Nurses experiences with interruptions

Gao, J, PhD Candidate

Interruptions have been found to be associated with medication administration errors, leading to interventions aimed at reducing or eliminating interruptions. However, nurses have been observed to have different ways of managing interruptions that do not involve the reduction or elimination of interruptions. Nurses have also been found to define interruptions differently compared to researchers. Therefore, the purpose of this research is to understand how nurses define and manage interruptions, as well as their perception of current interruption-handling interventions. This project is conducted by researchers from both the Safety Science Innovation Lab at Griffith University and Cognitive Engineering Research Group at the University of Queensland.

Nurses’ and doctors’ perceptions and experiences in providing end-of-life care in emergency department settings.

Giles, Dr Tracey

This pilot study will explore perceptions and experiences of doctors and nurses providing end-of-life care in emergency department (ED) settings throughout Australia.

When people die in emergency departments (EDs), they are surrounded by expert clinicians but may often be separated from their family and significant others. Emergency departments are designed and staffed for rapid diagnosis, treatment and referral/discharge, and they may not be equipped to care for dying patients and their families. As such, ED clinicians tend to prioritise lifesaving activities over family-centred end-of-life care – even when the most likely patient outcome is death.

As our population ages, there will be an increasing number of people presenting to and dying in EDs. The provision of safe, effective end-of-life care in this setting is therefore important for not only patients but also their families and ED staff. Sub-optimal end-of-life care can lead to physical, emotional and spiritual distress for patients, families and loved ones over an extended period of time – impacting individuals as well as society at large.

Reintroducing Practical Logic to the Use of PPE: A Video Survey

Gilbert, Prof. Lyn

This mixed-methods project seeks to develop consensus recommendations for routine use of appropriate personal protective equipment (PPE) by frontline Emergency Department (ED) staff, in the context of assessing new patients, with unknown infectious risks. The study uses a video survey to explore the views of ED clinicians and infection control/infectious disease experts about what PPE is appropriate (i.e. required and practical) and how it should be used in different clinical situations.

An exploration of a nursing role in Emergency Department waiting rooms

Innes, K

Waiting room nurses have been introduced in some EDs to provide dedicated to care for patients in the waiting room.  There is some evidence that waiting room nurses helped to meet patient and carer expectations, including the commencement of care on arrival (Cashin et al., 2007; Fry et al., 2012; Garling, 2008b). However, there is limited evidence that waiting room roles decrease waiting times, ED length of stay, or number of patients leaving without being seen by a medical officer (Cheng et al., 2013; Fry & Jones, 2005; Fry et al., 2012; Huang et al., 2013).

Further, there is limited evidence underpinning the model of the waiting room nurse role, including scope of practice, and expertise required to perform in this role.

The aim of this study are to explore the introduction of a nurse allocated to care for patients in ED waiting rooms. The specific study objectives are to explore:

  1. Factors contributing to the development of a waiting room nursing roles.
  2. Current role and models of waiting room nursing roles in practice.
  3. Nurses’ perceptions of waiting room nursing roles.

This current application relates to Phase Three of the study.

Revealing the Roadblocks in STEMI management

Martin, L


STEMI management is a complex interdisciplinary process of care that requires prompt recognition of symptoms, diagnosis, then action to restore epicardial blood flow, with time delay a principal determinant of mortality. Successful treatment relies on several health agencies coordinating systems of care. Frontline clinicians play a pivotal role in this process, responsible for the first transaction of care to the suspected STEMI patient. To date there has not been an extensive analysis of the barriers to best practice for these frontline clinicians.

This research will aim to bridge this gap in knowledge. This study will establish key factors of delay for frontline clinicians in the management and delivery of timely care for suspected STEMI patients.

The research aims for this survey are the following;

  1. Emergency Department Triage Nurses and Paramedics will observe different individual, organizational and system barriers to timely STEMI management.
  2. There will be no difference in barriers experienced and observed by health care clinician according to whether their work is in rural or urban locations in Victoria.

Nurses’ experience of the death of a child in the Emergency Department

Copnell, B

Provision of quality paediatric end‐of‐life care in acute care settings is a priority for the Australian health care system, with a national consensus statement recently published. No previous studies have investigated emergency nurses’ experiences of childhood death. Understanding this experience is crucial in determining how well prepared they are to deal with this situation, and in turn, their ability to provide quality nursing care to dying children and their families.

The aim of this study is to explore Australian nurses’ experiences of caring for a child who dies in the Emergency Department.