As Director of Health Services Management in the Faculty of Health, Dr Jen Bichel-Findlay is responsible for the overall coordination of the Health Services Management courses in the faculty.
Jen has more than 40 years’ experience in the health service sector in a range of clinical, education, managerial, and project roles in Australia. She has qualifications in health informatics, mental health nursing, public health, critical care nursing, health science, and nursing education.
Her recent experience has been in the management and analysis of clinical indicator datasets addressing more than 350 quality improvement performance measures reported by nearly 700 Australian and New Zealand healthcare organisations.
She has presented sessions and workshops at national and international conferences on healthcare measurement and health informatics.
Jen is a board member of the Health Informatics Society of Australia and is chair of its NSW branch. In 2014, Jen became one of the first people in Australasia to gain a Certified Health Informatician Australasia (CHIA) credential. She chairs the CHIA Examination Committee, and is also a reviewer for a number of health informatics conferences, both national and international.
Jen is very active in the health informatics community, being a current board member of the Health Informatics Society of Australia (HISA) as well as the HISA NSW Branch Chair. She is also a reviewer for a number of health informatics conferences, both national and international.
Can supervise: YES
- Healthcare measurement
- Quality and safety in health care
Health services management
Quality and safety
Roche, MA, Duffield, C, Smith, J, Kelly, D, Cook, R, Bichel-Findlay, J, Saunders, C & Carter, DJ 2018, 'Nurse-led primary health care for homeless men: a multimethods descriptive study.', International Nursing Review, vol. 66, no. 3, pp. 392-399.View/Download from: Publisher's site
To explore the primary healthcare needs and health service use of homeless men in inner Sydney.People experiencing homelessness have greater health needs than the general population and place high demands on tertiary care, which is expensive and may not be the optimum service for their needs. Accessible, approachable and affordable primary healthcare services could improve the health of homeless persons and potentially decrease costs to the healthcare system.A multimethod design using a cross-sectional survey (n = 40) and administrative data (n = 2 707 daily summaries) collected from a nurse-led primary healthcare clinic for homeless men in Sydney.Survey respondents were aged 27-76 years. Health problems reflected multimorbidity, with mental health issues present in almost all respondents. The majority had attended the clinic more than 20 times in the past year and said the services, treatments and referrals helped them avoid the emergency department. Administrative data indicated that medication administration was the most frequent service provided. Referrals to other health services doubled over the 7-year period.Multiple morbidities, particularly mental health issues, are associated with homelessness. A proactive approach by nurses including preventative services appeared to overcome barriers to health service use.This nurse-led primary healthcare clinic highlights the importance of providing services to homeless men with multiple comorbidities. Respect and trust in addition to easy access to health services appear to be important facilitators of health service use.A greater number of primary health services that collaborate with specialist services, including nurse-led clinics, may facilitate health care for persons who are homeless, reducing the burden on acute services.
Perry, L, Gallagher, R, Duffield, CM, Sibbritt, D, Bichel-Findlay, J & Nicholls, R 2016, 'Does nurses' health affect their intention to remain in their current position', Journal of Nursing Management, vol. 24, no. 8, pp. 1088-1097.View/Download from: Publisher's site
Saunders, C, Carter, D, Jordan, A, Duffield, CM & Bichel-Findlay, J 2016, 'Cancer patient experience measures - an evidence review', Journal of Psychosocial Oncology, vol. 34, no. 3, pp. 200-222.View/Download from: Publisher's site
Objectives: This research investigates the instruments currently available to measure the cancer patient experience of health care. An investigation of the number of instruments, the domains covered by the instruments, and the structure and psychometric performance of instruments is undertaken. Methods: A narrative synthesis approach is used to gather evidence from multiple studies and explain the findings. Purposely broad search terms and strategies are used to capture studies with cancer patients at all stages of disease and across a range of cancer types and health care settings. Results: The majority of identified instruments were originally designed for the oncology field. Twelve of the studies developed new cancer patient measures; eight studies adapted existing or utilized items from existing instruments, and seven studies assessed the psychometric properties of existing instruments or assessed validated tools under different conditions (e.g., cross-cultural adaptation). The number of instruments assessing cancer patient experience that have sound psychometric properties across items was found to be low. The properties least tested are test–retest reliability, construct, convergent and discriminant validity, scale variability (floor/ceiling effects), and interpretability. Conclusion: This review examined 10 years of research on the development of instruments to measure the cancer patient experience of health care. It found that research in this area is still in early stages of development. Further inquiry based on development and validation of cancer patient experience measures is required to support improvements in cancer care based on the perspective of cancer patients.
Duffield, C, Graham, E, Donoghue, J, Griffiths, R, Bichel-Findlay, J & Dimitrelis, S 2015, 'Why older nurses leave the workforce and the implications of them staying.', Journal of Clinical Nursing, vol. 24, no. 5-6, pp. 824-831.View/Download from: Publisher's site
To identify factors that motivate older nurses to leave the workforce.As many older nurses are now reaching retirement age and will be eligible for government-funded pensions, governments are concerned about the impending financial burden. To prepare for this scenario, many are looking at increasing the age of retirement to 67 or 70 years. Little is known about how this will affect the continuing employment of older nurses and the consequences for employers and the nurses themselves if they remain longer in the workforce.Prospective randomised quantitative survey study.The Mature Age Workers Questionnaire, Job Descriptive Index and Job in General Scale were used to measure job satisfaction, intention to retire and factors encouraging retirement in registered nurses aged 45 years and over (n = 352) in Australia (July-August 2007).There were 319 respondents. The mean age proposed for leaving the workforce was 61·7 years. Key motivators were: financial considerations (40·1%), primarily financial security; nurse health (17·4%) and retirement age of partner (13·3%).Older nurses are leaving the workforce prior to retirement or pension age, primarily for financial, social and health reasons, taking with them significant experience and knowledge. As financial considerations are important in older nurses decisions to continue to work, increasing the age of retirement may retain them. However, consideration will need to be given to ensure that they continue to experience job satisfaction and are physically and mentally able to undertake demanding work.Increasing retirement age may retain older nurses in the workforce, however, the impact on the health of older nurses is not known, nor is the impact for employers of older nurses continuing to work known. Employers must facilitate workplace changes to accommodate older nurses.
Duffield, C, Graham, E, Donoghue, J, Griffiths, R, Bichel-Findlay, J & Dimitrelis, S 2015, 'Workforce shortages and retention of older nurses', Australian nursing & midwifery journal, vol. 22, no. 7, pp. 18-19.
Bichel-Findlay, JM 2014, 'Classification fundamental to the future of health care outcomes', HIM-Interchange, vol. 4, no. 1, pp. 34-35.
Delivering health care in the current and future environment requires clinicians to have a comprehensive understanding of classification. This will assist care to be patient focussed and meet safety and quality standards.
Collopy, BT, Bichel-Findlay, J, Woodruff, PW & Gibberd, RW 2014, 'Clinical indicators in surgery: a critical review of the Australian experience', ANZ Journal of Surgery, vol. 84, no. 1-2, pp. 42-46.View/Download from: Publisher's site
Background: A set of clinical measures (indicators), developed by an Australian Council on Healthcare Standards (ACHS) and Royal Australasian College of Surgeons (RACS) working party, was introduced into the accreditation programme in 1997. Although early qualitative and quantitative reporting by health-care organizations (HCOs) reflected their value in stimulating change, the number of HCOs reporting data on this set of clinical indicators (CIs) has declined, despite an increase in the number of HCOs reporting data on the CIs programme overall. Possible reasons for this decline were sought.
Bichel-Findlay, JM, Doran, C, Schaper, L & Herbert, L 2017, 'Nursing and informatics: a transformational synergy' in Daly, J, Speedy, S & Jackson, D (eds), Contexts of Nursing An Introduction, Elsevier, Chatswood, pp. 253-270.
Contexts of Nursing: An Introduction, 5th edition provides comprehensive coverage of the key ideas underpinning contemporary nursing practice in Australia and New Zealand.
Bichel-Findlay, J & Doran, C 2015, 'Leadership in health informatics: A pathway to twenty-first century patient care' in Daly, J, Speedy, S & Jackson, D (eds), Leadershp & Nursing: Contemporary Perspectives, Churchill Livingstone, Chatswood, NSW, pp. 103-115.
Bichel-Findlay, J & Doran, C 2014, 'Nursing and informatics: a transformational synergy' in Daly, J, Speedy, S & Jackson, D (eds), Contexts of Nursing: An Introduction, Churchill Livingstone, Chatswood, NSW, pp. 287-304.