Professor Patricia Davidson RN, BA, MEd, PhD is a member of the Centre for Cardiovascular and Chronic Care at the University of Technology Sydney and Professor of Cardiovascular Research at St Vincent's Hospital Sydney.
Professor Davidson has an established program of research that focuses on chronic cardiovascular disease, heart failure, palliative care for non-malignant conditions, women's health and Indigenous cardiovascular health.
She has secured over $7 million in competitive research funding from national and international funding bodies, and co-authored over 260 peer-reviewed journal articles, 18 book chapters and over 150 peer-reviewed abstracts.
A primary objective of her work has been to improve cardiovascular health of women and underserved populations through development of innovative, acceptable, and sustainable initiatives within Australia and beyond.
Professor Davidson is a Fellow of the Royal College of Nursing Australia, co-chair of the NSW Health Clinical Expert Reference Group for Cardiovascular Disease, Immediate Past President of the Australasian Cardiovascular Nursing College, Chairperson of the Cardiac Nursing Council of Cardiac Society of Australia and New Zealand, Immediate Past Secretary of the International Nursing Doctoral Education, Counsel General of the International Council on Women's Health Issues (ICOWHI) and a Board member of the National Heart Foundation (NSW).
Professor Davidson has supervised and mentored over 33 nurse researchers (since 2003), is the Editor of Collegian and is on the Editorial Board of a number of other journals including the European Journal of Cardiovascular Nursing, Heart Lung and Circulation and the Journal of Cardiovascular Nursing.
Can supervise: YES
Davidson, PM, Halcomb, E & Gholizadeh, L 2013, Research methods in Health, 2nd, Oxford University Press, Australia and Newzealand.
Research Methods in Health 2nd Edition is an introductory text that shows students different research techniques and how they are of value to the health professions. The text assumes no prior knowledge and is written in an appealing student-friendly style using examples to demonstrate the relevance of research to health care practice. Written to be inclusive of all health professions, fostering a team-based approach to health care practice. Covers qualitative, quantitative and mixed method research methods. Shows how to decide which research method to use and when. Draws sensible links between evidence-based practice and research methodology. Stop & Think boxes encourage students to critically reflect on the content. Research in Practice boxes demonstrate how research can be applied in clinical practice.
Singh, GK, Ivynian, SE, Ferguson, C, Davidson, PM & Newton, PJ 2020, 'Palliative care in chronic heart failure: a theoretically guided, qualitative meta-synthesis of decision-making.', Heart failure reviews, vol. 25, no. 3, pp. 457-467.View/Download from: Publisher's site
International clinical practice guidelines recommend that patients with chronic heart failure receive timely and high-quality palliative care. However, integrating palliative care is highly variable and dependent on decision-making and care models. This meta-synthesis aimed to examine health care professionals' decision-making processes and explore factors impacting decisions to refer or deliver palliative care in chronic heart failure. The electronic databases SCOPUS, CINAHL, and Medline were searched. Included studies were those that reported health care professionals' perceptions of palliative care in chronic heart failure through qualitative data collection, were written in English, and were peer-reviewed articles. Included articles were analysed using Thomas and Harden's approach. The dual-process theory was used and applied a priori to organise the findings. The perception of palliative care as a transition and active treatment failure fit within the intuitive system of thinking in the dual-process theory. The theme that overlapped into both intuitive and analytical systems of thinking was acquiring patient and illness information themes reflecting the analytical system of thinking were professional role and experience, pre-existing decision pathways, and balancing viewpoints. This meta-synthesis identified factors influencing the decision-making process in referring patients with chronic heart failure to palliative care. The findings from this review highlight the need for further development of decision-making tools or facilitate guidelines to assist health care professionals' shared decision-making to improve patient outcomes.
Singh, GK, Ramjan, L, Ferguson, C, Davidson, PM & Newton, PJ 2020, 'Access and referral to palliative care for patients with chronic heart failure: A qualitative study of healthcare professionals.', Journal of clinical nursing, vol. 29, no. 9-10, pp. 1576-1589.View/Download from: Publisher's site
BACKGROUND:Palliative care for individuals with chronic heart failure is recommended for improving patients' symptoms, function and overall quality of life. Despite this mandate, there is limited access and referral to specialist palliative care for individuals with chronic heart failure. OBJECTIVES:To explore healthcare professionals' perspectives on access to palliative care for patients with chronic heart failure, focussing on patient, provider and system factors. METHODS:Cardiologists, palliative care specialists, heart failure nurses and palliative care nurses in acute and community care settings were interviewed using semi-structured interviews. Purposive and snowball sampling methods were used for recruitment. Interview data were analysed using thematic analysis. The COREQ checklist guided data collection and reporting. RESULTS:There were 15 participants in the study, and the majority were female. Participants included palliative medicine physicians, a palliative care nurse consultant, cardiologists, a general practitioner and advanced heart failure nurses. The themes derived from the thematic analysis centred on patient, provider and system factors impacting access and referral to palliative care in the context of chronic heart failure. The patient themes were (a) patient and family preconception of palliative care and (b) patient's clinical profile influences referral. The provider themes were (a) conflict, (b) making decisions and (c) education needs, and the system themes were (a) accessing services and resources and (b) improving the model of care. CONCLUSIONS:The patient's clinical profile, education needs of healthcare professionals and improving access to services and resources need to be considered to enhance palliative care access and referral as well as the interacting and influencing elements of the patient, provider and system.
Cherney, RL, Pandian, V, Ninan, A, Eastman, D, Barnes, B, King, E, Miller, B, Judkins, S, Smith, AE, Smith, NM, Hanley, J, Creutz, E, Carlson, M, Schneider, KJ, Shever, LL, Casper, KA, Davidson, PM & Brenner, MJ 2020, 'The Trach Trail: A Systems-Based Pathway to Improve Quality of Tracheostomy Care and Interdisciplinary Collaboration', Otolaryngology - Head and Neck Surgery (United States), vol. 163, no. 2, pp. 232-243.View/Download from: Publisher's site
© American Academy of Otolaryngology–Head and Neck Surgery Foundation 2020. Objective: To implement a standardized tracheostomy pathway that reduces length of stay through tracheostomy education, coordinated care protocols, and tracking patient outcomes. Methods: The project design involved retrospective analysis of a baseline state, followed by a multimodal intervention (Trach Trail) and prospective comparison against synchronous controls. Patients undergoing tracheostomy from 2015 to 2016 (n = 60) were analyzed for demographics and outcomes. Trach Trail, a standardized care pathway, was developed with the Iowa Model of Evidence-Based Practice. Trach Trail implementation entailed monthly tracheostomy champion training at 8-hour duration and staff nurse didactics, written materials, and experiential learning. Trach Trail enrollment occurred from 2018 to 2019. Data on demographics, length of stay, and care outcomes were collected from patients in the Trach Trail group (n = 21) and a synchronous tracheostomy control group (n = 117). Results: Fifty-five nurses completed Trach Trail training, providing care for 21 patients placed on the Trach Trail and for synchronous control patients with tracheostomy who received routine tracheostomy care. Patients on the Trach Trail and controls had similar demographic characteristics, diagnoses, and indications for tracheostomy. In the Trach Trail group, intensive care unit length of stay was significantly reduced as compared with the control group, decreasing from a mean 21 days to 10 (P <.05). The incidence of adverse events was unchanged. Discussion: Introduction of the Trach Trail was associated with a reduction in length of stay in the intensive care unit. Realizing broader patient-centered improvement likely requires engaging respiratory therapists, speech language pathologists, and social workers to maximize patient/caregiver engagement. Implications for Practice: Standardized tracheostomy care with interdisciplinary colla...
Cuevas, PEG, Davidson, PM, Mejilla, JL & Rodney, TW 2020, 'Reminiscence therapy for older adults with Alzheimer's disease: A literature review', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, vol. 29, no. 3, pp. 364-371.View/Download from: Publisher's site
Dai, T, Zaman, MH, Padula, WV & Davidson, PM 2020, 'Supply chain failures amid Covid-19 signal a new pillar for global health preparedness', JOURNAL OF CLINICAL NURSING.View/Download from: Publisher's site
Davidson, PM, Shattell, M, Nolan, MT & D'Aoust, R 2020, 'Does COVID-19 really call for an overhaul of nursing curricula or promoting the power, status, and representation of nursing?', JOURNAL OF ADVANCED NURSING.View/Download from: Publisher's site
© 2020, Springer Science+Business Media, LLC, part of Springer Nature. Heart failure is a complex clinical syndrome most commonly encountered among older adults. This complex clinical syndrome is associated with poor health outcomes such as frequent admissions and mortality. These adverse outcomes are commonly associated with poor self-care and lower health literacy. Literacy is a combination of knowledge and skills and often reflected by appropriate interaction with the community, while health literacy is the cognitive and social skills reflected by accessing and comprehending health information and making appropriate health decisions. These decisions are common and challenging to patients with heart failure. Poor outcomes are said to be reduced by adequate self-care, which is associated with health literacy among heart failure patients. Better self-care was also shown to be associated with self-efficacy and self-confidence that were in turn associated with health literacy. Hence, enhancing health literacy among patient with heart failure is critical to enable them to increase control over their disease by better understanding and participating in health care, while being empowered to take part in designing health care services and even tailoring research to serve their needs and consequently improve outcome at the individual and community level. In clinical practice, assessing health literacy, measuring health literacy, and identifying patients at risk of low nutrition literacy is important to enhance health literacy and health outcomes. Hence, developing reliable and valid methods and tools for assessment and developing tailored and targeted interventions is of critical importance.
Deek, H, Newton, PJ, Kabbani, S, Hassouna, B, Macdonald, PS & Davidson, PM 2020, 'The Lebanese Heart Failure Snapshot: A National Presentation of Acute Heart Failure Admissions.', Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, vol. 52, no. 5, pp. 506-514.View/Download from: Publisher's site
PURPOSE:The purpose of this prospective evaluation is to document in-hospital management and discharge trends of patients presented for acute heart failure. DESIGN:A prospective evaluation of the patients presented for heart failure exacerbation at eight sites over 1 month using the method of the New South Wales Heart Failure Snapshot. METHODS:Trained personnel situated at each of the study sites recruited eligible patients to the study and collected data on their sociodemographic characteristics, clinical presentation, self-care, frailty, and depression. FINDINGS:Eight sites, out of the 27 contacted, agreed to participate in this study. A total of 137 admissions were reported in the 1-month time window. Mean age was 72 (SD = 13) years and the majority were female (52%). More than half (n = 60%) had heart failure reduced ejection fraction with a mean ejection fraction of 41%. The mean Charlson Comorbidity Index score was four with hypertension (80%) and diabetes (56%) being the most frequent. The majority were frail (86%), self-care mean scores were low; self-care maintenance (29), self-care management (48) and self-care confidence (42). The mean depression score was 14 indicating major depression. In reference to international guidelines recommendations, hospital administered medications and discharge medications were suboptimal. Some items of the discharge education recommended by the international guidelines were provided to 84% of the patients but none of the patients received the complete items of the discharge education. CONCLUSIONS:The snapshot revealed that patients admitted for acute heart failure were frail with high levels of illiteracy and low self-care scores. Despite these findings, these patients were not provided with complete discharge education in reference to the international guidelines. Additionally, when provided, discharge education was inconsistent across the study sites. This study highlights the need for enlisting complete education as p...
Deek, H, Noureddine, S, Allam, D, Newton, PJ & Davidson, PM 2020, 'A single educational intervention on heart failure self-care: Extended follow-up from a multisite randomized controlled trial', European Journal of Cardiovascular Nursing.View/Download from: Publisher's site
© The European Society of Cardiology 2020. Background: Heart failure outcomes remain poor, and little is known about the causes and predictors of these outcomes in Lebanon. Aim: The purpose of this article is to report the causes and predictors of the 6- and 12-month readmission and mortality of previously recruited patients to the Family focused Approach to iMprove Heart Failure care In LebanonQualitY intervention (FAMILY) study. Methods: A multi-site block randomized controlled trial in three tertiary medical centers in Beirut. Initially, participants were randomized to either the control or the intervention group. The latter group, with their family caregivers, received heart failure self-care resources and an educational intervention on self-care and symptom management during their index admission. Participants from the FAMILY study were followed up with through phone calls for readmission and mortality at 6 and 12 months following their hospital discharge. Results: A total of 218 (85%) patients were followed up with for this evaluation. There was a significant difference between the intervention group and the control group in terms of mortality at 6 months (n=18 (16%) versus n=36 (33%); p<0.05) and 12 months (n=29 (26%) versus n=45 (42%); p<0.05) post the index discharge. Mortality at 6 and 12 months was associated with aging, lower body mass index scores and readmission at 30 days post the index admission. Results of a logistic regression for mortality at 6 months showed hypertensive etiology of heart failure and 30-day readmission to be the only significant predictors. Conclusion: A single session intervention was associated with lower mortality, even after an extended period of time, possibly mediated by other variables. Future studies should be powered for such outcomes while also addressing the cultural needs and literacy levels of the patients using multi-session trials and more frequent follow-ups.
DeGroot, L, Koirala, B, Pavlovic, N, Nelson, K, Allen, J, Davidson, P & Abshire, M 2020, 'Outpatient Palliative Care in Heart Failure: An Integrative Review', JOURNAL OF PALLIATIVE MEDICINE, vol. 23, no. 9, pp. 1257-1269.View/Download from: Publisher's site
Koirala, B, Amgai, C & Davidson, P 2020, 'Conducting nursing research in low- and middle-income countries: experiences, challenges and solutions.', Nurse researcher.View/Download from: Publisher's site
BACKGROUND:Conducting nursing research in low- and middle-income countries (LMICs) balances challenges and opportunities. Understanding the shared experiences of researchers who have completed studies in diverse cultural contexts using various methodologies is important, to advance global nursing research and to build health research capacity and sustainability strategies. AIM:To provide a reflexive account using a case-study methodology of transactions and processes conducted during a study in a LMIC. DISCUSSION:Lessons learned from the study include the importance of preplanning, being flexible and creative, engaging local collaborators early in planning, establishing good rapport and respectful relationships with gatekeepers and collaborators, having a backup plan, appreciating cultural differences, and sharing findings. CONCLUSION:Conducting research in LMICs is complex, especially negotiating access and obtaining ethical approval. Understanding the issues will benefit future research and prepare nurse researchers who take on the challenges and rewards of conducting international research in LMICs. IMPLICATIONS FOR PRACTICE:This paper provides a roadmap to help novice researchers conduct research in LMICs.
Koirala, B, Budhathoki, C, Dennison-Himmelfarb, CR, Bhattarai, P & Davidson, PM 2020, 'The Self-Care of Heart Failure Index: A psychometric study.', Journal of clinical nursing, vol. 29, no. 3-4, pp. 645-652.View/Download from: Publisher's site
BACKGROUND:The Self-Care of Heart Failure Index is an empirically tested instrument to measure self-care of heart failure patients across different populations and cultures. AIMS:To develop and evaluate the psychometric properties of the Nepali Self-Care of Heart Failure Index. DESIGN:This psychometric study used a cross-sectional, observational, study design to collect data. The study was guided and reported following the Strengthening the Reporting of Observational Studies in Epidemiology guideline. METHODS:To develop and culturally validate Nepali Self-Care of Heart Failure Index, a combination of the recommended methods for cross-cultural validation studies were applied such as translation, back translation, expert committee review of the translated version and validity/reliability testing. Face and content validity were ensured using expert review. Construct validity was examined using exploratory factor analysis and confirmatory factor analysis. Composite reliability scores were calculated for each sub-scale of the Nepali Self-Care of Heart Failure Index. RESULTS:A total of 221 heart failure patients in Nepal were enrolled in the study. Adequate face and content validity were ensured through expert review. Exploratory factor analysis and confirmatory factor analysis supported the original three-factor model. Although the three factors explained only 41% of the variance, confirmatory factor analysis fit indexes and error measures were found reasonable. The composite reliability coefficients for self-care maintenance, management and confidence scale were 0.6, 0.7 and 0.8, respectively. CONCLUSIONS:The Nepali Self-Care of Heart Failure Index is a theoretically based, culturally acceptable and appropriate instrument for use among Nepali heart failure patients. However, further studies are needed to refine its psychometric properties. RELEVANCE TO CLINICAL PRACTICE:Access to reliable, valid and culturally appropriate instruments is crucial in describing the stat...
Koirala, B, Davidson, P, Ferrell, B & Himmelfarb, CD 2020, 'Rationale and resources to accelerate advanced practice palliative care competency', AACN Advanced Critical Care, vol. 31, no. 2, pp. 191-195.View/Download from: Publisher's site
Koirala, B, Dennison Himmelfarb, CR, Budhathoki, C & Davidson, PM 2020, 'Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study', Heliyon, vol. 6, no. 2.View/Download from: Publisher's site
© 2020 The Authors Background: Self-care helps maintain health, prevents complications and improves the quality of life of patients living with heart failure (HF). Self-care is critical to HF management but has received limited attention in Nepal. Identification of the sociodemographic and clinical characteristics associated with self-care is crucial to tailoring appropriate self-care programs to improve health outcomes including patients' quality of life. Aims: The aims of this study were to describe self-care including the factors influencing self-care and the relationship between self-care and health-related quality of life in patients living with HF in Kathmandu, Nepal. Methods: We used a cross-sectional observational study design to measure self-care maintenance, self-care management, and self-care confidence using the Nepali Self-Care of Heart Failure Index. To analyze data, we used descriptive statistics, bivariate associations and regression modeling. Results: We recruited 221 patients with HF: mean age 57.5 ± 15.76 years, 62% male. The results in this sample indicated poor self-care maintenance (38.5 ± 11.56), management (45.7 ± 15.14), and confidence (40.9 ± 16.31). Patients with higher education were associated with higher self-care maintenance and management. Living alone and a better New York Heart Association functional classification for HF were related to higher self-care confidence. Higher social support was associated with better self-care. Self-care confidence was an independent predictor of self-care maintenance, management and health-related quality of life on adjusted analyses. Conclusion: Self-care was limited among patients living with HF in Nepal yet was associated with better quality of life. The study identified various sociodemographic and clinical factors related to self-care, which could be crucial while developing self-care interventions.
Koirala, B, Everett, B, Salamonson, Y, Zecchin, R & Davidson, P 2020, 'Abstract P227: Psychosocial Predictors of Physical Capacity in Cardiac Rehabilitation', Circulation, vol. 141, no. Suppl_1.View/Download from: Publisher's site
Despite the impressive gains achieved by those who attend cardiac rehabilitation, many patients fail to maintain the gains in physical capacity in the longer term. There are likely psychosocial characteristics that can be leveraged to sustain behavior change.
Patients with higher perceived cardiac control, social support, and exercise self-efficacy, without depression, and those who received motivational interviewing (MI) sessions, adjunctive to cardiac rehabilitation, will have a significantly higher physical capacity.
This is a secondary analysis of the data from a randomized controlled trial of MI as a tool to enhance secondary prevention strategies in cardiovascular disease (MICIS study) conducted at three hospitals in Sydney, Australia who attended 6-week phase II cardiac rehabilitation. Two, 1-hour sessions of a nurse-delivered motivational interview focused on increasing physical capacity was implemented and the participants were followed at 6-weeks and 12-months. The outcome for the study was physical capacity measured by distance walked on the six-minute walk test (6MWT). Multiple imputations were used to handle missing data. Descriptive statistics, t-tests, chi-square tests and linear regression for cluster data were used for data analysis.
The mean (SD) age of participants (n=110) at baseline was 60.1 (10.57) years and the majority were male (71.8%). (Table). In the adjusted analysis, motivational interviewing (p =0.57), perceived cardiac control (p=0.30), self-efficacy for exercise (p = 0.06) and level of depressive symptoms were not related to 6MWT. With every unit increase in perceived social suppo...
Koirala, B, Hansen, BR, Hosie, A, Budhathoki, C, Seal, S, Beaman, A & Davidson, PM 2020, 'Delirium point prevalence studies in inpatient settings: A systematic review and meta-analysis', JOURNAL OF CLINICAL NURSING, vol. 29, no. 13-14, pp. 2083-2092.View/Download from: Publisher's site
Li, Q, Liu, M, Davidson, PM, Reynolds, NR & Buerhaus, PI 2020, 'A tale of two countries: Nurse practitioners in the United States and China', JOURNAL OF ADVANCED NURSING, vol. 76, no. 4, pp. 924-926.View/Download from: Publisher's site
Nelson, KE, Wright, R, Fisher, M, Koirala, B, Roberts, B, Sloan, DH, Wu, DS & Davidson, PM 2020, 'A Call to Action to Address Disparities in Palliative Care Access: A Conceptual Framework for Individualizing Care Needs.', Journal of palliative medicine.View/Download from: Publisher's site
Palliative care is a values-driven approach for providing holistic care for individuals and their families enduring serious life-limiting illness. Despite its proven benefits, access and acceptance is not uniform across society. The genesis of palliative care was developed through a traditional Western lens, which dictated models of interaction and communication. As the importance of palliative care is increasingly recognized, barriers to accessing services and perceptions of relevance and appropriateness are being given greater consideration. The COVID-19 pandemic and recent social justice movements in the United States, and around the world, have led to an important moment in time for the palliative care community to step back and consider opportunities for expansion and growth. This article reviews traditional models of palliative care delivery and outlines a modified conceptual framework to support researchers, clinicians, and staff in evaluating priorities for ensuring individualized patient needs are addressed from a position of equity, to create an actionable path forward.
Newton, PJ, Si, S, Reid, CM, Davidson, PM, Hayward, CS, Macdonald, PS & NSW HF Snapshot Investigators 2020, 'Survival after an Acute Heart Failure Admission. Twelve-Month Outcomes from the NSW HF Snapshot Study.', Heart Lung and Circulation, vol. 29, no. 7, pp. 1032-1038.View/Download from: Publisher's site
BACKGROUND:The New South Wales (NSW) Heart Failure Snapshot sought to provide a contemporaneous profile of patients admitted with acute heart failure. We have previously reported the baseline results, and this paper reports the 30-day and 12-month outcomes. METHODS:A prospective audit of consecutive patients admitted to 24 teaching hospitals across NSW and the Australian Capital Territory in July-August 2013 with acute heart failure. Follow-up data were obtained by integration of hospital administrative records and follow-up phone calls with the patients. RESULTS:Eight hundred eleven (811) patients were recruited across the 24 sites. The NSW HF Snapshot was an elderly cohort (77 ± 14 yrs) with high comorbidity (mean Charlson Comorbidity Index 3.5 ± 2.6), and 71% were frail at baseline. Twenty-four per cent (24%) of patients were readmitted within 30-days post discharge. One hundred seventy-eight (178) patients died within 12 months post discharge. The independent predictors of death were frailty (Hazard Ratio 1.98 [95% Confidence interval 1.18-3.30]; p < 0.01) Charlson Comorbidity Index (HR 1.06 [95% CI 1.00-1.13]; p = 0.05); New York Heart Association (NYHA) class 4 (HR 2.62 [95% CI 1.32-5.22]; p < 0.01); eGFR<30 ml/min/1.73 m2 (HR 2.16 [95% CI 1.45-3.21]; p < 0.01); hypokalaemia at discharge (HR 2.55 [95% CI 1.44-4.51]; p < 0.01) and readmission within 30 days of baseline admission (HR 2.13 [95% CI 1.49-3.13]; p < 0.01). CONCLUSION:In one of the largest prospective audits of acute heart failure outcomes in Australia, we found that short-term readmissions and mortality at 12 months remain high but were largely driven by patient-level factors.
Ogungbe, O, Turkson-ocran, R-AN, Baptiste, D, Koirala, B, Dennison Himmelfarb, CR, Davidson, P & Commodore-Mensah, Y 2020, 'Abstract P397: Social Determinants of Hypertension and Diabetes Among African Immigrants: The African Immigrant Health Study', Circulation, vol. 141, no. Suppl_1.View/Download from: Publisher's site
The differences in the risk of cardiovascular disease (CVD) among Black ethnic groups in the U.S. remain largely unexplained. African immigrants are particularly likely to have high rates of hypertension and diabetes, and less likely to be screened, diagnosed or receive treatment.
To examine the association between social determinants of health (SDoH) and hypertension and diabetes among African immigrants.
The African Immigrant Health Study was a cross-sectional study of 465 African immigrants living in the Baltimore-Washington metropolitan area. Data collection was performed through a combination of physical examinations and questionnaires. The outcomes were self-reported hypertension and diabetes. Elements of SDoH collected were education, income, health insurance, employment and marital status. Logistic regression analyses were used to assess the association between SDoH and hypertension/diabetes.
The mean age of participants was 46.8(±11.5) years and 60% were women; 64% had ≥ college degree, 83% were employed, 67% had health insurance, and 70% were married/co-habiting. Mean body mass index was 30.7 (±18.3) kg/m
. The prevalence of hypertension and diabetes was 32%, and 13% respectively. The odds of diabetes were higher amongst those who were unemployed [aOR: 2.86 (1.39-5.56)] (
). Education, health insurance, income and marital status were not associated with hypertension or diabetes after accounting for age and sex.
Padula, W, Black, JM, Davidson, PM, Kang, SY & Pronovost, PJ 2020, 'Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions', JOURNAL OF PATIENT SAFETY, vol. 16, no. 2, pp. E97-E102.View/Download from: Publisher's site
Qiao, H, Zhang, B, Chong, T, Zeng, T, Gong, Y, Jing, M & Davidson, PM 2020, 'Both frequency and duration of rotating night shifts are associated with metabolic parameters: a cross-sectional study', SLEEP MEDICINE, vol. 71, pp. 89-96.View/Download from: Publisher's site
Rosa, WE & Davidson, PM 2020, 'Coronavirus disease 2019 (COVID-19): strengthening our resolve to achieve universal palliative care', INTERNATIONAL NURSING REVIEW, vol. 67, no. 2, pp. 160-163.View/Download from: Publisher's site
Rosa, WE, Gray, TF, Chow, K, Davidson, PM, Dionne-Odom, JN, Karanja, V, Khanyola, J, Kpoeh, JDN, Lusaka, J, Matula, ST, Mazanec, P, Moreland, PJ, Pandey, S, de Campos, AP & Meghani, SH 2020, 'Recommendations to Leverage the Palliative Nursing Role During COVID-19 and Future Public Health Crises', JOURNAL OF HOSPICE & PALLIATIVE NURSING, vol. 22, no. 4, pp. 260-269.View/Download from: Publisher's site
Siabani, S, Davidson, PM, Babakhani, M, Salehi, N, Rahmani, Y, Najafi, F, Karim, H, Soroush, A, Hamzeh, B, Amiri, M & Siabani, H 2020, 'Gender-based difference in early mortality among patients with ST-segment elevation myocardial infarction: insights from Kermanshah STEMI Registry.', Journal of cardiovascular and thoracic research, vol. 12, no. 1, pp. 63-68.View/Download from: Publisher's site
Introduction: This study aimed to evaluate the in-hospital mortality of patients with ST-segment elevation myocardial infarction (STEMI), according to gender and other likely risk factors. Methods: This study reports on data relating to 1,484 consecutive patients with STEMI registered from June 2016 to May 2018 in the Western Iran STEMI Registry. Data were collected using a standardized case report developed by the European Observational Registry Program (EORP). The relationship between in-hospital mortality and potential predicting variables was assessed multivariable logistic regression. Differences between groups in mortality rates were compared using chi-square tests and independent t-tests. Results: Out of the 1484 patients, 311(21%) were female. Women were different from men in terms of age (65.8 vs. 59), prevalence of hypertension (HTN) (63.7% vs. 35.4%), diabetes mellitus (DM) (37.7% vs. 16.2%), hypercholesterolemia (36.7% vs. 18.5%) and the history of previous congestive heart failure (CHF) (6.6% vs. 3.0%). Smoking was more prevalent among men (55.9% vs. 13.2%). Although the in-hospital mortality rate was higher in women (11.6% vs. 5.5%), after adjusting for other risk factors, female sex was not an independent predictor for in-hospital mortality. Multivariable analysis identified that age and higher Killip class (≥II) were significantly associated with in-hospital mortality rate. Conclusion: In-hospital mortality after STEMI in women was higher than men. However, the role of sex as an independent predictor of mortality disappeared in regression analysis. The gender based difference in in-hospital mortality after STEMI may be related to the poorer cardiovascular disease (CVD) risk factor profile of the women.
Szanton, SL, Han, H-R, Campbell, J, Reynolds, N, Dennison-Himmelfarb, CR, Perrin, N & Davidson, PM 2020, 'Shifting paradigms to build resilience among patients and families experiencing multiple chronic conditions', JOURNAL OF CLINICAL NURSING.View/Download from: Publisher's site
Turkson-Ocran, RAN, Spaulding, EM, Renda, S, Pandian, V, Rittler, H, Davidson, PM, Nolan, MT & D'Aoust, R 2020, 'A 10-year evaluation of projects in a doctor of nursing practice programme', Journal of Clinical Nursing, vol. 29, no. 21-22, pp. 4090-4103.View/Download from: Publisher's site
© 2020 John Wiley & Sons Ltd Aims and objectives: The role of professional doctorates is receiving increased attention internationally. As part of building the rigour and scholarship of these programmes, we assessed projects undertaken as part of a doctor of nursing practice (DNP) programme at Johns Hopkins University. Recommendations for programme development in professional doctorates are provided. Background: Past research has described the methodologic limitations and dissemination of DNP projects. However, few studies have provided recommendations for strengthening these projects and alternative strategies for achieving scale in larger student cohorts. Design: A descriptive study reported in accordance with STROBE guidelines. Methods: From 2009–2018, 191 final DNP project reports were obtained from the DNP programme administrator. Essential project characteristics from the papers were extracted, including use of theoretical framework, design, setting, sample and dissemination through publication. To determine whether the results of the projects had been published, the title and student's name were searched in Google Scholar and Google. Results: Of the 191 projects, 83% focused on adults and 61% were conducted in the hospital setting. Sample sizes ranged from 7 to 24,702. Eighty per cent of the projects employed a pretest/post-test design, including both single and independent groups. The projects spanned six overarching themes, including process improvement, clinician development, patient safety, patient outcome improvement, access to care and workplace environment. Twenty-one per cent of the project findings were published in scholarly journals. Conclusions: Conducting a critical review of DNP projects has been useful in refining a strategy shifting from incremental to transformative changes in advanced practice. Relevance to clinical practice: Programme evaluation is critical in order to sufficiently prepare nurses in advanced nursing practice to influen...
Untaja, P, Sindhu, S, Davidson, PM, Thosingha, O & Viwatwongkasem, C 2020, 'Predictors of myocardial reperfusion in patients with ST-elevation myocardial infarction following thrombolytic treatment in rural community', Walailak Journal of Science and Technology, vol. 17, no. 6, pp. 608-619.
© 2020, Walailak University. All rights reserved. This cross-sectional study aims to examine patient and hospital factors contributing to reperfusion following thrombolysis in patients with ST-segment elevation myocardial infarction (STEMI) in rural hospitals in Thailand. Access to reperfusion therapy for STEMI patients in rural areas is increasing in Thailand, yet clinical outcomes vary between settings and are inferior to recommended guidelines. Ten years after the introduction of thrombolytic treatment for rural patients undergoing STEMI, there is still a limited description of factors influencing the outcomes of thrombolytic treatment. Data were collected from 87 acute STEMI patients who had received thrombolytic treatment in 12 thrombolysis-capable hospitals located in rural areas. Demographic and clinical characteristics included patient response and treatment seeking behavior, witness response to the patient symptoms, waiting time for treatment, severity of illness, guideline adherence, and thrombolytic reperfusion. The results were: only 31 of 87 patients (35.63 %) received thrombolytic treatment within 30 min after arrival at the hospital. A total of 42 patients (48.28 %) had successful myocardial reperfusion following thrombolytic treatment. Logistic regression analysis revealed that guideline adherence (OR: 1.58; 95 % CI: 1.12-2.25), severity of illness (OR: 0.77; 95 % CI: 0.64-0.94), and patient response and treatment seeking behavior (OR: 1.47; 95 % CI: 1.01-2.04) were predictors of thrombolytic reperfusion. In rural areas, healthcare resources and transfer facilities are limited. Therefore, the improvement of patient awareness is needed. The clinical practice guidelines and consideration of pre-hospital factors should be promoted and the number of thrombolysis-capable hospitals should be increased.
Wang, S, Bressington, DT, Leung, AYM, Davidson, PM & Cheung, DSK 2020, 'The effects of bibliotherapy on the mental well-being of informal caregivers of people with neurocognitive disorder: A systematic review and meta-analysis', International Journal of Nursing Studies, vol. 109.View/Download from: Publisher's site
© 2020 Elsevier Ltd Background: The number of people with neurocognitive disorder is increasing, and the majority of them are cared for by informal caregivers in the community. Mental health problems are common among caregivers, however, professional support for them is often limited. Non-pharmacological self-help interventions, such as bibliotherapy, may improve mental well-being and has the potential for being integrated into clinical or social services. Objectives: To explore what types of bibliotherapy have been used for improving the mental well-being of informal caregivers of people with neurocognitive disorders, and the effect on mental well-being outcomes. Design: A systematic review and meta-analysis. Review methods: Six databases were searched for relevant articles on July 1, 2019. Clinical trial registries and the reference lists of included studies were also searched. Both randomized controlled trials and quasi-experimental studies were included. The Cochrane Collaboration risk of bias tool for randomized controlled trials was used to assess the quality of studies. Review Manager 5.3 was used to analyze data, standardized mean difference (SMD) and 95% confidence interval (CI) were used to estimate the pooled treatment effect. Random effects models were used for meta-analyses. Funnel plot was not performed due to the limited number of studies. This systematic review was registered at PROSPERO (CRD42019129152). Results: Nine randomized controlled trials with 1036 informal caregivers were included. Most of the included studies had some aspects of bias. Three types of bibliotherapy were used. Bibliotherapy had a significant pooled medium to large effect on reducing depression at Z = 1.99 (SMD = -0.74, 95%CI = -1.47 to -0.01, p = .05), however, the heterogeneity was high (I2 = 94%). For the subgroups, only the video-based bibliotherapy significantly reduced depression at Z = 2.78 (I2 = 83%, SMD = -2.11, 95%CI = -3.6 to -0.62, p = .005). Bibliotherapy had a...
Wang, S, Cheung, DSK, Leung, AYM & Davidson, PM 2020, 'Factors associated with caregiving appraisal of informal caregivers: A systematic review', JOURNAL OF CLINICAL NURSING, vol. 29, no. 17-18, pp. 3201-3221.View/Download from: Publisher's site
McDonagh, J, Salamonson, Y, Ferguson, C, Prichard, R, Jha, SR, Macdonald, PS, Davidson, PM & Newton, PJ 2020, 'Evaluating the convergent and discriminant validity of three versions of the frailty phenotype in heart failure: results from the FRAME-HF study.', European Journal of Cardiovascular Nursing, vol. 19, no. 1.View/Download from: Publisher's site
BACKGROUND:Frailty is an important predictive measure of mortality and rehospitalisation in people with heart failure. To date, there are no frailty instruments validated for use in people with heart failure. AIM:The aim of this study was to evaluate the convergent and discriminant validity of three versions of the frailty phenotype in those with heart failure. METHODS:A single site, prospective cohort study was undertaken among individuals with a confirmed diagnosis of heart failure. Frailty was assessed concurrently using three versions of the frailty phenotype: the original frailty phenotype and two modified versions; the Survey of Health, Ageing and Retirement in Europe frailty instrument (SHARE-FI) and the St Vincent's frailty instrument. Convergent and discriminant validity were assessed by reporting the correlations between each version and related heart failure subconstructs, and by evaluating the ability of each version to discriminate between normal and abnormal scores of other physical and psychosocial scales specific to heart failure-related subconstructs. RESULTS:The New York Heart Association classes were moderately correlated with the St Vincent's frailty instrument (r=0.47, P⩽0.001), SHARE-FI (r=0.42, P⩽0.001) and the frailty phenotype (r=0.42, P⩽0.001). The SHARE-FI and the St Vincent's frailty instrument were both able to discriminate consistently between normal and abnormal scores in three out of five of the physical and psychosocial subconstructs that were assessed. The SHARE-FI was also able to discriminate between inpatients and outpatients who were classified as frail. CONCLUSIONS:Both the SHARE-FI and the St Vincent's frailty instrument displayed good convergent and discriminant validity.
Wright, R, Ferguson, C, Bodrick, M, Balkhy, H, Jackson, D & Davidson, PM 2020, 'Social media and drug resistance in nursing training: Using a Twitterchat to develop an international community of practice for antimicrobial resistance.', Journal of clinical nursing, vol. 29, no. 13-14, pp. 2723-2729.View/Download from: Publisher's site
AIMS AND OBJECTIVES:To assess the impact of a Twitterchat focusing on antimicrobial resistance and it is feasibility for integration within a nursing prelicensure research methods class. BACKGROUND:Antimicrobial resistance is one of the greatest threats to global health and food security. Consequently, developing a global approach with large outreach is critical. Twitter, as a popular social media platform, is useful for creating communities of practice and communities of interest. DESIGN:A case study design using a Twitterchat is a hosted, convened and focussed discussion on a particular topic using a discrete hashtag. METHOD:Using a standardised protocol, a Twitterchat was undertaken over a 24-hr period and digital metrics assessed at 72 hr. A summary of impact was undertaken using an online tool provided by Union Metrics (https://unionmetrics.com/). CONCLUSIONS:At 72 hr, 2,632,762 accounts were reached and over 10 million impressions achieved. Twitterchats can be useful in creating awareness and fostering a community of interest and demonstrating the role of nurses in thought leadership. A formalised research study will draw on this case study to evaluate the impact on the Twitter participants and nursing students. RELEVANCE TO CLINICAL PRACTICE:Social media are an accessible and useful tool to harness focus and attention on clinical issues with global relevance. Demonstrating the utility and leverage to nursing students is important in increasing their understanding of the importance of communication and diffusion of information.
Babatunde-Sowole, O, DiGiacomo, M, Power, T, Davidson, P & Jackson, D 2020, 'Resilience of African migrant women: implications for mental health practice', International Journal of Mental Health Nursing, vol. 29, no. 1, pp. 92-92.View/Download from: Publisher's site
Migrants from areas affected by war, especially refugee migrants, are susceptible to mental health issues. In addition to recognising trauma, health professionals, such as mental health nurses, need to be aware of the strength and resilience of refugees and migrants. The capacity to provide trauma-informed-care that is shaped by the recognition of clients' strength and resilience is required/paramount to meet the current demand of multiculturalism emanating from increased global migration. To facilitate increased awareness about West African women's resilience prior to migration and support trauma-informed care, we used a qualitative strengths-based storytelling approach with 22 West African women residing in Sydney, Australia. Thematic analysis of the women's stories identified two major themes: when the world falls apart and battered but strong. Findings revealed that past personal experiences significantly influenced participants' strength and resilience and contributed to their mental health. Mental health professionals such as nurses can play an important role by incorporating knowledge about the resilience of migrants and refugees into providing appropriate trauma-informed-care.
Babatunde-Sowole, OO, Power, T, Davidson, PM, DiGiacomo, M & Jackson, D 2020, 'Health screening and preventative health care in refugee women: A qualitative analysis.', Contemporary nurse, vol. 56, no. 1, pp. 62-79.View/Download from: Publisher's site
Background: Regular health screening provides opportunities for early detection and effective treatment of disease. There is underutilisation of health services by migrants from culturally and linguistically diverse backgrounds, particularly refugees in Australia. Aim: To explore the beliefs, understandings, and use of health and healthcare screening services among African refugee women living in Australia. Design/Method: Qualitative secondary analysis. Method: Oral narratives derived from two primary qualitative datasets of Sub-Saharan women in New South Wales, Australia, underwent secondary thematic analysis. Findings: Twenty-two of the forty-two women had refugee status on migrating to Australia. Thematic findings reflection of misinformation, low health literacy, and health screening as not a priority. Conclusions: There is an urgent need to develop innovative strategies to engage refugee migrant women in health screening by provision of culturally meaningful health information. Relevance to clinical practice: Including refugee women's suggestions for information to be provided by health services may improve attitudes towards screening and preventative health care.
Disalvo, D, Luckett, T, Bennett, A, Davidson, PM & Agar, M 2020, 'Multidisciplinary perspectives on medication-related decision-making for people with advanced dementia living in long-term care: a critical incident analysis.', European journal of clinical pharmacology, vol. 76, no. 4, pp. 567-578.View/Download from: Publisher's site
PURPOSE:This study aimed to explore medication-related decision-making by health professionals from different disciplines and specialties caring for people with advanced dementia living in long-term care facilities, focusing on dilemmas associated with starting, continuing or deprescribing medications commonly regarded as potentially inappropriate. METHODS:Four focus groups were undertaken, each on a different medication type (antibiotics, lipid-lowering agents, opioids and acetylcholinesterase inhibitors). Transcripts underwent qualitative analysis using line by line inductive coding and then a person-centred framework to highlight themes across medication types. RESULTS:Sixteen participants participated in focus groups. Regardless of medication type or dilemma, results suggested decision-making for residents with advanced dementia should begin with discussing goals of care and engaging with families, and be viewed as an iterative process involving regular monitoring and adjustment. Decision-making was seen as requiring a dialectical approach involving multiple perspectives, with an emphasis on establishing communication between health professionals, family and the person with dementia to better understand goals/preferences for care. CONCLUSION:Inter-professional collaboration enables sharing of clinical experience/expertise, differing disciplinary perspectives and knowledge about the resident. Continuing a medication should be considered an active decision that carries as much responsibility as starting or deprescribing.
Green, A, Abbott, P, Luckett, T, Davidson, P, Delaney, J, Delaney, P, Gunasekera, H & DiGiacomo, M 2020, '"'It's quite a complex trail for families now' - Provider understanding of access to services for Aboriginal children with a disability"', Journal of Child Health Care.
Green, A, Abbott, P, Luckett, T, Davidson, P, Delaney, P, Delaney, J, Gunasekera, H & DiGiacomo, M 2020, 'Collaborating across sectors to provide early intervention for Aboriginal and Torres Strait Islander children with disability and their families: a qualitative study of provider perspectives', Journal of Interprofessional Care, vol. 34, no. 3, pp. 388-399.View/Download from: Publisher's site
Aboriginal and Torres Strait Islander children experience a higher prevalence of disability than other Australian children. Early intervention from across the health, education, and social service sectors is vital for improving outcomes, but families face lack of coordination between services. This study aimed to inform improvements in service access for families of urban-dwelling Aboriginal children with disability through exploring providers' perceptions of factors that influenced working together across sectors. Semi-structured interviews were conducted. Data analysis was informed by the general inductive approach and the Collaborative Practice to Enhance Patient Care Outcomes framework. Twenty-four providers participated. Interprofessional collaborative practice was influenced by interdependent interactional and organizational factors. Interactional factors fit within one of two dimensions: the ability of providers to share common goals and vision within a complex cross-sector service landscape, and influence of interpersonal relationships on their sense of belonging working in a cross-cultural space. Organizational factors also fit within one of two dimensions: the influence of governance in relation to its role in coordination and unlocking the strength of schools as service settings, and the need to formalize processes for effective interprofessional communication. Interprofessional collaborative practice was managed within the context of systemic factors relating to policy and funding. These findings demonstrate the complex interplay of factors related to the cross-sector involvement of providers in early intervention service provision. Consideration of these factors is required to facilitate collaborative cross-sector responses to improve service access for Aboriginal families.
Disler, RT, Spiliopoulos, N, Inglis, SC, Currow, DC & Davidson, PM 2020, 'Cognitive screening in chronic obstructive pulmonary disease: patient's perspectives.', Disability and rehabilitation, vol. 42, no. 9, pp. 1233-1239.View/Download from: Publisher's site
Purpose: Cognitive impairment is highly prevalent (61%) in chronic obstructive pulmonary disease (COPD). International guidelines recommend providing self-management education through resource-intensive, pulmonary rehabilitation programs, yet screening for deficits likely to interfere with learning have received insufficient attention. Concerns over cognitive testing as confronting are described by health professionals as a barrier to screening, but with minimal empiric data. This study explored views on cognitive impairment and screening in patients with COPD.Design: Qualitative study, focus groups.Methods: Participants with COPD were recruited from a respiratory service at a regional hospital. Conversations were recorded, transcribed verbatim, and analyzed using thematic analysis.Results: Focus groups were undertaken between February and May 2014. Fifteen patients, with a diagnosis of COPD and mean age of 73, participated. Thematic analysis resulted in four overall themes: (1) limited awareness of the connection between cognitive change and COPD; (2) cognitive change as part of normal ageing; (3) current strategies for self-management activities and cognition functioning; and (4) attitudes to cognitive testing.Conclusions: This study identified that participants were open to discussing issues of cognitive function suggesting that normalizing discussion around cognitive change presents an opportunity to introduce screening within routine assessments. Identifying cognitive impairment provides opportunity to tailor rehabilitation for those at risk of sub-optimal self-management.Implications for RehabilitationChanges in cognition are recognized as a barrier to optimal self-management and rehabilitation efficacy in chronic disease.This study identified that participants were open to discussing issues of cognitive function suggesting that normalizing discussion around cognitive change presents an opportunity to introduce screening within routine assessments.Identifyi...
Allida, S, Du, H, Xu, X, Prichard, R, Chang, S, Hickman, LD, Davidson, PM & Inglis, SC 2020, 'mHealth education interventions in heart failure.', The Cochrane database of systematic reviews, no. 7.View/Download from: Publisher's site
BACKGROUND:Heart failure (HF) is a chronic disease with significant impact on quality of life and presents many challenges to those diagnosed with the condition, due to a seemingly complex daily regimen of self-care which includes medications, monitoring of weight and symptoms, identification of signs of deterioration and follow-up and interaction with multiple healthcare services. Education is vital for understanding the importance of this regimen, and adhering to it. Traditionally, education has been provided to people with heart failure in a face-to-face manner, either in a community or a hospital setting, using paper-based materials or video/DVD presentations. In an age of rapidly-evolving technology and uptake of smartphones and tablet devices, mHealth-based technology (defined by the World Health Organization as mobile and wireless technologies to achieve health objectives) is an innovative way to provide health education which has the benefit of being able to reach people who are unable or unwilling to access traditional heart failure education programmes and services. OBJECTIVES:To systematically review and quantify the potential benefits and harms of mHealth-delivered education for people with heart failure. SEARCH METHODS:We performed an extensive search of bibliographic databases and registries (CENTRAL, MEDLINE, Embase, CINAHL, PsycINFO, IEEE Xplore, ClinicalTrials.gov and WHO International Clinical Trials Registry Platform (ICTRP) Search Portal), using terms to identify HF, education and mHealth. We searched all databases from their inception to October 2019 and imposed no restriction on language of publication. SELECTION CRITERIA:We included studies if they were conducted as a randomised controlled trial (RCT), involving adults (≥ 18 years) with a diagnosis of HF. We included trials comparing mHealth-delivered education such as internet and web-based education programmes for use on smartphones and tablets (including apps) and other mobile devices, S...
Hickman, L, Ferguson, C, Davidson, PM, Allida, S, Inglis, S, Parker, D & Agar, M 2020, 'Key elements of interventions for heart failure patients with mild cognitive impairment or dementia: A systematic review.', European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, vol. 19, no. 1, pp. 8-19.View/Download from: Publisher's site
BACKGROUND:The purpose of this systematic review was to (a) examine the effects of interventions delivered by a heart failure professional for mild cognitive impairment and dementia on cognitive function, memory, working memory, instrumental activities of daily living, heart failure knowledge, self-care, quality of life and depression; and (b) identify the successful elements of these strategies for heart failure patients with mild cognitive impairment or dementia. METHODS AND RESULTS:During March 2018, an electronic search of databases including CINAHL, MEDLINE, EMBASE and PsycINFO was conducted. All randomised controlled trials, which examined an intervention strategy to help heart failure patients with mild cognitive impairment or dementia cope with self-care, were included. An initial search yielded 1622 citations, six studies were included (N= 595 participants, mean age 68 years). There were no significant improvements in cognitive function and depression. However, significant improvements were seen in memory (p=0.015), working memory (p=0.029) and instrumental activities of daily living (p=0.006). Nurse led interventions improved the patient's heart failure knowledge (p=0.001), self-care (p<0.05) and quality of life (p=0.029). Key elements of these interventions include brain exercises, for example, syllable stacks, individualised assessment and customised education, personalised self-care schedule development, interactive problem-solving training on scenarios and association techniques to prompt self-care activities. CONCLUSIONS:Modest evidence for nurse led interventions among heart failure patients with mild cognitive impairment or dementia was identified. These results must be interpreted with caution in light of the limited number of available included studies.
Inglis, SC, Naismith, C, White, K, Hendriks, JM, Bray, J, Hickman, LD, Aldridge, C, Bardsley, K, Cameron, J, Candelaria, D, Cartledge, S, Du, H, Ferguson, C, Martin, L, Selkow, T, Xu, X, Wynne, R, Driscoll, A, Gallagher, R, Clark, R & Davidson, PM 2020, 'CSANZ COVID-19 Cardiovascular Nursing Care Consensus Statement: Executive Summary', Heart Lung and Circulation.View/Download from: Publisher's site
Wylie, A, DiGiacomo, M, Davidson, P & Levett-Jones, T 2020, 'An evaluation of early career academic nurses' perceptions of a support program designed to build career-resilience', Nurse Education in Practice, vol. In press.
Lazenby, M, Chambers, S, Chyun, D, Davidson, P, Dithole, K, Norman, I & Tlou, S 2020, 'Clinical nursing and midwifery education in the pandemic age', INTERNATIONAL NURSING REVIEW, vol. 67, no. 3, pp. 323-325.View/Download from: Publisher's site
Prichard, R, Kershaw, L, Goodall, S, Davidson, P, Newton, PJ, Saing, S & Hayward, C 2020, 'Costs before and after left ventricular assist device implant and preceding heart transplant: a cohort study', Heart, Lung and Circulation.View/Download from: Publisher's site
Luckett, T, Luscombe, G, Phillips, J, Beattie, E, Chenoweth, L, Davidson, PM, Goodall, S, Pond, D, Mitchell, G & Agar, M 2020, 'Australian long-term care personnel's knowledge and attitudes regarding palliative care for people with advanced dementia.', Dementia.View/Download from: Publisher's site
Asano, R, Mathai, SC, Macdonald, PS, Newton, PJ, Currow, DC, Phillips, J, Yeung, W-F & Davidson, PM 2020, 'Oxygen use in chronic heart failure to relieve breathlessness: A systematic review.', Heart Failure Reviews, vol. 25, no. 2, pp. 195-205.View/Download from: Publisher's site
To appraise published studies on the use of supplemental oxygen in chronic heart failure. Chronic breathlessness is a characterizing symptom of symptomatic heart failure resulting in substantial disability and healthcare utilization and is the primary reason for emergency room visits and hospitalizations. In spite of the variable evidence, oxygen therapy is commonly administered both acutely and chronically. Moreover, the role of oxygen therapy to relieve chronic breathlessness in heart failure is not well described, particularly in normoxemic or mild or intermittent hypoxemic states. In fact, several studies have shown the detrimental effects of oxygen therapy with normal oxygen saturation levels. A systematic review using PRISMA guidelines. Four databases PubMed, Embase, CINAHL, and Web of Science were systematically searched from January 2001 to January 2019 investigating the use of oxygen in heart failure. Duplicate articles were removed from the review. Titles and abstracts were screened for inclusion and exclusion criteria. The remaining full-text articles were reviewed and hand-searched for additional references. The quality of the full-text articles was assessed using standardized critical appraisal instruments by the Joanna Briggs Institute. A total of 11 studies, including three intervention and eight non-interventions studies, were included in this review from 1072 non-duplicated records retrieved. Sample size ranged from 4 to 5862. In spite of common usage, this review suggests that there are scant data available to justify the use of oxygen in individuals with non-hypoxemic chronic heart failure and chronic breathlessness.
Asano, R, Newton, PJ, Currow, DC, Macdonald, PS, Leung, D, Phillips, JL, Perrin, N & Davidson, PM 2020, 'Rationale for targeted self-management strategies for breathlessness in heart failure.', Heart failure reviews.View/Download from: Publisher's site
To provide a conceptual rationale for targeted self-management strategies for breathlessness in chronic heart failure. Breathlessness is a defining symptom of chronic heart failure and is the primary cause for hospital readmissions and emergency room visits, resulting in extensive health care utilization. Chronic breathlessness, punctuated by acute physiological decompensation, is a sentinel symptom of the heart failure syndrome and often intensifies towards the end of life. Drawing upon evidence-based guidelines, physiological mechanisms and existing conceptual models for the management of breathlessness is proposed. Key elements of this model include adherence to evidence-based approaches (pharmacological and non-pharmacological management to optimize heart failure treatment), self-monitoring of symptoms, identification of modifiable factors (such as fluid overload), and targeted strategies for breathlessness including distraction and gas flow. Self-management is an essential component in heart failure management which could positively influences health outcomes and quality of life. Refining programs to focus on breathlessness may have the potential to reduce symptom burden and improve quality of life.
Asano, R, Newton, PJ, Currow, DC, Macdonald, PS, Leung, D, Phillips, JL, Perrin, N & Davidson, PM 2020, 'Reply to Kako, Kajiwara, Kobayashi, and Oosono letter to the editor response.', Heart failure reviews, vol. 25, no. 5, pp. 893-893.View/Download from: Publisher's site
Murray-Parahi, P, DiGiacomo, M, Jackson, D, Phillips, J & Davidson, P 2020, 'Primary health care content in Australian undergraduate nursing curricula', Collegian: The Australian Journal of Nursing Practice, Scholarship and Research, vol. 27, pp. 271-280.View/Download from: Publisher's site
Virdun, C, Luckett, T, Lorenz, K, Davidson, PM & Phillips, J 2020, 'Hospital patients' perspectives on what is essential to enable optimal palliative care: A qualitative study', PALLIATIVE MEDICINE, vol. 34, no. 10, pp. 1402-1415.View/Download from: Publisher's site
Daly, J, Jackson, D, Anders, R & Davidson, PM 2020, 'Who speaks for nursing? COVID-19 highlighting gaps in leadership', JOURNAL OF CLINICAL NURSING, vol. 29, no. 15-16, pp. 2751-2752.View/Download from: Publisher's site
Geia, L, Baird, K, Bail, K, Barclay, L, Bennett, J, Best, O, Birks, M, Blackley, L, Blackman, R, Bonner, A, Bryant, R, Buzzacott, C, Campbell, S, Catling, C, Chamberlain, C, Cox, L, Cross, W, Cruickshank, M, Cummins, A, Dahlen, H, Daly, J, Darbyshire, P, Davidson, P, Denney-Wilson, E, De Souza, R, Doyle, K, Drummond, A, Duff, J, Duffield, C, Dunning, T, East, L, Elliott, D, Elmir, R, Fergie, D, Ferguson, C, Fernandez, R, Flower, D, Foureur, M, Fowler, C, Fry, M, Gorman, E, Grant, J, Gray, J, Halcomb, E, Hart, B, Hartz, D, Hazelton, M, Heaton, L, Hickman, L, Homer, CSE, Hungerford, C, Hutton, A, Jackson, D, Johnson, A, Kelly, MA, Kitson, A, Knight, S, Levett-Jones, T, Lindsay, D, Lovett, R, Luck, L, Molloy, L, Manias, E, Mannix, J, Marriott, AMR, Martin, M, Massey, D, McCloughen, A, McGough, S, McGrath, L, Mills, J, Mitchell, BG, Mohamed, J, Montayre, J, Moroney, T, Moyle, W, Moxham, L, Northam OAM, H, Nowlan, S, O'Brien, AP, Ogunsiji, O, Paterson, C, Pennington, K, Peters, K, Phillips, J, Power, T, Procter, N, Ramjan, L, Ramsay, N, Rasmussen, B, Rihari-Thomas, J, Rind, B, Robinson, M, Roche, M, Sainsbury, K, Salamonson, Y, Sherwood, J, Shields, L, Sim, J, Skinner, I, Smallwood, G, Smallwood, R, Stewart, L, Taylor, S, Usher AM, K, Virdun, C, Wannell, J, Ward, R, West, C, West, R, Wilkes, L, Williams, R, Wilson, R, Wynaden, D & Wynne, R 2020, 'A unified call to action from Australian nursing and midwifery leaders: ensuring that Black lives matter', CONTEMPORARY NURSE.View/Download from: Publisher's site
Jackson, D, Anders, R, Padula, W, Daly, J & Davidson, PM 2020, 'Vulnerability of nurse and physicians with COVID-19: Monitoring and surveillance needed', JOURNAL OF CLINICAL NURSING.View/Download from: Publisher's site
Currow, DC, Ekström, M, Louw, S, Hill, J, Fazekas, B, Clark, K, Davidson, PM, McDonald, C, Sajkov, D, McCaffrey, N, Doogue, M, Abernethy, AP & Agar, M 2019, 'Sertraline in symptomatic chronic breathlessness: a double blind, randomised trial.', European Respiratory Journal, vol. 53, no. 1.View/Download from: Publisher's site
Does sertraline provide symptomatic relief for chronic breathlessness in people with advanced disease whose underlying cause(s) are optimally treated?223 participants with chronic breathlessness (modified Medical Research Council breathlessness scale ≥2) who had optimal treatment of underlying cause(s) were randomised 1:1 to sertraline 25-100 mg (titrated upwards over 9 days) or placebo for 4 weeks. The primary outcome was the proportion who had an improvement in intensity of current breathlessness >15% from baseline on a 100-mm visual analogue scale.The proportion of people responding to sertraline was similar to placebo for current breathlessness on days 26-28 (OR 1.00, 95% CI 0.71-1.40) and for other measures of breathlessness. Quality of life in the sertraline arm had a higher likelihood of improving than in the placebo arm over the 4 weeks (OR 0.21, 95% CI 0.01-0.41; p=0.044). No differences in performance status, anxiety and depression, or survival were observed. Adverse event rates were similar between arms.Sertraline does not appear to provide any benefit over placebo in the symptomatic relief of chronic breathlessness in this patient population.
Ivynian, SE, Ferguson, C & Davidson, PM 2019, 'Time to re-think the terminology of heart failure?', European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, pp. 1474515119874538-1474515119874538.View/Download from: Publisher's site
Asano, R, Abshire, M, Dennison-Himmelfarb, C & Davidson, PM 2019, 'Barriers and facilitators to a 'good death' in heart failure: An integrative review', COLLEGIAN, vol. 26, no. 6, pp. 651-665.View/Download from: Publisher's site
Awoke, MS, Baptiste, D-L, Davidson, P, Roberts, A & Dennison-Himmelfarb, C 2019, 'A quasi-experimental study examining a nurse-led education program to improve knowledge, self-care, and reduce readmission for individuals with heart failure', CONTEMPORARY NURSE, vol. 55, no. 1, pp. 15-26.View/Download from: Publisher's site
Davidson, PM & Rahman, A 2019, 'Time for a renaissance of the clinical nurse specialist role in critical care?', AACN Advanced Critical Care, vol. 30, no. 1, pp. 61-64.View/Download from: Publisher's site
Dhaini, SR, Dumit, N, Honein-Abouhaidar, G, Al Zaru, IM, Gharaibeh, M, Reynolds, NR, Davidson, PM & Nabulsi, D 2019, 'Perspectives of Registered Nurses on refugee healthcare in Lebanon and Jordan (PROfILE): A multi-site cross-sectional study protocol', JOURNAL OF ADVANCED NURSING, vol. 76, no. 1, pp. 328-336.View/Download from: Publisher's site
Kakhki, AD, Abedsaeedi, Z & Davidson, P 2019, 'FACTORS RELATED TO QUALITY OF LIFE OF OLDER PEOPLE IN TEHRAN IN 2019', Innovation in Aging, vol. 3, no. Supplement_1, pp. S897-S897.View/Download from: Publisher's site
Aging is accompanied by a variety of challenges and tensions that have consequences for quality of life in older people. Optimizing quality of life is a key goal for active aging. This study was conducted to describe factors and quality of life of older people in the city of Tehran. This descriptive, correlational study was conducted on a sample of 290 older people above age 60 recruited in 10 public parks in five regions of Tehran in 2019. A socio-demographic questionnaire and instrument on Quality Of Life of Older People (QOL-OP) were used for data collection. Content validity and Cronbach's alpha were used for evaluation of the validity and reliability of questionnaires. Data were analyzed with SPSS software. Fifty-one percent of older people were male and 49% male with a mean age of 69.52(± 7.11) years. The mean scores for quality of life domains ranged from 57.61(±7.11) for family integrity, to 64.73(±7.50) for spiritual well-being on a 100-point scale. The scores on health-related quality of life domains were influenced significantly by characteristics of age, gender, marital status, housing status, income source, treatment insurance, supplementary treatment insurance, education level, living persons, number of offspring, and annual physician referral rates. The findings of this study showed that quality of life of older people was lower than expected and related to a number of factors. Monitoring modifiable factors such as treatment insurance and non-modifiable factors will help us to preserve or improve quality of life of older people.
Koirala, B, Himmelfarb, CRD, Koirala, B, Budhathoki, C & Davidson, PM 2019, 'Epidemiology and Management of Heart Failure in Nepal', JOURNAL OF CARDIAC FAILURE, vol. 25, no. 10, pp. 846-848.View/Download from: Publisher's site
Padula, WV, Nagarajan, M, Davidson, PM & Pronovost, PJ 2019, 'Investing in Skilled Specialists to Grow Hospital Infrastructure for Quality Improvement.', Journal of patient safety.View/Download from: Publisher's site
OBJECTIVES:Hospitals can reduce labor costs by hiring lowest skill possible for the job, stretching clinical hours, and reducing staff not at bedside. However, these labor constraints designed to reduce costs may paradoxically increase costs. Specialty staff, such as board-certified clinicians, can redesign health systems to evaluate the needs of complex patients and prevent complications. The aim of the study was to evaluate whether investing in skilled specialists for supporting hospital quality infrastructure improves value and performance. METHODS:We evaluated pressure injury rates as an indicator of performance in a retrospective observational cohort of 55 U.S. academic hospitals from the Vizient clinical database between 2007 and 2012. Pressure injuries were defined by U.S. Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator 3 (PSI-03) for stage 3, 4, and unstageable pressure injuries not present on admission in hospitalized adults. We compared ratios of board-certified wound care nurses per 1000 hospital beds to hospital-acquired pressure injury rates in these hospitals using mixed-effects regression of hospital quarters. RESULTS:High-performing hospitals invested in prevention infrastructure with skilled specialists and observed performance improvements. Regression indicated that by adding one board-certified wound care nurse per 1000 hospital beds, hospitals had associated decreases in pressure injury rates by -17.7% relative to previous quarters, controlling for other interruptions. Highest performers supplied fewer skilled specialists and achieve improved outcomes. CONCLUSIONS:Skilled specialists bring important value to health systems as a representation of investment in infrastructure, and the proportion of these specialists could be scaled relative to the hospital's patient capacity. Policy should support hospitals to make investments in infrastructure to drive down patient costs and improve quality.
Pandian, V, Datta, M, Nakka, S, Tammineedi, DS, Davidson, PM & Nyquist, PA 2019, 'INTENSIVE CARE UNIT READMISSION IN PATIENTS WITH PRIMARY BRAIN INJURY AND TRACHEOSTOMY', AMERICAN JOURNAL OF CRITICAL CARE, vol. 28, no. 1, pp. 56-63.View/Download from: Publisher's site
Peters, DH, Peters, MA, Wickramasinghe, K, Osewe, PL & Davidson, PM 2019, 'Asking the right question: implementation research to accelerate national non-communicable disease responses', BMJ-BRITISH MEDICAL JOURNAL, vol. 365.View/Download from: Publisher's site
Prichard, R, Davidson, P, Goodall, S & Hayward, C 2019, 'Mind the Gap: Clinician Perceptions of Quality of Life in Advanced Heart Failure. What are We Missing?', Heart, Lung and Circulation, vol. 28, pp. S182-S182.View/Download from: Publisher's site
Rahman, A, Davidson, PM, Hanyok, LA & Tanner, EI 2019, 'The nurse attending role: An innovative nursing role for improving communication, collaboration, and patient satisfaction on medical units', MEDSURG Nursing, vol. 28, no. 3.
© 2019, Anthony J. Jannetti Publications, Inc.. All rights reserved. The Nurse Attending role helped to close the gap in communication between physicians and clinical nurses, and improved education of novice nurses and other learners on the team. The ability of the Nurse Attending to round at the bedside together with the Attending Physician and physician group created a positive environment for the entire team, including patients and families.
Schallmo, MK, Dudley-Brown, S & Davidson, PM 2019, 'Healthcare Providers' Perceived Communication Barriers to Offering Palliative Care to Patients With Heart Failure An Integrative Review', JOURNAL OF CARDIOVASCULAR NURSING, vol. 34, no. 2, pp. E9-E18.View/Download from: Publisher's site
Singh, GK, Davidson, PM, Macdonald, PS & Newton, PJ 2019, 'The Perspectives of Health Care Professionals on Providing End of Life Care and Palliative Care for Patients With Chronic Heart Failure: An Integrative Review.', Heart, lung & circulation, vol. 28, no. 4, pp. 539-552.View/Download from: Publisher's site
BACKGROUND:Chronic heart failure is a complex and multifaceted syndrome characterised by an unpredictable trajectory, high symptom burden and reduced quality of life. Although palliative care is recommended, patient, provider and system factors limit access. AIM:To examine the knowledge, attitudes and perspectives of health care professionals towards end of life care and palliative care for patients with chronic heart failure. DESIGN:This is an integrative review. DATA SOURCES:CINAHL, Academic Search Complete and SCOPUS were searched. Specific inclusion criteria and search terms were used. The integrative review method entailed analysing data from primary articles using the constant comparison method and then synthesising data. RESULTS:Twenty-six articles were selected that explored health care professionals' perspectives towards end of life care and palliative care. The categories that emerged were grouped into patient, provider and system issues. Most health care professionals involved in providing care to heart failure patients have misperceptions of palliative care, often confusing it with end of life and hospice care. This hinders patients' access to palliative care as determining the end of life period in heart failure is difficult. CONCLUSIONS:Exploring health care professionals' perspectives towards the delivery of end of life care and palliative care is important for understanding how their practice influences the delivery of palliative care for heart failure patients. Emphasis on increasing awareness of the principles of palliative care in the health care community, as well as addressing organisational issues will improve the care delivered to these patients.
Singh, GK, Davidson, PM, Macdonald, PS & Newton, PJ 2019, 'The use of hospital-based services by heart failure patients in the last year of life: a discussion paper', Heart Failure Reviews, vol. 24, no. 2, pp. 199-207.View/Download from: Publisher's site
© 2018, Springer Science+Business Media, LLC, part of Springer Nature. Individuals with chronic heart failure have high utilisation of hospital-related services towards the end of life and receive treatments that provide symptom relief without improving life expectancy. The aim of this discussion paper is to determine chronic heart failure patients' use of acute hospital-based services in their last year of life and to discuss the potential for palliative care to reduce service utilisation. A systematic search of the literature was conducted. Medline, Cumulative Index for Nursing and Allied Health (CINAHL) and SCOPUS databases were used to systematically search for literature from database commencement to September 2016. Specific inclusion criteria and search terms were used to identify relevant studies on heart failure patients' use of hospital services in their last year of life. There were 12 studies that evaluated the use of hospital-based services by chronic heart failure patients at the end of life. In all studies, it was found that chronic heart failure patients used acute hospital-based services as death approached. However, only two studies examined if palliative care consultations were obtained by patients, and neither study assessed the impact that these consultations had on service utilisation in the last year of life. Heart failure negatively impacts health status, and this is a predictor of service utilisation. Further research is needed to determine the efficacy of both primary and secondary palliative care in reducing resource use towards the end of life and improving the quality of end of life care.
Tankumpuan, T, Asano, R, Koirala, B, Dennison Himmelfarb, C, Sindhu, S & Davidson, PM 2019, 'Heart failure and social determinants of health in Thailand: An integrative review.', Heliyon, vol. 5, no. 5, pp. e01658-e01658.View/Download from: Publisher's site
Background:Heart failure is a highly burdensome syndrome and is rapidly increasing in prevalence in low and middle-income countries and outcomes are influenced at the level of the patient, provider and health system. Understanding heart failure beyond a biomedical perspective and the relationship between health outcomes and social determinants of health is critical for informing policy development and improving health outcomes. Aim:To identify the social determinants of health for improving health outcomes for individuals with heart failure in Thailand. Method:This integrative review included studies published between January 1, 2008, and March 31, 2016 in both the Thai and English language identified through searching Scopus, PubMed, and CINAHL. Results:Six experimental, eight descriptive and two qualitative studies were identified met the inclusion and exclusion criteria. The majority of study participants were elderly, female, had low-education and income levels, were participating in a universal coverage scheme and living in a rural setting. All interventions were delivered at the level of the individual, focusing on education to improve knowledge, self-care, and functional status. Findings showed an improvement in health outcomes which were moderated by social determinants of health such as gender and income. Conclusion:As the burden of heart failure increases in Thailand and other emerging economies, developing culturally appropriate, affordable and acceptable models of intervention considering social determinants of health is necessary.
Tian, C, Yu, Y, Mao, J & Davidson, PM 2019, 'Perceived Discomfort, Pain and Nonpain Symptoms in a Postanesthesia Care Unit: An Observational Study', JOURNAL OF PERIANESTHESIA NURSING, vol. 34, no. 5, pp. 1032-1039.View/Download from: Publisher's site
Tse, MM, Kwan, RY, Ho, SS, Davidson, PM, Cheng, PP & Yeung, SS 2019, 'Frailty is associated with pain and cognitive function in older people in post-acute care settings', Geriatric Nursing.View/Download from: Publisher's site
© 2019 Elsevier Inc. Background: To describe pain, cognitive function, and frailty of older people in post-acute care settings and examine the association between the three elements. Methods: This cross-sectional study involved 142 participants from a rehabilitation ward and a geriatric day centre. Pain, cognitive function and frailty were assessed using Brief Pain Inventory, Abbreviated Mental Test, and 5-item Frail Scale respectively. Results: Participants were mostly women (51.7%) with a mean age of 76.5 (SD 7.8). Mean scores for pain, cognition, and frailty were 9.0 ± 1.0, 4.0 ± 2.8, and 2.2 ± 1.2, respectively. Cognition had a significant inverse association with frailty (β = −0.160, p = 0.047), and pain had a significant positive association with frailty (β = 5.122, p < 0.001). This linear regression model explained a variance of 0.269. Conclusions: The study demonstrated the association between pain, cognitive function, and frailty. In predicting frailty, however, more studies are required to determine the predictive value and cut-off points for pain and cognitive measures.
Wang, P, Ai, J, Davidson, PM, Slater, T, Du, R & Chen, C 2019, 'Nurses' attitudes, beliefs and practices on sexuality for cardiovascular care: A cross-sectional study', JOURNAL OF CLINICAL NURSING, vol. 28, no. 5-6, pp. 980-986.View/Download from: Publisher's site
Shehab, S, Allida, SM, Newton, PJ, Robson, D, Macdonald, PS, Davidson, PM, Jansz, PC & Hayward, CS 2019, 'Valvular Regurgitation in a Biventricular Mock Circulatory Loop.', ASAIO Journal, vol. 65, no. 6, pp. 551-557.View/Download from: Publisher's site
Aortic regurgitation (AR), mitral regurgitation (MR), and tricuspid regurgitation (TR) after continuous-flow left ventricular assist device (LVAD) are common and may increase with prolonged LVAD support. The aim of this study was to simulate severe valvular regurgitation (AR, MR, and TR) within a 4-elemental pulsatile mock circulatory loop (MCL) and observe their impact on isolated LVAD and biventricular assist device (BiVAD) with HeartWare HVAD. Aortic regurgitation, MR, and TR were achieved via the removal of one leaflet from bileaflet mechanical valve from the appropriate valves of the left or right ventricles. The impact of alteration of LVAD pump speed (LVAD 2200-4000 RPM, right ventricular assist device [RVAD] 2400 RPM) and altered LVAD preload (10-25mm Hg) was assessed. With each of the regurgitant valve lesions, there was a decrease in isolated LVAD pump flow pulsatility. Isolated LVAD provided sufficient support in the setting of severe MR or TR compared with control, and flows were enhanced with BiVAD support. In severe AR, there was no benefit of BiVAD support over isolated LVAD, and actual loop flows remained low. High LVAD flows combined with low RVAD flows and dampened aortic pressures are good indicators of AR. The 4-elemental MCL successfully simulated several control and abnormal valvular conditions using various pump speeds. Current findings are consistent with conservative management of MR and TR in the setting of mechanical support, but emphasize the importance of the correction of AR.
Rihari-Thomas, J, DiGiacomo, M, Newton, P, Sibbritt, D & Davidson, PM 2019, 'The rapid response system: an integrative review.', Contemporary Nurse, vol. 55, no. 2-3, pp. 139-155.View/Download from: Publisher's site
Background: Clinical deterioration and adverse events in hospitals is an increasing cause for concern. Rapid response systems have been widely implemented to identify deteriorating patients. Aim: We aimed to examine the literature highlighting major historical trends leading to the widespread adoption of rapid response systems, focussing on Australian issues and identifying future focus areas. Method: Integrative literature review including published and grey literature. Results: Seventy-eight sources including journal articles and Australian government matierlas resulted. Pertinent themes were the increasing acuity and aging of the population, importance of hospital cultures, the emerging role of the consumer, and proliferation, evolution and standardisation of rapid response systems. Discussion: Translating evidence to usual care practice is challenging and strongly driven by local factors and political imperatives. Conclusion: Rapid response systems are complex interventions requiring consideration of contextual factors at all levels. Appropriate resources, a skilled workforce and positive workplace cultures are needed for these systems to reach their full potential.
Soh, KL, Davidson, PM, Leslie, G, DiGiacomo, M & Soh, KG 2019, 'Nurses' perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study.', Contemporary nurse, vol. 55, no. 2-3, pp. 221-236.View/Download from: Publisher's site
Background: Quality improvement projects have been widely adopted to prevent complications in the ICU. Objective: This paper describes nurses' perceptions of implementation strategies and the potential sustainability of a practice change intervention to prevent complications in a Malaysian ICU. Design: A participatory action research using five focus group discussions were undertaken with 19 nurses in a single ICU in regional Malaysia. Focus group transcripts were analysed using thematic analysis. Results: The main themes derived from the interviews were:  Empowering staff to embrace evidence-based practices;  Staff knowledge, attitudes, and beliefs that impact on behaviour; and  management support and leadership are influential in staff behaviours (acceptance & perseverance of change process). Discussion: Resistance to change was recognized as a barrier to adopting evidence based recommendations. There is a need to improve nurses' knowledge, attitude and awareness of the importance of assessment for VAP, CRBSI and PIs in the ICU.
Carrick-Sen, D, Moore, A, Davidson, P, Gendong, H & Jackson, D 2019, 'International perspectives of nurses, midwives and allied health professionals clinical academic roles: Are we at tipping point?', International Journal of Practice-Based Learning in Health and Social Care, vol. 7, no. 2, pp. 1-15.View/Download from: Publisher's site
© 2019 Debbie Carrick-Sen, Ann Moore, Patricia Davidson, Han Gendong, & Debra Jackson. Healthcare research activity improves patient outcomes. Nurses, Midwives and Allied Health Professions (NMAHPs) make an important contribution to clinical research. Within the United Kingdom (UK), there is a 25-year history of increasing healthcare research capacity and capability through clinical academic roles. Medical colleagues were the first to introduce the role in 2005. In 2007, a national policy identified inequalities in access to and success of research training fellowships between medical and nursing healthcare professionals. This was followed by a number of national initiatives, which continue to evolve to the present day. There is evidence that the UK has reached the 'tipping point' to increase NMAHP research capacity and capability through clinical academic roles. Despite these initiatives substantial gaps remain. Outside, the UK, the term 'clinical academic' is not well understood. There is evidence of the presence of senior clinical academic roles, a clinical professor within Australia and the United States, for example, but there is a lack of opportunities and of a formulised research training pathway at a junior level. There is interest and appreciation of the NMAHP research-active clinical academic within the clinical setting in the Nordic countries and China, but the pace of change is slow due to co-existing priorities involving change and innovation. There is a need to develop and agree both national and international definitions that describes the NMAHP research-focused clinical academic role activity.
Disalvo, D, Luckett, T, Bennett, A, Davidson, P & Agar, M 2019, 'Pharmacists' perspectives on medication reviews for long-term care residents with advanced dementia: a qualitative study.', International journal of clinical pharmacy, vol. 41, no. 4, pp. 950-962.View/Download from: Publisher's site
Background Medication reviews by pharmacists have been shown to identify and reduce drug-related problems in long-term care residents. Objective To explore pharmacist perspectives of the Australian Government funded pharmacist-conducted residential medication management review and its role improving the quality and safety of prescribing in long-term care, in particular for those living with advanced dementia. Setting Australian Long-term care pharmacists. Method A qualitative research methodology approach using semi-structured interviews was used, with participants pharmacists with Residential Medication Management Review experience. Interviews were recorded, transcribed and coded utilising a meta-model of Physician-Community Pharmacy Collaboration in medication review. Main outcome measure Pharmacists' perspectives on the Residential Medication Management Review and how to improve the quality of reviews for residents with advanced dementia. Results Fifteen accredited pharmacists participated. The majority believed that the Residential Medication Management Review had the potential to improve the quality and safety of medicines but highlighted systemic issues that worked against collaborative practice. Participants emphasised the importance of three-way collaboration between general practitioners, pharmacists and nursing staff and highlighted key strategies for its optimisation. Conclusion Incorporating avenues for greater communication between team members can improve collaboration between health professionals and ultimately the quality of medication reviews.
Currow, DC, Agar, M & Ekstroem, M 2019, 'Sertraline or placebo in chronic breathlessness? Lessons from placebo research', EUROPEAN RESPIRATORY JOURNAL, vol. 53, no. 1.View/Download from: Publisher's site
Currow, DC, Ekstrom, M, Louw, S, Hill, J, Fazekas, B, Clark, K, Davidson, P, McDonald, C, Sajkov, D, McCaffrey, N, Doogue, M, Abernethy, AP & Agar, M 2019, 'Sertraline in symptomatic chronic breathlessness: a double blind, randomised trial', European Respiratory Journal, vol. 53, no. 1.View/Download from: Publisher's site
Disler, RT, Inglis, SC, Newton, P, Currow, DC, Macdonald, PS, Glanville, AR, Donesky, D, Carrieri-Kohlman, V & Davidson, PM 2019, 'Older Patients' Perspectives of Online Health Approaches in Chronic Obstructive Pulmonary Disease.', Telemedicine Journal and e-Health, vol. 25, no. 9.View/Download from: Publisher's site
BACKGROUND:Chronic obstructive pulmonary disease (COPD) is a complex, chronic condition. Patients commonly have limited access to face-to-face support due to decreased mobility, symptom burden, and availability of services. Online health care approaches provide the potential for increased access to self-management education and support. This study sought to understand older patients with COPD's perspectives of online approaches to health care. MATERIALS AND METHODS:Participants older than 65 years were recruited from a respiratory service at an academic medical center. Qualitative, focus groups were used and recorded, transcribed verbatim, and analyzed using thematic analysis to identify key and repeated emergent themes. RESULTS:Focus groups were undertaken between January and May 2014. Thematic analysis resulted in five overall themes: (1) concern over risks in the online environment; (2) multimedia and technology use as part of everyday life; (3) online resources as an opportunity for revision of forgotten knowledge; (5) potential for facilitation of decision-making support across geographical and physical barriers; and (4) perceived benefits of online peer support for people with COPD. CONCLUSIONS:Overall, these older participants with COPD had positive views of online health information, but did raise the need for guidance to ensure valid and reliable online sources. The capacity for online sources to increase access to decision support and up-to-date information was viewed positively, as was the ability to interact with peers who had similar experiences. Telecommunication tools and approaches are already being utilized in health care interactions. Further research is required into the most appropriate, feasible, and sustainable online health approaches to support patients with chronic illnesses such as COPD.
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: 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...
Wyllie, A, Levett-Jones, T, DiGiacomo, M & Davidson, P 2019, 'Exploring the experiences of early career academic nurses as they shape their career journey: A qualitative study.', Nurse education today, vol. 76, pp. 68-72.View/Download from: Publisher's site
OBJECTIVE:This study aimed to explore the experiences of early career academic nurses as they shape their career path in one Australian university. BACKGROUND:The early years of academic career development can be challenging as individuals learn to adjust to the teaching, research and service mission of universities. Tertiary institutions have an obligation to provide future nursing leaders with relevant and timely support during the formative phase of career development, to be successful in a competitive global environment. DESIGN:A qualitative descriptive approach was used and data were analysed thematically using Braun and Clarke (2006) six phase process. METHODS:Eleven early career academic nurses who were interviewed, had completed, or were near completion of a doctorate and were within seven years of full-time academic employment. RESULTS:The four themes that emerged from the analysis were: embarking on the journey; the toil of the journey; fellow travellers on the journey, and strategies for a successful journey. CONCLUSIONS:Findings from this study can be used to inform customised mentorship programs for nurse academics during their initial stage of career employment.
Lovell, M, Birch, M-R, Luckett, T, Phillips, J, Davidson, PM, Agar, M & Boyle, F 2019, 'Screening and Audit as Service-Level Strategies to Support Implementation of Australian Guidelines for Cancer Pain Management in Adults: A Feasibility Study.', Pain Management Nursing, vol. 20, no. 2, pp. 113-117.View/Download from: Publisher's site
BACKGROUND:Pain in people with cancer is common but often under-recognized and under-treated. Guidelines can improve the quality of pain care, but need targeted strategies to support implementation. AIM:To test the feasibility of two service-level strategies for supporting guideline implementation: a screening system and medical record audit. DESIGN:Multimethods. SETTING:One oncology outpatient service, and one palliative care outpatient and inpatient service. PARTICIPANTS:Patients with advanced cancer. METHODS:Patients were screened in the waiting room with a modified version of the Edmonton Symptom Assessment System-revised either electronically or in paper-based format. Feasibility indicated the percentage of patients successfully screened from the total number attending the services. An audit assessed adherence to key indicators of pain assessment and management. Feasibility thresholds were set at 75% incidence for screening and a median of 30 minutes per patient for audit. RESULTS:Of 452 patient visits, 95% (n = 429) were successfully screened, 34% (n = 155) electronically and 61% (n = 274) paper-based. Electronic pain screening was technically challenging and time-intensive for nurses. Thirty-one patients consented to have their records audited. The median audit time was 37.5 minutes (range 10-120 minutes). Variability arose from the number and type of record (outpatient or inpatient). Adherence to indicators varied from 63% (pain assessment at first presentation) to 94% (regular pain assessment and medication prescribed at regular intervals). CONCLUSIONS:This study confirmed the need to implement evidence-based guidelines for cancer pain and generated useful insights into the feasibility of pain screening and audit.
Luckett, T, Davidson, PM, Green, A, Marie, N, Birch, M-R, Stubbs, J, Phillips, J, Agar, M, Boyle, F & Lovell, M 2019, 'Development of a cancer pain self-management resource to address patient, provider, and health system barriers to care', PALLIATIVE & SUPPORTIVE CARE, vol. 17, no. 4, pp. 472-478.View/Download from: Publisher's site
Phillips, JL, Heneka, N, Lovell, M, Lam, L, Davidson, P, Boyle, F, McCaffrey, N, Fielding, S & Shaw, T 2019, 'A phase III wait-listed randomised controlled trial of novel targeted inter-professional clinical education intervention to improve cancer patients' reported pain outcomes (The Cancer Pain Assessment (CPAS) Trial): study protocol.', Trials, vol. 20, no. 1.View/Download from: Publisher's site
BACKGROUND:Variations in care models contribute to cancer pain being under-recognised and under-treated in half of all patients with cancer. International and national cancer pain management guidelines are achievable with minimal investment but require practice changes. While much of the cancer pain research over the preceding decades has focused on management interventions, little attention has been given to achieving better adherence to recommended cancer pain guideline screening and assessment practices. This trial aims to reduce unrelieved cancer pain by improving cancer and palliative doctors' and nurses' ('clinicians') pain assessment capabilities through a targeted inter-professional clinical education intervention delivered to participants' mobile devices ('mHealth'). METHODS:A wait-listed, randomised control trial design. Cancer and/or palliative care physicians and nurses employed at one of the six participating sites across Australia will be eligible to participate in this trial and, on enrolment, will be allocated to the active or wait-listed arm. Participants allocated to the active arm will be invited to complete the mHealth cancer pain assessment intervention. In this trial, mHealth is defined as medical or public health practice supported by mobile devices (i.e. phones, patient monitoring devices, personal digital assistants and other wireless devices). This mHealth intervention integrates three evidence-based elements, namely: the COM-B theoretical framework; spaced learning pedagogy; and audit and feedback. This intervention will be delivered via the QStream online platform to participants' mobile devices over four weeks. The trial will determine if a tailored mHealth intervention, targeting clinicians' cancer pain assessment capabilities, is effective in reducing self-reported cancer pain scores, as measured by a Numerical Rating Scale (NRS). DISCUSSION:If this mHealth intervention is found to be effective, in addition to improving cancer pain ...
Sopina, E, Chenoweth, L, Luckett, T, Agar, M, Luscombe, GM, Davidson, PM, Pond, CD, Phillips, J & Goodall, S 2019, 'Health-related quality of life in people with advanced dementia: a comparison of EQ-5D-5L and QUALID instruments.', Quality of Life Research, vol. 28, no. 1, pp. 121-129.View/Download from: Publisher's site
Assessing health-related quality of life (HRQOL) in people with advanced dementia is challenging but important for informed decision-making. Proxy measurement of this construct is difficult and is often rated lower than self-report. Accurate proxy rating of quality of life in dementia is related to identification of concepts important to the person themselves, as well as the sensitivity of the measures used. The main aim of this study was to compare the performance of two instruments-QUALID and EQ-5D-5L-on measuring HRQOL in people with advanced dementia.In a sub-study nested within a cluster-RCT we collected proxy(nurse)-completed EQ-5D-5L and QUALID measures at baseline, 3, 6, 9 and 12 months' follow-up for people with advanced dementia, residing in 20 nursing homes across Australia. Spearman's rank correlations, partial correlations and linear regressions were used to assess the relationship between the HRQOL instrument scores and their changes over time.The mean weight from 284 people for the EQ-5D-5L and QUALID at baseline were 0.004 (95% CI - 0.026, 0.033) and 24.98 (95% CI 24.13, 25.82), respectively. At 12 months' follow-up, 115 participants remained alive. EQ-5D-5L weights and QUALID scores at baseline and at follow-up were moderately correlated (r = - 0.437; p < 0.001 at 12 months). Changes within QUALID and EQ-5D-5L across the same follow-up periods were also correlated (r = - 0.266; p = 0.005). The regression analyses support these findings.Whilst these quality of life instruments demonstrated moderate correlation, the EQ-5D-5L does not appear to capture all aspects of quality of life that are relevant to people with advanced dementia and we cannot recommend the use of this instrument for use within this population. The QUALID appears to be a more suitable instrument for measuring HRQOL in people with severe dementia, but is not preference-based, which limits its application in economic evaluations of dementia care.
Gholizadeh, L, Shahmansouri, N, Heydari, M & Davidson, PM 2019, 'Assessment and detection of depression in patients with coronary artery disease: validation of the Persian version of the PHQ-9.', Contemporary Nurse, vol. 55, no. 2-3, pp. 185-194.View/Download from: Publisher's site
Background: Depression is a common comorbidity in patients with coronary artery disease (CAD), which often remains undetected and untreated. Objective: This study aimed to examine the psychometric properties of the Depression Module of the Patient Health Questionnaire (PHQ-9) on a sample of cardiac patients in Iran. Method: The Persian version of the PHQ-9 was developed and administered to 150 patients with CAD, admitted to a tertiary hospital in Tehran, Iran. The major depression module of the International Neuropsychiatric Interview (MINI) was used as the gold standard for the diagnosis of depression. Results: The Persian PHQ-9 demonstrated acceptable internal consistency, with Cronbach's alpha coefficient of 0.80. The optimal cut-off score of ≥7 showed a sensitivity of 76, specificity of 78, and the area under curve of 0.82. Conclusion: The Persian PHQ-9 has acceptable psychometric properties to screen for and detect a current depressive episode in patients with CAD, with recommended cut-off score of ≥7.
Siabani, H, Davidson, P, Siabani, S, Gholizadeh, L, Karim, H, Najafi, F, Hamzeh, H, Saeidi, MR, Babakhani, M & Asadmobini, A 2019, 'The Kermanshah Acute Coronary Syndrome Registry: Rational and Design', Acta Scientific Medical Sciences, vol. 3, no. 8, pp. 97-102.
Hayes, C, Power, T, Davidson, PM, Daly, J & Jackson, D 2019, 'Corrigendum to "Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses" [Nurse Educ. Today 35 (99), September 2015, 981-986].', Nurse education today, vol. 78, pp. 58-58.View/Download from: Publisher's site
Hayes, C, Power, T, Davidson, PM, Daly, J & Jackson, D 2019, 'Learning to liaise: using medication administration role-play to develop teamwork in undergraduate nurses.', Contemporary Nurse, vol. 55, no. 4-5, pp. 278-287.View/Download from: Publisher's site
To describe undergraduate nursing students' situational awareness and understanding of effective liaison and collaboration within the nursing team during interrupted medication administration.Medication errors related to interruptions are a major problem in health care, impacting on patient morbidity and mortality and increasing the burden of related costs. Effective liaison, teamwork and situation awareness are requisite skills for nurses to facilitate the safe management of interruptions during medication administration.A role-play simulation was offered to 528 second-year undergraduate Bachelor of Nursing students. Qualitative written reflective responses were subsequently collected and subject to thematic analysis to derive themes.Participants (451:528) reported an improved understanding of an unfamiliar and challenging situation that required cooperation and collaboration amongst the nursing team to improve outcomes.This simulation exposed undergraduate nurses with limited clinical experience to a situation otherwise unavailable to them. The skills required to engage in effective liaison and teamwork in dynamic situations are vital elements in achieving quality care and must begin to be taught at an undergraduate level.
Allida, S, Hayward, C, Shehab, S, Inglis, S, Davidson, P & Newton, P 2018, 'A Randomised Pilot Study of Chewing Gum to Relieve Thirst in Chronic Heart Failure (RELIEVE-CHF Trial)', Heart, Lung and Circulation, vol. 27, pp. S70-S71.View/Download from: Publisher's site
Abshire, M, Bidwell, JT, Page, G, Budhathoki, C, Davidson, PM, Russell, SD, Han, H-R, Desai, S & Himmelfarb, CD 2018, 'Physiological and Psychological Stress in Patients Living With a Left Ventricular Assist Device', ASAIO JOURNAL, vol. 64, no. 6, pp. E172-E180.View/Download from: Publisher's site
Abshire, M, Russell, SD, Davidson, PM, Budhathoki, C, Han, H-R, Grady, KL, Desai, S & Himmelfarb, CD 2018, 'Social Support Moderates the Relationship Between Perceived Stress and Quality of Life in Patients With a Left Ventricular Assist Device', JOURNAL OF CARDIOVASCULAR NURSING, vol. 33, no. 5, pp. E1-E9.View/Download from: Publisher's site
Baptiste, D-L, Hamilton, JB, Foronda, C, Sloand, E, Fahlberg, B, Pfaff, T, Delva, S & Davidson, PM 2018, 'Hypertension among adults living in Haiti: An integrative review', JOURNAL OF CLINICAL NURSING, vol. 27, no. 13-14, pp. 2536-2545.View/Download from: Publisher's site
Campbell, RT, Petrie, MC, Jackson, CE, Jhund, PS, Wright, A, Gardner, RS, Sonecki, P, Pozzi, A, McSkimming, P, McConnachie, A, Finlay, F, Davidson, P, Denvir, MA, Johnson, MJ, Hogg, KJ & McMurray, JJV 2018, 'Which patients with heart failure should receive specialist palliative care?', EUROPEAN JOURNAL OF HEART FAILURE, vol. 20, no. 9, pp. 1338-1347.View/Download from: Publisher's site
Darvishpoor Kakhki, A & Davidson, P 2018, 'MEASURING THE QUALITY OF LIFE OF OLDER PEOPLE: DEVELOPMENT OF AN INSTRUMENT', Innovation in Aging, vol. 2, no. suppl_1, pp. 308-308.View/Download from: Publisher's site
Davidson, PM, Abshire, MA, Paull, G & Szanton, SL 2018, 'Family caregivers: Important but often poorly understood', JOURNAL OF CLINICAL NURSING, vol. 27, no. 23-24, pp. 4242-4244.View/Download from: Publisher's site
Du, H, Newton, PJ, Budhathoki, C, Everett, B, Salamonson, Y, Macdonald, PS & Davidson, PM 2018, 'The Home-Heart-Walk study, a self-administered walk test on perceived physical functioning, and self-care behaviour in people with stable chronic heart failure: A randomized controlled trial.', European Journal of Cardiovascular Nursing, vol. 17, no. 3, pp. 235-245.View/Download from: Publisher's site
Adherence to self-care recommendations is associated with improved patient outcomes and improved quality of life for people living with heart failure. The Home-Heart-Walk (HHW) is an intervention to promote physical activity adapting the elements of a six minute walk test, a reliable and valid measure. This adaptation was designed to support self-monitoring of physical functioning and promote the self-care of people with heart failure. The primary outcome of the Home-Heart-Walk was perceived physical functioning and the secondary outcomes were six-minute walk test distance, health related quality of life, self-care behaviour, self-efficacy and physical activity level.A multicentre randomized controlled trial. Participants ( N=132) were recruited from three academic hospitals in Sydney, Australia. Participants were randomized to either the Home-Heart-Walk group or the control group. Perceived physical functioning, health related quality of life, self-care behaviour, exercise self-efficacy and physical activity level were measured at baseline and at three- and six-month follow-up.After adjusting for baseline scores, there were no statistically significant between-group differences in perceived physical functioning, six-minute walk test distance, health related quality of life and exercise self-efficacy at follow-up. The intervention group had improvement in self-care behaviour ( F(1,129) = 4.75, p = 0.031) and physical activity level ( U = 1713, z = -2.12, p = 0.034) at the six-month follow-up compared with the control group.The Home-Heart-Walk did not improve the perceived physical functioning of the intervention group. Although the feasibility and acceptability of this strategy to support self-monitoring and improve self-care behaviour was demonstrated, self-reported adherence was unreliable; newer technologies may offer better assessment of adherence.
Koirala, B, Himmelfarb, CD, Budhathoki, C, Tankumpuan, T, Asano, R & Davidson, PM 2018, 'Factors affecting heart failure self-care: An integrative review.', Heart & lung : the journal of critical care, vol. 47, no. 6, pp. 539-545.View/Download from: Publisher's site
Kress, D, Godack, CA, Berwanger, TL & Davidson, PM 2018, 'The new script of nursing: using social media and advances in communication–to create a contemporary image of nursing', Contemporary Nurse, vol. 54, no. 4-5, pp. 388-394.View/Download from: Publisher's site
© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group. Background: Inaccurate and clichéd images of nurses are well documented and need to be challenged. For too long, the image of nursing has been formed by television and movies, which typically portray the nurse as the doctor's assistant or as a background character rather than an integral member of the interdisciplinary team. Method: "The New Script of Nursing", using a multi-media digital approach, was launched by Johns Hopkins University to break through the stereotypical images of nursing and showcase the depth and breadth of the nursing profession. Using a case study method, using temporal limits, the method of the campaign is described and the impact assessed using digital analytics. Results: Within two weeks there were: 23,030 views on Facebook including 1467 reactions, comments and shares; Twitter received 12,208 impressions and 832 engagements; YouTube received 4518 views and 107 views on Instagram. The We Got This website received more than 7000 visitors from Canada, Australia, the United Kingdom, South Africa, Portugal, Lebanon, and Hong Kong. Engagement has been sustained and within nine months, the video on social media received 32,000 views and 400 shares. Conclusion: Social media, cellphones, and portable devices enable not just rapid but widespread communication and there is a compelling imperative to engage this media. The accessibility and affordability of social media is empowering and allows the voice of nurses to be heard. Impact Statement: Social media is an accessible, affordable and efficacious method to address misconceptions and inaccuracies of nursing as a profession. Nurses must adopt communication science and social media to profile the profession.
Lu, J, Grypma, S, Cao, Y, Bu, L, Shen, L & Davidson, PM 2018, 'Historically-informed nursing: A transnational case study in China', NURSING INQUIRY, vol. 25, no. 1.View/Download from: Publisher's site
Nelson, KE, Wright, R, Abshire, M & Davidson, PM 2018, 'All Things Death and Dying: Health Professional Students Participating in the Death Cafe Model', JOURNAL OF PALLIATIVE MEDICINE, vol. 21, no. 6, pp. 850-852.View/Download from: Publisher's site
Paull, G, Newton, P & Davidson, P 2018, 'Self-Care Support Needs of Patients and their Carers Across the Heart Failure Illness Trajectory: A Mixed-Methods Longitudinal Study', Heart, Lung and Circulation, vol. 27, pp. S52-S52.View/Download from: Publisher's site
Paull, G, Newton, P & Davidson, P 2018, 'Supporting Self-Care Across the Heart Failure Illness Trajectory: Exploring the Clinical Practice of Specialist Heart Failure Nurses Across Metropolitan and Regional New South Wales', Heart, Lung and Circulation, vol. 27, pp. S132-S132.View/Download from: Publisher's site
Smith, R, Frazer, K, Hyde, A, O'Connor, L & Davidson, P 2018, '"Heart disease never entered my head": Women's understanding of coronary heart disease risk factors', JOURNAL OF CLINICAL NURSING, vol. 27, no. 21-22, pp. 3953-3967.View/Download from: Publisher's site
Spatz, ES, Wang, Y, Beckman, AL, Wu, X, Lu, Y, Du, X, Li, J, Xu, X, Davidson, PM, Masoudi, FA, Spertus, JA, Krumholz, HM & Jiang, L 2018, 'Traditional Chinese medicine for acute myocardial infarction in western medicine hospitals in China', Circulation: Cardiovascular Quality and Outcomes, vol. 11, no. 3.View/Download from: Publisher's site
© 2018 The Authors. Circulation: Cardiovascular Quality and Outcomes is published on behalf of the American Heart Association, Inc. BACKGROUND: Amid national efforts to improve the quality of care for people with cardiovascular disease in China, the use of traditional Chinese medicine (TCM) is increasing, yet little is known about its use in the early management of acute myocardial infarction (AMI). METHODS AND RESULTS: We aimed to examine intravenous use of TCM within the first 24 hours of hospitalization (early IV TCM) for AMI. Data come from the China Patient-centered Evaluative Assessment of Cardiac Events Retrospective Study of Acute Myocardial Infarction, restricted to a large, representative sample of Western medicine hospitals throughout China (n=162). We conducted a chart review of randomly sampled patients with AMI in 2001, 2006, and 2011, comparing early intravenous TCM use across years, predictors of any early intravenous TCM use, and association with in-hospital bleeding and mortality. From 2001 to 2011, early intravenous TCM use increased (2001: 38.2% versus 2006: 49.1% versus 2011: 56.1%; P<0.01). Nearly all (99%) hospitals used early intravenous TCM. Salvia miltiorrhiza was most commonly prescribed, used in one third (35.5%) of all patients admitted with AMI. Patients receiving any early intravenous TCM, compared with those who did not, were similar in age and sex and had fewer cardiovascular risk factors. In multivariable hierarchical models, admission to a secondary (versus tertiary) hospital was most strongly associated with early intravenous TCM use (odds ratio: 2.85; 95% confidence interval: 1.98-4.11). Hospital-level factors accounted for 55% of the variance (adjusted median odds ratio: 2.84). In exploratory analyses, there were no significant associations between early intravenous TCM and in-hospital bleeding or mortality. CONCLUSIONS: Early intravenous TCM use for AMI in China is increasing despite the lack of evidence of their benefit or ...
Tajbakhsh, F, Hosseini, M, Fallahi-Khoshknab, M, Rokofian, A, Rahgozar, M & Davidson, PM 2018, 'The Effect of Spiritual Care on Depression in Patients Following Coronary Artery Bypass Surgery: A Randomized Controlled Trial', RELIGIONS, vol. 9, no. 5.View/Download from: Publisher's site
McDonagh, J, Martin, L, Ferguson, C, Jha, S, Macdonald, P, Davidson, P & Newton, P 2018, 'Frailty assessment instruments in heart failure: a systematic review.', European Journal of Cardiovascular Nursing, vol. 17, no. 1.View/Download from: Publisher's site
Frailty is an independent predictor of mortality across many conditions. Reported rates of frailty in heart failure range from 15% to 74%. There are several instruments available to assess frailty; however, to date there has been no consensus on the most appropriate instrument for use in individuals with heart failure.
To identify how frailty is assessed in individuals with heart failure and to elucidate which domains of frailty are most frequently assessed.
Key electronic databases were searched (MEDLINE, COCHRANE Central and CINAHL) to identify studies that assessed frailty in individuals with heart failure using a formal frailty instrument.
Twenty studies published in 24 articles were included, for which a total of seven unique frailty instruments were identified. The most commonly used instrument was the Frailty Phenotype (n= 11), with the majority of studies using a modified version of the Frailty Phenotype (n= 8). The second most commonly used instrument identified was the Comprehensive Geriatric Assessment (n= 4).
There is an increasing interest in the assessment of frailty, but, to date, there is no frailty instrument validated specifically in the heart failure population.
Ferguson, C, Shaikh, F, Pasch, L, Newton, P, Inglis, S, Bajorek, B, Macdonald, P & Davidson, P 2018, 'Medication Regimen Complexity in Individuals With Heart Failure and Concomitant Atrial Fibrillation: A Secondary Analysis', Heart, Lung and Circulation, vol. 27, pp. S385-S385.View/Download from: Publisher's site
Beaman, A, Asano, R, Sibbritt, D, Newton, PJ & Davidson, PM 2018, 'Global service learning and health systems strengthening: An integrative literature review.', Heliyon, vol. 4, no. 8, pp. e00713-e00713.View/Download from: Publisher's site
The sustainability of many global interventions, in the absence of adequate local financial and human resources to sustain them in the long term, is questioned. In response, there has been a shift in focus among global health actors towards the strengthening of local health systems via global service learning to effectively, efficiently and sustainably deliver healthcare and build capacity. There has been considerable research examining the benefits of global service learning experiences for students, but limited research has been conducted to determine the impact that health sciences global service learning experiences are having on the host country health systems.An integrative review of the literature was conducted to examine the linkages between global service-learning and health systems strengthening. A comprehensive search of international literature from 2005 to 2017 in PubMed, CINAHL, Embase, ERIC, Scopus and Web of Science databases was conducted. The search was limited to peer-reviewed articles published in English language. Thematic analysis revealed three key themes: a dominant service-LEARNING typology, a unidirectional pattern from high-income to low and middle-income countries, and the preeminence of the nursing discipline in global service learning. There was limited evidence on sustainability and health systems strengthening.The healthcare workforce of the future is willing to meet the challenges facing health systems across the globe. Global service-learning has yet to be examined in the context of health systems strengthening and particularly within a context of reciprocity. The onus is on higher education institutions in high-income countries to develop and deliver evidence-based global service-learning that is beneficial and engaging for students while most effectively meeting the need of the global community.
Rihari-Thomas, J, Newton, PJ, Sibbritt, D & Davidson, PM 2018, 'Rapid response systems: where we have come from and where we need to go?', Journal of Nursing Management, vol. 26, no. 1, pp. 1-2.View/Download from: Publisher's site
Green, A, Abbott, P, Davidson, P, Delaney, P, Delaney, J, Patradoon-Ho, P & DiGiacomo, M 2018, 'Interacting with providers: an intersectional exploration of the experiences of carers of Aboriginal children with a disability', Qualitative Health Research, vol. 28, no. 12, pp. 1923-1932.View/Download from: Publisher's site
Intersectionality has potential to create new ways to describe disparities and craft meaningful solutions. This study aimed to explore Aboriginal carers' experiences of interactions with health, social, and education providers in accessing services and support for their child. Carers of Aboriginal children with a disability were recruited from an Australian metropolitan Aboriginal community-controlled health service. In-depth, semi-structured interviews were conducted with nineteen female carers. Transcripts underwent interpretative phenomenological analysis. Intersectionality was applied as an analytical framework due to the inherent power differentials for Aboriginal Australians and carers for people with a disability. Marginalisation and a lack of empowerment was evident in the experiences of interactions with providers due to cultural stereotypes and racism, lack of cultural awareness and sensitivity, and poverty and homelessness. Community-led models of care can help overcome the intersectional effects of these identities and forms of oppression in carers' interactions with providers and enhance access to care.
Maneze, D, Ramjan, L, DiGiacomo, M, Everett, B, Davidson, PM & Salamonson, Y 2018, 'Negotiating health and chronic illness in Filipino-Australians: A qualitative study with implications for health promotion', Ethnicity and Health, vol. 23, no. 6, pp. 611-628.View/Download from: Publisher's site
Objective: In spite of the healthy immigrant effect, the prevalence of lifestyle-related chronic diseases among migrants is reported to approximate that of the host country with longer duration of stay. For example, higher rates of chronic diseases such as Type 2 diabetes and hypertension have been observed among Filipino migrants and these have been linked to acculturation. The aim of this study was to explore the experiences of Filipino-Australian migrants in managing their chronic health conditions in a Western host country.
Design: This paper reports on qualitative findings of a mixed methods study that used an explanatory sequential design. Nine focus group discussions were undertaken with 58 Filipino-Australian migrants with chronic disease. Thematic analysis was undertaken using a five-stage general purpose thematic framework ensuring that themes closely identified key participants' experiences.
Results: Findings revealed that health benefits provided by the health system in Australia were considered advantageous. However, a lack of social and instrumental support compounded isolation and disempowerment, limiting self-management strategies for chronic illnesses. Cultural beliefs and practices influenced their knowledge, attitude to and management of chronic disease, which health service providers overlooked because of perceived acculturation and English language skills. Overall this study has clearly identified recognition of cultural beliefs, language needs and support as three core needs of Filipino-Australian migrants with the elderly the most vulnerable.
Conclusion: This paper highlights that self-management of chronic disease among elderly Filipino immigrants may be adversely affected by host language difficulties, a lack of social support and cultural issues, impacting on access to services, health-seeking behaviours and participation in health promotion initiatives. Language, culture-specific health interventions and resources and enhancing socia...
Davidson, P, Rushton, CH, Kurtz, M, Wise, B, Jackson, D, Beaman, A & Broome, M 2018, 'A social-ecological framework: A model for addressing ethical practice in nursing.', Journal of Clinical Nursing, vol. 27, no. 5-6, pp. e1233-e1241.View/Download from: Publisher's site
To develop a framework to enable discussion, debate and the formulation of interventions to address ethical issues in nursing practice.Social, cultural, political and economic drivers are rapidly changing the landscape of health care in our local environments but also in a global context. Increasingly, nurses are faced with a range of ethical dilemmas in their work. This requires investigation into the culture of healthcare systems and organisations to identify the root causes and address the barriers and enablers of ethical practice. The increased medicalisation of health care; pressures for systemisation; efficiency and cost reduction; and an ageing population contribute to this complexity. Often, ethical issues in nursing are considered within the abstract and philosophical realm until a dilemma is encountered. Such an approach limits the capacity to tangibly embrace ethical values and frameworks as pathways to equitable, accessible, safe and quality health care and as a foundation for strengthening a supportive and enabling workplace for nurses and other healthcare workers.Conceptual framework development.A comprehensive literature review was undertaken using the social-ecological framework as an organising construct.This framework views ethical practice as the outcome of interaction among a range of factors at eight levels: individual factors (patients and families); individual factors (nurses); relationships between healthcare professionals; relationships between patients and nurses; organisational healthcare context; professional and education regulation and standards; community; and social, political and economic.Considering these elements as discrete, yet interactive and intertwined forces can be useful in developing interventions to promote ethical practice. We consider this framework to have utility in policy, practice, education and research.Nurses face ethical challenges on a daily basis, considering these within a social-ecological framework can ass...
Padula, WV, Davidson, PM, Jackson, D, Pedreira, R & Pronovost, PJ 2018, 'Unintended consequences of quality improvement programs on the prevention of hospital-acquired conditions: Avoiding the temptation to bite into low-hanging fruit', Journal of Patient Safety and Risk Management, vol. 23, no. 3, pp. 123-127.View/Download from: Publisher's site
Babatunde-Sowole, O, Power, TJ, Davidson, PM, Ballard, C & Jackson, D 2018, 'Exploring the diet and lifestyle changes contributing to weight gain among Australian West African women following migration: A qualitative study', Contemporary Nurse, vol. 54, no. 2, pp. 150-159.View/Download from: Publisher's site
Aims and objectives: This paper reports on women's experiences of weight gain and obesity as they became acculturated to the Australian diet and lifestyle.
Background: Migrants from sub-Saharan Africa have a much higher risk of obesity than the native population when settling in industrialised countries.
Results: Women in this study reported weight gain post-migration. This was attributed to increased access to a wide variety of food including takeaway food and more sedentary lifestyles.
Conclusions: Obesity has long-term consequences for health and well-being. Further research is needed to support a healthy transition to life in Australia.
Relevance to clinical practice: Gaining insight into the underlying reasons that West African immigrants to Australia become obese could contribute to assisting health professionals design culturally appropriate interventions and health education programmes to support new arrivals.
Smith, TA, Agar, M, Jenkins, CR, Ingham, JM & Davidson, PM 2018, 'Experience of acute noninvasive ventilation-insights from 'Behind the Mask': a qualitative study.', BMJ Supportive and Palliative Care, vol. 9.View/Download from: Publisher's site
Non-invasive ventilation (NIV) is widely used in the management of acute and acute-on-chronic respiratory failure. Understanding the experiences of patients treated with NIV is critical to person-centred care. We describe the subjective experiences of individuals treated with NIV for acute hypercapnic respiratory failure.Qualitative face-to-face interviews analysed using thematic analysis.Australian tertiary teaching hospital.Individuals with acute hypercapnic respiratory failure treated with NIV outside the intensive care unit. Individuals who did not speak English or were unable or unwilling to consent were excluded.13 participants were interviewed. Thematic saturation was achieved. Participants described NIV providing substantial relief from symptoms and causing discomfort. They described enduring NIV to facilitate another chance at life. Although participants sometimes appeared passive, others expressed a strong conviction that they knew which behaviours and treatments relieved their distress. Most participants described gaps in their recollection of acute hospitalisation and placed a great amount of trust in healthcare providers. All participants indicated that they would accept NIV in the future, if clinically indicated, and often expressed a sense of compulsion to accept NIV. Participants' description of their experience of NIV was intertwined with their experience of chronic disease.Participants described balancing the benefits and burdens of NIV, with the goal of achieving another chance at life. Gaps in recall of their treatment with NIV were frequent, potentially suggesting underlying delirium. The findings of this study inform patient-centred care, have implications for the care of patients requiring NIV and for advance care planning discussions.
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: Publisher's site
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: Publisher's site
Disalvo, D, Luckett, T, Luscombe, G, Bennett, A, Davidson, P, Chenoweth, L, Mitchell, G, Pond, D, Phillips, J, Beattie, E, Goodall, S & Agar, M 2018, 'Potentially inappropriate prescribing in Australian nursing home residents with advanced dementia: a sub-study of the IDEAL Study', Journal of Palliative Medicine, vol. 21, no. 10, pp. 1472-1479.
Prichard, R, Goodall, S, Davidson, P, MacDonald, P, McDonagh, J & Hayward, C 2018, 'Frailty and Quality of Life in Advanced Heart Failure and Transplant Medicine: Do We Need to Screen?', Heart, Lung and Circulation, vol. 27, pp. S101-S101.View/Download from: Publisher's site
Prichard, R, Goodall, S, Davidson, P, Macdonald, P, Mcdonagh, J, Newton, P & Hayward, C 2018, 'Estimating Quality of Life Among Advanced Heart Failure Patients: What Could Formal Screening Add to Clinical Assessments', Heart, Lung and Circulation, vol. 27, pp. S384-S384.View/Download from: Publisher's site
Prichard, R, Kershaw, L, Davidson, P, Newton, PJ, Goodall, S & Hayward, C 2018, 'Combining institutional and administrative data to assess hospital costs for patients receiving ventricular assist devices', International Journal of Technology Assessment in Health Care, vol. 34, no. 6, pp. 555-566.View/Download from: Publisher's site
Prichard, R, Kershaw, L, Goodall, S, Davidson, P, Newton, P, McNeil, F, Homer, T & Hayward, C 2018, 'Left ventricular device implantation impacts on hospitalisation rates, length of stay and out of hospital time', Heart, Lung and Circulation, vol. 27, no. 6, pp. 708-715.View/Download from: Publisher's site
Background Widespread application of left ventricular assist devices (LVADs) in advanced heart failure, is limited by
costs, and access to technical expertise. Hospitalisation drives both cost and inversely, quality of life but
cross institutional and pre-surgical inpatient length of stay data is missing in the Australian literature. We
describe changes in hospitalisation rates, in the year before and after bridge to transplant LVAD therapy and
preceding heart transplant (HTX).
Methods Hospitalisation, Australian refined diagnosis group (ArDRG), and clinical data were assessed for 77/100
consecutive patients listed for heart transplant between July of 2009 and June of 2012. Twenty-five of the
patients required ventricular assist device (VAD) therapy whilst waitlisted. Hospitalisation was defined as
the proportion of ''days at risk" that were spent in hospital and included all public and private admissions
identified in the year before and after VAD implant, or before HTX, in a linked administrative dataset of
admissions across New South Wales.
Results Patients requiring VADs were clinically more unstable and spent proportionally more time in hospital than
pre-HTX patients, (13% (IQR 10-20%) vs 4% (IQR1-10%), p < 0.01). During the index admission, they spent
22 days (IQR 10-33) in hospital before implantation, including 13 days in non-transplant centres (IQR 7-20).
Following implantation, median inpatient stay was 31(IQR 26-70) – including rehabilitation in 8 of the 25
The number of admissions per patientreduced in the year after VAD-implant to two (IQR1-3), from five preimplant
(IQR 3-7) p = 0.002. This was similar to the pre-HTX group's three admissions (IQR1-6), p = 0.33.
Overall hospitalisation decreased in VAD patients beyond the first year from 14% (IQR 10-20%) at 1-year
to 0.5% (IQR 0-10%) at 2-year (p = 0.002). A high percentage of hospitalisation prior to VAD (41%) and HTX
(66%) occurred outside the transplant centre.
Conclusions A high prop...
Chroinin, DN, Goldsbury, DE, Beveridge, A, Davidson, PM, Girgis, A, Ingham, N, Phillips, JL, Wilkinson, AM, Ingham, JM & O'Connell, DL 2018, 'Health-services utilisation amongst older persons during the last year of life: a population-based study', BMC GERIATRICS, vol. 18.View/Download from: Publisher's site
Hickman, L, Phillips, J, Davidson, P, Macdonald, P & Newton, P 2018, 'Screening for Mild Cognitive Impairment in Patients with Heart Failure Identifies Increase Healthcare Utilisation and Activities of Daily Living: A Cross-Sectional Study', Heart, Lung and Circulation, vol. 27, pp. S51-S51.View/Download from: Publisher's site
Luckett, T, Phillips, J, Agar, M, Lam, L, Davidson, PM, McCaffrey, N, Boyle, F, Shaw, T, Currow, DC, Read, A, Hosie, A & Lovell, M 2018, 'Protocol for a phase III pragmatic stepped wedge cluster randomised controlled trial comparing the effectiveness and cost-effectiveness of screening and guidelines with, versus without, implementation strategies for improving pain in adults with cancer attending outpatient oncology and palliative care services: the Stop Cancer PAIN trial', BMC HEALTH SERVICES RESEARCH, vol. 18.View/Download from: Publisher's site
Wyllie, A, DiGiacomo, M, Jackson, D, Davidson, P & Phillips, J 2018, 'Corrigendum to "Acknowledging attributes that enable the career academic nurse to thrive in the tertiary education sector: A qualitative systematic review" [Nurse Educ. Today 45, October 2016, 212-218].', Nurse Education Today, vol. 62, pp. 164-164.View/Download from: Publisher's site
Hayes, CJ, Jackson, D, Davidson, PM, Daly, J & Power, T 2018, 'Pondering practice: Enhancing the art of reflection', Journal of Clinical Nursing, vol. 27, no. 1-2, pp. 345-353.View/Download from: Publisher's site
Aims and objectives
The aim of this study was to describe the effect that immersive simulation experiences and guided reflection can have on the undergraduate nurses' understanding of how stressful environments impact their emotions, performance and ability to implement safe administration of medications.
Patient safety can be jeopardised if nurses are unsure of how to appropriately manage and respond to interruptions. Medication administration errors are a major patient safety issue and often occur as a consequence of ineffective interruption management. The skills associated with medication administration are most often taught to, and performed by, undergraduate nurses in a controlled environment. However, the clinical environment in which nurses are expected to administer medications is often highly stressed and nurses are frequently interrupted.
This study used role-play simulation and written reflections to facilitate deeper levels of student self-awareness. A qualitative approach was taken to explore students' understanding of the effects of interruptions on their ability to undertake safe medication administration. Convenience sampling of second-year undergraduate nursing students enrolled in a medical–surgical subject was used in this study. Data were obtained from 451:528 (85.42%) of those students and analysed using thematic analysis.
Students reported increasing consciousness and the importance of reflection for evaluating performance and gaining self-awareness. They described self-awareness, effective communication, compassion and empathy as significant factors in facilitating self-efficacy and improved patient care outcomes.
Following a role-play simulation experience, student nurses reported new knowledge and skill acquisition related to patient safety, and new awareness of the need for empathetic and compassionate care during medication administration. Practicing medication administration in realis...
Abshire, MA, Davidson, PM, Desai, S, Budhathoki, C, Russell, SD & Dennison Himmelfarb, C 2017, 'Increased Perceived Stress and Fatigue are Associated with Worse Quality of Life in Patients with a Left Ventricular Assist Device', The Journal of Heart and Lung Transplantation, vol. 36, no. 4, pp. S133-S133.View/Download from: Publisher's site
Cajita, MI, Denhaerynck, K, Dobbels, F, Berben, L, Russell, CL, Davidson, PM & De Geest, S 2017, 'Health literacy in heart transplantation: Prevalence, correlates and associations with health behaviors—Findings from the international BRIGHT study', Journal of Heart and Lung Transplantation, vol. 36, no. 3, pp. 272-279.View/Download from: Publisher's site
© 2017 International Society for Heart and Lung Transplantation Background Health literacy (HL) is a major determinant of health outcomes; however, there are few studies exploring the role of HL among heart transplant recipients. The objectives of this study were to: (1) explore and compare the prevalence of inad equate HL among heart transplant recipients internationally; (2) determine the correlates of HL; and (3) assess the relationship between HL and health-related behaviors. Methods A secondary analysis was conducted using data of the 1,365 adult patients from the BRIGHT study, an international multicenter, cross-sectional study that surveyed heart transplant recipients across 11 countries and 4 continents. Using the Subjective Health Literacy Screener, inadequate HL was operationalized as being confident in filling out medical forms none/a little/some of the time (HL score of 0 to 2). Correlates of HL were determined using backward stepwise logistic regression. The relationship between HL and the health-related behaviors were examined using hierarchical logistic regression. Results Overall, 33.1% of the heart transplant recipients had inadequate HL. Lower education level (adjusted odds ratio [AOR] 0.24, p < 0.001), unemployment (AOR 0.69, p = 0.012) and country (residing in Brazil, AOR 0.25, p < 0.001) were shown to be associated with inadequate HL. Heart transplant recipients with adequate HL had higher odds of engaging in sufficient physical activity (AOR 1.6, p = 0.016). HL was not significantly associated with the other health behaviors. Conclusions Clinicians should recognize that almost one third of heart transplant participants have inadequate health literacy. Furthermore, they should adopt communication strategies that could mitigate the potential negative impact of inadequate HL.
Gholizadeh, L, Ali Khan, S, Vahedi, F & Davidson, PM 2017, 'Sensitivity and specificity of Urdu version of the PHQ-9 to screen depression in patients with coronary artery disease.', Contemporary Nurse, vol. 53, no. 1, pp. 75-81.View/Download from: Publisher's site
BACKGROUND: The Patient Health Questionnaire (PHQ-9) possesses many characteristics of a good screening tool and has the capacity to be used for screening depression in patients with coronary artery disease (CAD). AIM: To examine the psychometric properties and criterion validity of the PHQ-9 to screen and detect depression in patients with CAD in Pakistan. DESIGN: In this validation study, 150 patients with CAD completed the Urdu version of the PHQ-9. The major depressive episode module of the Mini International Neuropsychiatric Interview (MINI) was used as the gold standard. RESULTS: The Urdu version of the PHQ-9 revealed a good internal consistency with Cronbach's alpha of 0.83. Optimal sensitivity (76%) and specificity (76%) were achieved using the cut-off score of PHQ-9 ≥6, with area under the ROC curve of 0.86. CONCLUSION: The Urdu version of the PHQ-9 has acceptable psychometric properties to screen and detect major depression in patients with CAD.
Gleason, KT, Davidson, PM, Tanner, EK, Baptiste, D, Rushton, C, Day, J, Sawyer, M, Baker, D, Paine, L, Himmelfarb, CRD & Newman-Toker, DE 2017, 'Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action', Diagnosis (Berlin, Germany), vol. 4, no. 4, pp. 201-210.View/Download from: Publisher's site
Nurses have always been involved in the diagnostic process, but there remains a pervasive view across physicians, nurses, and allied health professionals that medical diagnosis is solely a physician responsibility. There is an urgent need to adjust this view and for nurses to take part in leading efforts addressing diagnostic errors. The purpose of this article is to define a framework for nursing engagement in the diagnostic process that can serve as a catalyst for nurses to engage in eliminating preventable harms from diagnostic error. We offer a conceptual model to formalize and expand nurses' engagement in the diagnostic process through education, maximize effectiveness of interprofessional teamwork and communication through culture change, and leverage the nursing mission to empower patients to become active members of the diagnostic team. We describe the primary barriers, including culture, education, operations, and regulations, to nurses participating as full, equal members of the diagnostic team, and illustrate our approach to addressing these barriers. Nurses already play a major role in diagnosis and increasingly take ownership of this role, removing barriers will strengthen nurses' ability to be equal, integral diagnostic team members. This model should serve as a foundation for increasing the role of the nurse in the diagnostic process, and calling nurses to take action in leading efforts to reduce diagnostic error.
Hunt, L, Frost, SA, Newton, PJ, Salamonson, Y & Davidson, PM 2017, 'A survey of critical care nurses' knowledge of intra-abdominal hypertension and absdominal compartment syndrome', Australian Critical Care, vol. 30, no. 1, pp. 21-27.View/Download from: Publisher's site
Intra-abdominal hypertension and abdominal compartment syndrome are potentially life threatening conditions. Critical care nurses need to understand the factors that predispose patients to intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). Predicting and managing IAH and ACS are important to improve health outcomes.
The aim of this paper was to (1) assess the knowledge of Australian critical care nurses about current IAH and ACS practice guidelines, measurement techniques, predictors for the development of IAH and ACS and (2) identify barriers in recognizing IAH, ACS and measuring IAP.
Between October 2014 and April 2015 86 registered nurses employed in the area of critical care were recruited via the form to participate in an on-line, 19-item questionnaire. The survey was distributed to critical care nurses via the Australian College of Critical Care Nurses (ACCCN) mailing list and directly to intensive care units via The majority of participants were women (n = 62) all participants were registered nurses employed in critical care the response rate was 3.2%. The study design was used to establish demographic data, employment data, and individuals' knowledge related to IAH and ACS. Participants had the option to write hand written responses in addition to selecting a closed question response.
The results showed that most survey participants were able to identify some obvious causes of IAH. However, less than 20% were able to recognize less apparent indices of risk. A lack of education related to IAP monitoring was identified by nearly half (44.2%) of respondents as the primary barrier to monitoring IAP.
Leyva, EWA, Beaman, A & Davidson, PM 2017, 'Health Impact of Climate Change in Older People: An Integrative Review and Implications for Nursing', JOURNAL OF NURSING SCHOLARSHIP, vol. 49, no. 6, pp. 670-678.View/Download from: Publisher's site
Padula, WV, Nagarajan, M, Davidson, PM & Pronovost, PJ 2017, 'Investing In Skilled Specialists To Grow Hospital Infrastructure And Improve Quality', Value in Health, vol. 20, no. 9, pp. A514-A515.View/Download from: Publisher's site
Slater, T, Stanik-Hutt, J & Davidson, P 2017, 'Cerebral perfusion monitoring in adult patients following cardiac surgery: an observational study', CONTEMPORARY NURSE, vol. 53, no. 6, pp. 669-680.View/Download from: Publisher's site
Smith, TA, Disler, RT, Jenkins, CR, Ingham, JM & Davidson, PM 2017, 'Perspectives on advance care planning among patients recently requiring non-invasive ventilation for acute respiratory failure: A qualitative study using thematic analysis.', Palliative Medicine, vol. 31, no. 6, pp. 566-574.View/Download from: Publisher's site
BACKGROUND: Patients requiring non-invasive ventilation for acute-on-chronic respiratory failure due to chronic obstructive pulmonary disease or heart failure exacerbations may have a poor prognosis underscoring the importance of advance care planning. AIM: We aimed to describe attitudes to, and experiences of, discussing the future among patients recently treated with non-invasive ventilation. DESIGN: Qualitative research using thematic analysis. SETTINGS AND PARTICIPANTS: Tertiary teaching hospital. Patients with acute hypercapnic respiratory failure requiring non-invasive ventilation. RESULTS: Individuals recently treated with non-invasive ventilation describe feeling the future is beyond their control and instead controlled by their illness. Participants often recognised their poor prognosis but avoided discussing some difficult topics. The majority preferred not to undergo cardiopulmonary resuscitation but most had not discussed this with healthcare professionals. When participants voiced concerns about their future health to family members, they were met with polarised responses. Some encountered willingness for further discussion, while others met deflection, deterring further conversation. An overarching narrative of 'Looking through my illness to an uncertain but concerning future' unites these themes. CONCLUSION: This study suggests opportunities and barriers for advance care planning in individuals with chronic disease. Patients' understanding of their prognosis and their attitudes to cardiopulmonary resuscitation suggests an opportunity for advance care planning. Structuring discussions around patients' preferences for care during future exacerbations may foster a sense of control over the future despite illness. The diversity of familial responses to patients' concerns about their future health has implications for advance care planning. These findings have the potential to improve care for patients with respiratory failure and suggest an important o...
Walczak, A, Butow, PN, Tattersall, MHN, Davidson, PM, Young, J, Epstein, RM, Costa, DSJ & Clayton, JM 2017, 'Encouraging early discussion of life expectancy and end-of-life care: A randomised controlled trial of a nurse-led communication support program for patients and caregivers', International Journal of Nursing Studies, vol. 67, pp. 31-40.View/Download from: Publisher's site
© 2016 Elsevier Ltd Background Patients are often not given the information needed to understand their prognosis and make informed treatment choices, with many consequently experiencing less than optimal care and quality-of-life at end-of-life. Objectives To evaluate the efficacy of a nurse-facilitated communication support program for patients with advanced, incurable cancer to assist them in discussing prognosis and end-of-life care. Design A parallel-group randomised controlled trial design was used. Settings This trial was conducted at six cancer treatment centres affiliated with major hospitals in Sydney, Australia. Participants 110 patients with advanced, incurable cancer participated. Methods The communication support program included guided exploration of a question prompt list, communication challenges, patient values and concerns and the value of discussing end-of-life care early, with oncologists cued to endorse question-asking and question prompt list use. Patients were randomised after baseline measure completion, a regular oncology consultation was audio-recorded and a follow-up questionnaire was completed one month later. Communication, health-related quality-of-life and satisfaction measures and a manualised consultation-coding scheme were used. Descriptive, Mixed Modelling and Generalised Linear Mixed Modelling analyses were conducted using SPSS version 22. Results Communication support program recipients gave significantly more cues for discussion of prognosis, end-of-life care, future care options and general issues not targeted by the intervention during recorded consultations, but did not ask more questions about these issues or overall. Oncologists' question prompt list and question asking endorsement was inconsistent. Communication support program recipients' self-efficacy in knowing what questions to ask their doctor significantly improved at follow-up while control arm patients' self-efficacy declined. The communication support program d...
Zwar, N, Hermiz, O, Halcomb, E, Davidson, P & Bodenheimer, T 2017, 'Improving blood pressure control in general practice: A pilot study of the ImPress intervention', AUSTRALIAN FAMILY PHYSICIAN, vol. 46, no. 5, pp. 306-311.
Shehab, S, Allida, SM, Davidson, PM, Newton, PJ, Robson, D, Jansz, PC & Hayward, CS 2017, 'Right Ventricular Failure Post LVAD Implantation Corrected with Biventricular Support: An In Vitro Model.', ASAIO Journal, vol. 63, no. 1, pp. 41-47.View/Download from: Publisher's site
Right ventricular failure after left ventricular assist device (LVAD) implantation is associated with high mortality. Management remains limited to pharmacologic therapy and temporary mechanical support. Delayed right ventricular assist device (RVAD) support after LVAD implantation is associated with poorer outcomes. With the advent of miniaturized, durable, continuous flow ventricular assist device systems, chronic RVAD and biventricular assist device (BiVAD) support has been used with some success. The purpose of this study was to assess combined BiVAD and LVAD with delayed RVAD support within a four-elemental mock circulatory loop (MCL) simulating the human cardiovascular system. Our hypothesis was that delayed continuous flow RVAD (RVAD) would produce similar hemodynamic and flow parameters to those of initial BiVAD support. Using the MCL, baseline biventricular heart failure with elevated right and left filling pressures with low cardiac output was simulated. The addition of LVAD within a biventricular configuration improved cardiac output somewhat, but was associated with persistent right heart failure with elevated right-sided filling pressures. The addition of an RVAD significantly improved LVAD outputs and returned filling pressures to normal throughout the circulation. In conclusion, RVAD support successfully restored hemodynamics and flow parameters of biventricular failure supported with isolated LVAD with persistent elevated right atrial pressure.
DiGiacomo, M, Green, A, Delaney, P, Delaney, J, Patradoon-Ho, P, Davidson, P & Abbott, P 2017, 'Experiences and needs of carers of Aboriginal children with a disability: a qualitative study', BMC Family Practice, vol. 18, pp. 1-11.View/Download from: Publisher's site
Background: Australian parents/carers of a person with a disability experience higher rates of depression, more financial stress, and are twice as likely to be in poor physical health than the general population. Aboriginal and Torres Strait Islander peoples experience worse health, social and economic outcomes than other Australians, and those with a disability face 'double disadvantage'. This study aimed to better understand the experiences and needs of parents/carers/families of Aboriginal children with a disability.
Methods: Semi-structured in-depth interviews were conducted with parents or primary carers of Aboriginal children aged zero-eight with disability. Interviews were analysed using thematic analysis.
Results: Nineteen women (sixteen mothers and three grandmothers) were interviewed. More than half were lone carers (without a partner or spouse). Participants described their experiences, including challenges and facilitators, to providing and accessing care, impacts on their health and wellbeing, and associated economic and non-economic costs of caregiving. Financial strain and social isolation was particularly prominent for lone carers.
Conclusions: Tailoring services to the needs of carers of Aboriginal children with a disability means supporting kinship caregiving, facilitating engagement with other Aboriginal families, and streamlining services and systems to mitigate costs. The experiences described by our participants depict an intersection of race, socio-economic status, gender, disability, and caregiving. Services and funding initiatives should incorporate such intersecting determinants in planning and delivery of holistic care.
Jackson, D, Durrant, L, Bishop, E, Walthall, H, Betteridge, R, Gardner, S, Coulton, W, Hutchinson, M, Neville, S, Davidson, PM & Usher, K 2017, 'Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries', Contemporary Nurse, vol. 53, no. 3, pp. 378-389.View/Download from: Publisher's site
© 2017 Informa UK Limited, trading as Taylor & Francis Group. Background: Health care within the home setting is a vital and growing component of pressure injury (PI) prevention and management. Objectives: To describe the use of health services and pressure-redistributing devices in community dwelling patients with PI's. Design: Mixed-methods collective case study of a defined, diverse geographic postcode area in the United Kingdom. Methods: Quantitative retrospective analysis of electronic and paper medical records of adult PI patients from 2015 district nursing reports. Qualitative semi-structured interviews of community dwelling adult patients receiving, or received, treatment for PI in 2016. Results: Mandatory reports (n = 103) revealed that 90 patients were supplied with a variety of pressure-redistributing devices but only one-third of patients used the equipment as recommended. Qualitative interviews (n = 12), reported to COREQ guidelines, revealed that patients felt reliant on community health services, and were concerned about the consistency of their care. Conclusions: Authentic patient involvement is required to provide care and interventions that are acceptable to PI patients and can be incorporated into self-care strategies and effectively monitored.
Jackson, D, Durrant, L, Bishop, E, Walthall, H, Betteridge, R, Gardner, S, Coulton, W, Hutchinson, M, Neville, S, Davidson, PM & Usher, K 2017, 'Pain associated with pressure injury: A qualitative study of community-based, home-dwelling individuals.', Journal of Advanced Nursing, vol. 73, no. 12, pp. 3061-3069.View/Download from: Publisher's site
The aim of this study was to provide deep insights into the pain associated with pressure injuries in home-dwelling individuals using narrative accounts.Pressure injuries or pressure ulcers are burdensome and costly. Prevalence data, surveys and systematic reviews demonstrate that pain associated with pressure injury is widespread, but voices of home-dwelling patients have remained largely unheard.Concurrent mixed methods case study of a UK community of approximately 50,000 adults.Qualitative interviews, conducted in 2016, of 12 home-dwelling adult participants with a current pressure injury (n = 10), or a recently healed pressure injury (n = 2).Pain had an adverse impact on activities of daily living, mobility and sleep. Participants described days that were clouded in pain; a pain they felt was poorly understood and often out of control. Thematic content analysis revealed two major themes; these are: Poorly controlled pain: "I just want the pain to go away"; and, Uncertainty for the future: "it almost seems insurmountable."Findings of our study support the need to develop an appropriate assessment tool for pressure injury patients in the community to enable healthcare professionals and patients to recognize and manage pressure injury-related pain effectively.
Deek, H, Chang, S, Newton, PJ, Noureddine, S, Inglis, SC, Arab, GA, Kabbani, S, Chalak, W, Timani, N, Macdonald, PS & Davidson, PM 2017, 'An evaluation of involving family caregivers in the self-care of heart failure patients on hospital readmission: Randomised controlled trial (the FAMILY study).', International Journal of Nursing Studies, vol. 75, pp. 101-111.View/Download from: Publisher's site
BACKGROUND: The prevalence of heart failure is increasing in Lebanon but to date there is no systematic evaluation of a disease management intervention. OBJECTIVE: The aim of this study was to evaluate the effect of involving family caregivers in the self-care of patients with heart failure on the risk of hospital readmission. DESIGN: A multi-site, block randomised controlled trial. SETTINGS: The study was conducted over a 13-month period in three tertiary medical centres in Beirut and Mount Lebanon, Lebanon. PARTICIPANTS: Adult patients presenting for an exacerbation of heart failure to one of the study centres were included. Patients with limited life expectancy or physical functionality, planned cardiac bypass or valve replacement surgery, living alone or in nursing homes, or aged less than 18 years were excluded. METHODS: Patients allocated to the intervention group and their family caregivers were provided with a comprehensive, culturally appropriate, educational session on self-care maintenance and symptom management along with self-care resources. The usual care group received the self-care resources only. Follow-up phone calls were conducted 30days following discharge by a research assistant blinded to treatment assignment. The primary outcome was hospital readmission and the secondary outcomes were self-care, quality of life, major vascular events and healthcare utilization. RESULTS: The final sample included 256 patients hospitalized for heart failure randomised into control (130 patients) and intervention (126 patients) groups. The mean age was 67 (SD=8)years, and the majority (55%) were male. Readmission at 30days was significantly lower in the intervention group compared to the control group (n=10, 9% vs. n=20, 19% respectively, OR=0.40, 95% CI=0.02, 0.10, p=0.02). Self-care scores improved in both groups at 30days, with a significantly larger improvement in the intervention group than the control group in the maintenance and confidence sub-scales, b...
Ferguson, C, Inglis, SC, Newton, PJ, Middleton, S, Macdonald, PS & Davidson, PM 2017, 'Barriers and enablers to adherence to anticoagulation in heart failure with atrial fibrillation: patient and provider perspectives', Journal of Clinical Nursing, vol. 26, no. 23-24, pp. 4325-4334.View/Download from: Publisher's site
Aims & Objectives
The purpose of this study was to elucidate the barriers and enablers to adherence to anticoagulation in individuals with chronic heart failure (CHF) with concomitant atrial fibrillation (AF) from the perspective of patients and providers.
CHF and AF commonly coexist and are associated with increased stroke risk and mortality. Oral anticoagulation significantly reduces stroke risk and improves outcomes. Yet, in approximately 30% of cases anticoagulation is not commenced for a variety of reasons.
Qualitative study using narrative inquiry.
Data from face to face individual interviews with patients and information retrieved from healthcare file note review documented the clinician perspective. This study is a synthesis of the two data sources, obtained during patient clinical assessments as part of the Atrial Fibrillation And Stroke Thromboprophylaxis in hEart failuRe (AFASTER) Study.
Patient choice and preference were important factors in anticoagulation decisions, including treatment burden, unfavourable or intolerable side effects and patient refusal. Financial barriers included cost of travel, medication cost and reimbursement. Psychological factors included psychiatric illness, cognitive impairment and depression. Social barriers included homelessness and the absence of a caregiver or lack of caregiver assistance. Clinician reticence included fear of falls, frailty, age, fear of bleeding and the challenges of multi-morbidity. Facilitators to successful prescription and adherence were caregiver support, reminders and routine, self-testing and the use of technology.
Many barriers remain to high risk individuals being prescribed anticoagulation for stroke prevention. There are a number of enabling factors that facilitate prescription and optimize treatment adherence. Nurses should challenge these treatment barriers and seek enabling factors to optimise therapy.
Relevance to clinical practice
Ferguson, C, Inglis, SC, Newton, PJ, Middleton, S, Macdonald, PS & Davidson, PM 2017, 'Multi-morbidity, frailty and self-care: important considerations in treatment with anticoagulation drugs. Outcomes of the AFASTER study.', European Journal of Cardiovascular Nursing, vol. 16, no. 2, pp. 113-124.View/Download from: Publisher's site
Chronic heart failure (CHF) and atrial fibrillation (AF) are complex cardiogeriatric syndromes mediated by physical, psychological and social factors. Thromboprophylaxis is an important part of avoiding adverse events in these syndromes, particularly stroke.This study sought to describe the clinical characteristics of a cohort of patients admitted to hospital with CHF and concomitant AF and to document the rate and type of thromboprophylaxis. We examined the practice patterns of the prescription of treatment and determined the predictors of adverse events.Prospective consecutive participants with CHF and concomitant AF were enrolled during the period April to October 2013. Outcomes were assessed at 12 months, including all-cause readmission to hospital and mortality, stroke or transient ischaemic attack, and bleeding.All-cause readmission to hospital was frequent (68%) and the 12-month all-cause mortality was high (29%). The prescription of anticoagulant drugs at discharge was statistically significantly associated with a lower mortality at 12 months (23 vs. 40%; p=0.037; hazards ratio 0.506; 95% confidence interval 0.267-0.956), but was not associated with lower rates of readmission to hospital among patients with CHF and AF. Sixty-six per cent of participants were prescribed anticoagulant drugs on discharge from hospital. Self-reported self-care behaviour and 'not for cardiopulmonary resuscitation' were associated with not receiving anticoagulant drugs at discharge. Although statistical significance was not achieved, those patients who were assessed as frail or having greater comorbidity were less likely to receive anticoagulant drugs at discharge.This study highlights multi-morbidity, frailty and self-care to be important considerations in thromboprophylaxis. Shared decision-making with patients and caregivers offers the potential to improve treatment knowledge, adherence and outcomes in this group of patients with complex care needs.
Brown, N, Luckett, T, Davidson, PM & DiGiacomo, M 2017, 'Family-focussed interventions to reduce harm from smoking in primary school-aged children: A systematic review of evaluative studies.', Preventive Medicine, vol. 101, pp. 117-125.View/Download from: Publisher's site
Children living in families where adults smoke are exposed to harmful effects of tobacco smoke and risk a predisposition to smoking initiation. Interventions to support families to reduce risk of harm from smoking have been developed and tested. The purpose of this review is to identify effective family-based interventions used to promote smoke-free home environments in families with primary school age children (aged 5-12years). A systematic search of MEDLINE, Cochrane and CINAHL electronic databases was conducted. Narrative synthesis of included articles was completed. Guidelines for reporting behaviour change interventions were used to summarise and compare intervention timing, content, intensity and delivery. Quality of included studies was critiqued using United States Preventative Services Taskforce (USPST) procedures for internal and external validity. Narrative synthesis was based on methods described by Popay and colleagues. Nineteen articles that evaluated 14 intervention studies focussed on child smoking prevention (n=5), parent smoking cessation (n=4) and environmental tobacco smoke reduction (n=6). Interventions and outcomes were heterogeneous, and were rarely informed by theoretical frameworks relating to family, parenting or child development. Family based interventions may be an important strategy to reduce the effects of smoking for children. There is a need for interventions to be informed by theory relevant to children, parenting and families.
Green, A, Luckett, T, Abbott, P, DiGiacomo, M, Delaney, P, Delaney, J & Davidson, PM 2017, 'A framework for an asset-informed approach to service mapping', Nurse Researcher, vol. 25, no. 3, pp. 19-25.View/Download from: Publisher's site
Background Asset-informed approaches are increasingly emphasised in public health, but
transferring this approach to planning health services requires prospective systematic methods.
Asset-informed approaches to service-mapping have started to develop, but there are no
standardised guidelines. These methods are becoming of particular interest, as nurses engage in
population health activities.
Aim To identify methods of asset-informed mapping for addressing health problems and develop a
framework to support the methodological rigour of service-mapping.
Discussion The authors undertook an integrative literature review using a systematic approach
and narrative synthesis. Ten articles met the inclusion criteria. Reported methods included the
formation of a core team to drive the process, as well as varying detail about methods of collecting
data and forming maps. Challenges and solutions included the effectiveness of the core team
depending on having a designated leader, frequent meetings and previous partnerships, using
community 'cultural brokers', and determining aims and scope.
Conclusion Results of the review can be used to modify existing generic resources for assetinformed
mapping to their application in health services. Four main stages seem especially
applicable and important: defining the parameters of the service-mapping process; identifying
services; mapping services; and consultation and implementation.
Implications for practice The shift towards asset-informed approaches in community and public
health is an important step in realising the potential of existing assets in communities to influence
health outcomes. The framework offered in this paper is intended to assist in developing an
evidence base, by promoting the systematic and rigorous reporting of methods used in assetinformed
approaches to service-mapping.
Jha, SR, Hannu, MK, Newton, PJ, Wilhelm, K, Hayward, CS, Jabbour, A, Kotlyar, E, Keogh, A, Dhital, K, Granger, E, Connellan, M, Jansz, P, Spratt, PM, Montgomery, E, Smith, A, Harkess, M, Tunicliff, P, Davidson, PM & Macdonald, PS 2017, 'Reversibility of Frailty After Bridge-to-Transplant Ventricular Assist Device Implantation or Heart Transplantation.', Transplantation direct, vol. 3, no. 7, pp. e167-e167.View/Download from: Publisher's site
We recently reported that frailty is independently predictive of increased mortality in patients with advanced heart failure referred for heart transplantation (HTx). The aim of this study was to assess the impact of frailty on short-term outcomes after bridge-to-transplant ventricular assist device (BTT-VAD) implantation and/or HTx and to determine if frailty is reversible after these procedures.Between August 2013 and August 2016, 100 of 126 consecutive patients underwent frailty assessment using Fried's Frailty Phenotype before surgical intervention: 40 (21 nonfrail, 19 frail) BTT-VAD and 77 (60 nonfrail, 17 frail) HTx-including 17 of the 40 BTT-VAD supported patients. Postprocedural survival, intubation time, intensive care unit, and hospital length of stay were compared between frail and nonfrail groups. Twenty-six frail patients were reassessed at 2 months or longer postintervention.Frail patients had lower survival (63 ± 10% vs 94 ± 3% at 1 year, P = 0.012) and experienced significantly longer intensive care unit (11 vs 5 days, P = 0.002) and hospital (49 vs 25 days, P = 0.003) length of stay after surgical intervention compared with nonfrail patients. Twelve of 13 frail patients improved their frailty score after VAD (4.0 ± 0.8 to 1.4 ± 1.1, P < 0.001) and 12 of 13 frail patients improved their frailty score after HTx (3.2 ± 0.4 to 0.9 ± 0.9, P < 0.001). Handgrip strength and depression improved postintervention. Only a slight improvement in cognitive function was seen postintervention.Frail patients with advanced heart failure experience increased mortality and morbidity after surgical intervention with BTT-VAD or HTx. Among those who survive frailty is partly or completely reversible underscoring the importance of considering this factor as a dynamic not fixed entity.
Agar, M, Luckett, T, Luscombe, G, Phillips, J, Beattie, E, Pond, D, Mitchell, G, Davidson, P, Cook, J, Brooks, D, Houltram, J, Goodall, S & Chenoweth, L 2017, 'Effects of facilitated family case conferencing for advanced dementia: A cluster randomised clinical trial', PLoS ONE, vol. 12, no. 8, pp. e0181020-e0181020.
Luckett, T, Chenoweth, L, Phillips, J, Brooks, D, Cook, J, Mitchell, G, Pond, D, Davidson, P, Beattie, E, Luscombe, G, Goodall, S, Fischer, T & Agar, M 2017, 'A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: Perceptions of Palliative Care Planning Coordinators and other health professionals in the IDEAL Study', International Psychogeriatrics, vol. 29, pp. 1713-1722.
Hosie, A, Agar, M, Lobb, E, Davidson, PM & Phillips, J 2017, 'Improving delirium recognition and assessment for people receiving inpatient palliative care: a mixed methods meta-synthesis', INTERNATIONAL JOURNAL OF NURSING STUDIES, vol. 75, pp. 123-129.View/Download from: Publisher's site
Luckett, T, Phillips, J, Johnson, M, Garcia, M, Bhattarai, P, Carrieri-Kohlman, V, Hutchinson, A, Disler, RT, Currow, D, Agar, M, Ivynian, S, Chye, R, Newton, PJ & Davidson, PM 2017, 'Insights from Australians with respiratory disease living in the community with experience of self-managing through an emergency department 'near miss' for breathlessness: a strengths-based qualitative study.', BMJ Open, vol. 7, no. 12, pp. 1-11.View/Download from: Publisher's site
Breathlessness 'crises' in people with chronic respiratory conditions are a common precipitant for emergency department (ED) presentations, many of which might be avoided through improved self-management and support. This study sought insights from people with experience of ED 'near misses' where they considered going to the ED but successfully self-managed instead.A qualitative approach was used with a phenomenological orientation. Participants were eligible if they reported breathlessness on most days from a diagnosed respiratory condition and experience of ≥1 ED near miss. Recruitment was through respiratory support groups and pulmonary rehabilitation clinics. Semistructured interviews were conducted with each participant via telephone or face-to-face. Questions focused on ED-related decision-making, information finding, breathlessness management and support. This analysis used an integrative approach and independent coding by two researchers. Lazarus and Cohen's Transactional Model of Stress and Coping informed interpretive themes.Interviews were conducted with 20 participants, 15 of whom had chronic obstructive pulmonary disease. Nineteen interviews were conducted via telephone. Analysis identified important factors in avoiding ED presentation to include perceived control over breathlessness, self-efficacy in coping with a crisis and desire not to be hospitalised. Effective coping strategies included: taking a project management approach that involved goal setting, monitoring and risk management; managing the affective dimension of breathlessness separately from the sensory perceptual and building three-way partnerships with primary care and respiratory services.In addition to teaching non-pharmacological and pharmacological management of breathlessness, interventions should aim to develop patients' generic self-management skills. Interventions to improve self-efficacy should ensure this is substantiated by transfer of skills and support, including knowledge...
Rihari-Thomas, J, DiGiacomo, M, Phillips, J, Newton, P & Davidson, PM 2017, 'Clinician Perspectives of Barriers to Effective Implementation of a Rapid Response System in an Academic Health Centre: A Focus Group Study', International Journal of Health Policy and Management, vol. 6, no. 8, pp. 447-456.View/Download from: Publisher's site
Background: Systemic and structural issues of rapid response system (RRS) models can hinder implementation. This study sought to understand the ways in which acute care clinicians (physicians and nurses) experience and negotiate care for deteriorating patients within the RRS.
Methods: Physicians and nurses working within an Australian academic health centre within a jurisdictional-based model of clinical governance participated in focus group interviews. Verbatim transcripts were analysed using thematic content analysis.
Results: Thirty-four participants (21 physicians and 13 registered nurses [RNs]) participated in six focus groups over five weeks in 2014. Implementing the RRS in daily practice was a process of informal communication and negotiation in spite of standardised protocols. Themes highlighted several systems or organisational-level barriers to an effective RRS, including (1) responsibility is inversely proportional to clinical experience; (2) actions around system flexibility contribute to deviation from protocol; (3) misdistribution of resources leads to perceptions of inadequate staffing levels inhibiting full optimisation of the RRS; and (4) poor communication and documentation of RRS increases clinician workloads.
Conclusion: Implementing a RRS is complex and multifactorial, influenced by various inter- and intra-professional factors, staffing models and organisational culture. The RRS is not a static model; it is both reflexive and iterative, perpetually transforming to meet healthcare consumer and provider demands and local unit contexts and needs. Requiring more than just a strong initial implementation phase, new models of care such as a RRS demand good governance processes, ongoing support and regular evaluation and refinement. Cultural, organizational and professional factors, as well as systems-based processes, require consideration if RRSs are to achieve their intended outcomes in dynamic healthcare settings.
Virdun, C, Luckett, T, Lorenz, K, Davidson, PM & Phillips, J 2017, 'Analyzing Consumer Priorities for Hospital End-of-Life Care Using a Systematic Review to Inform Policy and Practice', SAGE Research Methods Cases.View/Download from: Publisher's site
A systematic review is a useful method to answer a research question where prior studies have been conducted. A
well-designed and executed systematic review can inform policy and/or practice change. It can also identify gaps
and generate new research questions. Although the requirements considered essential for conducting a rigorous
systematic review are well defined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses
statement, the approaches taken to synthesize the data vary. This case study describes the narrative synthesis of
heterogeneous quantitative studies and the meta-synthesis of qualitative studies used to answer a complex
research question from the consumer perspective. The study design focused on the analysis of consumer data
only. As a result, the synthesis of both quantitative data and qualitative data has provided a detailed insight into
consumers' unique perspectives and needs. The synthesis approach for both datasets is described, and linkages
to key tools and resources to help facilitate this approach are provided. Processes used by the research team to
enable effective research governance and collaboration throughout are also detailed.
Virdun, C, Luckett, T, Lorenz, K, Davidson, PM & Phillips, J 2017, 'Dying in the hospital setting: A meta-synthesis identifying the elements of end-of-life care that patients and their families describe as being important.', Palliative medicine, vol. 31, no. 7, pp. 587-601.View/Download from: Publisher's site
Despite most expected deaths occurring in hospital, optimal end-of-life care is not available for all in this setting.To gain a richer and deeper understanding of elements of end-of-life care that consumers consider most important within the hospital setting.A meta-synthesis.A systematic search of Academic Search Complete, AMED, CINAHL, MEDLINE, EMBASE, PsycINFO, PubMed, Google, Google Scholar and CareSearch for qualitative studies published between 1990 and April 2015 reporting statements by consumers regarding important elements of end-of-life hospital care. Study quality was appraised by two independent researchers using an established checklist. A three-stage synthesis approach focusing on consumer quotes, rather than primary author themes, was adopted for this review.Of 1922 articles, 16 met the inclusion criteria providing patient and family data for analysis. Synthesis yielded 7 patient and 10 family themes including 6 common themes: (1) expert care, (2) effective communication and shared decision-making, (3) respectful and compassionate care, (4) adequate environment for care, (5) family involvement and (6) financial affairs. Maintenance of sense of self was the additional patient theme, while the four additional family themes were as follows: (1) maintenance of patient safety, (2) preparation for death, (3) care extending to the family after patient death and (4) enabling patient choice at the end of life.Consumer narratives help to provide a clearer direction as to what is important for hospital end-of-life care. Systems are needed to enable optimal end-of-life care, in accordance with consumer priorities, and embedded into routine hospital care.
Gholizadeh, L, Shahmansouri, N, Heydari, M & Davidson, PM 2017, 'Screening and diagnosing depression in patients with coronary artery disease: Persian validation of the PHQ-9', Journal of Clinical Psychology in Medical Settings.
Gholizadeh, L, Shahzad, A, Vahedi, F & Davidson, PM 2017, 'Sensitivity and specificity of Urdu version of the Depression Module of the Patient Health Questionnaire to screen and diagnose major depression in patients with coronary artery disease', Journal of Transcultural Nursing, vol. 53, pp. 75-81.
Shishehgar, S, Gholizadeh, L, DiGiacomo, M, Green, A & Davidson, PM 2017, 'Health and socio-cultural experiences of refugee women: An integrative review', The Journal of Immigrant and Minority Health, vol. 19, no. 4, pp. 959-973.View/Download from: Publisher's site
Hayes, C, Jackson, D, Davidson, PM, Daly, J & Power, T 2017, 'Calm to chaos: Engaging undergraduate nursing students with the complex nature of interruptions during medication administration.', Journal of Clinical Nursing.View/Download from: Publisher's site
AIMS AND OBJECTIVES: To describe undergraduate student nurse responses to a simulated role-play experience focussing on managing interruptions during medication administration. BACKGROUND: Improving patient safety requires that we find creative and innovative methods of teaching medication administration to undergraduate nurses in real-world conditions. Nurses are responsible for the majority of medication administrations in health care. Incidents and errors associated with medications are a significant patient safety issue and often occur as a result of interruptions. Undergraduate nursing students are generally taught medication administration skills in a calm and uninterrupted simulated environment. However, in the clinical environment medication administration is challenged by multiple interruptions. DESIGN/METHODS: A qualitative study using convenience sampling was used to examine student perceptions of a simulated role-play experience. Data were collected from 451 of a possible 528 student written reflective responses and subject to thematic analysis. RESULTS: Students reported an increased understanding of the impacts of interruptions while administering medications and an improved awareness of how to manage disruptions. This study reports on one of three emergent themes: "Calm to chaos: engaging with the complex nature of clinical practice." CONCLUSIONS: Interrupting medication administration in realistic and safe settings facilitates awareness, allows for students to begin to develop management strategies in relation to interruption and increases their confidence. Students were given the opportunity to consolidate and integrate prior and new knowledge and skills through this role-play simulation.
Green, A, Abbott, P, Delaney, P, Patradoon-Ho, P, Delaney, J, Davidson, PM & DiGiacomo, M 2016, 'Navigating the journey of Aboriginal childhood disability: a qualitative study of carers' interface with services', BMC Health Services Research, vol. 16, no. 1, pp. 1-11.View/Download from: UTS OPUS or Publisher's site
BACKGROUND: The disadvantage experienced by Aboriginal and Torres Strait Islander children with a disability is well recognized. The long term consequences of failing to address disability on health, education and employment underlies the importance of early intervention. Caregivers experience a disproportionate burden and have challenges accessing services. The aim of this study was to describe the carer journey of accessing support and services. METHODS: We conducted in-depth semi-structured interviews with nineteen parents and carers of Aboriginal children aged 0-8 years. The children were patients at a child developmental clinic at a metropolitan area Aboriginal health service in Eastern Australia. Interpretive phenomenological analysis was applied to transcribed verbatim accounts. RESULTS: Four themes were developed using the 'journey' metaphor to describe the carer pathway of accessing support and services at the community, service and policy levels. Themes included 1) the need for increased signage within communities via community education, information and awareness, 2) wrong way signs, roundabouts and roadblocks encountered when accessing services, 3) alternate routes can facilitate the journey, and 4) incompatibility of inflexible bureaucratic road rules and lived realities. CONCLUSIONS: The challenges of caring for a child with a disability are indisputable and these can be compounded for people experiencing socio-economic disadvantage and marginalisation. Overcoming challenges to service access faced by carers of Aboriginal children with a disability will require investment in community, services and policy to tailor culturally appropriate models of care.
Alvarez, CP, Davidson, PM, Fleming, C & Glass, NE 2016, 'Elements of Effective Interventions for Addressing Intimate Partner Violence in Latina Women: A Systematic Review', PLOS ONE, vol. 11, no. 8.View/Download from: Publisher's site
Baptiste, D-L, Davidson, P, Groff Paris, L, Becker, K, Magloire, T & Taylor, LA 2016, 'Feasibility study of a nurse-led heart failure education program.', Contemporary nurse, vol. 52, no. 4, pp. 499-510.View/Download from: Publisher's site
To assess the feasibility of a nurse-led heart failure (HF) education program using the Self-Care Heart Failure Index (SCHFI) instrument.HF is a frequent and burdensome condition requiring support with self-care management strategies and education. Translating best practice to health services is important in improving health outcomes.Longitudinal quasi-experimental design.A convenience sample of (N = 41) patients with HF. We implemented a nurse-led education program with 30-day post-discharge home-based telephone follow-up. The SCHFI was used to measure self-care behaviors. 30-day readmission rates were assessed.A significant difference was found in scores for self-care maintenance (p ≤ .001) and self-care management (p ≤ .001) subscales, not self-care confidence. There was no statistically significant difference between 30-day HF readmission rates.Findings suggest that the nurse-led evidence-based HF education program improved self-care behaviors and decreased 30-day readmissions. There is a need for continued development of interventions focused on improving patient self-care confidence.
Bernal, DDL, Bereznicki, LRE, Chalmers, L, Castelino, RL, Thompson, A, Davidson, PM & Peterson, GM 2016, 'Medication Adherence Following Acute Coronary Syndrome: Does One Size Fit All?', AMERICAN JOURNAL OF CARDIOVASCULAR DRUGS, vol. 16, no. 1, pp. 9-17.View/Download from: Publisher's site
Davidson, P 2016, 'Les soins infirmiers dans le monde : plus de similitudes que de différences', Revue Francophone Internationale de Recherche Infirmière, vol. 2, no. 2, pp. 73-75.View/Download from: Publisher's site
Celebrating a silver jubilee is a phenomenal achievement in any life endeavour but this birthday for Heart, Lung and Circulation is a time for celebration, not just for the scientific endeavours of the journal, but the milestones achieved in cardiovascular health in Australia and New Zealand and the advancement of interdisciplinary, interprofessional practice models  and . Cardiovascular disease remains the leading cause of death and disability in Australia and New Zealand signalling that there is much work to be done . The number of people living with cardiovascular disease is increasing due to factors including population ageing and improved treatments . Population ageing and the increased longevity have changed the landscape of cardiovascular care demanding innovative practice models .
Davidson, PM 2016, 'Rockefeller Foundation-Lancet Commission report: A call to action for human health', International Journal of Nursing Studies, vol. 53, pp. 1-2.View/Download from: Publisher's site
Davidson, PM & Glass, N 2016, 'News From the International Council on Women's Health Issues SOMETIMES SEEN BUT OFTEN NOT HEARD', HEALTH CARE FOR WOMEN INTERNATIONAL, vol. 37, no. 5, pp. 518-518.View/Download from: Publisher's site
Davidson, PM & Mbaka-Mouyeme, F 2016, 'The refugee crisis: We cannot ignore this for much longer', HEALTH CARE FOR WOMEN INTERNATIONAL, vol. 37, no. 9, pp. 945-945.View/Download from: Publisher's site
Davidson, PM & Meleis, AI 2016, 'Sex and gender matters: The health of women and girls determines the health of our modern world', HEALTH CARE FOR WOMEN INTERNATIONAL, vol. 37, no. 8, pp. 817-817.View/Download from: Publisher's site
Davidson, PM, Rushton, CH, Dotzenrod, J, Godack, CA, Baker, D & Nolan, MN 2016, 'Just and realistic expectations for persons with disabilities practicing nursing', AMA Journal of Ethics, vol. 18, no. 10, pp. 1034-1040.View/Download from: Publisher's site
© 2016 American Medical Association. All rights reserved. The Americans with Disabilities Act prohibits discrimination on the basis of disability and requires schools to provide reasonable accommodations for persons with disabilities. The profession of nursing is striving for diversity and inclusion, but barriers still exist to realizing accommodations for people with disabilities. Promoting disclosure, a supportive and enabling environment, resilience, and realistic expectations are important considerations if we are to include among our ranks health professionals who can understand, based on similar life experiences of disability, a fuller range of perspectives of the patients we care for.
Everett, B, Salamonson, Y, Rolley, JX & Davidson, PM 2016, 'Underestimation of risk perception in patients at risk of heart disease.', European Journal of Cardiovascular Nursing, vol. 15, no. 3.View/Download from: Publisher's site
Accurate perception of cardiovascular risk is important if people with established, or at high risk of, coronary heart disease are to engage in risk-reducing behaviours.This study aimed to determine whether the risk perception of patients undergoing a percutaneous coronary procedure was related to their subsequent engagement in risk-reducing behaviours.Using a prospective correlational design, patients presenting to a tertiary referral hospital in Sydney, Australia for an interventional cardiology procedure were surveyed at baseline and again at six months. Data collected included demographic and clinical information, relative risk perception (RRP-2), psychological status using the Hospital Anxiety and Depression scale and the Perceived Stress Scale, and physical activity using the Physical Activity Scale. In addition, data on medication adherence and cardiac rehabilitation enrolment were collected at the six-month follow-up.The study cohort consisted of 220 participants. Statistical analysis revealed a reduction in anxiety (p<0.001), depression (p =0.004) and stress (p <0.001), and an increase in physical activity engagement (p <0.001) from baseline to six-month follow-up. Higher risk perception scores at baseline predicted an increased likelihood of enrolment in a cardiac rehabilitation programme (p =0.01) and adherence to medication regimen (p =0.007).This study revealed an overall underestimation of risk perception among a sample of 'high risk' cardiac patients admitted to hospital for an interventional coronary procedure, with those who reported lower risk perception being less likely to attend cardiac rehabilitation and less likely to adhere to their medication regimen.
Foronda, C, VanGraafeiland, B, Quon, R & Davidson, P 2016, 'Handover and transport of critically ill children: An integrative review', INTERNATIONAL JOURNAL OF NURSING STUDIES, vol. 62, pp. 207-225.View/Download from: Publisher's site
Morgan, R, Glass, N & Davidson, PM 2016, 'Moving women's health forward: Mainstreaming gender into global women's health programming', HEALTH CARE FOR WOMEN INTERNATIONAL, vol. 37, no. 11.View/Download from: Publisher's site
Shaw, JM, Young, JM, Butow, PN, Badgery-Parker, T, Durcinoska, I, Harrison, JD, Davidson, PM, Martin, D, Sandroussi, C, Hollands, M, Joseph, D, Das, A, Lam, V, Johnston, E & Solomon, MJ 2016, 'Improving psychosocial outcomes for caregivers of people with poor prognosis gastrointestinal cancers: a randomized controlled trial (Family Connect)', SUPPORTIVE CARE IN CANCER, vol. 24, no. 2, pp. 585-595.View/Download from: Publisher's site
Siabani, S, Driscoll, T, Davidson, PM & Leeder, SR 2016, 'Efficacy of a home-based educational strategy involving community health volunteers in improving self-care in patients with chronic heart failure in western Iran: A randomized controlled trial', EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, vol. 15, no. 5, pp. 363-371.View/Download from: Publisher's site
Siabani, S, Driscoll, T, Davidson, PM, Najafi, F, Jenkins, MC & Leeder, SR 2016, 'Self-care and Its Predictors in Patients With Chronic Heart Failure in Western Iran.', The Journal of cardiovascular nursing, vol. 31, no. 1, pp. 22-30.View/Download from: Publisher's site
Chronic heart failure (CHF) is an increasing and costly health problem worldwide. Effective self-care behaviors reduce the cost and improve CHF outcomes. Interventions targeting improvement of self-care need to identify the baseline status of patients and factors associated with self-care to tailor the programs to patients' needs.The aim of this study was to describe self-care and its predictors in patients with CHF in western Iran.In a cross-sectional study, 255 patients with CHF in Kermanshah were recruited and 231 (mean [SD] age, 66  years; 51.5% women) completed the interviews. Self-care maintenance, self-care management, and self-care confidence were evaluated using a Persian heart failure self-care index. Each of these 3 measures had a total possible score of 100, with 22 indicators.The mean (SD) self-care scores were low: maintenance, 33.8 (10.7); management, 32.2 (12.0); and confidence, 43.6 (15.6). Self-care maintenance was significantly and positively associated with education, disease duration, and living conditions. Self-care management was significantly and positively associated with education and number of hospital admissions. However, the parameter estimates in all those relationships were small.Self-care in patients with CHF in Iran needs major improvement, and many determinants of self-care identified by other studies were not consistently associated with poor self-care scores in Iran. Further research considering a wide range of factors associated with self-care (eg, socioeconomic and health system-related factors) and application of culturally relevant interventional strategies is recommended.
Newton, PJ, Davidson, PM, Reid, CM, Krum, H, Hayward, C, Sibbritt, DW, Banks, E & MacDonald, PS 2016, 'Acute heart failure admissions in New South Wales and the Australian Capital Territory: the NSW HF Snapshot Study', The Medical journal of Australia, vol. 204, no. 3.
OBJECTIVE: The primary aim of the NSW Heart Failure (HF) Snapshot was to obtain a representative cross-sectional view of patients with acute HF and their management in New South Wales and Australian Capital Territory hospitals.DESIGN AND SETTING: A prospective audit of consecutive patients admitted to 24 participating hospitals in NSW and the ACT with a diagnosis of acute HF was conducted from 8 July 2013 to 8 August 2013.RESULTS: A total of 811 participants were recruited (mean age, 77 ± 13 years; 58% were men; 42% had a left ventricular ejection fraction ≥ 50%). The median Charlson Comorbidity Index score was 3, with ischaemic heart disease (56%), renal disease (55%), diabetes (38%) and chronic lung disease (32%) the most frequent comorbidities; 71% of patients were assessed as frail. Intercurrent infection (22%), non-adherence to prescribed medication (5%) or to dietary or fluid restrictions (16%), and atrial fibrillation/flutter (15%) were the most commonly identified precipitants of HF. Initial treatment included intravenous diuretics (81%), oxygen therapy (87%), and bimodal positive airways pressure or continuous positive airways pressure ventilation (17%). During the index admission, 6% of patients died. The median length of stay in hospital was 6 days, but ranged between 3 and 12 days at different hospitals. Just over half the patients (59%) were referred to a multidisciplinary HF service. Discharge medications included angiotensin-converting enzyme inhibitors/angiotensin receptor blockers (59%), β-blockers (66%) and loop diuretics (88%).CONCLUSIONS: Patients admitted to hospital with acute HF in NSW and the ACT were generally elderly and frail, with multiple comorbidities. Evidence-based therapies were underused, and there was substantial interhospital variation in the length of stay. We anticipate that the results of the HF Snapshot will inform the development of strategies for improving the uptake of evidence-based therapies, and hence outcomes, for HF...
Newton, PJ, Davidson, PM, Reid, CM, Krum, H, Hayward, C, Sibbritt, DW, Banks, E & MacDonald, PS 2016, 'Acute heart failure admissions in New South Wales and the Australian Capital Territory: the NSW HF Snapshot Study.', The Medical journal of Australia, vol. 204, no. 3, pp. 1-8.View/Download from: Publisher's site
The primary aim of the NSW Heart Failure (HF) Snapshot was to obtain a representative cross-sectional view of patients with acute HF and their management in New South Wales and Australian Capital Territory hospitals.A prospective audit of consecutive patients admitted to 24 participating hospitals in NSW and the ACT with a diagnosis of acute HF was conducted from 8 July 2013 to 8 August 2013.A total of 811 participants were recruited (mean age, 77 ± 13 years; 58% were men; 42% had a left ventricular ejection fraction ≥ 50%). The median Charlson Comorbidity Index score was 3, with ischaemic heart disease (56%), renal disease (55%), diabetes (38%) and chronic lung disease (32%) the most frequent comorbidities; 71% of patients were assessed as frail. Intercurrent infection (22%), non-adherence to prescribed medication (5%) or to dietary or fluid restrictions (16%), and atrial fibrillation/flutter (15%) were the most commonly identified precipitants of HF. Initial treatment included intravenous diuretics (81%), oxygen therapy (87%), and bimodal positive airways pressure or continuous positive airways pressure ventilation (17%). During the index admission, 6% of patients died. The median length of stay in hospital was 6 days, but ranged between 3 and 12 days at different hospitals. Just over half the patients (59%) were referred to a multidisciplinary HF service. Discharge medications included angiotensin-converting enzyme inhibitors/angiotensin receptor blockers (59%), β-blockers (66%) and loop diuretics (88%).Patients admitted to hospital with acute HF in NSW and the ACT were generally elderly and frail, with multiple comorbidities. Evidence-based therapies were underused, and there was substantial interhospital variation in the length of stay. We anticipate that the results of the HF Snapshot will inform the development of strategies for improving the uptake of evidence-based therapies, and hence outcomes, for HF patients.
Although the terms "sex" and "gender" are commonly used as synonyms, they refer to two distinct concepts. Sex refers to the biological differences between men and women, whereas gender refers to socially defined roles, behaviours and expectations. Being clear about the distinction between the two terms is important, as the contribution to women's health of sex and gender are likely to be different, and therefore also our solutions for reducing disparities. Sex differences are increasingly recognised as being important for conditions such as cardiovascular disease,1 for example, and while physiological differences in coronary vasculature can contribute to different presentations and manifestations of disease, gender influences health behaviours, risks, and access to health services.2 We argue that taking gender into account, as well as sex, is critical to improving health outcomes.
Green, A, Abbott, P, Delaney, P, Patradoon-Ho, P, Delaney, J, Davidson, PM & DiGiacomo, M 2016, 'Navigating the journey of Aboriginal childhood disability: a qualitative study of carers' interface with services', BMC Health Services Research, vol. 16, no. 1, pp. 1-11.View/Download from: Publisher's site
BACKGROUND: The disadvantage experienced by Aboriginal and Torres Strait Islander children with a disability is well recognized. The long term consequences of failing to address disability on health, education and employment underlies the importance of early intervention. Caregivers experience a disproportionate burden and have challenges accessing services. The aim of this study was to describe the carer journey of accessing support and services. METHODS: We conducted in-depth semi-structured interviews with nineteen parents and carers of Aboriginal children aged 0-8 years. The children were patients at a child developmental clinic at a metropolitan area Aboriginal health service in Eastern Australia. Interpretive phenomenological analysis was applied to transcribed verbatim accounts. RESULTS: Four themes were developed using the 'journey' metaphor to describe the carer pathway of accessing support and services at the community, service and policy levels. Themes included 1) the need for increased signage within communities via community education, information and awareness, 2) wrong way signs, roundabouts and roadblocks encountered when accessing services, 3) alternate routes can facilitate the journey, and 4) incompatibility of inflexible bureaucratic road rules and lived realities. CONCLUSIONS: The challenges of caring for a child with a disability are indisputable and these can be compounded for people experiencing socio-economic disadvantage and marginalisation. Overcoming challenges to service access faced by carers of Aboriginal children with a disability will require investment in community, services and policy to tailor culturally appropriate models of care.
Maneze, D, Everett, B, DiGiacomo, M, Davidson, PM & Salamonson, Y 2016, 'An examination of responses to surveys among Filipino-Australian migrants', Nurse Researcher, vol. 24, no. 2, pp. 30-33.View/Download from: Publisher's site
Maneze, D, Everett, B, Kirby, S, DiGiacomo, M, Davidson, PM & Salamonson, Y 2016, ''I have only little English': language anxiety of Filipino migrants with chronic disease', Ethnicity and Health, vol. 21, no. 6, pp. 596-608.View/Download from: Publisher's site
OBJECTIVE: This study investigates communication challenges faced by Filipino patients with chronic diseases when engaging with healthcare professionals (HCPs). DESIGN: Nine focus groups were conducted between November 2010 and June 2011. RESULTS: Two main categories of themes were identified: patient-related and HCP-related factors. Patient-related factors included three subthemes: (1) lack of confidence in their English language abilities in clinical situations; (2) cultural attitudes; and (3) strategies used to improve communication. Older Filipinos with chronic disease were anxious about their lack of ability to explain their symptoms in English and were concerned that asking questions was conveying distrust in the HCPs. Most of the elderly simply nodded their head to indicate they understood even if they did not, for fear of being thought 'stupid'. Many participants preferred Filipino GPs or have a relative interpret for them. Two subthemes were related to HCPs including (1) not being listened to and (2) assumptions of understanding. HCPs were thought to assume English language skills in Filipino patients and therefore were not careful about ensuring understanding. CONCLUSIONS: These findings highlighted the need for HCPs to be more aware of 'grey areas' in English-language proficiency and the cultural lens through which migrants understand health.
Maneze, D, Salamonson, Y, Poudel, C, DiGiacomo, M, Everett, B & Davidson, PM 2016, 'Health-seeking behavior of Filipino migrants in Australia: The influence of persisting acculturative stress and depression', Journal of Immigrant and Minority Health, vol. 18, no. 4, pp. 779-786.View/Download from: Publisher's site
This study examined the relationships among the constructs of acculturative stress, depression, English language use, health literacy, and social support and the influence of these factors on health-seeking behaviors of Filipino Australians. Using a self-administered questionnaire, 552 respondents were recruited from November 2010 to June 2011. Structural equation modelling was used to examine relationships. A direct and negative relationship between health-seeking behaviors and depression, and an indirect relationship with acculturative stress, was observed mediated through depression. Social support had an important moderating influence on these effects. Although there was an inverse relationship between age and English language usage and depression, age was positively related to health-seeking behavior. Despite their long duration of stay, Filipino Australian migrants continue to experience acculturative stress and depression leading to lower health-seeking behaviors. This study highlights the importance of screening for acculturative stress and depression in migrants and fostering social support.
Murray-Parahi, P, DiGiacomo, M, Jackson, D & Davidson, PM 2016, 'New Graduate Registered Nurse Transition into Primary Health Care roles: An integrative literature review', Journal of Clinical Nursing, vol. 25, pp. 3084-3101.View/Download from: Publisher's site
Aims and objectives. To summarise the literature describing new graduate nursetransition to professional practice within the primary health care (PHC) setting.Background. There is a plethora of research literature spanning several decadesabout new graduate nurse transition in the acute care setting. Yet, the experiencesof new graduate nurse in the PHC setting is unremarkable particularly consider-ing the increasing demand for skilled health care workers and focus of healthreform to provide care where people work and live.Design. Electronic data bases, Academic Search Complete, EBSCO, Medline, Psy-cINFO, CINHAL, and ERIC were searched using a combination of terms andsynonyms arising from three key concepts which identify the phenomenon; 'tran-sition', 'new graduate registered nurse' and 'primary health care. An inclusivesearch strategy placed no limits on language or publication date.Results. Of the 50 articles located and examined for relevance; 40 were sourcedthrough databases and 10 from Google Scholar/Alerts and hand-searching refer-ences. None of the 19 articles retained for analysis addressed all key concepts.Conclusions. Some challenges of researching the professional transition of gradu-ate nurses in PHC settings included, an absence of deﬁnitive transition models, adearth of literature and deference to acute care research.Relevance to clinical practice. Nursing in PHC settings, particularly the client'shome is notably different to hospital settings because of higher levels of isolationand autonomy. Societal changes, health reform and subsequent demand for skilledworkers in PHC settings has caused health care providers to question the logicthat such roles are only for experienced nurses. Implications arise for educationand health service providers who desire to close the theory practice gap and miti-gate risk for all stakeholders when next generation nurses have limited opportuni-ties to experience PHC roles as undergraduates and newly graduated registered...
Sayers, JM, Salamonson, Y, DiGiacomo, M & Davidson, PM 2016, 'Validation of the professional practice environment scale in nurse educators in hospitals', Nurse Researcher, vol. 23, no. 4, pp. 14-18.View/Download from: Publisher's site
© 2016 RCNi Ltd. Aim: To report an assessment of the psychometric properties of the Professional Practice Environment (PPE) scale in a sample of Australian nurse educators in acute care hospitals. Background: Although nurse educators are important in an enabling work environment, there has been no reported exploration of their satisfaction with work in acute care hospitals. Discussion: The factor structure and internal consistency of the PPE scale were consistent with Erickson's eight-factor model of the items, indicating the appropriateness of the scale as an assessment tool to measure the PPE of nurse educators. Conclusion: The PPE scale is useful for monitoring the work environment of nurse educators in clinical practice and the environmental effects influencing their recruitment, retention and job satisfaction. Implications for practice: This work may inform the development of integrated professional practice environments where the professional practice and workplace satisfaction of nurse educators are optimised, influencing safe, quality patient care.
Babatunde-Sowole, OO, Jackson, D, Davidson, PM & Power, T 2016, '"Coming to a Strange Land": The West African Migrant Women's Establishment of Home and Family in a New Culture Within Australia', Journal of Transcultural Nursing, pp. 1-9.View/Download from: Publisher's site
Purpose: Migrating and establishing a new life in another culture can have diverse health effects especially for women.
This article explores the struggles and social adjustment issues that might constitute negatively to the health of West
African migrant women living in Australia. Design: Qualitative storytelling. Audiotaped voluntary stories from 20 West
African migrant women living in Sydney, Australia were transcribed and analyzed. Findings: Three themes are presented for
discussion: (1) But it is different here: life in a new country; (2) I have to do it all by myself: communal versus individual living; and
(3) They don't listen to parents: perceived threats to the family unit. Conclusion/Implication for Practice: The demand for
and the importance of nurses and midwives in supporting migrant families is demonstrated by findings suggesting that social
adjustment into the Australian culture has a significant impact on both the nuclear and extended family unit of women.
Sowole, O, Power, T, Jackson, D, Davidson, PM & DiGiacomo, M 2016, 'Resilience of African migrant women: an integrative review', Health Care for Women International, vol. 37, no. 9, pp. 946-963.View/Download from: Publisher's site
African migrant women represent a rapidly growing cohort of new arrivals in many countries. Many of these women demonstrate strength and resilience throughout the stressful migration process. In this integrative review, we explore the literature on African migrants' resilience using an ecological framework. Nine peer-reviewed journal articles and six grey literature documents were reviewed. Key internal and external factors in achieving resilience were identified, discussed, and diagrammatically represented using Bronfenbrenner's Ecological Framework under micro-, meso-, exo-, and macro-levels. Our findings show that the capacity for resilience demonstrated during migration could have implications for policy and practice.
Deek, H, Chang, S, Noureddine, S, Newton, PJ, Inglis, SC, Macdonald, PS, Al Arab, G & Davidson, PM 2016, 'Translation and validation of the Arabic version of the Self-care of Heart Failure Index', NURSE RESEARCHER, vol. 24, no. 2, pp. 34-40.View/Download from: Publisher's site
Deek, H, Hamilton, S, Brown, N, Inglis, SC, DiGiacomo, M, Newton, P, Noureddine, S, Macdonald, P, Davidson, PM & FAMILY Project Investigators 2016, 'Family-centred approaches to healthcare interventions in chronic diseases in adults: a quantitative systematic review.', Journal of Advanced Nursing, vol. 72, no. 5, pp. 968-979.View/Download from: Publisher's site
Increasingly there is a focus on self-care strategies for both malignant and non-malignant conditions. Models of self-care interventions have focussed on the individual and less on the broader context of family and society. In many societies, decision-making and health seeking behaviours, involve family members.To identify elements of effective family-centred self-care interventions that are likely to improve outcomes of adults living with chronic conditions.Review paper.MEDLINE (Ovid), CINAHL, Academic Search Complete, PsychInfo and Scopus between 2000-2014.Quantitative studies targeting patient outcomes through family-centred interventions in adults were retrieved using systematic methods in January, 2015. Search terms used were: 'family', 'spouse', 'carer', 'caregiver', 'chronic', 'chronic disease', 'self-care', 'self-management' and 'self-efficacy'. Reference lists were reviewed. Risk of bias assessment was performed using the Cochrane Collaboration's tool. Data were reported using a narrative summary approach.Ten studies were identified. Improvements were noted in readmission rates, emergency department presentations, and anxiety levels using family-centred interventions compared with controls. Elements of effective interventions used were a family-centred approach, active learning strategy and transitional care with appropriate follow-up.Involving the family in self-care has shown some positive results for patients with chronic conditions. The benefits of family-centred care may be more likely in specific socio-cultural contexts.The review has year limits and further research needs to identify support for both the patients and family caregivers.
Deek, H, Noureddine, S, Newton, PJ, Inglis, SC, MacDonald, PS & Davidson, PM 2016, 'A family-focused intervention for heart failure self-care: conceptual underpinnings of a culturally appropriate intervention', Journal of Advanced Nursing, vol. 72, no. 2, pp. 434-450.View/Download from: Publisher's site
Deek, HA, Newton, PJ, Noureddine, S, Inglis, SC, Kabbani, S, Macdonald, P, Davidson, PM, Al Arab, G, Chalak, W & Nadim, T 2016, 'Protocol for a block randomised controlled trial of an intervention to improve heart failure care', Nurse Researcher, vol. 23, no. 4, pp. 24-29.View/Download from: Publisher's site
Aim To describe the design of a randomised controlled trial conducted to evaluate a culturally tailored, nurse-led educational intervention.
Background Self-care strategies are critical to improving health outcomes in heart failure. The family unit is crucial in collectivist cultures, but little is known about involving the family in the self-care of patients with heart failure.
Discussion Involving the family in the self-care of heart failure is a novel approach. To the authors' knowledge, no one has evaluated it using a randomised controlled trial.
Conclusion A valid comparison of outcomes between the control group and the intervention group involved in the study was provided in this trial. The chosen design, randomised controlled trial, enabled the assessment of the intervention.
Implications for practice The application of a family self-care intervention in a collectivist culture was shown to improve clinical and quality outcomes of patients with heart failure. Considering the individual and the community needs is vital in improving these outcomes.
Ferguson, C, Inglis, SC, Newton, PJ, Middleton, S, Macdonald, PS & Davidson, PM 2016, 'Education and practice gaps on atrial fibrillation and anticoagulation: a survey of cardiovascular nurses', BMC Medical Education, vol. 16, no. 9.View/Download from: Publisher's site
Patients' knowledge of their atrial fibrillation (AF) and anticoagulation therapy are determinants of the efficacy of thromboprophylaxis. Nurses may be well placed to provide counselling and education to patients on all aspects of anticoagulation, including self-management. It is important that nurses are well informed to provide optimal education to patients. Current practice and knowledge of cardiovascular nurses on AF and anticoagulation in the Australian and New Zealand (ANZ) context is not well reported.
This study aimed to; 1) Explore the nurse's role in clinical decision making in anticoagulation in the setting of AF; 2) Describe perceived barriers and enablers to anticoagulation in AF; 3) Investigate practice patterns in the management of anticoagulation in the ANZ setting; 4) Assess cardiovascular nurses' knowledge of anticoagulation.
A paper-based survey on current practices and knowledge of AF and anticoagulation was distributed during the Australian Cardiovascular Nursing College (ACNC) Annual Scientific Meeting, February 2014. This survey was also emailed to Cardiovascular Trials Nurses throughout New South Wales, Australia and nursing members of the Cardiac Society of Australia and New Zealand (CSANZ).
There were 41/73 (56 %) respondents to the paper-based survey. A further 14 surveys were completed online via nurse members of the CSANZ, and via an investigator developed NSW cardiovascular trials nurse email distribution list. A total of 55 surveys were completed and included in analyses. Prior education levels on AF, stroke risk, anticoagulation and health behaviour modification were mixed. The CHA2DS2VASc and HAS-BLED risk stratification tools were reported to be underused by this group of clinicians. Reported key barriers to anticoagulation included; fears of patients falling, fears of poor adherence to medication taking and routine monitoring. Patient self-monitoring and self-management were reported as underutilise...
Disalvo, D, Luckett, T, Agar, M, Bennett, A & Davidson, PM 2016, 'Systems to identify potentially inappropriate prescribing in people with advanced dementia: a systematic review', BMC GERIATRICS, vol. 16.View/Download from: Publisher's site
Watts, GJ, Clark, K, Agar, M, Davidson, PM, McDonald, C, Lam, LT, Sajkov, D, McCaffrey, N, Doogue, M, Abernethy, AP & Currow, DC 2016, 'Study protocol: a phase III randomised, double-blind, parallel arm, stratified, block randomised, placebo-controlled trial investigating the clinical effect and cost-effectiveness of sertraline for the palliative relief of breathlessness in people with chronic breathlessness', BMJ OPEN, vol. 6, no. 11.View/Download from: Publisher's site
Currow, DC, Davidson, PM & Higginson, IJ 2016, '"Outcomes" Is Not an Oxymoron in Hospice/Palliative Care', JOURNAL OF PALLIATIVE MEDICINE, vol. 19, no. 11, pp. 1128-1129.View/Download from: Publisher's site
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.
Jha, SR, Hannu, MK, Chang, S, Montgomery, E, Harkess, M, Wilhelm, K, Hayward, CS, Jabbour, A, Spratt, PM, Newton, P, Davidson, PM & Macdonald, PS 2016, 'The Prevalence and Prognostic Significance of Frailty in Patients With Advanced Heart Failure Referred for Heart Transplantation.', Transplantation, vol. 100, no. 2, pp. 429-436.View/Download from: Publisher's site
Frailty is a clinically recognized syndrome of decreased physiological reserve. The heightened state of vulnerability in these patients confers a greater risk of adverse outcomes after even minor stressors. Our aim was to assess the prevalence and prognostic significance of the frailty phenotype in patients referred for heart transplantation.Consecutive patients referred or on the waiting list for heart transplantation from March 2013 underwent frailty assessment. Frailty was defined as a positive response to 3 or more of the following 5 components: weak grip strength, slowed walking speed, poor appetite, physical inactivity, and exhaustion. In addition, markers of disease severity were obtained, and all patients underwent cognitive (Montreal Cognitive Assessment) and depression (Depression in Medical Illness-10) screening.One hundred twenty patients (83 men:37 women; age, 53 ± 12 years, range, 16-73 years; left ventricular ejection fraction, 27 ± 14%) underwent frailty assessment. Thirty-nine of 120 patients (33%) were assessed as frail. Frailty was associated with New York Heart Association class IV heart failure, lower body mass index, elevated intracardiac filling pressures, lower cardiac index, anemia, hypoalbuminemia, hyperbilirubinemia, cognitive impairment, and depression (all ρ < 0.05). Frailty was independent of age, sex, heart failure duration, left ventricular ejection fraction, or renal function. Frailty was an independent predictor of increased all-cause mortality: 1 year actuarial survival was 79 ± 5% in the nonfrail group compared with only 54 ± 9% for the frail group (P < 0.005).Frailty is prevalent among patients with advanced symptomatic heart failure referred for heart transplantation and is associated with increased mortality.
Jha, SR, Hannu, MK, Gore, K, Chang, S, Newton, P, Wilhelm, K, Hayward, CS, Jabbour, A, Kotlyar, E, Keogh, A, Dhital, K, Granger, E, Jansz, P, Spratt, PM, Montgomery, E, Harkess, M, Tunicliff, P, Davidson, PM & Macdonald, PS 2016, 'Cognitive impairment improves the predictive validity of physical frailty for mortality in patients with advanced heart failure referred for heart transplantation', JOURNAL OF HEART AND LUNG TRANSPLANTATION, vol. 35, no. 9, pp. 1092-1100.View/Download from: Publisher's site
Athari, F, Davidson, PM, Hillman, KM & Phillips, J 2016, 'Implementing a palliative approach in the intensive care unit: An oxymoron or a realistic possibility?', International Journal of Palliative Nursing, vol. 22, no. 4, pp. 163-165.View/Download from: Publisher's site
© 2016 MA Healthcare Ltd. Providing a palliative approach in an ICU is not an oxymoron and is within our reach today. Implementing a palliative approach will better ensure the needs of older patients and their families are met. Investing in developing the palliative care capabilities of ICUs and implementing appropriate policies that support the delivery of best evidence-based palliative care, will help ICU clinicians move seamlessly from implementing intensive therapies focusing on cure to palliation and relief of symptoms and care of families.
Currow, DC, Abernethy, AP, Allcroft, P, Banzett, RB, Bausewein, C, Booth, S, Carrieri-Kohlman, V, Davidson, P, Disler, R, Donesky, D, Dudgeon, D, Ekstrom, M, Farquhar, M, Higginson, I, Janssen, D, Jensen, D, Jolley, C, Krajnik, M, Laveneziana, P, McDonald, C, Maddocks, M, Morelot-Panzini, C, Moxham, J, Mularski, RA, Noble, S, O'Donnell, D, Parshall, MB, Pattinson, K, Phillips, J, Ross, J, Schwartzstein, RM, Similowski, T, Simon, ST, Smith, T, Wells, A, Yates, P, Yorke, J & Johnson, MJ 2016, 'The need to research refractory breathlessness', EUROPEAN RESPIRATORY JOURNAL, vol. 47, no. 1, pp. 342-+.View/Download from: Publisher's site
Davidson, PM, Phillips, JL, Dennison-Himmelfarb, C, Thompson, SC, Luckett, T & Currow, DC 2016, 'Providing palliative care for cardiovascular disease from a perspective of sociocultural diversity: a global view', CURRENT OPINION IN SUPPORTIVE AND PALLIATIVE CARE, vol. 10, no. 1, pp. 11-17.View/Download from: Publisher's site
Forber, J, DiGiacomo, M, Carter, B, Davidson, P, Phillips, J & Jackson, D 2016, 'In pursuit of an optimal model of undergraduate nurse clinical education: An integrative review', Nurse Education in Practice, vol. 21, pp. 83-92.View/Download from: Publisher's site
Clinical learning experiences are an essential part of nurse education programs. Numerous approaches to clinical education and student supervision exist. The aim of this integrative review was to explore how studies have compared or contrasted different models of undergraduate nurse clinical education. A search of eight databases was undertaken to identify peer-reviewed literature published between 2006 and 2015. Eighteen studies met the inclusion criteria. A diverse range of methodologies and data collection methods were represented, which primarily explored student experiences or perceptions. The main models of undergraduate nurse clinical education identified were: traditional or clinical facilitator model; the preceptorship or mentoring model; and the collaborative education unit model in addition to several novel alternatives. Various limitations and strengths were identified for each model with no single optimal model evident. Thematic synthesis identified four common elements across the models: the centrality of relationships; the need for consistency and continuity; the potential for variety of models; and the viability/sustainability of the model. The results indicate that effective implementation and key elements within a model may be more important than the overarching concept of any given model. Further research is warranted to achieve an agreed taxonomy and relate model elements to professional competence.
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: 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)
Hosie, A, Lobb, E, Agar, M, Davidson, P, Chye, R, Lam, L & Phillips, J 2016, 'Measuring delirium point-prevalence in two Australian palliative care inpatient units', INTERNATIONAL JOURNAL OF PALLIATIVE NURSING, vol. 22, no. 1, pp. 13-21.
Luckett, T, Disler, R, Hosie, A, Johnson, M, Davidson, P, Currow, D, Sumah, A & Phillips, J 2016, 'Content and quality of websites supporting self-management of chronic breathlessness in advanced illness: a systematic review', NPJ PRIMARY CARE RESPIRATORY MEDICINE, vol. 26.View/Download from: Publisher's site
Wyllie, A, DiGiacomo, M, Phillips, J, Davidson, PM & Jackson, D 2016, 'Acknowledging attributes that enable the career academic nurse to thrive in the tertiary education sector: a qualitative systematic review', Nurse Education Today, vol. 45, pp. 212-218.View/Download from: Publisher's site
Abshire, M, Xu, J, Himmelfarb, CD, Davidson, P, Sulmasy, D, Kub, J, Hughes, M & Nolan, M 2015, 'Symptoms and fear in heart failure patients approaching end of life: a mixed methods study', JOURNAL OF CLINICAL NURSING, vol. 24, no. 21-22, pp. 3215-3223.View/Download from: Publisher's site
Azimzadeh, E, Hosseini, MA, Nourozi, K & Davidson, PM 2015, 'Effect of Tai Chi Chuan on balance in women with multiple sclerosis', COMPLEMENTARY THERAPIES IN CLINICAL PRACTICE, vol. 21, no. 1, pp. 57-60.View/Download from: Publisher's site
Betihavas, V, Frost, SA, Newton, PJ, Macdonald, P, Stewart, S, Carrington, MJ, Chan, YK & Davidson, PM 2015, 'An Absolute Risk Prediction Model to Determine Unplanned Cardiovascular Readmissions for Adults with Chronic Heart Failure.', Heart Lung and Circulation, vol. 24, no. 11, pp. 1068-1073.View/Download from: Publisher's site
Frequent readmissions are a hallmark of chronic heart failure (CHF). We sought to develop an absolute risk prediction model for unplanned cardiovascular readmissions following hospitalisation for CHF.An inception cohort was obtained from the WHICH? trial, a prospective, multi-centre randomised controlled trial which was a head-to-head comparison of the efficacy of a home-based intervention versus clinic-based intervention for adults with CHF. A Cox's proportional hazards model (taking into account the competing risk of death) was used to develop a prediction model. Bootstrap methods were used to identify factors for the final model. Based on these data a nomogram was developed.Of the 280 participants in the WHICH? trial 37 (13%) were readmitted for a cardiovascular event (including CHF) within 28 days, and a further 149 (53%) were readmitted within 18 months for a cardiovascular event. In the proposed competing risk model, factors associated with an increased risk of hospitalisation for CHF were: age (HR 1.07, 95% CI 0.90-1.26) for each 10-year increase in age; living alone (HR 1.09, 95% CI 0.74-1.59); those with a sedentary lifestyle (HR 1.44, 95% CI, 0.92-2.25) and the presence of multiple co-morbid conditions (HR 1.69, 95% CI 0.38-7.58) for five or more co-morbid conditions (compared to individuals with one documented co-morbidity). The C-statistic of the final model was 0.80.We have developed a practical model for individualising the risk of short-term readmission for CHF. This model may provide additional information for targeting and tailoring interventions and requires future prospective evaluation.
Campbell, RT, Jackson, CE, Wright, A, Gardner, RS, Ford, I, Davidson, PM, Denvir, MA, Hogg, KJ, Johnson, MJ, Petrie, MC & McMurray, JJV 2015, 'Palliative care needs in patients hospitalized with heart failure (PCHF) study: rationale and design', ESC Heart Failure, vol. 2, no. 1, pp. 25-36.View/Download from: Publisher's site
© 2015 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology. Aims: The primary aim of this study is to provide data to inform the design of a randomized controlled clinical trial (RCT) of a palliative care (PC) intervention in heart failure (HF). We will identify an appropriate study population with a high prevalence of PC needs defined using quantifiable measures. We will also identify which components a specific and targeted PC intervention in HF should include and attempt to define the most relevant trial outcomes. Methods: An unselected, prospective, near-consecutive, cohort of patients admitted to hospital with acute decompensated HF will be enrolled over a 2-year period. All potential participants will be screened using B-type natriuretic peptide and echocardiography, and all those enrolled will be extensively characterized in terms of their HF status, comorbidity, and PC needs. Quantitative assessment of PC needs will include evaluation of general and disease-specific quality of life, mood, symptom burden, caregiver burden, and end of life care. Inpatient assessments will be performed and after discharge outpatient assessments will be carried out every 4 months for up to 2.5 years. Participants will be followed up for a minimum of 1 year for hospital admissions, and place and cause of death. Methods for identifying patients with HF with PC needs will be evaluated, and estimates of healthcare utilisation performed. Conclusion: By assessing the prevalence of these needs, describing how these needs change over time, and evaluating how best PC needs can be identified, we will provide the foundation for designing an RCT of a PC intervention in HF.
Carryer, J, Halcomb, E & Davidson, PM 2015, 'Nursing: the answer to the primary health care dilemma.', Collegian (Royal College of Nursing, Australia), vol. 22, no. 2, pp. 151-152.
Chroinin, DN, Goldsbury, D, O'Connell, DL, Beveridge, A, Davidson, P, Girgis, A, Ingham, N, Phillips, JL, Wilkinson, A & Ingham, J 2015, 'Hospital services utilisation amongst older patients in the last year of life: a New South Wales (NSW) population-based study', AUSTRALASIAN JOURNAL ON AGEING, vol. 34, pp. 66-67.
Davidson, P 2015, 'Author's response', International journal of nursing studies, vol. 52, no. 1, p. 503.
Davidson, PM 2015, 'Another Piece of the Puzzle Wait Times Call for Integrated Patient, Provider, and System Solutions for Cardiac Rehabilitation', CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, vol. 8, no. 6, pp. 539-540.View/Download from: Publisher's site
Davidson, PM & Du, H 2015, 'Nurses do not have proprietary rights on caring: but we do on clinical practice models', JOURNAL OF NURSING MANAGEMENT, vol. 23, no. 4, pp. 409-410.View/Download from: Publisher's site
Davidson, PM, Newton, PJ, Tankumpuan, T, Paull, G & Dennison-Himmelfarb, C 2015, 'Multidisciplinary Management of Chronic Heart Failure: Principles and Future Trends', Clinical Therapeutics, vol. 37, no. 10, pp. 2225-2233.View/Download from: Publisher's site
Fernandez, R, Everett, B, Miranda, C, Rolley, JX, Rajaratnam, R & Davidson, PM 2015, 'Migratory Implications For Coronary Heart Disease Risk Prevention In Asian Indians: Evidence From The Leading Health Indicators', Journal of cultural diversity, vol. 22, no. 1, pp. 30-38.
OBJECTIVEctives of this descriptive comparative study were to (1) review data obtained from the World Health Organisation Statistical Information System (WHOSIS) database relating to the prevalence of risk factors for coronary heart disease (CHD) among Indians and Australians and (2) compare these data with published epidemiological studies of CHD riskfactors in adult migrant Asian Indians to provide a comprehensive and comparable assessment of risk factors relating to CHD and the mortality attributable to these risk factors. Design: ThDESIGNdy was undertaken using a database search and integrative review methodology. Data were obtained for comparison of CHD risk factors between Indians and Australians using the WHOSIS database. For the integrative review the MEDLINE, CINAHL, EMBASE, and Cochrane databases were searched using the keywords 'Migrants', 'Asian Indian', 'India', 'Migration', 'Immigration', 'Risk factors', and coronary heart disease. Two reviewers independently assessed the eligibility of the studies for inclusion in the review, the methodological quality and extracted details of eligible studies. Results from the integrative review on CHD risk factors in Asian Indians are presented in a narrative format, along with results from the WHOSIS database. Results: TRESULTSadjusted mortality for CHD was four times higher in migrant Asian Indians when compared to both the native population of the host country and migrants from other countries. Similarly when compared to migrants from other countries migrant Asian Indians had the highest prevalence of overweight individuals. Prevalence rates for hypercholesterolemia were up to 18.5 % among mgrant Asian Indians and migrant Asian Indian women had a higher prevalence of hypertriglyceridaemia compared to Caucasian females. Migrant Asian Indians also had a higher incidence of hypertension and upto 71 % of migrnt Asian Indian men did not meet current guidelines for participation in physical activity. Ethnic-specific...
Fernandez, R, Rolley, JX, Rajaratnam, R, Everett, B & Davidson, PM 2015, 'Reducing the risk of heart disease among Indian Australians: knowledge, attitudes, and beliefs regarding food practices - a focus group study', FOOD & NUTRITION RESEARCH, vol. 59.View/Download from: Publisher's site
Fernandez, R, Rolley, JX, Rajaratnam, R, Sundar, S, Patel, NC & Davidson, PM 2015, 'Risk Factors for Coronary Heart Disease Among Asian Indians Living in Australia', JOURNAL OF TRANSCULTURAL NURSING, vol. 26, no. 1, pp. 57-63.View/Download from: Publisher's site
Gibson, JA 2015, 'Commentary on Berry et al.: "Effects of three approaches to standardized oral hygiene to reduce bacterial colonization and ventilator associated pneumonia in mechanically ventilated patients: a randomized control trial" [Int. J. Nurs. Stud. 48 (2011) 681-688].', International journal of nursing studies, vol. 52, no. 1, pp. 502-503.View/Download from: Publisher's site
Glass, N, Cochran, W & Davidson, PM 2015, 'Editorial: Transformational experiences a key to improving global health: the role of the Peace Corps', JOURNAL OF CLINICAL NURSING, vol. 24, no. 9-10, pp. 1149-1150.View/Download from: Publisher's site
Gresh, A, Dallman, E, Johnson, E, Mena-Carrasco, F, Rosales, L, Pantaleon, V, Davidson, PM & Sharps, P 2015, 'The Role of the World Health Organization Collaborating Centers: Perspectives of Future Global Nurse Leaders', Nurse Leader, vol. 13, no. 5, pp. 44-48.View/Download from: Publisher's site
© 2015 Mosby, Inc. The forces of globalization have shifted the way that healthcare is delivered and also how the global nursing workforce is conceptualized.1,2 Globally, the demand for healthcare is increasing, outpacing the growth in the workforce, primarily because of population growth, the aging population, and the increasing burden of noncommunicable diseases.3 This gap is known as the human resources for health crisis (HRH crisis).4 The deficits in the healthcare workforce are attributed to the aging healthcare workforce, experienced professionals leaving for better paying jobs, and labor migration both within and across countries.5 Moreover, globally, nursing workforce numbers are highly susceptible to political pressures, and a consistent workforce strategy has not been widely applied.6 Low- and middle-income countries experience an even greater workforce burden due to increasing demands for healthcare and are much more vulnerable to migration factors and the influence of pandemics.7 As more countries make a commitment for universal healthcare coverage, the demand for healthcare will continue to increase, and the HRH crisis will become even more acute. High-income countries are also not immune to this crisis as the demand for healthcare continues to grow in the face of and fiscal constraints.
Hosseini, M, Davidson, PM, Khoshknab, MF & Nasrabadi, AN 2015, 'Experience of Spiritual Care in Cardiac Rehabilitation: An Interpretative Phenomenological Analysis.', The journal of pastoral care & counseling : JPCC, vol. 69, no. 2, pp. 68-76.View/Download from: Publisher's site
The aim of the study was to explore the experience of spiritual care among a cardiac rehabilitation team. Spiritual care is an important dimension of providing comprehensive care, and understanding the views of health professionals is pivotal to making recommendations for caring. This study used an interpretive phenomenological approach. Semi-structured interviews were undertaken with 13 cardiac rehabilitation professionals. Seven persons participated in individual interviews and six in focus group discussions. Data were analyzed using Smith and Osborn's interpretative phenomenological analysis method. Study data were categorized into more than 150 initial themes, 12 clustered and four superordinate themes, included: 'Helping patients to obtain a meaningful sense of being', 'Providing religious/spiritual focused care', 'holistic approach to rehabilitation is needed' and 'spirituality as a neglected aspect of rehabilitation'. Participants described that they did not have sufficient training in providing spiritual care. Nurses' awareness of spiritual care meaning among a cardiac rehabilitation team is helping to respond to rehabilitation care in a holistic approach. Helping patients to get a meaningful sense of being is an important part of assisting in recovery and adjustment following an acute cardiac event. Providing clear guidelines and support for providing spiritual care in cardiac rehabilitation is required.
Hunt, L, Frost, SA, Alexandrou, E, Hillman, K, Newton, PJ & Davidson, PM 2015, 'Reliability of intra-abdominal pressure measurements using the modified Kron technique.', Acta Clinica Belgica, vol. 70, no. 2, pp. 116-120.View/Download from: Publisher's site
OBJECTIVES: Assessment of intra-abdominal pressure (IAP) and the likelihood of abdominal compartment syndrome using valid and reliable measures is an important tool in the assessment of critically ill patients. The current method of relying on a single IAP per measurement period to determine patient clinical status raises the question: is a single intermittent IAP measurement an accurate indicator of clinical status or should more than one measurement be taken per measurement period? METHODS: This study sought to assess the reliability of IAP measurements. Measurements were taken using the modified Kron technique. A total of two transvesical intra-abdominal pressure measurements were undertaken per patient using a standardized protocol. Recordings were taken at intervals of 5 minutes. RESULTS: The majority of participants (58%) were surgical patients. Thirty-two were males and the mean age was 58 years (SD: 16·7 years). The concordance correlation coefficient between the two measurements was 0·95. Both the scatter and Bland-Altman plots demonstrate that the comparisons of two measurements are highly reproducible. CONCLUSION: The findings of this study suggest that conducting two IAP measurements on single patient produce comparable results; therefore, there appears to be no advantage in doing two IAP measurements on a single patient. The measurement of an IAP requires the implementation of a standardized protocol and competent and credentialed assessors trained in the procedure.
MacIntyre, CR, Chughtai, AA, Seale, H, Richards, GA & Davidson, PM 2015, 'Respiratory protection for healthcare workers treating Ebola virus disease (EVD): Are facemasks sufficient to meet occupational health and safety obligations? (vol 50, pg 1421, 2014)', INTERNATIONAL JOURNAL OF NURSING STUDIES, vol. 52, no. 1, pp. 505-505.View/Download from: Publisher's site
MacIntyre, CR, Chughtai, AA, Seale, H, Richards, GA & Davidson, PM 2015, 'Uncertainty, risk analysis and change for Ebola personal protective equipment guidelines', INTERNATIONAL JOURNAL OF NURSING STUDIES, vol. 52, no. 5, pp. 899-903.View/Download from: Publisher's site
Newton, P, Davidson, P, Reid, C & Macdonald, P 2015, 'A snapshot of acute decompensated heart failure across New South Wales. Baseline results from the NSW HF Snapshot', Heart, Lung and Circulation, vol. 24, pp. S193-S193.View/Download from: Publisher's site
Shehab, S, Vickers, D, Jain, N, Newton, P, Davidson, P, Jansz, P, Macdonald, P & Hayward, C 2015, 'In-vitro assessment of the HeartWare HVAD in a biventricular configuration', Heart, Lung and Circulation, vol. 24, pp. S209-S209.View/Download from: Publisher's site
Smith, TA, Davidson, PM, Jenkins, CR & Ingham, JM 2015, 'Life behind the mask: the patient experience of NIV', LANCET RESPIRATORY MEDICINE, vol. 3, no. 1, pp. 8-10.View/Download from: Publisher's site
Velez, RP, Becker, KL, Davidson, P & Sloand, E 2015, 'A quality improvement intervention to address provider behaviour as it relates to utilisation of CA-MRSA guidelines', JOURNAL OF CLINICAL NURSING, vol. 24, no. 3-4, pp. 556-562.View/Download from: Publisher's site
Walczak, A, Henselmans, I, Tattersall, MHN, Clayton, JM, Davidson, PM, Young, J, Bellemore, FA, Epstein, RM & Butow, PN 2015, 'A qualitative analysis of responses to a question prompt list and prognosis and end-of-life care discussion prompts delivered in a communication support program', PSYCHO-ONCOLOGY, vol. 24, no. 3, pp. 287-293.View/Download from: Publisher's site
Alomari, A, Wilson, V, Davidson, PM & Lewis, J 2015, 'Families, nurses and organisations contributing factors to medication administration error in paediatrics: a literature review', International Practice Development Journal, vol. 5, no. 1, pp. 1-14.
Background: Medication error is the most common adverse event for hospitalised children and can lead to significant harm. Despite decades of research and implementation of a number of initiatives, the error rates continue to rise, particularly those associated with administration.
Objectives: The objective of this literature review is to explore the factors involving nurses, families and healthcare systems that impact on medication administration errors in paediatric patients.
Design: A review was undertaken of studies that reported on factors that contribute to a rise or fall in medication administration errors, from family, nurse and organisational perspectives. The following databases were searched: Medline, Embase, CINAHL and the Cochrane library. The title, abstract and full article were reviewed for relevance. Articles were excluded if they were not research studies, they related to medications and not medication administration errors or they referred to medical errors rather than medication errors.
Results: A total of 15 studies met the inclusion criteria. The factors contributing to medication administration errors are communication failure between the parents and healthcare professionals, nurse workload, failure to adhere to policy and guidelines, interruptions, inexperience and insufficient nurse education from organisations. Strategies that were reported to reduce errors were double-checking by two nurses, implementing educational sessions, use of computerised prescribing and barcoding administration systems. Yet despite such interventions, errors persist. The review highlighted families that have a central role in caring for the child and therefore are key to the administration process, but have largely been ignored in research studies relating to medication administration.
Conclusions: While there is a consensus about the factors that contribute to errors, sustainable and effective solutions remain elusive. To date, families have not been included a...
Chang, S, Davidson, PM, Newton, PJ, Macdonald, P, Carrington, MJ, Marwick, TH, Horowitz, JD, Krum, H, Reid, CM, Chan, YK, Scuffham, PA, Sibbritt, D & Stewart, S 2015, 'Composite outcome measures in a pragmatic clinical trial of chronic heart failure management: A comparative assessment', International Journal of Cardiology, vol. 185, pp. 62-68.View/Download from: Publisher's site
Cao, Y, DiGiacomo, M, Salamonson, Y, Li, Y, Huai, B & Davidson, PM 2015, 'Nurses' perceptions of their professional practice environment: a cross-sectional study.', Journal of Clinical Nursing, vol. 24, no. 23-24, pp. 3441-3448.View/Download from: Publisher's site
AIMS AND OBJECTIVES: To describe nurses' perceptions concerning their professional practice environment in mainland China and identify factors associated with these views. BACKGROUND: Globally, the environments in which nurses work influence the quality of nursing practice and health care. DESIGN: A cross-sectional descriptive survey using both paper- and online-based delivery modes was used. METHOD: A convenience sampling method was used. The survey questionnaire was composed of sociodemographic items and the 38-item Chinese version of Professional Practice Environment survey. The content of the paper-based questionnaire was identical to the online survey. Pearson's chi-square test was conducted to compare the demographic characteristics of these two data sets. Descriptive statistics analysis included frequency, percentage, mean and standard deviation. Multiple linear regression analysis using the Backwards method was applied to identify independent predictors of each subscale of the 38-item Chinese version of Professional Practice Environment. RESULTS: A total of 573 questionnaires were analysed. The mean score of each subscale of the 38-item Chinese version of Professional Practice Environment in this study ranged from 2·66-3·05. All subscales except work motivation (3·05, standard deviation: 0·44) scored less than 3·0. Areas rated as most in need of improvement included control over practice, interpersonal interaction, supportive leadership and handling conflict, and staff relationships with physicians and autonomy. CONCLUSION: This study has identified nurses' perspectives regarding their workplaces in contemporary China. These data have provided an important baseline for developing and implementing culturally appropriate strategies to improve the working environment of Chinese nurses. RELEVANCE TO CLINICAL PRACTICE: A supportive and enabling work environment promotes professional development and the safety and quality of health care. Addressing these factor...
DiGiacomo, M, Green, A, Rodrigues, E, Mulligan, K & Davidson, PM 2015, 'Developing a gender-based approach to chronic conditions and women's health: a qualitative investigation of community-dwelling women and service provider perspectives', BMC Women's Health, vol. 15, pp. 15-15.View/Download from: Publisher's site
Chronic conditions contribute to over 70 % of Australia's total disease burden, and this is set to increase to 80 % by 2020. Women's greater longevity means that they are more likely than men to live with disability and have unique health concerns related to their gender based roles in society. Cultural and social issues can impact on women's health and are important to consider in health services planning and research. In this study, we aimed to identify barriers and facilitators to providing a gender-based approach to chronic conditions and women's health in an eastern metropolitan region of Australia.
Focus groups were used to engage both community-dwelling women who had chronic conditions and relevant professional stakeholders in the target area. Recorded proceedings underwent thematic analysis.
Five focus groups were conducted with professional stakeholders and women community members in February and March 2014. Resultant themes included: women's disempowerment through interactions with health systems; social and economic constraints and caregiving roles act to exclude women from participating in self-care and society; and empowerment can be achieved through integrated models of care that facilitate voice and enable communication and engagement.
This study underscores the importance of including perspectives of sex and gender in health care services planning. Tailoring services to socio-demographic and cultural groups is critical in promoting access to health care services. Unique epidemiological trends, particularly the ageing of women and new migrant groups, require particular attention.
Forber, J, DiGiacomo, M, Davidson, PM, Carter, B & Jackson, D 2015, 'The context, influences and challenges for undergraduate nurse clinical education: Continuing the dialogue', Nurse Education Today, vol. 35, no. 11, pp. 1114-1118.View/Download from: Publisher's site
Approaches to clinical education are highly diverse and becoming increasingly complex to sustain in complex milieu
To identify the influences and challenges of providing nurse clinical education in the undergraduate setting and to illustrate emerging solutions.
A discursive exploration into the broad and varied body of evidence including peer reviewed and grey literature.
Internationally, enabling undergraduate clinical learning opportunities faces a range of challenges. These can be illustrated under two broad themes: (1) legacies from the past and the inherent features of nurse education and (2) challenges of the present, including, population changes, workforce changes, and the disconnection between the health and education sectors. Responses to these challenges are triggering the emergence of novel approaches, such as collaborative models.
Maneze, D, DiGiacomo, M, Salamonson, Y, Descallar, J & Davidson, PM 2015, 'Facilitators and Barriers to Health-Seeking Behaviours among Filipino Migrants: Inductive Analysis to Inform Health Promotion', BioMed Research International.View/Download from: Publisher's site
Sayers, J, Salamonson, Y, DiGiacomo, M & Davidson, PM 2015, 'Nurse educators in Australia: High job satisfaction despite role ambiguity', Journal of Nurse Education and Practice, vol. 5, no. 4, pp. 41-51.View/Download from: Publisher's site
Purpose: The purpose of this study was to describe the nurse educator role in Australian hospitals, including their practice and performance standards.
Methods: A cross-sectional, online survey of nurse educators employed in acute care hospitals in Australia was administered over a three-month period. The survey comprised established and researcher-developed scales, and a single open-ended question. Quantitative data was analysed using descriptive statistics. Qualitative data was analysed using a general inductive approach.
Results: Nurse educators who were more likely to fulfill nurse educator competency practice domains had master's degrees in education, defined professional development needs, and met regularly with their managers. These educators also had higher levels of job satisfaction. Participants identified that role ambiguity and role confusion adversely impacted nurse educator role expectations, responsibilities, and job satisfaction. Despite this, the majority of educators intended to stay in their role for the foreseeable future.
Conclusions: Role ambiguity influenced professional identity and job satisfaction, highlighting the need for clarification of nurse educator roles. These findings suggest the need for review of the nurse educator role and incorporation of professional
and educational requirements and practice competencies. Ongoing role monitoring is recommended to identify the effects of role change.
Allida, SM, Inglis, SC, Davidson, PM, Lal, S, Hayward, CS & Newton, PJ 2015, 'Thirst in chronic heart failure: a review.', Journal of clinical nursing, vol. 24, no. 7-8, pp. 916-926.View/Download from: Publisher's site
This review will (1) explore factors related to thirst in chronic heart failure and (2) describe interventions to alleviate thirst in chronic heart failure patients.Thirst is a common and troublesome symptom of chronic heart failure. Despite the burden and prevalence of this symptom, there are limited strategies to assist in its management.This is a review of literature on the burden of thirst, contributors to thirst and potential management strategies of thirst in patients with chronic heart failure.Medline, Cumulative Index for Nursing and Allied Health, PubMed and Scopus were searched using the key words thirst, chronic heart failure, angiotensin II, fluid restriction and intervention. Of the 165 citations yielded, nine studies (n = 9) were included. The eligibility criteria included participants with confirmed diagnosis of chronic heart failure, randomised controlled studies or any studies with thirst as primary or secondary outcome, in humans and in English. There was no limit to the years searched.Factors related to thirst in chronic heart failure were condition; prolonged neurohormonal activation, treatment; pharmacological interventions and fluid restriction and emotion. No intervention studies were found in chronic heart failure patients. Interventions such as artificial saliva and chewing gum have been investigated for their effectiveness as a thirst reliever in haemodialysis patients.Thirst is a frequent and troublesome symptom for individuals with chronic heart failure. It is highly likely that this contributes to poor adherence with fluid restrictions. Chewing gum can help alleviate thirst, but investigation in people with heart failure is needed.Increasing awareness of thirst and interventions to relieve it in clinical practice is likely to improve the quality of care for people with chronic heart failure.
Deek, HA, Newton, PJ, Inglis, S, Kabbani, S, Noureddine, S, Macdonald, P & Davidson, PM 2015, 'Heart health in Lebanon and considerations for addressing the burden of cardiovascular disease.', Collegian, vol. 22, no. 3, pp. 333-339.View/Download from: Publisher's site
To (1) aggregate and define the burden of cardiovascular disease in Lebanon and (2) describe implications for policy, practice and research to improve health outcomes in Lebanon.
Ferguson, C, Inglis, S, Newton, PJ, Middleton, S, Macdonald, P & Davidson, PM 2015, 'The caregiver role in thromboprophylaxis management in atrial fibrillation: A literature review', European Journal of Cardiovascular Nursing, vol. 14, no. 2, pp. 98-107.View/Download from: Publisher's site
Background: Atrial fibrillation is a common arrhythmia and a risk factor for adverse events including stroke. People living with atrial fibrillation are commonly elderly and have multiple comorbidities. The role of a caregiver in supporting the individual to manage a chronic and complex condition has received limited attention.
Inglis, SC, Du, H, Dennison Himmelfarb, C & Davidson, PM 2015, 'mHealth education interventions in heart failure', Cochrane Database of Systematic Reviews, vol. 2015, no. 8.View/Download from: Publisher's site
© 2015 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: To systematically review and quantify the potential benefits of mHealth education for people with heart failure.
Sibbritt, D, Davidson, P, DiGiacomo, M, Newton, P & Adams, J 2015, 'Use of Complementary and Alternative Medicine in Women With Heart Disease, Hypertension and Diabetes (from the Australian Longitudinal Study on Women's Health)', AMERICAN JOURNAL OF CARDIOLOGY, vol. 115, no. 12, pp. 1691-1695.View/Download from: Publisher's site
Brown, N, Luckett, T, Davidson, PM & DiGiacomo, M 2015, 'Interventions to Reduce Harm from Smoking with Families in Infancy and Early Childhood: A Systematic Review', International Journal of Environmental Research and Public Health, vol. 12, no. 3, pp. 3091-3119.View/Download from: Publisher's site
Exposure to adult smoking can have deleterious effects on children. Interventions that assist families with smoking cessation/reduction and environmental tobacco smoke (ETS) avoidance can improve child health outcomes and reduce the risk of
smoking initiation. The purpose of this review was to describe the state of the science of interventions with families to promote smoke-free home environments for infants and young children, including parent smoking reduction and cessation interventions, ETS reduction, and anti-smoking socialisation interventions, using the socio-ecological framework as a guide. A systematic review of peer-reviewed articles identified from journal databases from 2000 to 2014 was undertaken. Of 921 articles identified, 28 were included in the review. Considerable heterogeneity characterised target populations, intervention types, complexity and intensity, precluding meta-analysis. Few studies used socio-ecological approaches, such as family theories or concepts. Studies in early parenthood (child age newborn to one
year) tended to focus on parent smoking cessation, where studies of families with children aged 1–5 years were more likely to target household SHSe reduction. results suggest that interventions for reduction in ETS may be more successful than for smoking cessation and relapse prevention in families of children aged less than 5 years. There is a need for a range of interventions to support families in creating a smoke free home environment that are both tailored and targeted to specific populations. Interventions that target the social and psychodynamics of the family should be considered further, particularly in reaching vulnerable populations. Consideration is also required for approaches to interventions that may further stigmatise families containing smokers. Further research is required to identify
successful elements of interventions and the contexts in which they are most effective.
Disler, R, Inglis, S, Newton, P, Currow, D, Macdonald, P, Glanville, A, Donesky, D, Carrieri-Kohlman, V & Davidson, P 2015, 'ATTITUDES TO ONLINE DELIVERY OF HEALTH INFORMATION AND CHRONIC DISEASE MANAGEMENT IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE: FOCUS GROUP STUDY', Respirology, vol. 20, pp. 105-105.
Disler, R, Spiliopoulos, N, Inglis, S, Currow, D & Davidson, P 2015, 'INDIVIDUALS ATTITUDES TO COGNITIVE IMPAIRMENT AND IMPACT IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE: FOCUS GROUP STUDY', RESPIROLOGY, vol. 20, pp. 105-105.
Disler, RT, Inglis, SC, Newton, PJ, Currow, DC, Macdonald, PS, Glanville, AR, Donesky, D, Carrieri-Kohlman, V & Davidson, PM 2015, 'Patterns of Technology Use in Patients Attending a Cardiopulmonary Outpatient Clinic: A Self-Report Survey', Interactive Journal of Medical Research, vol. 4, no. 1, pp. 1-14.View/Download from: Publisher's site
Background: Self-management education for cardiopulmonary diseases is primarily provided through time-limited, face-to-face programs, with access limited to a small percentage of patients. Telecommunication tools will increasingly be an important component of future health care delivery.
Objective: The purpose of this study was to describe the patterns of technology use in patients attending a cardiopulmonary clinic in an academic medical center.
Methods: A prevalence survey was developed to collect data on participant demographics (age in years, sex, and socioeconomic status); access to computers, Internet, and mobile phones; and use of current online health support sites or programs. Surveys were offered by reception staff to all patients attending the outpatient clinic.
Results: A total of 123 surveys were collected between March and April 2014. Technological devices were a pervasive part of everyday life with respondents engaged in regular computer (102/123, 82.9%), mobile telephone (115/117, 98.3%), and Internet (104/121, 86.0%) use. Emailing (101/121, 83.4%), researching and reading news articles (93/121, 76.9%), social media (71/121, 58.7%), and day-to-day activities (65/121, 53.7%) were the most common telecommunication activities. The majority of respondents reported that access to health support programs and assistance through the Internet (82/111, 73.9%) would be of use, with benefits reported as better understanding of health information (16/111, 22.5%), avoidance of difficult travel requirements and time-consuming face-to-face appointments (13/111, 18.3%), convenient and easily accessible help and information (12/111, 16.9%), and access to peer support and sharing (9/111, 12.7%). The majority of patients did not have concerns over participating in the online environment (87/111, 78.4%); the few concerns noted related to privacy and security (10/15), information accuracy (2/15), and computer literacy and access (2/15).
Conclusions: Chronic disease bur...
Disler, RT, Inglis, SC, Newton, PJ, Currow, DC, Macdonald, PS, Glanville, AR, Donesky, D, Carrieri-Kohlman, V & Davidson, PM 2015, 'Patterns of Technology Use in Patients Attending a Cardiopulmonary Outpatient Clinic: A Self-Report Survey', JOURNAL OF MEDICAL INTERNET RESEARCH, vol. 17, no. 3.
Spiliopoulos, N, Inglis, SC, Currow, DC, Davidson, PM & Disler, RT 2015, 'Attitudes To Cognitive Impairment And Testing In Patients With Chronic Obstructive Pulmonary Disease: Focus Group Study', Am J Respir Crit Care Med, vol. 191, pp. A5291-A5291.
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: 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: Publisher's site
Agar, M, Beattie, E, Luckett, T, Phillips, J, Luscombe, G, Goodall, S, Mitchell, G, Pond, D, Davidson, PM & Chenoweth, L 2015, 'Pragmatic cluster randomised controlled trial of facilitated family case conferencing compared with usual care for improving end of life care and outcomes in nursing home residents with advanced dementia and their families: the IDEAL study protocol', BMC Palliative Care, vol. 14, no. 63.View/Download from: Publisher's site
DiGiacomo, M, Lewis, J, Phillips, J, Nolan, M & Davidson, PM 2015, 'The business of death: a qualitative study of financial concerns of widowed older women', BMC Women's Health, vol. 15, pp. 1-10.View/Download from: Publisher's site
The feminisation of ageing and increasing number of widowed women in contemporary society has significant implications. Older women are at risk of poor health, social, and economic outcomes upon widowhood. The aim of the study was to describe women's experiences in the period soon after their husbands' death, including their financial issues and concerns, and the ways in which these experiences impacted on the transition to widowhood late in life.
This was a longitudinal study using serial in-depth semi-structured interviews with 21 community-dwelling women over the age of 65 in Australia. Verbatim transcripts underwent Interpretive Phenomenological Analysis.
Thematic analysis revealed: 1) administrative burden increases vulnerability; 2) gender roles impact on transitions; and 3) financial adjustments render housing insecurity and health risk. High administrative burden within the context of significant grief and mourning was a defining feature of the early bereavement period. Complicated protracted administrative processes, insensitive interactions, and reminders of loss contributed to distress, anxiety and feelings of demoralisation. Several women identified assumption of household financial management as the most difficult aspect of coping with their husband's death.
Older women may have unmet needs for assistance with administrative, financial, and legal issues immediately following spousal death and potentially for years afterward. Lack of familiarity and absence of instrumental support with financial and legal issues signal the need for policy reform, resources to improve financial literacy in women throughout the life course, increased advocacy, and consideration of different support and service models.
Goldsbury, DE, O'Connell, DL, Girgis, A, Wilkinson, A, Phillips, JL, Davidson, PM & Ingham, JM 2015, 'Acute hospital-based services used by adults during the last year of life in New South Wales, Australia: a population-based retrospective cohort study', BMC HEALTH SERVICES RESEARCH, vol. 15.View/Download from: 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: Publisher's site
Hosie, A, Lobb, E, Agar, M, Davidson, PM, Chye, R & Phillips, J 2015, 'Nurse perceptions of the Nursing Delirium Screening Scale in two palliative care inpatient units: a focus group study', JOURNAL OF CLINICAL NURSING, vol. 24, no. 21-22, pp. 3276-3285.View/Download from: Publisher's site
Koch, J, Everett, B, Phillips, J & Davidson, PM 2015, 'Is there a relationship between the diversity characteristics of nursing students and their clinical placement experiences? A literature review', Collegian, vol. 22, no. 3, pp. 307-318.View/Download from: Publisher's site
Background: There has been an increase in ethno-cultural, linguistic, and socio-demographical diversity in students enrolling in undergraduate nursing programs. Diversity also involves other characteristics, but little is known about how diversity impacts on the clinical experiences of nursing students. Aim: The aim of this review is to identify studies which describe the clinical placement experiences of nursing students who have a broad range of diversity characteristics. Methods: Major databases were searched and original studies published from 2003 to 30 June 2013 were eligible for inclusion. An expanded definition of diversity was used to include characteristics such as ethnicity, language, age, religion, gender, socioeconomic status, carer responsibilities, sexual orientation and special needs/disability. Findings: Male gender and speaking English as a second language are diversity characteristics associated with a less positive clinical experience. These students are also more likely to leave their nursing program. Mature-aged students and those from ethnic minority groups were also noted to have a less positive clinical experience and in some cases, this also increased attrition. However, it was difficult to determine the impact of these characteristics alone as they appeared to be linked with other characteristics such as financial difficulties and carer responsibilities in the case of mature-aged students, and language and international student status in the case of ethnicity. Conclusions: Given the significant benefits associated with preparing a diverse nursing workforce, it is an imperative to better understand the impact of diversity on nursing students to ensure that every placement becomes a positive and valuable learning experience. © 2014 Australian College of Nursing Ltd.
Lovell, M, Luckett, T, Boyle, F, Stubbs, J, Phillips, J, Davidson, PM, Olver, I, von Dincklage, J & Agar, M 2015, 'Adaptation of international guidelines on assessment and management of cancer pain for the Australian context', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, vol. 11, no. 2, pp. 170-177.View/Download from: Publisher's site
Luckett, T, Bhattarai, P, Phillips, J, Agar, M, Currow, D, Krastev, Y & Davidson, PM 2015, 'Advance care planning in 21st century Australia: a systematic review and appraisal of online advance care directive templates against national framework criteria', AUSTRALIAN HEALTH REVIEW, vol. 39, no. 5, pp. 552-560.View/Download from: Publisher's site
Phillips, JL, Lovell, M, Luckett, T, Agar, M, Green, AR & Davidson, PM 2015, 'Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective', Collegian, vol. 22, no. 1, pp. 33-41.View/Download from: Publisher's site
Cancer pain remains a major public health concern. Despite effective treatmentsbeing available to manage the majority of cancer pain, this debilitating symptom is frequentlyunder treated. As cancer has becomes a chronic disease a range of health professionals, includ-ing community nurses in Australia are increasingly caring for people living with cancer relatedpain. Yet, little is known about community nurses capacity to assess and manage cancer painin accordance with best available evidence.
Virdun, C, Brown, N, Phillips, JL, Luckett, T, Agar, M, Green, AR & Davidson, PM 2015, 'Elements of optimal paediatric palliative care for children and young people: An integrative review using a systematic approach', Collegian, vol. 22, no. 4, pp. 421-431.View/Download from: Publisher's site
Background: Models of palliative care need to address the unmet needs of children, youngpeople and families.Objective: To undertake an integrative review to identify the key elements of optimal paediatric palliative care from the perspectives of children and young people with palliative care needs and their parents.
Virdun, C, Luckett, T, Davidson, PM & Phillips, J 2015, 'Dying in the hospital setting: A systematic review of quantitative studies identifying the elements of end-of-life care that patients and their families rank as being most important.', Palliative Medicine, vol. 29, no. 9, pp. 774-796.View/Download from: Publisher's site
BACKGROUND: The majority of expected deaths occur in hospitals where optimal end-of-life care is not yet fully realised, as evidenced by recent reviews outlining experience of care. Better understanding what patients and their families consider to be the most important elements of inpatient end-of-life care is crucial to addressing this gap. AIM AND DESIGN: This systematic review aimed to ascertain the five most important elements of inpatient end-of-life care as identified by patients with palliative care needs and their families. DATA SOURCES: Nine electronic databases from 1990 to 2014 were searched along with key internet search engines and handsearching of included article reference lists. Quality of included studies was appraised by two researchers. RESULTS: Of 1859 articles, 8 met the inclusion criteria generating data from 1141 patients and 3117 families. Synthesis of the top five elements identified four common end-of-life care domains considered important to both patients and their families, namely, (1) effective communication and shared decision making, (2) expert care, (3) respectful and compassionate care and (4) trust and confidence in clinicians. The final domains differed with financial affairs being important to families, while an adequate environment for care and minimising burden both being important to patients. CONCLUSION: This review adds to what has been known for over two decades in relation to patient and family priorities for end-of-life care within the hospital setting. The challenge for health care services is to act on this evidence, reconfigure care systems accordingly and ensure universal access to optimal end-of-life care within hospitals.
Shishehgar, S, Gholizadeh, L, DiGiacomo, M & Davidson, PM 2015, 'The impact of migration on the health status of Iranians: An integrative literature review', BMC International Health and Human Rights, vol. 15, no. 20.View/Download from: Publisher's site
Daly, J, Jackson, D, Rumsey, M, Patterson, K & Davidson, PM 2015, 'Building Nursing Leadership Capacity: An Australian Snapshot', Nurse Leader, vol. 13, no. 5, pp. 36-39.View/Download from: Publisher's site
© 2015 Mosby, Inc. Leadership is a highly prized commodity across a range of contemporary industries, and healthcare is no exception where the stakes are high. Healthcare, previously viewed as peripheral to many other societal structures, is now front and center, largely due to increasing costs and the increased consumption of gross domestic product. Australia is a culturally diverse and pluralistic society supporting a system of universal healthcare that is accountable and transparent. There are over 200,000 nurses in Australia, working in hospitals, clinics, aged care facilities, and schools, and these individuals are integrally important to the effective and functional health system. Moreover, Australia is intensely aware of the effects of globalization and the importance of a global strategy for human resources for health.
Hayes, C, Power, T, Davidson, PM, Daly, J & Jackson, D 2015, 'Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses.', Nurse education today, vol. 35, no. 9, pp. 981-986.View/Download from: Publisher's site
BACKGROUND: Medication errors are a global phenomenon. Each year Australia-wide there are up to 96,000 preventable medication errors and in the United States there are approximately 450,000 preventable medication errors. One of the leading causes of errors is interruption yet some interruptions are unavoidable. In the interest of patient safety, nurses need to not only understand the impact of interruptions, but also be empowered with the knowledge and skills required to develop effective interruption management strategies. Well-planned simulation experiences have the potential to expose students to authentic clinical cases, otherwise unavailable to them, building critical thinking and clinical reasoning skills and preparing them for practice. AIM: This paper describes a simulated role-play experience that was developed to enable undergraduate nurses to experience, reflect on and analyse their responses to interruptions during medication administration. METHODS: The simulation design presented in this paper was underpinned by both nursing and educational theorists, in combination with established simulation frameworks. SETTING AND PARTICIPANTS: Embedded within a clinical subject in 2013, the simulation experience was run over two campuses within a large Australian University. Participants included 528 second year undergraduate nursing students and 8 academic teaching staff. OUTCOME MAPPING: To stimulate reflective learning debriefing immediately followed the simulation experience. Written reflections were completed and submitted over the following 4weeks to extend the reflective learning process and review the impact of the experience from the student perspective. CONCLUSIONS: Undergraduate student nurses often have limited experiential background from which to draw knowledge and develop sound clinical judgements. Through exposure to clinical experiences in a safe environment, simulation technologies have been shown to create positive learning experiences and imp...
Hayes, C, Jackson, D, Davidson, PM & Power, T 2015, 'Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration', JOURNAL OF CLINICAL NURSING, vol. 24, no. 21-22, pp. 3063-3076.View/Download from: Publisher's site
Prichard, RA, Juul, M, Gazibarich, G, Davidson, PM, Mason, C, Keogh, AM, Macdonald, PS & Hayward, CS 2014, 'Six-minute walk distance predicts VO2 (max) in patients supported with continuous flow left ventricular assist devices', The International Journal of Artificial Organs, vol. 37, no. 7, pp. 539-545.View/Download from: Publisher's site
Ferguson, C, Inglis, SC, Newton, PJ, Middleton, S, Macdonald, PS & Davidson, PM 2014, 'PM230 Thromboprophylaxis prescription in hospitalised patients with heart failure and concomitant atrial fibrillation: Preliminary findings from the Atrial Fibrillation And Stroke Thromboprophylaxis in hEart failuRe (AFASTER) cohort study', Global Heart, vol. 9, no. 1, pp. e109-e109.View/Download from: Publisher's site
Ferguson, C, Inglis, SC, Newton, PJ, Middleton, S, Macdonald, PS & Davidson, PM 2014, 'PW003 Frailty and thromboprophylaxis prescription in heart failure and atrial fibrillation: Preliminary findings from the Atrial Fibrillation And Stroke Thromboprophylaxis in hEart failuRe (AFASTER) cohort study', Global Heart, vol. 9, no. 1, pp. e264-e264.View/Download from: Publisher's site
Alexandrou, E, Spencer, TR, Frost, SA, Mifflin, N, Davidson, PM & Hillman, KM 2014, 'Central Venous Catheter Placement by Advanced Practice Nurses Demonstrates Low Procedural Complication and Infection Rates—A Report From 13 Years of Service*', Critical Care Medicine, vol. 42, no. 3, pp. 536-543.View/Download from: Publisher's site
Brandes, K, Butow, PN, Tattersall, MHN, Clayton, JM, Davidson, PM, Young, J, Epstein, RM & Walczak, A 2014, 'Advanced cancer patients' and caregivers' use of a Question Prompt List', Patient Education and Counseling, vol. 97, no. 1, pp. 30-37.View/Download from: Publisher's site
Objective: The objective of this study was to provide insight into how advanced cancer patients and their caregivers use a Question Prompt List (QPL) during a consultation and for preparation for future consultations. Methods: Audiotaped consultations and follow-up phone calls of 28 advanced cancer patients were coded and content analyzed. Questions asked and concerns expressed in consultations were coded for initiator, content, inclusion in the QPL and exact wording. Patients' reported and future use of the QPL were coded from the phone calls. Results: The majority of patients reported that they used the QPL. Questions asked by patients and caregivers predominately coincided with questions from the prognosis section of the QPL. Questions were rarely asked literally from the QPL, instead questions were tailored to patients' own circumstances. Conclusion: QPLs are useful to stimulate discussion on prognosis among advanced cancer patients and caregivers. Patients tailored questions from the QPL to their own circumstances which may suggest high involvement and engagement. The development of more specific tailored communication interventions for advanced cancer patients is warranted. Practice implications: Implementation of QPLs in the advanced cancer setting may be beneficial for patients, caregivers and healthcare providers to facilitate discussion of topics such as prognosis. © 2014 Elsevier Ireland Ltd. All rights reserved.
Close, GR, Newton, PJ, Fung, SC, Denniss, AR, Halcomb, E, Kovoor, P, Stewart, S & Davidson, PM 2014, 'Socioeconomic status and heart failure in Sydney', Heart Lung and Circulation, vol. 23, no. 4, pp. 320-324.View/Download from: Publisher's site
Socioeconomic disadvantage is associated with an increased risk of developing heart failure and with inferior health outcomes following diagnosis. Methods Data for hospitalisations and deaths due to heart failure in the Sydney metropolitan region were extracted from New South Wales hospital records and Australian Bureau of Statistics databases for 19992003. Standardised rates were analysed according to patients residential local government area and correlated with an index of socioeconomic disadvantage. Results Eight of the 13 local government areas with standardised separation rate ratios significantly higher than all NSW, and those with the six highest standardised separation rate ratios, were in Greater Western Sydney. Rates of heart failure hospitalisations per local government area were inversely correlated with level of socioeconomic status. Conclusions Higher rates of heart failure hospitalisations among residents of socioeconomically disadvantaged regions within Sydney highlight the need for strategies to lessen the impact of disadvantage and strategies to improve cardiovascular health.
Crittenden, JN, Leslie, G, Davidson, PM, Hood, SD & Thompson, PL 2014, 'PM491 Identifying those at risk of depression: Development of the Depression Risk Assessment Questionnaire', Global Heart, vol. 9, no. 1, pp. e163-e163.View/Download from: Publisher's site
Deek, H, Newton, P, Sheerin, N, Noureddine, S & Davidson, PM 2014, 'Contrast media induced nephropathy: A literature review of the available evidence and recommendations for practice', Australian Critical Care, vol. 27, no. 4, pp. 166-171.View/Download from: Publisher's site
Driscoll, A, Currey, J, Allen, JA, George, M & Davidson, PM 2014, 'New cardiac models of care reduce patient access to specialist nurses: A Victorian cross-sectional pilot study', Australian Critical Care, vol. 27, pp. 17-27.View/Download from: Publisher's site
Aim: To describe the workforce and workplace resources of adult CCUs in Victoria, Australia. Method: This pilot study used an investigator-developed survey to audit all adult CCUs operating in Victoria in 2010.
Fernandez, R, Davidson, PM, Miranda, C, Everett, B & Salamonson, Y 2014, 'Attribution of Risk for Coronary Heart Disease in a Vulnerable Immigrant Population: A Survey Study', Journal of Cardiovascular Nursing, vol. 29, no. 1, pp. 48-54.View/Download from: Publisher's site
The aim of this survey was to investigate the attribution of risk factors for CHD among the Asian Indian community in Australia.
Halcomb, EJ, Salamonson, Y, Davidson, PM, Kaur, R & Young, SA 2014, 'The evolution of nursing in Australian general practice: a comparative analysis of workforce surveys ten years on.', BMC Family Practice, vol. 15, pp. 1-10.View/Download from: Publisher's site
BACKGROUND: Nursing in Australian general practice has grown rapidly over the last decade in response to government initiatives to strengthen primary care. There are limited data about how this expansion has impacted on the nursing role, scope of practice and workforce characteristics. This study aimed to describe the current demographic and employment characteristics of Australian nurses working in general practice and explore trends in their role over time. METHODS: In the nascence of the expansion of the role of nurses in Australian general practice (2003-2004) a national survey was undertaken to describe nurse demographics, clinical roles and competencies. This survey was repeated in 2009-2010 and comparative analysis of the datasets undertaken to explore workforce changes over time. RESULTS: Two hundred eighty four nurses employed in general practice completed the first survey (2003/04) and 235 completed the second survey (2009/10). Significantly more participants in Study 2 were undertaking follow-up of pathology results, physical assessment and disease specific health education. There was also a statistically significant increase in the participants who felt that further education/training would augment their confidence in all clinical tasks (p < 0.001). Whilst the impact of legal implications as a barrier to the nurses' role in general practice decreased between the two time points, more participants perceived lack of space, job descriptions, confidence to negotiate with general practitioners and personal desire to enhance their role as barriers. Access to education and training as a facilitator to nursing role expansion increased between the two studies. The level of optimism of participants for the future of the nurses' role in general practice was slightly decreased over time. CONCLUSIONS: This study has identified that some of the structural barriers to nursing in Australian general practice have been addressed over time. However, it also identifies c...
Hunt, LM, Frost, S, Hillman, K, Newton, PJ & Davidson, PM 2014, 'Management of intra-abdominal hypertension and abdominal compartment syndrome: a review', Journal of Trauma Management and Outcomes, vol. 8, no. 2, pp. 1-8.View/Download from: Publisher's site
Patients in the intensive care unit (ICU) are at risk of developing of intra abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). Aim: This review seeks to define IAH and ACS, identify the aetiology and presentation of IAH and ACS, identify IAP measurement techniques, identify current management and discuss the implications of IAH and ACS for nursing practice. A search of the electronic databases was supervised by a health librarian. The electronic data bases Cumulative Index of Nursing and Allied Health Literature (CINAHL); Medline, EMBASE, and the World Wide Web was undertaken from 1996- January 2011 using MeSH and key words which included but not limited to: abdominal compartment syndrome, intra -abdominal hypertension, intra-abdominal pressure in adult populations met the search criteria and were reviewed by three authors using a critical appraisal tool. Data derived from the retrieved material are discussed under the following themes: (1) etiology of intra-abdominal hypertension; (2) strategies for measuring intra-abdominal pressure (3) the manifestation of abdominal compartment syndrome; and (4) the importance of nursing assessment, observation and interventions. Intra-abdominal pressure (IAP) and abdominal compartment syndrome (ACS) have the potential to alter organ perfusion and compromise organ function.
MacIntyre, CR, Chughtai, AA, Seale, H, Richards, GA & Davidson, PM 2014, 'Respiratory protection for healthcare workers treating Ebola virus disease (EVD): Are facemasks sufficient to meet occupational health and safety obligations?', International Journal of Nursing Studies, vol. 51, no. 11, pp. 1421-1426.View/Download from: Publisher's site
MacIntyre, CR, Chughtai, AA, Seale, H, Richards, GA & Davidson, PM 2014, 'Response to Martin-Moreno et al. (2014) Surgical mask or no mask for health workers not a defensible position for Ebola', International Journal of Nursing Studies, vol. 51, no. 12, pp. 1694-1695.View/Download from: Publisher's site
Maneze, D, Salamonson, Y, Attwood, N & Davidson, PM 2014, 'Acculturative stress in Filipino migrants with functional English: implications for health promotion', International Journal of Culture and Mental Health, vol. 7, no. 4, pp. 357-369.View/Download from: Publisher's site
© 2013, © 2013 Taylor & Francis. The lack of host language proficiency is an important source of acculturative stress among new immigrants and is known to negatively impact on both physical and mental health. However, the acculturative stress and stressors of migrants from culturally and linguistically diverse (CALD) backgrounds with functional English language skills in Australia are less well-explored. Using the Filipino migrants as examplar, this paper reviews acculturative stress in three sub-population groups in this community: family migrants, Filipino spouses of Australian men and skilled, professional migrants. Despite English language ability, socioeconomic difficulties upon migration are a common source of acculturative stress. Intergenerational and cultural gaps within the family are conflict points that may cause depression and suicidal ideation. Changes in lifestyle and diet, incongruence of Western health practices with cultural beliefs may unfavourably affect health. Skilled and professional migrants experience stress due to underemployment, non-utilisation or non-recognition of qualifications obtained overseas. The health issues of CALD communities with functional English language skills are often overlooked in comparison with migrants lacking host population language skills. Taking sociocultural issues into consideration is pivotal when designing health promotion initiatives to meet the needs of Australian migrants with functional English language skills.
Page, K, Marwick, TH, Lee, R, Grenfell, R, Abhayaratna, WP, Aggarwal, A, Briffa, TG, Cameron, J, Davidson, PM, Driscoll, A, Garton-Smith, J, Gascard, DJ, Hickey, A, Korczyk, D, Mitchell, J-A, Sanders, R, Spicer, D, Stewart, S & Wade, V 2014, 'A systematic approach to chronic heart failure care: a consensus statement', MEDICAL JOURNAL OF AUSTRALIA, vol. 201, no. 3, pp. 146-150.View/Download from: Publisher's site
Salamonson, Y, Everett, B, Cooper, M, Lombardo, L, Weaver, R & Davidson, PM 2014, 'Nursing as first choice predicts nursing program completion', Nurse Education Today, vol. 34, pp. 127-131.View/Download from: Publisher's site
Background: Attrition from nursing programs is common, costly and burdensome to individuals, nursing faculties and the health care system. Increasingly, nursing faculties are requested to monitor attrition rates as a measure of performance, but little is known of the influence of career choice on program completion.
Smith, TA, Kim, M, Piza, M, Davidson, PM, Clayton, JM, Jenkins, CR & Ingham, JM 2014, 'Specialist respiratory physicians' attitudes to and practice of advance care planning in COPD. A pilot study', Respiratory Medicine, vol. 108, no. 6, pp. 935-939.View/Download from: Publisher's site
Stewart, S, Carrington, MJ, Horowitz, JD, Marwick, TH, Newton, PJ, Davidson, PM, MacDonald, PS, Thompson, DR, Chan, Y, Krum, H, Reid, C & Scuffham, PA 2014, 'Prolonged impact of home versus clinic-based management of heart failure on all-cause hospitalization and mortality: results from a pragmatic, multicentre randomized trial', International Journal of Cardiology, vol. 174, no. 3, pp. 600-610.View/Download from: Publisher's site
We compared the longer-term impact of the two most commonly applied forms of post-discharge management designed to minimize recurrent hospitalization and prolong survival in typically older patients with chronic heart failure (CHF). Methods We followed a multi-center randomized controlled trial cohort of Australian patients hospitalized with CHF and initially allocated to home-based or specialized CHF clinic-based intervention for 1368 ± 216 days. Blinded endpoints included event-free survival from all-cause emergency hospitalization or death, all-cause mortality and rate of all-cause hospitalization and stay. Results 280 patients (73% male, aged 71 ± 14 years and 73% left ventricular systolic dysfunction) were initially randomized to home-based (n = 143) or clinic-based (n = 137) intervention. During extended follow-up (complete for 274 patients), 1139 all-cause hospitalizations (7477 days of hospital stay) and 121 (43.2%) deaths occurred. There was no difference in the primary endpoint; 20 (14.0%) home-based versus 13 (7.4%) clinic-based patients remained event-free (adjusted HR 0.89, 95% CI 0.70 to 1.15; p = 0.378). Significantly fewer home-based (51/143, 35.7%) than clinic-based intervention (71/137, 51.8%) patients died (adjusted HR 0.62, 95% CI 0.42 to 0.90: p = 0.012). Home-based versus clinic-based intervention patients accumulated 592 and 547 all-cause hospitalizations (p = 0.087) associated with 3067 (median 4.0, IQR 2.0 to 6.8) versus 4410 (6.0, IQR 3.0 to 12.0) days of hospital stay (p < 0.01 for rate and duration of hospital stay). Conclusions Relative to clinic-based intervention, home-based intervention was not associated with prolonged event-free survival. Home-based intervention was, however, associated with significantly fewer all-cause deaths and significantly fewer days of hospital stay in the longer-term.
Walczak, A, Butow, PN, Clayton, JM, Tattersall, MH, Davidson, PM, Young, J & Epstein, RM 2014, 'Discussing prognosis and end-of-life care in the final year of life: a randomised controlled trial of a nurse-led communication support programme for patients and caregivers.', BMJ Open, vol. 4, no. 6, pp. 1-12.View/Download from: Publisher's site
Timely communication about life expectancy and end-of-life care is crucial for ensuring good patient quality-of-life at the end of life and a good quality of death. This article describes the protocol for a multisite randomised controlled trial of a nurse-led communication support programme to facilitate patients' and caregivers' efforts to communicate about these issues with their healthcare team.This NHMRC-sponsored trial is being conducted at medical oncology clinics located at/affiliated with major teaching hospitals in Sydney, Australia. Patients with advanced, incurable cancer and life expectancy of less than 12 months will participate together with their primary informal caregiver where possible. Guided by the self-determination theory of health-behaviour change, the communication support programme pairs a purpose-designed Question Prompt List (QPL-an evidence-based list of questions patients/caregivers can ask clinicians) with nurse-led exploration of QPL content, communication challenges, patient values and concerns and the value of early discussion of end-of-life issues. Oncologists are also cued to endorse patient and caregiver question asking and use of the QPL. Behavioural and self-report data will be collected from patients/caregivers approximately quarterly for up to 2.5 years or until patient death, after which patient medical records will be examined. Analyses will examine the impact of the intervention on patients' and caregivers' participation in medical consultations, their self-efficacy in medical encounters, quality-of-life, end-of-life care receipt and quality-of-death indicators.Approvals have been granted by the human ethics review committee of Royal Prince Alfred Hospital and governance officers at each participating site. Results will be reported in peer-reviewed publications and conference presentations.Australian New Zealand Clinical Trials Registry ACTRN12610000724077.
Siabani, S, Driscoll, T, Davidson, PM & Leeder, SR 2014, 'A randomized controlled trial to evaluate an educational strategy involving community health volunteers in improving self-care in patients with chronic heart failure: Rationale, design and methodology', SpringerPlus, vol. 3, pp. 1-6.View/Download from: Publisher's site
© 2014, Siabani et al.; licensee Springer. Background: Chronic heart failure (CHF) is an increasingly important health problem worldwide. Effective self-care can improve the outcomes and quality of life in patients with CHF. Acknowledging the important role of educational interventions for improving self-care, we sought to assess a new educational strategy involving community health volunteers (CHVs) that could reduce the cost and, hypothetically, increase the effectiveness of self-care education in patients with CHF. Methods/Design: In this ongoing three-arm controlled trial, approved by two human research ethics committees in Australia and Iran, 231 patients with CHF registered at a referral cardiovascular hospital in Iran were randomly allocated into three groups -trained by community health volunteers at patients' homes, rained by formal health professionals at hospital; and a control group with no formal educational exposure. Data obtained through interviewing participants and using the Persian self-care of CHF index (pSCHFI) before and two months after interventions will be analysed using SAS and SPSS. Discussion: The results of this study may help health service systems, especially in countries with limited resources, make use of community volunteers to teach patients with CHF to develop self-care behaviors and skills, reducing the cost of care and improving CHF outcomes. Also, this home-based educational strategy using face-to-face training, if successful, may provide psychosocial supports for patients suffering from chronic illnesses. Trial registration number: ACTRN12614000788673(Australian New Zealand Clinical Trials Registry).
Siabani, S, Leeder, SR, Davidson, PM, Najafi, F, Hamzeh, B, Solimani, A, Siahbani, S & Driscoll, T 2014, 'Translation and Validation of the Self-care of Heart Failure Index Into Persian', The Journal of Cardiovascular Nursing, vol. 29, no. 6, pp. E1-E5.View/Download from: Publisher's site
Sheerin, NJ, Newton, PJ, MacDonald, PS, Leung, D, Sibbritt, D, Spicer, T, Johnson, K, Krum, H & Davidson, PM 2014, 'Worsening renal function in heart failure: The need for a consensus definition', International Journal of Cardiology, vol. 174, no. 3, pp. 484-491.View/Download from: Publisher's site
Acute decompensated heart failure is a common cause of hospitalisation. This is a period of vulnerability both in altered pathophysiology and also the potential for iatrogenesis due to therapeutic interventions. Renal dysfunction is often associatedwith heart failure and portends adverse outcomes. Identifying heart failure patients at risk of renal dysfunction is important in preventing progression to chronic kidney disease or worsening renal function, informing adjustment to medication management and potentially preventing adverse events. However, there is no working or consensus definition in international heart failure management guidelines for worsening renal function. In addition, there appears to be no concordance or adaptation of chronic kidney disease guidelines by heart failure guideline development groups for the monitoring of chronic kidney disease in heart failure. Our aim is to encourage the debate for an agreed definition given the prognostic impact of worsening renal function in heart failure. Wepresent the case for the uptake of the Acute Kidney Injury Network criteria for acute kidney injurywith some minor alterations. This has the potential to inform study design and meta-analysis thereby building the knowledgebase for guideline development. Definition consensus supports data element, clinical registry and electronic algorithm innovation as instruments for quality improvement and clinical research for better patient outcomes. In addition, we recommend all community managed heart failure patients have their baseline renal function classified and routinely monitored in accordance with established renal guidelines to help identify those at increased risk for worsening renal function or progression to chronic kidney disease.
Thompson, SC, Shahid, S, DiGiacomo, M, Pilkington, L & Davidson, PM 2014, 'Making progress: the role of Cancer Councils in Australia in Indigenous cancer control', BMC Public Health, vol. 14, no. 347, pp. 1-13.View/Download from: Publisher's site
Indigenous Australians have poorer outcomes from cancer for a variety of reasons including poorer participation in screening programs, later diagnosis, higher rates of cancer with poor prognosis and poorer uptake and completion of treatment. Cancer prevention and support for people with cancer is part of the core business of the State and Territory Cancer Councils. To support sharing of lessons learned, this paper reports an environmental scan undertaken in 2010 in cancer councils (CCs) nationwide that aimed to support Indigenous cancer control.
The methods replicated the approach used in a 2006 environmental scan of Indigenous related activity in CCs. The Chief Executive Officer of each CC nominated individuals for interview. Interviews explored staffing, projects, programs and activities to progress cancer control issues for Indigenous Australians, through phone or face-to-face interviews. Reported initiatives were tabulated using predetermined categories of activity and summaries were returned to interviewees, the Aboriginal and Torres Strait Islander Subcommittee and Chief Executive Officers for verification.
All CCs participated and modest increases in activity had occurred in most states since 2006 through different means. Indigenous staff numbers were low and no Indigenous person had yet been employed in smaller CCs; no CC had an Indigenous Board member and efforts at capacity building were often directed outside of the organisation. Developing partnerships with Indigenous organisations were ongoing. Acknowledgement and specific mention of Indigenous people in policy was increasing. Momentum increased following the establishment of a national subcommittee which increased the profile of Indigenous issues and provided collegial and practical support for those committed to reducing Indigenous cancer disparities. Government funding of "Closing the Gap" and research in the larger CCs have been other avenues for increasing knowled...
Allida, SM, Inglis, SC, Davidson, PM, Hayward, CS & Newton, PJ 2014, 'Measurement of thirst in chronic heart failure - A review.', Contemporary Nurse, vol. 48, no. 1, pp. 2-9.View/Download from: Publisher's site
Abstract Background: Thirst is a bothersome symptom of chronic heart failure (CHF) which impacts adversely on quality of life. Despite this, limited work has been done to investigate thirst as a symptom or to develop reliable and valid measures of thirst in CHF. The purpose of this manuscript is to establish which tools have been used in research to measure thirst in CHF.Medline, PubMed, Cumulative Index for Nursing and Allied Health, and Scopus were searched using following key words thirst, heart failure, measure, scale, randomised controlled trials and multicentre studies.The search discovered 37 studies of which 6 studies met the inclusion criteria. One study was a research abstract and five were full-text studies. To date, there are only three measurement tools utilised in studies examining thirst in CHF patients [Visual Analogue Scale (VAS), Numeric Rating Scale and Thirst Distress Scale].Thirst in CHF is measured in a non-systematic way. In recent studies, the VAS has been used to measure thirst intensity. While this measurement tool is very easy and quick to administer, using a uni-dimensional tool in conjunction with a multi-dimensional tool may be beneficial to capture all dimensions of thirst. In order to manage thirst efficiently, consistent measurement of thirst in CHF is vital.
Ferguson, C, Inglis, S, Newton, PJ, Cripps, PJ, Macdonald, P & Davidson, PM 2014, 'Social media: A tool to spread information: A case study analysis of Twitter conversation at the Cardiac Society of Australia & New Zealand 61st Annual Scientific Meeting 2013', Collegian, vol. 21, no. 2, pp. 89-93.View/Download from: Publisher's site
Background The World Wide Web has changed the way in which people communicate and consume information. More importantly, this innovation has increased the speed and spread of information. There has been recent increase in the percentage of cardiovascular professionals, including journals and associations using Twitter to engage with others and exchange ideas. Evaluating the reach and impact in scientific meetings is important in promoting the use of social media. Objective This study evaluated Twitter use during the recent 61st Annual Scientific Meeting at the Cardiac Society of Australia and New Zealand. Methods During the Cardiac Society of Australia and New Zealand 2013 61st Annual Scientific Meeting Symplur was used to curate conversations that were publicly posted with the hashtag #CSANZ2013. The hashtag was monitored with analysis focused on the influencers, latest tweets, tweet statistics, activity comparisons, and tweet activity during the conference. Additionally, Radian6 social media listening software was used to collect data. A summary is provided. Results There were 669 total tweets sent from 107 unique Twitter accounts during 8th August 9 a.m. to 11th August 1 p.m. This averaged nine tweets per hour and six tweets per participant. This assisted in the sharing of ideas and disseminating the findings and conclusions from presenters at the conference with a total 1,432,573 potential impressions in Twitter users tweet streams. Conclusion This analysis of Twitter conversations during a recent scientific meeting highlights the significance and place of social media within research dissemination and collaboration. Researchers and clinicians should consider using this technology to enhance timely communication of findings. The potential to engage with consumers and enhance shared decision-making should be explored further.
Ferguson, C, Inglis, S, Newton, PJ, Middleton, S, MacDonald, PS & Davidson, PM 2014, 'Atrial Fibrillation: Stroke Prevention in Focus', Australian Critical Care, vol. 27, no. 2, pp. 92-98.View/Download from: Publisher's site
Introduction: Atrial fibrillation (AF) is a common arrhythmia and a risk factor for stroke and other adverse events. Internationally there have been recent advancements in the therapies available for stroke prevention in AF. Nurses will care for individuals with AF across a variety of primary and acute care settings and should be familiar with evidence based therapies. Aim: This paper provides a review of the epidemiology of AF and stroke, stroke and bleeding risk assessment tools and evidence based treatments for the prevention of stroke in AF including the use of novel anti-thrombin agents. Method: A review of key databases was conducted from 2002 - 2012 using the key search terms 'atrial fibrillation' 'anticoagulation' 'risk assessment' and 'clinical management'. The following electronic databases were searched: CINAHL, Medline, Scopus, the Cochrane Library and Google Scholar. Reference lists were manually hand searched. Key clinical guidelines from National Institute for Clinical Excellence (NICE, UK), American Heart Association (AHA, USA), American College of Cardiology (ACC, USA) and the European Society of Cardiology (ESC) and key government policy documents were also included. Articles were included in the review if they addressed nursing management with a focus on Australia. Results: Many treatment options exist for AF. Best practice guidelines make a variety of recommendations which include cardioversion, ablation, pulmonary vein isolation, pharmacological agents for rate or rhythm control approaches, and antithrombotic therapy (including anticoagulation and antiplatelet therapy). Treatment should be patient centred and individualised based upon persistency of the rhythm, causal nature, risk and co-morbid conditions. Conclusion: AF is a common and burdensome condition where treatment is complex and not without risk. Nurses will encounter individuals with AF across a variety of primary and acute care areas understanding the risk of AF and appropriate...
Chang, S, Newton, PJ, Inglis, S, Luckett, T, Krum, H, MacDonald, PS & Davidson, PM 2014, 'Are all outcomes in chronic heart failure rated equally? An argument for a patient-centred approach to outcome assessment', Heart Failure Reviews, vol. 19, no. 2, pp. 153-162.View/Download from: Publisher's site
Chronic heart failure (CHF) is a multi-dimensional and complex syndrome. Outcome measures are important for determining both the efficacy and quality of care and capturing the patient's perspective in evaluating the outcomes of health care delivery. Capturing the patient's perspective via patient-reported outcomes is increasingly important; however, including objective measures such as mortality would provide more complete account of outcomes important to patients. Currently, no single measure for CHF outcomes captures all dimensions of the quality of care from the patient's perspective.
Disler, RT, Green, AR, Luckett, T, Newton, PJ, Inglis, S, Currow, D & Davidson, PM 2014, 'Experience of advanced chronic obstructive pulmonary disease: Metasynthesis of qualitative data.', Journal of Pain and Symptom Management, vol. 48, no. 6, pp. 1182-1199.View/Download from: Publisher's site
Context. Chronic obstructive pulmonary disease (COPD) is a life-limiting illness. Despite best available treatments, individuals continue to experience symptom burden and have high health-care utilization. Objectives. To increase understanding of the experience and ongoing needs of individuals living with COPD.
Green, A, DiGiacomo, M, Luckett, T, Abbott, P, Davidson, PM, Delaney, J & Delaney, P 2014, 'Cross-sector collaborations in Aboriginal and Torres Strait Islander childhood disability: a systematic integrative review and theory-based synthesis', International Journal of Equity in Health, vol. 13, pp. 126-126.View/Download from: Publisher's site
Aboriginal and Torres Strait Islander children in Australia experience a higher prevalence of disability and socio-economic disadvantage than other Australian children. Early intervention is vital for improved health outcomes, but complex and fragmented service provision impedes access. There have been international and national policy shifts towards inter-sector collaborative responses to disability, but more needs to be known about how collaboration works in practice.
A systematic integrative literature review using a narrative synthesis of peer-reviewed and grey literature was undertaken to describe components of inter- and intra-sector collaborations among services to Aboriginal and Torres Strait Islander children with a disability and their families. The findings were synthesized using the conceptual model of the ecological framework.
Thirteen articles published in a peer-reviewed journal and 18 articles from the grey literature met inclusion criteria. Important factors in inter- and intra-sector collaborations identified included: structure of government departments and agencies, and policies at the macro- (government) system level; communication, financial and human resources, and service delivery setting at the exo- (organizational) system level; and relationships and inter- and intra-professional learning at the meso- (provider) system level.
The policy shift towards inter-sector collaborative approaches represents an opportunity for the health, education and social service sectors and their providers to work collaboratively in innovative ways to improve service access for Aboriginal and Torres Strait Islander children with a disability and their families. The findings of this review depict a national snapshot of collaboration, but as each community is unique, further research into collaboration within local contexts is required to ensure collaborative solutions to improve service access are responsive to local n...
Luckett, T, Davidson, PM, Boyle, F, Liauw, W, Agar, M, Green, A & Lovell, M 2014, 'Australian survey of current practice and guideline use in adult cancer pain assessment and management: Perspectives of oncologists', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, vol. 10, no. 2, pp. E99-E107.View/Download from: Publisher's site
Johnson, MJ, Bland, JM, Davidson, PM, Newton, PJ, Oxberry, SG, Abernethy, AP & Currow, DC 2014, 'The Relationship Between Two Performance Scales: New York Heart Association Classification and Karnofsky Performance Status Scale', Journal of Pain and Symptom Management, vol. 47, no. 3, pp. 652-658.View/Download from: Publisher's site
Lewis, J, DiGiacomo, M, Currow, DC & Davidson, PM 2014, 'Social capital in a lower socioeconomic palliative care population: a qualitative investigation of individual, community and civic networks and relations', BMC Palliative Care, vol. 13, no. 30, pp. 1-9.View/Download from: Publisher's site
The article reports findings from a qualitative investigation of the needs and experiences of palliative care patients and caregivers who are experiencing financial hardship or disadvantage. This article highlights the individual, community and civic networks and relations relevant to these experiences.
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.
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: 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.
Hosie, A, Agar, M, Lobb, E, Davidson, PM & Phillips, JL 2014, 'Palliative care nurses' recognition and assessment of delirium symptoms: a qualitative study using Critical Incident Technique.', International Journal of Nursing Studies, vol. 51, no. 10, pp. 1353-1365.View/Download from: Publisher's site
Delirium is prevalent in palliative care inpatient settings and management is often challenging. Despite nurses integral patient care role, little is known about palliative care nurses capacity to recognise, assess and respond to patients delirium symptoms.
Hosie, A, Lobb, E, Agar, M, Davidson, PM & Phillips, J 2014, 'Identifying the barriers and enablers to palliative care nurses' recognition and assessment of delirium symptoms: a qualitative study.', Journal of pain and symptom management, vol. 48, no. 5, pp. 815-830.View/Download from: Publisher's site
CONTEXT: Delirium is underrecognized by nurses, including those working in palliative care settings where the syndrome occurs frequently. Identifying contextual factors that support and/or hinder palliative care nurses' delirium recognition and assessment capabilities is crucial, to inform development of clinical practice and systems aimed at improving patients' delirium outcomes. OBJECTIVES: The aim of the study was to identify nurses' perceptions of the barriers and enablers to recognizing and assessing delirium symptoms in palliative care inpatient settings. METHODS: A series of semistructured interviews, guided by critical incident technique, were conducted with nurses working in Australian palliative care inpatient settings. A hypoactive delirium vignette prompted participants' recall of delirium and identification of the perceived factors (barriers and enablers) that impacted on their delirium recognition and assessment capabilities. Thematic content analysis was used to analyze the qualitative data. RESULTS: Thirty participants from nine palliative care services provided insights into the barriers and enablers of delirium recognition and assessment in the inpatient setting that were categorized as patient and family, health professional, and system level factors. Analysis revealed five themes, each reflecting both identified barriers and current and/or potential enablers: 1) value in listening to patients and engaging families, 2) assessment is integrated with care delivery, 3) respecting and integrating nurses' observations, 4) addressing nurses' delirium knowledge needs, and 5) integrating delirium recognition and assessment processes. CONCLUSION: Supporting the development of palliative care nursing delirium recognition and assessment practice requires attending to a range of barriers and enablers at the patient and family, health professional, and system levels.
Koch, J, Everett, B, Phillips, J & Davidson, PM 2014, 'Diversity characteristics and the experiences of nursing students during clinical placements: A qualitative study of student, faculty and supervisors' views.', Contemporary Nurse, vol. 49, pp. 15-26.View/Download from: Publisher's site
Background: Little is known about which diversity characteristics if any, impact on nursing students' clinical placements or how these may affect the quality of their learning experiences. There is therefore a need to better understand these effects not only from the student's perspective but also from the perspective of the staff who supervise them, in order to ensure students obtain maximal benefit from their placements. AIM: To describe the clinical experiences of nursing students and the diversity characteristics that affect this learning experience. METHODS: Data were collected from a series of open-ended questions embedded within a larger anonymous web-based survey, from August 2011 to March 2012. Participants included first, second and third year undergraduate Bachelor of Nursing students (N = 704) and faculty members involved in the clinical learning environment (N = 165) from seven Australian universities. FINDINGS: Qualitative findings were clustered into three main themes: differences, difficulty and discrimination, each with three sub-themes. CONCLUSION: FINDINGS suggest a need to offer appropriate support for nursing students who feel different because of diversity characteristics. Whilst some of the participant perceptions are confronting they provide valuable insights for universities developing curricula and the clinical placement facilities where students obtain their experience.
Lovell, MR, Luckett, T, Boyle, FM, Phillips, J, Agar, M & Davidson, PM 2014, 'Patient Education, Coaching, and Self-Management for Cancer Pain', JOURNAL OF CLINICAL ONCOLOGY, vol. 32, no. 16, pp. 1712-+.View/Download from: Publisher's site
Luckett, T, Phillips, JL, Agar, M, Virdun, C, Green, AR & Davidson, PM 2014, 'Elements of effective palliative care models: a rapid review', BMC Health Services Research, vol. 14, pp. 1-22.View/Download from: Publisher's site
Background: Population ageing, changes to the profiles of life-limiting illnesses and evolving societal attitudes prompt a critical evaluation of models of palliative care. We set out to identify evidence-based models of palliative care to inform policy reform in Australia.
O'Connell, DL, Goldsbury, DE, Davidson, PM, Girgis, A, Phillips, JL, Piza, M, Wilkinson, A & Ingham, JM 2014, 'Acute hospital-based services utilisation during the last year of life in New South Wales, Australia: methods for a population-based study', BMJ Open, vol. Online (4), no. 3.View/Download from: Publisher's site
The aim of this study is to describe healthcare utilisation in the last year of life for people in Australia, to help inform health services planning. The methods and datasets that are being used are described in this paper.
Gholizadeh, L, Davidson, PM, Heydari, M & Salamonson, Y 2014, 'Heart disease and depression: is culture a factor?', Journal of Transcultural Nursing, vol. 25, no. 3, pp. 290-295.View/Download from: Publisher's site
Abstract Purpose: This article seeks to review and discuss the evidence linking depression, coronary heart disease (CHD), and culture. Method: PsychInfo, CINAHL, PubMed, and Google were searched for pertinent evidence linking depression, culture, and CHD, and retrieved articles were analyzed using thematic content analysis. Findings: Identified themes were the followings: depression is a factor in development and prognosis of CHD and affects the capacity to self-manage and adhere to treatment recommendations; culture mediates mental health/illness representations and treatment-seeking behaviors; screening and assessment of depression can be affected by cultural factors; and there is a need for culturally appropriate screening and therapeutic strategies. Discussion and Conclusions: As depression is a predictor and moderating variable in the genesis and progression of CHD, understanding how factors such as culture affect screening and management of the disease is important to inform the development of culturally and linguistically competent strategies that ensure accurate screening, detection, and treatment of depression in cardiac patients in clinical practice.
Daly, J, Jackson, D, Mannix, J, Davidson, P & Hutchinson, M 2014, 'The importance of clinical leadership in the hospital setting', Journal of Healthcare Leadership, vol. 6, pp. 75-83.View/Download from: Publisher's site
In many areas of the developed world, contemporary hospital care is confronted by workforce challenges, changing consumer expectations and demands, fiscal constraints, increasing demands for access to care, a mandate to improve patient centered care, and issues concerned with levels of quality and safety of health care. Effective governance is crucial to efforts to maximize effective management of care in the hospital setting. Emerging from this complex literature is the role of leadership in the clinical setting. The importance of effective clinical leadership in ensuring a high quality health care system that consistently provides safe and efficient care has been reiterated in the scholarly literature and in various government reports. Recent inquiries, commissions, and reports have promoted clinician engagement and clinical leadership as critical to achieving and sustaining improvements to care quality and patient safety. In this discursive paper, we discuss clinical leadership in health care, consider published definitions of clinical leadership, synthesize the literature to describe the characteristics, qualities, or attributes required to be an effective clinical leader, consider clinical leadership in relation to hospital care, and discuss the facilitators and barriers to effective clinical leadership in the hospital sector. Despite the widespread recognition of the importance of effective clinical leadership to patient outcomes, there are some quite considerable barriers to participation in clinical leadership. Future strategies should aim to address these barriers so as to enhance the quality of clinical leadership in hospital care.
Davidson, PM, Newton, PJ, Ferguson, C, Daly, J, Elliott, D, Homer, CS, Duffield, CM & Jackson, DE 2014, 'Rating and Ranking the Role of Bibliometrics and Webometrics in Nursing and Midwifery', The Scientific World Journal, vol. 2014.View/Download from: Publisher's site
Background. Bibliometrics are an essential aspect of measuring academic and organizational performance. Aim. This review seeks to describe methods for measuring bibliometrics, identify the strengths and limitations of methodologies, outline strategies for interpretation, summarise evaluation of nursing and midwifery performance, identify implications for metric of evaluation, and specify the implications for nursing and midwifery and implications of social networking for bibliometrics and measures of individual performance.
Medication related incidents and errors continue to be a significant patient safety issue in health care settings internationally and despite decades of research and quality improvement initiatives, we have failed to identify innovative and sustainable solutions. The importance and significance of this problem not only challenges us, but emphasises the need to develop and implement sustainable interventions that are realistic and appropriate for the clinical setting. Nurses are not only the largest group of health professionals who administer medications, but are also considered to be in the best position to recognise and prevent medication errors before patient safety is compromised. Hence the need to adequately prepare student nurses by providing appropriate learning opportunities. Such approaches are likely able to afford benefits for patients, nurses and others involved in medication administration, and the broader health care system.
Beattie, JM, Flynn, TN & Davidson, PM 2013, 'FIFTY SHADES OF DYING: THE CHALLENGE OF ADVANCE CARE PLANNING ACROSS THE SPECTRUM OF DISEASE TRAJECTORIES IN ADVANCED HEART FAILURE', BMJ Supportive & Palliative Care, vol. 3, no. 2, pp. 247.2-247.View/Download from: Publisher's site
Bennett, A, Lehnbom, E, Clark, R, Davidson, P, Brien, J & McLachlan, A 2013, 'Medication Support Services (MSS) in Australian Outreach Cardiovascular Programs', Heart, Lung and Circulation, vol. 22, pp. S263-S263.View/Download from: Publisher's site
Betihavas, V, Newton, PJ, Frost, S, Alexandrou, E, MacDonald, PS & Davidson, PM 2013, 'Importance of Predictors of Rehospitalisation in Heart Failure: A Survey of Heart Failure Experts', Heart Lung and Circulation, vol. 22, no. 3, pp. 179-183.View/Download from: Publisher's site
Aims: We investigated the opinion of clinical experts and researchers involved in chronic heart failure disease management regarding the ranking of patient, provider and system factors that predict the risk of rehospitalisation.
Betihavas, V, Newton, PJ, Frost, S, MacDonald, PS & Davidson, PM 2013, 'Patient, provider and system factors influencing rehospitalisation in adults with heart failure', Contemporary Nurse, vol. 43, no. 2, pp. 244-256.View/Download from: Publisher's site
Objectives: To identify patient, provider and system factors predicting rehospitalisation in adults with heart failure (HF).
Davidson, PM 2013, 'Tailoring and targeting interventions for women with heart disease: the need for gender-based approaches', Evidence-Based Nursing, vol. 16, no. 2, pp. 45-46.View/Download from: Publisher's site
This study used a two-group, single-blind, randomised clinical trial methodology to compare physiological and psychosocial outcomes in women recruited from an outpatient CR programme in the USA following an acute cardiac event (medical and surgical admissions). Women participated in either a traditional (usual care) 12-week CR programme (n=111) or a tailored programme guided by the transtheoretical model (n=141) of behaviour change augmented by motivational interviewing techniques and a dedicated exercise programme for women. Usual care and intervention groups adopted a case-management model. Random sequence generation occurred using a computerised number sequence, and allocation concealment was accomplished using sequentially numbered opaque envelopes.
Davidson, PM & Dennison- Himmelfarb, C 2013, 'Population Health Studies - What Do They Tell Us?', Heart, Lung and Circulation, vol. 22, no. 11.
The burden of cardiovascular disease (CVD) is a globalconcern. People living in resource-limited set-tings are affected disproportionately, with more than 80% of CVD deaths occurring in low and middle-income countries. Although inflammatory and rheumatic heart diseases remain common in these countries atherosclerosis is becoming a critical concern.
Davidson, PM & Dennison-Himmelfarb, C 2013, 'Population Health Studies - What Do They Tell Us?', Heart, Lung and Circulation, vol. 22, pp. 885-886.
The burden of cardiovascular disease (CVD) is a global concern. People living in resource-limited settings are affected disproportionately, with more than 80% of CVD deaths occurring in low and middle-income countries. Although inflammatory and rheumatic heart diseases remain common in these countries atherosclerosis is becoming a critical concern.
Davidson, PM, Sindhu, S & Meleis, A 2013, '19th International Council on Women's Health Issues (ICOWHI) Congress on "Women's Health 2012: Partnering for a Brighter Global Future" The Emerald Hotel, Bangkok November 14, 2012, 10:00-11:00 a.m. Abstract', HEALTH CARE FOR WOMEN INTERNATIONAL, vol. 34, no. 9, pp. 729-735.View/Download from: Publisher's site
DeVito Dabbs, A, Song, M, De Geest, S & Davidson, PM 2013, 'Promoting Patient and Caregiver Engagement in Self-Management of Chronic Illness', Nursing Research and Practice, vol. 2013, pp. 1-2.
As a nursing professional you are no doubt aware of the growing prevalence of people with chronic conditions and the problems they face interacting and getting support from health care systems that are designed to deal with acute problems. Chronic diseases, such as heart disease, stroke, cancer, respiratory diseases and diabetes, are by far the leading cause of morbidity and mortality in the world. Furthermore, more than half of individualswith one chronic condition have multiple chronic conditions, increasing the complexity and burden of managing their health.
Devito Dabbs, A, Song, M-K, De Geest, S & Davidson, PM 2013, 'Promoting patient and caregiver engagement in self-management of chronic illness.', Nurs Res Pract, vol. 2013, p. 180757.View/Download from: Publisher's site
Driscoll, A, Currey, JA, George, M & Davidson, PM 2013, 'Changes In Health Service Delivery For Cardiac Patients: Implications For Workforce Planning And Patient Outcomes', Australian Critical Care, vol. 26, no. 2, pp. 55-57.View/Download from: Publisher's site
Background: Traditional dedicated coronary care units (CCU) are being decommissioned and cardiology precincts are evolving. These precincts often have cardiac and non-cardiac patients with a diverse array of acuity levels. Critical care trained cardiac nurses are frequently caring for lower acuity patients resulting in a deskilling of this experienced workforce. Aim: The aim of this paper was to discuss the implications of restructuring CCUs on nursing workforce and patient outcomes. Method: An integrated literature review was conducted. The following databases were searched for articles published between January 2000 and December 2011: Ovid Medline, CINHAL, EMBASE and Cochrane. Additional studies obtained from the articles searched and policy documents from key professional organisations and government departments were reviewed. Results: This review has highlighted the association between workforce, qualifications and quality of care. Studies have shown the relationship between an increase in critical care qualified nursing staff and an improvement in patient outcomes. Inadequate staffing levels were also shown to be associated with an increase in adverse events. Cardiology precincts have the potential to adversely impact on critical care trained cardiac nursing workforce and patient outcomes. Conclusion: The implications that these new models have on the critical care cardiac nurse workforce are crucial to health care reform, quality of in-hospital care, sentinel events and patient outcomes
Driscoll, A, Tonkin, A, Stewart, A, Worrall-Carter, L, Thompson, DR, Riegel, B, Hare, DL, Davidson, PM, Mulvany, C & Stewart, S 2013, 'Complexity of management and health outcomes in a prospective cohort study of 573 heart failure patients in Australia: does more equal less?', Journal Of Clinical Nursing, vol. 22, no. 11-12, pp. 1629-1638.View/Download from: Publisher's site
Aims and objectives. To compare the efficacy of chronic heart failure management programmes (CHF-MPs) according to a scoring algorithm used to quantify the level of applied interventionsthe Heart Failure Intervention Score (HF-IS).
Hosseini, M, Salehi, A, Khoshknab, MF, Rokofian, A & Davidson, PM 2013, 'The Effect of a Preoperative Spiritual/Religious Intervention on Anxiety in Shia Muslim Patients Undergoing Coronary Artery Bypass Graft Surgery A Randomized Controlled Trial', Journal of Holistic Nursing, vol. 31, no. 3, pp. 164-172.View/Download from: Publisher's site
Background: Coronary artery bypass grafting (CABG) is associated with anxiety. Preoperative anxiety is considered a predictor for a range of suboptimal postsurgical outcomes. Objective: To evaluate the effect of a spiritual/religious training intervention on anxiety in Shia Muslim individuals scheduled for CABG.
Kim Lam, S, Kim Geok, S & Davidson, PM 2013, 'The role of culture in quality improvement in the intensive care unit: A literature review', Journal of Hospital Administration, vol. 2, no. 2, pp. 97-104.View/Download from: Publisher's site
Improving the quality of patient care and patient outcomes is a major concern internationally. In a developing health care system, implementing quality improvement is challenging due not only to resource and workforce issues but also cultural factors. Using the method of a focused literature review, this paper discusses the importance of assessing a societal view of culture, social mores and customs, and power relationships in quality improvement activities using the intensive care unit as an exemplar. We conclude that implementing quality improvement strategies in a developing health care system needs to address the broader perspectives of social and cultural systems particularly hierarchical relationships and issues of non-disclosure.
Krum, H, Forbes, A, Yallop, J, Driscoll, A, Croucher, J, Chan, B, Clark, R, Davidson, PM, Huynh, L, Kasper, EK, Hunt, D, Egan, H, Stewart, S, Piterman, L & Tonkin, A 2013, 'Telephone Support to Rural and Remote Patients with Heart Failure: The Chronic Heart Failure Assessment by Telephone (CHAT) study', Cardiovascular Therapeutics, vol. 31, no. 1, pp. 230-237.View/Download from: Publisher's site
Heart failure (HF) remains a condition with high morbidity and mortality. We tested a telephone support strategy to reduce major events in rural and remote Australians with HF, who have limited healthcare access. Telephone support comprised an interactive telecommunication software tool (TeleWatch) with follow-up by trained cardiac nurses.
Macdonald, P, Newton, PJ & Davidson, PM 2013, 'The SNAPSHOT ACS study: getting the big picture on acute coronary syndrome', Medical Journal Of Australia, vol. 199, no. 3, pp. 147-148.View/Download from: Publisher's site
MacDonald, PS, Newton, PJ & Davidson, PM 2013, 'The SNAPSHOT ACS study: getting the big picture on acute coronary syndrome', Medical Journal of Australia, vol. 199, no. 3, pp. 147-148.
How snapshot methodology identifies factors limiting translation of evidence to practice
Newton, P, Du, H, Everett, B, Salamonson, Y & Davidson, P 2013, 'Home Heart Walk to Improve Self-care in Chronic Heart Failure: A Randomised Controlled Trial', Heart, Lung and Circulation, vol. 22, pp. S242-S242.View/Download from: Publisher's site
Walczak, A, Mazer, B, Butow, PN, Tattersall, MHN, Clayton, JM, Davidson, PM, Young, J, Ladwig, S & Epstein, RM 2013, 'A question prompt list for patients with advanced cancer in the final year of life: Development and cross-cultural evaluation', PALLIATIVE MEDICINE, vol. 27, no. 8, pp. 779-788.View/Download from: Publisher's site
Walczak, W, Butow, P, Davidson, PM, Bellemore, FA, Tattersall, M, Clayton, J, Young, J, Mazer, B, Ladwig, S & Epstein, RM 2013, 'Patient perspectives regarding communication about prognosis and end-of-life issues: How can it be optimised?', Patient Education And Counselling, vol. 90, pp. 307-314.View/Download from: Publisher's site
Objective: To explore patients perspectives across two cultures (Australia and USA) regarding communication about prognosis and end-of-life care issues and to consider the ways in which these discussions can be optimised. Methods: Fifteen Australian and 11 US patients completed individual semi-structured qualitative interviews. A further 8 US patients participated in a focus group. Interviews and focus group recordings were transcribed verbatim and interpreted using thematic text analysis with an inductive, data-driven approach. Results: Global themes identified included readiness for and outcomes of discussions of prognosis and end-of-life issues. Contributing to readiness were sub themes including patientsâ adjustment to and acceptance of their condition (together with seven factors promoting this), doctor and patient communication skills, mutual understandings and therapeutic relationship elements. Outcomes included sub themes of achievement of control and ability to move on. A model of the relationships between these factors, emergent cross cultural differences, and how factors may help to optimise these discussions are presented. Conclusion: Identified optimising factors illustrate Australian and US patients perspectives regarding how prognosis and end-of-life issues can be discussed with minimised negative impact. Practice implications: Recognition of factors promoting adjustment, acceptance and readiness and use of the communication skills and therapeutic relationship elements identified may assist in optimising discussions and help patients plan care, achieve more control of their situation and enjoy an optimal quality-of-life.
Westlake, C, Sethares, K & Davidson, PM 2013, 'How Can Health Literacy Influence Outcomes in Heart Failure Patients? Mechanisms and Interventions', Current Heart Failure Reports, vol. 10, no. 3, pp. 232-243.
Health literacy is discussed in papers from 25 countries where findings suggest that approximately a third up to one half of the people in developed countries have low health literacy.
Whitty, JA, Stewart, S, Carrington, MJ, Calderone, A, Marwick, T, Horowitz, JD, Krum, H, Davidson, PM, Macdonald, PS, Reid, C & Scuffham, PA 2013, 'Patient Preferences and Willingness-To-Pay for a Home or Clinic Based Program of Chronic Heart Failure Management: Findings from the Which? Trial', PLOS ONE, vol. 8, no. 3.View/Download from: Publisher's site
Yacopetti, N, Davidson, PM, Blacka, J & Spencer, T 2013, 'Preventing contamination at the time of central venous catheter insertion: a literature review and recommendations for clinical practice', Journal Of Clinical Nursing, vol. 22, pp. 611-620.View/Download from: Publisher's site
Aims and objectives. To evaluate the evidence base and rationale underpinning the various infections control strategies during central venous catheter insertion and to promote discussion about the key, recurring concepts and recommendations in the literature. Logistical and organisational factors relating to central venous catheter insertion are also examined.
Siabani, S, Leeder, S & Davidson, PM 2013, 'Barriers and facilitators to self-care in chronic heart failure: a meta-synthesis of qualitative studies', SpringerPlus, vol. 2, pp. 1-14.View/Download from: Publisher's site
Chronic heart failure (CHF) is a costly condition that places large demands on self-care. Failure to adhere with self-care recommendations is common and associated with frequent hospitalization. Understanding the factors that enable or inhibit self-care is essential in developing effective health care interventions. This qualitative review was conducted to address the research question, "What are the barriers and facilitators to self-care among patients with CHF? Electronic databases including Medline, EMBASE, CINAHL, Web of Science, Scopus and Google scholar were searched. Articles were included if they were peer reviewed (1995 to 2012), in English language and investigated at least one contextual or individual factor impacting on self-care in CHF patients?>?18years. The criteria defined by Kuper et al. including clarity and appropriateness of sampling, data collection and data analysis were used to appraise the quality of articles. Twenty-three articles met the inclusion criteria. Factors impacting on self-care were included factors related to symptoms of CHF and the self-care process; factors related to personal characteristics; and factors related to environment and self-care system. Important factors such as socioeconomic situation and education level have not been explored extensively and there were minimal data on the influence of age, gender, self-confidence and duration of disease. Although there is an emerging literature, further research is required to address the barriers and facilitators to self-care in patients with CHF in order to provide an appropriate guide for intervention strategies to improve self-care in CHF.
Chang, S, Davidson, PM, Newton, PJ, Krum, H, Salamonson, Y & MacDonald, PS 2013, 'What is the methodological and reporting quality of health related quality of life in chronic heart failure clinical trials?', International Journal of Cardiology, vol. 164, no. 2, pp. 133-140.View/Download from: Publisher's site
Background: Although the number of clinical trials assessing health related quality of life (HRQoL) in chronic heart failure (CHF) has increased exponentially over the last decade, little is known about the quality of reporting. The purpose of this review was to assess the methodological and reporting rigor of HRQoL in RCTs of pharmacological therapy in CHF.
The aim of this review article is describing a research on spiritual and religious interventions in Iran. An integrative review was conducted to determine the state of the science in Iran. Iranmedex, Scientific Information Database, Irandoc, Noormags, Magiran and Google scholar were searched to find articles published in peer-reviewed journals from August 2002 to August 2012. A qualitative approach utilizing content analysis was used in the review. Overall, 21 articles on spiritual and religious interventions in Iran's health care system which met the search criteria were included from 800,000 records in 438 journals. The review shows that there are at least four overarching themes of spiritual and religious interventions: spiritual and religious behaviours, spiritual care as part of a holistic caring approach, spiritual/religious therapy as an effective healing technique, and patients' spiritual needs. These themes are linked and interrelated. The main concern for caregivers was "hanging on to spirituality" in spite of the eroding effects on spiritual beliefs caused by different factors in the health care system. Spirituality plays an important role in the way people live and die. The majority of the research on spiritual and religious interventions in Iran's health care system focuses on patients' need toward spiritual care and health professionals' spiritual approach, as well as factors that influence their spirituality. More research is needed on the factors that influence patients' spiritual needs, spirituality among health care providers, and interventions to engender spiritual and religious interventions in the health care system .
Objective: To describe research on spiritual and religious interventions in Iran.
Davidson, P, DiGiacomo, M, Leslie, G, Soh, KL & Soh, KG 2013, 'Nurses' perceptions of standardised assessment and prevention of complications in a Malaysian intensive care unit', Journal of Clinical Nursing, vol. 22, no. 5-6, pp. 856-865.View/Download from: Publisher's site
This article seeks to identify factors to be considered in embracing perspectives of diversity in doctoral programs from the perspective of the extant literature and personal reflec-tion of experienced supervisors
Davidson, PM, Jiwa, M, DiGiacomo, M, McGrath, S, Newton, PJ, Durey, A, Bessarab, D & Thompson, SC 2013, 'The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and delivery', Australian Health Review, vol. 37, no. 1, pp. 70-78.View/Download from: Publisher's site
Background. Aboriginal and Torres Strait Islander peoples experience inferior outcomes following diagnosis of lung cancer. Aim. To examine the experience of lung cancer in this population and identify reasons for poorer outcomes and lower levels of treatment compared with non-Aboriginal and Torres Strait Islander peoples, and opportunities for early intervention.
Deek, HA, Abbott, P, Moore, L, Davison, J, Cameron, S, DiGiacomo, M, McGrath, S, Dharmendra, T & Davidson, PM 2013, 'Pneumococcus in Aboriginal and Torres Strait Islanders: the role of Aboriginal Health Workers and implications for nursing practice', Contemporary Nurse, vol. 46, no. 1, pp. 54-58.View/Download from: Publisher's site
Background: Pneumonia is a common cause of hospitalization in Aboriginal and Torres Strait Islander men and women. Aim: This article seeks to describe the importance of immunizing against pneumonia in Aboriginal Australians and suggest strategies for screening and follow-up. Method: An integrative literature review, using both published and gray literature was undertaken to identify methods of screening and surveillance strategies for pneumococcus. Results: The literature was summarized under the following themes: Pneumococcal disease; prevention strategies; access to care; improving access to vaccinations; culturally competent interventions and the role of Aboriginal health professionals. Conclusion: Community controlled conditions and the role of the Aboriginal Health Workers are seen as critical to reducing health disparities. Nurses can play a critical role in bridging the gap between mainstream and community controlled organizations. Working to increase the numbers of Aboriginal health professionals is a critical step in improving health outcomes for Aboriginal and Torres Strait Islander peoples.
DiGiacomo, M, Davidson, PM, Abbott, PA, Delaney, P, Dharmendra, T, McGrath, S, Delaney, J & Vincent, F 2013, 'Childhood disability in Aboriginal and Torres Strait Islander peoples: a literature review', International Journal for Equity in Health, vol. 12, no. 7.View/Download from: Publisher's site
Aboriginal and Torres Strait Islander children have higher rates of disability than non-Indigenous children and are considered doubly disadvantaged, yet there is very little data reflecting prevalence and service access to inform design and delivery of services. Failing to address physical, social, and psychological factors can have life-long consequences and perpetuate longstanding health disparities. Methods A narrative literature review was undertaken to identify peer reviewed literature describing factors impacting on the prevention, recognition, and access to support and management of disability in Indigenous Australian children. Results Twenty-seven peer-reviewed journal articles met inclusion criteria. The majority of articles focused on the hearing loss and learning disabilities consequent of otitis media. Few articles reported data on urban or metropolitan Indigenous populations or described interventions. Individual/community-, provider-, and systems level factors were identified as impacting on recognition and management of disability in young Indigenous children. Conclusions Given the burden of childhood disability, the limited literature retrieved is concerning as this is a barometer of activity and investment. Solutions addressing childhood disability will require collaboration between health, social and educational disciplines as well as an increased investment in prevention, identification and promotion of access.
DiGiacomo, M, Davidson, PM, Byles, JE & Nolan, M 2013, 'An integrative and socio-cultural perspective of health, wealth, and adjustment in widowhood', Health Care for Women International, vol. 34, no. 12, pp. 1067-1083.View/Download from: Publisher's site
Women comprise a larger proportion of the ageing population, often outlive their spouses, and face a variety of challenges upon widowhood. Discrete aspects of the health impact of widowhood have been described in the literature; however, the expanse of sociocontextual issues that impact on older women's adjustment is less prominent. We undertook a literature review to synthesize recent research and interventions and identify current trends and gaps in knowledge and services. Although many health, social, cultural, and economic factors impact on recently widowed older women throughout the world, we found few interventions targeting this population incorporating these factors.
DiGiacomo, M, Delaney, P, Abbott, P, Davidson, PM, Delaney, J & Vincent, F 2013, ''Doing the hard yards': carer and provider focus group perspectives of accessing Aboriginal childhood disability services', BMC Health Services Research, vol. 13, no. 326.View/Download from: Publisher's site
Background: Despite a high prevalence of disability, Aboriginal Australians access disability services in Australia less than non-Aboriginal Australians with a disability. The needs of Aboriginal children with disability are particularly poorly understood. They can endure long delays in treatment which can impact adversely on development. This study sought to ascertain the factors involved in accessing services and support for Aboriginal children with a disability. Methods: Using the focus group method, two community forums, one for health and service providers and one for carers of Aboriginal children with a disability, were held at an Aboriginal Community Controlled Health Service (ACCHS) in the Sydney, metropolitan area of New South Wales, Australia. Framework analysis was applied to qualitative data to elucidate key issues relevant to the dimensions of access framework. Independent coding consistency checks were performed and consensus of analysis verified by the entire research team, several of whom represented the local Aboriginal community. Results: Seventeen health and social service providers representing local area government and non-governmentfunded health and social service organisations and five carers participated in two separate forums between September and October 2011. Lack of awareness of services and inadequate availability were prominent concerns in both groups despite geographic proximity to a major metropolitan area with significant health infrastructure. Carers noted racism, insufficient or non-existent services, and the need for an enhanced role of ACCHSs and AHWs in disability support services. Providers highlighted logistical barriers and cultural and historical issues that impacted on the effectiveness of mainstream services for Aboriginal people. Conclusions: Despite dedicated disability services in an urban community, geographic proximity does not mitigate lack of awareness and availability of support. This paper has enumerated a numb...
Saltman, D, Jackson, DE, Newton, PJ & Davidson, PM 2013, 'In pursuit of certainty: can the systematic review process deliver?', BMC Medical Informatics and Decision Making, vol. 13, no. 25.View/Download from: Publisher's site
There has been increasing emphasis on evidence-based approaches to improve patient outcomes through rigorous, standardised and well-validated approaches. Clinical guidelines drive this process and are largely developed based on the findings of systematic reviews (SRs). This paper presents a discussion of the SR process in providing decisive information to shape and guide clinical practice, using a purpose-built review database: the Cochrane reviews; and focussing on a highly prevalent medical condition: hypertension. Methods We searched the Cochrane database and identified 25 relevant SRs incorporating 443 clinical trials. Reviews with the terms `blood pressure or `hypertension in the title were included. Once selected for inclusion, the abstracts were assessed independently by two authors for their capacity to inform and influence clinical decision-making. The inclusions were independently audited by a third author. Results Of the 25 SRs that formed the sample, 12 provided conclusive findings to inform a particular treatment pathway. The evidence-based approaches offer the promise of assisting clinical decision-making through clarity, but in the case of management of blood pressure, half of the SRs in our sample highlight gaps in evidence and methodological limitations. Thirteen reviews were inconclusive, and eight, including four of the 12 conclusive SRs, noted the lack of adequate reporting of potential adverse effects or incidence of harm. Conclusions These findings emphasise the importance of distillation, interpretation and synthesis of information to assist clinicians. This study questions the utility of evidence-based approaches as a uni-dimensional approach to improving clinical care and underscores the importance of standardised approaches to include adverse events, incidence of harm, patients needs and preferences and clinicians expertise and discretion.
Davidson, PM, Inglis, S & Newton, PJ 2013, 'Self-care In Patients With Chronic Heart Failure', Expert Review of Pharmacoeconomics & Outcomes Research, vol. 13, no. 3, pp. 351-359.View/Download from: Publisher's site
Globally, chronic heart failure is a common, complex syndrome characterized by high levels of healthcare utilization, reduced quality of life and premature mortality. Self-care is a complex decision-making process involving symptom recognition, action and evaluation.
Disler, RT, Inglis, S & Davidson, PM 2013, 'Non-pharmacological management interventions for COPD: an overview of Cochrane systematic reviews (Protocol)', The Cochrane Database of Systematic Reviews, vol. 2, pp. 1-8.View/Download from: Publisher's site
summarise the evidence, b) identify gaps in the evidence base and c) describe elements of non-pharmacological, non-surgical and non-device interventions for the management of COPD using a standardised taxonomy for disease management adapted from the American Heart Association (Krumholz 2006).
Ferguson, C, Inglis, S, Newton, PJ, Middleton, S, Macdonald, P & Davidson, PM 2013, 'Atrial fibrillation and thromboprophylaxis in heart failure: The need for patient centered approaches to address adherence', Vascular Health and Risk Management, vol. 9, pp. 3-11.View/Download from: Publisher's site
Atrial fibrillation is a common arrhythmia in heart failure and a risk factor for stroke. Risk assessment tools can assist clinicians with decision-making in the allocation of thromboprophylaxis. This review provides an overview of current validated risk assessment tools for AF and emphasises the importance of addressing both tailoring individual risk for stroke and weighing the benefits of treatment. Further, this review provides details of innovative and patient centered methods for ensuring optimal adherence to prescribed therapy. Prior to initiating oral anticoagulant therapy a comprehensive risk assessment should include evaluation of associated cardio-geriatric conditions, potential for adherence to prescribed therapy, frailty, functional and cognitive ability.
Inglis, S, Hermis, A, Shehab, S, Newton, PJ, Lal, S & Davidson, PM 2013, 'Peripheral arterial disease and chronic heart failure: a dangerous mix', Heart Failure Reviews, vol. 18, no. 4, pp. 457-464.View/Download from: Publisher's site
Chronic heart failure (CHF) is associated with a high comorbidity burden, adverse impact on quality of life and high health care utilisation. Peripheral arterial disease (PAD) and CHF share many risk, pathophysiological and prognostic features, and each has been associated with increased morbidity and mortality. PAD often goes undetected, and yet in spite of the availability of screening tools, this is not commonly considered in CHF care. A review of the electronic databases Medline, CINAHL and Cochrane CENTRAL was undertaken using the MeSH terms peripheral arterial disease, peripheral vascular disease, intermittent claudication and heart failure to identify studies examining the prevalence and clinical outcomes of coexisting PAD in patients with CHF. Five studies were identified. There are limited data describing the impact of PAD on CHF outcomes. As PAD may contribute to decreased capacity to exercise and other self-care behaviours, identifying those at risk and providing appropriate therapy are important. Based on this review, patients who are smokers and those with diagnosed coronary heart disease and diabetes should be targeted for the screening of PAD.
Lewis, J, DiGiacomo, M, Luckett, T, Davidson, PM & Currow, D 2013, 'A Social Capital Framework for Palliative Care: Supporting Health and Well-Being for People With Life-Limiting Illness and Their Carers Through Social Relations and Networks', Journal of Pain and Symptom Management, vol. 45, no. 1, pp. 92-103.View/Download from: Publisher's site
This paper summarizes the literature on social capital, well-being, and quality of life for key outcomes to inform a model of social capital in palliative care.
Lovell, M, Agar, M, Luckett, T, Davidson, PM, Green, AR & Clayton, J 2013, 'Australian survey of current practice and guideline use in adult cancer pain assessment and management: Perspectives of palliative care physicians', Journal of Palliative Medicine, vol. 16, no. 11, pp. 1403-1409.View/Download from: Publisher's site
Background: Cancer pain continues to be undertreated, despite the availability of evidence-based guidelines. The Australian National Pain Strategy identified establishment of systems and guidelines to adequately manage cancer pain as a high priority.
Luckett, T, Davidson, PM, Green, AR, Boyle, F, Stubbs, J & Lovell, M 2013, 'Assessment and Management of Adult Cancer Pain: A Systematic Review and Synthesis of Recent Qualitative Studies Aimed at Developing Insights for Managing Barriers and Optimizing Facilitators Within a Comprehensive Framework of Patient Care', Journal of Pain and Symptom Management, vol. 46, no. 2, pp. 229-253.View/Download from: Publisher's site
Objectives: To develop insights for managing barriers and optimizing facilitators to adult cancer pain assessment and management within a comprehensive framework of patient care.
Marie, N, Luckett, T, Davidson, PM, Lovell, M & Lal, S 2013, 'Optimal patient education for cancer pain: a systematic review and theory-based meta-analysis', Supportive Care in Cancer, vol. 21, no. 12, pp. 3529-3537.View/Download from: Publisher's site
Purpose: Previous systematic reviews have found patient education to be moderately efficacious in decreasing the intensity of cancer pain, but variation in results warrants analysis aimed at identifying which strategies are optimal. Methods: A systematic review and meta-analysis was undertaken using a theory-based approach to classifying and comparing educational interventions for cancer pain. The reference lists of previous reviews andMEDLINE, PsycINFO, and CENTRAL were searched in May 2012. Studies had to be published in a peer-reviewed English language journal and compare the effect on cancer pain intensity of education with usual care. Meta-analyses used standardized effect sizes (ES) and a random effects model. Subgroup analyses compared intervention components categorized using the Michie et al. (Implement Sci 6:42, 2011) capability, opportunity, and motivation behavior (COM-B) model.
Davidson, PM, Abernethy, AP, Newton, PJ, Clark, K & Currow, DC 2013, 'The caregiving perspective in heart failure: a population based study', BMC Health Services Research, vol. 13, no. 342.View/Download from: Publisher's site
Waller, A, Girgis, A, Davidson, PM, Newton, PJ, Lecathelinais, C, Macdonald, P, Hayward, C & Currow, D 2013, 'Facilitating needs-based support and palliative care for people with chronic heart failure: preliminary evidence for the acceptability, inter-rater reliability and validity of a needs assessment tool', Journal of Pain and Symptom Management, vol. 45, no. 5, pp. 912-925.View/Download from: Publisher's site
Context. Understanding the types and extent of need is critical to informing needs-based care for people with chronic heart failure (CHF). Objectives. To explore the psychometric quality of a newly developed rapid screening measure to assess the supportive and palliative care needs of people with CHF.
DiGiacomo, M, Lewis, J, Nolan, M, Phillips, JL & Davidson, PM 2013, 'Transitioning From Caregiving to Widowhood', Journal of Pain and Symptom Management, vol. 46, no. 6, pp. 817-825.View/Download from: Publisher's site
Older women commonly assume a caregiving role for their husbands at the end of life and are more vulnerable to poorer health, well-being, and social and economic challenges. The aim of this study was to ascertain older women's experiences of spousal caregiving at the end of life and the ways in which this experience impacts on the transition to widowhood.
DiGiacomo, M, Lewis, J, Nolan, MT, Phillips, J & Davidson, PM 2013, 'Health transitions in recently widowed older women: a mixed methods study', BMC Health Services Research, vol. 13, no. 143.View/Download from: Publisher's site
Hosie, A, Davidson, PM, Agar, M, Sanderson, CR & Phillips, JL 2013, 'Delirium prevalence, incidence, and implications for screening in specialist palliative care inpatient settings: A systematic review', Palliative Medicine, vol. 27, no. 6, pp. 486-498.View/Download from: Publisher's site
Background: Delirium is a serious neuropsychiatric syndrome frequently experienced by palliative care inpatients. This syndrome is under-recognized by clinicians. While screening increases recognition, it is not a routine practice. Aim and design: This systematic review aims to examine methods, quality, and results of delirium prevalence and incidence studies in palliative care inpatient populations and discuss implications for delirium screening.
Luckett, T, Davidson, PM, Lam, L, Phillips, JL, Currow, D & Agar, M 2013, 'Do Community Specialist Palliative Care Services That Provide Home Nursing Increase Rates of Home Death for People with Life-Limiting Illnesses? A Systematic Review and Meta-Analysis of Comparative Studies', Journal of Pain and Symptom Management, vol. 45, no. 2, pp. 279-297.View/Download from: Publisher's site
Context. Systematic reviews and meta-analyses suggest that community specialist palliative care services (SPCSs) can avoid hospitalizations and enable home deaths. But more information is needed regarding the relative efficacies of different models. Family caregivers highlight home nursing as the most important service, but it is also likely the most costly.
Phillips, JL, West, P, Davidson, PM & Agar, M 2013, 'Does case conferencing for people with advanced dementia living in nursing homes improve care outcomes: Evidence from an integrative review?', International Journal of Nursing Studies, vol. 50, no. 8, pp. 1122-1135.View/Download from: Publisher's site
Objective: This integrative review aimed to appraise the evidence for case conferencing as an intervention to improve palliative care outcomes for older people living with advanced dementia in nursing homes.
Gholizadeh, L, Salamonson, Y, Heydari, M & Davidson, PM 2013, 'Cardiac patients' causal attributions for coronary heart disease', International Journal of Research in Nursing, vol. 4, no. 1, pp. 22-28.View/Download from: Publisher's site
Accurate casual attributions for CHD have been associated with more congruent risk reduction behaviours and improved health outcomes. This article aimed to assess causal attributions for Coronary Heart Disease (CHD) of Middle Eastern women diagnosed with heart disease using different risk targets and compare these attributions with participants actual.
Healthcare systems are in a state of flux and change (Casabonne & Kenny 2012, Naylor & Naylor 2012). Globally, there are pressures to meet the increasing and diversifying healthcare needs of individuals and populations.
Alexandrou, E, Murgo, M, Calabria, E, Spencer, TR, Carpen, H, Brennan, K, Frost, S, Davidson, PM & Hillman, KM 2012, 'Nurse-led central venous catheter insertion- Procedural characteristics and outcomes of three intensive care based catheter placement services', International Journal of Nursing Studies, vol. 49, pp. 162-168.View/Download from: Publisher's site
Background: Nurse-led central venous catheter placement is an emerging clinical role internationally. Procedural characteristics and clinical outcomes is an important consideration in appraisal of such advanced nursing roles. Objectives: To review characteristics and outcomes of three nurse-led central venous catheter insertion services based in intensive care units in New South Wales, Australia. Design: Using data from the Central Line Associated Bacteraemia project in New South Wales intensive care units. Descriptive statistical techniques were used to ascertain comparison rates and proportions. Participants: De-identified outcome data of patients who had a central venous catheter inserted as part of their therapy by one of the four advanced practice nurses working in three separate hospitals in New South Wales. Results: Between March 2007 and June 2009, 760 vascular access devices were placed by the three nurse-led central venous catheter placement services. Hospital A inserted 520 catheters; Hospital C with 164; and Hospital B with 76. Over the study period, insertion outcomes were favourable with only 1 pneumothorax (1%), 1 arterial puncture (1%) and 1 CLAB (1%) being recorded across the three groups. The CLAB rate was lower in comparison to the aggregated CLAB data set [1.3 per 1000 catheters (95% CI = 0.03-7.3) vs. 7.2 per 1000 catheters (95% CI = 5.9-8.7)]. Conclusion: This study has demonstrated safe patient outcomes with nurse led CVC insertion as compared with published data. Nurses who are formally trained and credentialed to insert CVCs can improve organisational efficiencies. This study adds to emerging data that developing clinical roles that focus on skills, procedural volume and competency can be a viable option in health care facilities.
Bernal, DD, Stafford, L, Bereznicki, LR, Castelino, RL, Davidson, PM & Peterson, GM 2012, 'Home medicines reviews following acute coronary syndrome: study protocol for a randomized controlled trial', Trials, vol. 13, pp. 1-17.View/Download from: Publisher's site
Despite continual improvements in the management of acute coronary syndromes, adherence to guideline-based medications remains suboptimal. We aim to improve adherence with guideline-based therapy following acute coronary syndrome using an existing service that is provided by specifically trained pharmacists, called a Home Medicines Review. We have made two minor adjustments to target the focus of the existing service including an acute coronary syndrome specific referral letter and a training package for the pharmacists providing the service.
Betihavas, V, Davidson, PM, Newton, PJ, Frost, SA, Macdonald, PS & Stewart, S 2012, 'What are the factors in risk prediction models for rehospitalisation for adults with chronic heart failure?', Australian Critical Care, vol. 25, no. 1, pp. 31-40.View/Download from: Publisher's site
BACKGROUND: Risk prediction models can assist in identifying individuals at risk of adverse events and also the judicious allocation of scare resources. Our objective was to describe risk prediction models for the rehospitalisation of individuals with chronic heart failure (CHF) and identify the elements contributing to these models. METHODS: The electronic data bases MEDLINE, PsychINFO, Ovid Evidence-Based Medicine Reviews and Scopus (1950-2010), were searched for studies that describe models to predict all-cause hospital readmission for individuals with CHF. Search terms included: patient readmission; risk; chronic heart failure, congestive heart failure and heart failure. We excluded non-English studies, pediatric studies, and publications without original data. RESULTS: Only 1 additional model was identified since the review undertaken by Ross and colleagues in 2008. All models were derived from data sets collected in the United States and patients were followed from 60 days to 18 months. The only common predictors of re-hospitalisation in the models identified by Ross and colleagues were a history of diabetes mellitus and a history of prior hospitalisation. The additional model extends its scope to include the non clinical factors of social instability and socioeconomic status as predictors of rehospitalisation. CONCLUSIONS: In spite of the burden of hospitalisation in CHF, there are limited tools to assist clinicians in assessing risk. Developing risk prediction models, based on patient, provider and system characteristics may assist in identifying individuals in the community at greatest risk and in need of targeted interventions to improve outcomes.
Betihavas, V, Newton, PJ & Davidson, PM 2012, 'An overview of risk prediction models and the implications for nursing practice', British Journal of Cardiac Nursing, vol. 7, no. 6, pp. 259-265.View/Download from: Publisher's site
Chronic heart failure is a common and costly condition and is one of the most common causes of hospitalisation and emergency department presentations in the elderly. This paper discusses risk prediction models in chronic heart failure, their utility in clinical practice and describes the implications for nursing practice. Based on a review of the literature, a description is presented of current risk models for chronic heart failure; the use of risk models in other conditions and the benefits of applying valid and reliable measurement tools in clinical practice. Consideration is given for clinical as well as non-clinical factors being incorporated into risk prediction models.
Davidson, P, Stocks, N, Aggarwal, A, Waddell, J & Lee, R 2012, 'Reducing Risk in Heart Disease—An Updated Heart Foundation Guide to Secondary Prevention of Coronary Heart Disease', Heart, Lung and Circulation, vol. 21, pp. S49-S49.View/Download from: Publisher's site
Davidson, PM & Reid, C 2012, 'Population Screening An Important Step In Identifying And Increasing Awareness Of Cardiovascular Disease In Developing Countries', Heart, Lung and Circulation, vol. 21, pp. 61-62.
Once considered a problem of the developed world, cardiovascular disease (CVD) has emerged as a global health problem contributing up to 30% of deaths in low to middle income countries [1,2]. Increasing urbanisation, industrialisation and globalisation contribute to the complex mosaic of the contemporary epidemiology of cardiovascular disease . A rising prevalence of risk factors particularly tobacco usage, lower levels of physical activity and a higher intake of fats and salts contribute to the rising levels of hypertension, diabetes and hyperlipidaemia . Many communities in the developing world are experiencing rapid epidemiological transitions leading to an increased CVD risk .
Davidson, PM, MacIssac, A, Cameron, J, Jeremy, R, Mahar, L & Anderson, I 2012, 'Problems, Solutions and Actions: Addressing Barriers in Acute Hospital Care for Indigenous Australians and New Zealanders', HEART LUNG AND CIRCULATION, vol. 21, no. 10, pp. 639-643.View/Download from: Publisher's site
Davidson, PM, Sindhu, S & Meleis, A 2012, 'Women's health is now core business and a global health issue', Collegian, vol. 19, pp. 1-3.
For several decades the policy focus on women's health within society was viewed by many to be faltering. This lack of prominence was not due to the diminishing importance of women's health, nor the passion and hard work of many advocates (Auerbach & Figert, 1995).
Deasy, C, Bray, JE, Smith, K, Harriss, LR, Bernard, SA, Davidson, PM & Cameron, P 2012, 'Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia', Resuscitation, vol. 83, no. 1, pp. 58-62.View/Download from: Publisher's site
Introduction: CPR in patients in residential aged care facilities (RACF) deserves careful consideration. We examined the characteristics, management and outcomes of out-of-hospital cardiac arrest (OHCA) in RACF patients in Melbourne, Australia. Methods: The Victorian Ambulance Cardiac Arrest Registry (VACAR) was searched for all OHCAs occurring in RACFs in Melbourne. The characteristics and outcomes were compared to non-RACF patients in the VACAR. Results: Between 2000 and 2009 there were 30,006 OHCAs, 2350 (7.8%) occurring in a RACF. A shockable rhythm was present in 179 (7.6%) patients on arrival of paramedics of whom bystander CPR had been performed in 118 (66%); 173 (97%) received an EMS attempted resuscitation. ROSC was achieved in 71 (41%) patients and 15 (8.7%) patients survived to leave hospital. Non shockable rhythm was present in 2171 patients (92%) of whom 804 (37%) had an attempted resuscitation by paramedics. ROSC was achieved in 176 patients (22%) and 10 patients (1.2%) were discharged alive. Survival from OHCA occurring in a RACF was less than survival in those aged >70 years of age who suffered OHCA in their own homes (1.8% vs. 4.7%, p = 0.001). On multivariable analysis, witnessed OHCA (OR 3.0, 95% CI 2.4-3.7) and the presence of bystander CPR (OR 4.6, 95% CI 3.7-5.8) was associated with the paramedic decision to resuscitate. Conclusion: Resuscitation of patients in RACF is not futile. However, informed decisions concerning resuscitation status should be made by patients and their families on entry to a RACF. Where it is appropriate to perform resuscitation, outcomes may be improved by the provision of BLS training and possibly AED equipment to RACF staff.
Disler, RT, Gallagher, RD & Davidson, PM 2012, 'Factors influencing self-management in chronic obstructive pulmonary disease: An integrative review', International Journal of Nursing Practice, vol. 49, pp. 230-242.View/Download from: Publisher's site
Background: Chronic obstructive pulmonary disease is a common, chronic and burdensome condition requiring the individual to engage in a range of self-management strategies. The capacity to engage in self-management is dependent on a range of internal (e.g. personal) and external (e.g. health service) factors. Objectives: This paper seeks to define self-management, identify the determinants which influence the individualâs ability to cope and adjust to living with chronic obstructive pulmonary disease in the community, and identify implications for clinical practice and research. Design: Integrative review. Data sources: Medline, Embase, PubMed, CINAHL, Google Scholar. Review methods: Integrative review using prospective research questions. Papers were included in the review if they were published in peer reviewed journals and written in English between 2000 and 2010. Articles were accepted for inclusion if they discussed the determinants that influenced self-management of chronic obstructive pulmonary disease in the community. Confirmation of results and discussion themes was validated by specialists in chronic obstructive pulmonary disease and complex care. Findings: Self-management is less well characterised in chronic obstructive pulmonary disease compared with other chronic conditions. Functional limitation and the need to balance disease management with everyday life are the two key elements that patients face in managing their condition. Provider characteristics, socioeconomic status and health literacy are sparsely discussed yet are known to influence chronic obstructive pulmonary disease self-management. Conclusions: Chronic obstructive pulmonary disease self-management must be a key focus internationally as the disease incidence increases. Collaborative care is required between patients and health providers in order facilitate patients in confident management of their condition.
Du, H, Everett, B, Newton, PJ, Salamonson, Y & Davidson, PM 2012, 'Self-efficacy: a useful construct to promote physical activity in people with stable chronic heart failure', Journal of Clinical Nursing, vol. 21, no. 3-4, pp. 301-310.View/Download from: Publisher's site
Aim. To explore the conceptual underpinnings of self-efficacy to address the barriers to participating in physical activity and propose a model of intervention. Background. The benefits of physical activity in reducing cardiovascular risk have led to evidence-based recommendations for patients with heart disease, including those with chronic heart failure. However, adherence to best practice recommendations is often suboptimal, particularly in those individuals who experience high symptom burden and feel less confident to undertake physical activity. Self-efficacy is the degree of confidence an individual has in his/her ability to perform behaviour under several specific circumstances. Four factors influence an individualâs level of self-efficacy: (1) past performance, (2) vicarious experience, (3) verbal persuasion and (4) physiological arousal. Design. Discursive. Methods. Using the method of a discursive paper, this article seeks to explore the conceptual underpinnings of self-efficacy to address the barriers to participating in physical activity and proposes a model of intervention, the Home-Heart-Walk, to promote physical activity and monitor functional status. Conclusions. Implementing effective interventions to promote physical activities require appreciation of factors impacting on behaviour change. Addressing concepts relating to self-efficacy in physical activity interventions may promote participation and adherence in the longer term.
Durey, A, Wynaden, D, Thompson, S, Davidson, PM, Bessarab, D & Katzenellenbogen, J 2012, 'Owning Solutions: A Collaborative Model To Improve Quality In Hospital Care For Aboriginal Australians', Nursing Inquiry, vol. 19, no. 2, pp. 144-152.View/Download from: Publisher's site
Well-documented health disparities between Aboriginal and Torres Strait Islander (hereafter referred to as Aboriginal) and non-Aboriginal Australians are underpinned by complex historical and social factors. The effects of colonisation including racism continue to impact negatively on Aboriginal health outcomes, despite being under-recognised and under-reported. Many Aboriginal people find hospitals unwelcoming and are reluctant to attend for diagnosis and treatment, particularly with few Aboriginal health professionals employed on these facilities. In this paper, scientific literature and reports on Aboriginal health-care, methodology and cross-cultural education are reviewed to inform a collaborative model of hospital-based organisational change. The paper proposes a collaborative model of care to improve health service delivery by building capacity in Aboriginal and non-Aboriginal personnel by recruiting more Aboriginal health professionals, increasing knowledge and skills to establish good relationships between non-Aboriginal care providers and Aboriginal patients and their families, delivering quality care that is respectful of culture and improving Aboriginal health outcomes. A key element of model design, implementation and evaluation is critical reflection on barriers and facilitators to providing respectful and culturally safe quality care at systemic, interpersonal and patient/family-centred levels. Nurses are central to addressing the current state of inequity and are pivotal change agents within the proposed model.
Gallagher, RD, Kirkness, A, Armari, E & Davidson, PM 2012, 'Participants' perspectives of a multi-component, group-based weight loss programme supplement for cardiac rehabilitation: A qualitative study', International Journal of Nursing Practice, vol. 18, no. 1, pp. 28-35.View/Download from: Publisher's site
Addressing overweight and obesity in people with cardiovascular risk factors is an important aspect of cardiac rehabilitation, but minimal implementation of targeted strategies has occurred. The aim of this study was to describe participants perspectives of a multi-component, group-based weight loss supplement to cardiac rehabilitation programmes. Four focus groups of participants completing the intervention (n = 16) and maintenance phases (n = 19) of the Healthy Eating and Exercise Lifestyle Program (HEELP) were conducted. Interviews were transcribed and thematically analyzed using an inductive process. The overall theme of participants responses was that HEELP helped them reprogramme their lifestyle behaviours to achieve weight loss. The programme was unique compared with other weight loss programmes because it was delivered and developed by familiar and expert health professionals who tailored the programme to participants' health status. Themes included the process of recognizing and deciding to make a commitment to managing their weight problem and feeling supported by the group and the staff to do this. Participants valued the group-based structure and the specific tools used in the programme. The programme content and structure provides a framework for the development of supplemental programmes for overweight and obese people at high cardiovascular risk.
Gallagher, RD, Kirkness, A, Armari, E & Davidson, PM 2012, 'Weight management issues and strategies for people with high cardiovascular risk undertaking an Australian weight loss program: A focus group study', Nursing & Health Sciences, vol. 14, no. 1, pp. 18-24.View/Download from: Publisher's site
Obesity is particularly hazardous for people with multiple cardiovascular risk factors and existing cardiovascular disease, although few studies investigate experiences and perceptions of weight loss in this population. This study provides an understanding of participants knowledge, attitudes, and experiences of managing multiple risk factors and/or existing cardiovascular disease of participants who were undertaking a weight loss program. Thirty-five participants were recruited from the first 50 completing a multicomponent group-based weight loss intervention designed to follow cardiovascular disease and diabetes disease management programs. Four focus group interviews were conducted using a semistructured interview schedule. Data were analyzed using an inductive approach, and themes developed. Participants found the process of weight loss to be complex, dynamic, and challenging, as the conflicting needs of existing health conditions, social support, ambivalence, and time limitations required careful balance. In response, participants determinedly developed and tested strategies based on simplified principles, establishing routines for new health habits and portion control, and going back to basics in food selection. Therefore, weight loss programs for this population need to be specifically tailored to support patients efforts and strategies.
Hosseini, M, Davidson, P, Salehi, A & Fallahi, MK 2012, 'The Effect of Spiritual Training on Anxiety of CABG Candidates in Iran', Heart, Lung and Circulation, vol. 21, pp. S289-S289.View/Download from: Publisher's site
Hunt, L, Van Luenen, H, Alexandrou, E, Frost, SA, Davidson, PM, Hillman, K & D¿Amours, S 2012, 'A comparison of fluid instillation volumes to assess intra-abdominal pressure using Kron's methods', Journal of Trauma and Acute Care Surgery, vol. 73, no. 1, pp. 152-155.View/Download from: Publisher's site
Intra-abdominal pressure (IAP) measurement has become an important tool in the assessment of critically ill patients. The World Society of the Abdominal Compartment Syndrome consensus guidelines recommend using a maximum volume of 25 mL of sterile saline instilled into the bladder for intermittent IAP measurements. It is postulated that the volume of fluid instilled may have an impact on the estimation of IAP.
Juntasopeepun, P, Davidson, PM & Srisomboon, J 2012, 'Issues and challenges in implementing cervical cancer screenings in the emergence of HPV vaccination in Thailand', Collegian, vol. 19, no. 1 Special Issue, pp. 45-50.View/Download from: Publisher's site
The discovery of the HPV vaccine has been a major breakthrough in preventing cervical cancer and other HPV-related diseases around the globe. Cervical cancer is a significant public health problem in Thailand. Despite the long-time availability of cervical cancer screening programs in Thailand, the uptake among the target female population remains low. HPV vaccines were approved by the Food and Drug Administration of Thailand in 2007. As of March 2011, due to financial limitations, HPV vaccines have still not been included in the national immunization program under the public health benefit plans although individuals has the option to pay privately for the vaccine. This paper discusses the issues and challenges in implementing cervical cancer screening programs in the era of HPV vaccination in Thailand. Recommendations to increase the uptake of cervical cancer screening and further research to inform a policy regarding the cervical cancer screening measures are proposed.
Juntasopeepun, P, Davidson, PM, Suwan, N, Phianmongkhol, Y & Srisomboon, J 2012, 'Human Papillomavirus Vaccination Intention among Young Women in Thailand', Asian Pacific Journal Of Cancer Prevention, vol. 13, no. 12, pp. 3213-3219.
Aims: The aims of this study were to examine knowledge and beliefs regarding HPV and cervical cancer and to predict HPV vaccination intention among young women in Thailand using a cross-sectional descriptive study design. Methods: A sample of young women aged 18-24 years (n = 391) were recruited from universities/colleges located in Chiang Mai, Thailand. An online survey was carried out to obtain young women's demographic, HPV and cervical cancer-related health characteristics, knowledge, and beliefs toward HPV and cervical cancer. Multivariate logistic regression analysis was used to determine significant independent predictors of HPV vaccination intention. Findings: Five participants (1.2%) had received at least one shot of the HPV vaccine. Of 386 participants, 218 (56.5%) reported high intention to obtain the HPV vaccine. Young women's knowledge about HPV and cervical cancer was moderate. The mean knowledge score was 7.89 (SD, 3.99; range, 0-15). Knowledge was significantly and positively related to perceived susceptibility, perceived seriousness, and perceived benefits of HPV vaccination, but negatively related to perceived barriers to HPV vaccination. Participants with a higher level of knowledge were significantly more likely to obtain the vaccine. A multivariate logistic regression model identified predictors of HPV vaccination intention: recommendations from significant others, perceived susceptibility, perceived benefits, and feeling embarrassed about getting the HPV vaccine. Conclusions: Health education efforts are needed to promote further understanding of HPV and cervical cancer, particularly with more attention to the HPV vaccination.
Moser, D, McKinley, SM, Riegel, B, Doering, L, Meischke, H, Pelter, MM, Davidson, PM, Baker, H & Dracup, K 2012, 'The impact on anxiety and perceived control of a short one-on-one nursing intervention designed to decrease treatment seeking delay in people with coronary heart disease', European Journal of Cardiovascular Nursing, vol. 11, no. 2, pp. 160-167.View/Download from: Publisher's site
Background: Patient delay in seeking treatment for acute coronary syndrome symptoms remains a problem. Thus, it is vital to test interventions to improve this behavior, but at the same time it is essential that interventions not increase anxiety.
Newton, P, Davidson, P, Macdonald, P & Stewart, S 2012, 'Why Chronic Heart Failure Management Programs are So Important: Results of the Which Intervention is Most Cost-Effective and Consumer Friendly in Reducing Hospital Care? (WHICH?) Trial', Heart, Lung and Circulation, vol. 21, pp. S7-S7.View/Download from: Publisher's site
Newton, PJ, Davidson, PM & Sanderson, C 2012, 'An online survey of Australian physicians reported practice with the off-label use of nebulised frusemide.', BMC Palliative Care, vol. 11, no. 6, pp. 1-6.View/Download from: Publisher's site
BACKGROUND: Off-label prescribing is common in palliative care. Despite inconsistent reports of the benefit of nebulised frusemide for breathlessness, its use continues to be reported. METHODS: An online survey was emailed to 249 members of the Australian and New Zealand Society of Palliative Medicine to estimate the use of nebulised frusemide for breathlessness by Australian physicians involved in palliative care in the previous 12 months. RESULTS: There were 52/249 (21%) respondents to the survey. The majority (44/52; 85%) had not prescribed nebulised frusemide in the previous 12 months. The most common (18/44; 43%) reason for not prescribing nebulised frusemide was a belief that there was not enough evidence to support its use. Whilst only a few respondents (8/52; 15%) reported having used nebulised frusemide, all that had used it thought there was at least some benefit in relieving breathlessness. CONCLUSION: This report adds to the series of case studies reporting some benefit from nebulised frusemide in relieving breathlessnes.
Newton, PJ, Davidson, PM, Krum, H, Ollerton, R & Macdonald, P 2012, 'The acute haemodynamic effect of nebulised frusemide in stable, advanced heart failure', Heart Lung and Circulation, vol. 21, no. 5, pp. 260-266.View/Download from: Publisher's site
Purpose: To assess the acute haemodynamic effects of nebulised frusemide in a stable advanced heart failure population. In this randomised, double blind, placebo controlled trial, people with stable, advanced heart failure under-going right heart catheterisation were randomised to receive either 40 mg (4 ml) of nebulised frusemide or 4 ml of normal saline. Following inhalation of the study medication, subjects pulmonary pressures were recorded every 15 min for 1 h. There were no significant changes in the weighted average time course data of the subjects (n = 32) in either group over the study period, in particular no differences were observed in haemodynamic parameters between the two groups. Weighted average pulmonary capillary wedge pressure after 60 min in the frusemide group was 22.5 (SD 6.5) mmHg (n = 14) compared to the placebo group's 24.0 (SD 7.3) mmHg (n = 18), p = 0.55. The frusemide group had a significantly greater change in the median volume of urine in the bladder over the study period (186 ml IQR 137.8-260.8) compared to the placebo group (76 ml IQR 39.0-148.0) p = 0.02. This study showed that nebulised frusemide had no significant clinical effect on the haemodynamic characteristics of the subjects.
Pelter, MM, Riegel, B, McKinley, SM, Moser, D, Doering, L, Meischke, H, Davidson, PM, Baker, H, Yang, W & Dracup, K 2012, 'Are there symptom differences in patients with coronary artery disease presenting to the ED ultimately diagnosed with or without ACS?', American Journal of Emergency Medicine, vol. 30, pp. 1822-1828.View/Download from: Publisher's site
Objectives: Symptoms are compared among patients with coronary artery disease (CAD) admitted to the emergency department with or without acute coronary syndrome (ACS). Sex and age are also assessed. Methods: A secondary analysis from the PROMOTION (Patient Response tO Myocardial Infarction fOllowing a Teaching Intervention Offered by Nurses) trial, an multicenter randomized controlled trial, was conducted. Results: Of 3522 patients with CAD, at 2 years, 565 (16%) presented to the emergency department, 234 (41%) with non-ACS and 331 (59%) with ACS. Shortness of breath (33% vs 25%, P = .028) or dizziness (11% vs 3%, P = .001) were more common in non-ACS. Chest pain (65% vs 77%, P = .002) or arm pain (9% vs 21%, P = .001) were more common in ACS. In men without ACS, dizziness was more common (11% vs 2%; P = .001). Men with ACS were more likely to have chest pain (78% vs 64%; P = .003); both men and women with ACS more often had arm pain (men, 19% vs 10% [P = .019]; women, 26% vs 13% [P = .023]). In multivariate analysis, patients with shortness of breath (odds ratio [OR], 0.617 [confidence interval [CI], 0.410-0.929]; P = .021) or dizziness (OR, .0311 [CI, 0.136-0.708]; P = .005) were more likely to have non-ACS. Patients with prior percutaneous coronary intervention (OR, 1.592 [CI, 1.087-2.332]; P = .017), chest pain (OR, 1.579 [CI, 1.051-2.375]; P = .028), or arm pain (OR, 1.751 [CI, 1.013-3.025]; P b.042) were more likely to have ACS. Conclusions: In patients with CAD, shortness of breath and dizziness are more common in non-ACS, whereas prior percutaneous coronary intervention and chest or arm pain are important factors to include during ACS triage.
Rolley, J, Fernandez, R, Everett, B, Mohan, S & Davidson, P 2012, 'Factors Associated with Dietary Practices and Heart Disease Prevention Among Indian Australians: A Focus Group Study', Heart, Lung and Circulation, vol. 21, pp. S308-S309.View/Download from: Publisher's site
Rolley, J, Fernandez, R, Everett, B, Mohan, S & Davidson, P 2012, 'Perception of Medication Taking Among Asian Indian Australians: A Focus Group Study', Heart, Lung and Circulation, vol. 21, pp. S312-S312.View/Download from: Publisher's site
Salamonson, Y, Everett, B, Koch, J, Andrew, S & Davidson, PM 2012, 'The impact of term-time paid work on academic performance in nursing students: A longitudinal study', International Journal of Nursing Studies, vol. 49, pp. 579-585.View/Download from: Publisher's site
Background: Nursing students in higher education are spending more time in paid employment despite evidence that this can impact negatively on academic performance. Objectives: To examine the effect of paid work on academic performance in undergraduate nursing students. Design: Descriptive, correlational survey with longitudinal follow-up. Participants: Nursing students in metropolitan Sydney, Australia. Methods: First year nursing students surveyed at baseline were followed up at the end of the final year of their nursing program to examine factors influencing academic performance.
Smith, TA, Kim, M, Piza, M, Davidson, PM, Jenkins, CR, Ingham, JM & Clayton, JM 2012, 'Advance care planning by respiratory physicians with patients with COPD. A pilot survey', BMJ Supportive & Palliative Care, vol. 2, no. 2, pp. 191.1-191.View/Download from: Publisher's site
Stewart, S, Carrington, M, Marwick, T, Davidson, P, Macdonald, P, Horowitz, J, Krum, H, Newton, P, Reid, C, Chan, Y & Scuffham, P 2012, 'Which Heart Failure Intervention is Most Cost-Effective and Consumer Friendly in Reducing Hospital Care (WHICH?): A Multicentre Randomised Controlled Trial', Heart, Lung and Circulation, vol. 21, pp. S98-S99.View/Download from: Publisher's site
Stewart, S, Carrington, MJ, Marwick, T, Davidson, PM, Macdonald, P, Horowitz, JD, Krum, H, Newton, PJ, Reid, C, Chan, Y & Scuffham, PA 2012, 'Impact of Home Versus Clinic-Based Management of Chronic Heart Failure: The WHICH? (Which Heart Failure Intervention Is Most Cost-Effective & Consumer Friendly in Reducing Hospital Care) Multicenter, Randomized Trial', Journal Of The American College Of Cardiology, vol. 60, no. 14, pp. 1239-1248.View/Download from: Publisher's site
Although direct patient contact appears to be best in delivering CHF management overall, the precise form to optimize health outcomes is less clear.
Wan Chik, WZ, Salamonson, Y, Everett, B, Ramjan, LM, Attwood, N, Weaver, R, Saad, Z & Davidson, PM 2012, 'Gender difference in academic performance of nursing students in a Malaysian university college', International Nursing Review, vol. 59, pp. 387-393.View/Download from: Publisher's site
Purpose: To examine differences in academic performance between male and female nursing students, and to identify whether professional identity and language usage were explanatory factors of academic performance. Background: Although the numbers of men entering the nursing profession are increasing, societal stereotypes and the lack of male role models in nursing may have a negative impact on motivation, and hence, academic performance. Methods: A total of 147 students who were enrolled in an undergraduate nursing programme in Peninsula Malaysia were surveyed in January 2011. In addition to demographic and academic data, three instruments were administered to measure language acculturation and professional identity. Findings: The mean age of participants was 20.0 (SD: 1.5) years with 81% being female. Almost all students spoke the Malay language at home. Although there were no differences between male and female nursing students in relation to professional identity (P = 0.496), male nursing students reported a lower mean English language usage score (9.9 vs. 10.9, P = 0.011) and a higher mean Malay language usage score (20.4 vs. 18.8, P = 0.017). Males were also found to have lower academic performance than female students, as measured by grade point average (GPA) (2.7 vs. 3.2, P < 0.001). Regression analysis revealed gender was the only significant predictor of academic performance (b = -0.44, P < 0.001). Conclusions: Males represent less than 10% of the nursing workforce in developed countries, with some developing countries experiencing even lower participation rates. Promoting academic support of male nursing students may assist in increasing the number of male registered nurses in the nursing workforce.
Worrall-Carter, L, Ski, CF, Thompson, DR, Davidson, PM, Cameron, J, Castle, D & Page, K 2012, 'Recognition and referral of depression in patients with heart disease', European Journal of Cardiovascular Nursing, vol. 11, no. 2, pp. 231-238.View/Download from: Publisher's site
Background: Routine screening and assessment for depression occurs rarely in clinical practice for a variety of reasons, including the absence of systems to facilitate the process. Aim: To identify nurses knowledge and practice regarding depression screening and referral for cardiac patients following the implementation of education workshops and a validated screening tool with referral actions. Methods: Pre and post-test design using surveys and semi-structured interviews was conducted with a purposive sample of nurses in a large Australian metropolitan tertiary referral hospital. Prior to the introduction of the screening and referral tool, nurses engaged in an interactive one hour education workshop on the topic of depression and the tool; introduced to improve depression screening following an acute cardiac event. Results: In the pre and post-survey 40 and 30 nurses, respectively, participated with 14 also engaging in semi-structured interviews. Eighty percent reported a good understanding of depression post-program compared to 30% at baseline. Sixty percent reported routinely using the depression screening and referral tool. The interviews identified three main themes that supported the utility of the education and instrument: knowledge improvement; perceived self-efficacy and new knowledge into practice. Conclusion: The vast majority of participants reported increased skill, knowledge and confidence to screen and refer for depression post an acute cardiac event. The substantial increase in the number of nurses who engaged in screening and referral actions further demonstrated the success of the program. These encouraging results provide evidence that screening for depression can be achieved through adopting formalised processes.
Smith, TA, Davidson, PM, Lam, LT, Jenkins, CR & Ingham, JM 2012, 'The use of non-invasive ventilation for the relief of dyspnoea in exacerbations of chronic obstructive pulmonary disease; a systematic review', Respirology, vol. 17, no. 2, pp. 300-307.View/Download from: Publisher's site
Background and objective: Non-invasive ventilation (NIV) improves outcomes in patients with acute exacerbations of COPD (AECOPD); however, the efficacy in relieving dyspnoea is uncertain. The objective of this systematic review was to identify, synthesize and interpret the data regarding the relief of dyspnoea afforded by NIV in patients admitted with acute respiratory failure occurring during AECOPD. Methods: Randomized controlled trials (RCTs) comparing usual medical care (UMC) to UMC plus NIV and reporting dyspnoea as a patient-reported outcome were identified by searching relevant databases and manual searching. The full text of potentially relevant articles was retrieved. Data describing the impact of NIV on dyspnoea was extracted. Results: Four RCTs met the review criteria.One found NIV did not relieve dyspnoea. The other three RCTs reported NIV relieving dyspnoea. The degree of dyspnoea relief was clinically significant in two of these three studies. However, in all but one RCT, methodological or reporting limitations constrain the confidence that can be had in this conclusion. Conclusions: Limited data exist to determine if NIV relieves subjective dyspnoea in AECOPD. Due to limitations in these studies, it is not possible to definitively conclude if NIV relieves dyspnoea. Standardized reporting and analysis of patient reported outcomes will facilitate objective comparisons of interventions with respect to symptom relief. Future studies involving NIV should routinely incorporate patient reported outcomes in order to answer the important clinical question: 'Does NIV relieve dyspnoea?'
Cao, X, Cao, Y, Salamonson, Y, DiGiacomo, M, Chen, Y, Chang, S, Riegel, B & Davidson, PM 2012, 'Translation and validation of the Chinese version of the Acute Coronary Syndrome Response Index (C-ACSRI)', International Journal of Nursing Studies, vol. 49, no. 10, pp. 1277-1290.View/Download from: Publisher's site
The study aims to translate and validate a Chinese version of the Acute Coronary Syndrome Response Index and to assess the knowledge, attitudes, and beliefs of individuals in mainland China with a history of coronary heart disease.
Davidson, PM, Meleis, A, McGrath, S, DiGiacomo, M, Dharmendra, T, Puzantian, HV, Song, M & Riegel, BJ 2012, 'Improving Womens Cardiovascular Health: Position Statement From the International Council on Womens Health Issues', Health Care for Women International, vol. 33, no. 10, pp. 943-955.View/Download from: Publisher's site
The International Council on Women's Health Issues is an international nonprofit association dedicated to the goals of promoting the health, health care, and the well-being of women. Presented in this article are key recommendations discussed at its 18th biannual meeting where delegates aimed to raise awareness about the potent influence of gender-specific factors on the development, progression, and outcomes of CVD. Key recommendations for decreasing the burden of CVD are are discussed.
Jiwa, M, Davidson, PM, Newton, PJ, DiGiacomo, M, McGrath, S & Lotriet, C 2012, 'Patient, Provider and System Factors Impacting on the Diagnosis and Management of Lung Cancer Care in Australia', Journal of Cancer Therapy, vol. 3, pp. 406-411.View/Download from: Publisher's site
Background: Lung cancer is the leading cause of cancer death in Australia, with only modest improvements in survival. This study aims to identify factors impacting on diagnosis and management of lung cancer with particular reference to Australian primary care. Methods: A sequential mixed method modified approach employing interview and a two- phased survey technique. Following telephonic interviews with 31 health professionals (individuals representing general practitioners, specialized physicians, nurses and allied health practitioners), interview data was analysed using qualita-tive thematic analysis, and surveys using descriptive statistics. Emergent themes were organised under patient, provider and system factors. Interviews ceased upon saturation of data. Results: Multiple patient, provider and systems issues were seen to contribute to adverse health outcomes. There is a strong relationship between smoking and outcomes, and factors related to higher smoking rates such as a lower socioeconomic status. For smokers, guilt and/or denial was con-sidered a reason for delay in the decision to seek medical care for cough or shortness of breath. Aboriginal people un-der-report morbidity related to smoking and chronic obstructive pulmonary disease; other patients fail to recognise the significance of their symptoms. Discussion: Despite the poor prognosis of lung cancer diagnosis, increased awareness of presentation and treatment options can address disparities in health outcomes.
Inglis, S, Du, H, Newton, P, DiGiacomo, M, Omari, A & Davidson, PM 2012, 'Disease management interventions for improving self-management in lower-limb peripheral arterial disease', Cochrane Database of Systematic Reviews, no. 3.View/Download from: Publisher's site
Disler, RT, Green, AR, Luckett, T, Newton, PJ, Inglis, S, Currow, D & Davidson, PM 2012, 'Unmet needs in chronic obstructive pulmonary disease: a metasynthesis protocol', International Journal of Research in Nursing, vol. 3, no. 1, pp. 15-20.View/Download from: Publisher's site
Abstract: Problem statement: Chronic obstructive pulmonary disease is a chronic progressive illness. Despite the high burden experienced by individuals in the advanced stages of illness, individuals with advanced COPD continue to have unmet needs and limited access to palliative care. This Metasynthesis seeks to describe: the barriers and facilitators care access and provision; the unmet needs of individuals with advanced COPD, their families and carers; and the experiences of health professionals. Data sources: Medline, PsychINFO, AMED, CINAHL and Sociological Abstracts were searched for articles published between 1990 and December 31st 2011. Medical Subject Headings (MeSH) and key words will be used to guide the search. The strategy will be reviewed by the CareSearch palliative knowledge network and a health informatics expert. Approach: Metasyntheses are increasingly used to gain new insights and understandings of complex research questions through the amalgamation of data from individual qualitative studies. The principles of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and thematic synthesis will be used to achieve consistent reporting and transparency of methods. Results: Inclusion of studies, quality assessment and allocation of free codes into EPPI-Reviewer 4 software will be carried out by two independent investigators. Auditing of random cases will be undertaken and disagreements resolved through group discussion of an expert panel. Descriptive and analytical themes will be developed through thematic synthesis and expert panel discussion. Conclusion: Qualitative data provide useful information in understanding the individual's unique experience. Combining discrete qualitative studies provides an important opportunity to provide a voice to patients, their families and professional careers in managing advanced COPD.
Disler, R, Inglis, SC, Currow, DC & Davidson, PM 2012, 'Palliative and Supportive Care in Chronic Obstructive Pulmonary Disease: Research Priorities to Decrease Suffering', Open Access Scientific Reports, vol. 1, no. 6, pp. 1-3.View/Download from: Publisher's site
Chronic obstructive pulmonary disease (COPD) affects 80 million people worldwide, is the fourth most prevalent
cause of death globally and accounts for 3.5% of total years lost due to disability. Despite the similarities with
malignant disease, many individuals suffer unnecessarily and continue to have limited access to palliative and endof-life
care. Changing this will require a shift in focus and approach as well as support for clinical decision making.
Lack of communication regarding care plans and prognosis and coordination across care settings has been identified
as barriers to end-of-life care. Research specifically should focus on improving the use of comprehensive and
collaborative approaches to end-stage COPD care such as those illustrated in the Chronic Care Model which has
demonstrated improved outcomes for chronic conditions. Revision of funding models and workforce organisation,
aided by clinical pathways may improve end of life care for COPD.
Disler, RT, Currow, DC, Phillips, JL, Davidson, PM, Johnson, MJ & Smith, T 2012, 'Interventions to support a palliative care approach in patients with chronic obstructive pulmonary disease: An integrative review.', International Journal of Nursing Studies, vol. 49, no. 11, pp. 1443-1458.View/Download from: Publisher's site
End-stage chronic obstructive pulmonary disease (COPD) is a debilitating, life-limiting condition. A palliative approach is appropriate for individuals with end-stage COPD, yet currently few interventions embrace this holistic, multidisciplinary and inclusive perspective.
Phillips, JL, Rolley, JX & Davidson, PM 2012, 'Developing Targeted Health Service Interventions Using the PRECEDE-PROCEED Model: Two Australian Case Studies', Nursing Research and Practice, vol. 2012, pp. 1-8.View/Download from: Publisher's site
Aims and Objectives. This paper provides an overview of the applicability of the PRECEDE-PROCEED Model to the development of targeted nursing led chronic illness interventions. Background. Changing health care practice is a complex and dynamic process that requires consideration of social, political, economic, and organisational factors. An understanding of the characteristics of the target population, health professionals, and organizations plus identification of the determinants for change are also required. Synthesizing this data to guide the development of an effective intervention is a challenging process. The PRECEDE-PROCEED Model has been used in global health care settings to guide the identification, planning, implementation, and evaluation of various health improvement initiatives. Design. Using a reflective case study approach, this paper examines the applicability of the PRECEDE-PROCEED Model to the development of targeted chronic care improvement interventions for two distinct Australian populations: a rapidly expanding and aging rural population with unmet palliative care needs and a disadvantaged urban community at higher risk of cardiovascular disease. Results. The PRECEDE-PROCEED Model approach demonstrated utility across diverse health settings in a systematic planning process. In environments characterized by increasing health care needs, limited resources, and growing community expectations, adopting planning tools such as PRECEDE-PROCEEDModel at a local level can facilitate the development of the most effective interventions. Relevance to Clinical Practice. The PRECEDE-PROCEED Model is a strong theoretical model that guides the development of realistic nursing led interventions with the best chance of being successful in existing health care environments.
Davidson, PM, Mitchell, J, DiGiacomo, M, Inglis, S, Newton, PJ, Harman, J & Daly, J 2012, 'Cardiovascular disease in women: implications for improving health outcomes', Collegian, vol. 19, no. 1, pp. 5-13.View/Download from: Publisher's site
This literature review collated data on women and cardiovascular disease in Australia and globally to inform public health campaigns and health care interventions. If found that women with acute coronary syndromes show consistently poorer outcomes than men, independent of comorbidity and management, despite less anatomical obstruction of coronary arteries and relatively preserved left ventricular function. Higher mortality and complication rates are best documented amongst younger women and those with STsegment-elevation myocardial infarction. Sex differences in atherogenesis and cardiovascular adaptation have been hypothesised, but not proven. Atrial fibrillation carries a relatively greater risk of stroke in women than in men, and anticoagulation therapy is associated with higher risk of bleeding complications. The degree of risk conferred by single cardiovascular risk factors and combinations of risk factors may differ between the sexes, and marked postmenopausal changes are seen in some risk factors. Sociocultural factors, delays in seeking care and differences in self-management behaviours may contribute to poorer outcomes in women. Differences in clinical management for women, including higher rates of misdiagnosis and less aggressive treatment, have been reported, but there is a lack of evidence to determine their effects on outcomes, especially in angina. Although enrolment of women in randomised clinical trials has increased since the 1970s, women remain underrepresented in cardiovascular clinical trials. Improvement in the prevention and management of CVD in women will require a deeper understanding of womenâs needs by the community, health care professionals, researchers and government.
Alexandrou, E, Ramjan, LM, Spencer, T, Frost, SA, Salamonson, Y, Davidson, PM & Hillman, KM 2011, 'The Use of Midline Catheters in the Adult Acute Care Setting- Clinical Implications and Recommendations for Practice', Journal of the Association for Vascular Access, vol. 16, no. 1, pp. 35-41.View/Download from: Publisher's site
Aim and objectives: The aim of this paper was to review published manuscripts on the use of midline catheters, the implications of study findings and recommendations for clinical practice in the acute care setting. Design: Modified integrative literature review Methods: Using key MeSH terms, we searched the electronic databases: CINAHL, Medline, and Embase. The Cochrane and Joanna Briggs databases, Google Search Engine and the reference lists of published materials were also searched. Studies were included if they were in the English language and reported the use of midline catheters in adult acute care populations. Manuscripts that described midlines made of aquavene were excluded. Results: Two hundred and thirty two (232) papers were identified using the search strategy. From these identified papers, thirty (30) were included in the final review. Thematic analysis identified three major themes. These included: (i) advantages of using midline catheters (ii) disadvantages of using midline catheters (iii) insertion and management issues. Conclusion: Midline catheters have both positive and negative implications for clinical practice. They can be used for extended periods of intravenous therapy without requiring repeated cannulations but are not without risk. Midline catheters have been associated with mechanical and chemical phlebitis along with intravascular thrombosis. As such they are not suitable across the entire adult acute population. Midline catheters reduce the number of repeated cannulations which reduces patient discomfort, increases patient satisfaction and also contributes to organisational efficiency.
Andrew, S, Salamonson, Y, Everett, B, Halcomb, E & Davidson, PM 2011, 'Beyond the ceiling effect: Using a mixed methods approach to measure patient satisfaction', International Journal of Multiple Research Approaches, vol. 5, no. 1, pp. 52-63.View/Download from: Publisher's site
This study reports patient satisfaction with the nursing care on a neurosurgical critical care unit. A modified version of the Ludwig-Beymer Patient Satisfaction Questionnaire (PSQ-7) was used, and included structured items and semi-structured interview questions. Data were collected from 149 patients. Participants rated their satisfaction as high (Mean = 25.14; SD = 2.96). The distribution of scores was skewed and every item demonstrated a ceiling effect. Principal component analysis yielded a one-component solution which explained 48% of the variance. NVivoÂ® was used to match PSQ-7 scores with qualitative data. Participantsâ comments were categorised as positive, negative or âyes, butâ. Just over half the patients made positive comments and 29% of patients in the low group made negative comments. Three categories: âcommunicationâ, ânursing care deliveryâ and âthe hospital environmentâ emerged from the qualitative data. A mixed method approach enables researchers to move beyond the ceiling effect of quantitative measures of patient satisfaction and to gain a more meaningful explanation of patient satisfaction.
Astley, CM, MacDougall, CJ, Davidson, PM & Chew, DP 2011, 'Lost in Translation: Health Resource Variability in the Achievement of Optimal Performance and Clinical Outcome', Circulation. Cardiovascular Quality and Outcomes, vol. 4, no. 5, pp. 512-520.View/Download from: Publisher's site
Background: An evidence-practice gap in acute coronary syndromes (ACS) is commonly recognized. System, provider, and patient factors can influence guideline adherence. Through using guideline facilitators in the clinical setting, the uptake of evidence-based recommendations may be increased. We hypothesized that facilitators of guideline recommendations (systems, tools, and workforce) in acute cardiac care were associated with increased guideline adherence and decreased adverse outcome. Methods and Results: A cross-sectional evaluation of guideline facilitators was conducted in Australian hospitals. The population was derived from the Acute Coronary Syndrome Prospective Audit (ACACIA) and assessed performance, death, and recurrent myocardial infarction (death/re-MI) at 30 days and 12 months. Thirty-five hospitals and 2392 patients participated. Significant associations with decreased death/re-MI were observed with hospital strategies to facilitate primary percutaneous coronary intervention for ST-elevation MI patients (38/428 [8.9%] versus 30/154 [19.5%], P0.001) and after adjustment (odds ratio [OR], 0.47 [95% confidence interval (CI), 0.24 to 0.90], P0.023), electronic discharge checklists (none: 233/1956 [11.9%], integrated; 43/251[17.1%], P0.069, electronic; 6/124 [4.8%], P0.001) and after adjustment (integrated versus none: OR, 1.66 [95% CI, 0.98 to 2.80], P0.057 and electronic versus none: OR, 0.49 [95% CI, 0.35 to 0.68], P 0.001), and intensive cardiac care unit (ICCU) staff-to-patient ratios (neither: 200/1257 (15.9%), CCU: 135/1051 (12.8%), ICCU: 8/84 (9.5%), P 0.049 and after adjustment (CCU versus neither: OR, 0.74 [95% CI, 0.47 to 1.14], P 0.172 and ICCU versus neither: OR, 0.55; [95% CI, 0.38 to 0.81] P 0.003). Conclusions: Facilitating uptake of evidence in clinical practice may need to consider quality improvement systems, tools and workforce to achieve optimal ACS outcomes.
Astley, CM, Tonkin, AM, Mahar, LJ, Davidson, PM, Boyden, AN, Brieger, DB, Pradhan, M, George, M, Mattschoss, SF & Chew, DP 2011, 'Clinical effectiveness in everyday practice: improving outcomes for all patients through a national acute coronary syndrome data collaborative', Internal Medicine Journal, vol. 41, pp. 206-210.View/Download from: Publisher's site
The management of acute coronary syndromes (ACS) has an extensive and impressive evidence-base with which to guide clinical practice. Despite this, translation to the clinical environment has proved to be challenging and incomplete and can be attributed to patient, provider and system factors. Causes of suboptimal guideline adherence relate to diverse issues, including patient complexity, barriers in knowledge translation of guideline recommendations and a limited capacity within health services. Addressing these factors may enable more effective guideline implementation. In Australia, the infrastructure for clinical data management is fragmented, uncoordinated and often administratively driven, compromising access to important information, which might improve clinical effectiveness. An integrated approach is required to improve clinical effectiveness in ACS care in Australia. Greater access to information both to assist in clinical decision-making and monitoring outcomes may help direct the focus towards understudied populations and improve performance and clinically relevant outcomes. A peer-led initiative based on common datasets, providing rapid feedback, while developing and disseminating a âtoolboxâ of proven and sustainable interventions, could improve clinical effectiveness in the Australian management of ACS and provides a rationale for a national ACS registry.
Bennett, AA, Tong, D, Davidson, PM & McLachlan, AM 2011, 'Medication Management Strategies of Community Heart Failure Programs in Australia', Journal of Cardiac Failure, vol. 17, no. 8, pp. S93-S94.View/Download from: Publisher's site
Berry, A, Davidson, PM, Masters, J, Rolls, KD & Ollerton, R 2011, 'Effects of three approaches to standardized oral hygiene to reduce bacterial colonization and ventilator associated pneumonia in mechanically ventilated patients: A randomised control trial', International Journal of Nursing Studies, vol. 48, no. 6, pp. 681-688.View/Download from: Publisher's site
Berry, AM, Davidson, PM, Nicholson, L, Pasqualotto, C & Rolls, K 2011, 'Consensus based clinical guideline for oral hygiene in the critically ill', Intensive and Critical Care Nursing, vol. 27, no. 4, pp. 180-185.View/Download from: Publisher's site
Objectives: Oropharyngeal colonisation has been identified as a factor contributing to ventilator associated pneumonia (VAP) in the Intensive Care Unit (ICU). We sought to develop a clinical practice guideline for providing oral hygiene in the critically ill. Research methodology: Following a systematic literature review a prospectively derived consensus development conference was convened and sponsored by a clinical governance unit. Results: The consensus development conference generated 12 recommendations for tools and solutions; frequency and duration of cleaning; oral assessment tools and oral hygiene protocols. These recommendations underwent a validation process. Conclusions: In light of sparse high level evidence to inform guidelines, further research is needed inform clinical practice. Oral hygiene is a critical element of nursing care and a standardised approach has the potential to improve clinical outcomes.
Betihavas, V, Newton, PJ, Du, H, Macdonald, P, Frost, S, Stewart, S & Davidson, PM 2011, 'Australia's health care reform agenda: implications for the nurses' role in chronic heart failure management', Australian Critical Care, vol. 24, no. 3, pp. 189-197.View/Download from: Publisher's site
Introduction: The importance of the nursing role in chronic heart failure (CHF) management is increasingly recognised. With the recent release of the National Health and Hospitals Reform Commission (NHHRC) report in Australia, a review of nursing roles in CHF management is timely and appropriate. Aim: This paper aims to discuss the implications of the NHHRC report and nursing roles in the context of CHF management in Australia. Method: The electronic databases, Thomson Rheuters Web of Knowledge, Scopus and the Cumulative Index to Nursing and Allied Health Literature (CINAHL), were searched using keywords including; ``heart failure, ``management, ``Australia and ``nursing. In addition, policy documents were reviewed including statements and reports from key professional organisations and Government Departments to identify issues impacting on nursing roles in CHF management. Results: There is a growing need for the prevention and control of chronic conditions, such as CHF. This involves an increasing emphasis on specialist cardiovascular nurses in community based settings, both in outreach and inreach health service models. This review has highlighted the need to base nursing roles on evidence based principles and identify the importance of the nursing role in coordinating and managing CHF care in both independent and collaborative practice settings. Conclusion: The importance of the nursing role in early chronic disease symptom recognition and implementing strategies to prevent further deterioration of individuals is crucial to improving health outcomes. Consideration should be given to ensure that evidence based principles are adopted in models of nursing care.
Carrington, M, Stewart, S, Marwick, T, Davidson, P, Macdonald, P, Horowitz, J, Krum, H, Newton, P & Reid, C 2011, 'Which Heart Failure Intervention is Most Cost-effective & Consumer Friendly in Reducing Hospital Care? Results from the Multicentre Randomised WHICH? Trial', Heart, Lung and Circulation, vol. 20, pp. S79-S79.View/Download from: Publisher's site
Clark, AM, Jaarsma, T, Strachan, P, Davidson, PM, Jerke, M, Beattie, JM, Duncan, AS, Ski, CF & Thompson, DR 2011, 'Effective communication and ethical consent in decisions related to ICDs', Nature Reviews Cardiology, vol. 8, pp. 694-705.View/Download from: Publisher's site
This Review examines recommendations and principles that promote good decision-making with regard to the insertion, deactivation, and potential malfunction of implantable cardioverter-defibrillators (ICDs). This guidance is important because ICDs are now used for primary and secondary prevention of arrhythmias in more than 20 diverse clinical populations, which accounts for the exponential increase in insertion rates over the past decade. Current guidelines require clinicians to provide personalized, culturally appropriate, and easy to understand information to patients on the benefits and harms of proposed treatment choices; however, obtaining valid informed consent for insertion and deactivation of ICDs is challenging. Initiating early conversations with patients and continuing this dialogue over time, implementation of localized care protocols, increased collaboration (particularly between cardiac and palliative care teams), and the provision of training for all health professionals involved in the care of these patients, can help to ensure that adequate informed consent is maintained throughout their care. In addition to providing information, health professionals should identify and address high levels of anxiety in patients and their next of kin and promote effective communication throughout decision making. In the future, use of standardized checklists or decision aids based on a clear understanding of the principles underlying key topics could support this process.
Damarell, R, Tieman, J, Sladek, RM & Davidson, PM 2011, 'Development Of A Heart Failure Filter For Medline: An Objective Approach Using Evidence-Based Clinical Practice Guidelines As An Alternative To Hand Searching', BMC Medical Research Methodology, vol. 11, no. 12, pp. 1-10.View/Download from: Publisher's site
Background: Heart failure is a highly debilitating syndrome with a poor prognosis primarily affecting the elderly. Clinicians wanting timely access to heart failure evidence to provide optimal patient care can face many challenges in locating this eviden
On the basis of the findings of this review, the routine use of palliative oxygen therapy without detailed assessment of pathogenesis and reversibility of symptoms cannot be justified. Promoting self-management strategies, such as cool airflow across the face, exercise and psychological support for patients and carers, should be considered before defaulting to oxygen therapy. If palliative oxygen therapy is considered for individuals with transient or mild hypoxaemia, a therapeutic trial should be conducted with clinical review after 3 days to assess the net clinical benefit and patient preference
Davidson, PM & Macdonald, P 2011, 'Interventions for Modern Times: Complex, Collaborative, and Culturally Appropriate', Circulation. Cardiovascular Quality and Outcomes, vol. 4, pp. 584-586.View/Download from: Publisher's site
Approximately 1 in 3 adults in the United States has cardiovascular disease (CVD), and this burden is more pronounced in those who are socioeconomically disadvantaged and from certain minority ethnic groups.1 Modest sustained lifestyle adjustments can decrease CVD burden, but initiating and maintaining these changes is challenging. A complex interplay of patient, provider, and system factors causes and can provide solutions to reduce CVD risk. Addressing social determinants of health and shifting to a collaborative model in which the individual is supported and enabled to engage in their own health care
Davidson, PM, Salamonson, Y, Rolley, JX, Everett, B, Fernandez, RS, Andrew, S, Newton, PJ, Frost, S & Denniss, R 2011, 'Perception of cardiovascular risk following a percutaneous coronary intervention: A cross sectional study', International Journal of Nursing Studies, vol. 48, no. 8, pp. 973-978.View/Download from: Publisher's site
Background: An individuals' perception of the risk of, and their susceptibility to, futurecardiovascular events is crucial in engaging in effective secondary prevention. Aim: To investigate the perception of a cardiovascular event by examining the level of agreement between individuals with CHD views of their actual and perceived risk.
Driscoll, A, Tonkin, A, Stewart, A, Thompson, DR, Worrall-Carter, L, Riegel, B, Hare, DL, Davidson, PM & Stewart, S 2011, 'Development of an evidence-based scoring system (HF-IS) to assess the quality of heart failure programmes for patients postdischarge from hospital', Journal Of Clinical Nursing, vol. 20, no. 21-22, pp. 3011-3019.View/Download from: Publisher's site
Aim. The aim of this study was to develop a potential scoring algorithm for interventions in a chronic heart failure management programme â the Heart Failure Intervention Score â to facilitate quality improvement and programme auditing. Background. The overall efficacy of chronic heart failure management programmes has been demonstrated in several metaanalyses. However, meta-analyses did not determine individual interventions in a programme that resulted in beneficial patient outcomes. Design. A prospective cross-sectional survey design. Method. All chronic heart failure management programmes in Australia (n = 62), identified by a national register, were surveyed to determine programme characteristics and interventions. Results. Of the 62 national chronic heart failure management programmes, 48 (77%) completed the survey and 27 individual interventions were identified. Variability in the use of the key interventions was common among the programmes. Each intervention was given an arbitrary weighted score according to the level of supportive evidence available and a total score calculated. Programmes were then categorised into low or high complexity based on several interventions implemented and their weighted score. A total score of â¡190 (median = 178, interquartile range 176â195) was used to divide programmes into two groups. Nine programmes were categorised into high Heart Failure Intervention Score group and majority of these were based in the acute hospital setting (78%). In the low Heart Failure Intervention Score group, there were 39 programmes of which there were a higher proportion of community-based programmes (38%) and programmes in small community hospitals (10%). Conclusion. The Heart Failure Intervention Score provides a potential evidence-based quality improvement tool through which a set of minimum standards can be developed. Implementation of the Heart Failure Intervention Score provides guidance to programme coordinators to enable monitoring of s...
Driscoll, A, Worrall-Carter, L, Hare, DL, Davidson, PM, Riegel, B, Tonkin, A & Stewart, S 2011, 'Evidence-based chronic heart-failure management programmes: reality or myth?', BMJ Quality & Safety, vol. 20, no. 1, pp. 31-37.View/Download from: Publisher's site
Background: Chronic heart-failure management programmes (CHF-MPs) have become part of standard care for patients with chronic heart failure (CHF). Objective: To investigate whether programmes had applied evidence-based expert clinical guidelines to optimise patient outcomes. Design: A prospective cross-sectional survey was used to conduct a national audit. Setting: Community setting of CHF-MPs for patients postdischarge. Sample: All CHF-MPs operating during 2005e2006 (nÂ¼55). Also 10e50 consecutive patients from 48 programmes were recruited (nÂ¼1157). Main outcome measures: (1) Characteristics and interventions used within each CHF-MP; and (2) characteristics of patients enrolled into these programmes. Results: Overall, there was a disproportionate distribution of CHF-MPs across Australia. Only 6.3% of hospitals nationally provided a CHF-MP. A total of 8000 postdischarge CHF patients (median: 126; IQR: 26e260) were managed via CHF-MPs, representing only 20% of the potential national case load. Significantly, 16% of the caseload comprised patients in functional New York Heart Association Class I with no evidence of these patients having had previous echocardiography to confirm a diagnosis of CHF. Heterogeneity of CHF-MPs in applied models of care was evident, with 70% of CHF-MPs offering a hybrid model (a combination of heart-failure outpatient clinics and home visits), 20% conducting home visits and 16% conducting an extended rehabilitation model of care. Less than half (44%) allowed heart-failure nurses to titrate medications. The main medications that were titrated in these programmes were diuretics (nÂ¼23, 96%), b-blockers (nÂ¼17, 71%), ACE inhibitors (ACEIs) (nÂ¼14, 58%) and spironolactone (nÂ¼9, 38%). Conclusion: CHF-MPs are being implemented rapidly throughout Australia. However, many of these programmes do not adhere to expert clinical guidelines for the management of patients with CHF. This poor translation of evidence into practice highlights the inconsi...
Du, H, Davidson, PM, Everett, B, Salamonson, Y, Zecchin, R, Rolley, JX, Newton, PJ & Macdonald, P 2011, 'Correlation between a self-administered walk test and a standard six minute walk test in adults', Nursing and Health Sciences, vol. 13, no. 2, pp. 114-117.View/Download from: Publisher's site
This study was undertaken to assess the correlation between a self-administered, adapted Six Minute Walk Test (the Home-Heart-Walk) and the standard Six MinuteWalk Test based on the American Thoracic Society guideline.A correlational study was conducted at a university campus in Sydney,Australia. Thirteen healthy volunteers underwent the Home-Heart-Walk and the standard Six MinuteWalk Test on a single occasion.The distance that participants walked during the two tests was assessed using Pearsons correlation.The correlation between the Home-Heart-Walk and the Six Minute Walk Test distance was 0.81. The Home-Heart-Walk distance was highly correlated to the standard Six Minute Walk Test distance in this study. This relationship provides confidence for further research in populations to facilitate monitoring and evaluation.
Fernandez, R, Davidson, P, Everett, B, Salamonson, Y, Rajaratnam, R & Miranda, C 2011, 'Cardiovascular Risk Screening Among South Asians: A Community-University Collaborative Partnership', Heart, Lung and Circulation, vol. 20, pp. S230-S230.View/Download from: Publisher's site
Fernandez, RS, Davidson, PM, Griffiths, R & Salamonson, Y 2011, 'Improving cardiac rehabilitation services - Challenges for cardiac rehabilitation coordinators', European Journal of Cardiovascular Nursing, vol. 10, no. 1, pp. 37-43.View/Download from: Publisher's site
Background: Cardiac rehabilitation (CR) is a long term multifactorial rehabilitation program aimed at the secondary prevention of cardiovascular events. However, delivery of CR services is less than optimal. Aim: This study explored the perceptions of ca
Haghshenas, A & Davidson, PM 2011, 'Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting', Quality in Primary Care, vol. 19, no. 4, pp. 215-221.
Background Cardiac rehabilitation is an evidencebased health service model for providing secondary prevention strategies following an acute cardiac event. In spite of the benefits of cardiac rehabilitation, there are striking cultural and ethnic disparities with regard to access to and usage of these programmes. Objective To investigate the challenges in providing cardiac rehabilitation to culturally diverse populations in Australia to inform culturally competent care. Method This was a qualitative study using interviews with 25 health professionals from diverse professional and language backgrounds working in cardiac rehabilitation and participant observation of educational and counselling sessions in four cardiac rehabilitation programmes in metropolitan Sydney, Australia. Results Providing cardiac rehabilitation to patients from culturally and linguistically diverse backgrounds presented greater challenges than did provision to themainstream population. These challenges resulted from the interaction of multiple and complex factors such as patients, providers, structural and organisational characteristics within the treatment setting. Communication issues, reconciling health messages with culturally specific issues such as diet, social and family structure and implementation of self-management strategies are significant challenges. Conclusion Strategies are needed to overcome cross-cultural challenges and ensure effective and equitable cardiac rehabilitation service delivery.
Haghshenas, A, Davidson, PM & Rotem, A 2011, 'Negotiating norms, navigating care: findings from a qualitative study to assist in decreasing health inequity in cardiac rehabilitation', Australian Health Review, vol. 35, pp. 185-190.View/Download from: Publisher's site
Purpose. People from culturally and linguistically diverse backgrounds (CaLDBs) have lower rates of participation in cardiac rehabilitation (CR). Systematically evaluating barriers and facilitators to service delivery may decrease health inequalities. This study investigated approaches for promoting cultural competence in CR. Methods. A qualitative study of 25 health practitioners was undertaken across three CR programs using a purposive sampling strategy. Interviews and participant observation were undertaken to identify factors to promote culturally competent care. Results. Three key foci were identified for implementing cultural competence approaches: (1) point of contact; (2) point of assessment; and (3) point of service. Based upon study findings and existing literature, a conceptual model of cultural competency in CR was developed. Conclusion. Culturally competent strategies for identifying and tailoring activities in the CR setting may be a useful approach to minimise health inequities. The findings from this study identified that, in parallel with mainstream health services, CR service delivery in Australia faces challenges related to cultural and ethnic diversity. Encouragingly, study findings revealed implementation and integration of culturally competent practices in rehabilitation settings, in spite of significant odds.
Halcomb, E, Caldwell, B, Salamonson, Y & Davidson, PM 2011, 'Development and Psychometric Validation of the General Practice Nurse Satisfaction Scale', Journal Of Nursing Scholarship, vol. 43, no. 3, pp. 318-327.View/Download from: Publisher's site
Purpose: To develop an instrument to assess consumer satisfaction with nursing in general practice to provide feedback to nurses about consumers perceptions of their performance. Design: Prospective psychometric instrument validation study. Methods: A literature review was conducted to generate items for an instrument to measure consumer satisfaction with nursing in general practice. Face and content validity were evaluated by an expert panel, which had extensive experience in general practice nursing and research. Included in the questionnaire battery was the 27-item General Practice Nurse Satisfaction (GPNS) scale, as well as demographic and health status items. This survey was distributed to 739 consumers following intervention administered by a practice nurse in 16 general practices across metropolitan, rural, and regional Australia. Participants had the option of completing the survey online or receiving a hard copy of the survey form at the time of their visit. These data were collected between June and August 2009. Findings: Satisfaction data from 739 consumers were collected following their consultation with a general practice nurse. From the initial 27-item GPNS scale, a 21-item instrument was developed. Two factors, confidence and credibility and interpersonal and communication were extracted using principal axis factoring and varimax rotation. These two factors explained 71.9% of the variance. Cronbachs was 0.97. Conclusions: The GPNS scale has demonstrated acceptable psychometric properties and can be used both in research and clinical practice for evaluating consumer satisfaction with general practice nurses. Relevance to Clinical Practice: Assessing consumer satisfaction is important for developing and evaluating nursing roles. The GPNS scale is a valid and reliable tool that can be utilized to assess consumer satisfaction with general practice nurses and can assist in performance management and improving the quality of nursing services.
Koch, J, Salamonson, Y, Du, H, Andrew, S, Frost, S, Dunncliff, K & Davidson, PM 2011, 'Value of Web-Based Learning Activities for Nursing Students Who Speak English as a Second Language', Joournal of Nursing Education, vol. 50, no. 7, pp. 373-380.View/Download from: Publisher's site
There is an increasing need to address the educational needs of students with English as a second language. The authors assessed the value of a web-based activity to meet the needs of students with English as a second language in a bioscience subject. Using telephone contact, we interviewed 21 Chinese students, 24 non-Chinese students with English as a second language, and 7 native English-speaking students to identify the perception of the value of the intervention. Four themes emerged from the qualitative data: (1) Language is a barrier to achievement and affects self-confidence; (2) Enhancement intervention promoted autonomous learning; (3) Focusing on the spoken word increases interaction capacity and self-confidence; (4) Assessment and examination drive receptivity and sense of importance. Targeted strategies to promote language acculturation and acquisition are valued by students. Linking language acquisition skills to assessment tasks is likely to leverage improvements in competence.
Koch, J, Salamonson, Y, Rolley, J & Davidson, PM 2011, 'Learning preference as a predictor of academic performance in first year accelerated graduate entry nursing students: A prospective follow-up study', Nurse Education Today, vol. 31, pp. 611-616.View/Download from: Publisher's site
The growth of accelerated graduate entry nursing programs has challenged traditional approaches to teaching and learning. To date, limited research has been undertaken in the role of learning preferences, language proficiency and academic performance in accelerated programs. Sixty-two first year accelerated graduate entry nursing students, in a single cohort at a university in the western region of Sydney, Australia, were surveyed to assess their learning preference using the Visual, Aural, Read/write and Kinaesthetic (VARK) learning preference questionnaire, together with sociodemographic data, English language acculturation and perceived academic control. Six months following course commencement, the participant's grade point average (GPA) was studied as a measurement of academic performance. A 93% response rate was achieved. The majority of students (62%) reported preference for multiple approaches to learning with the kinaesthetic sensory mode a significant (p=0.009) predictor of academic performance. Students who spoke only English at home had higher mean scores across two of the four categories of VARK sensory modalities, visual and kinaesthetic compared to those who spoke non-English. Further research is warranted to investigate the reasons why the kinaesthetic sensory mode is a predictor of academic performance and to what extent the VARK mean scores of the four learning preference(s) change with improved English language proficiency.
Kuhn, L, Page, K, Davidson, PM & Worrall-Carter, L 2011, 'Triaging Women With Acute Coronary Syndrome A Review of the Literature', Journal of Cardiovascular Nursing, vol. 26, no. 5, pp. 395-407.View/Download from: Publisher's site
Aims and Objectives: This article analyzes the literature describing factors affecting nursesâ triage of emergency department (ED) patients with potential acute coronary syndrome (ACS), with particular attention paid to gender-based differences. Introduction: Acute coronary syndrome is one of the most time-critical conditions requiring ED nurse triage. This literature review will provide examination of how triage nurses prioritize patients with possible ACS, reflecting on challenges specifically associated with evaluating women for ACS in the ED. The article presents a description of the research findings that may help improve the timely revascularization of ACS in women. Methods: An electronic search of EBSCOhost CINAHL, Health Source Nursing Academic Edition, MEDLINE, Psychology and Behavioral Sciences Collection databases, online theses, the Cochrane Library, the Joanna Briggs Institute, and National Guideline Clearinghouse resources were used to identify all relevant scientific articles published between 1990 and 2010. Google and Google Scholar search engines were used to undertake a broader search of the World Wide Web to improve completeness of the search. This search technique was augmented by hand searching these articlesâ reference lists for publications missed during the primary search. Results: Review of the literature suggests factors such as patient age, sex, and symptoms at ED presentation affect the accuracy of nursesâ triage of ACS, particularly for women. However, research examining delays due to ED triage is scant and has predominantly been undertaken by one researcher. Little research has examined triage of ACS specifically in women. Conclusions: The literature search revealed a small number of articles describing challenges associated with nurse triage of women with ACS. Although most of this published research is North American, the themes uncovered are well supported by broader international research on acute assessment and management of ...
Lanuza, DM, Davidson, PM, Dunbar, SB, Hughes, S & De Geest, S 2011, 'Preparing nurses for leadership roles in cardiovascular disease prevention', European Journal of Cardiovascular Nursing, vol. 10, pp. 51-57.
Cardiovascular disease (CVD) is a critical global health issue, and cardiovascular nurses play a vital role in decreasing the global burden and contributing to improving outcomes in individuals and communities. Cardiovascular nurses require the knowledge, skills, and resources that will enable them to function as leaders in CVD. This article addresses the education, training, and strategies that are needed to prepare nurses for leadership roles in preventing and managing CVD. Building on the World Health Organization core competencies for 21st-century health care workers, the specific competencies of cardiovascular nurses working in prevention are outlined. These can be further strengthened by investing in the development of cultural, system change and leadership competencies. Mentorship is proposed as a powerful strategy for promoting the cardiovascular nursing role and equipping individual nurses to contribute meaningfully to health system reform and community engagement in CVD risk reduction.
Lanuza, DM, Davidson, PM, Dunbar, SB, Hughes, S & De Geest, S 2011, 'Preparing Nurses for Leadership Roles in Cardiovascular Disease Prevention', Journal of Cardiovascular Nursing, vol. 26, no. 4S, pp. 56-63.View/Download from: Publisher's site
Cardiovascular disease (CVD) is a critical global health issue, and cardiovascular nurses play a vital role in decreasing the global burden and contributing to improving outcomes in individuals and communities. Cardiovascular nurses require the knowledge, skills, and resources that will enable them to function as leaders in CVD. This article addresses the education, training, and strategies that are needed to prepare nurses for leadership roles in preventing and managing CVD. Building on the World Health Organization core competencies for 21st-century health care workers, the specific competencies of cardiovascular nurses working in prevention are outlined. These can be further strengthened by investing in the development of cultural, system change and leadership competencies. Mentorship is proposed as a powerful strategy for promoting the cardiovascular nursing role and equipping individual nurses to contribute meaningfully to health system reform and community engagement in CVD risk reduction.
Matic, J, Davidson, PM & Salamonson, Y 2011, 'Review: bringing patient safety to the forefront through structured computerisation during clinical handover', Journal Of Clinical Nursing, vol. 20, no. 1-2, pp. 184-189.View/Download from: Publisher's site
Aims and objectives. This review aims to examine critically, the methods and modes of delivery of handover used in contemporary health care settings and explore the feasibility of a computerised handover system for improving patient safety. Background. Clinicians play a critical role in promoting patient safety, and the handover ritual is recognised as important in exchanging information and planning patient care. Communication failures have been identified as an important cause of adverse incidents in hospitals. Design. Integrative literature review.
McKinley, SM, Aitken, LM, Marshall, AP, Buckley, T, Baker, H, Davidson, PM & Dracup, K 2011, 'Delays In Presentation With Acute Coronary Syndrome In People With Coronary Artery Disease In Australia And New Zealand', Emergency Medicine Australasia, vol. 23, pp. 153-161.View/Download from: Publisher's site
Objectives: To report time from the onset of symptoms to hospital presentation in Australian and New Zealand patients with subsequently confirmed acute coronary syndrome, and to identify factors associated with prehospital delay time in these patients. M
Moser, D, McKinley, SM, Riegel, BJ, Doering, L, Meischke, H, Pelter, M, Davidson, PM, Baker, H & Dracup, K 2011, 'Relationship of Persistent Symptoms of Anxiety to Morbidity and Mortality Outcomes in Patients With Coronary Heart Disease', Psychosomatic Medicine, vol. 73, no. 9, pp. 803-809.View/Download from: Publisher's site
Objective: To examine the association of symptoms of persistent anxiety with the development of acute cardiac events in patients with coronary heart disease (CHD) followed for 2 years. The prevalence of symptoms of anxiety is high in patients with CHD, but their effect on cardiac events and mortality has not been well characterised.
Riegel, B, Elmi, A, Moser, D, McKinley, SM, Meischke, H, Doering, L, Davidson, PM, Pelter, M, Baker, H & Dracup, K 2011, 'Who listens to our advice? A secondary analysis of data from a clinical trial testing an intervention designed to decrease delay in seeking treatment for acute coronary syndrome', Patient Education And Counseling, vol. 85, pp. e33-e38.View/Download from: Publisher's site
Objective: Prolonged prehospital delay in persons experiencing acute coronary syndrome (ACS) remains a problem. Understanding which patients respond best to particular interventions designed to decrease delay time would provide mechanistic insights into the process by which interventions work. Methods: In the PROMOTION trial, 3522 at-risk patients were enrolled from 5 sites in the United States (56.4%), Australia and New Zealand; 490 (N = 272 intervention, N = 218 control) had an acute event within 2 years. Focusing on these 490, we (1) identified predictors of a rapid response to symptoms, (2) identified intervention group subjects with a change in these predictors over 3 months of follow-up, and (3) compared intervention group participants with and without the favorable response pattern. Hypothesized predictors of rapid response were increased perceived control and decreased anxiety. Knowledge, attitudes, and beliefs were hypothesized to differ between responders and non-responders. Results: Contrary to hypothesis, responders had low anxiety and low perceived control. Only 73 (26.8%) subjects showed this pattern 3 months following the intervention. No differences in ACS knowledge, attitudes, or beliefs were found. Conclusion: The results of this study challenge existing beliefs. Practice implications: New intervention approaches that focus on a realistic decrease in anxiety and perceived control are needed.
Rolley, J, Salamonson, Y, Wensley, C, Dennison, C & Davidson, PM 2011, 'Nursing clinical practice guidelines to improve care for people undergoing percutaneous coronary interventions', Australian Critical Care, vol. 24, no. 1, pp. 18-38.View/Download from: Publisher's site
Aim: The aim of this paper is to present a set of nursing clinical practice guidelines for individuals undergoing percutaneous coronary interventions (PCIs) together with a summary of the evidence to support these recommendations. Background: Percutaneous coronary intervention is a common procedure requiring expert nursing care delivered within an interdisciplinary team. Although evidence-based medical practice guidelines exist, they include minimal information to guide nursing-specific care.
Sheehan, M, Newton, PJ, Stobie, P & Davidson, PM 2011, 'Implantable cardiac defibrillators and end-of-life care - Time for reflection, deliberation and debate?', Australian Critical Care, vol. 24, no. 4, pp. 279-284.View/Download from: Publisher's site
Summary Heart failure (HF) is a common condition associated with high rates of morbidity and mortality. Implantable cardiac defibrillators (ICDs) are an important management strategy in HF management and decrease mortality for both primary and secondary prevention. An emerging body of literature identifies the challenges of managing ICDs at the end of life. This report discusses a critical incident experienced by a HF team in a referral centre and outlines the issues to be considered in advancing discussion and debate of managing ICDs at the end of life. Engaging in debate, discussion and consensus guidelines is likely to be crucial in minimising distress and burden for clinicians, patients and their families alike.
Soh, KL, Davidson, PM, Leslie, G & Rahman, A 2011, 'Action research studies in the intensive care setting: A systematic review', International Journal of Nursing Studies, vol. 48, pp. 258-268.View/Download from: Publisher's site
Objectives: To review published studies using action research in the intensive care unit (ICU) in order to provide an intervention framework to improve clinical outcomes. Design: Systematic review. Methods: Searches of the electronic databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL); Scopus, Medline, Embase, PsycINFO, and the World Wide Web were undertaken using MeSH key words including: âaction researchâ; âhealth care researchâ, âhealth services evaluationâ; âintensive care unitâ. Reference lists of retrieved articles was also undertaken to identify further articles. All studies were reviewed by two authors using a critical appraisal tool. Results: The search strategy generated 195 articles. Only 21 studies projects were identified using action research in the ICU. The majority of studies were conducted in the United Kingdom. The participants in the action research studies ranged from 6 to 253. Predominately studies using action research involved nurses in collaboration with patients and family and other health care practitioners to address identified problems in the ICU. Conclusions: Based on this review it appears that action research is a promising methodological approach to address clinical practice improvement in the ICU. Studies retrieved focussed primarily on process and formative evaluation but not on clinical outcomes. There is a need to incorporate outcome assessment in action research in the ICU to increase the framework of action research to improve clinical outcomes.
Soh, KL, Soh, K, Japar, S, Raman, RA & Davidson, PM 2011, 'A cross-sectional study on nurses' oral care practice for mechanically ventilated patients in Malaysia', Journal Of Clinical Nursing, vol. 20, pp. 733-742.View/Download from: Publisher's site
Aims and objectives. This study sought to determine the strategies, methods and frequency of oral care provided for mechanically ventilated patients in Malaysian intensive care units. The study also described nursesâ attitudes to providing oral care and their knowledge of the mode of transmission of ventilator-associated pneumonia. Background. Oral care is an important nursing intervention in the intensive care unit to reduce dental plaque. Dental plaque provides a repository for respiratory pathogens contributing to ventilator-associated pneumonia in the critically ill. Design. Cross-sectional study. Methods. This study used both survey and observational methods. The observational study was conducted by a nurse, trained in the study protocol. The observation period a selected shift over three weeks in 2007. Findings. Intensive care unit nurses (n = 284) participated in the survey. Respondents had a positive attitude towards providing oral care. On a 10-point Likert scale, aspiration of contaminated secretions from the oropharynx was identified by nurses as the highest risk factor for ventilator-associated pneumonia (mean response 6Ã8, SD 2Ã0). The majority of nurses used cotton and forceps for oral care. Toothbrushes were not used in any of the study sites. Conclusions. Although nurses had a positive attitude to oral hygiene, this study found no intensive care units incorporated a soft toothbrush in oral care protocols which is recommended in best practice guidelines. A review of strategies to implement evidence-based practice in the intensive care unit is warranted. Relevance to clinical practice. This study has identified a failure to adhere with evidence-based practice. Implementing and evaluating protocols for oral hygiene in the intensive care unit has the potential to improve patient outcomes.
Stewart, S, Carrington, MJ, Marwick, T, Davidson, PM, Macdonald, P, Horowitz, JD, Krum, H, Newton, PJ, Reid, C & Scuffham, PA 2011, 'The WHICH? trial: rationale and design of a pragmatic randomized, multicentre comparison of home- vs. clinic-based management of chronic heart failure patients', European Journal of Heart Failure, vol. 13, no. 8, pp. 909-916.View/Download from: Publisher's site
To describe the rationale and design of the Which Heart failure intervention is most Cost-effective & consumer friendly in reducing Hospital care (WHICH?) trial.
Thompson, DR, Chair, SY, Chan, SW, Astin, F, Davidson, PM & Ski, CF 2011, 'Motivational interviewing: a useful approach to improving cardiovascular health?', Journal Of Clinical Nursing, vol. 20, pp. 1236-1244.View/Download from: Publisher's site
Aim. To review and synthesise, systematically, the research findings regarding motivational interviewing and to inform education, research and practice in relation to cardiovascular health. Background. Motivational interviewing is designed to engage ambivalent or resistant clients in the process of health behaviour change, and it has been widely used in different clinical conditions such as substance abuse, dietary adherence and smoking cessation. Motivational interviewing has also been proposed as a method for improving modifiable coronary heart disease risk factors of patients. Design. Systematic review. Method. Eligible studies published in 1999â2009 were identified from the following databases: CINAHL, Medline, PsycINFO, Cochrane Library, EBSCO, Web of Science, Embase and British Nursing Index. A manual search was conducted of bibliographies of the identified studies and relevant journals. Two researchers independently reviewed the studies. Results. Four meta-analyses, one systematic review and three literature reviews of motivational interviewing and five primary studies of motivational interviewing pertaining to cardiovascular health were identified. Despite a dearth of primary studies in cardiovascular health settings, there appears to be strong evidence that motivational interviewing is an effective approach focusing on eliciting the personâs intrinsic motivation for change of behaviour. Conclusion. Motivational interviewing is an effective approach to changing behaviour. It offers promise in improving cardiovascular health status. Relevance to clinical practice. This review indicates that motivational interviewing is a useful method to help nurses improve health behaviour in people with coronary risk factors.
Thompson, SC, Shahid, S, Bessarab, D, Durey, A & Davidson, PM 2011, 'Not just bricks and mortar: planning hospital cancer services for Aboriginal people', BMC Research Notes, vol. 4, no. Article 62, pp. 1-9.View/Download from: Publisher's site
Background: Aboriginal people in Australia experience higher mortality from cancer compared with non- Aboriginal Australians, despite an overall lower incidence. A notable contributor to this disparity is that many Aboriginal people do not take up or continue with cancer treatment which almost always occurs within major hospitals. Thirty in-depth interviews with urban, rural and remote Aboriginal people affected by cancer were conducted between March 2006 and September 2007. Interviews explored participants' beliefs about cancer and experiences of cancer care and were audio-recorded, transcribed verbatim and coded independently by two researchers. NVivo7 software was used to assist data management and analysis. Information from interviews relevant to hospital services including and building design was extracted. Findings: Relationships and respect emerged as crucial considerations of participants although many aspects of the hospital environment were seen as influencing the delivery of care. Five themes describing concerns about the hospital environment emerged: (i) being alone and lost in a big, alien and inflexible system; (ii) failure of open communication, delays and inefficiency in the system; (iii) practicalities: costs, transportation, community and family responsibilities; (iv) the need for Aboriginal support persons; and (v) connection to the community. Conclusions: Design considerations and were identified but more important than the building itself was the critical need to build trust in health services. Promotion of cultural safety, support for Aboriginal family structures and respecting the importance of place and community to Aboriginal patients are crucial in improving cancer outcomes.
Watts, GF, Sullivan, DR, Poplawski, N, van Bockxmeer, F, Hamilton-Craig, I, Clifton, PM, Oâ¿¿Brien, R, Bishop, W, George, P, Barter, PJ, Bates, T, Burnett, JR, Coakley, J, Davidson, PM, Emery, J, Andrew, M, Farid, W, Freeman, L, Geelhoed, E, Juniper, A, Kidd, A, Kostner, K, Krass, I, Livingston, M, Maxwell, S, O'Leary, P, Owaimrin, A, Redgrave, TG, Reid, N, Southwell, L, Suthers, G, Tonkin, A, Towler, S & Trent, RJ 2011, 'Familial hypercholesterolaemia: A model of care for Australasia', Atherosclerosis Supplements, vol. 12, pp. 221-263.View/Download from: Publisher's site
Familial hypercholesterolaemia (FH) is a dominantly inherited disorder present from birth that causes marked elevation in plasma cholesterol and premature coronary heart disease. There are at least 45,000 people with FH in Australia and New Zealand, but the vast majority remains undetected and those diagnosed with the condition are inadequately treated. To bridge this major gap in coronary prevention the FH Australasia Network (Australian Atherosclerosis Society) has developed a consensus model of care (MoC) for FH. The MoC is based on clinical experience, expert opinion, published evidence and consultations with a wide spectrum of stakeholders, and has been developed for use primarily by specialist centres intending starting a clinical service for FH. This MoC aims to provide a standardised, high-quality and cost-effective system of care that is likely to have the highest impact on patient outcomes.
Juntasopeepun, P, Davidson, PM, Chang, S, Suwan, N, Phianmongkhol, Y & Srisomboon, J 2011, 'Development and psychometric evaluation of the Thai Human Papillomavirus Beliefs Scale', Nursing and Health Sciences, vol. 13, no. 4, pp. 475-480.View/Download from: Publisher's site
In this study, we developed and evaluated the psychometric properties of the Thai Human Papillomavirus Beliefs Scale. The Scale was tested on 386 young women aged 18â24 years in Chiang Mai, Thailand. Content validity of the Scale was evaluated by a panel of experts, construct validity was determined using exploratory factor analysis, and reliability was assessed for stability and internal consistency. Factor analysis provided empirical support for the existence of four factors, which accounted for 67.7% of the total variance: perceived susceptibility, perceived seriousness, perceived benefits, and perceived barriers. Cronbach's a reliability coefficients for the four subscales ranged from 0.59 to 0.86. Factors predicting intention to receive the papillomavirus vaccine were perceived susceptibility, perceived benefits, and perceived barriers. The Thai Human Papillomavirus Beliefs Scale demonstrated promising psychometric properties, indicating that it might be a useful instrument for assessing young women's human papillomavirus and cervical cancer-associated beliefs, and for predicting human papillomavirus vaccination intention.
Davidson, PM, DiGiacomo, M & McGrath, S 2011, 'The Feminization of Aging: How Will This Impact on Health Outcomes and Services?', Health Care for Women International, vol. 32, no. 12, pp. 1031-1045.View/Download from: Publisher's site
We conducted an integrative review to identify issues and challenges that face aging women and to distinguish areas for future research. We found that many older women continue to face inequities related to health and often are invisible within the discourse of aging policy. In this article we argue for a greater focus on the unique needs of women, a gendered approach to policy and intervention development, and promotion of the health of women across the life span. Policymakers, health care workers, and researchers need to consider the perspective of gender as well as age when implementing and evaluating effective interventions.
Davidson, PM, McGrath, S, Meleis, A, Stern, P, DiGiacomo, M, Dharmendra, T, Correa-De-Araujo, R, Campbell, J, Hochleitner, M, Messias, D, Brown, H, Teitelman, A, Sindhu, S, Reesman, A, Richter, S, Sommers, M, Schaeffer, D, Stringer, M, Sampselle, C, Anderson, D, Tuazon, J, Cao, Y & Covan, EK 2011, 'The health of women and girls determines the health and well-being of our modern world: A white paper from the International Council on Women's Health Issues', Health Care for Women International, vol. 32, no. 8, pp. 870-886.View/Download from: Publisher's site
The International Council on Women's Health Issues (ICOWHI) is an international nonprofit association dedicated to the goal of promoting health, health care, and well-being of women and girls throughout the world through participation, empowerment, advocacy, education, and research. We are a multidisciplinary network of women's health providers, planners, and advocates from all over the globe. We constitute an international professional and lay network of those committed to improving women and girl's health and quality of life. This document provides a description of our organization mission, vision, and commitment to improving the health and well-being of women and girls globally.
DiGiacomo, M, Davidson, PM, Abbott, PA, Davison, J, Moore, L & Thompson, SC 2011, 'Smoking cessation in indigenous populations of Australia, New Zealand, Canada, and the United States: elements of effective interventions.', International journal of environmental research and public health, vol. 8, no. 2, pp. 388-410.View/Download from: Publisher's site
Indigenous people throughout the world suffer a higher burden of disease than their non-indigenous counterparts contributing to disproportionate rates of disability. A significant proportion of this disability can be attributed to the adverse effects of smoking. In this paper, we aimed to identify and discuss the key elements of individual-level smoking cessation interventions in indigenous people worldwide. An integrative review of published peer-reviewed literature was conducted. Literature on smoking cessation interventions in indigenous people was identified via search of electronic databases. Documents were selected for review if they were published in a peer-reviewed journal, written in English, published from 1990-2010, and documented an individual-level intervention to assist indigenous people to quit smoking. Studies that met inclusion criteria were limited to Australia, New Zealand, Canada, and the USA, despite seeking representation from other indigenous populations. Few interventions tailored for indigenous populations were identified and the level of detail included in evaluation reports was variable. Features associated with successful interventions were integrated, flexible, community-based approaches that addressed known barriers and facilitators to quitting smoking. More tailored and targeted approaches to smoking cessation interventions for indigenous populations are required. The complexity of achieving smoking cessation is underscored as is the need to collaboratively develop interventions that are acceptable and appropriate to local populations.
Everett, B, DiGiacomo, M, Rolley, JX, Salamonson, Y & Davidson, PM 2011, 'You won't know if you don't ask: discrepancy and ambivalence in attitudes toward behavior change', Journal of Cardiovascular Nursing, vol. 26, no. 6, pp. 460-465.View/Download from: Publisher's site
Background: Behavior change is challenging following an acute cardiac event, and commonly, individuals are ambivalent. Aim: The objective of this study was to describe the experience of behavior change of survivors of an acute cardiac event. Method: Semistructured interviews were undertaken with 25 participants attending 3 cardiac rehabilitation programs. An inductive process of qualitative thematic analysis was used to analyze the transcripts. Results: Analysis revealed ambivalence to change, misconceptions, and confusion about terminology. Discrepancies between what participants felt they should be doing and what they actually were doing reflected their ambivalence. Further inconsistencies were reflected in participants' misunderstandings and confusion regarding disease processes and management of heart disease. Conclusions: These findings reflect the misconception and ambivalence regarding behavior change that individuals experience. Clinicians may require greater skills in detecting conflicting or ambivalent discourse to support patients through sustainable health behavior change.
Rolley, JX, Smith, J, DiGiacomo, M, Salamonson, Y & Davidson, PM 2011, 'The caregiving role following percutaneous coronary intervention', Journal Of Clinical Nursing, vol. 20, no. 1-2, pp. 227-235.View/Download from: Publisher's site
Aim. The aim of this study is to describe the experience of caregivers of individuals who have had a percutaneous coronary intervention (PCI). Background. Decreased lengths of hospital stay and an increased emphasis on chronic disease self-management inc
Sayers, J, DiGiacomo, M & Davidson, PM 2011, 'The nurse educator role in the acute care setting in Australia: important but poorly described', Australian Journal of Advanced Nursing, vol. 28, no. 4, pp. 44-52.
Objective The purpose of this paper is to describe the nurse educator role in the acute care setting in Australia. Method A literature review using Ganongâs (1987) method of analysis was undertaken. Computerised databases were searched for articles published in English between 2000 and 2008 using the key words: âeducationâ, ânursingâ, ânurseâ`educatorâ, âteachingmethodsâ, âclinicalâ, âoutcomes health careâ and âAustraliaâ. Information was summarised to identify issues impacting on the nurse educator role using a standardised data extraction tool. Results The search strategies generated 152 articles and reports. The review identified that the nurse educator role is fundamental in supporting clinical practice and integral to developing a skilled and competent health workforce. Conclusion Confusion in nursing roles and role ambiguity contribute to the challenges for nurse educators in acute care. The absence of a national, standardised approach to role description and scope of practice in Australia may adversely impact role enactment. Further discussion and debate of the nurse educator role in Australia is warranted.
Soh, KL, Davidson, PM, Leslie, G, DiGiacomo, M, Rolley, JX, Soh, K & Rahman, A 2011, 'Factors to drive clinical practice improvement in a Malaysian intensive care unit: assessment of organizational readiness using a mixed method approach', International Journal of Multiple Research Approaches, vol. 5, no. 1, pp. 104-121.View/Download from: Publisher's site
This study assessed organisational readiness and factors to drive clinical practice improvement for VAP, CRBSI and PU in a Malaysian intensive care unit (ICU). A mixed method study approach was undertaken in a 16-bed ICU in regional Malaysia using an environmental scan, key informant interviews, staff surveys, and patient audit to elucidate factors contributing to planning for clinical practice improvement. Measurements of sustainability of practice and regard for the practice environment were assessed using validated measures. An environmental scan demonstrated high patient occupancy and case load. Nineteen percent of ICU patients developed complications according to validated measures. Survey results indicated that the majority of nurses had a good knowledge of strategies to prevent ICU complications and a positive attitude toward change processes. Engaging executive leadership was identifi ed as crucial in priming the clinical site for practice change. Providing nurses with tools to monitor their clinical practice and empowering them to change practices are important in improving clinical outcomes.
Du, H, Newton, PJ, Zecchin, R, Denniss, AR, Salamonson, Y, Everett, B, Currow, D, Macdonald, P & Davidson, PM 2011, 'An intervention to promote physical activity and self-management in people with stable chronic heart failure The Home-Heart-Walk study: study protocol for a randomized controlled trial', Trials, vol. 12, no. 63.View/Download from: Publisher's site
Background: Chronic heart failure (CHF) is a chronic debilitating condition with economic consequences, mostly because of frequent hospitalisations. Physical activity and adequate self-management capacity are important risk reduction strategies in the management of CHF. The Home-Heart-Walk is a self-monitoring intervention. This model of intervention has adapted the 6-minute walk test as a home-based activity that is self-administered and can be used for monitoring physical functional capacity in people with CHF. The aim of the Home-Heart-Walk program is to promote adherence to physical activity recommendations and improving self-management in people with CHF. Methods/Design: A randomised controlled trial is being conducted in English speaking people with CHF in four hospitals in Sydney, Australia. Individuals diagnosed with CHF, in New York Heart Association Functional Class II or III, with a previous admission to hospital for CHF are eligible to participate. Based on a previous CHF study and a loss to follow-up of 10%, 166 participants are required to be able to detect a 12-point difference in the study primary endpoint (SF-36 physical function domain). All enrolled participant receive an information session with a cardiovascular nurse. This information session covers key self-management components of CHF: daily weight; diet (salt reduction); medication adherence; and physical activity. Participants are randomised to either intervention or control group through the study randomisation centre after baseline questionnaires and assessment are completed. For people in the intervention group, the research nurse also explains the weekly Home-Heart-Walk protocol. All participants receive monthly phone calls from a research coordinator for six months, and outcome measures are conducted at one, three and six months.
Lewis, J, DiGiacomo, M, Currow, D & Davidson, PM 2011, 'Dying in the margins: understanding palliative care and socioeconomic deprivation in the developed world', Journal of Pain and Symptom Management, vol. 42, no. 1, pp. 105-118.View/Download from: Publisher's site
Individuals from low socioeconomic (SE) groups have less resources and poorer health outcomes. Understanding the nature of access to appropriate end-of-life care services for this group is important. This article evaluated the literature in the developed world for barriers to access for low SE groups. Electronic databases searched in the review included MEDLINE (1996â2010), CINAHL (1996â2010), PsychINFO (2000â2010), Cochrane Library (2010), and EMBASE (1996â2010). Publications were searched for key terms âsocioeconomic disadvantage,â âsocioeconomic,â âpoverty,â âpoorâ paired with âend-of-life care,â âpalliative care,â âdying,â and âterminal Illness.â Articles were analyzed using existing descriptions for dimensions of access to health services, which include availability, affordability, acceptability, and geographical access. A total of 67 articles were identified for the literature review. Literature describing end-of-life care and low SE status was limited. Findings from the review were summarized under the headings for dimensions of access. Low SE groups experience barriers to access in palliative care services. Identification and evaluation of interventions aimed at reducing this disparity is required.
Waller, A, Girgis, A, Davidson, P, Newton, P, Lecathelinais, C, Macdonald, P, Hayward, C & Currow, D 2011, 'Facilitating Needs Based Care for People with Chronic Heart Failure: Inter-rater Reliability, Validity and Acceptability of a Needs Assessment Tool', Heart, Lung and Circulation, vol. 20, pp. S65-S66.View/Download from: Publisher's site
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: 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.
Davidson, PM, Jiwa, M, Goldsmith, AJ, McGrath, S, DiGiacomo, M, Phillips, JL, Agar, M, Newton, PJ & Currow, D 2011, 'Decisions for lung cancer chemotherapy: the influence of physician and patient factors', Supportive Care in Cancer, vol. 19, no. 8, pp. 1261-1266.View/Download from: Publisher's site
Purpose The purpose of this study is to review the literature examining how the beliefs and behaviours of physicians and patients influence clinical communication, doctor-patient interaction and treatment decisions for lung cancer treatment. Methods Literature was obtained via electronic database searches and hand searching of journals from 1990 to 2011. Results Wide variability in perceptions of the value of chemotherapy in lung cancer is present among both physicians and patients. There is a mismatch in the degree patients and physicians weigh survival, such that patients value survival benefits highly whilst physicians strongly emphasize toxicity and associated symptoms. This lack of congruence between patients and clinicians is influenced by a range of factors and has implications for treatment decisions, long-term survival and quality of life in people affected by lung cancer. Conclusion The divergence of treatment priorities indicates a need for improved communication strategies addressing the needs and concerns of both patients and clinicians. Patients should understand the benefits and risks of treatment options, while clinicians can gain a greater awareness of factors influencing patients' decisions on treatments. Reflecting these perspectives and patient preferences for lung cancer treatment in clinical guidelines may improve clinician awareness.
Phillips, JL, Halcomb, E & Davidson, PM 2011, 'End-of-Life Care Pathways in Acute and Hospice Care: An Integrative Review', Journal of Pain and Symptom Management, vol. 41, no. 5, pp. 940-955.View/Download from: Publisher's site
Context. Over the past decade, there has been widespread adoption of end-of life care pathways as a tool to better manage care of the dying in a variety of care settings. The adoption of various end-of-life care pathways has occurred despite lack of robust evidence for their use. Objectives. This integrative review identified published studies evaluating the impact of an end-of-life care pathway in the acute and hospice care setting from January 1996 to April 2010. Methods. A search of the electronic databases Scopus and Cumulative Index of Nursing and Allied Health Literature as well as Medline and the World Wide Web were undertaken. Articles were reviewed by two authors using a critical appraisal tool. Results. The search revealed 638 articles. Of these, 26 articles met the inclusion criteria for this integrative review. No randomized controlled trials were reported. The majority of these articles reported baseline and post implementation pathway chart audit data, whereas a smaller number were local, national, or international benchmarking studies. Most of the studies emerged from the United Kingdom, with a smaller number from the United States, The Netherlands, and Australia. Conclusion. Existing data demonstrate the utility of the end-of-life pathway in improving care of the dying. The absence of randomized controlled trial data, however, precludes definitive recommendations and underscores the importance of ongoing research.
Phillips, JL, Salamonson, Y & Davidson, PM 2011, 'An instrument to assess nurses' and care assistants' self-efficacy to provide a palliative approach to older people in residential aged care: A validation study', International Journal of Nursing Studies, vol. 48, no. 9, pp. 1096-1100.View/Download from: Publisher's site
Objective: This study investigated the psychometric properties of the 'Palliative care self-efficacy scale', an instrument designed to assess clinicians' degree of confidence in engaging in patient and family interactions at the end-of-life. Design: The
Chang, S, Gholizadeh, L, Salamonson, Y, DiGiacomo, M, Betihavas, V & Davidson, PM 2011, 'Health span or life span: the role of patient reported outcomes in informing health policy', Health Policy, vol. 100, no. 1, pp. 96-104.View/Download from: Publisher's site
OBJECTIVES: Population ageing and the increasing burden of chronic conditions challenge traditional metrics of assessing the efficacy of health care interventions and as a consequence policy and planning. Using chronic heart failure (CHF) as an exemplar this manuscript seeks to describe the importance of patient-reported outcomes to inform policy decisions. METHODS: The method of an integrative review has been used to identify patient-reported outcomes (PROs) in assessing CHF outcomes. Using the Innovative Care for Chronic Conditions the case for developing a metric to incorporate PROs in policy planning, implementation and evaluation is made. RESULTS: In spite of the increasing use of PROs in assessing CHF outcomes, their incorporation in the policy domain is limited. CONCLUSIONS: Effective policy and planning is of health care services is dependent on the impact on the individual and their families. Epidemiological transitions and evolving treatment paradigms challenge traditional metrics of morbidity and mortality underscoring the importance of assessing PROs.
Gholizadeh, L, DiGiacomo, M, Salamonson, Y & Davidson, PM 2011, 'Stressors influencing Middle Eastern womens perceptions of the risk of cardiovascular disease: a focus group study', Health Care for Women International, vol. 32, no. 8, pp. 723-745.View/Download from: Publisher's site
To better understand Australia-dwelling Middle Eastern womens lack of service utilization in cardiovascular health, we undertook a study to investigate their understandings and meanings of cardiovascular disease (CVD) and its risk factors. Eight focus groups were conducted in community settings with Turkish, Persian, and Arab women. We found that the women understated their risk of CVD, faced many barriers in reducing their risks, and perceived stress as the most significant contributor to CVD. Women described their stress as primarily emanating from issues surrounding migration and acculturation. Implications for development and delivery of tailored health interventions for Middle Eastern women are discussed.
Daly, J, Davidson, P, Duffield, CM, Campbell, T & Ward, R 2011, 'Interdisciplinary, cross- institutional collaborations: The Academic Health Sciences Centre as a key to addressing complex health problems and advancing research-based health care', Collegian, vol. 18, no. 1, pp. 1-2.
Daly, J, Davidson, PM, Duffield, CM, Campbell, T & Ward, R 2011, 'Interdisciplinary, cross- institutional collaborations: The Academic Health Sciences Centre as a key to addressing complex health problems and advancing research-based health care', Collegian, vol. 15, no. 1, pp. 1-2.View/Download from: Publisher's site
Changes in disease patterns and the economic climate have created challenges for contemporary health care systems (Bennett, 2009). Meeting increased demands for care in a fiscally responsible manner requires new collaborative approaches involving not only health care professionals but also, managers, researchers, educators and basic scientists. In addition it is increasingly recognised that unless we engage consumers, policy makers and clinicians actively in the research process, the relevance, application and uptake of research findings are limited (Lavis et al., 2005). Unfortunately, efforts to ensure the collaboration and synergy required between all of these stakeholders are often challenged by organisational boundaries, and differences in research cultures and paradigms (Smith, Mitton,Peacock,Cornelissen, & MacLeod, 2009). It is not uncommon for researchers and clinicians working in the same organisation to have limited conversations and dialogue. Yet when they come together solutions to challenging problems are often enabled by merging unique perspectives and the sharing of knowledge (Boivin et al., 2009).
Globally social and health systems are rallying to address the tsunami of chronic disease and the burden of population ageing (Partridge, Mayer-Davis, Sacco, & Balch, 2011). Although technology and innovation have rampaged ahead in scientific advances, our health and education systems have been slower to adapt to changing times. In the scholarly literature and popular press we are continually reminded of the frailties and inadequacies of our health care system and nurses are often the target of criticism (Jackson & Daly, 2008). In particular the method and standards of educational preparation of nurses has been a focus of discussion and debate (Shields, Purcell, & Watson, 2011). Current methods of nursing education in universities, have been accused of failing to prepare nurses for the challenges of contemporary health care systems. These censures can be readily challenged as they commonly fail to address the broader social, political and economic contexts that shape the role and scope of health care and specifically nursing and midwifery practice. Albeit important, nursing and midwifery education is only but one dimension of the complex mosaic of contemporary health care systems. Therefore considering methods of nursing and midwifery education in isolation from other factors influencing health care systems is futile and a disservice to the communities we serve.
Davidson, PM, Daly, J, Leung, D, Ang, E, Paull, G, DiGiacomo, M, Hancock, K, Cao, Y, Du, H & Thompson, DR 2011, 'Health-seeking beliefs of cardiovascular patients: A qualitative study', International Journal of Nursing Studies, vol. 48, no. 11, pp. 1367-1375.View/Download from: Publisher's site
The study aims were to (a) describe the experiences of Chinese Australians with heart disease following discharge from hospital for an acute cardiac event; (b) identify patterns and cultural differences of Chinese Australians following discharge from hospital; and (c) illustrate the illness/health seeking behaviors and health beliefs of Chinese Australians. Design Qualitative study Methods Interview data were obtained from the following sources: (a) focus groups of Chinese community participants without heart disease; (b) interviews with patients recently discharged from hospital following an admission for an acute cardiac event; and (c) interviews with Chinese-born health professionals working in Australia. Qualitative thematic analysis was undertaken. Results Study themes generated from the data were: (1) linking traditional values and beliefs with Western medicine; (2) reverence for health professionals and family; and (3) juxtaposing traditional beliefs and self-management. Conclusions Considering the influence of cultural values in developing health care plans and clinical decision making is important.
Davidson, PM, DiGiacomo, M, Thompson, SC, Abbott, PA, Davison, J, Moore, L, Daly, J, McGrath, S, Taylor, K & Usherwood, T 2011, 'Health workforce issues and how these impact on Indigenous Australians', Journal of Australian Indigenous Issues, vol. 14, no. 4, pp. 69-84.
Indigenous Australians suffer a disproportionate burden of iII health estimated to be 2.5 times higher than other Australians. A number of complex and multifaceted factors impact not only on health inequity but also imbalance in the health workforce. Addressing workforce issues for both Indigenous and non-Indigenous health workers is vital in decreasing the gap in health and social outcomes for Indigenous Australians. It is widely recognised that the capacity of the lndigenous health workforce is a crucial factor in responding effectively to Indigenous health needs. Using the typology of workforce imbalances proposed by Zurn and colleagues, this paper critically analyses issues within Australia impacting on the health workforce, arguing that it is impossible to consider workforce issues for Indigenous health without regard for global, sociodemographic, cultural, geographic and economic factors.
Davidson, PM, Homer, CS, Duffield, CM & Daly, J 2011, 'A moment in history and a time for celebration: The performance of nursing and midwifery in Excellence in Research for Australia', Collegian, vol. 18, no. 2, pp. 43-44.View/Download from: Publisher's site
The long awaited and much anticipated results of Australia's first national university system wide research evaluation exercise were delivered in February this year. The Excellence in Research Assessment (ERA) examined `research quality within Australia's higher education institutions using a combination of indicators and expert review by committees comprising experienced, internationally-recognised experts' (Australian Research Council, 2011). In the discipline review for nursing some twenty three universities were assessed. Midwifery was included in the Nursing category as the Field of Research (FoR) code (the way the groups were clustered together) for nursing includes midwifery. The results for nursing and midwifery were impressive and they demonstrated that nine of the twenty three research programs in this category that were assessed were world class or above world class. In fact, nursing and midwifery in the FoR code 1110 was noted to be a `particularly strong performer' (Australian Research Council, 2011). This demonstrates that nurses and midwives in Australia are engaged in high quality research which is influencing practice and policy and making a difference to the health care of Australians. In addition, the research of many nurses and midwives was also considered in other categories including public health, health services and clinical medicine. This shows that our disciplines are well represented across the health field and the commitment to interdisciplinary practice to solve complex health care problems.
DiGiacomo, M, Davidson, PM, Zecchin, RP, Lamb, K & Daly, J 2011, 'Caring for others, but not themselves: implications for health care interventions in women with cardiovascular disease', Nursing Research and Practice, vol. 2011.View/Download from: Publisher's site
Cardiovascular disease is the largest killer of women internationally and women often suffer inferior outcomes following an acute cardiac event as compared to men. A gendered approach to investigating cardiovascular disease in women incorporates the unique social, cultural, and economic circumstances that being a woman brings to the health encounter. The multiple roles enacted by many women may be important factors in this health discrepancy. In order to more fully understand the impact of the roles of women on health, a questionnaire was administered to participants of the Heart Awareness for Women group cardiac rehabilitation program which assessed womenâs role perceptions followed by discussions. We found that caregiving can be both positive and negative. It gives a sense of purpose, meaning, and community connection as well as burden and conflict. Emphasis must be placed on promoting strategies in women to achieve a balance between caregiving responsibilities and prioritisation of cardiovascular health.
It is a given that university research underpins economic and social developments. In 2010, it was reported that Â£3.5 Billion of publicly funded research generates Â£45 Billion a year in job creation and new products (THE, 2010). However, the benefits are not limited to industrial innovation and products. In the United Kingdom (UK), the Arts and Humanities Research Council asserted that for every Â£1 spent on arts and humanities research each year, the UK reaps up to Â£10 in immediate benefit and another Â£15-Â£20 in the long term (Owens, 2010). Similar metrics have been provided in Australia with similar returns on investment for research dollars spent. In Australia it has been estimated that there is a $5 AUD return for every $1 AUD invested in health and medical research (National Health & Medical Research Council, 2003).
Alexandrou, E, Spencer, T, Frost, S, Parr, M, Davidson, PM & Hillman, K 2010, 'A review of the nursing role in central venous cannulation: implications for practice policy and research', Journal Of Clinical Nursing, vol. 19, no. 11-12, pp. 1485-1494.View/Download from: Publisher's site
Aims and objectives. The aim of this article is to review published studies about central vein cannulation to identify implications for policy, practice and research in an advanced practice nursing role. Design. Modified integrative literature review. Methods. Searches of the electronic databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL); Medline, Embase, and the World Wide Web were undertaken using MeSH key words. Hand searching for relevant articles was also undertaken. All studies relating to the nurses role inserting central venous cannulae in adult populations met the search criteria and were reviewed by three authors using a critical appraisal tool.
Alexandrou, E, Spencer, T, Frost, S, Parr, M, Davidson, PM & Hillman, K 2010, 'Establishing a nurse-led central venous catheter insertion service', The Journal of Vascular Access, vol. 15, no. 1, pp. 21-27.View/Download from: Publisher's site
Background: Health care systems provide care models that deliver both quality and safety. Nurse-led vascular access teams show promise as a model to achieve hospital efficiencies and improve patient outcomes. The aim of this paper is to discuss the process of establishing a nurse-led central venous catheter (CVC) insertion service in a university affiliated hospital using a process evaluation method.
Askham, J, Kuhn, L, Frederiksen, K, Davidson, PM, Edward, K & Worrall-Carter, L 2010, 'The information and support needs of Faroese women hospitalised with an acute coronary syndrome', Journal Of Clinical Nursing, vol. 19, no. 9-10, pp. 1352-1361.View/Download from: Publisher's site
Aim and objectives. The aim of this study was to describe the information and support needs of Faroese women after their hospitalisation for acute coronary syndrome. The Faroe Islands are located between Iceland and Norway. There are no published studies examining recovery for women following an acute cardiac event. Background. Coronary heart disease remains the greatest killer of women worldwide, including on the Faroe Islands. Describing womens experiences of their recovery processes following acute coronary syndrome can enable timely information and support for the women who are affected. It is important that this information is tailored to the cultural context of women. Design. This qualitative study used a descriptive-exploratory approach. Method. Data were obtained by semi-structured interviews with participants three to four weeks after hospital discharge for their first acute coronary syndrome event.
Betihavas, V, Stewart, S, Newton, P, Frost, S, Macdonald, P & Davidson, P 2010, 'Elements of Risk Prediction Models to Predict Readmission to Hospital in Older Patients with Chronic Heart Failure', Heart, Lung and Circulation, vol. 19, pp. S69-S69.View/Download from: Publisher's site
Chang, E, Easterbrook, S, Hancock, K, Johnson, A & Davidson, PM 2010, 'Evaluation of an information booklet for caregivers of people with dementia: An Australian perspective', Nursing and Health Sciences, vol. 12, no. 1, pp. 45-51.View/Download from: Publisher's site
The need for improved communication around end-of-life issues has been identified in cancer care. However, caregivers assisting those with dementia have been given scant attention. This study investigated the application of a new dementia information booklet for family caregivers, accessing those that were both community-based and linked to a residential aged-care facility through the distribution of 672 information booklets. This occurred via 14 dementia advisory services and 48 residential aged-care facilities throughout New South Wales, Australia. A total of 233 carers (33%) completed the booklet questionnaire evaluation. The descriptive statistics indicated that most carers found the booklet useful and thought that the booklet should be freely available to them. Almost half of the carers said that they wanted to receive the information at the time of, or soon after, the diagnosis of dementia. Only a small group of respondents considered the information to be confronting. The reported anxiety was thought to be part of a larger issue of dementia education and dealing with loss and not specifically related to the booklet itself.
Clark, A, Davidson, PM, Currie, K, Karimi, M, Duncan, A & Thompson, D 2010, 'Understanding and promoting effective self-care during heart failure', Current Treatment Options in Cardiovascular Medicine, vol. 12, pp. 1-9.View/Download from: Publisher's site
Heart failure (HF) self-care relates to the decisions made outside clinical settings by the individual with HF to maintain life, healthy functioning, and well-being. The people who help patients most (ie, caregivers/family members) should be involved in care, and general principles of health behavior change should be used to guide support. Medicines should be prescribed with once-daily dosing, with pharmacists providing medication review and support. Pill boxes should be provided and patients health literacy levels assessed. Psychosocial interventions for smoking cessation should be undertaken. Regular aerobic exercise may benefit patients with mild to moderate HF and some with severe but stable HF; therefore, referral to cardiac rehabilitation should be considered. Exercise regimen must take into account patient-related factors, including functional status, comorbid conditions, and patient preferences. Intake of salt, alcohol, and fluid should be restricted, although these steps are supported by limited evidence. Patients should be educated on appropriate sources of help. They should seek help immediately for persistent chest pain, palpitations, syncope, breathlessness at rest, or a weight increase of = 2 lb. Depression, if present, should be addressed with antidepressants (sertraline and citalopram), cognitive behavioral therapy, and regular exercise. HF disease management programs should be offered if available.
Davidson, P, Bigerelle, M, Bounichane, B, Giazzon, M & Anselme, K 2010, 'Definition of a simple statistical parameter for the quantification of orientation in two dimensions: Application to cells on grooves of nanometric depths', Acta Biomaterialia, vol. 6, no. 7, pp. 2590-2598.View/Download from: Publisher's site
Contact guidance is generally evaluated by measuring the orientation angle of cells. However, statistical analyses are rarely performed on these parameters. Here we propose a statistical analysis based on a new parameter σ, the orientation parameter, defined as the dispersion of the distribution of orientation angles. This parameter can be used to obtain a truncated Gaussian distribution that models the distribution of the data between -90° and +90°. We established a threshold value of the orientation parameter below which the data can be considered to be aligned within a 95% confidence interval. Applying our orientation parameter to cells on grooves and using a modelling approach, we established the relationship σ = αmeas + (52° - α meas)/(1 + C gdeR) where the parameter CGDE represents the sensitivity of cells to groove depth, and R the groove depth. The values of CGde obtained allowed us to compare the contact guidance of human osteoprogenitor (HOP) cells across experiments involving different groove depths, times in culture and inoculation densities. We demonstrate that HOP cells are able to identify and respond to the presence of grooves 30, 100, 200 and 500 nm deep and that the deeper the grooves, the higher the cell orientation. The evolution of the sensitivity (CGde) with culture time is roughly sigmoidal with an asymptote, which is a function of inoculation density. The σ parameter defined here is a universal parameter that can be applied to all orientation measurements and does not require a mathematical background or knowledge of directional statistics. © 2010 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.
Davidson, P, Driscoll, A, Huang, N, Aho, Z, Atherton, J, Hood, S, Krum, H, Sindone, A & Stewart, S 2010, 'Best Practice Multidisciplinary Care for Chronic Heart Failure in Australia', Heart, Lung and Circulation, vol. 19, pp. S64-S64.View/Download from: Publisher's site
Davidson, PM, Cockburn, J, Newton, PJ, Webster, J & Betihavas, V 2010, 'Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients?', European Journal of Cardiovascular Prevention & Rehabilitation, vol. 17, no. 4, pp. 392-402.
Background Heart failure is a common and costly condition, particularly in the elderly. A range of models of interventions have shown the capacity to decrease hospitalizations and improve health-related outcomes. Potentially, cardiac rehabilitation models can also improve outcomes. Aim To assess the impact of a nurse-coordinated multidisciplinary, cardiac rehabilitation program to decrease hospitalizations, increase functional capacity, and meet the needs of patients with heart failure.
Davidson, PM, Cockburn, J, Newton, PJ, Webster, JK, Betihavas, V, Howes, L & Owensby, DO 2010, 'Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients?', European Journal of Cardiovascular Prevention and Rehabilitation, vol. 17, no. 4, pp. 393-402.View/Download from: Publisher's site
BACKGROUND: Heart failure is a common and costly condition, particularly in the elderly. A range of models of interventions have shown the capacity to decrease hospitalizations and improve health-related outcomes. Potentially, cardiac rehabilitation models can also improve outcomes. AIM: To assess the impact of a nurse-coordinated multidisciplinary, cardiac rehabilitation program to decrease hospitalizations, increase functional capacity, and meet the needs of patients with heart failure. METHOD: In a randomized control trial, a total of 105 patients were recruited to the study. Patients in the intervention group received an individualized, multidisciplinary 12-week cardiac rehabilitation program, including an individualized exercise component tailored to functional ability and social circumstances. The control group received an information session provided by the cardiac rehabilitation coordinator and then follow-up care by either their cardiologist or general practitioner. This trial was stopped prematurely after the release of state-based guidelines and funding for heart failure programs. RESULTS: During the study period, patients in the intervention group were less likely to have been admitted to hospital for any cause (44 vs. 69%, P = 0.01) or after a major acute coronary event (24 vs. 55%, P = 0.001). Participants in the intervention group were more likely to be alive at 12 months, (93 vs. 79%; P = 0.03) (odds ratio = 3.85; 95% confidence interval=1.03-14.42; P = 0.0042). Quality of life scores improved at 3 months compared with baseline (intervention t = o/-4.37, P<0.0001; control t = /-3.52, P<0.01). Improvement was also seen in 6-min walk times at 3 months compared with baseline in the intervention group (t = 3.40; P = 0.01). CONCLUSION: This study shows that a multidisciplinary heart failure cardiac rehabilitation program, including an individualized exercise component, coordinated by a specialist heart failure nurse can substantially reduce both all-ca...
Davidson, PM, De Geest, S & Hill, MN 2010, 'Nurses addressing the challenges of chronic illness: From primary to palliative care', Collegian, vol. 17, no. 2, pp. 43-45.View/Download from: Publisher's site
The 20th century has heralded unprecedented technological advances in health care and also considerable social change (Koh et al., 2010). Introducing innovative practices in prevention and treatment has decreased mortality for many conditions, previously causing premature death. These welcome advances in health outcomes have paradoxically created a new set of problems and challenges equally as complex and challenging as those of previous centuries (Daar et al., 2007; Wagner, 1998)
Davidson, PM, Driscoll, A, Huang, N, Aho, Z, Krum, H, Sindone, A, Atherton, J & Stewart, S 2010, 'Best Practice for Australian Chronic Heart Failure Management Programs: Strategic Positioning for Health Service Quality and Expansion', Journal of Cardiac Failure, vol. 16, no. 8, pp. S91-S91.View/Download from: Publisher's site
Doering, L, Moser, D, Riegel, BJ, McKinley, SM, Davidson, PM, Baker, H, Meischke, H & Dracup, K 2010, 'Persistent Comorbid Symptoms Of Depression And Anxiety Predict Mortality In Heart Disease', International Journal Of Cardiology, vol. 145, no. 2, pp. 188-192.View/Download from: Publisher's site
Background: Incident anxiety and depression are associated separately with cardiac events and mortality in patients after acute coronary syndromes, but the influence of persistent comorbid depression and anxiety on mortality remains unknown.
Du, H, Davidson, PM, Everett, B, Salamonson, Y, Zecchin, R, Rolley, JX, Newton, PJ & Macdonald, P 2010, 'Assessment of a self-administered adapted 6-minute walk test', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 30, no. 2, pp. 116-120.View/Download from: Publisher's site
PURPOSE: This study assessed the reliability and viability of the Home- Heart-Walk (HHW) test, adapting a standardized 6-minute walk test protocol for self-administration. ¡ METHODS: Twenty-nine volunteers with documented coronary heart disease (CHD) undertook a structured 7-day program using the HHW. ¡ RESULTS: The intervention was well received by participants. The intraclass correlation coefficient of the test distance over 7 days was 0.98, and the correlations between investigator and participant measures were high (r 0.99 for day 1 [first test], r 0.99 for day 1 [second test], and r 0.99 on day 7). ¡ CONCLUSION: These data demonstrate the potential of the HHW as a tool to promote and monitor physical activity in community-based settings. These observations require further investigation and testing in other populations.
Fernandez, RS, Davidson, PM, Griffiths, R & Salamonson, Y 2010, 'Overcoming barriers to guideline implementation: the case of cardiac rehabilitation', Quality and Safety in Health Care, vol. 19, no. 6, pp. 1-5.View/Download from: Publisher's site
Aims This study explored the strategies used by cardiac rehabilitation (CR) coordinators to overcome the obstacles to implementation of the evidence-based Reducing Risk in Heart Disease guidelines. Methods The study design used qualitative, semistructure
Frost, S, Tam, V, Alexandrou, E, Hunt, LM, Salamonson, Y, Davidson, PM, Parr, M & Hillman, K 2010, 'Readmission to Intensive Care: Development of a Nomogram for Individualising Risk', Critical Care and Resuscitation, vol. 12, no. 2, pp. 83-89.
Background: Readmission to intensive care during the same hospital stay has been associated with a greater risk of in-hospital mortality and has been suggested as a marker of quality of care. There is lack of published research attempting to develop clinical prediction tools that individualise the risk of readmission to the intensive care unit during the same hospital stay. Objective: To develop a prediction model using an inception cohort of patients surviving an initial ICU stay. Design, setting and participants: The study was conducted at Liverpool Hospital, Sydney. An inception cohort of 14 952 patients aged 15 years or more surviving an initial ICU stay and transferred to general wards in the study hospital between 1 January 1997 and 31 December 2007 was used to develop the model. Binary logistic regression was used to develop the prediction model and a nomogram was derived to individualise the risk of readmission to the ICU during the same hospital stay. Main outcome measure: Readmission to the ICU during the same hospital stay.
Frost, SA, Davidson, PM, Alexandrou, E, Hunt, L, Salamonson, Y, Tam, V, Parr, MJA, Aneman, A & Hillman, KM 2010, 'Unplanned admission to the intensive care unit in the very elderly and risk of in-hospital mortality', CRITICAL CARE AND RESUSCITATION, vol. 12, no. 3, pp. 171-176.
The aim of the project was to create a supervised professional experience placement model involving undergraduate nursing students, families of children with intellectual disabilities and nursing lecturers. Action research provided the methodological framework for developing a new placement model. Five families with children with disabilities, nine nursing students and two nurse academics worked together through the cycles of the action research process to develop a family health promotion intervention to improve the health and wellness of the family members and reduce risk for illness. Awareness, valuing and understanding were key themes derived from the qualitative data. Findings of this project indicatethat this model of university-initiated, community-focused professional experience placement is effective in achieving the competency-based learning outcomes required of undergraduate nursing students and is worthy of ongoing exploration.
Halcomb, E, Davidson, PM & Brown, N 2010, 'Uptake of Medicare chronic disease items in Australia by general practice nurses and Aboriginal Health Workers.', Collegian, vol. 17, no. 2, pp. 57-61.View/Download from: Publisher's site
The Australian health care system is currently in a state of reform and there is increasing pressure to provide care in community settings. Rising costs, demands and population ageing underscore the importance of adopting models of health care delivery to address changing epidemiological patterns. Population ageing and the increase of chronic conditions challenge models based on acute care. Changes to the Medicare benefits schedule have facilitated the development of a range of expanded nursing services in the general practice setting. In particular, item number 10997 was introduced to reimburse practice nurses and Aboriginal health workers (AHWs) for providing monitoring and support to people with a chronic disease for and on behalf of a general practitioner (GP)_ The uptake of Medicare Item 100997 from 2007 to 2009, to monitor chronic disease interventions provided by general practice nurses has increased dramatically. The rate of uptake of Item 100997 has not been consistent across States and Territories, even allowing for population distributions. Exploring reasons for these regional variations and linking uptake of Medicare Item numbers to patient outcomes is important in developing the nursing role in Australian general practice.
Halcomb, E, Davidson, PM, Caldwell, B, Salamonson, Y & Rolley, J 2010, 'Validation of the Professional Practice Environment Scale in Australian General Practice', Journal Of Nursing Scholarship, vol. 42, no. 2, pp. 207-213.View/Download from: Publisher's site
Purpose: To validate the Professional Practice Environment Scale (PPE) in Australian general practice. Methods: The PPE was modified slightly for appropriateness for the practice setting and administered to a sample of 342 Australian general practice nurses via an online survey tool. The factor structure of the 38-item PPE was examined using principal components analysis with Varimax rotation.
Koch, J, Andrew, S, Salamonson, Y, Everett, B & Davidson, PM 2010, 'Nursing Students' Perception Of A Web-Based Intervention To Support Learning', Nurse Education Today, vol. 30, no. 6, pp. 584-590.View/Download from: Publisher's site
Tailoring information to the needs of the learner is an important strategy in contemporary education settings. Web-based learning support, informed by multimedia theory, comprising interactive quizzes, glossaries with audio, short narrated Power Point pr
Kuhn, L, Page, K, Davidson, P & Worrall-Carter, L 2010, 'A comparison of triage allocation for women and men for acute coronary syndrome across Victorian Emergency Departments', Australasian Emergency Nursing Journal, vol. 13, no. 4, pp. 153-153.View/Download from: Publisher's site
Page, K, Davidson, PM, Edward, K, Allen, J, Cummins, R, Thompson, D & Worrall-Carter, L 2010, 'Recovering from an acute cardiac event - the relationship between depression and life satisfaction', Journal Of Clinical Nursing, vol. 19, no. 5-6, pp. 736-743.View/Download from: Publisher's site
Aims. This study sought to measure the rates and trajectory of depression over six months following admission for an acute cardiac event and describe the relationship between depression and life satisfaction. Background. Co-morbid depression has an impact on cardiac mortality and is associated with the significant impairment of quality of life and well-being, impairments in psychosocial function, decreased medication adherence and increased morbidity. Design. This was a descriptive, correlational study. Method. The study was undertaken at a large public hospital in Melbourne. Participants were asked to complete a survey containing the cardiac depression scale (CDS) and the Personal Well-being Index.
Rapley, P & Davidson, PM 2010, 'Enough of the problem: a review of time for health care transition solutions for young adults with a chronic illness', Journal Of Clinical Nursing, vol. 19, no. 3-4, pp. 313-323.View/Download from: Publisher's site
Aims and objectives. In this article, we critically assess the state of the science of transition care in chronic conditions using diabetes care as an exemplar and provide a case for the adoption of the principles of the Chronic Care Model in driving health care reform. Background. Globally, there is an increasing burden of chronic conditions including among adolescents and young adults. As a consequence adolescents are transitioning, at an increasing rate, from paediatric services into mainstream adult services, which are often ill equipped to meet their needs. Design. Integrative literature review.
Riegel, BJ, Hanlon, A, McKinley, SM, Moser, D, Meischke, H, Doering, L, Davidson, PM, Pelter, M & Dracup, K 2010, 'Differences In Mortality In Acute Coronary Syndrome Symptom Clusters', American Heart Journal, vol. 159, no. 3, pp. 392-398.View/Download from: Publisher's site
Background The timely and accurate identification of symptoms of acute coronary syndrome (ACS) is a challenge for patients and clinicians. It is unknown whether response times and clinical outcomes differ with specific symptoms. We sought to identify whi
Rolley, J, Salamonson, Y, Dennison, C & Davidson, PM 2010, 'Nursing Care Practices Following a Percutaneous Coronary Intervention: Results of a Survey of Australian and New Zealand Cardiovascular Nurses', Journal of Cardiovascular Nursing, vol. 25, no. 1, pp. 75-84.View/Download from: Publisher's site
Although there is high-level evidence to guide optimal medical care for percutaneous coronary interventions, there are less explicit guidelines to support nurses in providing care. Aim: This study describes the practice standards and priorities of care of cardiovascular nurses in Australia and New Zealand. Method: Item generation for the survey was informed by an integrative literature review and existing clinical guidelines. A 116-item Web-based survey was administered to cardiovascular nurses, via electronic mail lists of professional cardiovascular nursing organizations, using a secure online data collection system. Results: Data were collected from March 2008 to March 2009. A total of 148 respondents attempted the survey, with 110 (74.3%) completing all items. All respondents were registered nurses with an average of 12.3 (SD, 7.61) years of clinical experience in the cardiovascular setting. A range of practice patterns was evident in ambulation time after percutaneous coronary intervention, methods of sheath removal, pain relief, and patient positioning. Respondents consistently rated psychosocial care a lower priority than other tasks and also identified a knowledge deficit in this area. Conclusion: This survey identified diversity of practice patterns and a range of educational needs. Increasing evidence to support evidence-based practice and guideline development is necessary to promote high-quality care and improved patient outcomes.
Rolley, JX, Salamonson, Y, Dennison, CR & Davidson, PM 2010, 'Development of clinical practice guidelines for the nursing care of people undergoing percutaneous coronary interventions: An Australian & New Zealand collaboration', AUSTRALIAN CRITICAL CARE, vol. 23, no. 4, pp. 177-187.View/Download from: Publisher's site
Warner, P, Jelinek, H & Davidson, PM 2010, 'A university clinic: an innovative model for improving clinical practice', Australian Journal of Advanced Nursing, vol. 27, no. 4, pp. 38-42.View/Download from: Publisher's site
This paper discusses interprofessional learning through interdisciplinary collaboration between undergraduate nursing and podiatry students at a university based cardiovascular screening clinic.
Woods, JA, Katzenellenbogen, JM, Davidson, PM & Thompson, SC 2010, 'Heart failure among Indigenous Australians: a systematic review', BMC Cardiovascular Disorders, vol. 10, no. NA, p. 99.View/Download from: Publisher's site
Cardiovascular diseases contribute substantially to the poor health and reduced life expectancy of Indigenous Australians. Heart failure is a common, disabling, progressive and costly complication of these disorders. The epidemiology of heart failure and the adequacy of relevant health service provision in Indigenous Australians are not well delineated.
Yacopetti, N, Alexandrou, E, Spencer, T, Frost, S, Davidson, PM, O'Sullivan, G & Hillman, K 2010, 'Central venous catheter insertion by a clinical nurse consultant or anaesthetic medical staff: a single-centre observational study', Critical Care and Resuscitation, vol. 12, no. 2, pp. 90-95.
Objective: To compare clinical outcomes of elective central venous catheter (CVC) insertions performed by either a clinical nurse consultant (CNC) or anaesthetic medical staff (AMS). Design, setting and participants: Prospective audit of a convenience sample of consecutive CVC insertions between July 2005 and October 2007 at a metropolitan teaching hospital in Sydney, Australia. The sample included all outpatients and inpatients requiring a CVC for either acute or chronic conditions. Main outcome measures: Number of CVC lines inserted;differences between outcomes in the CNC and AMS groups; complications during and after insertion.
Cao, Y, Davidson, PM, DiGiacomo, M & Yang, M 2010, 'Pre-hospital delay for acute coronary syndrome in China', Journal of Cardiovascular Nursing, vol. 25, no. 6, pp. 487-496.View/Download from: Publisher's site
Background: Despite the effectiveness of timely reperfusion therapy for acute coronary syndrome, prehospital delay remains a global concern. Objective: This article assesses the state-of-the-science regarding prehospital delay for acute coronary syndrome in China. Method: Electronic databases and hand searching were undertaken using key words such as prehospital delay, care-seeking delay, coronary heart disease, heart disease, acute coronary syndrome, unstable angina pain, acute myocardial infarction, cardiovascular disease, chest pain, and Chin (China/Chinese). The Chinese search was supervised by a Chinese health librarian. Results: Based on the search criteria, 28 studies were identified and reviewed using a standardized data extraction tool. Older age, attribution of symptoms to noncardiac causes, lack of health insurance coverage, poor access to transportation, and female sex were identified as contributing to prehospital delay. Conclusion: Health system reforms in China are necessary, particularly with regard to addressing the needs of older people, women, and other vulnerable populations in the context of the rising number of people with coronary heart disease. Developing targeted strategies, learned from both national and international experience, are required to develop targeted interventions
Davidson, PM, Abbott, P, Davison, J & DiGiacomo, M 2010, 'Improving Medication Uptake in Aboriginal and Torres Strait Islander Peoples', Heart, Lung and Circulation, vol. 19, no. 5-6, pp. 372-377.View/Download from: Publisher's site
Background: Poor medication adherence is associated with adverse health outcomes. Improving access and adherence to pharmacological therapy is important in achieving optimal health outcomes for Indigenous populations. In spite of the impressive evidence base for cardiovascular pharmacotherapy, strategies for promoting adherence and evidence based practice are less well refined and the challenges for Indigenous populations are more pronounced. Aim:To identify factors impacting on medication adherence in Aboriginal Australians and identify solutions to improve the quality use of medicines.
DiGiacomo, M, Abbott, P, Davison, J, Moore, L & Davidson, PM 2010, 'Facilitating uptake of Aboriginal adult health checks through community engagement and health promotion', Quality in Primary Care, vol. 18, no. 1, pp. 57-64.
Background Adult Health Checks (AHCs) for Aboriginal and Torres Strait Islander people (MBS Item 710) promote comprehensive physical and psychosocial health assessments. Despite the poor uptake of health assessments in Aboriginal and Torres Strait Islander people, a small number of successful implementation initiatives have been reported. In order to ensure uptake of these screening initiatives, there remains a need to demonstrate the feasibility of models of implementing AHCs.
DiGiacomo, M, Davidson, PM, Taylor, K, Smith, J, Dimer, L, Ali, M, Wood, M, Leahy, T & Thompson, S 2010, 'Health information system linkage and coordination are critical for increasing access to secondary prevention in Aboriginal health: a qualitative study', Quality in Primary Care, vol. 18, no. 1, pp. 17-26.
Background: Aboriginal Australians have low rates of participation in cardiac rehabilitation (CR), despite having high rates of cardiovascular disease. Barriers to CR participation reflect multiple patientrelated issues. However, an examination of the broader context of health service delivery design and implementation is needed. Aims: To identify health professionalsâ perspectives of systems related barriers to implementation of the National Health and Medical Research Council (NHMRC) Guidelines Strengthening Cardiac Rehabilitation and Secondary Prevention for Aboriginal and Torres Strait Islander Peoples.
DiGiacomo, M, Lam, P, Roberts, B, Lau, TC, Song, R & Davidson, PM 2010, 'Exploring the Reasons for Adherence to Tai Chi Practice', Journal of Alternative & Complementary Medicine, vol. 16, no. 12, pp. 1245-1246.View/Download from: Publisher's site
The bene?ts of physical activity are indisputable, but engaging individuals to take part in sustained activity is challenging. 1 Although of particular consideration in older adults, adherence to physical activity is a challenge across the lifespan and is dependent on personality characteristics
DiGiacomo, M, Thompson, S, Smith, JV, Taylor, K, Dimer, L, Ali, M, Wood, M, Leahy, TG & Davidson, PM 2010, ''I Don't Know Why They Don't Come': Barriers To Participation In Cardiac Rehabilitation', Australian Health Review, vol. 34, no. 4, pp. 452-457.View/Download from: Publisher's site
Objectives. To describe health professionals' perceptions of Aboriginal people's access to cardiac rehabilitation (CR) services and the role of institutional barriers in implementing the National Health and Medical Research Council (NHMRC) guidelines. Strengthening Cardiac Rehabilitation and Secondary Prevention for Aboriginal and Torres Strait Islander peoples. Design. Qualitative study.
Goldston, K, Ferry, C, Davidson, P, Keogh, L, Newton, P, DiGiacomo, M, Rolley, J & Hickie, I 2010, 'Cardiac Depression Collaborative Australia: A Strategy to Improve Screening and Management of Depression', Heart, Lung and Circulation, vol. 19, pp. S257-S257.View/Download from: Publisher's site
Currow, D, Smith, J, Davidson, PM, Newton, PJ, Agar, M, Care, MP & Abernethy, A 2010, 'Do the Trajectories of Dyspnea Differ in Prevalence and Intensity By Diagnosis at the End of Life? A Consecutive Cohort Study', Journal of Pain and Symptom Management, vol. 39, no. 4, pp. 680-690.
Context. Breathlessness reportedly worsens as death approaches for many people, but the differences in intensity and time course between underlying causes are not well described. Objectives. To determine differences in the intensity of breathlessness by diagnosis over time as death approaches in a consecutive cohort seen by a specialist palliative care service. Methods. Patients referred to Silver Chain Hospice Care Service over a period of four years (January 2004 to December 2007) had dyspnea evaluated at every clinical encounter until death. A numeric rating scale (NRS) was used to measure the intensity. Patients were categorized into five clusters (lung cancer, secondary cancer to lung, heart failure, end-stage pulmonary disease, and no identifiable cardiorespiratory cause) at three time points (60e53 [T3], 30e23 [T2], and 7e0 [T1] days before death [T0]). Group differences were assessed using analysis of variance. Joinpoint regression models defined significant changes in mean breathlessness intensity.
Breathlessness is a common and distressing symptom in both malignant and non-malignant conditions. Both pharmacological and non-pharmacological strategies are necessary to minimise symptom burden and distress. Assessing the individualâs needs and clarifying the goals of treatment is an important first step in determining an effective treatment plan. Although the evidence supporting the use of some of these therapies is variable, there is an increasing evidence base to inform clinical decision making and treatment plans. Pharmacotherapy with opioids is a common and effective strategy for managing breathlessness, yet requires judicious titration and management. The adverse effects of opioid therapy, including constipation and drowsiness, can be anticipated and managed with adjunctive therapies. The use of oxygen in people who are hypoxaemic is supported, but is of limited value in people who are not hypoxaemic. Individualised strategies and advance care planning is important to avoid unnecessary hospitalisations and futile treatments at the end of life. There is a clear mismatch between the prevalence and burden of this problem and data to inform evidence-based guidelines. Refractory breathlessness is a fertile area for ongoing research and requires increased attention to address the burden of this highly prevalent symptom.
Background: Chronic heart failure is common, particularly in older individuals, and comorbidities are frequent. Patients with end stage heart failure can be highly symptomatic and require careful monitoring and treatment adjustment to improve symptoms.
BACKGROUND: Chronic heart failure is common, particularly in older individuals, and comorbidities are frequent. Patients with end stage heart failure can be highly symptomatic and require careful monitoring and treatment adjustment to improve symptoms. OBJECTIVE: This article summarises the fundamentals of implementing palliative care in general practice and provides guidelines on caring for chronic heart failure patients at the end of life. DISCUSSION: The high mortality in chronic heart failure underscores the importance of effective communication, symptom management and advanced care planning. The unpredictability and uncertainty around the timing of death mean that individuals, and their families, may be less likely to have an understanding of their prognosis or have access to supportive and palliative care. Ideally, patients with symptomatic chronic heart failure should be managed in collaboration with a multidisciplinary heart failure program. Symptom management can be achieved by additive therapies and access to specialist palliative care services should be considered when the symptom burden is high.
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: Publisher's site
Chronic care; Models of care; Aged care; Acute care; Nursing
Globally there is an epidemic of chronic illnesses challenging individuals, health care providers and systems.9 In contemporary society, many people live for extended periods with conditions which were in previous decades an immediate death sentence. However, these welcome changes in longevity do not defy the future certainty of death.
Davidson, PM, Gholizadeh, L, Haghshenas, A, Rotem, A, DiGiacomo, M, Eisenbruch, M & Salamonson, Y 2010, 'A review of the cultural competence view of cardiac rehabilitation', Journal of Clinical Nursing, vol. 19, no. 9-10, pp. 1335-1342.View/Download from: Publisher's site
Aims and objectives. This paper describes cultural competence issues within the scientific and scholarly discourse surrounding cardiac rehabilitation (CR). Background. CR is an important secondary prevention strategy, improving health-related outcomes and reducing the risks of subsequent cardiovascular events. Internationally, it is widely accepted as a discrete health service model and is endorsed by government and professional bodies. Over past decades, low participation rates in CR remain a concern, particularly among minority groups and culturally and linguistically diverse populations. Design. Systematic review. Methods. Search of electronic databases. Conclusions. Few studies to date have described cultural competence in CR service design and as a consequence, there are minimal data to assist CR professionals and policy makers in tailoring health service delivery models. The limited scholarly debate and discussion regarding cultural competence in the CR literature limits the development and evaluation of culturally appropriate interventions. Relevance to clinical practice. There needs to be greater attention to the concept of cultural competence, both in practice and research settings, to ensure access to CR for people from culturally and linguistically diverse backgrounds.
Gholizadeh, L, Davidson, PM, Salamonson, Y & Worrall-Carter, L 2010, 'Theoretical considerations in reducing risk for cardiovascular disease: implications for nursing practice', Journal Of Clinical Nursing, vol. 19, no. 15-16, pp. 2137-2145.View/Download from: Publisher's site
Aims and objectives. This article describes the theoretical foundation of risk perception as a key component of changing deleterious health behaviours associated with cardiovascular disease (CVD). Furthermore, perception in increasing cardio- vascular risk-reducing behaviours in a socio-cultural framework is discussed, and an empirical development conceptual model presented. Background. Perception of risk is strongly linked with health-seeking behaviours. Understanding how to reduce risk and maximise cardiovascular health is an increasing focus of clinicians, researchers and policy makers. Increasing cultural diversity in contemporary society means that nurses need to develop and evaluate interventions in this context. Design. An integrative literature review. Method. An integrative literature review method was used to assess conceptual models relating to risk perception of developing CVD. On the basis of the findings, a model was developed to inform future intervention studies, considering individual, social and cultural factors. Discussion. Studies examining CVD and health behaviours report that there is limited concordance between actual and per- ceived risk in people with CVD. This mismatch risk likely impedes the adoption of risk-reducing behaviours. Conclusion. There is a critical need to develop interventions for enhancing an accurate perception of CVD risk considering not only individual but social factors. Relevance to clinical practice. There is limited correlation between knowledge and behaviours, and health behaviours are influenced by individual, social and cultural factors. Appraising the congruence between actual and perceived risk is an important step in developing effective care plans to reduce cardiovascular risk.
Gholizadeh, L, Salamonson, Y, Davidson, PM, Parvan, K, Frost, S, Chang, S & Hare, D 2010, 'Cross-cultural validation of the Cardiac Depression Scale in Iran', British Journal of Clinical Psychology, vol. 49, no. 4, pp. 517-528.View/Download from: Publisher's site
Background: The Cardiac Depression Scale (CDS) is a disease-specific instrument for measuring depression in cardiac patients. This study was designed to validate the CDS in an Iranian population. Methods: Translation and back translation of the 26- Item CDS scale was performed using recommended procedures. The Iranian translation of the CDS (I-CDS) was administered to 261 individuals in Iran, concurrently with the Beck Depression Inventory. The factor structure of the I-CDS was examined using exploratory factor analysis procedures to enable comparison with previous psychometric evaluation of the CDS. Receiver operating characteristic (ROC) curves were used to examine the ability of the I-CDS to discriminate between categories of depression. Results: First-order exploratory factor analysis uncovered two robust factors, consistent with the second-order dimensions originally reported by the developers of this instrument. Cronbachâs alpha was 0.88 for the total 26-item I-CDS, indicating satisfactory internal consistency of the I-CDS. Intercorrelation between the total scores for the I-CDS and BDI was 0 .62 (P< .001). For the I-CDS cut off of 90, the sensitivity was 85%, and specificity was 61% with a computed area under the curve (AUC) of .81 (95% CI, .76- .87). For the I-CDS cut off of 100, the sensitivity was 81% and specificity was 63% with a computed AUC of .81 (95% CI, .76- .87). Conclusion: This validation study of the Iranian version of the CDS proved that it is an acceptable, a reliable and valid measure of depression in cardiac patients.
Arndt, M, Murchie, F, Schembri, A & Davidson, PM 2009, '"Others had similar problems and you were not alone": Evaluation of an open-group mutual aid model in cardiac rehabilitation', Journal of Cardiovascular Nursing, vol. 24, no. 4, pp. 328-335.View/Download from: Publisher's site
Background: Dealing with psychological and social issues is an important aspect of comprehensive cardiac rehabilitation (CR) programs. Study aim: This study aims to evaluate the use of an open-group mutual aid model facilitated by a social worker and occupational therapist in a secondary prevention CR program. Method: A mixed-method study, using questionnaires, focus group data, and reflective interviews of group facilitators, was used to evaluate the program. Study findings: Key themes emerging from this study were (1) the need for provision of hope; (2) a desire for structure and support; (3) appreciation of support of fellow group participants; and (4) the need for individuals to review, process, and interpret their illness trajectory. Conclusions: In this single site study, an open-group model using a mutual aid model was acceptable and helpful as a method to facilitate adjustment after an acute cardiac event. Further evaluation of this approach using experimental methods is warranted.
Briffa, T, Kinsman, L, Maiorana, A, Zecchin, R, Redfern, J, Davidson, PM, Paull, G, Nagle, A & Denniss, AR 2009, 'An integrated and coordinated approach to preventing recurrent coronary heart disease events in Australia: Policy statement from the Australian Cardiovascular Health and Rehabilitation Association', Medical Journal of Australia, vol. 190, no. 12, pp. 683-686.
Implementing existing knowledge about cardiac rehabilitation (CR) and heart failure management could markedly reduce mortality after acute coronary syndromes and revascularisation therapy. Contemporary CR and secondary prevention programs are cost-effective, safe and beneficial for patients of all ages, leading to improved survival, fewer revascularisation procedures and reduced rehospitalisation. Despite the proven benefits attributed to these secondary prevention interventions, they are not well attended by patients. Modern programs must be flexible, culturally safe, multifaceted and integrated with the patients primary health care provider to achieve optimal and sustainable benefits for most patients.
Briffa, TG, Kinsman, L, Maiorana, AJ, Zecchin, R, Redfern, J, Davidson, PM, Paull, G, Nagle, A & Denniss, AR 2009, 'An integrated and coordinated approach to preventing recurrent coronary heart disease events in Australia.', The Medical journal of Australia, vol. 190, no. 12, pp. 683-686.
Implementing existing knowledge about cardiac rehabilitation (CR) and heart failure management could markedly reduce mortality after acute coronary syndromes and revascularisation therapy. Contemporary CR and secondary prevention programs are cost-effective, safe and beneficial for patients of all ages, leading to improved survival, fewer revascularisation procedures and reduced rehospitalisation. Despite the proven benefits attributed to these secondary prevention interventions, they are not well attended by patients. Modern programs must be flexible, culturally safe, multifaceted and integrated with the patient's primary health care provider to achieve optimal and sustainable benefits for most patients.
Chronic heart failure (CHF) is a common, costly and frequently fatal condition and the prevalence of this condition increases with age . Although not a new condition, improved treatments for conditions such as coronary heart disease and hypertension mean that there are increasing numbers of people living for extended periods with a chronic progressive condition. A defining feature of CHF is the potential for episodic periods of deterioration and decompensation .
Dracup, K, McKinley, SM, Riegel, BJ, Moser, D, Meischke, H, Doering, L, Davidson, PM, Paul, SM, Baker, H & Pelter, M 2009, 'A randomized clinical trial to reduce patient prehospital delay to treatment in acute coronary syndrome', Circulation. Cardiovascular Quality and Outcomes, vol. 2, no. 6, pp. 524-532.View/Download from: Publisher's site
Background: Delay from onset of acute coronary syndrome (ACS) symptoms to hospital admission continues to be prolonged. To date, community education campaigns on the topic have had disappointing results. Therefore, we conducted a clinical randomized trial to test whether an intervention tailored specifically for patients with ACS and delivered one-on-one would reduce prehospital delay time. Methods and Results: Participants (n=3522) with documented coronary heart disease were randomized to experimental (n=1777) or control (n=1745) groups. Experimental patients received education and counseling about ACS symptoms and actions required. Patients had a mean age of 67-11 years, and 68% were male. Over the 2 years of follow-up, 565 patients (16.0%) were admitted to an emergency department with ACS symptoms a total of 842 times. Neither median prehospital delay time (experimental, 2.20 versus control, 2.25 hours) nor emergency medical system use (experimental, 63.6% versus control, 66.9%) was different between groups, although experimental patients were more likely than control to call the emergency medical system if the symptoms occurred within the first 6 months following the intervention (P=0.036). Experimental patients were significantly more likely to take aspirin after symptom onset than control patients (experimental, 22.3% versus control, 10.1%, P=0.02). The intervention did not result in an increase in emergency department use (experimental, 14.6% versus control, 17.5%). Conclusionsï½ The education and counseling intervention did not lead to reduced prehospital delay or increased ambulance use. Reducing the time from onset of ACS symptoms to arrival at the hospital continues to be a significant public health challenge.
Driscoll, A, Davidson, PM, Clark, R, Huang, N & Aho, Z 2009, 'Tailoring consumer resources to enhance self-care in chronic heart failure', Australian Critical Care, vol. 22, no. 3, pp. 133-140.View/Download from: Publisher's site
Background: Chronic heart failure (CHF) is associated with high hospitalisation and mortality rates and debilitating symptoms. In an effort to reduce hospitalisations and improve symptoms individuals must be supported in managing their condition. Patient
Driscoll, A, Davidson, PM, Hood, S, Huang, N, Aho, Z, Atherton, J, Stewart, S, Sindone, A & Krum, H 2009, 'Best Practice for Australian Chronic Heart Failure Management Programs', Heart, Lung and Circulation, vol. 18, pp. S170-S170.View/Download from: Publisher's site
Driscoll, A, Worrall-Carter, L, Hare, D, Davidson, PM, Riegel, B, Tonkin, A & stewart, S 2009, 'Evidence-based chronic heart failure management programs: reality or myth?', Quality and Safety in Health Care, vol. 18, no. 6, pp. 450-455.View/Download from: Publisher's site
Background: Chronic heart-failure management programmes (CHF-MPs) have become part of standard care for patients with chronic heart failure (CHF). Objective: To investigate whether programmes had applied evidence-based expert clinical guidelines to optimise patient outcomes.
Du, H, Newton, PJ, Salamonson, Y, Carrieri-Kohlman, VL & Davidson, PM 2009, 'A review of the six-minute walk test: Its implication as a self-administered assessment tool', European Journal of Cardiovascular Nursing, vol. 8, no. 1, pp. 2-8.View/Download from: Publisher's site
Background: Promoting self-management and monitoring physical activity are important strategies in chronic heart disease (CHD)management. The six-minute walk test (6MWT) is a commonly used sub-maximal exercise test for measuring physical functional capacity. Aim: The aim of this paper is to review the current literature on 6MWT relating to methodological issues as well as exploring the potential of the protocol to be adopted as a self-administered exercise test. Method: The Medline, CINAHL, Science Direct and the World Wide Web using the search engine Google, were searched for articles describing the administration, reliability and validity of the 6MWT. Findings of the integrative literature review The 6MWT is a simple, safe and inexpensive sub-maximal exercise test. The 6MWT distance is strongly associated with functional capacity, and it is a useful prognostic tool. To date, the capacity for self-administration of the 6MWT has not been investigated. Conclusions: Adapting the 6MWT as a patient-reported outcome measure may enhance the capacity, not only for clinicians to monitor functional status, but also promote self-management by enabling individuals to monitor changes in their functional capacity.
Everett, B, Salamonson, Y & Davidson, PM 2009, 'Bandura's exercise self-efficacy scale: Validation in an Australian cardiac rehabilitation setting', International Journal of Nursing Studies, vol. 46, no. 6, pp. 824-829.View/Download from: Publisher's site
Background: Despite the established benefits of cardiac rehabilitation (CR) in improving health outcomes for people with cardiovascular disease, adherence to regular physical activity at recommended levels remains suboptimal. Self-efficacy has been shown to be an important mediator of health behaviour, including exercise. Objectives: To assess the psychometric properties of Bandura's exercise self-efficacy (ESE) scale in an Australian CR setting. Design: Validation study. Setting: Cardiac rehabilitation.
Everett, B, Salamonson, Y, Zecchin, R & Davidson, PM 2009, 'Reframing the dilemma of poor attendance at cardiac rehabilitation: an exploration of ambivalence and the decisional balance', Journal Of Clinical Nursing, vol. 18, no. 13, pp. 1842-1849.View/Download from: Publisher's site
Aim. To discuss the problem of poor attendance at cardiac rehabilitation from the alternative perspective of patient ambivalence. Background. Evidence supports the benefits of cardiac rehabilitation as a means for secondary prevention of coronary heart disease, yet current literature continues to document poor attendance at these programmes. Whilst extrinsic factors, such as transportation and lack of physician support have been identified as barriers, patients who choose not to attend these programmes are often described as lacking motivation or being non-compliant. However, it is possible that non-attendance is the result of ambivalence the experience of simultaneously wanting to and yet not wanting to, or the I want to, but I dont want to dilemma.
Fernandez, R, Shamin, S, Davidson, P, Salamonson, Y & Andrews, K 2009, 'Interventions for maintaining long term physical activity among individuals with coronary heart disease', Heart, Lung and Circulation, vol. 18, pp. S260-S260.View/Download from: Publisher's site
Fernandez, RS, Davidson, PM, Griffiths, R, Juergens, C & Salamonson, Y 2009, 'Development of a health-related lifestyle self-management intervention for patients with coronary heart disease', Heart & Lung: the journal of acute and critical care, vol. 38, no. 6, pp. 491-498.View/Download from: Publisher's site
Risk-factor modification after an acute coronary event is imperative, and intervention strategies are Continuously being developed to assist patients with behavioral change and, consequently, decreasing the risk Of further coronary episodes. This article
Fernandez, RS, Davidson, PM, Griffiths, R, Juergens, C, Stafford, B & Salamonson, Y 2009, 'A pilot randomised controlled trial comparing a health-related lifestyle self-management intervention with standard cardiac rehabilitation following an acute cardiac event: Implications for a larger clinical trial', Australian Critical Care, vol. 22, no. 1, pp. 17-27.View/Download from: Publisher's site
Purpose: This pilot study was to assess the feasibility of the health-related lifestyle self-management (HeLM) intervention as a strategy to decrease cardiovascular risk following acute coronary syndrome. Methods: Participants in this randomised controll
Frost, S, Alexandrou, E, Bogdanovski, T, Salamonson, Y, Davidson, PM, Parr, M & Hillman, K 2009, 'Severity of illness and risk of readmission to intensive care: A meta-analysis', Resuscitation, vol. 80, pp. 505-510.View/Download from: Publisher's site
Background: Almost one in every 10 patients who survive intensive care will be readmitted to the intensive care unit (ICU) during the same hospitalisation. The association between increasing severity of illness (widely calculated in ICU patients) with risk of readmission to ICU has not been systematically summarized. Objective: The meta-analysis was designed to combine information from published studies to assess the relationship between severity of illness in ICU patients and the risk of readmission to ICU during the same hospitalisation.
Rolley, J, Davidson, PM, Salamonson, Y, Fernandez, R & Dennison, C 2009, 'Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach', Journal Of Clinical Nursing, vol. 18, no. 17, pp. 2394-2405.View/Download from: Publisher's site
Aim. To evaluate the existing literature to inform nursing management of people undergoing percutaneous coronary intervention. Background. Percutaneous coronary intervention is an increasingly important revascularisation strategy in coronary heart disease management and can be an emergent, planned or rescue procedure. Nurses play a critical role in delivering care in both the independent and collaborative contexts of percutaneous coronary intervention management. Design. Systematic review. Method. The method of an integrative literature review, using the conceptual framework of the patient journey, was used to describe existing evidence and to determine important areas for future research. The electronic data bases CINAHL, Medline, Cochrane and the Joanna Briggs data bases were searched using terms including: (angioplasty, transulminal, percutaneous coronary), nursing care, postprocedure complications (haemorrhage, ecchymosis, haematoma), rehabilitation, emergency medical services (transportation of patients, triage).
Salamonson, Y, Everett, B, Koch, J, Wilson, I & Davidson, PM 2009, 'Learning strategies of first year nursing and medical students: A comparative study', International Journal of Nursing Studies, vol. 46, no. 12, pp. 1541-1547.View/Download from: Publisher's site
Background: Interprofessional education (IPE), where two or more professions learn with, from, and about each other to improve collaboration and the quality of care, has been proposed as a curriculum strategy to promote mutual understanding between professions, thus helping to prepare health professionals to work in challenging contemporary health systems. Although there is support for IPE initiatives within health professional education, differences in student motivation and learning strategies are likely to contribute to the success of these initiatives.
Walker, PM, Wood, RJ, Dracoulis, GD, Kibédi, T, Bark, RA, Bruce, AM, Byrne, AP, Davidson, PM, El-Masri, HM, Lane, GJ, Moon, C, Orce, JN, Estevéz, FMP, Wheldon, C & Wilson, AN 2009, 'Fast decay of a three-quasiparticle isomer in Tm171', Physical Review C - Nuclear Physics, vol. 79, no. 4.View/Download from: Publisher's site
Incomplete-fusion reactions have been used to study high-spin states in Tm171. Gamma rays and conversion electrons were measured using pulsed-beam conditions for enhanced isomer sensitivity. A Kπ=19/2+, three-quasiparticle isomer was identified, with a half-life of 1.7(2) μs. The faster than expected transition rates from the isomer can be understood as being due to a chance near-degeneracy, with mixing between the isomeric state and the Iπ=19/2+ member of the one-quasiparticle rotational band to which it decays. The implied mixing matrix element is 12(2) eV. © 2009 The American Physical Society.
Wood, SK, Campbell, AK, Marden, JD, Schmidtman, L, Blundell, GH, Sheerin, NJ & Davidson, PM 2009, 'Inpatient care to community care: improving clinical handover in the private mental health setting', MEDICAL JOURNAL OF AUSTRALIA, vol. 190, no. 11, pp. S144-S149.
Wood, SK, Campbell, AK, Marden, JD, Schmidtman, L, Blundell, GH, Sheerin, NJ & Davidson, PM 2009, 'Inpatient care to community care: improving clinical handover in the private mental health setting.', The Medical journal of Australia, vol. 190, no. 11 Suppl.View/Download from: Publisher's site
OBJECTIVES: To develop and test a standardised clinical handover discharge strategy for improving information transfer between private mental health hospitals and community practitioners. DESIGN, SETTING AND PARTICIPANTS: A quality improvement intervention using collaborative, iterative methods to develop a standardised discharge and outcome assessment strategy. 150 patient participants were consecutively recruited from two private mental health care hospitals in New South Wales between April and September 2008. Opinions of community practitioners and patients on the discharge process and discharge documentation were solicited by written questionnaires and telephone interviews. MAIN OUTCOME MEASURES: Community practitioner satisfaction; patient satisfaction; documentation of discharge date at least 48 hours before discharge; faxing of discharge summaries to community practitioners within 48 hours of discharge; proportion of patients receiving a follow-up telephone call within 7 days or 14 days of discharge. RESULTS: Both community practitioners and patients believed the intervention was positive. Between Cycle 2 and Cycle 3, documentation of the discharge date at least 48 hours before discharge remained unchanged at 50%; the proportion of discharge summaries faxed within 48 hours of discharge went from 0 to 82% in Cycle 2 and fell to 65% in Cycle 3. Telephone follow-up of patients within 7 days and within 14 days improved by 10% and 6%, respectively, between Cycle 2 and Cycle 3. CONCLUSIONS: A standardised discharge communication strategy improved the timeliness, content, and format of information provided to community practitioners. The intervention was well accepted by patients and providers.
Cao, Y, Davidson, PM & DiGiacomo, M 2009, 'Cardiovascular disease in China: an urgent need to enhance the nursing role to improve health outcomes', Journal Of Clinical Nursing, vol. 18, no. 5, pp. 687-693.View/Download from: Publisher's site
Aims. This paper reviews the role of cardiac nursing in China and the potential of this professional group to take an important role in secondary and tertiary prevention initiatives. Background. China is undergoing unprecedented economic growth, yet globalisation of Chinese society has caused an increase in the prevalence of chronic conditions, particularly cardiovascular disease. studies recognise that health providers and members of the public are not fully aware of the risks associated with cardiovascular disease and consequently are not equipped to deal with this looming epidemic.
Davidson, PM, Cao, Y, Digiacomo, M & Du, HY 2009, 'Chinese nurses' perceptions of heart health issues facing women in China: A focus group study', Journal of Cardiovascular Nursing, vol. 24, no. 6.View/Download from: Publisher's site
BACKGROUND:: China is in a state of rapid economic growth and epidemiological transition. Morbidity and mortality relating to heart disease in women have increased dramatically. OBJECTIVES:: The aim of this study was to obtain the views of nurses regarding heart health issues for women in contemporary China. DESIGN:: This study used focus group interviews. SETTINGS:: Convenience sampling was used to recruit nurses working in acute care hospitals in metropolitan China. METHODS:: Five focus groups containing 28 female participants were conducted. Focus groups were moderated by 2 bilingual Chinese nurses, audiotaped, and analyzed using thematic analysis. RESULTS:: Four themes emerged from the focus group data: (1) mixed perceptions of disease burden in women, (2) modern life impacts upon women's health, (3) need for focus on prevention and coordination, and (4) education and support are keys to driving healthcare improvements. CONCLUSIONS:: Heart disease, as a significant health issue for women in China, is underappreciated among Chinese nurses. 2009 Lippincott Williams & Wilkins.
Thompson, S, DiGiacomo, M, Smith, J, Taylor, K, Dimer, L, Ali, M, Wood, M, Leahy, T & Davidson, PM 2009, 'Are the processes recommended by the NHMRC for improving Cardiac Rehabilitation (CR) for Aboriginal and Torres Strait Islander people being implemented?: an assessment of CR Services across Western Australia', Australia and New Zealand Health Policy, vol. 6, no. 29.
Background: Cardiovascular disease is the major cause of premature death of Indigenous Australians, and despite evidence that cardiac rehabilitation (CR) and secondary prevention can reduce recurrent disease and deaths, CR uptake is suboptimal. The National Health and Medical Research Council (NHMRC) guidelines Strengthening Cardiac Rehabilitation and Secondary Prevention for Aboriginal and Torres Strait Islander peoples, published in 2005, provide checklists for services to assist them to reduce the service gap for Indigenous people. This study describes health professionals' awareness, implementation, and perspectives of barriers to implementation of these guidelines based on semi-structured interviews conducted between November 2007 and June 2008 with health professionals involved in CR within mainstream health services in Western Australia (WA). Twenty-four health professionals from 17 services (10 rural, 7 metropolitan) listed in the WA Directory of CR services were interviewed.
Phillips, JL, Davidson, PM & Willcock, S 2009, 'An Insight Into the Delivery of a Palliative Approach in Residential Aged Care : The General Practitioner Perspective', Journal of Applied Gerontology, vol. 28, no. 3, pp. 395-405.View/Download from: Publisher's site
Managing the complex care needs of older people is a global concern. General practitioners (GPs) play a pivotal role in aged care, yet little is known abouttheir capacity to provide palliative care in nursing homes. This study aimed to investigate GPs' perceptions and understanding of a palliative approach. A convenience sample of rural GPs (n = 13) participated in a series of three focus groups undertaken in August, 2005. These focus groups were all audio-taped, transcribed, and analyzed using thematic content analysis. Four key themes emerged: uncertainty about a palliative approach, a need to reorientate providers, the challenges of managing third parties, and making it work and moving forward. These preliminary findings suggest that integrating a palliative approach in aged care requires GPs to have a greater awareness of this paradigm and to be more effectively engaged in multidisciplinary care planning.
Gholizadeh, L, Salamonson, Y, Worrall-Carter, L, DiGiacomo, M & Davidson, PM 2009, 'Awareness and Causal Attributions of Risk Factors for Heart Disease among Immigrant Women Living in Australia', Journal of Women's Health, vol. 18, no. 9, pp. 1385-1393.View/Download from: Publisher's site
Abstract Objective: Coronary heart disease (CHD) is a major cause of morbidity and mortality globally, and risk factors for CHD are associated with social and cultural attribution as well as individual psychological factors. The aims of this study were to explore the causal attributions of risk factors for CHD and to describe the relationship between their physiological status and causal attributions among immigrant Arabic, Turkish, and Iranian women living in Australia. Methods: Fifty-five women of Turkish, Iranian, and Persian backgrounds were recruited from community groups in metropolitan Sydney using snowball sampling and the assistance of bilingual health care workers. Body weight and blood pressure were assessed, and a questionnaire, including investigator-developed instruments and the Depression, Anxiety and Stress Scale, was administered. Health interpreters assisted with study procedures and translation of study instruments. Results: There was a low level of awareness of the risk of heart disease among women, although participants had knowledge of risk factors for heart disease broadly. The most highly attributed risk factors for CHD among participants were obesity, physical inactivity, and psychological distress. Women who rated highly on psychological distress scores were more likely to attribute negative emotions as causative factors for heart disease. Conclusions: Strategies to promote the awareness of the association between heart disease and women are required among migrant women. Further investigation is required to overcome the barriers to engaging in effective risk minimizing behaviors for heart disease.
Alexandrou, E, Spencer, T & Davidson, PM 2008, 'Nursing central line service prevents catheter related infections', Australian Nursing Journal, vol. 15, no. 11, p. 49.
Butterfield, JA, Faddy, SC, Davidson, PM & Ridge, B 2008, 'Exercise training in patients with stable chronic heart failure - Effects onthoracic impedance cardiography and B-type natriuretic peptide', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 28, no. 1, pp. 33-37.
PURPOSE: Recent evidence has suggested that patients with stable chronic heart failure (CHF) may respond favorably to a progressive exercise program. The use of noninvasive hemodynamic monitoring and B-type natriuretic peptide (BNP) measurement in these patients is not well reported. This study investigated the utility of noninvasive hemodynamic monitoring and point-of-care BNP in a cardiac rehabilitation outpatient setting.
Davidson, PM, Cockburn, J & Newton, PJ 2008, 'Unmet needs following hospitalization with heart failure: Implications for clinical assessment and program planning', Journal of Cardiovascular Nursing, vol. 23, no. 6, pp. 541-546.View/Download from: Publisher's site
Background: Measuring health status is increasingly important in both clinical practice and research. The Heart Failure Needs Assessment Questionnaire (HFNAQ) is a self-administered, disease-specific, 30-item questionnaire that measures an individuals perception of his/her needs in the physical, psychological, social, and spiritual domains. Objectives: To assess the prevalence of needs in patients with heart failure (HF)recently discharged from hospital. Methods: The HFNAQ was administered to participants (n = 132; mean [SD] age, 72.3 [9.69]years; 63% male) consenting to attend an HF-specific cardiac rehabilitation program. Results: The total mean HFNAQ score was 67.3 (95% confidence interval, 65.03Y69.75), indicating an average level of need around the midrange of the scale. In this vulnerable postdischarge phase, there was evidence of predominance of psychological and social concerns over physical needs. None of the variables that were examined for associations with the measures of needs reached statistical significance, highlighting the strongly individualized perception of need.
Davidson, PM, Driscoll, A, Clark, R, Newton, PJ & Stewart, S 2008, 'Heart failure nursing in Australia: challenges, strengths and opportunities', Progress in Cardiovascular Nursing, vol. 23, no. 4, pp. 195-197.View/Download from: Publisher's site
Australia has a land mass similar to the United States of America, supporting a population of just over 20 million, which is distributed predominantly across the coastal perimeter. The Australian society is rich in cultural diversity fostered by decades of migration. Both these factors present challenges for health care. First, because resources are scare in rural and remote regions, health outcomes are poorer in these regions, especially among indigenous populations. Second, the cultural diversity of Australians is a challenge to providing evidence-based treatment recommendations .
DRISCOLL, A, HARE, D, WORRALLCARTER, L, DAVIDSON, P, REIGEL, B, TONKIN, A & STEWART, S 2008, 'Depressed mood in Chronic Heart Failure patients predicts an increase in mortality and hospital admissions', European Journal of Heart Failure Supplements, vol. 7, pp. 11-11.View/Download from: Publisher's site
Driscoll, A, Hare, D, Worrall-Carter, L, Davidson, P, Riegel, B, Tonkin, A & Stewart, S 2008, 'Depressed Mood in Chronic Heart Failure Patients Predicts an Increase in Mortality and Hospital Admissions', Heart, Lung and Circulation, vol. 17, pp. S79-S79.View/Download from: Publisher's site
DRISCOLL, A, WORRALLCARTER, L, HARE, D, DAVIDSON, P, REIGEL, B, TONKIN, A & STEWART, S 2008, 'Does more equal less: development of a heart failure management program complexity score (HF-IS) (BENCH study)', European Journal of Heart Failure Supplements, vol. 7, pp. 152-152.View/Download from: Publisher's site
Driscoll, A, Worrall-Carter, L, Hare, D, Davidson, P, Riegel, B, Tonkin, A & Stewart, S 2008, 'Does More Equal Less: Development of a Heart Failure Management Program Complexity Score (HF-IS) (BENCH Study)', Heart, Lung and Circulation, vol. 17, pp. S78-S79.View/Download from: Publisher's site
Driscoll, A, Worrall-Carter, L, Hare, D, Davidson, P, Riegel, B, Tonkin, A & Stewart, S 2008, 'Service variability of chronic heart failure management programmes questions the quality of health-related outcomes', Heart, Lung and Circulation, vol. 17, pp. S14-S14.View/Download from: Publisher's site
Driscoll, A, Worrall-Carter, L, Hare, D, Davidson, P, Riegel, B, Tonkin, A & Stewart, S 2008, 'Titration of medications by HF nurses increases optimisation doses of key therapeutic agents', Heart, Lung and Circulation, vol. 17, pp. S2-S2.View/Download from: Publisher's site
Du, H, Davidson, P, Salamonson, Y, Everett, B, Zecchin, R & Newton, P 2008, 'Preliminary Evaluation of a Self-administered, Modified Six Minute Walk Test', Heart, Lung and Circulation, vol. 17, pp. S206-S206.View/Download from: Publisher's site
Fernandez, RS, Davidson, PM & Griffiths, R 2008, 'Cardiac rehabilitation coordinators' perceptions of patient-related barriers to implementing cardiac evidence-based guidelines', Journal of Cardiovascular Nursing, vol. 23, no. 5, pp. 449-457.View/Download from: Publisher's site
Background: Coronary heart disease remains the leading cardiovascular cause of mortality and morbidity globally. Implementing evidence-based guidelines after a coronary event is vital to prevent recurrence of an acute episode. However, various barriers t
Fernandez, RS, Salamonson, Y, Griffiths, R, Juergens, C & Davidson, PM 2008, 'Awareness of risk factors for coronary heart disease following interventional cardiology procedures: A key concern for nursing practice', International journal of nursing practice, vol. 14, no. 6, pp. 435-442.View/Download from: Publisher's site
Cardiovascular risk factor modification to prevent progression of coronary heart disease is important for patients following percutaneous coronary intervention. The aims of this study were to assess patient's awareness of modifiable cardiac risk factors
Fernandez, RS, Salamonson, Y, Griffiths, R, Juergens, C & Davidson, PM 2008, 'Sociodemographic predictors and reasons for participation in an outpatient cardiac rehabilitation programme following percutaneous coronary intervention', International Journal Of Nursing Practice, vol. 14, no. 3, pp. 237-242.View/Download from: Publisher's site
Evidence-based guidelines recommend participation in cardiac rehabilitation (CR) to reduce subsequent cardiovascular events following percutaneous coronary intervention (PCI). The objective of this study was to investigate the reasons for and the demogra
Fernandez, RS, Salamonson, Y, Juergens, C, Griffiths, R & Davidson, PM 2008, 'Development and preliminary testing of the Cardiac Rehabilitation Enrolment Obstacles (CREO) scale: Implications for service development', European Journal of Cardiovascular Nursing, vol. 7, no. 2, pp. 96-102.View/Download from: Publisher's site
Background: In spite of the benefit in participating in cardiac rehabilitation (CR) programs, low participation rates are well documented. Participation rates are potentially lower in people who have undergone percutaneous coronary interventions (PCI). Assessment of the barriers to CR participation in PCI patients could provide vital information for the development of alternate strategies for coronary risk factor modification. Aim: The aim of this study was to develop and evaluate the sychometric properties of a scale to assess obstacles to cardiac rehabilitation enrolment in patients following PCI. Methods: Item generation for the 15 items of this scale was based on a comprehensive review of the literature and data collected from telephone interviews of CR coordinators related to cardiac rehabilitation enrolment obstacles (CREO). Content validity of the scale was undertaken using a reference group comprising of clinicians and patients. Construct validity was undertaken using a factor analysis. Data for the CREO scale was collected from December 2004 to March 2005 from 114 PCI patients recruited from a cardiology database in a Sydney metropolitan hospital. Results: Factor analysis revealed a two-factor structure: patient-related obstacles and health service-related obstacles, which accounted for 58%of cumulative explained variance. The scale showed good internal consistency (Cronbach's alpha=0.89) and satisfactory divergent validity. Conclusion: This scale can be used as a useful tool for the early identification of patients who would not normally enrol into CR and offer them alternate strategies for health-related lifestyle modification.
Greenwood, DLV, Crock, P, Braye, S, Davidson, P & Sentry, JW 2008, 'Autoimmune gastritis and parietal cell reactivity in two children with abnormal intestinal permeability', European Journal of Pediatrics, vol. 167, no. 8, pp. 917-925.View/Download from: Publisher's site
Autoimmune gastritis is characterised by lymphocytic infiltration of the gastric submucosa, with loss of parietal and chief cells and achlorhydria. Often, gastritis is expressed clinically as cobalamin deficiency with megaloblastic anaemia, which is generally described as a disease of the elderly. Here, we report on two prepubertal children who developed autoimmune gastritis. One child developed autoimmune gastritis as part of a polyglandular autoimmune disease from a family with polyglandular autoimmune disease type II (PGA type II) and the other as part of a classic "thyro-gastric cluster," which may have been triggered by emotional trauma. Both children presented with normal small bowel biopsies, with abnormal gut permeability, which subsequently resolved. These patients are among the youngest reported to date. The immune systems targetted the gastric parietal cell autoantigens (ATP4A and ATP4B) in both children, similar to the elderly. The study of children with autoimmune gastritis and their families may provide additional insights into the disease's pathogenesis and may also lead to the identification of inheritable factors influencing susceptibility. This report underlines the necessity to screen paediatric patients with organ-specific autoimmune diseases for co-existent conditions. Children with polyglandular autoimmune disease are at particularly high risk. © 2008 Springer-Verlag.
Halcomb, E, Davidson, PM & Hardaker, L 2008, 'Using the consensus development conference method in healthcare research', Nurse Researcher, vol. 16, no. 1, pp. 56-71.View/Download from: Publisher's site
Consensus methods are increasingly being used in healthcare research, particularly for formulating policy and strategic directions. This paper discusses the issues central to the planning and conduct of the consensus development conference, and offers practical recommendations to researchers intending to use this approach.
Halcomb, E, Davidson, PM & Patterson, E 2008, 'Promoting leadership and management in Australian general practice nursing: what will it take?', Journal of Nursing Management, vol. 16, no. 7, pp. 846-852.View/Download from: Publisher's site
Aim:This paper outlines the current state of Australian practice nursing, describes the context of general practice and establishes the importance of promoting leadership and management in this setting. Background Australian general practice nurses have emerged as key stakeholders in primary health care. However, their role in leadership and management has been largely invisible. The reasons for this are multifactorial, including the delay to establish a strong professional organization, their negative power relationships with general medical practitioners, limited nursing leadership and poorly defined roles. To date, the impetus for practice nurse growth has been largely external to the nursing profession. Growth has been driven by the increasing burden of chronic disease and workforce shortages. This has further weakened the control of nurse leaders over the development of the specialty. Conclusions The Australian practice nurse role is at a crossroads. While the practice nurse role is a viable force to improve health outcomes, the growing strength of the practice nurse challenges traditional professional roles and practice patterns.
Halcomb, E, Davidson, PM, Salamonson, Y, Ollerton, R & Griffiths, R 2008, 'Nurses in Australian general practice: implications for chronic disease management', Journal Of Clinical Nursing, vol. 17, no. 5a, pp. 6-15.View/Download from: Publisher's site
Aims. The purpose of this study was to describe the demographic and employment characteristics of Australian practice nurses and explore the relationship between these characteristics and the nurses role. Background. Nursing in general practice is an integral component of primary care and chronic disease management in the United Kingdom and New Zealand, but in Australia it is an emerging specialty and there is limited data on the workforce and role. Design. National postal survey embedded in a sequential mixed method design. Methods. 284 practice nurses completed a postal survey during 2003â2004. Descriptive statistics and factor analysis were utilized to analyse the data.
Newton, PJ, Davidson, PM, Macdonald, P, Ollerton, R & Krum, H 2008, 'Nebulized furosemide for the management of dyspnea: Does the evidence support its use?', Journal of Pain and Symptom Management, vol. 36, no. 4, pp. 424-441.
Dyspnea is a common and distressing symptom associated with multiple chronic illnesses and high levels of burden for individuals, their families and health care systems. The subjective nature dyspnea and a poor understanding of pathophysiological mechanisms challenge the clinician in developing management plans. Nebulized furosemide has been dentified as a novel approach to dyspnea management. This review summarizes published studies, both clinical and experimental, reporting the use of nebulized furosemide. The search criteria yielded 42 articles published in the period 1988 to 2004. Although nebulized furosemide appeared to have a positive influence on dyspnea and physiological measurements, caution must be taken with the results primarily coming from small-scale clinical trials or observation trials. Despite the limitations of the studies reported, given the range of conditions reporting effectiveness of nebulized furosemide, further investigation of this potential novel treatment of dyspnea is warranted.
Page, K, Worrall-Carter, L, Kuhn, L, Allen, J & Davidson, P 2008, 'Prevalence and Onset of Depression in Women After an Acute Cardiac Event', Heart, Lung and Circulation, vol. 17, pp. S77-S77.View/Download from: Publisher's site
Rapley, P & Davidson, PM 2008, 'Adolescent health and diabetes: Time to rethink service delivery', Australian Nursing Journal, vol. 16, no. 1, pp. 30-31.
or adolescents with diabetes the transition to adutt health care coincides with transitions on many levels including psychosocial development, family and peer relationships, and school. The task of seif-management determines long term outcomes yet health risktaking is de rigueur for adolescents trying to establish their identity and independence (CarrGreg et al 2003).
Rolley, J, Davidson, P & Salamonson, Y 2008, 'Diabetes: A Global and Local Epidemic and a Key Consideration for Cardiovascular Nurses', Heart, Lung and Circulation, vol. 17, pp. S74-S74.View/Download from: Publisher's site
Rolley, J, Davidson, PM, Dennison, C, Ong, A, Everett, B & Salamonson, Y 2008, 'Medication Adherence Self-report Instruments Implications for Practice and Research', Journal of Cardiovascular Nursing, vol. 23, no. 6, pp. 497-505.View/Download from: Publisher's site
Background: After an acute cardiac event, adhering to recommendations for pharmacologic therapy is important in achieving optimal health outcomes. Considering the impressive evidence base for cardiovascular pharmacotherapy, strategies for promoting adherence are less well developed. Furthermore, accessing reliable, valid, and cost-effective mechanisms of monitoring adherence in the research and clinical settings is challenging. Aim: The aim of this article was to review published self-report measures assessing and monitoring medication adherence in cardiovascular disease and provide recommendations for research into medication adherence.
Rolley, J, Salamonson, Y & Davidson, PM 2008, 'Diabetes and heart disease', Australian Nursing Journal, vol. 16, no. 1, pp. 33-34.
Salamonson, Y, Everett, B, Koch, J, Andrew, S & Davidson, PM 2008, 'English-Language Acculturation Predicts Academic Performance in Nursing Students Who Speak English as a Second Language', Research in Nursing and Health, vol. 38, no. 31, pp. 86-94.View/Download from: Publisher's site
Students who speak English as a second language (ESL) face considerable challenges in English language universities, but little is known about the relationship betweenEnglish-language acculturation and academic performance. A prospective, correlational design was used to validate the English Language Acculturation Scale (ELAS), a measure of the linguistic aspect of acculturation, and to determine the relationship between English language acculturation and academic achievement among 273 first-year nursing students. Exploratory factor analyses demonstrated that the ELAS was a valid and reliable measure (a Â¼.89).WhenELAS scoreswere examined in relation to students grades, students with the lowest ELAS scores also had the lowest mean subject grades, highlighting the need to place greater emphasis on identifying English-language acculturation among ESL students.
Worrall-Carter, L, Cummins, R, Page, K, Thompson, D, Allen, J, Hare, D & Davidson, P 2008, 'Identifying the Onset of Depression Following an Acute Cardiac Event: Improvement of Health Outcomes Through Optimal Timing of Assessment and Interventions', Heart, Lung and Circulation, vol. 17, pp. S76-S77.View/Download from: Publisher's site
Zecchin, R, Davidson, P & Denniss, AR 2008, 'Potential for Optimizing Beta Blocker and Angiotensin Converting Enzyme Inhibitor/Angiotensin Receptor Blockers Use in Patients with Moderate to Severe Left Ventricular Dysfunction', Heart, Lung and Circulation, vol. 17, pp. S142-S142.View/Download from: Publisher's site
Cao, Y, DiGiacomo, M, Du, H, Ollerton, E & Davidson, PM 2008, 'Cardiovascular disease in Chinese women - An emerging high-risk population and implications for nursing practice', Journal of Cardiovascular Nursing, vol. 23, no. 5, pp. 386-394.View/Download from: Publisher's site
Background: Globally, cardiovascular disease (CVD) is the leading cause of death among women. In China, the burden of CVD is increasing at an alarming rate, yet, it is underestimated and has important primary, secondary, and tertiary prevention issues. A
Davidson, PM, DiGiacomo, M, Abbott, P, Sheerin, N, Heal, P, Mieni, L, Bradbery, B, Zecchin, R, Smith, J, Mark, A & Davison, J 2008, 'A partnership model in the development and implementation of a collaborative, cardiovascular education program for Aboriginal health workers', Australian Health Review, vol. 32, no. 1, pp. 139-146.View/Download from: Publisher's site
A partnership model was established among key education providers, policy makers, non-government organisations, the local area health service and Aboriginal community controlled organisations aimed at increasing collaboration, skill development, cultural competence and increasing access to mentorship and expertise for Aboriginal Health Workers (AHWs). A group of 21 AHWs, within two cohorts, undertook the program between October 2005 and June 2006. A mixed-method evaluation using quantitative and qualitative data collection methods was undertaken prospectively.
he high rate (50%) of smoking among Aboriginal people (ABS 2005) coupled with limited culturally appropriate smoking cessation interventions makes addressing this important public health issue a challenge. The Aboriginal Medical Service of Western Sydney (AMSWS) offers a high intensity smoking cessation program which provides support, counselling, and subsidised nicotine replacement therapy to its clients through theleadership and community advocacy of Aboriginal Health Workers. The Butt Busters program arose from significant community consultation in 2005 and has now screened over 120 clients, several of whom have quit smoking and many others who are making positive steps toward this behavioural change.
Everett, B, Davidson, PM, Sheerin, N, Salamonson, Y & DiGiacomo, M 2008, 'Pragmatic insights into a nurse-delivered motivational interviewing intervention in the outpatient cardiac rehabilitation setting', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 28, no. 1, pp. 61-64.View/Download from: Publisher's site
Despite an increasing interest in motivational interviewing as a strategy to facilitate behavior change in people with cardiovascular disease, its use in cardiac rehabilitation (CR) appears minimal. Therefore, it is unclear whether the clinical method of motivational interviewing requires modification for the CR population, in which it could be argued that people are motivated and engaged. The purposes of this report are to describe processes in incorporating motivational interviewing in the CR setting and to discuss insights gained regarding the use of this intervention. METHODS: As part of a randomized controlled trial currently recruiting in the CR setting, patients allocated to the intervention group participate in 2 motivational interviewing sessions with a motivational interviewing-trained nurse. To ascertain treatment fidelity, this process review comprised 3 sources: (1) the extant literature on motivational interviewing, (2) reflections of the project team, and (3) data derived from audiotaped interviews.
Phillips, JL, Davidson, PM, Jackson, DE & Kristjanson, L 2008, 'Multi-Faceted Palliative Care Intervention: Aged Care Nurses' And Care Assistants' Perceptions And Experiences', Journal of Advanced Nursing, vol. 62, no. 2, pp. 216-227.View/Download from: Publisher's site
Aim. This paper is a report of a study to describe residential aged care nurses' and care assistants' perceptions of a multi-faceted palliative care intervention to identify potential areas to be addressed during subsequent action research phases. Backgr
Phillips, JL, Davidson, PM, Newton, PJ & DiGiacomo, M 2008, 'Supporting patients and their caregivers after-hours at the end of life: the role of telephone support', Journal of Pain and Symptom Management, vol. 36, no. 1, pp. 11-21.View/Download from: Publisher's site
Twenty-four hour access is accepted as a gold standard for palliative care service delivery, yet minimal data exist to justify the cost of this initiative to health care planners and policy makers. Further, there is scant information concerning optimal and efficient methods for delivering after-hours palliative care advice and support, particularly in regional and rural settings. This article reports on an evaluation of a local after-hours telephone support service in regional Australia. A centralized after-hours telephone support service was provided by generalist nurses at a Multipurpose Service in a rural community. A mixed-method evaluation, including semistructured interviews, was undertaken after 20 months of operation. During the period March 31, 2005 until November 15, 2006, 357 patients were registered as part of the Mid North Coast Rural Palliative Care Program. Ten percent of patients or their caregivers accessed the After-Hours Telephone Support Service, representing 55 occasions of service.
Davidson, PM, Salamonson, Y, Webster, J, Andrew, S, DiGiacomo, M, Gholizadeh, L, Newton, PJ & Moser, D 2008, 'Changes in depression in the immediate post-discharge phase in a cardiac rehabilitation population assessed by the Cardiac Depression Scale.', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 28, no. 5, pp. 312-315.
Introduction: Depression is increasingly a focus of attention in the management of heart disease. Clinicians in cardiac rehabilitation (CR) are well placed to assess and facilitate management of symptoms of depression, yet the timing and interpretation of measurements remain unclear. Metods: We administered the Hare-Davis Cardiac Depression Scale (CDS) in a usual care, outpatient CR program in a metropolitan setting. As part of routine assessment and monitoring of outcomes in a 6-week outpatient CR program, we administered the CDS at entry, at completion of the 6-week program, and at 12 months. Results: Data were available on 151 patients for the 3 measurement points. At baseline, the mean CDS score was 76.07 (22.38), which dropped at 6 weeks to 64.85 (21.69) but increased slightly at 12 months to 69.79 (24.36). The changes in these scores were statistically significant for all measurement points (P <.03). The trend of change for the CDS was reflected in the subscale scores, which dropped at 6 weeks but increased slightly at 12 months. Discussion: Findings demonstrate a positive impact of CR on CDS scores at 6 weeks and 12 months, although there was a trend for increased scores at 1 year. This observation requires further investigation and underscores the importance of longitudinal studies.
Gholizadeh, L & Davidson, PM 2008, 'More Similarities Than Differences: An International Comparison of CVD Mortality and Risk Factors in Women', Health Care for Women International, vol. 29, no. 1, pp. 3-22.View/Download from: Publisher's site
In this article we describe global cardiovascular risk factor trends in women, both physiological and behavioral, in order to improve the understanding of cardiovascular health of women. Our aim in presenting this information is to inform interventions and policies to improve the cardiovascular health of women. Although differences are apparent between developing and developed countries, a range of commonalities exist that allow a global approach to improving womenâs health. A multifaceted approach considering physiological, social, economic, and political determinants is critical to improve the cardiovascular health outcomes of women.
Davidson, PM, DiGiacomo, M, Zecchin, R, Clarke, M, Paul, G, Lamb, K, Hancock, K, Chang, E & Daly, J 2008, 'A cardiac rehabilitation program to improve psychosocial outcomes of women with heart disease', Journal of Women's Health, vol. 17, no. 1, pp. 123-134.View/Download from: Publisher's site
Background and aims: Heart disease in women is characterised by greater disability and a higher rate of morbidity and early death after an acute coronary event compared with men. Women also have lower participation rates than men in cardiac rehabilitation. This study sought to describe development of a nurse-directed cardiac rehabilitation program tailored to the needs of women following an acute cardiac event to address their psychological and social needs. Methods: The Heart Awareness for Women program (HAFW) commenced in 2003 with phase I involving development of program elements and seeking validation through consumers and clinical experts. The program was then trialed in an 8-week program in a convenience sample of 6 women. Phase II applied the revised program using action research principles focusing on enabling clinical staff to implement the ongoing program. A total of 54 women participated in this phase, 48 of whom completed baseline questionnaires. A mixed-method evaluation, using questionnaires, interviews, and observation, assessed the impact of the intervention on psychological and social aspects of womens recovery following an acute coronary event. Results: Women welcomed the opportunity to discuss their individual stories, fears, and challenges and to derive support from contact with other women. Via health professional facilitation, women were able to develop strategies collectively to address risk factor modification and achieve optimal cardiovascular health. No statistically significant changes in depression, anxiety, stress, cardiac control, role integration, or perceived social support were found; however, descriptive and qualitative findings revealed decreases in anxiety and an increased sense of social support.
Davidson, PM, Dracup, K, Phillips, JL, Daly, J & Padilla, G 2008, 'Preparing for the worst while hoping for the best: The relevance of hope in the heart failure illness trajectory', Journal of Cardiovascular Nursing, vol. 22, no. 3, pp. 159-165.View/Download from: Publisher's site
Background: Patients with heart failure have higher mortality rates than those with most malignant diseases. The heart failure illness trajectory is one of gradual decline characterized by unpredictable events such as acute decompensation of heart failure or a sudden cardiac death. Health professionals have an obligation to give patients and their families concise and honest information concerning their prognosis. The challenge exists to give what ostensibly may seem a bleak prognosis within a context of hope and optimism. Aim: To explore the role of hope in heart disease and the potential utility of this construct in the development of nursing interventions. Methods: The electronic databases CINAHL, MEDLINE, EmBASE, and PSYCHlit were searched from 1982 to August 2004 using the key words "hope," "hopelessness," "heart disease," and "heart failure." Articles were subsequently sorted to meet the inclusion criteria of (1) a philosophical discussion of the construct of hope and/or (2) investigation of hope in heart disease. Results: This search retrieved 768 articles, and 24 met the inclusion criteria. Key findings from the review indicate that "hope" and "hopelessness" are underdeveloped, yet important constructs and conceptually linked with depression and spirituality. Intriguing findings from descriptive, observational studies have demonstrated the positive impact of expression of hope on cardiovascular outcomes. These findings need to be validated in randomized controlled trials.
Goddard, L, Davidson, PM, Daly, J & Mackey, S 2008, 'People with an intellectual disabilitiy in the discourse of chronic and complex conditions: an invisible group?', Australian Health Review, vol. 32, no. 3, pp. 405-414.
People with an intellectual disability and their families experience poorer health care compared with the general population. Living with an intellectual disability is often challenged by coexisting complex and chronic conditions, such as gastrointestinal and respiratory conditions. A literature review was undertaken to document the needs of this vulnerable population, and consultation was undertaken with mothers of children with disabilities and with professionals working within disability services for people with an intellectual disability and their families. Based on this review, there is a need to increase the profile of people with an intellectual disability in the discourse surrounding chronic and complex conditions. Strategies such as guideline and competency development may better prepare health professions to care for people with disabilities and chronic and complex care needs and their families
Goddard, L, Davidson, PM, Daly, J & Mackey, S 2008, 'People with an intellectual disability in the discourse of chronic and complex conditions: an invisible group?', Australian Health Review, vol. 32, no. 3, pp. 405-414.View/Download from: Publisher's site
People with an intellectual disability and their families experience poorer health care compared with the general population. Living with an intellectual disability is often challenged by coexisting complex and chronic conditions, such as gastrointestina
Halcomb, E, Davidson, PM, Griffiths, R & Daly, J 2008, 'Cardiovascular disease management: time to advance the practice nurse role?', Australian Health Review, vol. 32, no. 1, pp. 44-53.View/Download from: Publisher's site
More than two-thirds of health expenditure is attributable to chronic conditions, of which a significant proportion are related to cardiovascular disease. This paper identifies and explores the factors cited by practice nurses as impacting on the development of their role in cardiovascular disease management. Sequential mixed methods design combining postal survey and telephone interviews with general practice nurses were used. The most commonly cited barriers to role extension were legal implications (51.6%), lack of space (30.8%), a belief that the current role is appropriate (29.7%), and general practitioner attitudes (28.7%). Australian government policy demonstrates a growing commitment to an extended role for general practice in primary health care and cardiovascular disease management. By addressing the barriers and enabling features identified in this investigation, there is potential to further develop the Australian practice nurse role in cardiovascular disease management.
Astley, C, Portelli, L, Whalley, G & Davidson, PM 2007, 'Coming of Age: Affiliate Member Profile and Participation in the Annual Scientific Meeting of the Cardiac Society of Australiaand New Zealand', Heart, Lung and Circulation, vol. 16, pp. 447-451.View/Download from: Publisher's site
Background: Nursing, allied health and technical personnel are increasingly being recognised as pivotal in the diagnosis and management of heart disease. This recognition is mirrored in research, scholarship and professional development activities. Documenting the evolution and progression of a groupâs professional development is a useful strategy in informing future strategic initiatives.
Berry, A, Davidson, PM, Masters, J & Rolls, K 2007, 'Systematic Literature Review of Oral Hygiene Practices for Intensive Care Patients Receiving Mechanical Ventilation', American Journal Of Critical Care, vol. 16, no. 6, pp. 552-562.
Background Oropharyngeal colonization with pathogenic organisms contributes to the development of ventilator associated pneumonia in intensive care units. Although considered basic and potentially nonessential nursing care, oral hygiene has been proposed as a key intervention for reducing ventilator-associated pneumonia. Nevertheless, evidence from randomized controlled trials that could inform best practice is limited.
Bryant, RA, Salmon, K, Sinclair, E & Davidson, P 2007, 'A prospective study of appraisals in childhood posttraumatic stress disorder', Behaviour Research and Therapy, vol. 45, no. 10, pp. 2502-2507.View/Download from: Publisher's site
This study investigated the predictors of posttraumatic stress disorder (PTSD) in children following a diagnosis of traumatic injury. Children (N = 76) aged between 7 and 13 who were admitted to hospital following injury were assessed within a month of trauma for acute stress disorder (ASD), negative appraisals, as well as parental stress reactions. Children (N = 62) were re-assessed 6-months later for PTSD and negative appraisals. The majority of the variance of chronic posttraumatic stress was accounted for by negative appraisals about future harm. This study supports cognitive models of PTSD, and suggests that younger children who exaggerate their vulnerability after trauma exposure are high risk for PTSD after trauma. © 2007 Elsevier Ltd. All rights reserved.
Bryant, RA, Salmon, K, Sinclair, E & Davidson, P 2007, 'Heart rate as a predictor of posttraumatic stress disorder in children', General Hospital Psychiatry, vol. 29, no. 1, pp. 66-68.View/Download from: Publisher's site
Objective: This study indexed the relationship between resting heart rates (HRs) after injury and subsequent posttraumatic stress disorder (PTSD) in children. Method: Children aged between 7 and 12 years who were hospitalized after traumatic injury (n=76) had their resting HR assessed after injury and were assessed for PTSD 6 months after injury (n=62). Results: Full/subsyndromal PTSD was diagnosed in 27% of children. Children with full/subsyndromal PTSD had higher HRs after trauma than those without PTSD. Children with an elevated HR were more likely to develop PTSD after controlling for age, sex and injury severity (adjusted odds ratio=5.89). Conclusions: These findings accord with the proposal that fear conditioning shortly after trauma contributes to PTSD in children. © 2007 Elsevier Inc. All rights reserved.
Bryant, RA, Salmon, K, Sinclair, E & Davidson, P 2007, 'The relationship between acute stress disorder and posttraumatic stress disorder in injured children', Journal of Traumatic Stress, vol. 20, no. 6, pp. 1075-1079.View/Download from: Publisher's site
This study indexed the relationship between acute stress disorder (ASD) and subsequent posttraumatic stress disorder (PTSD) in injured children. Consecutive children between 7-13 years admitted to a hospital after traumatic injury (n = 76) were assessed for ASD. Children were followed up 6-months posttrauma (n = 62), and administered the PTSD Reaction Index. Acute stress disorder was diagnosed in 10% of patients, and 13% satisfied criteria for PTSD. At 6-months posttrauma, PTSD was diagnosed in 25% of patients who were diagnosed with ASD. Acute stress reactions that did not include dissociation provided better prediction of PTSD than full ASD criteria. These findings suggest that the current ASD diagnosis is not optimal in identifying younger children who are high risk for PTSD development. © 2007 International Society for Traumatic Stress Studies. Published online in Wiley InterScience.
Davidson, PM 2007, 'Difficult conversations and chronic heart failure: do you talk the talk or walk the walk?', Current opinion in supportive and palliative care, vol. 1, no. 4, pp. 274-278.View/Download from: Publisher's site
PURPOSE OF REVIEW: Effective communication is critical for palliative and supportive care in heart failure. This article contains a review of available information to assist clinicians in undertaking discussions regarding prognosis, treatment decisions and advance care planning. RECENT FINDINGS: Emerging from a range of studies at the end of life is that patients and their families appreciate honesty and do not want to be abandoned by healthcare providers. Further, the receptivity of patients and their carers to information is highly variable, underscoring the importance of an individualized approach. SUMMARY: When having these difficult conversations, clinicians need to assess the individual's need and wishes for information as well as their social and cultural background. They also need to consider the setting, timing and content of the discussion, as well as strategies to promote coping and adjustment. Most importantly, patients need a treatment plan to address palliative and supportive care needs to be implemented at the time of breaking this bad news, so that they and their families do not feel abandoned. Learning effective communication skills, implementing strategies for debriefing and the fostering of a team approach, may minimize burden on health providers and improve palliative and supportive care for people with heart failure.
Davidson, PM, Halcomb, E & Patterson, E 2007, 'Practice nursing in Australia: ready for prime time', Contemporary Nurse, vol. 26, no. 1, pp. 5-6.
DRISCOLL, A, WORRALLCARTER, L, HARE, D, DAVIDSON, P, RIEGEL, B, TONKIN, A & STEWART, S 2007, '520 Prescribing patterns for evidence-based drug therapy in patients with chronic heart failure: are target doses and multiple medication therapies realistic?', European Journal of Heart Failure Supplements, vol. 6, no. 1, pp. 117-117.View/Download from: Publisher's site
Driscoll, A, Worrall-Carter, L, Hare, DL, Davidson, PM, Riegel, B, Tonkin, A & Stewart, S 2007, 'Service Variability of Chronic Heart Failure Management Programs Questions the Quality of Health Related Outcomes', Heart, Lung and Circulation, vol. 16, pp. S14-S14.View/Download from: Publisher's site
Driscoll, A, Worrall-Carter, L, Hare, DL, Davidson, PM, Riegel, B, Tonkin, A & Stewart, S 2007, 'Titration of Medications by HF Nurses Increases Optimisation Doses of Key Therapeutic Agents', Heart, Lung and Circulation, vol. 16, pp. S198-S198.View/Download from: Publisher's site
Fernandez, R, Davidson, P, Griffiths, R, Juergens, C & Salamonson, Y 2007, 'Perception of Coronary Risk Factors in Patients Following Percutaneous Coronary Intervention', Heart, Lung and Circulation, vol. 16, pp. S4-S4.View/Download from: Publisher's site
Fernandez, R, Davidson, PM, Griffiths, R, Juergens, C & Salamonson, Y 2007, 'What do we know about the long term medication adherence in patients following percutaneous coronary intervention?', Australian Journal of Advanced Nursing, vol. 25, no. 2, pp. 53-61.
Background Percutaneous coronary intervention (PCI) is a revascularisation intervention for patients with acute coronary syndrome. It is a common procedure, increasingly used over the past decade. Along with PCI, patients are also prescribed a number of medications and adherence to the pharmacological therapies is vital to improved morbidity and mortality. Objective This cross sectional study sought to evaluate the long term adherence to medications in patients following PCI. Subjects 270 participants who underwent PCI between April 2003 and March 2004 and who met the inclusion criteria were followed up 12 -24 months following the PCI.
Fernandez, R, Davidson, PM, Salamonson, Y, Griffiths, R & Juergens, C 2007, 'The Health-Related Quality of Life Trajectory in Patients After Percutaneous Coronary Intervention', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 27, no. 4, pp. 223-226.
PURPOSE: The purpose of this study was to describe the trajectory of cardiac patient's perceptions of health-related quality of life (HRQoL) during a 24-month period in a community-based population. METHODS: After obtaining informed consent, a self-administered questionnaire was mailed to participants. Using the MacNew questionnaire, which assesses the emotional, physical, social, and global domains, HRQoL outc