A5043501818- Emergency and Acute Care Studies
- Trauma Management and Diagnosis
- Nursing Diagnosis and Documentation
- Trauma and Emergency Care Studies
- Health Policy Implementation Science
- Pleural and Pulmonary Diseases
- Cardiac Arrest and Resuscitation
- Nursing Roles and Practices
- Primary Care and Health Outcomes
- Patient Safety and Medication Errors
- Geriatric Care and Nursing Homes
- Disaster Response and Management
- School Health and Nursing Education
- Clinical Reasoning and Diagnostic Skills
- Nursing education and management
- Electronic Health Records Systems
- Patient Satisfaction in Healthcare
- Sepsis Diagnosis and Treatment
- Simulation-Based Education in Healthcare
- Palliative Care and End-of-Life Issues
- Injury Epidemiology and Prevention
- Health Sciences Research and Education
- Pharmaceutical Practices and Patient Outcomes
- Ethics in medical practice
- Family and Patient Care in Intensive Care Units
The University of Sydney
2016-2025
Northern Sydney Local Health District
2024
UNSW Sydney
2016
The George Institute for Global Health
2016
St George Hospital
2016
ABSTRACT Objectives Emergency Departments (ED) are increasingly caring for patients with acute, chronic and terminal conditions requiring End of Life Care (EOLC). There is no published validated tool available to evaluate EOLC delivery dying in the ED. This study describes face content validity testing process develop, refine test a new unique audit Methods The validation used three‐round modified‐Delphi technique. We consulted 11 experts assess proposed 89 items. Face explored overall...
ABSTRACT Aim The aim of this study was to (i) identify barriers and enablers (ii) inform mitigating or strengthening strategies for implementing nurse‐initiated care protocols at scale in emergency departments (EDs). Design Embedded mixed methods. Methods included four clusters with a total 29 EDs NSW, Australia. Concurrent quantitative qualitative data were collected via electronic nursing medical staff surveys analysed. Barriers implementation identified mapped the domains Theoretical...
Hypokalemia is a frequently occurring electrolyte disorder in hospital patients and often treated with intravenous (IV) potassium replacement. In Australia, most departments use IV replacement therapies, which are known anecdotally to cause pain. To our knowledge, there have been no studies on Australian clinicians' practices managing investigate the management of infusions by clinical staff regional Local Health District New South Wales, Australia. An interprofessional team clinicians was...
Implementing evidence that changes practice in emergency departments (EDs) is notoriously difficult due to well-established barriers including high levels of uncertainty arising from undifferentiated nature ED patients, resource shortages, workload unpredictability, staff turnover, and a constantly changing environment. We developed implemented behaviour-change informed strategy mitigate these for clinical trial implement the evidence-based nursing framework HIRAID
Blunt chest injury can lead to significant morbidity and mortality if not treated appropriately. A blunt care bundle was be implemented at two sites guide care. To identify facilitators barriers the implementation of a design strategies tailored promote future implementation. 1) mixed-method survey based on theoretical domains framework (TDF) used bundle. This distributed 441 staff from 12 departments across hospitals. Quantitative data were analysed using SPSS qualitative inductive content...
Rural Australia has large geographic distances between emergency departments with variability of services and medical support. Emergency nurses must be appropriately skilled to assess manage unpredictable diverse presentations. HIRAID® is an evidence-based framework support in assessment care delivery. To inform implementation, the study aimed identify enablers barriers introducing practice.
Emergency nurses are the first clinicians to see patients in ED; their practice is fundamental patient safety. To reduce clinical variation and increase safety quality of emergency nursing care, we developed a standardised consensus-based nurse career pathway for use across Australian rural, regional, metropolitan New South Wales (NSW) departments.
Background Blunt chest injury leads to significant morbidity and mortality. The aim of this study was evaluate the effect a multidisciplinary care bundle (ChIP) on patient health service outcomes. ChIP provides guidance in three key pillars for blunt injury—respiratory support, analgesia complication prevention. implemented using multi-faceted implementation plan developed Behaviour Change Wheel. Methods This controlled pre-and post-test (two intervention two non-intervention sites)...
IntroductionBlunt chest injuries result in up to 10% of major trauma admissions. Comorbidities can complicate recovery and increase the mortality rate this patient cohort. A better understanding association between comorbidities outcomes will facilitate enhanced models care for particularly vulnerable groups patients, such as older adults.Aimsi) compare characteristics severely injured patients with blunt injury without ii) examine relationship key outcomes: prolonged length stay,...
Emergency nurses are critical to emergency care delivery, particularly in rural areas with limited medical support. To support nurses, the validated nursing framework, HIRAID®, was be implemented. Implementing interventions context is notoriously difficult and have added challenges resources across large geographic areas. This study aims develop an evidence-informed strategy implement HIRAID® a rural/regional health district.
Abstract Introduction A comprehensive patient assessment is essential for safe care. Patient frameworks nurses are generally restricted to patients who already have altered vital signs and at risk of deterioration, or specific risks body systems such as falls, pressure injury the Glasgow Coma Score. Comprehensive structured evidence‐based nursing that consider whole extend beyond signs, single not routinely used in inpatient settings but important establish early deterioration. Aim The aim...
To develop an evidence-driven, behaviour change focused strategy to maximise implementation and uptake of HIRAID (History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, communication reassessment) in 30 Australian rural, regional metropolitan emergency departments.
The majority of trauma nursing education is focused on the emergency phases care. We describe development and evaluation a eLearning module for ward environment. was developed using adult learning principles implemented in 2 surgical wards. There were 3 evaluation: (1) self-efficacy nurses; (2) relevance usability and; (3) application knowledge learnt. indicated they had applied new knowledge, particularly when performing physical assessment (85.7%), communicating (91.4%), identifying risk...
Emergency department (ED) overcrowding is a global problem and threat to the quality safety of emergency care. Providing timely safe care therein challenging. To address this in New South Wales (NSW), Australia, nurse Protocol Initiating Care-Sydney Triage Admission Risk Tool (EPIC-START) was developed. EPIC-START model incorporating EPIC protocols, START patient admission prediction tool, clinical deterioration tool support ED flow, care, safety. The aim study evaluate impact implementation...
Abstract Background Blunt chest wall injuries can lead to complications, especially without early intervention. A blunt Ch est I njury P rotocol (ChIP) was developed help improve the consistency of evidence-based care following admission emergency department. Implementation strategy fidelity is extent which strategies implementation are delivered in line with intended plan. The aim this study assess plan for ChIP. Methods retrospective evaluation used performed, specifically behaviour change...
Introduction Poor patient assessment results in undetected clinical deterioration. Yet, there is no standardised framework for >29 000 Australian emergency nurses. To reduce variation and increase safety quality of initial nursing care, the evidence-based HIRAID (History, Identify Red flags, Assessment, Interventions, Diagnostics, communication reassessment) was developed piloted. This paper presents rationale protocol a multicentre trial HIRAID. Methods analysis Using an...
Blunt chest injury is associated with significant adverse health outcomes. A care bundle (ChIP) was developed for patients blunt presenting to the emergency department. ChIP implementation resulted in increased service use, decreased unplanned Intensive Care Unit admissions and non-invasive ventilation use. In this paper, we report on financial implications of implementing quantify costs/savings.