Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial): a cluster randomised trial protocol

Journal article


Middleton, Sandy, Levi, Chris, Dale, Simeon, Chung, N., McInnes, Elizabeth, Considine, Julie, D'Este, Catherine, Cadilhac, Dominique, Grimshaw, Jeremy, Gerraty, Richard, Craig, Louise, Schadewaldt, Verena, McElduff, Patrick, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark and Ward, Janette 2016. Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial): a cluster randomised trial protocol. Implementation Science. 11 (139), pp. 1 - 9. https://doi.org/10.1186/s13012-016-0503-6
AuthorsMiddleton, Sandy, Levi, Chris, Dale, Simeon, Chung, N., McInnes, Elizabeth, Considine, Julie, D'Este, Catherine, Cadilhac, Dominique, Grimshaw, Jeremy, Gerraty, Richard, Craig, Louise, Schadewaldt, Verena, McElduff, Patrick, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark and Ward, Janette
Abstract

Background Internationally recognised evidence-based guidelines recommend appropriate triage of patients with stroke in emergency departments (EDs), administration of tissue plasminogen activator (tPA), and proactive management of fever, hyperglycaemia and swallowing before prompt transfer to a stroke unit to maximise outcomes. We aim to evaluate the effectiveness in EDs of a theory-informed, nurse-initiated, intervention to improve multidisciplinary triage, treatment and transfer (T3) of patients with acute stroke to improve 90-day death and dependency. Organisational and contextual factors associated with intervention uptake also will be evaluated. Methods This prospective, multicentre, parallel group, cluster randomised trial with blinded outcome assessment will be conducted in EDs of hospitals with stroke units in three Australian states and one territory. EDs will be randomised 1:1 within strata defined by state and tPA volume to receive either the T3 intervention or no additional support (control EDs). Our T3 intervention comprises an evidence-based care bundle targeting: (1) triage: routine assignment of patients with suspected stroke to Australian Triage Scale category 1 or 2; (2) treatment: screening for tPA eligibility and administration of tPA where applicable; instigation of protocols for management of fever, hyperglycaemia and swallowing; and (3) transfer: prompt admission to the stroke unit. We will use implementation science behaviour change methods informed by the Theoretical Domains Framework [1, 2] consisting of (i) workshops to determine barriers and local solutions; (ii) mixed interactive and didactic education; (iii) local clinical opinion leaders; and (iv) reminders in the form of email, telephone and site visits. Our primary outcome measure is 90 days post-admission death or dependency (modified Rankin Scale >2). Secondary outcomes are health status (SF-36), functional dependency (Barthel Index), quality of life (EQ-5D); and quality of care outcomes, namely, monitoring and management practices for thrombolysis, fever, hyperglycaemia, swallowing and prompt transfer. Outcomes will be assessed at the patient level. A separate process evaluation will examine contextual factors to successful intervention uptake. At the time of publication, EDs have been randomised and the intervention is being implemented. Discussion This theoretically informed intervention is aimed at addressing important gaps in care to maximise 90-day health outcomes for patients with stroke.

KeywordsCluster randomised trial; Stroke; Nurse-led; Fever; Hyperglycaemia; Dysphagia; Thrombolysis; Theoretical domains framework; Implementation science; Care bundle
Year2016
JournalImplementation Science
Journal citation11 (139), pp. 1 - 9
PublisherBiomed Central Ltd
ISSN1748-5908
Digital Object Identifier (DOI)https://doi.org/10.1186/s13012-016-0503-6
Scopus EID2-s2.0-84992467389
Open accessOpen access
Page range1 - 9
Research GroupNursing Research Institute
Publisher's version
Place of publicationUnited Kingdom
EditorsA. Sales
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Repositioning for pressure ulcer prevention in adults
Gillespie, Brigid, Chaboyer, Wendy, McInnes, Elizabeth, Kent, Bridie, Whitty, Jennifer and Thalib, Lukman 2014. Repositioning for pressure ulcer prevention in adults. Cochrane Database of Systematic Reviews. 4 (4), pp. 1 - 35. https://doi.org/10.1002/14651858.CD009958.pub2
Quality in Acute Stroke Care (QASC): Process evaluation of an intervention to improve the management of fever, hyperglycaemia and swallowing dysfunction following acute stroke
Drury, Peta, Levi, Chris, D'Este, Catherine, McElduff, Patrick, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon, Cheung, N Wah, Grimshaw, Jeremy and Quinn, Clare 2014. Quality in Acute Stroke Care (QASC): Process evaluation of an intervention to improve the management of fever, hyperglycaemia and swallowing dysfunction following acute stroke. International Journal of Stroke. 9 (6). https://doi.org/10.1111/ijs.12202
The role of patients in pressure injury prevention: A survey of acute care patients
McInnes, Elizabeth, Chaboyer, Wendy, Murray, Edel, Allen, Todd and Jones, Peter 2014. The role of patients in pressure injury prevention: A survey of acute care patients. BMC Nursing. 13 (41), pp. 1 - 8. https://doi.org/10.1186/s12912-014-0041-y
The effectiveness of non-pharmacological interventions in improving psychological outcomes for heart transplant recipients : A systematic review
Conway, Aaron, Schadewaldt, Verena, Clark, Robyn, Ski, Chantal, Thompson, David, Kynoch, Kate and Doering, Lynn 2014. The effectiveness of non-pharmacological interventions in improving psychological outcomes for heart transplant recipients : A systematic review. European Journal of Cardiovascular Nursing. 13 (2), pp. 108 - 115. https://doi.org/10.1177/1474515113519519
Evaluation of the implementation of a bowel management protocol in intensive care: Effect on clinical practices and patientn outcomes
Knowles, Serena, McInnes, Elizabeth, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy 2014. Evaluation of the implementation of a bowel management protocol in intensive care: Effect on clinical practices and patientn outcomes. Journal of Clinical Nursing. 23 (5-6), pp. 716 - 730. https://doi.org/10.1111/jocn.12448
Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients
Duff, Jed, Walker, Kim, Abdulla, Omari, Middleton, Sandy and McInnes, Elizabeth 2013. Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients. Journal of Vascular Nursing. https://doi.org/10.1016/j.jvn.2013.04.002
Acute care patient mobility patterns and documented pressure injury prevention: an observational study and survey
McInnes, Elizabeth, Chaboyer, Wendy, Allen, Todd, Murray, Edel and Webber, Louise 2013. Acute care patient mobility patterns and documented pressure injury prevention: an observational study and survey. Wound Practice & Research.
Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients: a prospective before-and-after intervention study
Duff, Jed, Omari, Abdulla, Middleton, Sandy, McInnes, Elizabeth and Walker, Kim 2013. Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients: a prospective before-and-after intervention study. BMC Health Services Research. 13 (1), pp. 1 - 9.
P159: The views of senior hospital managers on innovative strategies to improve hand hygiene adherence: a qualitative study
McInnes, Elizabeth and Phillips, R 2013. P159: The views of senior hospital managers on innovative strategies to improve hand hygiene adherence: a qualitative study. Antimicrobial Resistance and Infection Control. 2 (1). https://doi.org/10.1186/2047-2994-2-S1-P159
The effectiveness of non-pharmacological interventions in improving psychological outcomes for heart transplant recipients : a systematic review protocol
Conway, Aaron, Schadewaldt, Verena, Clark, Robyn, Ski, Chantal, Thompson, David, Kynoch, Kate and Doering, Lynn 2013. The effectiveness of non-pharmacological interventions in improving psychological outcomes for heart transplant recipients : a systematic review protocol. The JBI Database of Systematic Reviews and Implementation Reports. https://doi.org/10.11124/01938924-201311030-00007
Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne 2013. Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review. BMC Family Practice. 14 (132), pp. 1 - 11. https://doi.org/10.1186/1471-2296-14-132
Research involvement, support needs, and factors affecting research participation: A survey of Mental Health Consultation Liaison Nurses
McMaster, Rose, Jammali-Blasi, Asmara, Andersson-Noorgard, Kurt, Cooper, Kerrie and McInnes, Elizabeth 2013. Research involvement, support needs, and factors affecting research participation: A survey of Mental Health Consultation Liaison Nurses. International Journal of Mental Health Nursing. https://doi.org/10.1111/j.1447-0349.2012.00857.x
The psychological experiences of adult heart transplant recipients : A systematic review and meta-summary of qualitative findings
Conway, Aaron, Schadewaldt, Verena, Clark, Robyn, Ski, Chantal, Thompson, David and Doering, Lynn 2013. The psychological experiences of adult heart transplant recipients : A systematic review and meta-summary of qualitative findings. Heart & Lung: the journal of acute and critical care. https://doi.org/10.1016/j.hrtlng.2013.08.003
Support surfaces for treating pressure injury: A Cochrane systematic review
McInnes, Elizabeth, Jammali-Blasi, Asmara, Cullum, Nicky, Bell-Syer, Sally and Dumville, Jo 2013. Support surfaces for treating pressure injury: A Cochrane systematic review. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2012.05.008
Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ
Tong, Allison, Flemming, Kate, McInnes, Elizabeth, Oliver, Sandy and Craig, Jonathon 2012. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology. 12 (181), pp. 1 - 8. https://doi.org/10.1186/1471-2288-12-181
The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis
Flemmings, Kate and McInnes, Elizabeth 2012. The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis. in: K. Haines and C. Lockwood (ed.) Synthesizing qualitative research: Choosing the right approach United Kingdom: John Wiley & Sons. pp. 59 - 82
Preventing pressure ulcers-are pressure-redistributiong support surfaces effective?: A Cochrane systematic review and meta-analysis
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky 2012. Preventing pressure ulcers-are pressure-redistributiong support surfaces effective?: A Cochrane systematic review and meta-analysis. International Journal of Nursing Studies. 49 (3), pp. 345 - 359. https://doi.org/10.1016/j.ijnurstu.2011.10.014
A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks
McInnes, Elizabeth, Middleton, Sandy, Gardner, Glenn, Haines, Mary, Haertsch, Maggie, Paul, Christine L. and Castaldi, Peter 2012. A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks. BMC Health Services Research. 12 (1), pp. 1 - 12. https://doi.org/10.1186/1472-6963-12-49
Determinants of successful clinical networks: the conceptual framework and study protocol
Haines, Mary, Brown, Bernadette, Craig, Jonathan, D'Este, Catherine, Elliott, Elizabeth, Klineberg, Emily, McInnes, Elizabeth, Middleton, Sandy, Paul, Christine and Redman, Sally 2012. Determinants of successful clinical networks: the conceptual framework and study protocol. Implementation Science. 7 (16), pp. 1 - 10. https://doi.org/10.1186/1748-5908-7-16
Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention: A before-after intervention study
Sutherland-Fraser, Sally, McInnes, Elizabeth, Maher, Elisabeth and Middleton, Sandy 2012. Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention: A before-after intervention study. BMC Nursing. 11 (25), pp. 1 - 10. https://doi.org/10.1186/1472-6955-11-25
Preventing pressure ulcers -- Are pressure-redistributing support surfaces effective? A Cochrane systematic review and meta-analysis
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky 2012. Preventing pressure ulcers -- Are pressure-redistributing support surfaces effective? A Cochrane systematic review and meta-analysis. International Journal of Nursing Studies. 49 (3), pp. 345 - 359. https://doi.org/10.1016/j.ijnurstu.2011.10.014
The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis
Flemmings, Kate and McInnes, Elizabeth 2012. The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis. in: K. Haines and C. Lockwood (ed.) Choosing the right approach United Kingdom: John Wiley & Sons. pp. 59 - 82
Repositioning for pressure ulcer prevention in adults (Protocol)
Gillespie, Brigid, Chaboyer, Wendy, McInnes, Elizabeth, Kent, Bridie and Whitty, Jennifer 2012. Repositioning for pressure ulcer prevention in adults (Protocol). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009958
End-of-life care in the intensive care unit: A systematic review of qualitative studies investigating the experiences and perceptions of the patient's families
Coventry, Alysia, McInnes, Elizabeth and Rosenberg, John 2012. End-of-life care in the intensive care unit: A systematic review of qualitative studies investigating the experiences and perceptions of the patient's families. JBI Database of Systematic Reviews and Implementation Reports. 10, pp. 95 - 106. https://doi.org/10.11124/jbisrir-2012-177
Older people's views in relation to risk of falling and need for intervention: A meta-ethnography
McInnes, Elizabeth, Seers, Kate and Tutton, Liz 2011. Older people's views in relation to risk of falling and need for intervention: A meta-ethnography. Journal of Advanced Nursing. 67 (12), pp. 2525 - 2536. https://doi.org/10.1111/j.1365-2648.2011.05707.x
Nurse-led clinics as an effective service for cardiac patients: Results from a systematic review
Schadewaldt, Verena and Schultz, T. 2011. Nurse-led clinics as an effective service for cardiac patients: Results from a systematic review. International Journal of Evidence-Based Healthcare. 9 (3), pp. 199 - 214. https://doi.org/10.1111/j.1744-1609.2011.00217.x
Support surfaces for pressure ulcer prevention (Review)
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally E. M., Dumville, Jo C. and Cullum, Nicky 2011. Support surfaces for pressure ulcer prevention (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub4
From novice to expert: Confidence and activity status determine heart failure self-care performance
Riegel, B., Lee, C. S., Albert, N., Lennie, T., Chung, M., Song, E., Bentley, B., Heo, S., Worrall-Carter, Linda and Moser, D K. 2011. From novice to expert: Confidence and activity status determine heart failure self-care performance. Nursing Research. 60 (2), pp. 132 - 138. https://doi.org/10.1097/NNR.0b013e31820978ec
A study of 90-day outcomes for a cohort of patients admitted to an Australian metropolitan acute stroke unit
Jammali-Blasi, Asmara, McInnes, Elizabeth, Markus, Romesh, Faux, Steven, O'Loughlin, Grainne, Dale, Simeon and Middleton, Sandy 2011. A study of 90-day outcomes for a cohort of patients admitted to an Australian metropolitan acute stroke unit. Journal of Vascular Nursing. 29 (1), pp. 3 - 10. https://doi.org/10.1016/j.jvn.2010.11.004
Developing and validating a predictive model for stroke progression
Craig, Louise, Wu, O., Gilmore, Harper, Barber, Mark and Langhorne1, Peter 2011. Developing and validating a predictive model for stroke progression. Cerebrovascular Diseases. https://doi.org/10.1159/000334473
Randomised comparison of uterine artery embolisation (UAE) with surgical treatment in patients with symptomatic uterine fibroids (REST trial) : 5-Year results
Moss, J. G., Cooper, K. G., Khaund, A., Murray, L. S., Murray, G. D., Wu, O., Craig, Louise E. and Lumsden, M. A. 2011. Randomised comparison of uterine artery embolisation (UAE) with surgical treatment in patients with symptomatic uterine fibroids (REST trial) : 5-Year results. BJOG: An International Journal of Obstetrics and Gynaecology. 118 (8), pp. 936 - 944. https://doi.org/10.1111/j.1471-0528.2011.02952.x
Safety and efficacy of percutaneous vertebroplasty in malignancy: A systematic review
Chew, C, Craig, Louise, Edwards, R, Moss, John and O'Dwyer, P 2011. Safety and efficacy of percutaneous vertebroplasty in malignancy: A systematic review. Clinical Radiology. 66 (1), pp. 63 - 72. https://doi.org/10.1016/j.crad.2010.09.011
Die Vorhersage postoperativer Schmerzen - ein Nutzen für das perioperative Schmerzmanagement?
Schadewaldt, Verena and Nielsen, G. H. 2011. Die Vorhersage postoperativer Schmerzen - ein Nutzen für das perioperative Schmerzmanagement? Pflege (print version). 24 (2), pp. 125 - 136. https://doi.org/10.1024/1012-5302/a000107
Developing and validating a predictive model for stroke progression
Craig, Louise, Wu, O., Gilmore, Harper, Barber, Mark and Langhorne, Peter 2011. Developing and validating a predictive model for stroke progression. Cerebrovascular Diseases Extra. 1 (1), pp. 105 - 114. https://doi.org/10.1159/000334473
Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC) :a cluster randomised controlled trial
Middleton, Sandy, McElduff, P., Ward, J., Grimshaw, J., Dale, S., D'Este, C., Drury, P., Griffiths, R., Cheung, N., Quinn, C., Evans, M., Cadilhac, D. and Levi, C. 2011. Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC) :a cluster randomised controlled trial. The Lancet. 378 (9804). https://doi.org/10.1016/S0140-6736(11)61485-2
Support surfaces for treating pressure ulcers (Review)
McInnes, Elizabeth, Dumville, Jo C., Jammali-Blasi, Asmara and Bell-Syer, Sally E. M. 2011. Support surfaces for treating pressure ulcers (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009490
Death, dependency and health status 90 days following hospital admission for acute stroke in NSW
Middleton, Sandy, Levi, C., Ward, J., Grimshaw, J., Griffiths, R., D'Este, C., Dale, S., Quinn, C., Evans, M., Cadilhac, D. and McElduff, P. 2011. Death, dependency and health status 90 days following hospital admission for acute stroke in NSW. Internal Medicine Journal. 41 (10), pp. 736 - 743. https://doi.org/10.1111/j.1445-5994.2010.02330.x
Predictors of poststroke mobility : Systematic review
Craig, Louise E., Wu, O., Bernhardt, Julie and Langhorne, Peter 2011. Predictors of poststroke mobility : Systematic review. International Journal of Stroke. 6 (4), pp. 321 - 327. https://doi.org/10.1111/j.1747-4949.2011.00621.x
Support surfaces for pressure ulcer prevention (Review)
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky 2011. Support surfaces for pressure ulcer prevention (Review). Cochrane Database of Systematic Reviews. 21 (21-22), pp. 3195 - 3198. https://doi.org/10.1002/14651858.CD001735.pub4
Predictors of poststroke mobility : Systematic review
Craig, Louise, Wu, Olivia, Bernhardt, Julie and Langhorne, Peter 2011. Predictors of poststroke mobility : Systematic review. International Journal of Stroke. 6 (4), pp. 321 - 327. https://doi.org/10.1111/j.1747-4949.2011.00621.x
Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial
Middleton, Sandy, McElduff, Patrick, Ward, Jeanette, Grimshaw, Jeremy M., Dale, Simeon, D'Este, Catherine, Drury, Peta, Griffiths, Rhonda, Cheung, N. Wah, Quinn, Clare, Evans, Malcolm, Cadilhac, Dominique and Levi, Christopher 2011. Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC): a cluster randomised controlled trial. The Lancet. 378 (9804), pp. 1699 - 1706. https://doi.org/10.1016/S0140-6736(11)61485-2
Who to turn to? Knowing the 'ropes' in an underbounded health care system
Chiarella, Mary and McInnes, Elizabeth 2010. Who to turn to? Knowing the 'ropes' in an underbounded health care system. Contemporary Nurse. 36 (February), pp. 10 - 20. https://doi.org/10.5172/conu.2010.36.1-2.010
A systematic review on the effectiveness of nurse-led cardiac clinics for adult patients with coronary heart disease
Schadewaldt, Verena and Schultz, Tim 2010. A systematic review on the effectiveness of nurse-led cardiac clinics for adult patients with coronary heart disease. The JBI Database of Systematic Reviews and Implementation Reports. 8 (2), pp. 53 - 89.
Early mobilisation after stroke : An example of an individual patient data meta-analysis of a complex intervention
Craig, Louise, Bernhardt, Julie, Langhorne, Peter and Wu, Olivia 2010. Early mobilisation after stroke : An example of an individual patient data meta-analysis of a complex intervention. Stroke: a journal of cerebral circulation (online version). https://doi.org/10.1161/STROKEAHA.110.588244
Testing the effect of a targeted intervention on nurses' compliance with 'best practice' mechanical venous thromboembolism prevention
Li, Francesca, Walker, Kim, McInnes, Elizabeth and Duff, Jed 2010. Testing the effect of a targeted intervention on nurses' compliance with 'best practice' mechanical venous thromboembolism prevention. Journal of Vascular Nursing. 28 (3), pp. 92 - 96. https://doi.org/10.1016/j.jvn.2010.06.002
Early mobilisation after stroke : An example of an individual patient data meta-analysis of a complex intervention
Craig, Louise 2010. Early mobilisation after stroke : An example of an individual patient data meta-analysis of a complex intervention. Stroke: a journal of cerebral circulation. 41 (11), pp. 2632 - 2636. https://doi.org/10.1161/STROKEAHA.110.588244
Mangel und Verbesserungsmoglichkeiten in der pflegerischen Versorgung : Die postoperative Schmerztherapie beginnt praoperativ. (Shortcomings and possible improvements in nursing care: postoperative pain therapy begins preoperatively)
Schadewaldt, Verena 2010. Mangel und Verbesserungsmoglichkeiten in der pflegerischen Versorgung : Die postoperative Schmerztherapie beginnt praoperativ. (Shortcomings and possible improvements in nursing care: postoperative pain therapy begins preoperatively). Pflege Zeitschrift. 63 (8), pp. 468 - 471.
Celebrating connecting with communities: Coproduction in global primary health care
Chiarella, Mary, Savage, Jane and McInnes, Elizabeth 2010. Celebrating connecting with communities: Coproduction in global primary health care. Primary Health Care Research and Development. 11 (2), pp. 108 - 122.
In their own words: Support surfaces to prevent pressure ulcers
McInnes, Elizabeth 2010. In their own words: Support surfaces to prevent pressure ulcers. Journal of Evidence-Based Medicine. 3 (2), pp. 132 - 132. https://doi.org/10.1111/j.1756-5391.2010.01081.x
Letter: Evidence-based wound care in the UK: A response to David Leaper's Editorial in International Wound Journal April 2009 6(2)
Bell-Syer, Sally, Brady, Marian, Bruce, Julie, Cullum, Nicky A., Foxlee, Ruth, Jull, Andrew, Margolis, David, McInnes, Elizabeth, Nelson, Andre, O'Meara, Susan and Ubbink, Dirk 2009. Letter: Evidence-based wound care in the UK: A response to David Leaper's Editorial in International Wound Journal April 2009 6(2). International Wound Journal. 6 (4), pp. 306 - 309. https://doi.org/10.1111/j.1742-481X.2009.00620_1.x
Application of the verena tschudin decision model: Ethical- moral decisions [das entscheidungsfindungsmodell von verena tschudin in der anwendung: Ethisch-moralische entscheidungen.]
Schadewaldt, Verena 2009. Application of the verena tschudin decision model: Ethical- moral decisions [das entscheidungsfindungsmodell von verena tschudin in der anwendung: Ethisch-moralische entscheidungen.]. Pflege Zeitschrift. 62 (9), pp. 522 - 525.
Fever, hyperglycaemia and swallowing dysfunction management in acute stroke: A cluster randomised controlled trial of knowledge transfer
Middleton, Sandy, Levi, Christopher, Ward, Jeanette, Grimshaw, Jeremy, Griffiths, Rhonda, D'Este, Catherine, Dale, Simeon, Cheung, N. Wah, Quinn, Clare, Evans, Malcolm and Cadihac, Dominique 2009. Fever, hyperglycaemia and swallowing dysfunction management in acute stroke: A cluster randomised controlled trial of knowledge transfer. Implementation Science. 4 (16), pp. 1 - 11. https://doi.org/10.1186/1748-5908-4-16
Support surfaces for pressure ulcer prevention
McInnes, Elizabeth, Cullum, Nicky A., Bell-Syer, Sally, Dumville, Jo C. and Jammali-Blasi, Asmara 2008. Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub3
The interaction between policy and education
Craig, Louise and Smith, Lorraine 2008. The interaction between policy and education. Nurse Education Today.
Support surfaces for pressure ulcer prevention
McInnes, Elizabeth, Cullum, Nicky, Bell-Syer, Sally and Legood, Rosa 2008. Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub2
Arrival time to Stroke Unit as crucial a measure as arrival time to Emergency Department
Middleton, Sandy, Levi, Chris and Dale, Simeon 2008. Arrival time to Stroke Unit as crucial a measure as arrival time to Emergency Department. Stroke. 39, pp. 1 - 1.
An overview of the competency movement in nursing and midwifery
Tho, Debra, Chiarella, Mary, McInnes, Elizabeth and Lau, Cecilia 2008. An overview of the competency movement in nursing and midwifery. Collegian. 15 (2), pp. 45 - 53. https://doi.org/10.1016/j.colegn.2008.02.001
Using the qualitative assessment and review instrument (QARI) software to synthesise studies on older people's views and experiences of falls prevention
McInnes, Elizabeth and Wimpenny, Peter 2008. Using the qualitative assessment and review instrument (QARI) software to synthesise studies on older people's views and experiences of falls prevention. International Journal of Evidence-Based Healthcare. 6 (3), pp. 337 - 344.
Legality, morality and reality - the role of the nurse in maintaining standards of care
Chiarella, Mary and McInnes, Elizabeth 2008. Legality, morality and reality - the role of the nurse in maintaining standards of care. Australian Journal of Advanced Nursing. 26 (1), pp. 77 - 83.
A systematic review of older people's perceptions of facilitators and barriers to participation in falls-prevention interventions
Bunn, Frances, Dickinson, Angela, Barnett-Page, Elaine, McInnes, Elizabeth and Horton, Khim 2008. A systematic review of older people's perceptions of facilitators and barriers to participation in falls-prevention interventions. Ageing and Society. 28 (4), pp. 449 - 472. https://doi.org/10.1017/S0144686X07006861
Clinical practice guidelines for the assessment and prevention of falls in older people
McInnes, Elizabeth, Gibbons, Elizabeth and Chandler-Oatts, Jacqueline 2005. Clinical practice guidelines for the assessment and prevention of falls in older people. Worldviews on Evidence-Based Nursing. 2 (1), pp. 33 - 36. https://doi.org/10.1111/j.1524-475X.2005.04094.x
Developing a guideline on the use of pressure-relieving
Legood, Rosa and McInnes, Elizabeth 2005. Developing a guideline on the use of pressure-relieving. Journal of Advanced Nursing. 50 (3), pp. 307 - 314. https://doi.org/10.1111/j.1365-2648.2005.03394.x
The prevention of pressure ulcers
Rycroft-Malone, Jo and McInnes, Elizabeth 2004. The prevention of pressure ulcers. Worldviews on Evidence-Based Nursing. 1 (2), pp. 146 - 149. https://doi.org/10.1111/j.1741-6787.2004.04032.x
Evidence review on older people's views and experiences of falls prevention strategies
McInnes, Elizabeth and Askie, Lisa 2004. Evidence review on older people's views and experiences of falls prevention strategies. Worldviews on Evidence-Based Nursing. 1 (1), pp. 20 - 37. https://doi.org/10.1111/j.1741-6787.2004.04013.x
Developing national clinical practice guidelines :the NICE experience
McInnes, Elizabeth 2004. Developing national clinical practice guidelines :the NICE experience. Implementing evidence based practice in nursing and midwifery. Adelaide, Australia: The Joanna Briggs Institute. pp. 73 - 76
The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care
McInnes, Elizabeth 2004. The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care. Journal of Tissue Viability. 14 (1), pp. 4 - 23.
Evidence-based practice
Richens, Yana, Loftus-Hills, Alison and McInnes, Elizabeth Catherine 2003. Evidence-based practice. in: S. Hinchliff, S. Norman and J. Schober (ed.) Nursing practice and health care Hodder Arnold. pp. 149 - 176