NSLHD Nursing & Midwifery Research Centre
We hope that the resources in these newsletters will assist you to translate evidence into practice, build knowledge and capacity to manage the complexity of health care delivery and behaviour change. Clinical leaders are required to challenge everyday practice, while remaining focused on delivering quality safe patient care. Therefore, an important part of our roles in the Nursing and Midwifery Research Centre is
to provide NSLHD nurses and midwives with guidance in implementing new practices or interpreting evidence to improve patient care. We can offer assistance and support in conceptualising, designing and or implementing your projects with your clinical teams. Additional resources can be found on our intranet page.
Professor Margaret Fry NP PhD
Rosalind Elliott RN PhD
Director Research & Practice Development Email: Margaret.Fry@health.nsw.gov.au
CNC - Translational Research Co-ordinator Email: Rosalind.Elliott@health.nsw.gov.au
NNSSLLHHDD NNuurrssiinngg aanndd MMiiddwifery Research and Innovative Practice Conference 2022 We are pleased to announce the Nursing and Midwifery Research and Innovative Practice Conference is to be held on Wednesday 15th June 2022 at Royal North Shore Hospital . All NSLHD nursing and midwifery staff are invited to attend. This one-day conference will showcase nursing and midwifery research and innovative practice conducted within NSLHD and highlight the contribution towards excellence in health care. We invite NSLHD nurses and midwives to submit their abstracts by Friday 25th March 2022. All abstracts will be peer reviewed and published in the book of proceedings. There will be prizes for the best presentations. Visit our conference intranet page for further details including the abstract guidelines and submission form.
2021 NSLHD Annual Report – Nursing and Midwifery If you have published, presented at a national or international conference, received a grant or award, or have undertaken a higher degree in research in 2021, we encourage you to submit details for inclusion in our 2021 annual report. Please refer to our submission guidelines for further information. Click here to view our 2020 annual report.
NSLHD Nursing & Midwifery publications 2021
1. Ammit, M., & Miles, N. (2021). Nurse-led alcohol clinic: Increasing access to drug and alcohol treatment. Australian Nursing and Midwifery Journal, 27(4), 26-29. 2. Baker, M. J., Fisher, M. J., & Pryor, J. (2021). Potential for misinterpretation: An everyday problem male nurses encounter in inpatient rehabilitation. International Journal of Nursing Practice, e12985. doi:https://doi.org/10.1111/ijn.12985 3. Buckley, T. (2021). The unique challenge of the nurse-patient in the intensive care. Australian Critical Care, 34(1), 1-2. doi:https://doi.org/10.1016/j.aucc.2020.12.006 4. Chenoweth, L., Williams, A., Fry, M., Endean, E., & Liu, Z. (2021). Outcomes of Person-centered Care for Persons with Dementia in the Acute Care Setting: A Pilot Study. Clinical Gerontologist, 1-15. doi:10.1080/07317115.2021.1946233 5. Considine, J., Fry, M., Curtis, K., & Shaban, R. Z. (2021). Systems for recognition and response to deteriorating emergency department patients: a scoping review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1), 69. doi:10.1186/s13049-021-00882-6 6. Curtis, K., Kourouche, S., Asha, S., Considine, J., Fry, M., Middleton, S., . . . Buckley, T. (2021). Impact of a care bundle for patients with blunt chest injury (ChIP): A multicentre controlled implementation evaluation. PLoS ONE, 16(10), e0256027. doi:10.1371/journal.pone.0256027 7. Curtis, K., Munroe, B., Fry, M., Considine, J., Tuala, E., Watts, M., . . . Shaban, R. Z. (2021). The implementation of an emergency nursing framework (HIRAID) reduces patient deterioration: A multi- centre quasi-experimental study. International Emergency Nursing, 56, 100976. doi:https://doi.org/10.1016/j.ienj.2021.100976 8. Curtis, K., Sivabalan, P., Bedford, D. S., Considine, J., D'Amato, A., Shepherd, N., . . . Fry, M. (2021). Treatments costs associated with inpatient clinical deterioration. Resuscitation, 166, 49-54. doi:https://doi.org/10.1016/j.resuscitation.2021.07.022 9. Dick-Smith, F., Power, T., Martinez-Maldonado, R., & Elliott, D. (2021). Basic Life Support Training for undergraduate nursing students: An integrative review. Nurse Education in Practice, 50, 102957. doi:https://doi.org/10.1016/j.nepr.2020.102957 10. Elliott, R., Chawla, A., Wormleaton, N., & Harrington, Z. (2021). Short-term physical health effects of sleep disruptions attributed to the acute hospital environment: a systematic review. Sleep Health. doi:https://doi.org/10.1016/j.sleh.2021.03.001 11. Elliott, R., Mei, J., Wormleaton, N., & Fry, M. (2021). Interventions for the discharge of older people to their home from the emergency department: a systematic review. Australasian Emergency Care. doi:https://doi.org/10.1016/j.auec.2021.01.001 12. Evans, V. (2021). Caring for Traumatic Brain Injury Patients: Australian Nursing Perspectives. Critical Care Nursing Clinics of North America, 33(1), 21-36. doi:https://doi.org/10.1016/j.cnc.2020.10.002 13. Evans, V. (2021). Caring for Traumatic Brain Injury Patients: Australian Nursing Perspectives. Critical Care Nursing Clinics of North America, 33(1), 21-36. doi:10.1016/j.cnc.2020.10.002 14. Fry, M., Elliott, R., Curtis, K., Mei, J., Fitzpatrick, L., Groth, R., . . . Hofman, C. (2021). Family members' perceptions of older person discharge from emergency departments. International Journal of Older People Nursing, e12365. doi:https://doi.org/10.1111/opn.12365 15. Fry, M., Elliott, R., Murphy, S., & Curtis, K. (2021). The role and contribution of family carers accompanying community-living older people with cognitive impairment to the emergency department: An interview study. Journal of Clinical Nursing. doi:https://doi.org/10.1111/jocn.15954 16. Gawthorne, J., Fasugba, O., Levi, C., Mcinnes, E., Ferguson, C., Mcneil, J. j., . . . Middleton, S. (2021). Are clinicians using routinely collected data to drive practice improvement? A cross-sectional survey. International Journal for Quality in Health Care, 33(4). doi:10.1093/intqhc/mzab141 17. Hammond, N. E., Crowe, L., Abbenbroek, B., Elliott, R., Tian, D. H., Donaldson, L. H., . . . Delaney, A. (2021). Impact of the coronavirus disease 2019 pandemic on critical care healthcare workers' depression, anxiety, and stress levels. Australian Critical Care, 34(2), 146-154. doi:https://doi.org/10.1016/j.aucc.2020.12.004 18. Jackson, A., Curtin, E., Giddins, E., Read-Allsopp, C., & Joseph, A. (2021). Connecting With Trauma Patients After Discharge: A Phone Call Follow-Up Study. J Trauma Nurs, 28(3), 179-185. doi:10.1097/jtn.0000000000000580
19. Kourouche, S., Curtis, K., Munroe, B., Asha, S. E., Carey, I., Considine, J., . . . Buckley, T. (2021). Implementation of a hospital-wide multidisciplinary blunt chest injury care bundle (ChIP): Fidelity of delivery evaluation. Australian Critical Care. doi:https://doi.org/10.1016/j.aucc.2021.04.003 20. Li, C., Sotomayor-Castillo, C., Nahidi, S., Kuznetsov, S., Considine, J., Curtis, K., . . . Shaban, R. Z. (2021). Emergency clinicians’ knowledge, preparedness and experiences of managing COVID -19 during the 2020 global pandemic in Australian healthcare settings. Australasian Emergency Care. doi:https://doi.org/10.1016/j.auec.2021.03.008 21. Lin, X. (2021). An update on vaginal oestrogen for overactive bladder: reporting the literature. Australian and New Zealand Continence Journal, 27(2). doi:10.33235/anzcj.27.2.40-46 22. Marsden, D. L., Boyle, K., Jordan, L.-A., Dunne, J. A., Shipp, J., Minett, F., . . . Duff, J. (2021). Improving Assessment, Diagnosis, and Management of Urinary Incontinence and Lower Urinary Tract Symptoms on Acute and Rehabilitation Wards That Admit Adult Patients: Protocol for a Before-and- After Implementation Study. JMIR Res Protoc, 10(2), e22902. doi:10.2196/22902 23. McLean, A. E. B., Webster, S. E., Fry, M., Lau, E. M., Corte, P., Torzillo, P. J., . . . Corte, T. J. (2021). Priorities and expectations of patients attending a multidisciplinary interstitial lung disease clinic. Respirology, 26(1), 80-86. doi:10.1111/resp.13913 24. Merrick, E., Busby- Grant, J., McKune, A., D’Cunha, N., Murphy, E., Naumovski, N., & Fry, M. (2021). Measuring psychological and physiological stress in emergency clinicians. Australasian Emergency Care, 24(1), 43-48. 25. Monaro, S., Pinkova, J., Ko, N., Stromsmoe, N., & Gullick, J. (2021). Chronic wound care delivery in wound clinics, community nursing and residential aged care settings: a qualitative analysis using Levine’s Conservation Model. Journal of Clinical Nursing. doi:https://doi.org/10.1111/jocn.15674 26. Nahidi, S., Sotomayor-Castillo, C., Li, C., Currey, J., Elliott, R., & Shaban, R. Z. (2021). Australian critical care nurses' knowledge, preparedness and experiences of managing SARS-COV-2 and COVID- 19 pandemic. Australian Critical Care. doi:10.1016/j.aucc.2021.04.008 27. O’Regan, S., Molloy, E., Watterson, L., & Nestel, D. (2021). ‘It is a different type of learning’. A survey - based study on how simulation educators see and construct observer roles. BMJ Simulation and Technology Enhanced Learning, 7(4), 230-238. doi:10.1136/bmjstel-2020-000634 28. O'Regan, S. A., Ekelund, K., & Watterson, L. M. (2021). Emotional Activation in Simulation: Measuring the Influence of Participant Roles and Scenario Design. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare doi:10.1097/sih.0000000000000615 29. Parker, K. J., Phillips, J. L., Luckett, T., Agar, M., Ferguson, C., & Hickman, L. D. (2021). Analysis of discharge documentation for older adults living with dementia: A cohort study. Journal of Clinical Nursing, 30(23-24), 3634-3643. doi:https://doi.org/10.1111/jocn.15885 30. Paul, D., Glover, S., Roche, M. A., Klarnett, K., Chen, X., Wall, J., & Joyce, M. (2021). Enhancing person-centred care in inpatient mental health settings through supported person-side handover: a multi method study. Contemporary Nurse, 1-12. doi:10.1080/10376178.2021.1999837 31. Pilowsky, J. K., Elliott, R., & Roche, M. A. (2021). Pre-existing mental health disorders in patients admitted to the intensive care unit: A systematic review and meta-analysis of prevalence. Journal of Advanced Nursing. doi:https://doi.org/10.1111/jan.14753 32. Potter, J. E., Elliott, R. M., Kelly, M. A., & Perry, L. (2021). Education and training methods for healthcare professionals to lead conversations concerning deceased organ donation: An integrative review. Patient Educ Couns. doi:10.1016/j.pec.2021.03.019 33. Poudel, P., Griffiths, R., Arora, A., Wong, V. W., Flack, J. R., Barker, G., & George, A. (2021). Oral Health Status, Knowledge, and Behaviours of People with Diabetes in Sydney, Australia. International Journal of Environmental Research and Public Health, 18(7), 3464. Retrieved from https://www.mdpi.com/1660-4601/18/7/3464 34. Pryor, J., Haylen, D., & Fisher, M. (2021). Problems people with spinal cord injury experience accessing help with bowel care when hospitalised outside a specialist spinal injury service. Journal of Clinical Nursing. doi:https://doi.org/10.1111/jocn.15717 35. Pryor, J., Haylen, D., & Fisher, M. J. (2021). The usual bowel care regimes of people living in the community with spinal cord injury and factors important for integrating bowel care into everyday life. Disability and Rehabilitation, 1-7. doi:10.1080/09638288.2021.1966678
36. Roche, M. A., Glover, S., Luo, X., Joyce, M., & Rossiter, C. (2021). Extending the role of nursing assistants in mental health inpatient settings: A multi-method study. International Journal of Mental Health Nursing. doi:10.1111/inm.12859 37. Rosina, R., McMaster, R., Cleary, E., Gilbert, S., West, S., & Cleary, M. (2021). Preparing for the Real World: Clinical Facilitators and Nursing Student Clinical Placements. Issues in Mental Health Nursing, 1- 4. doi:10.1080/01612840.2021.1986761 38. Russell, S., Ripley, V., Elliott, R., & Barnes, C. (2021). Patient and nurse perceptions of an innovative TV wellness channel in an acute medical ward: a feasibility study. BMJ Innovations, 7(1), 87-94. doi:10.1136/bmjinnov-2020-000469 39. Saurman, E., Allingham, S., Draper, K., Edwards, J., Moody, J., Hooper, D., . . . Eagar, K. (2021). Preferred Place of Death-A Study of 2 Specialist Community Palliative Care Services in Australia. J Palliat Care. doi:10.1177/08258597211018059 40. Schasser, S., Monaro, S., & West, S. (2021). Linking hospital and residential aged care: a nurse-led vascular-geriatric model of care. Contemporary Nurse, 1-11. doi:10.1080/10376178.2021.1991414 41. Taylor, C., Yang, L., Finfer, S., Machado, F. R., YouZhong, A., Billot, L., Hammond, N. E. et al (2021). An international comparison of the cost of fluid resuscitation therapies. Australian Critical Care, 34(1), 23-32. doi:https://doi.org/10.1016/j.aucc.2020.06.001 42. Testa, L., Hardy, J. E., Jepson, T., Braithwaite, J., & Mitchell, R. J. (2021). Comparison of health service use trajectories of residential aged care residents reviewed by a hospital avoidance program versus usual care. Archives of Gerontology and Geriatrics, 93, 104293. doi:https://doi.org/10.1016/j.archger.2020.104293 43. Testa, L., Hardy, J. E., Jepson, T., Braithwaite, J., & Mitchell, R. J. (2021). Health service utilisation and health outcomes of residential aged care residents referred to a hospital avoidance program: A multi- site retrospective quasi-experimental study. Australasian Journal on Ageing. doi:https://doi.org/10.1111/ajag.12906 44. Thillainadesan, J., Aitken, S. J., Monaro, S. R., Cullen, J. S., Kerdic, R., Hilmer, S. N., & Naganathan, V. (2021). Geriatric Comanagement of Older Vascular Surgery Inpatients Reduces Hospital-Acquired Geriatric Syndromes. Journal of the American Medical Directors Association. doi:https://doi.org/10.1016/j.jamda.2021.09.037 45. Thillainadesan, J., Hilmer, S. N., Mudge, A. M., Aitken, S. J., Kearney, L., Monaro, S. R., . . . Naganathan, V. (2021). Understanding the Role and Value of Process Quality Indicators in Older Vascular Surgery Inpatients. Journal of Surgical Research, 267, 91-101. doi:https://doi.org/10.1016/j.jss.2021.05.003 46. Varndell, W., Fry, M., & Elliott, D. (2021). Applying real-time Delphi methods: development of a pain management survey in emergency nursing. BMC Nursing, 20(1), 149. doi:10.1186/s12912-021-00661-9 47. Waird, A., & Monaro, S. (2021). Reducing the incidence and severity of pressure injuries in a high level care residential aged facility: A quality improvement project. Wound Practice and Research, 29(2), 77- 85. 48. Wand, T., Glover, S., & Paul, D. (2021). What should be the future focus of mental health nursing? Exploring the perspectives of mental health nurses, consumers, and allied health staff. International Journal of Mental Health Nursing. doi:10.1111/inm.12947 49. Williams, S., Tsui, D., & Zeppel, M. (2021). 2020 Annual Demographic Survey of Parkinson’s Disease and Movement Disorder Nurse Specialists. 31(1), 15 – 19. doi:https://doi.org/10.21307/ajon-2021-003 50. Wise, S., Duffield, C., Fry, M., & Roche, M. (2021). Nurses' role in accomplishing interprofessional coordination. Lessons in 'almost managing' an emergency department team. J Nurs Manag. doi:10.1111/jonm.13464 51. Wise, S., Duffield, C., Fry, M., & Roche, M. (2021). Nurses' role in accomplishing interprofessional coordination: Lessons in ‘almost managing’ an emergency department team. J Nurs Manag. doi:https://doi.org/10.1111/jonm.13464 52. Wise, S., Duffield, C., Fry, M., & Roche, M. (2021). A team mental model approach to understanding team effectiveness in an emergency department: A qualitative study. Journal of Health Services Research & Policy. doi:10.1177/13558196211031285 53. Yeung, H. Y., Iyer, P., Pryor, J., & Nicholson, M. (2021). Dietary management of neurogenic bowel in adults with spinal cord injury: an integrative review of literature. Disability and Rehabilitation, 43(9), 1208-1219. doi:10.1080/09638288.2019.1652702
Nursing research in profile
Fry M Elliott R Curtis K Fitzpatr ick L Groth R Murphy S Jones K Hofman C 2021 Family members’ perceptions of older person discharge from emergency departments. International Journal of Older Person Nursing 18/01/2021 DOI: 10.1111/opn.12365
Aim
The aim of this study was to explore older people’s family experience of ED discharge practices to inform alternative or innovative new models of care. The design was a multi-centre cohort study involving people aged over 64 years whom account for approximately 20% of emergency adult presentations with up to 60% of patients discharged home from Emergency Departments (ED). Many older people discharged home are supported by family. A convenience sample of family members were recruited from three EDs across Sydney New South Wales. Telephone interviews were conducted over a six-month period.
Results
Interviews were conducted with 133 family members of whom the majority were female (n=80, 60%) with a median age of 70 years (IQR 91-35). The majority (n=129, 97%) of family members reported that they understood the treatment, medical management and perceived that the older person’s condition was well managed (n=119, 86%). The majority (n=114, 86%) of family members reported being informed of the patient’s medical diagnosis and were confident (87%, n=115) to continue care of the older person at home. Over 87% of families were satisfied with care and discharge processes. Yet for some family members (n=40, 30%) the ED experience was not positive with three key themes to emerge from data: i) a sense of time - moving through ED; ii) Giving voice to the impact of clinician communication; and iii) the delivery of comfort and basic care.
Key points
Many family members reported a positive discharge experience, compliance with discharge advice, satisfaction with the emergency experience and were confident to continue home care. Elements of discharge communication, delivery of fundamental care and enduring the ED wait was suboptimal for some family members. Family members can support the discharge process, compliance with discharge advice, and confidence of the older person to better self-manage home care. Elements of discharge communication, delivery of fundamental care and enduring the ED wait was suboptimal for some family members and the older person. Discharge processes need to accommodate the older person with disabilities and/or comorbidities to optimise safety and self-management at home. Optimising authentic engagement with family members and the older person will better optimise health outcomes for those patients discharged home. Discharge practices need to be better communicated between clinical teams to improve efficiency, safety and quality of care.
Has your research recently been published?
We encourage all nurses and midwives to submit details of publications to be showcased in our annual reports and newsletters.
Please click here for guidelines on how to submit these details.
NSLHD Libraries update
Need help with statistics? NSLHD Libraries can help. Here’ s how:
Check out the Statistics Library guide. It will provide you with information to support you in your studies: webinars, resources, and a list of current books on research and statistics. Master classes on statistics are also available. NSLHD Libraries have SPSS (statistical package for the Social Sciences) and have upgraded their subscription from Base version 27 to Standard version 28. The upgrade includes Bayesian statistics, non-linear models and custom tables. SPSS is available on NSLHD Libraries’ computers at all sites. To access the Statistics Library guide log in to Springboard. To set up a Springboard account, go to nslhd.ovidds.com. Login using your Stafflink ID and password, and when prompted, complete the sign- up form.
If you need any further help on statistics, please contact your NSLHD Libraries.
New reports & releases
Australian Institute of Health and Welfare: The Aboriginal and Torres Strait Islander Child Placement Principle Indicators Australia's mothers and babies Australian Burden of Disease Study 2018: Interactive data on disease burden Australian Burden of Disease Study 2018: Interactive data on risk factor burden Australian Burden of Disease Study: Impact and causes of illness and death in Australia 2018 Australian Burden of Disease Study: Impact and causes of illness and death in Australia 2018 - Summary report Australian Burden of Disease Study: Methods and supplementary material 2018 Data update: Short-term health impacts of the 2019 – 20 Australian bushfires GEN Aged Care Data: Younger people in residential aged care
GEN: Department of Health 2020 Aged Care Workforce Census dashboard The health impact of suicide and self-inflicted injuries in Australia, 2019 Maternal deaths Maternity care in Australia: first national report on models of care, 2021 Medicare-subsidised GP, allied health and specialist health care across
local areas: 2019 – 20 to 2020 – 21 Mesothelioma in Australia 2020 Monitoring perpetrator interventions in Australia
National Core Maternity Indicators Palliative care services in Australia Stillbirths and neonatal deaths Suicide and self-harm monitoring – data from suicide registers
Websites & online resources
Bureau of Health Information https://www.bhi.nsw.gov.au/ Grammarly https://www.grammarly.com/ Phases of Clinical Trials http://medicinesaustralia.com.au/issues-information/clinical-trials/ NSW Health Clinical Trial Toolkit https://www.medicalresearch.nsw.gov.au/clinical-trial-toolkit/ Likert scale examples http://www.extension.iastate.edu/ag/staff/info/likertscaleexamples.pdf
Have you received a grant for your research?
We encourage all nurses and midwives to submit details of grant applications (successful and unsuccessful) to be showcased in our annual reports and newsletters.
Please click here for guidelines on how to submit these details.
Do you need help with your statistics?
To make an appointment with the statistician, please email: NSLHD-research@health.nsw.gov.au
Upcoming Conferences
International Mental Health Conference 31 January to 2 February 2022, Gold Coast https://imhconference.com.au/
Australian Primary Health Care Nurses Association Conference Roadshow 1-2 February 2022, Hobart 4-5 February 2022, Gold Coast 7-8 February 2022, Adelaide 11-12 February 2022, Melbourne 18-19 February 2022, Sydney 21-22 February 2022, Canberra 25-26 February 2022, Fremantle https://www.apna.asn.au/education/roadshow
2022 Digital Health Institute Summit 21 – 22 February 2022, Melbourne (& virtual) https://digitalhealth.org.au/institute-summit/ ANZICS/ACCCN Annual Scientific Meeting 27-29 April 2022, Sydney http://intensivecareasm.com.au/
For further information on NSLHD Nursing and Midwifery Research and Practice Development initiatives, please visit our intranet page
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