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28

ndustrial considerations for nurses responding to disas-ers

hane Lenson1,∗, Jamie Ranse2, Lynette Cusack3

Faculty of Health Sciences, Australian Catholic University,O Box 256, Dickson, ACT 2602, AustraliaFaculty of Health, University of Canberra, ACT 2601,ustraliaFlinders University, GPO Box 2100, Adelaide, SA 5001,ustraliaeywords: Disaster health; Nursing; Response; Arrange-ents

-mail addresses: shane.lenson@acu.edu.au (S. Lenson),amie@jamieranse.com (J. Ranse),ynette.cusack@flinders.edu.au (L. Cusack).

By definition, disasters are events that reply on humannd/or physical resources from other jurisdictions to assistn response and recovery. Within the Australian out-of-ospital environment, nurses have been deployed fromarious States and Territories to assist in the responseo events such as the Victorian Bushfires [2009] andhe Queensland floods [2011]. Similarly, nurses haveeen deployed overseas to assist in events such as thehristchurch earthquake [2011], Samona tsunami [2009] andumatra—Andaman earthquake and tsunami [2004], just toention a few. It is reasonable to assume, nurses are likely to

ontinue a role in the health response to a disaster. However,onsideration needs to be given to the industrial agreementsor nurses when released from their normal employmentrrangements to assist in a disaster event.

An evaluation of the various public hospital nursingmployment agreements was undertaken in 2011, to discernhe requirements, conditions, allowances and entitlementsf nurses responding to disasters. This presentation willutline the findings from this evaluation. In particular thendings will highlight the major differences between Statesnd Territories agreements in terms of disaster response pro-isions and entitlements. Findings will highlight the diverseange of information regarding disaster response in agree-ents; from an absence of any information, through to clear

xplanation regarding eligibility requirements, salary andeave entitlements. The diversity of conditions describedithin the agreements possesses a number of questionsbout the equity, suitability and workforce planning duringimes of disasters.

oi:10.1016/j.aenj.2011.09.070

he journey of emergent leaders in the process of culturalhange

ronwyn Oakes ∗, Daniel Brain, Karen Bloemer, Kristelleay, Naomi Clark-mail address:ronwynHolly.Oakes@sesiahs.health.nsw.gov.au (B. Oakes).

Fourteen months into a project named ‘‘Taking the

mergency out of a changing department’’ a practiceevelopment initiative aiming to explore different ways oforking has enabled unsuspecting leaders to emerge within

he emergency department (ED).

abtt

Practice development has planted the seeds for lead-rship among a group of nurses one hundred strong. Someeaders have emerged, grown and driven the projectsing collaboration, inclusion, and participation. Practiceevelopment has made us slow down, closely examinehings in depth, rather than working at the fast pace wenow and love.

Becoming a leader is a personal journey with challenges,riumphs and cross roads. We began our journey with valueslarification and encouraged the hearts of staff to realisehat is important to our patients and us as nurses. We areow leading the project working with puzzles with a visiono solve our staff’s concerns and improve the working envi-onment.

While practice development is an established frameworkt is relatively young in our department and what has beenvident is the growth of the next generation of nursingeaders. Personal accounts from those now in leadershipositions will recall their journeys at crucial points of changend discuss their exploration and resolutions to those diffi-ult issues across the department.

We look forward to a future where practice developmentnables sustainable change among workplace culture andatient care with many more seeds to grow.

This study was supported by Nursing Development andesearch Unit.

oi:10.1016/j.aenj.2011.09.071

he use of audio-visual communication strategies in themergency waiting room to improve patient and staff sat-sfaction

annah Baulis 1,∗, Adam Montagu1, Ellen Davies1, Meganake1, Kevin O’Shaughnessy2, Kate Deuter2, Davidillham2, Helen McCutcheon2

The Royal Adelaide Hospital, Emergency Department,orth Terrace, Adelaide, SA 5000, AustraliaSchool of Nursing and Midwifery, University of Southustralia, GPO Box 2471, Adelaide, SA 5000, Australiaeywords: Emergency Department; Emergency nursing;riage; Patient perceptions; Patient satisfaction; Empathy;ommunication; Audiovisual; Staff satisfaction

-mail addresses: Hannah.Baulis@health.sa.gov.auH. Baulis), Adam.Montagu@health.sa.gov.auA. Montagu), Ellen.Davies@health.sa.gov.auE. Davies), Megan.Wake@health.sa.gov.au (M. Wake),evin.o’shaughnessy@unisa.edu.au (K. O’Shaughnessy),ate.deuter@unisa.edu.au (K. Deuter),avid.gillham@unisa.edu.au (D. Gillham),elen.mccutcheon@unisa.edu.au (H. McCutcheon).

Background: Emergency Department (ED) waiting roomsre notoriously frustrating. Patients and families may beissatisfied and anxious due to the apparently illogical andnfair triage processes, long waits, and the uncertainty ofhe imminent clinical process.

Patients may be familiar with quick and efficient retailnd hospitality service industries. Although the paradox

etween ED and the service industry is stark, do the expecta-ions of patients and staff carry over and negatively impacthe emergency experience?