2024 |
Jones D, Fealy S, Evans D, Galvez R, 'Editorial: The use of extended realities providing better patient outcomes in healthcare', Frontiers in Medicine, 11
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2024 |
Cash B, Lawless M, Robson K, Fealy S, Corboy D, 'Understanding the enablers to implementing sustainable health and well-being programs for older adults in rural Australia: A scoping review', Australian Journal of Rural Health,
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2024 |
Biles B, Christian B, Marshall C, McMillan F, Sara G, Anderson J, et al., ''DANMM that's good!': evaluating the feasibility and acceptability of the Deadly Aboriginal and Torres Strait Islander Nursing and Midwifery Mentoring (DANMM) Programme across rural, regional and metropolitan NSW-a collaborative study protocol', BMJ OPEN, 14 (2024)
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2023 |
Hutchcraft ML, Wallon RC, Fealy SM, Jones D, Galvez R, 'Evaluation of the Road to Birth Software to Support Obstetric Problem-Based Learning Education with a Cohort of Pre-Clinical Medical Students', Multimodal Technologies and Interaction, 7 84-84 [C1]
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Nova |
2023 |
Irwin P, Jones D, Fealy S, 'What is ChatGPT and what do we do with it? Implications of the age of AI for nursing and midwifery practice and education: An editorial', NURSE EDUCATION TODAY, 127 (2023)
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2023 |
Jones D, Galvez R, Evans D, Hazelton M, Rossiter R, Irwin P, et al., 'The Integration and Application of Extended Reality (XR) Technologies within the General Practice Primary Medical Care Setting: A Systematic Review', Virtual Worlds, 2 359-373 [C1]
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Nova |
2023 |
Siang See Z, Ledger S, L Goodman L, Matthews B, Jones D, Fealy S, et al., 'Playable Experiences Through Technologies: Opportunities and Challenges for Teaching Simulation Learning and Extended Reality Solution Creation', Journal of Information Technology Education: Innovations in Practice, 22 067-090 [C1]
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Nova |
2023 |
Fealy S, Logan PA, Micalos PS, Rossiter R, Jones D, Irwin P, et al., 'Exploring Parkinson's disease prevalence in regional, rural and remote Australia: A systematic scoping review', Australian Journal of Rural Health, 31 1156-1167 (2023) [C1]
Introduction: Idiopathic Parkinson's disease (PD) is the second most prevalent neurodegenerative disorder worldwide. Due to ageing populations, prevalence estimates for PD ar... [more]
Introduction: Idiopathic Parkinson's disease (PD) is the second most prevalent neurodegenerative disorder worldwide. Due to ageing populations, prevalence estimates for PD are set to increase in western countries including Australia. Objective: This study aims to investigate the prevalence of PD in regional, rural and remote areas of Australia, to inform the provision of equitable PD-specific care. Design: A scoping review, following the Joanna Briggs Institute methodology for scoping reviews and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), was conducted. An electronic search of four databases and the search engine google scholar was completed in May 2022 and updated in September 2023. Article screening and quality appraisal were undertaken independently by at least two reviewers. Findings: Of 514 records screened, six articles (between 1966 and 2019) were identified and included for review. Wide variations in PD prevalence were evident, ranging from 0.58 to 8.5 per 1000 people. Two studies suggested prevalence may be higher in regional, rural and remote areas of Australia than in urban localities. Discussion: The limited number of studies identified, and wide variation in prevalence rates makes it difficult to draw firm conclusions to inform heath care planning and resource allocation. Conclusion: A paucity of reliable prevalence data indicates the need for well-designed, country-specific epidemiological studies to be conducted to estimate the actual impacts of the disease to inform public health planning, particularly in regional, rural and remote areas where access to PD-specific care is already inequitable.
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Nova |
2023 |
Smyth Y, Fealy S, Jones D, Callwood A, Harris J, Winstone N, 'Evaluating the effect on learning of a virtual reality and 3D mobile pregnancy anatomy and physiology and fetal positioning application', European Journal of Midwifery, 7
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2023 |
Fealy S, Irwin P, Tacgin Z, See ZS, Jones D, 'Enhancing Nursing Simulation Education: A Case for Extended Reality Innovation', Virtual Worlds, 2 218-230 [C1]
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Nova |
2022 |
Fealy S, Jones D, Davis D, Hazelton M, Foureur M, Attia J, Hure A, 'Pregnancy weight gain a balancing act: The experience and perspectives of women participating in a pilot randomised controlled trial', Midwifery, 106 (2022) [C1]
Background: Supporting women to achieve healthy gestational weight gain is a global health challenge. Inadequate and excessive gestational weight gains are associated with short a... [more]
Background: Supporting women to achieve healthy gestational weight gain is a global health challenge. Inadequate and excessive gestational weight gains are associated with short and long-term adverse maternal and infant health outcomes. Qualitative studies suggest that symptoms of pregnancy, health professional attitudes, lack of guidance, personal knowledge and beliefs, lack of support, weight stigma, and lack of time and money, are barriers to achieving healthy weight gain. Less is known about women's perceptions and experience of gestational weight gain within normal body mass index categories with even less known about the experience of women motivated to participate in pregnancy weight management intervention trials. Aim: To describe the experience and perspectives of women participating in an Australian weight management pilot randomised controlled trial. Methods: Five women from regional New South Wales enrolled in the Eating 4 Two trial, participated in semi - structured interviews during the post-natal period. A qualitative descriptive methodology and inductive thematic analysis was applied. Findings: Two main themes emerged: 1) Addressing weight gain in pregnancy; and 2) Pregnancy weight the balancing act. Women identified weight gain as an important topic, the need for improvements within maternity services, responsive feedback and realistic support strategies. Women identified pregnancy symptoms, occurring during early and late pregnancy as barriers to achieving healthy weight gain. Conclusion: Further investigation into the effects of pregnancy symptoms on eating and physical activity patterns across pregnancy is warranted. Both qualitative and quantitative research is needed to monitor the translation of guideline recommendations into clinical practice.
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Nova |
2022 |
Fealy S, Hollis J, Martin J, Leigh L, Oldmeadow C, Collins CE, et al., 'Modeling the Predictive Value of Evidence-Based Referral Criteria to Support Healthy Gestational Weight Gain among an Australian Pregnancy Cohort', Nutrients, 14 (2022) [C1]
Globally, there has been a renewed focus on addressing gestational weight gain (GWG). In Australia, the Department of Health pregnancy care guidelines recommend women be offered r... [more]
Globally, there has been a renewed focus on addressing gestational weight gain (GWG). In Australia, the Department of Health pregnancy care guidelines recommend women be offered routine weighing and receive brief nutritional and physical activity support during antenatal care visits. Women gaining weight outside the Institute of Medicine (IOM)¿s weight gain reference values are further recommended to be referred to a dietitian. However, professional and organizational barriers, including an absence of weight gain referral pathways and limited workforce resources, exist with the translation and scaling of these recommendations into practice. This study aimed to explore patterns of GWG among a cohort of Australian pregnant women and to determine if pregnancy weight gains of above or below 2 kg or 5 kg in the second and third trimester can be used to predict total GWG outside recommendations. Sensitivity, specificity, negative, and positive likelihood ratios were calculated. The most predictive time point was 24 weeks¿ gestation using the minimum weight change parameter of +/-2 kg, demonstrating reasonable sensitivity (0.81, 95% CI 0.61¿0.83) and specificity (0.72, 95% CI 0.61¿0.83), resulting in 55% (n = 72/131) of the cohort qualifying for dietetic referral. Given the current health service constraints, a review of dietetic services within maternity care is warranted.
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Nova |
2021 |
Fealy S, Leigh L, Hazelton M, Attia J, Foureur M, Oldmeadow C, et al., 'Translation of the Weight-Related Behaviours Questionnaire into a Short-Form Psychosocial Assessment Tool for the Detection of Women at Risk of Excessive Gestational Weight Gain', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 18 (2021) [C1]
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Nova |
2021 |
Fealy S, Attia J, Leigh L, Oldmeadow C, Hazelton M, Foureur M, et al., 'A Revalidation of the Weight Related Behaviours Questionnaire within an Australian Pregnancy Cohort', Midwifery, 97 (2021) [C1]
Problem: Studies investigating the direct and indirect relationships between psychosocial factors (i.e. attitudes, beliefs and values), health related behaviour (diet and physical... [more]
Problem: Studies investigating the direct and indirect relationships between psychosocial factors (i.e. attitudes, beliefs and values), health related behaviour (diet and physical activity) and gestational weight gain are increasing. To date heterogeneity of psychosocial measurement tools has limited research progress in this area, preventing measurement of effects by meta-analysis techniques. Aim: To conduct a revalidation analysis of a Weight Related Behaviours Questionnaire, originally developed by Kendall, Olson and Frangelico within the United States of America and assess its performance for use within the Australian context. Methods: A revalidation study using Exploratory Factor Analysis was undertaken to assess the factor structure and internal consistency of the six psychosocial scales of the Weight Related Behaviours Questionnaire, within the Woman and Their Children's Health (WATCH), pregnancy cohort. The questionnaire was self-completed between 18 ¿ 20 weeks gestation. Psychosocial factors included; Weight locus of control; Self-efficacy; Attitudes towards weight gain; Body image, Feelings about the motherhood role; and Career orientation. Findings: Weight locus of control, Self-efficacy and Body image, retained the same factor structure as the original analysis. The remaining psychosocial factors observed a different factor structure in terms of loadings or number of factors. Deleted items modelling suggests the questionnaire could be strengthened and shortened. Conclusion: Weight Locus of control, Self-efficacy and Body image were observed as consistent, valid and reliable psychosocial measures for use within the Australian context. Further research is needed to confirm the model and investigate the potential for combining these scales into a shorter psychosocial measurement tool.
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Nova |
2020 |
Fealy S, Davis D, Foureur M, Attia J, Hazelton M, Hure A, 'The return of weighing in pregnancy: A discussion of evidence and practice', Women and Birth, 33 119-124 (2020) [C1]
Background: Inadequate or excessive gestational weight gain is associated with both short and long-term adverse maternal and infant health outcomes. The practice of routine matern... [more]
Background: Inadequate or excessive gestational weight gain is associated with both short and long-term adverse maternal and infant health outcomes. The practice of routine maternal weight monitoring has been suggested as an effective health promotion intervention, both as a screening tool for adverse maternal and infant outcomes and as a weight management strategy for addressing gestational weight gain. Discussion: The effectiveness of routine maternal weighing as part of maternity care has been debated for more than 30 years. The National Health and Medical Research Council of Australia have recently revised their pregnancy care clinical practice guidelines recommending maternal weight monitoring (clinician and/or self-weighing) be reintroduced into clinical practice. This paper presents a timely discussion of the topic that will contribute new insights to the debate. Conclusion: Weight gain in pregnancy is complex. Evaluation of the translation, implementation, acceptability and uptake of the newly revised guidelines is warranted, given that evidence on the practice remains inconclusive. Future research exploring social ecological interventions to assist pregnant women achieve optimal gestational weight gains are suggested to expand the evidence base.
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Nova |
2020 |
Fealy S, Attia J, Leigh L, Oldmeadow C, Hazelton M, Foureur M, et al., 'Demographic and social-cognitive factors associated with gestational weight gain in an Australian pregnancy cohort', Eating Behaviors, 39 (2020) [C1]
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Nova |
2020 |
Dowse E, Chan S, Ebert L, Wynne O, Thomas S, Jones D, et al., 'Impact of maternal perinatal depression and anxiety on birth outcomes: A retrospective data analysis', Maternal and Child Health Journal, 24 718-726 (2020) [C1]
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Nova |
2019 |
Wilson AJ, Fealy S, Barnett M, 'Barriers and enablers for smoking cessation amongst pregnant women: An Umbrella Review', Women and Birth, 32 310-317 (2019) [C1]
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Nova |
2019 |
Fealy S, Chan S, Wynne O, Dowse E, Ebert L, Ho R, et al., 'The Support for New Mums Project: A protocol for a pilot randomized controlled trial designed to test a postnatal psychoeducation smartphone application', JOURNAL OF ADVANCED NURSING, 75 1347-1359 (2019)
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2019 |
Fealy S, Jones D, Hutton A, Graham K, McNeill L, Sweet L, Hazelton M, 'The integration of immersive virtual reality in tertiary nursing and midwifery education: A scoping review', Nurse Education Today, 79 14-19 (2019) [C1]
Background: Immersive virtual reality is an advancing technology that has the potential to change the traditional pedagogical approaches to teaching tertiary nursing and midwifery... [more]
Background: Immersive virtual reality is an advancing technology that has the potential to change the traditional pedagogical approaches to teaching tertiary nursing and midwifery students. The application of immersive virtual reality in nursing and midwifery education may be a novel, accessible method for information provision and skill acquisition, however little is known of the extent of immersive virtual reality technology integration into tertiary nursing and midwifery programs. Objectives: The purpose of this review is to identify the application and integration of immersive virtual reality within nursing and midwifery tertiary education programs. Design: A scoping review based on the Joanna Briggs Institute methodology for scoping reviews was undertaken. An a priori review protocol and eligibility criterion was developed with the protocol subject to review a posteriori following first round screening. An electronic search of ten databases was conducted in January 2018. Results: A total of n = 506 non-duplicate records were identified and subjected to level one and level two screening. The search strategy and screening process identified n = 2 articles that were quality checked and included for review. Conclusions: There is currently a paucity of quality published literature on the application and/or integration of immersive virtual reality into nursing and midwifery tertiary education. Immersive virtual reality has the potential to increase competence and confidence for students providing accessible and repeatable learning opportunities in a fail-safe environment. There is a need for educators to be involved in the conceptualisation, design, integration and research of immersive virtual reality technology into undergraduate nursing and midwifery programs.
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Nova |
2017 |
Fealy SM, Taylor RM, Foureur M, Attia J, Ebert L, Bisquera A, Hure AJ, 'Weighing as a stand-alone intervention does not reduce excessive gestational weight gain compared to routine antenatal care: a systematic review and meta-analysis of randomised controlled trials', BMC PREGNANCY AND CHILDBIRTH, 17 (2017) [C1]
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Nova |
2017 |
Taylor RM, Fealy SM, Bisquera A, Smith R, Collins CE, Evans T-J, Hure AJ, 'Effects of Nutritional Interventions during Pregnancy on Infant and Child Cognitive Outcomes: A Systematic Review and Meta-Analysis.', Nutrients, 9 (2017) [C1]
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Nova |
2014 |
Fealy S, Hure A, Browne G, Prince C, 'Developing a clinical care pathway for obese pregnant women: A quality improvement project', Women and Birth, 27 e67-e71 (2014) [C1]
Problem: Obesity in pregnancy is associated with an increased incidence of maternal and foetal morbidity and mortality, from conditions like preeclampsia, gestational diabetes, pr... [more]
Problem: Obesity in pregnancy is associated with an increased incidence of maternal and foetal morbidity and mortality, from conditions like preeclampsia, gestational diabetes, preterm birth and stillbirth. Between 20% and 25% of pregnant women in Australia are presenting to their first antenatal appointment with a body mass index (BMI) =30kg/m2, defined as obesity in pregnancy. These figures are concerning for midwifery and obstetric staff directly involved in the clinical care of these women and their families. In the absence of national or state clinical practice guidelines for managing the risks for obese pregnant women, a local quality improvement project was conducted. Aim: To plan, implement, and evaluate the impact of an alternative clinical care pathway for pregnant women with a BMI=35kg/m2 at their first antenatal visit. Project setting: The project was undertaken in the antenatal clinic of a rural referral hospital in NSW, Australia. Subjects: Eighty-two women with a BMI=35kg/m2 were eligible for the alternative care pathway, offered between January and December 2010. Intervention: The alternative care pathway included the following options, in addition to usual care: written information on obesity in pregnancy, referral to a dietitian, early plus repeat screening for gestational diabetes, liver and renal function pathology tests, serial self-weighing, serial foetal growth ultrasounds, and a pre-labour anaesthetic consultation. Findings: Despite being educated on the risk associated with obesity in pregnancy, women did not take up the offers of dietetic support or self-weighing at each antenatal visit. Ultrasounds were well received and most women underwent gestational diabetes screening.
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Nova |
2014 |
Hure A, Gresham E, Lai J, Anderson A, Martin J, Fealy S, Blumfield M, 'Nutrition in pregnancy: The balancing act', International Journal of Birth and Parent Education, 1 7-12 (2014) [C2]
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Nova |