Professor Leigh Kinsman
Honorary Professor
School of Nursing and Midwifery
Career Summary
Biography
Professor Leigh Kinsman is a Registered Nurse with a PhD in Public Health. Leigh joined the School of Nursing and Midwifery in 2018 after building an extensive research track record in evidence-based nursing practice and rural health. Leigh was Professor of Healthcare Improvement at the University of Tasmania for four years after undertaking a number of leadership roles at the Monash University School of Rural Health. These key roles included Director of Research and Director, Centre of Research Excellence in Rural and Remote Primary Health Care. Professor Kinsman’s current role as Chair, Professor of Evidence Based Nursing, is a joint position with the Mid North Coast Local Health District based in Port Macquarie.
Professor Kinsman’s research program focuses on improving access to evidence based practice in rural settings, particularly via clinical pathways and enhanced research capacity in nurses and midwives.
Qualifications
- Doctor of Philosophy, La Trobe University
- Bachelor of Health Science (Nursing), La Trobe University
- Master of Health Science, La Trobe University
Keywords
- Clinical Pathways
- health services research
- knowledge translation
- nursing
- rural health
Fields of Research
Code | Description | Percentage |
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420501 | Acute care | 100 |
Professional Experience
Academic appointment
Dates | Title | Organisation / Department |
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7/11/2018 - 7/12/2018 | Professor of Healthcare Improvement | University of Tasmania School of Nursing and Midwifery Australia |
7/2/2011 - 1/8/2014 | Asociate Professor in Rural Health | Monash University School of Rural Health Australia |
7/11/2006 - 1/2/2011 | Senior Research Fellow | Monash University School of Rural Health Australia |
7/11/1998 - 31/10/2006 | Lecturer in Acute Nursing | La Trobe University School of Nursing and Midwifery Australia |
Professional appointment
Dates | Title | Organisation / Department |
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7/8/1984 - 1/11/1998 | Registered Nurse | Bendigo Health Australia |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Chapter (2 outputs)
Year | Citation | Altmetrics | Link | ||||||||
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2019 | Rotter T, Baatenburg de Jong R, Evans Lacko S, Ronellenfitsch U, Kinsman L, 'Clinical pathways as a quality strategy', Improving Healthcare Quality in Europe: Characteristics, Effectiveness and Implementation of Different Strategies, World Health Organisation, Copenhagen, Denmark 309-330 (2019) [B1] | ||||||||||
2013 |
Rotter T, Kinsman L, Machotta A, Zhao FL, van der Weijden T, Ronellenfitsch U, Scott SD, 'Clinical pathways for primary care: Effects on professional practice, patient outcomes, and costs', (2013) This is the protocol for a review and there is no abstract. The objectives are as follows: In the review we will address the following question: What is the effect of clinical pat... [more] This is the protocol for a review and there is no abstract. The objectives are as follows: In the review we will address the following question: What is the effect of clinical pathways (CPWs) in primary care on professional practice, patient outcomes, and costs? The secondary objective of this review is to explore the factors that may explain variation in effectiveness of CPWs.
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Journal article (97 outputs)
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2024 |
Tierney O, Vasilevski V, Kinsman L, Sweet L, 'Development of the essential learning outcomes for the midwifery student continuity of care learning model: A Delphi study', Women and Birth, (2024) [C1] Background: In Australia, midwifery students are required to undertake at least ten Continuity of Care Experiences (CoCE) during their education. The learning outcomes of this exp... [more] Background: In Australia, midwifery students are required to undertake at least ten Continuity of Care Experiences (CoCE) during their education. The learning outcomes of this experience have never been explicit or standardised resulting in inconsistent assessment. Aim: To develop and identify standardised learning outcomes for the CoCE. Methods: A modified Delphi survey was conducted with an expert panel. Intended learning outcome statements were developed, reflecting the learning objectives identified in a previous study. Bloom's taxonomy levels of thinking complexities guided the wording of the outcomes. Participants were asked to rank and rate their level of agreement with each statement over two survey rounds. Findings: Round one was completed by 32 participants, with 92.5% of the 40 statements reaching consensus. The second round was completed by 23 participants, with 70.7% of the 33 statements reaching consensus. Content analysis of participant comments from each round identified duplicates that were removed and informed refining the wording of some statements. A final set of 15 learning outcomes were agreed upon. The outcomes were broadly grouped within the themes of accountability, advocacy, and autonomy. Discussion: This study has identified agreed learning outcomes for midwifery students undertaking CoCE. The consensus agreement of experts reinforced the learning model enables the development of woman-centred practice that is underpinned by accountability, advocacy, and autonomy. Conclusion: Purposeful learning outcomes for the CoCE have been developed, informing how the model can be embedded in curricula, guide student learning and assessment to standardise the pedagogy of the model to prepare future midwives.
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2023 |
Stephens AS, Dinh MM, Kinsman L, 'Patterns of emergency department use in rural and metropolitan New South Wales by socioeconomic status: A population-based study', EMA - Emergency Medicine Australasia, 35 489-495 (2023) [C1] Objective: To investigate the patterns of ED use in metropolitan and rural New South Wales (NSW) by socioeconomic status (SES). Methods: We undertook a retrospective, population-b... [more] Objective: To investigate the patterns of ED use in metropolitan and rural New South Wales (NSW) by socioeconomic status (SES). Methods: We undertook a retrospective, population-based study of de-identified data from the NSW Emergency Department Data Collection (EDDC). The study population comprised of NSW residents who presented to an NSW public hospital ED in 2013¿2019 and were registered in the NSW EDDC. Total ED presentations, negative binomial regression modelled annual changes in ED presentations over 2013¿2019, and age- and sex-standardised rates of ED presentations in 2019 were assessed. Results: Overall, between 2013 and 2019, ED presentations increased in metropolitan and rural NSW, with mean annual percentage increases of 3.1% (95% confidence interval [CI] 2.8¿3.5) and 2.5% (95% CI 2.0¿2.9), respectively. This growth varied by SES, with larger increases observed in higher SES groups. The bulk of presentations in rural NSW were from individuals living in disadvantaged areas. Standardised rates of ED presentations were highest in the most disadvantaged quintiles (SES 1) and progressively decreased with increasing SES in both rural and metropolitan NSW (negative gradients). Rates were higher in rural NSW compared to metropolitan NSW across all SES quintiles for total, low acuity and non-low acuity presentations. Conclusions: Negative gradients in rates of ED presentations with increasing SES were observed in both metropolitan and rural NSW. At each SES quintile, rates of ED presentations were higher in rural compared to metropolitan areas. Further research exploring the underlying causal mechanisms leading to increased ED demand in rural NSW and socioeconomically disadvantaged populations is warranted.
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2023 |
Mollart L, Irwin P, Noble D, Kinsman L, 'Promoting patient safety using electronic medical records in nursing/ midwifery undergraduate curricula: Discussion paper', NURSE EDUCATION IN PRACTICE, 70 (2023)
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2023 |
Njoku CM, Hurst JR, Kinsman L, Balogun S, Obamiro K, 'COPD in Africa: Risk factors, hospitalisation, readmission and associated outcomes - A systematic review and meta-analysis', Thorax, 78 596-605 (2023) [C1] Background This review aims to synthesise available evidence on the prevalence of chronic obstructive pulmonary disease (COPD), associated risk factors, hospitalisations and COPD ... [more] Background This review aims to synthesise available evidence on the prevalence of chronic obstructive pulmonary disease (COPD), associated risk factors, hospitalisations and COPD readmissions in Africa. Method Using the Met-Analyses and Systematic Reviews of Observational Studies guideline, electronic databases were searched from inception to 1 October 2021. The quality of studies was assessed using the Newcastle-Ottawa Scale. Evidence from retrieved articles was synthesised, and a random-effect model meta-analysis was conducted. The protocol was registered on PROSPERO. Results Thirty-nine studies met the inclusion criteria, with 13 included in the meta-analysis. The prevalence of COPD varied between the Global Initiative for Chronic Obstructive Lung Disease (2%-24%), American Thoracic Society/European Respiratory Society (1%-17%) and Medical Research Council chronic bronchitis (2%-11%) criteria, respectively. Increasing age, wheezing and asthma were consistent risk factors for COPD from studies included in the narrative synthesis. Our meta-analysis indicated that prior tuberculosis ((OR 5.98, 95% CI 4.18 to 8.56), smoking (OR 2.80, 95% CI: 2.19 to 3.59) and use of biomass fuel (OR 1.52, 95% CI: 1.39 to 1.67)) were significant risk factors for COPD. Long-term oxygen therapy (HR 4.97, 95% CI (1.04 to 23.74)) and frequent hospitalisation (=3 per year) (HR 11.48, 95% CI (1.31 to 100.79)) were risk factors associated with 30-day COPD readmission. Conclusion This study not only highlights specific risk factors for COPD risk in Africa but also demonstrates the paucity and absence of research in several countries in a continent with substantial COPD-related mortality. Our findings contribute towards the development of evidence-based clinical guidelines for COPD in Africa. PROSPERO registration number CRD42020210581.
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2023 |
Tierney O, Vasilevski V, Kinsman L, Sweet L, 'Advocacy, accountability and autonomy; the learning intention of the midwifery student continuity of care experience', Nurse Education in Practice, 72 (2023) [C1] Problem: The Continuity of Care Experience is a mandated inclusion in midwifery education programs leading to registration as a midwife in Australia. The practice-based learning e... [more] Problem: The Continuity of Care Experience is a mandated inclusion in midwifery education programs leading to registration as a midwife in Australia. The practice-based learning experience has evolved over time, yet there remains no standardised learning intentions, objectives, or outcomes for the model. Aim: To identify the key learning intentions of the Continuity of Care Experience by an expert panel to support the development of learning outcomes. Methods: A descriptive qualitative study with two focus groups were conducted with an expert panel (n = 15). Participants were midwifery education subject matter experts on the Continuity of Care Experience with backgrounds in academia, policy development, curriculum design, accreditation, or clinical education. The discussions were transcribed and thematically analysed. Findings: Three main themes and six sub-themes describe the learning intentions of the Continuity of Care Experience. The main themes were: (1) advocacy for women; (2) accountability of care; and (3) autonomy in practice. Discussion: The education model of continuity of care enables students to develop midwifery practice that involves advocating for women, being accountable for their care and being autonomous in practice. We have established that during the experience students practice in partnership with women and are exposed to the full scope of midwifery care. Importantly students learn holistic woman-centred practice. Conclusion: The learning intentions of the Continuity of Care Experience reflects woman-centred practice. Having identified a common understanding of the learning intention, these can now be used to design learning, and assessment, through the development of measurable learning outcomes.
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2023 |
Chan A, Wai-Chi Chan S, Kinsman L, 'Using the health belief model to understand the factors influencing the perceptions of people of Chinese ancestry about reducing salt consumption for hypertension prevention: A cross-sectional study', PLoS ONE, 18 (2023) [C1] Background High-salt diets are linked to hypertension. Chinese people in Australia, are at increased risk of hypertension due to the combination of routine addition of high quanti... [more] Background High-salt diets are linked to hypertension. Chinese people in Australia, are at increased risk of hypertension due to the combination of routine addition of high quantities of salt to food during cooking and high salt levels in processed western foods. There is a scarcity of salt-related behavioural studies on this population group. This study aimed to explore the habitual salt consumption of Chinese Australians and factors that influence their perceptions about sustaining salt-related behavioural changes for hypertension prevention. Method A cross-sectional descriptive study using an adapted Determinants of Salt-Restriction Behaviour Questionnaire was conducted on 188 Chinese Australians. A non-probability sampling method was used to attract participants from different parts of Australia. Statistical analyses such as descriptive analysis, t-tests and Pearson correlation tests were performed in the study. Results Over 97% of participants did not measure the amount of salt added to their meals. Many participants reported that salt was added to their meals based on their experience (39.4%) and food taste (31.9%). Over 80% of participants did not know the recommended level of daily salt consumption. Although salt-related knowledge had no significant correlation with individuals¿ salty food taste preferences, there were significant correlations with the perceptions of the severity of disease and health benefits of reducing salt consumption (p = .001 and < .001 respectively). People with stronger salty taste preferences perceived a higher level of health threat than people with lighter salty taste preferences (p = .003).
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2023 |
Chan A, Kinsman L, Chan SW-C, '"I use salt. However, I also use soy sauce, oyster sauce, sometimes chili sauce and .": interviews with Australians of Chinese ancestry regarding reducing salt consumption for hypertension prevention.', BMC Nurs, 22 414 (2023) [C1]
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2022 |
Chan A, Kinsman L, Chan SWC, 'Psychometric testing of the Determinants of Salt-Restriction Behaviour Questionnaire in people of Chinese ancestry: a methodological study', BMC Nursing, 21 (2022) [C1] Purpose: Nurses play a key role in educating people about a salt-reduced diet to prevent or manage hypertension or cardiac failure. Assessment tools such as the Chinese Determinan... [more] Purpose: Nurses play a key role in educating people about a salt-reduced diet to prevent or manage hypertension or cardiac failure. Assessment tools such as the Chinese Determinants of Salt-Restriction Behaviour Questionnaire (DSRBQ) can provide essential evidence to inform education strategies. This study aimed to translate the DSRBQ into English and evaluate the psychometric properties of the Chinese and English versions for people of Chinese ethnicity in Australia. Methods: A two-phase cross-sectional descriptive study was conducted. Phase 1: The questionnaire was translated into English using the back-translation method. The translation equivalence and content relevance were evaluated by an expert panel. Three items were revised and eight items were removed. Phase 2: Internal consistency and stability of the questionnaires were evaluated by a group of Chinese Australians. Results: Both the English and Chinese versions had satisfactory psychometric properties. In phase 2, 146 participants completed the questionnaire (test), and 49 participants completed the retest. The Cronbach¿s alpha scores were 0.638 and 0.584 respectively, and the overall intra-class correlation coefficients were 0.820 and 0.688 respectively for the English and Chinese versions. The Item-Content Validity Index (CVI) ranged from 0.50 to 1.00. The Scale-CVI was 0.94. Conclusion: The DSRBQ has been translated into English. Both English and Chinese versions have acceptable validity and reliability. The tools can be used in people from a Chinese cultural background living in Australia. Further validation testing may allow the tools to be adapted for use with other Chinese diaspora groups. The validated DSRBQ will support the development of evidence-based salt reduction nursing assessment tool and interventions for Chinese diasporas who reside in a country where Chinese cultural practices are employed by a minority.
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2022 |
Jacob A, Van Vuuren J, Kinsman L, Spelten E, 'Daily reality of violence in a rural emergency department: Is violence becoming the new normal?', EMERGENCY MEDICINE AUSTRALASIA, 34 555-558 (2022) [C1]
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2022 |
Groot G, Ollegasagrem S, Khakpour M, Panahi A, Goodridge D, Lloyd J, et al., 'FACILITATORS AND BARRIERS TO CLINICAL PATHWAY UPTAKE AND UTILIZATION AMONG PRIMARY CARE PROVIDERS IN SASKATCHEWAN A QUALITATIVE STUDY', Clinical and Investigative Medicine, 45 (2022) [C1] Purpose: Clinical Pathways (CPWs) are multidisciplinary, evidence-based, complex interventions designed to standardize patient care. In Saskatchewan, development, implementation a... [more] Purpose: Clinical Pathways (CPWs) are multidisciplinary, evidence-based, complex interventions designed to standardize patient care. In Saskatchewan, development, implementation and evaluation of the seven provincial CPWs (Hip & Knee, Spine, Pelvic Floor, Prostate Assessment, Fertility Care, Lower Extremity Wound Care and Acute Stroke) present significant challenges, leading to low utilization. This study aimed to identify facilitators and barriers to CPW utilization by Saskatchewan family physicians. Methods: To identify the facilitators and barriers to CPWs, a qualitative interpretive approach consisted of eight one-on-one key informant interviews and five focus groups held with 30 family physicians in two larger urban and two smaller Saskatchewan cities. Inductive, thematic analysis of the interviews based on the Theoretical Domain Framework for behavioral changes was used to identify facilitators and barriers to CPW uptake and utilization. Results: Fifty-one themes were mapped under 14 Theoretical Domain Framework domains. Major barriers included the following: system-level (knowledge and communication, social/professional identity, family physician engagement and education); objective clarification (goals, belief about consequences of implementing CPW); and technical and resource related (administrative, access to local specialists, enforcement and incentives). The most prominent barrier was lack of systematic CPW promotion and inconsistencies in communication between the following: organization-to-practitioner; organization-to-organization; and practitioner to-practitioner. Facilitators who mitigated barriers were need for optimized and integrated information technology services (i.e., Electronic Medical Records) and optimism towards CPW usage and patient outcomes. Conclusions: This exploratory study identified specific improvements and recommendations required to promote uptake of CPWs based on perceived facilitators and barriers.
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2022 |
Njoku CM, Wimmer BC, Peterson GM, Kinsman L, Bereznicki BJ, 'Hospital Readmission Due to Chronic Obstructive Pulmonary Disease: A Longitudinal Study.', Int J Health Policy Manag, 11 2533-2541 (2022) [C1]
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2022 |
Jacob A, McCann D, Buykx P, Thomas B, Spelten E, Schultz R, et al., 'The disease of violence against health-care workers is a wicked problem. Managing and preventing violence in health-care', Journal of Aggression, Conflict and Peace Research, 14 159-170 (2022) [C1] Purpose: This paper aims to illustrate the complexity of understanding and managing violent behaviour in health care. The authors will show how different perceptions of the reason... [more] Purpose: This paper aims to illustrate the complexity of understanding and managing violent behaviour in health care. The authors will show how different perceptions of the reasons for violent behaviour, and linkages between violent behaviour and illness have contributed to the creation of a wicked problem and added significant complexity to the management of violence towards staff within health-care settings. This paper will conclude with a call for strong multi-disciplinary action to address this ongoing issue. Design/methodology/approach: A narrative review was undertaken to explore the ways that violence has been perceived in health care and the ways in which the concept of violence has moved from being seen as a criminal issue to being within the realms of disease. This paper will show the importance of understanding who is perpetrating violence in health care, why and in what settings. It will expound on the idea that considering violence as a consequence of disease necessarily adds a layer of complexity to both individual and organisational responses to violence towards health-care staff. Findings: Understanding the complexity in preventing and managing violence against health-care staff can assist policymakers and managers to develop multi-faceted approaches to violence prevention, including better recognition and understanding of perpetrators of violence. Originality/value: This paper provides a unique perspective on thinking about violence in health care and the implications of its complexity.
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2022 |
Chan A, Chan SW-C, Khanam M, Kinsman L, 'Factors affecting reductions in dietary salt consumption in people of Chinese descent: An integrative review', JOURNAL OF ADVANCED NURSING, 78 1919-1937 (2022) [C1]
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2022 |
Tranmer J, Rotter T, O Donnell D, Marciniuk D, Green M, Kinsman L, Li W, 'Determining the influence of the primary and specialist network of care on patient and system outcomes among patients with a new diagnosis of chronic obstructive pulmonary disease (COPD)', BMC Health Services Research, 22 (2022) [C1] Introduction: Care for patients with chronic obstructive pulmonary disease (COPD) is provided by both family physicians (FP) and specialists. Ideally, patients receive comprehensi... [more] Introduction: Care for patients with chronic obstructive pulmonary disease (COPD) is provided by both family physicians (FP) and specialists. Ideally, patients receive comprehensive and coordinated care from this provider team. The objectives for this study were: 1) to describe the family and specialist physician network of care for Ontario patients newly diagnosed with COPD and 2) to determine the associations between selected characteristics of the physician network and unplanned healthcare utilization. Methods: We conducted a retrospective cohort study using Ontario health administrative data housed at ICES (formerly the Institute for Clinical Evaluative Sciences). Ontario patients, = 35¿years, newly diagnosed with COPD were identified between 2005 and 2013. The FP and specialist network of care characteristics were described, and the relationship between selected characteristics (i.e., continuity of care) with unplanned healthcare utilization during the first 5¿years after COPD diagnosis were determined in multivariate models. Results: Our cohort consisted of 450,837 patients, mean age 61.5 (SD 14.6) years. The FP was the predominant provider of care for 86.4% of the patients. Using the Bice-Boxerman¿s Continuity of Care Index (COCI), a measure reflecting care across different providers, 227,082 (50.4%) were categorized in a low COCI group based on a median cut-off. In adjusted analyses, patients in the low COCI group were more likely to have a hospital admission (OR = 2.27, 95% CI 2.20,2.22), 30-day readmission (OR = 2.44, 95% CI 2.39, 2.49) and ER visit (OR = 2.27, 95% CI 2.25, 2.29). Conclusion: Higher indices of continuity of care are associated with reduced unplanned hospital use for patients with COPD. Primary care-based practice models to enhance continuity through coordination and integration of both primary and specialist care have the potential to enhance the health experience for patients with COPD and should be a health service planning priority.
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2021 |
Kinsman L, Cooper S, Champion R, Kim J-A, Boyle J, Cameron A, et al., 'The impact of web-based and face-to-face simulation education programs on nurses' response to patient deterioration: A multi-site interrupted time series study.', Nurse education today, 102 104939 (2021) [C1]
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2021 |
Kinsman L, Radford J, Elmer S, Ogden K, Randles S, Jacob A, et al., 'Engaging hard-to-reach men in health promotion using the OPHELIA principles: Participants' perspectives', Health Promotion Journal of Australia, 32 33-40 (2021) [C1] Issue addressed: Men in the Northern Suburbs of Launceston, Tasmania, experience substantially poorer health outcomes and socio-economic disadvantage than most Australians. They a... [more] Issue addressed: Men in the Northern Suburbs of Launceston, Tasmania, experience substantially poorer health outcomes and socio-economic disadvantage than most Australians. They are often described as ¿hard-to-reach,¿ meaning difficult to engage in research, health promotion, policy and planning. This paper summarises the OPHELIA process to combine health literacy profiling with engagement of local men in health promotion, and their experience of the process and outcomes. Methods: Interviews were conducted to explore the experiences of middle-aged men with the OPHELIA process and subsequent interventions. Results: Local data and health literacy profiling revealed experiences of isolation, lack of trust in the system, medication non-adherence, mental illness and chronic pain, which formed the basis for generation of ideas to improve their well-being and understanding of health. Tailored interventions were implemented, including suicide prevention, ¿Numeracy for Life¿ and ¿Healthy Sheds¿ courses. Interviews with six participants revealed that the process contributed to a sense of worth, social support and ability to break ¿old habits.¿. Conclusions: Prioritising the lived experience of ¿hard-to-reach¿ men through the OPHELIA process resulted in co-design of interventions that were valued by participants. So what?: Health literacy profiling and genuine community engagement can empower vulnerable, under-represented communities to co-design, and engage in, health promotion.
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2021 |
Pryce A, Unwin M, Kinsman L, McCann D, 'Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow', International Emergency Nursing, 54 (2021) [C1] Introduction: Increasing emergency department (ED) demand and crowding has heightened focus on the need for better understanding of patient flow. Aim: This study aimed to identify... [more] Introduction: Increasing emergency department (ED) demand and crowding has heightened focus on the need for better understanding of patient flow. Aim: This study aimed to identify input, throughput and output factors contributing to ED patient flow bottlenecks and extended ED length of stay (EDLOS). Method: Concurrent nested mixed method study based on retrospective analysis of attendance data, patient flow observational data and a focus group in an Australian regional ED. Results: Analysis of 89 013 ED presentations identified increased EDLOS, particularly for patients requiring admission. Mapping of 382 patient journeys identified delays in time to triage assessment (0¿39 mins) and extended waiting room stays (0¿348 mins). High proportions of patients received care outside ED cubicles. Four qualitative themes emerged: coping under pressure, compromising care and safety, makeshift spaces, and makeshift roles. Conclusion: Three key findings emerged: i) hidden waits such as extended triage-queuing occur during the input phase; ii) makeshift spaces are frequently used to assess and treat patients during times of crowding; and iii) access block has an adverse effect on output flow. Data suggests arrival numbers may not be a key predictor of EDLOS. This research contributes to our understanding of ED crowding and patient flow, informing service delivery and planning.
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2021 |
van Vuuren J, Thomas B, Agarwal G, MacDermott S, Kinsman L, O Meara P, Spelten E, 'Reshaping healthcare delivery for elderly patients: the role of community paramedicine; a systematic review', BMC Health Services Research, 21 (2021) [C1] Background: Healthcare systems are overloaded and changing. In response to growing demands on the healthcare systems, new models of healthcare delivery are emerging. Community par... [more] Background: Healthcare systems are overloaded and changing. In response to growing demands on the healthcare systems, new models of healthcare delivery are emerging. Community paramedicine is a novel approach in which paramedics use their knowledge and skills beyond emergency health response to contribute to preventative and rehabilitative health. In our systematic review, we aimed to identify evidence of the community paramedicine role in care delivery for elderly patients, with an additional focus on palliative care, and the possible impact of this role on the wider healthcare system. Methods: A systematic review of peer-reviewed literature from MEDLINE, Embase, CINAHL, and Web of Sciences was undertaken to identify relevant full-text articles in English published until October 3, 2019. Additional inclusion criteria were studies focussing on extended care paramedics or community paramedics caring for elderly patients. Case studies were excluded. All papers were screened by at least two authors and underwent a quality assessment, using the Joanna Briggs Institute appraisal checklists for cross sectional, qualitative, cohort, and randomised controlled trial studies to assess the methodological quality of the articles. A process of narrative synthesis was used to summarise the data. Results: Ten studies, across 13 articles, provided clear evidence that Community Paramedic programs had a positive impact on the health of patients and on the wider healthcare system. The role of a Community Paramedic was often a combination of four aspects: assessment, referral, education and communication. Limited evidence was available on the involvement of Community Paramedics in palliative and end-of-life care and in care delivery in residential aged care facilities. Observed challenges were a lack of additional training, and the need for proper integration and understanding of their role in the healthcare system. Conclusions: The use of community paramedics in care delivery could be beneficial to both patients¿ health and the wider healthcare system. They already play a promising role in improving the care of our elderly population. With consistent adherence to the training curriculum and effective integration within the wider healthcare system, community paramedics have the potential to take on specialised roles in residential aged care facilities and palliative and end-of-life care.
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2020 |
Dwyer M, Peterson G, Gall S, Kinsman L, Francis K, Ford K, et al., 'Regional differences in access to acute ischaemic stroke care and patient outcomes', Internal Medicine Journal, 50 965-971 (2020) [C1] Background: Advances in stroke management such as acute stroke units and thrombolysis are not uniformly distributed throughout our population, with rural areas being relatively di... [more] Background: Advances in stroke management such as acute stroke units and thrombolysis are not uniformly distributed throughout our population, with rural areas being relatively disadvantaged. It remains unclear, however, whether such disparities have led to corresponding differences in patient outcomes. Aims: To describe the regional differences in acute ischaemic stroke care and outcomes within the Australian state of Tasmania. Methods: A retrospective case note audit was used to assess the care and outcomes of 395 acute ischaemic stroke patients admitted to Tasmania's four major public hospitals. Sixteen care processes were recorded, which covered time-critical treatment, allied health interventions and secondary prevention. Outcome measures were assessed using 30-day mortality and discharge destination, both of which were analysed for differences between urban and rural hospitals using logistic regression. Results: No patients in rural hospitals were administered thrombolysis; these hospitals also did not have acute stroke units. With few exceptions, patients' access to the remaining care indicators was comparable between regions. After adjusting for confounders, there were no significant differences between regions in terms of 30-day mortality (odds ratio (OR) = 0.99, 95% confidence interval (CI) 0.46¿2.18) or discharge destination (OR = 1.24, 95% CI 0.81¿1.91). Conclusions: With the exception of acute stroke unit care and thrombolysis, acute ischaemic stroke care within Tasmania's urban and rural hospitals was broadly similar. No significant differences were found between regions in terms of patient outcomes. Future studies are encouraged to employ larger data sets, which capture a broader range of urban and rural sites and record patient outcomes at extended interval.
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2020 |
Lower T, Kinsman L, Dinh MM, Lyle D, Cheney R, Allan J, et al., 'Patterns of emergency department use in rural and metropolitan New South Wales from 2012 to 2018', Australian Journal of Rural Health, 28 490-499 (2020) [C1]
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2020 |
Njoku CM, Alqahtani JS, Wimmer BC, Peterson GM, Kinsman L, Hurst JR, Bereznicki BJ, 'Risk factors and associated outcomes of hospital readmission in COPD: A systematic review', Respiratory Medicine, 173 (2020) [C1]
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2020 |
Unwin M, Crisp E, Stankovich J, McCann D, Kinsman L, 'Socioeconomic disadvantage as a driver of non-urgent emergency department presentations: A retrospective data analysis', PLOS ONE, 15 (2020) [C1]
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2020 |
Alqahtani JS, Njoku CM, Bereznicki B, Wimmer BC, Peterson GM, Kinsman L, et al., 'Risk factors for all-cause hospital readmission following exacerbation of COPD: A systematic review and meta-analysis', European Respiratory Review, 29 1-16 (2020) [C1] Background: Readmission rates following hospitalisation for COPD exacerbations are unacceptably high, and the contributing factors are poorly understood. Our objective was to summ... [more] Background: Readmission rates following hospitalisation for COPD exacerbations are unacceptably high, and the contributing factors are poorly understood. Our objective was to summarise and evaluate the factors associated with 30-and 90-day all-cause readmission following hospitalisation for an exacerbation of COPD. Methods: We systematically searched electronic databases from inception to 5 November 2019. Data were extracted by two independent authors in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study quality was assessed using a modified version of the Newcastle¿Ottawa Scale. We synthesised a narrative from eligible studies and conducted a meta-analysis where this was possible using a random-effects model. Results: In total, 3533 abstracts were screened and 208 full-text manuscripts were reviewed. A total of 32 papers met the inclusion criteria, and 14 studies were included in the meta-analysis. The readmission rate ranged from 8.8¿26.0% at 30 days and from 17.5¿39.0% at 90 days. Our narrative synthesis showed that comorbidities, previous exacerbations and hospitalisations, and increased length of initial hospital stay were the major risk factors for readmission at 30 and 90 days. Pooled adjusted odds ratios (95% confidence intervals) revealed that heart failure (1.29 (1.22¿1.37)), renal failure (1.26 (1.19¿1.33)), depression (1.19 (1.05¿1.34)) and alcohol use (1.11 (1.07¿1.16)) were all associated with an increased risk of 30-day all-cause readmission, whereas being female was a protective factor (0.91 (0.88¿0.94)). Conclusions: Comorbidities, previous exacerbations and hospitalisation, and increased length of stay were significant risk factors for 30-and 90-day all-cause readmission after an index hospitalisation with an exacerbation of COPD.
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2019 |
Mesman J, Walsh K, Kinsman L, Ford K, Bywaters D, 'Blending Video-Reflexive Ethnography With Solution-Focused Approach: A Strengths-Based Approach to Practice Improvement in Health Care', INTERNATIONAL JOURNAL OF QUALITATIVE METHODS, 18 (2019) [C1]
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Nova | |||||||||
2019 |
Butler M, Schultz TJ, Halligan P, Sheridan A, Kinsman L, Rotter T, et al., 'Hospital nurse-staffing models and patient-and staff-related outcomes (Review)', Cochrane Database of Systematic Reviews, 2019 (2019) [C1]
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Nova | |||||||||
2019 |
Dwyer M, Rehman S, Ottavi T, Stankovich J, Gall S, Peterson G, et al., 'Urban-rural differences in the care and outcomes of acute stroke patients: Systematic review', Journal of the Neurological Sciences, 397 63-74 (2019) [C1] Objective: To describe literature pertaining to urban-rural differences in both the quality of care and outcomes of acute stroke patients. Methods: We systematically searched CINA... [more] Objective: To describe literature pertaining to urban-rural differences in both the quality of care and outcomes of acute stroke patients. Methods: We systematically searched CINAHL, PubMed, ProQuest Dissertations & Theses, and Scopus for published and unpublished literature until 9th December 2017. Studies were included if they compared the acute care provided to, or outcomes of, patients hospitalised for stroke in urban versus rural settings. Abstract, full-text review, and data extraction were conducted in duplicate. Findings are presented in the form of narrative syntheses. Results: A total of 28 studies were included in the review (16 on care, 12 on outcomes). With few exceptions, studies addressing the provision of care suggested that rural patients have less access to most aspects of acute stroke care. Studies reporting urban-rural differences in patient outcomes were inconsistent in their findings, however, few of these studies were primarily focused on the issue of urban-rural disparities. Overall, study findings did not appear to differ in line with study quality ratings, stroke subtypes included, or how inter-facility patient transfers were accounted for. Conclusions: There is convincing, albeit not unanimous, evidence to suggest that stroke patients in rural areas receive less acute care than their urban counterparts. Despite this, the available data and methodology have largely not been used to study urban-rural differences in patient outcomes. PROSPERO registration information: URL: https://www.crd.york.ac.uk/prospero. Unique identifier: CRD42017073262.
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Nova | |||||||||
2018 |
Chan A, Kinsman L, Elmer S, Khanam M, 'An integrative review: Adherence barriers to a low-salt diet in culturally diverse heart failure adults', Australian Journal of Advanced Nursing, 36 37-47 (2018) [C1]
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Nova | |||||||||
2017 |
Callaghan A, Kinsman L, Cooper S, Radomski N, 'The factors that influence junior doctors capacity to recognise, respond and manage patient deterioration in an acute ward setting: An integrative review', Australian Critical Care, 30 197-209 (2017) Objectives Junior doctors are frequently the first doctor to be called by a nurse to review patients whose clinical status has declined in hospital wards, yet little is known abou... [more] Objectives Junior doctors are frequently the first doctor to be called by a nurse to review patients whose clinical status has declined in hospital wards, yet little is known about how well prepared they are to deal with this situation. This paper aims to identify the factors that influence junior doctors¿ early recognition and management of patient deterioration in an acute ward settings. Method Integrative review methodology was used to allow for the inclusion of broad research designs, summarising current knowledge from existing research and identify gaps in the literature. Quantitative, qualitative and mixed method studies were included. An electronic database search including PubMed, Medline and Scopus was performed. Research articles, exploring junior doctors¿ skills specific to critically ill, or deteriorating patients, technical and non-technical skills and failure to rescue were included. Findings Thirty-three articles were included, of which eighteen were quantitative, six qualitative and nine mixed methods The majority of the studies, eighteen out of thirty-three, were from the United Kingdom. The evidence showed that the capacity for junior doctors to effectively deal with patient deterioration was influenced by: educational models that incorporated non-technical skills; the integration of high quality clinical simulation into education; and the level and type of supervision in the clinical environment. Conclusion The factors that influence junior doctors¿ capacity to recognise, respond and manage patient deterioration in an acute ward settings are complex. This review indicates that there is substantial room for improvement in junior doctors¿ capacity to deal with patient deterioration. Evidence suggests preparation of junior doctors in the recognition and management of the deteriorating patient is influenced by effective simulation education and clinical experiential exposure over time. More accessible supervision for junior doctors in acute wards is recommended to avert error and delays in the appropriate escalation of care in the deteriorating patient.
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2017 |
Sari N, Rotter T, Goodridge D, Harrison L, Kinsman L, 'An economic analysis of a system wide Lean approach: Cost estimations for the implementation of Lean in the Saskatchewan healthcare system for 2012-2014', BMC Health Services Research, 17 (2017) Background: The costs of investing in health care reform initiatives to improve quality and safety have been underreported and are often underestimated. This paper reports direct ... [more] Background: The costs of investing in health care reform initiatives to improve quality and safety have been underreported and are often underestimated. This paper reports direct and indirect cost estimates for the initial phase of the province-wide implementation of Lean activities in Saskatchewan, Canada. Methods: In order to obtain detailed information about each type of Lean event, as well as the total number of corresponding Lean events, we used the Provincial Kaizen Promotion Office (PKPO) Kaizen database. While the indirect cost of Lean implementation has been estimated using the corresponding wage rate for the event participants, the direct cost has been estimated using the fees paid to the consultant and other relevant expenses. Results: The total cost for implementation of Lean over two years (2012-2014), including consultants and new hires, ranged from $44 million CAD to $49.6 million CAD, depending upon the assumptions used. Consultant costs accounted for close to 50% of the total. The estimated cost of Lean events alone ranged from $16 million CAD to $19.5 million CAD, with Rapid Process Improvement Workshops requiring the highest input of resources. Conclusions: Recognizing the substantial financial and human investments required to undertake reforms designed to improve quality and contain cost, policy makers must carefully consider whether and how these efforts result in the desired transformations. Evaluation of the outcomes of these investments must be part of the accountability framework, even prior to implementation.
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2016 |
Allenby A, Kinsman L, Tham R, Symons J, Jones M, Campbell S, 'The quality of cardiovascular disease prevention in rural primary care', Australian Journal of Rural Health, 24 92-98 (2016) Objective: To measure the differences in the recording of risk factors and lifestyle advice between those at high risk of cardiovascular disease and those diagnosed with cardiovas... [more] Objective: To measure the differences in the recording of risk factors and lifestyle advice between those at high risk of cardiovascular disease and those diagnosed with cardiovascular disease, and to identify the practice characteristics associated with such recording in rural primary care. Design: A cross-sectional observation study of 14 general practices. Medical records were audited to measure recording of risk factors and lifestyle advice for those at high risk of and those diagnosed with cardiovascular disease. Practice characteristics were collected, with logistic regression used to test for an association with the recording of risk factors. Setting: General practices in rural Australia. Participants: Each practice was asked to identify 20 patients; 10 at high risk and 10 diagnosed with cardiovascular disease. Main outcome measures: The recording of risk factors and lifestyle advice in patient records and practice characteristics. Results: 282 records were audited with 142 being high risk and 140 diagnosed with cardiovascular disease.Measures recorded significantly less in the high-risk group were: blood pressure (94% versus 99%; P=0.019); physical activity (24% versus 56%; P=0.000); dietary advice (32% versus 51%; P=0.001); and physical activity advice (34% versus 56%; P=0.000). Recording of risk factors was positively associated with practice involvement in quality improvement (P<0.001), continuing education (P<0.001), and greater percentage of general practitioners (P<0.05) and practice nurses (P<0.001). Conclusions: There is substantial room for enhanced cardiovascular disease prevention through rural primary care in Australia, particularly for high-risk patients. This study has demonstrated an association between practice factors (including targeted education, quality improvement activities and appropriate workforce) and improved preventive activities.
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2016 |
Kinsman L, Tham R, Symons J, Jones M, Campbell S, Allenby A, 'Prevention of cardiovascular disease in rural Australian primary care: An exploratory study of the perspectives of clinicians and high-risk men', Australian Journal of Primary Health, 22 510-516 (2016) Rural primary care services have the potential to play a major role in reducing the gap in cardiovascular disease (CVD) outcomes between rural and metropolitan Australians, partic... [more] Rural primary care services have the potential to play a major role in reducing the gap in cardiovascular disease (CVD) outcomes between rural and metropolitan Australians, particularly in men at high risk of CVD. The aim of this study was to explore the self-reported behaviours and satisfaction with their general practice/practitioner of men at high risk of CVD, and attitudes of rural primary care clinicians regarding the role of primary care in CVD prevention. This observational research was addressed through survey questionnaires with rural men at high risk of CVD and semi-structured interviews with rural primary care clinicians. Fourteen rural primary care practices from towns with populations less than 25000 participated. One hundred and fifty-eight high-risk men completed the questionnaire. Their responses demonstrated poorly controlled risk factors despite a willingness to change. Alternatively, rural primary care clinicians (n=20) reported that patients were unlikely to change and that illness-based funding models inhibited cardiovascular preventive activities. Australians living in rural areas have worse CVD outcomes. In addition, there is a disparity in the assumptions of health providers and male patients at high risk of CVD in rural areas. This necessitates innovative rural primary care models that include a blended payment system that incentivises or funds preventive care alongside an emphasis on lifestyle advice, as well as an explicit strategy to influence clinician and patient behaviour to help address the disparity.
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2016 |
Lawal AK, Rotter T, Kinsman L, Machotta A, Ronellenfitsch U, Scott SD, et al., 'What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review', BMC MEDICINE, 14 (2016) [C1]
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2016 |
Unwin M, Kinsman L, Rigby S, 'Why are we waiting? Patients' perspectives for accessing emergency department services with non-urgent complaints', INTERNATIONAL EMERGENCY NURSING, 29 3-8 (2016)
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2015 |
Ingham G, Morgan S, Kinsman L, Fry J, 'Are GP supervisors confident they can assess registrar competence and safety, and what methods do they use?', AUSTRALIAN FAMILY PHYSICIAN, 44 236-240 (2015)
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2015 |
Endacott R, Bogossian FF, Cooper SJ, Forbes H, Kain VJ, Young SC, Porter JF, 'Leadership and teamwork in medical emergencies: performance of nursing students and registered nurses in simulated patient scenarios', JOURNAL OF CLINICAL NURSING, 24 90-100 (2015)
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2015 |
Morgan S, Ingham G, Kinsman L, Fry J, 'Clinical supervision using random case analysis in general practice training', Education for Primary Care, 26 40-46 (2015)
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2015 |
Cooper S, Cant R, Bogossian F, Kinsman L, Bucknall T, 'Patient Deterioration Education: Evaluation of Face-to-Face Simulation and e-Simulation Approaches', CLINICAL SIMULATION IN NURSING, 11 97-105 (2015)
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2014 |
Campbell AM, Brown J, Simon DR, Young S, Kinsman L, 'Leading the rebirth of the rural obstetrician', MEDICAL JOURNAL OF AUSTRALIA, 201 667-670 (2014)
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2014 |
Tham R, Buykx P, Kinsman L, Ward B, Humphreys JS, Asaid A, et al., 'Staff perceptions of primary healthcare service change: influences on staff satisfaction', AUSTRALIAN HEALTH REVIEW, 38 580-583 (2014)
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2014 |
Bogossian F, Cooper S, Cant R, Beauchamp A, Porter J, Kain V, et al., 'Undergraduate nursing students' performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: An Australian multi-centre study', NURSE EDUCATION TODAY, 34 691-696 (2014)
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2014 |
Ward BM, Buykx PF, Tham R, Kinsman L, Humphreys JS, 'Investing in longitudinal studies of primary healthcare: what can we learn about service performance, sustainability and quality?', RURAL AND REMOTE HEALTH, 14 (2014)
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2014 |
Kinsman L, Rotter T, Stevenson K, Bath B, Goodridge D, Harrison L, et al., '"The largest Lean transformation in the world": the implementation and evaluation of lean in Saskatchewan healthcare', Healthcare quarterly (Toronto, Ont.), 17 29-32 (2014) The Saskatchewan Ministry of Health has committed to a multi-million dollar investment toward the implementation of Lean methodology across the province's healthcare system. ... [more] The Saskatchewan Ministry of Health has committed to a multi-million dollar investment toward the implementation of Lean methodology across the province's healthcare system. Originating as a production line discipline (the Toyota Production System), Lean has evolved to encompass process improvements including inventory management, waste reduction and quality improvement techniques. With an initial focus on leadership, strategic alignment, training and the creation of a supportive infrastructure (Lean promotion offices), the goal in Saskatchewan is a whole health system transformation that produces "better health, better value, better care, and better teams." Given the scope and scale of the initiative and the commitment of resources, it is vital that a comprehensive, longitudinal evaluation plan be implemented to support ongoing decision-making and program design. The nature of the initiative also offers a unique opportunity to contribute to health quality improvement science by advancing our understanding of the implementation and evaluation of complex, large-scale healthcare interventions. The purpose of this article is to summarize the background to Lean in Saskatchewan and the proposed evaluation methods.
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2014 |
Rotter T, Machotta A, Kinsman L, Champion R, 'Evaluation of a clinical pathway for 'radical laparoscopic prostatectomy': An interrupted time series study', International Journal of Urological Nursing, 8 84-89 (2014) The aim of this study was a rigorous evaluation of a clinical pathway (CP) in patients who underwent a radical laparoscopic prostatectomy (RLP). The study was performed at a Germa... [more] The aim of this study was a rigorous evaluation of a clinical pathway (CP) in patients who underwent a radical laparoscopic prostatectomy (RLP). The study was performed at a German university hospital. The Department of Urology has considerable expertise and performs more than 200 RLP per year. The CP for 'RLP' was developed based on the best available evidence and introduced in July 2003. It was composed of six modules, and in each module standardized recommendations for clinical examination, therapy and outcome measurement were given. An interrupted time series design with multiple linear regression models was used to measure the effects of a CP for 'RLP' on length of hospital stay, and durations of operation and anaesthesia before and after implementation. ¿2 tests were used to compare the number of patients admitted to intensive care unit, the number requiring re-operation during admission, the number requiring transfusion(s) of blood products and 30-d readmission rates. A total of 254 patients were analysed. A significant reduction in operation time and admission to intensive care but also a significant increase of patients readmitted to the hospital after the implementation of a CP was observed. Inconclusive results always warrant careful exploration, and measures on CP uptake should always be used to evaluate the success or failure of the implementation strategy. © 2014 John Wiley & Sons Ltd.
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2014 |
Lawal AK, Rotter T, Kinsman L, Sari N, Harrison L, Jeffery C, et al., 'Lean management in health care: Definition, concepts, methodology and effects reported (systematic review protocol)', Systematic Reviews, 3 (2014) Background: Lean is a set of operating philosophies and methods that help create a maximum value for patients by reducing waste and waits. It emphasizes the consideration of the c... [more] Background: Lean is a set of operating philosophies and methods that help create a maximum value for patients by reducing waste and waits. It emphasizes the consideration of the customer's needs, employee involvement and continuous improvement. Research on the application and implementation of lean principles in health care has been limited. Methods: This is a protocol for a systematic review, following the Cochrane Effective Practice and Organisation of Care (EPOC) methodology. The review aims to document, catalogue and synthesize the existing literature on the effects of lean implementation in health care settings especially the potential effects on professional practice and health care outcomes. We have developed a Medline keyword search strategy, and this focused strategy will be translated into other databases. All search strategies will be provided in the review. The method proposed by the Cochrane EPOC group regarding randomized study designs, non-randomised controlled trials controlled before and after studies and interrupted time series will be followed. In addition, we will also include cohort, case-control studies, and relevant non-comparative publications such as case reports. We will categorize and analyse the review findings according to the study design employed, the study quality (low- versus high-quality studies) and the reported types of implementation in the primary studies. We will present the results of studies in a tabular form. Discussion: Overall, the systematic review aims to identify, assess and synthesize the evidence to underpin the implementation of lean activities in health care settings as defined in this protocol. As a result, the review will provide an evidence base for the effectiveness of lean and implementation methodologies reported in health care.
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2012 |
Buykx P, Humphreys J, Wakerman J, Perkins D, Lyle D, McGrail M, Kinsman L, 'Making evidence count': A framework to monitor the impact of health services research', AUSTRALIAN JOURNAL OF RURAL HEALTH, 20 51-58 (2012) [C1]
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2012 |
Rotter T, Kinsman L, James EL, Machotta A, Steyerberg EW, 'The quality of the evidence base for clinical pathway effectiveness: Room for improvement in the design of evaluation trials', BMC Medical Research Methodology, 12 80 (2012) [C1]
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Nova | |||||||||
2012 |
Kinsman LD, Rotter T, Willis J, Snow PC, Buykx P, Humphreys JS, 'Do clinical pathways enhance access to evidence-based acute myocardial infarction treatment in rural emergency departments?', AUSTRALIAN JOURNAL OF RURAL HEALTH, 20 59-66 (2012)
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2012 |
Kinsman L, Buykx P, Cant R, Champion R, Cooper S, Endacott R, et al., 'The FIRST2ACT simulation program improves nursing practice in a rural Australian hospital', AUSTRALIAN JOURNAL OF RURAL HEALTH, 20 270-274 (2012)
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2012 |
Buykx P, Missen K, Cooper S, Porter J, McConnell-Henry T, Cant R, et al., 'Emergency training boosts confidence.', Australian nursing journal (July 1993), 19 43 (2012)
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2012 |
Buykx P, Cooper S, Kinsman L, Endacott R, Scholes J, McConnell-Henry T, Cant R, 'Patient deterioration simulation experiences: Impact on teaching and learning', COLLEGIAN, 19 125-129 (2012)
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2012 |
Scholes J, Endacott R, Biro M, Bulle B, Cooper S, Miles M, et al., 'Clinical decision-making: midwifery students' recognition of, and response to, post partum haemorrhage in the simulation environment', BMC PREGNANCY AND CHILDBIRTH, 12 (2012)
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2012 |
Buykx P, Humphreys JS, Tham R, Kinsman L, Wakerman J, Asaid A, Tuohey K, 'How do small rural primary health care services sustain themselves in a constantly changing health system environment?', BMC HEALTH SERVICES RESEARCH, 12 (2012)
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2012 |
Cooper S, Bulle B, Biro MA, Jones J, Miles M, Gilmour C, et al., 'Managing women with acute physiological deterioration: Student midwives performance in a simulated setting', WOMEN AND BIRTH, 25 E27-E36 (2012)
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2011 |
Rotter T, Kinsman L, James EL, Machotta A, Willis J, Snow P, Kugler J, 'Have we drawn the wrong conclusions about the value of care pathways?: Is a Cochrane review appropriate?: Response to the commentary article published by Kris Vanhaecht et al', Evaluation & the Health Professions, 1-4 (2011) [C3]
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2011 |
Buykx P, Kinsman L, Cooper S, McConnell-Henry T, Cant R, Endacott R, Scholes J, 'FIRST(2)ACT: Educating nurses to identify patient deterioration - A theory-based model for best practice simulation education', NURSE EDUCATION TODAY, 31 687-693 (2011)
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2011 |
Cooper S, Buykx P, McConnell-Henry T, Kinsman L, McDermott S, 'Simulation: can it eliminate failure to rescue?', Nursing times, 107 18-20 (2011) Evidence shows the management of deteriorating patients needs to be improved, particularly in midwifery care. In a series of three simulation-based studies in Australia we examine... [more] Evidence shows the management of deteriorating patients needs to be improved, particularly in midwifery care. In a series of three simulation-based studies in Australia we examined qualified nurses', student nurses' and midwives' ability to manage patient deterioration. Nurses' knowledge levels were acceptable but their skill performance was low and there was a gap between the theory and practice they had experienced. In these high-pressure situations, demographic factors (including educational level) had no impact on their performance, which suggests they need repetitive "high-stakes" simulation, improved feedback mechanisms and enhanced educational processes.
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2011 |
Tham R, Humphreys JS, Kinsman L, Buykx P, Asaid A, Tuohey K, 'Study protocol: Evaluating the impact of a rural Australian primary health care service on rural health', BMC HEALTH SERVICES RESEARCH, 11 (2011)
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2010 |
Kinsman L, Rotter T, James EL, Snow P, Willis J, 'What is a clinical pathway? Development of a definition to inform the debate', BMC Medicine, 8 1-3 (2010) [C1]
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Nova | |||||||||
2010 |
Endacott R, Scholes J, Buykx P, Cooper S, Kinsman L, McConnell-Henry T, 'Final-year nursing students' ability to assess, detect and act on clinical cues of deterioration in a simulated environment', JOURNAL OF ADVANCED NURSING, 66 2722-2731 (2010)
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2010 |
Cooper S, Kinsman L, Buykx P, McConnell-Henry T, Endacott R, Scholes J, 'Managing the deteriorating patient in a simulated environment: nursing students' knowledge, skill and situation awareness', JOURNAL OF CLINICAL NURSING, 19 2309-2318 (2010)
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2010 |
Tham R, Humphreys J, Kinsman L, Buykx P, Asaid A, Tuohey K, Riley K, 'Evaluating the impact of sustainable comprehensive primary health care on rural health', AUSTRALIAN JOURNAL OF RURAL HEALTH, 18 166-172 (2010)
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2010 |
Rotter T, Kinsman L, James EL, Machotta A, Gothe H, Willis J, et al., 'Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs', Cochrane Database of Systematic Reviews, 1-163 (2010) [C1]
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Nova | |||||||||
2009 |
Kinsman LD, Buykx P, Humphreys JS, Snow PC, Willis J, 'A cluster randomised trial to assess the impact of clinical pathways on AMI management in rural Australian emergency departments', BMC HEALTH SERVICES RESEARCH, 9 (2009)
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Show 94 more journal articles |
Review (1 outputs)
Year | Citation | Altmetrics | Link | ||||
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2007 |
Rotter T, Koch R, Kugler J, Gothe H, Kinsman L, James EL, 'Clinical pathways: Effects on professional practice, patient outcomes, length of stay and hospital costs. (Protocol)', Cochrane Database of Systematic Reviews (2007) [D1]
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Conference (3 outputs)
Year | Citation | Altmetrics | Link | ||
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2019 |
Siddiqui N, Dwyer M, Stankovich J, Greenfield D, Peterson G, Si L, Kinsman L, 'Public reporting to facilitate integration of physical and mental care for hospital patients', INTERNATIONAL JOURNAL OF INTEGRATED CARE (2019)
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2019 | Dwyer M, Peterson G, Gall S, Francis K, Kitsos A, Kinsman L, et al., 'Urban-rural differences in access to acute stroke care and patient outcomes', INTERNATIONAL JOURNAL OF STROKE (2019) | ||||
2018 |
Siddiqui N, Dwyer M, Stankovitch J, Si L, Peterson G, Greenfield D, Kinsman L, 'Measures for evidence based improvement in integrated care: Comparative analysis of hospital patients with chronic physical conditions and mental illness', INTERNATIONAL JOURNAL OF INTEGRATED CARE (2018)
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Grants and Funding
Summary
Number of grants | 23 |
---|---|
Total funding | $5,727,012 |
Click on a grant title below to expand the full details for that specific grant.
20203 grants / $164,290
Production, Delivery, and Evaluation of a Health Literacy Approach and Materials$126,290
Funding body: Mental Health Commission
Funding body | Mental Health Commission |
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Project Team | Professor Leigh Kinsman, Associate Professor Graeme Browne, Prof Richard Osborne, Professor Mark Harris, Associate Professor Neil Thomas, Roy Batterham, Shandell Elmer, Richard Tranter, Julie Sturgess, Robyn Martin, Associate Professor Ben Harris-Roxas, Jackie Curtis, Dr Catherine Spooner, Doctor Pauletta Irwin |
Scheme | Request for Tender |
Role | Lead |
Funding Start | 2020 |
Funding Finish | 2022 |
GNo | G2000119 |
Type Of Funding | C2400 – Aust StateTerritoryLocal – Other |
Category | 2400 |
UON | Y |
Health Literacy Initiative – Priority Population Engagement Coordinators$28,000
Funding body: Mental Health Commission
Funding body | Mental Health Commission |
---|---|
Project Team | Professor Leigh Kinsman, Associate Professor Graeme Browne, Ms Alycia Jacob |
Scheme | Request for Tender |
Role | Lead |
Funding Start | 2020 |
Funding Finish | 2021 |
GNo | G2000582 |
Type Of Funding | C2400 – Aust StateTerritoryLocal – Other |
Category | 2400 |
UON | Y |
Investigating the health effects of bushfire smoke exposure, specifically on people with asthma, including pregnant women with asthma, and their children$10,000
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
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Project Team | Conjoint Professor Peter Gibson, Associate Professor Vanessa Murphy, Professor Vanessa McDonald, Associate Professor Adam Collison, Conjoint Associate Professor Anne Vertigan, Doctor Megan Jensen, Doctor Dennis Thomas, Professor Jay Horvat, Professor Maralyn Foureur, Professor Leigh Kinsman, Professor Liz Holliday, Doctor Erin Harvey, Ms Alycia Jacob, Professor Joerg Mattes, Graeme Zosky, Wilfried Karmaus, Michele Goldman, Dr Craig Dalton |
Scheme | Research Grant |
Role | Investigator |
Funding Start | 2020 |
Funding Finish | 2020 |
GNo | G2000414 |
Type Of Funding | C3300 – Aust Philanthropy |
Category | 3300 |
UON | Y |
20192 grants / $711,000
Enhancing advance care planning systems to facilitate patient-centred care towards the end of life$649,000
This MRFF project will deliver a multifaceted intervention to:
Provide additional training to key hospital staff (e.g. aged, cancer and chronic care teams) and GPs in the use of the ACP;
Develop and provide a program of medical governance with oversight by Palliative Care Staff Specialists who will assess ACP quality, and provide de-identified feedback to clinicians;
Promote My Health Record utilization for end of life care patients with health staff; and
Develop a network of ACP facilitators including nurses and social workers, to engage and extend ACP completion and use.
The study will examine the effects of this intervention on the quality and accessibility of ACPs, service use, and the concordance between ACP and end of life care. It will also examine the economic impact of the intervention compared to routine care.
Funding body: NSW Regional Health Partners
Funding body | NSW Regional Health Partners |
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Project Team | Curley D, Lower A, Kinsman L, Whiteford G, Strazzari R, Reymond E, Morris B, Quirk F, Hobbs M, Healey D |
Scheme | Research Grant |
Role | Investigator |
Funding Start | 2019 |
Funding Finish | 2021 |
GNo | |
Type Of Funding | C1300 - Aust Competitive - Medical Research Future Fund |
Category | 1300 |
UON | N |
Numeracy for life$62,000
Funding body: Tasmanian Community Fund
Funding body | Tasmanian Community Fund |
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Project Team | Oates G, Kinsman L |
Scheme | Tasmanian Community Fund Grants |
Role | Investigator |
Funding Start | 2019 |
Funding Finish | 2021 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
20181 grants / $436,022
REDucing Delays In aneurysmal Subarachnoid Haemorrhage: the REDDISH study$436,022
Funding body: NHMRC (National Health & Medical Research Council)
Funding body | NHMRC (National Health & Medical Research Council) |
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Project Team | CIA: Doctor Seana Gall CIB: Professor Amanda Thrift CIC: Associate Professor Ronil Chandra CID: Associate Professor Christine Stirling CIE: Professor Leigh Kinsman CIF: Professor Karen Smith CIG: Associate Professor Christopher Blizzard |
Scheme | NHMRC |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2021 |
GNo | |
Type Of Funding | C1100 - Aust Competitive - NHMRC |
Category | 1100 |
UON | N |
20171 grants / $77,000
Royal Flying Doctor Service Primary Care Evaluation$77,000
A total of 585 clients were referred to the RFDS primary care service between April 2017 and July 2018. The majority of referrals were female (63%) and the average age of clients was 54 years. Mental illness (39%) was the most common reason for referral followed by CVD (30%). Co-morbidities were reported for all clients and included CVD, mental illness, COPD, pain, arthritis, hypertension and obesity. Mental illness referrals were comparatively younger (average age 45 years) and predominantly female (70%). The number of referrals by community ranged from 103 at Flinders Island to 161 at George Town. Education, employment and ATSI status were not routinely collected. The Health Literacy Questionnaire analysis produced the following key clusters: I. older clients felt they don’t have all the information to manage their health; II. younger clients were less engaged with healthcare providers, but were confident in managing their own health; III. a higher level of education did not translate to a higher level of confidence in selfmanagement, and may actually be associated with less confidence than those with lower levels of education.
Interviews were conducted with ten clients. Two clear over-arching themes emerged from the clients’ perspectives of living with chronic disease in rural areas and the impact of the RFDS services: accessibility, and building relationships. The availability, affordability and flexibility of the service were key contributors to clients’ capacity to remain productive and well. The fact that they did not have to travel and pay for services was important to their well-being. Clients also expressed that RFDS health workers built safe, empathetic and trusting relationships, beyond that of health professional and client, and on several levels: with the client, with their family, and with the wider community of the area.
Funding body: Royal Flying Doctor Service
Funding body | Royal Flying Doctor Service |
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Project Team | Kinsman L, Khanam M, Anderson V and Crisp E |
Scheme | Primary Care Evaluation |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | C3112 - Aust Not for profit |
Category | 3112 |
UON | N |
20162 grants / $267,000
Patient-centred pathways for stroke$138,000
Funding body: Royal Hobart Hospital Research Foundationn
Funding body | Royal Hobart Hospital Research Foundationn |
---|---|
Project Team | Campbell S, Kinsman L |
Scheme | Royal Hobart Hospital Research Grants |
Role | Investigator |
Funding Start | 2016 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
Evidence based wound management$129,000
Funding body: Wound Management Innovation CRC
Funding body | Wound Management Innovation CRC |
---|---|
Project Team | Kinsman L, Walsh K, Kornharber R, O'Brien J |
Scheme | Wound Innovation Management Research Grant |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | C1700 - Aust Competitive - Other |
Category | 1700 |
UON | N |
20152 grants / $265,000
Implementing evidence base practice$175,000
Funding body: Tasmanian Health Service (North)
Funding body | Tasmanian Health Service (North) |
---|---|
Project Team | Kinsman L and Campbell S |
Scheme | Contract research |
Role | Lead |
Funding Start | 2015 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
Attributes of positive wards$90,000
Funding body: University of Tasmania
Funding body | University of Tasmania |
---|---|
Project Team | Walsh, K, Walker K, Iedema R and Kinsman L |
Scheme | Internal Health Research Grants Scheme |
Role | Investigator |
Funding Start | 2015 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Contract - Aust Non Government |
Category | 3AFC |
UON | N |
20141 grants / $20,000
Health 2040: Mildura Hospital Scoping Study$20,000
Funding body: Mildura Hospital Community Advisory Board
Funding body | Mildura Hospital Community Advisory Board |
---|---|
Project Team | Kinsman L, Kippen R, Wright F |
Scheme | Consultation |
Role | Lead |
Funding Start | 2014 |
Funding Finish | 2014 |
GNo | |
Type Of Funding | Other Public Sector - Local |
Category | 2OPL |
UON | N |
20131 grants / $132,000
Clinical pathways in healthcare$132,000
Funding body: Saskatchewan Health Research Foundation
Funding body | Saskatchewan Health Research Foundation |
---|---|
Project Team | Rotter T, Kinsman L and Scott S |
Scheme | Research Grants |
Role | Investigator |
Funding Start | 2013 |
Funding Finish | 2015 |
GNo | |
Type Of Funding | C3212 - International Not for profit |
Category | 3212 |
UON | N |
20121 grants / $55,000
Heart of the Country$55,000
Funding body: Monash University
Funding body | Monash University |
---|---|
Project Team | Kinsman L, Humphreys J, Campbell S |
Scheme | Faculty Grants Scheme |
Role | Lead |
Funding Start | 2012 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20113 grants / $3,330,000
Centre of Research Excellence in Rural and Remote Primary Health Care$3,000,000
Funding body: Australian Primary Health Care Research Institute
Funding body | Australian Primary Health Care Research Institute |
---|---|
Project Team | Humphreys J, Wakerman J, Lyle D, Perkins D, McGrail M, Kinsman L |
Scheme | Centre of Excellence in Primary Health Care Research |
Role | Investigator |
Funding Start | 2011 |
Funding Finish | 2014 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Patient deterioration and simulation$232,000
Funding body: Australian Teaching and Learning Council
Funding body | Australian Teaching and Learning Council |
---|---|
Project Team | Cooper S, Kinsman L, Beauchamp A |
Scheme | ALTC grant |
Role | Investigator |
Funding Start | 2011 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | C1700 - Aust Competitive - Other |
Category | 1700 |
UON | N |
Elmore Primary Health Service Longitudinal Evaluation$98,000
Funding body: Australian Department of Health and Ageing
Funding body | Australian Department of Health and Ageing |
---|---|
Project Team | Humphreys J, Tham R, Kinsman L |
Scheme | Research contract |
Role | Investigator |
Funding Start | 2011 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | C2110 - Aust Commonwealth - Own Purpose |
Category | 2110 |
UON | N |
20101 grants / $47,000
Identifying Maternal and Neonatal Deterioration $47,000
Funding body: Equity Trustees Charitable Trust
Funding body | Equity Trustees Charitable Trust |
---|---|
Project Team | Bero M, Cooper S, Kinsman L |
Scheme | Research grant |
Role | Investigator |
Funding Start | 2010 |
Funding Finish | 2020 |
GNo | |
Type Of Funding | C3120 - Aust Philanthropy |
Category | 3120 |
UON | N |
20082 grants / $155,000
Making a Difference: Evaluation of the Elmore Primary Health Service$118,000
Funding body: Australian Rotary Health Research Fund
Funding body | Australian Rotary Health Research Fund |
---|---|
Project Team | Humphreys J, Tham R, Kinsman L |
Scheme | Research |
Role | Investigator |
Funding Start | 2008 |
Funding Finish | 2010 |
GNo | |
Type Of Funding | C3120 - Aust Philanthropy |
Category | 3120 |
UON | N |
Evidence based cardiac care$37,000
Funding body: Monash University
Funding body | Monash University |
---|---|
Project Team | Kinsman L |
Scheme | Faculty Grants Scheme |
Role | Lead |
Funding Start | 2008 |
Funding Finish | 2008 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20072 grants / $47,700
Impact of Clinical Pathways in Hospitals$24,000
Funding body: Group of 8 / German DAAD
Funding body | Group of 8 / German DAAD |
---|---|
Project Team | Kinsman L, Rotter T |
Scheme | Research exchange |
Role | Lead |
Funding Start | 2007 |
Funding Finish | 2009 |
GNo | |
Type Of Funding | Grant - Aust Non Government |
Category | 3AFG |
UON | N |
Emergency department demand management$23,700
Funding body: Bendigo Health
Funding body | Bendigo Health |
---|---|
Project Team | Kinsman L, Zalstein S, Champion R |
Scheme | Research grant |
Role | Lead |
Funding Start | 2007 |
Funding Finish | 2008 |
GNo | |
Type Of Funding | Other Public Sector - Local |
Category | 2OPL |
UON | N |
20061 grants / $20,000
Improving emergency department patient flow$20,000
Funding body: La Trobe University
Funding body | La Trobe University |
---|---|
Project Team | Kinsman L, Taylor M, Champion R |
Scheme | Research Project |
Role | Lead |
Funding Start | 2006 |
Funding Finish | 2007 |
GNo | |
Type Of Funding | Other Public Sector - Local |
Category | 2OPL |
UON | N |
Research Supervision
Number of supervisions
Highlighted Supervision
Commenced | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2019 | PhD | Perceptions and Knowledge of Using a Low-Salt Diet for Preventing Hypertension Among Chinese Populations in Australia: A Mixed-Methods Study | PhD (Nursing), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2018 | Masters |
Preventability of Hospital Readmission of COPD Patients and the Impact of Under-utilisation of Pulmonary Rehabilitation and Drug Therapy Chidi is combining a comprehensive review of the international literature with Tasmanian hospital data and patient interviews to understand and reduce readmissions for people with COPD. |
Nursing, University of Tasmania | Co-Supervisor |
2016 | PhD |
Primary Health Care to Emergency, Right Service, Right Time, Right Place <span style="font-face:Times New Roman;font-size:medium;"></span><p style="margin:0cm 0cm 8pt;"><span style="font-face:Calibri;font-size:medium;">Maria is using a sequential explanatory, mixed methods approach to understand why people with non-urgent problems attend the emergency department. The primary focus is on young adults from disadvantaged circumstances.</span></p><span style="font-face:Times New Roman;font-size:medium;"></span> |
Nursing, University of Tasmania | Co-Supervisor |
2015 | Honours | Why are we waiting? A survey of non-urgent patients in ED | Nursing, University of Tasmania | Principal Supervisor |
2015 | PhD |
Emergency Department Presentations in Tasmania, Australia: A sequential explanatory investigation Claire used a sequential, explanatory mixed methods approcah to undertsand drivers of emergency deparytment demand in Tasmania. |
Nursing, University of Tasmania | Principal Supervisor |
2013 | PhD | How junior doctors recognize and manage the deteriorating patient | Nursing, Monash University | Principal Supervisor |
2006 | Masters | Critical Care Nurses' Knowledge of Abdominal Compartment Syndrome | Critical Care Nursing, La Trobe University | Principal Supervisor |
2004 | Honours | Nurses’ knowledge of diabetes mellitus | Nursing, La Trobe University | Principal Supervisor |
2003 | Honours | Quality Improvement: does it work? A clinical nurse and nurse manager perspective | Nursing, La Trobe University | Co-Supervisor |
Current Supervision
Commenced | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2021 | PhD | The Role of Healthy Living Choices To Manage and Reduce Nursing Student's Stress That is Caused by Bullying/Uncivil Behaviours on Clinical Workplace | PhD (Nursing), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
Past Supervision
Year | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2021 | PhD | An Ethnographic Study of the New Graduate Nurse's Experience when Encountering the Culture of Acute Mental Health Services | PhD (Nursing), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2020 | PhD | Clinical pathways in healthcare | Public Health, University of Saskatchewan | Co-Supervisor |
2020 | PhD | Stroke pathways in Tasmania | Nursing, University of Tasmania | Principal Supervisor |
2016 | Honours | The impact of a community nursing service on emergency department presentations | Community Nursing, University of Tasmania | Principal Supervisor |
2016 | Honours | Mental health discharge planning | Nursing, University of Tasmania | Co-Supervisor |
2006 | Masters | An investigation of the role of the untrained registered nurse in critical care | Critical Care Nursing, La Trobe University | Principal Supervisor |
2006 | Masters | Trauma reception teams in rural settings | Critical Care Nursing, La Trobe University | Principal Supervisor |
2006 | Masters | Assessment of anxiety and depression in acute myocardial infarction | Nursing, La Trobe University | Co-Supervisor |
2006 | Honours | The effect of a Pain Assessment and Management Presentation (PAMP) on hospital-based graduate nurses’ knowledge and attitudes regarding pain assessment and management | Nursing, La Trobe University | Principal Supervisor |
2006 | Masters | Regional cardiac arrest outcomes versus international data | Critical Care Nursing, La Trobe University | Principal Supervisor |
2004 | Honours | An investigation of the prevalence of asthma action plans in a rural Victorian shire | Community Health, La Trobe University | Principal Supervisor |
2004 | Honours | An investigation of the prevalence of asthma action plans in a rural Victorian shire | Community Health, La Trobe University | Principal Supervisor |
News
News • 20 Sep 2018
Local expertise on display at health showcase
The University of Newcastle (UON) is proud to present the Port Macquarie Health Showcase this Friday, an event bringing together the local healthcare community and leading experts in the fields of health and medicine.
Professor Leigh Kinsman
Position
Honorary Professor
School of Nursing and Midwifery
College of Health, Medicine and Wellbeing
Contact Details
leigh.kinsman@newcastle.edu.au |