Transition into critical care areas for new graduate nurses may be more difficult than transitioning into other areas due to the specialised knowledge needed. It is unknown which aspects of transition programs best support new graduate nurses improve competence and confidence to transition into critical care nursing specialties. Identifying these aspects would assist to design and implement best practice transition programs for new graduates in critical care areas. Themes identified in the literature include; having a designated resource person, workplace culture, socialisation, knowledge and skill acquisition, orientation, and rotation. Allocation of a quality resource person/s, supportive workplace culture, positive socialisation experiences, knowledge and skill acquisition and structured orientation based on new graduates' learning needs all positively supported increased confidence, competence and transition into nursing practice. Rotations between areas within graduate programs can potentially have both positive and negative impacts on the transition process. Negative impacts of including a rotation component in a transition program should be carefully considered alongside perceived benefits when designing new graduate nurse transition programs.
Highlights• Simulation in medical programs was often task focused, whilst in nursing programs focus was to develop critical thinking• Online student debriefing is an important part of the learning process in virtual simulation• A virtual world enables students to learn complex clinical reasoning in a safe environment
The co-design of a mobile health (mHealth) application for family caregivers of people with dementia to address functional disability care needs is presented.
ParticipantsParticipants included family caregivers of people with dementia, aged care nurses, physicians, occupational therapists and information technology (IT) experts.
MethodsThe co-design process involved two phases: (1) needs assessment phase (an online survey and in-depth interviews with family caregivers and expert consultation); and (2) development of an mHealth application (content and prototype development). Data triangulation from phase one informed the content of the application.
ResultsData triangulation resulted in three content modules: "an overview of dementia and care", "management of daily living activities", and "caregivers' health and well-being". The content was based on contemporary literature, and care guidelines with input from family caregivers and dementia care experts. IT engineers developed the mHealth application.
ConclusionAn Android-based mHealth application was designed to address the functional care needs of family caregivers. The co-design process ensured the incorporation of end-users' real-world experiences and the opinions and expertise of key stakeholders in the development of the application prototype. It is to be noted that before releasing the application into the app store, testing its feasibility and effectiveness is essential.
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