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Professor Di Twigg

Executive Dean, School of Nursing and Midwifery

Contact Information Telephone: +61 8 6304 2400, Email: d.twigg@ecu.edu.au, Campus: Joondalup, Room: JO21.444
Staff Member Details
Telephone: +61 8 6304 2400
Facsimile: +61 8 6304 2200
Email: d.twigg@ecu.edu.au
Campus: Joondalup  
Room: JO21.444  

 

Professor Di Twigg is Dean of the School of Nursing and Midwifery and Research Consultant in the Centre for Nursing Research at Sir Charles Gairdner Hospital.

As Dean she is the executive leader of the School, and is accountable to the Vice-Chancellor for its effective leadership and management. As a member of the University Executive, she also provides strategic leadership to the wider University and undertakes a strong engagement role nationally and internationally. Previously, Professor Twigg spent most of her career in the health industry and has held several senior health executive roles, most notably as Executive Director of Nursing Services at Sir Charles Gardner Hospital, a 600 bed Magnet designated teaching hospital.

Background

  • December 2015 - Present: Dean of the School of Nursing and Midwifery
  • April 2009 - December 2015: Professor of Nursing, Head of School (Since July 2009)
  • June 2008 - January 2009: Acting Chief Nursing Officer
  • November 2007 - March 2009: Executive Director of Nursing Services, Sir Charles Gairdner Hospital incorporating Executive Director of Nursing Services, North Metropolitan Area Health Service from July 2002 - 2005
  • December 1995 - June 2008: Executive Director of Nursing Services, Sir Charles Gairdner Hospital
  • May 1990 - March 1994: Senior Nursing Roles at Sir Charles Gairdner and King Edward Memorial Hospitals
  • 1977 - 1990: Clinical Practice as Operating Room Nurse, Midwife and Registered Nurse at King Edward Memorial, Royal Melbourne and Bunbury Hospitals

Professional Associations

  • Member of the Child and Adolescent Health Services Board
  • Fellow Australian College of Nursing, Australia
  • Fellow Australasian College of Health Service Management (ACHSM)
  • Sigma Theta Tau International - WA Honour Society at Large and Phi Gamma Chapter

Awards and Recognition

Other

  • Lifetime Achievement Honour at the WA Nursing and Midwifery Excellence Awards, 2017
  • Mature Age TEE Awarded: Certificate of Distinction in English

Research Areas and Interests

  • Nursing workforce and patient outcomes research which specifically relates to safe staffing levels and the relationships between staffing, patient, organisational and economic outcomes.
  • Safe assimilation of support staff into the clinical workplace.
  • Patient and staff outcomes in Magnet designated organisations.

Book Chapter

Myers, H. & Twigg, D. (2017). The economic challenge for health care services. In Ó Lúanaigh, P. (Ed). Nurses and nursing: the person and the profession. pp 163-184. London: Routledge.

Qualifications

  • Master of Business Administration, Murdoch University.
  • Bachelor of Health Sciences hon, Edith Cowan University.
  • Doctor of Philosophy, University of Technology, Sydney, 2010.

Research

Recent Research Grants

  • Provision of a Professorial Research Fellow to develop a collaborative programme of research in Paediatric Nursing and Child Health,  Department of Health WA,  Child and Adolescent Health Grant,  2017 - 2022,  $682,159.
  • Master Research Program,  Sir Charles Gairdner Hospital,  Grant,  2013 - 2021,  $140,000.
  • Evaluation of the One Focus Clinical Facilitation Model for Nursing Students at SCGH Subproject for Institution # G1001207,  Sir Charles Gairdner Hospital,  Grant,  2013 - 2021,  $17,699.
  • The accuracy and clinical utility of violence risk assessment tools for the acute care setting_Subproject for Institution # G1001207,  Sir Charles Gairdner Hospital,  Grant,  2013 - 2021,  $35,628.
  • Evaluation of initiatives relating to Magnet Hospital designation,  Sir Charles Gairdner Hospital,  Grant,  2016 - 2021,  $30,000.
  • Impacts of the Orthopaedic Nurse Practitioner Role on the Care of Hip Fracture Patients: Patient and Economic Outcomes (Subproject for G1001207),  Sir Charles Gairdner Hospital,  Grant,  2013 - 2021,  $7,832.
  • Sponsorship Agreement for Research Fellow,  Sir Charles Gairdner Hospital,  Fellowship,  2017 - 2020,  $529,178.
  • A mixed method study on Nursing graduate support programs in rural and remote areas of Western Australia.,  WA Nurses Memorial Charitable Trust,  Grant,  2015 - 2018,  $10,274.
  • The Impact of Fitness Levels and Leisure-Time Exercise Patterns on the Risk of Occupational Musculoskeletal Disorders among New Graduate Registered Nurses in Western Australia,  WA Nurses Memorial Charitable Trust,  Grant,  2014 - 2018,  $8,737.
  • Core WA Data Set and Conceptual Framework,  Department of Health WA,  Grant,  2017 - 2018,  $5,000.
  • Insulin Stabilisation Ambulatory Program for Inpatients Discharged from Hospital ? ?Virtual Ward?,  Edith Cowan University,  ECU Industry Collaboration Grant - 2015 (Round 1),  2015 - 2018,  $112,464.
  • Independent predictors of successful vascular access (VA) cannulation in haemodialysis patients and the development of a VA cannulation complexity instrument.,  Edith Cowan University,  ECU Industry Collaboration Grant - 2015 (Round 2),  2015 - 2018,  $117,160.
  • Service innovation to improve outcomes and quality of care for patients receiving chemotherapy for breast and colorectal cancer at Sir Charles Gairdner Hospital,  WA Cancer and Palliative Care Network,  Grant,  2017 - 2018,  $273,621.
  • Introducing an Intervention to Improve Adherence to Pressure Injury Evidence Based Guidelines: a Cluster Randomised Trial,  WA Nurses Memorial Charitable Trust,  Grant,  2016 - 2018,  $40,000.
  • Evaluation of Fiona Stanley Hospital Ward Practice Environments from the Perspective of Nurses and Midwives.,  South Metropolitan Health Service,  Grant,  2013 - 2017,  $87,798.
  • Cognitive Impairment and Readmission rates in Patients with Type 2 Diabetes Mellitus Admitted to the Acute Care Setting: A Cohort Study,  Sir Charles Gairdner Hospital,  Research Advisory Committee Funding Grant 2016/17,  2016 - 2017,  $47,392.
  • A Pilot Randomised Control Trial to Compare Failure Rates between Anti-infective CVC, PICC and Anti-infective PICC lines in Patients that Receive TPN,  Sir Charles Gairdner Hospital,  Grant,  2015 - 2017,  $39,626.
  • Developing and evaluating an assessment and planning instrument to facilitate resources to support Aboriginal people who undertake nursing education,  Department of Health WA,  Grant,  2014 - 2017,  $68,394.
  • Sponsorship Agreement for Post-Doctoral or Doctoral Fellowship,  Sir Charles Gairdner Hospital,  Sponsorship,  2013 - 2017,  $409,505.
  • Evaluation of the One Focus Clinical Facilitation Model for Nursing Students at Sir Charles Gairdner Hospital,  WA Nurses Memorial Charitable Trust,  Grant,  2015 - 2017,  $10,000.
  • Sir Charles Gairdner Hospital Sponsorship of Research Assistant Across Multiple Projects,  Sir Charles Gairdner Hospital,  Grant,  2013 - 2017,  $619,609.
  • The impact of adding nursing support workers (Assistants in Nursing) to patient, nurse and system (ward) level outcomes,  Australian Research Council,  Grant - Linkage (Projects),  2011 - 2016,  $432,096.
  • Measuring the Effect of Nurse Staffing and Care Delivery Models upon Patient Outcomes (Nursing Sensitive Outcomes) in the Western Australian Acute Care Context,  Department of Health WA,  Grant,  2010 - 2016,  $165,000.
  • Joondalup Health Campus (JHC) Research,  Joondalup Health Campus,  Sponsorship grant,  2012 - 2015,  $70,499.
  • Developing a Set of Midwifery-Sensitive Patient Outcome Indicators: A Delphi Study,  Department of Health WA,  Grant,  2014 - 2015,  $38,253.
  • Sponsorship Agreement for Chair in Clinical Nursing,  Sir Charles Gairdner Hospital,  Grant,  2010 - 2015,  $76,137.
  • Review of the Resource Requirements and Model of Care in Rural Health Facilities (Designated Small Hospitals) in Western Australia,  Department of Health WA,  Grant,  2013 - 2014,  $87,051.
  • Evaluation of Strategies to improve the Recognition of and Response to the Deteriorating Patient in Acute Care,  Sir Charles Gairdner Hospital,  Research Advisory Committee Funding Grant 2012/13,  2012 - 2014,  $49,537.
  • Midwifery Workforce Plan - Safe Affordable and Sustainable Midwifery Staffing Phase 1 and Phase 2,  Department of Health WA,  Grant,  2010 - 2014,  $36,227.
  • Impact and Costs of Home-based Trial of Void Case Managed by Advanced Practice Nurse Compared to Day Case Setting,  Edith Cowan University,  ECU Industry Collaboration Grant - 2012 (Round 1),  2012 - 2013,  $140,434.
  • Evaluating the Feasibility and Impact of Implementing Ward-based Patient Safety Teams to Improve Patient Outcomes,  Sir Charles Gairdner Hospital,  SCGH - Centre for Nursing Research - Grant,  2011 - 2013,  $62,599.
  • Investigating the factors influencing recruitment, retention and transition to workforce of Aboriginal people undertaking nursing studies at an educational centre in Western Australia,  Department of Health WA,  Grant,  2012 - 2013,  $57,257.
  • Enhancing Capacity for Quality Simulation "Embedding Simulation in Clinical Training - Improving Efficiency" Program,  University of Wollongong,  Health Workforce Australia,  2012 - 2013,  $39,999.
  • Sponsorship Agreement for Post-Doctorial Fellow,  Sir Charles Gairdner Hospital,  Grant,  2010 - 2013,  $137,045.
  • The impact of patient, ward and staffing characteristics on nursing-sensitive outcomes - A Pilot Study,  WA Nurses Memorial Charitable Trust,  Grant,  2011 - 2012,  $33,125.
  • The Economic Benefits of Increased Levels of Nursing Staff in the Hospital Setting,  Edith Cowan University,  ECU Industry Collaboration - Grant,  2010 - 2011,  $58,868.
  • Staffing for Patient Safety,  WA Nurses Memorial Charitable Trust,  Grant,  2010,  $9,905.

Recent Publications (within the last five years)

Journal Articles

  • Coventry, L., Pickles, S., Sin, M., Barnard, M., 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, n/a(n/a), n/a, DOI: 10.1111/jan.13330.
  • Redknap, R., Twigg, D., Barnard, M., (2016), What interventions can improve the mental health nursing practice environment?. International Journal of Mental Health Nursing, 25(1), 42-50, Blackwell Publishing, DOI: 10.1111/inm.12187.
  • 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, 73(6), 1421-1432, Wiley, DOI: 10.1111/jan.13224.
  • Roche, M., Duffield, C., Friedman, S., Twigg, D., Dimitrelis, S., Rowbotham, S., (2016), Changes to nurses' practice environment over time. Journal of Nursing Management, 24(5), 666-675, Blackwell Publishing Ltd, DOI: 10.1111/jonm.12371.
  • Duffield, C., Roche, M., Twigg, D., Williams, A., Clarke, S., (2016), A protocol to assess the impact of adding nursing support workers to ward staffing. Journal of Advanced Nursing, 72(9), 2218-2225, Blackwell Publishing Ltd, DOI: 10.1111/jan.12965.
  • Slatyer, S., Cramer, J., Pugh, J., Twigg, D., (2016), Barriers and enablers to retention of Aboriginal Diploma of Nursing students in Western Australia: An exploratory descriptive study. Nurse Education Today, 42(2016), 17-22, United Kingdom, Churchill Livingstone, DOI: 10.1016/j.nedt.2016.03.026.
  • Twigg, D., Cramer, J., Pugh, J., (2016), Nurse staffing and workload drivers in small rural hospitals: An imperative for evidence. Online Journal of Rural Nursing and Health Care, 16(1), 97-121, USA, Binghamton University, DOI: 10.14574/ojrnhc.v16i1.370.
  • 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, 42(2016), 1487 ? 1493, Elsevier, DOI: 10.1016/j.burns.2016.03.001.
  • 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, 63(November), 189-200, United Kingdom, Elsevier Ltd, DOI: 10.1016/j.ijnurstu.2016.09.008.
  • Slatyer, S., Coventry, L., Twigg, D., Davis, S., (2015), Professional practice models for nursing: a review of the literature and synthesis of key components. Journal of Nursing Management, 2015(2015), 12p., Chichester, West Sussex, United Kingdom, Wiley-Blackwell Publishing Ltd., DOI: 10.1111/jonm.12309.
  • Redknap, R., Twigg, D., Rock, D., Barnard, M., (2015), Nursing practice environment: A strategy for mental health nurse retention?. International Journal of Mental Health Nursing, 24(3), 262-271, Richmond, Victoria, Australia, Wiley-Blackwell Publishing Asia, DOI: 10.1111/inm.12126.
  • Twigg, D., Gelder, L., Myers, H., (2015), The impact of understaffed shifts on nurse-sensitive outcomes. Journal of Advanced Nursing, 71(7), 1564-1572, Chichester, West Sussex, United Kingdom, Wiley-Blackwell Publishing Ltd., DOI: 10.1111/jan.12616.
  • McWilliams, T., Hendricks, J., Twigg, D., Wood, F., (2015), Burns education for non-burn specialist clinicians in Western Australia. Burns, 41(2), 301-307, Oxford, United Kingdom, Elsevier, DOI: 10.1016/j.burns.2014.06.015.
  • Twigg, D., Pugh, J., Gelder, L., Myers, H., (2015), Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian: The Australian Journal of Nursing Practice, Scholarship and Research, 23(2), 167-181, Australia, Elsevier Science BV, DOI: 10.1016/j.colegn.2015.03.007.
  • Pugh, J., Gelder, L., Williams, A., Twigg, D., Wilkinson, A., Blazevich, T., (2015), Validity and reliability of an online extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E2) to measure nurses' fitness. Journal of Clinical Nursing, 24(23-24), 3550-3563, United Kingdom, Wiley-Blackwell, DOI: 10.1111/jocn.12971.
  • Buchan, J., Twigg, D., Dussault, G., Duffield, C., Stone, P., (2015), Policies to sustain the nursing workforce: an international perspective. International Nursing Review, 62(2), 162-170, Blackwell Publishing Ltd, DOI: 10.1111/inr.12169.
  • Twigg, D., Myers, H., Duffield, C., Giles, M., Evans, G., (2014), Is there an economic case for investing in nursing care - what does the literature tell us?. Journal of Advanced Nursing, 71(5), 975-990, Blackwell Publishing Ltd, DOI: 10.1111/jan.12577.
  • Pugh, J., Twigg, D., Giles, M., Myers, H., Gelder, L., Davis, S., King, M., (2014), Impact and costs of home-based trial of void compared with the day care setting. Journal of Advanced Nursing, 71(3), 559-569, United Kingdom, Wiley-Blackwell Publishing, DOI: 10.1111/jan.12525.
  • Pickles, S., Coventry, L., Glennon, D., Twigg, D., (2014), `Making a difference? a clinical pathway for hip fractures and the advance practice rolein managing patients with minimal trauma hip fractures. International Journal of Orthopaedic and Trauma Nursing, 18(4), 205-213, Elsevier Ltd, DOI: 10.1016/j.ijotn.2013.11.011.
  • Duffield, C., Twigg, D., Pugh, J., Evans, G., Dimitrelis, S., Roche, MA., (2014), The use of unregulated staff: Time for regulation?. Policy, Politics, & Nursing Practice, 15(1-2), 42-48, United States, Sage Publications Inc, DOI: 10.1177/1527154414529337.
  • Twigg, D., (2013), Having a greater proportion of registered nurses in a respiratory care centre is associated with fewer urinary infections and increased successful ventilator weaning. Evidence Based Nursing, 17(1), 27-28, United Kingdom, B M J Publishing Group, DOI: 10.1136/eb-2013-101233.
  • Twigg, D., Duffield, C., Evans, G., (2013), The critical role of nurses to the successful implementation of the National Safety and Quality Health Service Standards. Australian Health Review, 37(4), 541-546, DOI: http://dx.doi.org/10.1071/AH12013.
  • Twigg, D., Geelhoed, E., Bremner, A., Duffield, C., (2013), The economic benefits of increased levels of nursing care in the hospital setting. Journal of Advanced Nursing, 69(10), 2253-2261, DOI: 10.1111/jan.12109.
  • Twigg, D., Duffield, C., Bremner, A., Rapley, P., Finn, J., (2012), Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: a retrospoective study. Journal of Advanced Nursing, 68(12), 2710-2718, USA, Blackwell Publishing, DOI: 10.1111/j.1365-2648.2012.05971.x.
  • Pugh, J., Twigg, D., Martin, TL., Rai, T., (2012), Western Australia facing critical losses in its midwifery workforce: A survey of midwives' intentions. Midwifery, 29(5), 497-505, Elsevier, DOI: 10.1016/j.midw.2012.04.006.

Reports

  • Twigg, D., Pugh, J., Gelder, L., Myers, H., (2013), Effect of Nurse Staffing and Care Delivery Models on Patient Outcomes in the Western Australian Acute Care Context: Phase 1 Baseline Nurse Sensitive Indicators - Interim Report for Comment., Perth, W.A., Edith Cowan University.
  • Coventry, L., Sin, M., Slatyer, S., Twigg, D., (2013), The Practice Environment Scale: Nursing at SCGH., Perth, W.A., Sir Charles Gairdner Hospital.

Research Student Supervision

Principal Supervisor

  • Doctor of Health Science (Clinical Leadership and Management),  The Mental Health Nursing Practice Environment: Implications For Nurse Retention.

Co-principal Supervisor

  • Doctor of Philosophy,  Magnetocardiography In Unshielded Environment Based On Optical Magnetometry And Adaptive Noise Cancellation

Associate Supervisor

  • Doctor of Philosophy,  Nurse Staffing, Patient Falls And Medication Errors In Western Australian Hospitals: Is There A Relationship?
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