67B (2), pp. 150-158. https://doi.org/10.1093/geronb/gbr079
Mental health and aging in the 21st century
Knight, Bob G. and Sayegh, Philip. 2011. "Mental health and aging in the 21st century." Journal of Aging & Social Policy. 23 (3), pp. 228-243. https://doi.org/10.1080/08959420.2011.579494
Impact of childhood parental abuse and neglect on sleep problems in old age
Poon, Cecilia Y. M. and Knight, Bob G.. 2011. "Impact of childhood parental abuse and neglect on sleep problems in old age ." Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 66B (3), pp. 307-310. https://doi.org/10.1093/geronb/gbr003
Training in professional psychology in the US: an increased focus on competency attainment
Knight, Bob G.. 2011. "Training in professional psychology in the US: an increased focus on competency attainment ." Australian Psychologist. 46 (2), pp. 140-141. https://doi.org/10.1111/j.1742-9544.2011.00026.x
Mentoring for professional geropsychology within a doctoral program
Knight, Bob G.. 2011. "Mentoring for professional geropsychology within a doctoral program." Educational Gerontology: an international journal. 37 (5), pp. 378-387. https://doi.org/10.1080/03601277.2011.553559
The effects of familism and cultural justification on the mental and physical health of family caregivers
Sayegh, Philip and Knight, Bob G.. 2011. "The effects of familism and cultural justification on the mental and physical health of family caregivers." Journal of Gerontology Series B: Psychological Sciences and Social Sciences. 66B (1), pp. 3-14. https://doi.org/10.1093/geronb/gbq061
Age differences in the complexity of emotion perception
Kim, Seungyoun, Geren, Jennifer L. and Knight, Bob G.. 2015. "Age differences in the complexity of emotion perception." Experimental Aging Research. 41 (5), pp. 556-571. https://doi.org/10.1080/0361073X.2015.1085727
Contextual adult lifespan theory for adapting psychotherapy with older adults
Knight, B. G., Juang, Ch. and Poon, C. Y. M.. 2015. "Contextual adult lifespan theory for adapting psychotherapy with older adults." Maercker, I. A. (ed.) Alterpsychoterapie und klinische gerontopsycholgie. Heidelberg. Springer.
Using the CALTAP life span developmental framework with older adults
Pachana, Nancy A., Mitchell, Leander K. and Knight, Bob G.. 2015. "Using the CALTAP life span developmental framework with older adults." GeroPsych. 28 (2), pp. 77-86. https://doi.org/10.1024/1662-9647/a000126
Aging and the effects of emotion on cognition: implications for psychological interventions for depression and anxiety
Knight, Bob G. and Durbin, Kelly. 2015. "Aging and the effects of emotion on cognition: implications for psychological interventions for depression and anxiety." Psych Journal. 4 (1), pp. 11-19. https://doi.org/10.1002/pchj.84
Adaptation of the Three-Dimensional Wisdom Scale (3D-WS) for the Korean cultural context
Kim, Seungyoun and Knight, Bob G.. 2015. "Adaptation of the Three-Dimensional Wisdom Scale (3D-WS) for the Korean cultural context." International Psychogeriatrics. 27 (2), pp. 267-278. https://doi.org/10.1017/S1041610214002178
Can we do better? Researchers' experiences with ethical review boards on projects with later life as a focus
Pachana, Nancy A., Liddle, Jacki, Peel, Nancye M., Beattie, Elizabeth, Juang, Christine and Knight, Bob G.. 2015. "Can we do better? Researchers' experiences with ethical review boards on projects with later life as a focus." Journal of Alzheimer's Disease. 43 (3), pp. 701-707. https://doi.org/10.3233/JAD-141956
Contributing to evidence-based healthcare cultures through lifelong learning
Beccaria, Lisa, Moloney, Clint and Lockwood, Craig. 2015. "Contributing to evidence-based healthcare cultures through lifelong learning." Lawrence, Jill, Perrin, Cheryl and Kiernan, Eleanor (ed.) Building professional nursing communication. Port Melbourne, Australia. Cambridge University Press. pp. 205-240
Functional assessment and neuropsychiatric inventory questionnaires: measurement invariance across Hispanic and non-Hispanic whites
Sayegh, Philip and Knight, Bob G.. 2014. "Functional assessment and neuropsychiatric inventory questionnaires: measurement invariance across Hispanic and non-Hispanic whites." The Gerontologist. 54 (3), pp. 375-386. https://doi.org/10.1093/geront/gnt026
Assessment and diagnosis of dementia in Hispanic and non-Hispanic white outpatients
Sayegh, Philip and Knight, Bob G.. 2013. "Assessment and diagnosis of dementia in Hispanic and non-Hispanic white outpatients." The Gerontologist. 53 (5), pp. 760-769. https://doi.org/10.1093/geront/gns190
Emotional reactivity to network stress in middle and late adulthood: the role of childhood parental emotional abuse and support
Poon, Cecilia Y. M. and Knight, Bob G.. 2012. "Emotional reactivity to network stress in middle and late adulthood: the role of childhood parental emotional abuse and support." The Gerontologist. 52 (6), pp. 782-791. https://doi.org/10.1093/geront/gns009
Confirmatory factor analysis of a brief version of the Zarit Burden Inventory in black and white dementia caregivers
Flynn Longmire, Crystal V. and Knight, Bob G.. 2011. "Confirmatory factor analysis of a brief version of the Zarit Burden Inventory in black and white dementia caregivers." The Gerontologist. 51 (4), pp. 453-462. https://doi.org/10.1093/geront/gnr011
A Psychometric Evaluation of Three Pain Rating Scales for People with Moderate to Severe Dementia
Neville, Christine and Ostini, Remo. 2014. "A Psychometric Evaluation of Three Pain Rating Scales for People with Moderate to Severe Dementia." Pain Management Nursing. 15 (4), pp. 798-806. https://doi.org/10.1016/j.pmn.2013.08.001
The interrelationships between student approaches to learning and group work
Beccaria, Lisa, Kek, Megan, Huijser, Henk, Rose, Jayln and Kimmins, Lindy. 2014. "The interrelationships between student approaches to learning and group work." Nurse Education Today. 34 (7), pp. 1094-1103. https://doi.org/10.1016/j.nedt.2014.02.006
Systematic review summary: psychological therapies for people with borderline personality disorder
Neville, Christine. 2014. "Systematic review summary: psychological therapies for people with borderline personality disorder." Nursing Times. 110 (4), pp. 25-25.
The relationship between distance students’ health risk and health-promoting behaviours, stress, strain, coping and academic outcomes
Beccaria, Lisa M.. 2013. The relationship between distance students’ health risk and health-promoting behaviours, stress, strain, coping and academic outcomes. PhD Thesis Doctor of Philosophy. University of Southern Queensland.
Nursing students' perceptions and understanding of intimate partner violence
Beccaria, Gavin, Beccaria, Lisa, Dawson, Rhonda, Gorman, Don, Harris, Julie A. and Hossain, Delwar. 2013. "Nursing students' perceptions and understanding of intimate partner violence." Nurse Education Today. 33 (8), pp. 907-911. https://doi.org/10.1016/j.nedt.2012.08.004
Mental health nursing standards for Australia: a review of current literature
Neville, Christine, Hangan, Catherine, Eley, Diann, Quinn, John and Weir, Jim. 2008. "Mental health nursing standards for Australia: a review of current literature." International Journal of Mental Health Nursing. 17 (2), pp. 138-146. https://doi.org/10.1111/j.1447-0349.2008.00522.x
Pain management skills of regional nurses caring for older people with dementia: a needs analysis
Neville, Christine, McCarthy, Alexandra and Laurent, Kathryn. 2006. "Pain management skills of regional nurses caring for older people with dementia: a needs analysis." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 13 (2), pp. 31-36.
A stocktake of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy and Boyes, Joanne. 2008. "A stocktake of existing aged care clinical placements for undergraduate nursing students in Australia." Australian Journal of Advanced Nursing. 26 (2), pp. 17-26.
The review and revision of 'Standards of practice for mental health nurses in Australia'
Neville, Christine, Hangan, Catherine, Eley, Diann, Weir, Jim, Quinn, John and Meehan, Tom. 2010. "The review and revision of 'Standards of practice for mental health nurses in Australia'." Journal of Psychiatric and Mental Health Nursing. 17 (1), pp. 87-93. https://doi.org/10.1111/j.1365-2850.2009.01499.x
Perceived facilitators and inhibitors for the use of personal digital assistants (PDAs) by nurses: a systematic review
Moloney, Clint and Beccaria, Lisa Mara. 2009. "Perceived facilitators and inhibitors for the use of personal digital assistants (PDAs) by nurses: a systematic review." JBI Library of Systematic Reviews. 7 (33), pp. 1430-1491. https://doi.org/10.11124/01938924-200907330-00001
Parental and teacher influences on the consumption of plain drinking water by primary school aged children
Beccaria, Lisa Mara. 2007. Parental and teacher influences on the consumption of plain drinking water by primary school aged children. Masters Thesis Master of Health. University of Southern Queensland.
Behaviour of older people admitted for residential respite care
Neville, Christine C. and Byrne, Gerard J. A.. 2002. "Behaviour of older people admitted for residential respite care." Australian Journal of Advanced Nursing. 20 (1), pp. 8-12.
Mental health nursing standards and practice indicators for Australia: a review of current literature
Neville, Christine, Eley, Diann, Quinn, John, Weir, Jim, Hegney, Desley, Hangan, Catherine and Grasby, David. 2006. Mental health nursing standards and practice indicators for Australia: a review of current literature. Toowoomba, Australia. University of Southern Queensland.
Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care
Fallon, Anthony Bruce, Price, Kay, Hegney, Desley, Abbey, Jennifer, Neville, Christine C., Oxlade, Deborah and Soar, Jeffrey. 2004. "Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy, Fallon, Anthony Bruce, Soar, Jeffrey, Boyes, Joanne and Grasby, David. 2006. A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia. Toowoomba, Australia. University of Southern Queensland.
The impact of residential respite care on the behavior of older people
Neville, Christine C. and Byrne, Gerard J. A.. 2006. "The impact of residential respite care on the behavior of older people." International Psychogeriatrics. 18 (1), pp. 163-170. https://doi.org/10.1017/S1041610205002553
Implementing the wandering evidence for older people with dementia: key issues for nurses and carers
Neville, Christine C., McMinn, Bryan and Cave, Patricia. 2006. "Implementing the wandering evidence for older people with dementia: key issues for nurses and carers." International Journal of Older People Nursing. 1 (4), pp. 235-238. https://doi.org/10.1111/j.1748-3743.2006.00044.x