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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

  • Beament, T., Ewens, B.,Wilcox, S,. & Reid, G. (2018). A collaborative approach to the implementation of a structured clinical handover tool (iSoBAR), within a hospital setting in metropolitan Western Australian: A mixed methods study. Nurse Education In Practice 33(107-113). https://doi.org/10.1016/j.nepr.2018.08.019
  • 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
  • Coventry L., Bremner P., Van Schalkwyk J.W., Hegney D.G., Thompson P.L. (2018). The Effect of Media Campaigns, Patient Characteristics, and Presenting Symptoms on Prehospital Delay in Myocardial Infarction Patients: A Prospective Cohort Study. Heart, Lung and Circulation. https://doi.org/10.1016/j.hlc.2018.05.203
  • Crevacore, C., Duffield, C. & Twigg, D. (2018). Undergraduate Registered Nursing students working as Assistants in Nursing within the acute care environment : Program development and discussion. Collegian. https://doi.org/10.1016/j.colegn.2018.07.012
  • Dermody. G., Tiedt J. (2018). Enhancing Post‐Baccalaureate Doctor of Nursing Practice students' analytic skills. Nursing Forum2018;1‐6https://doi.org/10.1111/nuf.12322
  • 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. (2018). Adding unregulated nursing support workers to ward staffing: Exploration of a natural experiment. Journal of Clinical Nursing. 2018;00:1–12. https://doi.org/10.1111/jocn.14632
  • 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
  • Mata, G., Hendricks, J., Jacobs, E. (2018). Being a safe ethical partner Arnott, N., Paliadelis, P., Cruickshank, M. (Eds) The road to nursing. Cambridge University Press: Australia. Book Chapter.
  • Allen, E., Williams, A., Jennings, D., Stomski, N., Goucke, R., Toye, C., Slatyer, S., Clarke, T.,McCullogh, K. (2018). Worldview on Evidence-Based Nursing. https://DOI: 10.1111/wvn.12318
  • Byers, L. , Michell, K. and McCullough, K. (2018), Awareness, acceptability and access to screening mammography for remote Aboriginal women. Health Promotion Journal of Australia29: 366-367. DOI: 10.1002/hpja.40
  • Saunders, R., Arnold, E., Seaman, K., Green, A., Gullick, K. (2018). Graduate Registered Nurses Reflections on Implementing Safety & Quality Improvement Projects. Reflective Practice Journal. https://doi.org/10.1080/14623943.2018.1538958

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.
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