Can supervise: YES
Alaoma, A, Wilson, V, Lewis, J & Sheppard-Law, S 2020, 'Effectiveness of Clinical Nurses' interventions in reducing medication errors in a pediatric ward', Journal of Clinical Nursing.
Higgs, M, Sheppard-Law, S, Fernandez, R & Manning, V 2020, ''Similarities and differences in nurse-reported care rationing between critical care, surgical and medical specialities'', Journal of Patient Safety.View/Download from: Publisher's site
OBJECTIVE: The aim of this study was to determine the similarities and differences in elements of nursing care that are commonly rationed in the critical care, medical, and surgical specialties within an acute hospital environment.
METHODS: Registered nurses who provide bedside nursing care within the medical, surgical, and critical specialties at a single center were invited to anonymously complete the self-administered MISSCARE questionnaire. The frequency of rationing for each individual care element within the 4 broader care groups (assessment, intervention-individual needs, intervention-basic care, and planning) of the MISSCARE questionnaire was determined. A mean score for each care group was also determined, and multiple regression analysis was undertaken to determine the demographic predictors of care rationing.
RESULTS: Interventions related to basic care was the most frequently rationed care group in the critical care/emergency specialty (missed care mean of 50.1%), whereas planning was the most frequently rationed care group among both the medical (missed care mean of 43.6%) and surgical (missed care mean of 44.8%) specialties. Assessment was the least frequently rationed care group among all 3 specialties (missed care mean of 19.7%-26.7%). Length of time practicing as a registered nurse was an independent predictor of care rationing in the critical care/emergency specialty, and age older than 50 was an independent predictor in the medical specialty.
CONCLUSIONS: There are numerous similarities and differences in care rationing between critical care, surgical, and medical nurses. The development and implementation of specialty-based strategies should be undertaken to reduce the incidence of nursing care rationing.
Sheppard-Law, S, Cruickshank, M & Debono, D 2020, 'Mapping diversity and demographic-based changes to a pediatric population attending a specialist tertiary hospital: a retrospective review.', Journal of Clinical Nursing.
Smith, P, Teasdale, E & Sheppard-Law, S 2020, 'Just a little while longer… Families experience of extended viewing in a cooled bed room in an Australian paediatric hospice', Death Studies.
Kornman, K, Wilson, V, Tinsley, P, Watt, J & Sheppard-Law, SJ 2019, 'Improving the utilisation of nitrous oxide in paediatric patients to manage procedural pain and procedural anxiety', Comprehensive Child and Adolescent Nursing.View/Download from: Publisher's site
The aim in this study was to understand current practice and use of nitrous oxide for management of procedural-related pain and procedural anxiety, to identify perceived barriers to use of nitrous oxide and to develop an understanding of patients, families, and nurse awareness and knowledge of the use of nitrous oxide in an Australian tertiary pediatric oncology/hematology short stay unit. Three online questionnaires (patients, parents, and nursing staff) were developed and completed between September and November 2015. Most children and young people (61%) report receiving nitrous oxide for at least one procedure. Patients, parents, and nurses rated nitrous oxide as highly effective and would like more access to nitrous oxide for the child’s pain management. Several barriers to use were reported. These findings suggest that nitrous oxide is effective for pain management; however, its use is inconsistent. Findings can potentially develop standardized processes and improve nurse education and accreditation, which may increase the safety, efficacy, and utilization of nitrous oxide for children’s procedural pain management.
Lopez-Vargas, P, Tong, A, Crowe, S, Alexander, SI, Caldwell, PHY, Campbell, DE, Couper, J, Davidson, A, De, S, Fitzgerald, DA, Haddad, S, Hill, S, Howell, M, Jaffe, A, James, LJ, Ju, A, Manera, KE, McKenzie, A, Morrow, AM, Odgers, HL, Pinkerton, R, Ralph, AF, Richmond, P, Shaw, PJ, Singh-Grewal, D, van Zwieten, A, Wake, M, Craig, JC & Kaleidoscope Project workshop investigators 2019, 'Research priorities for childhood chronic conditions: a workshop report.', Archives of disease in childhood, vol. 104, no. 3, pp. 237-245.View/Download from: Publisher's site
BACKGROUND:Chronic conditions are the leading cause of mortality, morbidity and disability in children. However, children and caregivers are rarely involved in identifying research priorities, which may limit the value of research in supporting patient-centred practice and policy. OBJECTIVE:To identify priorities of patients, caregivers and health professionals for research in childhood chronic conditions and describe the reason for their choices. SETTING:An Australian paediatric hospital and health consumer organisations. METHODS:Recruited participants (n=73) included patients aged 8 to 14 years with a chronic condition (n=3), parents/caregivers of children aged 0 to 18 years with a chronic condition (n=19), representatives from consumer organisations (n=13) and health professionals including clinicians, researches (n=38) identified and discussed research priorities. Transcripts were thematically analysed. RESULTS:Seventy-eight research questions were identified. Five themes underpinned participants' priorities: maintaining a sense of normality (enabling participation in school, supporting social functioning, promoting understanding and acceptance), empowering self-management and partnership in care (overcoming communication barriers, gaining knowledge and skills, motivation for treatment adherence, making informed decisions, access and understanding of complementary and alternative therapies),strengthening ability to cope (learning to have a positive outlook, preparing for home care management, transitioning to adult services), broadening focus to family (supporting sibling well-being, parental resilience and financial loss, alleviating caregiver burden), and improving quality and scope of health and social care (readdressing variability and inequities, preventing disease complications and treatment side effects, identifying risk factors, improving long-term outcomes, harnessing technology, integrating multidisciplinary services). CONCLUSION:Research priorities...
Ritz-Shala, D, Brogan, F, Cruickshank, M, Kornman, K & Sheppard-Law, S 2019, 'Exploring Australian Parents’ Knowledge and Awareness of Pediatric Inpatient Falls: A Qualitative Study', Journal for Specialists in Pediatric Nursing, vol. 24, no. 4.View/Download from: Publisher's site
Purpose: While there has been extensive published research into adult inpatient falls, less is known about pediatric falls in Australia. Falls pose a safety risk to pediatric patients potentially causing harm, increased length of stay, and death. Parents play a central role in reducing falls-related incidents given that, as parents, they provide care and/or oversee care delivered to their child at the bedside. Developing a better understanding of what parents and carers know about falls and associated risks, particularly those hospital-naïve, is central to developing family centered strategies and targeted education to meet the needs of parents. Our study aimed to explore Australian parents’ knowledge and awareness of pediatric inpatient falls.
Design: Qualitative methods utilising descriptive thematic analysis.
Methods: Parents of children and/or young people hospitalized during the last six months were eligible to participate. Potential participants attending the outpatient clinics of two tertiary pediatric outpatient clinics hospitals in Sydney, Australia were invited to participate in the study. Willing participants consented to complete a face to face in-depth interview. Open-ended questions sought to explore participants’ knowledge, knowledge acquisition, and awareness of inpatient falls. Interviews were digitally recorded and transcribed verbatim. Data familiarization and open coding were completed by researchers independently. Researchers explored and discussed emerging categories until patterns emerged and a consensus of dominant themes were agreed upon.
Results: Interviews were conducted with mothers (n = 17) fathers (n = 4) or both parents together (n = 2) of a child or a young person who had been recently hospitalized. Four dominant themes emerged from the data namely: Supervision: falls won’t happen, unexpected, parent priorities, and ways of learning about inpatient falls and risks. Despite parents’ awareness of falls risk, parents were unaware t...
Fernandez, R, Sheppard-Law, S, Curtis, S, Bancroft, J & Smith, W 2018, 'Exploring the experiences of neophyte nurse mentors: A qualitative study.', Nurse Education in Practice, vol. 29, pp. 76-81.View/Download from: Publisher's site
Mentoring has become an increasingly popular supportive method for empowering nurses and assisting them to progress in their careers. Evidence from the literature demonstrates that not all experienced and highly qualified nurses are effective mentors. The aim of this study was to explore and describe the experiences of neophyte nurse mentors following their first formal mentoring relationship using a qualitative exploratory design. Data were collected using dual moderated focus group methods. The focus group was digitally recorded and transcribed verbatim. Interviews were analysed using thematic analysis. Six neophyte nurse mentors participated in the focus group. The themes identified included (1) Readiness for mentoring, (2) Venturing into the unknown, (3) Having the right fit (4) Frustrations of mentoring (5) Reciprocal professional relationship. The findings highlight how neophyte nurse mentors perceive mentoring and the importance of providing them with adequate preparation and support in order to efficiently transfer valuable knowledge and skills to their mentees.
Sheppard-Law, S, Curtis, S, Bancroft, J, Smith, W & Fernandez, R 2018, 'Novice clinical nurse educator's experience of a self-directed learning, education and mentoring program: a qualitative study.', Contemporary nurse, vol. 54, no. 2, pp. 208-219.View/Download from: Publisher's site
BACKGROUND:Transition from a registered nurse to a clinical nurse educator (CNE) poses several challenges. Providing professional development opportunities to ease the transition from a registered nurse to a CNE is considered critical to a successful career and to effectively teach. A self-directed educational program and mentoring (SEM) program was designed and implemented to support nurse's transition from a novice to a confident CNE. AIMS:The aim of this study was to explore novice CNE's experience of learning and being mentored. DESIGN:Qualitative methodology was undertaken to conduct focus groups. METHODS:All CNEs who completed the SEM program were invited to participate in the study. Willing participants provided informed consent to complete an in-depth semi-structured focus group and to record the focus group interview. Focus groups were facilitated by an independent researcher. A second researcher attended the focus groups to collect detailed notes. Data were transcribed verbatim and participants were de-identified. Simple thematic analyses were undertaken. RESULTS:A total of 11 (58%) CNEs participated in the focus groups. Overall participants described their experience of the SEM program as positive. Three themes were identified: (1) perceived transformation of CNE practice, (2) beneficial relationships and (3) feeling connected. Mentoring relationships for some participants have continued beyond the self-directed learning, education and mentoring program. Barriers to the mentoring program included a theme of lack of time, role ambiguity and insufficient face to face education. CONCLUSIONS:Study findings highlight the benefits of providing professional development opportunities and mentoring programs for novice CNEs. Programs, such as the SEM enable transformation of a novice educator's practice, and the consolidation of new knowledge, skills and confidence to effectively educate less experienced nurses.
Sheppard-Law, S, Zablotska-Manos, I, Kermeen, M, Holdaway, S, Lee, A, George, J, Zekry, A & Maher, L 2018, 'Factors associated with non-adherence to HBV antiviral therapy.', Antiviral Therapy, vol. 32, pp. 425-433.View/Download from: Publisher's site
HBV antiviral therapy has the potential to reduce the burden of HBV-related liver disease by suppressing HBV DNA replication to undetectable levels, reducing the progression of liver fibrosis and reducing the risk of hepatocellular carcinoma (HCC) development. Treatment outcomes and long-term benefits require adherence to medication regimens. This study aimed to identify the prevalence and factors associated with non-adherence to antiviral therapy.A cross-sectional survey of patients receiving HBV antiviral therapies was conducted in three Sydney hospitals. Participants were asked to complete an online questionnaire. Logistic regression was used to assess the associations between non-adherence (defined as missing more than 1 day of medication in the last 30 days) and demographic, socio-economic, disease, treatment, health-care system and individual-related factors.Of the 277 participants, 66 (23.8%) were non-adherent, missing a mean 1.7 days of medication (sd 4.8) in the last 30 days. In multivariate analysis, non-adherent behaviour declined with age (odds ratio [OR] 0.9, 95% CI 0.97, 0.99; P<0.013). Participants who reported having no established routine to take their medication (OR 5.0, 95% CI 1.4, 17.4; P<0.012) and having inadequate health literacy (OR 2.7, 95% CI 1.3, 5.5; P<0.007) were more likely to be non-adherent.Almost a quarter of participants in the current study were non-adherent. Adherence is potentially modifiable through person-centred education, collaborative models of patient care and interventions designed to improve health literacy and establish medication routines. Findings have the potential to improve health service delivery to patients at risk of non-adherence to HBV antiviral therapy.
Sheppard-Law, S, Zablotska-Manos, I, Kermeen, M, Holdaway, S, Lee, A, George, J, Zekry, A & Maher, L 2018, 'Utilisation of hepatocellular carcinoma screening in Australians at risk of hepatitis B virus-related carcinoma and prescribed anti-viral therapy.', Journal of clinical nursing, vol. 27, no. 13-14, pp. 2673-2683.View/Download from: Publisher's site
AIMS AND OBJECTIVES:To investigate hepatocellular carcinoma screening utilisation and factors associated with utilisation among patients prescribed hepatitis B virus anti-viral therapy and at risk of hepatocellular carcinoma. BACKGROUND:The incidence of hepatocellular carcinoma has increased in Australia over the past three decades with chronic hepatitis B virus infection a major contributor. hepatocellular carcinoma surveillance programs aim to detect cancers early enabling curative treatment options, longer survival and longer times to recurrence. DESIGN:Multi-site cross-sectional survey. METHODS:An online study questionnaire was administered to eligible participants attending three Sydney tertiary hospitals. Data were grouped into six mutually exclusive hepatocellular carcinoma risk factor categories as per American Association for the Study of Liver Diseases guidelines. All analyses were undertaken in STATA. Logistic regression was used to assess the associations between covariates and screening utilisation. Multivariate models described were assessed using the Hosmer-Lemeshow goodness of fit. RESULTS:Of the 177 participants, 137 (77.4%) self-reported that US had been performed in the last six months. Awareness that screening should be performed and knowing the correct frequency of US screening were independently associated with screening utilisation. Participants who knew that screening should be undertaken were three times more likely to have had pretreatment education or were prescribed hepatitis B virus anti-viral treatment for >4 years. Participants reporting a family history of hepatocellular carcinoma were less likely to know that screening should be undertaken every 6 months. CONCLUSION:While utilisation of hepatocellular carcinoma surveillance programs was higher in this study than in previous reports, strategies to further improve surveillance remain necessary. RELEVANCE TO CLINICAL PRACTICE:Findings from this research form the basis for proposing s...
Fernandez, R, Sheppard-Law, S & Manning, V 2017, 'Determining the key drivers and mitigating factors that influence the role of the Nurse and or Midwife Consultant'.
Fernandez, RS, Sheppard-Law, S & Manning, V 2017, 'Determining the key drivers and mitigating factors that influence the role of the Nurse and/or Midwife Consultant: a cross-sectional survey', CONTEMPORARY NURSE, vol. 53, no. 3, pp. 302-312.View/Download from: Publisher's site
Polis, S, Higgs, M, Manning, V, Netto, G & Fernandez, R 2017, 'Factors contributing to nursing team work in an acute care tertiary hospital', Collegian, vol. 24, pp. 19-25.View/Download from: Publisher's site
© 2015 Australian College of Nursing Ltd.Background: Effective nursing teamwork is an essential component of quality health care and patient safety. Understanding which factors foster team work ensures teamwork qualities are cultivated and sustained. Objective: This study aims to investigate which factors are associated with team work in an Australian acute care tertiary hospital across all inpatient and outpatient settings. Methods: All nurses and midwives rostered to inpatient and outpatient wards in an acute care 600 bed hospital in Sydney Australia were invited to participate in a cross sectional survey between September to October 2013. Data were collected, collated, checked and analysed using Statistical Package for the Social Sciences (SPSS) Version 21. Factors reporting a significant correlation with where. p<0.05 were analysed in a multiple regression model. Results: A total of 501 surveys were returned. Nursing teamwork scores ranged between 3.32 and 4.08. Teamwork subscale Shared Mental Model consistently rated the highest. Mean scores for overall communication between nurses and team leadership were 3.6 (S.D. 0.57) and 3.8 (SD 0.6) respectively. Leadership and communication between nurses were significant predictors of team work. p<0.001. Conclusion: Our findings describe factors predictive of teamwork in an acute care tertiary based hospital setting across inpatient and outpatient specialty units. Our findings are of particular relevance in identifying areas of nurse education and workforce planning to improve nursing team work.
Polis, S, Zhang, L, Mainali, B, Pons, R, Pavendranathan, G, Zekry, A & Fernandez, R 2017, 'Factors associated with medication adherence in patients living with cirrhosis (vol 25, pg 204, 2016)', JOURNAL OF CLINICAL NURSING, vol. 26, no. 21-22, pp. 3751-3751.View/Download from: Publisher's site
Sheppard-Law, S, Zablotska-Manos, I, Kermeen, M, Holdaway, S, Lee, A, Zekry, A, Dore, GJ, George, J & Maher, L 2017, 'Factors associated with HBV virological breakthrough.', Antiviral Therapy, vol. 22, no. 1, pp. 53-60.View/Download from: Publisher's site
BACKGROUND: Little is known about non-adherence to HBV therapy. This study aimed to investigate the relationship between self-reported missed days of antiviral therapy and HBV virological breakthrough and factors associated with virological breakthrough. METHODS: A cross-sectional survey of 211 HBV patients receiving oral antiviral therapies was undertaken at three tertiary hospitals in Sydney, Australia. Associations between 0 to >6 missed days in the last 30 days and virological breakthrough (defined as >10-fold rise in serum HBV DNA above nadir or after achieving virological response in the last 12 months) were examined. Logistic regression analyses determined the number of missed days most strongly associated with virological breakthrough and the associated factors. We report odds ratios (ORs) and relative risks (RRs). RESULTS: Of the 204, 32 participants (15.6%) had quantifiable HBV DNA levels (>20 IU/ml); 15 (46.8%) of them experienced virological breakthrough. Participants reported never missing medication (n=130, 63.7%) or missing 1 day (n=23, 11.3%), >1 day (n=23, 11.3%), 2-6 days (n=15, 7.3%) and >6 days (n=13, 6.4%). The most discriminating definition of non-adherence was missing >1 day of medication (RR=8.3; OR=10.2, 95% CI 3.1, 33.8, receiver operating characteristic curve 0.76). Factors independently associated with virological breakthrough included non-adherence (OR=9.0, 95% CI 2.5, 31.9) diagnosed with HBV ≤14 years (OR=5.3, 95% CI 1.0, 26.2) and age ≤47 years (OR=5.4, 95% CI 1.1, 26.9). CONCLUSIONS: Results provide an evidence-based definition of non-adherence to inform clinical practice and provide a basis for key patient education messages. Closer monitoring of groups at risk of viral breakthrough is required.
Polis, S, Zang, L, Mainali, B, Pons, R, Pavendranathan, G, Zekry, A & Fernandez, R 2016, 'Factors associated with medication adherence in patients living with cirrhosis', JOURNAL OF CLINICAL NURSING, vol. 25, no. 1-2, pp. 204-212.View/Download from: Publisher's site
Richmond, JA, Sheppard-Law, S, Mason, S & Warner, SL 2016, 'The Australasian Hepatology Association consensus guidelines for the provision of adherence support to patients with hepatitis C on direct acting antivirals.', Patient Preference and Adherence, vol. 10, pp. 2479-2489.View/Download from: Publisher's site
BACKGROUND: Hepatitis C is a blood-borne virus primarily spread through sharing of drug-injecting equipment. Approximately 150 million people worldwide and 230,000 Australians are living with chronic hepatitis C infection. In March 2016, the Australian government began subsidizing direct acting antivirals (DAAs) for the treatment of hepatitis C, which are highly effective (95% cure rate) and have few side effects. However, there is limited evidence to inform the provision of adherence support to people with hepatitis C on DAAs including the level of medication adherence required to achieve a cure. METHODOLOGY: In February 2016, a steering committee comprising four authors convened an expert panel consisting of six hepatology nurses, a hepatologist, a pharmacist, a consumer with hepatitis C and treatment experience, and a consumer advocate. The expert panel focused on the following criteria: barriers and enablers to DAA adherence; assessment and monitoring of DAA adherence; components of a patient-centered approach to DAA adherence; patients that may require additional adherence support; and interventions to support DAA adherence. The resultant guidelines underwent three rounds of consultation with the expert panel, Australasian Hepatology Association (AHA) members (n=12), and key stakeholders (n=7) in June 2016. Feedback was considered by the steering committee and incorporated if consensus was achieved. RESULTS: Twenty-four guidelines emerged from the evidence synthesis and expert panel discussion. The guidelines focus on the pretreatment assessment and education, assessment of treatment readiness, and monitoring of medication adherence. The guidelines are embedded in a patient-centered approach which highlights that all patients are at risk of nonadherence. The guidelines recommend implementing interventions focused on identifying patients' memory triggers and hooks; use of nonconfrontational and nonjudgmental language by health professionals; and objectively m...
Infection with hepatitis C virus (HCV) has a relatively benign effect on maternal health in the absence of liver cirrhosis or intra-hepatic cholestasis of pregnancy. Cell-mediated immunity diminishes during pregnancy, inadvertently lowering serum transaminase levels and increasing HCV viral load. Rates of transmission from an infected woman to her newborn are relatively low and may occur intrauterine, intrapartum, or during the postnatal period. No interventions during pregnancy or at the time of delivery have been shown to reduce the risk. Hepatology nurses play a pivotal role in developing clinical and communication pathways between hepatology and obstetric services. In contrast to obstetric care, hepatology care of women with HCV extends beyond pregnancy, encompassing long-term monitoring of HCV and associated liver disease, access to anti-viral treatments, ongoing counselling, education, advocacy and support.
Polis, S & Fernandez, R 2015, 'Impact of physical and psychological factors on health-related quality of life in adult patients with liver cirrhosis: a systematic review protocol.', JBI Database of Systematic Reviews and Implementation Reports, vol. 13, no. 1, pp. 39-51.View/Download from: Publisher's site
What is the impact of physical and psychological factors on health-related quality of life in adult patients diagnosed with liver cirrhosis?All chronic liver diseases stimulate a degree of repetitive hepatocyte injury that alters the normal liver architecture and ends in cirrhosis.Liver cirrhosis and hepatocellular carcinoma secondary to livercirrhosis are a major public health burden, reporting increasing mortality and morbidity both in Australia and globally.The four leading causes of cirrhosis include harmful alcohol consumption, viral hepatitis B and C and metabolic syndromes related to non-alcoholic fatty liver disease and obesity.A cirrhotic liver is characterized by the presence of regenerative nodules surrounded by fibrous bands that inhibit the passing of molecules between blood and functional units of liver hepatocytes, leading to liver dysfunction.Additionally, the presence of fibrous bands disrupts the normal vascular architecture, increasing resistance within the liver sinusoids and contributing to increased portal vein pressure.The early stages of cirrhosis are referred to as compensated liver disease with no reported symptoms or evidence of impaired liver function.However, the signs and symptoms of liver failure, as well as the mortality rate, increase as the severity of cirrhosis increases.Transition from compensated to decompensated cirrhosis is marked by one or more physiological changes. The physiological changes include increased portal vein pressure, impaired synthetic function, electrolyte imbalance and malnourishment.These physiological changes trigger the development of physical signs and symptoms and impact on the psychological wellbeing of the individual living with cirrhosis. The physical signs and symptoms include esophageal varices, ascites, hepatic encephalopathy, jaundice, irregular sleep patterns, muscle cramps, pruritus, fatigue, impaired mobility, breathlessness, abdominal discomfort, gastrointestinal symptoms, change of body ima...
Raynes-Greenow, C, Polis, S, Elliott, E, Hardikar, W, Kesson, A, Kaldor, J & Jones, CA 2015, 'Childhood hepatitis C virus infection: An Australian national surveillance study of incident cases over five years', JOURNAL OF PAEDIATRICS AND CHILD HEALTH, vol. 51, no. 11, pp. 1115-1120.View/Download from: Publisher's site
Spontaneous clearance of hepatitis C virus (HCV) is expected to be unlikely in pregnancy due to the relative immunosuppression and increase in viraemia that occurs. We report the first case of spontaneous clearance of hepatitis C virus (HCV) occurring in pregnancy.
Poulos, R, Ferson, M, Orr, K, Lucy, A, Botham, S, McCarthy, M, Stern, J, Dixon, J, Murray, C & Polis, S 2007, 'Risk factors and seroprevalence of markers for hepatitis A, B and C in persons subject to homelessness in inner Sydney', Australian and New Zealand Journal of Public Health, vol. 31, no. 3, pp. 247-251.View/Download from: Publisher's site
Objective: To determine the seroprevalence of hepatitis A, B and C and the prevalence of risk factors for blood-borne infections in persons subject to homelessness attending a medical clinic in inner Sydney. Method: During 2003-05, 201 clients were enrolled in a prospective study to determine the acceptance, completion rates and immunogenicity of the standard vaccination schedule for hepatitis A and B. On enrolment, clients completed a risk factor assessment questionnaire and undertook pre-vaccination serological screening for hepatitis A, B and C. Results: Forty-five per cent (85/188) of clients were positive for anti-HCV antibodies; 32% (60/189) showed evidence of past infection with HBV (anti-HBc); and 48% (89/189) were positive for anti-HAV antibodies. It was not uncommon for clients to have multiple markers of hepatitis. A past history of injecting drug use was significantly associated with markers for hepatitis B and C; age predicted presence of anti-HAV. A verbal history of infection appeared more reliable for hepatitis C, but considerably less so for hepatitis A and B. Conclusion: Persons subject to homelessness are at risk of blood-borne infection. The seroprevalence of markers for hepatitis B and C are higher than in the general population. Implications: Despite the high proportion of clients with serological markers for hepatitis A and B, at least 69% of clients could potentially benefit from hepatitis A and/or B vaccination. © 2007 The Authors. Journal Compilation © 2007 Public Health Association of Australia.
Poulos, R, Ferson, M, Orr, K, Lucy, A, Botharn, S, McCarthy, M, Stern, J, Dixon, J, Murray, C & Polis, S 2007, 'Risk factors and sero prevalence of markers for hepatitis A, B and C in persons subject to homelessness in inner Sydney', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, vol. 31, no. 3, pp. 247-251.View/Download from: Publisher's site
Sheppard-Law, S 2020, 'Development and validation of a paediatric hospital-based falls questionnaire', International Forum on quality and safety in healthcare, Sydeny.
Sheppard-Law, S, Brogan, F, Cruickshank, M & Kornman, K 2019, 'Exploring children & young people's knowledge about inpatient falls to inform child-centred strategies.', Australian National Nurses Forum, Hobart.
Sealey, L, Sheppard-Law, S, Cruickshank, M & Stein-Parbury, J 2019, 'Restrictive practices in child and adolescent mental health care: A cause for concern', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 45th International Mental Health Nursing Conference, WILEY, Australia, pp. 39-40.
Sheppard-Law, S 2019, 'Who are our consumers', World Congress on Nursing Education & Practice, Melbourne.
Sheppard-Law, SJ, Brogan, F, Ritz-Shala, D, Kornman, K & Cruickshank, M 2018, 'Exploring parents' knowledge of paediatric inpatient falls to inform nursing practice', Australian College of Nurses Forum, Gold Coast.
Fenech, M, Mason, S, Morgan, J, Narayana, S, Richmond, J & Sheppard-Law, S 2017, 'Clinicians attitudes towards the treatment of patients with hepatitis c who are injecting drug users (cathpin)', International Symposium on Hepatitis Care in Substance Users, New York.
Richmond, J, Sheppard-Law, SJ, Masons, S & Warner, SL 2016, 'Introducing the Australasian Hepatology Association's Consensus Guidelines for the Provision of Adherence Support to People with Hepatitis C taking Direct Acting Antivirals', Hepatology, 67th Annual Meeting of the American Association for the Study of Liver Diseases: The Liver Meeting 2016, Wiley: 12 months, pp. 814A-814A.
Polis, S, Zhang, L, Zekry, A & Fernandez, R 2014, 'Factors associated with medication adherence in patients living with cirrhosis', HEPATOLOGY., 65th Annual Meeting of the American-Association-for-the-Study-of-Liver-Diseases, WILEY-BLACKWELL, Boston MA.
Polis, S, Zekry, A & Maher, L 2012, 'Adherence to hepatitis B anti-viral therapy: a qualitative study', 10th Australasian Viral Hepatitis Conference, Auckland.
Hardikar, W, Polis, S, Kesson, A, Mews, C, Jones, C, Elliott, E, Dore, G & Kaldor, J 2004, 'National surveillance of hepatitis C virus infection in Australian children.', HEPATOLOGY, 55th Annual Meeting of the American-Association-for-the-Study-of-Liver-Diseases (AASLD), JOHN WILEY & SONS INC, Boston, MA, pp. 415A-415A.
Galaway, R, Cusuck, M, Whalen, S, Wolfsberger, I & Sheppard-Law, S 2017, 'Transformation for evolution: Use of simulation to identify the future paediatric workforce'.
Thompson, S, Moore, G, Sheppard-Law, S & Tinsley, J 2017, 'Children and their family’s experience of waiting for unplanned minor surgery'.
Sheppard-Law, SJ 2016, 'Factors that influence medication adherence: case studies'.
Sheppard-Law, SJ, Zablotska-Manos, I, Ker-meen, M, Holdaway, S, Lee, A, Zekry, A, George, J & Maher, L 2016, 'Factors associated with adherence to hepatocellular carcinoma surveillance in patients undergoing hepatitis B anti-viral therapy in Australia'.View/Download from: Publisher's site
Sheppard-Law, SJ, Zablotska-Manos, I, Ker-meen, M, Holdaway, S, Lee, A, Zekry, A, George, J & Maher, L 2016, 'Predictors of non-adherence to HBV anti-viral therapy'.