2018 Inaugural HDR Student conference abstracts

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https://hdl.handle.net/2328/38443

College of Nursing and Health Sciences at Flinders University are pleased to present the inaugural HDR Student conference. This is an annual event to provide HDR students an opportunity to present their research work, network with students and academic staff, meet their milestone expectations of oral presentations, and participate in professional development activities.

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Thanatology: Theories on death, dying and end-of-life care
(Flinders University, 2018-11-5) Adesina, Tomi
During the middle ages, death and life were considered to coexist. Death evoked no great fear or awe since it was familiar, unhidden and inevitable. Over the centuries, with the growth of religion, there occurred a change in the attitude towards death to one of fear and also fascination. In the nineteenth century, as science increasingly gained ground in western industrial societies, death was no longer viewed as a part of life, but rather a break with life. Death was equated with uncertainty and disorder. In keeping with the scientific view of the time, the solution to the disorder of death and dying was perceived as a need for control. In achieving control, death and dying increasingly became medicalised and hence, an increase in presentations to emergency departments. Today, a significant number of people either die in emergency departments or are dead on arrival. Despite the significant amount of contact with dying patients, accepting death and the provision of quality end of life care within the emergency department remains difficult because of the focus on medical treatment, resuscitation and interventions. This presentation will focus on the history and principles of palliative care, and theories on death and dying. This theoretical knowledge will underpin the research into nurses and doctors' perspectives of death and dying in emergency departments.
Contextualising acute coronary syndrome standards and guidelines for Aboriginal people residing in Central Australian and Top End Aboriginal communities.
(Flinders University, 2018-11-5) Lawrence, Monica
Introduction: The National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Management of Acute Coronary Syndrome 2016 (in consultation with the Australian and New Zealand Society of Cardiac and Thoracic Surgeons) provide guidelines for the management of myocardial revascularisation. In addition, the European System for Cardiac Operative Risk Evaluation (euroSCORE I and II) are models used to calculate risk of mortality 30 days post cardiac surgery. The euroSCORE I and II have been validated for European, Japanese and North American populations; however, they have not been validated for Aboriginal and Torres Strait Islander populations and there is still much debate on whether they can be attributed to this, and other Indigenous populations. This study aims to explore the contextual factors (barriers and enablers) informing the guidelines for cardiac surgery and revascularisation for Aboriginal and Torres Strait Islander people residing in central Australian and Top End Northern Territory communities. Subsequently, recommendations will be put forward for culturally effective cardiac pathways of care. Methodology: This study uses an Indigenous research methodology, through the lens of the Essential Service Standards for Equitable National Cardiovascular Care (ESSENCE) framework, to better understand Aboriginal world views and experiences of cardiac surgery. Data collection: Semi-structured and/or open-ended questions will be posed 30-90 days post-discharge from Flinders Medical Centre and used to elicit free flowing narratives and storytelling once the participant is back residing in their community. Analysis: Indigenous narrative analysis, by means of storytelling, will be used to develop themes and codes for the purpose of identifying "experience" commonalities and distinctions and mapped to relevant acute coronary syndrome (ACS) and revascularisation standards and guidelines. Conclusion: The practical outcomes of the proposed study will identify cultural service gaps to make recommendations aligned to revised recommendations for new ACS and revascularisation standards, guidelines and care pathways for Aboriginal and Torres Strait Islander populations.
Transformative consumer focussed research
(Flinders University, 2018-11-5) Helps, Liza
Transformative research designs and consumer focussed approaches
Food service satisfaction in aged care facilities: Development of a toolkit of instruments for the measurement of change
(Flinders University, 2018-11-5) Pankhurst, Morgan
Introduction: Although the average life span of Australian citizens is increasing, the final ten years may be accompanied by illness and disability thereby increasing the demand for residential aged care. Satisfaction with food service is a major factor in overall satisfaction and is important for the resident, resident's family, staff, cooks and management of the facility. There are currently limited valid and reliable tools available for measuring this construct and most tools investigate only the resident's perspective. As nursing homes are a complex system, a key gap is investigating other stakeholders that contribute to the food service setting as ultimately, this impacts the experience of the resident. Methods: Mixed method study underpinned by systems theory utilising qualitative interviews with stakeholders to develop quantitative instruments for measuring satisfaction. Transcripts will be analysed thematically to understand the factors (themes) relevant to stakeholders. Items for each questionnaire will be developed and content validity determined through an expert panel. Ethics approval has been obtained to recruit participants in nursing homes across Australia. Each instrument will undergo test/retesting and factor analysis will be conducted using SPSS to refine the tool. Implications: The development of a tool kit of instruments to measure change will enable residential aged care facilities to monitor quality improvement and detect areas of dissatisfaction within the food service system. Further, the revised Aged Care Quality Standards have a focus on stakeholder engagement and require homes to provide evidence of same, this tool kit will provide a valid and reliable way of ensuring this criteria is met.
Identifying food group targets to improve the diet quality of individuals
(Flinders University, 2018-11-5) Haddad, Joyce
Aim/Objective To distinguish how diet quality components vary between individual cases, and sub-groups of personal characteristics. Introduction/Background Literature Diet is a key modifiable risk factor for non-communicable diseases. Interventions have commonly focused on the same food groups to improve health outcomes, with little effectiveness. Tailoring dietary interventions to personal characteristics may be more beneficial. Methodology Cross-sectional, data-driven analysis with a priori knowledge of self-reported food intake data was conducted. Methods/Design – includes setting, sampling, ethical review, data collection and data analysis Diet quality data was analysed from 198,637 Australian adults, collected using a validated online short food survey. Overall and individual component scores were compared between individual cases and sub-groups (diet quality quintiles, age, gender, weight or a mixture) using percentage agreement and Cohen’s kappa. Findings/Results Of the nine diet quality components, four key components were frequently shown as the lowest scoring at both the individual and sub-groups levels: Variety, Dairy, Discretionary, Healthy fats. The percentage agreement and kappa coefficients only improved marginally as sub-group levels became more personalised, when compared to individual cases. Dairy and healthy fats fell in the bottom four scores 66% and 58% of the time for all groups, respectively. Discretionary fell in the bottom four scores for all sub-groups 68% of the time (k=0.16, p<0.01) and variety frequency agreement also remained unchanged (k=0.35, p<0.01). The same four lowest scoring components occurred ~60% of the time for all groups. Conclusion/Summary Using personal characteristics may be an effective way to personalise interventions, however complexity of personalisation may not be needed beyond demographic characteristics. Implications/recommendations for Practice To consider in which order the frequently occurring lowest scoring food groups should be targeted.
Goal setting with older adults: Client and staff experiences in Transition Care Program
(Flinders University, 2018-11-5) Baker, Nicky
Goals are a fundamental component of health care and promote person-centred practice by encouraging collaborative discussions and shared decision making. Transition Care Program (TCP) is a federally funded, goal-orientated, therapy-focussed program that provides additional time after an acute health event for older adults to improve functional ability and decide on final discharge destination. This research investigated the client and staff experiences of goals in TCP through interviews and focus groups. Through thematic analysis, clear intrinsic and extrinsic facilitators were identified, including the visceral pull of 'home' and the effectiveness of explicit, consistent goal language. Client-related barriers emerged, such as the physical, cognitive and emotional effects of fatigue. These were compounded by service barriers. This research provides opportunity to improve person-centred care for older adults by integrating consistent language, addressing service barriers in clinical practice and incorporating client goals into the service KPIs.
An empowerment approach to supporting self-care management skills for people with Type 2 Diabetes Mellitus in Indonesia: Research proposal
(Flinders University, 2018-11-5) Yulia, Yulia
An empowerment approach to supporting self-care management skills for people with Type 2 Diabetes Mellitus in Indonesia: Research proposal. Background: Indonesia currently has 10.3 million people with Type 2 diabetes mellitus (T2DM) making it one of the top ten countries globally, with projections that the number will increase to 16.7 million by 2045. People with T2DM require support to manage their disease. Little is known about how patients with T2DM are supported by health care professionals (HCPs) in Indonesia. Previous studies on patient empowerment interventions have focused on the micro-level of providing patient health education with less involvement of care teams in designing interventions. Objectives: This study aims to explore the existing approaches used in the care of people with T2DM and propose a model of patient care framed by an empowerment approach. Methodology: A two phase single case study strategy will be used. Phase one will explore the existing T2DM care in supporting patients' self-care management skills across three levels of health care services. Data collection will comprise of direct observations of interactions between patients, their families and HCPs, a review of clinical guideline documents and health education programs, and interviews with patients, their families, and HCPs. Thematic data analysis will be conducted at this phase. Results from phase one will inform the phase two development of an alternative model of T2DM care in supporting patients' self-care management skills. Phase two will include focus groups with expert HCPs working with people with T2DM to seek consensus for a newly developed patient empowerment approach. Summary: This presentation will outline this case study proposal in detail
In Australia, how do sonographers teach the scanning (psychomotor) skills required for clinical practice?
(Flinders University, 2018-11-5) Nicholls, Delwyn
Elucidating the psychomotor skills required to perform an ultrasound examination. Objective: To identify and describe the psychomotor skills that are required to perform an ultrasound examination. Introduction: The mental and manual skills that are needed to perform an ultrasound examination have been referred to, by operators and professional organisations, as scanning skills. The skill-set has not been reviewed, described or cohered in one document. Literature search strategy: CINHAL, SCOPUS, Medline Ovid, ERIC, Flinders University search engine, and Google Scholar databases were searched to identify the psychomotor skills that are required to perform an ultrasound. Grey literature was also searched. Critical literature appraisal strategy: All relevant literature based on review of titles and abstracts were retrieved. Papers were excluded if they focussed on performing a clinical aspect of a scan or provided outcome data from using an intervention. Findings: The psychomotor skills that are used to perform an ultrasound can be broadly grouped into: visuo-motor; visuo-spatial; probe manipulation; image optimisation, and image instrumentation skills. Conclusion: The cognitive and manual skills that are required to perform an ultrasound examination are termed psychomotor skills. Both upper limbs perform disparate skills. Implications: This inaugural review outlines, to key stakeholders, the scope of the mental and motor skills that are used by a diverse cohort of operators who perform ultrasound examinations.
Exploring Women's Experience of Wellbeing in the Cyclone Shelters of Bangladesh
(Flinders University, 2018-11-5) Chowdury, Tazrina
Background- Bangladesh has a small land area of 147,570 sq. km with a population of 160.80 million, comprising 80.50 million males and 80.30 million females. The total coastal area of Bangladesh is about 47,201 sq. km, almost 32% of the country, accommodating almost 50 million people, majority living below poverty line. This cause a huge group of population exposed to frequent cyclones. Cyclone evacuation centres have been built for affected people. But in many cases these shelters fail to ensure safety, security and basic needs of evacuees. As Bangladesh is among the lowest positioned countries in gender equity, women tend to be more vulnerable in these shelters. So, it is important to understand, from the women's perspective, what it is like to be an evacuee in a shelter and therefore in what ways this experience can be improved. Methodology- As phenomenology describes existential phenomena such as the experience of living in an evacuation centre and illuminates what it is like, phenomenology would be a suitable methodological approach and philosophical framework of the research. Methods/Design- Adult women who have lived experience of staying in cyclone shelters will be recruited from the study area for in-depth interviews. Identities of the participants will be kept confidential and participants will have their freedom to discontinue their participation at any point without further consequences. Thematic analysis will be used to interpret interviews and process the interviews to extract findings. Participants' experiences would be segmented and specified with significant phrases based on their used terms to describe an event or experience. Conclusion- This research will produce knowledge that assists the Government of Bangladesh to improve the existing cyclone preparedness, relief and rehabilitation plans and will provide directions for further research in the field of women and disaster resilience.
Ethics and speaking up on matters of care - from an Aboriginal perspective
(Flinders University, 2018-11-5) Hodgson, Vicki
This abstract is about presenting to the higher research students of this college about the ethics of talking with Aboriginal people in research work. Presented will be the learning and development of a research model that has taken two distinctive pathways. The first pathway of walking in culture, knowing traditions, leaning into relationships and adhering to protocols and the other pathway is about the ethics of doing research in Aboriginal communities. This journey with its deeper learning of Aboriginal people and with its local perspective locates the researcher in a process that weaves from the conversations a story work into themes. As a bridge over these two distinctive knowledges is a guide for design and delivery with beneficial outcomes. A National framework for ethical conduct in research with Aboriginal and Torres Strait Islander peoples is that bridge. Speaking up about their lived experiences has been a small group of South Australia Aboriginal families that represent different clan groups and they care for one or more person(s) living with a disability in Adelaide. Capturing these lived stories is an Arabana woman researcher to achieve this outcome of ethical conduct.
The application of rigour in ethnographic methods to achieve an in-depth exploration of care planning with people on treatment orders
(Flinders University, 2018-11-5) Dawson, Suzanne
Community treatment orders (CTOs) remain contested in their efficacy and rationale for use in mental health care. Regardless of the debate, consumers, carers and clinicians are frequently required to engage within this context of forced care. CTO legislation states that treatment and care should be recovery-focussed, though care is often coercive. Positive gains for individuals come at a cost. This study seeks to understand the interpersonal and broader systems issues that impact on the care planning process. Carspeckena's Critical Ethnography, combining critical social theory with ethnographic methods, provided a rigorous theoretically-based structure for data collection and analysis. Ethnographic methods (including observation, focus groups and interviews) provided a detailed account of the multi-perspectives of people on CTOs, their families, and treating clinicians, over an 18-month period in a community mental health team in Adelaide, Australia. This paper will explore the research process of conducting an ethnographic study within the researchers' own work setting. Data collection and first stage analysis occurred concurrently, with coding of early observations informing the next stage of data collection, individual interviews. Concepts central to the rigour of an ethnographic study (immersion in the field, researcher positioning, and reflexivity) will be discussed, with illustrations of both successes and challenges.
Storytelling during Clinical Facilitation - An Arts Informed Narrative Inquiry
(Flinders University, 2018-11-5) Timpani, Susan
Introduction/Background Literature The theory of caring is central to nursing practice. Listening to the patient's story requires the student to care. Observations as a clinical educator indicate that students find learning to care a complex and challenging experience. Arts based pedagogy in nurse education is particularly useful for learning within the affective domain. A more creative approach to reflection would benefit the exploration of caring encounters. This research project aims to explore the use of narrative reflection during clinical facilitation. Methodology: Arts Informed Narrative Inquiry Methods/Design: Setting: To be conducted throughout acute care clinical placements during weekly group clinical facilitation sessions. Sampling: Flinders University undergraduate nurses of any year level. 6-10 participants required. Ethics: Approved, conditional to data collection and analysis not undertaken until completion of each student placement. Data Collection: Focus Group discussions, on the final day of their placement, de-identified reflections, an individual phone or face to face interview will also be conducted, recorded and transcribed and researcher Field Notes. Data analysis: Application of Clandinin and Connelly's method of Narrative Inquiry. Arts-informed includes the analysis of the creative reflections. Findings/ Results: Nil to date Conclusion/ Summary: Nil to date Implications/recommendations for: Nil to date
A novel driving scale for adults experiencing amblyopia and/or strabismus: Psychometric evaluation by Rasch analysis
(Flinders University, 2018-11-5) Kumaran, Sheela
Aim: To evaluate the psychometric properties of a novel driving scale for adults experiencing amblyopia and/or strabismus using Rasch measurement theory. Background: To develop item banks that measure quality of life dimensions, important to adults with amblyopia and/or strabismus, an extensive qualitative study was conducted in Australia and India. Among other findings, the study identified several impacts in driving, which were articulated into country-specific surveys by item refinement and revision processes. This abstract presents the psychometric validation of this scale for the Indian population. Methods: The 18-item driving scale was administered to adults in India, aged over 18 years. Rasch analysis (using Winsteps version 3.92.1) was used to assess the psychometric properties of the scale: functioning of response categories, measurement precision (PSI), fit statistics, dimensionality, targeting and differential item functioning (DIF). Results: Two hundred and thirty two participants (male: 72%, median age: 24 year; range: 18-48 years) completed the survey. The scale had a PSI of 2.44. Two misfit items were fixed by iteratively muting erroneous person responses to each item. Variance explained by the measure was 64%. The eigen value was 2.98 and 5 items loaded over 0.40; however the disattenuated correlations between the item clusters was >0.80, indicating that the items are measuring the same thing. This was further verified by splitting the scale into two and correlating person measures (spearman correlation = 0.78; 61% of the variance was shared by the measures). The final scale had ordered thresholds, PSI, 2.52 and targeting, 2.51 logits. Two items showed notable DIF based on ocular diagnosis. Conclusion: The 18-item driving scale displays valid Rasch- based psychometric properties except for targeting. Implications: The Rasch validated driving scale could be used to measure and compare driving abilities of individuals with amblyopia and/or strabismus.
The impact of the Exceptional Care Education Program: An evaluation using institutional ethnography
(Flinders University, 2018-11-5) Yu, Stephen
Introduction: The Northern Adelaide Local Health Network (NALHN) leadership team is committed to achieving a positive culture of engagement and communication to enhance patient-centred care. Reports of perceived negative staff attitudes, inefficient sharing of information with patients and inadequate treatment have raised concerns about a 'disconnect' between the practices of some healthcare professionals and NALHNs vision of care delivery. These concerns led the NALHN leadership team to request the development of an Exceptional Care Education Program (ECEP) for staff. Aim: The aim of the ECEP was to improve healthcare delivery through reinforcement of the values of NALHN. This study will evaluate the impact of the ECEP on the healthcare professionals, and is funded by NALHN. Methodology: This study uses institutional ethnography (IE). IE seeks to examine the social relations and social organisations from the standpoint of the people within the institution. Through the exploration of the participants' workplace, together with their knowledge of the organisational culture, IE can provide an understanding of how the practices of healthcare professionals are coordinated within the institutional processes. By using IE, this study aims to gather evidence about the impact of the ECEP on: healthcare professionals' understanding of their role; the translation of the program's goals into practice; and the work culture that may influence the behaviour of healthcare professionals in patient care delivery. Methods: Phase 1 includes observation and interviews with healthcare professionals and review of documents informing healthcare delivery; Phase 2 involves interviews with key stakeholders of the ECEP. Implications: The significance of this study will emerge from findings that probe the underlying factors influencing healthcare professionals' delivery of patient care. Findings from this proposed study may inform policy changes and healthcare professionals' work culture.
Quality and cultural safety in burns care for Aboriginal and Torres Strait Islander children
(Flinders University, 2018-11-5) Fraser, Sarah
Burn injury is a significant burden across Australia; especially for Aboriginal children. Gaps concerning quality and cultural safety of existing models of care that prescribe best practice are evident. It is not clear if or how these models of care inform practice, nor what other constructs contribute, and whether these are best for care of Aboriginal children. This study investigates factors informing burn care and explores how clinicians in burn teams use guidance documents and if so whether they are appropriate for care of Aboriginal children. Interface research methodology in a qualitative study design, incorporating both Indigenous and Western biomedical knowledges was used to guide this research. Semi-structured interviews were conducted with individuals in burn teams in six sites across Australia. Interviews were audio recorded and transcribed. Aboriginal and non-Indigenous researchers analysed data. We found burn care in Australia is informed by complex factors including evidence, resources and resourcing, clinician decision making processes and beliefs, and models of care. A Western biomedical health paradigm governs policy for burn care, that participants report is not always aligned with Aboriginal families' concepts of health. Within this paradigm, allocation of resources informs the provision (or not) of care; as does expert information and direction from senior clinicians. Participants reported jurisdictional specific models of burn care developed using service and team experience, population data and other scientific evidence inform care. There is a need for changes in the way evidence informs policy and practice in burn care for Aboriginal children so it incorporates Indigenous constructs of health and wellbeing. Attributing importance to cultural competence with explicit guidance in documents that guide burn care may support service and clinician cultural competence. System resources targeting good burn care for Aboriginal children are required.
Spiritual Conversations - "Nurses dialogue with people with an experience of mental illness who facing death from a life limiting illness."
(Flinders University, 2018-11-5) Picot, Sharon
Individuals with mental illness are dying up to 20 years younger than the general population. These individuals have frequently experienced a lifetime of stigma and social isolation. In addition, studies have shown that dying at a younger age is a risk factor for existential or spiritual despair. Hence, addressing spiritual concerns can be important dimensions in their nursing care. However, literature exploring this populations' unique care needs when they face a life limiting illness is scarce. The research question for this study is Does the current culture of mental health services assist in facilitating spiritual care for individuals with a severe mental illness who are facing death? The methodologies used to answer the research question were autoethnography and focussed ethnography. Seventeen nurses were interviewed from September 2016 to April 2017. The participants included 11 mental health nurses and 6 palliative care nurses. Interviewing two sets of nurses allowed for a comparison between the two subgroups.� Preliminary results indicate that despite participants practicing nursing within a culture that privileges the bio-medical paradigm, both mental health and palliative nurses were able to address the spiritual concerns of individuals who were facing death through the cultivation of therapeutic relationships. The results suggest that nurses were working with patients to explore issues of fear, meaning and joy at end of life. This presentation will discuss the autoethnographer's and nurses' experience of having these spiritual conversations with these individuals.
Discovering the Continuity of Care for Indonesian Children with HIV: Using Grounded Theory
(Flinders University, 2018-11-5) Qurianti, Nuzul
Backgrounds The number of Indonesian children infected with human immunodeficiency virus (HIV) aged below 19 years old has cumulatively increased by 65.36% from 2011 to 2015. The government of Indonesia has developed and responded to a broad range of care policies and programs on managing this HIV epidemic. However, these care policies primarily focus on the adult, with little attention being paid to children. The objective of this presentation is to describe the methodological underpinning and the practical application of a constructivist grounded theory that is investigating the continuity of care for Indonesian children with HIV from the family and health care professional perspectives. Constructivist grounded theory is appropriate to explore the experiences, actions and events affecting the continuum of care provision for children with HIV in Indonesia. It implies a foundation of relativism and appreciates multiple truths or realities of subjectivism. This presentation will provide some background and give an overview of the constructivist grounded theory methods and process used, including data generation, initial coding, and memo-writing that adopts a mutual position between the researcher and the participants in the research process.
How do diverse stakeholder groups perceive the activities of Non-Government Organisations working with disadvantaged children in Siem Reap, Cambodia.
(Flinders University, 2018-11-5) Ankers, Matthew
The focus of this presentation are the theories of social constructionism, postcolonialism and the social construction of the child and how these theoretical ideas are used to inform data collection and analysis in my thesis. Firstly, my thesis investigates key stakeholder groups affected by Non-Government Organisation work with disadvantaged children in Siem Reap, Cambodia. Social constructionism is drawn on to demonstrate how a relative positioning can aid the investigation of multiple groups engaged with the same phenomena of interest. Secondly, social constructionism and postcolonialism are proposed as acting as a lens to help identify aspects of Cambodian discourse that may reflect the impact of French colonialism and the Khmer Rouge. Specifically, postcolonialism critique of European constructions of the 'self' and 'other' will be used as a foundation for analysis of the data to look for similar socially constructed dualisms. These dualisms may include 'developed/undeveloped', 'humanitarian/sufferer' or in reference to the Khmer Rouge in an 'us/them' mentality. Finally, literature on the thesis topic is limited with regards to the voice of the child, with the majority of research focused on the adult's voice. The social construction of the child by James and Prout (2015) suggests that the child's voice in research should be more than a by-product of adult research as they are social actors with influence in their own right. As children are a focus of this study, the theory is used to help understand how children are constructed by the adult participants and how this may be used, along with the child voice, to help this cohort have a greater say in research and decision-making processes.
Hypertension management for community dwelling older people with diabetes in Nanchang, China: a cluster randomised controlled trial
(Flinders University, 2018-11-5) Tu, Qiang
Background Although China has a large number of older people living with diabetes and hypertension, the primary care system is underdeveloped and so management of these conditions in community care settings is suboptimal. Methods A cluster randomized controlled trial was conducted to randomly allocate 10 wards from four hospitals in Nanchang to either an intervention group (N=5) or a usual care group (N=5). In total, 270 patients were recruited in the study. The intervention included individualized self-care education and medication management prior to discharge and in the 6-month follow-up in community health service centres. A multilevel mixed-effect linear regression model was applied to compare the changes in health outcomes between the intervention and usual care groups. Results The intervention group demonstrated a statistically significant decrease of a mean systolic blood pressure of 10.7 mm Hg (95%CI: -14.2 to -7.1, P<0.001) and a mean diastolic blood pressure of 4.1 mm Hg (95% CI: -6.2 to -2.0, P<0.001) over 6 months as compared to the usual care group. Findings also demonstrated significant improvements of HbA1c, hypertension knowledge, diabetes knowledge, treatment adherence, quality of life, the prevention of adverse events and hospital readmission at 6 months in the intervention group compared to the usual care group. Conclusion A hypertension management program that targeted individualized self-care and medication management improved hypertension control for older people with diabetes in the community care setting.
Developing a Dignity in Care Questionnaire for older people (and their carer) when in hospital
(Flinders University, 2018-11-5) Heuzenroeder, Louise
Background The Dignity in Care Campaign, undergirded by the 10 Principles of Dignity in Care, has been strongly supported by clinicians and consumers in the United Kingdom. Surprisingly, the Campaign does not include a questionnaire for patients (and carers) to report on their experience of care, according to the 10 Principles of Dignity in Care. Objectives The questionnaire is being developed to enable older patients (and their carers) to measure their experience of receiving care according to the 10 Principles of Dignity in Care. Methods The research will utilise an exploratory sequential design in a four-stage process that includes a Delphi panel to assist in the development of the questionnaire, a pilot test of the questionnaire, extensive data collection to undertake reliability and validity testing and the development of an implementation plan. Results A Delphi panel of consumers, carers, clinicians, policy and instrument experts participated in three rounds of deliberations to develop the items to be included in the first draft of the questionnaire. This version of the questionnaire has been pilot tested with older patients (and their carers) at the Royal Adelaide Hospital. The questionnaire has been revised following the pilot test, and this post pilot version be used to collect data to test the validity and reliability of the questionnaire. Conclusions The Dignity in Care questionnaire has the potential to be used as a measure to report on the implementation of the first recommendation of the Clinical Guidelines for Dementia in Australia, which state The 10 Principles of Dignity in Care should be used as the standard by which care is delivered and evaluated.

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