Person-centred Environment And Care For Residents With Dementia: A Cost-effective Way Of Improving Quality Of Life And Q
Funder
National Health and Medical Research Council
Funding Amount
$1,548,805.00
Summary
Improving the quality of life (QOL) and quality of care for persons with dementia are important areas of Australian health research. A growing body of evidence shows that QOL in dementia can be improved by relatively simple and inexpensive modifications to nursing care practices and the physical environment. Most studies in these areas are observational, few have utilized a randomized control group design, and none has included economic evaluation. This study will address these deficiencies. Thi ....Improving the quality of life (QOL) and quality of care for persons with dementia are important areas of Australian health research. A growing body of evidence shows that QOL in dementia can be improved by relatively simple and inexpensive modifications to nursing care practices and the physical environment. Most studies in these areas are observational, few have utilized a randomized control group design, and none has included economic evaluation. This study will address these deficiencies. This is the first time that a randomized controlled trial of Person-Centred Care (PCC) and Person-Centred Environment Design (PCD) will be undertaken. The study will be conducted in 40 residential aged care services in New South Wales, to determine the efficacy and cost effectiveness of implementing PCC and PCD separately, and in combination, in improving resident quality of life and quality of care.Read moreRead less
Adequate nutrition is necessary for recovery from illness. 30-40% of hospitalised patients may be malnourished. The critically ill are at higher risk because of increased energy requirements yet often receive less than 50% of required nutritional intake. Adequate nutrition therapy is associated with improved patient outcomes, such as reduced mortality and reduced infectious complications. Robust strategies to implement of evidence-based recommendations for nutrition therapy are required.
Telehealth In Residential Aged Care Facilities: Improving Access To Specialist Care
Funder
National Health and Medical Research Council
Funding Amount
$972,606.00
Summary
People in long term residential care have complex and chronic care issues. The staff may be able to provide more focused care if they have the support of specialists for advice on the care of residents. This project considers the value of a geriatric specialist assessment for all new residents via video conferencing, directly to the residential care facility. This will be supplemented by access to a wide range of other specialists coordinated through a telehealth service model on an "as needs" b ....People in long term residential care have complex and chronic care issues. The staff may be able to provide more focused care if they have the support of specialists for advice on the care of residents. This project considers the value of a geriatric specialist assessment for all new residents via video conferencing, directly to the residential care facility. This will be supplemented by access to a wide range of other specialists coordinated through a telehealth service model on an "as needs" basis.Read moreRead less
Client Centred Palliative Rehabilitation: An Evaluation Of Its Efficacy
Funder
National Health and Medical Research Council
Funding Amount
$90,570.00
Summary
�I don�t want to sit here waiting to die�. Many people towards end of life want their palliative care to continue to be rehabilitative as well as supportive, yet no study to formally evaluate the effectiveness of a patient-centred palliative rehabilitation program has been conducted in Australia. This study aims to identify patient and carer-centred rehabilitation goals such as independence in self care, and develop, trial and evaluate a rehabilitation program to address these goals. The program ....�I don�t want to sit here waiting to die�. Many people towards end of life want their palliative care to continue to be rehabilitative as well as supportive, yet no study to formally evaluate the effectiveness of a patient-centred palliative rehabilitation program has been conducted in Australia. This study aims to identify patient and carer-centred rehabilitation goals such as independence in self care, and develop, trial and evaluate a rehabilitation program to address these goals. The program would be transfer stage conditions such as cancer, cardiac or renal failure.Read moreRead less
Enhancing moral care and quality of life in people with dementia. This research explores largely unknown quality of life experiences of persons living with dementia in residential aged care, and therefore factors that may promote well being, longevity, meaning, family and social coherence. The research will result in new knowledge for a model of care that is truly person-centred and will inform health, ageing and education policy, as well as an enlarged and clearer role function for caregivers. ....Enhancing moral care and quality of life in people with dementia. This research explores largely unknown quality of life experiences of persons living with dementia in residential aged care, and therefore factors that may promote well being, longevity, meaning, family and social coherence. The research will result in new knowledge for a model of care that is truly person-centred and will inform health, ageing and education policy, as well as an enlarged and clearer role function for caregivers. The solution focused model of dementia care is likely to also have positive effects on staff satisfaction and result in improved recruitment and retention. Read moreRead less
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
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
A Telehealth Mediated Nursing Intervention (PRISMS) To Enable Patient Monitoring And Self-care In Haematological Cancer Patients: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$936,632.00
Summary
People with cancer are required to monitor and to initiate self care activities to manage side effects at home. In haematological cancer patients these side effects are often severe and life-threatening. Safe home care requires close communication with the health team. We will test if a mobile phone based system can: support patients to monitor their side effects; promote the delivery of evidence based self care advice in a timely manner; and mediate the role of nurses to effectively provide rea ....People with cancer are required to monitor and to initiate self care activities to manage side effects at home. In haematological cancer patients these side effects are often severe and life-threatening. Safe home care requires close communication with the health team. We will test if a mobile phone based system can: support patients to monitor their side effects; promote the delivery of evidence based self care advice in a timely manner; and mediate the role of nurses to effectively provide real-time patient support.Read moreRead less