ACT Health Research Review 2009

Transcription

ANU CENTRE FOR HEALTH
STEWARDSHIP
AUSTRALIAN NATIONAL UNIVERSITY
CENTRE FOR HEALTH STEWARDSHIP
BRIEF SUMMARY
The Centre for Health Stewardship (the Centre)
was established in 2004. It is part of the Australian
National University College of Medicine, Biology
and Environment. The Centre’s mission is to conduct
research and teaching to improve our understanding
of how the health systems are governed, and the
relations between this governance and the health
of the community. The Centre conducts research
and teaching about how health departments are
organised and operate to fulfil their roles within the
national health system. The centre also examines the
areas of clinical governance and the legal basis of
health stewardship.
STAFF
A/Prof Paul Dugdale, Director Centre for Health
Stewardship, Director Chronic Disease Management,
ACT Health
Dr Alison Short, Visiting Fellow, Australian National
University Centre for Health Stewardship, Research
Fellow, Centre for Clinical Governance Research
in Health, Australian Institute of Health Innovation,
University of New South Wales
Ms Rebecca Taylor, Postdoctoral Research Fellow,
Australian National University Centre for Health
Stewardship
Ms Susan Abbott, Project Officer, Australian National
University Centre for Health Stewardship
STUDENTS
Dr Robin Guda, A Study to Guide the Design and
Implementation of a Chronic Disease Management
Register in a Regional Health Service, Supervisors:
A/Prof Paul Dugdale, Dr Sue Evans and Dr Brian
Richards
Ms Anne Hogden, Evaluating the Impact of the
‘Patient-as-Professional within a Network’ Tool to
Self-manage Chronic Disease, Supervisors: Dr David
Greenfield and Dr Peter Nugus
FUNDING
2008-2010
Interprofessional Learning In Primary Health Care
To Encourage Active Patient Self-Management Of
Chronic Disease. Dr D Greenfield, Dr J Travaglia, Dr
P Nugus, A/Prof P Dugdale and Prof J Braithwaite.
Australian Government, Department Of Health and
Ageing: Australian Better Health Initiative $562,710
2009-2011
Evaluating The Impact Of The ‘Patient-AsProfessional Within A Network’ Tool To Self-Manage
Chronic Disease. Dr D Greenfield, Dr P Nugus,
Dr J Travaglia and Prof J Braithwaite. Australian
Government, Department Of Health and Ageing:
Sharing Health Care Initiative $1,340,925
PRESENTATIONS
2009
Short A. Crossing boundaries of research and
practice: Exploring music and stress reduction in
the emergency department, National Conference of
the Australian Music Therapy Association. Sydney,
September
Short A. Acute care in the general hospital: Is there
a role for music? Keynote address presented at the
4th National Conference of the Music and Imagery
Ms Joy Pettingell, Impact of Health Copayment
Design on Equity of Access to Health Services,
Supervisor: A/Prof Paul Dugdale
Ms Catherine Settle, Citizen Engagement: Listening
to citizens’ views about Australia’s health system and
prevention, Supervisors: Prof Brian Oldenburg, Prof
Vivian Lin, Dr Catherine Joyce, Prof Kathy Eagar, A/
Prof Paul Dugdale, Prof Leonie Segal, Dr Allyson
Mutch and Prof Janette Hartz-Karp
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ACT HEALTH RESEARCH REVIEW 2009 & 2010
Association of Australia. Melbourne, September
Short A. Integrating the healthcare experience
using GIM, 4th National Conference of the Music
and Imagery Association of Australia. Melbourne,
September
Greenfield D, Hayhurst B, Abbott S, Stone J and
Dugdale P. Interprofessional collaboration to reshape
health care relationships for people living with
chronic conditions, Connect Learn Activate: Inspiring
Health Promotion. Townsville, August
Dugdale P. Toward control of Healthcare acquired
infections in Australia, Invited paper at the Milbank
Memorial Fund Reforming States Group Conference
on Healthcare Acquired Infections, 20 July
2010
Settle C. Knowledge transfer when citizens are
engaged in deliberative processes on health policy
development: A socially-situated critique Australian
Consortium for Social and Political Research
Inc (ACSPRI) Methodology Conference. Sydney,
December
Short A, Sciberras D, Burgess M and Greenfield
D. Auditory environment and public health:
Connecting noise and music with chronic disease
self-management, 2nd Annual International Arts and
Health Conference, “The Art of Good Health and
Wellbeing”. Melbourne, November
Greenfield D, Hayhurst B, Dugdale P, Stone J,
Nugus P, Travaglia J and Abbott S. Interprofessional
collaboration and learning to reshape health care
relationships and improve future health outcomes,
Australian General Practice Network Forum:
Claiming the Space, Shaping the Future. Perth,
November
Dind A, Short A, Ekholm J, Holdgate A. Assessing the
inaccuracy of automatic devices in taking postural
measurements in the Emergency Department, 8th
International Conference for Emergency Nurses.
“Global Emergency Nursing Leadership; Shaping
Practice and Service”. College of Emergency
Nurses Australasia. Canberra, October. Australasian
Emergency Nursing Journal 13(4): 163
Hogden A, Short A, Dugdale P, Nugus P and
Greenfield D. Making knowledge visible: Mapping
a chronic disease self-management healthcare
network, 6th Annual National Disease Management
Conference 2010 “Chronic Disease Management
and the Future of the Australian Health System”.
Melbourne, August
Dugdale P, Taylor R, Short A, Nugus P and Greenfield
D. The variety of chronic disease self-management
tools in Australia: a preliminary survey, 6th Annual
National Disease Management Conference “Chronic
Disease Management and the Future of the Australian
Health System”. Melbourne, August
Settle C. Citizen Engagement: A socially-situated
critique of epistemic practices, Emerging Health
Policy Research Conference 2010. Sydney, August
Abbott A, Dugdale P, Lawlis T, Short A and Greenfield
D. Interprofessional development of an educational
package for community group leaders to facilitate
chronic disease self management Australasian
Interprofessional Practice and Education Network
(AIPPEN) International Conference: All Together
Better Health. Sydney, April
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ACADEMIC UNIT OF
PSYCHOLOGICAL & ADDICTION
MEDICINE
ACADEMIC UNIT OF PSYCHOLOGICAL
& ADDICTION MEDICINE
and Senior Lecturer, Canberra Clinical School and
Hospital, Department of Psychological Medicine,
Australian National University and Mental Health
ACT
BRIEF SUMMARY
The Academic Unit of Psychological and Addiction
Medicine is an active and broad research program,
covering all aspects of Psychiatry across the lifespan.
Key areas of research include population mental
health, disasters, climate change, trauma, loss and
grief, neuropsychiatry, cognitive neuroscience,
health risk perceptions, perinatal mental health and
childhood adversity. The team is integrated with
Mental Health ACT and provides high level research
and policy advice to ACT Health and a range of
external organisations. The unit has received funding
for further development and research extension of
the Australian Child and Adolescent Trauma, Loss
and Grief Network (ACATLGN).
STAFF
Prof Beverley Raphael, Professor and Head,
Academic Unit of Psychological Medicine,
Australian National University Medical School
A/Prof Jeffrey Looi, Deputy Head, Academic Unit
of Psychological Medicine, Australian National
University Medical School and Senior Specialist,
Older Persons Mental Health, Mental Health ACT
Dr Marni Austin, Advanced trainee in ConsultationLiaison Psychiatry, Mental Health ACT
Dr Daniel Bonner, Lecturer and Staff Specialist,
Forensic Psychiatry, Australian National University
Medical School and Mental Health ACT, Australian
National University
Adjunct A/Prof Peggy Brown, General Manager
Mental Health ACT and Australian National
University Medical School
Dr Jeffrey Cubis, Senior Lecturer and Senior
Specialist, Child and Adolescent Psychiatry,
Australian National University Medical School and
Mental Health ACT
Dr Rajeev Kumar, Senior Consultant Psychiatrist
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Dr Paul Maguire, Consultant Psychiatrist, Adult
Psychiatry, Mental Health ACT, Lecturer, Academic
Unit of Psychological Medicine, Australian National
Dr Virginia McAndrew, Lecturer and Staff Specialist,
Child and Adolescent Psychiatry, Australian National
University Medical School and Mental Health ACT,
Australian National University
Dr Elspeth Macdonald, Senior Research Fellow,
Centre for Mental Health Research; Director
Australian Child and Adolescent Trauma Loss and
Grief Network (ACATLGN) Australian National
University
Dr Matthew Macfarlane, Associate Lecturer and
Senior Registrar Adult Psychiatry, Australian National
University Medical School and Mental Health ACT
Dr Peter Norrie, Director of Clinical Services, Mental
Health ACT
Dr Raj Parige, Clinical Lecturer and Staff Specialist,
Alcohol and Drug Program, Australian National
University Medical School and ACT Health
Dr Ayesha Sarfraz, Advanced trainee in C and A
Psychiatry, Mental Health ACT
Dr Michael Tedeschi, Clinical Senior Lecturer,
and Staff Specialist, Australian National University
Medical School and Alcohol and Drug Program,
ACT Health
Dr Diana Tracy, Lecturer and Staff Specialist, Adult
Psychiatry, Australian National University Medical
School and Mental Health ACT
Mr Michael Woodward, Older Persons Mental
Health Unit and Senior Social Worker Mental Health
ACT
Ms Peggy Craigie, Executive Assistant to Prof
Raphael and A/Prof Jeffrey Looi, Mental Health ACT;
Office Manager, RESCENA, Mental Health ACT
Ms Rebecca Reay, Research Officer. Academic Unit
of Psychological Medicine, Australian National
STUDENTS
Psychology, Victoria
Dr Daniel Bonner, Disaster Psychiatry and
Online Behaviour, Australian National University,
Supervisor: Prof Beverley Raphael
Prof Justin Kenardy, Deputy Director, Centre of
National Research on Disability and Rehabilitation
Medicine, University of Queensland, Qld and A/Prof
Brett McDermott-Director, Mater Child and Youth
Mental Health Service, Qld
Ms Theresia Citraningtyas, “Riding with the waves”
in dealing with disaster: Experiences of survival
and strength in the 2003 Canberra bushfires and
the 2004 tsunami in Aceh, Australian National
University, Supervisor: Prof Beverley Raphael
Ms Maree Livermore, The impact of risk-based,
coercive mental health law on access to mental
health services, Australian National University,
Supervisor: Prof Beverley Raphael
Dr Paul Maguire, Risk perceptions and health beliefs
of people with a mental illness, Australian National
University, Supervisor: Prof Beverley Raphael
Dr Virginia McAndrew, Exploring Risks for Child
and Adolescent Mental Health Problems, Australian
National University, Supervisors: Prof Beverley
Raphael, Dr Jeff Cubis, Dr Elspeth Macdonald
Ms R Reay, Short and Long Term Outcomes of
Group Interpersonal Psychotherapy for Postnatal
Depression, Australian National University,
Supervisors: Prof Cathy Owen, Dr Bruce Shadbolt,
Prof Beverley Raphael
Mr Mal McKissock, Co-Clinical Director, National
Centre for Childhood Grief, NSW
Dr Phyllis Chua, Monash University, Melbourne,
Victoria
Dr Stephen Matthey, ICAMHS Research Unit
Director, Sydney South West Area Health Service,
NSW
Dr Bruce Shadbolt, Senior lecturer, Centre for
Advances in Epidemilogy and IT, Australian National
University Medical School, Canberra Hospital, ACT
A/Prof Kaarin Anstey and Dr Nicolas Cherbuin,
Centre for Mental Health Research, Australian
National University
Prof Perminder S Sachdev, School of Psychiatry,
Prof Kua Ee Heok and A/Prof Ng Tze Pin,
Gerontological Research Program, National
University of Singapore, Singapore
Prof Dilip V Jeste, University College of San Diego
(UCSD)
Mr Michael Woodward, Climate Change: Water
and Wellbeing, Australian National University,
Supervisor: Prof Beverley Raphael.
Advisor: Prof Brian Kelly
Dr Nicolas Cherbuin, Australian National University
RESEARCH PROJECTS
COLLABORATIVE ASSOCIATES
A/Prof Christer Nilsson, Department of Geriatric
Psychiatry, University of Lund, Lund
Dr Goran Hogberg, Department of Clinical
Neuroscience, Section for Psychiatry, Karolinska
Institute, Huddinge, Stockholm
Dr Marco Pagani, Institute of Sciences and
Technologies of Cognition, CNR, Rome and Padua
Prof Lars-Olof Wahlund, Olof Lindberg and Dr
Gabriela Spulber, Department of Neurobiology,
Caring Sciences and Society, Division of Clinical
Geriatrics, Karolinska Institute, Huddinge, Stockholm
Leif Svensson, Hospital Physics and Radiology,
Karolinska University Hospital, Huddinge,
Stockholm
Dr Mark Walterfang and Dr Dennis Velakoulis,
Melbourne Neuropsychiatry Centre, Royal
Melbourne Hospital, Melbourne
Prof Louise Newman, Director, Monash University
Centre for Developmental Psychiatry and
2008-2011
Qualitative study of the experiences of dealing with
disaster among adults affected by the 2003 Canberra
bushfires. Dr Theresia Citraningtyas. Adults affected
by the 2003 Canbera bushfire were interviewed to
develop an explanatory framework of the processes
of dealing by disasters from the perspective of the
people affected. This is also the first part of a crosscultural research project to identify how language,
cultural norms, and social constructions determine
perceptions and expressions of experiences of
dealing with disaster.
Qualitative study of the experiences of dealing with
disaster among adults affected by the 2004 tsunami
in Aceh. Dr Theresia Citraningtyas. Interviews and
focus group discussions were conducted in Aceh
in 2009 to develop an explanatory framework
of the processes of dealing by disasters from the
perspective of the people affected. This is also the
second part of a cross-cultural research project to
identify how language, cultural norms, and social
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constructions determine perceptions and expressions
of experiences of dealing with disaster.
2009-2010
Striatal Morphometrics in Choreoacanthocytosis.
A/Prof Jeffrey Looi in association with Dr Mark
Walterfang and Dr Dennis Velakoulis, Melbourne
Neuropsychiatry Centre, Royal Melbourne Hospital,
Melbourne. Development of advanced neuroimaging
analysis of striatal morphology in PSP.
Striatal Morphometrics in Choreoacanthocytosis.
A/Prof Jeffrey Looi in association with Dr Mark
Walterfang and Dr Dennis Velakoulis, Melbourne
Neuropsychiatry Centre, Royal Melbourne Hospital,
Melbourne. This is an advanced neuroimaging
analysis conducted in an international cohort with
rare metabolic disorder affecting the ventral striatum,
led by Dr Mark Walterfang, with striatal analysis
expertise provided by A/Prof J Looi.
Shape Analysis in Brain Disorders. A/Prof Jeffrey
Looi in association with Dr Mark Walterfang and
Dr Dennis Velakoulis, Melbourne Neuropsychiatry
Centre, Royal Melbourne Hospital, Melbourne.
Development of advanced neuroimaging analysis
using computational methods led by Dr Mark
Walterfang, with striatal analysis expertise provided
by A/Prof J Looi.
Striatal Morphometrics in Leukoaraiosis. A/Prof
Jeffrey Looi in association with Prof Lars-Olof
Wahlund and Dr Gabriela Spulber, Department of
Neurobiology, Caring Sciences and Society, Division
of Clinical Geriatrics, Karolinska Institute, Huddinge,
Stockholm. This is a pilot study of longitudinal
change in the striatum in age-related white matter
disease as part of the European multi-centre
Leukoaraiosis and Disability in the Elderly study.
Striatal Morphometrics in Frontotemporal Lobar
Degeneration. A/Prof Jeffrey Looi in association with
Prof Lars-Olof Wahlund, Olof Lindberg, Department
of Neurobiology, Caring Sciences and Society,
Division of Clinical Geriatrics, Karolinska Institute,
Huddinge, Stockholm and Leif Svensson, Hospital
Physics and Radiology, Karolinska University
Hospital, Huddinge, Stockholm. This is an advanced
neuroimaging analysis of the ventral striatum
conducted in an international cohort with FTLD
coordinated and led by A/Prof J Looi.
Image Analysis Methods for Morphometrics in Brain
Disorders. A/Prof Jeffrey Looi in association with Prof
Lars-Olof Wahlund, Olof Lindberg, Department of
Neurobiology, Caring Sciences and Society, Division
of Clinical Geriatrics, Karolinska Institute, Huddinge,
Stockholm and Leif Svensson, Hospital Physics
and Radiology, Karolinska University Hospital,
104
Huddinge, Stockholm. Development of, and training
of staff for, advanced neuroimaging analysis methods
in conjunction with the Stockholm Medical Imaging
Laboratory and Education (SMILE) centre. Joint
training workshops in neuroimaging analysis have
been conducted, as have reliability and validation
studies.
Long term outcomes of group Interpersonal
Psychotherapy for postnatal depression. Rebecca
Reay, Prof Cathy Owen, Prof Beverley Raphael and
Dr Bruce Shadbolt. This study investigated whether
postnatally depressed mothers would respond to a
short term group treatment based on Interpersonal
Psychotherapy. At two years post-intervention,
treated mothers had more favourable outcomes
that mothers who received usual care. A number of
publications and presentations have resulted from
the study including a treatment manual.
Experiences of mothers with 2-year old infants: an
investigation of their emotional health, perceived
stressors and access to treatment and support.
Rebecca Reay, Adjunct A/Prof Stephen Matthey and
Prof David Ellwood. The research team investigated
the long term outcomes of ACT mothers who
participated in an early detection program for
perinatal depression. There have been a number
of publications in peer-reviewed journals and
presentations at scientific meetings.
2010
Singapore Study of Successful Aging [SSOSA], A
collaborative project between NUS and UCSD,
USA: Dr Rajeev Kumar. This study evaluates the
prevalence and determinants of successful aging in
65 years and older subjects living in the community.
About 500 subjects with diverse ethnic background
(Chinese, Malay and Indians living in Singapore) are
completed the interview. Study completed and data
currently being analysed.
Exploring Risks for Child and Adolescent Mental
Health Problems, Dr Virginia McAndrew. Literature
review to find reports of the prevalence of trauma
and loss in children, particularly in clinical
populations.
Risk perceptions and health beliefs of people with a
mental illness, Dr Paul Maguire. This study evaluated
the risk perceptions and health beliefs of people
(aged between 18 and 65) with a mental illness and
their willingness to comply with health protective
behaviours. It is important that they receive relevant,
evidenced-based health information as they have
been shown to suffer from high rates of comorbid
medical disorders and reduced longevity.
FUNDING
2009-2010
Prof Beverley Raphael, Dr Virginia McAndrew,
Amanda Harris, Shane Merritt, Michelle Roberts,
Bronwyn Tarrant, Dr Elspeth Macdonald, Prof
Justin Kenardy, A/Prof Brett McDermott, Dr
Elspeth Macdonald, Prof Louise Newman et al.
Department of Health and Ageing, Australian Child
and Adolescent Trauma, Loss and Grief Network
(ACATLGN) $750,000
Prof Beverley Raphael, Dr Virginia McAndrew,
Amanda Harris, Shane Merritt, Michelle Roberts,
Bronwyn Tarrant, Ruth Wraith, Dr Jeff Cubis, Dr
Elspeth Macdonald, Prof Justin Kenardy, A/Prof
Brett McDermott, Louise Worthington, Prof Louise
Newman et al. Department of Health and Ageing,
Australian Child and Adolescent Trauma, Loss
and Grief Network, Victoria Bushfires (ACATLGN)
$660,000
Dr Rajeev Kumar. Academic Research Fund,
National University of Singapore, Singapore Study of
Successful Aging (SSOSA) $200,000
2010
Experiences of mothers with 2-year old infants: an
investigation of their emotional health, perceived
stressors and access to treatment and support. Ms
R Reay, Adjunct A/Prof S Matthey, Prof D. Ellwood.
Canberra Hospital Private Practice Trust Fund
$15,000
Risk perceptions and health beliefs of people with
a mental illness. Dr P Maguire, Ms RE Reay, Prof
JCL Looi, Dr J Cubis, A/Prof GJ Byrne and Prof B
Raphael. Canberra Hospital Private Practice Fund
$2,500
PRESENTATIONS
2009
Beverley Raphael. Studies for Mitigating Threat. CBR
S and T Conference, March
Beverley Raphael. Keynote: Children, Adolescents
and Disasters. Western Sydney School Counsellor
Annual Conference, July
Beverley Raphael. Safeguarding Australia Summit.
Future Horizons in Disaster Mental Health, August
Beverley Raphael. Death, Dark Trauma and Old Age
Psychiatry. Winter Scientific Meeting, August
Beverley Raphael. Visionary Themes, Observations,
Intuitions, Questions and Challenges for our
Science. UNSW, School of Psychiatry Academic
Seminar Series, August
Beverley Raphael. Psychosocial Effects of Disaster.
Transport Infrastructure Assurance Advisory Group
“Future Proofing the Transport Sector”, September
Beverley Raphael. Bereavement, Children and
Disasters: The Bushfires. Helping Children in the
Aftermath of Bushfires, October
Beverley Raphael. Children: Challenging and
Hazardous Futures. National Child and Adolescent
Mental Health Conference, October
Beverley Raphael. All Hazards and Rural and
Remote Mental Health. Australian Rural and Remote
Mental Health Symposium, November
Beverley Raphael, Kingsley Agho, Mel Taylor, Garry
Stevens. “All Hazards” and Mental Health. ASPR,
December
Beverley Raphael. Platform presentation. Victorian
Bushfires Support and Training for Affected Schools,
Department of Health and Ageing, Australian
National University, June
Beverley Raphael. Keynote Speaker Death, Dark
Trauma and Old Age Psychiatry, RANZCP, Joint
NSW/ACT Faculty of Psychiatry of Old Age, Winter
Scientific Meeting, Canberra, August
Looi JCL. Resilience and Recovery, A pilot study
of longitudinal caudate nucleus volume in the
Leukoaraioisis and Disability In the elderly
Study (LADIS). Children’s Future: Trauma and
Loss; Courage and Resilience, 16th Australasian
Conference on Traumatic Stress Trauma:, American
Academy of Neurology, Seattle, April
Pagani M, Nardo D, Flumeri F, Salmaso D, Looi J,
Sanchez-Crespo A, Larsson SA, Sundin O, Hogberg
G. Volumetric changes in PTSD and a subset of
patients not responding to EMDR psychotherapy.
Awarded Best Poster Prize. 17th European Congress
of Psychiatry, Lisbon
Looi JCL, Spulber G, Julin P, Svensson L, Lindberg,
O, Zhang Y, Botes L, Orndahl, E, Wahlund L-O.
Caudate nucleus volumes in LADIS cohort: a
pilot study of longitudinal volumetric change in a
105
Psychotherapy, Columbia University, New York,
27 March
Reay R, Mulcahy R, Owen C, Shadbolt B, Raphael B.
Two-year outcomes of a randomised controlled trial
of group Interpersonal Psychotherapy for postnatal
depression. Australasian Society for Psychiatric
Research, Australian National University, Canberra,
2 December
cohort with leukoaraioisis. American Academy of
Neurology Annual Meeting, Seattle, April-May
Looi JCL, Svensson L, Lindberg O, Zandbelt BB,
Ostberg P, Orndahl E, Wahlund L-O. Putaminal
volume in frontotemporal lobar degeneration and
Alzheimer’s Disease: differential volumes in subtypes
of FTLD, AD, and controls. American Academy of
Neurology Annual Meeting, Seattle, April-May
Walterfang M, Looi J, Velakoulis D. Size and shape
of the striatum in neuroacanthocytosis. Royal
Australian and New Zealand College of Psychiatrists
Annual Congress, Adelaide, May
Looi JCL, Walterfang M, Lindberg O, Svensson
L, Zandbelt BB, Ostberg P, Andersen C, Botes L,
Orndahl E, Velakoulis D, Wahlund L-O. Shape
analysis of caudate nucleus and putamen in
frontotemporal lobar degeneration and Alzheimer’s
disease: differential shapes in FTLD, AD, and
controls. 13th Congress of the European Federation
of Neurological Societies, Florence, September
analysis of the neostriatum in frontotemporal lobar
degeneration and Alzheimer’s disease. Australian
Society for Psychiatric Research, Canberra,
December
McAndrew V. Why do we use antidepressants in
children? Australian Society for Psychiatric Research
Annual Conference, 3 December
Reay RE, Matthey S and Ellwood D. Two Years On:
Postnatal Distress in the First 2 Years: Impact of
Treatment, and Women’s Causal Reasons. Australian
Association for Infant Mental Health Inc. and the
Australasian Marcé Society 2009 Joint Conference,
Melbourne, 3 October
Reay R, Owen C, Shadbolt B, Raphael B. Twoyear outcomes of a randomized controlled trial of
group Interpersonal Psychotherapy for postnatal
depression. Third International Conference
of the International Society for Interpersonal
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Reay RE. Interpersonal Psychotherapy for Postpartum
Depression. Third International Conference
Psychotherapy, “Ask the Experts” session, Columbia
University, New York 29 March
Citraningtyas T and Raphael B. Meaning-Mapping:
Charting the Meaning and Meaningfulness of
Life Events. The 1st World Congress in Positive
Psychology, held by the International Positive
Psychology Association in Philadelphia, 18-21 June
2010
Beverley Raphael. Healthy Doctors, Healthy Patients,
ACT Division of GP, March
Beverley Raphael. Threat and Resilience:
Psychosocial Challenges for Individuals and
Organisation. Business Continuity Summit, March
Beverley Raphael. Disaster Management and Mental
Health. Canberra Health Annual Research Meeting
(CHARM), May
Beverley Raphael. Children’s Futures: Trauma
and Loss, Courage and Resilience. Australasian
Conference on Traumatic Stress, September
Beverley Raphael. Challenges of Mental Health: The
Future? Mental Wellbeing Conference, September
Organisations. Health in Disasters Conference,
Safeguarding Australia, September
Beverley Raphael. Disaster Mental Health:
Preparedness for Summer 2010-11. NSW Health
Mental Health Program Council, October
Beverley Raphael. Pacific Rim College of
Psychiatrists Scientific Meeting: Mass Catastrophe,
Climate Change and Disaster Psychiatry, October
Beverley Raphael. Terrorism Psychosocial Impacts.
Australian Health Protection (AHPC), Canberra,
November
Organisations, AFAC Executive Command Forum,
Canberra, October
Beverley Raphael. Challenges of Mental Health:
The Future? Mental Wellbeing Conference, Sydney,
September
Consortium for Social and Political Research Inc,
Sydney, 1-3 December
Looi JCL. Shape analysis of the neostriatum in
frontotemporal lobar degeneration, Karolinska
Institute and Karolinska University Hospital.
Stockholm, May
Citraningtyas T, Lepani K, and Raphael B. Crosscultural research in Aceh and Canberra: Comparing
apples and pears? ACSPRI Social Science
Methodology Conference. Sydney: Australian
Consortium for Social and Political Research Inc,
1-3December
Looi JCL. Shape analysis of the neostriatum in
frontotemporal lobar degeneration, Centre for
Cognitive Medicine, University of Lund, Lund, May
Looi JCL. Clinical Update on Frontotemporal
Dementia, Adelaide Clinic, University of Adelaide,
June
analysis of neostriatum in frontotemporal lobar
degeneration and Alzheimer’s disease – differential
shapes in subtypes of FTLD. American Academy of
Neurology Annual Meeting, Toronto, April
Lindberg O, Walterfang M, Malykhin N, Looi
JCL, Wahlund L-O. Differential vulnerability of
hippocampal subregions in frontotemporal lobar
degeneration and Alzheimer’s disease. International
Conference on Alzheimer’s disease, Honolulu, July
Maguire P, Reay RE, Looi JCL, Cubis J, Byrne GJ and
Raphael B. Use of, and trust in, information sources.
Canberra Health Annual Research Meeting, May
Reay RE, Matthey S, Ellwood D. Why don’t mothers
go for help? Barriers to treatment for postnatally
depressed mothers. Canberra Health Annual
Research Meeting, May
Citraningtyas T. “Riding the Waves”: Strength,
survival and the South East Asian Tsunami. 14th
Pacific Rim College of Psychiatrists Scientific
Meeting. Brisbane: Pacific Rim College of
Psychiatrists. 28-30 October
Citraningtyas T, and Raphael B. Optimism, gratitude,
and “living life”: Positive psychology in the 2003
Canberra bushfires and 2004 tsunami in Aceh, The
5th European Conference on Positive Psychology,
held by the European Network for Positive
Psychology, Denmark, 23-26 June
AWARDS
2009
Pagani M, Nardo D, Flumeri F, Salmaso D, Looi J,
Sanchez-Crespo A, Larsson SA, Sundin O, Hogberg
G. Awarded Best Poster Prize. Volumetric changes
in PTSD and a subset of patients not responding to
EMDR psychotherapy, 17th European Congress of
Psychiatry, Lisbon
Reay RE. Outstanding Contribution Award,
International Society for Interpersonal
Psychotherapy, Third International Conference
Psychotherapy, Columbia University, New York, 29
March
2010
Reay RE, Matthey S, Ellwood D. Canberra Business
Best student poster. Why don’t mothers go for help?
Barriers to treatment for postnatally depressed
mothers, Canberra Health Annual Research Meeting
May
Citraningtyas T, Lepani K, and Raphael B. Tears
across cultures: Experiences from the 2003 Canberra
Bushfire and the 2004 tsunami in Aceh. ACSPRI
Social Science Methodology Conference. Australian
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AGED CARE & REHABILITATION
SERVICE RESEARCH UNIT
AGED CARE AND REHABILITATION
SERVICE (ACRS) RESEARCH UNIT
A prospective study of parathyroid hormone and
vitamin D status, and the relationship between these
parameters with clinical signs and outcomes of hip
fractures
BRIEF SUMMARY
The Geriatric Research Unit originated prior to
2000 and was renamed the ACRS Research Unit
after the integration of Departments of Geriatric
and Rehabilitation Medicine in 2005-06. Currently,
the ACRS Research Unit is an ACRS subdivision
under the Department of Geriatric Medicine. The
Research Unit assists ACRS and other Canberra
Hospital staff in conducting clinical research
projects including planning, preparing for funding
application and ethical approval, data collection and
analysis, evaluation, budget and general business
management. Several clinical research projects
have been conducted by ACRS staff specialists
and registrars as part of the Advanced Training
Curriculum.
STAFF
A/Prof Michael Davis, Director, Geriatric Medicine
Dr Chris Katsogiannis, Director, Rehabilitation
Medicine
A/Prof Marc Budge, Staff Specialist
A/Prof Alex Fisher, Staff Specialist
Dr Seeva Sivakumaran, Staff Specialist
Dr Anil Paramadhathil, Staff Specialist
Dr Mary-Ann Ryall, Staff Specialist
Dr Sabari Saha, Staff Specialist
Dr Keith Chan, Staff Specialist
Dr Wichat Srikusalanukul, Research Manager
STUDENTS
Ms Mogan Hee, Australian National University
Medical School
RESEARCH PROJECTS
Calcium-vitamin D-parathyroid hormone axis in
older patients with hip fractures, Fisher A et al.
110
Leptin and hip fractures in older persons, Fisher A et
al. A prospective study of the relationship between
leptin and markers of bone metabolism in patients
with hip fractures
Myocardial injury (cardiac troponin I elevation) in
hip fracture patients, Fisher A, et al
PRESENTATIONS
2009
A Fisher. Haemodynamic dysregulations in
the elderly: pathophysiological and clinical
considerations. BITs, 1st Annual International
Congress of Cardiology, Shanghai, 5-7 December,
P. 120
Bajaj P, Varendran R, Fisher A. Hospital-associated
Clostridium difficile infection in orthogeriatric
patients: incidence, risk factors and outcomes
(platform presentation), The Australian and New
Zealand Society for Geriatric Medicine (ANZSGM),
Annual Scientific Meeting, 7-9 September,
Fremantle, Australian Journal on Ageing,
28 (suppl 1): A244
Davis MW, Fisher AA, Srikusalanukul W, Smith PN,
Budge MM. Hip fracture and dementia: biological
linkages and common mechanisms (platform
presentation), ANZSGM, Annual Scientific Meeting,
7-9 September, Fremantle, Australian Journal on
Ageing, 28 (suppl 1): A16
Fisher A, Srikusalanukul W, Davis M, Budge M.
Dementia and hip fracture. 19th International
Association of Gerontolgy and Geriatics (IAGG),
World Congress of Gerontology and Geriatrics, 5-9
July, Paris, Journal of Nutrition, Health and Aging
(JNHA), 13 (suppl 1): S265
Fisher A. Serum adipocytokines in older patients
with hip fracture related traumatic stress. 11th
European Conference of Traumatic Stress, 15-19
June, Oslo, abstr. 156 (platform presentation)
Fisher AA, Srikusalanukul W, Goh S, Davis MW.
Elevated serum PTH level is a strong independent
predictor of poor outcomes in older patients
with osteoporotic hip fracture, The European
League Against Rheumatism (EULAR), 10-13 June,
Copenhagen, Ann. Rheum. Dis. 2009; 68 (suppl 3):
488
Fisher AA, Srikusalanukul W, Goh S, Davis M, Smith
P. Determinants of poor clinical outcomes in older
patients with hip fracture: role of serum 25(OH)
vitamin D and PTH levels, Canberra Region Annual
Scientific Meeting, 1 June, P. 20
Janke A and Budge M. ANDI: The Australian
Normative and Dementia Imaging Collaborative
Network. Canberra Region Annual Scientific
Meeting, Canberra, June
Gravenmaker K, Oon A, Abhayaratna W, Budge M.
ENVIS-ion clinical trial: Aspirin for the prevention of
cognitive decline in the Elderly: a Neuro-Vascular
Imaging Study, Canberra Region Annual Scientific
Meeting, Canberra, June
Chan K and Srikusalanukul W. GPs understanding of
rehabilitation physician skills and relation to referrals
in the ACT and surrounding NSW area, Canberra
Region Annual Scientific Meeting, Canberra, June
2010
Hee M. Hips fracture in patients with malignant
disease: Incidence, clinical characteristics and
outcomes, ACT Branch Annual Scientific Meeting,
Canberra, 26 November
Fisher A. Towards an integrative approach to
an elderly patient: Pros and Cons. International
Conference on Integrative Medicine, Jerusalem, 1921 October
Fisher AA, Srikusalanukul W, Davis M. Anaemia at
admission in older hip fracture patients: prevalence,
type, severity, associations and effect on outcomes,
23rd World Congress of the International Society of
Haematology, Jerusalem, 10-13 October
Fisher A. Adipokines in post-stroke patients with
hip fracture: potential therapeutic targets? 6th
International Symposium on Neuroprotection
and Neurorepair, Rostock, 1-4 October (platform
presentation), Restorative Neurology and
Neuroscience, 28(5): 608-609
Fisher A. Post-stroke hip fracture: prevalence, clinical
characteristics, outcomes and gaps in prevention
(platform presentation), Canberra Health Annual
Research Meeting, 25-31 May
Fisher A, Li R, Southcott E, Srikusalanukul W,
Davis M, Smith P. Leptin, adiponectin and
resistin in osteoporotic hip fracture: clinical,
pathophysiological and prognostic significance,
World Congress of International Medicine, 20-25
March, Melbourne, Internal Medicine Journal, 40
(suppl 1): 93
AWARDS
2009
Best Clinical Poster Presentation, Varendran R and
Ryall M. Review of older adults who re-present to
the emergency department, Canberra Region Annual
Scientific Meeting, Canberra, June
2010
Best Clinical Poster Presentation, Varendran R, Lam
J, Bajaj P, Kennedy K, Fisher A. Clostridium difficile
infection in Canberra Hospital: does age and comorbidity matter? Canberra Health Annual Research
Meeting, Canberra, May
111
MEDICAL PHYSICS & RADIATION
ONCOLOGY
MEDICAL PHYSICS AND
RADIATION ONCOLOGY
Ms Amanda O’Connor, Nurse
Ms Gaynor Stephenson, Nurse
Ms Maureen Brunell, Nurse
Ms Nicola Davis, Nurse
BRIEF SUMMARY
Medical Physics provides scientific and technical
services to areas within ACT Health that utilise
electromagnetic radiation in the treatment and
diagnosis of disease. Our major clients are
Radiation Oncology and Medical Imaging. As well
as providing ongoing quality assurance, quality
control, training, education, equipment procurement
and commissioning services for our clients, we are
actively engaged in several research activities. Our
broad research goal is to maximise the utility of
available technology to provide excellent patient care
through a well organised collaboration of clinicians,
medical physicists, technologists and biomedical
engineers.
STAFF
Dr Sean Geoghegan, Chief Medical Physicist
A/Prof Hany Elsaleh, Director Radiation Oncology
Mr Ewe Lam, Principal Medical Physics Specialist
Mr Thuraisamy Ravichander, Principal Medical
Physics Specialist
Mr Ben Cooper, Principal Medical Physic Specialist
Mr Farshid Salehzahi, Principal Medical Physics
Specialist
Dr Helen Gustafsson, Senior Medical Physics
Specialist
Dr Lyn Austen, Staff Specialist
Dr Amy Shorthouse, Staff Specialist
Mr Jeremy De Leon, Registrar
Ms Linda Phillips, Data Manager
Ms Penny Phan, Radiation Therapist
Ms Janelle Hawkins, Radiation Therapist
Mr Brett Fittler, Radiation Therapist
Ms Mary O’Connor, Radiation Therapist
Ms Monica Hunter, Radiation Therapist
Ms Sonia Phelps, Radiation Therapist
Ms Fiona Morgan, Radiation Therapist
114
STUDENTS
Mr Dean Wilkinson, Medical Physics Registrar, MSc
student, University of Wollongong. Supervisors:
Prof M Peek and Dr P McCullagh
Mr Naonori Hu, Medical Physics Physicist, MSc
student, University of Wollongong. Supervisors:
Prof M Peek and Dr P McCullagh
Mr Michael Smith, PhD student, Australian National
University. Supervisors: Prof M Peek and
Dr P McCullagh
Dr Brendan Hill, Gold Coast Cancer Centre
Prof Paul J Keall, NHMRC Australia Fellow, Radiation
Physics Laboratory, University of Sydney
RESEARCH PROJECTS
Chromosomal Instability and Colon Cancer 2009,
Investigator H Elsaleh. The role of ER stress in mucous
metaplasia and gastric carcinogenesis. 2009-2011,
D Taupin, M Cook, H Elsaleh.
Respiratory Gating for Radiotherapy Treatment
Planning and Delivery, Mr Ewe Lam in association
with Radiation Oncology, Capital Region Cancer
Service.
Establishing the Factors that Contribute to a Shortfall
in Evidence-based Radiotherapy, G Delaney.
During acquisition of CT scans for planning and
during treatment of cancer patients, tumours in
the chest wall and thoracic cavity move with the
breathing movement of the patients. The respiratory
movement causes an uncertainty in the location of
the tumour. New CT and treatment machines are
provided with a respiratory control linkage which
allows CT reconstruction and radiation treatment to
occur only during chosen phases of the breathing
cycle. The department is collaborating with the
Radiation Oncology department to research and
develop protocols to use this facility and carry out
measurements to determine the efficacy of the new
technique and improvement in radiation dosage.
Development of a Three-Dimensional Gel Dosimetry
System, Dr Helen Gustafsson in association with
Radiation Oncology, Capital Region Cancer
Service. A gel dosimetry system that can be used
for verification of complex, dynamic radiotherapy
treatment has been successfully implemented at TCH.
The system can be used as part of the introduction
of novel techniques such as Intensity Modulated
Radiation Therapy (IMRT), gated therapy and
stereotactic radiotherapy.
Testing of PET/CT Quality Control Baselines, Mr
Farshid Salehzahi in association with Medical
Imaging, Critical Care and Diagnostics. The Canberra
Hospital has recently installed a state-of-the-art PET/
CT. In order to utilise the imaging available from
a PET/CT in a quantitative manner, the calibration
of the PET/CT needs to be maintained. During the
acceptance, installation and commissioning of the
PET/CT, baseline measurements of the characteristics
of the PET/CT were acquired. This project involves
testing these quality control baseline measurements
and establishing a routine testing regime for future
use.
Development of a Monte Carlo Benchmark for
Clinical Electron Beams, Dr Sean Geoghegan, Mr Ben
Cooper and Mr Michael Smith in association with
Radiation Oncology, Capital Region Cancer Service.
The ability to perform accurate and reliable Monte
Carlo particle transport has become indispensable in
large radiotherapy departments. The department is
particularly interested in modelling dose distributions
due to electron beams at oblique incidence. Areas of
specific clinical interest are skin treatments and tinfoil bolus treatments of the nose. The project aims to
build and verify a Monte Carlo phase space model for
(at least) one clinical electron beam energy. BEAMnrc
software and commercial linear accelerator designs
are used for the purpose of this research.
The Assessment of New Radiation Oncology
Treatments and Technologies (ANROTAT), Dr Sean
Geoghegan and Mr Ben Cooper in association with
Radiation Oncology, Capital Region Cancer Service
and the Trans-Tasman Radiation Oncology Group
(TROG). There is little clinical evidence available for
the efficacy of advanced radiation oncology treatment
techniques. TROG has been commissioned to
undertake project work by the Department of Health
and Aging (DoHA) to develop and pilot an evaluation
framework for the assessment of new radiation
oncology technologies and treatments. This project is
being undertaken in response to a recognised need
for the Medicare Benefits Scheme (MBS) to support
appropriate new radiation oncology technologies
and treatments as they become available, to ensure
optimal patient care. A research framework is being
developed and piloted to assess the safety, clinical
efficacy and cost effectiveness of IMRT and Image
Guided Radiation Therary (IGRT) in four tumour sitespecific projects:
1.Nasopharynx (IMRT)
2.Anal Canal (IMRT)
3.Post-Prostatectomy (IMRT)
4.Intact Prostate. Volumetric Imaging versus the use
of fiducial markers (IGRT)
Respiratory Modulated Four-Dimensional Cone
Beam Computed Tomography, Mr Ben Cooper in
association with Prof Paul J Keall, University of
Sydney. This 5+ year research project started at the
end of 2010 and will constitute Mr Ben Cooper’s PhD
which he is studying part time. Benefits have already
been realised by the Radiation Oncology department
as this project has expedited the clinical cone beam
CT implementation project. Furthermore, ACT Health
will be participating in leading edge research that
directly benefits patients receiving radiation therapy.
Tin Foil Modified Electron Beams for Superficial
Cancers, Dr Sean Geoghegan in association with
Radiation Oncology, Capital Region Cancer Service.
Non-melanoma skin cancer (NMSC) is common in
the Australian elderly population with a long history
of chronic sun exposure. Radiotherapy for skin cancer
of the nose has been technically difficult due to the
surface curvature. We are researching a radiation
technique using tin foil electron for the nose to allow
homogenous cover of the superficial curved surface.
We aim to maintain the high cure rate of NMSC and
good cosmesis with a new radiation technique.
PRESENTATIONS
2010
Morgan F, Gustafsson H, Hawkins J. Implementation
of Gel Dosimetry: The Canberra HospitalExperience
16th ISRRT World Congress, Gold Coast,
9-12 September
Gustafsson H, Morgan F, Hawkins J. Implementation
of Gel Dosimetry at Canberra Hospital, Canberra
Health Annual Research Meeting, Canberra,
25 May-1 June
Gustafsson H, Belle K, Ee C, Geoghegan S. Intraoperative MRI (iMRI) Part II: Commissioning and
Acceptance Testing, EPSM ABEC, Melbourne,
5-9 December
Belle K, Gustafsson H, Ee C, Geoghegan S. Intraoperative MRI (iMRI) Part I: The Biomedical Engineer
and Medical Physicist’s Collaborative journey, EPSM
ABEC, Melbourne, 5-9 December
115
MEDICAL PHYSICS & MEDICAL
TECHNOLOGY SYSTEMS
BIOMEDICAL ENGINEERING SERVICES
BRIEF SUMMARY
Mr Stephen Stanton, Technical Officer Linacs
Medical Physics biomedical engineering services
provide scientific support to hospital departments in
general and in the specific areas such as Radiation
Oncology, Medical Imaging, Nuclear Medicine,
Cardiology and Surgical Services.
Mr Les Wagner, Technical Officer Linacs
Medical Technology Systems performs a similar
function to Clinical Engineering, but the scope of
this responsibility involves the therapeutic or clinical
diagnostic application of ionising radiation. Medical
Technology Systems is generally concerned with
larger fixed-installation systems and the ancillary
equipment required supporting these installations,
such as equipment used in Radiation Oncology,
Nuclear Medicine and Medical Imaging.
STAFF
MEDICAL PHYSICS
Dr Sean Geoghegan, Chief Medical Physicist
Mr Farshid Salehzali, Principal Medical Physics
Specialist
Mr Ewe Lam, Principal Medical Physics Specialist
Mr Ravichander Thuraisamy, Principal Medical
Physics Specialist
Mr Ben Cooper, Principal Medical Physics Specialist
Dr Helen Gustafsson, Senior Medical Physics
Specialist
Mr Naonori Hu, Medical Physics Registrar
Ms Simran Gill, Medical Physics Registrar
Mr Dean Wilkinson, Medical Physics Registrar
MEDICAL TECHNOLOGY SYSTEMS
Mr Anthony Jacobs, Medical Technology Systems
Manager
Mr Zenon Gromek, Technical Officer Mould Room
STUDENTS
Refer to Medical Physics
Dr Brendan Hill, Gold Coast Cancer Centre
RESEARCH PROJECTS
Gel Dosimetry, Refer to Medical Physics
Respiratory Gating, Refer to Medical Physics
Image Guided Radiotherapy
Tin Foil Modified Electron Beams for Radiotherapy
Intensity Modulated Radiotherapy
Monte Carlo Modelling of Electron Beams in
Radiotherapy, Refer to Medical Physics
Calibration of diode probes and MOSFET detectors
for in-vivo dosimetry in HDR brachytherapy
This is ongoing work being carried out by Dean
Wilkinson. The outcome of this work is that patients
undergoing brachytherapy, a form a radiation
therapy for cancer treatment, will benefit from a
more accurate dose monitoring system whilst they
undergoing the actual treatment. This will provide
the radiation oncologist with more information that
will facilitate better patient management.
A Study into dosimetry of the Shielded Vaginal
Cylinders in HDR Brachytherapy. This project
was undertaken by Simran Gill. The main aim
of this study was to verify the dose distribution
of the standard vaginal plans prescribed by the
Brachytherapy Planning System. The transmission
factors were measured using a combination of 90
and 180 degree tungsten shields. An estimate of
the error introduced by the planning system due to
absence of heterogeneity corrections was also made.
PRESENTATIONS
Refer to Medical Physics
116
CAPITAL REGION CANCER
SERVICE
Medical Oncology
Ms Kelly Chase, Clinical Trials Coordinator
Ms Anne Ryan, Clinical Trials Coordinator
Mrs Penny Briese, Clinical Trials Administrative
Officer
BRIEF SUMMARY
The Medical Oncology Unit is part of the Capital
Region Cancer Service that provides cancer care
throughout the ACT and South East NSW. A clinical
trials program in cancer has been operating since
1979 through the Medical Oncology Research Unit.
It has been involved in the conduct of oncology
studies exploring new drugs and treatments across
a broad range of different cancers. These studies
have allowed cancer patients to access many new
drugs prior to their licensing or reimbursement
and also contribute to the advancement of medical
knowledge. The Unit is also a member of the newly
formed Greater Southern Area Health Service Cancer
Trials Network.
STAFF
A/Prof Desmond Yip, Director, Medical Oncology
Research Unit, Director, Medical Oncology Unit
(from 9/2010), Senior Staff Specialist in Medical
Oncology, Australian National University Medical
School
A/Prof Paul Craft, Director Senior Staff Specialist in
Medical Oncology, Australian National University
Medical School
Prof Robin Stuart Harris, Director, Capital Region
Cancer Service, Senior Staff Specialist in Medical
Oncology, Professor of Medical Oncology, Australian
National University Medical School
Dr David Leong, Senior Staff Specialist
Dr Alison Davis, Senior Staff Specialist, Senior
Lecturer, Australian National University Medical
School
Dr Nicole Gorddard, Staff Specialist, Lecturer,
Australian National University Medical School
Dr Ganesalingham Pranavan, Staff Specialist
Dr Yu Jo Chua, Staff Specialist, Senior Lecturer
Mrs Olive Doig, Clinical Trials Manager
118
Dr Arjuna Pathmaperuma, Clinical Trials
Administrative Assistant
RESEARCH PROJECTS
CLINICAL TRIALS - COMMERCIAL
A randomised, multicentre Phase III study
to compare the efficacy of panitumumab in
combination with chemotherapy to the efficacy of
chemotherapy alone in patients with previously
treated metastatic colorectal cancer
Face: A Randomised, Multi-centre, Phase IIIb, Open
label, study of letrozole versus anastrozole in the
adjuvant treatment of postmenopausal women with
hormone receptor and node positive breast cancer
A Randomized, Double-blind, Multicentre Study
of Denosumab Compared with Zoledronic Acid
(Zometa®) in the Treatment of Bone Metastases in
Patients with Advanced Breast Cancer
A multicentre, randomized double blind placebo
controlled phase III study of the efficacy of
Xaliproden in preventing the neurotoxicity
of oxaliplatin in patients with metastatic
colorectal cancer receiving first line therapy with
oxaliplatin/5FU/LV
Phase III trial of capecitabine plus enzastaurin,
placebo, metastatic or recurrent breast cancer
previously treated with an anthracycline and a
taxane
LoTESS: A phase IV study of Zometa (Zoledronic
Acid) Therapy in patients with bone metastases from
breast cancer
Double-blind, placebo-controlled phase III study
to assess efficacy of recMAGE-A3+AS15 antigen
specific cancer immunotherapeutic as adjuvant
therapy in patients with resectable MAGE A3 positive
non-small cell lung cancer
Suceed: Pivotal trial, determine the efficacy
and safety of AP23573 when administered as
maintenance therapy to patients with metastatic softtissue or bone sarcomas
Rachel: A phase II dose escalation to rash trial of
erlotinib (Tarceva) plus gemcitabine in patients with
metastatic pancreatic cancer
AXIS: Axitinib versus sorafenib as secondline therapy
for metastatic renal cell cancer
Cariatide: Compliance of Aromatase Inhibitors
Assessment in Daily Practice through Educational
approach
An open-label, multi-center, expanded access study
of RAD001 in patients with metastatic carcinoma
of the kidney who have progressed despite vascular
endothelial growth factor receptor tyrosine kinase
inhibitor therapy
A phase II/III study of MK0646 treatment in
combination with cetuximab and irinotecan for
patients with metastatic colorectal cancer
CA184-043: A randomised, double blind, phase III
trial comparing ipilimumab vs placebo following
radiotherapy in subjects with castration resistant
prostate cancer that have received prior treatment
with docetaxel
CA163-196: A phase III open label, randomised, 2
arm study of Ixabepilone administered every 21 days
vs Paclitaxel or Doxorubicin Administered every 21
days in women with advanced endometrial cancer
who have been treated with chemotherapy
Motif: Modafinil in metastatic prostate and breast
cancer receiving docetaxel
Observational study measuring subjective patient
response associated with palliative treatment in
ovarian cancer
COU-AA-302: A Phase III, Randomised, Doubleblind, Placebo Controlled study of Abiraterone
Acetate plus Prednisone in Asymptomatic or Mildly
Symptomatic Patients with Metastatic Castration
Resistant Prostate Cancer
Granite-1: Gastric antitumour trial with everolimus
(RAD001)
Complete: A randomised open-label, phase III study
of taxane based chemotherapy with lapatinib or
tastuzumab as first line therapy for women with
HER2/neu positive metastatic breast cancer
Inspire: A Randomised, Multicentre, Openlabel, phase III study of Pemetrexed-Cisplatin
chemotherapy, plus Necitumumab (IMC-11F8) vs
Pemetrexed-Cisplatin chemotherapy alone in the
first-line treatment of patients with non-squamous
stage IV non-small cell lung cancer (NSCLC)
Squire: A randomised multicentre open label phase
III study of Gemcitabine-Cisplatin chemotherapy
plus Necitumumab (IMC-11F8) versus GemcitabineCisplatin chemotherapy alone in the first-line
treatment of patients with squamous stage IV nonsmall cell lung cancer (NSCLC)
TyN: Phase II Open Label Study of Lapatinib and
Vinorelbine in Patients with Previously Treated
HER2/NEU Positive Metastatic Breast Cancer
CLINICAL TRIALS – COOPERATIVE GROUP
Soft: A Phase III trial evaluating the role of ovarian
function suppression and the role of exemestane as
adjuvant therapies for pre-menopausal women with
endocrine responsive breast cancer
EORTC 55041: Phase III study of erlotinib vs
observation in patients with no evidence of
disease progression after first line platinum based
chemotherapy for high risk stage I and stage II-IV
ovarian epithelial, primary epithelial or fallopian
tube cancer
ACTO: Australian Cancer Trials Online Project
PACT: Preferences for adjuvant chemotherapy
(ACT) in non-small-cell lung cancer: What makes
it worthwhile to patients and their doctors?
Observational cohort study of patients, surgeons and
oncologists
ICON7: A randomized, comparative, two-arm,
open-label, multicenter phase III study of adding
bevacizumab to standard chemotherapy (carboplatin
and paclitaxel) in epithelial ovarian cancer patients
who have not received prior systemic antitumour
therapy
Register: A Multicentre Phase II study of Risk
Evaluation in GIST with Selective Therapy Escalation
for Response
Symptom benfit: An observational study measuring
subjective patient benefit associated with palliative
treatment in platinum resistant ovarian cancer
SORCE: A phase III randomised double-blind study
comparing sorafenib with placebo in patients with
resected primary renal cell carcinoma at high or
intermediate risk of relapse
SCOT: Short Course Oncology Therapy-A study of
adjuvant chemotherapy in colorectal cancer (12
weeks versus 24 weeks oxliplatin and 5FU)
Testicular survivor study: Understanding the long
term psychological sequelae of surviving testicular
cancer
CLINICAL TRIALS – INVESTIGATOR LEAD
G-POD: Predictive Value of ABCB1 Genotypes on
Dose Adjustment of Imatinib in patients with GIST
and CML
119
A Feasibility Study of Patient-initiated outpatient
management of febrile neutropenia
CLEARSUN: Predictive value of drug elimination
gene polymorphisms on clearance and dose
adjustment of sunitinib in patients with cancer
OTHER PROJECTS
BioGrid Australia (formerly known as Bio21
Molecular Medicine Informatics Model (MMIM).
Linkage of research databases within the ACT to
national Life Sciences Grid, Establishment of local
node at the Australian National University and link
to ACT Health. Yip D, Taupin D, Budge M, Nolan C,
Hemmings C, Khurana G
Breast Cancer Tissue Bank: Collection of breast
tissue, serum and clinical data part of collaborative
project with Westmead Millenium Institute with
six other collection centres in NSW to provide a
valuable biospecimen resource for translational
research. Yip D, Dahlstrom J, Jain S, Barry P,
Carpenter J, Clarke C
Comparative lymphoedema risk between docetaxelcontaining adjuvant chemotherapy (TAC, PACS01)
and FEC chemotherapy treatment in early node
positive breast cancer. Palmer K, Davis A, Yip D
Colonic biopsies for colon cancer research. Banking
of benign colonic adenomas to explore mechanisms
of progression to cancer. Taupin D, Clark I, Cook M,
Yip D
The cancer journey in regional and rural Australia:
A consumer perspective. Scoping of needs of rural
patients with cancer in regional centres. Butow P,
Goldstein D, White L, Mann B, Ussher J, Underhill
C, Yip D, Boyce A, George M, Grimison P
Quality of life of lung cancer patients: Effect of
pulmonary function status, dyspnoea, anxiety
and supportive care needs. Survey project being
conducted across the Greater Southern Area Health
Service Cancer Trials Network. Lopez V, Leong D,
Underhill C, Walker Q, Rafferty J, Byrne D
FUNDING:
2009
Short Course Oncology Therapy: A study of Adjuvant
Chemotherapy in Colorectal Cancer by the CACTUS
and OCTO Groups. Haydon A, Zalcberg J, Walpole
E, Yip D, Price T, Howard K, Jefford M. Cancer
Australia Priority driven Collaborative Cancer
Research Scheme $299,775
The Breast Cancer Tissue Bank: establishment of
120
collection site for collection, storage and transfer of
human blood and tissue samples in the ACT. Yip D,
Dahlstrom J, Jain S, Barry P, Carpenter J, Clarke C.
Westmead Millenium Institute, University of Sydney.
$180,000
PRESENTATIONS
2009
Tebbutt NC, Gebski V, Wilson K, Cummins M,
Chua Y, Robinson B, Broad A, Cunningham D,
Simes J, Price T. International randomized phase III
study of capecitabine (Cap), bevacizumab (Bev),
and mitomycin C (MMC) in first-line metastatic
colorectal cancer (mCRC): Final results of the AGITG
MAX trial. Proc Am Soc Clin Oncol 2009 27:4023
Shah B, Kleiven H, Yip D, Gorddard N. Patientinitiated Outpatient Management of Low-risk Febrile
Neutropenia. Medical Oncology Group Annual
Scientific Meeting, Canberra
Shah B, Kleiven H, Yip D, Gorddard N. Patientinitiated Outpatient Management of Low-risk Febrile
Neutropenia, Clinical Oncological Society of
Australia Annual Scientific Meeting, Gold Coast
Krishnamoorthy VK, Yip D. Bisphosphonate
usage in oncology patients and its relationship to
osteonecrosis of the jaw: an audit of treatment in
an oncology unit, Clinical Oncological Society of
Australia Annual Scientific Meeting, Gold Coast
2010
Goldstein D, Lee C, Hui Y, Shah B,Yip D, McArthur
GA. Development of a nomogram to predict
overall survival in patients with locally advanced or
metastatic gastrointestinal stromal tumor receiving
first-line treatment with imatinib, Proc Am Soc Clin
Oncol 2010 28:7s
Kosmider S, Yip D, Tan H, Dowling R, Lichtenstien
M, Gibbs P. Selective internal radiation therapy
combined with systemic chemotherapy as a first-line
treatment for unresectable liver-dominant colorectal
cancer, World Congress on Gastrointestinal Cancer,
Barcelona Ann Oncol, 2010 21(suppl 6): vi67
Joshi S, Steer CB, Yoong J, Lakhanpal R, Kirsop S,
Dunlop T, Mileshkin L, Yip D, Marx GM, Hovey
EJ, Della Fiorentina S, Venkateswaran L, Lethborg
C, Tattersall Liew MS, Ansell K, Field K, Singal N,
Goldstein D. Geriatric assessment (GA) of older
patients with cancer in Australia: a multicentre audit,
Clinical Oncological Society of Australia, Annual
Scientific Meeting, Melbourne
ACADEMIC UNIT OF GENERAL
PRACTICE & COMMUNITY HEALTH
Academic Unit of General
Practice & Community Health
STUDENTS
PHD STUDENTS
Ms Lesley M Piko, Australian National University,
Supervisor: Prof Marjan Klakovic
BRIEF SUMMARY
The Academic Unit of General Practice and
Community Health (AUGPCH) began as an initiative
of ACT Community Health and the Canberra
Clinical School of the University of Sydney in 1997.
The Unit is a community resource committed to
providing excellence in health education, research
and service. The Unit has developed research
activities that encompass child health, integrated
service development, clinical research, individual
routes to health and healing, social determinants
of medical care, and scholarship in teaching and
learning. In addition, the Unit has contributed to
policy development within the Australian Capital
Territory and wider Australian health service through
committee work and communication of its research
findings.
Ms Karen Ciszek, Atopic conditions in children: What
household modifications are useful? AUGPCH, ACT
Health
Ms Robyn Davis Risky business: Hepatitis C stigma
and disclosure in the workplace, ACT Hepatitis
Resource Centre
Ms Jean Roberts, Health professionals’ perceptions of
the Key Support Worker Program in the ACT Opiod
Treatment Service, ACT Health
Ms Jo Risk, Body knowledge project, Southern
General Practice Network (SGPN)
Mr Bruce Shaw, Opportunities to Improve Links
between primary care and palliative care, Palliative
Care Australia
STAFF
Ms Monica Crane, Evaluating the Maternal and Child
Health (MACH) Phone Line, CYWHP, ACT Health
Prof Marjan Kljakovic, Director, Academic Unit of
General Practice and Community Health
Ms Hailey Shaw, The quality of immunisation services
in ACT general practices, ACT Division
Dr Katrina Anderson, Director of Medical Education
OTHER STUDENTS
Ms Danielle Medek, Do hay fever symptoms follow
daily trends in local pollen load and climate?
Australian National Univeristy Medical School
Dr Karen Flegg, Senior Lecturer
A/Prof Christine Phillips, Senior Lecturer
Dr Helen Toyne, GP Advisor, Lecturer
Dr Sue Douglas, Senior Lecturer
Dr Charles Sleiman, Lecturer
A/Prof Jenny Thomson, Senior Medical Researcher
Ms Karen Ciszek, Research Nurse
Ms Sheena Ashwell, Research Manager
Ms Lara Bishop, Research Manager
Mr Carl Brusse, Research Assistant
Ms Kylie King, Executive Assistant
ACADEMIC GP REGISTRARS
Dr Kate Molinari
122
RESEARCH DEVELOPMENT PROGRAM SCHOLARS
Early research scholars funded by Primary Health
Care Research, Evaluation and Development Strategy
(PHCRED)
Ms Jessica Paton, The association between infant
feeding practices and nut allergy in school entrant
children in the Australian Capital Territory, Australian
National Univeristy Medical School
Ms Teneille Boyland, Perceptions of anaphylaxsis.
Australian National Univeristy Medical School
Mr Nicholas Baxfield, A retrospective data audit of
the benzodiazepine voluntary undertaking program
in the ACT
Mr Steven Martin, Investigating the patient factors
that promote immunisation in general practice in
the ACT
Mr Peter Sturgess. Google, email and facebook:
internet literacy to improve the health and well-being
of newly arrived refugees and migrants
out the usefulness of eGFR test results to GPs in the
ACT and southern NSW region. Researchers: PracNet,
Dr D McKinnon, Dr H Toyne, Ms S Ashwell, Mr N
Baxfield, Prof M Kljakovic.
PracNet members:
PRACNET
This network comprises 10 general practices based
in and around the ACT it locally designs, coordinates
and implements research projects in Primary Care.
The network is supported by the Academic Unit as
part of its role in the Commonwealth funded PHCRED
Research Capacity Building Initiative.
Dr Jennifer Bromley, Wentworth Ave Family Practice,
ACT
Participating GPs and associated Academic Unit
staff meet (and/or teleconference) every few months
to plan and monitor the network’s various research
projects.
Dr Stephen Ross, Young District Medical Centre,
Young, NSW
The Network’s recent projects include:
Dr Tuck Meng Soo, Interchange General Practice, ACT
Evaluation of the Benzodiazapine Voluntary
Undertaking (BVU) Program (2009-2010). This
study explored the effectiveness of the BVU program
in the ACT, between 2004 and 2008. It audited
data held by ACT Health Protection Service (ACT
HPS) and explored GPs’, pharmacists’ and patients’
satisfaction with the program. Results indicated
that the BVU program is stable and safe to use in
cases of benzodiazepine dependence. A number of
recommendations were made to improve the program
including: computerised databases; dispersal of
agreements to both doctors and pharmacies; clearly
defining the program goals. Researchers: PracNet,
Dr TM Soo, Prof M Kljakovic, Dr H Toyne, Ms L
Bishop, Dr K Dwan, Ms J Strang, Mr N Baxfield, Ms M
Zwikael, Ms A Bech.
Dr Hamish Steiner, Bombala Street Surgery, Cooma,
NSW
Dementia Medications: How are they Managed?
PracNet members have raised concerns in relation
to the lack of clinical guidelines for ceasing these
medications. The aim of this project is to identify
patterns of use for cholinesterase inhibitors and
Memantine in the treatment of Alzheimer ’s disease
patients. The hypothesis is: patients started on
cholinesterase inhibitors or Memantine by a specialist
rarely have the medication ceased by their GP.
Researchers: PracNet, Dr H Toyne, Ms S Ashwell, Ms J
Stewart, Prof M Kljakovic, Dr M Ryall.
eGFR Study (in progress). Since 2006, eGFR has been
reported in conjunction with every serum creatinine
report received by GPs. Despite extensive education
activities around the eGFR test, many GPs remain
unconvinced about its usefulness. Anecdotally many
GPs have found the test categorises a large proportion
of their patients as abnormal, so there is a tendency
to ignore the result. The aim of this study is to find
Dr Marjorie Cross, The Surgery, Bungendore, NSW
Dr Graham Dawson, Holt Medical Centre, ACT
Dr Duncan McKinnon, Bega Valley Medical Practice,
Bega, NSW
Dr Peter Sharp, Winnunga Nummityjah Aboriginal
Health Service, ACT
Dr Helen Toyne, AUGPCH
Dr Cameron Webber, Doctor’s Surgery, Manuka, ACT
CHRONIC DISEASE COLLABORATIONS
The Serious and Continuing Illness Policy and Practice
Study (SCIPPS) is an NHMRC funded program
conducted at The Australian National University and
The University of Sydney and administered by The
Menzies Centre for Health Policy
The ACT Health Chronic Disease Management
Research Group. Key collaborators: Paul Dugdale
(Chair), Robin Guda Nick Glasgow, Chris Nolan,
Robyn Cross, Ross O’Donoughue, Marjan Kljakovic
RESEARCH PROJECTS
Antibiotic Use and Resistance of Propobionibacterium
Acnes In General Practice Acne Patients: This study
determined the rate of carriage of resistant p. acnes
in patients attending general practice. It described
the clinical and demographic factors associated
with carriage of resistant organisms, particularly, the
antibiotic use history. The project also considered the
rate of staphylococcus and streptococcus carriage
in patients with acne, and associated resistance. It
has been submitted for publication. Researchers:
Dr Helen Toyne. Dr C Webber, Dr K Dwan, Prof P
Collignon, Prof M Kljakovic
The Prevalence of Peanut Allergy Study: Data
collected from the ACT Health Kindergarten screening
program and a survey of children with reported
peAustralian National Universityt allergy. Findings
accepted for publication in J Paediatr Child Health.
123
of their condition. These responses were compared
against self reported quality of life measures, access
to health services, contrastive assessment by their
GP, and Medicare data. Early results of this study
have been presented as conference papers, while
analysis of the data is ongoing. Researchers: Marjan
Kljakovic, Carl Brusse, PracNet
FUNDING
2009-2010
Leadership within general practice, M Kljakovic,
CCCT Ltd. $60,000 for 1 year
Patients who hold the ‘No Symptoms, No disease’
belief have an impaired quality of self-care for their
chronic disease, M Kljakovic, SCIPPS. $35,000 for 1
year
PRESENTATIONS
2010
Primary Health Care Research and Information
Service (PHC RIS) Annual Conference, 30 June-2
July, Darwin:
• A retrospective evaluation and data audit of
the ACT benzodiazepine voluntary undertaking
project, Lara Bishop
• No symptoms no disease study, Marjan
Kljakovic (symposium)
Researchers: Prof M Kljakovic, Prof P Gatenby, Dr
C Hawkins, Mrs RG Attewell, Ms K Ciszek, Ms G
Kratochvil (medical student), Ms A Moreira (medical
student), Prof AL Ponsonby
• Leadership in general practice, Marjan
Kljakovic, Lara Bishop, Jane Bryson
Australian General Practice Nurses Study: Study
completed, report completed. Released onto
APHCRI website http://www.anu.edu.au/aphcri/
Domain/PracticeNursing/index.php Researchers:
Christine Phillips, Kathryn Dwan, Christopher
Pearce, Julie Porritt, Rachel Yates, Bonnie Sibbald,
Sally Hall, Monika Thompson, Marjan Kljakovic
GP’10, The Royal Australian College of General
Practitioners and the Australian Association of
Practice Managers combined national conference,
6-9 October, Cairns:
Sessional General Practitioners in the ACT: what are
the facilitators and barriers for part-time General
Practitioners? Researchers: Kirsty Douglas,
Kathryn Dwan, Marjan Kljakovic
No Symptoms No Disease Study: The NSND
project aims to examine an often cited anecdotal
relationship between a patient’s perception of their
illness, their behaviour with respect to preventative
measures, and their health outcomes. We surveyed
250 patients, with one of five chronic illnesses
(asthma, diabetes, COPD, heart failure and
hypertension), on a range of questions, to probe their
understanding of the seriousness and permanence
124
• GP work lives and stages of development,
Lesley M Piko
• Leadership in Australian general practice,
Marjan Kljakovic
• Aligning business and people in general
medical practice, Lelsey M Piko
• Attendance patterns in an urban Aboriginal
health service: not as expected? Karen Flegg
World Health Care Networks Conference, 22-24
July, Auckland:
• Leadership in Australian general practice,
Marjan Kljakovic
• A decision-making methodology to support and
retain GPs in clinical practice, Lesley M Piko
9th Global Conference-Making Sense Of: Health,
Illness and Disease, 11-13 September, Oxford:
• Perceptions of chronic illness, use of health
services, and measures of quality of life in
Australian general practice, Marjan Kljakovic
GP Connect, 12-14 November, Canberra,
Presentations were made by several members of staff
The New Zealand General Practitioner’s Conference,
2-5 September, Christchurch:
• Getting the body parts right: a study of body
knowledge in New Zealand and Australian
general practices, Marjan Kljakovic
GPET Convention 2010, 8-10 September, Alice
Springs:
• A Career in General Practice: How will
career stage, life roles, gender and age affect
development? Lesley M Piko
Viral Hepatitis Conference, 6-8 September,
Melbourne:
• Risky business: Hepatitis C stigma and
disclosure in the workplace, Robyn Davis
ACT Public Health Conference, 4 November,
Canberra:
• Risky business: Hepatitis C stigma and
disclosure in the workplace, Robyn Davis
• Engaging childcare workers as key
immunisation stakeholders in the Australian
Capital Territory, Hailey Shaw
AWARDS
2010
Dr Karen Flegg, Ann Ertzen and Ruth Petit. ACT
Health Australia Day Achievement Award. The award
acknowledged the innovative program of community
placements for year three medical students.
Dr Karen Flegg. Attendance patterns in an urban
Aboriginal health service: not as expected? Alan
Chancellor Award Best first-time presenter of a
research paper at GP10: The Conference for General
Practice.
Dr Alex Stevenson. I still aspire to achieve something
every day: resilience among doctors who work
in challenging areas, GPET Convention-Registrar
Research Prize.
125
RESEARCH CENTRE FOR NURSING
& MIDWIFERY PRACTICE
RESEARCH CENTRE FOR NURSING
AND MIDWIFERY PRACTICE
Ms Joyce Chung, Effectiveness of empowerment
intervention in children cancer survivors. Australian
National University (PhD), 2010. Supervisors: Prof
Violeta Lopez, Dr Bernd Heubeck, Dr William Li
BRIEF SUMMARY
The Research Centre for Nursing and Midwifery
Practice (RCNMP) was established in April 1999
between Canberra Hospitaland University of
Canberra. In 2005, the Centre was moved under
the auspices of the ACT Chief Nurse’s Office. In
2009, it became affiliated with the Australian
National University (Australian National University),
Medical School. The aim of the RCNMP is to
provide a physical and intellectual environment and
administrative structure to encourage and support
nursing and midwifery research in the ACT. In 2010,
RCNMP also became an affiliated Centre of the
Joanna Briggs Institute with the aim of conducting
systematic reviews.
STAFF
Prof Violeta Lopez, Director
Dr Susan Hunt, Research Fellow
Ms Irene Lake, Executive Officer
Ms Jill Parke, Project Officer
Mr David Larkin, Research Assistant
Ms Judith Barker, Associate Researcher
Ms Ann Marie Dunk, Associate Researcher
Ms Sifiso Vanika, Prevalence of skin tear and audit
of evidence based practice in acute aged care
and rehabilitation units in one public hospital in
Canberra. Australian National University (MPH),
2010. Supervisors: Prof Paul Dugdale,
Prof Violeta Lopez
Ms Flora Xu He, Factors affecting acculturative
stress: A mixed method approach. Australian
National University (PhD), 2010. Supervisors: Prof
Violeta Lopez, Prof Don Byrne, Dr Cindy Leigh
Dr Donia Baldacchino, Institute of Health Care,
University of Malta
Prof Joyce Black, College of Nursing, University of
Nebraska
A/Prof Peter Brown, School of Nursing and
Midwifery, Charles Darwin University
Prof Sally Chan, Head of Department, Alice Lee
Centre for Nursing Studies, Yong Loo Ling School of
Medicine, National University of Singapore
Ms Michelle Cole, Research Administrative Assistant
Prof Chair Sek Ying, The Nethersole School of
Nursing, Shatin, Chinese University of Hong Kong
STUDENTS
Dr Wan Choi Chan, School of Nursing, Mackillop
Campus, North Sydney, Australian Catholic
University
Mr Mohammed Al-Riyami, Prospective study
of Omani nursing profession’s ability to meet
future health care challenges. Australian National
University (PhD), 2010. Supervisors: Prof Violeta
Lopez, Dr Doreen Montag, Dr Imke Fischer
Mr Keung Sum Chan, Effectiveness of hope-inspiring
intervention in Chinese heart failure patients: A
randomised controlled trial. Australian National
University (PhD), 2010. Supervisors: Prof Violeta
Lopez, Dr Ross Wilkinson, Dr Imke Fischer,
Dr William Li
128
Ms Maryam Moradi, Development of an instrument
to measure quality of life of patients with
endometriosis. Australian National University (PhD),
2010. Supervisors: Prof David Ellwood,
Prof Violeta Lopez, Melissa Parker
Prof Randy Conception, Director, Graduate Program,
College of Nursing, University of Makati, Philippines
Prof Christine Duffield, Faculty of Nursing,
Midwifery and Health, University of Technology,
Sydney
Dr Imke Fischer, School of Nursing, Mckillop
University
Dr Laurie Grealish, Disciplines of Nursing and
Midwifery, Faculty of Health University of Canberra
Prof Eleanor Holroyd, Professor of Gender and Asian
Studies, Division of Nursing and Midwifery, Royal
Melbourne Institute of Technology
Prof Yuko Ikematsu, School of Health Sciences,
Department of Nursing, Nagoya University, Japan
A/Prof Yang Hui, International School of Nursing,
Hubei Medical University, China
Prof Mary Kalfos, Diakonova University, Norway
Mr Brad Leeson, National Capital Private Hospital,
ACT
Dr Cindy Leigh, School of Nursing, McKillop
University
Dr Luo Zhigou, Director Oncology Department,
Tahei University Hospital, Hubei Medical University,
China
Assistant Professor William Li, Department of
Nursing Studies, University of Hong Kong
Assistant Professor Sumalle Lirtmunlikaporn, Faculty
of Nursing, Department of Public Health Nursing,
Chian Mai University, Thailand
Prof Tracey McDonald, Professor of Ageing,
Australian Catholic University and RSL Lifecare,
Narabeen, Sydney
Prof Alex Molassiotis, Professor of Cancer and
Supportive Care, University of Manchester, United
Kingdom and Editor of the European Journal of
Cancer Nursing
Prof Jan Paterson, Professor of Nursing and Aged
Care, School of Nursing and Midwifery, Flinders
University
Prof Toni Rannestad, Trondheim University, Norway
Prof Hiroe Tsushima, Chairman, Department of
Nursing, Kawasaki University, Japan
Dr Sue Webster, School of Nursing, Australian
Catholic University and Consultant Transcultural
Mental Health Unit, Sydney
Prof Anne Gardner, Tropical Health Research Unit
for Nursing and Midwifery Practice, Collaborative
appointment between James Cook University and
Townsville Health Service District
A/Prof Jan Taylor, Disciplines of Nursing and
Midwifery, Faculty of Health, University of Canberra
A/Prof Gordon Waddington, Discipline of
Physiotherapy, Faculty of Health, University of
Canberra
RESEARCH PROJECTS
2009
Pressure Injury Point Prevalence Study across ACT
Health (PIP09), Prof Violeta Lopez, Jill Parke, and
ACT PIPMRG. This is an annual pressure injury
prevalence study conducted during National Wound
Awareness Week. This survey provides ACT Health
with pressure injury prevalence data to enable
ongoing strategic planning for the prevention and
management of pressure injuries.
Delivering, implementing and evaluating primary
health care in Thailand. Dr Sue Webster, Prof Violeta
Lopez. This project examined and compared the
role of nurse practitioners in primary care settings in
Thailand and Australia.
Psychometric Evaluation of the World Health
Organisation Quality of Life Spiritual, Religious and
Personal Beliefs instrument. Prof Violeta Lopez, Dr
Cindy Leigh, Dr Imke Fischer, David Larkin. This
is part of an international process of cross-cultural
validation of the WHO-QOL-SRPB assessment tool.
ACT Health Incident Reporting System-Wound
Extension Module (RiskMan WEM). Ann Marie
Dunk, Jill Parke, Christopher Dickson, Pressure
Injury Prevention and Reference Group. This project
developed and implemented the Wound Extension
reporting module (WEM). It was the first reporting
module developed for clinicians by clinicians to be
incorporated into the RiskMan Incident Reporting
System. The WEM provides the reporter with
definitions of wound types and clinical practice
prompts to enable best practice management. This
project was a finalist in the 2010 ACT Quality on
Health care Awards.
Assistants in Nursing Project: Evaluation Phase.
Prof Violeta Lopez, Jill Parke. An evaluation of the
role effectiveness of the Assistant in Nursing in the
hospital sector of ACT Health as a 3rd tier worker to
support the current health workforce.
129
aged care and rehabilitations units. This project
included an education program which focused on
the standardisation of assessment, management and
prevention of skin tears.
Inaugural Wound Prevalence within Canberra
Hospital. Ann Marie Dunk. This project provided
an understanding of wound type prevalence within
Canberra Hospital. This was conducted during ACT
Health annual pressure injury prevalence study. This
study identified frequent wound aetiologies which will
provide a focus in improving educational support.
Developing a focus in wound care excellence
through new documentation and capacity building for
measuring patient outcomes in wound management.
Ann Marie Dunk, Karen Sweeney, Narelle Boyd. This
project review, development and implemented new
wound assessment and management tools, based
on the Australian Wound Management Association’s
“Standards in Wound Management”, which meets the
needs of clinical nurses at Canberra Hospital.
ACT Nurse Practitioners-defining current practice to
improve future practice. Debbie Hagen. This study
explores the new role of the nurse practitioner.
2010
Pressure Injuries Prevalence Study across ACT Health
2010 (PIP10). Prof Violeta Lopez, Jill Parke, David
Larkin, and ACT PIPMRG. Pressure injury point
prevalence study was conducted during National
Wound Awareness Week. The survey provides ACT
Health with pressure injury prevalence data to enable
ongoing strategic planning for the prevention and
management of pressure injuries.
Work Life Balance and its Impact on Nursing and
Midwifery Workforce Planning. Prof Violeta Lopez,
Jill Parke, David Larkin. Population-based study of
all nurses and midwives working across ACT Health.
This project examined the consequences of conflicts
experienced by nurses, midwives and ACT Health in
managing work life balance and organisational needs.
Skin tear prevention and management among
patients within Acute Aged Care and Rehabilitation
units within the Australian Capital Territory: best
practice implementation project. Prof Violeta Lopez,
Ann Marie Dunk, Dr Katrina Cubit, Jill Parke,
David Larkin, Maria Trudinger, Margaret Stuart.
A pre- and post-implementation of skin tear best
practice guidelines was conducted across the acute
130
Quality of life: Effects of pulmonary function,
dyspnoea and anxiety in lung cancer patients. Prof
Violeta Lopez, Dr David Leong, Judith Rafferty,
Prof Don Byrnes, Dr Craig Underhill, Dr Quenten
Walker, Bob Forrester. This research project examines
the extent to which the pulmonary function status,
dyspnoea, anxiety and preferences for follow-up
treatment affects the quality of life of patients with
lung cancer undergoing radiotherapy, chemotherapy
and/or surgery.
2010 Sacral dressing as an intervention for prevention
of pressure injuries in high impact clinical areas
within Canberra Hospital, Ann Marie Dunk, Prof
Violeta Lopez, Jill Parke, Wendy Beckingham. Based
on the successful outcomes from the 2009 CHCACT
project, the aim of this project will be to investigate
the use of silicone based interface foam dressing, as
a preventative measure in sacral pressure injuries.
This dressing with be used as an adjunct to clinical
preventative practices during the pre and post
operative events.
Comparative study of two intervention mattresses
in a tertiary facility, Ann Marie Dunk, A/Prof Jan
Taylor, Irene Lake, Kellie Lang, Prof Violeta Lopez,
and Jill Parke. The aim of this study is to compare
two pressure relieving devices in the prevention of
pressure injuries (specifically heel and sacrum) in
a surgical and medical inpatient population within
Canberra Hospital from the clinical, patient and
operational perspective.
Comparative study of two wound swabbing
techniques, Ann Marie Dunk, Wendy Beckingham,
Prof Violeta Lopez, Susan Bradbury and Dr Geethanie
Ferando, Judith Barker. Comparison between two
types of wound swabbing techniques.
FUNDING
2009
Development of a Clinical Policy for Urinary trial of
Voids for the use in the Canberra Hospital Outpatient
Department, Ellen Scanes, Practice Development
Grant $5,000
Development of the Wound Extension Module in
the RiskMan Incident Reporting system, ACT Health
Injury Prevention and Management Branch $1,400
and ACT Nursing and Midwifery Office $1,000
Comparison between two types of wound swabbing
techniques. Ann Marie Dunk, Wendy Beckingham,
Prof Violeta Lopez, Susan Bradbury, Dr Geethanie
Ferando and Judith Barker, Practice Development
Scholarship $10,000
Using a trial of soft silicon self adhesive dressing
to decrease the incidence of sacral pressure injury
in medical patients admitted via the Emergency
Department at Calvary Health Care ACT, Dr Katrina
Cubit, Rhonda Maher, Pauline Green. Practice
Development Grant $5,000
Does the context of maternity care affect initiation
and duration rates of breastfeeding? Virginia Proust,
Lyn Han, Practice Development Grant $5,000
Developing, implementing and evaluating Australian
and Thai primary health care and nurse practitioner
role, Dr Sue Webster, Prof Violeta Lopez, Australian
Thailand Institute, Department of Foreign Affairs and
Trade $11,000
A study to identify and meet the mental health
needs of Thai women and their families living in
urban Sydney, Dr Sue Webster, Prof Violeta Lopez,
Australian Catholic University Faculty Grant $8,419
Evaluation of the implementation of the pilot project
for the Assistant in Nursing in acute care settings,
Prof Violeta Lopez, Jill Parke, ACT Health $20,000
Pulmonary function status, dyspnoea and anxiety in
Chinese patients with lung cancer: An exploratory
study in Hubei Province, China, Prof Violeta Lopez,
Dr Luo Zhigou, Yun Yang Medical University, Hubei
Province, China $10,000
Assessing nursing interventions in the management
of patients experiencing anxiety in two private
mental health settings, Dr Sue Webster, Prof Violeta
Lopez, Dr Peter Brown, Susan Gallagher, St John of
God $37,300
Development and implementation of a mental
health major in a nursing degree, Prof Violeta Lopez,
Australian Government Department of Health and
Ageing $83,380
2010
Building a sustaining research capacity of academic
staff through collaborative research and postgraduate
supervision, Prof Violeta Lopez, A/Prof Jan Taylor A/
Prof Yupin Aungsaroch, Australian Thailand Institute,
Department of Foreign Affairs and Trade $14,000
To develop and implement nutritional protocols to
identify patients at risk of malnutrition to ensure
better nutritional care and outcomes for patients
receiving chemotherapy in the Zita Mary Clinic,
Calvary Health Care ACT, Catherine Trevaskis, Jody
Berry, 2010 Practice Development Scholarship
$5,000
Implementation and outcomes of ‘Bringing Baby
Home’, a psycho-educational intervention for new
and expectant parents, Jane Debaeker, Practice
Development Scholarship $5,000
Identifying treatment-related symptoms and self-care
management in adult cancer patient undergoing
chemotherapy and radiotherapy at Zita Mary Clinic
Calvary Health Care ACT, Catherine Trevaskis, Jody
Berry, Dr Katrina Cubit, Prof Violeta Lopez, Practice
Treatment-related symptoms and self-care
management in adult cancer patient undergoing
chemotherapy and radiotherapy at Canberra
Hospital, Penny Haberfield, Juliane Samara, Prof
Violeta Lopez, David Larkin, Practice Development
Scholarship $5,000
Implementing best practice guidelines for the
management of lower leg ulcers of differentiating
aetiology in the acute care setting, Bernadette
McNally, Annette Dahler, Gemma Arnold, Dr Katrina
Cubit, Colleen Kinnane, Practice Development
Scholarship $5,000
Too little too late! Evaluating respecting patients
choices program for home-based palliative patients
131
Dunk AM. Leading the way in pressure injury
prevention across Canberra. ACT Wound
Management Association Seminar. Canberra, ACT,
August
Lopez V. Tissue adhesives and sutures for closure of
simple lacerations: a randomized controlled trial.
ACTWMA Conference, Wound care across the ages.
Canberra, 6 August
Not just little needs for little people: Non-pharma
management. Philippine Society of Critical Care
Medicine (PSCCM), Society of Pediatric Critical
Care Medicine Philippines (SPCCMP), and Critical
Care Nurses Association of the Philippines, Inc.
(CCNAPI)11th Joint Annual Convention, February
26–27, Crowne Plaza Hotel, Ortigas, p. 6
at Clare Holland House, Amanda Heap, Dr Katrina
Cubit, Bradley Smith, Rachel Bilton-Simek, Ruth
Walpol, Sally Willoughby, Jane Etchells, Practice
Webster S, Lopez V. Health care: beyond culture.
Culture matters for health: exploring cultural
epidemiology and related approaches in a
symposium and short course. National Centre for
Epidemiology and Population Health, Australian
National University, October
Improving nursing documentation and handover in
the Emergency Department at Canberra Hospital,
Kate Sykes, Emma McDonald, Ian Miller, Andrew
Colin, Kirsten Johnson, Michele Evans, Practice
2010
Dunk AM. An advanced descriptor “pressure injury”:
one language focus for clinical practice National
Pressure Ulcer Advisory Panel, 12th Biennial
Conference, Las Vegas, 25 -26 February
Opportunistic Chlamydia screening of 16-25 year
old in the ACT Walk-in Centre, Kylie Ann Wilks,
Megan Taylor, Gillian Ible, Practice Development
Scholarship $4,000
Cubit K, McNally B. Get behind it! Taking the
pressure off in the Emergency department. Australian
Association of Gerontology, 42nd National
Conference: Islands of ageing: building bridges for
people, policy and practice. Hobart,
17-19 November
Advanced care planning in palliative care settings:
Implementation and evaluation of best practice,
Juliane Samara, Philip Crispin, Emma Awizen, Prof
Violeta Lopez, Practice Development Scholarship
$6,500
Improving staff satisfaction by up-skilling acute care
staff to identify and care for people with delirium
including those with dementia, Dr Katrina Cubit,
Gary Mercer, Anna Burger, Rodney Blanch, Christine
Baxter, Practice Development Scholarship $5,000
PRESENTATIONS
2009
Dunk AM.Exploring the anatomical characteristics
of the sacral pressure injuries in hospital patients.
Research Seminar Deakin University. Melbourne,
Victoria. February
Lopez V. Research in children: Ensuring caring
practices. International conference: Nursing and
midwifery: a celebration of care. University of Malta,
27-29 May
132
Cubit K, McNally B. Risk mitigation in the
Emergency department: Sacral dressing prevents
pressure injury in older adults. Joanna Briggs Institute
National Australian Conference on Evidence-based
Clinical Leadership: Directing policy to action.
Adelaide, 22-24 November
Cubit K, McNally B. Evidence for developing
pressure injury prevention strategies from
presentation to discharge. Australian Private Hospital
Association 30th Annual National Congress, Hilton
Hotel, Sydney, 17-19 October
Cubit K, McNally B, Green P. Get behind it! Taking
the pressure off in the Emergency Department.
College of Emergency Nursing Australasia, 8th
International Conference; National Convention
Centre, Canberra, 14-16 October
Cubit, K and McNally, B. Get behind it! Sacral
dressings prevent pressure injury in ‘at risk’ medical
patients.Australasian Conference on Safety and
Quality in Health Care, Perth, 6-8 September
Dunk AM, Boyd N, Sweeny K. The essence of
communicating wound assessment and management
through documentation. Australian Wound
Management Association 8th National Conference.
Perth, March
Dunk AM, Boyd N, Sweeny K. The essence of
communicating wound assessment and management
through documentation. Canberra Region Annual
Health and Medical Conference. Canberra, June
He F, Lopez V, Leigh C. Perceived acculturative
stress in Chinese nursing students in Australia.
ANZAME 2010 Conference: Overcoming barriers:
Re(E)forming professional practice. James Cook
University, Townsville, 13-16 July, p 229
Lopez V. Infection control and evidence-based
practice. Canberra Commemorative Nursing
Symposium: Florence Nightingale reforms: evidence,
policy and health. University of Canberra, 25 May
Parke J, Lopez V. Longitudinal study: Sustained
pressure injury improvements from 2002-2010.
13th Annual European Pressure Ulcer Advisory
Panel Meeting. “Flourishing of science to support
prevention and healing.” University of Birmingham,
1-3 September, p.97
Webster S, Lopez V, Gallagher S, Brown P, Evans J,
Flynn M. Assessment of nursing intervention in the
management of patients experiencing anxiety. 36th
International Australian College of Mental Health
Conference, “Row with the team paddle alone.”
Hobart, 30 August-2 September, p.53
2009 to attend the 13th Oxford European Wound
Healing Summer School, Oxford University
Dunk AM. Finalist in Excellence in Research. ACT
Health International Nurses and Midwives Week
Awards
2010
Barker J, Weller C. Comfeel Literary Award 2010,
Developing Clinical Practice Guidelines for the
Prevention and Management of Venous Leg Ulcers
Australian Capital Regional Centre for EvidenceBased Nursing and Midwifery Practice. RCNMP
established as an Affiliated Centre of the Joanna
Briggs Institute http://www.joannabriggs.edu.au/
Lopez V, Appointed Director. Australian Capital
Regional Centre for Evidence Based Nursing and
Midwifery Practice: An affiliate centre of Joanna
Briggs Institute
Dunk AM, Appointed Deputy Director. Australian
Capital Regional Centre for Evidence Based Nursing
and Midwifery Practice: An affiliate centre of Joanna
Briggs Institute
Lopez V, Appointed Clinical Fellow. Joanna Briggs
Institute, University of Adelaide, November
Finalist. ACT Health Pressure Injury Prevention
Management Reference group (Wound Extension
Module). ACT Quality in Health Care Awards,
November
Dunk AM. Elected President. ACT Wound
Management Association
AWARDS
Barker J. Elected Secretaire. Australian Wound
Management Association
2009
Dunk AM. Australian Wound Management
Association Sub-Committee 2009 Appointed
member of the Pressure Ulcer Advisory Committee
(Research). Educational Sub-Committee
Barker J. Appointed Vice Chair of the Committee for
the Development of Clinical Practice Guidelines
for the Prevention and Management of Venous Leg
Ulcers. Australian Wound Management Association
Sub-Committee
Finalist: ACT Health, Pressure Injury Prevention
Management Reference Group. For the Pressure
Injury Prevalence Study (PIP09) ACT Quality in
Health Care Awards, November
Lopez V. Appointed member of the Editorial Board
Australian Wound Management Association SubCommittee. Research in Nursing and Health Journal
Dunk AM. Canberra Hospital Auxiliary Scholarship
Dunk AM. Appointed Chair of the Professional
Development and Educational Sub-Committee
133
ALLIED HEALTH
ACT HEALTH-UNIVERSITY OF NSW AUSTRALIAN RESEARCH
COUNCIL INTERPROFESSIONAL LEARNING AND
INTERPROFESSIONAL PRACTICE ACTION RESEARCH LINKAGE
PROJECT (2007-2010)
A/Prof Paul Dugdale, Director, Chronic Disease
Management, played a significant role in facilitating
the research in ACT Health, and drawing together
the University of New South Wales, ACT Health and
Australian National University stakeholders.
BRIEF SUMMARY
ACT Health, under the executive sponsorship of
Karen Murphy, Allied Health Adviser, and the Centre
for Clinical Governance in the Faculty of Medicine,
University of New South Wales, under the leadership
of Prof Jeffrey Braithwaite, Director, successfully
applied to the Australian Research Council for a
four-year linkage project grant (2007-2010). ACT
Health contributed to the project, in addition to the
Australian Research Council, financially and inkind. In total, the project delivered 275 outputs in
terms of peer-reviewed publications, peer-reviewed
conference presentations, workshops, seminars and
non-peer-reviewed reports, workshops and seminars.
STAFF
Ms Karen Murphy, Allied Health Advisor
Prof Bill Runciman, President, Australian Patient
Safety Foundation and Flinders University
Prof Johanna Westbrook, University of New South
Wales
Prof Tim Devinney, University of New South Wales
A/Prof Rosalie Boyce, University of Queensland
FUNDING
ACT Health - University of New South Wales
Australian Research Council Interprofessional
Learning and Interprofessional Practice Action
Research Linkage Project $1,394,758. Of this,
$400,000 was contributed by ACT Health and
$994,758 was contributed by the Australian
Research Council.
Prof Jeffrey Braithwaite, Centre for Clinical
Governance Research in Health (CCGR)
Interprofessional learning in primary health care to
encourage active patient self-management of chronic
disease, and impact of the “patient-as-professional
within a network” tool to self-manage chronic
disease $1,902,710
Dr David Greenfield, Senior Research Fellow,
PRESENTATIONS
Ms Judy Stone Interprofessional Learning
Coordinator
Dr Peter Nugus, seconded to ACT Health, and
Research Fellow, University of New South Wales and
Visiting Fellow, the Australian National University
Dr Joanne Travaglia, Research Fellow, University of
New South Wales
A/Prof Marc Budge, Director, Geriatric Medicine,
ACT Health
Dr Anne-Marie Ryall, Staff Specialist, Geriatric
Medicine, ACT Health
Ms Elizabeth Renton, Director, Staff Development
Unit, ACT Health
STUDENTS
Ms Anne Hogden, Senior Speech Pathologist, Aged
Care and Rehabilitation Services
136
A/Prof Ruth Foxwell, University of Canberra
2009
Nugus P, Travaglia J, Greenfield D and Braithwaite J.
Aligning care settings and professional roles in acute
aged care. The Future of Sociology: Conference
of the Australian Sociological Association (TASA).
Australian National University, Canberra, 1-4
December
Nugus P, Greenfield D, Travaglia J and Braithwaite J.
The relationship between care setting and medical
dominance across a health system. The Future of
Sociology: Conference of the Australian Sociological
Association (TASA). Australian National University,
Canberra 1-4 December
Nugus P, Travaglia J, Greenfield D, Colliver D,
MacGinley M and Braithwaite J. Health service
restructuring and the politics of difference. The
Future of Sociology: Conference of the Australian
Sociological Association (TASA). Australian National
University, Canberra 1-4 December
Nugus P, Greenfield D, Travaglia J, Dillon B and
Braithwaite J. Reconciling the managerial gaze with
clinical practice: Interprofessional perspectives on
organisational change in a mental health service. The
Future of Sociology: Conference of the Australian
Sociological Association (TASA). Australian National
University, Canberra, 1-4 December
Greenfield D, Nugus P, Travaglia J, Stone J and
Braithwaite J. Reform: compliance or engagement?
Health Services Research-Reforming, Responding,
Rewarding: 6th Bi-annual Conference Health
Services Research Association of Australia and New
Zealand (HSRAANZ), Brisbane, 25-27 November
Nugus P, Greenfield D, Travaglia J, Stone J and
Braithwaite J. Interprofessional reform through action
research. Health Services Research-Reforming,
Responding, Rewarding’: 6th Bi-annual Conference
Health Services Research Association of Australia
and New Zealand (HSRAANZ), Brisbane,
25-27 November
Greenfield D, Nugus P, Travaglia J, Stone J, Dugdale
P, Hayhurst B and Abbott S. Interprofessional
learning and interprofessional practice: more
responsive to patients, more rewarding for health
professionals and reforming the system. Workshop
submitted to Health Service and Policy Research
Conference, Brisbane, 25-27 November
Stone J, Case Study: Promoting interprofessional
collaborative practice, the ACT Health
interprofessional learning program. Reforming
Australia’s Health Workforce Conference, Informa,
Sydney, 23-24 November
Hogden A, Greenfield D, Kohlhagen L. Changing
the way we learn: staff centred education. National
Allied Health Conference, Allied Health Leading
Change [Allied Health Professionals Australia].
Canberra, 27 October
Stone J and Venkataraman S. Facilitating
interprofessional learning through a simulation of a
Coronial Inquiry. National Allied Health Conference,
Canberra, 26-28 October
Greenfield D, Nugus P, Travaglia J and Braithwaite J.
Professional development through an action research
project stimulating an interprofessional culture to
enhance quality and safety. ISQua 2009. Twentysixth International Safety and Quality Conference:
Designing for Quality, Dublin, International Society
for Quality in Health Care, 11-14 October
Nugus P, Travaglia J, Greenfield D and Travaglia
J. The politics of action research: negotiating
bureaucracy and managerialism in an
interprofessional learning research project across
a health system.”15th Qualitative Health Research
Conference: Developments and Discourse From
Across Health Disciplines, Vancouver, British
Columbia: International Institute for Qualitative
Methodology, 4-6 October
Greenfield D, Hayhurst B, Abbot S, Stone J and
Dugdale P. Interprofessional collaboration to
reshape health care relationships for people living
with chronic conditions. Connect Learn Activate:
Inspiring Health Promotion, Townsville,
23-25 August
Lawlis T, Foxwell R, Anson A, Greenfield D and
Barnard A. Interprofessional learning: tensions
between the sacred and the profane. Bridging
Professional Islands. ANZAME: The Association for
Health Professional Education, Launceston,
30 June-3 July
Greenfield D, Hayhurst B, Dugdale P, Lowen P,
Stone J, Nugus P and Travaglia J. Interprofessional
collaboration and learning to reshape health care
relationships and improve future health outcomes.
Australian General Practice Network Forum:
Claiming the Space, Shaping the Future, Sydney,
4-7 November
2010
Nugus P, Travaglia J, Greenfield D, Braithwaite J.
The role of “quality and safety” in the negotiated
order of health services. The Australian Sociological
Association, Sydney, 6-9 December
Nugus P. The symbolic interaction of emergency
clinicians: Redressing the “astructural bias”. The
Australian Sociological Association, Sydney,
6-9 December
Nugus P, Travaglia J, Greenfield D, Braithwaite J.
Negotiating bureaucracy and managerialism for
interprofessional learning and practice. Conference
Proceedings of the Australian Sociological
Association, Sydney, 6-9 December
Nugus P, Greenfield D, Kljakovic M, Dugdale P.
Formal and enacted boundaries in health services.
The Sociological Association, Sydney, 6-9 December
Short A, Sciberras D, Burgess M, Greenfield D.
Auditory environment and public health: connecting
noise and music with chronic disease selfmanagement. 2nd Annual International Arts and
Health Conference: The Art of Good Health and
Wellbeing, Melbourne, 16-19 November
Hayhurst B, Abbott S, Lowen P, Dugdale P,
Greenfield D. Community development and
137
interprofessional collaboration project to improve
chronic disease self management. Australian General
Practice Network Forum: Connecting Care: The
Role of Networks in Improving Health, Perth, 3-6
November
Greenfield D, Travaglia J, Nugus P, Braithwaite J. A
method of illuminating a positive workplace culture:
staff defining and enacting their organisational
culture. ISQua 2010. Twenty-seventh International
Safety and Quality Conference, Quality Outcomes:
Achieving Patient Improvement, Paris, France:
International Society for Quality in Health Care, 1013 October
Greenfield D, Nugus P, Travaglia J, Braithwaite J.
A model to improve practice: linking in-service
learning to patient outcomes. ISQua 2010. Twentyseventh International Safety and Quality Conference,
Quality Outcomes: Achieving Patient Improvement,
Paris, France: International Society for Quality in
Health Care, 10-13 October
Milne J, Greenfield D, Braithwaite J. Interprofessional
practice: what does it mean to doctors. 5th Annual
Emerging Health Policy Conference, Menzies Centre
for Health Policy, Sydney, 11 August
Stone J. Exploring the adaptation of an e-learning
tool, Values Exchange, for interprofessional learning.
Overcoming Barriers: (Re)Forming Professional
Education, ANZAME: The Association for Health
Professional Education, Townsville, 13-16 July
Travaglia J, Nugus P, Greenfield D. Partnering
evidence and innovation: the role of research
in enhancing interprofessional culture in health
services. All Together Better Health 5-International
Interprofessional (Education, Practice and Research)
Conference: Australasian Interprofessional Practice
and Education Network (AIPPEN), Sydney, 6-9 April
Short A, Scibberas D, Burgess M, Greenfield D.
Auditory environment and public health: connecting
noise and music with chronic disease selfmanagement. Australian Music Therapy Association
National Conference, Melbourne, 18-19 September
Travaglia J, Nugus P, Greenfield D. Seeing things
differently: reconceptualising interprofessional
competency/ies. All Together Better Health
5-International Interprofessional (Education, Practice
and Research) Conference, AIPPEN, Sydney, 6-9
April
Greenfield D, Nugus P, Fairbrother G, Milne J,
Debono D, Travaglia J, Braithwaite J. Improving
clinical governance; lessons from testing a model to
enable others ‘to do it better’. Back to the Future: 8th
Australasian Conference on Quality in Health Care
Conference, Perth, 6-8 September
Travaglia J, Greenfield D, Nugus P. Quality, safety
and interprofessional practice: an unfulfilled
promise? All Together Better Health 5-International
Conference, AIPPEN, Sydney, 6-9 April
Greenfield D, Nugus P, Travaglia J, Braithwaite J.
The future is self-management through increased
community engagement. Back to the Future: 8th
Australasian Conference on Quality in Health Care
Conference, Perth, 6-8 September
Nugus P, Travaglia J, Greenfield D. Maximizing
the theory of IPL, IPE and IPP: medical dominance
as a case study of the theory-practice connection.
All Together Better Health 5-International
Hogden A, Short A, Dugdale P, Nugus P, Greenfield
D. Making knowledge visible: Mapping a chronic
disease self-management healthcare network.
Chronic Disease Management and the Future of
the Australian Health System: 6th Annual National
Disease Management Conference. Melbourne, 1920 August
Nugus P, Greenfield D, Travaglia J. How do we
recognize interprofessional practice? Indicators for
measuring interprofessional innovation. All Together
Better Health 5-International Interprofessional
(Education, Practice and Research) Conference,
AIPPEN, Sydney, 6-9 April
Dugdale P, Taylor R, Short A, Nugus P, Greenfield D.
The variety of chronic disease self-management tools
in Australia: a preliminary survey. Chronic Disease
Management and the Future of the Australian Health
System: 6th Annual National Disease Management
Conference. Melbourne, 18-20 August
Dugdale P, Greenfield D, Short A, Taylor R.
Investigating chronic disease management tools
used in Australia. Chronic Disease Management
138
and the Future of the Australian Health System, 6th
Annual National Disease Management Conference.
Melbourne, Australia, 18 August
Abbott S, Dugdale P, Lawlis T, Short A, Greenfield
D. Interprofessional learning through chronic
disease self management. All Together Better Health
April
Greenfield D, Travaglia J, Nugus P. Informing
theory and promoting an interprofessional culture:
determinants that shape interprofessional learning,
education and practice. All Together Better Health
and Research) Conference, AIPPEN, Sydney,
6-9 April
Greenfield D, Nugus P, Travaglia J. Building
sustainability through auditing an organisation’s
interprofessionalism: using the ‘interprofessional
praxis audit framework’ to promote collaborative
learning and practice. All Together Better Health
6-9 April
Lawlis T, Foxwell R, Anson J, Greenfield D. What
do academic Health professionals really think of
interprofessional learning? All Together Better Health
April
Lawlis T, Foxwell R, Anson J, Greenfield
D. Barriers to interprofessional learning in
educational institutions. All Together Better Health
6-9 April
Milne J, Braithwaite. What happens to relationships
when many of the doctors are trained elsewhere?
Reflections on a many-faceted problem in
interprofessional practice. All Together Better Health
April
Stone J. Interprofessional learning using simulation.
All Together Better Health 5-International
Stone J, Burley M, Saunders-Battersby S.
Interprofessional collaborative practice models in
South-Eastern Australia. All Together Better Health
6-9 April
Nugus P, Travaglia J, Greenfield D. Methods for
gathering evidence of interprofessionalism as a
foundation for improvement. Together Better Health
6-9 April
Hodgen A, Greenfield D, Nugus P, Short A. Is there
an optimal model of patient self-management and
collaborative practice for chronic neurological
disease? All Together Better Health 5-International
139
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ACT Health Research Review 2009

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