Medicine and Health Sciences Commons^™

Delirium Point Prevalence Studies In Inpatient Settings: A Systematic Review, Binu Koirala, Bryan R. Hansen, Annmarie Hosie, Chakra Budhathoki, Stella Seal, Adam Beaman, Patricia M. Davidson

Nursing Papers and Journal Articles

Aims: To examine the delirium point prevalence studies conducted in different inpatient settings and to discuss the implication of the findings for delirium screening, assessment, prevention and management.

Background: Delirium—a common and distressing condition manifesting as an acute decline of attention and cognition—is frequently overlooked, misdiagnosed or treated inappropriately. This neuropsychiatric syndrome manifests as changes in attention, cognition and awareness, with resultant impact on behaviour, function and emotions. Delirium is recognised as a patient management challenge in the inpatient setting, and there is a need to understand the current point prevalence and assessment practices of delirium.

Design: A systematic review …

Older Persons’ And Their Caregivers’ Perspectives And Experiences Of Research Participation With Impaired Decision-Making Capacity: A Scoping Review, Annmarie Hosie, Slavica Kochovska, Nola Ries, Imelda Gilmore, Deborah Parker, Craig Sinclair, Caitlin Sheehan, Aileen Collier, Gideon A. Caplan, Mandy Visser, Xiaoyue Xu, Elizabeth Lobb, Linda Sheahan, Linda Brown, Wai Lee, Christine R. Sanderson, Ingrid Amgarth-Duff, Anna Green, Layla Edwards, Meera R. Agar

Nursing Papers and Journal Articles

Background and Objectives: Human research ethics statements support equitable inclusion of diverse groups. Yet older people are under-represented in clinical research, especially those with impaired decision-making capacity. The aim of this study was to identify perspectives and experiences of older persons and their caregivers of research participation with impaired decision-making capacity.

Research Design and Methods: Scoping review of literature and online sources in January-February 2019 (updated June 2020) according to Joanna Briggs Institute methodology and PRISMA Extension for Scoping Reviews. English-language peer-reviewed research articles and Australian online narratives were included. Data were tabulated and narratively synthesized.

Results: From 4171 database …

Toward Best Practice Methods For Delirium Biomarker Studies: An International Modified Delphi Study, Ingrid Amgarth-Duff, Annmarie Hosie, Gideon Caplan, Meera Agar

Nursing Papers and Journal Articles

Background: Delirium is a serious and distressing neurocognitive condition common in people with advanced illness. The understanding of delirium pathophysiology is limited and largely hypothetical. To accelerate empirical understanding of delirium pathophysiology, robust scientific methods for conducting and reporting delirium biomarker studies are urgently needed. The aim of this study was to develop international consensus on the core elements of high‐quality delirium biomarker studies.

Methods: A three‐round modified Delphi survey was conducted from February to August 2019. Participants were international researchers experienced in conducting delirium studies from a range of settings (hospital, university, research centres). Round one commenced with open‐ended …

Exploring Enablers And Barriers To Accessing Health Services After A Fall Among People With Intellectual Disability, Portia Ho, Caroline Bulsara, Shane Patman, Jenny Downs, Anne-Marie Hill

Nursing Papers and Journal Articles

Background: Adults with intellectual disability experience high rates of falls making falls prevention an important health need. The purpose of the study was to seek perspectives of older adults with intellectual disability and their caregivers to (a) explore the experiences of older adults with intellectual disability when seeking healthcare services after a fall and (b) identify enablers and barriers when taking up evidence-based falls recommendations.

Method: A qualitative exploratory study was undertaken as part of a prospective observational cohort study. Semi-structured interviews were conducted with a purposeful sample. Data were analysed thematically using Colaizzi's method.

Results: Seventeen interviews were conducted …

Enhancing Access To Parenting Services Using Digital Technology Supported Practices, Elaine Bennett, Wendy Simpson, Cathrine Fowler, Ailsa Munns, Jane Kohlhoff

Nursing Papers and Journal Articles

Background: Early parenting services (EPS) in Australia provide a range of expanding and rapidly changing services, including innovative digital technologies to improve service access for metropolitan and rural families.

Aim: This research aims to provide comprehensive information required for the planning, implementation and evaluation of the use of digital technologies for service delivery with parenting/child and family services in Australia and New Zealand in metropolitan and rural settings.

Methods: An interpretive descriptive approach was applied using semi-structured interviews from 23 EPS practitioners and managers in five sites.

Findings: These are presented as five main themes – preparing the way, practitioner …

Bowel Management Post Major Joint Arthroplasty: A Randomised Controlled Trial To Test Two Pre-Admission Bowel Regimens, Gail Ross-Adjie, Alexis A. Cranfield, Piers J. Yates, Leanne Monterosso

Nursing Papers and Journal Articles

Background: The length of stay for patients undergoing joint arthroplasty has reduced but there is a paucity of knowledge relating to bowel management within this enhanced recovery framework.

Aim: The study's primary aim was to determine which of two dosage regimens of macrogol (Movicol®) commenced pre-operatively is most effective in facilitating a return to normal bowel function.

Procedure: Ninety-one eligible patients were randomised to one of three groups: 1) commence macrogol one sachet in the morning for two days prior to surgery; 2) commence macrogol one sachet, morning and evening of the day prior to surgery; or 3) control group. …

Standardisation Of Systemic Anti-Cancer Therapy (Sact) Prescription Forms: A Pre–Post Audit Evaluation, Felicity Sim, Gail Ross-Adjie, Leanne Monterosso

Nursing Papers and Journal Articles

Introduction Clinical practice guidelines based on best available evidence and national safety and quality standards promote high quality and safe care.

Aim To review and standardise systemic anti-cancer therapy (SACT) forms in a 20-chair cancer centre to reflect Australian and international clinical practice guidelines.

Method A pre–post audit design based on Clinical Oncological Society of Australia (COSA) guidelines for the safe prescribing, dispensing and administration of systemic cancer therapy underpinned the project. The pre-audit (47 forms) provided a benchmark for SACT form improvements: 177 new forms were then developed over 18 months and implemented.

Results Pre-audit: 9/19 criteria were >70% …

Development And Content Validation Of A Questionnaire Measuring Patient Empowerment In Cancer Follow-Up, Nanna Bjerg Eskildsen, Lone Ross, Caroline Bulsara, Susanne Malchau Dietz, Thora Grothe Thomsen, Mogens Groenvold, Susanne S. Pedersen, Clara Rubner Jorgensen, Anna Thit Johnsen

Nursing Papers and Journal Articles

Purpose: The aim of this study was to develop and ensure the content validity of a new patient-reported outcome measure, the Cancer Patient Empowerment Questionnaire (CPEQ), to measure the level of, desire for, and enablement of empowerment among cancer patients in follow-up.

Methods: An iterative process based on: (i) empowerment theories by Zimmerman and Tengland, (ii) a systematic review of questionnaires measuring empowerment or related concepts among cancer patients, (iii) qualitative data from 18 semi-structured interviews with Danish cancer patients in follow-up, (iv) input from a group of eight cancer patients involved as co-researchers and from an expert steering group, …

Using A Clinical Deterioration Scenario (Video) As An Approach For Interprofessional Learning, Kylie P. Russell, Heidi Waldron, Elina Tor, Nick Waldron

Nursing Papers and Journal Articles

For effective management of clinical deterioration, health professionals must work together to recognise and respond to the patients changing health status. This paper provides an overview of the clinical deterioration video, used as a learning tool to engage medical, nursing and physiotherapy students and junior clinicians for the purpose of identifying the deteriorating patient and to support the development of interprofessional teamwork skills. This paper describes the perspectives of educators who have used this resource, a description of the resource, its evaluation, and access to the resource. The educators felt that the clinical deterioration video provides a learning environment in …

Clinically Significant Depressive Symptoms Are Prevalent In People With Extremely Short Prognoses - A Systematic Review, Wei Lee, Marley Pulbrook, Caitlin Sheehan, Slavica Kochovska, Sungwon Chang, Annmarie Hosie, Elizabeth Lobb, Deborah Parker, Brian Draper, Meera R. Agar, David Currow

Nursing Papers and Journal Articles

Context: Currently, systematic evidence of prevalence of clinically significant depressive symptoms in people with extremely short prognoses is not available to inform its global burden, assessment, and management.

Objectives: To determine the prevalence of clinically significant depressive symptoms in people with advanced life-limiting illnesses and extremely short prognoses (range of days to weeks).

Methods: A systematic review and meta-analysis (random effects model) were performed (PROSPERO: CRD42019125119). MEDLINE, Embase, PsycINFO, CINAHL, and CareSearch were searched for studies (1994-2019). Data were screened for prevalence of clinically significant depressive symptoms (assessed using validated depression-specific screening tools or diagnostic criteria) of adults with advanced …