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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
Improving safety and quality: psychosocial influences of managing medicines by consumers with chronic health problems. Many Australians have multiple chronic conditions that require complex prescribed medicine regimens to control symptoms and prevent further illness. Long-term health outcomes depend on how well consumers manage their medicines. This project will contribute to the development and evaluation of a medicine self-management training package to help consumers understand and manage the ....Improving safety and quality: psychosocial influences of managing medicines by consumers with chronic health problems. Many Australians have multiple chronic conditions that require complex prescribed medicine regimens to control symptoms and prevent further illness. Long-term health outcomes depend on how well consumers manage their medicines. This project will contribute to the development and evaluation of a medicine self-management training package to help consumers understand and manage their complex medication regimens. Optimal medicine self-management improves the consumer's general wellbeing and benefits the Australian community through promoting good health and reducing health care costs.Read moreRead less
Special Research Initiatives - Grant ID: SR0566924
Funder
Australian Research Council
Funding Amount
$52,825.00
Summary
Develop and pilot an e-cohort research technique for longitudinal studies using multiple international cohorts. The aim of this project is to develop and pilot an e-cohort research methodology suitable for longitudinal studies with multiple international cohorts. Historically, studies of this nature are expensive as they are conducted in traditional paper-based mode and the studies are therefore confined to one country. Population-based epidemiological studies of this type have led to major scie ....Develop and pilot an e-cohort research technique for longitudinal studies using multiple international cohorts. The aim of this project is to develop and pilot an e-cohort research methodology suitable for longitudinal studies with multiple international cohorts. Historically, studies of this nature are expensive as they are conducted in traditional paper-based mode and the studies are therefore confined to one country. Population-based epidemiological studies of this type have led to major scientific advances in global health for the last sixty years. Developing and employing e-research techniques in longitudinal studies will significantly reduce the costs of this important research and enable multi-national cohorts of participants that will result in high quality research.Read moreRead less
A compartive study of an education intervention to promote family involvement in residential dementia care. This study aims to test a collaborative model of care for nursing home residents with irreversible dementias. The Family involvement in care (FIC) model aims for family caregiver(s) and nurses to participate in ongoing negotiation and establishment of a partnership of cooperative role relationships. The intervention aims to reduce stressors for family and staff caregivers along the course ....A compartive study of an education intervention to promote family involvement in residential dementia care. This study aims to test a collaborative model of care for nursing home residents with irreversible dementias. The Family involvement in care (FIC) model aims for family caregiver(s) and nurses to participate in ongoing negotiation and establishment of a partnership of cooperative role relationships. The intervention aims to reduce stressors for family and staff caregivers along the course of the deteriorating dementing illness, and to illuminate nursing interventions that relieve stress and increase positive attitudes. The research has the potential to inform evidence-based dementia care and to improve staff retention.Read moreRead less
Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic ....Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic wounds are associated with significant hidden burdens on the community resulting from loss of mobility, decreased functional ability, social isolation and loss of participation in the workforce/society. This study will provide much needed information on management of this chronic disease to promote improved quality of life, health and independence in this population.Read moreRead less
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
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
Enhancing the health, wellbeing, job satisfaction and retention of hospital-based registered and enrolled nurses working shiftwork. The aim of this research is to use Shiftwork, Stress, Social Identity and Communication Accommodation Theories to develop and apply a theoretical framework to the hospital-based nursing sector that explains the current turnover crisis through an examination of the relationships between work environment factors, health, wellbeing, job satisfaction and voluntary turno ....Enhancing the health, wellbeing, job satisfaction and retention of hospital-based registered and enrolled nurses working shiftwork. The aim of this research is to use Shiftwork, Stress, Social Identity and Communication Accommodation Theories to develop and apply a theoretical framework to the hospital-based nursing sector that explains the current turnover crisis through an examination of the relationships between work environment factors, health, wellbeing, job satisfaction and voluntary turnover intention. Then, to use this framework to develop an intervention strategy that incorporates the individual, dyadic, intergroup and organisational levels that will improve individual, team and organisational functioning thereby creating a more supportive working environment that will increase health, wellbeing, job satisfaction and lessen turnover.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
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