Telehealth In Residential Aged Care Facilities: Improving Access To Specialist Care
Funder
National Health and Medical Research Council
Funding Amount
$972,606.00
Summary
People in long term residential care have complex and chronic care issues. The staff may be able to provide more focused care if they have the support of specialists for advice on the care of residents. This project considers the value of a geriatric specialist assessment for all new residents via video conferencing, directly to the residential care facility. This will be supplemented by access to a wide range of other specialists coordinated through a telehealth service model on an "as needs" b ....People in long term residential care have complex and chronic care issues. The staff may be able to provide more focused care if they have the support of specialists for advice on the care of residents. This project considers the value of a geriatric specialist assessment for all new residents via video conferencing, directly to the residential care facility. This will be supplemented by access to a wide range of other specialists coordinated through a telehealth service model on an "as needs" basis.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
Patient and nurse outcomes and the cost of nurses' turnover in Australian hospitals. An adequate supply of nurses is fundamental to all of the National Health Priority disease areas where quality care cannot be delivered without an adequate number of motivated nurses. Designing cost-effective methods of retaining nurses requires understanding reasons why they leave the workforce and the impact this has on patient care and system costs. The findings will assist policy makers and workforce planner ....Patient and nurse outcomes and the cost of nurses' turnover in Australian hospitals. An adequate supply of nurses is fundamental to all of the National Health Priority disease areas where quality care cannot be delivered without an adequate number of motivated nurses. Designing cost-effective methods of retaining nurses requires understanding reasons why they leave the workforce and the impact this has on patient care and system costs. The findings will assist policy makers and workforce planners at both local and national levels, to design strategies to effectively recruit and retain nurses as demands for health care and market competition for staff both increase.Read moreRead less
Improving patient health outcomes in acute care hospital settings using mobile wireless technology and handheld computers. This project will investigate the use of wireless handheld computers, in three acute care clinical units located at Southern Health and the Royal Women's Hospital, to determine the impact on patient safety and quality of care. There is a need for real time point-of-care access (and input) to patient information, nursing reference information, and drug information for nurses ....Improving patient health outcomes in acute care hospital settings using mobile wireless technology and handheld computers. This project will investigate the use of wireless handheld computers, in three acute care clinical units located at Southern Health and the Royal Women's Hospital, to determine the impact on patient safety and quality of care. There is a need for real time point-of-care access (and input) to patient information, nursing reference information, and drug information for nurses in Australian hospitals. This project aims to address this need by providing nurses with wireless handheld access to such resources. This project is extremely significant, as the outcomes will provide nurses, in Australia and overseas, a set of guidelines for managing wireless handheld computers in clinical units, to enhance patient safety and quality of care.Read moreRead less
Improving the quality of nursing care and health outcomes for elderly patients during acute hospitalisation. This study aims to compare the perceptions of nurses, elderly patients and their carers in terms of the nursing needs of elderly hospitalised patients'. It will also investigate reasons for any differences found between expectations and reality of care provided. The significance is that the elderly are the largest consumers of health care yet this is the first collaborative Australian ....Improving the quality of nursing care and health outcomes for elderly patients during acute hospitalisation. This study aims to compare the perceptions of nurses, elderly patients and their carers in terms of the nursing needs of elderly hospitalised patients'. It will also investigate reasons for any differences found between expectations and reality of care provided. The significance is that the elderly are the largest consumers of health care yet this is the first collaborative Australian study to investigate the needs of elderly patients. Expected outcomes are an education program for nurses and the development of evidence-based models of nursing care for elderly patients, increased patient satisfaction and health outcomes. Hospitals ultimately benefit in cost-effectiveness and efficiency.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.
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.
Finding meaning in the experience of dementia: The place of spiritual reminiscence work. This project will use spiritual reminiscence work to study the experience of dementia and the spiritual dimension focussing on how people with dementia find meaning and develop coping strategies. Dementia is a significant issue for an ageing society where estimates of prevalence indicate a rise of 254% from 1995-2041. The greatest challenge to people diagnosed with dementia is their search for meaning lead ....Finding meaning in the experience of dementia: The place of spiritual reminiscence work. This project will use spiritual reminiscence work to study the experience of dementia and the spiritual dimension focussing on how people with dementia find meaning and develop coping strategies. Dementia is a significant issue for an ageing society where estimates of prevalence indicate a rise of 254% from 1995-2041. The greatest challenge to people diagnosed with dementia is their search for meaning leading to the development of effective coping strategies as their memory loss and confusion progresses. Outcomes will impact on persons with dementia, staff and carers, with improved quality of life for allRead moreRead less
Reforming healthcare: Nurse Practitioners and workforce redesign. This unique national study investigates the progress, process and outcomes of nurse practitioner service. It brings together peak national nursing organisations and state Chief Nursing Officers and researchers who are known both nationally and internationally for innovative research into nurse practitioner service. It has widespread significance for health service providing an operational platform to implement and evaluate new rol ....Reforming healthcare: Nurse Practitioners and workforce redesign. This unique national study investigates the progress, process and outcomes of nurse practitioner service. It brings together peak national nursing organisations and state Chief Nursing Officers and researchers who are known both nationally and internationally for innovative research into nurse practitioner service. It has widespread significance for health service providing an operational platform to implement and evaluate new roles in health service delivery. It will inform health service modelling, theory building and national strategies to achieve promotion and maintenance of good health. For the first time in the history of Australian health service a new level of provider will be examined close to the point of its inception.Read moreRead less
Most strokes are ischaemic due to occlusion of an artery producing rapid reduction in blood flow to the brain. Positioning a patient ‘lying flat’ (i.e. ‘head down’ to be level with the body, which increases the blood flow to the brain, may improve recovery and reduce disability. This study aims to determine whether ‘lying flat’ head positioning is beneficial in patients with acute stroke. The results could lead to a cheaper, safer and more effective stroke care in the world.