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Grant Funding Received for a RPH Nurse Led Glaucoma Assessment Clinic Project

Glaucoma Grant Funding

Grant Funding Received for a RPH Nurse Led Glaucoma Assessment Clinic Project

The WA Nurses Memorial Charitable Trust has awarded $14,960 to Jeanne Young, Lauren Entwistle, Jean-Louis DeSousa, Meredyth Haigh, Fiona MacDonald, Kim Hill to evaluate a Nurse Led Glaucoma Assessment Clinic Project.

Glaucoma is a serious, irreversible optic neuropathy that can result in permanent loss of vision (Tham et al, 2015). Glaucoma is known to increase with age with an estimated 1:200 Australians over the age of 40 years having the condition, with this increasing dramatically to 1:8 Australians who are aged over 80 years.

Alarmingly, 50% of people with glaucoma are not aware they have the condition (Glaucoma Australia, 2020). Given the slow progression of this disease, early diagnosis along with appropriate monitoring coupled with tailored education are integral requirements to preserving vision.

Research evaluating Nurse Led Clinics for ophthalmology patients is very limited but available findings have demonstrated the safety and effectiveness of a nurse led clinic (Sandinha et al; 2012; Slight et al., 2009; Kirkwood et al, 2005).

Research Aim

This project at Royal Perth Hospital will evaluate a nurse led assessment clinic for glaucoma patients.  Only non-complex patients, who have been deemed suitable by an ophthalmologist will continue to attend these clinics.

Objectives are to:

  • Develop a training programme to upskill an ophthalmology RN to run a NLGAC and undertake the approved ophthalmic assessments
  • Improve patients’ knowledge, understanding and management of glaucoma through the provision of individualised glaucoma education
  • Improve non-complex glaucoma patients’ waitlist times by attending a NLGAC at RPH
  • Improve wait times for complex glaucoma patient to be seen by an Ophthalmologist
  • Evaluate the cost benefits of implementing of a NLGAC at RPH

 

Three NLGAC will be run per week with a total of 288 patients seen by the nurse over the course of four months.

Apply Now For A $15k Research Grant

Royal Perth Hospital Nursing Research Foundation is providing grants to a total of $15,000 for financial assistance to nurses working in or with the Royal Perth Bentley Group pursuing research projects in 2021/2022.

The research projects should aim to advance nursing knowledge and improve patient care.

The Foundation encourages new researcher to apply.

To receive an Application Information pack please email Yvette Lynch.

Applications close 7th May 2021.

HIKE FOR A CAUSE – Walk Into Luxury With Us!

HIKE FOR A CAUSE

We’re hosting an incredible South West experience in conjunction with the RPH Research Foundation! Join us in hiking the Cape To Cape trail in 2021 and raise funds to support our continued commitment to advancing nursing outcomes.

You can find out more, and register to Hike For A Cause with us on the RPH Research Foundation page or click to see full 3 day itinerary and information pack.

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Discover the best of the Cape to Cape while raising vital funds for RPH medical and nursing research!

DAY 1, THURSDAY May 13

7:45 am Scheduled group transfer from Alex Hotel, Perth to Margaret River

Meet at Alex Hotel, 50 James Street, Perth at 7.30 am this morning ready for your transfer to Margaret River.  There is a small coffee bar in the lobby for your takeaway coffee fix.

12:15 pm Walk Injidup Beach to Smiths Beach Resort

Enjoy this stunning three hour walk from Injidup Beach around the rocky headland and along the vibrant coastline back to Smiths Beach Resort. You will have the opportunity to swim in a secluded bay on the way.  Lunch on the track included.

3:30 pm Check in: Smiths Beach Resort, Yallingup

After your guided walk from Injidup you will arrive on foot at Smiths Beach Resort mid-afternoon.

All guests stay in luxury beach houses and villas with Indian Ocean Views (private ensuite rooms on twin share basis). Enjoy welcome provisions and Margaret River wine with our compliments. We recommend a dip in the beautiful pool this afternoon.

6:30 pm Dinner at Lamonts, Smiths Beach

Enjoy a long table feasting style dinner tonight with Margaret River wines at local favourite Lamonts (located onsite)

DAY 2, FRIDAY May 14

7:30 am Breakfast at Lamonts

Enjoy a delicious alacarte breakfast at Lamonts Gourmet Deli this morning.

8:15 am Walk Redgate Beach to Boranup Forest

Today’s walk is a beautiful 14 km stretch commencing at pristine Redgate Beach and continuing south to the clifftops of Contos beach and then inland into the karri forest. Considered one of the best day walks on the Cape to Cape Track, the views are sure to be a highlight of your trip.

3:30 pm Private Wine Tasting Experience

After your walk, enjoy complimentary wine tastings and local cheese at a premium boutique winery hosted by the owner.

6:30 pm Dinner at Yarri

Dinner tonight is a special chef’s tasting menu showcasing local produce, with two glasses of Snake and Herring wine to enjoy with your meal (beer/non-alcoholic beverages substituted if preferred).

DAY 3, SATURDAY May 15

7:30 am Breakfast at Lamonts

8:00 am Checkout

8:15 am Walk Moses Rock to Willyabrup Sea Cliffs

This is a beautiful 3 hour walk taking in isolated beaches, creeks and coastal cliffs leading from Moses Rock surf break to the Willyabrup sea cliffs.  The vibrant orange colour of the granite cliffs changes throughout the day and is an inspiring sight as you approach from below.

12:00 pm Lunch at Premier Margaret River Winery

Enjoy a 4 course lunch with wine matches at award-winning Wills Domain. You will have an opportunity to taste wines and make purchases at the cellar door before or after lunch.

3:45 pm Group transfer to Perth

Your driver will collect you from Wills Domain by 4.00 pm for your return transfer to Perth.  Self-drive guests will be dropped to their cars at Smiths Beach Resort.

Note: your anticipated arrival time in Perth is approximately 7.15 pm.

Winners Are Grinners, Thanks to Paywise Salary Packaging

Thank you to everyone who bought tickets in our NRF raffle for your support in making it such a success!

Pat and Wendy on the bridge at RPH selling raffle tickets

Pat and Wendy on the bridge at RPH selling raffle tickets

The Bentley Team

Judi Gardner from Paywise Salary Packing (pictured below) drew the winning tickets today – which is only fitting, as it was Paywise who generously donated the 128GB 8th gen iPad as our major prize.

Judi Gardner from Paywise Salary Packaging – they kindly donated the iPad

  • 1st Prize: Caroline Hale ticket number 686
  • 2nd Prize: Lorraine Pillay ticket number 413
  • 3rd Prize: Fleur Coaker ticket number 141

 

First Prize Winner: Caroline Hale, Safe Team

 

Second Prize Winner: Lorraine Pillay, Operating Theatres

Second Prize Winner: Lorraine Pillay, Operating Theatres

 

Third Prize Winner: Fleur Coaker

What a nice surprise to get our winners geared up for the festive season.

Thanks to your support in buying raffle tickets we raised a total of $3,645!

We hope it gives you a warm fuzzy feeling to know that you have contributed to our continued commitment to champion nursing research for better outcomes for patients and nurses.

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Remote Monitoring of Critically Ill Patients Project (RMCIP) Research Grant

Remote Monitoring

Remote Monitoring of Critically ill Patients Project (RMCIP)

Congratulations to Mr Timothy Leen, Ms Kylie Fawcett, Ms Jeanne Young, Dr Heather Kidd, Dr Timothy Bowles, Ms Katie Khoury who were awarded a $137,323 Clinical Simulation and Training Research Grant.

The research funding from the Department of Health in conjunction with the WA Simulation in Healthcare Alliance will support the development of an immersive insitu simulation education project for the remote monitoring of critically ill patients at RPH.

Currently, the EMHS are implementing a Health in a Virtual Reality Environment (HIVE) Service to remotely monitor 50 critically ill ward-based patients using artificial intelligence (AI) software, overseen by HIVE acute care clinicians.

Funding will allow for an additional HIVE ward based “room” that will be used to provide insitu immersive simulation education to staff, with the “room” also available when clinically required.

The purpose of this project is to develop and evaluate an ongoing advanced Remote Monitoring of Critically Ill Patients (RMCIP) simulation programme that will further develop the workforce with regard to effectively using HIVE technology to deliver high quality patient care.

The RMCIP programme will build on current HIVE training to allow clinical staff to fully experience caring for a critically unwell patient.  The programme will provide ward staff with an opportunity to master their communication and collaboration skills with both the patient and virtually with HIVE clinicians, whilst being immersed in real life clinical deterioration scenarios.

The course will commence in April 2021.

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Amazing Nursing and Midwifery Care Project

Amazing Nursing and Midwifery Care Group

Amazing Nursing and Midwifery Care Project Update September 2020

The Amazing Nursing and Midwifery Care project is our promise to our profession and our patients that we are committed to no patient harm and delivering what matters most.
The program looks at how we as nurses and midwives can better work together with clinical and support teams to improve our patient’s healthcare journey.

The following five program components make up the Amazing Nursing and Midwifery Care project:

  • Team Nursing – Care is delivered by a team of nurses with a variety of skills and knowledge who work together under the leadership of an appropriately skilled nurse or midwife to meet the needs of their patients.
  • Bedside Handover – Bedside Handover increases opportunity for patient engagement by ensuring handover is conducted at the bedside and involves the patient.
  • Safety Shift Huddle – A process conducted at the start of each shift where the oncoming nursing and midwifery team and the outgoing shift coordinator meet prior to bedside handover to review key safety risks and patients of concern on the ward.
  • No Pass Call Zone – A means of ensuring that a patient’s request for assistance is answered in the shortest timeframe and that no staff member passes a patient who is asking for help
  • Care Rounding – a member of the team visits the patient

Four of the five strategies have been established at Royal Perth Bentley Group. Care Rounding is currently in phase 1 of implementation, commencing in a stage approach in November 2020 at Royal Perth Hospital.

Since the commencement of the Amazing Nursing and Midwifery Care project the Patient Experience has demonstrated an increasing trend in the Net Promoter Score and placing RPBG in the ‘excellent’ category.

A recent re-evaluation of staff perspective of Team Nursing has demonstrated a shift in perspective. Prior to the implementation of Team Nursing 89% of nurses preferred the patient allocation model of care. Recent findings reveal 66% of nurses are satisfied with the Team Nursing model of care. Ongoing change management strategies are being implemented to support staff to embrace and embed the Team Nursing model of care.

The evaluation process for all strategies is ongoing with staff feedback demonstrating some inconsistencies across clinical areas. Ongoing support is required to embed all strategies across the organisation to support a strong, safe and efficient culture.

Our New Facebook Page

The RPH Nursing Research Foundation is now on Facebook!

We’d love your feedback and support, so if you’re on Facebook please stop by and give our new page a ‘like’.

Feel free to share the page or any of the posts to those you think might find them interesting, it’s a small way you can help further the message about the importance of nursing research in general and the work we do as a foundation.

RPH Nursing Research Foundation Facebook Page

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Mental Health Emergency Response Simulation Education Programme

The Department of Health, Clinical Simulation and Training Grants

awarded to RPBG Nursing and Medical Education Team.

Chief Medical Officer, Dr Michael Levitt presented a $50,000 Clinical Simulation and Training Grant to Dr Lucia Gillman, Ms Kylie Fawcett, Dr Richard Stewart, Ms Alex Knowles, Ms Jeanne Young and Mr David Bruce.

The funding from the Department of Health in conjunction with the WA Simulation in Healthcare Alliance will support the development of a mental health emergency response simulation education programme (MHERP).

This research project will evaluate the effectiveness of simulation education to support inter-professional clinical staff in recognising and responding to acute deterioration and violence in a mental health context.  This advanced MHERP will use scenario based learning to immerse inter-professional staff in high risk acute MH situations delivered in a low risk educational environment.

Staff from RPBG MH wards, MH Emergency Centre, City East, Midland and BHS Community MH Services will be invited to participate.

The MHERP will allow staff to master MH emergency skills, deal with unanticipated clinical events, enhance team work, communication skills, increase confidence and improve performance to prevent/manage MH clinical deterioration.

In its first year, 200 staff will be trained with evaluations conducted at 3 times points over five months. The program will include elearning modules, MH clinical deterioration and Crisis Resource Management pre reading and the development of several realistic MH emergency scenarios.

By upskilling MH staff expected outcomes include:

  • Enhanced management of a clinically deteriorating MH consumer (earlier intervention).
  • Prevention of incidents escalating into aggressive and violence acts.
  • Decreased need for Code Black security responses.
  • Increased staff confidence in their skills/role in responding to or leading a MH emergency response.
  • Increased staff knowledge with regard to responding to a MH emergency response.
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Combined Bedside Risk Assessment: CoBRA

 

 

 

 

Congratulations to the Royal Perth Bentley Group CoBRA Project team, whose work has just been published by the international Journal of Nursing Care Quality.

The CoBRA project, led by Dr Heather Kidd, RPBG Nursing Director, Safety, Organisational Learning and Development developed and evaluated the online CoBRA audit tool that is in use across the RPBG.

 

Developing the Next Generation in Electronic Clinical Auditing: CoBRA Tool

 

Background: While auditing is embedded into clinical culture, data collection tends to be retrospective, requires expertise and is time consuming.

Local Problem: Clinical audit data is needed in real time to manage patient safety issues.

Methods: An iterative approach was undertaken to develop the electronic audit tool with a cross sectional survey used for evaluation.

Interventions: The Combined Bedside and Risk Assessment (CoBRA) audit tool captures patient safety risk and compliance such as falls, pressure injuries and infections.

Results: Over 17,956 safety audits were collected on randomly selected inpatients. Monthly audits completion average is 96% (n=614). Patient safety risk mitigation is available in real time.  Stakeholders stated the CoBRA tool was useful in educating patients on risks (n=141; 78.3%), improved patient care (n=120; 67.4%) and prompted staff to modify patient care based on CoBRA findings (n=98; 54%).

Conclusions: The electronic CoBRA process facilitates patient safety risk mitigation and data transparency.