ORCID Profile
0000-0002-3421-4176
Current Organisations
Queensland University of Technology
,
Queensland University of Technology/Royal Brisbane and Women’s Hospital
,
Griffith University
,
Queensland Health
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Publisher: Elsevier BV
Date: 09-2021
Publisher: Elsevier BV
Date: 11-2023
Publisher: Elsevier BV
Date: 02-2020
Publisher: Elsevier BV
Date: 05-2020
Publisher: Elsevier BV
Date: 12-2022
DOI: 10.1016/J.AUEC.2022.05.004
Abstract: Burn injuries are a leading cause of morbidity that can result in devastating disability and poor quality of life for survivors. This systematic review aimed to synthesise evidence regarding the effect of 20 minutes of cool running water (CRW) within three hours of injury on outcomes of patients with thermal burn injuries. This systematic review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Multiple databases (PubMed, EMBASE, CENTRAL, CINAHL Complete via EBSCO, PROQUEST Dissertations and Theses), and the Australia New Zealand Clinical Trial Registry were searched for eligible studies published in English and Chinese, without date restriction. Meta-analyses were undertaken Methodological quality of studies was assessed by using Downs and Black Checklist. Of 323 records, seven studies were included. The majority (67%) of studies were conducted in Australia and New Zealand. The methodological quality was ranked between 'fair' and 'good'. Twenty minutes of CRW within the first three hours of burn injury significantly decreased the odds of patients requiring skin grafting and surgical intervention for wound management. There is considerable evidence suggesting the application of 20 min of CRW within the first three hours of injury improves outcomes for patients with burn injury. Consensus between burn organisations and collaborative efforts to translate evidence into practice are needed to optimise burn first aid care which can improve patient outcomes globally.
Publisher: Wiley
Date: 10-08-2021
Abstract: High‐occupational stress among ED staff has a detrimental impact on both staff wellness and patient care. The objective of the study is to determine whether 4 weeks of smartphone app‐guided mindfulness practice reduces stress levels of ED staff. This two‐arm randomised controlled trial was conducted in two Australian EDs in 2019–2020. Eligible participants were randomly assigned (1:1) to either an App group or a Wait to Treat group to practice daily 10 min app‐guided mindfulness for 4 weeks. Online surveys were collected for both groups at three time periods: before (T1), immediately after (T2) and 3 months after cessation (T3). Then the Wait to Treat group received the same intervention, followed by surveys immediately after the intervention (T4) and 3 months later (T5). Primary outcome was measured using the Perceived Stress Scale. Secondary outcomes were measured using the Maslach Burnout Inventory (three subscales: emotional exhaustion, depersonalisation and personal accomplishment), Mindfulness Attention Awareness Scale and Warwick‐Edinburgh Mental Well‐being Scale. Both intention‐to‐treat and per‐protocol analysis were performed. Repeated measurement data were analysed by the linear mixed model. Of 148 enrolled participants 98 completed all the surveys, but only half (48%) reported continuous use of the app. Based on the results of the intention‐to‐treat analysis, there was a statistically significant improvement of perceived stress levels ( F = 15.70, P 0.001), all three components of burnout (emotional exhaustion [ F = 14.22, P 0.001], depersonalisation [ F = 3.62, P = 0.030], personal accomplishment [ F = 7.51, P 0.001]), mindfulness ( F = 8.83, P 0.001) and wellbeing levels ( F = 10.71, P 0.001) from pre‐intervention to 3 months later with small effect sizes. Results of the present study demonstrate that brief mindfulness training via innovative digital technology had a small positive effect in improving emergency staff stress, burnout, mindfulness and wellbeing.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 28-05-2020
Publisher: University of Queensland Library
Date: 2021
DOI: 10.14264/BC31C8D
Publisher: Elsevier BV
Date: 11-2018
Publisher: Wiley
Date: 03-2020
Publisher: Wiley
Date: 27-03-2023
DOI: 10.1111/JOCN.16671
Abstract: The aim of this study was to critically evaluate implementation frameworks, strategies and/or outcomes used to optimise peripheral intravenous catheter (PIVC) care and/or promote guideline adherence. Although a considerable volume of research has investigated the effectiveness of PIVC interventions and treatments to promote performance and prevent harm, how to best implement this evidence into dynamic clinical settings and populations is not well understood. Implementation science is central to translating evidence‐based knowledge to the bedside however, there is a gap in identifying the best implementation framework, strategies and/or outcomes to optimise PIVC care and/or guideline adherence. A systematic review. The review was conducted using innovative automation tools. Five databases and clinical trial registries were searched on 14 October 2021. Qualitative and quantitative PIVC intervention studies reporting implementation strategies were included in the review. Data were extracted independently by experienced researchers in pairs. The Mixed Method Appraisal tool was used to assess the quality of in idual studies. Narrative synthesis was used to present the findings. The systematic review was reported following the PRISMA checklist. Of 2189 references identified, 27 studies were included in the review. Implementation frameworks were used in 30% ( n = 8) of studies, with most used during the preparation ( n = 7, 26%) and delivery phase ( n = 7, 26%) and then evaluation phase ( n = 4, 15%). Multifaceted strategies were commonly adopted ( n = 24, 89%) to promote PIVC care or study interventions which were clinician ( n = 25, 93%) and patient‐targeted ( n = 15, 56%). The most commonly reported implementation outcomes were fidelity ( n = 13, 48%) and adoption ( n = 6, 22%). Most studies were scored as low quality ( n = 18, 67%). We call for researchers and clinicians to work together and use implementation science frameworks to guide study design, implementation and evaluation in future PIVC studies, to improve evidence translation and thereby improve patient outcomes.
Publisher: Elsevier BV
Date: 09-2019
DOI: 10.1016/J.AUEC.2018.10.005
Abstract: Emergency departments (EDs) are stressful workplaces. Limited research explores components ED staff find stressful and how they cope. The aim of this study is to describe ED staff perceptions of their working environment. A cross-sectional study was undertaken in 2017 in a public, teaching hospital ED situated in an outer-metropolitan low socio-economic area. ED doctors and nurses completed surveys exploring workplace stressors (the ED stressors tool), coping strategies (Jalowiec Coping Scale), and perceptions of the working environment (Working Environment Scale-10). Descriptive and comparative analyses were undertaken. A 40% response rate (161/400) was achieved. Staff reported high workload, moderate self-realisation, and low levels of conflict and nervousness. Heavy workload, poor skill-mix and overcrowding were ranked as high-stress, high-exposure (daily) events. The death or sexual abuse of a child and inability to provide optimal care were ranked highly stressful but infrequent. Coping strategies most often used included: trying to keep life as normal as possible (90%) and considering different ways to handle the situation (89%). Impacts of varying degrees of exposure of this young cohort of staff, with limited experience, to modifiable and non-modifiable stressors highlight site-specific opportunities to enhance staff perceptions of their working environment.
Publisher: Elsevier BV
Date: 2024
Publisher: Wiley
Date: 16-04-2023
Abstract: This study aimed to (i) capture clinicians' knowledge, attitude and adherence to the first Australian national peripheral intravenous catheter (PIVC) Clinical Care Standard, (ii) examine the instrument performance of the knowledge related questions and (iii) explore the educational needs for, and barriers to, Standard adherence among Australian ED clinicians. A cross‐sectional national online survey was conducted from March to June 2022, using a snowball s ling method. The survey used 5‐point Likert scales and multiple‐choice questions to capture respondents' knowledge, attitude and adherence to the Standard as well as the educational needs for, and barriers to, Standard adherence. In total, 433 ED nurses and doctors responded. Although nearly half ( n = 206, 47.6% 95% confidence interval [CI] 55.5–65.8) of respondents claimed that they were unfamiliar with the Standard, questions on PIVC knowledge yielded that most respondents had adequate knowledge of most of the key standards. Respondents' attitudes towards multiple intravenous insertion attempts and ongoing PIVC competency monitoring are not in agreement with the Standard. Self‐reported practices regarding routine insertion of idle catheters (55% 95% CI 49.9–59.9), using antecubital fossa as the first insertion site (84% 95% CI 80–87), insertion without confidence (46% 95% CI 41.2–51.1) and lack of routine reviewing the ongoing needs of PIVC (40% 95% CI 35.3–45.1) were not aligned with the Standard. Unawareness of the Standard and non‐practical recommendations were rated as the top barriers to Standard adherence. The findings of the survey suggest that the Standard may need modification to align with the needs of ED clinicians. Future studies need to explore the applicability and relevancy of some recommendations in the ED settings as they may cause low adherence to the Standard.
Publisher: Elsevier BV
Date: 08-2019
DOI: 10.1016/J.IDH.2019.03.001
Abstract: Evidence-based bundles have reduced central line bloodstream infection rates in adult intensive care units. To tackle peripheral intravenous catheter (PIVC) bloodstream infection, many hospitals have implemented PIVC insertion and maintenance bundles. However, the efficacy of PIVC bundles in preventing PIVC complications and infection in hospital patients is uncertain. The aim of this paper is to synthesize evidence on the effectiveness of PIVC insertion and maintenance bundles on preventing adverse events. In this systematic review, we searched multiple electronic databases, trial registries, and grey literature for eligible studies published in English (January 2000-December 2018) to identify intervention studies evaluating PIVC insertion or maintenance bundles with two or more components. Search terms: peripheral intravenous catheter/cannula, insertion, maintenance, bundle, infection, infiltration, extravasation, dislodgement, thrombosis, occlusion, and phlebitis. Two reviewers independently conducted data extraction and quality assessments using the Downs and Black checklist. Of 14,456 records screened, 13 studies (6 interrupted time-series, 7 before-and-after) were included. Insertion and maintenance bundles included multiple components (2-7 items per bundle). Despite testing different bundles, 12 studies reported reductions in phlebitis and bloodstream infection, and one study reported no change in bloodstream infection and an increase in phlebitis rate. Methodological quality of all studies ranked between 'low' and 'fair'. The effect of PIVC bundles on PIVC complications and bloodstream infection rates remains uncertain. Standardisation of bundle components and more rigorous studies are needed. PROSPERO registration number: CRD42017075142.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 04-2019
DOI: 10.11124/JBISRIR-2017-003955
Abstract: The aim of the review is to synthesize the best available evidence on interventions targeting occupational stress and burnout among emergency department (ED) staff. The specific review questions are:
Location: Australia
Start Date: 2022
End Date: 2023
Funder: Emergency Medicine Foundation
View Funded ActivityStart Date: 2019
End Date: 2020
Funder: Queensland Emergency Medicine Research Foundation
View Funded ActivityStart Date: 2019
End Date: 2021
Funder: Nursing and Midwifery Chief Office
View Funded ActivityStart Date: 2019
End Date: 2020
Funder: Griffith University
View Funded Activity