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40 results on '"Munroe, Belinda"'

20. Impact of a care bundle for patients with blunt chest injury (ChIP): A multicentre controlled implementation evaluation

Author

Curtis, Kate, primary, Kourouche, Sarah, additional, Asha, Stephen, additional, Considine, Julie, additional, Fry, Margaret, additional, Middleton, Sandy, additional, Mitchell, Rebecca, additional, Munroe, Belinda, additional, Shaban, Ramon Z., additional, D’Amato, Alfa, additional, Skinner, Clare, additional, Wiseman, Glen, additional, and Buckley, Thomas, additional

Published
2021
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21. Increasing accuracy in documentation through the application of a structured emergency nursing framework: A multisite quasi‐experimental study.

Author

Munroe, Belinda, Curtis, Kate, Fry, Margaret, Shaban, Ramon Z., Moules, Peter, Elphick, Tiana‐Lee, Ruperto, Kate, Couttie, Tracey, and Considine, Julie

Subjects
*MEDICAL quality control, *RESEARCH, *RURAL hospitals, *HOSPITAL emergency services, *RESEARCH methodology, *FISHER exact test, *MANN Whitney U Test, *CONCEPTUAL structures, *PRE-tests & post-tests, *T-test (Statistics), *PEARSON correlation (Statistics), *CHI-squared test, *COMMUNICATION, *RESEARCH funding, *DESCRIPTIVE statistics, *MEDICAL history taking, *DATA analysis software, *EMERGENCY nursing, *NURSING records, *NURSING assessment, *NURSING interventions, *NURSING diagnosis, ELECTRONIC health record standards
Abstract

Aims and Objectives: To determine if the use of an emergency nursing framework improves the accuracy of clinical documentation. Background: Accurate clinical documentation is a nursing professional responsibility essential for high‐quality and safe patient care. The use of the emergency nursing framework "HIRAID" (History, Identify Red flags, Assessment, Interventions, Diagnostics, reassessment and communication) improves emergency nursing care by reducing treatment delays and improving escalation of clinical deterioration. The effect of HIRAID on the accuracy of nursing documentation is unknown. Design: A quasi‐experimental pre‐post study was conducted and the report was guided by the strengthening the reporting of observational studies in epidemiology (STROBE) checklist. Methods: HIRAID was implemented in four regional/rural Australian emergency departments (ED) using a range of behaviour change strategies. The blinded electronic healthcare records of 120 patients with a presenting problem of shortness of breath, abdominal pain or fever were reviewed. Quantity measures of completeness and qualitative measures of completeness and linguistic correctness of documentation adapted from the D‐Catch tool were used to assess accuracy. Differences between pre‐post groups were analysed using Wilcoxon rank‐sum and two‐sample t‐tests for continuous variables. Pearson's Chi‐square and Fisher exact tests were used for the categorical data. Results: The number of records containing the essential assessment components of emergency care increased significantly from pre‐ to post‐implementation of HIRAID. This overall improvement was demonstrated in both paediatric and adult populations and for all presentation types. Both the quantitative and qualitative measures of documentation on patient history and physical assessment findings improved significantly. Conclusion: Use of HIRAID improves the accuracy of clinical documentation of the patient history and physical assessment in both adult and paediatric populations. Relevance to Clinical Practice: The emergency nursing framework "HIRAID" is recommended for use in clinical practice to increase the documentation accuracy performed by emergency nurses. [ABSTRACT FROM AUTHOR]

Published
2022
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27. Does the Implementation of an Emergency Nursing Framework (HIRAID) Reduce patient Deterioration? A Multi-Centre Quasi-Experimental Study

Author

Curtis, Kate, primary, Munroe, Belinda, additional, Fry, Margaret, additional, Considine, Julie, additional, Tuala, Erin, additional, Watts, Michael, additional, Alkhouri, Hatem, additional, Elphick, Tiana, additional, Ruperto, Kate, additional, Barrass, Jacquie, additional, Balzer, Sharyn, additional, Chisholm, Bronwynne, additional, Van, Connie, additional, and Shaban, Ramon Z, additional

Published
2020
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32. Implementation evaluation of a rapid response system in a regional emergency department: a dual-methods study using the behaviour change wheel

Author

Munroe, Belinda, Curtis, Kate, Fry, Margaret, Royston, Karlie, Risi, Dante, Morris, Richard, Tucker, Simon, Fetchet, Wendy, Scotcher, Bradley, and Balzer, Sharyn

Abstract

Failure to recognise and respond to clinical deterioration is a major cause of high mortality events in emergency department (ED) patients. Whilst there is substantial evidence that rapid response teams reduce hospital mortality, unplanned intensive care admissions, and cardiac arrests on in-patient settings, the use of rapid response teams in the ED is variable with poor integration of care between emergency and specialty/intensive care teams.

Published
2024
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37. Impact of a Structured Approach to Patient Assessment on Emergency Nursing Practice: A Convergent Parallel Mixed-Methods Study Using Full Immersion Simulation

Author

Munroe, Belinda Louise

Subjects
patient assessment, knowledge translation, communication, nursing assessment, emergency nursing, nursing model
Abstract

Background: In the emergency department, nurses are required to be competent at performing accurate and timely comprehensive patient assessments to determine the urgency and treatment needs of patients. Yet there is no evidence-informed structured approach available to teach emergency nurses how to perform comprehensive patient assessments. Aims: The aims of this thesis are to determine whether emergency nursing practice is improved by a structured approach to patient assessment and how to optimise future implementation of such approach into practice. Methods: An evidence-informed emergency nursing assessment framework and education intervention was devised to provide emergency nurses with a structured approach to patient assessment post triage. A convergent parallel mixed-methods study was conducted using full immersion simulation to test the effect of the intervention on emergency nursing practice. Thirty eight early-career emergency nurses were evaluated performing assessments of simulated emergency patients before and after completing the intervention. Data were also collected via surveys, interviews and focus groups. Changes from pre- to post-intervention were assessed using paired parametric and non-parametric tests. Inductive content analysis was used to analyse qualitative data. Quantitative and qualitative data were then integrated, guided by behaviour-change theory to optimise future uptake in the clinical setting. Findings: Increases were observed from pre- to post-intervention in the percentage of patient-history elements collected (p=0.02), critical indicators identified (p=0.02) and reported to medical officers (p

Published
2016

38. Contributors

Author

Aquilina, Marc, Arendts, Glenn, Bonner, Ann, Brinton, James, Buckley, Thomas, Burns, Pippa, Clements, Alana, Cole, Travis, Conlon, Lisa, Considine, Julie, Crellin, Dianne, Crook, Benjamin, Cummins, Allison, Curtis, Kate, Dunleavey, Ruth, Fenton, Wendy, Ferguson, Monika, Fitzpatrick, Lesley, Flenady, Tracy, Foley, David, Fong, Jacqueline, Fry, Margaret, Gumm, Kellie, Habig, Karel, Halton, Helena, Hill, Celine, Holland, Andrew J A, Hunter, David, Hutchinson, Claire, Jennings, Paul, Jones, Keryn, Keady, Jessica, Keane, Louise, Kenneally, Jeff, Keygan, Andrew, King, Kate, Knight, Robert J W, Kourouche, Sarah, Krieger, Russell, Lord, Bill, Maalouf, Sam, Macbeth, Deborough, Marshall, James, Martin, Daniel, McCarthy, Michelle, McCulloch, Joanna, McDougall, Debra, McKay, Leigh, Meadley, Ben, Milligan, Eleanor, Mitchell, Brett, Mitchell (Atalla), Belinda, Moules, Peter, Mullan, Judy, Munro, Graham G., Munroe, Belinda, Murphy, Margaret, Oatley, Meredith, Ora, Linda, Orr, Fiona, Potter, Julie, Preece, Amber, Procter, Nicholas, Quinn, Linda, Ramsden, Clair, Rawson, Helen, Robinson, Dwight, Roche, Michael, Rootham, Erica, Russo, Philip L., Sgorbini, Myra, Shaban, Ramon Z., Sharpe, Joseph, Skapetis, Tony, Townsend, Ruth, Treloggen, Jane, Varndell, Wayne, Vlad, Ioana, Walter, Elizabeth, Watts, Nicole, Williamson, Diana, Willis, Sam, Winch, Sarah, and Wiseman, Taneal

Published
2019
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39. A structured framework improves clinical patient assessment and nontechnical skills of early career emergency nurses: a pre-post study using full immersion simulation

Author

Munroe, Belinda, primary, Curtis, Kate, additional, Murphy, Margaret, additional, Strachan, Luke, additional, Considine, Julie, additional, Hardy, Jennifer, additional, Wilson, Mark, additional, Ruperto, Kate, additional, Fethney, Judith, additional, and Buckley, Thomas, additional

Published
2016
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40. CONTRIBUTORS

Author

Allen, Trish, Alvaro, Carrie, Asha, Stephen Edward, Bonner, Ann, Brinton, James, Buckley, Thomas, Caldwell, Erica, Considine, Julie, Crellin, Dianne, Cummins, Allison, Cusack, Lynette, Davies, Suzanne Robyn, de Crespigny, Charlotte F C, Dunleavey, Ruth, Elliott, Janice, Evans, Julie, Fenton, Wendy, Ferguson, Monika, Foley, David, Fry, Margaret, Gerdtz, Marie Frances, Gumm, Kellie, Guthrie, Kane, Habig, Karel, Herring, Andrea, Hill, Celine, Hodge, Alister, Holland, Andrew JA, Homer, Caroline SE, Jones, Keryn, Kenneally, Jeff, Kennedy, Kirsten, King, Kate, Kinsman, Leigh, Koop, David, Langcake, Mary, Leslie, Jennifer Ann, Lord, Bill, Magill, Jonathan, Martin, Bronte, Martin, Daniel, Mateer, Jane, McCulloch, Joanna, McKay, Leigh, McManus, James, Milligan, Eleanor, Morarty, Jacqui, Mullan, Judy Rozana, Munroe, Belinda, Murphy, Margaret, Newman, Stuart Andrew, O'Meara, Peter, Ora, Linda, Patel, Lucy, Pearce, Andrew, Procter, Nicholas G, Quinn, Linda Ann, Ranse, Jamie, Rebmann, Terri, Robinson, Dwight Andrew, Rogers, Tessa, Rolley, Adam, Saxena, Manoj, Seaton, Lesley, Sgorbini, Myra, Shaban, Ramon Z, Skapetis, Tony, Stewart, Jacinta, Townsend, Ruth, Treloggen, Jane, Tzannes, Alex, Van Dreven, Amber, Varndell, Wayne, Verrinder, Adrian, Vlad, Ioana, Walter, Elizabeth, Ward, Martin, Weber, Anthony, Williamson, Diana, and Winch, Sarah

Published
2016
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