Northern Sydney Local Health District Nursing & Midwifery Research
Annual Report 2021
Northern Sydney Local Health District
ACKNOWLEDGEMENT OF COUNTRY Northern Sydney Local Health District (NSLHD) would like to acknowledge the Traditional Custodians of the lands on which our health services have been built, the Gaimaraigal, Guringai and Dharug peoples and we honour and pay our respects to their ancestors. NSLHD also acknowledges and pays respects to all Aboriginal and Torres Strait Islander peoples and to Elders past, present and emerging. We acknowledge that past, current and future Aboriginal and Torres Strait Islander peoples are the continuing custodians of this country upon which we live, work and meet and that it is from their blood, courage, pride and dignity that we are able to continue to live, work and meet on this ancient and sacred country.
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CONTENTS
Foreword. ........................................................................................................ 4 2021 at a glance............................................................................................5 Executive summary.....................................................................................6 Authentic consumer engagement..........................................................8 NSLHD strategic priorities......................................................................10 Grants............................................................................................................. 12 Publications.................................................................................................. 14 Presentations and awards.......................................................................18 NSLHD PhD researchers and research student candidates........20 Communication and online resources.................................................22 Researcher education program.............................................................24 Examples of current research studies................................................ 25
NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 3
FOREWORD
The COVID-19 pandemic has been a most challenging time, and it is important to take a moment to consider the significant legacy that nurses and midwives have contributed to globally. In this extraordinary year of the pandemic, nurses and midwives continued to demonstrate dedication, leadership and commitment to supportive environments. We acknowledge many health care workers, including nurses and midwives, have died as a result of their dedication, professionalism, and commitment during this pandemic. We stand united in acknowledgement of them, and mourn their loss. Again, we recognise that nurses and midwives have remained on the frontline of this pandemic as they sought to improve the life experiences and wellbeing of people. Importantly, nurses and midwives have remodelled roles and services to meet the needs of our community whilst supporting diversity, equity and inclusion. The International Council of Nurses selected for 2021 the theme “Nurses: A Voice to Lead”, with a focus on “A Vision for Future Healthcare”. The pandemic has shown how nurses and midwives deal with extensive, ongoing and frequent change. Hence, nurses and midwives were often the first to respond to service demands and, in order to do so, needed to demonstrate effective change management. The NSLHD Nursing and Midwifery Research Annual Report 2021 provides detailed examples of the difference NSLHD nurses and midwives have made during this pandemic. This report highlights how nurses and midwives take opportunities to implement positive change as a moral necessity and have actively challenged everyday practice. During the pandemic nursing and midwifery leadership has conveyed the depths of professionalism, leadership, creativity and commitment which defines their legacy. This report clearly presents how nurses and midwives advance professional practice. Importantly, the report highlights innovative interventions that focus on delivering person-centred care with real time health improvements. Nurses and midwives seek to co-create a health system in which care, resilience and compassion thrive, and where their contribution ensures the safety and wellbeing of patients and staff. This report showcases the international, national and state awards for innovative leadership in re- modelling health services, the publications and grants that profile nurses’ and midwives’ significance on the global stage, and the alignment of projects to meet the strategic aims of the local health district. We present evidence of how nurses and midwives contribute to the interprofessional team, demonstrate collegiality in their work, and contribute to the patient and the health district more broadly. Evidence- based practice demands that nurses and midwives remain curious about practice, and be ready to explore and examine structures, processes, activities and models of care. Nurses and midwives continue to push the boundaries of practice so as to meet changing health service demands while remaining focused on patient safety. The NSLHD Nursing and Midwifery Research Annual Report 2021 highlights professional practice, interprofessional practice, innovation, and leadership. This report provides a record of a legacy for tomorrow. I am proud to be a nurse and to work with you all. Together we can make a quality health difference to our community. Congratulations to all nurses and midwives named in this report, their multidisciplinary teams and project partners whose legacy has expanded the depth and quality of the nursing and midwifery professions’ knowledge, expertise and standing. Please feel free to distribute this report throughout your networks and showcase with pride the difference you and your colleagues make every day.
Ms Claire Harris Director Nursing and Midwifery Northern Sydney Local Health District
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2021 AT A GLANCE
452
76
72
Attended N&M research education program
Peer reviewed publications
Active research studies
29
24
14
National & international conference presentations
Grant applications submitted
Higher Degree Research candidates
10
10
4
Grants awarded totalling $2,046,215
State/national awards & nominations
Books & book chapters
NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 5
EXECUTIVE SUMMARY
The Northern Sydney Local Health District (NSLHD) Nursing and Midwifery Directorate, the NSLHD Nursing and Midwifery Research Centre, and the NSLHD Nursing and Midwifery Research Committee take great pleasure in presenting the Nursing and Midwifery Research Annual Report 2021. There is no doubt that 2021 proved to be another challenging year in which nurses and midwives demonstrated their knowledge, agility and commitment to meet the ongoing issues of the COVID-19 pandemic. In this report nurses and midwives showcase their dedication, leadership and commitment to evidenced based practice, innovation and creativity to meet health service demands. The NSLHD Nursing and Midwifery Research Annual Report 2021 highlights the health outcomes and difference that nurses and midwives are making to the health system, practice and our broader community. The report details nursing and midwifery educational activities, practice development programs and innovative activities and research implemented across our health care systems.
RESEARCH GRANTS There were 10 grants awarded from government and non- government organisations to NSLHD nurses and midwives for $2,046,215.45. In 2021, NSLHD nurses and midwives submitted 24 grant applications. PEER REVIEWED PUBLICATIONS There were 76 peer reviewed publications in which NSLHD nurses and midwives are named lead investigator or co- investigator. The publications frequently involved other health care disciplines and other health districts. Similarly, many of the publications involved key industry partners from the university sector. Frequent partners include: University of Technology Sydney, University of Sydney and University of New South Wales. In addition to the peer reviewed publications, 29 NSLHD nurses and midwives presented their work at either international or national conferences. These events were often multidisciplinary.
RESEARCHER EDUCATION PROGRAM
The education program provided by the NSLHD Nursing and Midwifery Research Centre continues across NSLHD, metropolitan health districts and for university partners. The researcher education program was delivered to 452 participants. The Research Master Classes were provided to 192 participants, including 138 NSLHD staff and 54 external attendees and Higher Degree Research students. The NSLHD Nursing and Midwifery Health Informatics Mentorship Program provided by the NSLHD Nursing and Midwifery Research Centre was completed by 12 nurses. The Clinical Researcher Development Program provided by the NSLHD Nursing and Midwifery Research Centre delivered five study days to 133 NSLHD staff and 5 external attendees. The Practice Inquiry Online Drop-in sessions were attended by 95 NSLHD staff and 15 external attendees. The Health Informatics Mentorship Program was funded by the NSW Ministry of Health Nurse Strategy Reserve ($170,398.00) for 2020-2021. Of note, and despite the challenges presented by the pandemic, we endeavoured to continue meetings and education programs using digital platforms and provided many more individual consultations with the same dedication, leadership and commitment as in past years. Our education attendance metrics continue to demonstrate that the programs are popular and needed.
PEER REVIEWED BOOKS AND BOOK CHAPTERS
NSLHD nurses and midwives were sought for their expertise and knowledge during 2021. Several NSLHD nurses and midwives were lead authors and co-authors for 4 peer reviewed international books or book chapter publications.
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COMMUNICATION AND ONLINE RESOURCES
CURRENT RESEARCH STUDIES There were over 72 research studies conducted by nurses and midwives in progress across the LHD in 2021. Many of the current studies involve collaborations with other health districts. Similarly, many of the studies involve key industry partners from the university sector. Frequent partners include University of Technology Sydney, The University of Sydney, University of New South Wales, and Western Sydney University. During 2021, the provision of education programs and convening meetings was challenging. We provided flexible options for nurses and midwives, and were particularly cognizant of the effect of the pandemic on higher degree research students. COVID-19 delayed study processes and presented additional challenges to all researchers.
The NSLHD Nursing and Midwifery Research Centre intranet page contains a range of self-directed learning opportunities and links to research training resources. These are designed to support and guide NSLHD nurses and midwives to build their knowledge about evidence-based practice (EBP). It is also an ideal place for clinicians who wish to embark on practice inquiry, quality improvement, or research. In addition, a monthly newsletter is disseminated, focused on showcasing nursing and midwifery research activity across NSLHD. The newsletter also provides details of upcoming grants, scholarships, conferences, resources, and researcher tips. RESEARCH DEGREE STUDENTS There were 14 nurses and midwives undertaking higher degrees by research at several universities across Sydney in 2021. The degrees include Master (Research or Philosophy) and PhD (Doctor of Philosophy). To support nurses and midwives undergoing research degrees, the NSLHD Higher Degree Research Network met regularly and was provided with operational support by the Centre.
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AUTHENTIC CONSUMER ENGAGEMENT
MEDICATION SAFETY AND LISTENING TO THE PATIENT Medication safety is a critically important dimension of nursing and midwifery care. NSLHD nurses and midwives support and strive for a culture of safety which underpins excellent quality care. Research projects conducted across NSLHD exemplify this authentically. Specifically, research activities were designed to explore parents’ and/or patients’ perceptions of safety within our organisation. The study providing parent and/or patient perceptions of medication safety is: Elliott R, Fry M, Salter R. Reducing medication administration errors using the behaviour change wheel: The ReMAdE project
‘…and it was the trust in the nurse, not necessarily what they said or did, it was my trust in them that led me to take the medication without a hitch. Oh the hospital, I trust this hospital implicitly and the medical staff so I think a history of getting it right and a history of performance at a level which it has gained my trust has led to that one decision.’ (patient) ‘…the nurse was very professional. She’s a registered nurse, so she’s thoroughly and competently trained. And exhibits a high level of expertise.’ (patient)
‘They also explain usually in front of me they’ll explain what they are doing. What it’s for and why the dose is what it is. So they always include me on what they are doing. Which makes me feel comfortable.’ (parent) ‘So I felt that was a very thorough process with like double checking and cross-checking everything’. I just think it was good that they cross-checked each other’s work. Because I guess they have a lot of different babies, and they are giving a lot of medication. At one stage she had like eight different medications and to make sure that they are given at the right time and at the right amount was kind of, was great to see that someone else was cross-checking it.’ (parent) ‘….the nurses that I have encountered are very thorough, giving me the medications but also hanging around to make sure the medications are taken properly. Right to and it sounds trite to say in some ways but the little container they’ll take it off me and put it in the bin. It’s probably just part of making sure that the medications have been taken properly but it’s also just manners and that makes a lot of points with me.’ (patient)
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NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 9
NSLHD STRATEGIC PRIORITIES
The Nursing and Midwifery Research Annual Report 2021 underpins and supports our NSLHD 2017-2022 strategic priorities. Nurses and midwives are actively involved in research and practice development activities in striving to improve the quality, safety and outcomes for people requiring care within our services. Some examples of projects and/or research studies that address these priorities are listed below.
• Ammit M, Miles N. Nurse-led alcohol clinic: Increasing access to drug and alcohol treatment. • Hammond N. Health related quality of life in septic shock patients at six months: Effect of steroid therapy and underlying illness severity. • Garrett G. An exploration of the nature and experience of female sexuality following spinal cord injury.
Healthy Communities Prevention, early intervention and community development strategies will improve health outcomes
Connected Person-Centred Care People have a good experience of care, which meets their health needs, in partnership with multiple care providers
• Elliott R, Fry M, Salter R. Reducing medication administration errors using the behaviour change wheel: The ReMAdE project. • Baird K, Fry M, McAloon J. Evidence-based, trauma-focused psychological treatment interventions scoping review. • Fry M, Elliott R, Murphy S, Curtis K. The role and contribution of family carers accompanying community-living older people with cognitive impairment to the emergency department: An interview study.
• Elliott R, Fry M. Psychological capital, wellbeing, and patient safety attitudes of nurses and midwives: A cross‐sectional survey. • Fry M, Elliott R, Fitzpatrick L, Warton J, Curtis K. Measuring nurses’ perceptions of their work environment and linking with behaviour change theories and implementation strategies to support evidence based practice change. • Sheppard-Law S, Fry M, Roche M, Debono D, Doab A. Measuring the impact of COVID-19 on nursing practice and wellbeing.
Evidence-Based Decision Making Decisions are made on the basis of best available information and a philosophy of continuous improvement
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• Fry M, Fitzpatrick L, Coates D Harris C, Munroe B. Improving emergency department safety through more consistent early detection and assessment of patient deterioration. • Fry M, Elliott R, Curtis K, Fitzpatrick L, Groth R, Murphy S, Jones K, Hofman C. Family members’ perceptions of older person discharge from emergency departments. • Pilowsky J. Establishing the prevalence of pre-existing mental health disorders in patients admitted to an adult intensive care unit. • Hammond N, Crowe L, Abbenbroek B, Elliott R, Tian D, Donaldson L, et al. Impact of the coronavirus disease 2019 pandemic on critical care healthcare workers’ depression, anxiety, and stress levels. • Fry M, Elliott R. Supporting nurse practitioners, nurses and midwife leaders across NSW to become knowledge brokers and users of health informatics to better build an intelligent and flexible workforce that is focused on safety and person-centred care project. • Fry M, Elliott R, Duncan S. Enabling nurses and midwives to become health informatic knowledge brokers to better build an intelligent and flexible workforce that is focused on safe and person-centred care.
Responsive and Adaptable Organisation Our structure and systems support the delivery of innovative and responsive services in partnership with other providers and our community
Engaged and Empowered Workforce Our staff are confident, capable and committed to the support and delivery of good care every day
NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 11
GRANTS
GRANTS AWARDED 2021 (total $2,046,215.45)
1. Adams J. Maternity antenatal postnatal service ($25,138.00). NSW Ministry of Health Nursing and Midwifery Strategy Reserve Funding; 2021. 2. Baird K, Fry M, McAloon J. Evidence-based, trauma- focused psychological treatment interventions scoping review ($5,000.00). MONDO connecting calibre; 2021. 3. Clark K, Hession A, Ainsworth H. Rage against dying: A pilot study to examine the potential of wearable devices to better understand the experiences of dying patients ($50,000.00). Ramsay Research and Teaching Fund Scheme; 2021. 4. Curtis K, Fry M, Considine J, Shaban R, Alkhouri H, McPhail S, Dinh M, Aggar C, Hughs J, Murphy M. Improving the safety and quality of emergency nursing care. NHMRC Partnership Grant ($1,498.877.45) (total partnership $3,600,000.00). 2021. 5. Donaldson L, Delaney A, Hammond N, Siriwardana A, Venkatesh B, Howe B. Sepsis resuscitation and acute kidney injury: A prospective nested cohort study of acute kidney injury in the ARISE FLUIDS Randomised Controlled Trial ($59,582.00). Ramsay Research and Teaching Fund Scheme; 2021. 6. Fry M, Elliott R. Supporting nurse practitioners, nurses and midwife leaders across NSW to become knowledge brokers and users of health informatics to better build an intelligent and flexible workforce that is focused on safety and person-centred care ($170,398.00). NSW Ministry of Health Nursing and Midwifery Strategy Reserve Funding; 2021. 7. Fry M, Elliott R, Duncan S. Enabling nurses and midwives to become health informatic knowledge brokers to better build an intelligent and flexible workforce that is focused on safe and person- centred care ($118,055.00). NSW Ministry of Health Nurse Strategy Reserve Fund; 2021.
8. Garrett G. An exploration of the nature and experience of female sexuality following spinal cord injury ($4,070.00). Australasian Rehabilitation Nurses’ Association-Lesley Brennan Spinal Rehabilitation Nursing Research Grant; 2021. 9. Hammond N, Wesley S, Donaldson L, Garside T, Stedman W, Bass F, et al. ICU and critically ill COVID-19 patient follow up service ($100,000.00). NSLHD and North Foundation; 2021. 10. Pilowsky J. Establishing the prevalence of pre- existing mental health disorders in patients admitted to an adult intensive care unit ($15,095.00). Ramsay Research and Teaching Fund Scheme; 2021.
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GRANT APPLICATION SUBMISSIONS 2021 – UNSUCCESSFUL (total $4,688,752.56)
1. Curtis K, Fry M, Hughes D, et al. EPIC Patient Care: Implementation evaluation of Emergency nurse Protocols Initiating Care–a multi-site hybrid effectiveness-implementation trial ($499,808.00). NSW Ministry of Health Translational Research Grant Scheme; 2021. 2. Elliott J, Rebbeck T, Gillet M, Peck M, McMahon K, Baille A, et al. Crash reconstruction and the systematic understanding of human health with whiplash ($1,406,408.00). 2021/2022 NHMRC Ideas Grant; 2021. 3. Elliott R. Improving sleep for hospital patients: The sleep assessment feasibility project ($14,424.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarship; 2021. 4. Elliott R, Fry M, Duncan S. Empowering nurses to improve sleep for hospital patients using an electronic record sleep tool: the eMR sleep project ($138,965.00). NSW Ministry of Health Nursing and Midwifery Strategy Reserve Funding; 2021. 5. Fry M. Minimizing harm for patients in the emergency department ($13,920.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarship; 2021. 6. Fry M, Coates D, Elliott R. Improving the nursing care, assessment and management of paediatric septic infants, children and young people (0-16 years) in the emergency department and paediatric ward ($14,432.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarships; 2021. 7. Fry M, Fitzpatrick L, McKee-Hata B, Elliott R. Minimizing harm for patients in the emergency department ($13,920.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarships; 2021. 8. Glover S, Lance A. Physical health teaching series resource kit for mental health drug and alcohol clinicians ($36,503.76). NSW Ministry of Health Nurse Strategy Reserve Fund; 2021. 9. Glover S, Lance A. Mental Health Drug and Alcohol Effective Utilisation of PRN Medication ($42,000.00). NSW Ministry of Health Nursing and Midwifery Strategy Reserve Funding; 2021. 10. Glover S, Paul D, O’Connor M, Lance A. Effective utilisation of PRN medication in mental health inpatient care ($42,221.75). NSW Ministry of Health Nurse Strategy Reserve Funding; 2021.
11. Kang-Breen S. Geriatric Intervention Fast Track Team (GIFTT) for older patients in Ryde Hospital ($15,000.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarship; 2021. 12. Manna M. Active practice education and support in context -Transition to Professional Practice Nurses’ App ($15,000.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarship; 2021. 13. Reilly G, Fry M, Considine J, Curtis K. It’s about time! The Australian Emergency Quality Improvement Project (Aus-EQuIP) ($1,302,554.00). MRFF –Clinician Researchers: Applied Research in Health Grant Opportunity; 2021. 14. Wand T, Derrick K, O’Sullivan M, Green O, Gribble M, Flannagan S, et al. Improving access to therapeutic mental health care in emergency departments ($1,133,596.05). Applied Research in Health Grant Opportunity; 2021.
NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 13
PUBLICATIONS
NSLHD NURSING AND MIDWIFERY PEER REVIEWED PUBLICATIONS (TOTAL 76)
Journal Articles (72) 1. Alhazzani W, Evans L, Alshamsi F, Møller MH, Ostermann M, Prescott HC, et al. Surviving Sepsis Campaign Guidelines on the Management of Adults With Coronavirus Disease 2019 (COVID-19) in the ICU: First Update. Critical Care Medicine. 2021;49(3):e219-e34. 2. Ammit M, Miles N. Nurse-led alcohol clinic: Increasing access to drug and alcohol treatment. Australian Nursing and Midwifery Journal. 2021;27(4):26-9. 3. Arabi YM, Gordon AC, Derde LPG, Nichol AD, Murthy S, Beidh FA, et al. Lopinavir-ritonavir and hydroxychloroquine for critically ill patients with COVID-19: REMAP-CAP randomized controlled trial. Intensive Care Med. 2021;47(8):867-86. 4. Axfors C, Janiaud P, Schmitt AM, van’t Hooft J, Smith ER, Haber NA, et al. Association between convalescent plasma treatment and mortality in COVID-19: a collaborative systematic review and meta-analysis of randomized clinical trials. BMC Infectious Diseases. 2021;21(1):1170. 5. Buckley T. The unique challenge of the nurse- patient in the intensive care. Australian Critical Care. 2021;34(1):1-2. 6. Chenoweth L, Williams A, Fry M, Endean E, Liu Z. Outcomes of Person-centered Care for Persons with Dementia in the Acute Care Setting: A Pilot Study. Clinical Gerontologist. 2021:1-15. 7. Considine J, Fry M, Curtis K, Shaban RZ. Systems for recognition and response to deteriorating emergency department patients: a scoping review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2021;29(1):69. 8. Coyer F, Barakat-Johnson M, Campbell J, Palmer J, Parke RL, Hammond NE, et al. Device-related pressure injuries in adult intensive care unit patients: An Australian and New Zealand point prevalence study. Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses. 2021;34(6):561-8.
9. Curtis K, Kourouche S, Asha S, Considine J, Fry M, Middleton S, et al. Impact of a care bundle for patients with blunt chest injury (ChIP): A multicentre controlled implementation evaluation. PLOS ONE. 2021;16(10):e0256027. 10. Curtis K, Munroe B, Fry M, Considine J, Tuala E, Watts M, et al. The implementation of an emergency nursing framework (HIRAID) reduces patient deterioration: A multi-centre quasi-experimental study. International Emergency Nursing. 2021;56:100976. 11. Curtis K, Sivabalan P, Bedford DS, Considine J, D’Amato A, Shepherd N, Fry M, et al. Treatments costs associated with inpatient clinical deterioration. Resuscitation. 2021;166:49-54. 12. Curtis K, Sivabalan P, Bedford DS, Considine J, D’Amato A, Shepherd N, Fry M, et al. Implementation of a structured emergency nursing framework results in significant cost benefit. BMC Health Services Research. 2021;21(1):1318. 13. Dankiewicz J, Cronberg T, Lilja G, Jakobsen JC, Levin H, Ullén S, et al. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. New England Journal of Medicine. 2021;384(24):2283-94. 14. Dick-Smith F, Power T, Martinez-Maldonado R, Elliott D. Basic Life Support Training for undergraduate nursing students: An integrative review. Nurse Education in Practice. 2021;50:102957. 15. Elliott R, Chawla A, Wormleaton N, Harrington Z. Short-term physical health effects of sleep disruptions attributed to the acute hospital environment: a systematic review. Sleep Health. 2021. 16. Elliott R, Crowe L, Abbenbroek B, Grattan S, Hammond NE. Critical care health professionals’ self-reported needs for wellbeing during the COVID-19 pandemic: A thematic analysis of survey responses. Australian Critical Care. 2021. 17. Elliott R, Mei J, Wormleaton N, Fry M. Interventions for the discharge of older people to their home from the emergency department: a systematic review. Australasian Emergency Care. 2021.
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18. Estcourt LJ, Turgeon AF, McQuilten ZK, McVerry BJ, Al-Beidh F, Annane D, et al. Effect of Convalescent Plasma on Organ Support-Free Days in Critically Ill Patients With COVID-19: A Randomized Clinical Trial. JAMA. 2021;326(17):1690-702. 19. Evans V. Caring for Traumatic Brain Injury Patients: Australian Nursing Perspectives. Critical Care Nursing Clinics of North America. 2021;33(1):21-36. 20. Finfer S, Hammond N, Vijayaraghavan BKT, Ling L, Thwaites L, Abbenbroek B. Critical Care Resources and Disaster Preparedness Survey 2020. medRxiv. 2021:2021.04.08.21254902. 21. Freitas FGR, Hammond N, Li Y, Azevedo LCP, Cavalcanti AB, Taniguchi L, et al. Resuscitation fluid practices in Brazilian intensive care units: a secondary analysis of Fluid-TRIPS. Rev Bras Ter Intensiva. 2021;33(2):206-18. 22. Fry M, Elliott R, Curtis K, Mei J, Fitzpatrick L, Groth R, et al. Family members’ perceptions of older person discharge from emergency departments. International Journal of Older People Nursing. 2021:e12365. 23. Fry M, Elliott R, Murphy S, Curtis K. 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. 2021. 24. Gawthorne J, Fasugba O, Levi C, Mcinnes E, Ferguson C, Mcneil Jj, et al. Are clinicians using routinely collected data to drive practice improvement? A cross- sectional survey. International Journal for Quality in Health Care. 2021;33(4). 25. Goligher EC, Bradbury CA, McVerry BJ, Lawler PR, Berger JS, Gong MN, et al. Therapeutic Anticoagulation with Heparin in Critically Ill Patients with COVID-19. The New England Journal of Medicine. 2021;385(9):777-89. 26. Gordon AC, Mouncey PR, Al-Beidh F, Rowan KM, Nichol AD, Arabi YM, et al. Interleukin-6 Receptor Antagonists in Critically Ill Patients with COVID-19. The New England Journal of Medicine. 2021;384(16):1491-502. 27. Granholm A, Munch MW, Myatra SN, Vijayaraghavan BKT, Cronhjort M, Wahlin RR, et al. Higher vs Lower Doses of Dexamethasone in Patients with COVID-19 and Severe Hypoxia (COVID STEROID 2) trial: Protocol for a secondary Bayesian analysis. Acta Anaesthesiologica Scandinavica. 2021;65(5):702-10. 28. The COVID STEROID 2 Trial Group. Effect of 12 mg vs 6 mg of Dexamethasone on the Number of Days Alive Without Life Support in Adults With COVID-19 and Severe Hypoxemia: The COVID STEROID 2 Randomized Trial. JAMA. 2021;326(18):1807-17. 29. Hammond NE, Bates S. Protecting the role of the intensive care research coordinator during pandemics. Australian Critical Care. 2021;34(2):119.
30. Hammond NE, Crowe L, Abbenbroek B, Elliott R, Tian DH, Donaldson LH, et al. Impact of the coronavirus disease 2019 pandemic on critical care healthcare workers’ depression, anxiety, and stress levels. Australian Critical Care. 2021;34(2):146-54. 31. Hammond NE, Zampieri FG, Garside T, Adigbli D, Di Tanna GL, Cavalcanti AB, et al. Balanced crystalloids compared to normal saline for fluid therapy in critically ill adult patients: Systematic review and meta-analysis protocol. medRxiv. 2021:2021.08.24.21262515. 32. Jackson A, Curtin E, Giddins E, Read-Allsopp C, Joseph A. Connecting With Trauma Patients After Discharge: A Phone Call Follow-Up Study. Journal of Trauma Nursing. 2021;28(3):179-85. 33. Kourouche S, Curtis K, Munroe B, Asha SE, Carey I, Considine J, Fry M, et al. Implementation of a hospital- wide multidisciplinary blunt chest injury care bundle (ChIP): Fidelity of delivery evaluation. Australian Critical Care. 2021. 34. Lawler PR, Goligher EC, Berger JS, Neal MD, McVerry BJ, Nicolau JC, et al. Therapeutic Anticoagulation with Heparin in Noncritically Ill Patients with COVID-19. The New England Journal of Medicine. 2021;385(9):790- 802. 35. Li C, Sotomayor-Castillo C, Nahidi S, Kuznetsov S, Considine J, Curtis K, et al. Emergency clinicians’ knowledge, preparedness and experiences of managing COVID-19 during the 2020 global pandemic in Australian healthcare settings. Australasian Emergency Care. 2021. 36. Lin X. An update on vaginal oestrogen for overactive bladder: reporting the literature. Australian and New Zealand Continence Journal. 2021;27(2). 37. Marsden DL, Boyle K, Jordan L-A, Dunne JA, Shipp J, Minett F, et al. 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. 2021;10(2):e22902. 38. McLean AEB, Webster SE, Fry M, Lau EM, Corte P, Torzillo PJ, et al. Priorities and expectations of patients attending a multidisciplinary interstitial lung disease clinic. Respirology. 2021;26(1):80-6. 39. Merrick E, Busby-Grant J, McKune A, D’Cunha N, Murphy E, Naumovski N, Fry M, et al. Measuring psychological and physiological stress in emergency clinicians. Australasian Emergency Care. 2021;24(1):43- 8. 40. Monaro S, Pinkova J, Ko N, Stromsmoe N, Gullick J. 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. 2021.
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41. Munch MW, Granholm A, Myatra SN, Vijayaraghavan B, Cronhjort M, Wahlin RR, et al. Higher vs lower doses of dexamethasone in patients with COVID-19 and severe hypoxia (COVID STEROID 2) trial: Protocol and statistical analysis plan. Acta Anaesthesiol Scand. 2021;65(6):834-45. 42. Munch MW, Meyhoff TS, Helleberg M, Kjaer MN, Granholm A, Hjortsø CJS, et al. Low-dose hydrocortisone in patients with COVID-19 and severe hypoxia: The COVID STEROID randomised, placebo-controlled trial. Acta Anaesthesiol Scand. 2021;65(10):1421-30. 43. Nahidi S, Sotomayor-Castillo C, Li C, Currey J, Elliott R, Shaban RZ. Australian critical care nurses’ knowledge, preparedness and experiences of managing SARS- COV-2 and COVID-19 pandemic. Australian Critical Care. 2021. 44. O’Regan SA, Ekelund K, Watterson LM. Emotional Activation in Simulation: Measuring the Influence of Participant Roles and Scenario Design. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare. 2021. 45. O’Regan S, Molloy E, Watterson L, Nestel D. ‘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. 2021;7(4):230-8. 46. Parker KJ, Phillips JL, Luckett T, Agar M, Ferguson C, Hickman LD. Analysis of discharge documentation for older adults living with dementia: A cohort study. Journal of Clinical Nursing. 2021;30(23-24):3634-43. 47. Paul D, Glover S, Roche MA, Klarnett K, Chen X, Wall J, et al. Enhancing person-centred care in inpatient mental health settings through supported person-side handover: a multi method study. Contemporary Nurse. 2021:1-12. 48. Pilowsky JK, Elliott R, Roche MA. 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. 2021. 49. Potter JE, Elliott RM, Kelly MA, Perry L. Education and training methods for healthcare professionals to lead conversations concerning deceased organ donation: An integrative review. Patient Educ Couns. 2021. 50. Poudel P, Griffiths R, Arora A, Wong VW, Flack JR, Barker G, et al. Oral Health Status, Knowledge, and Behaviours of People with Diabetes in Sydney, Australia. International Journal of Environmental Research and Public Health. 2021;18(7):3464. 51. Pryor J, Haylen D, Fisher M. Problems people with spinal cord injury experience accessing help with bowel care when hospitalised outside a specialist spinal injury service. Journal of Clinical Nursing. 2021.
52. Pryor J, Haylen D, Fisher MJ. 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. 2021:1-7. 53. Roche MA, Glover S, Luo X, Joyce M, Rossiter C. Extending the role of nursing assistants in mental health inpatient settings: A multi-method study. International Journal of Mental Health Nursing. 2021. 54. Rosina R, McMaster R, Cleary E, Gilbert S, West S, Cleary M. Preparing for the Real World: Clinical Facilitators and Nursing Student Clinical Placements. Issues in Mental Health Nursing. 2021:1-4. 55. Russell S, Ripley V, Elliott R, Barnes C. Patient and nurse perceptions of an innovative TV wellness channel in an acute medical ward: a feasibility study. BMJ Innovations. 2021;7(1):87-94. 56. Saurman E, Allingham S, Draper K, Edwards J, Moody J, Hooper D, et al. Preferred Place of Death-A Study of 2 Specialist Community Palliative Care Services in Australia. Journal of Palliative Care. 2021. 57. Schasser S, Monaro S, West S. Linking hospital and residential aged care: A nurse-led vascular-geriatric model of care. Contemporary Nurse. 2021:1-11. 58. Shehabi Y, Serpa Neto A, Howe BD, Bellomo R, Arabi YM, Bailey M, et al. Early sedation with dexmedetomidine in ventilated critically ill patients and heterogeneity of treatment effect in the SPICE III randomised controlled trial. Intensive Care Medicine. 2021;47(4):455-66. 59. Simpson A, Long D, Fleischmann-Struzek C, Minogue J, Venkatesh B, Hammond NE, et al. Long-Term Functional Outcomes After Sepsis for Adult and Pediatric Critical Care Patients—Protocol for a Systematic Review. Frontiers in Pediatrics. 2021;9. 60. Taylor C, Yang L, Finfer S, Machado FR, YouZhong A, Billot L, et al. An international comparison of the cost of fluid resuscitation therapies. Australian Critical Care. 2021;34(1):23-32. 61. Testa L, Hardy JE, Jepson T, Braithwaite J, Mitchell RJ. 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. 2021;93:104293. 62. Testa L, Hardy JE, Jepson T, Braithwaite J, Mitchell RJ. 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. 2021. 63. Thillainadesan J, Aitken SJ, Monaro SR, Cullen JS, Kerdic R, Hilmer SN, et al. Geriatric Comanagement of Older Vascular Surgery Inpatients Reduces Hospital- Acquired Geriatric Syndromes. Journal of the American Medical Directors Association. 2021.
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64. Thillainadesan J, Hilmer SN, Mudge AM, Aitken SJ, Kearney L, Monaro SR, et al. Understanding the Role and Value of Process Quality Indicators in Older Vascular Surgery Inpatients. Journal of Surgical Research. 2021;267:91-101. 65. Thompson K, Venkatesh B, Hammond N, Taylor C, Finfer S. Sex differences in response to adjunctive corticosteroid treatment for patients with septic shock. Intensive Care Medicine. 2021;47(2):246-8. 66. Thompson KJ, Young PJ, Venkatesh B, Cohen J, Finfer SR, Grattan S, et al. Long-term costs and cost- effectiveness of adjunctive corticosteroids for patients with septic shock in New Zealand. Australian critical care : official journal of the Confederation of Australian Critical Care Nurses. 2021. 67. Varndell W, Fry M, Elliott D. Applying real-time Delphi methods: Development of a pain management survey in emergency nursing. BMC Nursing. 2021;20(1):149. 68. Waird A, Monaro S. Reducing the incidence and severity of pressure injuries in a high level care residential aged facility: A quality improvement project. Wound Practice and Research: Journal of the Australian Wound Management Association. 2021;29(2):77–85. 69. Wand T, Glover S, Paul D. 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. 2021. 70. Williams S, Tsui D, Zeppel M. 2020 Annual Demographic Survey of Parkinson’s Disease and Movement Disorder Nurse Specialists. 2021;31(1):15–9.
71. Wise S, Duffield C, Fry M, Roche M. A team mental model approach to understanding team effectiveness in an emergency department: A qualitative study. Journal of Health Services Research & Policy. 2021. 72. Yeung HY, Iyer P, Pryor J, Nicholson M. Dietary management of neurogenic bowel in adults with spinal cord injury: an integrative review of literature. Disability and Rehabilitation. 2021;43(9):1208-19. Books and Book Chapters (4) 1. Pryor J, Fisher M. Considering the person with disability. In: Crisp J, Douglas C, Rebeiro G, Waters D, editors. Potter & Perry’s Fundamentals of Nursing. 6th ed. Sydney: Elsevier; 2021. p. 1291-312. 2. Pryor J, Fisher M. Rehabilitation Nursing. In: Wilson N, Lewis P, Hunt L, Whitehead L, editors. Nursing in Australia: Contemporary professional and practice insights. London: Taylor & Francis; 2021. p. 170-9. 3. Pryor J, O’Reilly K, Bonser M, McKechnie D, Garrett G. Rehabilitation for the individual. In: Chang E, Johnson A, editors. Chronic Illness and Disability. 4th ed. Sydney: Elsevier; 2021. p. 177-200. 4. Walsh M, Monaro S. Assessment and Management of Patients with Vascular Disorders and Disorders of Peripheral Circulation. In: Cheever K, Hinkle J, Overbaugh K, editors. Brunner & Suddarth Textbook of Medical-Surgical Nursing. 15th ed. Philadelphia: Lippincott; 2021.
NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 17
PRESENTATIONS AND AWARDS
NATIONAL AND INTERNATIONAL CONFERENCE PRESENTATIONS (29)
Oral Presentations (22) 1. Black T, Kannangara L. Workshop: Traumatic dental emergencies in the emergency department. Australian College of Nurse Practitioners National Conference; 3-6 March 2021; QT Hotel, Gold Coast. 2. Campbell P. Introducing a nurse practitioner-led burns and plastics trauma clinic. Australian College of Nurse Practitioners National Conference; 4-6 March 2021; Gold Coast, Australia. 3. Campbell P. Workshop: Management of minor burns in the emergency or outpatient setting. Australian College of Nurse Practitioners National Conference; 4-6 March 2021; Gold Coast, Australia. 4. Davies R, Pilkington D, Frew C. ‘PACING alongside Police’-Northern Sydney Local Health District clinicians’ lived experience. THeMHS Annual Conference; 12-15 October 2021; Melbourne. 5. Evans V. The Neuro Impact of COVID-19. World Federation of Neuroscience Nurses Symposium; 12 February 2021; Virtual event, Sydney. 6. Evans V. COVID-19 International Panel Discussion (Chair). World Federation of Neuroscience Nurses Symposium; 12 February 2021; Virtual event, Sydney. 7. Evans V. Concussion Update. World Federation of Neuroscience Nurses Symposium; 12 February 2021; Virtual event, Sydney. 8. Evans V. International Panel Discussion: Neuro Implications of COVID-19 (Chair) International Neuroscience Nurses Symposium; 12 February 2021; Sydney (virtual). 9. Goldsmith H, Doane M, McCann E, Quilantang M, Quinn J, Prowse M, et al. The preparedness and management of COVID-19 for healthcare workers in Australia. 16th Annual Cleveland Clinic Clinical Nursing Research Conference; 26-27 April 2021; Virtual Event. 10. Hammond N. Invited speaker: Sepsis in India Prevalence Study. Intensive Care Society State of the Conference; 6-8 December 2021. 11. Hammond N. Invited speaker: What went wrong with publishing in COVID-19? CODA Zero LIVE; 16-18 February 2021; Sydney ICC, Sydney. 12. Jala S, Bertmar C, Gray T, Krause M. Impact of post thrombolysis monitoring in the stroke unit on hospital length of stay. Smart Strokes 2021-Australasian Nursing and Allied Health Stroke Conference; 12-13 August 2021; Virtual.
13. Jones K, Best M, Pryor J. What are the most important features of spiritual care training for Australian healthcare professionals? An overview of four influential studies. Spiritual Care in the 21st Century Conference; 20-23 June 2021; Virtual. 14. Macnaught E, Carman K, Paradisis M, Staub E. SOS–Save Our Skin: Reducing the number of PIVC extravasation injuries in NICU. Australian and New Zealand Neonatal Network (ANZNN) Clinical Practice Improvement Conference; 28-29 November 2021; Virtual. 15. Monaro S, Gullick G, West S. Qualitative research: Practical strategies for rigorous data analysis. Australian & New Zealand Society of Vascular Surgery Conference; 9 October 2021; Gold Coast Convention Centre, Broadbeach. 16. Monaro S, Pinkova J, Ko N, Stromsmoe N, Gullick G. What matters in complex wounds: The experience of patients accessing wound services. Wounds Australia Conference; 4 May 2021; Brisbane. 17. Monaro S, Pinkova J, Manewell S, Aitken SJ. Patient reported outcome measure for chronic limb threatening ischaemia. Australian & New Zealand Society of Vascular Surgery Conference; 9 October 2021; Gold Coast Convention Centre, Broadbeach. 18. Pryor J. Using rehab thinking to improve nurse effectiveness across the continuum of care (invited speaker). Middlemore NZ Nursing and Midwifery Symposium: Celebrating Our People; 12 May 2021; Virtual. 19. Pryor J. The role of ARNA in the formalization of rehabilitation as a nursing specialty in Australia (invited speaker) National NZ Neuroscience Nursing Symposium; 13-14 May 2021; Virtual. 20. Pryor J. A few words about rehabilitation nursing from Australia and New Zealand (invited speaker) International Congress of Rehabilitation Nursing; 3 December 2021; Lisbon, Portugal (Virtual). 21. Stavert B, Monaro S, Tienstra L, Naganathan V, Aitken S. The importance of being present: towards an understanding of how patients on haemodialysis view long-term relationships with their treating surgeon. Royal Australian College of Surgeons; 4 November 2021; Sydney. 22. Williams S. Parkinson’s Disease Movement Disorder Nurse Specialist Demographic Survey 2021 Results. Australasian Neuroscience Nurses Association Conference-Movement Disorder Chapter Program; 11 November 2021; Virtual.
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AWARDS AND NOMINATIONS (10) 1. Curtis K, Munroe B, Alkhouri H, Fry M, Murphy M, Shaban R, Considine J, Sivabalan P. ACHS Quality Improvement Awards 2021, Winner: Clinical Excellence and Patient Safety category-“Safer, better emergency nursing care for the Illawarra Shoalhaven Local District with HIRAID: A proven, up-scalable emergency nursing framework”. 2. Evans (Roach) V. Member of the Order of Australia, 2021 Queen’s Birthday Honours, for contribution to neuroscience nursing and professional federations. 3. Fry M. 2021. Winner: Health Dean’s Academic Excellence Award-Research Excellence (Research Leader), University of Technology Sydney Faculty of Health. This award is based on the NHMRC partnership grant for the project grant titled: Improving the safety and quality of emergency nursing care and assessed on its academic merit regarding the science, novelty, amount, potential significance, and grant category. 4. Fry M (co-investigator). ACHS Quality Improvement Awards 2021-Winner: Clinical Excellence and Patient Safety category: Safer, better emergency nursing care for the Illawarra Shoalhaven Local District with HIRAID: a proven, up-scalable emergency nursing framework. 5. Gillett M, Wilks S, Fitzpatrick L, Bowra J, Vassiliadis J, Fry M. (Emergency Department, Royal North Shore Hospital) Finalist: 2021 ANZHFR Golden Hip Award-for being one of the top performing hospitals in caring for patients with a hip fracture. 6. Hammond N, Crowe L, Abbenbroek B, Elliott R, Tian D, Donaldson L, Fitzgerald E, Flower O, Grattan S, Harris R, Sayers L, Delaney A. Winner: Australian Critical Care Gavin Leslie Best Nursing Research Paper Award 2021- 22: Impact of the COVID-19 pandemic on critical care health care workers depression, anxiety, and stress levels. Australian Critical Care. 34:2. 7. Jala S. Stroke Foundation, Stroke Week 2-8 August 2021, second prize-Friends video ($200.00). 8. Jala S. Stroke Foundation, Stroke Week 2-8 August 2021, special mention -F.A.S.T. translation video ($100.00). 9. Jala S. Smart Strokes 2021 Conference, 12-13 August 2021, Winner: Best Acute Nursing Abstract-Sponsored by ASNEN: Impact of post thrombolysis monitoring in the stroke unit on hospital length of stay. 10. Wang J, Ganley H, Hoyle P, Crane J, Grieve F, Duke S, et al. The 24th Annual Australian Council on Healthcare Standards (ACHS) Quality Improvement Awards 2021 -Nominee: “Reducing hypoglycaemia by eating a chocolate elephant”.
Poster Presentations (7) 1. Chu E. Post-vaccination serological outcomes for infants born to women infected with Hepatitis B. The Viral Hepatitis Nurse-Led Models of Care Forum; 29 May 2021; Virtual. 2. Chu E. Post-vaccination serological outcomes for infants born to women infected with Hepatitis B. The 12th Australasian Viral Hepatitis Conference; 30 May to 1 June 2021; Sydney. 3. Ganley H, Elsmore V, Zecchin A, Hoyle P. SPC Traffic Lights: Stop on Green and Go on Red. International Forum on Quality and Safety in Healthcare Australasia; British Medical Journal and Institute for Healthcare Improvement; 8-10 September 2021; Virtual. 4. Pattabhiraman P. Renal patient with cPRA 99.5%: AKX and ABOi transplant experience of the unit. 2021 Renal Society of Australasia (RSA) Annual Conference; 17-19 June 2021; Melbourne. 5. Paul D, Glover S. Supported consumer-side (bedside) handover in mental health inpatient settings. 30th Annual TheMHS Conference: Balancing The System; 9-12 February 2021; Perth virtual conference. 6. Stavert B, Monaro S, Naganathan V, Aitken SJ. Improving patient-centred care of renal access patients through the implementation of an integrated care clinic: An evaluation study. Australian & New Zealand Society of Vascular Surgery; 9 October 2021; Gold Coast Convention Centre, Broadbeach. 7. Stavert B, Monaro S, Naganathan V, Aitken SJ. Improving patient-centred care of renal access patients through the implementation of an integrated care clinic. International Society Health Care Academics; 9 July 2021; Virtual.
NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 19
NSLHD PhD RESEARCHERS AND RESEARCH STUDENT CANDIDATES
NURSE AND MIDWIFE PhD TRAINED RESEARCHERS CONDUCTING PROGRAMS OF RESEARCH IN NSLHD
Professor Margaret Fry –Director Research and Practice Development, Nursing and Midwifery Directorate, Northern Sydney Local Health District and University of Technology Sydney Dr Rosalind Elliott –Clinical Nurse Consultant, Translational Research Co-ordinator, Nursing and Midwifery Directorate, Northern Sydney Local Health District and University of Technology Sydney Associate Professor Michael Roche -Conjoint position Mental Health Drug and Alcohol Nursing, University of Technology Sydney and Northern Sydney Local Health District Associate Professor Julie Pryor –Director Research and Innovation, Royal Rehab and Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney Associate Professor Thomas Buckley –Cardiology, Royal North Shore Hospital and Susan Wakil School of Nursing, The University of Sydney Professor Robyn Gallagher -Professor of Nursing, Northern Precinct Academic Director Nursing and Pharmacy, Charles Perkins Centre, Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney
Associate Professor Murray Fisher –Scholar in Residence, Royal Rehab and Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney Dr Naomi Hammond –Intensive Care Unit Research Nurse Manager, Royal North Shore Hospital; Faculty of Medicine and Health, The University of Sydney Dr Philippa Heighes -Senior Research Fellow/Clinical Research Manager, Northern Clinical School Intensive Care Research Unit, Royal North Shore Hospital and Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney Dr Susan Monaro –Project Manager Skin and Wound Integrated Model of Care, Clinical Governance Directorate, Northern Sydney Local Health District and Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney Dr Duncan McKechnie –Clinical Nurse Consultant, Brain Injury Unit, Royal Rehab and Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney Dr Helen Goldsmith -Clinical Nurse Consultant, Anaesthetic Research, Department of Anaesthesia, Royal North Shore Hospital Dr Robyn Johnston –Clinical Nurse Consultant, Child Youth and Family Health Directorate, Northern Sydney Local Health District
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