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  1. Article ; Online: Methodological progress note: Pilot randomized controlled trials.

    Corley, Amanda / Marsh, Nicole / Keogh, Samantha

    Journal of hospital medicine

    2024  

    Language English
    Publishing date 2024-04-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2233783-0
    ISSN 1553-5606 ; 1553-5592
    ISSN (online) 1553-5606
    ISSN 1553-5592
    DOI 10.1002/jhm.13376
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  2. Article: Proactive debriefing to promote wellbeing in intensive care nurses: A protocol.

    Levido, Annabel / Keogh, Samantha / Jarrett, Paul / Crowe, Liz / Coyer, Fiona

    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses

    2024  

    Abstract: Background: The dynamic, rewarding, yet challenging environment of the intensive care unit is experienced in extremes by intensive care nurses. To ensure intensive care nurses can continue to fulfil their professional roles and responsibilities, careful ...

    Abstract Background: The dynamic, rewarding, yet challenging environment of the intensive care unit is experienced in extremes by intensive care nurses. To ensure intensive care nurses can continue to fulfil their professional roles and responsibilities, careful consideration and promotion of collective and individual wellbeing is required. Regular proactive debriefing provides an opportunity to commune, connect, and reflect on the challenging nature of clinical work and is a potential intervention to aid in the promotion of wellbeing.
    Aim/objective: This study aims to collaboratively develop, implement, and evaluate a proactive debriefing intervention, which will target the promotion of nurses' wellbeing.
    Study plan: This hybrid effectiveness-implementation study will use a pretest/post-test design to test a codesigned proactive debriefing intervention on the wellbeing of nurses working in a large quaternary intensive care unit. This research will be conducted in two phases. Phase one will consist of focus groups and a codesign workshop. Phase two surrounds the implementation and analysis of the codesigned intervention.
    Language English
    Publishing date 2024-03-27
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1159493-7
    ISSN 1878-1721 ; 1036-7314
    ISSN (online) 1878-1721
    ISSN 1036-7314
    DOI 10.1016/j.aucc.2024.01.004
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  3. Article ; Online: Peripheral intravenous catheter insertion, maintenance and outcomes in Indonesian paediatric hospital settings: A point prevalence study.

    Indarwati, Ferika / Munday, Judy / Keogh, Samantha

    Journal of pediatric nursing

    2023  Volume 73, Page(s) 106–112

    Abstract: Purpose: This study aimed to assess peripheral intravenous catheter use, maintenance practices, and outcomes of paediatric patients in a developing country setting.: Design and methods: A point prevalence survey using validated checklist was ... ...

    Abstract Purpose: This study aimed to assess peripheral intravenous catheter use, maintenance practices, and outcomes of paediatric patients in a developing country setting.
    Design and methods: A point prevalence survey using validated checklist was conducted between March and April 2022 in ten hospitals in Indonesia. A total number of 478 participants were approached during the audit. Data were obtained from site observation and medical records.
    Results: Of the 386 patients surveyed, >90% (362) had one catheter in-situ. The catheters were mostly inserted by nurses (331, 86%), primarily in the dorsum of the hand (207, 54%) with the purpose of delivering intravenous infusions and medications (367, 95%). Simple transparent dressings (176, 46%) with splint and bandage (295, 76%) were predominantly used for securement methods. Insertion sites were not visible for 182 (47%) patients, and 151 (40%) of daily care practices were poorly documented. Complications were documented in the medical record for 166 (43%) catheters. Adjusted analysis indicated that patient diagnosis, ward, catheter size, location, dressings, infusate, and flushing administration were significantly associated with complications.
    Conclusions: Findings indicate that issues related to paediatric intravenous catheter complications in Indonesia are comparable to developed country settings. Ongoing surveillance is important to evaluate the management practices to benchmark against guidelines, optimise patient safety, and improve outcomes.
    Practice implications: Results demonstrate low and middle-income countries face similar challenges with catheter insertion and care. The study indicates the importance of applying vascular access needs assessments, providing training for inserters, identifying optimum dressing methods, and optimising documentation.
    MeSH term(s) Humans ; Child ; Indonesia ; Hospitals, Pediatric ; Prevalence ; Catheters ; Catheterization, Peripheral/adverse effects ; Catheterization, Peripheral/methods
    Language English
    Publishing date 2023-08-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632731-x
    ISSN 1532-8449 ; 0882-5963
    ISSN (online) 1532-8449
    ISSN 0882-5963
    DOI 10.1016/j.pedn.2023.08.009
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  4. Article ; Online: Preventing infection or preventing sustainability?

    Rickard, Claire M / Anstey, Matthew H / Keogh, Samantha

    Intensive & critical care nursing

    2023  Volume 78, Page(s) 103488

    MeSH term(s) Humans ; Program Evaluation ; Infection Control
    Language English
    Publishing date 2023-07-13
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 1105892-4
    ISSN 1532-4036 ; 0964-3397
    ISSN (online) 1532-4036
    ISSN 0964-3397
    DOI 10.1016/j.iccn.2023.103488
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  5. Article ; Online: Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review.

    Curtis, Kerrie / Gough, Karla / Krishnasamy, Meinir / Tarasenko, Elena / Hill, Geoff / Keogh, Samantha

    BMC cancer

    2024  Volume 24, Issue 1, Page(s) 498

    Abstract: Background: Lack of agreed terminology and definitions in healthcare compromises communication, patient safety, optimal management of adverse events, and research progress. The purpose of this scoping review was to understand the terminologies used to ... ...

    Abstract Background: Lack of agreed terminology and definitions in healthcare compromises communication, patient safety, optimal management of adverse events, and research progress. The purpose of this scoping review was to understand the terminologies used to describe central venous access devices (CVADs), associated complications and reasons for premature removal in people undergoing cancer treatment. It also sought to identify the definitional sources for complications and premature removal reasons. The objective was to map language and descriptions used and to explore opportunities for standardisation.
    Methods: A systematic search of MedLine, PubMed, Cochrane, CINAHL Complete and Embase databases was performed. Eligibility criteria included, but were not limited to, adult patients with cancer, and studies published between 2017 and 2022. Articles were screened and data extracted in Covidence. Data charting included study characteristics and detailed information on CVADs including terminologies and definitional sources for complications and premature removal reasons. Descriptive statistics, tables and bar graphs were used to summarise charted data.
    Results: From a total of 2363 potentially eligible studies, 292 were included in the review. Most were observational studies (n = 174/60%). A total of 213 unique descriptors were used to refer to CVADs, with all reasons for premature CVAD removal defined in 84 (44%) of the 193 studies only, and complications defined in 56 (57%) of the 292 studies. Where available, definitions were author-derived and/or from national resources and/or other published studies.
    Conclusion: Substantial variation in CVAD terminology and a lack of standard definitions for associated complications and premature removal reasons was identified. This scoping review demonstrates the need to standardise CVAD nomenclature to enhance communication between healthcare professionals as patients undergoing cancer treatment transition between acute and long-term care, to enhance patient safety and rigor of research protocols, and improve the capacity for data sharing.
    MeSH term(s) Adult ; Humans ; Central Venous Catheters/adverse effects ; Catheterization, Central Venous/adverse effects ; Medical Oncology ; Health Facilities
    Language English
    Publishing date 2024-04-19
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 2041352-X
    ISSN 1471-2407 ; 1471-2407
    ISSN (online) 1471-2407
    ISSN 1471-2407
    DOI 10.1186/s12885-024-12099-8
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  6. Article: Long-term outcomes after paediatric sepsis: A narrative review.

    Minogue, Jessicah / Keogh, Samantha / Schlapbach, Luregn J / Long, Debbie

    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses

    2023  Volume 37, Issue 3, Page(s) 499–507

    Abstract: Objectives: Sepsis is one of the leading causes of mortality in the paediatric population. However, knowledge is limited around morbidity in childhood sepsis survivors. The aim of this review is to identify and critically appraise the evidence for long- ... ...

    Abstract Objectives: Sepsis is one of the leading causes of mortality in the paediatric population. However, knowledge is limited around morbidity in childhood sepsis survivors. The aim of this review is to identify and critically appraise the evidence for long-term outcomes in paediatric survivors of sepsis using the Post Intensive Care Syndrome - paediatrics (PICS-p) framework.
    Methods: A search for studies was undertaken in the electronic databases PubMed and Cumulative Index to Nursing and Allied Health Literature from 2010. Criteria for inclusion are as follows: participants >28 d adjusted age, diagnosed with sepsis, and follow-up after hospital discharge using a validated outcome measure. The PICS-p subdomains (cognitive, physical, emotional, and social) guided thematic synthesis of current literature. Study quality was assessed using the Newcastle-Ottawa Scale.
    Results: In total, nine studies, involving 2136 children, using 13 different outcome measures were included in the review. Mean follow-up time was 28 d after hospital discharge with a range of 7 d to 12 m across the PICS-p domains. Physical functioning was the most examined domain explored in six studies that used four outcome measures. Morbidity in physical, cognitive, and emotional domains was still evident at 9-12 m. No literature identified explored social health.
    Conclusion(s): Overall, we identified a wide range of measures, administered at various time points in studies of sepsis survivorship in childhood. Variation in follow-up timepoints, validated tools, and restricted outcome measures highlighted the lack in understanding of this priority area. Furthermore, long-term outcome research and a cohesive understanding across all the PICS-p domains are needed to better understand this population.
    Registration: Not registered.
    MeSH term(s) Humans ; Child ; Sepsis ; Patient Discharge
    Language English
    Publishing date 2023-05-09
    Publishing country Australia
    Document type Journal Article ; Review
    ZDB-ID 1159493-7
    ISSN 1878-1721 ; 1036-7314
    ISSN (online) 1878-1721
    ISSN 1036-7314
    DOI 10.1016/j.aucc.2023.04.002
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    Zs.A 3762: Show issues Location:
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  7. Article ; Online: Adaptation and validation of pediatric peripheral intravenous catheter insertion and care practices audit tools.

    Indarwati, Ferika / Munday, Judy / Keogh, Samantha

    International journal of nursing sciences

    2022  Volume 9, Issue 2, Page(s) 179–186

    Abstract: Objectives: This study aimed to describe the translation process and establish the validity of the three instruments in Indonesian to assess pediatric peripheral intravenous catheter (PIVC) insertion and care practices.: Methods: The six-step forward ...

    Abstract Objectives: This study aimed to describe the translation process and establish the validity of the three instruments in Indonesian to assess pediatric peripheral intravenous catheter (PIVC) insertion and care practices.
    Methods: The six-step forward and backward translation method was used to translate the adapted questionnaires. The English version questionnaires included the point prevalence audit checklist, the nurse survey consisting of the nurse PIVC knowledge questionnaire and the nurse PIVC confidence questionnaire, plus a Patient/parent Experience Survey. Data collection was conducted in Indonesia between October 2019 and February 2020. In total, there were six translators (two for each instrument), nine-panel vascular access experts (three for each instrument), and 30 participants (ten for each instrument) of the target population involved in the translation and validation of the three instruments. Three-panel experts rated the content relevance of each instrument using a four-point rating scale. Item level and scale level content validity index and kappa index were calculated. Ten-panel members of the target population evaluated each questionnaire regarding feasibility, clarity, logical sequence, and formatting. Qualitative comments from the panel were also reviewed.
    Results: The translation process indicated relatively low discrepancies between translators except for semantic equivalence. There were nine, eight, and one semantic discrepancies found in the forward translation of the point prevalence audit checklist, nurse survey, and patient/parent experience survey. The semantic discrepancies were less prevalent in the backward translation, with only one, three, and two items reported during the process. The item validity index for all of the three instruments showed relatively high agreement between experts (I-CVI > 0.78, S-CVI/Ave >0.90, S-CVI/UA > 0.70, and kappa index >0.74). The face validity was established with the panel reporting that the three instruments were easy to understand and presented logically. However, some re-formatting of the nurse survey and patient/parent experience survey were needed to avoid ambiguity and confusion for the participants.
    Conclusions: The results indicate that the translated three survey instruments that had been widely used in other developed countries show good content validity in the Indonesian context. They can be used as a reference for further testing in different countries and contribute to understanding the pediatric PIVC audit tools used in future clinical research.
    Language English
    Publishing date 2022-03-15
    Publishing country China
    Document type Journal Article
    ZDB-ID 2800296-9
    ISSN 2352-0132 ; 2352-0132
    ISSN (online) 2352-0132
    ISSN 2352-0132
    DOI 10.1016/j.ijnss.2022.03.005
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  8. Article ; Online: Adult pain and anticipatory anxiety assessment in the emergency department: An integrative literature review.

    Mccahill, Robyn / Keogh, Samantha / Hughes, James A

    Journal of clinical nursing

    2022  Volume 32, Issue 15-16, Page(s) 4492–4501

    Abstract: Introduction: Patients presenting to the emergency departments in pain often experience co-occurring symptoms. Anticipatory anxiety in the emergency department may be currently under-recognised. Clinical tools to facilitate the assessment of co- ... ...

    Abstract Introduction: Patients presenting to the emergency departments in pain often experience co-occurring symptoms. Anticipatory anxiety in the emergency department may be currently under-recognised. Clinical tools to facilitate the assessment of co-occurring symptoms aligns with providing more patient centred care and improved outcomes and experience.
    Aims: This integrative review aimed to identify and examine the psychometric properties of tools currently used for pain and anticipatory anxiety assessment in adult patients presenting to the emergency department. This study also aimed to identify the current clinical practice used to assess adult pain and anticipatory anxiety.
    Methods: Whittemore and Knafl's methodology guided the review process, and it is reported according to relevant items from PRISMA checklist. Studies were included if they focused on tools for pain or anxiety assessment of adults in emergency departments in English language publications since 2010. Quality of studies was evaluated using the Mixed Methods Appraisal Tool (MMAT). The results were summarised through narrative synthesis.
    Results: A total of 15 studies were identified for narrative synthesis. Six tools for pain, and four tools for anticipative anxiety were found. All currently used clinical tools assess symptoms in isolation. There was limited discussion of the clinical context of identified tools within the included studies.
    Conclusion: Pain and anxiety assessment are currently performed in symptom isolation with a variety of tools with varying degrees of reliability. There exists a lack of clinical tools able to assess co-occurring symptoms of pain and anticipatory anxiety in the clinical setting of the emergency department. No studies discussed clinical tool use in current practice.
    Relevance to clinical practice: The reconstruction of available pain and anxiety assessment tools into one validated and holistic tool for assessment in the ED clinical setting, would provide a contextually appropriate guide to clinical assessment and treatment. Acknowledging and measuring these symptoms may facilitate future rigorous testing of experimental studies of novel methods to reduce pain and anxiety in the ED.
    No patient or public contribution: Patient or public contribution does not apply to this Integrative Review.
    Clinical trial registration number: Not applicable.
    MeSH term(s) Humans ; Adult ; Reproducibility of Results ; Emergency Service, Hospital ; Pain/diagnosis ; Anxiety/diagnosis ; Anxiety/therapy ; Psychometrics
    Language English
    Publishing date 2022-10-11
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.16520
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    Zs.A 3764: Show issues Location:
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  9. Article: Keeping IVs working.

    Keogh, Samantha

    The Queensland nurse

    2013  Volume 32, Issue 2, Page(s) 31

    MeSH term(s) Equipment Contamination/prevention & control ; Equipment Failure ; Humans ; Infusions, Intravenous
    Language English
    Publishing date 2013-04
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1034988-1
    ISSN 0815-936X
    ISSN 0815-936X
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    Zs.A 2972: Show issues Location:
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  10. Article ; Online: The effectiveness of nurse-initiated interventions in the Emergency Department: A systematic review.

    Burgess, Luke / Kynoch, Kathryn / Theobald, Karen / Keogh, Samantha

    Australasian emergency care

    2021  Volume 24, Issue 4, Page(s) 248–254

    Abstract: Background: Nurse-initiated interventions potentially provide an opportunity for earlier response for time sensitive presentations to the Emergency Department, and may improve time-to-treatment, symptomatic relief and patient flow through the department. ...

    Abstract Background: Nurse-initiated interventions potentially provide an opportunity for earlier response for time sensitive presentations to the Emergency Department, and may improve time-to-treatment, symptomatic relief and patient flow through the department.
    Objective: To determine the effectiveness of nurse-initiated interventions on patient outcomes in the Emergency Department.
    Method: The review followed the JBI methodology for reviews of quantitative evidence. Each study was assessed by two independent reviewers and data were extracted from included papers using standardized data extraction tools. Outcomes of interest included time-to-treatment, relief of acute symptoms, waiting times and admission rates.
    Results: Twenty-six studies were included in the final review, with a total of 9144 participants. Nine were randomized control trials, 17 had a quasi-experimental design. Twelve of the studies involved pediatric patients only and 14 included adult patients only. Interventions, protocols and outcomes were heterogeneous across studies. Overall, nurse-initiated interventions were effective in reducing time-to-analgesia, time-to-treatment for acute respiratory distress as well as improved pain relief and decreased admission rates.
    Conclusion: To achieve early intervention and timely relief of acute symptoms, nurses should seek to consistently implement nurse-initiated interventions into their care of patients in the Emergency Department. Several findings are made to inform practice, however future high-quality research with locally specific strategies is required to improve certainty and quality of findings.
    MeSH term(s) Adult ; Analgesia ; Child ; Emergency Service, Hospital ; Humans ; Pain Management
    Language English
    Publishing date 2021-03-13
    Publishing country Australia
    Document type Journal Article ; Review ; Systematic Review
    ISSN 2588-994X
    ISSN (online) 2588-994X
    DOI 10.1016/j.auec.2021.01.003
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