Nursing and Midwifery Research Annual Report 2021

Nursing and Midwifery Research Annual Report 2021

Northern Sydney Local Health District Nursing & Midwifery Research

Annual Report 2021

Northern Sydney Local Health District

ACKNOWLEDGEMENT OF COUNTRY Northern Sydney Local Health District (NSLHD) would like to acknowledge the Traditional Custodians of the lands on which our health services have been built, the Gaimaraigal, Guringai and Dharug peoples and we honour and pay our respects to their ancestors. NSLHD also acknowledges and pays respects to all Aboriginal and Torres Strait Islander peoples and to Elders past, present and emerging. We acknowledge that past, current and future Aboriginal and Torres Strait Islander peoples are the continuing custodians of this country upon which we live, work and meet and that it is from their blood, courage, pride and dignity that we are able to continue to live, work and meet on this ancient and sacred country.

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CONTENTS

Foreword. ........................................................................................................ 4 2021 at a glance............................................................................................5 Executive summary.....................................................................................6 Authentic consumer engagement..........................................................8 NSLHD strategic priorities......................................................................10 Grants............................................................................................................. 12 Publications.................................................................................................. 14 Presentations and awards.......................................................................18 NSLHD PhD researchers and research student candidates........20 Communication and online resources.................................................22 Researcher education program.............................................................24 Examples of current research studies................................................ 25

NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 3

FOREWORD

The COVID-19 pandemic has been a most challenging time, and it is important to take a moment to consider the significant legacy that nurses and midwives have contributed to globally. In this extraordinary year of the pandemic, nurses and midwives continued to demonstrate dedication, leadership and commitment to supportive environments. We acknowledge many health care workers, including nurses and midwives, have died as a result of their dedication, professionalism, and commitment during this pandemic. We stand united in acknowledgement of them, and mourn their loss. Again, we recognise that nurses and midwives have remained on the frontline of this pandemic as they sought to improve the life experiences and wellbeing of people. Importantly, nurses and midwives have remodelled roles and services to meet the needs of our community whilst supporting diversity, equity and inclusion. The International Council of Nurses selected for 2021 the theme “Nurses: A Voice to Lead”, with a focus on “A Vision for Future Healthcare”. The pandemic has shown how nurses and midwives deal with extensive, ongoing and frequent change. Hence, nurses and midwives were often the first to respond to service demands and, in order to do so, needed to demonstrate effective change management. The NSLHD Nursing and Midwifery Research Annual Report 2021 provides detailed examples of the difference NSLHD nurses and midwives have made during this pandemic. This report highlights how nurses and midwives take opportunities to implement positive change as a moral necessity and have actively challenged everyday practice. During the pandemic nursing and midwifery leadership has conveyed the depths of professionalism, leadership, creativity and commitment which defines their legacy. This report clearly presents how nurses and midwives advance professional practice. Importantly, the report highlights innovative interventions that focus on delivering person-centred care with real time health improvements. Nurses and midwives seek to co-create a health system in which care, resilience and compassion thrive, and where their contribution ensures the safety and wellbeing of patients and staff. This report showcases the international, national and state awards for innovative leadership in re- modelling health services, the publications and grants that profile nurses’ and midwives’ significance on the global stage, and the alignment of projects to meet the strategic aims of the local health district. We present evidence of how nurses and midwives contribute to the interprofessional team, demonstrate collegiality in their work, and contribute to the patient and the health district more broadly. Evidence- based practice demands that nurses and midwives remain curious about practice, and be ready to explore and examine structures, processes, activities and models of care. Nurses and midwives continue to push the boundaries of practice so as to meet changing health service demands while remaining focused on patient safety. The NSLHD Nursing and Midwifery Research Annual Report 2021 highlights professional practice, interprofessional practice, innovation, and leadership. This report provides a record of a legacy for tomorrow. I am proud to be a nurse and to work with you all. Together we can make a quality health difference to our community. Congratulations to all nurses and midwives named in this report, their multidisciplinary teams and project partners whose legacy has expanded the depth and quality of the nursing and midwifery professions’ knowledge, expertise and standing. Please feel free to distribute this report throughout your networks and showcase with pride the difference you and your colleagues make every day.

Ms Claire Harris Director Nursing and Midwifery Northern Sydney Local Health District

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2021 AT A GLANCE

452

76

72

Attended N&M research education program

Peer reviewed publications

Active research studies

29

24

14

National & international conference presentations

Grant applications submitted

Higher Degree Research candidates

10

10

4

Grants awarded totalling $2,046,215

State/national awards & nominations

Books & book chapters

NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 5

EXECUTIVE SUMMARY

The Northern Sydney Local Health District (NSLHD) Nursing and Midwifery Directorate, the NSLHD Nursing and Midwifery Research Centre, and the NSLHD Nursing and Midwifery Research Committee take great pleasure in presenting the Nursing and Midwifery Research Annual Report 2021. There is no doubt that 2021 proved to be another challenging year in which nurses and midwives demonstrated their knowledge, agility and commitment to meet the ongoing issues of the COVID-19 pandemic. In this report nurses and midwives showcase their dedication, leadership and commitment to evidenced based practice, innovation and creativity to meet health service demands. The NSLHD Nursing and Midwifery Research Annual Report 2021 highlights the health outcomes and difference that nurses and midwives are making to the health system, practice and our broader community. The report details nursing and midwifery educational activities, practice development programs and innovative activities and research implemented across our health care systems.

RESEARCH GRANTS There were 10 grants awarded from government and non- government organisations to NSLHD nurses and midwives for $2,046,215.45. In 2021, NSLHD nurses and midwives submitted 24 grant applications. PEER REVIEWED PUBLICATIONS There were 76 peer reviewed publications in which NSLHD nurses and midwives are named lead investigator or co- investigator. The publications frequently involved other health care disciplines and other health districts. Similarly, many of the publications involved key industry partners from the university sector. Frequent partners include: University of Technology Sydney, University of Sydney and University of New South Wales. In addition to the peer reviewed publications, 29 NSLHD nurses and midwives presented their work at either international or national conferences. These events were often multidisciplinary.

RESEARCHER EDUCATION PROGRAM

The education program provided by the NSLHD Nursing and Midwifery Research Centre continues across NSLHD, metropolitan health districts and for university partners. The researcher education program was delivered to 452 participants. The Research Master Classes were provided to 192 participants, including 138 NSLHD staff and 54 external attendees and Higher Degree Research students. The NSLHD Nursing and Midwifery Health Informatics Mentorship Program provided by the NSLHD Nursing and Midwifery Research Centre was completed by 12 nurses. The Clinical Researcher Development Program provided by the NSLHD Nursing and Midwifery Research Centre delivered five study days to 133 NSLHD staff and 5 external attendees. The Practice Inquiry Online Drop-in sessions were attended by 95 NSLHD staff and 15 external attendees. The Health Informatics Mentorship Program was funded by the NSW Ministry of Health Nurse Strategy Reserve ($170,398.00) for 2020-2021. Of note, and despite the challenges presented by the pandemic, we endeavoured to continue meetings and education programs using digital platforms and provided many more individual consultations with the same dedication, leadership and commitment as in past years. Our education attendance metrics continue to demonstrate that the programs are popular and needed.

PEER REVIEWED BOOKS AND BOOK CHAPTERS

NSLHD nurses and midwives were sought for their expertise and knowledge during 2021. Several NSLHD nurses and midwives were lead authors and co-authors for 4 peer reviewed international books or book chapter publications.

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COMMUNICATION AND ONLINE RESOURCES

CURRENT RESEARCH STUDIES There were over 72 research studies conducted by nurses and midwives in progress across the LHD in 2021. Many of the current studies involve collaborations with other health districts. Similarly, many of the studies involve key industry partners from the university sector. Frequent partners include University of Technology Sydney, The University of Sydney, University of New South Wales, and Western Sydney University. During 2021, the provision of education programs and convening meetings was challenging. We provided flexible options for nurses and midwives, and were particularly cognizant of the effect of the pandemic on higher degree research students. COVID-19 delayed study processes and presented additional challenges to all researchers.

The NSLHD Nursing and Midwifery Research Centre intranet page contains a range of self-directed learning opportunities and links to research training resources. These are designed to support and guide NSLHD nurses and midwives to build their knowledge about evidence-based practice (EBP). It is also an ideal place for clinicians who wish to embark on practice inquiry, quality improvement, or research. In addition, a monthly newsletter is disseminated, focused on showcasing nursing and midwifery research activity across NSLHD. The newsletter also provides details of upcoming grants, scholarships, conferences, resources, and researcher tips. RESEARCH DEGREE STUDENTS There were 14 nurses and midwives undertaking higher degrees by research at several universities across Sydney in 2021. The degrees include Master (Research or Philosophy) and PhD (Doctor of Philosophy). To support nurses and midwives undergoing research degrees, the NSLHD Higher Degree Research Network met regularly and was provided with operational support by the Centre.

NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 7

AUTHENTIC CONSUMER ENGAGEMENT

MEDICATION SAFETY AND LISTENING TO THE PATIENT Medication safety is a critically important dimension of nursing and midwifery care. NSLHD nurses and midwives support and strive for a culture of safety which underpins excellent quality care. Research projects conducted across NSLHD exemplify this authentically. Specifically, research activities were designed to explore parents’ and/or patients’ perceptions of safety within our organisation. The study providing parent and/or patient perceptions of medication safety is: Elliott R, Fry M, Salter R. Reducing medication administration errors using the behaviour change wheel: The ReMAdE project

‘…and it was the trust in the nurse, not necessarily what they said or did, it was my trust in them that led me to take the medication without a hitch. Oh the hospital, I trust this hospital implicitly and the medical staff so I think a history of getting it right and a history of performance at a level which it has gained my trust has led to that one decision.’ (patient) ‘…the nurse was very professional. She’s a registered nurse, so she’s thoroughly and competently trained. And exhibits a high level of expertise.’ (patient)

‘They also explain usually in front of me they’ll explain what they are doing. What it’s for and why the dose is what it is. So they always include me on what they are doing. Which makes me feel comfortable.’ (parent) ‘So I felt that was a very thorough process with like double checking and cross-checking everything’. I just think it was good that they cross-checked each other’s work. Because I guess they have a lot of different babies, and they are giving a lot of medication. At one stage she had like eight different medications and to make sure that they are given at the right time and at the right amount was kind of, was great to see that someone else was cross-checking it.’ (parent) ‘….the nurses that I have encountered are very thorough, giving me the medications but also hanging around to make sure the medications are taken properly. Right to and it sounds trite to say in some ways but the little container they’ll take it off me and put it in the bin. It’s probably just part of making sure that the medications have been taken properly but it’s also just manners and that makes a lot of points with me.’ (patient)

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NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 9

NSLHD STRATEGIC PRIORITIES

The Nursing and Midwifery Research Annual Report 2021 underpins and supports our NSLHD 2017-2022 strategic priorities. Nurses and midwives are actively involved in research and practice development activities in striving to improve the quality, safety and outcomes for people requiring care within our services. Some examples of projects and/or research studies that address these priorities are listed below.

• Ammit M, Miles N. Nurse-led alcohol clinic: Increasing access to drug and alcohol treatment. • Hammond N. Health related quality of life in septic shock patients at six months: Effect of steroid therapy and underlying illness severity. • Garrett G. An exploration of the nature and experience of female sexuality following spinal cord injury.

Healthy Communities Prevention, early intervention and community development strategies will improve health outcomes

Connected Person-Centred Care People have a good experience of care, which meets their health needs, in partnership with multiple care providers

• Elliott R, Fry M, Salter R. Reducing medication administration errors using the behaviour change wheel: The ReMAdE project. • Baird K, Fry M, McAloon J. Evidence-based, trauma-focused psychological treatment interventions scoping review. • Fry M, Elliott R, Murphy S, Curtis K. The role and contribution of family carers accompanying community-living older people with cognitive impairment to the emergency department: An interview study.

• Elliott R, Fry M. Psychological capital, wellbeing, and patient safety attitudes of nurses and midwives: A cross‐sectional survey. • Fry M, Elliott R, Fitzpatrick L, Warton J, Curtis K. Measuring nurses’ perceptions of their work environment and linking with behaviour change theories and implementation strategies to support evidence based practice change. • Sheppard-Law S, Fry M, Roche M, Debono D, Doab A. Measuring the impact of COVID-19 on nursing practice and wellbeing.

Evidence-Based Decision Making Decisions are made on the basis of best available information and a philosophy of continuous improvement

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• Fry M, Fitzpatrick L, Coates D Harris C, Munroe B. Improving emergency department safety through more consistent early detection and assessment of patient deterioration. • Fry M, Elliott R, Curtis K, Fitzpatrick L, Groth R, Murphy S, Jones K, Hofman C. Family members’ perceptions of older person discharge from emergency departments. • Pilowsky J. Establishing the prevalence of pre-existing mental health disorders in patients admitted to an adult intensive care unit. • Hammond N, Crowe L, Abbenbroek B, Elliott R, Tian D, Donaldson L, et al. Impact of the coronavirus disease 2019 pandemic on critical care healthcare workers’ depression, anxiety, and stress levels. • Fry M, Elliott R. Supporting nurse practitioners, nurses and midwife leaders across NSW to become knowledge brokers and users of health informatics to better build an intelligent and flexible workforce that is focused on safety and person-centred care project. • Fry M, Elliott R, Duncan S. Enabling nurses and midwives to become health informatic knowledge brokers to better build an intelligent and flexible workforce that is focused on safe and person-centred care.

Responsive and Adaptable Organisation Our structure and systems support the delivery of innovative and responsive services in partnership with other providers and our community

Engaged and Empowered Workforce Our staff are confident, capable and committed to the support and delivery of good care every day

NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 11

GRANTS

GRANTS AWARDED 2021 (total $2,046,215.45)

1. Adams J. Maternity antenatal postnatal service ($25,138.00). NSW Ministry of Health Nursing and Midwifery Strategy Reserve Funding; 2021. 2. Baird K, Fry M, McAloon J. Evidence-based, trauma- focused psychological treatment interventions scoping review ($5,000.00). MONDO connecting calibre; 2021. 3. Clark K, Hession A, Ainsworth H. Rage against dying: A pilot study to examine the potential of wearable devices to better understand the experiences of dying patients ($50,000.00). Ramsay Research and Teaching Fund Scheme; 2021. 4. Curtis K, Fry M, Considine J, Shaban R, Alkhouri H, McPhail S, Dinh M, Aggar C, Hughs J, Murphy M. Improving the safety and quality of emergency nursing care. NHMRC Partnership Grant ($1,498.877.45) (total partnership $3,600,000.00). 2021. 5. Donaldson L, Delaney A, Hammond N, Siriwardana A, Venkatesh B, Howe B. Sepsis resuscitation and acute kidney injury: A prospective nested cohort study of acute kidney injury in the ARISE FLUIDS Randomised Controlled Trial ($59,582.00). Ramsay Research and Teaching Fund Scheme; 2021. 6. Fry M, Elliott R. Supporting nurse practitioners, nurses and midwife leaders across NSW to become knowledge brokers and users of health informatics to better build an intelligent and flexible workforce that is focused on safety and person-centred care ($170,398.00). NSW Ministry of Health Nursing and Midwifery Strategy Reserve Funding; 2021. 7. Fry M, Elliott R, Duncan S. Enabling nurses and midwives to become health informatic knowledge brokers to better build an intelligent and flexible workforce that is focused on safe and person- centred care ($118,055.00). NSW Ministry of Health Nurse Strategy Reserve Fund; 2021.

8. Garrett G. An exploration of the nature and experience of female sexuality following spinal cord injury ($4,070.00). Australasian Rehabilitation Nurses’ Association-Lesley Brennan Spinal Rehabilitation Nursing Research Grant; 2021. 9. Hammond N, Wesley S, Donaldson L, Garside T, Stedman W, Bass F, et al. ICU and critically ill COVID-19 patient follow up service ($100,000.00). NSLHD and North Foundation; 2021. 10. Pilowsky J. Establishing the prevalence of pre- existing mental health disorders in patients admitted to an adult intensive care unit ($15,095.00). Ramsay Research and Teaching Fund Scheme; 2021.

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GRANT APPLICATION SUBMISSIONS 2021 – UNSUCCESSFUL (total $4,688,752.56)

1. Curtis K, Fry M, Hughes D, et al. EPIC Patient Care: Implementation evaluation of Emergency nurse Protocols Initiating Care–a multi-site hybrid effectiveness-implementation trial ($499,808.00). NSW Ministry of Health Translational Research Grant Scheme; 2021. 2. Elliott J, Rebbeck T, Gillet M, Peck M, McMahon K, Baille A, et al. Crash reconstruction and the systematic understanding of human health with whiplash ($1,406,408.00). 2021/2022 NHMRC Ideas Grant; 2021. 3. Elliott R. Improving sleep for hospital patients: The sleep assessment feasibility project ($14,424.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarship; 2021. 4. Elliott R, Fry M, Duncan S. Empowering nurses to improve sleep for hospital patients using an electronic record sleep tool: the eMR sleep project ($138,965.00). NSW Ministry of Health Nursing and Midwifery Strategy Reserve Funding; 2021. 5. Fry M. Minimizing harm for patients in the emergency department ($13,920.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarship; 2021. 6. Fry M, Coates D, Elliott R. Improving the nursing care, assessment and management of paediatric septic infants, children and young people (0-16 years) in the emergency department and paediatric ward ($14,432.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarships; 2021. 7. Fry M, Fitzpatrick L, McKee-Hata B, Elliott R. Minimizing harm for patients in the emergency department ($13,920.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarships; 2021. 8. Glover S, Lance A. Physical health teaching series resource kit for mental health drug and alcohol clinicians ($36,503.76). NSW Ministry of Health Nurse Strategy Reserve Fund; 2021. 9. Glover S, Lance A. Mental Health Drug and Alcohol Effective Utilisation of PRN Medication ($42,000.00). NSW Ministry of Health Nursing and Midwifery Strategy Reserve Funding; 2021. 10. Glover S, Paul D, O’Connor M, Lance A. Effective utilisation of PRN medication in mental health inpatient care ($42,221.75). NSW Ministry of Health Nurse Strategy Reserve Funding; 2021.

11. Kang-Breen S. Geriatric Intervention Fast Track Team (GIFTT) for older patients in Ryde Hospital ($15,000.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarship; 2021. 12. Manna M. Active practice education and support in context -Transition to Professional Practice Nurses’ App ($15,000.00). NSW Ministry of Health Nursing and Midwifery Innovation Scholarship; 2021. 13. Reilly G, Fry M, Considine J, Curtis K. It’s about time! The Australian Emergency Quality Improvement Project (Aus-EQuIP) ($1,302,554.00). MRFF –Clinician Researchers: Applied Research in Health Grant Opportunity; 2021. 14. Wand T, Derrick K, O’Sullivan M, Green O, Gribble M, Flannagan S, et al. Improving access to therapeutic mental health care in emergency departments ($1,133,596.05). Applied Research in Health Grant Opportunity; 2021.

NURSING AND MIDWIFERY RESEARCH ANNUAL REPORT 2021 13

PUBLICATIONS

NSLHD NURSING AND MIDWIFERY PEER REVIEWED PUBLICATIONS (TOTAL 76)

Journal Articles (72) 1. Alhazzani W, Evans L, Alshamsi F, Møller MH, Ostermann M, Prescott HC, et al. Surviving Sepsis Campaign Guidelines on the Management of Adults With Coronavirus Disease 2019 (COVID-19) in the ICU: First Update. Critical Care Medicine. 2021;49(3):e219-e34. 2. Ammit M, Miles N. Nurse-led alcohol clinic: Increasing access to drug and alcohol treatment. Australian Nursing and Midwifery Journal. 2021;27(4):26-9. 3. Arabi YM, Gordon AC, Derde LPG, Nichol AD, Murthy S, Beidh FA, et al. Lopinavir-ritonavir and hydroxychloroquine for critically ill patients with COVID-19: REMAP-CAP randomized controlled trial. Intensive Care Med. 2021;47(8):867-86. 4. Axfors C, Janiaud P, Schmitt AM, van’t Hooft J, Smith ER, Haber NA, et al. Association between convalescent plasma treatment and mortality in COVID-19: a collaborative systematic review and meta-analysis of randomized clinical trials. BMC Infectious Diseases. 2021;21(1):1170. 5. Buckley T. The unique challenge of the nurse- patient in the intensive care. Australian Critical Care. 2021;34(1):1-2. 6. Chenoweth L, Williams A, Fry M, Endean E, Liu Z. Outcomes of Person-centered Care for Persons with Dementia in the Acute Care Setting: A Pilot Study. Clinical Gerontologist. 2021:1-15. 7. Considine J, Fry M, Curtis K, Shaban RZ. Systems for recognition and response to deteriorating emergency department patients: a scoping review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2021;29(1):69. 8. Coyer F, Barakat-Johnson M, Campbell J, Palmer J, Parke RL, Hammond NE, et al. Device-related pressure injuries in adult intensive care unit patients: An Australian and New Zealand point prevalence study. Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses. 2021;34(6):561-8.

9. Curtis K, Kourouche S, Asha S, Considine J, Fry M, Middleton S, et al. Impact of a care bundle for patients with blunt chest injury (ChIP): A multicentre controlled implementation evaluation. PLOS ONE. 2021;16(10):e0256027. 10. Curtis K, Munroe B, Fry M, Considine J, Tuala E, Watts M, et al. The implementation of an emergency nursing framework (HIRAID) reduces patient deterioration: A multi-centre quasi-experimental study. International Emergency Nursing. 2021;56:100976. 11. Curtis K, Sivabalan P, Bedford DS, Considine J, D’Amato A, Shepherd N, Fry M, et al. Treatments costs associated with inpatient clinical deterioration. Resuscitation. 2021;166:49-54. 12. Curtis K, Sivabalan P, Bedford DS, Considine J, D’Amato A, Shepherd N, Fry M, et al. Implementation of a structured emergency nursing framework results in significant cost benefit. BMC Health Services Research. 2021;21(1):1318. 13. Dankiewicz J, Cronberg T, Lilja G, Jakobsen JC, Levin H, Ullén S, et al. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. New England Journal of Medicine. 2021;384(24):2283-94. 14. Dick-Smith F, Power T, Martinez-Maldonado R, Elliott D. Basic Life Support Training for undergraduate nursing students: An integrative review. Nurse Education in Practice. 2021;50:102957. 15. Elliott R, Chawla A, Wormleaton N, Harrington Z. Short-term physical health effects of sleep disruptions attributed to the acute hospital environment: a systematic review. Sleep Health. 2021. 16. Elliott R, Crowe L, Abbenbroek B, Grattan S, Hammond NE. Critical care health professionals’ self-reported needs for wellbeing during the COVID-19 pandemic: A thematic analysis of survey responses. Australian Critical Care. 2021. 17. Elliott R, Mei J, Wormleaton N, Fry M. Interventions for the discharge of older people to their home from the emergency department: a systematic review. Australasian Emergency Care. 2021.

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18. Estcourt LJ, Turgeon AF, McQuilten ZK, McVerry BJ, Al-Beidh F, Annane D, et al. Effect of Convalescent Plasma on Organ Support-Free Days in Critically Ill Patients With COVID-19: A Randomized Clinical Trial. JAMA. 2021;326(17):1690-702. 19. Evans V. Caring for Traumatic Brain Injury Patients: Australian Nursing Perspectives. Critical Care Nursing Clinics of North America. 2021;33(1):21-36. 20. Finfer S, Hammond N, Vijayaraghavan BKT, Ling L, Thwaites L, Abbenbroek B. Critical Care Resources and Disaster Preparedness Survey 2020. medRxiv. 2021:2021.04.08.21254902. 21. Freitas FGR, Hammond N, Li Y, Azevedo LCP, Cavalcanti AB, Taniguchi L, et al. Resuscitation fluid practices in Brazilian intensive care units: a secondary analysis of Fluid-TRIPS. Rev Bras Ter Intensiva. 2021;33(2):206-18. 22. Fry M, Elliott R, Curtis K, Mei J, Fitzpatrick L, Groth R, et al. Family members’ perceptions of older person discharge from emergency departments. International Journal of Older People Nursing. 2021:e12365. 23. Fry M, Elliott R, Murphy S, Curtis K. The role and contribution of family carers accompanying community-living older people with cognitive impairment to the emergency department: An interview study. Journal of Clinical Nursing. 2021. 24. Gawthorne J, Fasugba O, Levi C, Mcinnes E, Ferguson C, Mcneil Jj, et al. Are clinicians using routinely collected >Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32

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