Michelle Lai

ORCID: 0000-0002-3651-4797
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About
Contact & Profiles
Research Areas
  • Pressure Ulcer Prevention and Management
  • Wound Healing and Treatments
  • Glaucoma and retinal disorders
  • Diagnosis and Treatment of Venous Diseases
  • Corneal surgery and disorders
  • Palliative Care and End-of-Life Issues
  • Intraocular Surgery and Lenses
  • Clinical practice guidelines implementation
  • Patient-Provider Communication in Healthcare
  • Vascular Malformations and Hemangiomas
  • Respiratory Support and Mechanisms
  • Reconstructive Surgery and Microvascular Techniques
  • Nutrition and Health in Aging
  • Lymphatic System and Diseases
  • Food Allergy and Anaphylaxis Research
  • Global Cancer Incidence and Screening
  • Geriatric Care and Nursing Homes
  • Retinal and Macular Surgery
  • Health Systems, Economic Evaluations, Quality of Life
  • Diabetic Foot Ulcer Assessment and Management
  • Shoulder and Clavicle Injuries
  • Burn Injury Management and Outcomes
  • Sleep and Work-Related Fatigue
  • Delphi Technique in Research
  • Patient Safety and Medication Errors

Sydney Local Health District
2020-2024

The University of Sydney
2017-2024

Royal Prince Alfred Hospital
2020-2024

University of Toronto
2023

Örebro University
2022

Ghent University
2022

National Health and Medical Research Council
2022

Royal Brisbane and Women's Hospital
2022

Griffith University
2022

Canberra Hospital
2022

10.1016/0007-1226(80)90027-2 article EN British Journal of Plastic Surgery 1980-04-01

Multidisciplinary care is advocated as best practice in cancer care. Relatively little documented about multidisciplinary team (MDT) meeting functioning, decision making and the use of evidence to support Australia. This descriptive study aimed examine role meetings MDTs whose institutions are members Sydney Catalyst Translational Cancer Research Centre.We designed a structured 40-item survey instrument topics that included purpose, organization, resources documentation; caseload estimates;...

10.1111/ajco.12765 article EN Asia-Pacific Journal of Clinical Oncology 2017-09-26

Incontinence-associated dermatitis (IAD) is a common complication often unrecognised and mistreated in individuals with incontinence. It the erosion of skin from prolonged exposure to urine and/or faeces incontinence mistaken for pressure injury. People experience considerable discomfort such as pain, burning itching affected areas (buttocks, perineum gluteal clefts). The prevention management IAD involves assessing managing implementing care regimen protect maintain integrity...

10.1071/cj23003 article EN other-oa Australian and New Zealand Continence Journal 2025-02-28

To explore the experience of patients with incontinence and incontinence-associated dermatitis (IAD) in acute care hospitals their family caregivers, including perceptions management, as well impact on wellbeing.

10.12968/jowc.2021.0394 article EN Journal of Wound Care 2024-08-01

Pathways to lung cancer diagnosis and treatment are complex. International evidence shows significant variations in pathways. Qualitative research investigating pathways rarely considers both patient general practitioner views simultaneously.To describe the diagnostic pathway, focusing on perspective of patients practitioners about pretreatment intervals.This qualitative study with Australia used interviews or a focus group which participants responded semistructured questionnaire designed...

10.1513/annalsats.201610-817oc article EN Annals of the American Thoracic Society 2017-03-06

PURPOSE: This purpose of this study was to measure the prevalence incontinence, incontinence-associated dermatitis (IAD), and pressure injuries (PIs) in a local health district Australia. We also aimed determine associated evidence-into-practice gaps. DESIGN: Multisite mixed-methods study. SUBJECTS AND SETTINGS: The sample comprised 250 adult patients 12 units across 4 hospitals; their mean age 73 years. Nurses caring for patient at time audit were questioned on nursing practice with...

10.1097/won.0000000000000446 article EN Journal of Wound Ostomy and Continence Nursing 2018-07-01

Objectives This study aims to explore the journey dementia diagnosis and reaction from perspective of people with young-onset living in community diverse areas Australia (metropolitan, regional, rural) their family caregivers. Methods Semi-structured interviews were conducted community-dwelling early moderate Alzheimer’s disease ( n = 8) or frontotemporal 5) one person both dementia, caregivers and/or 28). employed interpretive description. Thematic analysis was for emergent themes,...

10.1177/14713012231173013 article EN cc-by-nc Dementia 2023-04-26

Abstract The study aimed to evaluate the effect of an intervention on prevalence and severity incontinence‐associated dermatitis (IAD) in six hospitals one state Australia. This quasi‐experimental pre‐and post‐study, conducted 18 wards, was part a larger implementation science dermatitis. Skin incontinence assessments were patients during February March 2020 (pre‐intervention) July August 2021 (post‐intervention). comprised continence assessment management, education brochure for patients,...

10.1111/iwj.14936 article EN cc-by-nc International Wound Journal 2024-06-01

This pilot study aimed to evaluate the clinical efficacy and feasibility of a fluidised positioning device reduce occipital pressure injuries (PIs). A post‐test design with historical control group was used in 54‐bed intensive care unit between September 2017 August 2018. Patients who were receiving either extracorporeal membrane oxygenation, mechanically ventilated, or had raised intracranial (≥20) recruited. The intervention consisted under patient's head, skin assessment every 8 h....

10.1111/iwj.13051 article EN International Wound Journal 2018-12-17

Objectives The aims of this study were to determine the costs hospital-acquired pressure injuries (HAPIs) in one local health district Australia and compare consequences an intervention-based program with current practice reduce HAPI incidence prevalence. Methods A retrospective cost-consequence analysis was conducted using rate per occupied bed days, point prevalence rates, Australian Refined-Diagnosis Related Group (AR-DRG) rate. Data analysed for two phases: preprogram implementation (1...

10.1071/ah18131 article EN Australian Health Review 2019-02-10

This study examined clinicians' knowledge of incontinence-associated dermatitis (IAD) using the Barakat-Johnson Incontinence-Associated Dermatitis Knowledge Tool (Know-IAD).A cross-sectional multicenter survey.The setting was 6 hospitals across 5 health districts in New South Wales, Australia. The participants were nurses (registered and enrolled nurses), physicians, allied (occupational therapists, dietitians, physiotherapists), students (nursing health).Data about IAD collected from...

10.1097/won.0000000000000846 article EN Journal of Wound Ostomy and Continence Nursing 2022-03-01

10.1016/0007-1226(88)90003-3 article EN British Journal of Plastic Surgery 1988-09-01

Background: Considerable evidence exists on how to prevent hospital-acquired pressure injuries (HAPIs). However, processes employed implement play a significant role in influencing outcomes. Problem: One Australian health district experienced substantial increase HAPIs over 5-year period (by almost 60%) that required systemwide practice change. Approach: This article reports the people, processes, and learnings from using Promoting Action Research Implementation Health Services (PARiHS)...

10.1097/ncq.0000000000000395 article EN Journal of Nursing Care Quality 2019-03-05

The purpose of this study was to describe the development and evaluation psychometric properties an instrument used assess clinician knowledge Incontinence-associated dermatitis (IAD).The developed in three phases: Phase 1 involved item development; 2 evaluated content validity by surveying clinicians stakeholders within a single state Australia and, 3 pilot multisite cross-sectional survey design determine composite reliability evaluate scores tool.In 1, five persons with clinical research...

10.1097/won.0000000000000837 article EN Journal of Wound Ostomy and Continence Nursing 2022-01-01

Incontinence-associated dermatitis (IAD) is an insidious and under-reported hospital-acquired complication which substantially impacts on patients' quality of life. A published international guideline the Ghent Global IAD Categorisation Tool (GLOBIAD) outline best available evidence for optimal management IAD. This study aims to implement theguideline GLOBIAD tool evaluate effect occurrences sacral pressure injuries as well patient, clinician cost-effectiveness outcomes. The will employ a...

10.1016/j.jtv.2020.10.002 article EN cc-by-nc-nd Journal of Tissue Viability 2020-10-23
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