NMRC Supported Projects
NMRC Supported projects completed in last five years
Reducing inappropriate catheterisation to Prevent Catheter Associated Urinary Tract Infection (CAUTI) through a hospital-wide, bundled catheter care (BCC) approach: a nonrandomised, controlled intervention study.
The “No CAUTI” project implemented an evidence based catheter care bundle across 4 acute care facilities and aimed to reduce indwelling urinary catheter (IDC) use, prevent CAUTIs and improve safety in adult inpatients. Implementation strategies included train the trainer, ward based education and resources, medical education, monitoring and feedback, and facilitation. Whilst these key elements were common to all intervention sites, there was a degree of flexibility with implementation groups established at each facility to apply them, giving consideration to contextual factors.
Team Members:
Assoc Prof Michelle Giles, Ms Wendy Watts, Prof Vicki Parker, Prof Anthony O'Brien, Ms Jennie King, Ms Alison Harris, Ms Laura Graham, Dr John Ferguson, Dr Caroyln Hullick, Dr Belinda Suthers, Mr Peter MacIsacc, Ms Jean Ball, Ms Sally Milson-Hawke, Ms Michelle Paul, Ms Leanne Frazer, Mr Andrew Searles, Mr Rod Ling
Funding: NSW Health Translational Research Grant Scheme (TRGS)
Awards: HNE Health Excellence Awards (2015); Harry Collins Award for infection prevention (2015); Australian Council for Healthcare Standards Quality Improvement Award for Clinical Excellence and Patient Safety (2015).
Publications:
Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study, May 2017
Variations in indwelling urinary catheter use in four Australian acute care hospitals, August 2019
Implementation of a multifaceted nurse-led intervention to reduce indwelling urinary catheter use in four Australian hospitals: a pre- and postintervention study, December 2019
Barriers and facilitators to implementation of a multifaceted nurse-led intervention in acute care hospitals aimed at reducing indwelling urinary catheter use: a qualitative study, May 2020
Administration of indwelling urinary catheters in four Australian Hospitals: cost-effectiveness analysis of a multifaceted nurse-led intervention, August 2021
Efficacy of normalisation of Advance Care Planning for people with chronic disease in acute and community settings.
This study aims to address how Advance Care Planning (ACP) can be normalised into practice, and if normalising ACP has an increase of 'planning ahead' practices in acute and community settings. The study intervention will involve 'normalisation agents' – a ward/unit ACP expert – to normalise ACP into practice in nominated wards/units in acute and community settings for 6 months.
Team Members:
Dr Se Ok Ohr, Mr Peter Cleasby, Dr Tomiko Barrett, Prof Sally Chan, Dr Peter Saul, Assoc Prof Sarah Jeong, Mr Michael David
Funding: NSW Health Translational Research Grant Scheme (TRGS) Round 2 $491,584
Publications:
Study protocol to investigate the efficacy of normalisation of Advance Care Planning (ACP) for people with chronic diseases in acute and community settings: a quasiexperimental design, May 2019
Prevalence of advance care planning practices among people with chronic diseases in hospital and community settings: a retrospective medical record
audit, April 2021
A cost-consequence analysis of normalised advance care planning practices among people with chronic diseases in hospital and community settings, July 2021
Efficacy of Normalisation of Advance Care Planning (NACP) for people with chronic diseases in hospital and community settings: a quasi-experimental study, September 2021
Nurse-led normalised advance care planning service in hospital and community health settings: a qualitative study, September 2021
The implications of advance care planning for future policy, practice and research: a review advance care directives and a cross-sectional survey, BMC Palliative care (Submitted).
To improve the Quality of Life (QOL) of children, Adolescents and carers affected by severe eczema by piloting a new model of care (MoC) for managing children and adolescents.
The project aims to pilot a revised model of care (MoC) for the management of children and adolescents (0-16 years) with severe eczema. The MoC will consist of an integrated, coordinated multidisciplinary, multimodal approach to the management of severe eczema. This integrative, comprehensive approach will increase compliance to and effectiveness of treatment(s), resulting in improved patient and family outcomes. The project is partnered with patients/families to provide assessment of eczema, associated food allergy and other atopic conditions. It will provide extensive education and support to facilitate adherence to treatment and improve patient outcomes.
Team Members:
Dr Rani Bhatia, Dr John Relic, Ms Jan Belcher, Ms Emily Easman, Ms Michelle Perrin
Increasing capacity to manage young people with mental health concerns at Emergency Department.
An integrated approach to physical and mental health of young people is required at all acute hospitals including in ED. By having a system and training health professionals at ED manage young people with mental health issues appropriately may reduce stigma associated with mental health and allow a 'whole person' perspective which is what service users and carers want. This project aimed to assess how newly developed clinical pathway called KALMs pathway to improve patient's journey at ED such as reduction of length of stay at ED, increased satisfaction of patients and parents and increase capacity of paediatric registrars to conduct mental health assessments.
Team Members:
Dr Balkarishna Nagarekar, Ms Jackie Townsend, Ms Rachael Comeford