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
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
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).
Improving maternal and child health care for women experiencing violence: collaborative development, implementation and effectiveness of a good practice model. Maternal and child health services are universal community-based national services for Australia's mothers and babies. However, they are poorly researched, supported, resourced and lack evidence for managing the challenges of addressing intimate partner violence among their client populations. Partner violence is prevalent in early parent ....Improving maternal and child health care for women experiencing violence: collaborative development, implementation and effectiveness of a good practice model. Maternal and child health services are universal community-based national services for Australia's mothers and babies. However, they are poorly researched, supported, resourced and lack evidence for managing the challenges of addressing intimate partner violence among their client populations. Partner violence is prevalent in early parenthood and imposes a heavy health burden on victims and infants and a significant cost to society. If effective, this innovative model of maternal child health nursing care for abused mothers and infants will inform the enhanced provision of early intervention services nationwide, contribute to community nursing scholarship and give children a healthier start to life.Read moreRead less
Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between ri ....Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between rich and poor and urban and rural populations evident in maternal morbidity and mortality. Results will inform facilitative policies and models of service to optimise safety and increase effectiveness in deployment of human and monetary resources.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
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
Promoting positive perinatal mental health, parenting, cultural and spiritual wellbeing, and resilience in Aboriginal parents in Western Australia. With community engagement, this three year study will use existing and new data to investigate the relationships between selected indicators of perinatal mental health and positive parenting. It will promote positive perinatal mental health, parenting, cultural and spiritual wellbeing, and resilience in young Aboriginal parents in two sites in Weste ....Promoting positive perinatal mental health, parenting, cultural and spiritual wellbeing, and resilience in Aboriginal parents in Western Australia. With community engagement, this three year study will use existing and new data to investigate the relationships between selected indicators of perinatal mental health and positive parenting. It will promote positive perinatal mental health, parenting, cultural and spiritual wellbeing, and resilience in young Aboriginal parents in two sites in Western Australia.Read moreRead less