Journal articles

CONCLUSION: Few studies have explored the perspectives of AOD clinicians regarding introducing PW roles in an AOD treatment setting. This study highlights that although a majority of AOD clinicians have positive attitudes, many have concerns regarding PW roles, role boundaries, and the legitimacy of peer expertise. Furthermore, organizational readiness, PW well-being, and the integration of […]

CONCLUSIONS: The findings highlight the significant workload and training gaps faced by medical registrars in managing older surgical patients. Bridging the gap between national recommendations and local services may reduce demands on on-call registrars and improve care.

Globally, the utility of pathogen genomics for public health was highlighted by the COVID-19 pandemic. Approaches to enhance coordination and improve implementation of pathogen genomics for public health are needed. The Communicable Diseases Genomics Network (CDGN) was established in 2015 in Australia. The network, embedded at the public health laboratory interface and supported by the […]

CONCLUSIONS: Whilst not statistically significant, findings indicate that the intervention was associated with fewer ED transfers, but increased hospital admissions and overall hospital bed days. Programme implementation was impacted by major contextual barriers, notably the COVID-19 pandemic, which contributed to pressures on staffing and workload.

CONCLUSIONS: This cost-consequence analysis found that the intervention was not effective in reducing the cost of non-beneficial treatment, which is consistent with the broader InterACT results. This simple nudge-intervention alone may not be sufficient to impact health service resource use and costs in the complex end-of-life setting.

CONCLUSIONS: This study covering three-quarters of the Australian population demonstrates substantial increases in rates of health service use for people with eating disorders between 2010 and 2019.

CONCLUSION: This study identified four themes that outlined the potential importance and meaning of clinical debriefing for ICU nurses. Despite several perceived barriers to implementing regular clinical debriefing, ICU nurses advocated for the opportunity participate in regular clinical debriefing for learning and support.

CONCLUSIONS: CTP claim rates among Aboriginal and Torres Strait Islander people in NSW are low relative to their burden of road transport injury, suggesting that they may face barriers in accessing CTP compensation.Improving support, especially for those in rural areas and young drivers, and simplifying the claims process could enhance access to compensation for Aboriginal […]

CONCLUSION: This study provides insights into factors influencing the sustainability of de-implementation of low-value care in acute care settings. Fostering an evidence-based practice culture, supported by senior leadership and ongoing multimodal education, supports sustainability of improvements in this setting.

CONCLUSION: Repeat suicidality represents a key opportunity to reduce suicidality morbidity and mortality in the Australian Army. Enhanced data surveillance, reducing the use of alcohol and substances and targeted management and transition protocols may assist in reducing the incidence. Implications for the army and future research directions are discussed.

The detrimental effect of poor operative ergonomics in surgery cannot be underestimated. It's associated with negative outcomes such as increased burn-out, fatigue, clinically relevant pain, and early retirement. Pregnancy creates additional challenges for female surgeons to prevent injury while adjusting to anthropometric changes that are difficult to accommodate for using open and laparoscopic surgical techniques. […]

CONCLUSION: This study offers unique insights into the impact of loss and anticipatory grief in everyday life for those on haemodialysis and their families. Greater existential support and holistic family-focused grief support is proposed to guide family nursing in kidney care. Healthcare policies and health education in grief ought to reflect the care needs of […]

CONCLUSION: Future research should validate sleep instruments in non-transplant chronic kidney disease populations through comprehensive psychometric testing. Clinicians and researchers should carefully select multiple instruments to assess both overall sleep quality and sleep disorder-specific symptoms.

INTRODUCTION: The management of severe traumatic brain injury (sTBI) in the intensive care unit (ICU) is focused on preventing secondary brain insults, by ensuring adequate cerebral perfusion, oxygenation and substrate delivery. Despite optimisation of intracranial pressure (ICP) and cerebral perfusion pressure (CPP) using evidence-based guidelines, brain tissue hypoxia can still occur and is strongly associated […]

BACKGROUND: Coronary occlusion during type A aortic dissection is a serious complication, associated with high mortality if not identified and treated promptly.