epworth/deakin centre for clinical nursing research · centre for clinical nursing research annual...

Epworth/Deakin Centre for Clinical Nursing Research

Annual Report

2013-2014

Professor Mari Botti Chair in Nursing

Centre for Clinical Nursing Research Annual Report 2013-2014

TABLE OF CONTENTS

Table of Contents .......................................................................................................................... 2

Introduction .................................................................................................................................. 3

Centre Staff ................................................................................................................................... 4

Research Projects .......................................................................................................................... 5

Priority 1: Patient engagement and participation in healthcare .............................................. 5

Priority 2: Patient experiences of care and recovery ................................................................ 7

Priority 3: Clinical support for delivery of high quality, safe care ............................................ 8

Research Students ....................................................................................................................... 13

PhD .......................................................................................................................................... 13

Master of Nursing ................................................................................................................... 13

Clinical Honours ...................................................................................................................... 14

Research Highlights ..................................................................................................................... 15

Patient Outcomes after Open and Minimally Invasive Surgery for Prostate Cancer: Longitudinal Study ................................................................................................................... 15

Reducing Carer Burden and Depression among Caregivers of Cancer Patients ..................... 15

Translation of evidence into pain management practices in acute care environments......... 16

Patient Participation in Healthcare ......................................................................................... 16

Evaluation of the acceptability and fidelity of an electronic Clinical Decision Support and Documentation System ........................................................................................................... 16

Publications ................................................................................................................................. 18

Accepted.................................................................................................................................. 18

2014 ......................................................................................................................................... 18

2013 ......................................................................................................................................... 18

Books & Chapters ........................................................................................................................ 18

Conference and Poster Presentations......................................................................................... 19

Accepted.................................................................................................................................. 19

2014 ......................................................................................................................................... 19

2013 ......................................................................................................................................... 20

Awards and Prizes ....................................................................................................................... 21

External Profile ............................................................................................................................ 21

Committees ................................................................................................................................. 22


INTRODUCTION

The Epworth/Deakin Centre for Clinical Nursing Research is a joint initiative between Deakin

University’s School of Nursing and Midwifery and Epworth HealthCare. The Centre was

established in 2004 to conduct collaborative clinical research and provide staff and students

the opportunity to engage in clinically focussed, multidisciplinary research and training across

acute, rehabilitation and community healthcare settings.

The Centre provides academic and professional leadership to staff and students and recognises

the importance of combining expertise from both industry and academia to inform the quality

and safety of healthcare delivery. A defining feature of the Centre is that it fosters a rich

diversity of activities in health services research with the aim of enhancing the research culture

at Epworth with benefits for staff, academics, students and patients.

Objectives

The four key objectives of the Centre are to:

1. Pursue a program of research that supports the core clinical activities of Epworth

HealthCare and is situated within the Quality and Patient Safety (QPS) research cluster

of the Faculty of Health, Deakin University. Our three overarching research priorities

are:

a. Patient engagement and participation in healthcare

b. Patient experiences of care and recovery

c. Clinical support for delivery of high quality, safe care.

2. Support Quality and Patient Safety activities at Epworth HealthCare through research

translation.

3. Provide leadership and mentorship for the professional development of clinical and

academic staff through research training and education.

4. Establish a public profile of the Centre that promotes its activities and research

outcomes and highlights the expertise of its researchers as leaders in their field.

Professor Mari Botti, RN BA PGDACP PhD Melbourne, MRCNA Chair in Nursing Epworth/Deakin Centre for Clinical Nursing Research


CENTRE STAFF

The Epworth/Deakin Centre for Clinical Nursing Research is directed by Professor Mari Botti.

As Chair in Nursing she reports to the Head of the School of Nursing and Midwifery at Deakin

University and the Chief Executive of Epworth Hospital.

Professor Maxine Duke, Professor Megan-Jane Johnstone, Dr Bodil Rasmussen and Dr John

Rolley are Deakin University Affiliates. All other staff report directly to Professor Botti.

Professor and Chair in Nursing

Professor Mari Botti

Associate Professor

Associate Professor Bernice Redley

Research Fellows

Dr Beverley

Wood

Dr Emma Cohen

Research Assistants

Damien Khaw

Kim Coleman

Kath Colvin

Breanna Wright

Deakin University

Affiliate Academics

Professor Maxine Duke

Dr Bodil Rasmussen

Professor Megan-Jane Johnstone

Dr John Rolley

Administrator

Teresa Redley

Centre for Clinical Nursing Research Annual Report 2013 - 2014

RESEARCH PROJECTS

Priority 1: Patient engagement and participation in healthcare

Title Research Team Site/s Funding Source Purpose Status

1. Nursing roles and strategies in end-of-life decision making involving older people from culturally and linguistically diverse (CALD) backgrounds admitted to Victorian hospitals for end-of-life care

Redley, B., Johnstone, M.J. and Hutchinson, A.

Epworth HealthCare Deakin University

$49,467 funded by Ella Lowe Grant (NBV) (2012-13)

The exploration, critique and description of nursing roles and strategies in end-of-life decision making involving older people from culturally and linguistically diverse (CALD) backgrounds admitted to Victorian hospitals for end-of-life (EOL) care. A related aim is to provide a practical basis for a subsequent study investigating the possible link between nurses’ EOL decision making and CALD patient and family member outcomes apropos experiencing a ‘good death’ when admitted to acute care services for EOL care.

2013 ongoing Publications in progress

2. Postgraduate education and the development of nurses’ role perceptions in health care quality

Oldland, E. (PhD candidate) Botti, M. Hutchinson, A. and Redley, B.

Deakin University 2013 ongoing Preconfirmation of candidature

3. Patient participation in symptom management in the oncology context: a Chinese cohort study

Lin Cen (PhD candidate), Botti, M., Cohen, E and Livingston, P

China International Post Graduate Scholarship Deakin University

2012 ongoing Data analysis

4. Patient participation in symptom management in acute care settings: An international cohort comparison (pilot)study

Botti, M., Cohen, E., Livingston, T., Johnstone, M., Duke, M., Redley, B., and Rasmussen, B.,

Epworth HealthCare Alfred Health Mahidol University Deakin University

$60,000 funded by Centre for Quality & Safety Research $10,000 funded by Epworth Research Institute

To explore some of the conceptual and methodological issues associated with transnational research of the concept of patient participation in the context of symptom management in acute cancer care.

2011 ongoing Data collection and analysis



5. Translation of Evidence into pain management practices inthe postoperative cardiac surgery context

Wensley, C.(PhD Candidate) and Botti, M.

New Zealand Australian Post Graduate Award Deakin University

2011 ongoing Data collection

6. Improving quality of life outcomes for people with multiple myeloma

Livingstone, T., Craike, M., Holdsworth, A. Horden, A., Gaskin, C., King, H., Hose, K., Courtney, K., Botti, M., Wilson, S., Harrison, S., and Joyce, T.

Eastern Health Epworth HealthCare Deakin University

$40,000 funded by Centre for Quality and Safety Research, Deakin University (2011-12)

To examine the level and type of physical activity undertaken by people with multiple myeloma before, during and following treatment; identify the benefits of participation and the barriers to participation in physical activity; and identify preferences for physical activity programs.


7. The efficacy of a referral and physical activity program for survivors of prostate cancer

Livingstone, P., Salmon, J., Gaskin, C., Botti, M., Broadbent, S., Courneya, K., and Kent, B.,

Deakin University University of Alberta Victoria University YMCA

ARC $263,000, Prostate Foundation $70,000 Prostate Cancer Foundation. $333,000 (2010-2012)

To investigate the potential influence clinicians have on increasing physical activity levels among prostate cancer survivors, by referring cancer survivors to a physical activity program, with expert involvement from exercise physiologists. This study will inform the development of a physical activity program for prostate cancer survivors.



Priority 2: Patient experiences of care and recovery


8. Supporting Carers of patients with Cancer

Livingston, T. , Botti, M. et al

Epworth HealthCare Eastern Health

$560,000 funded by NHRMC (2013-16)

To test the hypothesis that excessive caregiver burden is modifiable through a comprehensive low cost intervention that includes supportive care and telephone support. To undertake a pilot study to test whether the intervention: reduces caregiver burden; improves psychological health (depression); increases ability to navigate health services; increases health literacy (ability to understand, access and utilise health services); improves quality of life; and is cost effective within a formal health economic evaluation.


9. Pain experience and pain treatment in the context of standardised pain management in a Danish cohort

Botti, M., Brandt, E., and Rasmussen, B.

Holstebro, Denmark Deakin University

A pain prevalence study of patients after joint replacement surgery to identify pain experience and pain treatment in a centre where standardised pain treatment is available.


10. Evaluating the quality of 24-hour acute care delivery:

Beddoes, L, (PhD Candidate) and Botti, M.

Alfred Health Australian Post Graduate Award

Describing functional outcomes of older people using a model of best practice

2006 ongoing Data analysis

11. Patient communication of pain in acute care contexts

Hunter, S. (PhD candidate) and Botti, M.

Epworth HealthCare NHMRC Dora Lush PhD Scholarship

The clinically significant meaning behind numerical pain ratings

2011 ongoing Data collection and analysis

12. Patient participation, patient satisfaction and patient experience

McDonall, J. (PhD candidate), Botti, M. and Redley, B.

Epworth HealthCare Australian Post Graduate Award ANMF Grant $5,000

Explore the relationships between patient experience, patient satisfaction and patient participation in the context of processes for acute episodic care delivery.



Priority 3: Clinical support for delivery of high quality, safe care


13. Antimicrobial stewardship in Thailand

Sutthiruk, N, (PhD Candidate) Botti, M., Considine, J. and Driscoll, A.

Thailand International Post Graduate Scholarship Deakin University

May 2014 Pre- confirmation of candidature

14. Compliance with national standards and error in use of medchart and the NIMC at Epworth Eastern

Redley, B., Palmer, D. and Mikhail, N.

Epworth Eastern Self funded To examine compliance with best practice standards for medication safety in the use of the Medchart (electronic prescribing) and the National Inpatient Medication Chart (NIMC) at Epworth Eastern. Rates of prescribing, transcribing or administration errors associated with the two medication charts will be examined prospectively using audit. Guidelines provided by the Australian Council on Safety & Quality in Health Care will be used as best practice standards and medication charts will be audited using the NIMC Audit tool.


15. Patient and family experience of participation in interprofessional rounds on acute inpatient medical wards

Cohen, E., McTier, L., Redley, B., Bennett, P. and Botti, M.

Alfred HealthCare Monash Health Epworth Healthcare Eastern Health

$46,716 (QPS) 2014-2015

A multi-method study across three hospital sites to explore patient experiences of participation during wards rounds in acute medical inpatient services.

May 2014 Start up

16. Risk screening and assessment for avoiding preventable harm in older people in hospital

Redley, B. Clinical leadership Group (DH)

Department of Health (Vic) ($35,000)

To scope existing tools and strategies used by health services to screen and assess for risk in older people in hospital to avoid preventable harm; identify “what works well” and make recommendations informed by good practice and best evidence.

2014 Data collection



17. Increasing patient safety by eliminating unnecessary variation in fasting and sedation practices before cardiac procedures.

Rolley, J. Considine, J. and Botti, M.

Eastern Health Northern Monash Health

Alfred Deakin Post Doctoral Research Fellowship - $10,000 Central Grant Research Scheme $23,000

To improve our understanding of pre-procedural fasting and sedation in people undergoing emergency and elective percutaneous coronary interventions. A series of studies and methods are being used to accomplish the aims of the project

July 2014 Start up

18. Cardiologist decision making regarding pre procedure sedation for interventional cardiology procedures

Zinkels, A., Rolley, J., Botti, M. and Redley, B.

Epworth Richmond Honours Student 2014

To explore current interventional cardiologist practices for pre-procedure fasting and sedation.

July 2014 Start up

19. A tool to audit the quality of nursing documentation

Heenan, J. and Redley, B.

Epworth HealthCare Honours Student 2013


20. Best practices for nursing care of inpatient radiotherapy patients

Hjorth, M., Redley, B and Cohen, E

Epworth Richmond Masters Student 2013

To describe best practices for radiotherapy nursing and to explore and describe registered nurses experiences of delivering care for patients treated with radiotherapy


21. An innovative screening device for detection of lower limb abnormality after surgery: DVTect

Botti, M., Redley, B., Simpson, L., Knuckey, L., Junor P., Mc Guigan, S. and Keating A. (Masters)

Epworth HealthCare

$50,626 funded by Epworth Research Institute (2012-13)

To estimate the ability of an innovative, convenient and low cost screening device “DeVeTect” to detect lower limb vascular abnormality, which includes DVT. If the screening device meets expectations, it can have immediate implications for improved clinical management of, and outcomes for, various patient groups susceptible to DVT. This study will test the device in patients undergoing knee arthroplasty, a population of patients known to be at high risk for DVT and likely to receive benefit if successful.

2013 ongoing Start up



22. A feasibility assessment for an intelligent care support tool for acute healthcare delivery in the private healthcare context.

Wickramasinghe, N., Botti, M., Redley, B., Nguyen, L., Stein, M., Vawser, T. and McNichol, L. (Hons)

Epworth HealthCare

$49,965 funded by Epworth Research Institute (2012-13)

Despite their central role in health care delivery, intelligent systems have rarely been designed around nurses’ operational needs. SmartWard, an Australian SME (small medium enterprise) has developed such a system. Our study examines the feasibility of this intelligent care support tool to assist nursing care at Epworth. It will be tested in a simulated environment, thereby also enabling the development of protocols for testing IT solutions in the SIM Centre.


SIBR: Interprofessional ward rounds in general medicine

Redley, B. Stockman, K. Campbell, D, Barnes, S. Bennett, P.

Southern Health $10,000 QPS $10,000 Southern Health

(2012-2013)

The purpose of this project is to pilot test a multidimensional evaluation framework for research and evaluation of SIBR in acute hospital inpatient wards (acute General Medicine) at Monash Medical Centre. The outcomes will inform future implementation of SIBR and support opportunities for collaborative multi-site research with national and international partners.


23. Falls prevention in rehabilitation

Shkutatova, N., Redley, B., Botti, M., Blatsin, E. (Hons) and McGuigan, S.

Epworth, Brighton (2012-13) To assist the evaluation of the 12 month outcomes of a multidisciplinary falls and fractures prevention intervention program developed for the rehabilitation setting.




24. SmartWard 1: Evaluating the development and implementation of smart technology: a novel CDSS.

Kent, B., Botti, M., Redley, B., Nguyen, L., and Taylor, N.

Eastern Health Epworth HealthCare Box Hill Institute Deakin University

$280,000 funded by SmartWard (2012-13)

A collaboration between the developers of the SmartWard system and research academics to inform the development acceptability and feasibility of the CDSS within the acute practice setting.


25. Have you SCANND MMe? to minimise harms of hospitalisation in older emergency medical admissions to acute hospitals

Redley, B., Botti, M., Howe, D. , Baker, T., Grinton, S. (Hons) and McGrath, M. (Hons)

Epworth Healthcare Southern Health South West Healthcare, Warrnambool St John of God Healthcare, Warrnambool

$32,536 funded by Quality and Patients Safety Strategic Research Centre Grant, Deakin University (2012-13)

To evaluate the strategies used to mitigate preventable harms during acute hospitalisation of older emergency medical patients in both public and private health services. This research will inform future study to assist clinicians deliver safe, high quality acute hospital care for the older person.


26. Smartward: Exploring the essential elements for CDSS in acute nursing care delivery

Kent, B., and Botti, M.

Eastern Health, Epworth HealthCare Deakin University

$76,437 funded by SmartWard (2011-12)

To understand the essential elements in Computer-based clinical decision support systems (CDSS).


27. 6-Pack falls prevention project.

Barker, A., Evans, S., Brand, C., D. Jolley, D., Botti, M., Zavaresk, B., deZote, K., Brauer, S., Cumming, B., Livingstone, T., Sherrington, C., Oddy, J. & Morello,

Multi-site Monash University Deakin University

$1,170,000 funded by NHMRC (2010-2013)

To assess the effectiveness and sustainability of the SIX-PACK falls prevention program. The program is targeted and includes six nurse delivered falls prevention interventions


28. Introduction of Bedside Handover at Epworth Richmond

Botti, M., Wood, B., Redley, B., Jorgensen, S. and Waugh, R. (Hons)

Epworth HealthCare 2010-2012 To support the implementation of bedside clinical handover through the development of standard operating procedure and audit tools.



Title Research Team Site/s Funding Source Purpose Status 29. Translation of evidence

into pain management practices in acute care environments (MAPP)

Botti, M., Kent, B., Bucknall, T., Duke, M., Johnstone, M., Considine, J., De Steiger, R., Redley, B., Holcombe, M. Crowhurst, M., and Hunter, S.

Epworth HealthCare Cabrini Health Eastern Health

Australian Research Council Linkage Project $190,000: (2010-2012)

In partnership with clinicians, the aim is to develop, implement and evaluate an improved method of treating pain using a clinical decision support system based on best available evidence for managing postoperative pain.


30. Implementing handover quality improvement tools into post anaesthetic care units

Currey, J., Botti, M., Redley, B. and Lilibridge, N (Hons)

Epworth HealthCare, Cabrini Health, Alfred Health, Melbourne Health

Deakin University. Central Research Grants Scheme $20,000 (2009-2012)

The aim of this exploratory, descriptive study is to evaluate the adoption of an innovative, standardised process of clinical handover by multidisciplinary PACU clinicians and its impact on the way they communicate, delegate and accept responsibility for patient care.


31. Interprofessional clinical handover in the emergency department: Tools to evaluate handover quality

Redley, B., Botti, M., Bucknall, T., Johnstone, M.-J., Chan, T., Sultana, R. and Mc Ness, A.

Epworth HealthCare, Southern Health: Casey Hospital

Deakin University Central Research Grants Scheme $15,000

The aim of the exploratory project is to explore the processes of inter-professional clinical handover in the emergency department.


32. Patient outcomes after open and minimally invasive surgery for prostate cancer: A longitudinal comparative study

Botti, M., Beale, L., Crowe, H., Frydenberg, M., Costello, D., Moon, D. and “Patient Outcomes after Prostate Surgery investigators”

Deakin University, Epworth HealthCare, Cabrini Health

Prostate Cancer Foundation $191, 575: (2008-2012)

The aim of this project is to evaluate and compare patients' physiological, functional and psychosocial recovery after three forms of radical prostatectomy surgery during key transitions. This project is related to and an extension of # 32906 a pilot study ‘Patient outcomes after open and minimally invasive surgery for prostate cancer.’

2009 ongoing Analysis and reporting


RESEARCH STUDENTS

PhD

1. Lenore Beddoes PhD (Candidate): Evaluating the quality of 24-hour acute care delivery:

Describing functional outcomes of older people using a model of best practice.

APA Scholarship Deakin University

2. Sue Hunter, PhD (Candidate): Patient communication of pain in acute care contexts.

NHMRC Scholarship (2012) Deakin University

3. Cynthia Wensley, PhD (Candidate): Translation of evidence into pain management

practices in the postoperative cardiac surgery context.

APA Scholarship. Deakin University

4. Jo Mc Donnall, PhD (Candidate): Patient participation, patient satisfaction and patient

experience.

APA Scholarship. Deakin University

5. Lin Cen, PhD (Candidate): Patient participation in symptom management in the Oncology

context: a Chinese cohort study.

International Student Program, Deakin University

6. Elizabeth Oldland, PhD (Candidate): Operationalising consumers as partners in the national

clinical safety standards – integration into speciality education

Deakin University

7. Nantinit Sutthiruk , PhD (Candidate): Antimicrobial Stewardship in Thailand

International Student Program, Deakin University

Completed

8. Lauren McTier PhD: Defining patient participation in treatment within cardiac surgery

contexts. 2014

APA Scholarship Deakin University

Master of Nursing

2013

1. Margaret Hjorth: Best practices for nursing care of inpatient radiotherapy patients

2. Alanna Keating: A nursing assessment tool to detect early DVT in postoperative

surgical patients

3. Sally Morrison: Systematic review of role of the nurse/nurse manager in antimicrobial

stewardship in the private sector

Completed

4. Giselle Ciavarella: Psychosocial Care of Cancer Patients: Nurses’ Perceived Importance

and Skill. 2014


5. Tessa Groen: Organisational Climate, Shift Work and Nurse Health. 2013

6. Michael Graan: AICU-to-ward handover study. 2014

7. Belinda Mitchell: Clinical Risk Management: “What are the sources of clinical risk in

Emergency care?” 2014

Clinical Honours

2014

1. Leigh McNichol: Patient experiences of bedside technology for nursing care.

2. Eirene Blatsis: Tool for falls risk assessment in rehabilitation.

3. Annika Zinkel: Cardiologists preference for prescribing pre-procedural analgesia and

sedation for interventional cardiology procedures

2013

4. Julia Trappett: Patient participation in postoperative pain management.

5. Michele McGrath: Application of clinical microsystems to improve older person care in

acute hospital.

6. Rachel Waugh: Validity and reliability of a multi-purpose tool for nurse bedside

handover.

7. Stephanie Grinton: Assessment to avoid harms of hospitalisation for the older person

in acute care: cognitive assessment.

8. Jessica Heenan: A tool to audit the quality of nursing documentation.

9. Tracey Douglass: Parental needs with a child with intellectual disability.

2011

10. Linda Rhodes: Factors that patients consider when attributing a number to their pain

intensity after total knee joint replacement surgery

Completed

11. Kimberley Coleman: Implementing handover quality improvement tools into Post

Anaesthetic Care Units. 2014

12. Nikki Lillibridge: Implementing handover quality improvement tools into Post

Anaesthetic Care Units. 2014

13. Megan O’Riley: Translation of evidence into pain management practices in acute care

environments. 2013


RESEARCH HIGHLIGHTS

Patient Outcomes after Open and Minimally Invasive Surgery for Prostate

Cancer: Longitudinal Study

In Australia, prostate cancer is the most commonly diagnosed cancer in males and the second most

common cause of cancer deaths in men. The treatment for localised prostate cancer is most often

prostatectomy surgery. Prostatectomy surgery includes traditional open radical prostatectomy and

minimally invasive surgery including robotic-assisted prostatectomy surgery. The physiological,

functional, psychosocial and cognitive outcomes associated with the long term trajectory of

recovery have not been investigated adequately, nor has there been a prospective, comparative

evaluation of the outcome associated with different surgical modalities. This longitudinal,

comparative study examines patient outcomes after open and minimally invasive surgery for

localised prostate cancer.

A unique collaborative research team consisting of surgeons, academics and specialist urology

nurses was established to undertake this study funded by a three year grant from the Prostate

Cancer Foundation of Australia. This research is significant because little is known of the trajectory

of patient recovery after prostatectomy surgery within the setting of an ageing Australia and

advances in technology. The findings will address gaps in research, inform patients about their long

term recovery, and provide evidence for optimal care of patients who undergo prostatectomy for

localised cancer irrespective of the surgical modality.

Reducing Carer Burden and Depression among Caregivers of Cancer Patients

Family or friend caregivers of cancer patients provide extended and unrecognised support to

hundreds of thousands of Australians each year. Up to 70% of caregivers of cancer patients report

depression and one-third report excessive burden. We have developed clear mechanisms by which

the highly successful Cancer Council Victoria’s Cancer Helpline can potentially reduce carer burden

and the psychosocial impact of caring. The aim of the study is to reduce caregiver burden and

depression with improvements in health service navigation, health literacy and quality of life,

underpinned by a formal economic evaluation to assess the cost-effectiveness of the intervention

program.

The design of the study is a single, blind, multi-centred randomised controlled trial to determine the

efficacy and cost-effectiveness of the intervention for caregivers of people who are receiving chemo

or radio therapy for newly diagnosed cancer. Caregivers are referred to the Cancer Helpline from 4


Victorian health services (Epworth HealthCare, Eastern and Barwon Health and Peter MacCallum

Cancer Centre-Box Hill). A Helpline nurse telephones caregivers three times during the treatment

cycle and addresses: psychological distress; health literacy; general health; family support; financial

impact and provides practical advice. The Cancer Helpline nurse also assesses carer distress with

referrals back to their General Practitioner for psychological follow up.

Translation of evidence into pain management practices in acute care

environments

A major focus of the drive to improve the quality and safety of health care is to standardise

care processes to ensure patients receive care based on best available evidence and do not

experience variations in the quality of care. Management of post surgical pain is a care process

known to be highly variable and inadequate. In Australia, over 40% of patients experience

significant pain and hence, unnecessary suffering and increased associated risk. In partnership

with clinicians, the aim is to develop, implement and evaluate an improved method of treating

pain using a clinical decision support system based on best available evidence for managing

postoperative pain. The method will be tested in three sites to assess external applicability.

Patient Participation in Healthcare

Patient participation is central to initiatives to increase the safety and quality of health care

worldwide. Little is known about the key determinants for the success of patient participation,

in particular, the effect of patient-related factors such as patients’ preference for participation

and context-related factors associated with the culture of care, policies and legislation relating

to patient participation. This study has been designed to extend the knowledge gained from

doctoral work. The aim of this pilot study is to collect baseline, cohort data of the patient and

context influences on patient participation in symptom management in acute cancer care

environments. Data will be collected in Australia, China and Thailand. The data obtained from

this pilot study will be used as the foundation for future exploratory and intervention research.

Evaluation of the acceptability and fidelity of an electronic Clinical Decision

Support and Documentation System

This research program is focused on trying to understand the general lack of success, in terms

of uptake and effectiveness, of clinical decision support and documentation systems in acute

care environments and through this research develop more effective approaches to design and

implementation.


A sequence of studies has been undertaken through a long-term research collaboration

between Deakin University and SmartWardTM. Structured engagement with potential users

(clinicians, administrators and quality and safety personnel) and ongoing research has

underpinned a 2 year design process that has incorporated the investigation of the

acceptability of a decision support and documentation solution (SmartWardTM), preclinical

evaluation of the usability of the solution, and a hospital environmental study to investigate

the fidelity of the new system to the process and function of care in real work contexts.


PUBLICATIONS

Accepted

1. Botti, M., Kent, B., Bucknall, T., Duke M., Johnstone, M.J., Considine, J., Redley, B., Hunter, S., De Steiger, R., Holcombe, M. and Cohen, E. (2014). Development of a Management Algorithm for Post-operative Pain (MAPP) after total knee or total hip replacement: Study rationale and design. Implementation Science

2014

2. Botti, M., Redley, B., Considine, J., Nguyen, L., Coleman, K., Haddad, P., Moghimi, H., Muhammad, I. & Wickramasinghe, N. (2014). “Evaluation of the fidelity and usability of the SmartWard system in the delivery of acute nursing care.” SmartWard Pty Ltd, Canberra

3. Livingston, P., Osborne, R., Botti, M., Mihalopoulos, C., McGuigan S., Heckel, L., Gunn, Kate., Chirgwin, J., Ashley, D.M.and Williams, M. (2014). “Efficacy and cost-effectiveness of an outcall program to reduce carer burden and depression among caers of cancer patients (PROTECT): rationale and design of a randomized controlled trial.” BMC health services research, vol. 14 no. 5, pp. 1-8, BioMed Central, London, England ERA journal ID: 13444 – Scopus EID: 2-s2.0-84891532486

4. McTier, L. Botti, M. and Duke, M. (2014). "Patient participation in quality pain management during an acute care admission." Clin J Pain 30(4): 316-323. 10.1097/AJP.0b013e318298ddc5, Lippincott, Williams & Wilkins, Sydney, NSW

2013

5. McTier, L., Botti, M. and Duke, M. (2013) “Patient participation in medication safety during an acute care admission.” Health Expectations. Doi 10.1111/hex.12167

6. Redley, B., and Botti, M. (2013). Reported medication errors after introducing an electronic medication management system. J Clin Nurs, 22(3-4), 579-589. doi: 10.1111/j.1365-2702.2012.04326.x

7. Wickramasinghe, N., Botti, M., Kent, B., L., N., Redley, B., Taylor, N., . . . Haddad, P. (2013). Using ANT to Uncover the Full Potential of an Intelligent Operational Planning and Support Tool (IOPST) for Acute HealthCare Contexts. International Journal of Actor-Network Theory and Technological Innovation, 5(2), 29-49. doi: 10.4018/jantti.2013040103

BOOKS & CHAPTERS

1. Brysiewicz, P., Redley, B., and deBeer, J. (2013) Communicating with patients and families, African Federation of Emergency Medicine Handbook: Oxford Publishing.

2. Botti, M. (2014) “Pain Assessment: the fifth vital sign” in Jarvis, C; Forbes, H. Watt, E. Jarvis’s Physical examination and Health Assessment (ANZ 2nd edition)

3. Redley, B., Brysiewicz, P., and Heyns, T. (2013) Communicating with the health care team, African Federation of Emergency Medicine Handbook: Oxford Publishing.

4. Wickramasinghe, N., Kent, B., Moghimi, F. H., Nguyen, L., Redley, B., Taylor, N., and Botti, M. (2014). “Using technology solutions to streamline healthcare processes for nursing: the case of an intelligent operational planning and support tool (IOPST) solution”, in Wickramasinghe, Nilmini; Al-Hakim, Latif; Gonzalez, Chris and Tan, Joseph (eds), Lean thinking for health care, pp. 405-430, Springer, New York, N. Y.


CONFERENCE AND POSTER PRESENTATIONS

Accepted

1. Botti, M., Redley, B., Nguyen, L., Coleman, K., Moghimi, H., Haddad, P., Muhammed, I., and Wickramasinghe, N. (August 2014). Examining the safety, usability and fidelity of a new Nursing Informatics Technology (NIT) in a complex 'real world' setting. Health Informatics Conference, Melbourne, Australia (20 min Oral Presentation)

2. Botti, M., Redley, B., Nguyen, L., Coleman, K., Moghimi, H., Haddad, P., Muhammed, I., and Wickramasinghe N. (August 2014). Operationalising safety of an informatics system to support delivery of acute nursing care: Acceptability, fidelity and usability Nursing Informatics Australia Conference, Melbourne, Australia (Oral Presentation)

3. Botti, M., Khaw, D. (August 2014). Trajectory of pain following open and minimally invasive radical prostatectomy for localised prostate cancer: An Australian multi-site, comparative study. 15th Asia-Pacific Prostate Cancer Conference, Melbourne, Australia (Poster Presentation).

4. Ciavarella, G., Redley, B., Wood, B., and Botti, M. (July 2014). Psychosocial Nursing Interventions for Patients with Cancer, Melbourne, Australia (Poster Presentation)

5. Coleman, K., Wood, B., and Redley, B. (October 2014). Staff Experiences of Implementation of Standardised Handover Improvement Tools in the Post Anaesthetic Care Unit. 30th International Society for Quality in Health Care (ISQUA) Conference, Rio de Janerio, Brazil (Poster Presentation)

6. Grinton, S., Ireland S. and Redley, B., (September 2014). Minimising harms of hospitalisation for the older patient with cognitive impairments in acute rural settings. Australian Nurses and Midwives Conference, Melbourne Australia (Poster Presentation).

7. Johnstone, M.J., Hutchinson, A., Redley, B., and Rawson, H. (November 2014). Registered nurses EOL decision making concerning ethnic elderly patients admitted to Victorian hospitals. 47th Australian Association of Gerontology National Conference, Adelaide, Australia. (20 minute oral presentation).

8. Redley, B., Botti, M., Considine, J. and Coleman, K. (October 2014). A novel electronic nursing information and documentation system impacts nurse workflows. 30th International Society for Quality in Health Care (ISQUA) Conference, Rio de Janerio, Brazil (15 minute Oral Presentation)

9. Redley, B. (October 2014). Evaluating Patient Participation In Interdisciplinary Medical Ward Rounds. 30th International Society for Quality in Health Care (ISQUA) Conference, Rio de Janerio, Brazil (5 minute Oral Presentation)

10. Redley, B. (October 2014). Have you SCAND Mme please? to prevent harm in older emergency medical admissions to acute hospitals. 30th International Society for Quality in Health Care (ISQUA) Conference, Rio de Janerio, Brazil (Poster Presentation)

2014

11. Botti, M., Redley, B., Nguyen, L., Coleman, K., Haddad, P., Moghimi, H., Muhammed, I. & Wickramasinghe N. (2014). Use of a multi-method Delphi process to optimise safety, fidelity and usability of an intelligent clinical support tool (ICST) for acute hospital care. Epworth HealthCare Research Week, Melbourne, Australia (Poster Presentation)


12. Cohen, E., Duke, M. and Botti, M. (2014). Patient participation in acute cancer care: quality of symptom management. 19th International Forum on Quality and Safety in Health Care, Paris, France; Epworth Research Week, Melbourne, Australia (Poster Presentation)

13. Coleman, K., Wood, B. and Redley, B. (2014). Staff experiences of implementing improvement tools to standardise handover in the Post Anaesthetic Care Unit. Epworth HealthCare Research Week, Melbourne, Australia (Poster Presentation)

14. Howell, S., O’Connor, L., Edwards, L., and Botti, M. (2014). A health service wide improvement in the prevention of pressure injury. 19th International Forum on Quality and Safety in Health Care, Paris, France. (Poster Presentation)

15. O’Connor, L., Edwards, L. and Botti, M. (2014). The use of point of care surveys to identify key quality and safety priorities for a multi-site health service. 19th International Forum on Quality and Safety in Health Care, Paris, France. (Poster Presentation)

16. Wickramasinghe, N., Kent, B., Haddad, P., Moghimi, F. H., Nguyen, L. , Redley, B., Coleman, K., Muhammed, I., Stien M. and Botti, M. (2014). Supporting nursing work processes with a technology solution. Australian Telehealth Conference. Melbourne, Australia (Oral Presentation)

2013

17. Botti, M., Cohen, E., Redley, B. and Hunter, S. (2013): Improving postoperative pain management practices: pain point prevalence survey outcomes to engage clinicians in change processes. 8th Congress of the European Federation of IASP® Chapters (EFIC®), Florence, Italy. (Poster Presentation)

18. Graan, M., Botti, M., Redley, B. and Wood B. (Aug 5 -8, 2013): Implementation of Handover Quality Assurance Tools during Nursing Clinical Handover from ICU to Cardiac Ward. 7th International Conference on Safety and Quality Audit and Outcome Research in ICU, Newcastle, Australia. (Poster Presentation)

19. Hunter, S.E., Botti, M., Bucknall, T., and Rhodes, L. (October 2013): Communication of Acute postoperative pain (CAPP study) - Phase 1: patients' description of the dimensions of pain after knee replacement. 8th Congress of the European Federation of IASP® Chapters, Florence Italy. (Poster Presentation)

20. Khaw, D., Botti, M., Joergensen, E.B., Rasmussen, B., and Hunter, S. (October 2013). The structure of post-operative pain experience: A cross-cultural examination of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R). 8th Congress of the European Federation of IASP® Chapters, Florence, Italy. (Poster Presentation)

21. Lillibridge, N., Redley B., Lethbridge, G. and Williams, D. (20-22 October 2013): Identifying Patient Outcomes Useful to Measure the Quality of Inter-Professional Handover in the Post Anaesthetic Care Unit (PACU). Australian Nursing and Midwifery Conference, Newcastle, Australia. (Oral Presentation)

22. Mc Tier, L., Botti, M. and Duke, M., (November 2013). Patient Participation in Treatment in the context of Acute Care. Alfred Research Week, Melbourne, Australia. (Poster Presentation)

23. Redley , B., Botti, M. and Bucknall, T. (October 12, 2013): Improving the Quality of Interprofessional Handover into the Recovery Room. ISQua’s 30th International Conference, Quality and Safety in Population Health and Healthcare, Edinburgh, UK. (Oral Presentation)

http://www1.kenes.com/efic/





24. Wickramasinghe, N., Kent, B., Moghimi, F. H., Nguyen, L., Redley, B., Taylor, N. , Muhamma, I. and Botti, M. (2013): Investigating the Efficacy of an Intelligent Operation Planning and Support Tool for Acute health care contexts. International Medical Informatics Association Conference, Copenhagen, Denmark. (Poster Presented)

25. Wickramasinghe, N., Kent, B., Moghimi, F. H., Nguyen, L., Redley, B., Taylor, N. , Stien M. and Botti, M. (2013): Investigating the Efficacy of an Intelligent Clinical Support Tool for Acute HealthCare Contexts. Epworth HealthCare Research Week. Melbourne, Australia (Poster Presented)

AWARDS AND PRIZES

Established Researcher Poster Prize ($1,000): Cohen, E., Duke, M. and Botti, M. (May 2014). Patient participation in acute cancer care: quality of symptom management. Epworth HealthCare Research Week, Melbourne, Australia Early Researcher Poster Prize: O’Connor, L., Edwards, L. and Botti, M. (2014). The use of point of care surveys to identify key quality and safety priorities for a multi-site health service. 19th International Forum on Quality and Safety in Health Care, Paris, France Epworth HealthCare Research Week, Melbourne, Australia Best of the Best, Study Award Livingston, P.M., Craike, M., Salmon, J., Courneya, K., Gaskin, C., Fraser, S., Mohabi, M., Botti, M., Broadbent, S., Kent, B. (2014). Effects of a clinician referral and exercise program for men who have completed active treatment for prostate cancer: a multicentre cluster randomized controlled trial [ENGAGE]. ANZUP Cancer Trials Group, Melbourne, Australia

Best National PhD Research Paper for 2013. McDonall, J. Patient participation in post-operative pain management: improving the patient experience. School of Nursing and Midwifery, Deakin University, Melbourne, Australia

Best International PhD Research paper for 2013. Wensley, C. Translation of evidence into pain management practices in the postoperative cardiac surgery context. School of Nursing and Midwifery, Deakin University, Melbourne, Australia ANMF Research Grant 2013. McDonall, J. - Sole Recipient. Australian Nursing and Midwifery Federation (VIC Branch)

EXTERNAL PROFILE

Professor Mari Botti was invited to be a panellist in an external institutional academic accreditation review of the University of Dammam in the Kingdom of Saudi Arabia. (February, 2014).

Professor Mari Botti was invited by the Faculty of Nursing, Mahidol University, Bangkok, Thailand as a Visiting Scholar to give lectures on the integration of research, education and nursing practice, assist faculty members with advanced manuscripts for publication and present a seminar on research methodology for doctoral students. (June, 2013).

Associate Professor Bernice Redley was invited to join Victorian Geriatric Medicine Training Program Advisory Committee. (December, 2013)

Associate Professor Bernice Redley was invited to the University of Plymouth, UK to establish research collaboration (October, 2013)


Associate Professor Bernice Redley supervised Deakin University study tour/research collaboration to Bhutan (October, 2013)

COMMITTEES

Organisation Committee/Meeting Frequency Representative

Deakin University HREC (Chair) Monthly Mari Botti

School of Nursing and Midwifery

Professoriate Monthly Mari Botti

Quality Patient Safety Research (QPS) Executive

Monthly Mari Botti

School Research and Research Training (SRRT)

Monthly Mari Botti

School Teaching and Learning Monthly Mari Botti

School Leadership Group Monthly Mari Botti

Alfred HREC (Deputy Chair) Monthly Mari Botti

Nursing Research Advisory Committee Monthly Mari Botti

Epworth HREC Monthly Mari Botti

HREC (Low risk) Subcommittee (Chair) Monthly Mari Botti

Clinical Audit Committee Monthly Mari Botti

NOAC Fortnightly Bernice Redley

Teaching Hospital Steering Committee Monthly Mari Botti

Senior Nursing Advisory Council, SNAC Monthly Mari Botti

Group Quality Committee Monthly Mari BottiDepartment of Health Clinical Leadership for Older Person Care Monthly Bernice Redley

Deakin/Epworth Collaborative Clinical Education Epworth Deakin (CCEED) Undergraduate Program

Monthly Mari Botti

McMaster University, Canada

Nursing Advisory Group Quarterly Mari Botti

Joanna Briggs Institute

JBI Emergency Trauma Expert Reference Group

Quarterly Bernice Redley

Aust/NZ Society for Geriatric Medicine (ANZSGM)

Victorian Geriatric Medicine Training Program Advisory Committee

Quarterly Bernice Redley

Cancer Nursing Society Australia

Research Committee Quarterly Emma Cohen

epworth/deakin centre for clinical nursing research · centre for clinical nursing research annual...

Documents