Improving Outcomes For Patients Receiving Outpatient Chemotherapy Through A Shared Care Pathway Intervention
Funder
National Health and Medical Research Council
Funding Amount
$623,887.00
Summary
Many cancer patients receiving chemotherapy treatment continue to experience serious side effects at home, where they struggle to self-manage and often go to hospital after symptoms have worsened. We have developed an innovative clinical pathway involving the provision of home-based assessment, clinical care and advice by community nurses, which aims to help patients without creating new health service positions. Our study will test if the pathway decreases unplanned hospital visits, improves pa ....Many cancer patients receiving chemotherapy treatment continue to experience serious side effects at home, where they struggle to self-manage and often go to hospital after symptoms have worsened. We have developed an innovative clinical pathway involving the provision of home-based assessment, clinical care and advice by community nurses, which aims to help patients without creating new health service positions. Our study will test if the pathway decreases unplanned hospital visits, improves patient well-being and is cost-effective.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE150101262
Funder
Australian Research Council
Funding Amount
$359,753.00
Summary
Decision making in older people approaching the end of life. End of life care provides an ideal framework in which to explore the principle of individual autonomy and consumer decision making. Older people at a high risk of dying in 6 months will be recruited from acute care wards, and asked about preferences for involvement in end of life decision making in a standardised interview survey. Surrogate decision makers and physicians will be asked to answer the same questions from the patient's per ....Decision making in older people approaching the end of life. End of life care provides an ideal framework in which to explore the principle of individual autonomy and consumer decision making. Older people at a high risk of dying in 6 months will be recruited from acute care wards, and asked about preferences for involvement in end of life decision making in a standardised interview survey. Surrogate decision makers and physicians will be asked to answer the same questions from the patient's perspective (namely what they think the patient wants). Findings will suggest ways end of life care can be better tailored so that patients can participate in decisions and receive care that is consistent with their wishes.Read moreRead less
The emotional and social burden of caring for a young child with complex health needs. The National Agenda for Early Childhood and the Stronger Families and Community Strategy provide a framework for achieving efficient and effective outcomes in early childhood. This project will contribute to those strategies by gaining an understanding of the currently unknown issues faced by the group of families of young infants and children with complex health needs in a variety of geographic, community and ....The emotional and social burden of caring for a young child with complex health needs. The National Agenda for Early Childhood and the Stronger Families and Community Strategy provide a framework for achieving efficient and effective outcomes in early childhood. This project will contribute to those strategies by gaining an understanding of the currently unknown issues faced by the group of families of young infants and children with complex health needs in a variety of geographic, community and service settings, and the government supported services required. The identification of risk and resilience factors will enable the early detection of children at 'high-risk' and provide the opportunity to implement preventative and early intervention programs.Read moreRead less
Model of care: A family focussed approach to promote child protection. Childhood neglect and abuse is an issue for all Australians. Models of best practice for child protection services are essential to protect the well-being of these children. This project will draw upon information from consumers and workers to provide a framework for a sustainable model of best practice for child protection that is transferable to other settings. A further benefit of this study is that it will provide insight ....Model of care: A family focussed approach to promote child protection. Childhood neglect and abuse is an issue for all Australians. Models of best practice for child protection services are essential to protect the well-being of these children. This project will draw upon information from consumers and workers to provide a framework for a sustainable model of best practice for child protection that is transferable to other settings. A further benefit of this study is that it will provide insight into occupation health and safety issues associated with working in long term relationships with vulnerable families. Read moreRead less
Post retirement support solutions for people with intellectual disabilities and their parents/carers. The current generation is the first to contain a substantial number of people with intellectual disabilities who have survived to old age. Policy makers have yet to focus on their wellbeing following retirement from supported employment. Evidence cited by agencies such as Centacare, the Industry Partner, indicates that these older people and their ageing parents experience severe disadvantage an ....Post retirement support solutions for people with intellectual disabilities and their parents/carers. The current generation is the first to contain a substantial number of people with intellectual disabilities who have survived to old age. Policy makers have yet to focus on their wellbeing following retirement from supported employment. Evidence cited by agencies such as Centacare, the Industry Partner, indicates that these older people and their ageing parents experience severe disadvantage and worry about retirement. The project aims to redress this situation by investigating ways of preparing people for retirement and mechanisms for enabling supported employment agencies to provide services and supports that optimise post retirement wellbeing.Read moreRead less
A prospective evaluation of the impact of the nurse practitioner role on emergency department service and outcomes. The local hospital emergency department (ED) is a prominent and highly utilised service in Australian communities but demand on EDs is increasing, resulting in significant service delays. This project will study the composition of ED clinical teams around Australia and their impact on improving the timeliness and quality of emergency clinical care.
Strengthening leadership capacity in Australia's rapidly changing aged and community care sector. The project supports the priorities of: ageing well and promoting an innovative culture and economy and links to the goal of social inclusion. It will contribute significantly towards improved performance and efficiency in an increasingly important sector which contributes to the national economy and provides both care and employment to many Australians. Rapidly increasing demands and challenges r ....Strengthening leadership capacity in Australia's rapidly changing aged and community care sector. The project supports the priorities of: ageing well and promoting an innovative culture and economy and links to the goal of social inclusion. It will contribute significantly towards improved performance and efficiency in an increasingly important sector which contributes to the national economy and provides both care and employment to many Australians. Rapidly increasing demands and challenges require effective, competent leadership to deal with competing tensions, in turn resulting in a more resilient and sustainable industry. This will contribute to more stability, reduced staff turnover and improved outcomes for residents/clients, including through new and innovative workplace culture and practices.Read moreRead less
A Model of Integrated Care for Dependant Older People Living in the Community. This research offers significant economic, health and social benefits. Promoting and maintaining good health and ageing well, ageing productively are national priority areas. Case management and telemedicine are both recognised strategies to support chronic disease self-management. Early intervention can offer significant benefits in morbidity and mortality. Enhanced service delivery using an integrated model encompas ....A Model of Integrated Care for Dependant Older People Living in the Community. This research offers significant economic, health and social benefits. Promoting and maintaining good health and ageing well, ageing productively are national priority areas. Case management and telemedicine are both recognised strategies to support chronic disease self-management. Early intervention can offer significant benefits in morbidity and mortality. Enhanced service delivery using an integrated model encompassing general practitioners, practice nurses and community carers, could improve chronic and complex disease management and reduce health costs.Read moreRead less
Optimising the residential and community aged care workforce: the evidence-based development of clinical leadership in middle managers in aged care. 1.4% of the Australian workforce is employed in the aged care sector, making a significant contribution to the economy. This study provides evidence-based tools to build management capacity and leadership in aged care, which in turn will improve the quality and effectiveness of the care that has a crucial bearing on the lives of vulnerable older peo ....Optimising the residential and community aged care workforce: the evidence-based development of clinical leadership in middle managers in aged care. 1.4% of the Australian workforce is employed in the aged care sector, making a significant contribution to the economy. This study provides evidence-based tools to build management capacity and leadership in aged care, which in turn will improve the quality and effectiveness of the care that has a crucial bearing on the lives of vulnerable older people in community and residential care. The findings will identify ways to improve aged care workforce retention; and enhance key factors leading to quality care and improved well being of care staff and recipients. This knowledge will contribute to improving the status of aged care related employment; and yield future policy directions that promote effective clinical leadership in aged care. Read moreRead less
My place for life: comparison of models of care and housing for older people. This project addresses the national goal: ageing well, ageing productively. Existing Australian housing and community services will be inadequate for the future, but the evidence base for policy development is absent. This project will conduct the first comparative Australian study on outcomes for older people over time in a range of existing housing models.