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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
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
Preventing Chronic Disease Through Improved Dietary Behaviours: Developing And Implementing A Nutrition Intervention For Patients In Partnership With Practice Nurses (PPPNs) Using The Knowledge To Action Framework.
Funder
National Health and Medical Research Council
Funding Amount
$338,899.00
Summary
This research program will contribute to prevention of chronic diseases by developing and piloting an intervention for use by patients in partnership with Practice Nurses to improve patients’ dietary behaviours. The research program is aligned with the World Health Organization’s commitment to partnering with patients for improved health care, and will result in a better understanding of how Practice Nurses and other health professionals can provide effective, patient-centred nutrition care.
Stepping Up To Insulin: A Cluster Randomised Trial Of Team-based Transition To Insulin In Primary Care For Patients With Poorly Controlled Type 2 Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$796,751.00
Summary
Helping people control their diabetes through the best possible medical care is important. Most people with diabetes eventually need insulin yet this is a step in treatment that is often resisted by patients and GPs. This study will help GPs and Practice Nurses work with patients who have reached this stage make the change to insulin treatment in a safe, effective, convenient and timely way. This will have enormous benefits through reduced diabetes complications and improved quality of life.
CHEST Australia: Reducing Time To Consult In Primary Care With Symptoms Of Lung Cancer.
Funder
National Health and Medical Research Council
Funding Amount
$913,227.00
Summary
Lung cancer is the leading cause of cancer deaths in Australia and the second commonest cause of all deaths in men. Earlier, timely diagnosis could be a critical factor in improving lung cancer outcomes as many people present with late stage disease having had symptoms for a long time. This trial tests a novel nurse-led intervention in general practice aimed at promoting earlier consulting by people at higher risk of lung cancer when they develop chest symptoms.
The Heart of Health Care: Advancing Emotional Well-being, Engagement and Performance in Hospitals. This research will improve our understanding of the drivers of effective health care delivery and will identify practical ways to improve the well-being, performance, retention and engagement of health care professionals and improve patient care, satisfaction and safety. In light of significant staffing shortages of health care professionals, the knowledge created will have substantial benefits in ....The Heart of Health Care: Advancing Emotional Well-being, Engagement and Performance in Hospitals. This research will improve our understanding of the drivers of effective health care delivery and will identify practical ways to improve the well-being, performance, retention and engagement of health care professionals and improve patient care, satisfaction and safety. In light of significant staffing shortages of health care professionals, the knowledge created will have substantial benefits in developing more effective models of quality care. In addition this research will enable health care professionals to build holistic, adaptable and multidisciplinary approaches to patient care in order to ensure a sustainable health care system for the future.Read moreRead less
Quit In General Practice: A Cluster Randomised Trial Of Enhanced In-practice Support For Smoking Cessation
Funder
National Health and Medical Research Council
Funding Amount
$1,117,241.00
Summary
Tobacco smoking remains the most common preventable cause of death and illness in Australia today. Smoking cessation programs are some of the most effective and cost effective strategies that can be undertaken in health care settings, including general practice. This project will test a new approach to supporting smoking cessation in general practice. This involves the practice nurse, GP and Quitline working in partnership to provide a flexible program of suport to meet the needs of smokers.
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
PEACH: Patient Engagement And Coaching For Health: An Intensive Treatment Intervention For Patients With Type 2 Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$304,300.00
Summary
Diabetes care is a partnership between health professionals and patients, but each faces difficulties in optimising medical care. The PEACH study exoplores how practice nurses can work with patients to empower them to manage their own condition and medicines better and be more active in working with their doctor to improve their diabetes control. The study could have important implications for patients and the way Governments fund primary care.
A Model of Integrated Care for Dependant Older People Living in the Community. This research offers significant economic, health and social benefits. Promoting and maintaining good health and ageing well, ageing productively are national priority areas. Case management and telemedicine are both recognised strategies to support chronic disease self-management. Early intervention can offer significant benefits in morbidity and mortality. Enhanced service delivery using an integrated model encompas ....A Model of Integrated Care for Dependant Older People Living in the Community. This research offers significant economic, health and social benefits. Promoting and maintaining good health and ageing well, ageing productively are national priority areas. Case management and telemedicine are both recognised strategies to support chronic disease self-management. Early intervention can offer significant benefits in morbidity and mortality. Enhanced service delivery using an integrated model encompassing general practitioners, practice nurses and community carers, could improve chronic and complex disease management and reduce health costs.Read moreRead less