PREVENTION OF HOSPITAL ACQUIRED PRESSURE ULCERS: A RANDOMISED CONTROLLED TRIAL.
Funder
National Health and Medical Research Council
Funding Amount
$195,652.00
Summary
Pressure ulcers are frequently encountered in hospitalised patients. Several factors such as immobility, poor circulation, malnutrition and aging skin and tissue, along with pressure, moisture and friction (shear) from hospital bedding, contribute to their development. Pressure ulcers usually occur over bony prominences. Here, internal tissue pressures are most intense where the skin contacts the supporting surface. The principles for efficient prevention of pressure ulcers are to reduce pressur ....Pressure ulcers are frequently encountered in hospitalised patients. Several factors such as immobility, poor circulation, malnutrition and aging skin and tissue, along with pressure, moisture and friction (shear) from hospital bedding, contribute to their development. Pressure ulcers usually occur over bony prominences. Here, internal tissue pressures are most intense where the skin contacts the supporting surface. The principles for efficient prevention of pressure ulcers are to reduce pressure on the classic ulcer sites, interrupt the pressure frequently, keep the stressed area dry, and provide a low friction cushioning interface between the patient and bed. Sheepskins have been claimed to be of value in the prevention of pressure ulcers. The therapeutic value is believed to be due to the pressure relieving properties of the dense woolpile, the moisture absorbing properties of the wool and the low friction at the wool-tip surface. The CSIRO Leather Research Centre has facilitated the development of an Australian Standard for Medical Sheepskins. In his address at the launch of this Standard (July 1997), Dr Michael Wooldridge, Federal Minister for Health, stated that pressure ulcers would cost the Australian health system over $350M in that year. To unequivocally establish the efficacy of sheepskins in preventing the onset of pressure ulcers, and to meet the present requirements for evidence based medicine, a rigorous Randomised Controlled Trial is essential. CSIRO, in conjunction with the Royal Melbourne Hospital, The University of Melbourne School of Postgraduate Nursing, Deakin University and Fremantle Hospital, plan to undertake a study into the prevention of hospital acquired pressure ulcers comparing the efficacy of two mattress covers: sheepskin overlays and the standard hospital sheet and mattress with or without other low technological constant pressure supports.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.
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
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
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.
The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chro ....The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chronic disease care rather than a general practitioner. Our strategy involves collaboration with health providers, stakeholders and consumers to help achieve this by providing patient education and disease management through a registered nurse in general practice.Read moreRead less
Community-Based Interventions To Reduce The Risk Of Diabetes And Cardiovascular Disease In Indigenous Australians
Funder
National Health and Medical Research Council
Funding Amount
$1,699,291.00
Summary
Poor nutrition is one of the main factors causing high rates of diabetes and heart disease in Aboriginal and Torres Strait Islander people. Obesity is one of the main risk factors for diabetes and cardiovascular diseases and it is associated with poor diet, lack of exercise and many social factors. Access to fresh vegetables and fruit is often difficult for indigenous people , especially in remote areas. The aim of this project is to work with indigenous communities in rural and remote areas to ....Poor nutrition is one of the main factors causing high rates of diabetes and heart disease in Aboriginal and Torres Strait Islander people. Obesity is one of the main risk factors for diabetes and cardiovascular diseases and it is associated with poor diet, lack of exercise and many social factors. Access to fresh vegetables and fruit is often difficult for indigenous people , especially in remote areas. The aim of this project is to work with indigenous communities in rural and remote areas to plan and run programs to lower the risk of diabetes and heart disease. The programs will be designed by community members and involve health education, diet, exercise and improving availability of healthy food choices in community stores. The programs will target diabetic people and their families or, in most cases, the whole community. It is very difficult for overweight adults to lose weight permanently, so school-based programs will be run to provide health education and healthy canteen policies put in place to try and prevent excess weight gain in younger people. To see whether these programs are effective, we will measure changes over time in risk factors for diabetes and heart disease, nutrition and community support and involvement in the program. Where a community achieves even modest improvements in diet and exercise, this is likely to lead to a much lower risk of diabetes and heart disease. We will identify what factors make a program effective and sustainable over the long term. This study will help us to set up a system for introducing and monitoring similar programs in other indigenous communities. (1358 characters)Read moreRead less
Examining the complexity of communication processes across transition points from the emergency department to improve medication safety. Problems in communication contribute significantly to adverse events that lead to serious harm for Australian consumers. Recent data show medication errors account for over 25% of all adverse events, while over 50% of consumers who move across transition points have medication errors relating to their treatment regimen. Financial costs from adverse events are e ....Examining the complexity of communication processes across transition points from the emergency department to improve medication safety. Problems in communication contribute significantly to adverse events that lead to serious harm for Australian consumers. Recent data show medication errors account for over 25% of all adverse events, while over 50% of consumers who move across transition points have medication errors relating to their treatment regimen. Financial costs from adverse events are estimated at around $A2billion/year, which are likely to increase with further complexities involving consumer care. This study will result in new knowledge about communication processes to inform the development of reporting methods and strategies, which positively influence the practices of health professionals in managing medications as consumers move across different environments.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
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