Prof Megan-Jane Johnstone

STAFF PROFILE

Position

Chair In Nursing

Faculty

Faculty of Health

Department

School of Nursing and Midwif.

Campus

Melbourne Burwood Campus

Qualifications

Bachelor of Arts, University of Waikato, 1985
Doctor of Philosophy, La Trobe University, 1993

Biography summary

Professor Johnstone is one of Australia’s foremost nursing scholars and an internationally renowned nursing and healthcare ethicist. Her scholarly work and research have focused on a range of issues including: patient rights; cross-cultural ethics; patient safety ethics; professional conduct; and end-of-life ethics, with a particular focus on end-of-life decision-making in an aging society. In 1989, Johnstone published Bioethics: a nursing perspective, the first book of its kind to be written from an Australasian perspective. Published as a 6th revised edition, this work has the distinction of having been in print for  27 years. Other major publications include a three volume major reference work on Nursing Ethics (2015; Sage,UK), which has been released worldwide:

Volume I: Developing theoretical foundations for nursing ethics

Volume II: Nursing ethics pedagogy and praxis.

Volume III: Politics and future directions of nursing ethics

Career highlights

1.  Publication of book: Bioethics: a nursing perspective (Elsevier Australia)
In 1989, the first edition was published by Bailliere Tindall/WB Saunders, an imprint of Harcourt Brace Jovanovich (HBJ). This work was the first of its kind to be written from an Australasian perspective and, on account of its scholastic excellence as well as its practical application of bioethics to nursing, quickly emerged as a leader in its field. Revised editions of the work were published respectively in 1994, 1999, 2004,  2009 and 2016. The book has international distribution rights, is widely cited in Australia, Canada, New Zealand, Singapore, the United Kingdom, and the United States, and can be found in the library holdings of several non-English speaking countries in Europe and South Asia. In 2005, the 2004 edition was ranked in the top 50 (38th) of philosophy books sold by Amazon.com.uk.  The work also has a substantial presence on Google, Ninemsn, Yahoo, and other general internet search engines.

2. Sage Publications UK: Sage Major Reference Work on Nursing Ethics
This work is the first of its kind in the world and has been organised into three volumes encompassing the following thematic approaches:

Vol.1: Developing theoretical foundations for nursing ethics
Vol.2: Nursing ethics pedagogy and praxis
Vol.3: Politics and future directions of nursing ethics.

This project involved bringing together the foundational articles in the discipline, which I was required to select and introduce by way of a 15,000 word editorial for volume 1 covering the scope of the entire major work, and two 7000 word volume specific introductions for volumes 2 and 3. These major reference works are not readers. They are intended to present a nuanced reading of the key issues/concepts in depth – not just a representative ‘synthetic’ paper, or already much anthologized paper. The emphasis is on comprehensive, scholarly discussion and from – as appropriate – sources that are not always easily accessible (the emphasis is on journals, though key chapters in books were appropriate in some instances). The principal market for this product is libraries in East and South East Asia, Europe and North America. Since many libraries do not have ‘depth’ (specifically) in their journal stock – these multi-volume references obviate the need for Inter-Library loans or buying back issues of journals. Sage Major Works are especially helpful to students as well as to scholars and researchers since they enable learners, scholars and researchers to: explore the topic themselves, initially read a few pertinent articles that allow them to develop their knowledge beyond text book representations of the literature, and deepen their own knowledge of and insights regarding the subject. This, in turn, can assist readers to identify new problems requiring solutions and old problems that can be addressed in new ways.

3. In 2008, invited to write a bi-monthly inaugural ethics column for the Australian Nursing and Midwifery Journal (ANMJ).To date 6 columns per year have been published, each being around 1000 words in length. A wide range of topics have been addressed. In 2015, the ANMJ had an audited circulation of 98,750 and a readership of over 144,000.

Research interests

Professor Johnstone’s research is primarily concerned with understanding and promoting ethical thinking, decision-making, practice and policy development in nursing and healthcare contexts. This research can be broken down into five key interrelated areas:

  • Patient rights and vulnerable populations
  • Cross-cultural ethics in healthcare
  • Patient safety ethics
  • Ethical issues at the end of life
  • Ethical professional conduct

Her research and scholarship has informed the development and operationalization of national and international codes and standards of ethical conduct in nursing and related position statements.

Affiliations

Fellow, Australia College of Nursing (FACN)

Member, Australian Nursing and Midwifery Federation

Member (Nurse Leader category), Sigma Theta Tau International Honor Society of Nursing

Member, Australian Society of Authors

Teaching interests

Professor Johnstone's teaching interests are strongly aligned with her research interests and are primarily concerned with furthering understanding and promoting critical thinking on ethical issues in nursing, healthcare, patient safety, cultural diversity adn end-of-life decision-making. She has published, presented and taught widely  on these issues as well as prepared instructional design learning packages for registered nurses, including:

  • Nursing and healthcare ethics
  • Patient safety and clinical risk management

Conferences

2015

  • Johnstone, M. Peer reviewed Oral Presentation: ‘Ethics and the mandatory reporting of elder abuse’. 48th Australian Association of Gerontology (AAG) National Conference, 4-6 November, Alice Springs Convention Centre, Alice Springs, NT (5 November, 2015)
  • Johnstone, M., Rawson, H., Hutchinson, A., & Redley, B. Peer reviewed Table Top Presentation: Fostering trust in the nurse-patient relationship with hospitalised ethnic elderly. 48th Australian Association of Gerontology (AAG) National Conference, 4-6 November, Alice Springs Convention Centre, Alice Springs, NT (5 November, 2015).
  • Johnstone, M-J. Invited guest speaker: Australia’s Border Force Act (2015) and its assault on nursing ethics, 12th Biennial National Enrolled Nurses Association of Australia (NENA) conference, Intercontinental, North Terrace, Adelaide, 21 October, 2015.
  • Johnstone, M-J. Invited Panel member: ‘“Do’s and don’ts” of using social media’, 12th Biennial National Enrolled Nurses Association of Australia (NENA) conference, Intercontinental, North Terrace, Adelaide, 21 October, 2015.
  • Johnstone, M. Invited keynote speaker: ‘Patient and nurse safety research: global perspectives’, Mahidol University, Faculty of Nursing 60th Birthday Anniversary [of Her Royal Highness Princess Maha Chakri Sirindhorn] Conference: Patient Safety, 17-19 June, 2015 (17 June, 2015)
  • Johnstone M. Invited keynote address: Nursing ethics futures – challenges in the 21st century for primary health care nurses. Australian Primary Health Care Nurses Association (APNA) Annual National Conference – Brave to Bold, Gold Coast Convention and Exhibition Centre, 14-16 May (15 May).
  • Johnstone M. Invited concurrent speaker: Primary health care and protecting the wellbeing of vulnerable populations – a matter of social justice. Australian Primary Health Care Nurses Association (APNA) Annual National Conference – Brave to Bold, Gold Coast Convention and Exhibition Centre, 14-16 May (15 May).

2014

  • Johnstone, M., Hutchinson, A., Redley, B., & Rawson, H. Peer reviewed oral paper: Registered nurse end-of-life decision making concerning ethnic elderly patients admitted to Victorian hospitals. 47th Australian Association of Gerontology (AAG) National Conference “50 not out – aiming for a century”, Adelaide Oval 26-28th November.
  • Jones, A., Johnstone, M-J, & Duke, M. Peer reviewed oral paper: Patient safety and gaps management by registered nurses. ISQua13 – 30th Conference of the International Society for Quality in Health Care, Edinburgh, UK 13-16 October, 2014
  • Johnstone, M. Invited guest speaker: Ethics and Advance Care Planning in a culturally diverse society. Diversicare Professional Development Forum: “Forever Young: Better Health and Wellbeing for older Australians”, 12 June, Cairns Convention Centre, Cairns, QLD.
  • Johnstone, M. Invited guest speaker: Organisational and leadership ethics: responsibility, integrity and trust. QNU Professional Practice and Ethics Annual Conference, Royal International Convention Centre, RNA Show Grounds, Brisbane, 7 March, 2014

Awards

2010: Australian College of Nursing (formerly Royal College of Nursing, Australia) Merit Award for Publication - Awarded for evidence of a sustained authorship resulting in publications in refereed journals or books that: address issues of contemporary significance to the profession; provide critical analysis of the issue; challenge the current situation; argues for reform or change.

1998: Recipient of the Inaugural Mona Menzies Post Doctoral Research Award, Nurses Board of Victoria, to conduct post doctoral research into ethical issues associated with the mandatory reporting of child abuse.

1990: Recipient of Annie M. Sage Nursing Memorial Scholarship, Royal College of Nursing, Australia, to support PhD research program

1983: Awarded Prior Society Prize in Philosophy, University of Waikato, Hamilton, New Zealand, for third year student demonstrating outstanding ability in the subject of philosophy.

Projects

Professor Johnstone is involved in a wide range of School, Faculty and University committees:

  • School of Nursing and Midwifery Advisory Board
  • School of Nursing and Midwifery Professoriate
  • School Research and Research Training (SRRT) Committee
  • School Academic Progress Committee
  • Faculty Board (Elected member)

She also serves by invitation as:

  • Nominated Consultant (Ethics and Human Rights) to the International Council of Nurses, Geneva.
  • Bi-monthly columnist (Ethics Focus) for the Australian Nursing and Midwifery Journal (ANMJ)

Professor Johnstone reviews research applications for state and national funding bodies.

Nursing researcher shines light on ethical blind spot

http://www.nursingreview.com.au/2015/09/9079/

Publications

Filter by

2015

Nursing Roles and Strategies in End-of-Life Decision Making Concerning Elderly Migrants Admitted to Acute Care Hospitals: An Australian Study

Prof Megan-Jane Johnstone, Prof Alison Hutchinson, A/Prof Bernice Redley, Dr Helen Rawson

(2015), pp. -, Journal of Transcultural Nursing, , C1

journal

‘Moral luck’ and the question of autonomy, choice, and control in end-of-life decision making

Prof Megan-Jane Johnstone

(2015), Vol. 23, pp. 126-132, Progress in Palliative Care, , C1

journal

'Hands-on' assessment: a useful strategy for improving patient safety in emergency departments

Ms Angela Jones, Prof Megan-Jane Johnstone, Prof Maxine Duke

(2015), Vol. 18, pp. 212-217, Australasian emergency nursing journal, Amsterdam, The Netherlands, C1

journal

Advance care planning for older people in Australia presenting to the emergency department from the community or residential aged care facilities

Dr Maryann Street, A/Prof Goetz Ottmann, Prof Megan-Jane Johnstone, Prof Julie Considine, Prof Trish Livingston

(2015), Vol. 23, pp. 513-522, Health and Social Care in the Community, Milton, Qld, C1

journal

'Moral distress'-time to abandon a flawed nursing construct?

Prof Megan-Jane Johnstone, Prof Alison Hutchinson

(2015), Vol. 22, pp. 5-14, Nursing ethics, London, Eng., C1

journal
2014

Nurses' experiences of ethical preparedness for public health emergencies and healthcare disasters: a systematic review of qualitative evidence

Prof Megan-Jane Johnstone, Sue Turale

(2014), Vol. 16, pp. 67-77, Nurisng and Health Sciences, Richmond, Vic., C1

journal
2013

Alzheimer's disease, media representations and the politics of euthanasia: constructing risk and selling death in an ageing society

Prof Megan-Jane Johnstone

(2013), Surrey, England, A1

book
2012

Academic freedom and the obligation to ensure morally responsible scholarship in nursing

Prof Megan-Jane Johnstone

(2012), Vol. 19, pp. 107-115, Nursing inquiry, Oxford, England, C1

journal

Organization position statements and the stance of "studied neutrality" on euthanasia in palliative care

Prof Megan-Jane Johnstone

(2012), Vol. 44, pp. 896-907, Journal of pain and symptom mangement, Philadelphia, Pa., C1

journal

Bioethics, cultural differences and the problem of moral disagreements in end-Of-life care : a terror management theory

Prof Megan-Jane Johnstone

(2012), Vol. 37, pp. 181-200, Journal of medicine and philosophy, Cary, N.C., C1

journal

Dealing with ethical issues in nursing practice

Prof Megan-Jane Johnstone, Liz Crock

(2012), pp. 145-157, Transitions in nursing : preparing for professional practice, Chatswood, N.S.W., B1

chapter
2011

Metaphors, stigma and the ‘Alzheimerization’ of the euthanasia debate

Prof Megan-Jane Johnstone

(2011), pp. 1-17, Dementia, London England, C1

journal

Nursing and justice as a basic human need

Prof Megan-Jane Johnstone

(2011), Vol. 12, pp. 34-44, Nursing philosophy : an international journal for healthcare professionals, Oxford, England, C1

journal
2010

The neglect of racism as an ethical issue in health care

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2010), Vol. 12, pp. 489-495, Journal of immigrant and minority health, New York, N.Y., C1

journal
2009

Engaging patients as safety partners : some considerations for ensuring a culturally and linguistically appropriate approach

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2009), Vol. 90, pp. 1-7, Health policy, Limerick, Ireland, C1

journal

Bioethics : a nursing perspective

Prof Megan-Jane Johnstone

(2009), Chatswood, N.S.W., A1

book

Examining communication and team performance during clinical handover in a complex environment : the private sector post-anaesthetic care unit

Prof Mari Botti, Prof Tracey Bucknall, Prof Peter Cameron, Prof Megan-Jane Johnstone, A/Prof Bernice Redley, Dr Sue Evans, Dr Shelley Jeffcott

(2009), Vol. 190, pp. S157-S160, Medical journal of Australia, Sydney, N.S.W., C1

journal

Ethics and advance care planning in a culturally diverse society

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2009), Vol. 20, pp. 405-416, Journal of transcultural nursing, Thousand Oaks, Calif., C1

journal

Population ageing and the politics of demographic alarmism : implications for the nursing profession

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2009), Vol. 26, pp. 86-92, Australian journal of advanced nursing, Melbourne, Vic., C1-1

journal
2008

The problem of failing to provide culturally and linguistically appropriate healthcare

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2008), pp. 176-187, Analysing health policy : a problem-oriented approach, Marrickville, N.S.W., B1-1

chapter

Cultural racism, language prejudice and discrimination in hospital contexts : an Australian study

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2008), Vol. 5, pp. 19-30, Diversity in health and social care, Abingdon, England, C1-1

journal

The politics of resistance to workplace cultural diversity education for health service providers : an Australian study

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2008), Vol. 11, pp. 133-154, Race, ethnicity and education, London, England, C1-1

journal

Clinical risk managment and the ethics of open disclosure : part 2 : implications for the nursing profession

Prof Megan-Jane Johnstone

(2008), Vol. 11, pp. 123-129, Australasian emergency nursing journal, Amsterdam, The Netherlands, C1-1

journal

Ethnic aged discrimination and disparities in health and social care : a question of social justice

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2008), Vol. 27, pp. 110-115, Australasian journal on ageing, Carlton, Vic., C1-1

journal

Clinical risk management and the ethics of open disclosure : part 1 : benefits and risks to patient safety

Prof Megan-Jane Johnstone

(2008), Vol. 11, pp. 88-94, Australasian emergency nursing journal, Amsterdam, The Netherlands, C1-1

journal

The nature and implications of support in graduate nurse transition programs : an Australian study

Prof Megan-Jane Johnstone, Olga Kanitsaki, Tracey Currie

(2008), Vol. 24, pp. 46-53, Journal of professional nursing, Philadelphia, Pa., C1-1

journal

Patient safety and the integration of graduate nurses into effective organizational clinical risk management systems and processes : an Australian study.

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2008), Vol. 17, pp. 162-173, Quality management in health care, Philadelphia, PA, C1-1

journal
2007

Patient safety ethics and human error management in ED contexts Part II : Accountability and the challenge to change

Prof Megan-Jane Johnstone

(2007), Vol. 10, pp. 80-85, Australasian emergency nursing journal, Oxford, England, C1-1

journal

Patient safety ethics and human error management in ED contexts part I : development of the global patient safety movement

Prof Megan-Jane Johnstone

(2007), Vol. 10, pp. 13-20, Australasian emergency nursing journal, Oxford, England, C1-1

journal

An exploration of the notion and nature of the construct of cultural safety and its applicability to the Australian health care context

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2007), Vol. 18, pp. 247-256, Journal of transcultural nursing, Thousand Oaks, Calif., C1-1

journal

Clinical risk management and patient safety education for nurses : a critique

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2007), Vol. 27, pp. 185-191, Nurse education today, Kidlington, England, C1-1

journal

Health care provider and consumer understandings of cultural safety and cultural competency in health care : an Australian study

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2007), Vol. 14, pp. 96-105, Journal of cultural diversity, Lisle, Ill., C1-1

journal

Dealing with ethical issues in nursing practice

Prof Megan-Jane Johnstone

(2007), pp. -, Transitions in nursing : preparing for professional practice, Marrickville, N.S.W., B1-1

chapter

Designing and delivering clinical risk management education for graduate nurses : an Australian study

Prof Megan-Jane Johnstone, Olga Kanitsaki, Tracey Currie, Enid Smith, Chris McGennisken

(2007), Vol. 7, pp. 247-257, Nurse education in practice, Amsterdam, The Netherlands, C1-1

journal

Journal impact factors: implications for the nursing profession

Prof Megan-Jane Johnstone

(2007), Vol. 54, pp. 35-40, International nursing review, Oxford, England, C1-1

journal

Research ethics, reconciliation, and strengthening the research relationship in Indigenous health domains : an Australian perspective

Prof Megan-Jane Johnstone

(2007), Vol. 31, pp. 391-406, International journal of intercultural relations, Amsterdam, The Netherlands, C1-1

journal
2006

The moral imperative of designating patient safety and quality care as a national nursing research priority

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2006), Vol. 13, pp. 5-9, Collegian, Amsterdam, Netherlands, C1-1

journal

Processes influencing the development of graduate nurse capabilities in clinical risk management : an Australian study

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2006), Vol. 15, pp. 268-278, Quality management in health care : an information service, Philadelphia, Pa., C1-1

journal

Culture, language, and patient safety : making the link

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2006), Vol. 18, pp. 383-388, International journal for quality in health care, Cary, N.C., C1-1

journal

The ethics and practical importance of defining, distinguishing and disclosing nursing errors : a discussion paper

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2006), Vol. 43, pp. 367-376, International journal of nursing studies, Oxford, England, C1-1

journal

Ethics in nursing

Prof Megan-Jane Johnstone

(2006), pp. 129-138, Contexts of nursing : an introduction, Marrickville, N.S.W., B1-1

chapter
2005

Processes for disciplining nurses for unprofessional conduct of a serious nature : a critique

Prof Megan-Jane Johnstone, Olga Kanitsaki

(2005), Vol. 50, pp. 363-371, Journal of advanced nursing, Oxford, England, C1-1

journal
2004

Patient safety, ethics and whistleblowing : a nursing response to the events at the Campbelltown and Camden Hospitals

Prof Megan-Jane Johnstone

(2004), Vol. 28, pp. 13-19, Australian health review, Sydney, N.S.W., C1-1

journal

Registered and enrolled nurses : experiences of ethical issues in nursing practice

Prof Megan-Jane Johnstone, Cliff Da Costa, Sue Turale

(2004), Vol. 22, pp. 31-37, Australian journal of advanced nursing, Melbourne, Vic., C1-1

journal

Creating collaborative spaces : the pleasures and perils of doing multi-disciplinary, multi-partner qualitative research

Carlene Boucher, A/Prof Jeff Walkley, Prof Megan-Jane Johnstone

(2004), Vol. 26, pp. 419-428, Journal of higher education policy and management, Melbourne, Vic., C1-1

journal

Effective writing for health professionals : a guide to getting published

Prof Megan-Jane Johnstone

(2004), London, Eng., A1-1

book
2003

Ethical issues in the recruitment and retention of graduate nurses : a national concern

Prof Megan-Jane Johnstone, Mari Stewart

(2003), Vol. 14, pp. 240-247, Contemporary nurse : a journal for the Australian nursing profession, Maleny, Qld., C1-1

journal