Describing transition for people living with chronic illness. Our primary aim is to explore transition for people living with chronic illness. Understanding the nature of transition places health care professionals in an excellent position to assist the person living with chronic illness. This is important given that chronic illness has been acknowledged as the prime health concern of this era. We explore, how individuals living with chronic illness make sense of "becoming ordinary" rather than ....Describing transition for people living with chronic illness. Our primary aim is to explore transition for people living with chronic illness. Understanding the nature of transition places health care professionals in an excellent position to assist the person living with chronic illness. This is important given that chronic illness has been acknowledged as the prime health concern of this era. We explore, how individuals living with chronic illness make sense of "becoming ordinary" rather than "being ordinary", exploring how they give meaning to their sense of self and their sense of self capacity. As an interactive participatory action research program with 200 participants, we will validate the emerging transition thesis collaboratively. Resultant action has the potential to enhance participant's lives, foster collective community development, inform health care practice and advance theoretical debates.Read moreRead less
Educating for health service reform: clinical learning, governance, and capability. The nurse practitioner is a rapidly growing, advanced practice nursing role with excellent client acceptability. This project will develop specialty competencies and a clinical learning and teaching framework that will be relevant for both nurses and other health professionals.
The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chro ....The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chronic disease care rather than a general practitioner. Our strategy involves collaboration with health providers, stakeholders and consumers to help achieve this by providing patient education and disease management through a registered nurse in general practice.Read moreRead less
Preventing hospital readmissions and loss of functional ability in high risk older adults: A randomised controlled trial. Older people have higher rates of hospital admission and readmission due to complications and falls. During hospitalisation, many older people experience functional decline which impacts on their future independence. Acute hospital services comprise the largest section of health expenditure in Australia, costing $26,413 million/year. Prevention or delay of disease is known to ....Preventing hospital readmissions and loss of functional ability in high risk older adults: A randomised controlled trial. Older people have higher rates of hospital admission and readmission due to complications and falls. During hospitalisation, many older people experience functional decline which impacts on their future independence. Acute hospital services comprise the largest section of health expenditure in Australia, costing $26,413 million/year. Prevention or delay of disease is known to produce more effective use of services. This study will compare the effectiveness of innovative strategies to prevent deconditioning, functional decline and hospital readmissions. Comparative analysis of these strategies will provide information with potential to reduce costs whilst improving functional status, psychosocial well-being and independence in older peopleRead moreRead less
Factors influencing learning in healthcare: reframing a conceptual model on workplace learning. This project will reframe a conceptual model on workplace learning in healthcare environments. The model will provide a more sustainable and innovative approach to teaching and learning for health professionals in this complex socio-cultural work environment.
Understanding the Labour Market for Professional Nurses: An Economic Analysis of Skill Shortages, Nurse Retention and Turnover. There is currently a worldwide shortage of nurses. This shortage is particularly acute in a number of publicly dominated health care systems including the Australian, British and Canadian systems. Given that nurses are a key input in the production of health care and therefore health, the need to address this issue by increasing the number of school-leavers entering the ....Understanding the Labour Market for Professional Nurses: An Economic Analysis of Skill Shortages, Nurse Retention and Turnover. There is currently a worldwide shortage of nurses. This shortage is particularly acute in a number of publicly dominated health care systems including the Australian, British and Canadian systems. Given that nurses are a key input in the production of health care and therefore health, the need to address this issue by increasing the number of school-leavers entering the profession and/or improving the retention of training nurses is of paramount importance. This project will use high quality cross-sectional and longitudinal data on nurses to provide a detailed investigation of the retention and turnover behaviour of nurses and inform the policy debate.Read moreRead less
Sonification and Multiple-Patient Monitoring. Auditory alarms on medical equipment are meant to save lives. If there are too many nuisance alarms, though, staff become unresponsive to all alarms: this is "alarm fatigue". Alarm fatigue can lead to patient harm or even death, particularly if staff must divide their attention across multiple patients. This project conjectures that a form of auditory display called sonification might be extended to multiple-patient monitoring. In a series of three s ....Sonification and Multiple-Patient Monitoring. Auditory alarms on medical equipment are meant to save lives. If there are too many nuisance alarms, though, staff become unresponsive to all alarms: this is "alarm fatigue". Alarm fatigue can lead to patient harm or even death, particularly if staff must divide their attention across multiple patients. This project conjectures that a form of auditory display called sonification might be extended to multiple-patient monitoring. In a series of three studies this project will develop and test novel sonifications for remote monitoring of multiple patients. It also tests whether a head-worn display unit can help staff orient auditory attention effectively across multiple patients without distracting from current tasks. Outcomes will offer solutions to alarm fatigue.Read moreRead less
Patients' preference for participation in patient safety activities. This study will identify patient and nurse perceptions of involving patients in patient safety activities. Priorities for implementing strategies to support patient participation in patient safety activities will be identified, which will influence both health policy and practice.
Comprehensive discharge-planning and in-home follow-up for older adults incorporating exercise strategies to avoid de-conditioning and reduce risk of hospital re-admission. Older people have significantly higher rates of hospital admission and length of stay than the general population and higher rates of hospital re-admission due to complications and falls. During hospitalisation, older people experience significant functional decline which impacts on their future levels of independence and qua ....Comprehensive discharge-planning and in-home follow-up for older adults incorporating exercise strategies to avoid de-conditioning and reduce risk of hospital re-admission. Older people have significantly higher rates of hospital admission and length of stay than the general population and higher rates of hospital re-admission due to complications and falls. During hospitalisation, older people experience significant functional decline which impacts on their future levels of independence and quality of life. This research aims to design, deliver and evaluate an innovative model of discharge planning and in-home exercise-based follow-up for community-living frail older people at high risk of hospital re-admission as a means of promoting health. Results should delay occurrence of disease, reduce re-admissions, and improve functional status, psycho-social well-being and patient satisfaction.Read moreRead less
The training and job decisions of nurses: an integrated approach using panel surveys and dynamic discrete choice experiments. The nursing shortage in Australia is considered to be at crisis stage. The results of this study will lead to improved recruitment and retention of students in nursing, improved retention of new nurses in the health workforce, better design of nursing roles and job structure, and testing of the acceptability of changed health service delivery models. It will also lead to ....The training and job decisions of nurses: an integrated approach using panel surveys and dynamic discrete choice experiments. The nursing shortage in Australia is considered to be at crisis stage. The results of this study will lead to improved recruitment and retention of students in nursing, improved retention of new nurses in the health workforce, better design of nursing roles and job structure, and testing of the acceptability of changed health service delivery models. It will also lead to better health workforce planning. The study directly contributes to filling the gaps in health labour force quantitative studies identified in a recent Productivity Commission Report, and provides a basis for the implementation of the Commission's recommendations.Read moreRead less