Improving patient health outcomes in acute care hospital settings using mobile wireless technology and handheld computers. This project will investigate the use of wireless handheld computers, in three acute care clinical units located at Southern Health and the Royal Women's Hospital, to determine the impact on patient safety and quality of care. There is a need for real time point-of-care access (and input) to patient information, nursing reference information, and drug information for nurses ....Improving patient health outcomes in acute care hospital settings using mobile wireless technology and handheld computers. This project will investigate the use of wireless handheld computers, in three acute care clinical units located at Southern Health and the Royal Women's Hospital, to determine the impact on patient safety and quality of care. There is a need for real time point-of-care access (and input) to patient information, nursing reference information, and drug information for nurses in Australian hospitals. This project aims to address this need by providing nurses with wireless handheld access to such resources. This project is extremely significant, as the outcomes will provide nurses, in Australia and overseas, a set of guidelines for managing wireless handheld computers in clinical units, to enhance patient safety and quality of care.Read moreRead less
Translation of evidence into pain management practices in acute care environments. This project addresses the urgent need to reduce the substantial pain experienced by patients following surgery by improving the clinical processes associated with the treatment of pain. Each year in Australia, six million people are admitted to hospital for surgery. A recent review of Australian research has shown that up to 40% of hospitalised surgical patients experience significant pain. Despite the availabili ....Translation of evidence into pain management practices in acute care environments. This project addresses the urgent need to reduce the substantial pain experienced by patients following surgery by improving the clinical processes associated with the treatment of pain. Each year in Australia, six million people are admitted to hospital for surgery. A recent review of Australian research has shown that up to 40% of hospitalised surgical patients experience significant pain. Despite the availability of effective treatment, pain after surgery is often under-treated and is one of the main postoperative adverse outcomes. A consequence of poor pain management is that patients experience unnecessary suffering, higher incidence of postoperative complications significant risk of developing chronic post-surgical pain.Read moreRead less
Patient and nurse outcomes and the cost of nurses' turnover in Australian hospitals. An adequate supply of nurses is fundamental to all of the National Health Priority disease areas where quality care cannot be delivered without an adequate number of motivated nurses. Designing cost-effective methods of retaining nurses requires understanding reasons why they leave the workforce and the impact this has on patient care and system costs. The findings will assist policy makers and workforce planner ....Patient and nurse outcomes and the cost of nurses' turnover in Australian hospitals. An adequate supply of nurses is fundamental to all of the National Health Priority disease areas where quality care cannot be delivered without an adequate number of motivated nurses. Designing cost-effective methods of retaining nurses requires understanding reasons why they leave the workforce and the impact this has on patient care and system costs. The findings will assist policy makers and workforce planners at both local and national levels, to design strategies to effectively recruit and retain nurses as demands for health care and market competition for staff both increase.Read moreRead less
Listen to me, I really am sick! Understanding patient and family perspectives in triggering responses to medical emergencies. This project investigates whether patient and family perspectives are treated as evidence of a deteriorating health state whilst in hospital. Recommendations from this study will inform the development of patient centred strategies to reduce delays in clinician response to physiological deterioration and improve patient safety in hospitals.
Evaluating the feasibility and effect of using a hospital wide coordinated approach to introduce evidence-based changes for pain management. This project will develop a comprehensive educational program and approach to pain management for public and private hospitals that could be used by other hospitals elsewhere. An educational program for hospitals staff, and specifically for Pain Resource Nurses, will be produced. This project has the potential to minimise the experience of pain and prevent ....Evaluating the feasibility and effect of using a hospital wide coordinated approach to introduce evidence-based changes for pain management. This project will develop a comprehensive educational program and approach to pain management for public and private hospitals that could be used by other hospitals elsewhere. An educational program for hospitals staff, and specifically for Pain Resource Nurses, will be produced. This project has the potential to minimise the experience of pain and prevent widespread complications associated with pain for all hospitalised patients, irrespective of diagnosis or reason for admission. It is also envisaged that this project will establish a model of change that could be used to facilitate evidence-based practice in other aspects of healthcare apart from pain.Read moreRead less
A prospective evaluation of the impact of the nurse practitioner role on emergency department service and outcomes. The local hospital emergency department (ED) is a prominent and highly utilised service in Australian communities but demand on EDs is increasing, resulting in significant service delays. This project will study the composition of ED clinical teams around Australia and their impact on improving the timeliness and quality of emergency clinical care.
Developing nurses' work as a learning practice. Innovative models of clinical experience are required to enhance the professional learning, ongoing development and retention of nursing students and experienced nurses who support their development. This project directly addresses this need through developing and appraising a model of practice-based learning and participation that reciprocally develops both novice and experienced nurses' capacities and identities. The project can potentially infor ....Developing nurses' work as a learning practice. Innovative models of clinical experience are required to enhance the professional learning, ongoing development and retention of nursing students and experienced nurses who support their development. This project directly addresses this need through developing and appraising a model of practice-based learning and participation that reciprocally develops both novice and experienced nurses' capacities and identities. The project can potentially inform the practices within both tertiary and healthcare organizations about an innovative approach to address issues impacting on the national workforce of nursing and provide a significant contribution to enhancing the knowledge and understanding of the nursing practices within healthcare. Read moreRead less
Using an audit with feedback knowledge translation intervention to promote safety and quality in health care. This project will refine, and assess the utility of, a tailored audit with feedback intervention to promote reporting of medication errors in the acute care setting. The project aim is to produce an intervention that has utility, is effective in promoting medication error reporting, and has potential for adaptation to other settings and areas of clinical risk.
Developing Evidence-Based Workforce Models for Nursing Services in Acute Care Hospitals. Nursing shortages and increasing patient demand and acuity are influencing the capacity of the health system to deliver quality nursing care. The aims of this study are to document the current activities undertaken by differing levels of nursing staff in hospitals and develop evidence-based guidelines for future service delivery. Using Work Sampling, current activities will be documented then Critical Incide ....Developing Evidence-Based Workforce Models for Nursing Services in Acute Care Hospitals. Nursing shortages and increasing patient demand and acuity are influencing the capacity of the health system to deliver quality nursing care. The aims of this study are to document the current activities undertaken by differing levels of nursing staff in hospitals and develop evidence-based guidelines for future service delivery. Using Work Sampling, current activities will be documented then Critical Incident Technique will capture key contextual data and strategies for workforce redesign. Focus groups with health professionals and an Expert Advisory Panel will further develop these strategies f and establish evidence-based policy, professional and organisational guidelines for the delivery of nursing services in hospitals.Read moreRead less
Developing a Model of ICU Transition Care; Enhancing Services, Enabling Nurses, Empowering Patients. The transition from the Intensive Care Unit (ICU) to the ward is traumatic for patients and families and difficult for ward nurses. Using focus groups and an intervention study, this research will develop and evaluate a model of ICU transition care and demonstrate the extent to which appropriate transition care improves a variety of outcomes for patients, families and staff. We anticipate that t ....Developing a Model of ICU Transition Care; Enhancing Services, Enabling Nurses, Empowering Patients. The transition from the Intensive Care Unit (ICU) to the ward is traumatic for patients and families and difficult for ward nurses. Using focus groups and an intervention study, this research will develop and evaluate a model of ICU transition care and demonstrate the extent to which appropriate transition care improves a variety of outcomes for patients, families and staff. We anticipate that this model will influence practice and policy decisions and be useful in other setting and with other groups who face life transitions such as the military, corrective care and rehabilitation.Read moreRead less