CHANGE is challenging to achieve in complex health care organisations. This study bridges the gap between theory and practice and has shown that nurses can create change by employing a participatory worldview and action research as part of their toolkit for problem solving.
Person-centred care (PCC) is defined as the health-care providers selecting and delivering interventions or treatments that are respectful of and responsive to the characteristics, needs, preferences and values of the individual person. This model of care puts the person at the centre of care delivery. The World Health Organization suggests that PCC is one of the essential dimensions of health care and as such is an important indicator of health-care quality. However, how PCC is implemented differs between countries in response to local cultures, resources and consumer expectations of health care. This article discusses person-centred care in the Indonesian health-care system.
Sound knowledge and reflective practices should be implemented by care workers of the nursing interventions that promote adequate oral fluid intake. Care plans should serve a dual purpose and facilitate communication between staff members and provide sufficient flexibility to allow for the contribution of novel ways in which to promote oral fluid intake while also being educative.
Background: Overseas qualified nurses (OQNs) face various challenges while adjusting to the Australian healthcare system. However, few studies to date have identified specific factors affecting their sociocultural adjustment, health and psychology.Aims: The primary aim was to examine factors associated with OQNs' sociocultural adjustment to the Australian healthcare system. A secondary aim was to determine whether there was a correlation between OQNs' sociocultural adjustment and their mental and physical health.Methods: A questionnaire was sent electronically to 2,250 randomly selected OQNs through the Australian Health Practitioner Regulation Agency, and later distributed to 50 OQNs in person through Western Health, Melbourne. Sociocultural adjustment was assessed using the Sociocultural Adaptation Scale-Revised. The Nurse International and Transition Questionnaire-2 was used to explore the factors involved in sociocultural adjustment: these were pull factors, push factors, initial experiences, job satisfaction, feeling at home, and reactions to the working environment. The Perceived Stress Scale and General Health Questionnaire-12 were used to assess psychological adjustment and general health, respectively.Findings: A total of 200 participants completed the questionnaire. The mean age (SD) of the participants was 32.79 (6.91) with 161 (80%) holding a bachelor degree. In the adjusted multivariate linear regression, job satisfaction ( β = 0.24, 95% CI 0.13 to 0.36), current work environment ( β = 0.27, 95% CI 0.05 to 0.49) and feeling at home ( β = 0.32, 95% CI 0.13 to 0.50) were independently positively associated with sociocultural adaptation. Sociocultural adaptation was negatively related to PSS (r = −0.14, β = −0.16, p = 0.04) and GHQ12 (r = −0.36, p < 0.001, β = −0.59).Discussion: Three factors (job satisfaction, current work environment, and feeling at home in Australia) were found to be significant in measuring OQNs' level of sociocultural adaptation. When the level of sociocultural adaptation was high, OQNs reported better general and psychological health.
Conclusion:Job satisfaction and feeling supported in the workplace are the most important factors influencing OQNs' successful adjustment into the Australian healthcare system.
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