ORCID Profile
0000-0003-4494-2254
Current Organisations
University of Wollongong
,
Queensland University of Technology
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Elsevier BV
Date: 10-2021
Publisher: Springer Publishing Company
Date: 16-03-2020
Abstract: Electronic Health Records (EHRs) have been widely adopted in US hospitals. EHRs have changed workflow and time allocation and have broad impacts on staff. We adapted an existing instrument to measure nurses' perceptions of a newly adopted EHR. The 11-item survey was administered to approximately 500 registered nurses in a mid-sized regional hospital in western US, with 153 responses received. Exploratory factor analysis (EFA) assessed the factor structure and Cronbach's α estimated internal consistency. A 3-factor model was retained through the EFA, and items were internally consistent (Cronbach's alpha for each subscale .80). Survey adaptation was iterative and resulted in a psychometrically sound and thematically relevant measure of nurses' EHR perceptions. Next steps include further psychometric evaluation and testing with additional s les.
Publisher: Elsevier BV
Date: 10-2018
Publisher: Springer Publishing Company
Date: 18-02-2021
Abstract: The Nurses' Perceptions of Electronic Documentation (NPED) scale assesses nurses' perceptions, attitudes, and use of electronic documentation in acute care settings. However, confirmatory factor analysis of the scale had not been conducted. This article describes a confirmatory factor analysis of the NPED scale. An 11-item survey was implemented in a cross-sectional s le of 202 registered nurses in a large tertiary hospital in Australia. Confirmatory factor analysis was used to assess validity and reliability was determined by Cronbach's α coefficients. Confirmatory factor analysis generated an excellent model-data fit for a two-factor model. All item-factor loadings were statistically significant and substantial. The NPED scale is a robust instrument to measure nurses' perceptions of the utility of and concerns about the electronic medical record in practice.
Publisher: SAGE Publications
Date: 29-11-2018
Abstract: The study describes the implementation and adaptation of a brief intervention model as routine clinical practice in an acute care service. An action research process informed the evaluation and design of the intervention. The model’s theoretical framework enhanced clinical practice and benefited consumers, though it was too rigid to be implemented in an acute care setting, so was adapted to suit this environment. This paper highlights the value in realigning practice with fundamental engagement principles to improve practice outcomes.
Publisher: Elsevier BV
Date: 10-2018
Publisher: Frontiers Media SA
Date: 12-2020
Abstract: Objectives: To evaluate the efficacy of a brief tailored non-pharmacological intervention comprising breathing retraining and psychosocial support for managing dyspnea in cancer patients. Design: Multicenter, single blinded, parallel group, randomized controlled trial. Setting: Four major public hospitals, Brisbane, Australia. Participants: One hundred and forty four cancer patients, including 81 who received an 8-week tailored intervention and 63 who received standard care. Inclusion Criteria: Diagnosis of small or non-small cell lung cancer, mesothelioma or lung metastases completed first line therapy for the disease average dyspnea rating & on (0–10) rating scale in past week anticipated life expectancy ≥3 months. Outcomes: The primary outcome measure was change in “worst” dyspnea at 8 weeks compared to baseline. Secondary outcomes were change in: dyspnea “at best” and “on average” distress perceived control over dyspnea functional status, psychological distress and use of non-pharmacological interventions to manage dyspnea at 8 weeks relative to baseline. Results: The mean age of participants was 67.9 (SD = 9.6) years. Compared to the control group, the intervention group demonstrated a statistically significant: (i) improvement in average dyspnea from T1( M = 4.5, SE = 0.22) to T3 ( M = 3.6, SE = 0.24) vs. ( M = 3.8, SE = 0.24) to ( M = 4.1, SE = 0.26) (ii) greater control over dyspnea from T1 ( M = 5.7, SE = 0.28) to T3 ( M = 7.5, SE = 0.31) vs. ( M = 6.8, SE = 0.32) to ( M = 6.6, SE = 0.33) and (iii) greater reduction in anxiety from T1 ( M = 5.4, SE = 0.43) to T3 ( M = 4.5, SE = 0.45) vs. ( M = 4.2, SE = 0.49) to ( M = 4.6, SE = 0.50). This study found no intervention effect for best and worst dyspnea, distress from breathlessness, functional status, and depression over time. Conclusions: This study demonstrates efficacy of tailored non-pharmacological interventions in improving dyspnea on average, control over dyspnea, and anxiety for cancer patients. Clinical Trial Registration: The trial is registered at the Australian New Zealand Clinical Trials Registry ( www.anzctr.org.au ). The registration number is ACTRN12607000087459.
Publisher: Wiley
Date: 24-09-2015
DOI: 10.1111/INM.12172
Publisher: BMJ
Date: 08-2022
DOI: 10.1136/BMJOPEN-2022-060907
Abstract: Lung cancer is the leading cause of cancer mortality, comprising the largest national cancer disease burden in Australia and New Zealand. Regional reports identify substantial evidence-practice gaps, unwarranted variation from best practice, and variation in processes and outcomes of care between treating centres. The Australia and New Zealand Lung Cancer Registry (ANZLCR) will be developed as a Clinical Quality Registry to monitor the safety, quality and effectiveness of lung cancer care in Australia and New Zealand. Patient participants will include all adults years of age with a new diagnosis of non-small-cell lung cancer (NSCLC), SCLC, thymoma or mesothelioma. The ANZLCR will register confirmed diagnoses using opt-out consent. Data will address key patient, disease, management processes and outcomes reported as clinical quality indicators. Electronic data collection facilitated by local data collectors and local, state and federal data linkage will enhance completeness and accuracy. Data will be stored and maintained in a secure web-based data platform overseen by registry management. Central governance with binational representation from consumers, patients and carers, governance, administration, health department, health policy bodies, university research and healthcare workers will provide project oversight. The ANZLCR has received national ethics approval under the National Mutual Acceptance scheme. Data will be routinely reported to participating sites describing performance against measures of agreed best practice and nationally to stakeholders including federal, state and territory departments of health. Local, regional and (bi)national benchmarks, augmented with online dashboard indicator reporting will enable local targeting of quality improvement efforts.
Publisher: European Respiratory Society (ERS)
Date: 06-10-2022
Publisher: Springer Publishing Company
Date: 18-02-2021
Publisher: Elsevier BV
Date: 12-2021
Publisher: Wiley
Date: 30-09-2021
DOI: 10.1111/RESP.14161
Publisher: Elsevier BV
Date: 2022
DOI: 10.1016/J.NEPR.2021.103271
Abstract: This study in the first instance, seeks to identify encounters that commonly occur between graduates, facilitators and others and second, to explicate skills and behaviours needed by facilitators to effectively guide graduates to perform at expected standards. In Australia, nursing graduates are expected to assimilate quickly and adapt to workplace practices within short timeframes. Clinical facilitators are provided to support transition to the workplace. However, providing support is only understood in broad terms. Two consecutive action research cycles informed by extended Vygotskian learning concepts guided the study. The first cycle recorded and categorised critical encounters with graduates which were subsequently subjected to a thematic analysis to identify common circumstances where clinical facilitators are required to provide support to graduates. The second cycle articulated behaviours useful to clinical faciltators to foster graduate nurse learning, for optimal management of challenges experienced in routine daily practice. Registered nurses involved in graduate clinical facilitation at a large (780 bed adult facility) and a medium (448 bed adult, paediatric, maternity) acute hospital participated in the study. This graduate facilitation team through situated learning and a series of joint activity designed an EXCEL spreadsheet on which they recorded their observations and experiences with faciltating graduates transition to practice. From 1615 reported challenging interactions in the first cycle, saturation of emerging themes was reached with a random subset of 142. Six common areas of intensive needs for graduates were recorded, namely, resilience, technical support, emergent need, time management, advocate for graduate and catastrophe. The second cycle articulated processes for managing identified need areas in the form of flow charts. In practice, the flow charts provide a means for 'scaffolding' supervision and suggest conversations useful to facilitators to successfully support graduate nurses. This research has successfully explicated a largely 'undefined' area of nursing work, that is, making the invisible work of clinical facilitators 'visible' through the construction of flow charts. Specifically, advances have been made in articulating contextual, constructive support that nurses who facilitate the assimilation of graduates need to bring to interactions with graduates.
No related grants have been discovered for Vanessa Brunelli.