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Improving the quality of nursing care and health outcomes for elderly patients during acute hospitalisation. This study aims to compare the perceptions of nurses, elderly patients and their carers in terms of the nursing needs of elderly hospitalised patients'. It will also investigate reasons for any differences found between expectations and reality of care provided. The significance is that the elderly are the largest consumers of health care yet this is the first collaborative Australian ....Improving the quality of nursing care and health outcomes for elderly patients during acute hospitalisation. This study aims to compare the perceptions of nurses, elderly patients and their carers in terms of the nursing needs of elderly hospitalised patients'. It will also investigate reasons for any differences found between expectations and reality of care provided. The significance is that the elderly are the largest consumers of health care yet this is the first collaborative Australian study to investigate the needs of elderly patients. Expected outcomes are an education program for nurses and the development of evidence-based models of nursing care for elderly patients, increased patient satisfaction and health outcomes. Hospitals ultimately benefit in cost-effectiveness and efficiency.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
Establishing Breastfeeding: an analysis of the language and practices used by midwives and lactation consultants when interacting with new mothers. Breastfeeding confers extensive health benefits for infants and women, and social and economic benefits for Australian society. Studies indicate that although 80 to 90 percent of women initiate breastfeeding, approximately 25% cease within the first six weeks. It is estimated that if the prevalence of breastfeeding at three months post-birth increase ....Establishing Breastfeeding: an analysis of the language and practices used by midwives and lactation consultants when interacting with new mothers. Breastfeeding confers extensive health benefits for infants and women, and social and economic benefits for Australian society. Studies indicate that although 80 to 90 percent of women initiate breastfeeding, approximately 25% cease within the first six weeks. It is estimated that if the prevalence of breastfeeding at three months post-birth increased from 60% to 80%, a saving of at least $11.5 million would be made to the Australian health system. This study will provide knowledge about the impact of health professionals' practices on women's infant-feeding decisions, identifying effective components of professional support to inform interventions that increase breastfeeding durationRead 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
Effective management of challenging behaviours in cognitively impaired aged care residents through a research-based nursing care model. Challenging behaviours associated with cognitive impairment, such as screaming and perseveration, marks a decisive turning point in the life situation for an older person, heralding a deterioration in their quality of life and placement in an aged care facility. Staff can promote the residents health and well-being through person-centred care approaches. The stu ....Effective management of challenging behaviours in cognitively impaired aged care residents through a research-based nursing care model. Challenging behaviours associated with cognitive impairment, such as screaming and perseveration, marks a decisive turning point in the life situation for an older person, heralding a deterioration in their quality of life and placement in an aged care facility. Staff can promote the residents health and well-being through person-centred care approaches. The study employs Dementia Care Mapping to achieve these goals for the resident through participatory action research. The expected outcomes are a significant reduction in contextual factors that trigger these challenging behaviours, an improvement in the residents health, well-being and quality of life, and increased knowledge, skills and empowerment in staff.Read moreRead less
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