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Safety and Quality in Healthcare

At the Centre for Nursing, Midwifery and Health Services Research, we undertake innovative research to develop knowledge, evaluate effectiveness and implement change in healthcare through interventions, treatments and knowledge to transform and shape policy and practice.


Research group focus:

  • Workforce (policy, planning and delivery and mediators of healthcare system outcomes).
  • Quality improvement and quality assessment.
  • Monitoring and medical errors, adverse events, sentinel events, patient safety.
  • Professional accreditation policies, regulations and processes.
  • Future workforce development.

Please view the sections below for a list of our projects and publications.


Prevalence of blood sampling from intravenous cannulas post insertion in acute healthcare

Investigators:

Background:

Peripheral Intravenous Cannulas (PIVC) are routinely inserted into patients in acute health services to assist with administration of medications and management of conditions. There appears to be a great degree of variance in practice regarding obtaining blood samples from intravenous cannulas between health services, states in Australia, and individual nurses. Some health services have guidelines against the practice of blood sampling from PIVC and others do not. Arguments for obtaining blood samples from PIVC include decreased pain due to venupuncture, convenience of access, and appropriateness for certain populations (such as paediatric). Arguments against the practice include infection control risks and quality of blood samples. A review of the literature found no evidence to either support or discourage the practice.

Aim:

To explore the practice of blood sampling from Peripheral Intravenous Cannulas (PIVC) in acute healthcare settings.

Method:

This project will use a cross-sectional research design. Nurses working in acute hospital wards in Australia are invited to participate in the survey to determine the prevalence of the practice of blood sampling from intravenous cannulas.

Outcome:

This project will identify the current prevalence of the practice of blood sampling through PIVCs. Based on the results of this project, further research into the safety of blood sampling through PIVCs will be undertaken to inform practice and policy internationally. Results from the study will be published in nursing journals and presented at nursing conferences

2018

  • Christiansen, A., Jacob, E., & Twigg, D. (2018). Is it time to consider a four year Nursing Bachelor Degree in Australia? A discussion paper. Collegian, online. https://doi.org/10.1016/j.colegn.2018.01.004
  • Christiansen, A., Coventry, L., Graham, R., Jacob, E., Twigg, D., Whitehead, L. (2018). Intentional rounding in acute adult healthcare settings: A systematic mixed method review. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.14370
  • Drennan, J., Duffield, C., Scott, A., Ball, J., Brady, N., Murphy, A., Dahly, D., Savage, E., Corcoran, P., Hegarty, J. and Griffiths, P. (2018). A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards. Journal of Advanced Nursing. https://doi.org/10.1111/jan.13796
  • Duffield, C., Roche, M., Twigg, D., Williams, A., Rowbotham, S. & Clarke, S. Adding unregulated nursing support workers to ward staffing: exploration of a natural experiment. Journal of Clinical Nursing. https://www.ncbi.nlm.nih.gov/pubmed/30039531
  • Gallagher, R., Perry, L., Duffield, C., Sibbritt, D., Ying Ko, C. (2018). The health of working nurses: Hypertension prevalence, awareness, treatment and control by medication. Journal of Nursing Management. https://doi.org/10.1111/jonm.12553
  • Perry, L., Xu, X., Gallagher, R., Nicholls, R., Sibbritt, D. & Duffield, C. (2018). Lifestyle Health Behaviors of Nurses and Midwives: The ‘Fit for the Future’ Study. International Journal of Environmental Research in Public Health. https://doi.org/10.3390/ijerph15050945
  • Raymond, R., James, A., Jacob, E., & Lyons, J. (2018). Influence of perceptions and stereotypes of the nursing role on career choice in secondary students: A regional perspective. Nurse Education Today, Volume 62, 2018, Pages 150-157. https://doi.org/10.1016/j.nedt.2017.12.028
  • Fowler, A., Jacob, E., Twigg, D., Nattabi, B. (2018). An Integrative review of rural and remote nursing graduate programs and experiences of nursing graduates. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.14211

2017

  • Coventry, L., Schalkwyk, J., Thompson, P., Hawkins, S., Hegney, D., (2017), Myocardial infarction, patient decision delay and help seeking behaviour: a thematic analysis. Journal of Clinical Nursing, 26(13-14), 1993-2005, Blackwell Publishing Ltd, DOI: 10.1111/jocn.13607.
  • Coventry, L., Pickles, S., Ong, M., Towell, A., Giles, M., Murray, K., Twigg, D., (2017), Impact of the Orthopaedic Nurse Practitioner Role on Acute Hospital Length of Stay and Cost-savings for Patients with Hip Fracture: A Retrospective Cohort Study. Journal of Advanced Nursing, 73(11), 2652-2663, West Sussex, United Kingdom, Wiley-Blackwell Publishing, DOI: 10.1111/jan.13330
  • Duffield, C., Chapman, S., Rowbotham, S. & Blay N. (2017) Nurse-Performed Endoscopy Implications for the Nursing Profession in Australia, Policy, Politics, & Nursing Practice. http://journals.sagepub.com/eprint/NYzfhzfcUkVJaqWw7WsM/full
  • Elliott, D., Allen, E., McKinley, S., Perry, L., Duffield, C., Fry, M., Gallagher, R., Iedema, R. & Roche, M. (2017) User compliance with documenting on a track and trigger-based observation and response chart: a two-phase multi-site audit study, Journal of Advanced Nursing. http://onlinelibrary.wiley.com/doi/10.1111/jan.13302/abstract
  • Fowler, A., Jacob, E., Twigg, D., Nattabi, B. (2017) An Integrative review of rural and remote nursing graduate programs and experiences of nursing graduates. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.14211
  • Gardner, G., Duffield, C., Doubrovsky, A., Bui, U., Adams, M. (2017) The Structure of Nursing: A national examination of titles and practice profiles. International Nursing Review. https://www.ncbi.nlm.nih.gov/pubmed/28239841
  • Gardner, G., Duffield, C., Doubrovsky, A., Bui, U. & Adams, M. The structure of nursing: a national examination of titles and practice profiles. International Nursing Review 64. https://www.ncbi.nlm.nih.gov/pubmed/28239841
  • Jacob, E., Duffield, C. & Jacob, D. (2017) A protocol for the development of a critical thinking assessment tool for nurses using a Delphi technique, Journal of Advanced Nursing. http://onlinelibrary.wiley.com/doi/10.1111/jan.13306/epdf
  • Seaman, K., Saunders, R., Williams, E., Harrup-Gregory, J., Loffler, H. & Lake, F. (2017) An examination of students’ perceptions of their interprofessional placements in residential aged care. Journal of Interprofessional Care, 31(2), 147–153.
  • Nicholls, R., Perry, L., Gallagher, R., Duffield, C., Sibbritt, D. & Xu, X. The personal cancer screening behaviours of nurses and midwives. Journal of Advanced Nursing, 73. http://onlinelibrary.wiley.com/doi/10.1111/jan.13221/full
  • Nolan, S., Hendricks, J., Ferguson, S. & Towell, A. (2017) Social networking site (SNS) use by adolescent mothers: Can social support and social capital be enhanced by online social networks? – A structured review of the literature. Midwifery, 48, 24-31. https://www.ncbi.nlm.nih.gov/pubmed/28324806
  • Perry, L.,  Xu, X., Gallagher, R. Nicholls, R., Sibbritt, D. & Duffield, C. Health, workforce characteristics, quality of life and intention to leave: a cross sectional survey of Australian nurses and midwives. Journal of Advanced Nursing. https://www.ncbi.nlm.nih.gov/pubmed/28543428
  • Raymond, R., James, A., Jacob, E., & Lyons, J. Influence of perceptions and stereotypes of the nursing role on career choice in secondary students: A regional perspective. Nurse Education Today, Volume 62, 2018, Pages 150-157, https://doi.org/10.1016/j.nedt.2017.12.028
  • Roche, M., Friedman, S., Duffield, C., Twigg, D. & Cook, R. A comparison of nursing tasks undertaken by regulated nurses and nursing support workers: a sampling study. Journal of Advanced Nursing, 73. https://www.ncbi.nlm.nih.gov/pubmed/27878853
  • Wang, C., Whitehead, L. & Bayes, S. Global mobility in nursing: Why Chinese students leave to study nursing in Australia. Journal of Nursing Education and Practice.
    http://www.sciedu.ca/journal/index.php/jnep/article/view/11255

2016

  • Brown, J., Christiansen, A., Kelly, C., Kirkcaldy, A., Kirton, J., Simpson, P., Zubairu. (2016). An Evaluation of NHS England’s care maker programme final report. Published Online.
  • Christiansen, A., Barnes, T., Bewley, T., Kaehne, E., Lynes, D., Kirkcaldyba, A. (2016). An evaluation of the Open and Honest Care Programme in acute NHS trusts in Northern England. Journal of Nursing Management.  DOI: 10.1111/jonm.12379.
  • Christiansen. A., Obrien, M., Kirton. J., Zubairu. K., Bray, L. Delivering Compassionate Care: the Enablers and Barriers. British Journal of Nursing. 10.12968/bjon.2015.24.16.833.
  • Cope, V., Jones, B., & Hendricks, J. (2016). Residential aged care nurses: portraits of resilience. Contemporary Nurse. DOI: 10.1080/10376178.2016.1246950 http://dx.doi.org/10.1080/10376178.2016.1246950
  • Cope, V., Jones, B.,Hendricks, J. (2016).Why nurses chose to remain in the workforce: Portraits of resilience.Collegian. (2016) 23, 87-95. Doi.org/10.106/j.colegn.2014.12.001.
  • Cope, V., Sundin, D., Smyth, A., Wang, C., Baum, G., Ewens, B. and Foxall, F. (2016). The hidden benefits of writing retreats: Academic development and social interaction for nurses. Journal of Nursing Education and Practice Vol. 6, No. 11. DOI: 10.5430/jnep.v6n11p73. ERA Eligible. Impact Factor N/A
    http://dx.doi.org/10.5430/jnep.v6n11p73
  • Crevacore C., Jonas-Dwyer D., Nicol P. The effect of an enrolled nursing registration pathway program on undergraduate nursing students' confidence level: A pre- and post-test study. Nurse Education Today. PII:S0260-6917(16)00009-5 DOI: doi: 10.1016/j.nedt.2015.12.020 3165.
  • Duffield, C. VI: Workforce. Journal of Advanced Nursing. DOI:10.111.
  • Duffield, C., Roche, M., Twigg, D., Williams A. and Clarke, S. Aprotocol to assess the impact of adding nursing support workers to ward staffing. Journal of Advanced Nursing. DOI: 10.1111/jan.12965.
  • Elliott, D., Allen, E.,McKinley, S., Perry, L., Duffield, C.,Fry, M., Gallagher, R., Ledema, R., and Roche, M. User acceptance of observation and response charts with a track and trigger system: a multisite staff survey. Journal of Clinical Nursing. DOI: 10.1111/jocn.13303.
  • Gardner, G., Duffield, C., Doubrovsky, A. and Adams, M. Identifying advanced practice: A national survey of a nursing workforce.International Journal of Nursing Studies. DOI: 10.10.16/j.ijnurstu.2015.12.001.
  • Issacs, A., Jacob, E., Raymond, A., Jones, J.,McGail, M., Drysdale, M. Cultural desire need not improve with cultural knowledge: A cross-sectional study of student nurses. Nurse Education inPractice. DOI: http://dx.doi.org/10.1016/j.nepr.2016.05.009.
  • Jacob, E., McKenna, L., D’Amore, A. Educators’ expectations of roles, employability and career pathways of registered and enrolled nurses in Australia. Nurse Education in Practice.
  • Jacob, E., McKenna, L., D’Amore, A. Role expectations ofdifferent levels of nurse on graduation: A mixed methods approach. Australian Journal of Nursing Practice. DOI: http://dx.doi.org/10.1016/j.colegn.2016.01.006.
  • McWilliams, T., Hendricks, J., Twigg, D., Wood, F., & Giles, M. (2016). Telehealth for paediatric burn patients in rural areas: a retrospective audit of activity and cost savings. Burns. http://dx.doi.org/10.1016/j.burns.2016.03.001
  • Nicholls, R., Perry, L., Duffield, C., Gallagher R., & Pierce, H. (2016). Barriers and facilitators to healthy eating for nurses in the workplace: an integrative review. Journal of Advanced Nursing. DOI: 10.1111/jan.13185.
  • Nicholls, R., Perry, L., Gallagher, R., Duffield, C. & Sibbritt, D. (2016). The personal cancer screening behaviours of nurses and midwives. Journal of Advanced Nursing, DOI: 10.1111/jan.13221 http://onlinelibrary.wiley.com/doi/10.1111/jan.13221/full
  • Nicholls, R., Perry, L., Duffield, C., Gallagher, R. & Pierce, H. (2016). Barriers and facilitators to healthy eating for nurses in the workplace: an integrative review. Journal of Advanced Nursing, DOI: 10.1111/jan.13185 http://onlinelibrary.wiley.com/doi/10.1111/jan.13185/epdf
  • Perry, L., Gallagher, R., Duffield, C., Sibbritt, D., Bichel-Findlay J. & Nicholls, R. (2016). Does nurses’ health affect their intention to remain in their current position? Journal of Nursing Management, DOI: 10.1111/jonm.12412 http://onlinelibrary.wiley.com/doi/10.1111/jonm.12412/abstract;jsessionid=06A765F31498A4A7E1FE8F9696FA0FD5.f02t03
  • Perry, L., Lamont, S., Brunero, S., Gallagher, R., Duffield, C. & Sibbritt, D. (2016). “Mental health day” sickness absence amongst nurses and midwives: workplace, workforce, psychosocial and health. Journal of Advanced Nursing, DOI: 10.1111/jan.13212 http://onlinelibrary.wiley.com/doi/10.1111/jan.13212/full
  • Raymond, A., Jacob, E., Jacob, D. Peer learning a pedagogical approach to enhance online learning: A qualitative exploration. Nurse EducationToday.http://dx.doi.org/10.1016/j.nedt.2016.05.016.
  • Redknap, R., Twigg, D., Towell, A. What intervention scan improve the mental health nursing practice environment? International Journal of Mental Health Nursing. DOI: 10.1111/inm.12187.
  • Roche, M., Duffield, C., Friedman, S., Twigg, D.and Dimitrelis, S. Changes to nurses' practice environment over time. Journal of Nursing Management. DOI: 10.111/jonm.12371.
  • Roche, M., Friedman, S., Duffield, C., Twigg, D. & Cook, R. (2016.) A comparison of nursing tasks undertaken by regulated nurses and nursing support workers: a work sampling study. Journal of Advanced Nursing, DOI: 10.1111/jan.13224 http://onlinelibrary.wiley.com/doi/10.1111/jan.13224/epdf
  • Saunders, C., Carter,D.J., Bryce Law, Q., Jordan, A., Duffield,C., & Bichel-Findlay. J. Cancer patient experience measures: An evidence review. Journal of Psychosocial Oncology. DOI: 10.1080/07347332.2016.11557717.
  • Slatyer, S., Cramer, J.;Pugh, J., & Twigg, D. Barriers and enablers to retention of Aboriginal Diploma of Nursing students in Western Australia: An exploratory descriptive study. Nurse Education Today. DOI: 10.1111/jocn.13303.
  • Stanley D., Beament T., Falconer D., Haigh M.,Saunders R., Stanley K., Wall P. & Nielson S. The male of the species: a profile of men in nursing.  Journal of Advanced Nursing.
  • Twigg, D., Cramer, J., Pugh,J. Nurse Staffing and Workload Drivers in Small Rural Hospitals: An Imperative for Evidence. Journal of Rural Nursing and Healthcare. DOI:10.14574/ojrnhc.v16i1.370.
  • Twigg, D., Myers, H., Duffield, C., Pugh, J., Gelder, L., & Roche, M. (2016). The impact of adding assistants in nursing to acute care hospital ward nurse staffing on adverse patient outcomes: An analysis of administrative health data. International Journal of Nursing Studies. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2016.09.008
  • Wang, C. C. Closing the gap: Comparing nursing registration systems between Australia and China. Chinese Nursing Research.
  • Wang, C. C., Whitehead,L. & Bayes, S. Nursing education in China: meeting the global demand for quality health care. International Journal of Nursing Sciences.
  • Winton Schreuders, L., Geelhoed, E., Bremmer, A., Finn, J., and Twigg, D., (2016). Feasibility of using payroll data to estimate hospital nurse staffing. Collegian.
  • Witney, C., Hendricks, J., & Cope, V. Variation of Kozinets’ framework and application to nursing research. Nurse Researcher. 23(5):36-41. DOI:10.7748/nr.23.5.36.s8.
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