Our Research

Our Research

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Contact Details

  Street address:
Level 11, KGV Building
Missenden Road
CAMPERDOWN NSW 2050
 
Postal address:
Post Office Box M30
Missenden Road NSW 2050

Phone: (02) 9515-6111
Fax: (02) 9515-9610

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Gastroenterology, Liver, Critical Care & Respiratory

Our Research

CRGH Stomal Therapy
Research is aimed at improving quality of life for those patients with disorders related to having a colostomy, ileostomy or urostomy. Research projects have extended to the management of faecal incontinence & protection of wounds from faecal contamination through the use of faecal management systems. The department also has an interest in the management of enteric fistulae.
Contact: ian.whiteley@health.nsw.gov.au

RPAH Gastroenterology and Liver Centre
Contact: janice.pritchard-jones@health.nsw.gov.au

CRGH Renal Medicine
Contact: samantha.hand@health.nsw.gov.au

CRGH Vascular Surgery
Projects with nursing input to look at outcomes after a range of vascular surgical interventions and services: 
1.Epidemiology and outcomes after vascular surgery in older patients: linked data analysis, systematic reviews, clinical trials. 
2.Phenomenological exploration of the experience of major amputation in patients with peripheral vascular disease. 
3.Patient recruitment for Brief intervention with psychology for claudication (BIP). 
4.Patient recruitment for the PRESERVE Trial - renal prophylaxis for IV contrast. 
5.Medical education projects: virtual anatomy teaching, point of care ultrasound course for JMOs, teaching doctors how to teach course. 
6.Audit of surgical prophylaxis antimicrobials in MRSA positive vascular patients. 
Contact: sue.monaro@health.nsw.gov.au

CRGH Medical Assessment Unit
The MAU nursing team are aiming to improve clinical skills and leadership capability via the establishment of lead roles in a number of clinical portfolios and also via the implementation of an education strategy for all MAU nursing staff.  A range of patient and staff-centred outcomes are being canvassed prospectively.
Contact: anne.mcdade@health.nsw.gov.au

CRGH Intensive Care
A focus on introducing validated pain tools in the ICU: To Improve pain assessment and personal empowerment of the acute burn injured patient.
Contact: katina.skylas@health.nsw.gov.au

RPAH ICU
The Blue and Green ICU Nursing staff assisted with a research study from 2015-16. The purpose of this research was to investigate if family involvement  with passive exercising of unconscious patients in an Intensive Care Unit (ICU) setting could achieve better family satisfaction, staff satisfaction, healthcare efficiencies and clinical outcomes.
Contact: judy.dixon@health.nsw.gov.au

RPAH Intensive Care
The RPA Intensive Care Service (ICS) is committed to clinical research. The ICS conducts and participates in research activities at a local, national and international level. Our participation in clinical research exerts a positive influence on the quality of care for all of the critically ill adults that we care for. The ICS has an active local research program, and also makes a prolific contribution to investigator-initiated randomised clinical trials in intensive care medicine via its membership of the Australian and New Zealand Intensive Care Society Clinical Trials Group (ANZICS CTG).
Contact: heidi.buhr@health.nsw.gov

Neuroscience Intensive Care
Research study is aimed at investigating whether family engagement and participation in the relatives’ basic care will improve satisfaction and reduce stress in families.
Contact: melanie.sullivan@health.nsw.gov.au or adam.reid@health.nsw.gov.au

Burns Unit Concord Hospital
Multiple projects were progressed – including: 
1. Work examining the effect of adjunctive of hydrogen peroxide vapour decontamination on MRO detection in a Burns Unit.
2. Examining the lived experience of  hospitalisation and recovery following burn injury 
3. Work evaluating  methods for collecting the long term functional and quality of life outcomes of burns patients and establish the feasibility of implementing these outcomes into a multi-centre burns registry
4. Work aiming to describe the prevalence, and predictors, of moderate to severe fatigue in the first 12 months following burn, and establish the association between fatigue and health-related quality of life and work outcomes.
Contact: Susan.taggart@health.nsw.gov.au

Key Achievements

CRGH Stomal Therapy:

  • A new publication on support rod usage in loop stoma formation.  

CRGH Vascular Surgery:

  • Strong collaborative links with the University of Sydney in multiple projects. 
  • Inter-departmental cooperation for research with Infectious Disease, Haematology and Renal Medicine. 
  • Publication along with presentations at national and international meetings.

RPAH ICU:

  • 2016 completion of this patient and family-centred nursing research project

RPAH Intensive Care:
Highlights of recently completed and ongoing research activity which involves nursing input include: 

  • ECMO. RPAH is one of the few hospitals in Australia which provides an Extracorporeal Membrane Oxygenation (ECMO) service. The ICS, in collaboration with the Cardiology, Anaesthetics and Cardiothoracic Surgery Departments, has established an ECMO research program to further refine this advanced form of life support. Recruitment to the HELP-ECMO Trial, a pilot study in a program of research to determine the optimal approach to anticoagulation of the ECMO circuit, was completed last year, and a definitive clinical trial is currently being designed. The efficacy of a mechanical CPR and ECMO strategy in patients with refractory cardiac arrest is currently being evaluated in the 2CHEER Study.   
  • SEPSIS. Severe sepsis is a major problem, and remains one of the most common reasons that patients require admission to ICU. The ICS is currently participating in a multi-national  clinical trial evaluating the use of corticosteroids in sepsis (ADRENAL), the largest study to examine this question to date. Recruitment to this trial has just finished.
  • The ADRENAL Consent Study, an observational sub-study of ADRENAL, aims to describe factors relating to the informed consent process, including research coordinator workload; data collection for this study is nearly complete.   
  • BLOOD PRODUCT TRANSFUSION. TRANSFUSE-RCT is a multi-centre randomised controlled trial investigating whether critically ill ICU patients may benefit from receiving the freshest available blood, compared to usual practice. Recruitment to this trial was completed in November 2016. The CLIP Trial is a pilot multi-centre blinded randomised controlled trial of cryopreserved platelets vs. conventional liquid-stored platelets for the management of postsurgical bleeding. Cryopreservation of platelets is a promising new technology that may allow smaller or rural hospitals to provide platelet transfusion and reduce overall platelet wastage.   
  • NUTRITION. Nutrition therapy is an area of ongoing research to determine the most appropriate substrates, timing, route, energy requirement assessment, and optimal nutritional goals in critically ill patients. The ICS is currently recruiting to the TARGET Nutrition Trial. TARGET is a multi-centre randomised controlled trial aiming to determine if augmentation of calorie delivery using energy dense enteral nutrition in mechanically ventilated patients improves 90 day survival when compared to routine care.    
  • RENAL REPLACEMENT THERAPY. The STARRT-AKI Trial is a multi-national clinical trial aiming to determine whether immediate initiation of renal replacement therapy (RRT), compared to a delayed approach to RRT initiation, improves survival and renal recovery (RRT independence) at 90 days in critically ill patients with severe AKI.   
  • ADVANCED MECHANICAL VENTILATION. The aim of the PHARLAP Study is to investigate the clinical efficacy of a comprehensive open lung strategy compared to standard mechanical ventilation in patients with ARDS. This study is currently recruiting

Burns Unit Concord Hospital:

  • Multiple projects progressed and new projects commenced.
  • Received Outstanding achievement in research medal at SLHD Nursing and Midwifery Research Symposium.

Awards/Medals

CRGH Stomal Therapy:

  • Awarded SLHD 2016 Excellence in Nursing & Midwifery Translational Research
  • 2016 Finalist, NSW Health Excellence in Nursing & Midwifery Awards - 'Excellence in Innovation & Research'

CRGH Vascular Surgery:

  • Best paper at conference 2016  ANZ Society of Vascular Nursing
  • SLHD Nursing and Midwifery Symposium: Highly commended for first presentation at symposium.

Burns Unit Concord Hospital:

  • 2016 SLHD Nursing & Midwifery Research Symposium: Outstanding achievement in Research

Research Staff

CRGH Stomal Therapy:

  • Ian Whiteley CNC –Researcher

CRGH Vascular Surgery:

  • Dr Sarah Aitkin Senior, Lecturer
  • A/Prof Anthony Freeman
  • Susan Monaro, Clinical Lecturer

CRGH Medical Assessment Unit:

  • Anne McDade

RPAH ICU:

  • Judith Dixon
  • Elaine McGloin
  • Sara Burton

RPAH Intensive Care:

  • A/Prof David Gattas, Director of Research, Principal Investigator, Co-investigator 
  • Ms Heidi, Buhr, Research Manager, Principal Investigator, Co-investigator 
  • Ms Jennifer Coles, Research Coordinator 
  • Mr James Wun, Research Coordinator (acting)

Burns Unit Concord Hospital:

  • Gottlieb T
  • McKew G
  • Phan T
  • Cai1 T
  • Taggart S
  • Parker C
  • Haertsch P 
  • Maitz P
  • Cheong

Publications and Presentations

Publication Details:

CRGH Stomal Therapy

  1. Whiteley I, Russell M, Nassar N & Gladman M (2016) Outcomes of support rod usage in loop stoma formation. International Journal of Colorectal Disease, 31(6), 1189-1195

CRGH Vascular Surgery:

  1. Gullick, J., Monaro, S., & Stewart, G. Compartmentalising time and space: A phenomenological interpretation of the temporal experience of commencing haemodialysis. Journal of Clinical Nursing;     
  2. Monaro, S., Gullick, J., & West, S.  An Integrative Review of Health-Related Quality of Life in patients with Critical Limb Ischaemia. Journal of Clinical Nursing. 2016a   
  3. Monaro, S., Gullick, J., & West, S. Patient outcomes following lower leg major amputations for peripheral arterial disease: A series review. Journal of Vascular Nursing. 2016b (in press)    

RPAH Intensive Care:

  1. Ferrie S. Grand Rounds: Motor Neurone Disease. Australian Doctor January, 2016   
  2. Ferrie S. Grand Rounds:  Refeeding Syndrome. Australian Doctor April 15, 2016   
  3. Ferrie S, Allman-Farinelli M, Daley M, Smith K. Protein requirements in the critically ill: a randomised controlled trial using parenteral nutrition. JPEN 2016; 40(6):795-805   
  4. Reid DB, Chapple LS, O'Connor SN, Bellomo R, Buhr H, Chapman MJ, Davies AR, Eastwood GM,  Ferrie S, Lange K, McIntyre J, Needham DM, Peake SL, Rai S, Ridley EJ, Rodgers H, Deane AM. The effect of augmenting early nutritional energy delivery on quality of life and employment status one year after ICU admission. Anaesth Intensive Care. 2016 May;44(3):406-12   
  5. Tipping CJ, Bailey MJ, Bellomo R, Berney S, Buhr H, Denehy L, Harrold M, Holland A, Higgins AM, Iwashyna TJ, Needham D, Presneill J, Saxena M, Skinner EH, Webb S, Young P, Zanni J, Hodgson CL. The ICU Mobility Scale has Construct and Predictive Validity and is Responsive: A Multicenter Observational Study. Ann Am Thorac Soc. 03/2016 [Epub ahead of print] DOI: 10.1513/AnnalsATS.201510-717OC   
  6. Hodgson CL, Bailey M, Bellomo R, Berney S, Buhr H, Denehy L, Gabbe B, Harrold M, Higgins A, Iwashyna TJ, Papworth R, Parke R, Patman S, Presneill J, Saxena M, Skinner E, Tipping C, Young P, Webb S, The TEAM Study Investigators. A Binational Multicenter Pilot Feasibility Randomized Controlled Trial of Early Goal-Directed Mobilization in ICU. Crit Care Med 03/2016 [Epub ahead of print] DOI: 10.1097/CCM.0000000000001643 

Burns Unit Concord Hospital:

  1. Johnson R, Taggart S, Gullick J. (2016) Emerging from the trauma bubble: Redefining ‘normal’ after burn injury. BURNS, 2(6):1223-32
  2. Gabbe B, Cleland H; Watterson D; Schrale R; McRae S; Parker C; Taggart S; Edgar D. (2016) Long term outcomes data for the Burns Registry of Australia and New Zealand: Is it feasible? BURNS. http://dx.doi.org/10.1016/j.burns.2016.08.036
  3. Gabbe B, Cleland H; Watterson D; Schrale R; McRae S, Taggart S; Darton A, Wood F, Edgar D. Predictors of Moderate to severe fatigue 12 months following admission to hospital for burn: Results from the Burns Registry of Australia and New Zealand(BRANZ) Long term outcomes project (2016) accepted for publishing in BURNS  http://dx.doi.org/10.1016/j.burns.2016.08.036

Book Chapters:

RPAH Intensive Care:

  1. Myra Sgorbini with Alvaro C, McKay L & Treloggen J. Chapter 54: Organ & Tissue Donation, in Emergency and Trauma Care for Nurses and Paramedics 2e 2016, Ed. Curtis K & Ramsden C. Elsevier Sydney.

Presentations:

CRGH Stomal Therapy:

  1. 2016  Sydney Colorectal Surgical Meeting   'Stoma Rods - To use or not to use?'  Ian Whiteley;   
  2. 2016  SLHD Nursing & Midwifery Research Symposium   'The Experience of Pregnancy with an Ileostomy'   Ian Whiteley  

CRGH Vascular Surgery:

  1. Monaro, S., Ko, N., Pinkova, J., Stomsmoe, N. & Gullick, J. 2017 Using qualitative data to demonstrate patient outcomes in a vascular wound clinic. Paper presented at the Society for Vascular Nursing, Nashville, Tennessee
  2. Monaro, S., Gullick, J., & West, S. 2016b An Integrative Review to develop a better understanding of the experience of Chronic Critical Limb Ischaemia as a basis for improving discussions with patients and families. Paper presented at the Society for Vascular Nursing; Orlando, Florida.  
  3. Monaro, S., Gullick, J., & West, S. 2016a Are PAD HRQoL tools appropriate to use in patients with CCLI: An Integrative Review. Paper presented at the Australian and New Zealand Society of Vascular Nursing, Sydney. 
  4. Monaro, S., Ko, N., Pinkova, J., Stomsmoe, N., & Gullick, J. 2016. Mixed methods research to capture patient outcomes in a Vascular Wound Clinic. Paper presented at the Australian and New Zealand Society for Vascular Nursing, Sydney.
  5. Monaro, S., White, M., & West, S. 2016 Managing Wounds as a Vascular Team. Paper presented at the Wounds Australia NSW Conference, Sydney.
  6. Monaro, S., Pinkova, J., Gullick, J., & West, S. 2016c The experience of hospitalisation in critical limb ischaemia. Paper presented at the SLHD Nursing & Midwifery Research Symposium.

CRGH Medical Assessment Unit:

  1. 2016  SLHD Nursing & Midwifery Research Symposium “Developing clinical portfolios in the MAU setting” Anne McDade, Alison Wilson, Smitha Girish

CRGH Intensive Care

  1. 2016  SLHD Nursing & Midwifery Research Symposium “Introducing validated pain measurement among burns patients in the ICU” Sue Taggart, Katina Skylas.

RPAH ICU

  1. 2016  SLHD Nursing & Midwifery Research Symposium.“Family assisted passive exercising in the Intensive Care Setting” Judy Dixon

RPAH Intensive Care:

  1. Rashid N, Sgorbini M. Effects of a potential deceased organ donor's registered decision for organ donation on family consent rates in NSW hospitals. Transplant Nurses Association Conference, 2016, Adelaide, South Australia  (National)

Burns Unit Concord Hospital:

  1. Gottlieb T,McKew G, Phan T, Cai1 T, Taggart S, Parker C, Haertsch P  Maitz P, Cheong (2016) Effect of adjunctive of hydrogen peroxide vapour decontamination on MRO detection in a Burns Unit. Poster presentation 26th European Congress of Clinical Microbiology and Infectious Diseases Conference Amsterdam, Netherlands.
  2. Johnson R, Taggart S, Gullick J. (2016) Emerging from the trauma bubble: Redefining ‘normal’ after burn injury. 2016  SLHD Nursing & Midwifery Research Symposium.
  3. Gabbe B, Cleland H; Watterson D; Schrale R; McRae S, Taggart S; Darton A, Wood F, Edgar D. Predictors of Moderate to severe fatigue 12 months following admission to hospital for burn: Results from the Burns Registry of Australia and New Zealand(BRANZ) Long term outcomes project ANZ Burns Association Conference 2016.

Contact: Ms Judy Dixon


Contact details for department

Department/Unit: Gastroenterology, Liver, Critical Care & Respiratory
Address:
Sydney Local Health District
Missenden Road
Camperdown NSW 2050
Web: www.slhd.nsw.gov.au/research/
Email: Judy.Dixon@health.nsw.gov.au