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Integrating Symptoms Into The Middle-Range Theory Of Self-Care Of Chronic Illness, Barbara Riegel, Tiny Jaarsma, Christopher S. Lee, Anna Strömberg Jan 2019

Integrating Symptoms Into The Middle-Range Theory Of Self-Care Of Chronic Illness, Barbara Riegel, Tiny Jaarsma, Christopher S. Lee, Anna Strömberg

Faculty of Health Sciences Publications

The Middle-Range Theory of Self-Care of Chronic Illness has been used widely since it was first published in 2012. With the goal of theoretical refinement in mind, we evaluated the theory to identify areas where the theory lacked clarity and could be improved. The concept of self-care monitoring was determined to be underdeveloped. We do not yet know how the process of symptom monitoring influences the symptom appraisal process. Also, the manner in which self-care monitoring and self-care management are associated was thought to need refinement. As both of these issues relate to symptoms, we decided to enrich the Middle-Range ...


Study Protocol: A Pilot Clinical Trial Of Topical Glyceryl Trinitrate For Chronic Venous Leg Ulcer Healing [Accepted Manuscript], Sandra Miles, Roger Lord, D. Williams, Paul Fulbrook Jan 2019

Study Protocol: A Pilot Clinical Trial Of Topical Glyceryl Trinitrate For Chronic Venous Leg Ulcer Healing [Accepted Manuscript], Sandra Miles, Roger Lord, D. Williams, Paul Fulbrook

Faculty of Health Sciences Publications

Background Chronic venous leg ulcers (VLUs) are costly to the healthcare system and a burden to patients, significantly reducing quality of life. Nitric oxide (NO) is important to wound healing, with a small study demonstrating a NO donor, topical glyceryl trinitrate (GTN), was effective for VLU healing. The aim of this study is to examine the application of topical GTN in relation to VLU healing.
Methods A pilot double-blinded randomised controlled clinical trial will be undertaken. Participants in the control group (n=20) will receive a placebo ointment (ointment base) and participants in the treatment group (n=20) will receive ...


Impact Of Evidence-Based Stroke Care On Patient Outcomes: A Multilevel Analysis Of An International Study, Paula Muñoz Venturelli, Xian Li, Sandy Middleton, Caroline Watkins, Pablo M. Lavados, Olavarría V. Olavarría, Alejandro Brunser, Octavio Pontes‐Neto, Taiza E. G. Santos, Hisatomi Arima, Laurent Billot, Maree L. Hackett, Lily Song, Thompson Robinson, Craig S. Anderson Jan 2019

Impact Of Evidence-Based Stroke Care On Patient Outcomes: A Multilevel Analysis Of An International Study, Paula Muñoz Venturelli, Xian Li, Sandy Middleton, Caroline Watkins, Pablo M. Lavados, Olavarría V. Olavarría, Alejandro Brunser, Octavio Pontes‐Neto, Taiza E. G. Santos, Hisatomi Arima, Laurent Billot, Maree L. Hackett, Lily Song, Thompson Robinson, Craig S. Anderson

Faculty of Health Sciences Publications

Background

The uptake of proven stroke treatments varies widely. We aimed to determine the association of evidence‐based processes of care for acute ischemic stroke (AIS) and clinical outcome of patients who participated in the HEADPOST (Head Positioning in Acute Stroke Trial), a multicenter cluster crossover trial of lying flat versus sitting up, head positioning in acute stroke.

Methods and Results

Use of 8 AIS processes of care were considered: reperfusion therapy in eligible patients; acute stroke unit care; antihypertensive, antiplatelet, statin, and anticoagulation for atrial fibrillation; dysphagia assessment; and physiotherapist review. Hierarchical, mixed, logistic regression models were performed to ...


The Surgical Patients' Pressure Injury Incidence (Sppii) Study: A Cohort Study Of Surgical Patients And Processes Of Care [Accepted Manuscript], Cintia Mayel Martinez-Garduno, Jane Rodgers, Rosemary Phillips, Anoja Gunaratne, Peta Drury, Elizabeth Catherine Mcinnes Jan 2019

The Surgical Patients' Pressure Injury Incidence (Sppii) Study: A Cohort Study Of Surgical Patients And Processes Of Care [Accepted Manuscript], Cintia Mayel Martinez-Garduno, Jane Rodgers, Rosemary Phillips, Anoja Gunaratne, Peta Drury, Elizabeth Catherine Mcinnes

Faculty of Health Sciences Publications

Background Surgical patients are at high risk of developing pressure injuries (Pls) due to anaesthesia-induced immobility as well as risk factors such as length of surgery and co-morbidities. Few Australian studies have investigated the incidence of PIs in surgical patients. This prospective cohort study assessed the incidence of post-surgical PIs and identified gaps in pressure injury prevention (PIP) for elective surgical patients.

Methods Consecutive elective surgery patients at an urban tertiary referral hospital were recruited who had an expected length of stay of >48 hours. Baseline PI risk (measured by the Waterlow scale) and PIP strategies implemented at five time ...


Should We Provide Outreach Rehabilitation To Very Old People Living In Nursing Care Facilities After A Hip Fracture? A Randomised Controlled Trial, Maria Crotty, Maggie Killington, Enwu Liu, Ian D. Cameron, Susan Kurrle, Billingsley Kaambwa, Owen Davies, Michelle D. Miller, Mellick Chehade, Julie Ratcliffe Jan 2019

Should We Provide Outreach Rehabilitation To Very Old People Living In Nursing Care Facilities After A Hip Fracture? A Randomised Controlled Trial, Maria Crotty, Maggie Killington, Enwu Liu, Ian D. Cameron, Susan Kurrle, Billingsley Kaambwa, Owen Davies, Michelle D. Miller, Mellick Chehade, Julie Ratcliffe

Faculty of Health Sciences Publications

Objective to determine whether a 4-week postoperative rehabilitation program delivered in Nursing Care Facilities (NCFs) would improve quality of life and mobility compared with receiving usual care. Design parallel randomised controlled trial with integrated health economic study. Setting NCFs, in Adelaide South Australia. Subjects people aged 70 years and older who were recovering from hip fracture surgery and were walking prior to hip fracture. Measurements primary outcomes: mobility (Nursing Home Life-Space Diameter (NHLSD)) and quality of life (DEMQOL) at 4 weeks and 12 months. Results participants were randomised to treatment (n = 121) or control (n = 119) groups. At 4 weeks ...


Validating The Alberta Context Tool In A Multi-Site Australian Emergency Department Nurse Population, Verena Schadewaldt, Benjamin Mcelduff, Catherine D'Este, Elizabeth Mcinnes, Simeon Dale, Anoja Gunaratne, Janet Squires, Dominique A. Cadilhac, Sandy Middleton Jan 2019

Validating The Alberta Context Tool In A Multi-Site Australian Emergency Department Nurse Population, Verena Schadewaldt, Benjamin Mcelduff, Catherine D'Este, Elizabeth Mcinnes, Simeon Dale, Anoja Gunaratne, Janet Squires, Dominique A. Cadilhac, Sandy Middleton

Faculty of Health Sciences Publications

The organisational context of healthcare settings has an essential role in how research evidence is used in clinical practice. The Alberta Context Tool (ACT) measures 10 concepts of organisational context with higher scores indicating a more positive work environment and potentially better use of research evidence in patient care. We assessed the psychometric properties of the ACT in Emergency Departments (EDs). This validation study was conducted as part of a multi-centre trial of triage, treatment and transfer (T3 Trial) of patients with stroke admitted to EDs. Stratified sampling with proportional allocation was used to recruit ED nurses from 26 participating ...


Australian Nurses' Knowledge Of Pressure Injury Prevention And Management: A Cross-Sectional Survey, Paul Fulbrook, Petra Lawrence, Sandra Miles Jan 2019

Australian Nurses' Knowledge Of Pressure Injury Prevention And Management: A Cross-Sectional Survey, Paul Fulbrook, Petra Lawrence, Sandra Miles

Faculty of Health Sciences Publications

Purpose: The aim of this study was to assess nurses' knowledge of pressure injuries in order to gather benchmark data, identify knowledge gaps, and based on results, implement educational strategies to improve practice. Design: Cross-sectional survey. Subjects and setting: The study setting was a large Australian tertiary general hospital employing approximately 2500 nurses in both full-time and part-time roles. A proportional sample (25%) stratified by experience, preparation, and facility-generated categories (nursing grade) was generated. The sample included nursing students and nursing assistants. Three hundred six participants completing the survey. Instrument: The Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZPUKT) version 2, comprising ...


Exploring Health Education Delivered To Patients With Acute Coronary Syndrome And Type 2 Diabetes Mellitus Admitted To A Shanghai Hospital, Xian-Liang Liu Oct 2018

Exploring Health Education Delivered To Patients With Acute Coronary Syndrome And Type 2 Diabetes Mellitus Admitted To A Shanghai Hospital, Xian-Liang Liu

Theses

Introduction

Patients with both acute coronary syndrome (ACS) and type 2 diabetes mellitus (T2DM) are the focus of this thesis. Together these conditions represent a substantial burden of illness within Western and now Eastern countries. Patients presenting with multiple conditions are frequently encountered within clinical practice, with often poorer clinical outcomes than those with a single condition. The challenge of delivering health education is substantial when patients experience two or more health conditions. Within China, health education is provided principally during the acute admission period, often for ACS. In this unique cultural setting, there has been little research about the ...


An Exploration Of Three New South Wales Nurse Practitioner Services In 2008, S Jane Allnutt Feb 2018

An Exploration Of Three New South Wales Nurse Practitioner Services In 2008, S Jane Allnutt

Theses

Background

To control increasing health costs, the Australian government initiated a range of health care reforms in the late 1990s. In 2000, the development of the Nurse Practitioner (NP) Service in New South Wales (NSW) was one strategy implemented to improve health care delivery. Supported by legislation, NPs extended their role beyond other nursing roles. The number of NPs in NSW doubled between 2004 and 2007, and NP Services flourished. With little published evidence, research was vital to justify the contribution of this new and rapidly evolving service model to existing health services and the acceptability of the new service ...


Application Of Artificial Sunlight For The Elderly As A Possible Environmental Nursing Practice, Shigeru Goto, Toshiaki Nakano, Chao-Long Chen, King-Wah Chiu, Li-Wen Hsu, Seiko I, I-Hsuan Chen, Kuang-Tzu Huang, Ding-Wei Chen, Takeshi Goto, Naoya Omori, Syuji Sato, Hideki Kai, Wataru Tsuruta, Mashiko Kai, Simon Peter Bahau, Yuki Takaoka, Eriko Tane, Kayoko Yuyama, Chieko Wano, Eiko Inoue, Roger Lord, Kanae Iida Jan 2018

Application Of Artificial Sunlight For The Elderly As A Possible Environmental Nursing Practice, Shigeru Goto, Toshiaki Nakano, Chao-Long Chen, King-Wah Chiu, Li-Wen Hsu, Seiko I, I-Hsuan Chen, Kuang-Tzu Huang, Ding-Wei Chen, Takeshi Goto, Naoya Omori, Syuji Sato, Hideki Kai, Wataru Tsuruta, Mashiko Kai, Simon Peter Bahau, Yuki Takaoka, Eriko Tane, Kayoko Yuyama, Chieko Wano, Eiko Inoue, Roger Lord, Kanae Iida

Faculty of Health Sciences Publications

Aging and aged societies have arrived in many countries where significant development of medicine and the economy has been achieved. Japan is a highly aged society with a shortage of carers both at home and in long-term care settings. In fact, more persons of advanced age who do not need intensive care in hospitals strongly desire health care to be delivered in their own home with their family. Environmental nursing practice, which means that nurses improve the environment of patients or the elderly properly in accordance with healthcare considerations, is currently playing a more important role, not only to prevent ...


Using Co-Design To Develop An Intervention To Improve Communication About The Heart Failure Trajectory And End-Of-Life Care, Lisa Hjelmfors, Anna Stromberg, Maria J. Friedrichsen, Anna Sandgren, Jan Martensson, Tiny Jaarsma Jan 2018

Using Co-Design To Develop An Intervention To Improve Communication About The Heart Failure Trajectory And End-Of-Life Care, Lisa Hjelmfors, Anna Stromberg, Maria J. Friedrichsen, Anna Sandgren, Jan Martensson, Tiny Jaarsma

Faculty of Health Sciences Publications

Background
The aim of this paper was to describe the development of an intervention that is developed to improve communication about the heart failure (HF) trajectory and end-of-life care. We also present data that provides a first insight in specific areas of feasibility of the intervention.
Methods
Co-design was used and patients, family members and health care professionals were constructive participants in the design process of the intervention. Feasibility of the intervention was tested in two areas; acceptability and limited efficacy.
Results
Two communication tools were designed and evaluated; 1) a Question Prompt List (QPL) for patients and family members ...


Trajectory Of Thirst Intensity And Distress From Admission To 4-Weeks Follow Up At Home In Patients With Heart Failure, Nana Waldréus, Misook L. Chung, Martje H. L. Van Der Wal, Tiny Jaarsma Jan 2018

Trajectory Of Thirst Intensity And Distress From Admission To 4-Weeks Follow Up At Home In Patients With Heart Failure, Nana Waldréus, Misook L. Chung, Martje H. L. Van Der Wal, Tiny Jaarsma

Faculty of Health Sciences Publications

Background: Patients with heart failure (HF) can suffer from increased thirst intensity and distress. Trajectories of thirst intensity and distress from hospital to home are unclear. The aim of this study was to describe thirst intensity and distress trajectories in patients from the time of hospital admission to 4 weeks after discharge, and describe trajectories of thirst intensity and distress by patients’ characteristics (gender, age, body mass index [BMI], plasma urea, anxiety, and depression). Patients and methods: In this observational study, data were collected from patients with HF (n=30) at hospital admission, discharge, and at 2 and 4 weeks ...


Reducing Urinary Catheter Use: A Protocol For A Mixed Methods Evaluation Of An Electronic Reminder System In Hospitalised Patients In Australia, Oyebola Fasugba, Allen C. Cheng, Philip L. Russo, Maria Northcote, Hannah Rosebrock, Brett G. Mitchell Jan 2018

Reducing Urinary Catheter Use: A Protocol For A Mixed Methods Evaluation Of An Electronic Reminder System In Hospitalised Patients In Australia, Oyebola Fasugba, Allen C. Cheng, Philip L. Russo, Maria Northcote, Hannah Rosebrock, Brett G. Mitchell

Faculty of Health Sciences Publications

Introduction: Despite advances in infection prevention and control, catheter-associated urinary tract infections (CAUTIs) are common and remain problematic. Prolonged urinary catheterisation is the main risk factor for development of CAUTIs; hence, interventions that target early catheter removal warrant investigation. The study’s objectives are to examine the efficacy of an electronic reminder system, the CATH TAG, in reducing urinary catheter use (device utilisation ratio) and to determine the effect of the CATH TAG on nurses’ ability to deliver patient care. Methods and analysis: This study uses a mixed methods approach in which both quantitative and qualitative data will be collected ...


Diagnosis Of Dementia In Residential Aged Care Settings In Australia: An Opportunity For Improvements In Quality Of Care?, Suzanne M. Dyer, Emmanuel S. Gnanamanickam, Enwu Liu, Craig Whitehead, Maria Crotty Jan 2018

Diagnosis Of Dementia In Residential Aged Care Settings In Australia: An Opportunity For Improvements In Quality Of Care?, Suzanne M. Dyer, Emmanuel S. Gnanamanickam, Enwu Liu, Craig Whitehead, Maria Crotty

Faculty of Health Sciences Publications

Objective: To examine the cognitive status of Australians living in residential aged care facilities (RACFs) and whether or not a dementia diagnosis was recorded. Methods: Cross‐sectional study of 541 residents of 17 RACFs spanning four states. Examination of cognitive status by Psychogeriatric Assessment Scale Cognitive Impairment Scale (PAS‐Cog) and dementia diagnosis from medical records. Results: The study population included 65% of residents with a diagnosis of dementia recorded, and 83% had a PAS‐Cog score of four or more indicating likely cognitive impairment. More than 20% of participants had likely cognitive impairment (PAS‐Cog ≥4), but no diagnosis ...


Direct Health And Residential Care Costs Of People Living With Dementia In Australian Residential Aged Care, Emmanuel S. Gnanamanickam, Suzanne M. Dyer, Rachel Milte, Stephanie L. Harrison, Enwu Liu, Tiffany Easton, Clare Bradley, Rebecca Bilton, Wendy Shulver, Julie Ratcliffe, Craig Whitehead, Maria Crotty Jan 2018

Direct Health And Residential Care Costs Of People Living With Dementia In Australian Residential Aged Care, Emmanuel S. Gnanamanickam, Suzanne M. Dyer, Rachel Milte, Stephanie L. Harrison, Enwu Liu, Tiffany Easton, Clare Bradley, Rebecca Bilton, Wendy Shulver, Julie Ratcliffe, Craig Whitehead, Maria Crotty

Faculty of Health Sciences Publications

Objectives: This analysis estimates the whole‐of‐system direct costs for people living with dementia in residential care by using a broad health and social care provision perspective and compares it to people without dementia living in residential care. Methods: Data were collected from 541 individuals living permanently in 17 care facilities across Australia. The annual cost of health and residential care was determined by using individual resource use data and reported by the dementia status of the individuals. Results: The average annual whole‐of‐system cost for people living with dementia in residential care was approximately AU$88 000 ...


Initiation Of Domiciliary Care And Nursing Home Admission Following First Hospitalization Of Heart Failure Patients: A Nationwide Cohort Study, Rasmus Rørth, Emil L. Fosbøl, Kristian Kragholm, Ulrik M. Mogensen, Pardeep S. Jhund, Mark C. Petrie, Christian Torp-Pedersen, Gunnar H. Gislason, John J. V. Mcmurray, Lars Køber, Søren L. Kristensen Jan 2018

Initiation Of Domiciliary Care And Nursing Home Admission Following First Hospitalization Of Heart Failure Patients: A Nationwide Cohort Study, Rasmus Rørth, Emil L. Fosbøl, Kristian Kragholm, Ulrik M. Mogensen, Pardeep S. Jhund, Mark C. Petrie, Christian Torp-Pedersen, Gunnar H. Gislason, John J. V. Mcmurray, Lars Køber, Søren L. Kristensen

Faculty of Health Sciences Publications

Background: Heart failure (HF) has a major impact on a patient’s quality of life and functional status. This impact may be sufficiently profound to prevent independent living although how often this is the case is unknown. We examined the need for domiciliary assistance and admission to a nursing home following first HF hospitalization. Methods: In nationwide Danish registries, we identified a cohort of patients discharged alive after a first-time HF hospitalization in the period 2008–2014 who were matched 1:5 with comparison subjects based on age and sex and followed for 5 years. Results: We included 37,547 ...


Evaluation Of A Midwifery Initiated Oral Health-Dental Service Program To Improve Oral Health And Birth Outcomes For Pregnant Women: A Multi-Centre Randomised Controlled Trial, Ajesh George, Hannah G. Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Maree Johnson Jan 2018

Evaluation Of A Midwifery Initiated Oral Health-Dental Service Program To Improve Oral Health And Birth Outcomes For Pregnant Women: A Multi-Centre Randomised Controlled Trial, Ajesh George, Hannah G. Dahlen, Anthony Blinkhorn, Shilpi Ajwani, Sameer Bhole, Sharon Ellis, Anthony Yeo, Emma Elcombe, Maree Johnson

Faculty of Health Sciences Publications

Background: Oral health care during pregnancy is important for the health of the mother and child. However, pregnant women have limited knowledge about maternal oral health and seldom seek dental care. Further, due to limited training antenatal care providers like midwives rarely discuss oral health with pregnant women. The Midwifery-Initiated Oral Health Dental Service program was developed to address current gaps in oral promotional interventions during pregnancy. Objectives: To assess the effectiveness of a Midwifery-Initiated Oral Health Dental Service program in improving uptake of dental services, oral health knowledge, quality of oral health, oral health status and birth outcomes of ...


Multidisciplinary Evaluation Of An Emergency Department Nurse Navigator Role: A Mixed Methods Study, Melanie Jessup, Paul Fulbrook, Frances B. Kinnear Jan 2018

Multidisciplinary Evaluation Of An Emergency Department Nurse Navigator Role: A Mixed Methods Study, Melanie Jessup, Paul Fulbrook, Frances B. Kinnear

Faculty of Health Sciences Publications

Aim To utilise multidisciplinary staff feedback to assess their perceptions of a novel emergency department nurse navigator role and to understand the impact of the role on the department. Background Prolonged emergency department stays impact patients, staff and quality of care, and are linked to increased morbidity and mortality. One innovative strategy to facilitate patient flow is the navigator: a nurse supporting staff in care delivery to enhance efficient, timely movement of patients through the department. However, there is a lack of rigorous research into this emerging role. Design Sequential exploratory mixed methods. Methods A supernumerary emergency department nurse navigator ...


The Nature Of The Therapeutic Alliance Between Nurses And Consumers With Anorexia Nervosa In The Inpatient Setting: A Mixed‐Methods Study [Accepted Manuscript], Joel S. Zugai, Jane Stein-Parbury, Michael Roche Jan 2018

The Nature Of The Therapeutic Alliance Between Nurses And Consumers With Anorexia Nervosa In The Inpatient Setting: A Mixed‐Methods Study [Accepted Manuscript], Joel S. Zugai, Jane Stein-Parbury, Michael Roche

Faculty of Health Sciences Publications

Aims and objectives To develop a greater understanding of the nature of the inpatient therapeutic alliance between nurses and consumers with Anorexia Nervosa (AN). Background Consumers with AN value interpersonal relationships with nurses, finding these relationships meaningful and therapeutic. It is established that the therapeutic alliance enhances outcomes for consumers with AN. However, establishing the therapeutic alliance in the inpatient setting is considered challenging. Design: This study employed a two‐phase mixed‐method explanatory sequential design. An initial quantitative survey, phase one, was followed by the collection and analysis of qualitative data, phase two. Methods: Phase one employed validated survey ...


Clustered Domestic Model Of Residential Care Is Associated With Better Consumer Rated Quality Of Care, Emmanuel S. Gnanamanickam, Suzanne M. Dyer, Rachel Milte, Enwu Liu, Julie Ratcliffe, Maria Crotty Jan 2018

Clustered Domestic Model Of Residential Care Is Associated With Better Consumer Rated Quality Of Care, Emmanuel S. Gnanamanickam, Suzanne M. Dyer, Rachel Milte, Enwu Liu, Julie Ratcliffe, Maria Crotty

Faculty of Health Sciences Publications

Objective: To compare consumer rated quality of care among individuals living long-term in homelike clustered domestic and standard models of residential care in Australia. Design: Cross-sectional study. Setting: Seventeen residential aged care facilities in four Australian states providing alternative models of care. Study participants: A sample of individuals with high prevalence of cognitive impairment living in residential care for 12 months or longer, not immediately in palliative care and having a proxy available to provide consent and assist with data collection. Of 901 eligible participants, 541 consented and participated in the study. Main outcome measure: Consumer rated quality of care ...


Implementation Of A Patient Blood Management Program In An Australian Private Hospital Orthopedic Unit, Paul N. Morgan, Patrick L. Coleman, Cintia Mayel Martinez-Garduno, Anoja Gunaratne, Elizabeth Mcinnes, Sandy Middleton Jan 2018

Implementation Of A Patient Blood Management Program In An Australian Private Hospital Orthopedic Unit, Paul N. Morgan, Patrick L. Coleman, Cintia Mayel Martinez-Garduno, Anoja Gunaratne, Elizabeth Mcinnes, Sandy Middleton

Faculty of Health Sciences Publications

Background: Preoperative anemia in surgical patients has been linked to increased rates of allogeneic blood transfusion (ABT) and associated adverse patient outcomes such as prolonged ventilation in intensive care, increased length of hospital stay, and infections. We conducted a multifaceted implementation for orthopedic surgeons to improve preoperative patient assessment of anemia and iron deficiency to reduce perioperative blood transfusions. Materials and methods: Using a before-and-after study design of independent samples, we recruited a convenience sample of surgeons who performed primary total hip arthroplasty at 1 Australian private hospital. Our implementation intervention consisted of: executive support, interactive education, and peer-to-peer support ...


Consensus On A Specialist Clinical Learning And Teaching Framework For Australian Nurse Practitioners, Christopher Helms May 2017

Consensus On A Specialist Clinical Learning And Teaching Framework For Australian Nurse Practitioners, Christopher Helms

Theses

Background

The Australian nurse practitioner (NP) role is represented by over 1,400 endorsed NPs practising in over 50 different specialty areas. Generic standards have broadly supported the role’s behavioural, professional and expanded practice expectations since 2006, and have been used for the accreditation of NP Masters programmes nationally.

The need for consistent and flexible specialty clinical education for NP students has been described in the Australian literature. The clinical learning and teaching of Australian NP specialty roles has traditionally occurred in the student’s workplace, within a specified area of practice. Jurisdictional differences at state/territory and local ...


Effectiveness Of A ‘Do Not Interrupt’ Bundled Intervention To Reduce Interruptions During Medication Administration: A Cluster Randomised Controlled Feasibility Study, Johanna I. Westbrook, Ling Li, Tamara D. Hooper, Magda Z. Raban, Sandy Middleton, Elin C. Lehnbom Jan 2017

Effectiveness Of A ‘Do Not Interrupt’ Bundled Intervention To Reduce Interruptions During Medication Administration: A Cluster Randomised Controlled Feasibility Study, Johanna I. Westbrook, Ling Li, Tamara D. Hooper, Magda Z. Raban, Sandy Middleton, Elin C. Lehnbom

Faculty of Health Sciences Publications

Aim To evaluate the effectiveness of a ‘Do not interrupt’ bundled intervention to reduce non-medication-related interruptions to nurses during medication administration. Methods A parallel eight cluster randomised controlled study was conducted in a major teaching hospital in Adelaide, Australia. Four wards were randomised to the intervention which comprised wearing a vest when administering medications; strategies for diverting interruptions; clinician and patient education; and reminders. Control wards were blinded to the intervention. Structured direct observations of medication administration processes were conducted. The primary outcome was non-medication-related interruptions during individual medication dose administrations. The secondary outcomes were total interruption and multitasking rates ...


Process Evaluation Of A Cluster-Randomised Trial Testing A Pressure Ulcer Prevention Care Bundle: A Mixed-Methods Study, Shelley Roberts, Elizabeth Mcinnes, Tracey Bucknall, Marianne Wallis, Merrilyn Banks, Wendy Chaboyer Jan 2017

Process Evaluation Of A Cluster-Randomised Trial Testing A Pressure Ulcer Prevention Care Bundle: A Mixed-Methods Study, Shelley Roberts, Elizabeth Mcinnes, Tracey Bucknall, Marianne Wallis, Merrilyn Banks, Wendy Chaboyer

Faculty of Health Sciences Publications

Background: As pressure ulcers contribute to significant patient burden and increased health care costs, their prevention is a clinical priority. Our team developed and tested a complex intervention, a pressure ulcer prevention care bundle promoting patient participation in care, in a cluster-randomised trial. The UK Medical Research Council recommends process evaluation of complex interventions to provide insight into why they work or fail and how they might be improved. This study aimed to evaluate processes underpinning implementation of the intervention and explore end-users’ perceptions of it, in order to give a deeper understanding of its effects. Methods: A pre-specified, mixed-methods ...


Does Participating In A Clinical Trial Affect Subsequent Nursing Management? Post-Trial Care For Participants Recruited To The Intact Pressure Ulcer Prevention Trial: A Follow-Up Study [Accepted Manuscript], Joan Webster, Tracey Bucknall, Marianne Wallis, Elizabeth Mcinnes, Shelley Roberts, Wendy Chaboyer Jan 2017

Does Participating In A Clinical Trial Affect Subsequent Nursing Management? Post-Trial Care For Participants Recruited To The Intact Pressure Ulcer Prevention Trial: A Follow-Up Study [Accepted Manuscript], Joan Webster, Tracey Bucknall, Marianne Wallis, Elizabeth Mcinnes, Shelley Roberts, Wendy Chaboyer

Faculty of Health Sciences Publications

Background: Participation in a clinical trial is believed to benefit patients but little is known about the post-trial effects on routine hospital-based care. Objectives: To describe (1) hospital-based, pressure ulcer care-processes after patients were discharged from a pressure ulcer prevention, cluster randomised controlled trial; and (2) to investigate if the trial intervention had any impact on subsequent hospital-based care. Methods: We conducted a retrospective analysis of 133 trial participants who developed a pressure ulcer during the clinical trial. We compared outcomes and care processes between participants who received the pressure ulcer prevention intervention and those in the usual care, control ...


Statistical Analysis Plan For The Head Position In Stroke Trial (Headpost): An International Cluster Cross-Over Randomised Trial [Accepted Manuscript], Laurent Billot, Mark Woodward, Hisatomi Arima, Maree Hackett, Paula Venturelli, Pablo Lavados, Alejandro Brunser, Bin Peng, Liying Cui, Lily Song, Stephane Heritier, Stephen Jan, Sandy Middleton, Veronica Olavarria, Joyce Lim, Thompson Robinson, Octavio Pontes-Neto, Caroline L. Watkins, Craig S. Anderson Jan 2017

Statistical Analysis Plan For The Head Position In Stroke Trial (Headpost): An International Cluster Cross-Over Randomised Trial [Accepted Manuscript], Laurent Billot, Mark Woodward, Hisatomi Arima, Maree Hackett, Paula Venturelli, Pablo Lavados, Alejandro Brunser, Bin Peng, Liying Cui, Lily Song, Stephane Heritier, Stephen Jan, Sandy Middleton, Veronica Olavarria, Joyce Lim, Thompson Robinson, Octavio Pontes-Neto, Caroline L. Watkins, Craig S. Anderson

Faculty of Health Sciences Publications

Background: Uncertainty exists over the optimum position for the head of a patient with acute stroke. The Head Position in Stroke Trial (HeadPoST) aims to determine the comparative effectiveness of lying flat (0°) compared to sitting up (≥30°) head positioning, initiated within 24 hours of hospital admission for patients with acute stroke. Design: An international, cluster randomised, crossover, open, blinded outcome assessed clinical trial. Each hospital with an established acute stroke unit (cluster) site was required to recruit up to 70 consecutive cases of acute stroke, including both acute ischaemic stroke and intracerebral haemorrhage, in each randomised head position as ...


Aspects Of Family Caregiving As Addressed In Planned Discussions Between Nurses, Patients With Chronic Diseases And Family Caregivers: A Qualitative Content Analysis, E. I. Hagedoorn, W. Paans, Tiny Jaarsma, J. C. Keers, C. P. Van Der Schans, Marie-Louise Luttik Jan 2017

Aspects Of Family Caregiving As Addressed In Planned Discussions Between Nurses, Patients With Chronic Diseases And Family Caregivers: A Qualitative Content Analysis, E. I. Hagedoorn, W. Paans, Tiny Jaarsma, J. C. Keers, C. P. Van Der Schans, Marie-Louise Luttik

Faculty of Health Sciences Publications

Background Caregiving by family members of elderly with chronic conditions is currently intensifying in the context of an aging population and health care reform in the Netherlands. It is essential that nurses have attention for supporting roles of family caregivers of older patients and address family caregiving aspects on behalf of the continuity of care. This study aims to explore what aspects of family caregiving were addressed during planned discussions between nurses, patients and family caregivers in the hospital. Methods Qualitative descriptive research was conducted using non-participant observation and audio-recordings of planned discussions between nurses, older patients and their family ...


User Compliance With Documenting On A Track And Trigger-Based Observation And Response Chart: A Two-Phase Multi-Site Audit Study, Doug Elliott, Emily Allen, Sharon Mckinley, Lin Perry, Christine Duffield, Margaret Fry, Robyn Gallagher, Rick Iedema, Michael Roche Jan 2017

User Compliance With Documenting On A Track And Trigger-Based Observation And Response Chart: A Two-Phase Multi-Site Audit Study, Doug Elliott, Emily Allen, Sharon Mckinley, Lin Perry, Christine Duffield, Margaret Fry, Robyn Gallagher, Rick Iedema, Michael Roche

Faculty of Health Sciences Publications

Aims: To examine user compliance and completeness of documentation with a newly designed observation and response chart and whether a rapid response system call was triggered when clinically indicated. Background: Timely recognition and responses to patient deterioration in hospital general wards remain a challenge for healthcare systems globally. Evaluating practice initiatives to improve recognition and response are required. Design: Two‐phase audit. Methods: Following introduction of the charts in ten health service sites in Australia, an audit of chart completion was conducted during a short trial for initial usability (Phase 1; 2011). After chart adoption as routine use in practice ...


Barriers To Evidence-Based Acute Stroke Care In Ghana: A Qualitative Study On The Perspectives Of Stroke Care Professionals, Leonard Baatiema, Ama De-Graft Aikins, Adem Sav, George Mnatzaganian, Carina K. Y. Chan, Shawn Somerset Jan 2017

Barriers To Evidence-Based Acute Stroke Care In Ghana: A Qualitative Study On The Perspectives Of Stroke Care Professionals, Leonard Baatiema, Ama De-Graft Aikins, Adem Sav, George Mnatzaganian, Carina K. Y. Chan, Shawn Somerset

Faculty of Health Sciences Publications

Objective: Despite major advances in research on acute stroke care interventions, relatively few stroke patients benefit from evidence-based care due to multiple barriers. Yet current evidence of such barriers is predominantly from high-income countries. This study seeks to understand stroke care professionals’ views on the barriers which hinder the provision of optimal acute stroke care in Ghanaian hospital settings. Design: A qualitative approach using semistructured interviews. Both thematic and grounded theory approaches were used to analyse and interpret the data through a synthesis of preidentified and emergent themes. Setting: A multisite study, conducted in six major referral acute hospital settings ...


Richness And Reciprocity: Undergraduate Student Nurse Mentoring In Mental Health, Thomas Harding, Kerry Mawson Jan 2017

Richness And Reciprocity: Undergraduate Student Nurse Mentoring In Mental Health, Thomas Harding, Kerry Mawson

Faculty of Health Sciences Publications

Recruiting and retaining nurses in mental health practice settings have long been problematic: A situation which is not helped by student nurses being exposed to negative attitudes about mental health nursing or poor clinical experiences. A pilot program in which student nurses were mentored on the mental health clinical placement was initiated at an Australian School of Nursing. A qualitative study was undertaken to explore the value of this program for the student mentee and the registered nurse mentor. A questionnaire containing six questions was distributed to all participants before and after the clinical experience. The questions were open format ...