Dr Caleb Ferguson RN PhD is adjunct faculty at UTS: Health.
He was full time faculty at UTS from 2010 - 2017 where he held appointments as Associate Lecturer, Lecturer, Senior Lecturer, Director of Postgraduate Nursing Studies and Chancellor's Postdoctoral Research Fellow.
He is currently a Senior Research Fellow at the Western Sydney Nursing & Midwifery Research Centre and holds a conjoint appointment with Western Sydney University & Western Sydney Local Health District.
His program of research focuses on patient centred approaches to the management of atrial fibrillation, stroke prevention and digital health. https://www.westernsydney.edu.au/staff_profiles/uws_profiles/doctor_caleb_ferguson
He continues to collaborate with UTS Faculty of Health on a number of research projects, teaching activities and engagement initiatives.
Caleb undertakes adhoc peer review for the following national & international peer reviewed journals:
- International Journal of Cardiology
- Circulation: Cardiovascular Quality & Outcomes
- Vascular Health & Risk Management
- Journal of Atrial Fibrillation
- Journal of Smoking Cessation
- International Journal of Nursing Studies
- Nursing Research & Practice
- Journal of Clinical Nursing
- Journal of Advanced Nursing
- Journal of Caring Sciences
- Contemporary Nurse
- Nurse Researcher
- BMC Family Practice
- Nursing Open
- International Journal of General Medicine
- Nursing & Health Sciences
- International Journal of Nursing Practice
- Journal of Clinical Pharmacy and Therapeutics
- BMC Cardiovascular Disorders
- Journal of Medical Internet Research
Caleb is an author with The Conversation and a StrokeSafe Ambassador for the National Stroke Foundation. He an Editor for Contemporary Nurse and serves as an editorial board member of the Journal of Clinical Nursing.
Can supervise: YES
Clinical Research Interests
- Atrial fibrillation
- Stroke prevention
- Stroke risk stratification
- Anticoagulation and thromboprophylaxis
- Medication adherence
- Social media
Can supervise: Yes (Cat 2 Supervisor)
Teaching & Learning Research Interests
Ferguson C, Sukkar M, DiGiacomo M, Hickman L, Gholizadeh L, Ferguson LE, Awati K, Buckingham Shum S & Armstrong T. (2017). "INTERACT: Improving student to student interaction in the social media classroom environment" ($9,981) UTS VC Learning & Teaching Development Grant.
Ferguson C, Jackson D, Green J, Wyllie A, & Townsend L (2015) "Enhancing student engagement through the embedment of Twitter as a support platform, in the first year of the BN program" The #UTSnurse Project - ($1,000). UTS First Year Student Experience Grant.
Hickman L, Phillips J, Ferguson C, Newton PJ, & DiGiacomo M (2015) "The BRIDGE Project: bridging the evidence practice gap, implementing and testing existing and new innovations in a postgraduate health Master's Degree (Coursework) students capstone experience and/or piece of scholarship". ($8,000) UTS VC Learning & Teaching Small Grant.
Awards & Prizes
2016-2019 UTS Chancellors Postdoctoral Research Fellowship
2015 Cardiac Society of Australia & New Zealand Affiliate Clinical Development Award ($1000)
2015 National Stroke Foundation Fostering Future Leaders Grant ($5900)
2014 Cardiac Society of Australia & New Zealand Heart Failure Travel Fellowship ($3000)
2014 Australasian Cardiovascular Nursing College - Best Oral Presentation for paper titled "The caregiver role in thromboprophylaxis management in atrial fibrillation"
2013 John Sheard Travel Award - Australasian Neuroscience Nurses Association, NSW Chapter ($1000)
2013 UTS: Health Services & Practices Funding Research Development Award ($625)
2012 John Sheard Travel Award - Australasian Neuroscience Nurses Association, NSW Chapter ($1000)
2012 UTS 3 Minute Thesis - Faculty Winner, and University Competition Finalist
Watch 3MT presentation on YouTube
2012 - 2015 UTS Doctoral Scholarship (APA Equivalent)
2009 GMCT Neurosurgical Nursing Professional Development Scholarship ($3000)
2008 TAB 'Going Places' Scholarship Award
2008 NSW Health Masters Scholarship
Postgraduate: Research Degree Supervision
Evidence Based Practice
McDonagh, J., Ferguson, C. & Newton, P.J. 2018, 'Frailty Assessment in Heart Failure: an Overview of the Multi-domain Approach.', Current heart failure reports, vol. 15, no. 1, pp. 17-23.View/Download from: Publisher's site
The study aims (1) to provide a contemporary description of frailty assessment in heart failure and (2) to provide an overview of multi-domain frailty assessment in heart failure.Frailty assessment is an important predictive measure for mortality and hospitalisation in individuals with heart failure. To date, there are no frailty assessment instruments validated for use in heart failure. This has resulted in significant heterogeneity between studies regarding the assessment of frailty. The most common frailty assessment instrument used in heart failure is the Frailty Phenotype which focuses on five physical domains of frailty; the appropriateness a purely physical measure of frailty in individuals with heart failure who frequently experience decreased exercise tolerance and shortness of breath is yet to be determined. A limited number of studies have approached frailty assessment using a multi-domain view which may be more clinically relevant in heart failure. There remains a lack of consensus regarding frailty assessment and an absence of a validated instrument in heart failure. Despite this, frailty continues to be assessed frequently, primarily for research purposes, using predominantly physical frailty measures. A more multidimensional view of frailty assessment using a multi-domain approach will likely be more sensitive to identifying at risk patients.
Sabater-Hernández, D., Tudball, J., Ferguson, C., Franco-Trigo, L., Hossain, L.N. & Benrimoj, S.I. 2018, 'A stakeholder co-design approach for developing a community pharmacy service to enhance screening and management of atrial fibrillation.', BMC health services research, vol. 18, no. 1, p. 145.View/Download from: Publisher's site
Community pharmacies provide a suitable setting to promote self-screening programs aimed at enhancing the early detection of atrial fibrillation (AF). Developing and implementing novel community pharmacy services (CPSs) is a complex and acknowledged challenge, which requires comprehensive planning and the participation of relevant stakeholders. Co-design processes are participatory research approaches that can enhance the development, evaluation and implementation of health services. The aim of this study was to co-design a pharmacist-led CPS aimed at enhancing self-monitoring/screening of AF.A 3-step co-design process was conducted using qualitative methods: (1) interviews and focus group with potential service users (n=8) to identify key needs and concerns; (2) focus group with a mixed group of stakeholders (n=8) to generate a preliminary model of the service; and (3) focus group with community pharmacy owners and managers (n=4) to explore the feasibility and appropriateness of the model. Data were analysed qualitatively to identify themes and intersections between themes. The JeMa2 model to conceptualize pharmacy-based health programs was used to build a theoretical model of the service.Stakeholders delineated: a clear target population (i.e., individuals 65 years old, with hypertension, with or without previous AF or stroke); the components of the service (i.e., patient education; self-monitoring at home; results evaluation, referral and follow-up); and a set of circumstances that may influence the implementation of the service (e.g., quality of the service, competency of the pharmacist, inter-professional relationships, etc.). A number of strategies were recommended to enable implementation (e.g.,. endorsement by leading cardiovascular organizations, appropriate communication methods and channels between the pharmacy and the general medical practice settings, etc.).A novel and preliminary model of a CPS aimed at enhancing the management of AF was gene...
Shaikh, F., Pasch, L.B., Newton, P.J., Bajorek, B.V. & Ferguson, C. 2018, 'Addressing Multimorbidity and Polypharmacy in Individuals With Atrial Fibrillation.', Current cardiology reports, vol. 20, no. 5, p. 32.View/Download from: Publisher's site
The objectives of this review were to (1) discuss how multimorbidity and polypharmacy contributes to the complexity of management among individuals with AF and (2) identify any interventions to manage polypharmacy in relation to AF.Based on the four landmark clinical trials of novel anticoagulants, the most common comorbidities with AF are hypertension, heart failure, diabetes, stroke and myocardial infarction. Polypharmacy was also found prevalent in 76.5% of patients with AF, with a median of six drugs per patient. Despite the consequences of polypharmacy in AF, there is very little evidence-based intervention designed to manage it. Hence, there is a need for further research to examine interventions to manage polypharmacy in relation to AF. Atrial fibrillation (AF) is the most common type of cardiac arrhythmia requiring treatment in adults. Due to the structural and/or electrophysiological abnormalities that occur in AF, patients are managed through the use of prophylactic anticoagulant and rate and/or rhythm control medications. However, these medications are considered high risk and can increase the chances of medication misadventure. Additionally, AF rarely occurs in isolation and is known to coexist with multiple other medical comorbidities, i.e. multimorbidity. This also increases the number of medications, i.e. polypharmacy and pill burden which results in treatment non-compliance to prescribed therapy.
Hickman, L., DiGiacomo, M., Phillips, J., Rao, A., Newton, P., Jackson, D. & Ferguson, C. 2018, 'Improving evidence based practice in postgraduate nursing programs: Asystematic reviewBridging the evidence practice gap (BRIDGE project)', Nurse Education Today, vol. 63, pp. 69-75.View/Download from: UTS OPUS or Publisher's site
The nursing profession has a significant evidence to practice gap in an increasingly complex and dynamic health care environment.
To evaluate effectiveness of teaching and learning strategies related to a capstone project within a Masters of Nursing program that encourage the development of evidence based practice capabilities.
Systematic review that conforms to the PRISMA statement. Sample: Master's Nursing programs that include elements of a capstone project within a university setting.
Data Sources/Review Methods
MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, ERIC and PsycInfo were used to search for RCT's or quasi experimental studies conducted between 1979 and 9 June 2017, published in a peer reviewed journal in English.
Of 1592 studies, no RCT's specifically addressed the development of evidence based practice capabilities within the university teaching environment. Five quasi-experimental studies integrated blended learning, guided design processes, small group work, role play and structured debate into Masters of Nursing research courses. All five studies demonstrated some improvements in evidence based practice skills and/or research knowledge translation, with three out of five studies demonstrating significant improvements.
There is a paucity of empirical evidence supporting the best strategies to use in developing evidence based practice skills and/or research knowledge translation skills for Master's Nursing students. As a profession, nursing requires methodologically robust studies that are discipline specific to identify the best approaches for developing evidence-based practice skills and/or research knowledge translation skills within the university teaching environment. Provision of these strategies will enable the nursing profession to integrate the best empirical evidence into nursing practice.
Hickman, L.D., DiGiacomo, M., Phillips, J., Rao, A., Newton, P.J., Jackson, D. & Ferguson, C. 2018, 'Improving evidence based practice in postgraduate nursing programs: A systematic review: Bridging the evidence practice gap (BRIDGE project).', Nurse education today, vol. 63, pp. 69-75.View/Download from: Publisher's site
The nursing profession has a significant evidence to practice gap in an increasingly complex and dynamic health care environment.To evaluate effectiveness of teaching and learning strategies related to a capstone project within a Masters of Nursing program that encourage the development of evidence based practice capabilities.Systematic review that conforms to the PRISMA statement.Master's Nursing programs that include elements of a capstone project within a university setting.MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, ERIC and PsycInfo were used to search for RCT's or quasi experimental studies conducted between 1979 and 9 June 2017, published in a peer reviewed journal in English.Of 1592 studies, no RCT's specifically addressed the development of evidence based practice capabilities within the university teaching environment. Five quasi-experimental studies integrated blended learning, guided design processes, small group work, role play and structured debate into Masters of Nursing research courses. All five studies demonstrated some improvements in evidence based practice skills and/or research knowledge translation, with three out of five studies demonstrating significant improvements.There is a paucity of empirical evidence supporting the best strategies to use in developing evidence based practice skills and/or research knowledge translation skills for Master's Nursing students. As a profession, nursing requires methodologically robust studies that are discipline specific to identify the best approaches for developing evidence-based practice skills and/or research knowledge translation skills within the university teaching environment. Provision of these strategies will enable the nursing profession to integrate the best empirical evidence into nursing practice.
Jha, S.R., McDonagh, J., Prichard, R., Newton, P.J., Hickman, L.D., Fung, E., Macdonald, P.S. & Ferguson, C. 2018, '#Frailty: A snapshot Twitter report on frailty knowledge translation.', Australasian journal on ageing.View/Download from: Publisher's site
The objectives of this short report are to: (i) explore #Frailty Twitter activity over a six-month period; and (ii) provide a snapshot Twitter content analysis of #Frailty usage.A mixed-method study was conducted to explore Twitter data related to frailty. The primary search term was #Frailty. Objective 1: data were collected using Symplur analytics, including variables for total number of tweets, unique tweeters (users) and total number of impressions. Objective 2: a retrospectively conducted snapshot content analysis of 1500 #Frailty tweets was performed using TweetReach .Over a six-month period (1 January 2017-31 June 2017), there was a total of 6545 #Frailty tweets, generating 14.8 million impressions across 3986 participants. Of the 1500 tweets (814 retweets; 202 replies; 484 original tweets), 56% were relevant to clinical frailty. The main contributors ('who') were as follows: the public (29%), researchers (25%), doctors (21%), organisations (18%) and other allied health professionals (7%). Tweet main message intention ('what') was public health/advocacy (41%), social communication (28%), research-based evidence/professional education (24%), professional opinion/case studies (15%) and general news/events (7%).Twitter is increasingly being used to communicate about frailty. It is important that thought leaders contribute to the conversation. There is potential to leverage Twitter to promote and disseminate frailty-related knowledge and research.
Ferguson, C. & Hendriks, J. 2017, 'Partnering with patients in shared decision making for stroke prevention in atrial fibrillation', European Journal of Cardiovascular Nursing, vol. 16, no. 3, pp. 178-180.View/Download from: UTS OPUS or Publisher's site
Atrial fibrillation (AF) is the most common cardiac arrhythmia. The population prevalence of AF ranges from 2.3 to 3.4% and is estimated to double by 2050 as we approach epidemic levels.1 AF is a major, complex and challenging risk factor for stroke. It is estimated that about 20% of all strokes are a consequence of AF. AF-related strokes affect more of the brain, are usually more severe and are associated with greater levels of disability with poorer outcomes.2 Anticoagulation is a well-established pharmacotherapy to reduce the risk of stroke in patients with AF; however, the rates of thromboprophylaxis remain poor,3 with only 60–70% of eligible patients receiving anticoagulation drugs.3
The advent of novel oral anticoagulants, including dabigatran, rivaroxaban, apixaban and edoxaban, has created an increase in the choice of treatment for patients. It is important that patients and caregivers are central to decision-making about anticoagulants. Active patient participation is of the utmost importance in this process and requires education about the risks and benefits of each treatment to inform their decision. Before patients and caregivers are ready to participate in decision-making processes, it is vital that they are comprehensively educated on both their condition and the available therapeutic approaches to stroke prevention in AF.
Ferguson, C. & Jackson, D. 2017, 'Selecting, appraising, recommending and using mobile applications (apps) in nursing', Journal of Clinical Nursing, vol. 26, no. 21-22, pp. 3253-3255.View/Download from: UTS OPUS or Publisher's site
It's more than likely that a patient, their family member or a colleague may have recently asked you 'Is there an app for that? Mobile technology is inescapable. It is pervasive in almost every aspect of daily life. Wherever we look, people are often hunched over and fully immersed by a small 6 x 3 inch screen, whether it be walking on the street, travelling on the bus, at the coffee shop or in the clinic waiting room. Mobile devices have infiltrated most aspects of our lives and offer quick, adaptive tech-based solutions to many previously administrative, repetitive or otherwise time-consuming tasks. Everyday tasks such as banking, planning a trip on public transport, maintaining a diary or reviewing the weather all easily accomplished for most, via their mobile device. At the beginning of 2017 more than 2.2 million apps were available to download to various iOS devices such as iPads, iPhones and iPods, and more than 2.6 million apps were available in the Google Play store, formerly known as the Android Market (Statista 2017a, b). Mobile applications in the 'Health' category are now prolific and wide ranging including popular apps such as the 'Nursing Drug Handbook', 'Lark', 'Medscape' and BUPA's 'FoodSwitch' App. It's likely you already make use of a few nursing-related mobile apps, and possibly have even made recommendations to patients about health-related apps in the past. Yet, what informed your decision to download or recommend to patients?
Ferguson, C., Shaikh, F. & Bajorek, B. 2017, 'Patient self-testing and self-management of anticoagulation is safe and patients are satisfied with these programmes', Evidence-Based Nursing, pp. 110-111.View/Download from: UTS OPUS
Jha, S., McDonagh, J., Ferguson, C., Macdonald, P. & Newton, P. 2017, 'Frailty, not just about old people: Reply to Smith GD & Kydd A (2017) Getting care of older people right: the need for appropriate frailty assessment?', Journal of Clinical Nursing.View/Download from: UTS OPUS or Publisher's site
McDonagh, J., Martin, L., Ferguson, C., Jha, S., Macdonald, P., Davidson, P. & Newton, P. 2017, 'Frailty assessment instruments in heart failure: a systematic review.', European Journal of Cardiovascular Nursing.View/Download from: UTS OPUS
Ferguson, C., Inglis, S.C., Newton, P.J., Middleton, S., Macdonald, P.S. & Davidson, P.M. 2017, 'Barriers and enablers to adherence to anticoagulation in heart failure with atrial fibrillation: patient and provider perspectives', Journal of Clinical Nursing, vol. 26, no. 23-24, pp. 4325-4334.View/Download from: UTS OPUS or Publisher's site
Aims & Objectives
The purpose of this study was to elucidate the barriers and enablers to adherence to anticoagulation in individuals with chronic heart failure (CHF) with concomitant atrial fibrillation (AF) from the perspective of patients and providers.
CHF and AF commonly coexist and are associated with increased stroke risk and mortality. Oral anticoagulation significantly reduces stroke risk and improves outcomes. Yet, in approximately 30% of cases anticoagulation is not commenced for a variety of reasons.
Qualitative study using narrative inquiry.
Data from face to face individual interviews with patients and information retrieved from healthcare file note review documented the clinician perspective. This study is a synthesis of the two data sources, obtained during patient clinical assessments as part of the Atrial Fibrillation And Stroke Thromboprophylaxis in hEart failuRe (AFASTER) Study.
Patient choice and preference were important factors in anticoagulation decisions, including treatment burden, unfavourable or intolerable side effects and patient refusal. Financial barriers included cost of travel, medication cost and reimbursement. Psychological factors included psychiatric illness, cognitive impairment and depression. Social barriers included homelessness and the absence of a caregiver or lack of caregiver assistance. Clinician reticence included fear of falls, frailty, age, fear of bleeding and the challenges of multi-morbidity. Facilitators to successful prescription and adherence were caregiver support, reminders and routine, self-testing and the use of technology.
Many barriers remain to high risk individuals being prescribed anticoagulation for stroke prevention. There are a number of enabling factors that facilitate prescription and optimize treatment adherence. Nurses should challenge these treatment barriers and seek enabling factors to optimise therapy.
Relevance to clinical practice
Ferguson, C., Inglis, S.C., Newton, P.J., Middleton, S., Macdonald, P.S. & Davidson, P.M. 2017, 'Multi-morbidity, frailty and self-care: important considerations in treatment with anticoagulation drugs. Outcomes of the AFASTER study.', European Journal of Cardiovascular Nursing, vol. 16, no. 2, pp. 113-124.View/Download from: UTS OPUS or Publisher's site
Chronic heart failure (CHF) and atrial fibrillation (AF) are complex cardiogeriatric syndromes mediated by physical, psychological and social factors. Thromboprophylaxis is an important part of avoiding adverse events in these syndromes, particularly stroke.This study sought to describe the clinical characteristics of a cohort of patients admitted to hospital with CHF and concomitant AF and to document the rate and type of thromboprophylaxis. We examined the practice patterns of the prescription of treatment and determined the predictors of adverse events.Prospective consecutive participants with CHF and concomitant AF were enrolled during the period April to October 2013. Outcomes were assessed at 12 months, including all-cause readmission to hospital and mortality, stroke or transient ischaemic attack, and bleeding.All-cause readmission to hospital was frequent (68%) and the 12-month all-cause mortality was high (29%). The prescription of anticoagulant drugs at discharge was statistically significantly associated with a lower mortality at 12 months (23 vs. 40%; p=0.037; hazards ratio 0.506; 95% confidence interval 0.267-0.956), but was not associated with lower rates of readmission to hospital among patients with CHF and AF. Sixty-six per cent of participants were prescribed anticoagulant drugs on discharge from hospital. Self-reported self-care behaviour and 'not for cardiopulmonary resuscitation' were associated with not receiving anticoagulant drugs at discharge. Although statistical significance was not achieved, those patients who were assessed as frail or having greater comorbidity were less likely to receive anticoagulant drugs at discharge.This study highlights multi-morbidity, frailty and self-care to be important considerations in thromboprophylaxis. Shared decision-making with patients and caregivers offers the potential to improve treatment knowledge, adherence and outcomes in this group of patients with complex care needs.
Peng, W., Lauche, R., Ferguson, C., Frawley, J., Adams, J. & Sibbritt, D. 2017, 'Efficacy of Chinese herbal medicine for stroke modifiable risk factors: a systematic review', Chinese Medicine, vol. 12, no. 25, pp. 1-29.View/Download from: UTS OPUS or Publisher's site
Background: The vast majority of stroke burden is attributable to its modifiable risk factors. This paper aimed to systematically summarise the evidence of Chinese herbal medicine (CHM) interventions on stroke modifiable risk factors for stroke prevention.
Methods: A literature search was conducted via the MEDLINE, CINAHL/EBSCO, SCOPUS, and Cochrane Database from 1996 to 2016. Randomised controlled trials or cross-over studies were included. Risk of bias was assessed according to the Cochrane Risk of Bias tool.
Results: A total of 46 trials (6895 participants) were identified regarding the use of CHM interventions in the management of stroke risk factors, including 12 trials for hypertension, 10 trials for diabetes, eight trials for hyperlipidemia, seven trials for impaired glucose tolerance, three trials for obesity, and six trials for combined risk factors. Amongst the included trials with diverse study design, an intervention of CHM as a supplement to biomedicine and/or a lifestyle intervention was found to be more effective in lowering blood pressure, decreasing blood glucose level, helping impaired glucose tolerance reverse to normal, and/or reducing body weight compared to CHM monotherapy. While no trial reported deaths amongst the CHM groups, some papers do report moderate adverse effects associated with CHM use. However, the findings of such beneficial effects of CHM should be interpreted with caution due to the heterogeneous set of complex CHM studied, the various control interventions employed, the use of different participants' inclusion criteria, and low methodological quality across the published studies. The risk of bias of trials identified was largely unclear in the domains of selection bias and detection bias across the included studies.
Conclusion: This study showed substantial evidence of varied CHM interventions improving the stroke modifiable risk factors. More rigorous research examining the use of CHM products for sole or multiple ma...
Lauche, R., Peng, W., Ferguson, C., Cramer, H., Frawley, J., Adams, J. & Sibbritt, D. 2017, 'Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors: A systematic review with meta-analysis', Medicine, vol. 96, no. 45.View/Download from: UTS OPUS or Publisher's site
Background: This review aims to summarize the evidence of Tai Chi and qigong interventions for the primary prevention of stroke, including the effects on populations with major stroke risk factors.
Methods: A systematic literature search was conducted on January 16, 2017 using the PubMed, Scopus, Cochrane Library, and CINAHL databases. Randomized controlled trials examining the efficacy of Tai Chi or qigong for stroke prevention and stroke risk factors were included. Risk of bias was assessed using the Cochrane Risk of Bias tool.
Results: Twenty-one trials with n=1604 patients with hypertension, hyperlipidaemia, diabetes, overweight or obesity, or metabolic syndrome were included. No trials were found that examined the effects of Tai Chi/qigong on stroke incidence. Meta-analyses revealed significant, but not robust, benefits of Tai Chi/qigong over no interventions for hypertension (systolic blood pressure: -15.55mm Hg (95% CI: -21.16; -9.95); diastolic blood pressure: -10.66mm Hg (95% CI: -14.90, -6.43); the homeostatic model assessment (HOMA) index (-2.86%; 95% CI: -5.35, -0.38) and fasting blood glucose (-9.6mg/dL; 95% CI: -17.28, -1.91), and for the body mass index compared with exercise controls (-1.65kg/m2; 95% CI: -3.11, -0.20). Risk of bias was unclear or high for the majority of trials and domains, and heterogeneity between trials was high. Only 6 trials adequately reported safety. No recommendation for the use of Tai Chi/qigong for the prevention of stroke can be given.
Conclusion: Although Tai Chi and qigong show some potential more robust studies are required to provide conclusive evidence on the efficacy and safety of Tai Chi and qigong for reducing major stroke risk factors.
Ferguson, C., DiGiacomo, M., Gholizadeh, L., Ferguson, L.E. & Hickman, L.D. 2017, 'The integration and evaluation of a social-media facilitated journal club to enhance the student learning experience of evidence based practice', Nurse Education Today, vol. 48, pp. 123-128.View/Download from: UTS OPUS or Publisher's site
Ebrahimi, H., Hassankhani, H., Khodadadi, E., Namdar, H. & Ferguson, C. 2016, 'Experiences of Iranian family caregivers supporting individuals with multiple sclerosis: a qualitative study', International Journal of Medical Research and Health Sciences, vol. 5, no. 9, pp. 174-182.View/Download from: UTS OPUS
Family members of patients are often considered informal primary caregivers, particularly for those living with
chronic diseases including multiple sclerosis (MS). Caregivers often report increased burden and stress when
caring for individuals with chronic care needs. It is important to explore the caregiver experience in the context of
MS. The aim of this study is to describe the experiences of family caregivers caring for individuals with Multiple
Sclerosis. A purposive sampling method was utilized. A total of eighteen family member caregivers of patients with
multiple sclerosis participated in this study. Data were collected through semi-structured and in-depth interviews
conducted in the multiple sclerosis society and hospitals of Tabriz in Iran. Data were analyzed using qualitative
content analysis assisted by MAXQDA 10 software. Three main categories emerged from interviews about their
caregiving experiences. These include1) emotional reactions; 2) caregiver needs; and 3) caregiver expectations.
Results of this study demonstrate that family caregivers of individuals with MS show different emotional reactions
and have complex needs and expectations from other 'non-caregiver relatives and society. This study highlights the
psychosocial, physical and economic needs of caregivers of individuals with MS and enhances social understanding
of this impact of the condition. This may improve the support clinicians provide to family caregivers. There is need
to develop targeted interventions that reduce caregiver burden for those caring for individuals with MS.
Gallagher, R., Psaroulis, T., Ferguson, C., Neubeck, L. & Gallagher, P. 2016, 'Social media practices on Twitter: maximising the impact of cardiac associations', British Journal of Cardiac Nursing, vol. 11, no. 10, pp. 481-487.View/Download from: UTS OPUS or Publisher's site
Twitter is a social media platform often used by cardiac professional associations to engage and inform their members and the public. However, the effectiveness of the strategy is seldom assessed or published.
This study evaluates the Twitter activities of nine cardiac professional associations. Each organisation's purpose and stakeholders were described individually and classified. Extracted Tweets (n=3920) were content-analysed and metrics were determined.
There was alignment between the associations' mission statements and their Twitter activities. However, most Tweets were one-directional, disseminating research-based evidence/professional education materials and communicating association events and activities, as well as using hashtags to enable searching.
Social media communication by cardiac professional associations through Tweets is an important activity; however, at present, the use of dialogue and conversations are not fully realised and could be used more strategically.
Phillips, J. & Ferguson, C. 2016, 'New approaches to care for acute stroke patients with uncertain prognoses', International Journal of Palliative Nursing, vol. 22, no. 10, pp. 471-471.View/Download from: UTS OPUS or Publisher's site
Ferguson, C., Inglis, S.C., Newton, P.J., Middleton, S., Macdonald, P.S. & Davidson, P.M. 2016, 'Education and practice gaps on atrial fibrillation and anticoagulation: a survey of cardiovascular nurses', BMC Medical Education, vol. 16, no. 9.View/Download from: UTS OPUS or Publisher's site
Patients' knowledge of their atrial fibrillation (AF) and anticoagulation therapy are determinants of the efficacy of thromboprophylaxis. Nurses may be well placed to provide counselling and education to patients on all aspects of anticoagulation, including self-management. It is important that nurses are well informed to provide optimal education to patients. Current practice and knowledge of cardiovascular nurses on AF and anticoagulation in the Australian and New Zealand (ANZ) context is not well reported.
This study aimed to; 1) Explore the nurse's role in clinical decision making in anticoagulation in the setting of AF; 2) Describe perceived barriers and enablers to anticoagulation in AF; 3) Investigate practice patterns in the management of anticoagulation in the ANZ setting; 4) Assess cardiovascular nurses' knowledge of anticoagulation.
A paper-based survey on current practices and knowledge of AF and anticoagulation was distributed during the Australian Cardiovascular Nursing College (ACNC) Annual Scientific Meeting, February 2014. This survey was also emailed to Cardiovascular Trials Nurses throughout New South Wales, Australia and nursing members of the Cardiac Society of Australia and New Zealand (CSANZ).
There were 41/73 (56 %) respondents to the paper-based survey. A further 14 surveys were completed online via nurse members of the CSANZ, and via an investigator developed NSW cardiovascular trials nurse email distribution list. A total of 55 surveys were completed and included in analyses. Prior education levels on AF, stroke risk, anticoagulation and health behaviour modification were mixed. The CHA2DS2VASc and HAS-BLED risk stratification tools were reported to be underused by this group of clinicians. Reported key barriers to anticoagulation included; fears of patients falling, fears of poor adherence to medication taking and routine monitoring. Patient self-monitoring and self-management were reported as underutilise...
Ferguson, C., DiGiacomo, M., Saliba, B., Green, J., Moorley, C., Wyllie, A. & Jackson, D. 2016, 'First year nursing students' experiences of social media during the transition to university: a focus group study.', Contemporary Nurse, vol. 52, no. 5, pp. 625-635.View/Download from: UTS OPUS or Publisher's site
Social media platforms such as Facebook allow users to connect with each other online. They are also used as tools for creating communities, which can then be utilised as a mean for supportive, professional and social learning.
This study aimed to explore first year Bachelor of Nursing student experiences with social media in supporting student transition and engagement into higher education.
Qualitative focus groups Methods: First year Bachelor of Nursing students were conveniently sampled for inclusion in this study. Ten students were included in three face-to-face focus groups which lasted between 45 minutes and one hour each. When it became apparent that no new information was emerging from focus groups, recruitment stopped. Sessions were audio-recorded and transcribed verbatim. Data were analysed using qualitative thematic content analysis.
Three key themes emerged from the data that illustrates the experiences of transition and engagement of first year student nurses using social media at university. These were; 1) Facilitating familiarity and collaboration at a safe distance; 2) Promoting independent learning by facilitating access to resources; and 3) Mitigating hazards of social media.
This study has demonstrated the importance of social media applications such as Facebook in supporting informal peer-peer learning and support, augmenting online and offline relationships, and building professional identity as a nurse. Students reported active increased use when assessments were due and while on clinical placement. Students found Facebook useful as an avenue to debrief and reflect, whilst on clinical placement, and as a tool to meet new friends and strengthen existing relationships. There is need for future research and evaluation of interventions that bridge the divide between traditional learning platforms such as Blackboard and social media platforms.
Ferguson, C., Moorley, C. & Jackson, D. 2015, '8 reasons why every doctoral student should have a Twitter account', Advances in Nursing Doctoral Education & Research (ANDER); The official journal of the International Network for Doctoral Education in Nursing (INDEN), vol. 3, no. 1, pp. 15-19.View/Download from: UTS OPUS
There has been much advancement in the scholarship of digital nursing in recent years. Social media was once frowned upon as a waste of time, and potentially dangerous to credibility and reputation. This paper provides a summary of key benefits of social media to nursing early career
researchers. We support a targeted approach to social media. Social media has many potential benefits including building a profile, attracting funding, as a data source, as a means of engagement with consumers and NGOs, a strategy to assist research translation into practice, dissemination to academic and non-academic audiences, and a valuable source of knowledge and networking. It is important for all doctoral students to explore the potential and possibilities of social media within the time constraints of PhD studies. With all interventions, it is important to gauge return on investment, and carefully evaluate outcomes.
Ferguson, C., Inglis, S., Newton, P.J., Middleton, S., Macdonald, P. & Davidson, P.M. 2015, 'The caregiver role in thromboprophylaxis management in atrial fibrillation', European Journal of Cardiovascular Nursing, vol. 14, no. 2, pp. 98-107.View/Download from: Publisher's site
Background: Atrial fibrillation is a common arrhythmia and a risk factor for adverse events including stroke. People living with atrial fibrillation are commonly elderly and have multiple comorbidities. The role of a caregiver in supporting the individual to manage a chronic and complex condition has received limited attention.
Ferguson, C., Inglis, S., Newton, P.J., Middleton, S., Macdonald, P. & Davidson, P.M. 2015, 'The caregiver role in thromboprophylaxis management in atrial fibrillation: A literature review', European Journal of Cardiovascular Nursing, vol. 14, no. 2, pp. 98-107.View/Download from: UTS OPUS or Publisher's site
Background: Atrial fibrillation is a common arrhythmia and a risk factor for adverse events including stroke. People living with atrial fibrillation are commonly elderly and have multiple comorbidities. The role of a caregiver in supporting the individual to manage a chronic and complex condition has received limited attention.
Ferguson, C., Davidson, P.M., Scott, P.J., Jackson, D. & Hickman, L.D. 2015, 'Augmented reality, virtual reality and gaming: an integral part of nursing.', Contemporary nurse, vol. 51, no. 1, pp. 1-4.View/Download from: UTS OPUS or Publisher's site
Aghdam, A.M., Rahmani, A., Nejad, Z.K., Ferguson, C., Mohammadpoorasl, A. & Sanaat, Z. 2014, 'Fear of cancer recurrence and its predictive factors among Iranian cancer patients', Indian Journal of Palliative Care, vol. 20, no. 2, pp. 128-133.View/Download from: UTS OPUS or Publisher's site
Context: Fear of cancer recurrence (FOCR) is one of the most important psychological problems among cancer patients. In extensive review of related literature there were no articles on FOCR among Iranian cancer patients. Aim: The aim of present study was to investigation FOCR and its predictive factors among Iranian cancer patients. Materials and Methods: In this descriptive-correlational study 129 cancer patients participated. For data collection, the demographic checklist and short form of fear of progression questionnaire was used. Logistic regression was used to determine predictive factors of FOCR. Result: Mean score of FOCR among participants was 44.8 and about 50% of them had high level of FOCR. The most important worries of participants were about their family and the future of their children and their lesser worries were about the physical symptoms and fear of physical damage because of cancer treatments. Also, women, breast cancer patient, and patients with lower level of education have more FOCR. Discussion: There is immediate need for supportive care program designed for Iranian cancer patients aimed at decreasing their FOCR. Especially, breast cancer patients and the patient with low educational level need more attention.
Would you be tempted to take a photo of someone else's slides at a conference or research seminar? Perhaps it may be of interest to a colleague, or has a reference you may wish to refer to at a later stage? Should you or would you then share these over social media?.....
Mogadasian, S., Abdollahazadeh, F., Rahmani, A., Ferguson, C., Pakanzad, F., Pakpour, V. & Heidarzadeh, H. 2014, 'The attitude of Iranian nurses about do not resuscitate orders', Indian Journal of Palliative Care, vol. 20, no. 1, pp. 21-25.View/Download from: UTS OPUS or Publisher's site
Background: Do not resuscitate (DNR) orders are one of many challenging issues in end of life care. Previous research has not investigated Muslim nurses' attitudes towards DNR orders. Aims: This study aims to investigate the attitude of Iranian nurses towards DNR orders and determine the role of religious sects in forming attitudes. Materials and Methods: In this descriptive-comparative study, 306 nurses from five hospitals affiliated to Tabriz University of Medical Sciences (TUOMS) in East Azerbaijan Province and three hospitals in Kurdistan province participated. Data were gathered by a survey design on attitudes on DNR orders. Data were analyzed using Statistical Package for Social Sciences (SPSS Inc., Chicago, IL) software examining descriptive and inferential statistics. Results: Participants showed their willingness to learn more about DNR orders and highlights the importance of respecting patients and their families in DNR orders. In contrast, in many key items participants reported their negative attitude towards DNR orders. There were statistical differences in two items between the attitude of Shiite and Sunni nurses. Conclusions: Iranian nurses, regardless of their religious sects, reported negative attitude towards many aspects of DNR orders. It may be possible to change the attitude of Iranian nurses towards DNR through education.
Rahmani, A., Ferguson, C., Jabarzadeh, F., Mohammadpoorasl, A., Moradi, N. & Pakpour, V. 2014, 'Supportive care needs of Iranian cancer patients.', Indian journal of palliative care, vol. 20, no. 3, pp. 224-228.View/Download from: UTS OPUS or Publisher's site
BACKGROUND: A supportive needs assessment is an essential component of any care program. There is no research evidence regarding the supportive care needs of cancer patients in Iran or other Middle Eastern countries. AIMS: The aim of this study was to determine the supportive care needs of Iranian cancer patients. MATERIALS AND METHODS: This descriptive study was conducted in a referral medical center in the northwest of Iran. A total of 274 cancer patients completed the Supportive Care Needs Survey (SCNS-59). Descriptive statistics were used for data analysis. RESULTS: In 18 items of the SCNS, more than 50% of the participants reported that their needs were unmet. Most frequently, unmet needs were related to the health system, information, physical, and daily living domains, and most met needs were related to sexuality, patient care, and support domains. CONCLUSIONS: Iranian cancer patients experience many unmet needs and there is an urgent need for establishing additional supportive care services in Iran.
Rahmani, A., Howard, F., Sattarzadeh, N., Ferguson, C., Asgari, A. & Ebrahimi, H. 2014, 'Viewpoints of fertile women on gestational surrogacy in East Azerbaijan Province, Iran', Indian Journal of Medical Ethics, vol. 11, no. 1, pp. 29-33.View/Download from: UTS OPUS
The aim of this descriptive, cross-sectional study was to investigate the viewpoint of fertile Iranian women on gestational surrogacy. A convenience sample of 230 fertile women was invited to participate in the study and 185 consented. Data were collected via a 22-item scale that assessed the viewpoints of the participants in five domains related to gestational surrogacy. The viewpoints reported by the women were positive. However, a significant percentage of them believed that commissioning couples are not the biological owners of the baby, religious barriers need to be overcome prior to legal barriers, children born through surrogacy may face emotional issues, and the adoption of children may be a better option than surrogacy. The negative views of the women on some key aspects make it clear that public education is needed to increase the acceptability of gestational surrogacy.
Weaver, R., Ferguson, C., Wilbourn, M. & Salamonson, Y. 2014, 'Men in nursing on television: Exposing and reinforcing stereotypes', Journal of Advanced Nursing, vol. 70, no. 4, pp. 833-842.View/Download from: UTS OPUS or Publisher's site
Aims To describe the results of a study of images of men in nursing on television. Background Previous research has highlighted stereotypical images around nursing, such as the battle-axe, naughty nurse and handmaiden. More recent research focuses on images of nurses who are men, because of the growing numbers of men in the nursing workforce. Given that negative images can harm recruitment and retention in the profession, it is important to interrogate how men in nursing are portrayed in popular culture. Representations on television are particularly critical to explore because of the medium's wide audience. Design Qualitative study.
Ferguson, C. & Davidson, P.M. 2014, 'The importance of communicating your research: The 3 Minute Thesis', Advances in Nursing Doctoral Education and Research, vol. 2, no. 1, pp. 11-14.View/Download from: UTS OPUS
Davidson, P.M., Newton, P.J., Ferguson, C., Daly, J., Elliott, D., Homer, C.S., Duffield, C.M. & Jackson, D.E. 2014, 'Rating and Ranking the Role of Bibliometrics and Webometrics in Nursing and Midwifery', The Scientific World Journal, vol. 2014.View/Download from: UTS OPUS or Publisher's site
Background. Bibliometrics are an essential aspect of measuring academic and organizational performance. Aim. This review seeks to describe methods for measuring bibliometrics, identify the strengths and limitations of methodologies, outline strategies for interpretation, summarise evaluation of nursing and midwifery performance, identify implications for metric of evaluation, and specify the implications for nursing and midwifery and implications of social networking for bibliometrics and measures of individual performance.
Ferguson, C., Inglis, S., Newton, P.J., Cripps, P.J., Macdonald, P. & Davidson, P.M. 2014, 'Social media: A tool to spread information: A case study analysis of Twitter conversation at the Cardiac Society of Australia & New Zealand 61st Annual Scientific Meeting 2013', Collegian, vol. 21, no. 2, pp. 89-93.View/Download from: UTS OPUS or Publisher's site
Background The World Wide Web has changed the way in which people communicate and consume information. More importantly, this innovation has increased the speed and spread of information. There has been recent increase in the percentage of cardiovascular professionals, including journals and associations using Twitter to engage with others and exchange ideas. Evaluating the reach and impact in scientific meetings is important in promoting the use of social media. Objective This study evaluated Twitter use during the recent 61st Annual Scientific Meeting at the Cardiac Society of Australia and New Zealand. Methods During the Cardiac Society of Australia and New Zealand 2013 61st Annual Scientific Meeting Symplur was used to curate conversations that were publicly posted with the hashtag #CSANZ2013. The hashtag was monitored with analysis focused on the influencers, latest tweets, tweet statistics, activity comparisons, and tweet activity during the conference. Additionally, Radian6 social media listening software was used to collect data. A summary is provided. Results There were 669 total tweets sent from 107 unique Twitter accounts during 8th August 9 a.m. to 11th August 1 p.m. This averaged nine tweets per hour and six tweets per participant. This assisted in the sharing of ideas and disseminating the findings and conclusions from presenters at the conference with a total 1,432,573 potential impressions in Twitter users tweet streams. Conclusion This analysis of Twitter conversations during a recent scientific meeting highlights the significance and place of social media within research dissemination and collaboration. Researchers and clinicians should consider using this technology to enhance timely communication of findings. The potential to engage with consumers and enhance shared decision-making should be explored further.
Ferguson, C., Inglis, S., Newton, P.J., Middleton, S., MacDonald, P.S. & Davidson, P.M. 2014, 'Atrial Fibrillation: Stroke Prevention in Focus', Australian Critical Care, vol. 27, no. 2, pp. 92-98.View/Download from: UTS OPUS or Publisher's site
Introduction: Atrial fibrillation (AF) is a common arrhythmia and a risk factor for stroke and other adverse events. Internationally there have been recent advancements in the therapies available for stroke prevention in AF. Nurses will care for individuals with AF across a variety of primary and acute care settings and should be familiar with evidence based therapies. Aim: This paper provides a review of the epidemiology of AF and stroke, stroke and bleeding risk assessment tools and evidence based treatments for the prevention of stroke in AF including the use of novel anti-thrombin agents. Method: A review of key databases was conducted from 2002 - 2012 using the key search terms 'atrial fibrillation' 'anticoagulation' 'risk assessment' and 'clinical management'. The following electronic databases were searched: CINAHL, Medline, Scopus, the Cochrane Library and Google Scholar. Reference lists were manually hand searched. Key clinical guidelines from National Institute for Clinical Excellence (NICE, UK), American Heart Association (AHA, USA), American College of Cardiology (ACC, USA) and the European Society of Cardiology (ESC) and key government policy documents were also included. Articles were included in the review if they addressed nursing management with a focus on Australia. Results: Many treatment options exist for AF. Best practice guidelines make a variety of recommendations which include cardioversion, ablation, pulmonary vein isolation, pharmacological agents for rate or rhythm control approaches, and antithrombotic therapy (including anticoagulation and antiplatelet therapy). Treatment should be patient centred and individualised based upon persistency of the rhythm, causal nature, risk and co-morbid conditions. Conclusion: AF is a common and burdensome condition where treatment is complex and not without risk. Nurses will encounter individuals with AF across a variety of primary and acute care areas understanding the risk of AF and appropriate...
Valizadeh, L., Barzegar, M., Akbarbegloo, M., Zamanzadeh, V., Rahiminia, E. & Ferguson, C. 2013, 'The relationship between psychosocial care and attitudes toward illness in adolescents with epilepsy', Epilepsy and Behavior, vol. 27, no. 1, pp. 267-271.View/Download from: UTS OPUS or Publisher's site
Epilepsy is a significant health problemin Iran and other countries. Previous epilepsy studies conducted in Iran have often focused on physiological aspects and pharmacological therapy, and little attention has been paid to the psychological and social aspects of care, particularly in adolescence. This paper aims to fill this gap by assessing the relationship between psychosocial care and attitudes toward illness in adolescents with epilepsy. A descriptive correlational design was adopted, and 74 adolescents who experienced generalized seizures and were treated at the neurology clinic affiliated with the Tabriz University of Medical Sciences in 2010 were examined. The data were collected using instruments including (1) the patient demographic characteristics, (2) the Child Report of Psychosocial Care Scale, and (3) the Child's Attitude Toward Illness Scale. There was a significant positive correlation between psychosocial care and attitudes toward illness (p<.05). There is no evidence for routine psychological consultation for our sample; it would be helpful if psychological consultation with and without parents made available to adolescents with epilepsy.
Zamanzadeh, V., Rahmani, A., Valizadeh, L., Ferguson, C., Hassankhani, H., Nikanfar, A. & Howard, F. 2013, 'The taboo of cancer: the experiences of cancer disclosure by Iranian patients, their family members and physicians', Psycho-Oncology, vol. 22, no. 2, pp. 396-402.View/Download from: UTS OPUS or Publisher's site
Objective: The objective of this study is to describe the experiences of cancer disclosure by Iranian cancer patients, their family members and physicians. Methods: Twenty cancer patients, ten family members and eight physicians participated in this study. Data were collected via semi-structured, in-depth interviews and analyzed using qualitative content analysis. Results: Three categories were identi¬ed: cancer avoidance, a climate of non-disclosure and mutual concern. The ¬ndings demonstrated that cancer is a taboo subject and the word cancer, as well as other indicative terms, was rarely used in daily communication. A climate of non-disclosure predominated because patients were the last to know their diagnosis, they were unaware of their prognosis, and family members and physicians employed strategies to conceal this information. The mutual concern of patients, family members and physicians was the main reason that cancer was not discussed. Conclusion: Cancer is a taboo subject in Iran that is maintained and reinforced primarily because of the mutual concern of patients, family members and physicians. The ¬rst step to address this taboo and inform cancer patients of their diagnosis would be to understand and help mitigate the individual, family and social consequences of disclosure
Ferguson, C., Inglis, S., Newton, P.J., Middleton, S., Macdonald, P. & Davidson, P.M. 2013, 'Atrial fibrillation and thromboprophylaxis in heart failure: The need for patient centered approaches to address adherence', Vascular Health and Risk Management, vol. 9, pp. 3-11.View/Download from: UTS OPUS or Publisher's site
Atrial fibrillation is a common arrhythmia in heart failure and a risk factor for stroke. Risk assessment tools can assist clinicians with decision-making in the allocation of thromboprophylaxis. This review provides an overview of current validated risk assessment tools for AF and emphasises the importance of addressing both tailoring individual risk for stroke and weighing the benefits of treatment. Further, this review provides details of innovative and patient centered methods for ensuring optimal adherence to prescribed therapy. Prior to initiating oral anticoagulant therapy a comprehensive risk assessment should include evaluation of associated cardio-geriatric conditions, potential for adherence to prescribed therapy, frailty, functional and cognitive ability.
Valizadeh, L., Zamanzadeh, V., Rahmani, A., Howard, F., Nikanfar, A. & Ferguson, C. 2012, 'Cancer disclosure: Experiences of Iranian cancer patients', Nursing and Health Sciences, vol. 14, no. 2, pp. 250-256.View/Download from: UTS OPUS or Publisher's site
This study explored Iranian patients' experiences of cancer disclosure, paying particular attention to the ways of disclosure. Twenty cancer patients were invited to participate in this qualitative inquiry by research staff in the clinical setting. In-depth, semistructured interview data were analyzed through content analysis. The rigor of the study was established by principles of credibility, transferability, dependability, and confirmability. Four themes emerged: the atmosphere of non-disclosure, eventual disclosure, distress in knowing, and the desire for information. Non-disclosure was the norm for participants, and all individuals involved made efforts to maintain an atmosphere of non-disclosure. While a select few were informed of their diagnosis by a physician or another patient, the majority eventually became aware of their diagnosis indirectly by different ways. All participants experienced distress after disclosure. The participants wanted basic information about their prognosis and treatments from their treating physicians, but did not receive this information, and encountered difficulty accessing information elsewhere. These challenges highlight the need for changes in current medical practice in Iran, as well as patient and healthcare provider education.
Rahmani, A., Mohammadian, R., Ferguson, C., Gholizadeh, L., Zirak, M. & Chavoshi, H. 2012, 'Posttraumatic Growth in Iranian Cancer Patients', Indian Journal of Cancer, vol. 49, no. 3, pp. 287-292.View/Download from: UTS OPUS or Publisher's site
To investigate the level and determinants of posttraumatic growth in Iranian cancer patients.
Ferguson, C. 2017, 'Chapter 16: Stroke (cerebrovascular accident)' in Chang, E. & Johnson, A. (eds), Living with Chronic Illness and Disability; principles of nursing practice, Elsevier.
Ferguson, C. 2017, 'What's hot in multidisciplinary?', Cardiac Society of Australia & New Zealand, Perth, Australia.
Reported rates of frailty in individuals with heart failure range from 15-74%, accordingly, the measurement of frailty now has increasing utility in clinical and research practice.
To present the latest developments regarding frailty measurement in heart failure from a recent systematic literature review.
Key electronic databases (MEDLINE and CINAHL and the COCHRANE Central) were searched from 2001- 2016. Search terms included but not limited to 'frailty, heart failure and measurement'. Eligibility criteria consisted of; studies that included subjects with a diagnosis of heart failure and studies must have assessed frailty using a structured instrument.
From twenty-four articles there was a total of eight frailty instruments identified, the most commonly used instrument was Fried's Frailty Phenotype (n= 11). The second most common instrument was the Comprehensive Geriatric Assessment (n=6), followed by the Deficit Accumulation Index (n=2). None of the instruments have been formally validated for use in heart failure. All instruments assessed physical functioning but only four instruments assessed cognition.
There are a range of frailty instruments being utilised in heart failure. However, there is currently no frailty instruments validated for use in a heart failure specific population. Current data are limited by focusing primarily on a physical definition of frailty, future studies might look to incorporate cognitive and psychosocial domains as part of a multi-domain frailty assessment.
McDonagh, J., Martin, L., Ferguson, C., Jha, S., Macdonald, P., Davidson, P. & Newton, P. 2017, 'How is frailty measured in individuals with heart failure? A systematic review', The Journal of Frailty and Aging, International Conference on Frailty & Sarcopenia Research, Barcelona, Spain, pp. 152-153.
Yang, X., Lupon, J., Vidan, M., Ferguson, C., Gastelurrutia, P., Newton, P., Bueno, H., Bayes-Genis, A., Woo, J. & Fung, E. 2017, 'Risks of mortality and hospitalisation in patients with frailty and chronic heart failure: systematic review and meta-analysis', European Heart Journal Supplements, ESC Congress, Oxford University Press (OUP), Barcelona, Spain, pp. 906-907.
Ferguson, C., Saliba, B. & Bajorek, B. 2017, 'Educational interventions to increase clinicians and patient knowledge of atrial fibrillation and anticoagulation: a systematic review', Australasian Cardiovascular Nursing College, Brisbane.
Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice. Nurses are well-placed across a range of practice settings to provide both structured and informal education to clinicians, patients and caregivers on various aspects of AF management, particularly anticoagulant therapy.
Purpose: To summarise key educational interventions targeted at clinicians, patients and caregivers that have previously evidenced to increase knowledge of AF and/ or anticoagulation.
Methods: Researchers undertook a systematic search of electronic databases including Medline, Scopus, CINAHL and the Cochrane Library. Original studies that were published in the date range 2006-2016 were included if they described targeted educational interventions, and/or included decision support at both the levels of the patient and the clinicians. Additionally, manual reference list searching was also conducted.
Results: A total of 42 studies were reviewed. A number of core components, methods and approaches were identified within the interventions including: clinician decision support; patient decision aides; shared decision making tools; counselling and education; distance education; supply of written or textual information; multi-media resource; patient worksheet or checklist; self-monitoring; audit and feedback; academic detailing; contemporary models of AF care; individualised or group, targeted education sessions. All these demonstrated differing levels of impact on knowledge.
A diverse range of educational interventions were identified in this review, however the quality of evidence is limited by study designs. There is scope for robust clinical trials of complex educational interventions regarding AF management, focusing on interventions that are individualised to the needs of patients and their caregivers.
Ferguson, C., Hickman, L., Phillips, J., Newton, P., Inglis, S., Lam, L. & Bajorek, B. 2017, 'An mHealth intervention to improve nurses' atrial fibrillation and anticoagulation knowledge and practice: the EVICOAG study', International Journal of Stroke, Stroke Society of Australasia, SAGE Publications, Queenstown, New Zealand, pp. 9-9.
Ferguson, C., Hickman, L., Phillips, J., Newton, P., Inglis, S., Lam, L. & Bajorek, B. 2017, 'Exploring the acute care registered nurses' contribution in anticoagulation decision making for stroke prevention in atrial fibrillation', International Journal of Stroke, Stroke Society of Australasia, SAGE Publications, Queenstown, New Zealand, pp. 48-48.
Background: Gay men are approaching an impending epidemic of non-communicable diseases, particularly cardiovascular disease (CVD) and stroke. This can primarily be attributed to ethnicity/race, education and income, and/or modifiable risk factors such as lifestyle, obesity and hypercholesterolemia, smoking and illicit drug use.
1) To describe the cardiovascular (CV) risk profile of gay men.
2) To highlight key evidence-based health interventions to reduce CVD risk in gay men.
3) Highlight the key barrier and facilitators to improving cardiovascular health of gay men.
Methods: Researchers undertook a systematic search of electronic databases including Medline, Scopus, CINAHL and the Cochrane Library as well as manual reference list searches. Original studies that were published in the date range 2006-16 were included if they focused on CVD in LGBTIQ people, particularly gay men.
Results: A total of 20 studies were reviewed and the following themes associated with CVD risk were identified: obesity [particularly for gay men who identify as bears]; depression [due to stigma or lack of self/societal acceptance]; addiction and illicit drug use; HIV/AIDs medications and their CV implications; smoking and alcohol use and; social isolation and lack of quality social support
Conclusion: This review identified a paucity of rigorous evidence to support interventions that improve cardiovascular care needs of gay men. Interventions that are targeted to improve the cardiovascular health of gay men must be tailored to meet the specific needs of gay men. There is scope for improvement in services that specifically target cardiovascular care needs of gay men in Australia and New Zealand.
Ferguson, C., Inglis, S., Newton, P., Middleton, S., Macdonald, P. & Davidson, P. 2016, 'Patient centered approaches to anticoagulation decision making with individuals with heart failure and concomitant atrial fibrillation', Joint International Shared-Decision Making and International Society for Evidence Based Healthcare Conference, Sydney.
McDonagh, J., Ferguson, C., Jha, S., Ivynian, S., Crossley, C., Montgomery, E., Hwang, C., Inglis, S., Singh, G., Davidson, P., Macdonald, P. & Newton, P. 2016, 'Frailty in hospitalized heart failure patients predicts death and rehospitalisation at 6 months', The Journal of frailty & aging, International Conference on Frailty & Sarcopenia Research, Philadelphia, USA.
Ferguson, C., DiGiacomo, M., Gholizadeh, L., Ferguson, L. & Hickman, L. 2016, 'The integration and evaluation of a social-media facilitated journal club to enhance the student learning experience of evidence-based practice: a case study', UTS Teaching and Learning Forum, Sydney.
Ferguson, C. 2015, 'Invited Presentation: Heart Failure Council AGM', 63rd Annual Scientific Meeting of the Cardiac Society of Australia & New Zealand, Melbourne.
Ferguson, C., Inglis, S., Newton, P., Middleton, S., Macdonald, P. & Davidson, P. 2015, 'Education & Practice Gaps on Atrial Fibrillation: A Survey of Cardiovascular Nurses', Australasian Cardiovascular Nursing College, Sydney.
Ferguson, C., Inglis, S., Newton, P., Middleton, S., Macdonald, P. & Davidson, P. 2015, 'Multimorbidity, selfcare & frailty: Important considerations in anticoagulation decision making in heart failure with atrial fibrillation: Outcomes of the AFASTER Study', European Journal of Heart Failure, European Society of Cardiology: Heart Failure, Wiley: 12 months, Seville, Spain.
Ferguson, C., Inglis, S., Newton, P., Middleton, S., Macdonald, P. & Davidson, P. 2014, 'Frailty and thromboprophylaxis prescription in heart failure and atrial fibrillation: Preliminary findings from the Atrial Fibrillation And Stroke Thromboprophylaxis in hEart failure (AFASTER) cohort study', Global Heart, World Congress of Cardiology, Elsevier, Melbourne, pp. 264-264.
Ferguson, C., Inglis, S., Newton, P., Middleton, S., Macdonald, P. & Davidson, P. 2014, 'Thromboprophylaxis prescription in hospitalized patients with heart failure and concomitant atrial fibrillation: Preliminary findings from the Atrial Fibrillation And Stroke Thromboprophylaxis in hEart failure (AFASTER) cohort study', Global Heart Journal, World Congress of Cardiology, Melbourne, pp. 109-109.
Ferguson, C., Inglis, S., Newton, P.J., Middleton, S., Macdonald, P. & Davidson, P.M. 2014, 'The Atrial Fibrillation And Stroke Thromboprophylaxis in hEart failuRe (AFASTER) cohort study: 90 day outcomes', European Journal of Heart Failure Supplements, European Society of Cardiology: Heart Failure Congress, Wiley-Blackwell, Athens, Greece, pp. 282-282.View/Download from: UTS OPUS
Ferguson, C., Inglis, S., Newton, P.J., Middleton, S., Macdonald, P. & Davidson, P.M. 2014, 'The caregiver role in thromboprophylaxis management in atrial fibrillation', 'Young at Heart' : Australian Cardiovascular Nursing College 8th Annual Scientific Meeting, Gold Coast, Australia.View/Download from: UTS OPUS
Neubeck, L., Gallagher, R.D. & Ferguson, C. 2013, 'Social media and its application to the nurses of the Cardiac Society of Australia & New Zealand', Cardiac Society of Australia & New Zealand Annual Scientific Meeting: Nurses Council Meeting, Gold Coast.
Ferguson, C., Inglis, S., Newton, P.J., Middleton, S., MacDonald, P.S. & Davidson, P.M. 2013, 'Stroke prevention in heart failure: time to rethink risk prediction schemes?', World Federation of Neuroscience Nurses Congress, Gifu, Japan.
The Glasgow Coma Scale, developed by Teasdale and Jennett in 1974, is the most widespread tool used to measure consciousness in clinical practice. The tool was developed to provide consistent terminology to convey the results of assessment of conscious level in acute head injury patients. Nevertheless, it would appear that the GCS has morphed into assessment of non acute head injury patient conscious level. Consequently, the GCS is unable to identify or record the more subtly changes that might be seen in such patients. Assessing clinical changes in patients with neurological disturbance that demonstrate subtle changes in consciousness can be problematic. For example, patients can be confused but be orientated to time, place and person. In this paper, the GCS will be reviewed in terms of its relevancy to neuroscience practice, as well as how clinicians use the tool in practice. In addition, reliable and valid tools that assess consciousness and confusion in the neuroscience patient population will be discussed. Each tool will be evaluated assessment accuracy. Advancements and novel methods for neurological assessment are also considered.
Ferguson, C. 2012, 'What the hell is a twitter? : The potential uses of social media in neuroscience clinical practice', Australasian Neuroscience Nurses Association Annual Scientific Meeting, Mercure, Hobart, Tasmania.
Communication is an essential form of human interaction. For many individuals the Internet is a primary form of communication, therefore denying access is failing to address many peopleâs needs. Since the turn of Web2.0 the face of the Internet has been rapidly changing. We have witnessed Internet users adjust from passive consumption to active creators of content. Facebook, Google+, LinkedIn, Pinterest, Yammer, Tumblr, YouTube, Flickr, Instagram, Wikipedia and Twitter to name a few, all with users actively creating content and sharing information and ideas. Whilst the health field has been slow to catch onto the boom, the potential uses within clinical care are extremely innovative and should be harnessed. Novel examples include clinic reminders, virtual brain tumour and epilepsy support groups, the provision of reliable patient information, and as a medium for health promotion. This review aims to describe and explore the use of Web 2.0, with a primary focus on Twitter and its potential use within neuroscience clinical care today.
Ferguson, C., Inglis, S., Newton, P.J., Davidson, P.M. & Middleton, S. 2012, 'Atrial fibrillation and thromboprophylaxis: methods in risk assessment and addressing barriers to adherence: A review.', 'The Aging Heart' - Australian Cardiovascular Nursing College 6th Annual Scientific Meeting, Crowne Plaza, Coogee, Sydney, Australia..
Background: Globally, stroke is one of the worldâs most prevalent, disabling and chronic conditions. Atrial fibrillation is a common arrhythmia in heart failure and presents a significant risk factor for thrombo-embolic, ischaemic stroke. Risk stratification schemata and therapies exist for the treatment of atrial fibrillation and the prophylaxis of stroke, however commonly these therapies are not applied in practice, even when advised in guidelines for numerous reasons. Objective: This presentation aims to identify available validated risk assessment tools for the prediction of stroke risk in patients with atrial fibrillation. Each tool will be evaluated for their benefits and limitations and their consequential implications for clinical practice. Barriers to adherence of available therapies will also be discussed in relation to stroke risk assessment tools and the World Health Organizationâs multidimensional adherence model (2003) Methods: A comprehensive electronic search of the following databases was undertaken: CINAHL, Medline, EBSCO Host, SCOPUS, and the Cochrane Library. Google and Google Scholar search engines were also used. Results: 6 risk prediction assessment tools featured heavily in the search results. Namely; AFI, SPAF, FRS, FGCRS, CHA2DS2 and CHA2DS2-VASc. Each are evaluated and discussed with regards to their advantage and limitations. Conclusions: Whilst valid risk assessment tools are available and their use recommended within practice guidelines their comprehensiveness and holistic patient assessment is questionable. To date, many risk prediction models focus on physical aspects of health and do not assess criteria related to psycho-social aspects of patientâs health and wellbeing such as the patientâs likeliness to adhere to anticoagulation therapy, their ability to take oral medications or assume responsibility for the safe monitoring of their INR. There is much scope for improvement in stroke risk prediction models in atrial fibrill...
Ferguson, C. 2016, 'How to recognise a stroke and what you should know about their treatment', The Conversation, https://theconversation.com/how-to-recognise-a-stroke-and-what-you-shou….
Malcolm, L., McGowan, S., Webb, L. & Ferguson, C. 2016, 'A stroke of reality', A stroke of reality, ABC Radio National, All In The Mind Show, All In The Mind.
The last thing you'd expect to happen at the age of 20 is to have a stroke. It might strike older people more often, but stroke can happen at any age—and the impact on lives can be profound. Those who get early treatment for stroke have a much better prognosis. So how do you recognise the signs of stroke and, more importantly, do you know what to do next?
Ferguson, C. 2013, 'Unhealthy Buzz', UTS: U Mag, Ultimo, Sydney, pp. 6-7.
Caffeine and taurine; to tired students cramming for exams it sounds like a winning combination. Health academic Caleb Ferguson, however, is calling for caution as the much lauded energy drinks can carry a number of nasty, and embarrassing, side effects.
YouTube Presentation: Finalist representing Faculty of Health in the UTS 3 Minute Thesis Grand Finals
Ferguson, C. & Davidson, P.M. 2012, 'Energy drink binge leaves teens with more than a hangover', The Conversation, https://theconversation.edu.au/energy-drink-binge-leaves-teens-with-mor….
Manufacturers of energy drinks are coming under pressure from governments and regulatory bodies following concerns about the health impacts of their products on teenagers and other at-risk groups.
Cardiovascular disease is the biggest killer of women in Australia. It accounts for more than 40% of all female deaths, which means it kills more Australian women than breast cancer and lung cancer combined. But few women are aware of their risk and many wouldn't necessarily be able to recognise warning signs. Part of the difficulty stems from the fact that heart disease is often not obvious and, sometimes, it has no symptoms. High blood pressure (hypertension), for instance, is a major risk factor in cardiovascular disease and can easily go undetected for years. So many women remain unaware that heart disease and stroke are major health issues for them.
Caleb collaborates with academics and professionals from the following Universities and organisations:
- Charles Perkins Centre, University of Sydney
- Nursing Research Institute, Australian Catholic University & St Vincent's Health, Australia
- School of Nursing, Johns Hopkins University
- Department of Nursing, Tabriz University of Medical Sciences, Iran
- Faculty of Nursing, Mahidol University, Thailand.
- Oxford Brooks University, UK
- London South Bank University, UK
- Community Programs, National Stroke Foundation