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Our methodology

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The school research community has expertise in a range of research skills and methodologies.

Big data and linkage

Stroke genetics informs drug discovery and risk prediction across ancestries

This paper pooled multiple genome-wide association studies (GWASs) of stroke to investigate associations in cross-ancestry GWAS meta-analyses of 110,182 patients who have had a stroke (five ancestries, 33% non-European) and 1,503,898 control individuals. We identified association signals for stroke and its subtypes at 89 (61 new) independent loci: 60 in primary inverse-variance-weighted analyses and 29 in secondary meta-regression and multitrait analyses.

Researcher: Professor Jane Maguire

Co-design

Co-design Kickstarter. Mental Health Coordinating Council (MHCC), Community Mental Health Drug and Alcohol Research Network

This is a non-traditional research output and comes out of the work of Raising the Bar, an award winning program of co-designed research. It is a Co-design Kickstarter guide to co-design research, which was funded by the Mental Health Coordinating Council, Community Mental Health Drug and Alcohol Network.It is evidence-based and co-designed with people with lived experience, and was developed using a deliberative dialogue approach. It outlines an approach to co-design research that meets the call for 'nothing about us with out us' from consumer and disability movements and was developed in response to a need for a resource to support meaningful co-design research in the mental health and alcohol and other drug sectors. Raising the Bar is co-led by Brett Bellingham, a lived experience researcher in the Faculty of Health, and A/Prof Jo River, Faculty of Health and Northern Sydney Local Health District. 

Researcher: Associate Professor Jo River  
 

Towards epistemic justice doing: Examining the experiences and shifts in knowledge of lived experience researchers over the course of a mental health research and education training program

The second paper is an example of the research work of the Raising the Bar team that highlights the use of co-design methodology. It presents a study of a co-designed and co-evaluated research training program for people with lived experience of mental health challenges. The paper highlights challenges within the academy and health service regarding ethical involvement of people with lived experience in research.

Researcher: Associate Professor Jo River

Cohort studies 

Service use of young people with Type 1 diabetes after transition from paediatric to adult-based diabetes health care

This paper used the healthcare records of a major public healthcare provider to map activity of a cohort of young people with Type 1 diabetes (T1D) to determine, in the first 2 years after the last planned appointment with paediatric diabetes services: (1) the number of planned and unplanned healthcare contacts and HbA1c measurements made; (2) factors linked to diabetes-related service use; and (3) factors predictive of the number of planned and unplanned service contacts, and of meeting the minimum recommended number of planned service contacts.

Researcher: Professor Lin Perry  
 

Predictors of Parent Use of a Child Health Home-Based Record and Associations with Long-Term Child Health/Developmental Outcomes: Findings from the Longitudinal Study of Australian Children from 2004 to 2016

This paper utilised longitudinal data from a cohort of the Longitudinal Study of Australian Children to examine Predictors of parent use of a child health home-based record and associations with long-term child health/developmental outcomes. The analysis was narrowed to a routinely collected data from 2004 to 2016, of which different patterns of child health and developmental outcomes were identified.

Researcher: Dr Muhammad Chutiyami 

Case control studies 

GISCOME – Genetics of Ischaemic Stroke Functional Outcome network: A protocol for an international multicentre genetic association study

This paper used a case control design to test for genetic variants associated between good and poor recovery outcomes in people who experienced an ischaemic stroke.

Researcher: Professor Jane Maguire

Delphi methods

Building expert agreement on the importance and feasibility of workplace health promotion interventions for nurses and midwives: A modified Delphi consultation

This paper used a Delphi panel to determine the relative importance and feasibility of workplace health promotion interventions to promote and support the health of the Australian nursing and midwifery workforce.

Researcher: Professor Lin Perry

Data mining/interrogation

Leveraging twitter data to understand nurses' emotion dynamics during the COVID-19 pandemic

The study is collaborative between the Data Science Institute and SoNM methodology used AI computerised learning models to analyse Twitter data.

Researcher: Associate Professor Suzanne Sheppard-Law

Cross sectional surveys

Factors associated with discordance of actual and preferred living arrangements among older adults: an analytical cross-sectional study in India

This paper utilised a nationally representative survey data from the survey of ‘Building knowledge base on population ageing in India’. We particularly focussed on older adults aged 60 years and above (N=9540). Bivariate and multivariable logistic regression and interaction models were used to explore the associated factors of living discordance.

Researcher: Dr Priya Saravanakumar  

She would wash the patients as if she was scrubbing a dirty plate in the sink’: Exploring nursing students experiences of care delivery

This paper profiled a cross-sectional study that explored nursing students' experiences of the care delivery practices witnessed during clinical placements and to provide descriptions of poor care. Participants included 256 undergraduate nursing students from three universities, two in the United Kingdom (UK) and one in Australia. Qualitative and quantitative data were descriptively analysed. Despite the generally positive findings, the participants provided multiple and recurring examples of poor nursing care which related to a lack of compassion, poor communication, unkind and indifferent provision of personal care, and patient safety. Reporting of poor care was viewed as difficult and many participants highlighted potential repercussions should they take this course of action.

Researcher: Distinguished Professor Tracy Levett-Jones

A cross-sectional survey of nursing students' patient safety knowledge

This paper described a study that examined final-year nursing students' levels of knowledge about key patient safety concepts using a cross-sectional design.  Data collection was undertaken using a 45-item web-based patient safety quiz informed by the Patient Safety Competency Framework for Nursing Students. Participants included 2011 final-year nursing students from 23 Australian and New Zealand universities. Mean quiz scores were 65.23% with the highest scores achieved in the domains of person-centred care and therapeutic communication, and lowest scores for infection prevention and control and medication safety.

Researcher: Distinguished Professor Tracy Levett-Jones

Predictors of parent's knowledge of hospital-based pediatric falls

This study determined the individual characteristics and demographic factors associated with parents’ knowledge of hospital‐based paediatric falls and identified parent populations more likely to report low levels of fall‐related knowledge. The tool to measure parents’ knowledge was developed and validated by the first author Sheppard-Law, S., Brogan, F., Usherwood, F., Hunstead, P., & Shala, D. R. (2022) in three stages; item development, scale development and scale evaluation. A multivariate linear regression analyses was used to identify factors associated with parents falls knowledge. Several knowledge gaps were found. Parents of children having no risk of falls and parents who migrated to Australia were less likely to report a high level of knowledge. The sensitivity and specificity for the regression mode were 84.1% and 38.5%, respectively. Findings have implications for nursing practice in the way that future paediatric falls education is researched, developed, and evaluated. Measuring what parents don't know about hospital‐based falls provides an evidence‐based approach to developing falls education programs for parents that are relevant and targeted to parent's learning needs and population groups.

Researcher: Associate Professor Suzanne Sheppard-Law

Literature reviews (Umbrella review)

COVID-19 pandemic-related mortality, infection, symptoms, complications, comorbidities, and other aspects of physical health among healthcare workers globally: An umbrella review

This paper utilised a comprehensive literature search to provide an overview of COVID-19 pandemic-related mortality, infection, symptoms, complications, comorbidities, and other aspects of physical health among healthcare workers globally.

The paper included Systematic reviews with or without meta-analyses that assessed the physical health impacts of the COVID-19 pandemic on healthcare workers. The methodological quality of eligible studies was assessed using the Joanna Briggs Institute's checklist for systematic reviews. The data were narratively synthesised in line with the ‘Synthesis Without Meta-analysis’ guideline.

Researcher: Dr Muhammad Chutiyami 

Longitudinal studies  

Predicting Return to Work Following Myocardial Infarction: A Prospective Longitudinal Cohort Study

Predictors of health-related quality of life in korean patients with myocardial infarction: a longitudinal observational study

These longitudinal cohort studies examined return to work and health-related quality of life of patients with acute myocardial infarction in South Korea. 

Researcher: Dr. Leila Gholizadeh 

Meta-analysis

Polymorphisms in platelet glycoprotein 1balpha and factor VII and risk of ischemic stroke: a meta-analysis

This paper assessed platelet glycoprotein 1balpha and Factor VII variants to assess risk of ischaemic stroke. This metanalysis provides strong evidence that the Factor VII R353Q gene polymorphism is not associated with ischemic stroke, that the Thr/Met polymorphism of GP1b alpha is associated with ischemic stroke in a dominant genetic model, and that the Kozak sequence polymorphism of GP1balpha may be close to another causative locus that is associated with ischemic stroke.

Researcher: Professor Jane Maguire 

Mixed methods

Start Healthy and Stay Healthy: A workplace health promotion intervention for new graduate nurses: A mixed-methods study

This paper used a sequential mixed methods design to explore the acceptability of a workplace health promotion intervention embedded into a transition to practice (TTP) programme to assist new graduate nurses in establishing healthy dietary and physical activity (PA) behaviours from career commencement.

Researcher: Dr Elizabeth Brogan

Qualitative studies 

Healthy eating and physical activity among new graduate nurses: A qualitative study of barriers and enablers during their first year of clinical practice

This paper used a qualitative methodology to investigate the barriers and enablers to healthy eating and participation in physical activity for new graduate nurses during their first year of clinical practice, and to explore attitudes to participation in workplace health promotion programs. 

Researcher: Dr Elizabeth Brogan

Nutritional care of elderly patients in acute care settings: A qualitative study

This qualitative interpretive description study explored barriers and facilitators to nutritional care of elderly patients in acute care settings. 

Researcher: Dr. Leila Gholizadeh 

Randomised controlled trials

The effects of foot reflexology on agitation and extubation time in male patients following coronary artery bypass surgery: A randomized controlled clinical trial

This RCT examined the effects of foot reflexology, a non-invasive complementary therapy, on agitation and extubation time in patients following CABG surgery.   

Researcher: Dr. Leila Gholizadeh 

 

Desktop virtual reality versus face-to-face simulation for team-training on stress levels and performance in clinical deterioration: A randomized controlled trial. Journal of General Internal Medicine

This paper profiled a randomised controlled trial that compared desktop virtual reality and face-to-face simulations and examined stress responses and performance outcomes for a team-based simulation on clinical deterioration. Participants included 120 medical and nursing students who were randomly assigned to participate in a 2-h simulation using either the desktop VR or face-to-face simulation with simulated patient. Despite being less immersive, the desktop virtual reality simulation was capable of inducing psychological and physiological stress responses by placing emotional, social, and cognitive demands on learners.

Researcher: Distinguished Professor Tracy Levett-Jones

Validation studies  

Assessment and detection of depression in patients with coronary artery disease: validation of the Persian version of the PHQ-9

Sensitivity and specificity of Urdu version of the PHQ-9 to screen depression in patients with coronary artery disease

These validation studies examined the cross-cultural psychometric properties of Depression Module of the Patient Health Questionnaire (PHQ-9) in a sample of cardiac patients from Iran and Pakistan. 

Researcher: Dr. Leila Gholizadeh 

Other (qualitative methodology)

Re-orientating health and nursing care: a qualitative study on indigenous conceptualisations of wellbeing

This methodology of this study was underpinned by an Indigenous kaupapa Māori methodology. There were a total of 10 pakeke (older Māori adults) were interviewed and their narratives were thematically analysed in accordance with meanings derived from Māori worldviews.

Researcher: Dr Priya Saravanakumar   
 

Masculinities, emotions and men's suicide

This paper highlights expertise in theorised life history methodology, which draws on qualitative narrative methodology and gender relations theory to demonstrate the multiple patterns of emotional practices in the lives of men who attempt suicide.

Researcher: Associate Professor Jo River  
 

Using naturalistic inquiry to inform qualitative description

Overview of a qualitative descriptive research design informed by naturalistic inquiry

Researcher: Dr Natalie Cutler

Exploring adaptations to the Clinical Reasoning Cycle for forensic mental health nursing: A qualitative enquiry. 

Forensic mental health nurses provide care to address the needs of people who have mental illnesses across a range of diverse settings. This study described the use of a study that used Nominal Group Technique to achieve consensus on adaptations to the Clinical Reasoning Cycle with the aim of determining its suitability for use in forensic mental health units. Fourteen senior nurses from a state-wide Forensic mental Health (FMH) service participated.

Researcher: Distinguished Professor Tracy Levett-Jones

A pre-post evaluation of the ‘empathic care of a vulnerable older person’ e-simulation

Researcher: Distinguished Professor Tracy Levett-Jones

Acknowledgement of Country

UTS acknowledges the Gadigal people of the Eora Nation, the Boorooberongal people of the Dharug Nation, the Bidiagal people and the Gamaygal people upon whose ancestral lands our university stands. We would also like to pay respect to the Elders both past and present, acknowledging them as the traditional custodians of knowledge for these lands.

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