A/Professor Louise Hickman expertise is in both quantitative, qualitative and mixed methods research which is grounded in her qualifications in Nursing, Masters of Public Health and a PhD. A/Professor Hickman has been appointed and invited to sit on a number of internal and external industry committees and reference groups for clinical research and curricula. A/Professor Hickman is Editor-In-Chief, Contemporary Nurse. A/Professor Hickman's primary research focus and current research projects are in improving care in ageing, cardiovascular chronic disease, cognitive decline, dementia, palliative care and translational research that bridges the gaps between the acute care sector, community and residential aged care. A/Professor Louise Hickman is Director of Studies Palliative Care Programs, IMPACCT Faculty of Health. In this leadership role A/Professor Hickman is responsible for the quality management; curriculum design and accreditation of a suite of dynamic clinically relevant palliative care postgraduate courses and programs from 2019 onwards. These courses (Master of Palliative; Graduate Diploma in Palliative care; Graduate Certificate in Palliative Care) are designed to address the significant need to build palliative care workforce capacity across the health care system.
Can supervise: YES
Ferguson, C, Hickman, L, Macbean, C & Jackson, D 2019, 'The wicked problem of patient misidentification: How could the technological revolution help address patient safety?', Journal of clinical nursing, vol. 28, no. 13-14, pp. 2365-2368.View/Download from: UTS OPUS or Publisher's site
Rao, A, Zecchin, R, Newton, PJ, Phillips, JL, DiGiacomo, M, Denniss, AR & Hickman, LD 2019, 'The prevalence and impact of depression and anxiety in cardiac rehabilitation: A longitudinal cohort study', EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY.View/Download from: Publisher's site
Rao, A, DiGiacomo, M, Newton, P, Phillips, J & Hickman, L 2019, 'Meditation and secondary prevention of depression and anxiety in heart disease: A systematic review', Mindfulness, vol. 10, no. 1, pp. 1-14.View/Download from: UTS OPUS or Publisher's site
Heart disease is the leading cause of global mortality, accounting for 13.7 million deaths annually. Optimising depression and anxiety symptoms in adults with heart disease is an international priority. Heart disease secondary prevention is best achieved through implementation of sustainable pharmacological and non-pharmacological interventions, including meditation. Meditation is a means of generating self-awareness and has implications for enhanced self-management of depression and anxiety symptoms. This review aims to identify high-level quantitative evidence for meditation interventions designed to improve depression and/or anxiety symptoms among adults with heart disease and ascertain the most important elements of meditation interventions that facilitate positive depression and/or anxiety outcomes. This systematic review and narrative synthesis was completed in accordance with the PRISMA Statement and has adhered to the Cochrane Risk of Bias guideline. Six databases were searched between 1975 and 2017. Statistically significant outcomes were demonstrated in over half (5/9) of phase II meditation studies for depression and/or anxiety and involved 477 participants. Meditation interventions that generated positive outcomes for depression and/or anxiety included elements such as focused attention to body parts (or body scan) (3/4 studies) and/or group meetings (4/5 studies). Meditation is a means of reframing heart disease outpatient services towards an integrated model of care. Future adequately powered phase III studies are needed to confirm which meditation elements are associated with reductions in depression and anxiety; and the differential effects between concentrative and mindfulness-based meditation types among adults with heart disease.
Ferguson, C, Hickman, LD, Phillips, J, Newton, PJ, Inglis, SC, Lam, L & Bajorek, BV 2019, 'An mHealth intervention to improve nurses' atrial fibrillation and anticoagulation knowledge and practice: the EVICOAG study.', European Journal of Cardiovascular Nursing, vol. 18, no. 1, pp. 7-15.View/Download from: UTS OPUS or Publisher's site
There is a need to improve cardiovascular nurses' knowledge and practices related to stroke prevention, atrial fibrillation and anticoagulation therapy.The aim of this study was to evaluate the efficacy of EVICOAG - a novel mHealth, smartphone-based, spaced-learning intervention on nurses' knowledge of atrial fibrillation and anticoagulation.Nurses employed in four clinical specialties (neuroscience, stroke, rehabilitation, cardiology) across three hospitals were invited to participate. In this quasi-experimental study, 12 case-based atrial fibrillation and anticoagulation learning scenarios (hosted by an mHealth platform) were delivered to participants' smartphones over a 6-week period (July-December 2016) using a spaced timing algorithm. Electronic surveys to assess awareness and knowledge were administered pre (T1) and post (T2) intervention.From 74 participants recruited to T1, 40 completed T2. There was a 54% mean improvement in knowledge levels post-intervention. The largest improvement was achieved in domains related to medication interaction and stroke and bleeding risk assessment. Post-intervention, those who completed T2 were significantly more likely to use CHA2DS2-VASc (2.5% vs. 37.5%) and HAS-BLED (2.5% vs. 35%) tools to assess stroke and bleeding risk, respectively ( P<0.01).The EVICOAG intervention improved nurses' knowledge of atrial fibrillation and anticoagulation, and influenced their uptake and use of stroke and bleeding risk assessment tools in clinical practice. Future research should focus on whether a similar intervention might improve patient-centred outcomes such as patients' knowledge of their condition and therapies, medication adherence, time in the therapeutic range and quality of life.
Hickman, L, Ferguson, C, Davidson, PM, Allida, S, Inglis, S, Parker, D & Agar, M 2019, 'Key elements of interventions for heart failure patients with mild cognitive impairment or dementia: A systematic review', EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING.View/Download from: Publisher's site
Tankumpuan, T, Anuruang, S, Jackson, D, Hickman, LD, DiGiacomo, M & Davidson, PM 2019, 'Improved adherence in older patients with hypertension: An observational study of a community-based intervention.', International journal of older people nursing, vol. 14, no. 3.View/Download from: UTS OPUS or Publisher's site
AIMS AND OBJECTIVES:This study sought to assess the effect of a community-based intervention influencing adherence status at baseline, 1, 3 and 6 months, and to evaluate the impact that a community-based intervention and socio-economic factors have on adherence. BACKGROUND:Although high-quality treatment and modern hypertension clinical practice guidelines have been developed worldwide, the outcomes of patients with hypertension in Thailand are not optimal. Implementing a person-centred and integrated health services model to improve hypertension management, such as a community-based intervention, is challenging for healthcare providers in Thailand. DESIGN:An observational study of a community-based intervention. METHODS:The study comprised residents in 17 villages in one province of Thailand. A sample of 156 participants was allocated into the intervention and the control groups. Inclusion criteria were people aged 60 years or older diagnosed with hypertension. Exclusion criteria included the latest record of extreme hypertension and having a documented history of cognitive impairment. The intervention group received the 4-week community-based intervention programme. Multiple linear regression was applied to predict the adherence status at each phase. Multiple logistic regression was then implemented to predict influencing factors between the groups. RESULTS:Patients who received the intervention had significantly lower adherence scores (reflecting a higher level of adherence) at 3 and 6 months after intervention by 1.66 and 1.45 times, respectively, when adjusting for other variables. After 6 months, the intervention was associated with a significant improvement in adherence when adjusting for other variables. CONCLUSION:This study provides evidence to support the use of community-based interventions as an effective adjunct to hospital-based care of hypertension patients in Thailand. IMPLICATIONS FOR PRACTICE:Understanding factors between health outcomes and so...
Fisher, CY, Adams, J, Frawley, JE, Hickman, LD & Sibbritt, DW 2019, 'Is there a role for Western herbal medicine in treating cyclic perimenstrual pain and discomfort?', Australian and New Zealand Journal of Obstetrics and Gynaecology, vol. 59, no. 1, pp. 154-156.View/Download from: UTS OPUS or Publisher's site
Conventional treatments for cyclic perimenstrual pain and discomfort, while numerous and diverse, have drawbacks including side effects, interference with women's reproductive function and, importantly, failure to address symptoms. Many women turn to herbal medicine to treat a myriad of menstrual symptoms. Clinical evidence supports the efficacy of Vitex agnus-castus but other medicinal herbs typically used by Western herbalists for treating menstrual symptoms are unsupported by clinical trials. This raises concerns around the efficacy and safety of these herbs. Women's treatment options need to be extended and individualised, where current conventional strategies fail, requiring appropriate clinical trials of potentially useful herbal medicines.
Jha, SR, McDonagh, J, Prichard, R, Newton, PJ, Hickman, LD, Fung, E, Macdonald, PS & Ferguson, C 2018, '#Frailty: A snapshot Twitter report on frailty knowledge translation.', Australasian Journal on Ageing, vol. 37, no. 4, pp. 309-312.View/Download from: UTS OPUS or 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.
Xu, X, Parker, D, Shi, Z, Byles, J, Hall, J & Hickman, L 2018, 'Dietary Pattern, Hypertension and Cognitive Function in an Older Population: 10-Year Longitudinal Survey', Frontiers in Public Health, vol. 6, no. 201, pp. 1-13.View/Download from: UTS OPUS or Publisher's site
Background: There is a paucity of studies that have explored the association between dietary pattern and cognitive function, and whether there is an interaction between dietary pattern and hypertension in relation to older people's cognitive functioning.
Methods: We analyzed data from the China Health and Nutrition (CHNS) survey. Dietary data have been collected since 1991, and cognitive function interview data were collected between 1997 and 2006. We analyzed ten years of data, including 4,847 participants with 10,658 observations (aged ≥55 years). Exploratory factor analysis was used to identify dietary patterns. Cognitive function measures include cognitive global scores and verbal memory scores. Linear mixed models were used to investigate the association between dietary patterns, hypertension and cognitive function.
Results: Three dietary patterns were identified by factor analysis, named 'Traditional Chinese,' 'Protein-rich,' and 'Starch-rich' dietary pattern. A Protein-rich dietary pattern (high intake of milk, eggs and soymilk) was significantly associated with higher cognitive global scores and verbal memory scores, while the starch-rich dietary pattern (high intake of salted vegetable and legumes) was significantly associated with lower cognitive global and verbal memory scores. In addition, we found that participants with hypertension were independently associated with significant low cognitive function.
Conclusion: The study reinforces the importance of diet in preventing cognitive decline among the older population. Identification of older populations who had hypertension should be targeted in intervention studies to maintain their cognitive health.
Hickman, L, DiGiacomo, M, Phillips, J, Rao, A, Newton, P, Jackson, D & Ferguson, C 2018, 'Improving evidence based practice in postgraduate nursing programs: Asystematic review', 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.
Rao, A, Newton, P, DiGiacomo, M, Hickman, L, Hwang, C & Davidson, P 2018, 'Optimal gender specific strategies for the secondary prevention of cardiovascular disease in women: a systematic review', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 38, no. 5, pp. 279-285.View/Download from: UTS OPUS or Publisher's site
Phillips, JL, Heneka, N, Hickman, L & Lam, L 2018, 'Self-Perceived Pain Assessment Knowledge and Confidence (Self-PAC) Scale for Cancer and Palliative Care Nurses: a Preliminary Validation Study.', Pain Management Nursing, vol. 19, no. 6, pp. 819-626.View/Download from: UTS OPUS or Publisher's site
BACKGROUND:Pain is highly prevalent in all health care settings, and frequently poorly managed. Effective pain management is predicated on a continuous cycle of screening, assessing, intervening and evaluating. Identifying gaps in nurses' self-perceived pain assessment competencies is an essential first step in the design of tailored interventions to embed effective pain assessment into routine clinical practice, and improve patient reported pain outcomes. Yet, few validated instruments focus on the competencies required for undertaking a comprehensive pain assessment, with most focusing on clinician's pain management competencies. AIM:To examine the validity of the 'Self-Perceived Pain Assessment Knowledge and Confidence' (Self-PAC) Scale. DESIGN:Preliminary instrument validation. SETTING:Two Australian cancer and palliative care services. PARTICIPANTS/SUBJECTS:186 cancer and palliative care nurses. METHODS:The Self-PAC Scale was administered to participants online. Factor Analyses, including Exploratory and Confirmatory, were applied to examine the structural validity, Cronbach's alpha was calculated for internal consistency. Criterion validity was investigated by comparing responses from experienced and non-experienced nurses. RESULTS:Two components resulted with a single factor structure for pain assessment confidence and a two-factor structure for the knowledge of pain assessment. The factor loading for the subscales ranged from 0.653 to 0.969, with large proportions of the variances explained by the factors. Cronbach's alpha of the subscales ranged from 0.87-0.92 and significant difference in responses were found between experienced and non-experienced nurses. CONCLUSION:Preliminary validation of the Self-PAC Scale suggests that it is a helpful instrument for assessing cancer and palliative care nurse' pain assessment competencies.
Ferguson, C, Hickman, L, Wright, R, Davidson, PM & Jackson, D 2018, 'Preparing nurses to be prescribers of digital therapeutics', CONTEMPORARY NURSE, vol. 54, no. 4-5, pp. 345-349.View/Download from: UTS OPUS or Publisher's site
Fisher, C, Adams, J, Frawley, J, Hickman, L & Sibbritt, D 2018, 'Western herbal medicine consultations for common menstrual problems; practitioner experiences and perceptions of treatment.', Phytotherapy Research, vol. 32, no. 3, pp. 531-541.View/Download from: UTS OPUS or Publisher's site
To explore the prevalence with which Australian Western herbalists treat menstrual problems and their related treatment, experiences, perceptions, and interreferral practices with other health practitioners. Members of the Practitioner Research and Collaboration Initiative practice-based research network identifying as Western Herbalists (WHs) completed a specifically developed, online questionnaire. Western Herbalists regularly treat menstrual problems, perceiving high, though differential, levels of effectiveness. For menstrual problems, WHs predominantly prescribe individualised formulas including core herbs, such as Vitex agnus-castus, and problem-specific herbs. Estimated clients' weekly cost (median = $25.00) and treatment duration (median = 4-6 months) covering this Western herbal medicine treatment appears relatively low. Urban-based women are more likely than those rurally based to have used conventional treatment for their menstrual problems before consulting WHs (p = .001). Only 19% of WHs indicated direct contact by conventional medical practitioners regarding treatment of clients' menstrual problems despite 42% indicating clients' conventional practitioners recommended consultation with WH. Western herbal medicine may be a substantially prevalent, cost-effective treatment option amongst women with menstrual problems. A detailed examination of the behaviour of women with menstrual problems who seek and use Western herbal medicine warrants attention to ensure this healthcare option is safe, effective, and appropriately co-ordinated within women's wider healthcare use.
Fisher, C, Hickman, L, Adams, J & Sibbritt, D 2018, 'Cyclic Perimenstrual Pain and Discomfort and Australian Women's Associated Use of Complementary and Alternative Medicine: A Longitudinal Study.', Journal of Women's Health, vol. 27, no. 1, pp. 40-50.View/Download from: UTS OPUS or Publisher's site
To examine the longitudinal change in Australian women's prevalence of cyclic perimenstrual pain and discomfort and the association between their symptoms and use of complementary and alternative medicine (CAM).Data on endometriosis, premenstrual syndrome (PMS), irregular periods, heavy periods, and severe period pain were collected over a 7-year period from the Australian Longitudinal Study on Women's Health, for women aged 28 to 33 years in 2006, and at 3-year follow-ups. Changes in symptoms and patterns of CAM practitioner and therapy/product use associated with these symptoms were analyzed using longitudinal regression modeling.Over the 7-year period, prevalence rates of PMS and heavy periods increased, while prevalence rates of endometriosis, irregular periods, and severe period pain remained stable. The most common use of CAM longitudinally associated with the perimenstrual symptoms was use of vitamins/minerals, yoga/meditation, massage therapy, herbal medicine, and aromatherapy. Excluding consultation with a naturopath/herbalist, over the 7-year survey women's use of all other CAM practitioners increased as did their use of vitamin/minerals, yoga/meditation, and Chinese medicines, while aromatherapy use declined.Only the prevalence of PMS and heavy periods increased with aging in this sample of women. While overall use of CAM practitioner and self-prescribed products/therapies increased over time, CAM was chosen by women mainly to treat endometriosis and PMS. The extent to which this use reflects treatment efficacy is uncertain.
Ferguson, C, DiGiacomo, M, Gholizadeh, L, Ferguson, LE & Hickman, LD 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
Phillips, JL, Heneka, N, Hickman, L, Lam, L & Shaw, T 2017, 'Can A Complex Online Intervention Improve Cancer Nurses' Pain Screening and Assessment Practices? Results from a Multicenter, Pre-post Test Pilot Study.', Pain Management Nursing, vol. 18, no. 2, pp. 75-89.View/Download from: UTS OPUS or Publisher's site
Unrelieved cancer pain has an adverse impact on quality of life. While routine screening and assessment forms the basis of effective cancer pain management, it is often poorly done, thus contributing to the burden of unrelieved cancer pain. The aim of this study was to test the impact of an online, complex, evidence-based educational intervention on cancer nurses' pain assessment capabilities and adherence to cancer pain screening and assessment guidelines. Specialist inpatient cancer nurses in five Australian acute care settings participated in an intervention combining an online spaced learning cancer pain assessment module with audit and feedback of pain assessment practices. Participants' self-perceived pain assessment competencies were measured at three time points. Prospective, consecutive chart audits were undertaken to appraise nurses' adherence with pain screening and assessment guidelines. The differences in documented pre-post pain assessment practices were benchmarked and fed back to all sites post intervention. Data were analyzed using inferential statistics. Participants who completed the intervention (n = 44) increased their pain assessment knowledge, assessment tool knowledge, and confidence undertaking a pain assessment (p < .001). The positive changes in nurses' pain assessment capabilities translated into a significant increasing linear trend in the proportion of documented pain assessments in patients' charts at the three time points (χ(2) trend = 18.28, df = 1, p < .001). There is evidence that learning content delivered using a spaced learning format, augmented with pain assessment audit and feedback data, improves inpatient cancer nurses' self-perceived pain screening and assessment capabilities and strengthens cancer pain guideline adherence.
Bhattarai, P, Hickman, L & Phillips, JL 2016, 'Pain among hospitalized older people with heart failure and their preparation to manage this symptom on discharge: a descriptive-observational study', CONTEMPORARY NURSE, vol. 52, no. 2-3, pp. 204-215.View/Download from: UTS OPUS or Publisher's site
© 2016 Informa UK Limited, trading as Taylor & Francis GroupBackground: Despite the decline in vaccine-preventable diseases, immunisation rates remain important. Nurses working in general practice (GPN) are often the first contact for childhood and adult immunisations and so impact vaccine provision. Aim: This study sought to describe the current immunisation practices and attitudes of GPN prior to attending the Nurse Immuniser Training Program. Methods: Prior to undertaking a Nurse Immuniser Training Program, registered nurses completed a survey describing their demographics, immunisation practice and attitudes to immunisation. Results: Ninety-five GPNs completed the survey. Approximately 98% of participants perceived vaccines to be safe, effective and necessary for child healthcare, while 56.4% of participants reported insufficient knowledge of the childhood immunisation schedule. The majority of participants' practices provided free influenza vaccinations for their general practitioners (GPs) (89.5%) and Practice Nurses (91.6%). However, only half of the participants had been immunised against influenza themselves in the previous three years. Conclusion: It is important for GPNs to be equipped with sufficient knowledge of immunisation to provide appropriate education and opportunistic intervention. However, nurses also need to be aware of their own vaccination status and its impact on their practice.
Halcomb, E, Purcell, R, Hickman, L & Smyth, E 2016, 'Telemonitoring is acceptable amongst community dwelling older Australians with chronic conditions', COLLEGIAN, vol. 23, no. 4, pp. 383-390.View/Download from: UTS OPUS or Publisher's site
Rao, A, Hickman, LD, Phillips, JL & Sibbritt, D 2016, 'Prevalence and characteristics of Australian women who use prayer or spiritual healing: A nationally representative cross-sectional study', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 27, pp. 35-42.View/Download from: UTS OPUS or Publisher's site
Rao, A, Hickman, LD, Sibbritt, D, Newton, PJ & Phillips, JL 2016, 'Is energy healing an effective non-pharmacological therapy for improving symptom management of chronic illnesses? A systematic review', COMPLEMENTARY THERAPIES IN CLINICAL PRACTICE, vol. 25, pp. 26-41.View/Download from: UTS OPUS or Publisher's site
Hickman, LD, Neville, S, Fischer, T, Davidson, PM & Phillips, JL 2016, 'Editorial: Call to action: greater investment in the registered nurse role is required to improve care outcomes for dementia patients living in residential aged care and their families.', Contemporary nurse, vol. 52, no. 2-3, pp. 137-139.View/Download from: UTS OPUS or Publisher's site
The number of people living with dementia will triple by 2050 (World Health Organization,
2012). Dementia is a complex terminal illness and international global public health priority
(World Health Organization, 2012). Whilst enormous efforts focus on dementia treatments,
there is an equally urgent need to address workforce issues and invest in increasing the registered
nurse role and ratios in residential aged care to meet the projections. In most high-income
countries residential aged care facilities have evolved over the past two to three decades from
homes for the aged into slow-stream hospices, caring for our most vulnerable community
members (Allen, Chapman, O'Connor, & Francis, 2008). This population has complex care
needs requiring the input of a range of health professionals, such as geriatricians, general practitioners,
registered nurses and care assistants (Hickman, Rolley, & Davidson, 2010; Phillips,
Heneka, Hickman, Lam, & Shaw, 2014). Over this same time period the number of registered
or enrolled nurses working in residential aged care facilities has fallen and those that remain
have been largely relegated to managerial responsibilities. As a result the bulk of nursing care
in residential aged care is now provided by a largely unskilled and unregulated workforce.
Without the prerequisite dementia knowledge, skills or training, these staff are supervised by a
small number of registered nurses (Hullick et al., 2016). This is in contrast to emerging evidence
from long-term care and acute care setting, that nurse qualifications impact outcome. It also differs
significantly from standards in countries like Germany, where a minimum RN ratio of 50% is
mandatory (Aiken et al., 2010)
Sibbritt, D, Davidson, P, Peng, WB, Adams, J & Hickman, L 2016, 'Hypertension: What are the self-care and health-care-seeking behaviours in women over time?', Journal of human hypertension, vol. 30, pp. 783-787.View/Download from: Publisher's site
The aim of this study was to estimate the prevalence and incidence of hypertension in women, and describe their self-care and health-seeking behaviours. This research was conducted as part of the Australian Longitudinal Study on Women's Health, a study comprising a nationally representative sample of Australian women in three age groups. The focus of this research is 14 099 women born in 1946-1951, who have been surveyed six times (1996-2010). Student t-tests were used to compare women who did or did not have hypertension by their health-care utilization. Longitudinal analyses were conducted using a Poisson generalized estimating equation model. The incidence of hypertension among this cohort during 1996 to 2010 ranged from 400 to 597 participants per survey, resulting in an increase in prevalence of hypertension from 20.9% in 1996 to 41.3% in 2010. For all survey periods, women with hypertension had a significantly higher average number of visits to doctors and allied health practitioners compared with women without hypertension (P<0.005). The use of complementary medicine (practitioners and self-prescribed treatments) by women with hypertension was significantly lower compared to women without hypertension (P<0.005). Over time, conventional health-care utilization was higher for women with hypertension compared with women without hypertension (adjusted RR=1.18; 95% CI: 1.14, 1.22; P<0.0001). Our findings show that women with hypertension are using a range of conventional and complementary and alternative medicine: with hypertensive women using more conventional medicine and less complementary and alternative medicine than non-hypertensive women. As such, health-care providers should communicate with their patients regarding their use of complementary and alternative medicine in their efforts to provide safe, effective and coordinate care.Journal of Human Hypertension advance online publication, 28 April 2016; doi:10.1038/jhh.2016.20.
Vongmany, J, Hickman, LD, Lewis, J, Newton, PJ & Phillips, JL 2016, 'Anxiety in chronic heart failure and the risk of increased hospitalisations and mortality: A systematic review.', European Journal of Cardiovascular Nursing.View/Download from: UTS OPUS or Publisher's site
Anxiety is a serious affective mood disorder that affects many chronic heart failure patients. While there is ample evidence that depression increases hospitalisations and mortality in chronic heart failure patients, it is unclear whether this association also exists for anxiety.The purpose of this study was to report on prospective cohort studies investigating anxiety in chronic heart failure patients and its association with hospitalisations and mortality rates. This systematic review aims to improve the current knowledge of anxiety as a potential prognostic predictor in chronic heart failure populations.This systematic review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Studies were identified by accessing electronic databases Embase, Medline, Cumulative Index to Nursing and Allied Health Literature and PsycINFO. Studies were included if they: employed a prospective cohort study design, included chronic heart failure participants with a confirmed clinical diagnosis plus anxiety confirmed by a validated anxiety assessment tool and/or clinical diagnosis and reported longitudinal hospitalisation rates and mortality data in chronic heart failure.Six studies were identified for inclusion. A study investigating hospitalisations and mortality rates found a significant (p<0.05) association solely between hospitalisation and anxiety. Of four studies reporting on hospitalisations alone, only two reported significant associations with anxiety. One study reported rates of mortality alone and identified no significant associations between mortality and anxiety. There was some variation in quality of the studies in regards to their methodology, analysis and reported measures/outcomes, which may have affected the results reported.It is possible that anxiety does predict hospitalisations in chronic heart failure populations, however further research is required to confirm this observation.
Fisher, C, Adams, J, Hickman, L & Sibbritt, D 2016, 'The use of complementary and alternative medicine by 7427 Australian women with cyclic perimenstrual pain and discomfort: a cross-sectional study', BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE, vol. 16.View/Download from: UTS OPUS or Publisher's site
Fisher, C, Sibbritt, D, Hickman, L & Adams, J 2016, 'A critical review of complementary and alternative medicine use by women with cyclic perimenstrual pain and discomfort: A focus upon prevalence, patterns and applications of use and users' motivations, information seeking and self-perceived efficacy.', Acta obstetricia et gynecologica Scandinavica, vol. 95, no. 8, pp. 861-871.View/Download from: UTS OPUS or Publisher's site
Complementary and alternative medicine (CAM) is used for treating cyclic perimenstrual pain and discomfort. This critical review examines women's reported CAM use, its perceived effectiveness and information relating to women's attitudes, behaviours, motivations and patterns of CAM use in its treatment MATERIAL AND METHODS: An extensive search of the main medical databases EBSCO, CINAHL, Medline, AMED and SCOPUS, as well as additional hand searches, was conducted. Papers included were confined to those that had been peer-reviewed, written in English and containing original research into CAM use for cyclic perimenstrual pain and discomfort amongst adult women RESULTS: CAM, particularly herbal medicine, nutritional supplements and massage, is widely used for a range of cyclic perimenstrual pain and discomfort symptoms. A large number of CAM modalities are adopted, often simultaneously and with little professional oversight. Women's assessment of efficacy of different CAM modalities is positive, though the majority of users are self-prescribing apparently without professional guidance. Although the uptake of CAM for cyclic perimenstrual pain and discomfort is wide-spread, little empirical data is available regarding which women are using CAM, their motivations for doing so and importantly the sources via which women receive information about CAM CONCLUSIONS: This review highlights the extensive use of (often self-prescribed) CAM in a number of countries to alleviate the widespread symptoms of cyclic perimenstrual pain and discomfort. An understanding of all health care utilisation by women with perimenstrual pain and discomfort is vital to help ensure safe, effective and coordinated health care that can lead to optimal patient outcomes. This article is protected by copyright. All rights reserved.
Peng, W, Adams, J, Hickman, L & Sibbritt, DW 2016, 'Longitudinal analysis of associations between women's consultations with complementary and alternative medicine practitioners/use of self-prescribed complementary and alternative medicine and menopause-related symptoms, 2007-2010.', Menopause, vol. 23, no. 1, pp. 74-80.View/Download from: UTS OPUS or Publisher's site
This study aims to determine associations between consultations with complementary and alternative medicine (CAM) practitioners/use of self-prescribed CAM and menopause-related symptoms.Data were obtained from the Australian Longitudinal Study on Women's Health. Generalized estimating equations were used to conduct longitudinal data analyses, which were restricted to women born in 1946-1951 who were surveyed in 2007 (survey 5; n = 10,638) and 2010 (survey 6; n = 10,011).Women with menopause-related symptoms were more likely to use self-prescribed CAM but were not more likely to consult a CAM practitioner. Overall, CAM use was lower among women who had undergone hysterectomy or women who had undergone oophorectomy, compared with naturally postmenopausal women, and decreased with increasing age of postmenopausal women. Weak associations between CAM use and hot flashes were observed. Women experiencing hot flashes were more likely to consult a massage therapist (odds ratio, 1.09; 95% CI, 1.00-1.20) and/or use self-prescribed herbal medicines (odds ratio, 1.13; 95% CI, 1.03-1.23) than women not experiencing hot flashes.Consultations with CAM practitioners and use of self-prescribed CAM among naturally or surgically postmenopausal women are associated with menopause-related symptoms. Our study findings should prompt healthcare providers, in particular family medicine practitioners, to be cognizant of clinical evidence for CAM typically used for the management of common menopause-related symptoms in their aim to provide safe, effective, and coordinated care for women.
Mixed methods research involves the use of qualitative and quantitative data in a single research project. It represents an alternative methodological approach, combining qualitative and quantitative research approaches, which enables nurse researchers to explore complex phenomena in detail. This article provides a practical overview of mixed methods research and its application in nursing, to guide the novice researcher considering a mixed methods research project.
Rao, A, Sibbritt, D, Phillips, JL & Hickman, LD 2015, 'Prayer or spiritual healing as adjuncts to conventional care: a cross sectional analysis of prevalence and characteristics of use among women', BMJ Open, vol. 5, no. 6, pp. e007345-e007345.View/Download from: UTS OPUS or Publisher's site
Anuruang, S, Davidson, PM, Jackson, D & Hickman, L 2015, 'Strategies to enhance recruitment of rural-dwelling older people into community-based trials.', Nurse researcher, vol. 23, no. 1, pp. 40-43.View/Download from: Publisher's site
To describe strategies that can enhance the recruitment of rural-dwelling older people into clinical trials.Recruitment to studies can be time-consuming and challenging. Moreover, there are challenges associated with recruiting older people, particularly those living in rural areas. Nevertheless, an adequate sample size is crucial to the validity of randomised controlled trials (RCTs).The authors draw on the literature and their personal experiences, to present a range of flexible and inclusive strategies that have been successfully used to recruit older people into clinical trials.This paper describes attempts to improve recruitment of rural-dwelling, older Thai people to a clinical trial.To attract potential participants, researchers should consider minimising the burden of their study and maximising its benefits or convenience for participants. Three factors that may influence participation rates are: personal factors of participants, researchers' personal attributes, and protocol factors. In addition, three important strategies contribute to improving recruitment: understanding the culture of the research setting, identifying the 'gatekeepers' in the setting and building trust with stakeholders.Even though the study covered did not recruit a large number of participants, these understandings were crucial and enabled recruitment of a sufficient number of participants in a reasonable timeframe.These strategies may be of use in rural settings and with different communities including urban communities.
Ferguson, C, Davidson, PM, Scott, PJ, Jackson, D & Hickman, LD 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
Hickman, LD, Phillips, JL, Newton, PJ, Halcomb, EJ, Al Abed, N & Davidson, PM 2015, 'Multidisciplinary team interventions to optimise health outcomes for older people in acute care settings: A systematic review', Archives of Gerontology and Geriatrics, vol. 61, no. 3, pp. 322-329.View/Download from: UTS OPUS or Publisher's site
Jha, SR, Ha, HSK, Hickman, LD, Hannu, M, Davidson, PM, Macdonald, PS & Newton, PJ 2015, 'Frailty in advanced heart failure: a systematic review', Heart Failure Reviews, vol. 20, no. 5, pp. 553-560.View/Download from: UTS OPUS or Publisher's site
Peng, W, Adams, J, Hickman, L & Sibbritt, DW 2015, 'Association between consultations with complementary/alternative medicine practitioners and menopause-related symptoms: a cross-sectional study', Climacteric, vol. 18, no. 4, pp. 551-558.View/Download from: UTS OPUS or Publisher's site
Peng, W, Sibbritt, DW, Hickman, L & Adams, J 2015, 'Association between use of self-prescribed complementary and alternative medicine and menopause-related symptoms: a cross-sectional study.', Complementary Therapies in Medicine, vol. 23, no. 5, pp. 666-673.View/Download from: UTS OPUS or Publisher's site
To examine the association between self-prescribed complementary and alternative medicine use and menopause-related symptoms, stratified by menopausal status.Data were obtained from a cross-sectional survey of a nationally representative sample of 10,011 menopausal women from the Australian Longitudinal Study on Women's Health, conducted in 2010. Multivariable logistic regression models were applied to identify if the use of selected self-prescribed complementary and alternative medicine was significantly associated with a range of menopause-related symptoms.Vitamins/minerals were more likely to be used by natural menopausal women experiencing anxiety (adjusted OR=1.20) and/or stiff/painful joints (adjusted OR=1.16). Yoga/meditation was more likely to be used by women with hysterectomy (adjusted OR=1.76) or natural menopausal women (adjusted OR=1.38) experiencing anxiety. Herbal medicines were more likely to be used by natural menopausal women experiencing anxiety (adjusted OR=1.22), tiredness (adjusted OR=1.20), and/or stiff/painful joints (adjusted OR=1.17), and by women with oophorectomy experiencing tiredness (adjusted OR=1.45). Aromatherapy oils were more likely to be used by natural menopausal women experiencing night sweats (adjusted OR=1.25) and by women with hysterectomy experiencing anxiety (adjusted OR=2.02). Chinese medicines were more likely to be used by women with oophorectomy experiencing stiff/painful joints (adjusted OR=4.06) and/or palpitations (adjusted OR=3.06).Our study will help improve the patient-provider communication regarding complementary and alternative medicine use for menopause, and we conclude that menopausal status should be taken into account by providers for menopause care. The women's experience and motivations of such use warrant further research.
Baba, V 2014, 'Editorial', CANADIAN JOURNAL OF ADMINISTRATIVE SCIENCES-REVUE CANADIENNE DES SCIENCES DE L ADMINISTRATION, vol. 31, no. 1, pp. 2-2.View/Download from: Publisher's site
Hickman, LD, Kelly, H & Phillips, JL 2014, 'EVITEACH: A study exploring ways to optimise the uptake of evidence-based practice to undergraduate nurses', NURSE EDUCATION IN PRACTICE, vol. 14, no. 6, pp. 598-604.View/Download from: UTS OPUS or Publisher's site
Hickman, LD, Mannix, J & Neville, S 2014, 'Is postgraduate education a luxury or necessity for professional nurses: A trans-Tasman perspective', CONTEMPORARY NURSE, vol. 49, no. 1, pp. 2-3.View/Download from: UTS OPUS or Publisher's site
Jackson, D, Hickman, LD, Hutchinson, M, Andrew, S, Smith, J, Potgieter, I, Cleary, M & Peters, K 2014, 'Whistleblowing: An integrative literature review of data-based studies involving nurses.', Contemporary Nurse, vol. 48, no. 2, pp. 240-252.View/Download from: UTS OPUS or Publisher's site
Abstract Aim: To summarise and critique the research literature about whistleblowing and nurses.Whistleblowing is identified as a crucial issue in maintenance of healthcare standards and nurses are frequently involved in whistleblowing events. Despite the importance of this issue, to our knowledge an evaluation of this body of the data-based literature has not been undertaken.An integrative literature review approach was used to summarise and critique the research literature. A comprehensive search of five databases including Medline, CINAHL, PubMed and Health Science: Nursing/Academic Edition, and Google, were searched using terms including: 'Whistleblow*,' 'nurs*.' In addition, relevant journals were examined, as well as reference lists of retrieved papers. Papers published during the years 2007-2013 were selected for inclusion.Fifteen papers were identified, capturing data from nurses in seven countries. The findings in this review demonstrate a growing body of research for the nursing profession at large to engage and respond appropriately to issues involving suboptimal patient care or organisational wrongdoing.Nursing plays a key role in maintaining practice standards and in reporting care that is unacceptable although the repercussions to nurses who raise concerns are insupportable. Overall, whistleblowing and how it influences the individual, their family, work colleagues, nursing practice and policy overall, requires further national and international research attention.
Phillips, JL, Andrews, L & Hickman, L 2014, 'Role ambiguity, role conflict or burnout: are these areas of concern for Australian palliative care volunteers?', American Journal of Hospice and Palliative Medicine, vol. 31, no. 7, pp. 749-755.View/Download from: UTS OPUS or Publisher's site
To determine whether burnout, role ambiguity, or conflict affects Australian hospice volunteers.
Phillips, JL, Heneka, NA, Hickman, L, Lam, L & Shaw, T 2014, 'Impact of a novel online learning module on specialist palliative care nurses' pain assessment competencies and patients' reports of pain: Results from a quasi-experimental pilot study', Palliative Medicine, vol. 28, no. 6, pp. 521-529.View/Download from: UTS OPUS or Publisher's site
Background: Pain is a complex multidimensional phenomenon moderated by consumer, provider and health system factors. Effective pain management cuts across professional boundaries, with failure to screen and assess contributing to the burden of unrelieved pain.
Al Abed, NA, Davidson, PM & Hickman, L 2014, 'Healthcare needs of older Arab migrants: a systematic review', Journal Of Clinical Nursing, vol. 23, no. 13-14, pp. 1770-1784.View/Download from: Publisher's site
Aims and objectives To explore the healthcare needs of older Arab migrants, focussing on Arab-Australians and their socio-cultural characteristics.
Al Abed, NA, Hickman, L, Jackson, DE, DiGiacomo, M & Davidson, PM 2014, 'Older Arab migrants in Australia: Between the hammer of prejudice and the anvil of social isolation', Contemporary Nurse, vol. 46, no. 2, pp. 259-262.View/Download from: UTS OPUS
Anuruang, S, Hickman, L, Jackson, DE, Dharmendra, T, Van Balen, J & Davidson, PM 2014, 'Community-based interventions to promote management for older people: an integrative review', Journal Of Clinical Nursing, vol. 23, no. 15-16, pp. 2110-2120.View/Download from: Publisher's site
Aims and objectives To review community programmes promoting self-care or self-management for older people with chronic disease in Thailand. Background Identifying successful elements of culturally appropriate and effective community-based interventions to promote self-care with chronic illness is increasingly important. Design Integrative review. Data sources CINAHL, Medline, Health Source Nursing Academic databases. Methods Integrative review of peer-reviewed articles written between 19462012. Articles were included if they described self-care, self-management, chronic disease and community care interventions targeting older people in Thailand. Results Of the 58 articles retrieved, only 13 articles met the eligibility criteria. Elements of effective interventions included: (1) providing culturally sensitive information, (2) including approaches of shared decision-making and mutual goal setting and (3) flexibility within the intervention to adapt to participant needs. Conclusions Shared decision-making and mutual goal setting between interventionists and patients improved health behaviours and outcomes. Moreover, the flexibility to adopt the intervention to local characteristics demonstrated positive results.
Jackson, D, Hickman, LD, Power, T, Disler, R, Potgieter, I, Deek, H & Davidson, PM 2014, 'Small group learning: Graduate health students' views of challenges and benefits', Contemporary Nurse, vol. 48, no. 1, pp. 117-128.View/Download from: UTS OPUS or Publisher's site
Background: For health-care professionals, particularly nurses, the need to work productively and efficiently in small groups is a crucial skill required to meet the challenges of the contemporary health-care environment. Small group work is an educational technique that is used extensively in nurse education. The advantage of group work includes facilitation of deep, active and collaborative learning. However, small group work can be problematic and present challenges for students. Many of the challenges occur because group work necessitates the coming together of collections of individuals, each with their own personalities and sets of experiences. Aim: This study aimed to identify challenges and benefits associated with small group work and to explore options for retaining the positive aspects of group work while reducing or eliminating the aspects the students experienced as negative. Method: Online survey; thematic analysis. Results: Over all, students experienced a range of challenges that necessitated the development of problem-solving strategies. However, they were able to elucidate some enjoyable and positive aspects of group work. Implications for teaching and learning are drawn from this study. Conclusion: The ability to work effectively in small groups and teams is essential for all health-care workers in the contemporary health environment. Findings of this study highlight the need for educators to explore novel and effective ways in which to engage nurses in group work.
Peng, W, Adams, J, Hickman, L & Sibbritt, DW 2014, 'Complementary/alternative and conventional medicine use amongst menopausal women: Results from the Australian Longitudinal Study on Women's Health', Maturitas, vol. 79, no. 3, pp. 340-342.View/Download from: UTS OPUS or Publisher's site
Peng, W, Sibbritt, D, Hickman, L, Kong, X, Yang, L & Adams, J 2014, 'A critical review of traditional Chinese medicine use amongst women with menopausal symptoms', Climacteric, vol. 17, no. 6, pp. 635-644.View/Download from: UTS OPUS or Publisher's site
Objectives To provide the first critical review of traditional Chinese medicine (TCM) use amongst symptomatic menopausal women, drawing upon work examining the perspectives of both TCM users and TCM practitioners. Methods A search was conducted in three English-language databases (MEDLINE, CINAHL and AMED) and three Chinese-language databases (CNKI, VIP and CBM Disc) for 2002-2013 international peer-reviewed articles reporting empirical findings of TCM use in menopause. Results A total of 25 journal articles reporting 22 studies were identified as meeting the review inclusion criteria. Chinese herbal medicine appears to be the most common therapy amongst symptomatic menopausal women, and vasomotor symptoms and emotional changes are the most frequent symptoms for which TCM is sought. However, evidence regarding the prevalence of TCM use and users' profile in menopause is limited. Existing studies are of varied methodological quality, often reporting low response rate, extensive recall bias and a lack of syndrome differentiation. Conclusions This review provides insights for practitioners and health policy-makers regarding TCM care to symptomatic menopausal women. More nationally representative studies are required to rigorously examine TCM use for the management of menopausal symptoms. Syndrome differentiation of menopausal women is an area which also warrants further attention.
Hickman, L 2013, 'The resilient nurse: Empowering your practice', Contemporary Nurse, vol. 45, no. 1, pp. 144-144.
Hickman, L, Davidson, PM, Chang, E & Chenoweth, L 2011, 'INHospital study: Do older people, carers and nurses share the same priorities of care in the acute aged care setting?', International Journal of Multiple Research Approaches, vol. 5, no. 1, pp. 76-88.View/Download from: UTS OPUS or Publisher's site
The aim of the INHospital study was to compare the level of importance of care priorities and satisfaction levels with care among patients, carers, and nurse caregivers in the acute aged care setting. The INHospital study used sequential mixed methods approach for data collection. Survey data was completed within fi ve metropolitan acute aged care wards on patients (n = 78), their carers (n = 45) and nurses (n = 37). The caring activity scale (CAS) survey was administered to participants in order to determine and compare the perceptions of the importance and satisfaction of care. Semistructured interviews of patients (n = 7) and carers (n = 7) were conducted after completion of the CAS survey. This qualitative data aimed to probe more deeply into the patients and carers care priorities and satisfaction as measured in the CAS. The CAS data demonstrated that patients, carers and nurses rated implementing, observing and reporting doctors orders similarly, while differences between groups were observed in relation to prioritising physical and psychosocial care and discharge. There were signifi cant differences between patients, carers and nurses on overall importance (p = 0.001) and satisfaction with respect to nursing care (p = 0.001). Qualitative data generated fi ve themes (1) Nurses doing the best they can in challenging circumstances; (2) Achieving a balancing act in a pressured environment; (3) Striving to maintain and sustain independence; (4) The discharge process: not a shared priority; and (5) Challenges of the carer role. A key implication of this study is the incongruence between what patients consider a priority for care and the priority ascribed to those tasks by nurses.
Halcomb, E & Hickman, L 2010, 'Development of a clinician-led research agenda for general practice nurses', Australian Journal of Advanced Nursing, vol. 27, no. 3, pp. 4-11.View/Download from: UTS OPUS
This study sought to identify and prioritise research issues as perceived by Australian general practice nurses. In this context, a research priority refers to the most pressing research problems that necessitate exploration to improve clinical practice.
Ramjan, JM, Costa, CM, Hickman, L, Kearns, M & Phillips, JL 2010, 'Integrating palliative care content into a new undergraduate nursing curriculum: The University of Notre Dame, Australia - Sydney experience', Collegian, vol. 17, no. 2 Special Issue, pp. 85-91.View/Download from: UTS OPUS or Publisher's site
The majority of society's deaths occur in a health care environment. Regardless of whether a death occurs in acute care, hospice, residential aged care or community settings, nurses are the health professionals that will spend the largest proportion of time with the patient who has a terminal condition and their families. As few nurses have specialist palliative care qualifications it is essential that nursing education prepares graduates to achieve the core capabilities required for the delivery of best evidenced based palliative care. This reality makes the integration of palliative care content into the undergraduate nursing curricula an important priority. This paper aims to describe how palliative care content has been embedded throughout the three-year University of Notre Dame Australia, Sydney (UNDA) undergraduate nursing degree. Method: The School of Nursing at the University of Notre Dame Australia, Sydney campus is committed to ensuring that students graduate with the capabilities to deliver appropriate care to people with requiring end-of-life care. The establishment of this new School of Nursing coincided with the release of the 'The Palliative Care Curricula for Undergraduates Program' (PCC4U) learning resources. These resources have been integrated into relevant units across the three-year nursing curricula. The nursing curriculum has been design to supports the integration of palliative care knowledge into clinical practice. The Palliative Care Curricula for Undergraduates Program learning resources offer engaging palliative care case studies and scenarios for academics to utilise. Adopting an iterative approach where palliative care content is spiralled across multiple units provides opportunities for undergraduate nursing students to sequentially build and consolidate their palliative care capabilities.
Hickman, L, Rolley, J & Davidson, PM 2010, 'Can principles of the Chronic Care Model be used to improve care of the older person in the acute care sector?', Collegian, vol. 17, no. 2, pp. 63-69.View/Download from: UTS OPUS or Publisher's site
Chronic care; Models of care; Aged care; Acute care; Nursing
Halcomb, E, Fernandez, RS, Griffiths, R, Newton, PJ & Hickman, L 2008, 'The infection control management of MRSA within the acute care hospital', International Journal of Evidence-Based Healthcare, vol. 6, no. 4, pp. 440-467.View/Download from: UTS OPUS or Publisher's site
Background Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurrence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Management strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. Objectives This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002. Search strategy A systematic search for relevant published or unpublished English language literature was undertaken using electronic databases, the reference lists of retrieved papers and the Internet. This extended the search of the original review. Databases searched included: Medline, CINAHL, EMBASE, Cochrane Library and Joanna Briggs Institute Evidence Library. Selection criteria All research reports published between 1990 and August 2005 in the English language that focused upon the infection control strategies that were implemented in response to either a nosocomial outbreak of MRSA or endemic MRSA within an acute clinical setting were included. Only studies that reported interventions which were implemented following the collection of baseline data were included. Data collection and analysis Two reviewers assessed each paper against the inclusion criteria and a validated quality scale. Data extraction was undertaken using a purposely designed tool. Given the heterogeneity of the interventions and outcomes measures, statistical comparisons of findings were not possible, therefore, the findings of this review are presented in a narrative format.
Halcomb, EJ, Fernandez, R, Griffiths, R, Newton, PJ & Hickman, L 2008, 'The infection control management of MRSA in acute care', International Journal of Evidence-Based Healthcare, vol. 6, no. 4, pp. 440-467.View/Download from: Publisher's site
© 2008 The Authors Journal Compilation. © Blackwell Publishing Asia Pty Ltd. Background: Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurrence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Management strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. Objectives: This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002. Search strategy: A systematic search for relevant published or unpublished English language literature was undertaken using electronic databases, the reference lists of retrieved papers and the Internet. This extended the search of the original review. Databases searched included: Medline, CINAHL, EMBASE, Cochrane Library and Joanna Briggs Institute Evidence Library. Selection criteria: All research reports published between 1990 and August 2005 in the English language that focused upon the infection control strategies that were implemented in response to either a nosocomial outbreak of MRSA or endemic MRSA within an acute clinical setting were included. Only studies that reported interventions which were implemented following the collection of baseline data were included. Data collection and analysis: Two reviewers assessed each paper against the inclusion criteria and a validated quality scale. Data extraction was undertaken using a purposely designed tool. Given the heterogeneity of the interventions and outcomes measures, statistical comparisons of findings were not possible, therefore, the findings of this review are presented in a narrative format. Resul...
Halcomb, EJ, Fernandez, R, Griffiths, R, Newton, PJ & Hickman, L 2008, 'The infection control management of MRSA in acute care.', JBI library of systematic reviews, vol. 6, no. 2, pp. 67-111.View/Download from: Publisher's site
BACKGROUND:Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurrence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Management strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. OBJECTIVES:This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002. SEARCH STRATEGY:A systematic search for relevant published or unpublished English language literature was undertaken using electronic databases, the reference lists of retrieved papers and the Internet. This extended the search of the original review. Databases searched included: Medline, CINAHL, EMBASE, Cochrane Library and Joanna Briggs Institute Evidence Library. SELECTION CRITERIA:All research reports published between 1990 and August 2005 in the English language that focused upon the infection control strategies that were implemented in response to either a nosocomial outbreak of MRSA or endemic MRSA within an acute clinical setting were included. Only studies that reported interventions which were implemented following the collection of baseline data were included. DATA COLLECTION AND ANALYSIS:Two reviewers assessed each paper against the inclusion criteria and a validated quality scale. Data extraction was undertaken using a purposely designed tool. Given the heterogeneity of the interventions and outcomes measures, statistical comparisons of findings were not possible, therefore, the findings of this review are presented in a narrative format. RESULTS:Fourteen papers met the inclusion criteria for this review. Of these, 11 papers...
Chang, E, Hancock, K, Hickman, L, Glasson, J & Davidson, PM 2007, 'Outcomes of acutely ill older hospitalized patients following implementation of tailored models of care: A repeated measures (pre- and post-intervention) design', International Journal of Nursing Studies, vol. 44, no. 7, pp. 1079-1092.View/Download from: UTS OPUS or Publisher's site
Background: There is a lack of research investigating models of nursing care for older hospitalised patients that address the nursing needs of this group. Objectives: The objective of this study is to evaluate the efficacy of models of care for acutely older patients tailored to two contexts: an aged care specific ward and a medical ward. Design: This is a repeated measures design. Efficacy of the models was evaluated in terms of: patient and nursesâ satisfaction with care provided; increased activities of daily living; reduced unplanned hospital readmissions; and medication knowledge. Settings: An aged care specific ward and a medical ward in two Sydney teaching hospitals. Participants: There were two groups of patients aged 65 years or older who were admitted to hospital for an acute illness: those admitted prior to model implementation (n Â¼ 232) and those admitted during model implementation (n Â¼ 116). Patients with moderate or severe dementia were excluded. The two groups of nurses were the pre-model group (n Â¼ 90) who were working on the medical and aged care wards for the study prior to model implementation, and the post-model group (n Â¼ 22), who were the nurses working on the wards during model implementation. Methods: Action research was used to develop the models of care in two wards: one for an aged care specific ward and another for a general medical ward where older patients were admitted. The models developed were based on empirical data gathered in an earlier phase of this study.
Hickman, L, Newton, PJ, Halcomb, E, Chang, E & Davidson, PM 2007, 'Best practice interventions to improve the management of older people in acute care settings: a literature review', Journal of Advanced Nursing, vol. 60, no. 2, pp. 113-126.View/Download from: UTS OPUS or Publisher's site
Aim. This paper is a report of a literature review of experimental evidence describing interventions to manage the older adult in the acute care hospital setting. Background. Older people are increasingly being cared for in a system largely geared toward
Davidson, PM, Halcomb, E, Hickman, L, Phillips, JL & Graham, B 2006, 'Beyond the rhetoric: what do we mean by a model of care?', Australian Journal of Advanced Nursing, vol. 23, no. 3, pp. 47-55.View/Download from: UTS OPUS
This paper aims to define what is meant by the term 'model of care' and document the pragmatic systems and processes necessary to develop, plan, implement and evaluate novel models of care delivery.
Hickman, LD 2017, 'Coordinating care and teamwork' in Crisp, J, Douglas, C, Reberio, G & Waters, D (eds), Potter and Perry's Fundamentals of Nursing 5e, Elsevier, pp. 120-134.
Phillips, JL & Hickman, L 2017, 'Preparing for practice' in Contexts of Nursing, Elsevier.
Hickman, L & Disler, R 2015, 'Quantitative Research' in Navigating the Maze of Research Enhancing Nursing and Midwifery Practice, Elsevier.
Davidson, PM & Hickman, L 2012, 'Managing client care' in Crisp, J, Taylor, C, Douglas, C & Rebeiro, G (eds), Potter and Perry's Fundamentals of Nursing 4th edition, Mosby Elsevier, Chatswood, Sydney, NSW, pp. 121-136.
DiGiacomo, M, Luckett, T, Hickman, L, Hrlec, M & Phillips, J 2019, 'Equipping tomorrow's professional leaders in palliative care to recognise and work with assets beyond the healthcare system', Public Health and Palliative Care International, Leura.
Rao, A, DiGiacomo, M, Phillips, J & Hickman, L 2019, 'Health professional perspectives of the organisational barriers and facilitators to implementing meditation in heart disease clinical settings', Australian Cardiac Rehabilitation Association, Kirribilli, NSW.
Rao, A, Zecchin, R, Newton, P, Phillips, J, DiGiacomo, M, Denniss, R & Hickman, L 2019, 'Prevalence and predictors of depression and anxiety in a cardiac rehabilitation population and its impact on adherence: A cohort study', Australian Cardiac Rehabilitation Association, Kirribilli, NSW.
DiGiacomo, M, Luckett, T, Hickman, L, Hrlec, M & Phillips, J 2019, 'Recognising and working with assets beyond the healthcare system: preparing future leaders in palliative care', Oceanic Palliative Care Conference, Perth.
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, 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.
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.
Rao, A, DiGiacomo, M, Newton, P, Phillips, J, Davidson, PM & Hickman, L 2016, 'Meditation as a secondary prevention strategy for heart disease: a systematic review', Australian Cardiac Rehabilitation Association Conference, Adelaide.
Rao, A, Newton, P, DiGiacomo, M, Hickman, LD, Hwang, C & Davidson, PM 2016, 'Which gender specific cardiac rehabilitation models best reduce cardiovascular risk in women?', 21st International Council on Women's Health Issues (ICOWHI) Cogress. Scale and Sustainability: Moving Women's Health Issues Forward, Baltimore, Maryland, USA.View/Download from: UTS OPUS
Rao, A, Sibbritt, D, Phillips, J & Hickman, L 2016, ''Prayer or spiritual healing as adjuncts to conventional care: A cross sectional analysis of the prevalence and characteristics of use among women.', Australian Longitudinal Study on Women's Health Scientific Meeting, Newcastle, Australia.View/Download from: UTS OPUS
Rao, A, Sibbritt, D, Phillips, J & Hickman, LD 2016, 'Prayer or spiritual healing for the health and well-being of two generations of women: A nationally representative cross-sectional study.', 21st international Council on Women's Health Issues (ICOWHI) Congress. Scale and Sustainability: Moving Women's Health Issues Forward., Baltimore, Maryland, USA.View/Download from: UTS OPUS
Phillips, JL, Heneka, N & Hickman, L 2014, 'Impact of a Qstream online learning module on palliative care nurses' pain assessment competencies and patients' report on pain: Results from a quasi-experimental pilot study', Asia Pacific Journal of Clinical Oncology, Wiley: 12 months.View/Download from: UTS OPUS
Phillips, JL, Heneka, N, Hickman, L, Lam, L & Shaw, T 2013, 'Can a novel on-line pain assessment learning module improve specialist palliative care nurse's pain assessment knowledge?: Results from a pilot Spaced Education initiative', 16th CNSA Winter Congress, Brisbane Convention and Exhibition Centre, Queensland.
Phillips, JL, Heneka, N, Hickman, L, Lam, L & Shaw, T 2012, 'Spaced Education in the Specialist Palliative Care Setting: exploring it's potential to improve pain management', 4th Biennial Palliative Care Nurses Australia Conference, Melbourne.
Phillips, JL, Heneka, N, Hickman, L, Lam, L & Shaw, T 2013, 'The impact of a novel, online learning module on specialist palliative care nurses' pain assessment knowledge and practices', European Journal of Palliative Care, European Palliative Care Association Conference, Prague.
Al Abed, N, Davidson, PM, Hickman, L, DiGiacomo, M & Jackson, D 2013, 'Older Arab Migrants: Between the Hammer of Prejudice and the Anvil of Social Isolation', 2nd International Conference on Ageing in a Foreign Land, Adelaide, Australia.
Anuruang, S, Davidson, PM, Hickman, L & Jackson, D 2013, 'Integrative Review of Community Based Interventions to Promote Self-care/management for older people in Thailand', Sigma Theta Tau International's 24th International Nursing Research Congress, Prague, Czech Republic.
Hickman, L, Kelly, H & Phillips, JL 2012, 'EVITECH: a pilot study exploring ways to optimise the uptake of evidence-based practice to undergraduate nurses', 23rd Research Conference, Sigma, Theta Tau International, Research Conference, Sigma, Theta Tau International, Brisbane, QLD.
Phillips, JL, Andrews, L & Hickman, L 2012, 'Factors predicting stays of over 30 days in patients dying in a specialist palliative care unit', 19th International Congress on Women's Health, Mahidol University Bangkok, Thailand.
Phillips, JL, Heneka, N, Hickman, L, Lam, L & Shaw, T 2012, 'Enhancing interdisciplinary team pain assessment communication: Can Spaced Education improve comprehensive pain assessment practices in the specialist palliative care setting?', Palliative Care NSW State Conference, Dubbo.
Phillips, JL, Hickman, L, Heneka, N & Shaw, T 2012, 'Assessing specialist palliative care nurses pain assessment capabilities: identifying opportunities to improve patient outcomes', 16th Cancer Nurses Society Australia Conference, Hobart.
Hickman, L, Phillips, Newton, P & Davidson, PM 2014, 'Montreal cognitive assessment tool: feasibility in a heart failure population group'.