Carmen Axisa is a Lecturer at the University of Technology Sydney teaching undergraduate and postgraduate nursing students. She completed a Master’s Degree in Clinical Nursing with a major in Cardiothoracic in 2007. Carmen is a PhD Candidate at Sydney Medical School, The University of Sydney. The focus of her thesis is Physician health and wellbeing. In 2014 she received a Research Training Fellowship from the NSW Institute of Psychiatry.
Carmen’s previous role was Medical Education Officer for NSW and ACT at the Royal Australasian College of Physicians (RACP). Before taking her role at the RACP she was Cardiopulmonary Transplant Coordinator and Left Ventricular Assist Device (LVAD) Program Clinical Coordinator at St. Vincent’s Hospital, Sydney where she developed and implemented a remote discharge program for LVAD patients.
Axisa, C, Nash, L, Kelly, P & Willcock, S 2020, 'Psychiatric morbidity, burnout and distress in Australian physician trainees.', Australian health review : a publication of the Australian Hospital Association, vol. 44, no. 1, pp. 31-38.View/Download from: Publisher's site
Objective The aim of this study was to evaluate the prevalence of psychiatric morbidity, alcohol use, burnout and compassion satisfaction among physician trainees in New South Wales, Australia, and examine links between personal, demographic and lifestyle factors. Methods A total of 67 physician trainees were recruited to the study. Fifty-nine completed the online survey (88% response rate). Outcome measures included the Depression Anxiety Stress Scale, Professional Quality of Life Scale and Alcohol Use Disorders Identification Test. Results Approximately half the respondents met screening criteria for depression (53%), stress (51%) and anxiety (46%). Secondary traumatic stress was exceptionally high across the cohort, with higher scores in females (P=0.001). The main reasons for not seeking help for depression or anxiety were lack of time (81%), fear of lack of confidentiality or privacy (41%), embarrassment (39%) and effect on registration (27%). Eighty-eight per cent of respondents agreed that doctors feel they need to portray a healthy image, but only 54% engaged in regular exercise and 24% slept ≤6h each day. Conclusion The results demonstrate high levels of non-psychotic psychiatric morbidity among physician trainees and a need to improve their well-being. Workplace systems need to promote healthy work environments and support physician trainees through good mentorship and supervision. What is known about the topic? Doctors' health and patient care can be affected when doctors experience burnout and psychiatric morbidity. What does this paper add? This paper adds to the evidence of psychiatric morbidity, burnout, secondary trauma and increased demographic data on a cohort of junior doctors undertaking speciality training. In addition, it provides reasons for not seeking help and positive and negative coping methods used by these junior doctors. What are the implications for practitioners? The level of distress is high and requires system changes to support ...
Axisa, C, Nash, L, Kelly, P & Willcock, S 2019, 'Burnout and distress in Australian physician trainees: Evaluation of a wellbeing workshop.', Australasian Psychiatry, vol. 27, no. 3, pp. 255-261.View/Download from: Publisher's site
OBJECTIVE:To evaluate the effectiveness of a workshop intervention to promote wellbeing for Australian physician trainees using a randomized-controlled design. METHODS:Participants were randomly assigned into intervention and control groups. The intervention group attended a half-day workshop. Outcome measures included depression anxiety stress scale, professional quality of life scale and alcohol use disorders identification test. Demographic and work/life factors were measured. Measurements were recorded at baseline, 3 and 6 months, and the workshop was evaluated by participants. RESULTS:High rates of burnout (76%) and secondary traumatic stress (91%) were detected among study participants and around half met screening criteria for depression (52%), anxiety (46%) and stress (50%) at baseline. Workshop evaluations showed that participants agreed that the training was relevant to their needs (96%) and met their expectations (92%). There was a small reduction in alcohol use, depression and burnout in the intervention group compared with the control group at 6 months, but these changes did not reach statistical significance. CONCLUSION:High rates of psychological morbidity detected in the study suggest that physician trainees are a vulnerable group who may benefit from initiatives that promote wellbeing and changes in the workplace to reduce distress.
Axisa, C, Jansz, P, Granger, E, Hayward, C, Keogh, A, Kotlyar, E, Macdonald, P & Spratt, P 2009, 'Left Ventricular Assist Devices—Patient discharge and distance education within New South Wales community locations', Heart, Lung and Circulation, vol. 18, no. 1, pp. 83-83.View/Download from: Publisher's site
Baumwol, J, Macdonald, PS, Keogh, AM, Kotlyar, E, Spratt, P, Jansz, P, Axisa, C & Hayward, CS 2009, 'Older Age is Associated with Suboptimal Outcomes on Continuous-Flow Left Ventricular Assist Devices', Heart, Lung and Circulation, vol. 18, pp. S182-S182.View/Download from: Publisher's site
Ahmed, IM, Spratt, PM, Jansz, P, Axisa, C, MacDonald, P & Granger, E 2008, 'VentAssist left ventricular assist device: St Vincent's hospital experience', JOURNAL OF HEART AND LUNG TRANSPLANTATION, vol. 27, no. 2, pp. S155-S155.View/Download from: Publisher's site
Axisa, C, Jansz, P, Granger, E, Hayward, C, Keogh, A, Kotlyar, E, Tay, A, Macdonald, P & Spratt, P 2008, 'VENTRICULAR FIBRILLATION IN THE PATIENT IMPLANTED WITH A CONTINUOUS FLOW LEFT VENTRICULAR ASSIST DEVICE – CASE REPORT', Transplantation, vol. 86, no. Supplement, pp. 531-531.View/Download from: Publisher's site
Granger, E, Axisa, CM, Jansz, P, Macdonald, P & Spratt, P 2008, 'St Vincent's Hospital experience with 3rd generation ventricular assist devices as bridge to transplant and destination therapy for advanced heart failure', Transactions - American Society for Artificial Internal Organs, vol. 32, no. 5.
Watson, A, Jansz, P, Granger, E, Farnsworth, A, Axisa, CM, Kotlyar, E, Keogh, A, Hayward, C, Macdonald, P & Spratt, P 2008, 'A single-hospital experience with 29 continous-flow left ventricular assist devices', Heart Lung and Circulation, vol. 17S: S154.
Watson, A, Jansz, P, Granger, E, Farnsworth, A, Axisa, CM, Kotlyar, E, Keogh, A, Hayward, C, Macdonald, P & Spratt, P 2008, 'Continuous-flow verses pulsatile-flow LVADs used as a bridge to transplantation', Transplantation, vol. 86, pp. 270-270.
Yorke, J, Pile, A, Tidcombe, A, Axisa, CM, Haynes, D, James, M, Rollason, M, Wills, T & Crisp, L 2003, 'St Vincent's Hospital Sydney Heart and Lung Ambulatory Care Services', Transplant Nurses Journal, vol. 12, no. 2, pp. 38-40.
Axisa, CM 2002, 'Early extubation and time to extubation following cardiac surgery', St Vincent's Health Care Campus Nursing Monograph, pp. 1-4.
Martinez-Maldonado, R, Buckingham-Shum, S, Pechenizkiy, M, Power, T, Hayes, C & Axisa, C 2017, 'Modelling embodied mobility teamwork strategies in a simulation-based healthcare classroom', UMAP 2017 - Proceedings of the 25th Conference on User Modeling, Adaptation and Personalization, Conference on User Modeling, Adaptation and Personalization, ACM, Bratislava, Slovakia, pp. 308-312.View/Download from: Publisher's site
©2017 ACM. In many situations, it remains critical for team members to develop strategies to effectively use the space and tools available to complete demanding tasks. However, despite the availability of sensors and analytics for instrumenting physical space, relatively little progress has been made in modelling the embodied dimensions of co-located teamwork. This paper explores an in-The-wild pilot study through which we explore a methodology to model embodied mobility teamwork strategies in the context of healthcare education. We developed the means for tracking, clustering and processing student-nurses' mobility data around a patient manikin. We illustrate the feasibility of our approach by discussing ways to make sense of these data to uncover meaningful trends, and the inherent challenges of applying physical space analytics in authentic settings.
Martinez-Maldonado, R, Power, T, Hayes, C, Abdiprano, A, Vo, T, Axisa, C & Shum, SB 2017, 'Analytics meet patient manikins: Challenges in an authentic small-group healthcare simulation classroom', LAK '17: Proceedings of the Seventh International Learning Analytics & Knowledge Conference, International Learning Analytics and Knowledge Conference, ACM, Vancouver, British Columbia, Canada, pp. 90-94.View/Download from: Publisher's site
© 2017 ACM. Healthcare simulations are hands-on learning experiences aimed at allowing students to practice essential skills that they may need when working with real patients in clinical workplaces. Some clinical classrooms are equipped with patient manikins that can respond to actions or that can be programmed to deteriorate over time. Students can perform assessments and interventions, and enhance their critical thinking and communication skills. There is an opportunity to exploit the students' digital traces that these manikins can pervasively capture to make key aspects of the learning process visible. The setting can be augmented with sensors to capture traces of group interaction. These multimodal data can be used to generate visualisations or feedback for students or teachers. This paper reports on an authentic classroom study using analytics to integrate multimodal data of students' interactions with the manikins and their peers in simulation scenarios. We report on the challenges encountered in deploying such analytics 'in the wild', using an analysis framework that considers the social, epistemic and physical dimensions of collocated group activity.
Axisa, CM, Nash, LM, Kelly, PJ & Willcock, SM 2016, 'Stress and Distress among Physician Trainees: A Cross-Sectional Study', 21st National Prevocational Medical Education Forum, Hobart Tasmania.
Stress and Distress among Physician Trainees: A Cross-Sectional Study
Axisa, CM, Jansz, P, Granger, E, Hayward, C, Kotlyar, E, Keogh, A, Macdonald, P & Spratt, P 2008, 'Ventricular fibrillation in the patient implanted with a continuous-flow left ventricular assist device - case report', Transplantation, Lippincott Williams & Wilkins, NSW, pp. 531-531.
Introduction: Ventricular Fibrillation is a life threatening rapid irregular heart rhythm where the ventricles do not contract effectively and the heart fails to pump blood into the arteries and systemic circulation. If Ventricular Fibrillation is left untreated death results within a few minutes.