The Impact Of Electronic Medication Administration Records (e-MAR) On Medication Administration Safety And Nurses' Work
Funder
National Health and Medical Research Council
Funding Amount
$735,675.00
Summary
The demands on health systems, both nationally and internationally, are growing, exacerbated by an ageing population and health workforce shortages. The incorporation of information technology into new health care delivery models promises both improvements in the safety and efficiency of care delivery. Medication errors are one of the most significant safety issues for health care systems. Medication management occupies a significant amount of nurses' time, and is also fraught with error potenti ....The demands on health systems, both nationally and internationally, are growing, exacerbated by an ageing population and health workforce shortages. The incorporation of information technology into new health care delivery models promises both improvements in the safety and efficiency of care delivery. Medication errors are one of the most significant safety issues for health care systems. Medication management occupies a significant amount of nurses' time, and is also fraught with error potential. One-third of all medication errors that cause patient harm arise from medication administration errors (MAEs). Electronic medication administration records (e-MARs) provide the potential to make the administration of medications safer for patients by reducing error rates, and also by allowing nurses to more efficiently manage medication tasks. However there is very limited research from Australia or overseas which has examined whether they computerised system work and in fact reduce error rates or save nurses time. In this project we will conduct prospective, controlled observational studies to determine the effectiveness of an electronic medication administration record (e-MAR) to reduce MAEs and the amount of time nurses spend in the medication administration process. The project will apply innovative data collection tools using PDA software purpose-built for these studies which have undergone extensive pilot testing in clinical settings. The results will have important implications for hospitals across Australia and internationally as they consider the implementation of e-MARs. This research will provide the first comprehensive data of medication administration errors in Australia against which future preventative error strategies can be evaluated. The results will provide the evidence needed to develop recommendations about how to reduce MAEs and improve the design of e-MARs.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE210100391
Funder
Australian Research Council
Funding Amount
$418,228.00
Summary
Reducing Gendered Harm in Involuntary Mental Health Service Provision. Involuntary mental health treatment is often traumatising, with women reporting additional gendered dimensions of harm. Using an action research framework that draws upon the voices of service users, families and professionals, this study aims to develop improved strategies for responding to acute mental distress in women, with a focus on reducing coercion. Expected outcomes include enhanced understandings of the experiences ....Reducing Gendered Harm in Involuntary Mental Health Service Provision. Involuntary mental health treatment is often traumatising, with women reporting additional gendered dimensions of harm. Using an action research framework that draws upon the voices of service users, families and professionals, this study aims to develop improved strategies for responding to acute mental distress in women, with a focus on reducing coercion. Expected outcomes include enhanced understandings of the experiences and impacts of compulsory mental health treatment on women and a co-designed online resource that will support the development of effective, realistic and non-coercive practices in frontline mental healthcare. The project will provide substantial benefits to mental health reform at a national and international level.Read moreRead less
Negotiating Transitions to Retirement. This project will track diverse pathways in work/retirement transitions, by analysing how the present policy mix accommodates shifts in labour markets, demographic shifts and shifts in households and income distributions. Focused on cohorts aged 45 to 64, it firstly analyses national data sets to track the impact of the current policy mix in terms of income security, industrial relations, housing, health, education and training and work/life. Secondly, i ....Negotiating Transitions to Retirement. This project will track diverse pathways in work/retirement transitions, by analysing how the present policy mix accommodates shifts in labour markets, demographic shifts and shifts in households and income distributions. Focused on cohorts aged 45 to 64, it firstly analyses national data sets to track the impact of the current policy mix in terms of income security, industrial relations, housing, health, education and training and work/life. Secondly, it draws on qualitative data to further examine how these transitions are played out. The research will develop a new policy matrix for older workers that addresses risk, social exclusion and social protection.Read moreRead less
How to do more and be more with less? Exploring Paucity Management strategies for resource poor community organisations in NSW. The research will examine the managerial strengths community organisations have developed and specialised to survive and strive under conditions of financial hardship. The aim is to develop a set of management strategies whereby organisations can do better with fewer resources. The concept of 'Paucity Management' will be tested to examine how community organisations can ....How to do more and be more with less? Exploring Paucity Management strategies for resource poor community organisations in NSW. The research will examine the managerial strengths community organisations have developed and specialised to survive and strive under conditions of financial hardship. The aim is to develop a set of management strategies whereby organisations can do better with fewer resources. The concept of 'Paucity Management' will be tested to examine how community organisations can operate with greater efficiency and ethically under such conditions.Read moreRead less
A theoretical framework for elder abuse to guide social work practice. This project aims to develop a theoretical framework to assist health social workers to effectively assess and intervene in elder abuse. Social workers have responsibility in health settings to respond when abuse is noticed. Elder abuse damages trust, increases health costs and hastens death. Improving practice to assist older people who are abused relies on the knowledge, experiences and wishes of older people, social worker ....A theoretical framework for elder abuse to guide social work practice. This project aims to develop a theoretical framework to assist health social workers to effectively assess and intervene in elder abuse. Social workers have responsibility in health settings to respond when abuse is noticed. Elder abuse damages trust, increases health costs and hastens death. Improving practice to assist older people who are abused relies on the knowledge, experiences and wishes of older people, social workers and international experts to provide an effective and efficient theoretical model to address elder abuse.
A new framework will allow practitioners to assist vulnerable older people and improve the quality of their lives. Further, this information will assist the government to address elder abuse in Australia.Read moreRead less
Developing child-centred family and community practice: Listening to boys aged 9-12 with behaviour problems about their social contexts and needs. Children's and family services seek to reduce risks to children and ensure their well-being through holistic, strengths-based, collaborative family and community practice. Yet services remain adult-centric; children are often seen as recipients rather than informants, as targets rather than shapers of change. This study with Anglicare Victoria will ex ....Developing child-centred family and community practice: Listening to boys aged 9-12 with behaviour problems about their social contexts and needs. Children's and family services seek to reduce risks to children and ensure their well-being through holistic, strengths-based, collaborative family and community practice. Yet services remain adult-centric; children are often seen as recipients rather than informants, as targets rather than shapers of change. This study with Anglicare Victoria will examine the contexts, content and effects of professional responses to boys aged 9-12 years with challenging, aggressive behaviour, chiefly through the voices of the boys themselves. Adapting participatory enquiry methods for an unusually young and troubled population, the study aims to better understand their experiences and also to demonstrate opportunities and methods for enhancing children's participation.Read moreRead less
Attracting and Retaining Practitioners in Child and Family Services in Rural Queensland: Generating a Model for Improved Practice. This study examines the problem of recruitment and retention of practitioners working in child and family welfare in rural Queensland. The study has two phases: first to determine the views and experiences of final year social work and human services students about rural practice and second to explore issues for existing child and family practitioners in rural commun ....Attracting and Retaining Practitioners in Child and Family Services in Rural Queensland: Generating a Model for Improved Practice. This study examines the problem of recruitment and retention of practitioners working in child and family welfare in rural Queensland. The study has two phases: first to determine the views and experiences of final year social work and human services students about rural practice and second to explore issues for existing child and family practitioners in rural communities. The study seeks to generate strategies to increase recruitment and retention rates to these positions and to develop a theory of child and family rural practice.Read moreRead less
A framework for adapting child interview protocols in complex cases. This project aims to develop–in collaboration with Aboriginal and other industry co-researchers–a ‘how to’ framework for effectively adapting standard child abuse interview protocols to accommodate the complexities that create barriers to disclosure. Complex cases necessitate interview adaption, but it requires systematic guidance and an interdisciplinary, practitioner-driven approach to be effective. This innovative framework ....A framework for adapting child interview protocols in complex cases. This project aims to develop–in collaboration with Aboriginal and other industry co-researchers–a ‘how to’ framework for effectively adapting standard child abuse interview protocols to accommodate the complexities that create barriers to disclosure. Complex cases necessitate interview adaption, but it requires systematic guidance and an interdisciplinary, practitioner-driven approach to be effective. This innovative framework is expected to have long-term benefits for services that support children’s well-being, through improvements in the quality of evidence underpinning decisions. By enhancing interviewer capability, there will also be fewer cases prematurely exiting the justice system before forensic interview or investigation.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE220100027
Funder
Australian Research Council
Funding Amount
$467,754.00
Summary
Making a life with less: youth underemployment over the life course. This project aims to investigate the experiences and impacts of underemployment on young people. Using high-quality longitudinal data and qualitative interviews, this project expects to generate new, foundational knowledge about the employment pathways young people take following underemployment and the strategies they use to mitigate its effects. In doing so, this project aims to reveal the impacts underemployment has on young ....Making a life with less: youth underemployment over the life course. This project aims to investigate the experiences and impacts of underemployment on young people. Using high-quality longitudinal data and qualitative interviews, this project expects to generate new, foundational knowledge about the employment pathways young people take following underemployment and the strategies they use to mitigate its effects. In doing so, this project aims to reveal the impacts underemployment has on young people’s lives within and outside work, including their relationships, family formation and well-being. This much-needed research aims to provide significant benefits for policymakers and service providers that improve the lives of young people.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE160100333
Funder
Australian Research Council
Funding Amount
$322,294.00
Summary
Is Precarious Employment Reshaping the Lives of Young Adults? This project aims to investigate the impact of the growth of insecure and non-standard employment on the transition to adulthood. It is recognised that precarious employment among young people can influence career outcomes, but very little is known about its impact beyond work. In Australia and other developed countries, many young people are making housing transitions, building relationships and forming attitudes towards work–life–fa ....Is Precarious Employment Reshaping the Lives of Young Adults? This project aims to investigate the impact of the growth of insecure and non-standard employment on the transition to adulthood. It is recognised that precarious employment among young people can influence career outcomes, but very little is known about its impact beyond work. In Australia and other developed countries, many young people are making housing transitions, building relationships and forming attitudes towards work–life–family questions while negotiating complex and insecure employment. This project has the potential to provide new knowledge of the resources that government, educators, and youth service providers should make available to help young people achieve their goals, hence supporting economic participation, social inclusion and quality of life.Read moreRead less