A Telehealth Mediated Nursing Intervention (PRISMS) To Enable Patient Monitoring And Self-care In Haematological Cancer Patients: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$936,632.00
Summary
People with cancer are required to monitor and to initiate self care activities to manage side effects at home. In haematological cancer patients these side effects are often severe and life-threatening. Safe home care requires close communication with the health team. We will test if a mobile phone based system can: support patients to monitor their side effects; promote the delivery of evidence based self care advice in a timely manner; and mediate the role of nurses to effectively provide rea ....People with cancer are required to monitor and to initiate self care activities to manage side effects at home. In haematological cancer patients these side effects are often severe and life-threatening. Safe home care requires close communication with the health team. We will test if a mobile phone based system can: support patients to monitor their side effects; promote the delivery of evidence based self care advice in a timely manner; and mediate the role of nurses to effectively provide real-time patient support.Read moreRead less
From Suspician to Intervention : Improving responsiveness to abuse of the elderly in acute and sub-acute health care. Early identification of risk and an integrated multidisciplinary response across the health service would be effective in responding to the multiple and complex behavioural and social issues which contribute to aged abuse as it presents in emergency, acute and sub-acute care, but are currently often ignored in health services and the literature. We propose that effective use of ....From Suspician to Intervention : Improving responsiveness to abuse of the elderly in acute and sub-acute health care. Early identification of risk and an integrated multidisciplinary response across the health service would be effective in responding to the multiple and complex behavioural and social issues which contribute to aged abuse as it presents in emergency, acute and sub-acute care, but are currently often ignored in health services and the literature. We propose that effective use of this "window of opportunity in health care" could extend the level of community response to this vulnerable group of people. Read moreRead less
Patients' preference for participation in patient safety activities. This study will identify patient and nurse perceptions of involving patients in patient safety activities. Priorities for implementing strategies to support patient participation in patient safety activities will be identified, which will influence both health policy and practice.
Safety and resiliency at home: voices of children who live with fear. Finding out what can help children feel safer who are currently living in households where there is family violence will enable early intervention for better outcomes for such children. This research is significant because it will focus on targeting appropriate responses by listening to the views of children themselves and hence finding out what is really helpful for them to build resiliency. This is important to the work of a ....Safety and resiliency at home: voices of children who live with fear. Finding out what can help children feel safer who are currently living in households where there is family violence will enable early intervention for better outcomes for such children. This research is significant because it will focus on targeting appropriate responses by listening to the views of children themselves and hence finding out what is really helpful for them to build resiliency. This is important to the work of a key family welfare agency (Berry St) but it also has benefit for health and welfare workers throughout Australia. Appropriate early intervention will not only help the families concerned but will strengthen Australia's economic and social fabric, a priority goal of the national research agenda.Read moreRead less
Improving Health and Quality of Life with Improved Nutrition in Residential Care Establishments. Inadequate nutrition is a serious issue in residential care establishments. Poor intake of vitamins and minerals is associated with impaired healing, reduced immune function, and reduction in physical and mental capacity. Lack of food choice and access to suitable nutrient-dense foods all contribute to inadequate energy and protein, leading to weight loss and malnutrition. Our industry partners will ....Improving Health and Quality of Life with Improved Nutrition in Residential Care Establishments. Inadequate nutrition is a serious issue in residential care establishments. Poor intake of vitamins and minerals is associated with impaired healing, reduced immune function, and reduction in physical and mental capacity. Lack of food choice and access to suitable nutrient-dense foods all contribute to inadequate energy and protein, leading to weight loss and malnutrition. Our industry partners will work with us to enhance the nutrient density of suitable foods. We will establish the efficacy of foods and supplements and develop strategies to implement a sustainable nutrition-enhancing program that can be introduced to improve health in residential care establishments throughout Australia.Read moreRead less
Translation of evidence into pain management practices in acute care environments. This project addresses the urgent need to reduce the substantial pain experienced by patients following surgery by improving the clinical processes associated with the treatment of pain. Each year in Australia, six million people are admitted to hospital for surgery. A recent review of Australian research has shown that up to 40% of hospitalised surgical patients experience significant pain. Despite the availabili ....Translation of evidence into pain management practices in acute care environments. This project addresses the urgent need to reduce the substantial pain experienced by patients following surgery by improving the clinical processes associated with the treatment of pain. Each year in Australia, six million people are admitted to hospital for surgery. A recent review of Australian research has shown that up to 40% of hospitalised surgical patients experience significant pain. Despite the availability of effective treatment, pain after surgery is often under-treated and is one of the main postoperative adverse outcomes. A consequence of poor pain management is that patients experience unnecessary suffering, higher incidence of postoperative complications significant risk of developing chronic post-surgical pain.Read moreRead less
Listen to me, I really am sick! Understanding patient and family perspectives in triggering responses to medical emergencies. This project investigates whether patient and family perspectives are treated as evidence of a deteriorating health state whilst in hospital. Recommendations from this study will inform the development of patient centred strategies to reduce delays in clinician response to physiological deterioration and improve patient safety in hospitals.
Preventing Adverse Events in Hospitals. Our research will construct strategies and tools for preventing hospital adverse events and should develop knowledge and expertise about reducing care complications in high risk patients.This research has collaborating partners which are hospitals in Victoria, South Australia and Queensland. These form part of the preventative healthcare network with implications for the nation's social and economic fabric through their role in reducing morbidity, mortali ....Preventing Adverse Events in Hospitals. Our research will construct strategies and tools for preventing hospital adverse events and should develop knowledge and expertise about reducing care complications in high risk patients.This research has collaborating partners which are hospitals in Victoria, South Australia and Queensland. These form part of the preventative healthcare network with implications for the nation's social and economic fabric through their role in reducing morbidity, mortality and supporting the health of all Australians. Since acquired complications have comparable costs to the healthcare system as that of all other forms of injury combined, there will be substantial benefits to hospitals through reduced costs.Read moreRead less
A study of the provision of the emergency contraceptive pill over-the-counter in Australia. Australian abortion rates, especially among young women, are a major concern. The emergency contraceptive pill (ECP) is an effective method for the prevention of unwanted and unplanned pregnancy, with the potential to reduce abortions. The study aims to provide evidence of whether the rescheduling of ECP in Australia so that pharmacists as well as doctors can dispense it, has improved its accessibility ....A study of the provision of the emergency contraceptive pill over-the-counter in Australia. Australian abortion rates, especially among young women, are a major concern. The emergency contraceptive pill (ECP) is an effective method for the prevention of unwanted and unplanned pregnancy, with the potential to reduce abortions. The study aims to provide evidence of whether the rescheduling of ECP in Australia so that pharmacists as well as doctors can dispense it, has improved its accessibility and use by women at risk of abortion. It will also assess whether pharmacists feel confident, well-trained and supported to provide it and whether abortion rates have reduced. The study will provide policymakers with the evidence to assess whether this important initiative is effective and what is needed to improve its effectiveness.Read moreRead less
Improving safety and minimising risk: parent, carer and service provider perspectives of sociocultural influences for medication use in young children. Childhood unintentional poisoning ranks second to falls as an injury cause of hospitalisation in the 0-4 years age group. The aims of this study are to explore the sociocultural influences on medication use by parents and carers of young children and develop best practice guidelines for provision of medication information by health care providers ....Improving safety and minimising risk: parent, carer and service provider perspectives of sociocultural influences for medication use in young children. Childhood unintentional poisoning ranks second to falls as an injury cause of hospitalisation in the 0-4 years age group. The aims of this study are to explore the sociocultural influences on medication use by parents and carers of young children and develop best practice guidelines for provision of medication information by health care providers. A multimedia education program for health care providers and consumers will be integrated into existing health services. Results will aid in determining children at risk of medication mismanagement, and assist providers to implement a rigorous and sustainable approach to the provision of care to young children.Read moreRead less