2023 |
Alotaibi K, Higgins I, Chan S, 'Culture, religion, language and the assessment and management of children's pain by expatriate nurses in Saudi Arabia: A qualitative study', JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, 28 (2023) [C1]
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Nova |
2022 |
Gaviola MA, Searles A, Dilworth S, Higgins I, Holliday E, Inder KJ, 'Estimating the cost of an individualised music intervention for aged care residents with dementia', Nursing Older People, 34 (2022) [C1]
Background Individualised music listening has been shown to reduce agitation and improve mood in people with dementia. However, there is a paucity of research describing the cost ... [more]
Background Individualised music listening has been shown to reduce agitation and improve mood in people with dementia. However, there is a paucity of research describing the cost of implementing such interventions in residential care settings for older people. Aim To determine the cost of implementing an individualised music intervention for older people with dementia in residential aged care in Australia. Method A simple cost analysis was undertaken to determine the cost of delivering the individualised music intervention to 32 older people with dementia at two residential aged care facilities in New South Wales. The analysis took into consideration the operating, training and delivery costs, as well as the costs of purchasing the music equipment and downloads. Results The cost of delivering the individualised music intervention was found to be AU$6,623.76 per year ¿ or AU$3.98 per resident per week, at 2017 values. At 2022 values, this equates to an annual cost of AU$7,130.07 (£4,031.85) for 32 residents and a weekly cost of AU$4.28 (£2.42) per resident per week. Conclusion The cost of implementing the individualised music intervention was relatively low compared with the overall cost of residential aged care for older people with dementia.
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Nova |
2021 |
Walsh L, Hemsley B, Allan M, Dahm MR, Balandin S, Georgiou A, et al., 'Assessing the information quality and usability of My Health Record within a health literacy framework: What's changed since 2016?', HEALTH INFORMATION MANAGEMENT JOURNAL, 50 13-25 (2021) [C1]
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Nova |
2021 |
Harmon J, Summons P, Higgins I, 'Disjunction, tension and dissonance within nursing pain care provision for the older hospitalized person: A focused ethnographic insight', JOURNAL OF ADVANCED NURSING, 77 3458-3471 (2021) [C1]
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Nova |
2021 |
Gaviola MA, Higgins I, Dilworth S, Holliday E, Inder KJ, 'Individualised music for people living with dementia and the experiences and perceptions of residential aged care staff: A qualitative study', AUSTRALASIAN JOURNAL ON AGEING, 41 E8-E15 (2021) [C1]
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Nova |
2021 |
Pond D, Higgins I, Mate K, Merl H, Mills D, McNeil K, 'Mobile memory clinic: implementing a nurse practitioner-led, collaborative dementia model of care within general practice', AUSTRALIAN JOURNAL OF PRIMARY HEALTH, 27 6-12 (2021) [C1]
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Nova |
2020 |
Gaviola MA, Inder KJ, Dilworth S, Holliday EG, Higgins I, 'Impact of individualised music listening intervention on persons with dementia: A systematic review of randomised controlled trials', Australasian Journal on Ageing, 39 10-20 (2020) [C1]
Objective: To summarise the evidence regarding the impact of individualised music listening on persons with dementia. Methods: Six electronic databases (CINAHL, Medline, ProQuest,... [more]
Objective: To summarise the evidence regarding the impact of individualised music listening on persons with dementia. Methods: Six electronic databases (CINAHL, Medline, ProQuest, PsycINFO, Music Periodicals and Cochrane) were searched up to July 2018 for randomised controlled trials (RCTs) evaluating the efficacy of individualised music listening compared to other music and non¿music-based interventions. Results: Four studies were included. Results showed evidence of a positive impact of individualised music listening on behavioural and psychological symptoms of dementia (BPSDs) including agitation, anxiety and depression and physiological outcomes. Evidence for other outcomes such as cognitive function and quality of life was limited. Conclusions: The limited evidence suggests individualised music listening has comparable efficacy to more resource-intensive interventions. However, there was a small number of RCTs and some outcomes were evaluated by a single study. This limits the conclusions drawn, warranting more RCTs evaluating other outcomes beyond the BPSDs.
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Nova |
2019 |
Alotaibi K, Higgins I, Chan S, 'Nurses Knowledge and Attitude toward Pediatric Pain Management: A Cross-Sectional Study', Pain Management Nursing, 20 118-125 (2019) [C1]
Background: Pain in infants and children is often poorly assessed and managed. Although there are many studies on this subject, none have been conducted in the Arab world, includi... [more]
Background: Pain in infants and children is often poorly assessed and managed. Although there are many studies on this subject, none have been conducted in the Arab world, including the Kingdom of Saudi Arabia, where nurses are largely expatriates. Aims: To examine the knowledge and attitudes of nurses working with infants and children in the Kingdom of Saudi Arabia regarding pain management. Design: Descriptive cross-sectional survey. Settings: Five government hospitals in Riyadh region of the Kingdom of Saudi Arabia. Participants/Subjects: Registered nurses caring for infants and children. Methods: A convenience sample of 410 nurses working at five Saudi Arabian government hospitals was surveyed using the Pediatric Nurses¿ Knowledge and Attitudes Survey Regarding Pain (PNKAS-Shriners Revision). Data were analyzed using descriptive (frequency, percentage, mean, and standard deviation) and inferential statistics, including Pearson correlation, independent t test, and one-way analysis tests. Results: Poor overall knowledge and attitudes regarding pediatric pain management was evident in this study. The mean correct score achieved by nurses was 18.1 ± 4.0 out of 40 or 45.2% ± 10.0% of a possible score of 100%. A weak but statistically significant correlation was found between years of pediatric nursing experience and total score (r = -0.129, p = .009). Conclusions: We concluded that intensive education on pediatric pain and its management is urgently needed for nurses working in the Kingdom of Saudi Arabia.
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Nova |
2019 |
Harmon J, Summons P, Higgins I, 'Nurses' culturally mediated practices influencing pain care provision for older people in acute care: Ethnographic study', Applied Nursing Research, 48 22-29 (2019) [C1]
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Nova |
2019 |
Little F, Hazelton M, Higgins I, Croker A, 'Integrating workplace thriving into the discourse supporting strength-based mental health nursing recruitment and retention strategies', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 28 27-27 (2019)
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2019 |
Ling R, Searles A, Hewitt J, Considine R, Turner C, Thomas S, et al., 'Cost analysis of an integrated aged care program for residential aged care facilities', Australian Health Review, 43 261-267 (2019) [C1]
Objective: To compare annual costs of an intervention for acutely unwell older residents in residential age care facilities (RACFs) with usual care. The intervention, the Aged Car... [more]
Objective: To compare annual costs of an intervention for acutely unwell older residents in residential age care facilities (RACFs) with usual care. The intervention, the Aged Care Emergency (ACE) program, includes telephone clinical support aimed to reduce avoidable emergency department (ED) presentations by RACF residents. Methods: This costing of the ACE intervention examines the perspective of service providers: RACFs, Hunter Medicare Local, the Ambulance Service of New South Wales, and EDs in the Hunter New England Local Health District. ACE was implemented in 69 RACFs in the Hunter region of NSW, Australia. Analysis used 14 weeks of ACE and ED service data (June-September 2014). The main outcome measure was the net cost and saving from ACE compared with usual care. It is based on the opportunity cost of implementing ACE and the opportunity savings of ED presentations avoided. Results: Our analysis estimated that 981 avoided ED presentations could be attributed to ACE annually. Compared with usual care, ACE saved an estimated A$921 214. Conclusions: The ACE service supported a reduction in avoidable ED presentations and ambulance transfers among RACF residents. It generated a cost saving to health service providers, allowing reallocation of healthcare resources. What is known about the topic?: Residents from RACFs are at risk of further deterioration when admitted to hospital, with high rates of delirium, falls, and medication errors. For this cohort, some conditions can be managed in the RACF without hospital transfer. By addressing avoidable presentations to EDs there is an opportunity to improve ED efficiency as well as providing care that is consistent with the resident's goals of care. RACFs generate some avoidable ED presentations for residents who may be more appropriately treated in situ. What does this paper add?: Telephone triaging with nursing support and training is a means by which ED presentations from RACFs can be reduced. One of the consequences of this intervention is 'cost avoided', largely through savings on ambulance costs. What are the implications for practitioners?: Unnecessary transfer from RACFs to ED can be avoided through a multicomponent program that includes telephone support with cost-saving implications for EDs and ambulance services.
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Nova |
2019 |
Hemsley B, Meredith J, Bryant L, Wilson NJ, Higgins I, Georgiou A, et al., 'An integrative review of stakeholder views on Advance Care Directives (ACD): Barriers and facilitators to initiation, documentation, storage, and implementation', Patient Education and Counseling, 102 1067-1079 (2019) [C1]
Objective: To examine the views and experiences of patients and their health care providers on developing advance care planning (ACP) and advance care directives (ACD); and determ... [more]
Objective: To examine the views and experiences of patients and their health care providers on developing advance care planning (ACP) and advance care directives (ACD); and determine barriers and facilitators to ACD development, storage, and use, including implications for people with communication disability. Method: An integrative review of 93 studies, analysed according to their content themes. Results: Content themes encapsulated the initiation, documentation, and implementation stages of ACP/ACD. Lack of guidance for initiating and supporting ACP/ACD impedes discussions, and both patients and healthcare providers avoid discussions owing to fear of dying and reluctance to think about end-of-life. Conclusions: There are several barriers and facilitators to the initiation of ACP discussions, documentation and implementation of ACD, and little research exploring the views of legal professionals on the development, storage, or use of ACP documents. Further research is needed to explore the timing and responsibility of both legal and health professionals in initiating and supporting ACP discussions. Practice Implications: It is important for healthcare providers to raise ACP discussions regularly so that patients have time to make informed advance care decisions. Storage of the document in an electronic health record might facilitate better access to and implementation of patients¿ end-of-life care decisions.
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Nova |
2019 |
Kenbubpha K, Higgins I, Wilson A, Chan SWC, 'Testing psychometric properties of a new instrument Promoting Active Ageing in Older People with Mental Disorders Scale from a cross-sectional study', Psychogeriatrics, 19 370-383 (2019) [C1]
Background: There is no instrument that measures the promotion of active ageing or the factors that influence the promotion of active ageing in older people with mental disorders ... [more]
Background: There is no instrument that measures the promotion of active ageing or the factors that influence the promotion of active ageing in older people with mental disorders living in the community. This study aimed to examine psychometric properties of a new survey instrument. Methods: A mixed methods exploratory sequential design was used incorporating a cross-sectional survey. The Promoting Active Ageing in Older People with Mental Disorders Scale (PAA-MD) was sent to 579 primary care providers in Yasothon province, Thailand. Construct validity was tested using exploratory factor analysis. The internal reliability was examined using Cronbach's alpha coefficient. Results: The PAA-MD consisted of three sections. Section II found Bartlett's test of sphericity was ¿2(1431) = 26221.167, P < 0.001. Items used theoretical justification to group items into five factors, namely: participation, education, health, leisure, and security. Section III indicated Bartlett's test was ¿2(666) = 23524.074, P < 0.001. Items were grouped into five components, namely: facilitators, barriers, knowledge, skills, resources and support. Internal reliability of sections II and III with Cronbach's alpha was greater than 0.7. The corrected item-total correlation coefficient of all items was greater than 0.30. Conclusion: The PAA-MD contains 104 items from three sections. Construct validity was adequate to capture phenomena. Internal reliability revealed good homogeneity.
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Nova |
2019 |
Harmon J, Summons P, Higgins I, 'Experiences of the older hospitalised person on nursing pain care: An ethnographic insight', Journal of Clinical Nursing, 28 4447-4459 (2019) [C1]
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Nova |
2018 |
Walsh L, Hill S, Allan M, Balandin S, Georgiou A, Higgins I, et al., 'A content analysis of the consumer-facing online information about My Health Record: Implications for increasing knowledge and awareness to facilitate uptake and use', Health Information Management Journal, 47 106-115 (2018) [C1]
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Nova |
2018 |
Hullick C, Conway J, Higgins I, Hewitt J, Stewart B, Dilworth S, Attia J, 'An assistant workforce to improve screening rates and quality of care for older patients in the emergency department: findings of a pre- post, mixed methods study.', BMC geriatrics, 18 126 (2018) [C1]
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Nova |
2018 |
Kenbubpha K, Higgins I, Chan S, Wilson AJ, 'Promoting active ageing in older people with mental disorders living in the community: an integrative review', International Journal of Nursing Practice, 24 (2018) [C1]
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Nova |
2018 |
Saravanakumar P, Higgins IJ, Van der Riet PJ, Sibbritt D, 'Tai chi and yoga in residential aged care: Perspectives of participants: A qualitative study', JOURNAL OF CLINICAL NURSING, 27 4390-4399 (2018)
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2018 |
Alotaibi K, Higgins I, Day J, Chan W, 'Paediatric pain management: knowledge, attitudes, barriers and facilitators among nurses - Integrative review', International Nursing Review, 65 524-533 (2018) [C1]
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Nova |
2018 |
Day J, Thorington Taylor AC, Hunter S, Summons P, van der Riet P, Harris M, et al., 'Experiences of older people following the introduction of consumer-directed care to home care packages: A qualitative descriptive study', Australasian Journal on Ageing, 37 275-282 (2018) [C1]
Objective: To explore the experiences of older people receiving home care package (HCP) support following the introduction of consumer-directed care (CDC) by the Australian govern... [more]
Objective: To explore the experiences of older people receiving home care package (HCP) support following the introduction of consumer-directed care (CDC) by the Australian government on 1 July 2015. Methods: Thirty-one older people with existing HCP support from two service providers in regional New South Wales, Australia, participated in a face-to-face interview and/or a qualitative survey. Results: Analysis revealed the theme of Choices: Preferences, constraints, balancing and choosing. Participants described choosing to live at home with HCP support; however, they were constrained by poor communication and information about service changes and options, personal budgets and access to future care. HCP services remained largely unchanged during transition to CDC. Conclusion: Many aspects of the initial implementation of CDC were challenging for older people. Clear, relevant and timely communication and information about CDC and its consequences for consumers appear to be needed to enhance CDC.
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Nova |
2017 |
MacLellan L, Higgins I, Levett-Jones T, 'An exploration of the factors that influence nurse practitioner transition in Australia: A story of turmoil, tenacity, and triumph', Journal of the American Association of Nurse Practitioners, 29 149-156 (2017) [C1]
Background and purpose: Nurse practitioner (NP) legislation was introduced in Australia in 1998 with the first NPs endorsed 2 years later. Although the number of NPs has slowly in... [more]
Background and purpose: Nurse practitioner (NP) legislation was introduced in Australia in 1998 with the first NPs endorsed 2 years later. Although the number of NPs has slowly increased, they still face significant challenges adjusting to their new role. The aim of this study was to explore the factors that influence the experience of new NPs. Methods: Ten newly appointed NPs were interviewed three to four times over a 12-month period. Using a summative content analysis, data were reduced to four key factors that influence the experience of role transition: personal, intraprofessional, interprofessional, and organizational. Conclusions: The findings illustrate that for many participants, transition was a time of turmoil and a great deal of tenacity was required to navigate the journey. However, despite the challenges, some participants were triumphant and able to forge a successful role for themselves. Implications for practice: This study highlights the need for the nursing profession to support new NPs. It also demonstrates that the provision of structured orientation programs is needed to facilitate effective transition to these complex and challenging roles. Clarity of expectations and a gradual increase in responsibilities are likely to optimize adjustment to the NP role.
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Nova |
2017 |
Walsh L, Hemsley BA, Allan M, Adams N, Balandin S, Georgiou A, et al., 'The ehealth literacy demands of Australia s My Health Record: a heuristic evaluation of usability', Perspectives in health information management / AHIMA, American Health Information Management Association, Fall 1-23 (2017) [C1]
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Nova |
2017 |
Day J, Taylor ACT, Summons P, Van Der Riet P, Hunter S, Maguire J, et al., 'Home care packages: Insights into the experiences of older people leading up to the introduction of consumer directed care in Australia', Australian Journal of Primary Health, 23 162-169 (2017) [C1]
This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people ... [more]
This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-To-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and 'emotional touchpoints' relating to home care were used to guide the interview conversation. Line-by-line data analysis, where significant statements were highlighted and clustered to reveal emergent themes, was used. Five older people, aged 81 to 91 years, participated in the study. The four emergent themes were: seeking quality and reciprocity in carer relationships; patchworking services; the waiting game; and technology with utility. Continuity of carers was central to the development of a trusting relationship and perceptions of care quality among older consumers. Care coordinators and workers should play a key role in ensuring older people receive timely information about CDC and their rights and responsibilities. Participants' use of contemporary technologies suggests opportunities to improve engagement of HCP clients in CDC.
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Nova |
2016 |
Day J, Higgins I, 'Reflexivity and exploring the meaning of delirium through media depictions: Methodological insights from a phenomenological study', Nursing and Health Sciences, 18 125-129 (2016) [C1]
In the course of a phenomenological study that explored the experiences of family members during their older loved one's delirium, a range of delirium experiences depicted in... [more]
In the course of a phenomenological study that explored the experiences of family members during their older loved one's delirium, a range of delirium experiences depicted in artistic, creative, and linguistic media were reviewed. The search for, and compilation of, media sources for reflection during data analysis is described in this paper. In doing so, the researcher reveals how attentiveness and openness to varied depictions of lived experiences, as well as a valuing attitude toward challenging subjective perspectives, can enhance researcher reflexivity and appreciation of interpretive meanings. Turning to media depictions of delirium offered alternative perspectives on the experience. It challenged the researcher's assumptions, enhanced phenomenological reflection, promoted critique of evolving interpretations, and suggested meanings that might not have otherwise been realized. The approach used is a potent, although often overlooked, way to differentiate the nature of phenomena shared through lived experience data. Media-based methods and their use in phenomenology continue to be explored. Illustrations of how to integrate media sources, as well as discussion about the benefits and alternatives to more common uses, are needed.
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Nova |
2016 |
van Manen M, Higgins I, van der Riet P, 'A conversation with Max van Manen on phenomenology in its original sense', NURSING & HEALTH SCIENCES, 18 4-7 (2016)
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Nova |
2016 |
Day J, Higgins I, 'Mum's absence(s): Conceptual insights into absence as loss during a loved one's delirium', Journal of Clinical Nursing, 25 2066-2073 (2016) [C1]
© 2016 John Wiley & Sons Ltd. Aims and objectives: To examine qualitative research findings about family experiences of absence or loss during older person delirium, and pro... [more]
© 2016 John Wiley & Sons Ltd. Aims and objectives: To examine qualitative research findings about family experiences of absence or loss during older person delirium, and provide a critical discussion of the similarities and differences in these experiences with conceptual understandings of absence and loss. Background: Families who care for older people with chronic illnesses experience many losses. However, the nondeath loss experiences of family during an older loved one's delirium, an acute condition accompanied by marked changes in demeanour, have received little consideration. Design: Discursive position paper. Methods: The findings from two qualitative research studies about family experiences during an older loved one's delirium are discussed in relation to the concepts of absence and nondeath loss. Results: The uncharacteristic behaviours and cognitive changes that accompany delirium may estrange family who, despite the older person's corporeal presence, sense the profound absence or loss of their loved one. Although the notion of absence, a nondeath loss, is similar to the experiences of family of people with chronic conditions, there are differences that distinguish these encounters. The similarities and differences between absence during delirium and the concepts of psychological absence, nonfinite loss and psychosocial death are discussed. Psychosocial death, reversibility/irreversibility and partial marked change, are suggested as conceptual descriptions for the absence families experience during an older loved one's delirium. Conclusions: The sense of absence or loss that family may experience during their older loved one's delirium needs to be recognised, understood and addressed by healthcare staff. Understanding or appreciating conceptualisations of absence, as a nondeath loss, may enhance understandings of family member needs during delirium and enable better support strategies. Relevance to clinical practice: Conceptualisations of absence enhance understandings of family distress and needs during their older loved one's delirium. The potential for family members to experience their loved one's absence during delirium, a nondeath loss, needs to be considered by healthcare staff. Family experiences of absence during delirium need to be recognised by healthcare staff, acknowledged as a potential source of distress, and considered when involving family in the older person's care. Nurses are ideally placed to respond compassionately and provide appropriate family member re-assurance, support and information during delirium. Information should include possible impacts on family and coping strategies.
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Nova |
2016 |
Stokoe A, Hullick C, Higgins I, Hewitt J, Armitage D, O'Dea I, 'Caring for acutely unwell older residents in residential aged-care facilities: Perspectives of staff and general practitioners', Australasian Journal on Ageing, 35 127-132 (2016) [C1]
© 2015 AJA Inc. Aim: To explore the challenges and facilitators of managing acutely unwell residents in their residential aged-care facilities (RACF) and transferring RACF residen... [more]
© 2015 AJA Inc. Aim: To explore the challenges and facilitators of managing acutely unwell residents in their residential aged-care facilities (RACF) and transferring RACF residents to the emergency department of a tertiary referral hospital in Australia. Methods: This exploratory study used a qualitative descriptive approach incorporating structured focus group interviews with nursing staff from RACFs and General Practitioners (GPs) within the local area. Four focus groups were held with staff from RACFs and one with GPs who visited one or more of the facilities during 2010. The interview data were analysed for themes relating to the study aims. Results: Findings revealed both challenges and facilitators associated with managing acutely unwell older people including, communication, nursing staffing mix and numbers, use of advanced care directives, responsibilities of GPs and awareness of community services. Conclusion: From these findings it is possible to make recommendations for alternative ways of practising and/or new models of care.
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Nova |
2016 |
Hemsley B, Georgiou A, Carter R, Hill S, Higgins I, van Vliet P, Balandin S, 'Use of the My Health Record by people with communication disability in Australia: A review to inform the design and direction of future research', HEALTH INFORMATION MANAGEMENT JOURNAL, 45 107-115 (2016) [C1]
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Nova |
2016 |
Hullick C, Conway J, Higgins I, Hewitt J, Dilworth S, Holliday E, Attia J, 'Emergency department transfers and hospital admissions from residential aged care facilities: a controlled pre-post design study.', BMC geriatrics, 16 102 (2016) [C1]
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Nova |
2016 |
MacLellan L, Levett-Jones T, Higgins I, 'The enemy within: Power and politics in the transition to nurse practitioner', NursingPlus Open, 2 1-7 (2016) [C1]
Background: The period of transition from registered nurse to nurse practitioner is often challenging. While adjusting to their autonomous role, nurse practitioners need to create... [more]
Background: The period of transition from registered nurse to nurse practitioner is often challenging. While adjusting to their autonomous role, nurse practitioners need to create and define a distinct role for themselves within practice contexts that may be unfamiliar, sometimes unwelcoming and inhospitable. During this time of transition, nurses need well developed negotiation skills and personal attributes including resilience, tenacity, fortitude and determination. Purpose of the research: The purpose of the research reported in this paper was to explore the transition experiences of 10 newly endorsed nurse practitioners in Australia during their first year of practice. This paper focuses on power, control and political manoeuvring that negatively impacted the [U+05F3]nurse practitioners[U+05F3] transition. A qualitative approach using a modified version of Carspecken[U+05F3]s five stage critical ethnography, informed by focused ethnography, was the methodology selected for this study. Methods included observations of practice, journaling, face to face and phone interviews which were recorded, transcribed and analysed thematically. Results: "The enemy within" emerged as a dominant theme highlighting issues of power, powerlessness and politics dominating the participant[U+05F3]s experiences. Power struggles amongst nurses, both overt and covert, and the deliberate misuse of power were frequently encountered. Many of the participants felt powerless and ill-prepared to negotiate the challenging situations in which they found themselves. Many lacked the skills needed to address the negative behaviours they experienced. Conclusions: This paper reports on the experiences of 10 newly endorsed nurse practitioners during their transition to the nurse practitioner role. The impact of the political climate at the time of this study had an undeniable influence on many of the participants[U+05F3] transition experiences. Competition for the limited numbers of designated nurse practitioner positions led to hostility between senior nurses and, in some contexts, a jostling for power, control, prestige and position. Rather than camaraderie, cooperation and collaboration, many of the participants described feeling besieged, undermined and alienated. The new nurse practitioners felt isolated, unwelcomed and unsupported. Several felt burnt out and abandoned their aspirations to be become a nurse practitioner. They left and returned to practice as a registered nurse.
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Nova |
2015 |
Day J, Higgins I, 'Existential Absence: The Lived Experience of Family Members During Their Older Loved One's Delirium.', Qual Health Res, 25 1700-1718 (2015) [C1]
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Nova |
2015 |
Conway J, Higgins I, Hullick C, Hewitt J, Dilworth S, 'Nurse-led ED support for Residential Aged Care Facility staff: An evaluation study', International Emergency Nursing, 23 190-196 (2015) [C1]
Objectives: To evaluate the impact of a nurse-led telephone support service to Residential Aged Care Facilities (RACFs) on a range of measures relating to the transfer of acutely ... [more]
Objectives: To evaluate the impact of a nurse-led telephone support service to Residential Aged Care Facilities (RACFs) on a range of measures relating to the transfer of acutely unwell residents to the Emergency Department (ED) of a large tertiary referral hospital in New South Wales, Australia over a 9 month period. Methods: A pre- and post-intervention design determined the impact of the telephone service, associated clinical guidelines and education. Data from 4 intervention RACFs using the nurse-led telephone service were compared with 8 control RACFs. Data included the older patient's triage category, presenting problem(s), transfer rates from RACFs, ED admissions, and overall hospital length of stay. Interviews and focus groups with staff from RACFs and EDs were conducted to ascertain their experiences. Results: Reduced presentations of older people to the ED from the 4 pilot RACFs occurred. High levels of satisfaction among staff in RACFs were reported.
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Nova |
2015 |
Maclellan L, Higgins I, Levett-Jones T, 'Medical acceptance of the nurse practitioner role in Australia: A decade on', Journal of the American Association of Nurse Practitioners, 27 152-159 (2015) [C1]
Purpose: In Australia, nurse practitioners (NPs) were first endorsed in 2000. After more than a decade, the number of NPs remains relatively small with previous research suggestin... [more]
Purpose: In Australia, nurse practitioners (NPs) were first endorsed in 2000. After more than a decade, the number of NPs remains relatively small with previous research suggesting medical resistance as a key reason for this. This article presents a selection of narratives from a study that explored the transition experiences of newly endorsed NPs with particular attention to relationships with their medical colleagues. Data sources: A critical ethnographic approach was undertaken to explore the experiences of 10 Australian NPs who were interviewed three to four times for up to an hour throughout their first year of practice. Conclusions: Participants' narratives provide insight into their transition to practice and the barriers and facilitators to their new role. In contrast to previous research, medical colleagues were generally supportive and collegial while resistance was demonstrated most often by senior nurses yielding positions of power. Implications for practice: This study provides insight into the influences that key health professionals have over the transition of NPs. Despite the fact there are still negative attitudes being expressed by some medical associations, in this study medical colleagues were largely supportive of the NP role and that integral to the development of these interprofessional relationships was mutual respect and effective communication.
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Nova |
2015 |
Briggs S, Pearce R, Dilworth S, Higgins I, Hullick C, Attia J, 'Clinical pharmacist review: A randomised controlled trial', EMA - Emergency Medicine Australasia, 27 419-426 (2015) [C1]
Objectives: To determine if medication review by a clinical pharmacist of older patients in the ED impacted on admission to hospital and other outcomes. Methods: A stratified, ran... [more]
Objectives: To determine if medication review by a clinical pharmacist of older patients in the ED impacted on admission to hospital and other outcomes. Methods: A stratified, randomised controlled study comparing the intervention to current practice. A tertiary referral ED in New South Wales, Australia. Older people (>70 years) living at home who initially reported taking greater than five medications. Medication review by an experienced hospital pharmacist within the ED. Rate of admission, rate of readmission, length of stay and admission to an aged care facility at 4 months post presentation, and rate of general practitioner acceptance of pharmacist recommendations. Results: The odds of admission decreased for those receiving the intervention (odds ratio [OR] = 0.68, 95% confidence interval [CI]: 0.53, 0.87; P = 0.002). There was no evidence that the intervention affected hospital length of stay for admitted patients (0.09 days change, 95% CI -0.08, 0.25; P = 0.31), the rate of re-presentation (0.08% change, 95% CI -0.12, 0.28; P = 0.44) or admission to an aged care facility. The odds of admission to an aged care facility increased with the Identification of Seniors at Risk score. General practitioners adopted 49% of pharmacists' recommendations. Conclusions: The presence of an experienced pharmacist in the ED reduced hospital admissions. Further study is required to determine longer term impacts of General Medical Practitioner acceptance of pharmacists' recommendations.
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Nova |
2015 |
Day J, Higgins I, 'Adult family member experiences during an older loved one's delirium: A narrative literature review', Journal of Clinical Nursing, 24 1447-1456 (2015) [C1]
Aims and objectives: To provide a narrative literature review about family experiences during older person delirium. Background: Delirium is a common and serious condition which m... [more]
Aims and objectives: To provide a narrative literature review about family experiences during older person delirium. Background: Delirium is a common and serious condition which manifests when older people are unwell. Family members of older people are likely to encounter their loved one and become involved in care during delirium. Design: Narrative literature review. Methods: Electronic database and Google Scholar¿ searches were conducted using search terms for delirium, family, experience and older people. Results: Though family members are important partners in the care of older people, there has been little exploration of their experiences during delirium. Current literature identifies that family members experience unexpected, rapid and unpredictable changes in their older loved one, absence of the person they know, distress, not knowing about delirium nor how to help, and supportive and unsupportive relationships with health care staff. Conclusions: Health care staff need understanding about what it means for family to have someone close to them have delirium. Without understanding, it is difficult for staff to respond with compassion, provide support and appropriately include family in the older person's care. There is a need to mitigate family distress and provide support, including information which addresses family concerns. Relevance to clinical practice: The distress family members experience, the impact of losing connection to their loved one, and the difficulty family face in sustaining hope for their loved one's return needs to be recognised and addressed by health care staff, particularly nurses, during the older person's care.
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Nova |
2015 |
Summons PF, Higgins I, 'Pain management of older people in the acute setting: a critical ethnography of decision making on an acute surgical ward', Anaesthesia and Intensive Care, 43 402-402 (2015)
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2015 |
Maclellan L, Levett-Jones T, Higgins I, 'Nurse practitioner role transition: A concept analysis', Journal of the American Association of Nurse Practitioners, 27 389-397 (2015) [C1]
Background: Transitioning from registered nurse to nurse practitioner (NP) can be challenging personally and professionally. Insight into transition experiences may help validate ... [more]
Background: Transitioning from registered nurse to nurse practitioner (NP) can be challenging personally and professionally. Insight into transition experiences may help validate the experiences of new NPs and provide greater understanding of the challenges faced during their professional journey. Purpose: The purpose of this article is to report a concept analysis of transition from registered nurse to NP. The article provides new knowledge, understanding, and clarity about the concept of transition. Data sources: Walker and Avants' framework for concept analysis was used to identify the attributes, antecedents, and consequences of the concept. A literature review of refereed journals was undertaken. Model cases from an ethnographic study conducted in Australia provide real life examples of the attributes of transition. Conclusions: Transitioning to the role of NP is complex and dependent on the individual and the attitudes of healthcare colleagues. Change and adaptation are required of both the NP and members of the healthcare team. Failure to adapt by either party undermines the potential for NPs to deliver improved health care. Implications for practice: Mentorship along with a nurturing environment may be effective strategies for increasing the NP's self-confidence and ensuring a smooth and successful transition period.
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Nova |
2015 |
Conway J, Dilworth S, Hullick C, Hewitt J, Turner C, Higgins I, 'A multi-organisation aged care emergency service for acute care management of older residents in aged care facilities', Australian Health Review, 39 514-516 (2015) [C3]
This case study describes a multi-organisation aged care emergency (ACE) service. The service was designed to enable point-of-care assessment and management for older people in re... [more]
This case study describes a multi-organisation aged care emergency (ACE) service. The service was designed to enable point-of-care assessment and management for older people in residential aged care facilities (RACFs). Design of the ACE service involved consultation and engagement of multiple key stakeholders. The ACE service was implemented in a large geographical region of a single Medicare Local (ML) in New South Wales, Australia. The service was developed over several phases. A case control pilot evaluation of one emergency department (ED) and four RACFs revealed a 16% reduction in presentations to the ED as well as reductions in admission to the hospital following ED presentation. Following initial pilot work, the ACE service transitioned across another five EDs and 85 RACFs in the local health district. The service has now been implemented in a further 10 sites (six metropolitan and four rural EDs) across New South Wales. Ongoing evaluation of the implementation continues to show positive outcomes. The ACE service offers a model shown to reduce ED presentations and admissions from RACFs, and provide quality care with a focus on the needs of the older person.
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Nova |
2015 |
MacLellan L, Higgins I, Levett-Jones T, 'A game of snakes and ladders: negotiating the 'ups and downs' of endorsement as a nurse practitioner in Australia.', Contemporary nurse, 50 139-148 (2015) [C1]
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Nova |
2015 |
Tembo AC, Higgins I, Parker V, 'The experience of communication difficulties in critically ill patients in and beyond intensive care: Findings from a larger phenomenological study', Intensive and Critical Care Nursing, 31 171-178 (2015) [C1]
Communication difficulties in intensive care units (ICU) with critically ill patients have been well documented for more than three decades. However, there is only a paucity of li... [more]
Communication difficulties in intensive care units (ICU) with critically ill patients have been well documented for more than three decades. However, there is only a paucity of literature that has explored communication difficulties beyond the ICU environment. This paper discusses the experience of communication difficulties in critically ill patients in ICU and beyond as part of findings from a larger study that explored the lived experiences of critically ill patients in ICU in the context of daily sedation interruption (DSI).The aim of the study was to describe the lived experience of people who experienced critical illness in ICU using a hermeneutic phenomenological approach in the DSI context. Twelve participants aged between 20 and 76 years with an ICU stay ranging from 3 to 36 days were recruited from a 16 bed ICU in a large regional referral hospital in New South Wales (NSW), Australia. Participants were intubated, mechanically ventilated and subjected to (DSI) during their critical illness in ICU. In-depth face to face interviews with participants were conducted at two weeks after discharge from ICU and at six to eleven months later. Interviews were audio taped and transcribed. Thematic analysis using van Manen's (1990) method was completed. The overarching theme; 'Being in limbo' and subthemes 'Being disrupted'; 'Being imprisoned' and 'Being trapped' depict the main elements of the experience.This paper discusses communication difficulties in critically ill patients as one of the main findings relating to the theme 'Being trapped'. Participants' reports of communication difficulties in ICU are similar to those reported by patients in other studies where DSI was not used. However, not many studies have reported ongoing communication difficulties after ICU hospitalisation. Recommendations are made for new models of care and support to mitigate critically ill patients' communication concerns in ICU and for further research into the causes and treatment to benefit this group of patients. Most importantly, extra care is recommended not to damage vocal cords during intubation and cuff inflation in the course of mechanical ventilation.
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Nova |
2015 |
Hemsley B, Georgiou A, Balandin S, Carter R, Hill S, Higgins I, et al., 'The Personally Controlled Electronic Health Record (PCEHR) for Adults with Severe Communication Impairments: Findings of Pilot Research.', Studies in health technology and informatics, 214 100-106 (2015) [C1]
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Nova |
2014 |
Saravanakumar P, Higgins IJ, Van Der Riet PJ, Marquez J, Sibbritt D, 'The influence of tai chi and yoga on balance and falls in a residential care setting: a randomised controlled trial.', Contemporary nurse, 5231-5255 (2014)
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2014 |
Dilworth S, Higgins I, Parker V, Kelly B, Turner J, 'Examining clinical supervision as a mechanism for changes in practice: A research protocol', Journal of Advanced Nursing, 70 421-430 (2014) [C1]
Aim: This paper describes the research protocol for a study exploring if and how clinical supervision facilitates change in practice relating to psychosocial aspects of care for H... [more]
Aim: This paper describes the research protocol for a study exploring if and how clinical supervision facilitates change in practice relating to psychosocial aspects of care for Health Professionals, who have been trained to deliver a psychosocial intervention to adults with cancer. Background: There is a recognized need to implement care that is in line with clinical practice guidelines for the psychosocial care of adults with cancer. Clinical supervision is recommended as a means to support Health Professionals in providing the recommended psychosocial care. Design: A qualitative design embedded within an experimental, stepped wedge randomized control trial. Methods: The study will use discourse analysis to analyse audio-recorded data collected in clinical supervision sessions that are being delivered as one element of a large randomized control trial. The sessions will be attended primarily by nurses, but including physiotherapists, radiation therapists, occupational therapists. The Health Professionals are participants in a randomized control trial designed to reduce anxiety and depression of distressed adults with cancer. The sessions will be facilitated by psychiatrists experienced in psycho-oncology and the provision of clinical supervision. Discussion: The proposed research is designed specifically to facilitate exploration of the mechanisms by which clinical supervision enables Health Professionals to deliver a brief, tailored psychosocial intervention in the context of their everyday practice. This is the first study to use discourse analysis embedded within an experimental randomized control trial to explore the mechanisms of change generated within clinical supervision by analysing the discourse within the clinical supervision sessions. © 2013 John Wiley & Sons Ltd.
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Nova |
2014 |
Higgins I, van der Riet P, Sneesby L, Good P, 'Nutrition and hydration in dying patients: The perceptions of acute care nurses', Journal of Clinical Nursing, 23 2609-2617 (2014) [C1]
Aims and objectives: To explore the perceptions of nurses regarding the provision and nonprovision of medical nutrition and hydration during the end stage of life when death is im... [more]
Aims and objectives: To explore the perceptions of nurses regarding the provision and nonprovision of medical nutrition and hydration during the end stage of life when death is imminent in the acute care setting. Background: When people are dying, they often experience a loss of appetite and desire for drinking which are natural processes at this time. The cessation of eating and drinking challenges both family members and clinical staff. This article builds on previous studies that describe the perceptions of medical doctors and palliative care nurses regarding medical nutrition and hydration during the end stage of life when death is imminent. Design: Qualitative descriptive design. Methods: This study included three focus group meetings with ten nurses in an acute care setting in medical, oncology and haematology units. An interview schedule was used to guide the discussions. Results: The main theme to emerge from this study was 'finding a comfort space/ambiguous spaces of unrest' that included four subthemes: (1) limited involvement in decision-making, (2) comfort vs. discomfort, (3) uncertainty and (4) the comfort of withdrawing treatment. Finding a comfort space captures the challenges nurses faced when speaking about the concerns of patients and family. In this space, there were ambiguities that created unease and unrest: a reluctance to talk about death; a reluctance to engage with the patient and the family. Conclusions: Acute care nurses need to be more cognisant of the palliative approach to care and become more engaged with decision-making during the end stage of life when death is imminent. Relevance to clinical practice: Nurses in acute care settings need to be involved in decision-making and advocate for patients and family during the dying phase. Nurses in acute care need better understanding about the palliative approach to care and nutrition and hydration for people who are dying. © 2013 John Wiley & Sons Ltd.
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Nova |
2014 |
Saravanakumar P, Higgins IJ, Van Der Riet PJ, Marquez J, Sibbritt D, 'The influence of tai chi and yoga on balance and falls in a residential care setting: A randomised controlled trial', Contemporary Nurse, 48 76-87 (2014) [C1]
Falls amongst older people is a global public health concern. Whilst falling is not a typical feature of ageing, older people are more likely to fall. Fall injuries amongst older ... [more]
Falls amongst older people is a global public health concern. Whilst falling is not a typical feature of ageing, older people are more likely to fall. Fall injuries amongst older people are a leading cause of death and disability. Many older people do not do regular exercise so that they lose muscle tone, strength, and flexibility which affect balance and predispose them to falls. The management of falls in residential care settings is a major concern with strategies for prevention and monitoring a focus in this setting. Yoga and tai chi have shown potential to improve balance and prevent falls in older adults. They also have potential to improve pain and quality of life. The aim of this study was to determine the feasibility of conducting a three-arm randomised controlled trial (RCT) with frail older people in a residential care setting to test the hypothesis that a 14-week modified tai chi or yoga programme is more effective than usual care activity in improving balance function, quality of life, pain experience and in reducing number of falls. There were no statistically significant differences between the three groups in the occurrence of falls. Yoga demonstrated a slight decrease in fall incidence; quality of life improved for the tai chi group. Only the yoga group experienced a reduction in average pain scores though not statistically significant. The findings of the study suggest it is possible to safely implement modified yoga and tai chi in a residential care setting and evaluate this using RCT design. They show positive changes to balance, pain and quality of life and a high level of interest through attendance amongst the older participants. The results support offering tai chi and yoga to older people who are frail and dependent with physical and cognitive limitations.
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Nova |
2014 |
Dilworth S, Higgins I, Parker V, Kelly B, Turner J, 'Exploring the Situational Complexities associated with Practice Change in the Delivery of a Psychosocial Intervention', PSYCHO-ONCOLOGY, 23 68-68 (2014) [E3]
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2014 |
Dilworth S, Higgins I, Parker V, Kelly B, Turner J, 'Patient and health professional's perceived barriers to the delivery of psychosocial care to adults with cancer: A systematic review', Psycho-Oncology, 23 601-612 (2014) [C1]
Objective To explore the barriers experienced and perceived by health professionals and patients in the delivery of psychosocial care to adults with cancer. Methods Systematic sea... [more]
Objective To explore the barriers experienced and perceived by health professionals and patients in the delivery of psychosocial care to adults with cancer. Methods Systematic searches were undertaken using the Psych Info, Medline and CINAHL electronic databases, up to October 2013. Research reporting health professional or patient experiences and perceptions of barriers to psychosocial care are included in the review. The systematic review includes studies that have non-experimental, exploratory and observational designs, as is appropriate to answer the review question. Included studies were critically appraised. The results of individual quantitative studies were aggregated. Qualitative content analysis was used to analyse the qualitative results. Results Twenty-five papers met the pre-specified inclusion criteria for the final review. The most commonly perceived barrier for patients relates to receiving adequate support from elsewhere and a lack of perceived need for psychosocial care. Health professionals report barriers at an organisational level most frequently followed by cultural and then individual clinician-related barriers. Conclusions Barriers exist on a variety of levels. People with cancer need clear appropriate information and communication about psychosocial services, including information about the role of psychosocial care in addition to existing supports. Interventions that target the complex interplay of individual, organisational and cultural factors need to be developed. Strategies that improve health professional communication skills, identify clear referral pathways, improve acceptability of interventions and clearly identify the need for services could address many of the barriers identified in this review. Copyright © 2014 John Wiley & Sons, Ltd.
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Nova |
2014 |
Rossiter RC, Day J, McDonald VM, Hunter S, Jeong S, Van Der Riet P, et al., 'Redefining old: Optimising health and wellbeing', Hong Kong Journal of Mental Health, 40 59-72 (2014) [C1]
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Nova |
2013 |
Cho G, Jeong Y-S, McMillan M, Higgins I, 'Future Directions for Care of Older People in Residential Aged Care Facilities
in South Korea: Nation-wide data:categorization of Long-Term Care
Insurance benefits for older people', 1st Annual Worldwide Nursing Conference, (2013)
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2013 |
McDonald V, Wood L, Baines P, Higgins I, Gibson P, 'Obesity and bone health in COPD', EUROPEAN RESPIRATORY JOURNAL, 42 (2013)
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2013 |
McDonald VM, Higgins I, Wood LG, Gibson PG, 'Multidimensional assessment and tailored interventions for COPD: respiratory utopia or common sense?', THORAX, 68 691-694 (2013) [C1]
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Nova |
2013 |
McDonald VM, Higgins I, Gibson PG, 'Insight into Older Peoples' Healthcare Experiences with Managing COPD, Asthma, and Asthma-COPD Overlap', JOURNAL OF ASTHMA, 50 497-504 (2013) [C1]
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Nova |
2013 |
Mitchell R, Paliadelis P, Mcneil K, Parker V, Giles M, Higgins I, et al., 'Effective interprofessional collaboration in rural contexts: A research protocol', Journal of Advanced Nursing, 69 2317-2326 (2013) [C3]
Aim: To describe the research protocol that will be used to investigate factors contributing to effective interprofessional practice in a rural context in Australia. Background: I... [more]
Aim: To describe the research protocol that will be used to investigate factors contributing to effective interprofessional practice in a rural context in Australia. Background: Interprofessional practice is a key strategy for overcoming rural health challenges; however, our knowledge of interprofessional initiatives and consequences in rural areas is limited. Design: A modified realistic evaluation approach will be used to explore the structures, systems, and social processes contributing to effective interprofessional outcomes. This 'context-mechanism-outcome' approach provides a useful framework for identifying why and how interprofessional practice works in rural contexts. Method: Initial propositions regarding the factors that explain effective collaborative practice will be generated through interviews with lead clinicians, policy-makers, and clinician managers. Clinician interviews, document analysis, and multi-participant focus groups will be used as evidence to support, refine, or redevelop the initial propositions. This will allow the development of a model of rural interprofessional practice that will explain how and why collaborative approaches work in rural environments. This study is funded by an Institute of Rural Clinical Services and Teaching grant (January 2010). Discussion: Rural healthcare challenges are well documented; however, studies investigating the nature of interprofessional practice in rural contexts are not common. Rural contexts also present research design, particularly data collection, challenges. This proposed research is one of the first to identify the factors that facilitate or constrain effective interprofessional work in rural settings. This is particularly important, given the continuing workforce shortages and maldistribution and poorer health outcomes in rural communities globally. © 2013 Blackwell Publishing Ltd.
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Nova |
2013 |
Tembo AC, Parker V, Higgins I, 'The experience of sleep deprivation in intensive care patients: Findings from a larger hermeneutic phenomenological study', Intensive and Critical Care Nursing, 29 310-316 (2013) [C1]
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Nova |
2013 |
Dilworth S, Higgins I, Parker V, Kelly B, Turner J, 'Finding a way forward: a literature review on the current debates around clinical supervision.', Contemp Nurse, 45 22-32 (2013) [C1]
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Nova |
2013 |
McDonald VM, Higgins I, Gibson PG, 'Managing Older Patients with Coexistent Asthma and Chronic Obstructive Pulmonary Disease Diagnostic and Therapeutic Challenges', DRUGS & AGING, 30 1-17 (2013) [C1]
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Nova |
2013 |
Dilworth S, Higgins I, Parker V, Kelly B, Turner J, 'Exploring the situational complexities associated practice change in health', Qualitative Research Journal, 13 178-186 (2013) [C1]
Purpose: The purpose of this paper is to critically examine multidisciplinary, group clinical supervision sessions and to extend current understandings of the barriers/enablers to... [more]
Purpose: The purpose of this paper is to critically examine multidisciplinary, group clinical supervision sessions and to extend current understandings of the barriers/enablers to the implementation of an innovative psychosocial intervention for distressed adults with cancer. Design/methodology/approach: Discourse analysis was used to analyse audio recordings from clinical supervision sessions delivered as part of a psychosocial intervention within the context of a randomised control trial (RCT). Findings: Examination of subject positions, representation and tensions reveals that Health Professionals can resists the pressures of systemic barriers to provide much-needed psychosocial support for distressed adults with cancer. Critical examination of multidisciplinary clinical supervision sessions describes how Health Professionals are able to construct new meanings and reposition themselves as being able to provide supportive care within the context of their everyday practices. Research limitations/implications: This paper reports only a small part of a larger analysis that aims to explore how discourse maps the current state of psychosocial care for adults with cancer and illustrates the fragility and potential for change in this area. Originality/value: Extension on the previous literature is seen within the data through the presence of positive resistance against systemic barriers. Previous exploration of clinical supervision has not collected data generated within the sessions. It is also novel in the use of discourse analysis being used in association with a randomised controlled trial to understand the situational complexities associated with bringing about practice change. © Emerald Group Publishing Limited.
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2013 |
Parker V, McNeil K, Higgins I, Mitchell R, Paliadelis P, Giles M, Parmenter G, 'How health professionals conceive and construct interprofessional practice in rural settings: a qualitative study', BMC Health Services Research, 13 5 (2013) [C1]
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Nova |
2013 |
Adili F, Higgins I, Koch T, 'Older women and chronic illness: Transitioning and learning to live with diabetes', Action Research, 11 142-156 (2013) [C1]
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Nova |
2012 |
Joyce T, Higgins IJ, Magin PJ, Goode SM, Pond CD, Stone TE, et al., 'The experiences of nurses with mental health problems: Colleagues' perspectives', Archives of Psychiatric Nursing, 26 324-332 (2012) [C1]
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Nova |
2012 |
Dilworth S, Higgins IJ, Parker V, 'Feeling let down: An exploratory study of the experiences of older people who were readmitted to hospital following a recent discharge', Contemporary Nurse: A Journal for the Australian Nursing Profession, 42 280-288 (2012) [C1]
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Nova |
2012 |
Paliadelis PS, Parmenter G, Parker V, Giles M, Higgins IJ, 'The challenges confronting clinicians in rural acute care settings: A participatory research project', Rural and Remote Health, 12 1-12 (2012) [C1]
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Nova |
2012 |
Jeong Y-S, McMillan MA, Higgins IJ, 'Gerotranscendence: The phenomenon of Advance Care Planning', Journal of Religion, Spirituality & Aging, 24 146-163 (2012) [C1]
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Nova |
2012 |
Adili F, Higgins IJ, Koch TG, 'Inside the PAR group: The group dynamics of women learning to live with diabetes', Action Research, 10 373-386 (2012) [C1]
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Nova |
2012 |
Harmon JR, Higgins IJ, Summons PF, Bellchambers HL, 'Efficacy of the use of evidence-based algorithmic guidelines in the acute care setting for pain assessment and management in older people: A critical review of the literature', International Journal of Older People Nursing, 7 127-140 (2012) [C1]
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Nova |
2012 |
Tembo AC, Parker V, Higgins IJ, 'Being in limbo: The experience of critical illness in intensive care and beyond', Open Journal of Nursing, 2 270-276 (2012) [C1] |
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Nova |
2011 |
McDonald VM, Higgins I, Simpson JL, Gibson PG, 'The importance of clinical management problems in older people with COPD and asthma: Do patients and physicians agree?', Primary Care Respiratory Journal, 20 389-395 (2011) [C1]
Background: COPD and asthma in older people are complex conditions associated with multiple clinical problems. The relative importance of these problems to both patients and physi... [more]
Background: COPD and asthma in older people are complex conditions associated with multiple clinical problems. The relative importance of these problems to both patients and physicians and the level of agreement between them is largely unknown. Methods: Older people with asthma and COPD underwent a multidimensional assessment to characterise the prevalence of clinical problems. Each individual's problems were then summarised and presented separately to the patient and physician to rate problem importance. Problems were scored using a 5-point Likert scale from unimportant to very important. Results: The highest-rated problems were dyspnoea, activity limitation and airway inflammation, and these areas had good patientphysician concordance. Poor concordance was found for inhaler technique adequacy, airflow obstruction and obesity. Good concordance was found for written action plans, but this was less important to both patients and physicians. Conclusions: In asthma and COPD, patients and their physicians agree about the importance of managing activity limitation, dyspnoea, and airway inflammation. Other areas of management had little concordance or were viewed as less important. Self-management skills were not rated as important by patients and this may hinder successful management. Eliciting problems and addressing their importance to treatment goals may improve care in COPD and asthma. © 2011 Primary Care Respiratory Society UK. All rights reserved.
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Nova |
2011 |
Jeong Y-S, Higgins IJ, McMillan MA, 'Experiences with advance care planning: Nurses' perspective', International Journal of Older People Nursing, 6 165-175 (2011) [C1]
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Nova |
2011 |
Jeong Y-S, Higgins IJ, McMillan MA, 'Experiences with advance care planning: Older people and family members' perspective', International Journal of Older People Nursing, 6 176-186 (2011) [C1]
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2011 |
McDonald VM, Simpson JL, Higgins IJ, Gibson PG, 'Multidimensional assessment of older people with asthma and COPD: Clinical management and health status', Age and Ageing, 40 42-49 (2011) [C1]
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Nova |
2011 |
Good PD, Sneesby L, Higgins IJ, Van Der Riet PJ, 'Medical officers in acute care settings: Their views on medically assisted hydration at the end of life', Journal of Palliative Care, 27 303-309 (2011) [C1]
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Nova |
2011 |
Day JL, Higgins IJ, Keatinge DR, 'Orientation strategies during delirium: Are they helpful?', Journal of Clinical Nursing, 20 3285-3294 (2011) [C1]
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Nova |
2011 |
Joyce TA, Higgins IJ, Magin PJ, Goode SM, Pond CD, Stone TE, et al., 'Nurses' perceptions of a mental health education programme for Australian nurses', International Journal of Mental Health Nursing, 20 247-252 (2011) [C1]
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Nova |
2010 |
Jeong Y-S, Higgins IJ, McMillan MA, 'The essentials of Advance Care Planning for end-of-life care for older people', Journal of Clinical Nursing, 19 389-397 (2010) [C1]
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Nova |
2010 |
Higgins IJ, Parker VT, Keatinge DR, Giles M, Winskill RA, Dowse EM, et al., 'Doing clinical research: The challenges and benefits', Contemporary Nurse, 35 171-181 (2010) [C1]
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Nova |
2010 |
Phelan C, Higgins IJ, Summons PF, Douglas J, Dobson PM, Hodson F, 'An innovative approach to targeting pain in older people in the acute care setting', Contemporary Nurse, 35 221-233 (2010) [C1]
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Nova |
2010 |
Li PL, Bashford L, Schwager G, Spain R, Ryan H, Oakman M, et al., 'Clinicians' experiences of participating in an action research study', Contemporary Nurse, 35 147-156 (2010) [C1]
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Nova |
2010 |
Kucera KJ, Higgins IJ, McMillan MA, 'Advanced nursing practice: A futures model derived from narrative analysis of nurses' stories', Australian Journal of Advanced Nursing, 27 43-53 (2010) [C1]
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Nova |
2009 |
Li P, Giles M, Dumont FA, Day JL, Higgins IJ, 'The uptake and utility of a protocol for delirium prevention: An evaluation study', HNE Handover for Nurses and Midwives, 2 7-11 (2009) [C2] |
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Nova |
2009 |
Li PL, Bashford L, Schwager G, Spain R, Ryan H, Oakman M, et al., 'Reflections on participating in an action research study', HNE Handover for Nurses and Midwives, 2 26-31 (2009) [C2] |
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Nova |
2009 |
Dobson PM, Hodson F, Phelan C, Douglas J, Ritchard L, Bruce D, et al., 'The use of visual aids to enhance pain management in elderly patients in the acute care setting', HNE Handover for Nurses and Midwives, 2 39-40 (2009) [C3]
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Nova |
2009 |
Higgins IJ, Phelan CM, Summons PF, Hodson F, Douglas J, Ritchard L, et al., 'Targeting pain in older people: The challenges of doing clinical research', HNE Handover for Nurses and Midwives, 2 37-38 (2009) [C2]
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Nova |
2009 |
Day JL, Higgins IJ, Koch TG, 'The process of practice redesign in delirium care for hospitalised older people: A participatory action research study', International Journal of Nursing Studies, 46 13-22 (2009) [C1]
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Nova |
2009 |
Levett-Jones TL, Lathlean J, Higgins IJ, McMillan MA, 'Staff-student relationships and their impact on nursing students' belongingness and learning', Journal of Advanced Nursing, 65 316-324 (2009) [C1]
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Nova |
2009 |
Van Der Riet PJ, Higgins IJ, Good PD, Sneesby LB, 'A discourse analysis of difficult clinical situations in relation to nutrition and hydration during end of life care', Journal of Clinical Nursing, 18 2104-2111 (2009) [C1]
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Nova |
2009 |
Parker VT, Giles M, Higgins IJ, 'Challenges confronting clinicians in acute care', Journal of Nursing Management, 17 667-678 (2009) [C1]
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Nova |
2009 |
Levett-Jones TL, Lathlean J, Higgins IJ, McMillan MA, 'Development and psychometric testing of the Belongingness Scale-Clinical Placement Experience: An international comparative study', Collegian, 16 153-162 (2009) [C1]
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Nova |
2008 |
Van Der Riet PJ, Good PD, Higgins IJ, Sneesby LB, 'Patient nutrition and hydration at the end of life', Australian Nursing Journal, 15 40 (2008) [C3]
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Nova |
2008 |
Van Der Riet PJ, Good PD, Higgins IJ, Sneesby L, 'Palliative care professionals' perceptions of nutrition and hydration at the end of life', International Journal of Palliative Nursing, 14 145-151 (2008) [C1]
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Nova |
2008 |
Day JL, Higgins IJ, Koch TG, 'Delirium and older people: What are the constraints to best practice in acute care?', International Journal of Older People Nursing, 3 170-177 (2008) [C1]
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Nova |
2008 |
Higgins IJ, 'Living with chronic pain in a residential aged care facility', HNE Handover for Nurses and Midwives, 1 17-20 (2008) [C2] |
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Nova |
2008 |
Parker VT, Giles M, Higgins IJ, 'Challenges confronting clinicians in acute care', HNE Handover for Nurses and Midwives, 1 11-16 (2008) [C2] |
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Nova |
2008 |
Levett-Jones TL, Lathlean J, Higgins IJ, McMillan MA, 'The duration of clinical placements: A key influence on nursing students' experience of belongingness', The Australian Journal of Advanced Nursing, 26 8-16 (2008) [C1]
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Nova |
2007 |
Levett-Jones TL, Lathlean J, McMillan MA, Higgins IJ, 'Belongingness: A montage of nursing students' stories of their clinical placement experiences', Contemporary Nurse, 24 1 (2007) [C1]
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2007 |
Higgins IJ, Joyce TA, Parker VT, Fitzgerald M, McMillan MA, 'The immediate needs of relatives during the hospital stay of acutely ill older relatives', Contemporary Nurse, 26 208-220 (2007) [C1]
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2007 |
Peek C, Higgins IJ, Milson-Hawke S, McMillan MA, Harper D, 'Towards innovation: The development of a person-centred model of care for older people in acute care', Contemporary Nurse, 26 164-176 (2007) [C1]
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2007 |
Higgins IJ, 'Issues in older person nursing', Contemporary Nurse, 26 161-163 (2007) [C3] |
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2007 |
Higgins IJ, Van Der Riet PJ, Slater LE, Peek C, 'The negative attitude of nurses towards older patients in the acute hospital setting: A qualitative descriptive study', Contemporary Nurse, 26 225-237 (2007) [C1]
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2007 |
Jeong Y-S, Higgins IJ, McMillan MA, 'Advance care planning (ACP): The nurse as 'broker' in residential aged care facilities', Contemporary Nurse: A Journal for the Australian Nursing Profession, 26 184-195 (2007) [C1]
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2005 |
Higgins IJ, 'The experience of chronic pain in elderly nursing home residents', Journal of Research in Nursing, 10 369-382 (2005) [C1]
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2004 |
Higgins IJ, Madjar I, Walton APJA, 'Chronic pain in elderly nursing home residents: the need for nursing leadership', Journal of Nursing Management, 12 167-173 (2004) [C1]
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2004 |
Milson-Hawke S, Higgins IJ, 'The scope of enrolled nurse practice: a grounded theory study', Contemporary Nurse, 17 1-176 (2004) [C1]
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2003 |
Higgins IJ, Dullow AF, 'Parental perceptions of having a baby in a neonatal intensive care unit', Neonatal, Paediatric and Child Health Nursing, 6 15-20 (2003) [C1] |
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2003 |
Milson-Hawke S, Higgins IJ, 'The scope of enrolled nurse practice: A review of the literature', Contemporary Nurse, 14 129-137 (2003) [C1]
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2001 |
Higgins IJ, 'On being cared for by a nurse', Contemporary Nurse, 11, No 2-3 115-124 (2001) [C1]
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2000 |
Cadd A, Higgins I, 'The needs of relatives of the hospitalised elderly and nurses' perceptions of those needs', AUSTRALASIAN JOURNAL ON AGEING, 19 75-75 (2000) |
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1999 |
Higgins IJ, Cadd AL, 'The needs of relatives of the hospitalised elderly and nurses' perceptions of those needs', Geriaction, 17 18-22 (1999) [C1] |
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1998 |
Higgins IJ, 'Reflections on conducting research with elderly people', Qualitative Health Research, 8 (6) 858-866 (1998) [C1]
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1997 |
Higgins I, 'Benchmarking in health care: a review of the literature.', Australian health review : a publication of the Australian Hospital Association, 20 60-69 (1997)
This paper provides a review of the 10 significant publications related to benchmarking in health care. The discussion which follows is presented according to four headings: what ... [more]
This paper provides a review of the 10 significant publications related to benchmarking in health care. The discussion which follows is presented according to four headings: what the study did, how the study was conducted, what was learnt from the experience, and what the implications were for health care generally. The findings of this review are reassuring in that all studies provided valuable information, in terms of clinical practice and the health care service or the benchmarking process. They highlight the importance of the maintenance of quality health care, the reduction of health care costs and the need for improved efficiency and effectiveness in providing health care.
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1996 |
Madjar I, Higgins I, 'Of ethics committees, protocols, and behaving ethically in the field: a case study of research with elderly residents in a nursing home', NURSING INQUIRY, 3 130-137 (1996)
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