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6. Perspectives and Experiences of Healthcare Professionals Involved in a Community Nurse-Delivered Shared Care Model Intervention Designed to Support Outpatients Receiving Chemotherapy: A Qualitative Study Using Interviews

Author

Kim, Bora, primary, Boustany, Chantale, additional, Acret, Louise, additional, McLeod, Jodi, additional, Cook, Natalie, additional, McKenzie, Heather, additional, Hayes, Lillian, additional, Fethney, Judith, additional, Simpson, Judy M., additional, Willcock, Simon, additional, and White, Kate, additional

Published
2024
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9. Evaluating a shared care pathway intervention to reduce chemotherapy outpatients’ unplanned presentations to hospital: a randomised controlled trial

Author

Fethney, Judith, primary, Kim, Bora, additional, Boustany, Chantale, additional, McKenzie, Heather, additional, Hayes, Lillian, additional, Cox, Keith, additional, Simpson, Judy M, additional, Horvath, Lisa G, additional, Vardy, Janette L, additional, McLeod, Jodi, additional, Willcock, Simon, additional, Cook, Natalie, additional, Acret, Louise, additional, and White, Kate, additional

Published
2023
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10. Experiences of colorectal cancer survivors in returning to primary coordinated healthcare following treatment

Author

Rutherford, Claudia, Kim, Bora, White, Kate, Ostroff, Cheri, Acret, Louise, Tracy, Marguerite, Mahadeva, Janani, Willcock, Simon M., Rutherford, Claudia, Kim, Bora, White, Kate, Ostroff, Cheri, Acret, Louise, Tracy, Marguerite, Mahadeva, Janani, and Willcock, Simon M

Subjects
primary health care, primary care, Health Policy, patient experiences, qualitative study, Public Health, Environmental and Occupational Health, colorectal cancer, survivorship care, continuity of patient care, health transition, consumer participation
Abstract

Background: Advances in screening and treatments for colorectal cancer (CRC) have improved survival rates, leading to a large population of CRC survivors. Treatment for CRC can cause long-term side-effects and functioning impairments. General practitioners (GPs) have a role in meeting survivorship care needs of this group of survivors. We explored CRC survivors’ experiences of managing the consequences of treatment in the community and their perspective on the GP’s role in post-treatment care. Methods: This was a qualitative study using an interpretive descriptive approach. Adult participants no longer actively receiving treatment for CRC were asked about: side-effects post-treatment; experiences of GP-coordinated care; perceived care gaps; and perceived GP role in post-treatment care. Thematic analysis was used for data analysis. Results: A total of 19 interviews were conducted. Participants experienced side-effects that significantly impacted their lives; many they felt ill-prepared for. Disappointment and frustration was expressed with the healthcare system when expectations about preparation for post-treatment effects were not met. The GP was considered vital in survivorship care. Participants’ unmet needs led to self-management, self-directed information seeking and sourcing referral options, leaving them feeling like their own care coordinator. Disparities in post-treatment care between metropolitan and rural participants were observed. Conclusion: There is a need for improved discharge preparation and information for GPs, and earlier recognition of concerns following CRC treatment to ensure timely management and access to services in the community, supported by system-level initiatives and appropriate interventions. Refereed/Peer-reviewed

Published
2023

14. Introducing solution‐focussed brief therapy to mental health nurses across a local health district in Australia.

Author

Wand, Timothy, Acret, Louise, and D'Abrew, Natalie

Subjects
*ATTITUDE (Psychology), *BRIEF psychotherapy, *CHANGE, *CONTENT analysis, *INTERVIEWING, *NURSE-patient relationships, *NURSES' attitudes, *PROFESSIONAL employee training, *PSYCHIATRIC nursing, *RESEARCH funding, *ADULT education workshops, *DATA analysis software
Abstract

Abstract: Solution‐focussed brief therapy (SFBT) can be applied to effectively address a broad range of mental health‐, alcohol‐, and substance‐related challenges. The compatibility that SFBT has with mental health nursing practice has been widely recognized. The aim of the present mixed‐methods study was to introduce and evaluate the utility of SFBT principles, strategies, and techniques to the clinical work of mental health nurses from a local health district in Sydney, Australia. Following a 4‐hour introductory SFBT workshop, participants were invited to complete a one‐page evaluation and undertake a follow‐up individual telephone interview with a research assistant. Participants (n = 65) were positive about the workshop content and recognized the potential benefits of SFBT in clinical practice. Interviewed participants (n = 14) were enthusiastic about SFBT. However, they also identified that using SFBT was challenging, particularly as the approach was considered different to current practices in mental health services. A lack of confidence with incorporating SFBT in their clinical work was also acknowledged, and participants expressed interest in additional training, including more time to practise SFBT strategies and techniques. Widespread training for mental health nurses in SFBT is indicated, including opportunities for supervision and to observe SFBT being employed by experienced clinicians. [ABSTRACT FROM AUTHOR]

Published
2018
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16. 'The Devil's Tic Tac's' - Understanding the adverse events of steroid therapy associated with the treatment of multiple myeloma

Author

King, Tracy, White, Kate, Stephens, Moira, D'Abrew, Natalie, Ferrar, Nicole, Lindsay, Toni, Acret, Louise, King, Tracy, White, Kate, Stephens, Moira, D'Abrew, Natalie, Ferrar, Nicole, Lindsay, Toni, and Acret, Louise

Abstract

Background: The goals of treatment for multiple myeloma (MM) are to induce remission, prolong survival and maintain quality of life. Corticosteroids ("steroids") are an important component of treatment regimens but cause a number of significant, poorly understood adverse effects (AEs) which profoundly affect quality of life (QoL). Greater understanding of the experience of these AEs and their management can enhance patient education and supportive care measures. Aims: 1) Examine the experience of AEs of high dose steroids of MM patients and their carers, including AE profile, severity and overall impact, and 2) Describe clinicians' perspectives of the AE profile for and clinical management of steroids. Aim 1 is the focus of this abstract. Method: A two-phase study with a mixed method design was employed. Phase one (qualitative), Focus group and individual interviews with current MM patients and carers to examine the experience of AEs, information and support needs. Data was analysed with content analysis. Phase Two (mixed) Prospective collection using a tailored patient diary recorded over 2 month period to capture subjective assessment of AE, type, frequency, severity and impact. Symptom Assessment Scale and questions prompts with scales and open-ended questions were included. Participants also participated in individual interviews pre and post diary data collection. Results: 47 participants participated in the focus group interviews and 22 participants took part in in-depth individual interviews and diaries. Major themes identified included learning & knowing, adapting & accommodating, taking ownership and negotiating. Tracking tools were utilised to help manage AEs. 110 weekly journals were completed. Most commonly reported AEs include mood changes, insomnia, facial flushing and let down effect. The overt nature of mood changes have an adverse impact and adaptive behaviours such as isolating self from others were utilised to manage this AE. Mood and energy change

Published
2012

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