- School of Nursing and Midwifery
La Trobe University
Bundoora, Victoria, Australia
Lisa McKenna
La Trobe University, Nursing and Midwifery, Faculty Member
- Editor-in-Chief, Collegian: The Australian Journal of Nursing Practice, Scholarship and Researchedit
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Research Interests: Psychology, Nursing, Communication, Social Sciences, Focus Groups, and 15 moreMedical Education, Non Technical Skills, Medicine, Learning, Curriculum, Empathy, Teamwork, Awareness, Web Based Simulation, Victoria, Undergraduate Nursing Student, Science Technology, Clinical Competence, Simulation Training, and Virtual Patient
Chinese-educated nurses are increasingly important to the international labor market. This study aimed to examine how Chinese migrant nurses adapt and evolve professionally while pursuing nursing careers in Australia, using a qualitative... more
Chinese-educated nurses are increasingly important to the international labor market. This study aimed to examine how Chinese migrant nurses adapt and evolve professionally while pursuing nursing careers in Australia, using a qualitative descriptive approach. A total of 17 Chinese-educated nurses were recruited by purposive and snowball sampling in Australia during 2017. Data were collected by individual semi-structured interviews and analyzed using thematic analysis. Three central themes and eight subthemes were generated. Perceived differences in nursing involved: work options and flexibility, professional autonomy and independence, and freedom of expressing professional opinions. Elements comprising challenges to adaptation included communication barriers, nursing workload and responsibilities, and collegial relationships. Participants’ professional transition journeys were accompanied by two key areas of self-evolution: Embracing the authentic self and embracing individual differences. Our findings have important implications for migrant-host nursing workforce integration in Australia and internationally.
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OBJECTIVE To identify outcomes of nursing or midwifery students participating in international educational programs in their pre-registration education. DESIGN A systematic review of the literature was conducted in keeping with JBI... more
OBJECTIVE To identify outcomes of nursing or midwifery students participating in international educational programs in their pre-registration education. DESIGN A systematic review of the literature was conducted in keeping with JBI methods. DATA SOURCES A range of databases were searched, including Medline, Embase, ERIC, CINAHL, ProQuest Central and DOAJ. Studies published in English from 2010 to 2020 were considered. STUDY ELIGIBILITY CRITERIA The review included qualitative and quantitative primary peer-reviewed research studies involving nursing or midwifery students who participated in international educational programs in their pre-registration education. REVIEW METHODS Thematic analysis informed by Braun and Clarke was used to identify key outcomes emerging. RESULTS 56 studies were included. The results highlight similarities in outcomes for students who had undertaken international educational programs in three thematic areas: Cultural learning, Personal growth, and Professional development. Short-term outcomes are well documented, however there is a lack of research investigating long-term outcomes. CONCLUSIONS Further research is required to investigate long-term outcomes of international educational programs and means for measuring the effects on students' future professional practice. In addition, further research is needed to explore the perspectives of, and impact on, others including host communities and universities, and other stakeholders.
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The use of complementary and alternative medicine (CAM) has become increasingly prevalent in industrialised countries, with women being the most prolific users. Some women continue to consume these therapies when they become pregnant. To... more
The use of complementary and alternative medicine (CAM) has become increasingly prevalent in industrialised countries, with women being the most prolific users. Some women continue to consume these therapies when they become pregnant. To review the literature exploring prevalence and motivation for use of complementary and alternative medicine by pregnant women. A search for relevant literature published from 2001 was undertaken using a range of databases and by examining relevant bibliographies. Although the estimates vary widely from 1% to 87%, the general trend indicates that a significant number of pregnant women use complementary and alternative medicine. Common modalities used include massage, vitamin and mineral supplements, herbal medicine, relaxation therapies and aromatherapy. Reasons for use are varied and include the belief that these therapies offer safe alternatives to pharmaceuticals, they allow greater choice and control over the childbearing experiences, and they are congruent with their holistic health beliefs. The influence of traditional cultural practices on the use of these therapies is unclear. Most expectant women rely on advice from family and friends, and many do not disclose their use to their pregnancy care providers. Many women use complementary and alternative medicine when they are pregnant. Further research is needed to gain a greater understanding of the true prevalence and expectant women's motivation for the use of complementary and alternative medicine. Health-care professionals are encouraged to ask women about their use of these treatments and seek out relevant information.
Research Interests: Nursing, Evidence Based Practice, Complementary and Alternative Medicine, Family Medicine, Midwifery, and 15 moreMedicine, Literature Review, Phytotherapy, Massage, Modalities, Pregnancy, Humans, Complementary Therapies, Aromatherapy, Female, Complementary Medicine, Alternative Medicine, attitude to health, Pregnancy complications, and Paediatrics and reproductive medicine
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Aims and objectivesThis paper is drawn from a grounded theory study that aimed to investigate processes undertaken by academics when integrating evidence‐based practice into undergraduate curricula. This paper focuses on how nurse... more
Aims and objectivesThis paper is drawn from a grounded theory study that aimed to investigate processes undertaken by academics when integrating evidence‐based practice into undergraduate curricula. This paper focuses on how nurse academics facilitated students to apply evidence‐based practice in theory and practice.BackgroundFacilitating undergraduate nursing students to develop skills within an evidence‐based practice framework is vital to achieving evidence‐based care. Studies on evidence‐based practice conducted globally suggests that there is a need to investigate approaches used by nurse academics in facilitating students’ understanding and use of evidence‐based practice during their nurse education.MethodsEmploying constructivist grounded theory approach, 23 nurse academics across Australian universities were interviewed and nine observed during their teaching. Some study participants shared their unit guides to enrich analysis. Data analysis was performed by following Charmaz's approach of coding procedures; as a result, four categories were constructed. This paper focuses on the category conceptualised as Envisaging the use of evidence‐based practice.ResultsFindings revealed that most academics‐assisted students to use evidence in academic‐related activities. Recognising the importance of evidence‐based practice in practice, some also expected students to apply evidence‐based practice during clinical experiences. However, the level of students’ appreciation for evidence‐based practice during clinical experiences was unknown to participants and was influenced by practice‐related barriers. Acknowledging these challenges, academics were engaged in dialogue with students and suggested the need for academia–practice collaboration in combating the cited barriers.ConclusionEnsuring academics are supported to emphasise clinical application of evidence‐based practice requires strategies at school and practice levels. Faculty development, engagement of clinical nurses with evidence‐based practice, supportive culture for nurses and students to apply evidence‐based practice principles, and collaboration between academia and practice will make facilitation by academics practical and meaningful for students.Relevance to clinical practiceFindings from this study point to a number of initiatives for clinical leadership to provide infrastructure and support for academics, practising nurses and undergraduate students to adopt evidence‐based practice in practice settings, thereby influencing practice outcomes.
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Research Interests: Nursing, Evidence Based Practice, Evidence Based Nursing, Australia, Grounded Theory, and 14 moreMedicine, Teaching, Curriculum, Humans, Advanced Nursing Practice, Female, Nurse Academics, Male, Nursing Curriculum, teaching Strategies, Middle Aged, Adult, Undergraduate Curriculum, and Pedagogical approaches
A long-established approach, Confirmatory Factor Analysis (CFA) is used to validate measurement models of latent constructs. Employing CFA can be useful for assessing the validity and reliability of such models. The study adapted previous... more
A long-established approach, Confirmatory Factor Analysis (CFA) is used to validate measurement models of latent constructs. Employing CFA can be useful for assessing the validity and reliability of such models. The study adapted previous instruments and modified them to suit the current setting. The new measurement model is termed NENA-q. Exploratory factor analysis (EFA) revealed the instruments of the NENA-q model formed a construct of the second order with four dimensions, namely organizational contribution (OC), academic institution contribution (AIC), personality traits (PT), and newly employed nurses’ adaptation (NENA). Researchers administered the questionnaires to a sample of 496 newly employed nurses working in hospitals under the Ministry of Health (MOH) for the confirmation of the extracted dimensions. The study performed a two-step CFA procedure to validate NENA-q since the model involves higher-order constructs. The first step was individual CFA, while the second step ...
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Background: Difficulties in adapting to the workplace can affect the transition of new nurses. They must adapt quickly, as this can impact their future career prospects. Therefore, this review aimed to identify success factors that... more
Background: Difficulties in adapting to the workplace can affect the transition of new nurses. They must adapt quickly, as this can impact their future career prospects. Therefore, this review aimed to identify success factors that promote effective transition and new nurses’ adaptation. Methods: The study adopted Joanna Briggs Institute methodology for scoping reviews. Data were collected from MEDLINE, Scopus, EBSCOhost, and Web of Science publications between 2011 and 2020. A total of 23 articles were included. The study included qualitative or quantitative primary research studies focusing on contributing factors to helping new nurses adapt to their work environment during the transition period. Thematic analysis was used to identify key emerging themes.Results: Three main themes were identified: (1) Organisational contribution (comprising social development, organisational culture, work characteristics, work readiness, work commitment, and professional role), (2) Personality tra...
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The Clinical School Model is a unique feature of undergraduate nurse education at La Trobe University. After 20 years of operation, little is known about the value of this model for students, staff, the university, and clinical partners.... more
The Clinical School Model is a unique feature of undergraduate nurse education at La Trobe University. After 20 years of operation, little is known about the value of this model for students, staff, the university, and clinical partners. This paper presents a study that is currently taking place to investigate the impact of the clinical school model on nursing students’ learning, graduate nurses’ practice readiness, and to explore clinical stakeholders and academic staff’s perspectives. This study uses a descriptive exploratory study with a multi-method approach; combining quantitative surveys and qualitative descriptive exploratory phases, each involving a different group of participants. Quantitative surveys will be anonymous. Qualitative data collection will be done by individual semi-structured interviews and focus groups. The findings of this project will help fill a gap in the nursing literature on the outcomes of a nursing clinical school partnership, education and research m...
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Background Simulation based education has emerged as an essential element of pre-licensure education for health care students. It provides engaging and authentic learning opportunities during realists simulated clinical experiences. With... more
Background Simulation based education has emerged as an essential element of pre-licensure education for health care students. It provides engaging and authentic learning opportunities during realists simulated clinical experiences. With the rapid increase in simulation scholarship, we sought to substantiate current knowledge for substitution of clinical practice hours with simulation across the health disciplines using the best available evidence. Objectives 1. To examine the levels, quality of evidence, measures and outcomes when simulation is substituted for clinical placement; 2. To identify the optimal proportions, ratios, durations of simulation replacement and; 3. To explore how this evidence impacts on professional education standards. Methods A systematic review of primary studies in which simulation was used to replace clinical practice hours. Elements of interest were carefully extracted and the quality of each study was assessed using the MERSQI1. Results We identified 10 primary studies (six RCTs, three quasi-experimental designs and one observation-analytic design) in nursing (n=7), physiotherapy (n=2) and medicine (n=1) and the methodological quality was moderate to high. A total of 1972 students participated in the studies and outcomes measured students’ reaction, learning and behaviour. There were no clear findings in relation to proportion, ratio or duration of replacement and, the evidence is not clearly translated into professional program accreditation standards. Conclusion Best available evidence supports the substitution of clinical practice with simulation although the evidence is unclear regarding the appropriate ‘dose’ and studies were notable in their heterogeneity. We provide recommendations for simulation-based research to contribute to a stronger evidence base and higher impact research translation. References 1. Reed, D.A., Beckman, T.J., Wright, S.M. (2009) An assessment of the methodological quality of medical education research studies published in the American Journal of Surgery. The American Journal of Surgery, 198: 442-4
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Summary: This study provides insights into the international operating room nurses in organ procurement procedure, as well as awareness of these nursesà ¢Â €  ÂTM cultural background and personal beliefs and how they impact the... more
Summary: This study provides insights into the international operating room nurses in organ procurement procedure, as well as awareness of these nursesà ¢Â €  ÂTM cultural background and personal beliefs and how they impact the individual. This also informs practice for OR nurses and related healthcare teams, together with associated education and policy reform. Content Outline: Introduction Point 1: International OR nurses come from different regions of the world with diverse social and cultural backgrounds, religions, personal beliefs, and education. They are likely to form unique attitudes toward multi-organ procurement that potentially may affect their opinions, clinical practices and behaviours in Australia. Point 2: This research is the first study to explore and provide insights of international nurses participating in deceased organ procurement procedure in the Australian context.
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Qualitative research plays an important role in helping us describe, interpret and generate theories about complex phenomena in healthcare. Complete and transparent reporting of research informs readers about the significance and rigor of... more
Qualitative research plays an important role in helping us describe, interpret and generate theories about complex phenomena in healthcare. Complete and transparent reporting of research informs readers about the significance and rigor of the work. The aim of this scientometric study was to determine the quality of reporting of qualitative research in nursing social science. Studies were identified by manually searching the table of contents for qualitative papers published in the June (or closest subsequent) 2018 issue of 115 nursing journals. Adherence with the 32-item Consolidated Criteria for REporting Qualitative (COREQ) research was determined for each study by two researchers. Additional information about the study (e.g., sample size, field of nursing) and the publishing journal (e.g., endorsement of COREQ) were also extracted. Using established criteria, COREQ compliance was coded either good (≥ 25 items), moderate (17 to 24), poor (9 to 16), very poor (≤ 8) based on the num...
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AimsTo demonstrate how metaphor method can be employed in health care research, through a rainbow metaphor to conceptualise lived experiences, and represent a sense of verisimilitude, in a phenomenological study of international... more
AimsTo demonstrate how metaphor method can be employed in health care research, through a rainbow metaphor to conceptualise lived experiences, and represent a sense of verisimilitude, in a phenomenological study of international nurses' experiences of organ procurement procedures.BackgroundInternational operating room nurses are likely to form unique attitudes towards multi‐organ procurement. Phenomenology is used to focus on discovering human experiences and the meanings of certain phenomena. Phenomenological writing can mediate people's reflections and actions, measure people's thoughtfulness and help people to see and show lived experiences from their lifeworlds.DesignMetaphor was used to interpret meanings of international operating room nurses' experiences in organ procurement surgery. The meanings were identified through a phenomenological approach informed by the work of van Manen.MethodsA metaphor method was used to interpret and understand the lived experien...
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ABSTRACT Interprofessional Education (IPE) is the process whereby students learn with, from and about other healthcare professions (Centre for the Advancement of Interprofessional Education, 1997). It is believed that IPE can potentially... more
ABSTRACT Interprofessional Education (IPE) is the process whereby students learn with, from and about other healthcare professions (Centre for the Advancement of Interprofessional Education, 1997). It is believed that IPE can potentially improve job satisfaction, increase public appreciation of healthcare and promote enhanced holistic patient care (Meads, Ashcroft, Barr, Scott, & Wild, 2005). To explore the inclusion of IPE into the undergraduate curriculum of students enrolled in health-related disciplines, six 1.5 h IPE workshops were designed as part of a larger effort to facilitate IPE provided to students at one Australian university. Each workshop was held during the end of semester teaching period between October and November 2009, and involved participants from a minimum of three different healthcare professions. The aim of each workshop was to introduce key IPE concepts to students and assist them in developing the skills and attitudes needed to become effective interprofessional collaborative practitioners.
Research Interests: Psychology, Education, Educational Measurement, Health Care, Medical Education, and 15 moreJob Satisfaction, Interprofessional Education, Medicine, Curriculum, Students, Humans, Questionnaires, Patient Care Team, Analysis of Variance, Educational Status, Pilot Projects, Facilitator, Cross Sectional Studies, Health Personnel, and interprofessional relations
Research Interests: Psychology and Empathy
Summary Aim To explore graduating registered and enrolled nurses' perceptions of what roles they were educationally prepared for and what their roles would include. Background Defining nursing roles can be challenging, with studies... more
Summary Aim To explore graduating registered and enrolled nurses' perceptions of what roles they were educationally prepared for and what their roles would include. Background Defining nursing roles can be challenging, with studies from many countries identifying role confusion and overlap as issues with employing two levels of nurse. Australia has two levels of nurse registered for entry to practice; registered and enrolled nurses. Recent changes to increase the educational level of enrolled nurses have resulted in increasing similarities in skills and knowledge being taught to these and degree-prepared registered nurses, causing role ambiguity and confusion between the two levels of nurse. Design Mixed methods research. Method The research utilised a cross-sectional survey of completing nursing students ( n =57) from both levels of nursing programme in Australia in 2012. Analysis involved Mann–Whitney U tests and content analysis. Results Similarities were expected by students between the levels of nurse in basic patient care skills. Registered nurse graduates were expected to care for patients of higher acuity and take on increased levels of responsibility. Conclusion Despite similarities in graduate role expectations, differences remain in the expected level of practice with graduate registered nurses expected to be prepared to care for patients of higher acuity and undertake higher levels of responsibility than graduate enrolled nurses. Nurse managers need to take into account the differences in educational preparation and role expectations when allocating patients for nursing care and determining skill mix for patient care.
Research Interests: Psychology, Nursing, Education, Medicine, Role, and 4 moreNurse, Preparedness, Mixed Method, and Level
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To report on clinical and socio-demographic factors of a one-year caseload of women attended by a statewide ambulance service in Australia, who presented during pregnancy, prior to the commencement of labor. Retrospective clinical data... more
To report on clinical and socio-demographic factors of a one-year caseload of women attended by a statewide ambulance service in Australia, who presented during pregnancy, prior to the commencement of labor. Retrospective clinical data collected via in-field electronic patient care record (VACIS®) by paramedics during clinical management was provided by Ambulance Victoria. Cases were electronically extracted from the Ambulance Victoria Clinical Data Warehouse via comprehensive filtering followed by case review. Over a 12-month period, paramedics were called to 2,098 women with pregnancy as a primary or non-primary clinical consideration. Women's ages ranged from 14 to 48 years. The majority were multigravidas (86%). There was a greater chance that ambulance services would be required during business hours than any other time of the day. Paramedics noted pregnant women required ambulance services for a range of primary presenting symptoms both obstetric (n = 1137) and non-obstetric (n = 961). Some women had pre-existing conditions including asthma, hypertension, and diabetes potentially complicating their pregnancies. Paramedics administered analgesia to one third of the women. Paired t-tests revealed significant improvement in the pain relief and overall vital signs of the women encountered. Less than half the women (n = 986, 47%) required interventions. This is a unique population wide analysis of ambulance service resource use exploring the clinical profile of pregnant women requiring ambulance services in one calendar year. To manage obstetric and non-obstetric complications in this population safely and effectively, paramedics require an understanding of the unique physiological adaptions during pregnancy. This study therefore has both educational and practice implications.
Research Interests: Nursing, Adolescent, Medicine, Prehospital Emergency Care, Emergency Medical Services, and 15 morePregnancy, Population, Humans, Female, Psychological Intervention, Victoria, Clinical Sciences, Middle Aged, Medical Emergency, Adult, Public health systems and services research, Retrospective Studies, Emergency Medical Technicians, Medical Audit, and Prenatal Care
AimTo identify the extent and type of evidence exploring the workplace experiences of nurses and midwives with disabilities.DesignScoping Review.Data SourcesFour electronic databases were systematically searched in February 2022 to... more
AimTo identify the extent and type of evidence exploring the workplace experiences of nurses and midwives with disabilities.DesignScoping Review.Data SourcesFour electronic databases were systematically searched in February 2022 to identify studies discussing the experiences of nurses and midwives with disabilities, published between 2012 and 2022. Google Scholar and Theses Global were also searched.Review MethodsAll search results, irrespective of their format, were uploaded to Covidence to assist with the selection of evidence. Studies discussing the experiences of nurses and midwives with disabilities were included. Two reviewers conducted screening and data extraction independently, and a third reviewer resolved conflicts.ResultsSearches identified 130 studies. After screening for title and abstract, full‐text review identified 23 studies for data extraction and analysis. Data were summarized and presented in tabular form under two categories (1) workplace experiences and (2) im...
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AimThe first scoping review is to map and synthesize the stressors, problems and coping strategies surrounding the health issues of migrant domestic workers.DesignScoping review using Arksey and O'Malley's five‐stage... more
AimThe first scoping review is to map and synthesize the stressors, problems and coping strategies surrounding the health issues of migrant domestic workers.DesignScoping review using Arksey and O'Malley's five‐stage framework.MethodsTen electronic databases were systematically searched by keywords for literature published between January 1995 and December 2019. Data were extracted into tables and collated and summarized into themes for presentation.ResultsTwenty‐seven reports were included in the final review. Analysis revealed that stressors to health included abuse, poor health service accessibility, ongoing financial hardship despite demanding working conditions and social isolation. Physical and mental health problems were identified for which migrant domestic workers largely depended on social networks and religion to cope with stressors and health problems. Training para‐professional peer leaders of migrant domestic workers by community nurses and including them in in...
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Background Task-shifting, the distribution of tasks among health workers to address health workforce shortage, has been widely used to tackle mental health treatment gaps. However, its implementation in Indonesia has still been rarely... more
Background Task-shifting, the distribution of tasks among health workers to address health workforce shortage, has been widely used to tackle mental health treatment gaps. However, its implementation in Indonesia has still been rarely explored. This study aimed to explore stakeholders’ perspectives on the implementation of mental health task-shifting to nurses in Indonesia's primary health care. Methods An exploratory descriptive approach using in-depth interviews and focused group discussions (FGDs) was used. The study involved 19 stakeholders from the government's ministry directorates, professional organisations, and mental health practitioners. Thematic analysis was used to analyse the data. Results Three themes emerged namely, task-shifting feasibility and acceptability, shared task implementation, and nurse role enhancement issues, with 14 sub-themes. Conclusions Task-shifting on mental health issues in the eye of Indonesian stakeholders is viewed as a matter of sharin...
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BACKGROUND Low birth weight (LBW) is still a significant problem in Indonesia because it affects the growth and development of infants. It is also one of the factors that increase the risk of developing chronic disease later in life.... more
BACKGROUND Low birth weight (LBW) is still a significant problem in Indonesia because it affects the growth and development of infants. It is also one of the factors that increase the risk of developing chronic disease later in life. PURPOSE The study aimed to analyse the determinants of LBW in Indonesia. METHODS This cross-sectional analytic study used secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). Data on the maternal factors (maternal age, frequency of antenatal care (ANC) visits, education, and maternal smoking status), children's birth order, and socio-demographic factors of the 14,239 respondents were examined. The association between LBW and the independent variables was analysed using bivariate analysis with a chi-square test (X2), followed by multivariate analysis in the form of binary logistic regression. RESULTS LBW was identified in 960 infants (6.74%). Fewer than four ANC visits [AOR = 1.86; 95% CI = 1.44-2.42], uneducated mothers [AOR = 2.09; 95% CI = 1.00-4.37], and mothers who finished only primary school [AOR = 1.45; 95% CI = 1.05-2.00] were significantly associated with the incidence of LBW. CONCLUSIONS This study revealed that the frequency of ANC visits was a dominant factor in the incidence of LBW. PRACTICE IMPLICATION To reduce LBW in Indonesia, the government must increase ANC visits through health promotion programmes and maintain ANC facilities and quality.
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Aims and objectivesTo extract, examine and report the highest available levels of evidence from healthcare disciplines in the use of simulation‐based education as substitution for clinical placement in prelicensure... more
Aims and objectivesTo extract, examine and report the highest available levels of evidence from healthcare disciplines in the use of simulation‐based education as substitution for clinical placement in prelicensure programmes.BackgroundSimulation is widely employed across prelicensure health professional education to create safe, realistic clinical learning experiences for students. Whether simulation can be employed to substitute for actual clinical placement, and if so, in what proportion, replacement ratio and duration, is unclear.MethodsA systematic review and quality appraisal of primary studies related to prelicensure students in all health disciplines, guided by the PRISMA checklist.ResultsTen primary studies were included, representing 2,370 students from three health disciplines in four countries. Nine studies were experimental and quasi‐experimental and methodological quality was assessed as moderate to high with good to very good inter‐rater agreement. Direct substitution...
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A scoping review aims to systematically explore and map the research available from a wide range of sources. The objective of this study was to produce a scoping review checklist to guide future scoping studies to enable rigorous review... more
A scoping review aims to systematically explore and map the research available from a wide range of sources. The objective of this study was to produce a scoping review checklist to guide future scoping studies to enable rigorous review and critique of phenomena of interest. The methods used included a review of literature, expert consensus group meetings, a modified Delphi survey and, finally, verification against recent scoping study examples. Results showed that the checklist was able to identify key elements of scoping reviews. The 22-item Scoping Review Checklist (SRC), which includes two optional stakeholder consultation items, has been developed using rigorous recommended approaches. The checklist can be used to guide the conduct and critique of scoping studies.