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
Making nursing work: Developing a national framework for advanced practice in nursing. Advanced practice nursing (APN) is closing service gaps in delivery of health care across a range of settings for an aging population that is increasingly chronically ill. Development of APN has been rapid, resulting in confusion about the role and service potential. The lack of a common meaning of APN is prohibiting effective utilisation of the nursing workforce and causing confusion within nursing, the healt ....Making nursing work: Developing a national framework for advanced practice in nursing. Advanced practice nursing (APN) is closing service gaps in delivery of health care across a range of settings for an aging population that is increasingly chronically ill. Development of APN has been rapid, resulting in confusion about the role and service potential. The lack of a common meaning of APN is prohibiting effective utilisation of the nursing workforce and causing confusion within nursing, the health care industry and the community. The project aims to conduct the first nationwide study of advanced practice nurses, their clinical activities and service patterns. The research aims to develop new knowledge and professional tools and provide an evidence base for nursing workforce reform to meet the imperatives of contemporary health services.Read moreRead less
The impact of adding nursing support workers (assistants in nursing) to patient, nurse and system (ward) level outcomes. This project will identify the impact of adding nursing support workers on outcomes for patients (morbidity, mortality, quality of emotional care); staff (job satisfaction, intention to remain in the job); and the work environment (time spent in patient care, relationships with medical staff, staff experiences, leadership and support of workers).
Reforming healthcare: Nurse Practitioners and workforce redesign. This unique national study investigates the progress, process and outcomes of nurse practitioner service. It brings together peak national nursing organisations and state Chief Nursing Officers and researchers who are known both nationally and internationally for innovative research into nurse practitioner service. It has widespread significance for health service providing an operational platform to implement and evaluate new rol ....Reforming healthcare: Nurse Practitioners and workforce redesign. This unique national study investigates the progress, process and outcomes of nurse practitioner service. It brings together peak national nursing organisations and state Chief Nursing Officers and researchers who are known both nationally and internationally for innovative research into nurse practitioner service. It has widespread significance for health service providing an operational platform to implement and evaluate new roles in health service delivery. It will inform health service modelling, theory building and national strategies to achieve promotion and maintenance of good health. For the first time in the history of Australian health service a new level of provider will be examined close to the point of its inception.Read moreRead less
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
Optimising the residential and community aged care workforce: the evidence-based development of clinical leadership in middle managers in aged care. 1.4% of the Australian workforce is employed in the aged care sector, making a significant contribution to the economy. This study provides evidence-based tools to build management capacity and leadership in aged care, which in turn will improve the quality and effectiveness of the care that has a crucial bearing on the lives of vulnerable older peo ....Optimising the residential and community aged care workforce: the evidence-based development of clinical leadership in middle managers in aged care. 1.4% of the Australian workforce is employed in the aged care sector, making a significant contribution to the economy. This study provides evidence-based tools to build management capacity and leadership in aged care, which in turn will improve the quality and effectiveness of the care that has a crucial bearing on the lives of vulnerable older people in community and residential care. The findings will identify ways to improve aged care workforce retention; and enhance key factors leading to quality care and improved well being of care staff and recipients. This knowledge will contribute to improving the status of aged care related employment; and yield future policy directions that promote effective clinical leadership in aged care. 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.
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.
Improving the quality of nursing care and health outcomes for elderly patients during acute hospitalisation. This study aims to compare the perceptions of nurses, elderly patients and their carers in terms of the nursing needs of elderly hospitalised patients'. It will also investigate reasons for any differences found between expectations and reality of care provided. The significance is that the elderly are the largest consumers of health care yet this is the first collaborative Australian ....Improving the quality of nursing care and health outcomes for elderly patients during acute hospitalisation. This study aims to compare the perceptions of nurses, elderly patients and their carers in terms of the nursing needs of elderly hospitalised patients'. It will also investigate reasons for any differences found between expectations and reality of care provided. The significance is that the elderly are the largest consumers of health care yet this is the first collaborative Australian study to investigate the needs of elderly patients. Expected outcomes are an education program for nurses and the development of evidence-based models of nursing care for elderly patients, increased patient satisfaction and health outcomes. Hospitals ultimately benefit in cost-effectiveness and efficiency.Read moreRead less
Violence in the hospital setting: Testing the predictive validity of a violence assessment tool for nurses. Violence against nurses persists as an ongoing problem in the Australian health care settings. This form of violence negatively impacts on nurses' job satisfaction, performance and productivity, morale, retention and recruitment and may cause physical and/or psychological injury. By developing a violence assessment tool, this project will enable nurses to routinely assess individuals for ....Violence in the hospital setting: Testing the predictive validity of a violence assessment tool for nurses. Violence against nurses persists as an ongoing problem in the Australian health care settings. This form of violence negatively impacts on nurses' job satisfaction, performance and productivity, morale, retention and recruitment and may cause physical and/or psychological injury. By developing a violence assessment tool, this project will enable nurses to routinely assess individuals for potential violence and address the issue before violence occurs. In addition, this project will provide evidence for policy makers and health care professionals to encourage a more pro-active approach to support vulnerable nursing staff against potential violence in the emergency and general ward area.Read moreRead less