- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Frailty in Older Adults
- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Intensive Care Unit Cognitive Disorders
- Mobile Health and mHealth Applications
- Hip and Femur Fractures
- Interprofessional Education and Collaboration
- Balance, Gait, and Falls Prevention
- Health disparities and outcomes
- Total Knee Arthroplasty Outcomes
- Pharmaceutical Economics and Policy
- Digital Mental Health Interventions
- Patient Satisfaction in Healthcare
- Dementia and Cognitive Impairment Research
- Chronic Disease Management Strategies
- Medication Adherence and Compliance
- Healthcare innovation and challenges
- Healthcare Decision-Making and Restraints
- Intergenerational Family Dynamics and Caregiving
- Health Literacy and Information Accessibility
- Cerebral Palsy and Movement Disorders
- Clinical practice guidelines implementation
Macquarie University
2020-2025
Edith Cowan University
2017-2023
The University of Notre Dame Australia
2017-2021
University of Notre Dame
2020
Hornsby Ku-ring-gai Hospital
2016
Abstract Objective To investigate the impact of COVID‐19 pandemic on quality life and social networks older adults receiving community care services. Methods Quality network questionnaires were completed by (n = 21) home services at three time points (2018, 2019, during first Australian lockdown in 2020). Additional questions about technology use included 2020. Results Older adults’ significantly decreased compared to prior year. During pandemic, over 80% used maintain contact with family...
There is limited information on complementary medicine (CM) use among older adults living in residential aged care facilities (RACFs). This study aimed to determine the prevalence and predictors of CM examine differences by facility for residents RACFs. We conducted a retrospective using routinely collected electronic data about permanent ≥ 65 years December 2021 from 23 RACFs Sydney. The product was estimated, modelling used factors associated with use. Funnel plots visualised between...
Abstract Objectives This study explored bereaved relatives’ experiences of end-of-life care (EoL care) in the last 3 days an acute private hospital Australia. Methods An interpretative qualitative was conducted. Semi-structured interviews with 8 relatives whose family member had died at shared their EoL during life. The transcribed were analyzed using inductive thematic analysis. Results Bereaved members mixed experiences, and primary concerns related to need for improvements support family;...
Abstract Background The impact of severe second lockdown measures on older adults’ wellbeing is unknown. We aimed to (i) identify the that resulted from wave COVID-19 cases Australians’ quality life; (ii) compare lockdowns in Victoria, Australia’s most populous State, those other States and Territories not lockdown. Methods A national cross-sectional study community-dwelling adults completed online questionnaires for life, social networks, healthcare access, perceived between July September...
Falls are frequent among older adults and have significant health economic consequences. There been few studies on the epidemiology of falls in residential aged care facilities (RACFs).To determine incidence RACFs using longitudinal routinely collected incident data over 5 years (July 2014-December 2019).A retrospective cohort study is conducted fall from 25 Sydney, NSW, Australia. Incidents relating to a population 6163 residents ≥65 were included. Outcome measures incidents all falls,...
Germany is the first country that approved validated mobile health apps (called DiGA) for prescription by doctors and psychotherapists. The aim of this study to investigate doctors' perspectives towards these their intentions prescribe them. Additionally, we investigated influence different roles expectations outcomes. We used a qualitative design determine viewpoints on prescribing DiGAs. conducted 28 semi-structured interviews grounded theory method analysis. adopted classical...
In the residential aged care sector medication management has been identified as a major area of concern contributing to poor outcomes and quality life for residents. Monitoring in Australia highly reliant on small, internal audits. The introduction electronic administration systems provides new opportunities establish improved methods ongoing, timely efficient monitoring range indicators, made more meaningful by linking data with resident characteristics outcomes. Benchmarking contemporary...
Abstract A hospital‐wide point prevalence study investigated frailty and pain in patients with a cancer‐related admission. Modifiable factors associated people cancer were determined through logistic regression. Forty‐eight (19%) admissions 2.65 times more likely to be frail 2.12 have moderate pain. Frailty highly prevalent among admissions, reinforcing the need for screening importance of assessment cancer.
It is essential that health professionals are trained to provide optimal care for our ageing population. Key this a positive attitude older adults along with the ability work in teams and interprofessional care. There limited evidence on impact an education (IPE) placement residential aged facility (RACF) has students. In 2015 Western Australia, 51 students (30% male, median age 23 years), from seven professions, undertook between 2 13 weeks length at 1 RACF. Pre- post-placement measurements...
Abstract Electronic information systems are becoming increasingly common in residential aged care Australia. These contain valuable data generated during day‐to‐day delivery for older adults. (termed ‘routinely collected provider data’) currently underutilised, however have potential significant benefits both and research purposes. Routinely more readily accessible, up‐to‐date can be linked to existing national or state‐based administrative sets, while providing granular details about...
Introduction There is a clear need for improved care quality and monitoring in aged care. Aged providers collect an abundance of data, yet rarely are these data integrated transformed real-time into actionable information to support evidence-based care, nor they shared with older people informal caregivers. This protocol describes the co-design testing dashboard residential facilities (nursing or homes) community-based settings (formal provided at home community). The will comprise provide...
Electronic medication management (eMM) systems are designed to improve safety, but there is little evidence of their effectiveness in paediatrics. This study assesses the short-term (first 70 days eMM use) and long-term (one-year) an system reduce prescribing errors, potential actual harm. We use a stepped-wedge cluster randomised controlled trial (SWCRCT) at paediatric referral hospital, with eight clusters for implementation. assess effects from additional random sample orders one-year...
Abstract Aim To examine the available evidence on effects of care and support provided by volunteers health outcomes older adults in acute services. Background Acute hospital inpatient populations are becoming older, this presents potential for poorer outcomes. Factors such as chronic conditions, polypharmacy cognitive functional decline associated with increased risk care‐related harm, falls, delirium poor nutrition. minimise volunteer programmes to patient have been established many...
Abstract Background The Peninsula Health Falls Risk Assessment Tool (PH-FRAT) is a validated and widely applied tool in residential aged care facilities (RACFs) Australia. However, research regarding its use predictive performance limited. This study aimed to determine the of PH-FRAT predicting falls RACF residents. Methods A retrospective cohort using routinely-collected data from 25 RACFs metropolitan Sydney, Australia Jul 2014-Dec 2019. total 5888 residents ≥65 years who were assessed at...
Although evidence of the global effectiveness and usability mobile health (mHealth) apps as non-drug interventions is growing, older adults often demonstrate low adoption rates these apps. This study aims to identify perspectives on introducing adopting mHealth in Australia Germany.
Background The enactment of the “Act to Improve Healthcare Provision through Digitalisation and Innovation ” (Digital Act; Digitale-Versorgung-Gesetz [DVG]) in Germany has introduced a paradigm shift medical practice, allowing physicians prescribe mobile health (mHealth) apps alongside traditional medications. This transformation imposes dual responsibility on acquaint themselves with qualifying align them patient diagnoses, while requiring patients adhere prescribed app use, similar...
Aim and objectives To examine students’ beliefs, behaviours attitudes in relation to interprofessional socialisation, their expectations experience, before after a 2‐week clinical placement ambulatory care. Background Interprofessional placements for students are important developing an understanding of collaboration identity, the benefit patient Ambulatory care environment involves collaborative management complex chronic problems. This educator supported that enabled final‐year nursing...