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
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
Improving Outcome after Stroke through Earlier Rehabilitation: The Very Early Rehabilitation Research Program. Stroke presents a major, growing global public health challenge accounting for 25% of all chronic disability. Treatments that reduce the burden of stroke are urgently needed, and early rehabilitation may significantly reduce chronic disability. A large, high quality, National Health and Medical Research Council funded clinical trial is at the heart of the A Very Early Rehabilitation Tri ....Improving Outcome after Stroke through Earlier Rehabilitation: The Very Early Rehabilitation Research Program. Stroke presents a major, growing global public health challenge accounting for 25% of all chronic disability. Treatments that reduce the burden of stroke are urgently needed, and early rehabilitation may significantly reduce chronic disability. A large, high quality, National Health and Medical Research Council funded clinical trial is at the heart of the A Very Early Rehabilitation Trial (AVERT) program. The trial tests whether a simple, rehabilitation intervention (early and intensive out of bed activity) results in fewer deaths and less disability for stroke sufferers and is cost effective. If effective the intervention could be adopted across different health services both here and overseas, reducing the global burden of stroke.Read moreRead less
Investigating consumer partnerships in the context of complex health service delivery. Whilst increased consumer participation has been demonstrated to improve health outcomes, there has been no translation to people with chronic illness using acute care services. People with chronic conditions represent an increasing proportion of health care consumers and due to the existence of co-morbidities their needs are usually complex. Despite this, they have been marginalised in the current development ....Investigating consumer partnerships in the context of complex health service delivery. Whilst increased consumer participation has been demonstrated to improve health outcomes, there has been no translation to people with chronic illness using acute care services. People with chronic conditions represent an increasing proportion of health care consumers and due to the existence of co-morbidities their needs are usually complex. Despite this, they have been marginalised in the current development of participatory models of service delivery. This project will investigate the determinants of participation for consumers during episodes of acute health care, identify barriers to their participation, and develop testable strategies for increasing effective consumer participation in acute health care services.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).
Economic Modelling of the Nurses' Labour Market in Australia. Nurses play an important role in the health system and help to ensure individuals lead healthier, happier and more productive lives. Devising cost-effective policies to ensure an adequate supply of motivated and productive nurses is crucial in achieving efficiency and equity in the health care system. The results will be used by government to help set optimal pay and conditions for nurses, and to ensure that these are competitive with ....Economic Modelling of the Nurses' Labour Market in Australia. Nurses play an important role in the health system and help to ensure individuals lead healthier, happier and more productive lives. Devising cost-effective policies to ensure an adequate supply of motivated and productive nurses is crucial in achieving efficiency and equity in the health care system. The results will be used by government to help set optimal pay and conditions for nurses, and to ensure that these are competitive with other nurse employers. This will provide a firm evidence-base to reduce nurse shortages and therefore increase the quality of patient care in Australia.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
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
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