${session.getAttribute("locale")} 5 Inter-rater agreement on PIVC-associated phlebitis signs, symptoms and scales 20% of observations), whereas the Curran, Lanbeck and Rickard scales were the most restrictive (≤2% phlebitis). Only tenderness and the Catney (one of pain, tenderness, erythema or palpable cord) and Rittenberg scales (one of erythema, swelling, tenderness or pain) had acceptable (more than two-thirds, 66.7%) levels of inter-rater agreement. Conclusions: Inter-rater agreement for phlebitis assessment signs/symptoms and scales is low. This likely contributes to the high degree of variability in phlebitis rates in literature. We recommend further research into assessment of infrequent signs/symptoms and the Catney or Rittenberg scales. New approaches to evaluating vein irritation that are valid, reliable and based on their ability to predict complications need exploration.]]> Wed 29 Jun 2016 08:28:48 AEST ]]> Review article: Staff perception of the emergency department working environment: Integrative review of the literature Wed 28 Sep 2016 10:40:39 AEST ]]> Review article: Interventions for people presenting to emergency departments with a mental health problem: A systematic scoping review Wed 27 Nov 2019 14:02:42 AEST ]]> Patients' perspectives of bedside nursing handover Wed 26 Feb 2020 13:38:22 AEST ]]> Towards improved organisational support for nurses working in research roles in the clinical setting: A mixed method investigation Wed 26 Feb 2020 13:31:28 AEST ]]> Women’s Management of Urinary Incontinence in Daily Living 65 years; mean = 74.6 years) and 104 working-aged (18-65 years; mean = 50.3 years) community-dwelling Australian women with self-reported UI. They had experienced UI for an average of 5 years and a majority rated their UI severity as moderate to severe. INSTRUMENT: Based on a comprehensive literature review, a 93-item author-developed questionnaire was developed and pilot tested to identify the type and frequency of strategies used by participants to manage UI. Items were developed that queried demographic and lower urinary symptom characteristics (type, severity, duration). METHODS: Participants were recruited via public and privately funded continence clinics and an advertisement in a local newspaper, with a 66% retention rate following recruitment. Questionnaires were posted to participants with a reply paid envelope for return. RESULTS: The women used a range of strategies to manage UI in their daily lives. A large proportion of women from both groups chose to (1) go to the toilet immediately after urge (older 94%; working-aged 92%); (2) integrate urine loss management a normal part of everyday life (older 81%; working-aged 78%); (3) stopping activities that make them leak (older 85%; working-aged 83%); and (4) using pads and aids for urinary containment (older 87%; working-aged 73%). Older women were more likely to use most of the strategies identified in the questionnaire. These strategies included the following: stop drinking in the evening (older 64%; working-aged 43%; P = .003); organize their bedroom close to the toilet (older 61%; working-aged 36%; P = .001); limit travel (older 45%; working-aged 18%; P = less than .001); limit socializing (older 30%; working-aged 11%; P = .001); and limit new relationships (older 25%; working-aged 11%; P = .01). Respondents engaged in a variety of hygiene measures such as washing (older 86%; working-aged 60%; P = .001), changing pads frequently (older 76%; working-aged 58%; P = .008), and using deodorisers (older 68%; working-aged 50%; P = .008). Working-aged women were more likely to modify (older 17%; working-aged 70%; P less than .001) or avoid (older 8%; working-aged 32%; P = .001) sexual activity. CONCLUSION: Both older and younger women aimed to normalize UI in their daily lives, using strategies designed to keep the bladder empty, maintain secrecy, and preserve social continence. Knowledge of these strategies and the difference between older and working-aged women will enable health care professionals to initiate more targeted support and advice for women with UI.]]> Wed 25 Nov 2015 15:25:19 AEST ]]> Understanding the distributed cognitive processes of intensive care patient discharge Wed 25 Mar 2020 11:04:19 AEST ]]> Factors contributing to the process of intensive care patient discharge: An ethnographic study informed by activity theory Wed 25 Mar 2020 08:09:22 AEST ]]> Investigating patients’ experiences: methodological usefulness of interpretive interactionism Wed 19 Aug 2015 23:10:39 AEST ]]> Low-frequency ultrasonic debridement and topical antimicrobial solution Polyhexamethylene biguanide for use in chronic wounds: a case series Wed 18 Mar 2020 09:14:43 AEST ]]> Intravascular device administration sets: replacement after standard versus prolonged use in hospitalised patients—a study protocol for a randomised controlled trial (The RSVP Trial) Wed 18 Mar 2020 09:13:07 AEST ]]> Stressors and coping strategies of emergency department nurses and doctors: A cross-sectional study Wed 15 Apr 2020 10:51:54 AEST ]]> Entry Points to the Health System: a review of the emerging community models for management of non-life threatening urgent conditions relevant to Australia Wed 13 Dec 2017 11:11:59 AEST ]]> Current practice in dialysis central venous catheter management: multi-disciplinary renal team perspectives Wed 08 Apr 2020 14:14:38 AEST ]]> Coffee and conversation: Creation of a wound clinic Wed 07 Dec 2016 13:17:40 AEST ]]> The predictive validity of the interRAI ED screener for predicting re-presentation within 28 days for older adults at a regional hospital emergency department Wed 04 Sep 2019 16:50:39 AEST ]]> An education program for pressure injury recognition and assessment utilising constructivism teaching method Wed 01 Mar 2017 10:15:28 AEST ]]> Effect of the Geriatric Emergency Department Intervention on outcomes of care for residents of aged care facilities: A non-randomised trial Tue 26 May 2020 14:13:15 AEST ]]> The development of a modified comprehensive geriatric assessment for use in the emergency department using a RAND/UCLA appropriateness method Tue 24 Mar 2020 16:24:23 AEST ]]> Taiwanese translation and psychometric testing of the revised illness perception questionnaire for patients with traumatic injury Tue 21 Jul 2015 11:49:44 AEST ]]> Decision-making related to complementary and alternative medicine use by people with Type 2 diabetes: A qualitative study Tue 21 Jul 2015 11:49:43 AEST ]]> An outcomes evaluation of an Australian Hospital in the Nursing Home admission avoidance programme Tue 21 Jul 2015 11:49:37 AEST ]]> Registered nurses’ decision-making regarding documentation in patients’ progress notes Tue 21 Jul 2015 11:42:41 AEST ]]> Acute care management of older people with dementia: A qualitative perspective Tue 21 Jul 2015 11:42:38 AEST ]]> Warfarin education strategies and their effect on patient outcomes - A literature review Tue 21 Jan 2020 09:56:43 AEST ]]> Initial psychometric testing and validation of the patient participation in pressure injury prevention scale Tue 20 Mar 2018 11:18:41 AEST ]]> Patients’ Perceptions of a Pressure Ulcer Prevention Care Bundle in Hospital: A Qualitative Descriptive Study to Guide Evidence-Based Practice Tue 10 Mar 2020 13:50:28 AEST ]]> Development of a revised Jalowiec Coping Scale for use by emergency clinicians: a cross-sectional scale development study Tue 10 Dec 2019 13:52:48 AEST ]]> Misreading Injectable Medications—Causes and Solutions: An Integrative Literature Review Tue 05 May 2020 14:22:15 AEST ]]> Pelvic static magnetic stimulation to control urinary incontinence in older women: A randomized controlled trial Thu 26 May 2016 11:39:53 AEST ]]> The NURTURE Cluster: Research focused on improving healthcare delivery Thu 25 Aug 2016 15:41:29 AEST ]]> The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): a cluster randomised trial 200 beds each in three Australian states. Participants: 1600 patients (200/hospital) were recruited. Patients were eligible if they were: ≥18 years old; at risk of pressure ulcer because of limited mobility; expected to stay in hospital ≥48 h and able to read English. Methods: Hospitals (clusters) were stratified in two groups by recent pressure ulcer rates and randomised within strata to either a pressure ulcer prevention care bundle or standard care. The care bundle was theoretically and empirically based on patient participation and clinical practice guidelines. It was multi-component, with three messages for patients’ participation in pressure ulcer prevention care: keep moving; look after your skin; and eat a healthy diet. Training aids for patients included a DVD, brochure and poster. Nurses in intervention hospitals were trained in partnering with patients in their pressure ulcer prevention care. The statistician, recruiters, and outcome assessors were blinded to group allocation and interventionists blinded to the study hypotheses, tested at both the cluster and patient level. The primary outcome, incidence of hospital-acquired pressure ulcers, which applied to both the cluster and individual participant level, was measured by daily skin inspection. Results: Four clusters were randomised to each group and 799 patients per group analysed. The intraclass correlation coefficient was 0.035. After adjusting for clustering and pre-specified covariates (age, pressure ulcer present at baseline, body mass index, reason for admission, residence and number of comorbidities on admission), the hazard ratio for new pressure ulcers developed (pressure ulcer prevention care bundle relative to standard care) was 0.58 (95% CI: 0.25, 1.33; p = 0.198). No adverse events or harms were reported. Conclusions: Although the pressure ulcer prevention care bundle was associated with a large reduction in the hazard of ulceration, there was a high degree of uncertainty around this estimate and the difference was not statistically significant. Possible explanations for this non-significant finding include that the pressure ulcer prevention care bundle was effective but the sample size too small to detect this.]]> Thu 21 Jun 2018 12:27:48 AEST ]]> Enhanced primary care provided by a nurse practitioner candidate to aged care facility residents: A mixed methods study Thu 20 Feb 2020 14:45:38 AEST ]]> Reconceptualising health and health care for women affected by domestic violence. Thu 20 Aug 2015 00:13:48 AEST ]]> A Nurse Practitioner candidate : A model for change in aged care Thu 17 Aug 2017 21:08:08 AEST ]]> Users’ experiences of an emergency department patient admission predictive tool: A qualitative evaluation Thu 16 Nov 2017 14:45:45 AEST ]]> Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: a mixed-methods study Thu 15 Mar 2018 09:44:43 AEST ]]> Close observation by ‘specials’ to promote the safety of the older person with behavioural disturbances in the acute care setting Thu 13 Feb 2020 09:26:39 AEST ]]> Linking ambulance, emergency department and hospital admissions data: Understanding the emergency journey Thu 08 Sep 2016 14:57:04 AEST ]]> The demoralisation of nurses and medical doctors working in the emergency department: A qualitative descriptive study Mon 30 Mar 2020 12:03:15 AEST ]]> Emergency Department presentation of frail older people and interventions for management: Geriatric Emergency Department Intervention Mon 26 Mar 2018 09:45:39 AEST ]]> Streamlining care of older people in residential aged care: Nurse practitioner candidate and emergency department care coordination Mon 26 Mar 2018 09:38:39 AEST ]]> Integrated versus nOn-integrated Peripheral inTravenous catheter. Which Is the most effective systeM for peripheral intravenoUs catheter Management? (The OPTIMUM study): a randomised controlled trial protocol Mon 25 Feb 2019 11:26:43 AEST ]]> Improving emergency department transfer for patients arriving by ambulance: A retrospective observational study Mon 23 Mar 2020 14:12:15 AEST ]]> Impact of influenza across 27 public emergency departments in Australia: A 5-year descriptive study Mon 20 Jul 2015 16:55:37 AEST ]]> Predicting emergency department admissions Mon 20 Jul 2015 16:55:37 AEST ]]> The impact of opening a new emergency department on health care service and patient outcomes: Analyses based on linking Ambulance, Emergency and Hospital databases Mon 20 Jul 2015 14:35:39 AEST ]]> Phlebitis Signs and Symptoms with Peripheral Intravenous Catheters: Incidence and Correlation Study Mon 16 Jul 2018 09:12:47 AEST ]]> The effects of multimodal exercise on cognitive and physical functioning and brain-derived neurotrophic factor in older women: a randomised controlled trial Mon 16 Feb 2015 09:33:14 AEST ]]> Staff perceptions of the emergency department working environment: An international cross-sectional survey Mon 16 Dec 2019 08:42:43 AEST ]]> The implementation and evaluation of the patient admission prediction tool: Assessing its impact on decision-making strategies and patient flow outcomes in 2 Australian hospitals Mon 14 Dec 2015 15:00:12 AEST ]]> Normalizing Policies of Inaction—The Case of Health Care in Australia for Women Affected by Domestic Violence Mon 11 May 2020 10:16:39 AEST ]]> The effect of a patient centred care bundle intervention on pressure ulcer incidences (INTACT) 200 beds in three Australian states. Patients were eligible if they were: ≥18 years old; at risk of PU because of limited mobility; expected to stay in hospital ≥48 hours and able to read English. Hospitals (clusters) were stratified in two groups by recent HAPU rates and randomised within strata. The PUPCB was multi-component, and was aimed at the patient and nurse. There were three messages for patients’ participation in PUP care: keep moving; look after your skin; and eat a healthy diet. These messages were delivered as one-to-one patient education using a DVD, poster and brochure as resources. Nurses in intervention hospitals were trained in partnering with patients in their PUP care. The statistician, recruiters, and outcome assessors were blinded to group allocation and interventionists blinded to the study hypothesis (tested at both the cluster and patient level). The primary endpoint, incidence of HAPU, was detected by daily skin inspection. Data collection occurred from June, 2014 to May, 2015. The trial was registered with the Australian New Zealand Clinical Trials Registry (registration number ACTRN12613001343796). Results: A total of eight hospitals and 200 patients per hospital were recruited and 799 patients per group analysed. The mean (±SD) time spent delivering the intervention to each patient was 9.5 ± 5.4 minutes. Cluster adjusted, patient level analysis controlled for potential confounders yielded an adjusted hazard ratio of 0·58 (95% CI: 0·25, 1·33; p = 0·198) in the PUPCB group. At the cluster level, the HAPU incidence rate in the PUPCB group was 9·6 per 1000 days and in the control group it was 20·1 per 1000 days, with an incidence rate ratio of 0·48 (95% CI: 0·33, 0·69; p < 0·0001). Conclusion: The evidence indicating effectiveness of our intervention is unclear with the patient level analysis showing a 42% average reduction in HAPU rate in the PUPCB group, however, confidence intervals indicate that there may be a reduction of 75% or an increase of 33% in HAPU rates. The PUPCB is simple to implement and based on current clinical practice guidelines.]]> Mon 09 Jan 2017 14:00:48 AEST ]]> Blood management in hip fractures; are we leaving it too late? A retrospective observational study Mon 01 Apr 2019 15:31:44 AEST ]]> Adsorption and Leachable Contamination of Flucloxacillin, Cyclosporin and Amiodarone Following Delivery Through an Intravenous Administration Set Fri 29 May 2020 17:50:06 AEST ]]> The use of functional and cognitive assessment in the emergency department to inform decision making: A scoping review 65 years; the administration of a functional and/or cognition assessment instrument whilst the older adult is in any part of the ED; interventions resulting from the administration of the instrument; and a measured outcome post ED visit. A revised scoping review methodology was applied to chart study data and to identify key differences. Results: Ten research studies were identified that met the criteria for review. There are a variety of assessments, aimed at different age groups, for several purposes and used at different times in the ED journey. Assessments are not being used in conjunction with routine medical assessment early in the ED patient journey. Conclusion: This scoping review identified no consistent suite of tools being administered in the ED to influence the disposition decision with measurable outcomes. Further research is required to identify a suite of assessment instruments suitable for use in the ED setting aimed at improving disposition decision making in the complex elderly person.]]> Fri 29 May 2020 17:49:34 AEST ]]> Reducing the cost associated with care of elder patients in the ED: Impact of enhanced primary care in an aged care facility Fri 29 May 2020 17:36:09 AEST ]]> Cost-Effectiveness Analysis of Clinically Indicated Versus Routine Replacement of Peripheral Intravenous Catheters Fri 29 May 2020 13:09:36 AEST ]]> Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries Fri 22 Feb 2019 10:45:44 AEST ]]> Morale, stress and coping strategies of staff working in the emergency department: A comparison of two different-sized departments Fri 22 Feb 2019 09:35:45 AEST ]]> Emergency clinician perceptions of occupational stressors and coping strategies: A multi-site study Fri 19 Jul 2019 15:06:39 AEST ]]> Routine versus clinically indicated replacement of peripheral intravenous catheters: A randomised controlled equivalence trial Fri 15 May 2015 10:36:44 AEST ]]> A structure and process evaluation of an Australian hospital admission avoidance programme for aged care facility residents Fri 15 May 2015 10:29:59 AEST ]]> Predictors of complementary and alternative medicine use by people with type 2 diabetes Fri 15 May 2015 10:29:58 AEST ]]> Clinical handover of patients arriving by ambulance to the emergency department - A literature review Fri 15 May 2015 10:29:50 AEST ]]> Effectiveness of a computer based medication calculation education and testing programme for nurses Fri 15 May 2015 10:29:49 AEST ]]> A discussion of approaches to transforming care: Contemporary strategies to improve patient safety Fri 15 May 2015 10:29:48 AEST ]]> Men's management of urinary incontinence in daily living: Implications for practice Fri 15 May 2015 10:29:38 AEST ]]> Education and Experience Make a Difference: Results of a Predictor Study Fri 15 May 2015 10:22:43 AEST ]]> Key occupational stressors in the ED: An international comparison Fri 13 Mar 2020 09:58:17 AEST ]]> Review article: Clinical characteristics and outcomes of patient presentations to the emergency department via police: A scoping review Fri 11 Oct 2019 15:44:38 AEST ]]> Postinfusion Phlebitis: Incidence and Risk Factors Fri 08 Apr 2016 09:46:22 AEST ]]> Use of complementary and alternative medicine among people with type 2 diabetes in Taiwan: A cross-sectional survey Fri 08 Apr 2016 09:27:29 AEST ]]> Further research is required to provide evidence of the effectiveness and feasibility of the nurse-led, case management approach to the care of older adults with chronic comorbid conditions Fri 08 Apr 2016 09:23:39 AEST ]]> Risk factors for peripheral intravenous catheter failure: A multivariate analysis of data from a randomized controlled trial Fri 08 Apr 2016 09:04:04 AEST ]]> Expanding emergency department capacity: a multisite study Fri 08 Apr 2016 08:15:13 AEST ]]> Building the Clinical Bridge: An Australian Success Fri 08 Apr 2016 07:54:38 AEST ]]> Medication calculation competencies for registered nurses: A literature review Fri 08 Apr 2016 07:53:53 AEST ]]> Improved outcomes for emergency department patients whose ambulance off-stretcher time is not delayed 30 min with those who were not delayed; and (ii) identify predictors of an ED length of stay ( LOS) of >4 h for ambulance-arriving patients. Methods A retrospective, multi-site cohort study was undertaken in Australia using 12 months of linked health data ( September 2007-2008). Outcomes of AOT delayed and non-delayed presentations were compared. Logistic regression analysis was undertaken to identify predictors of an ED LOS of >4 h. Results Of the 40 783 linked, analysable ambulance presentations, AOT delay of >30 min was experienced by 15%, and 63% had an ED LOS of >4 h. Patients with an AOT <30 min had better outcomes for: time to triage; ambulance time at hospital; time to see healthcare professional; proportion seen within recommended triage time frame; and ED LOS for both admitted and non-admitted patients. In-hospital mortality did not differ. Strong predictors of an ED LOS >4 h included: hospital admission, older age, triage category, and offload delay >30 min. Conclusion Patients arriving to the ED via ambulance and offloaded within 30 min experience better outcomes than those delayed. Given that offload delay is a modifiable predictor of an ED LOS of >4 h, targeted improvements in the ED arrival process for ambulance patients might be useful.]]> Fri 08 Apr 2016 07:48:44 AEST ]]> Daily-living management of urinary incontinence: A synthesis of the literature Fri 08 Apr 2016 07:11:47 AEST ]]> Randomised controlled trials in nursing and midwifery research - establishing the evidence for healthcare practice - a case study of current trials Fri 08 Apr 2016 07:06:52 AEST ]]> Bedside nursing handover: A case study Fri 08 Apr 2016 07:04:15 AEST ]]> Phlebitis and infection in peripheral IV devices: A secondary analysis of a large dataset Fri 07 Nov 2014 13:42:18 AEST ]]> Phlebitis and infection in peripheral IV devices: A multivariate analysis of clinical trial data Fri 07 Nov 2014 12:23:46 AEST ]]> Effectiveness of a pre-procedure ano-sphincter complex injection of local anaesthetic in the management of post-procedure pain following rubber band ligation of haemorrhoids: a clinical trial Fri 07 Nov 2014 11:26:59 AEST ]]> The impact of a multimodal education strategy (the DeTER program) on nurses' recognition and response to deteriorating patients Fri 07 Feb 2020 13:40:41 AEST ]]> The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: findings from the INTACT cluster randomised trial Fri 07 Feb 2020 13:27:45 AEST ]]> Does participating in a clinical trial affect subsequent nursing management? Post-trial care for participants recruited to the INTACT pressure ulcer prevention trial: A follow-up study Fri 07 Feb 2020 13:13:32 AEST ]]> INTroducing A Care bundle To prevent pressure injury (INTACT) in at-risk patients: A protocol for a cluster randomised trial Fri 07 Feb 2020 12:37:55 AEST ]]> Living with CRPS: Patients in partnership Fri 06 Sep 2019 13:41:14 AEST ]]> Living with CRPS: A daily battle Fri 06 Sep 2019 13:41:11 AEST ]]> The CEDRiC project: Care coordination through Emergency Department, Residential aged care and primary health Collaboration Fri 06 Sep 2019 13:41:02 AEST ]]> Evaluation of the Care Coordination through Emergency Department, Residential Aged Care and Primary Health Collaboration (CEDRiC) project: Pre-publication Stakeholder Report Fri 06 Sep 2019 13:40:59 AEST ]]> Boldly Exploring New Frontiers in Aged Care – A Nurse Practitioner candidate to Nurse Practitioner Model of Care Fri 06 Sep 2019 13:40:51 AEST ]]> Repeated measures Quality of Life assessment in an Aged Care Facility over 1 year Fri 06 Sep 2019 13:40:48 AEST ]]> The Geriatric Emergency Department Intervention model of care: a pragmatic trial Fri 06 Sep 2019 13:40:44 AEST ]]> Nurse-led multidisciplinary initiatives to improve outcomes and reduce hospital admissions for older adults: The Care coordination through Emergency Department, Residential Aged Care and Primary Health Collaboration project Fri 06 Sep 2019 13:40:32 AEST ]]> A structure, process and outcome evaluation of the Geriatric Emergency Department Intervention model of care: a study protocol Fri 06 Sep 2019 13:40:23 AEST ]]> Methodological considerations related to nurse researchers using their own experience of a phenomenon within phenomenology Fri 06 Sep 2019 13:40:19 AEST ]]> Nurses' perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study Fri 03 Feb 2017 10:46:33 AEST ]]>