Amy N B Johnston

Amy N B Johnston
The University of Queensland | UQ · School of Nursing and Midwifery

BSc(hons), BN, Grad Dip Ad Ed., MEd, PhD, RN

About

146
Publications
34,821
Reads
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2,771
Citations
Additional affiliations
December 2016 - present
Griffith University
Position
  • Research Associate
June 1995 - July 1996
University of New England (Australia)
Position
  • Laboratory Manager

Publications

Publications (146)
Article
Background The three-item occupational violence (OV) risk assessment tool was developed and validated for use in emergency departments (EDs). It prompts review of each patient’s aggression history, behaviours, and clinical presentation. However, confidence around representativeness and generalisability are needed before widescale adoption; hence we...
Article
Full-text available
Aims Identify and synthesize evidence of nurses’ competency in electrocardiogram interpretation in acute care settings. Design Systematic mixed studies review. Data sources Cumulative Index to Nursing and Allied Health Literature, Medline, Scopus and Cochrane were searched in April 2021. Review methods Data were selected using the updated Prefer...
Article
Background Prisoners are a vulnerable population requiring complex care interventions in challenging environments, particularly around provision of emergency care. The aim of this study was to explore the effectiveness of a Nurse Navigator (NN) -led prisoner intervention from the perspective of the emergency department. Methods This study undertoo...
Article
Full-text available
Aim To develop and psychometrically test an occupational violence (OV) risk assessment tool in the emergency department (ED). Design Three studies were conducted in phases: content validity, predictive validity and inter‐rater reliability from June 2019 to March 2021. Methods For content validity, ED end users (mainly nurses) were recruited to ra...
Article
Objective The aim of this study was to identify potential model of care approaches and systems processes for people presenting to acute healthcare settings with mental health problems, including mental illnesses.Methods Five (consensus) nominal group technique sessions were conducted in 2019 with a purposive sample of stakeholders from health, poli...
Article
Full-text available
OBJECTIVES:. To evaluate the implementation of a pediatric sepsis pathway in the emergency department as part of a statewide quality improvement initiative in Queensland, Australia. DESIGN:. Multicenter observational prospective cohort study. SETTING:. Twelve emergency departments in Queensland, Australia. PATIENTS:. Children less than 18 years eva...
Article
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Background Several health care systems internationally have implemented protocolised sepsis recognition and treatment bundles for children to improve outcomes, as recommended by the Surviving Sepsis Campaign. Successful implementation of clinical pathways is challenging and dependent on nurse engagement. There is limited data on knowledge translati...
Article
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Aim To provide a practical example of how a novel methodology and paradigm was applied to a mixed methods study exploring the healthcare experiences of Australian adults who frequently use emergency department services. Design Discussion Paper. Data sources We explored published literature discussing philosophical and methodological issues relate...
Article
Effectively engaging nursing students in the study of Anatomy and Physiology (A&P) remains an ongoing challenge for educators. The aim of this study was to investigate factors that influence nursing students’ disengagement with A\&P. A pragmatic mixed-methods, quantitative dominant approach was used. Students and educators mutually agreed that paid...
Article
Aim The aim of this paper is to describe how the Invitational Theory were used to frame each of the phases of this sequential mixed methods study to provide valuable insights to the failure to fail phenomenon. Background The assessment of student nurses in clinical courses in undergraduate programmes remains problematic, with some students passing...
Article
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Isolated systolic hypertension typically occurs in young males; however, its clinical significance is unknown. Given the prevalence of the hypertension and its contribution to global morbidity and mortality, a synthesis of the most recent available evidence around isolated systolic hypertension is warranted. This review aims firstly to review the h...
Article
Background Assessment of clinical competence of nursing students is necessary to ensure safe practice and the realization of professional clinical standards. An Objective Structured Clinical Examination (OSCE) is commonly used internationally in nursing education programs to assess clinical competence, but is a new process in Iranian nursing curric...
Article
Full-text available
Paediatric sepsis remains a leading cause of childhood death. Morbidity is high, with up to one third of children affected developing ongoing, sometimes lifelong sequelae. To address the major burden of sepsis on child health, there is need for a unified approach to care, as outlined in the Australian National Action Plan for sepsis. While the Surv...
Article
Paediatric sepsis remains a leading cause of childhood death. Morbidity is high, with up to one third of children affected developing ongoing, sometimes lifelong sequelae. To address the major burden of sepsis on child health, there is need for a unified approach to care, as outlined in the Australian National Action Plan for sepsis. While the Surv...
Article
Aims To explore and collate solutions for occupational violence from emergency department (ED) staff. Background Despite publications highlighting the progressively worsening issue of occupational violence in EDs and its detrimental impacts, few strategies aimed to reduce or manage it have been discussed in the literature. Methods This was a cros...
Article
Background Bioscience in nursing education covers a broad range of disciplinary areas (anatomy, physiology, pathophysiology and pharmacology) and underpins clinical assessment and critical thinking in nursing practice. This is imperative for patient safety and favourable patient outcomes. In nursing programs for registration, most bioscience conten...
Article
Background Sepsis is a leading cause of death and disability in adults and children. Evidence suggests that early recognition and management can significantly improve patient outcomes, therefore education of healthcare workers around sepsis is critical. Little is known about the preparation of final year nursing students regarding recognition and r...
Article
Background Graduating nurses should possess knowledge and understanding of cardiac arrhythmias interpretation, so they can assess abnormal and life-threatening arrhythmias. However, literature around nursing students’ foundational knowledge in cardiac arrhythmia interpretation remains scarce. Objectives To examine final-year nursing students’ foun...
Article
Background Extensive literature reports the influence of childhood adversity on adult health, however few studies have explored these life antecedents in people who frequently present to the emergency department. This review synthesizes literature exploring childhood adversity influences on emergency department presentations, if and how it is ident...
Article
Background Many academics and clinicians who assess nursing students as part of their work-integrated learning experiences encounter difficulties with awarding a failing grade to students who do not meet fitness for practice standards. Objectives The aim of this study was to explore and further our understanding of assessors' experiences of failur...
Article
Exercise is associated with a reduction in splanchnic blood flow that leads to the disruption of intestinal epithelium integrity, contributing to exercise-induced gastrointestinal syndrome. Strategies that promote intestinal blood flow during exercise may reduce intestinal damage, which may be advantageous for subsequent recovery and performance. T...
Article
Objective: ED avoidance strategies including In-Event Health Service (IEHS) processes during mass gathering events (MGEs), such as 'Schoolies week', may be important for EDs, ambulance services, the local population, and attendees. The aim of the present study was to provide a longitudinal description of emergency care requirements for young adult...
Article
Objectives To identify factors impeding or enhancing recovery from fatigue in shiftworking nurses. Design Scoping literature review methodology was implemented to identify key concepts around recovery from fatigue in shiftworking nurses to provide a narrative around these paradigms. Data sources Five electronic data bases were searched: CINAHL, M...
Article
Background Exposure to occupational stressors is an issue for staff working in emergency departments, managers and health services. The aim of this review was to identify, map, and synthesise the range and scope of current evidence for work-based strategies or interventions used in emergency departments to reduce occupational stressors and/or impro...
Article
Objective Busy, high‐stress EDs prompt many work‐based interventions to address staff wellness, with mixed success. The aim of the present study was to enable ED clinicians to systematically identify core components of a work‐based strategy to improve their working environment and/or coping. Methods Purposively sampled ED doctors and nurses from o...
Article
Background Peripheral intravenous cannula is often a first line invasive intervention for patients in the emergency department. It is used to facilitate blood sampling, deliver essential fluids, blood products and medication. However, the insertion and use of the peripheral intravenous cannula is not without complication. This study surveyed the nu...
Article
Aim To explore emergency department clinicians (nurses and medical doctors) perceptions of stressors and coping strategies in their work environment. Methods A descriptive qualitative design was adopted. Twelve semi-structured interviews were conducted with medical and nursing personnel working in one Australian emergency department. A thematic in...
Article
Background Early detection of occupational violence (OV) risk factors could facilitate timely and appropriate management of patients in the emergency department. For this purpose, an OV risk assessment could be useful and best initiated at triage. Aims To understand the need for and determine potential utility and desirable components of an OV ris...
Article
Aim: To collate and synthesise current research evidence related to interventions that support safe medication administration by nurses in emergency departments (ED). Introduction: Medications are associated with a higher incidence of adverse events than other healthcare interventions and they remain one of the most common causes of accidental h...
Article
Assessment of fitness for practice in the nursing student population is an essential yet challenging component of nursing education. The aim of this research was to describe the development and preliminary validation of the Assess-Safe instrument that explores assessors' experiences of grading nursing student performances in clinical courses when t...
Article
Background: Despite the introduction of a range of safety policies and sharps equipment designed to protect healthcare workers, rates of percutaneous injuries from occupational exposure to sharps remains high. This study examined the availability and use of various types of sharps devices in a tertiary hospital emergency department, to understand...
Article
Ongoing advancement and documentation of professional development is required to maintain nursing registration and competency to practise in Australia and many other countries. All Australian registered nurses are required to undertake a minimum of 20 h of continuing professional development annually and demonstrate competence to practice; this is...
Article
Full-text available
Objectives The aim of this study was to develop and validate a scale to measure the coping strategies used by emergency staff in response to workplace stress. To achieve this aim, we developed a refined Jalowiec Coping Scale (JCS), termed the Jalowiec Coping Scale-Emergency Department (JCS-ED) and validated this scale on a sample of emergency clini...
Article
Full-text available
Objective: To describe patient presentation characteristics and outcomes for people aged 16-18 years pre, during and post a planned youth mass gathering event (MGE): 'Schoolies week' on the Gold Coast, Queensland, Australia. Methods: This was a retrospective observational study, including patient presentations by all young adults requiring care...
Article
Background The ED Stressor Scale outlines 15 stressors that are of importance for ED staff. Limited research has identified how commonly such stressors occur, or whether such factors are perceived with similar importance across different hospitals. This study sought to examine the frequency or perceived severity of these 15 stressors using a multic...
Article
Full-text available
Objective: Extended delays in the transfer of patients from ambulance to ED can compromise patient flow. The present study aimed to describe the relationship between the use of an Emergency Department Ambulance Off-Load Nurse (EDAOLN) role, ED processes of care and cost effectiveness. Methods: This was a retrospective observational study over th...
Article
Occupational violence (OV) is a daily risk for ED staff. It contributes to staff stress, sick leave, turnover and burnout , and limits the capacity of staff to provide unimpeded quality care to patients and their families. Many factors contribute to incidents of OV; however, early detection of such risk factors could preempt incidences of OV during...
Article
Objectives: The aims of this study were to describe clinical staff perceptions of their ED working environment and to explore associations between staff demographics, coping styles and the work environment. Methods: A cross-sectional study was conducted in one Swedish ED and two Australian EDs in 2015-2016. Descriptive statistics were used to ex...
Article
The involvement of families, carers and significant others (i.e. social support networks) has a positive corollary for a person experiencing mental health problems. Accordingly, in Australia involvement of social support networks within mental health services is endorsed in national health policy and service guidelines. Despite the endorsement, thi...
Article
The number of people presenting to EDs with mental health problems is increasing. To enhance and promote the delivery of safe and efficient healthcare to this group, there is a need to identify evidence‐based, best‐practice models of care. This scoping review aims to identify and evaluate current research on interventions commenced or delivered in...
Article
People brought in by police (BIBP) to the ED are a potentially vulnerable group. This narrative scoping review aimed to identify, evaluate and summarise current literature regarding the frequency of presentation, demographic and clinical profile of patients (including reason for presentation), care delivery, and outcomes for people BIBP to the ED,...
Conference Paper
Full-text available
Introduction During mass gatherings, such as marathons, the provision of timely access to health care services is required for the mass gathering population as well as the local community. However, effective provision of health care during sporting mass gatherings is not well understood. Aim To describe the structures and processes developed for a...
Conference Paper
Full-text available
Introduction Community-based strategies designed to minimize the impact on local emergency services during mass gathering events (MGEs) require evaluation to provide evidence to inform best practice. Aim This study aimed to describe characteristics and outcomes for people aged 16-18 years requiring emergency care before, during, and after a planne...
Article
Introduction World events continue to compel hospitals to have agile and scalable response arrangements for managing natural and instigated disasters. While many hospitals have disaster plans, few exercise these plans or test their staff under realistic scenarios. Aim This study explores changes in perceived preparedness of multidisciplinary hospi...
Article
Background: Emergency departments (EDs) are stressful workplaces. Limited research explores components ED staff find stressful and how they cope. The aim of this study is to describe ED staff perceptions of their working environment. Methods: A cross-sectional study was undertaken in 2017 in a public, teaching hospital ED situated in an outer-me...
Article
Background: Research exploring multi-disciplinary emergency department (ED) clinicians' perceptions of their working environment is limited, although exposure to occupational stressors is frequent. This study describes ED clinicians' perceptions of their working environment, occupational stressors and their use of coping strategies. Methods: A c...
Article
Aim: Sepsis is a significant and time-sensitive clinical concern for patients who present to Emergency Departments (EDs). Existing guidelines do not define nurses' roles in managing sepsis. This study explored ED nurses' experiences and perceptions around recognising and responding to patients with sepsis, and their awareness of sepsis screening a...
Article
Background Failing to fail nursing students in clinical assessments is an internationally acknowledged issue that necessitates thorough examination. Despite the gravity of ‘mis-grading’ nursing students, current research exploring this subject is limited. Understanding the experiences of assessors when faced with an underperforming student may help...
Article
Full-text available
Introduction Mass gatherings such as marathons are increasingly frequent. During mass gatherings, the provision of timely access to health care services is required for the mass-gathering population, as well as for the local community. However, the nature and impact of health care provision during sporting mass gatherings is not well-understood. P...
Conference Paper
Too clot or not too clot? The influence of travel, marathon running and compression socks on blood clot risk Introduction: Prolonged air travel and exercise have individually been demonstrated to be associated with an increased risk of thrombosis (i.e. blood clots). When combined, acute coagulation activation occurs post-exercise. Compression garm...
Article
Full-text available
Objective The aim of this study was to describe the in‐event, ambulance and ED impacts of patient presentations from an Australian mass gathering event (MGE) including patient demographics, provision of care, length of stay and discharge disposition. Methods This research was set at one MGE in Australia. The MGE had one first aid post and one in‐e...
Article
Full-text available
Purpose: Compression socks are frequently used in the treatment and prevention of lower-limb pathologies; however, when combined with endurance-based exercise, the impact of compression socks on haemostatic activation remains unclear. Objectives: To investigate the effect of wearing compression socks on coagulation and fibrinolysis following a m...
Article
Lack of awareness about cultural and religious values and beliefs of patients presenting to Emergency Departments (ED) can compromise patient care and safety. Muslim Australians represent the fastest growing religious demographic group, with over a 77% growth in the last decade. The changing face of the Australian population requires that Australia...
Article
Full-text available
Background: Organisational culture is a critical part of a positive and productive working environment and often presents as an area of ongoing development. The MAGNET recognition program awards recognition to organisations that have positive organisational cultures that meet the standards and criteria. However, the broad impact of MAGNET on hospit...
Article
Background: The ongoing challenges of managing large student enrolments and increasing demand from students for online learning platforms and teaching strategies has helped drive tertiary implementation of asynchronous online discussion boards (AOD). However, supporting and assessing students in such a forum remains contentious. Methods: This ex...
Article
Background Competence assessment has become the accepted modality of assessing practice based disciplines, such as nursing. However, assessment of clinical competence remains a challenge for assessors. Aim This study sought to describe assessors’ experiences of grading undergraduate students’ performances in clinical courses when that performance...
Article
Nursing is a practice-based profession, and nurse education requires authentic learning. Simulation is valuable to assist the preparation of graduates to enter the workforce, but there is limited understanding of the breadth and quality of simulation as a pedagogy in the Australian nursing context. A framework of best practice in simulation was syn...
Article
Undergraduate nursing programs typically include students with limited 'on-campus' time who need learning resources that are flexible, technologically appropriate, remotely-accessible (mobile smart devices), and above all, engaging. This has presented academics with challenges surrounding institutional security firewalls, password-access requiremen...
Article
For nurses, shift work is a necessity, required to provide 24-h continuous care for patients. Research posits that fatigue amongst shift-working nurses is associated with inadequate and poorly timed sleep and also strongly influenced by the timing, quality and quantity of food consumed. The aim of this investigation was to examine differences and s...
Article
Background Bachelor of Nursing programmes are designed to prepare nurses to be capable of providing safe and competent, individualised patient care. While research literature is rich with information exploring clinical competence and assessment in nursing programmes, there is a paucity of information on nursing students’ performances in clinical as...
Article
Full-text available
Objective: Clinical staff in EDs are subject to a range of stressors. The objective of this study was to describe and compare clinical staff perceptions of their ED's working environment across two different Australian EDs. Methods: This was a cross-sectional, descriptive, research design that included distribution of three survey tools to clini...
Article
Objective Increasing numbers of presentations, high acuity of patients and a decreased access to hospital beds contribute to lengthy waiting times in Emergency Departments (EDs). Implementing models of care to improve patient flow through EDs is imperative. This integrative review was undertaken to evaluate existing evidence regarding the impact of...
Article
Background The increasing number of presentations to hospital emergency departments has seen the implementation of a variety of strategies in an effort to enhance care delivery and care continuity. One such strategy was designed and implemented to improve the transition of mental health consumers presenting to an Australian emergency department and...
Poster
Full-text available
This study investogated the influence of wearing compression socks on haemostatic markers throughout a marathon run.
Article
Aim: The aim of this investigation was to compare perceptions of nurses exposed to short or longer term shift work and their experiences working under this type of scheduling. Background: Shift work is a crucial component of nurses' working lives, ensuring continuous care for patients. This study fills a research gap around the personal experien...
Conference Paper
Full-text available
Enrolled Nurses (EN) seeking to upgrade their qualification to Registered Nurse (RN) are commonly given direct entry into the second year of university pre-registration nursing degrees. This typically results in enrolment into science subjects including pathophysiology and pharmacology with the assumption that students have undertaken the requisite...
Article
Full-text available
Background: High-flow nasal cannulae (HFNC) deliver high flows of blended humidified air and oxygen via wide-bore nasal cannulae and may be useful in providing respiratory support for adult patients experiencing acute respiratory failure in the intensive care unit (ICU). Objectives: We evaluated studies that included participants 16 years of age...
Conference Paper
Study/Objective This literature review aims to develop an understanding of the impact of mass gatherings on local health services. Background Mass gatherings are events where a large number of people congregate for a common purpose, such as sporting events, agricultural shows, and music festivals. When definitive care is required for participants...
Article
Background: Objective structured clinical examinations (OSCEs) are designed to assess clinical skill performance and competency of students in preparation for 'real world' clinical responsibilities. OSCEs are commonly used in health professional education and are typically associated with high levels of student anxiety, which may present a signifi...
Article
Full-text available
In Australia, many Enrolled Nurses (EN) complete vocational education training (VET), undertake clinical work, and then progress into a tertiary, Registered Nurse (RN), program. Transition into university for ENs is typically into the second year of degree programs, with credit awarded for first year courses including basic bioscience subjects, pre...
Article
Objective structured clinical examinations (OSCE) are commonly used to assess the clinical competence of undergraduate nursing students. There are, however, concerns about the stresses involved in such examinations and the perceived validity of such exams from a student perspective. Without student engagement the authenticity of such assessment may...