Dr  Carla Sunner

Dr Carla Sunner

Lecturer

School of Nursing and Midwifery

Career Summary

Biography

Dr Carla Sunner is a Lecturer in the School of Nursing and Midwifery, bringing over 30 years of nursing experience from diverse clinical settings in Australia and overseas to apply to teaching and research.

My rich background includes work in rural and remote locations and various departments such as acute care, palliative care, community, and the Emergency Department (ED). 

I am honoured to be a registered nurse and to have the opportunity to apply my knowledge, and experience, writing and teaching both in the Postgraduate and Bachelor of Nursing curriculum to nurses as they start or continue in their nursing careers. I have a commitment to lifelong learning, demonstrated by completing my Masters in Advanced Practice Nursing, with an older person specialty, and the award of my PhD in 2023.

My key focus areas aim to encourage future nurses to connect their higher education learning in a way that helps them approach patient care with compassion and empathy for older people. Older person nursing can be complex and challenging however the rewards are well worth it. Caring for older people is a privilege, the contribution they have made to our society and to our lives is immeasurable.

Research Focus and Outcomes

My research aims to improve outcomes for older people during their transfer from the community to hospital and back to the community. In 2023, I commenced working on the Representations to the Emergency Department for reasons of Pain for Older People or the RED-POP project. This project seeks to investigate the reasons behind frequent hospital re-admissions among older individuals, particularly focusing on pain-related issues. The objective is to gather critical data that will serve as the initial step in establishing an evidence-based understanding of pain representations in the older person demographic. Understanding the reasons why older people present to ED will help identify key opportunities to help support or implement strategies that minimise unnecessary Emergency Department visits among older people.

In my role within as the project coordinator of the Partnerships in Aged-Care Emergency services using Interactive Telehealth (PACE-IT) project, we evaluated the use of telehealth in emergency care for older patients residing in residential aged care facilities (RACFs). Our findings underscored the importance of innovation in healthcare delivery, especially for an ageing population that often resides in remote and rural areas. Notably, the project demonstrated the positive impact of augmenting traditional phone calls to the ED with visual telehealth consultations. By doing so, we achieved a reduction in avoidable presentations to the ED, which benefits both the healthcare system as a whole and, more importantly, the individual older person. Now with the implementation of PACE-IT, older residents may have the opportunity to recover safely and comfortably within the familiar surroundings of their own RACF rather than a visit to ED.

The PACE-IT project is not only the subject of my PhD but also a testament to the power of forward-thinking solutions in healthcare. It reinforces the idea that embracing technology and innovative approaches can lead to better outcomes for our ageing population. This research aligns to the UN Sustainability Development Goals; 3 Good health and well-being 4.  Quality education,10. Reduced inequalities 11. Sustainable cities and communities.

As a dedicated healthcare professional, I am committed to transforming the healthcare system through rigorous research and dedicated teaching. My goal is to work toward a sustainable health system that prioritises patient-centric outcomes, promotes personalised care, and invests in wellness.

I believe in leveraging digital technology for enhanced service delivery. I aim to make a significant impact on healthcare, improving it not just for the current population, and also for the future.

Keywords: nursing, aged care, personalised care, aged health care, palliative care, end of life care, rural and remote health


Qualifications

  • Doctor of Philosopy in Nursing, University of Newcastle
  • Master of Nursing (Advanced Practice), University of Newcastle
  • Certificate IV in Training and Assessment, Unknown

Keywords

  • aged care
  • digital telehealth
  • end of life care
  • hospital avoidance
  • hospital emergency service
  • nursing
  • older person care
  • palliative care
  • personalised care
  • rural and remote health

Fields of Research

Code Description Percentage
420606 Social determinants of health 30
420301 Aged health care 30
420503 Community and primary care 40

Professional Experience

UON Appointment

Title Organisation / Department
Lecturer University of Newcastle
School of Nursing and Midwifery
Australia

Awards

Award

Year Award
2021 Winner of the Confirmation of the Year School of Nursing and Midwifery University of Newcastle 2021
Academic Excellence, University of Newcastle

Nomination

Year Award
2022 The Secretary’s Award, NSW Health, Value Based Care
NSW Health

Prize

Year Award
2022 Winner of the HNE Quality award Integrated Based Care 2021 for the PACE-IT project
Hunter New England Area Health Service
2021 Winner of the Best Paper at the Successes and Failures of Telehealth 2021 (Australasian Telehealth Society).
Australasian Telehealth Society
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (5 outputs)

Year Citation Altmetrics Link
2023 Sunner C, Giles MT, Kable A, Foureur M, 'Experiences of nurses working in RACFs and EDs utilising visual telehealth consultation to assess the need for RACF resident transfer to ED: A qualitative descriptive study', JOURNAL OF CLINICAL NURSING, 32 4694-4709 (2023) [C1]
DOI 10.1111/jocn.16529
Citations Web of Science - 1
Co-authors Maralyn Foureur, Ashley Kable
2023 Sunner C, Giles MT, Kable A, Foureur M, 'Does telehealth influence the decision to transfer residents of residential aged care facilities to emergency departments? A scoping review', INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, 18 (2023) [C1]
DOI 10.1111/opn.12517
Citations Scopus - 1
Co-authors Maralyn Foureur, Ashley Kable
2023 Sunner C, Giles M, Ball J, Barker R, Hullick C, Oldmeadow C, Foureur M, 'Implementation and evaluation of a nurse-led intervention to augment an existing residential aged care facility outreach service with a visual telehealth consultation: stepped-wedge cluster randomised controlled trial.', BMC Health Serv Res, 23 1429 (2023) [C1]
DOI 10.1186/s12913-023-10384-z
Co-authors Maralyn Foureur, Christopher Oldmeadow
2022 Sunner C, Giles M, Parker V, Kable A, Foureur M, 'COVID-19 preparedness in aged care: A qualitative study exploring residential aged care facility managers experiences planning for a pandemic', JOURNAL OF CLINICAL NURSING, [C1]
DOI 10.1111/jocn.15941
Citations Scopus - 7Web of Science - 5
Co-authors Ashley Kable, Maralyn Foureur
2020 Sunner C, Giles MT, Parker V, Dilworth S, Bantawa K, Kable A, et al., 'PACE-IT study protocol: a stepped wedge cluster randomised controlled trial evaluating the implementation of telehealth visual assessment in emergency care for people living in residential aged-care facilities', BMC HEALTH SERVICES RESEARCH, 20 (2020)
DOI 10.1186/s12913-020-05539-1
Citations Scopus - 9Web of Science - 5
Co-authors Ashley Kable, Christopher Oldmeadow, Maralyn Foureur
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Grants and Funding

Summary

Number of grants 2
Total funding $784,000

Click on a grant title below to expand the full details for that specific grant.


20231 grants / $23,000

Representers to ED for reasons of Pain in Older People or the RED-POP project $23,000

Study Title Representations for Pain among Older Persons to the Emergency Department (RED-POP)
   
Aims/Objectives To determine, among patients aged 65 years and older presenting to Emergency Departments (EDs) the:
  1. Prevalence of pain-related unplanned re-presentation rates within 48* hours of the primary presentation.
  2. Characteristics of those who re-present for pain-related issues.
Study design A retrospective cohort study
Planned sample size Data for 5 years 1st January 2019- 31st December 2023
Inclusion criteria All presenters who are aged over 65
Study procedures Retrospective data analysis
Analysis considerations Sample size calculation
Analysis plan
Study duration Ongoing to 2024

Funding body: NSW MRSP Infrastructure Grant

Funding body NSW MRSP Infrastructure Grant
Project Team

Dr Carla Sunner, Professor Kerry Inder, Dr Bree Hobden, Dr Lucy Leigh, Professor Chris Oldmeadow, Dr Carolyn Hullick, Sarah Scarfe

Scheme NSW MRSP Infrastructure Grant
Role Lead
Funding Start 2023
Funding Finish 2024
GNo
Type Of Funding Other Public Sector - Local
Category 2OPL
UON N

20191 grants / $761,000

Partnerships in Aged Care Emergency services using Interactive Telehealth or the PACE-IT project $761,000

Partnerships in Aged Care Emergency using Interactive Telehealth (PACE-IT)

Transfer of residential aged-care facility (RACF) residents to Emergency Departments (ED) is common, risky and expensive. RACF residents who present to ED are more likely to be readmitted to a hospital, have longer stays and face major risks related to hospital acquired complications.

ACE is a nurse led, protocol-guided telephone ED outreach model that has been shown to be effective in reducing hospitalisation and length of hospital stay for RACF residents. It has had limited effect in reducing presentations to ED.

This project proposed that an augmentation of the existing ACE service by incorporating a web-based interactive video assessment and consultation would reduce unnecessary hospitalisations of RACF residents. Telehealth has been shown to be acceptable to staff and families, and reduce the disruption and distress associated with unnecessary transfer to hospital for residents and carers.

Funding body: NSW Ministry of Health

Funding body NSW Ministry of Health
Project Team

Dr Carla Sunner, Dr Michelle Giles, Hon Professor Maralyn Foureur, Dr Carolyn Hullick, Roslyn Barker, Mim Eaton, Melissa Joliffe

Scheme Translational Research Grant Scheme (TRGS)
Role Investigator
Funding Start 2019
Funding Finish 2021
GNo
Type Of Funding Other Public Sector - State
Category 2OPS
UON N
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Research Projects

PACE-IT Partnerships in Aged Care using Interactive Telehealth 2019 - 2021

This project was the basis of my own PhD. 


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Dr Carla Sunner

Position

Lecturer
School of Nursing and Midwifery
College of Health, Medicine and Wellbeing

Contact Details

Email carla.sunner@newcastle.edu.au
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