42 results on '"Haesler, Emily"'
Search Results
2. WHAM evidence summary: Papaya-based products for treating wounds
- Author
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Solomons, Terena and Haesler, Emily
- Published
- 2022
3. Barrier film for prevention and treatment of radiation dermatitis: A WHAM evidence summary
- Author
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Haesler, Emily
- Published
- 2022
4. The role of the family doctor in the management of adults who are obese: a scoping review protocol
- Author
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Sturgiss, Elizabeth Ann, Elmitt, Nicholas, van Weel, Chris, Haesler, Emily, Sargent, Ginny, Stevenson, Alex, Harris, Mark, and Douglas, Kirsty
- Published
- 2015
- Full Text
- View/download PDF
5. To own or not to own: How can we best educate general practice registrars about practice ownership?
- Author
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Sturgiss, Elizabeth, Anderson, Katrina, Liedvogel, Martin, and Haesler, Emily
- Published
- 2013
6. Who will be running your practice in 10 years?: Supporting GP registrars' awareness and knowledge of practice ownership
- Author
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Liedvogel, Martin, Haesler, Emily, and Anderson, Katrina
- Published
- 2013
7. Establishing a consensus on wound infection definitions
- Author
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Haesler, Emily, Swanson, Terry, Ousey, Karen, Larsen, Donna, Carville, Keryln, Bjarnsholt, Thomas, Haesler, Paul, Haesler, Emily, Swanson, Terry, Ousey, Karen, Larsen, Donna, Carville, Keryln, Bjarnsholt, Thomas, and Haesler, Paul
- Abstract
OBJECTIVES: The aim of this study was to establish an international, interorganisational consensus on wound infection terminology. METHODS: This project consisted of definition scoping and a Delphi process to produce a consensus glossary for 18 wound infection terms. Recent guidelines/consensus documents were reviewed to identify 2-4 definitions for each term. An online consensus process was undertaken using the RAND Appropriateness Method, a consensus method for panels to reach agreement. International wound organisations nominated experts to participate, from whom 21 participants were selected to represent different organisations, geographic regions and disciplines. In the first consensus round, each term was presented alongside 2-3 definitions and participants nominated their preferred definition, with the majority vote used to select a baseline definition. The consensus process then proceeded, with participants using a 9-point Likert scale to score their level of agreement or disagreement with the definition for each term. Participants also provided a justification outlining the reason behind their rating. At the end of each round, an index was calculated to provide a quantitative evaluation indicating whether agreement or disagreement had been reached. RESULTS: Reasoning statements were summarised and the definitions were adjusted to incorporate concepts identified by participants. The adjusted definition was presented in the next consensus round, together with the reasoning statements. Terms for which a final definition was not achieved in three consensus rounds were finalised with preferential voting using 2-3 definitions that had reached consensus. PROJECT PROGRESS AND SIGNIFICANCE: The project generated a glossary of wound infection terms, endorsed through participation of 15 international organisations, for dissemination of guidelines and clinical decision-making/teaching tools.
- Published
- 2022
8. IWII Wound Infection in Clinical Practice consensus document:2022 update
- Author
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Swanson, Terry, Ousey, Karen, Haesler, Emily, Bjarnsholt, Thomas, Carville, Keryln, Idensohn, Patricia, Kalan, Lindsay, Keast, David H., Larsen, Donna, Percival, Steven, Schultz, Gregory, Sussman, Geoff, Waters, Nicola, Weir, Dot, Swanson, Terry, Ousey, Karen, Haesler, Emily, Bjarnsholt, Thomas, Carville, Keryln, Idensohn, Patricia, Kalan, Lindsay, Keast, David H., Larsen, Donna, Percival, Steven, Schultz, Gregory, Sussman, Geoff, Waters, Nicola, and Weir, Dot
- Abstract
ABSTRACT: Wound infection is a major challenge for clinicians globally, with accurate and timely identification of wound infection being critical to achieving clinical and cost-effective management, and promotion of healing. This paper presents an overview of the development of the International Wound Infection Institute (IWII)'s 2022 Wound Infection in Clinical Practice consensus document. The updated document summarises current evidence and provides multidisciplinary healthcare providers with effective guidance and support on terminology, paradigms related to biofilm, identification of wound infection, wound cleansing, debridement and antimicrobial stewardship. Integral to the update is revision of wound infection management strategies which are incorporated within the IWII's Wound Infection Continuum (IWII-WIC) and management plan. The aim of the 2022 IWII consensus document update was to provide an accessible and useful clinical resource in at least six languages, incorporating the latest evidence and current best practice for wound infection and prevention. Dissemination techniques for the consensus are discussed and highlighted.
- Published
- 2022
9. Feasibility and acceptability of a physician-delivered weight management programme
- Author
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Sturgiss, Elizabeth A, Elmitt, Nicholas, Haesler, Emily, van Weel, Chris, and Douglas, Kirsty
- Published
- 2017
- Full Text
- View/download PDF
10. Our contemporary understanding of the aetiology of pressure ulcers/pressure injuries
- Author
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Gefen, Amit, primary, Brienza, David M., additional, Cuddigan, Janet, additional, Haesler, Emily, additional, and Kottner, Jan, additional
- Published
- 2021
- Full Text
- View/download PDF
11. A scoping review of research in chronic wounds: protocol
- Author
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Bui, Ut, Tehan, Peta, Barakat-Johnson, Michelle, Carville, Keryln, Haesler, Emily, Lazzarini, Peter, Twigg, Stephen M., Weller, Carolina, Finlayson, Kathleen, Bui, Ut, Tehan, Peta, Barakat-Johnson, Michelle, Carville, Keryln, Haesler, Emily, Lazzarini, Peter, Twigg, Stephen M., Weller, Carolina, and Finlayson, Kathleen
- Abstract
Introduction: Chronic wounds lead to devastating health and economic consequences for the individuals and the health care system. These wounds do not heal within expected timeframes, often recur, and/or are complicated by underlying comorbidities. There is a significant need to identify and implement evidence-based practice in the prevention and management of chronic wounds in Australia to minimise the impact to persons and health care systems. Objectives: This scoping review aims to identify (i) current research activity and outcomes in assessment, management, and prevention of chronic wounds, and (ii) gaps in chronic wound research relevant to Australia. Methods: The PRISMA-ScR framework will be used to guide this scoping review. Searches will be conducted in Medline, Embase, CINAHL, Joanna Briggs Institute Library, Cochrane Library, APA PsycInfo databases, websites and publications of relevant professional organisations, and clinical trial registries for publications between 2010 and 2021. Two independent researchers will review the identified records based on the inclusion criteria and any conflicts will be resolved by a third researcher. This scoping review will include Australian original studies, international and national systematic review and evidence-based guidelines or consensus statements on assessment, management or prevention of chronic wounds.
- Published
- 2021
12. Comment on “International consensus on pressure injury preventative interventions by risk level for critically ill patients: A modified Delphi study”
- Author
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Kottner, Jan, primary, Cuddigan, Janet, additional, Balzer, Katrin, additional, and Haesler, Emily, additional
- Published
- 2020
- Full Text
- View/download PDF
13. Our contemporary understanding of the aetiology of pressure ulcers/pressure injuries.
- Author
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Gefen, Amit, Brienza, David M., Cuddigan, Janet, Haesler, Emily, and Kottner, Jan
- Subjects
EQUIPMENT & supplies ,PRESSURE ulcers ,MEDICAL protocols ,SHEAR (Mechanics) ,SOFT tissue injuries ,CELL death ,PSYCHOLOGICAL stress ,DISEASE risk factors - Abstract
In 2019, the third and updated edition of the Clinical Practice Guideline (CPG) on Prevention and Treatment of Pressure Ulcers/Injuries has been published. In addition to this most up‐to‐date evidence‐based guidance for clinicians, related topics such as pressure ulcers (PUs)/pressure injuries (PIs) aetiology, classification, and future research needs were considered by the teams of experts. To elaborate on these topics, this is the third paper of a series of the CPG articles, which summarises the latest understanding of the aetiology of PUs/PIs with a special focus on the effects of soft tissue deformation. Sustained deformations of soft tissues cause initial cell death and tissue damage that ultimately may result in the formation of PUs/PIs. High tissue deformations result in cell damage on a microscopic level within just a few minutes, although it may take hours of sustained loading for the damage to become clinically visible. Superficial skin damage seems to be primarily caused by excessive shear strain/stress exposures, deeper PUs/PIs predominantly result from high pressures in combination with shear at the surface over bony prominences, or under stiff medical devices. Therefore, primary PU/PI prevention should aim for minimising deformations by either reducing the peak strain/stress values in tissues or decreasing the exposure time. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
14. A self-report of the Healer’s art by junior doctors: does the course have a lasting influence on personal experience of humanism, self-nurturing skills and medical counterculture?
- Author
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Jaiswal, Chanakya, primary, Anderson, Katrina, additional, and Haesler, Emily, additional
- Published
- 2019
- Full Text
- View/download PDF
15. Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019
- Author
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Kottner, Jan, Cuddigan, Janet, Carville, Keryln, Balzer, Katrin, Berlowitz, Dan, law, Susan, Litchford, Mary, Mitchell, Pamela, Moore, Zena, Pittman, Joyce, Sigaudo-Roussel, Dominique, Haesler, Emily, Kottner, Jan, Cuddigan, Janet, Carville, Keryln, Balzer, Katrin, Berlowitz, Dan, law, Susan, Litchford, Mary, Mitchell, Pamela, Moore, Zena, Pittman, Joyce, Sigaudo-Roussel, Dominique, and Haesler, Emily
- Abstract
Aim The European Pressure Ulcer Advisory Panel, the Pan Pacific Pressure Injury Alliance, and the National Pressure Ulcer Advisory Panel are updating the 'Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline' (CPG) in 2019. The aim of this contribution is to summarize and to discuss the guideline development protocol for the 2019 update. Methods A guideline governance group determines and monitors all steps of the CPG development. An international survey of consumers will be undertaken to establish consumer needs and interests. Systematic evidence searches in relevant electronic databases cover the period from July 2013 through August 2018. Risk of bias of included studies will be assessed by two reviewers using established checklists and an overall strength of evidence assigned to the cumulative body of evidence. Small working groups review the evidence available for each topic, review and/or draft the guideline chapters and recommendations and/or good practice statements. Finally, strength of recommendation grades are assigned. The recommendations are rated based on their importance and their potential to improve individual patient outcomes using an international formal consensus process. Discussion Major methodological advantages of the current revision are a clear distinction between evidence-based recommendations and good practice statements and strong consumer involvement. Conclusion The 2019 guideline update builds on the previous 2014 version to ensure consistency and comparability. Methodology changes will improve the guideline quality to increase clarity and to enhance implementation and compliance. The full guideline development protocol can be accessed from the guideline website (http://www.internationalguideline.com/).
- Published
- 2019
16. Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys
- Author
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Sturgiss, Elizabeth, Rieger, Elizabeth, Haesler, Emily, Ridd, Matthew, Douglas, Kirsty, Galvin, Shelley, Sturgiss, Elizabeth, Rieger, Elizabeth, Haesler, Emily, Ridd, Matthew, Douglas, Kirsty, and Galvin, Shelley
- Abstract
Background: Relational aspects of primary care are important, but we have no standard measure for assessment. The ‘working alliance’ incorporates elements of the therapeutic relationship, shared decision-making, goal setting and communication skills. The Working Alliance Inventory (short form) (WAI-SF) has been used in adult psychology, and a high score on the survey is associated with improved outcomes for clients.
- Published
- 2019
17. Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys
- Author
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Sturgiss, Elizabeth A, primary, Rieger, Elizabeth, additional, Haesler, Emily, additional, Ridd, Matthew J, additional, Douglas, Kirsty, additional, and Galvin, Shelley L, additional
- Published
- 2018
- Full Text
- View/download PDF
18. The impact of nurse and care staff education on the functional ability and quality of life of people living with dementia in aged care: A systematic review
- Author
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Bauer, Michael, Fetherstonhaugh, Deirdre, Haesler, Emily, Beattie, Elizabeth, Hill, Keith, Poulos, Chris, Bauer, Michael, Fetherstonhaugh, Deirdre, Haesler, Emily, Beattie, Elizabeth, Hill, Keith, and Poulos, Chris
- Abstract
Objectives Educational initiatives can improve care delivery and the experience of living in residential aged care for people with dementia. This review aimed to determine the impact of nurse and care staff education on measures of functional ability and quality of life for older people with dementia living in care homes. Design - Systematic review. Data sources - Search of on-line databases in English between January 2000 and January 2017. Review methods Three reviewers used data extraction and critical appraisal tools of the Joanna Briggs Institute to determine methodological quality of research. Results and conclusion Thirty-two studies met the initial inclusion criteria and 13 were retrieved for full appraisal. There was limited impact of nurse and care staff education on residents' agitation, anxiety, mood and quality of life. The most consistent improvement in functional ability due to education may be in the execution of activities of daily living. More successful programs included multi-faceted components (e.g. hands on support, clinical auditing) in conjunction with didactic teaching. There is a need for more rigorous and well-designed studies to test interventions.
- Published
- 2018
19. The fundamental goal of wound prevention: recent best evidence
- Author
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Haesler, Emily, Frescos, N, Rayner, Robyn, Haesler, Emily, Frescos, N, and Rayner, Robyn
- Abstract
Preventing wounds is a fundamental goal for all wound professionals and is enshrined within the Australian national wound management standards. The paper presents an overview of the recent evidence in the prevention of venous leg ulcers, pressure injuries, diabetes-related foot ulcers and skin tears. Recent literature searches identified a paucity of high-quality evidence for most wound prevention interventions. The paper presents evidence available to support current best practice. Despite the lack of strong scientific evidence, fundamental care interventions, including promoting healthy skin integrity and off-loading pressure, continue to be mainstay in preventing wounds of all aetiology.
- Published
- 2018
20. Wound infection in clinical practice : principles of best practice
- Author
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Swanson, Terry, Angel, Donna, Sussman, Geoff, Cooper, Rose, Haesler, Emily, Ousey, Karen, Carville, Keryln, Fletcher, Jacqui, Kalan, Lindsay, Keast, David, Leaper, David J., Schultz, Greg, Black, Joyce, and Call, Evan
- Subjects
integumentary system ,R1 ,RT - Abstract
The International Wound Infection Institute (IWII) is an organisation of volunteer interdisciplinary health professionals dedicated to advancing and improving practice relating to prevention and control of wound infection. This includes acute wounds (surgical, traumatic and burns) and chronic wounds of all types, although principally chronic wounds of venous, arterial, diabetic and pressure aetiologies.\ud Wound infection is a common complication of wounds. It leads to delays in wound healing and increases the risk of loss of limb and life. Implementation of effective strategies to prevent, diagnose and manage, is important in reducing mortality and morbidity rates associated with wound infection.\ud This second edition of Wound Infection in Clinical Practice is an update of the first edition published in 2008 by the World Union of Wound Healing Societies (WUWHS). The original document was authored by leading experts in wound management and endorsed by the WUWHS. The intent of this edition is to provide a practical, updated resource that is easy-to-use and understand.\ud For this edition, the IWII collaborative team has undertaken a comprehensive review of contemporary literature, including systematic reviews and meta-analyses when available.\ud In addition, the team conducted a formal Delphi process to reach consensus on wound infection issues for which scientific research is minimal or lacking. This rigorous process provides an update on the science and expert opinion regarding prevention, diagnosis and control of wound infection. This edition outlines new definitions relevant to wound infection, presents new paradigms and advancements in the management and diagnosis of a wound infection, and highlights controversial areas of discussion.
- Published
- 2016
21. A scoping review of the role of GPs in the management of obesity
- Author
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Elmitt, Nicholas, primary, Sturgiss, Elizabeth, additional, Haesler, Emily, additional, van Weel, Chris, additional, and Douglas, Kirsty, additional
- Published
- 2018
- Full Text
- View/download PDF
22. Increasing general practitioners' confidence and self-efficacy in managing obesity: a mixed methods study
- Author
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Sturgiss, Elizabeth, primary, Haesler, Emily, additional, Elmitt, Nicholas, additional, van Weel, Chris, additional, and Douglas, Kirsty, additional
- Published
- 2017
- Full Text
- View/download PDF
23. Adaption and validation of the Working Alliance Inventory for General Practice: qualitative review and cross-sectional surveys.
- Author
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Sturgiss, Elizabeth A, Rieger, Elizabeth, Haesler, Emily, Ridd, Matthew J, Douglas, Kirsty, and Galvin, Shelley L
- Subjects
SOCIAL surveys ,PHYSICIAN-patient relations ,THERAPEUTIC alliance ,SOCIAL desirability ,WAITING rooms ,CULTURAL adaptation ,PATIENT autonomy - Abstract
Background: Relational aspects of primary care are important, but we have no standard measure for assessment. The 'working alliance' incorporates elements of the therapeutic relationship, shared decision-making, goal setting and communication skills. The Working Alliance Inventory (short form) (WAI-SF) has been used in adult psychology, and a high score on the survey is associated with improved outcomes for clients.Objective: To adapt the WAI-SF for use between GPs and patients and to test its concurrent validity with measures of shared decision-making and the doctor-patient relationship and discriminant validity with measures of social desirability.Methods: Two rounds of online survey feedback from 55 GPs and 47 patients were used to adapt the WAI-SF-the WAI-GP. The tool was then completed by 142 patients in waiting rooms after seeing their GP and by 16 GPs at the end of their session. Concurrent validity with measures of shared decision-making and patient-doctor depth of relationship was determined using Spearman Rho correlations. Patients also completed two social desirability surveys, and discriminant validity with WAI-GP was assessed.Results: Following feedback, the survey was re-worded to remove phrases that were perceived as judgmental or irrelevant. The patient measure of the WAI-GP was strongly correlated with Dyadic OPTION (rho = 0.705, P = 0.0001) and Patient-Doctor Depth of Relationship scale (rho = 0.591, P = 0.0001) and not with measures of social desirability.Conclusion: The psychometric properties of the WAI-GP support its use for measuring GP-patient alliance. Possibilities for use include assessing the influence of therapeutic alliance on the effectiveness of interventions. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
24. Management of patients with venous leg ulcers: Challenges and current best practice
- Author
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Franks, Peter J., Barker, Judith, Collier, Mark, Gethin, Georgina, Haesler, Emily, Jawien, Arkadiusz, Laeuchli, Severin, Mosti, Giovanni, Probst, Sebastian, Weller, Carolina, Franks, Peter J., Barker, Judith, Collier, Mark, Gethin, Georgina, Haesler, Emily, Jawien, Arkadiusz, Laeuchli, Severin, Mosti, Giovanni, Probst, Sebastian, and Weller, Carolina
- Abstract
It is well documented that the prevalence of venous leg ulcers (VLUs) is increasing, coinciding with an ageing population. Accurate global prevalence of VLUs is difficult to estimate due to the range of methodologies used in studies and accuracy of reporting.1 Venous ulceration is the most common type of leg ulceration and a significant clinical problem, affecting approximately 1% of the population and 3% of people over 80 years of age2 in westernised countries. Moreover, the global prevalence of VLUs is predicted to escalate dramatically, as people are living longer, often with multiple comorbidities. Recent figures on the prevalence of VLUs are based on a small number of studies, conducted in Western countries, and the evidence is weak. However, it is estimated that 93% of VLUs will heal in 12 months, and 7% remain unhealed after five years.3 Furthermore, the recurrence rate within 3 months after wound closure is as high as 70%.4-6 Thus, cost-effective adjunct evidence-based treatment strategies and services are needed to help prevent these ulcers, facilitate healing when they occur and prevent recurrence. The impact of a VLU represents social, personal, financial and psychological costs on the individual and further economic drain on the health-care system. This brings the challenge of providing a standardised leg ulcer service which delivers evidence-based treatment for the patient and their ulcer. It is recognised there are variations in practice and barriers preventing the implementation of best practice. There are patients not receiving appropriate and timely treatment in the initial development of VLUs, effective management of their VLU and preventing recurrence once the VLU has healed. Health-care professionals (HCPs) and organisations must have confidence in the development process of clinical practice guidelines and have ownership of these guidelines to ensure those of the highest quality guide their practice. These systematic judgments can assist in poli
- Published
- 2016
25. IWII Wound infection in clinical practice consensus document 2016 update
- Author
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Swanson, Terry, Haesler, Emily, Angel, Donna, Sussman, Geoff, Swanson, Terry, Haesler, Emily, Angel, Donna, and Sussman, Geoff
- Abstract
The International Wound Infection Institute (IWII) is a volunteer group of interdisciplinary health professionals dedicated to advancing and improving practice relating to the prevention and control of wound infection. The second edition of Wound infection in clinical practice is an update of the first edition published in 2008 and was endorsed by the World Union of Wound Healing Societies (WUWHS). The original document was authored by leading experts who were in wound management, many of whom formed the inaugural committee of the IWII. For the second edition, the IWII collaborative team undertook a comprehensive review of contemporary literature, including systematic reviews and meta-analyses when available. In addition, the team conducted a formal Delphi process to reach consensus on wound infection issues for which scientific research was minimal or lacking. This rigorous process provided a document with an update on the science and expert opinion regarding prevention, diagnosis and control of wound infection. The updated document outlines new definitions relevant to wound infection, presents new paradigms and advances in the management and diagnosis of a wound infection, and highlights controversial areas of discussion. The intent is to provide a practical, updated resource that is easy to use and understand.
- Published
- 2016
26. Local resource botanicals used in wound care
- Author
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Haesler, Emily, Watts, Robin, Rice, Jan, Carville, Keryln, Haesler, Emily, Watts, Robin, Rice, Jan, and Carville, Keryln
- Abstract
Botanical and other natural products have been used for centuries for medicinal purposes including treating skin lesions and wounds. However, formal research into the efficacy of many traditional remedies is sparse. The Wound Healing and Management (WHAM) Node within the Joanna Briggs Institute (JBI) and Wounds Australia conducts evidence summaries on traditional wound care strategies as a resource for local wound care practitioners and staff and students on exchange programs in developing countries. This paper presents an overview on a number of botanicals used in wound care in countries with limited access to contemporary wound care products. The available evidence on effectiveness and potential adverse events for tea tree oil, turmeric, banana leaves, aloe vera, papaya and calendula used in wound care is presented. There is a need for further good quality research into many of the interventions presented in this review in order to increase the evidence base and understanding of any risks in incorporating natural resources into wound care.
- Published
- 2016
27. Sexuality, sexual health and older people: A systematic review of research on the knowledge and attitudes of health professionals
- Author
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Haesler, Emily, Bauer, Michael, Fetherstonhaugh, Deirdre, Haesler, Emily, Bauer, Michael, and Fetherstonhaugh, Deirdre
- Published
- 2016
28. Management of patients with venous leg ulcers: Challenges and current best practice
- Author
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Franks, P., Barker, J., Collier, M., Gethin, G., Haesler, Emily, Jawien, A., Laeuchli, S., Mosti, G., Probst, S., Weller, C., Franks, P., Barker, J., Collier, M., Gethin, G., Haesler, Emily, Jawien, A., Laeuchli, S., Mosti, G., Probst, S., and Weller, C.
- Abstract
It is well documented that the prevalence of venous leg ulcers (VLUs) is increasing, coinciding with an ageing population. Accurate global prevalence of VLUs is difficult to estimate due to the range of methodologies used in studies and accuracy of reporting. Venous ulceration is the most common type of leg ulceration and a significant clinical problem, affecting approximately 1% of the population and 3% of people over 80 years of age in westernised countries. Moreover, the global prevalence of VLUs is predicted to escalate dramatically, as people are living longer, often with multiple comorbidities. Recent figures on the prevalence of VLUs are based on a small number of studies, conducted in Western countries, and the evidence is weak. However, it is estimated that 93% of VLUs will heal in 12 months, and 7% remain unhealed after five years. Furthermore, the recurrence rate within 3 months after wound closure is as high as 70%.Thus, cost-effective adjunct evidence-based treatment strategies and services are needed to help prevent these ulcers, facilitate healing when they occur and prevent recurrence.The impact of a VLU represents social, personal, financial and psychological costs on the individual and further economic drain on the health-care system. This brings the challenge of providing a standardised leg ulcer service which delivers evidence-based treatment for the patient and their ulcer. It is recognised there are variations in practice and barriers preventing the implementation of best practice. There are patients not receiving appropriate and timely treatment in the initial development of VLUs, effective management of their VLU and preventing recurrence once the VLU has healed. Health-care professionals (HCPs) and organisations must have confidence in the development process of clinical practice guidelines and have ownership of these guidelines to ensure those of the highest quality guide their practice.These systematic judgments can assist in policy develo
- Published
- 2016
29. Feasibility and acceptability of a physician-delivered weight management programme
- Author
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Sturgiss, Elizabeth A, primary, Elmitt, Nicholas, additional, Haesler, Emily, additional, van Weel, Chris, additional, and Douglas, Kirsty, additional
- Published
- 2016
- Full Text
- View/download PDF
30. Exploring Self-Efficacy in Australian General Practitioners Managing Patient Obesity: A Qualitative Survey Study
- Author
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Ashman, Freya, primary, Sturgiss, Elizabeth, additional, and Haesler, Emily, additional
- Published
- 2016
- Full Text
- View/download PDF
31. The role of the family doctor in the management of adults who are obese: a scoping review protocol
- Author
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Sturgiss, Elizabeth, Elmitt, Nicholas, van Weel, Chris, Haesler, Emily, Sargent, Ginny, Stevenson, Alexander, Harris, Mark F., Douglas, Kirsty, Douglas, Kirsty P., Sturgiss, Elizabeth, Elmitt, Nicholas, van Weel, Chris, Haesler, Emily, Sargent, Ginny, Stevenson, Alexander, Harris, Mark F., Douglas, Kirsty, and Douglas, Kirsty P.
- Abstract
Background: The role of family doctors in the management of obesity in primary care will become increasingly important as more of the adult population become overweight or obese. Having a solid understanding of the family doctor’s role as a sole practitioner is important for supporting practitioners in providing patient care and for informing future research. Objective: The purpose of this paper is to describe a protocol for a scoping review that aims to examine and map the current research base for the role of the family doctor in managing adults who are overweight or obese. Methods: This scoping review is based on the methodology as described by the Joanna Briggs Institute which involves final consultation with stakeholders. Two reviewers (ES, NE) will be responsible for the iterative development of a search strategy based on the basic initial search terms obesity, doctor and primary care. Black and grey literature will be searched to elucidate any manuscripts involving the family doctor in the management of adults who are over‑ weight or obese. A customised data extraction tool will be used to collect relevant items from each manuscript. Results: Data extraction will expose the role family doctors are playing in obesity management in all stages of research including recruitment, intervention or as a control group. By looking at a broad scope of manuscripts we will discover the family doctor’s role as portrayed in research, in international guidelines and by peak bodies. We will also determine if there are any gaps in the research base. Conclusion: This protocol describes a scoping review that will illustrate the supporting international research for the role family doctors are playing in the management of adults who are overweight or obese. Scoping of the interna‑ tional literature will then be translated for Australian primary care. Keywords: Obesity, Overweight, Adults, Primary care, General practitioner, Family doctor, Primary care physician
- Published
- 2015
32. Let's talk about sex: older people's views on the recognition of sexuality and sexual health in the health‐care setting
- Author
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Bauer, Michael, primary, Haesler, Emily, additional, and Fetherstonhaugh, Deirdre, additional
- Published
- 2015
- Full Text
- View/download PDF
33. Measuring patient participation in health care: a comprehensive systematic review protocol
- Author
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Phillips, Nicole M., Street, Maryann, Haesler, Emily, Phillips, Nicole M., Street, Maryann, and Haesler, Emily
- Published
- 2014
34. The learner’s perspective in GP teaching practices with multi-level learners: a qualitative study
- Author
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Thomson, Jennifer S, Anderson, Katrina, Haesler, Emily, Barnard, Amanda, Glasgow, Nicholas, Thomson, Jennifer S, Anderson, Katrina, Haesler, Emily, Barnard, Amanda, and Glasgow, Nicholas
- Abstract
BACKGROUND Medical students, junior hospital doctors on rotation and general practice (GP) registrars are undertaking their training in clinical general practices in increasing numbers in Australia. Some practices have four levels of learner. This study aimed to explore how multi-level teaching (also called vertical integration of GP education and training) is occurring in clinical general practice and the impact of such teaching on the learner. METHODS A qualitative research methodology was used with face-to-face, semi-structured interviews of medical students, junior hospital doctors, GP registrars and GP teachers in eight training practices in the region that taught all levels of learners. Interviews were audio-recorded and transcribed. Qualitative analysis was conducted using thematic analysis techniques aided by the use of the software package N-Vivo 9. Primary themes were identified and categorised by the co-investigators. RESULTS 52 interviews were completed and analysed. Themes were identified relating to both the practice learning environment and teaching methods used.A practice environment where there is a strong teaching culture, enjoyment of learning, and flexible learning methods, as well as learning spaces and organised teaching arrangements, all contribute to positive learning from a learners' perspective.Learners identified a number of innovative teaching methods and viewed them as positive. These included multi-level learner group tutorials in the practice, being taught by a team of teachers, including GP registrars and other health professionals, and access to a supernumerary GP supervisor (also termed "GP consultant teacher"). Other teaching methods that were viewed positively were parallel consulting, informal learning and rural hospital context integrated learning. CONCLUSIONS Vertical integration of GP education and training generally impacted positively on all levels of learner. This research has provided further evidence about the learning cu
- Published
- 2014
35. Let's talk about sex: older people's views on the recognition of sexuality and sexual health in the health-care setting.
- Author
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Bauer, Michael, Haesler, Emily, and Fetherstonhaugh, Deirdre
- Subjects
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AGE distribution , *AGING , *CINAHL database , *DATABASES , *SEXUAL health , *MEDICAL information storage & retrieval systems , *MEDICAL care , *MEDLINE , *META-analysis , *PATIENTS , *RESEARCH funding , *QUALITATIVE research , *LITERATURE reviews , *QUANTITATIVE research , *WELL-being , *ACQUISITION of data - Abstract
Objective: To report on the findings of a systematic review which examined the experiences and views of older people aged 65 years and over on health professionals’ recognition of sexuality and sexual health and whether these aspects of the person are incorporated into care. Review methods: The review followed the methods laid out by the Joanna Briggs Institute. Eleven electronic databases were searched using the terms sexual*, aged, ageing/aging, attitudes and care in any health‐care setting. Only quantitative and qualitative research and opinion papers written in English and offering unique commentary published between January 2004 and January 2015 were eligible. Results: A total of 999 papers were initially identified and of these, 148 were assessed by two reviewers. Eighteen studies – seven quantitative, eight qualitative and three opinion papers – met the inclusion criteria and were appraised. The importance of sexuality to well‐being, language used, expressing sexuality, discomfort discussing sexuality, inadequate sexuality health education and treatment and deficient communication with health‐care professionals were all identified as significant issues in a range of settings. Fourteen categories and five syntheses summarize the 43 findings. Conclusions: Sexuality remains important for many older people; however, embarrassment, dissatisfaction with treatment, negative attitudes and seeming disinterest by health professionals can all inhibit discussions. Professionals and health‐care services need to adopt strategies and demonstrate characteristics which create environments that are more supportive of sexuality. Issues related to sexuality and sexual health should be able to be discussed without anxiety or discomfort so that older people receive optimal care and treatment. [ABSTRACT FROM AUTHOR]
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- 2016
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36. The learner’s perspective in GP teaching practices with multi-level learners: a qualitative study
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Thomson, Jennifer S, primary, Anderson, Katrina, additional, Haesler, Emily, additional, Barnard, Amanda, additional, and Glasgow, Nicholas, additional
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- 2014
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37. Post-anaesthetic discharge scoring criteria: key findings from a systematic review
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Phillips, Nicole Margaret, Street, Maryann, Kent, Bridie, Haesler, Emily, Cadeddu, Mary, Phillips, Nicole Margaret, Street, Maryann, Kent, Bridie, Haesler, Emily, and Cadeddu, Mary
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Background Patient safety depends on nurses' clinical judgment. In post-anaesthetic care, objective scoring systems are commonly used to help nurses assess when a patient is ready to go back to the ward or be discharged home after day surgery. Although there are several criteria used to assess patient readiness for discharge from the post-anaesthetic care unit, evaluation of the validity and reliability of these criteria is scarce. Aims This article presents key findings from a systematic review conducted to identify the essential components of an effective and feasible scoring system to assess patients following surgical anaesthesia for discharge from the post-anaesthetic care unit. Methods The protocol for the systematic review of quantitative studies investigating assessment criteria for discharge of adult patients from the post-anaesthetic care unit was approved by the Joanna Briggs Institute and conducted consistent with the methodology of the Institute. Twelve databases and grey literature, such as conference proceedings, were searched for published studies between 1970 and 2010. Two reviewers independently assessed study eligibility for inclusion. Reference lists of included studies were appraised. Results Eight studies met the inclusion criteria; only one was a randomised controlled trial. Variables identified as essential when assessing a patient's readiness for discharge from the post-anaesthetic care unit were conscious state, blood pressure, nausea and vomiting, and pain. Assessment of psychomotor and cognitive recovery and other vital signs were also identified as relevant variables to consider. Conclusions There was limited high-quality research regarding criteria to assess patient readiness for discharge from the post-anaesthetic unit. The key recommendations, with moderate to high risk of bias, include that assessment of specific variables (pai
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- 2013
38. Post-anaesthetic discharge scoring criteria : a systematic review
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Phillips, Nicole M., Haesler, Emily, Street, Maryann, Kent, Bridie, Phillips, Nicole M., Haesler, Emily, Street, Maryann, and Kent, Bridie
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- 2011
39. Comment on "International consensus on pressure injury preventative interventions by risk level for critically ill patients: A modified Delphi study".
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Kottner, Jan, Cuddigan, Janet, Balzer, Katrin, and Haesler, Emily
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INTENSIVE care units ,CONSENSUS (Social sciences) ,CRITICALLY ill ,PRESSURE ulcers ,ATTITUDE (Psychology) ,PATIENTS ,MEDICAL personnel ,PREVENTIVE health services ,DISEASE risk factors - Published
- 2021
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40. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide
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National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance, and Haesler, Emily
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Tratamento ,Úlceras por pressão ,Prevenção - Abstract
Aviso de responsabilidade: Este guia de consulta rápida foi desenvolvido pelo National Pressure Ulcer Advisory Panel, pelo European Pressure Ulcer Advisory Panel e pela Pan Pacific Pressure Injury Alliance. Apresenta uma análise e avaliação abrangentes da melhor evidência disponível no momento da pesquisa da literatura relacionada com avaliação, diagnóstico, prevenção e tratamento das úlceras por pressão. As presentes recomendações apresentam orientações gerais para uma prática clínica adequada e devem ser implementadas por profissionais de saúde qualificados e sujeitas ao seu juízo clínico de cada situação tendo em conta as preferências individuais de cada doente e os recursos disponíveis. O guia deve ser implementado de forma culturalmente consciente e respeitosa de acordo com os princípios de proteção, participação e parceria. Prefácio: Este Guia de Consulta Rápida sumariza as recomendações e os excertos da evidência disponível sobre a prevenção e o tratamento das úlceras por pressão. A versão mais abrangente, Diretrizes da Prática Clínica, fornece uma análise detalhada e discussão da investigação existente, uma avaliação crítica dos pressupostos e conhecimentos da área e uma descrição da metodologia utilizada no desenvolvimento das diretrizes. Este Guia de Consulta Rápida destina-se a profissionais de saúde ocupados que necessitam de efetuar uma consulta rápida para prestarem cuidados em ambientes clínicos. Os utilizadores não devem usar excertos do Guia de Consulta Rápida de forma isolada. A primeira edição deste Guia foi desenvolvida ao longo de quatro anos de colaboração entre o National Pressure Ulcer Advisory Panel (NPUAP) e o European Pressure Ulcer Advisory Panel (EPUAP). Nesta segunda edição do Guia, a Pan Pacific Pressure Injury Alliance (PPPIA) juntou-se ao NPUAP e ao EPUAP. O objetivo desta colaboração internacional foi o de desenvolver recomendações baseadas em evidência para a prevenção e tratamento das úlceras por pressão que possam ser usadas por profissionais de saúde em todo o mundo. Foi utilizada uma metodologia científica específica para identificar e avaliar de forma crítica a investigação disponível. Na ausência de evidência definitiva, recorreu-se à opinião de peritos (muitas vezes fundamentada em evidência indireta e outras diretrizes) com vista à formulação de recomendações. As versões preliminares das recomendações e a evidência disponível foram disponibilizadas a 986 stakeholders convidados (pessoas individuais e organizações) em todo o mundo. A versão final do Guia baseia-se na investigação existente e na sabedoria acumulada do NPUAP, do EPUAP, da PPPIA e de parceiros internacionais. Nesta edição do Guia, a força de cada recomendação foi avaliada através de um processo de votação consensual (GRADE). A força da recomendação identifica a importância da recomendação com base no respetivo potencial para melhorar os resultados dos doentes. Indica também ao profissional de saúde o grau de confiança que poderá ter na recomendação para saber se esta será mais benéfica do que prejudicial. Pode ainda ser utilizada para auxiliar na priorização de intervenções relacionadas com úlceras por pressão. info:eu-repo/semantics/publishedVersion
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- 2014
41. Role of the family doctor in the management of adults with obesity: a scoping review.
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Sturgiss EA, Elmitt N, Haesler E, van Weel C, and Douglas KA
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- Adult, Humans, Patient-Centered Care methods, Practice Guidelines as Topic, Randomized Controlled Trials as Topic, Obesity therapy, Physician's Role, Physicians, Family, Primary Health Care
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Objectives: Obesity management is an important issue for the international primary care community. This scoping review examines the literature describing the role of the family doctor in managing adults with obesity. The methods were prospectively published and followed Joanna Briggs Institute methodology., Setting: Primary care. Adult patients., Included Papers: Peer-reviewed and grey literature with the keywords obesity, primary care and family doctors. All literature published up to September 2015. 3294 non-duplicate papers were identified and 225 articles included after full-text review., Primary and Secondary Outcome Measures: Data were extracted on the family doctors' involvement in different aspects of management, and whether whole person and person-centred care were explicitly mentioned., Results: 110 papers described interventions in primary care and family doctors were always involved in diagnosing obesity and often in recruitment of participants. A clear description of the provider involved in an intervention was often lacking. It was difficult to determine if interventions took account of whole person and person-centredness. Most opinion papers and clinical overviews described an extensive role for the family doctor in management; in contrast, research on current practices depicted obesity as undermanaged by family doctors. International guidelines varied in their description of the role of the family doctor with a more extensive role suggested by guidelines from family medicine organisations., Conclusions: There is a disconnect between how family doctors are involved in primary care interventions, the message in clinical overviews and opinion papers, and observed current practice of family doctors. The role of family doctors in international guidelines for obesity may reflect the strength of primary care in the originating health system. Reporting of primary care interventions could be improved by enhanced descriptions of the providers involved and explanation of how the pillars of primary care are used in intervention development., Competing Interests: Competing interests: None declared., (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
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- 2018
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42. Effectiveness of staffing models in residential, subacute, extended aged care settings on patient and staff outcomes.
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Hodgkinson B, Haesler EJ, Nay R, O'Donnell MH, and McAuliffe LP
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- Attitude of Health Personnel, Humans, Long-Term Care, Models, Organizational, Workforce, Homes for the Aged, Models, Nursing, Nursing Homes, Personnel Staffing and Scheduling organization & administration
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Background: A key concern for managers and nurse administrators of healthcare settings is staffing. Determining and maintaining an appropriate level and mix of staff is especially problematic for those working in the long-term aged-care sector, where resident needs are complex and recruitment and retention of staff is challenging., Objectives: To identify which staffing models are associated with the best patient and staff outcomes., Search Strategy: We searched the Effective Practice and Organisation of Care (EPOC) Group Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL) and the Database of Abstracts of Reviews of Effectiveness (DARE) in The Cochrane Library and the databases MEDLINE, EMBASE, Ageline, CINAHL, and Dissertation abstracts. We also handsearched the reference lists and bibliographies of all retrieved articles., Selection Criteria: This review considered interrupted time series studies and studies with concurrent control designs of care staff or residents of residential or subacute or extended aged-care settings that evaluated the effectiveness of staffing models and skill mixes on resident and care staff outcomes., Data Collection and Analysis: Two review authors critically appraised all studies that were retrieved based on the screening of titles and abstracts according to the EPOC Group's data collection checklist.The same two review authors independently extracted and summarised details of eligible studies using the data abstraction form developed by EPOC., Main Results: We included two studies (one interrupted time series and one controlled before-and-after study); both evaluated a primary-care model compared with a either a team-nursing model or a usual-care model. The primary-care model was found to provide slightly better results than the comparator for some outcomes such as resident well-being or behaviour. While nursing staff favoured the primary-care model in one study, neither study found significant improvements in staff outcomes using the primary model compared with the comparator. One study evaluated the uptake of the primary-care model within their facilities and found incorporation of this model into their practice was limited., Authors' Conclusions: Apart from two small studies evaluating primary care, no evidence in the form of concurrently controlled trials could be identified. While these two studies generally favour the use of primary care, the research designs of both ITS and CBA studies are considered prone to bias, specifically selection and blinding of participants and assessors. Therefore, these studies should be regarded with caution and there is little clear evidence for the effective use of any specific model of care in residential aged care to benefit either residents or care staff. Research in this area is clearly needed.
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- 2011
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