A randomized controlled trial of very early rehabilitation in speech after stroke

Journal article

Godecke, Erin, Armstrong, Elizabeth A., Rai, Tapan, Middleton, Sandy, Ciccone, Natalie, Whitworth, Anne, Rose, Miranda, Holland, Audrey, Ellery, Fiona, Hankey, Graeme J., Cadilhac, Dominique A. and Bernhardt, Julie. (2016). A randomized controlled trial of very early rehabilitation in speech after stroke. International Journal of Stroke. 11(5), pp. 586-592. https://doi.org/10.1177/1747493016641116

Publication dates
Authors	Godecke, Erin, Armstrong, Elizabeth A., Rai, Tapan, Middleton, Sandy, Ciccone, Natalie, Whitworth, Anne, Rose, Miranda, Holland, Audrey, Ellery, Fiona, Hankey, Graeme J., Cadilhac, Dominique A. and Bernhardt, Julie
Abstract	Rationale The efficacy of rehabilitation therapy for aphasia caused by stroke is uncertain. Aims and hypothesis The Very Early Rehabilitation of Speech (VERSE) trial aims to determine if intensive prescribed aphasia therapy (VERSE) is more effective and cost saving than non-prescribed, intensive (usual care-plus) and non-intensive usual care (UC) therapy when started within 15 days of stroke onset and continued daily over four weeks. We hypothesize that aphasia therapy when started very early after stroke and delivered daily could enhance recovery of communication compared with UC. Sample size estimates A total of 246 participants (82 per arm) will provide 80% power to detect a 4.4% improvement on aphasia quotient between VERSE and UC plus at a significance level of α = 0.05. Setting Acute-care hospitals and accompanying rehabilitation services throughout Australia, 2014–2017. Design Three-arm, prospective, randomized, parallel group, open-label, blinded endpoint assessment (PROBE) trial. Participants Acute stroke in previous 14 days and aphasia diagnosed by aphasia quotient (AQ) of the Western Aphasia Battery (WAB). Randomization Computer-generated blocked randomization procedure stratified by aphasia severity according to Western Aphasia Battery, to one of three arms. Intervention All participants receive UC—usual ward-based aphasia therapy. Arm 1: UC—no additional therapy; Arm 2: UC-plus usual ward-based therapy; Arm 3: VERSE therapy—a prescribed and structured aphasia therapy program. Arms 2 and 3 receive a total of 20 additional sessions (45–60 min, provided daily) of aphasia therapy. The additional intervention must be provided before day 50 post stroke. Study outcome measures The aphasia quotient of Western Aphasia Battery at 12 weeks post stroke. Secondary outcomes include discourse measures, the Stroke and Aphasia Quality of Life Scale-39 and the Aphasia Depression Rating Scale at 12 and 26 weeks. Economic evaluation Incremental cost-effectiveness ratios at 26 weeks will be reported. Discussion This trial is designed to test whether the intensive and prescribed VERSE intervention is effective in promoting maximum recovery and preventing costly health complications in a vulnerable population of survivors of stroke. It will also provide novel, prospective, aphasia specific cost-effectiveness data to guide future policy development for this population.
Keywords	aphasia; stroke; aphasia therapy; intensity; rehabilitation; randomized; controlled trial
Year	2016
Journal	International Journal of Stroke
Journal citation	11 (5), pp. 586-592
Publisher	SAGE Publications
ISSN	1747-4949
Digital Object Identifier (DOI)	https://doi.org/10.1177/1747493016641116
Scopus EID	2-s2.0-84970002356
Research or scholarly	Research
Page range	586-592
Funder	National Health and Medical Research Council (NHMRC)
Research Group	Nursing Research Institute
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	05 May 2016
Publication process dates
Accepted	21 Dec 2015
Grant ID	NHMRC/1044973

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Gawthorne, Julie, Fasugba, Oyebola, Levi, Chris, McInnes, Elizabeth, Ferguson, Caleb, McNeil, John J., Cadilhac, Dominique A., Everett, Bronwyn, Fernandez, Ritin, Fry, Margaret, Goldsmith, Helen, Hickman, Louise, Jackson, Debra, Maguire, Jane, Murray, Edel, Perry, Lin and Middleton, Sandy. (2021). Are clinicians using routinely collected data to drive practice improvement? A cross-sectional survey. International Journal for Quality in Health Care. 33(4), pp. 1-10. https://doi.org/10.1093/intqhc/mzab141

Impact of a care bundle for patients with blunt chest injury (ChIP) : A multicentre controlled implementation evaluation

Curtis, Kate, Kourouche, Sarah, Asha, Stephen, Considine, Julie, Fry, Margaret, Middleton, Sandy, Mitchell, Rebecca, Munroe, Belinda, Shaban, Ramon Z., D'Amato, Alfa, Skinner, Clare, Wiseman, Glen and Buckley, Thomas. (2021). Impact of a care bundle for patients with blunt chest injury (ChIP) : A multicentre controlled implementation evaluation. PLoS ONE. 16(10), p. Article e0256027. https://doi.org/10.1371/journal.pone.0256027

Understanding coordinator roles in acute stroke care : A national survey

Purvis, Tara, Middleton, Sandy, Alexandrov, Anne W., Kilkenny, Monique F., Coote, Skye, Kuhle, Sarah and Cadilhac, Dominique A.. (2021). Understanding coordinator roles in acute stroke care : A national survey. Journal of Stroke and Cerebrovascular Diseases. 30(12), p. Article 106111. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106111

Oral care practices in stroke : Findings from the UK and Australia

Bangee, Munirah, Martinez-Garduno, Cintia Mayel, Brady, Marian C., Cadilhac, Dominique A., Dale, Simeon, Hurley, Margaret A., McInnes, Elizabeth, Middleton, Sandy, Patel, Tahera, Watkins, Caroline L. and Lightbody, Elizabeth. (2021). Oral care practices in stroke : Findings from the UK and Australia. BMC Nursing. 20(1), p. Article 169. https://doi.org/10.1186/s12912-021-00642-y

Understanding the role of external facilitation to drive quality improvement for stroke care in hospitals

Thayabaranathan, Tharshanah, Andrew, Nadine E., Grimley, Rohan, Stroil-Salama, Enna, Grabsch, Brenda, Hill, Kelvin, Cadigan, Greg, Purvis, Tara, Middleton, Sandy, Kilkenny, Monique F. and Cadilhac, Dominique A.. (2021). Understanding the role of external facilitation to drive quality improvement for stroke care in hospitals. Healthcare. 9(9), p. Article 1095. https://doi.org/10.3390/healthcare9091095

Oxygen desaturation and adverse outcomes in acute stroke : Secondary analysis of the HeadPoST study

Ouyang, Menglu, Roffe, Christine, Billot, Laurent, Song, Lili, Wang, Xia, Munoz-Venturelli, Paula, Lavados, Pablo M., Robinson, Thompson, Middleton, Sandy, Olavarría, Verónica V., Watkins, Caroline L., Lee, Tsong-Hai, Brunser, Alejandro M., Pontes-Neto, Octavio M., Hackett, Maree L. and Anderson, Craig S.. (2021). Oxygen desaturation and adverse outcomes in acute stroke : Secondary analysis of the HeadPoST study. Clinical Neurology and Neurosurgery. 207, p. Article 106796. https://doi.org/10.1016/j.clineuro.2021.106796

Altering the rehabilitation environment to improve stroke survivor activity : A Phase II trial

Janssen, Heidi, Ada, Louise, Middleton, Sandy, Pollack, Michael, Nilsson, Michael, Churilov, Leonid, Blennerhassett, Jannette M., Faux, Steven, New, Peter, McCluskey, Annie, Spratt, Neil J. and Bernhardt, Julie. (2021). Altering the rehabilitation environment to improve stroke survivor activity : A Phase II trial. International Journal of Stroke. 17(3), pp. 299-307. https://doi.org/10.1177/17474930211006999

The role of stroke nurses in thrombolysis administration in Australia and the United Kingdom : A cross-sectional survey of current practice

Hamilton, H., Dale, Simeon, McElduff, Benjamin, Craig, L., Fasugba, Oyebola, McInnes, Elizabeth, Alexandrov, Anne W., Cadilhac, Dominique A., Lightbody, Elizabeth, Watkins, Caroline and Middleton, Sandra. (2021). The role of stroke nurses in thrombolysis administration in Australia and the United Kingdom : A cross-sectional survey of current practice. Journal of Clinical Nursing. 31(1-2), pp. 158-166. https://doi.org/10.1111/jocn.15892

Can emergency nurses safely and effectively insert fascia iliaca blocks in patients with a fractured neck of femur? A prospective cohort study in an Australian emergency department

Gawthorne, Julie, Stevens, Jennifer, Faux, Steven G., Leung, Julie, McInnes, Elizabeth, Fasugba, Oyebola, McElduff, Benjamin and Middleton, Sandy. (2021). Can emergency nurses safely and effectively insert fascia iliaca blocks in patients with a fractured neck of femur? A prospective cohort study in an Australian emergency department. Journal of Clinical Nursing. 30(23-24), pp. 3611-3622. https://doi.org/10.1111/jocn.15883

Barriers and enablers to implementing hospital-acquired urinary tract infection prevention strategies : A qualitative study using the Theoretical Domains Framework

Fasugba, O., McInnes, E., Baye, J., Cheng, H., Gordon, R. and Middleton, S.. (2021). Barriers and enablers to implementing hospital-acquired urinary tract infection prevention strategies : A qualitative study using the Theoretical Domains Framework. Journal of Hospital Infection. 113, pp. 172-179. https://doi.org/10.1016/j.jhin.2021.03.028

Protocol of a randomized controlled trial investigating the effectiveness of recovery-focused community support to avoid readmissions and improve participation after stroke (ReCAPS)

Cadilhac, Dominique A., Cameron, Jan, Kilkenny, Monique F., Andrew, Nadine E., Harris, Dawn, Ellery, Fiona, Thrift, Amanda G., Purvis, Tara, Kneebone, Ian, Dewey, Helen, Drummond, Avril, Hackett, Maree, Grimley, Rohan, Middleton, Sandy, Thijs, Vincent, Cloud, Geoffrey, Carey, Mariko, Butler, Ernest, Ma, Henry, ... Lannin, Natasha A.. (2021). Protocol of a randomized controlled trial investigating the effectiveness of recovery-focused community support to avoid readmissions and improve participation after stroke (ReCAPS). International Journal of Stroke. 17(2), pp. 236-241. https://doi.org/10.1177/17474930211022678

Self-care research : Where are we now? Where are we going?

Riegel, Barbara, Dunbar, Sandra B., Fitzsimons, Donna, Freedland, Kenneth E., Lee, Christopher S., Middleton, Sandy, Stromberg, Anna, Vellone, Ercole, Webber, David E. and Jaarsma, Tiny. (2021). Self-care research : Where are we now? Where are we going? International Journal of Nursing Studies. 116, p. Article 103402. https://doi.org/10.1016/j.ijnurstu.2019.103402

Self-care research : How to grow the evidence base? (reprint)

Jaarsma, T., Strömberg, A., Dunbar, S. B., Fitzsimons, D., Lee, C., Middleton, S., Vellone, E., Freedland, K. E. and Riegel, B.. (2021). Self-care research : How to grow the evidence base? (reprint). International Journal of Nursing Studies. 116, p. Article 103903. https://doi.org/10.1016/j.ijnurstu.2021.103903

Fatal and nonfatal events within 14 days after early, intensive mobilization poststroke

Bernhardt, Julie, Borschmann, Karen, Collier, Janice M., Thrift, Amanda G., Langhorne, Peter, Middleton, Sandy, Lindley, Richard I., Dewey, Helen M., Bath, Philip, Said, Catherine M., Churilov, Leonid, Ellery, Fiona, Bladin, Christopher, Reid, Christopher M., Frayne, Judith H., Srikanth, Velandai, Reid, Stephen J. and Donnan, Geoffrey A.. (2021). Fatal and nonfatal events within 14 days after early, intensive mobilization poststroke. Neurology. 96(8), pp. 1156-1166. https://doi.org/10.1212/WNL.0000000000011106

COVID-19 pandemic impact on care for stroke in Australia : Emerging evidence from the Australian Stroke Clinical Registry

Cadilhac, Dominique A., Kim, Joosup, Tod, Emma K., Morrison, Julie L., Breen, Sibilah J., Jaques, Katherine, Grimley, Rohan, Jones, Brett, Cloud, Geoffrey C., Kleinig, Timothy, Hillier, Susan, Castley, Helen, Lindley, Richard I., Lannin, Natasha A., Middleton, Sandy, Yan, Bernard, Hill, Kelvin, Clissold, Benjamin B., Mitchell, Peter J., ... the AuSCR Covid-Reporting Consortium Group. (2021). COVID-19 pandemic impact on care for stroke in Australia : Emerging evidence from the Australian Stroke Clinical Registry. Frontiers in Neurology. 12, p. Article 621495. https://doi.org/10.3389/fneur.2021.621495

Low blood pressure and adverse outcomes in acute stroke : HeadPoST study explanations

Ouyang, Menglu, Muñoz-Venturelli, Paula, Billot, Laurent, Wang, Xia, Song, Lili, Arima, Hisatomi, Lavados, Pablo M., Hackett, Maree L., Olavarría, Verónica V., Brunser, Alejandro, Middleton, Sandy, Pontes-Neto, Octavio M., Lee, Tsong-Hai, Watkins, Caroline L., Robinson, Thompson and Anderson, Craig S.. (2021). Low blood pressure and adverse outcomes in acute stroke : HeadPoST study explanations. Journal of Hypertension. 39(2), pp. 273-279. https://doi.org/10.1097/HJH.0000000000002649

The prevalence and impact of unprofessional behaviour among hospital workers : A survey in seven Australian hospitals

Westbrook, Johanna, Sunderland, Neroli, Li, Ling, Koyama, Alain, McMullan, Ryan, Urwin, Rachel, Churruca, Kate, Baysari, Melissa T., Jones, Catherine, Loh, Erwin, McInnes, Elizabeth C., Middleton, Sandy and Braithwaite, Jeffrey. (2021). The prevalence and impact of unprofessional behaviour among hospital workers : A survey in seven Australian hospitals. Medical Journal of Australia. 214(1), pp. 31-37. https://doi.org/10.5694/mja2.50849

Measuring organizational context in Australian emergency departments and its impact on stroke care and patient outcomes

Schadewaldt, Verena, McElduff, Benjamin, D'Este, Catherine, McInnes, Elizabeth, Dale, Simeon, Fasugba, Oyebola, Cadilhac, Dominique A., Considine, Julie, Grimshaw, Jeremy M., Cheung, N. Wah, Levi, Chris, Gerraty, Richard, Fitzgerald, Mark and Middleton, Sandy. (2021). Measuring organizational context in Australian emergency departments and its impact on stroke care and patient outcomes. Nursing Outlook. 69(1), pp. 103-115. https://doi.org/10.1016/j.outlook.2020.08.009

Routine glucose assessment in the emergency department for detecting unrecognised diabetes : A cluster randomised trial [Letter]

Cheung, N. Wah, Campbell, Lesley V. and Middleton, Sandy. (2020). Routine glucose assessment in the emergency department for detecting unrecognised diabetes : A cluster randomised trial [Letter] John Wiley & Sons Australia, Ltd. https://doi.org/10.5694/mja2.50549

Self-care research : How to grow the evidence base?

Jaarsma, T., Strömberg, A., Dunbar, S. B., Fitzsimons, D., Lee, C., Middleton, S., Vellone, E., Freedland, K. E. and Riegel, B.. (2020). Self-care research : How to grow the evidence base? International Journal of Nursing Studies. 105, p. Article 103555. https://doi.org/10.1016/j.ijnurstu.2020.103555

International translation of fever, sugar, swallow protocols : The quality in acute stroke care Europe project

Middleton, S. and Pfeilschifter, W.. (2020). International translation of fever, sugar, swallow protocols : The quality in acute stroke care Europe project. International Journal of Stroke. 15(6), pp. 591-594. https://doi.org/10.1177/1747493020915130

A randomized control trial of intensive aphasia therapy after acute stroke : The Very Early Rehabilitation for SpEech (VERSE) study

Godecke, Erin, Armstrong, Elizabeth, Rai, Tapan, Ciccone, Natalie, Rose, Miranda L., Middleton, Sandy, Whitworth, Anne, Holland, Audrey, Ellery, Fiona, Hankey, Graeme J., Cadilhac, Dominique A. and Bernhardt, Julie. (2020). A randomized control trial of intensive aphasia therapy after acute stroke : The Very Early Rehabilitation for SpEech (VERSE) study. International Journal of Stroke. 16(5), pp. 556-572. https://doi.org/10.1177/1747493020961926

Quantifying regional variations in components of acute stroke unit (ASU) care in the international HeadPoST study

Ouyang, Menglu, Zhang, Yao, Wang, Xia, Song, Lili, Billot, Laurent, Robinson, Thompson, Lavados, Pablo M., Arima, Hisatomi, Hackett, Maree L., Olavarría, Verónica V., Muñoz-Venturelli, Paula, Middleton, Sandy, Watkins, Caroline L., Pontes-Neto, Octavio M., Lee, Tsong-Hai, Brunser, Alejandro M. and Anderson, Craig S.. (2020). Quantifying regional variations in components of acute stroke unit (ASU) care in the international HeadPoST study. Journal of the Neurological Sciences. 419, p. Article 117187. https://doi.org/10.1016/j.jns.2020.117187

Prognostic significance of early urinary catheterization after acute stroke : Secondary analyses of the international HeadPoST trial

Ouyang, Menglu, Billot, Laurent, Song, Lili, Wang, Xia, Roffe, Christine, Arima, Hisatomi, Lavados, Pablo M., Hackett, Maree L., Olavarría, Verónica V., Muñoz-Venturelli, Paula, Middleton, Sandy, Pontes-Neto, Octavio M., Lee, Tsong-Hai, Watkins, Caroline L., Robinson, Thompson G. and Anderson, Craig S.. (2020). Prognostic significance of early urinary catheterization after acute stroke : Secondary analyses of the international HeadPoST trial. International Journal of Stroke. 16(2), pp. 200-206. https://doi.org/10.1177/1747493020908140

Process evaluation of an implementation trial to improve the triage, treatment and transfer of stroke patients in emergency departments (T3 trial) : A qualitative study

McInnes, Elizabeth, Dale, Simeon, Craig, Louise, Phillips, Rosemary, Fasugba, Oyebola, Schadewaldt, Verena, Cheung, N. Wah, Cadilhac, Dominique A., Grimshaw, Jeremy M., Levi, Chris, Considine, Julie, McElduff, Patrick, Gerraty, Richard, Fitzgerald, Mark, Ward, Jeanette, D’Este, Catherine and Middleton, Sandy. (2020). Process evaluation of an implementation trial to improve the triage, treatment and transfer of stroke patients in emergency departments (T3 trial) : A qualitative study. Implementation Science. 15(1), p. Article 99. https://doi.org/10.1186/s13012-020-01057-0

No benefit of flat head positioning in early moderate–severe acute ischaemic stroke : A HeadPoST study subgroup analysis

Brunser, Alejandro M., Ouyang, Menglu, Arima, Hisatomi, Lavados, Pablo M., Robinson, Thompson, Muñoz-Venturelli, Paula, Olavarría, Verónica V., Billot, Laurent, Hackett, Marre L., Song, Lili, Middleton, Sandy, Pontes-Neto, Octavio, Lee, Tsong-Hai, Watkins, Caroline and Anderson, Craig S.. (2020). No benefit of flat head positioning in early moderate–severe acute ischaemic stroke : A HeadPoST study subgroup analysis. Stroke and Vascular Neurology. 5(4), p. Article e000387. https://doi.org/10.1136/svn-2020-000387

Increased fluid intake for the prevention of urinary tract infection in adults and children in all settings : A systematic review

Fasugba, O., Mitchell, B. G., McInnes, E., Koerner, J., Cheng, A. C., Cheng, H. and Middleton, S.. (2020). Increased fluid intake for the prevention of urinary tract infection in adults and children in all settings : A systematic review. Journal of Hospital Infection. 104(1), pp. 68-77. https://doi.org/10.1016/j.jhin.2019.08.016

Cluster-randomized trial of thrombolysis implementation support in metropolitan and regional Australian stroke centers : Lessons for individual and systems behavior change

Levi, Christopher R., Attia, John A., D'Este, Cate, Ryan, Annika E., Henskens, Frans, Kerr, Erin, Parsons, Mark William, Sanson-Fisher, Robert W., Bladin, Christopher F., Lindley, Richard I., Middleton, Sandy, Paul, Christine L. and the TIPS (Thrombolysis Implementation in Stroke) Study Group. (2020). Cluster-randomized trial of thrombolysis implementation support in metropolitan and regional Australian stroke centers : Lessons for individual and systems behavior change. Journal of the American Heart Association. 9(3), p. Article e012732. https://doi.org/10.1161/JAHA.119.012732

Dysphagia screening and risks of pneumonia and adverse outcomes after acute stroke : An international multicenter study

Ouyang, Menglu, Boaden, Elizabeth, Arima, Hisatomi, Lavados, Pablo M., Billot, Laurent, Hackett, Maree L., Olavarria, Verónica V., Muñoz-Venturelli, Paula, Song, Lili, Rogers, Kris, Middleton, Sandy, Pontes-Neto, Octavio M., Lee, Tsong-Hai, Watkins, Caroline, Robinson, Thompson and Anderson, Craig S.. (2020). Dysphagia screening and risks of pneumonia and adverse outcomes after acute stroke : An international multicenter study. International Journal of Stroke. 15(2), pp. 206-215. https://doi.org/10.1177/1747493019858778

14th International Symposium on Thrombolysis, Thrombectomy and Acute Stroke Therapy : Proceedings and summary of discussions

Sheth, Sunil A., Lopez-Rivera, Victor, Lee, Songmi, Savitz, Sean I., Liebeskind, David S., Grotta, James C. and *Middleton, Sandy. (2019). 14th International Symposium on Thrombolysis, Thrombectomy and Acute Stroke Therapy : Proceedings and summary of discussions. International Journal of Stroke. 14(4), pp. 439-441. https://doi.org/10.1177/1747493019838760

Inclusion of a care bundle for fever, hyperglycaemia and swallow management in a National Audit for acute stroke : Evidence of upscale and spread

Purvis, Tara, Middleton, Sandy, Craig, Louise E., Kilkenny, Monique F., Dale, Simeon, Hill, Kelvin, D’Este, Catherine and Cadilhac, Dominique A.. (2019). Inclusion of a care bundle for fever, hyperglycaemia and swallow management in a National Audit for acute stroke : Evidence of upscale and spread. Implementation Science. 14(1), p. Article 87. https://doi.org/10.1186/s13012-019-0934-y

Review article : A primer for clinical researchers in the emergency department : Part VIII. Implementation science: An introduction

Tavender, Emma, Babl, Franz and Middleton, Sandy. (2019). Review article : A primer for clinical researchers in the emergency department : Part VIII. Implementation science: An introduction. Emergency Medicine Australasia. 31(3), pp. 332-338. https://doi.org/10.1111/1742-6723.13296

Impact of evidence-based stroke care on patient outcomes : A multilevel analysis of an international study

Venturelli, Paula Muñoz, Li, Xian, Middleton, Sandy, Watkins, Caroline, Lavados, Pablo M., Olavarría, V. Olavarría, Brunser, Alejandro, Pontes‐Neto, Octavio, Santos, Taiza E. G., Arima, Hisatomi, Billot, Laurent, Hackett, Maree L., Song, Lily, Robinson, Thompson and Anderson, Craig S.. (2019). Impact of evidence-based stroke care on patient outcomes : A multilevel analysis of an international study. Journal of the American Heart Association. 8(13), p. Article e012640. https://doi.org/10.1161/JAHA.119.012640

A systems change intervention for nurse-led smoking cessation care in hospitals

Malone, Victoria, Ezard, Nadine, Clifford, Brendan, Middleton, Sandy, McInnes, Elizabeth and Bonevski, Billie. (2019). A systems change intervention for nurse-led smoking cessation care in hospitals. Collegian. 26(2), pp. 235-241. https://doi.org/10.1016/j.colegn.2018.07.007

Nurse-initiated acute stroke care in emergency departments : The triage, treatment, and transfer implementation cluster randomized controlled trial

Middleton, Sandy, Dale, Simeon, Cheung, N. Wah, Cadilhac, Dominique A., Grimshaw, Jeremy M., Levi, Chris, McInnes, Elizabeth, Considine, Julie, McElduff, Patrick, Gerraty, Richard, Craig, Louise Eisten, Schadewaldt, Verena, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark, Ward, Jeanette and D'Este, Catherine. (2019). Nurse-initiated acute stroke care in emergency departments : The triage, treatment, and transfer implementation cluster randomized controlled trial. Stroke. 50(6), pp. 1346-1355. https://doi.org/10.1161/STROKEAHA.118.020701

Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke : Evidence from a randomized controlled pilot study

Rogers, Jeffrey M., Duckworth, Jonathan, Middleton, Sandy, Steenbergen, Bert and Wilson, Peter H.. (2019). Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke : Evidence from a randomized controlled pilot study. Journal of NeuroEngineering and Rehabilitation. 16(56), p. Article 56. https://doi.org/10.1186/s12984-019-0531-y

Acute EEG patterns associated with transient ischemic attack

Rogers, Jeffrey M., Bechara, Jacob, Middleton, Sandy and Johnstone, Stuart J.. (2019). Acute EEG patterns associated with transient ischemic attack. Clinical EEG and Neuroscience. 50(3), pp. 196-204. https://doi.org/10.1177/1550059418790708

Predicting functional outcomes after stroke : An observational study of acute single-channel EEG

Rogers, Jeffrey M., Middleton, Sandy, Wilson, Peter H. and Johnstone, Stuart J.. (2019). Predicting functional outcomes after stroke : An observational study of acute single-channel EEG. Topics in Stroke Rehabilitation. 27(3), pp. 161-172. https://doi.org/10.1080/10749357.2019.1673576

Routine glucose assessment in the emergency department for detecting unrecognised diabetes : A cluster randomised trial

Cheung, N. Wah, Campbell, Lesley V., Fulcher, Gregory R., McElduff, Patrick, Depczynski, Barbara, Acharya, Shamasunder, Carter, John, Champion, Bernard L., Chen, Roger, Chipps, David, Flack, Jeff, Kinsella, Jen, Layton, Margaret, McLean, Mark, Moses, Robert G., Park, Kris, Poynten, Ann M., Pollock, Carol, Scadden, Debbie, ... Middleton, Sandy. (2019). Routine glucose assessment in the emergency department for detecting unrecognised diabetes : A cluster randomised trial. Medical Journal of Australia. 211(10), pp. 454-459. https://doi.org/10.5694/mja2.50394

Patients with heart failure with and without a history of stroke in the Netherlands : A secondary analysis of psychosocial, behavioural and clinical outcomes up to three years from the COACH trial

Ski, Chantal F., van der Wal, Martje H. L., Le Grande, Michael R., van Veldhuisen, Dirk J., Lesman-Leegte, Ivonne, Thompson, David R., Middleton, Sandy, Cameron, Jan and Jaarsma, Tiny. (2019). Patients with heart failure with and without a history of stroke in the Netherlands : A secondary analysis of psychosocial, behavioural and clinical outcomes up to three years from the COACH trial. BMJ Open. 9(8), p. Article e025525. https://doi.org/10.1136/bmjopen-2018-025525

Outcomes for patients with in-hospital stroke : A multicenter study from the Australian stroke clinical registry (AuSCR)

Cadihac, Dominique A., Kilkenny, Monique F., Lannin, Natasha A., Dewey, Helen M., Levi, Christopher R., Hill, Kelvin, Grabsch, Brenda, Grimley, Rohan, Blacker, David, Thrift, Amanda G., Middleton, Sandy, Anderson, Craig S. and Donnan, Geoffrey A.. (2019). Outcomes for patients with in-hospital stroke : A multicenter study from the Australian stroke clinical registry (AuSCR). Journal of Stroke and Cerebrovascular Diseases. 28(5), pp. 1302-1310. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.01.026

Are service and patient indicators different in the presence or absence of nurse practitioners? The EDPRAC cohort study of Australian emergency departments

Middleton, Sandy, Gardner, Glenn, Gardner, Anne, Considine, Julie, Fitzgerald, Gerard, Christofis, Luke, Doubrovsky, Anna, Della, Phillip, Fasugba, Oyebola and D'Este, Catherine. (2019). Are service and patient indicators different in the presence or absence of nurse practitioners? The EDPRAC cohort study of Australian emergency departments. BMJ Open. 9(7), p. Article e024529. https://doi.org/10.1136/bmjopen-2018-024529

Maximising data value and avoiding data waste : A validation study in stroke research

Kilkenny, Monique F., Kim, Joosup, Andrew, Nadine E., Sundararajan, Vijaya, Thrift, Amanda G., Katzenellenbogen, Judith M., Flack, Felicity, Gattellari, Melina, Boyd, James H., Anderson, Phil, Lannin, Natasha, Sipthorp, Mark, Chen, Ying, Johnston, Trisha, Anderson, Craig S., Middleton, Sandy, Donnan, Geoffrey A. and Cadihac, Dominique A.. (2019). Maximising data value and avoiding data waste : A validation study in stroke research. Medical Journal of Australia. 210(1), pp. 27-31. https://doi.org/10.5694/mja2.12029

Does the addition of non-approved inclusion and exclusion criteria for rtPA impact treatment rates? Findings in Australia, the UK, and the USA

Craig, Louise E., Middleton, Sandy, Hamilton, Helen, Cudlip, Fern, Swatzell, Victoria, Alexandrov, Andrei V., Lightbody, Elizabeth, Watkins, Caroline, Philip, Sheeba, Cadihac, Dominique A., McInnes, Elizabeth, Dale, Simeon and Alexandrov, Anne W.. (2019). Does the addition of non-approved inclusion and exclusion criteria for rtPA impact treatment rates? Findings in Australia, the UK, and the USA. Interventional Neurology. 8(1), pp. 1-12. https://doi.org/10.1159/000493020

Weekend hospital discharge is associated with suboptimal care and outcomes : An observational Australian Stroke Clinical Registry study

Kilkenny, Monique F., Lannin, Natasha A., Levi, Christopher, Faux, Steve G., Dewey, Helen M., Grimley, Rohan, Hill, Kelvin, Grabsch, Brenda, Kim, Joosup, Hand, Peter, Crosby, Vanessa, Gardner, Michele, Rois-Gnecco, Juan, Thijs, Vincent, Anderson, Craig S., Donnan, Geoffrey A., Middleton, Sandy and Cadilhac, Dominique A.. (2019). Weekend hospital discharge is associated with suboptimal care and outcomes : An observational Australian Stroke Clinical Registry study. International Journal of Stroke. 14(4), pp. 430-438. https://doi.org/10.1177/1747493018806165

Vital sign monitoring following stroke associated with 90-day independence : A secondary analysis of the QASC cluster randomized trial

Middleton, Sandy, McElduff, Patrick, Drury, Peta, D'Este, Catherine, Cadilhac, Dominique A., Dale, Simeon, Grimshaw, Jeremy M., Ward, Jeanette, Quinn, Clare, Cheung, N. Wah and Levi, Chris. (2019). Vital sign monitoring following stroke associated with 90-day independence : A secondary analysis of the QASC cluster randomized trial. International Journal of Nursing Studies. 89, pp. 72-79. https://doi.org/10.1016/j.ijnurstu.2018.09.014

Blood pressure variability and outcome in acute ischemic and hemorrhagic stroke : A post hoc analysis of the HeadPoST study

Minhas, Jatinder S., Wang, Xia, Lavados, Pablo M., Moullaali, Tom J., Arima, Hisatomi, Billot, Laurent, Hackett, Maree L., Olavarria, Veronica V., Middleton, Sandy, Pontes-Neto, Octavio, De Silva, H. Asita, Lee, Tsong-Hai, Pandian, Jeyaraj D., Mead, Gillian E., Watkins, Caroline, Chalmers, John, Anderson, Craig S. and Robinson, Thompson G.. (2019). Blood pressure variability and outcome in acute ischemic and hemorrhagic stroke : A post hoc analysis of the HeadPoST study. Journal of Human Hypertension. 33(5), pp. 411-418. https://doi.org/10.1038/s41371-019-0193-z

Multicenter, prospective, controlled, before-and-after, quality improvement study (Stroke123) of acute stroke care

Cadilhac, Dominique A., Grimley, Rohan, Kilkenny, Monique F., Andrew, Nadine E., Lannin, Natasha A., Hill, Kelvin, Grabsch, Brenda, Levi, Chris, Thrift, Amanda G., Faux, Steven G., Wakefield, John, Cadigan, Greg, Donnan, Geoffrey A., Middleton, Sandy and Anderson, Craig S.. (2019). Multicenter, prospective, controlled, before-and-after, quality improvement study (Stroke123) of acute stroke care. Stroke. 50(6), pp. 1525-1530. https://doi.org/10.1161/STROKEAHA.118.023075

Validating the Alberta Context Tool in a multi-site Australian emergency department nurse population

Schadewaldt, Verena, McElduff, Benjamin, D'Este, Catherine, McInnes, Elizabeth, Dale, Simeon, Gunaratne, Anoja, Squires, Janet, Cadilhac, Dominique A. and Middleton, Sandy. (2019). Validating the Alberta Context Tool in a multi-site Australian emergency department nurse population. PLoS ONE. 14(4), p. Article e0215153. https://doi.org/10.1371/journal.pone.0215153

Hospital organizational context and delivery of evidence-based stroke care : A cross sectional study

Andrew, Nadine E., Middleton, Sandy, Grimley, Rohan, Anderson, Craig S., Donnan, Geoffrey A., Lannin, Natasha A., Stroil-Salama, Enna, Grabsch, Brenda, Kilkenny, Monique F., Squires, Janet E. and Cadilhac, Dominique A.. (2019). Hospital organizational context and delivery of evidence-based stroke care : A cross sectional study. Implementation Science. 14, p. Article 6. https://doi.org/10.1186/s13012-018-0849-z

Prescription of antihypertensive medication at discharge influences survival following stroke

Andrew, Nadine E., Kim, Joosup, Thrift, Amanda, Kilkenny, Monique F., Lannin, Natasha, Anderson, Craig, Donnan, Geoffrey A., Hill, Kelvin, Middleton, Sandy, Levi, Chris, Faux, Steve, Grimley, Rohan, Gange, Nisal, Geraghty, Richard, Ermel, Sharan and Cadilhac, Dominique A.. (2018). Prescription of antihypertensive medication at discharge influences survival following stroke. Neurology. 90(9), pp. e745-e753. https://doi.org/10.1212/WNL.0000000000005023

Implementing a protocol for a research impact assessment of the Centre for Research Excellence in Stroke Rehabilitation and Brain Recovery

Ramanathan, Shanthi, Reeves, Penny, Deeming, Simon, Bernhardt, Julie, Nilsson, Michael, Cadihac, Dominique A., Walker, Frederick Rohan, Carey, Leeanne, Middleton, Sandy, Lynch, Elizabeth and Searles, Andrew. (2018). Implementing a protocol for a research impact assessment of the Centre for Research Excellence in Stroke Rehabilitation and Brain Recovery. Health Research Policy and Systems. 16(1), p. Article 71. https://doi.org/10.1186/s12961-018-0349-2

Statistical analysis plan (SAP) for the Very Early Rehabilitation in Speech (VERSE) after stroke trial : An international 3-arm clinical trial to determine the effectiveness of early, intensive, prescribed, direct aphasia therapy

Godecke, Erin, Rai, Tapan, Cadihac, Dominique A., Armstrong, Elizabeth, Middleton, Sandy, Ciccone, Natalie, Whitworth, Anne, Rose, Miranda L., Holland, Audrey, Ellery, Fiona, Hankey, Graeme J. and Bernhardt, Julie. (2018). Statistical analysis plan (SAP) for the Very Early Rehabilitation in Speech (VERSE) after stroke trial : An international 3-arm clinical trial to determine the effectiveness of early, intensive, prescribed, direct aphasia therapy. International Journal of Stroke. 13(8), pp. 863-880. https://doi.org/10.1177/1747493018790055

Improving the quality of healthcare : A cross-sectional study of the features of successful clinical networks

Haines, Mary M., Brown, Bernadette, D'Este, Catherine, Yano, Elizabeth M., Craig, Jonathon C., Middleton, Sandy, Castaldi, Peter A., Pollock, Carol A., Needham, Kate, Watt, William H., Elliott, Elizabeth J., Scott, Anthony, Dominello, Amanda, Klineberg, Emily, Atkinson, Jo-An, Paul, Christine and Redman, Sally. (2018). Improving the quality of healthcare : A cross-sectional study of the features of successful clinical networks. Public Health Research and Practice. 28(4), p. Article e28011803. https://doi.org/10.17061/phrp28011803

A mixed methods study to explore opinions of research translation held by researchers working in a Centre of Research Excellence in Australia

Lynch, Elizabeth A., Ramanathan, Shanthi, Middleton, Sandy, Bernhardt, Julie, Nilsson, Michael and Cadilhac, Dominique A.. (2018). A mixed methods study to explore opinions of research translation held by researchers working in a Centre of Research Excellence in Australia. BMJ Open. 8, p. Article e022357. https://doi.org/10.1136/bmjopen-2018-022357

Back to basics : Adherence with guidelines for glucose and temperature control in an American comprehensive stroke center sample

Alexandrov, Anne W., Palazzo, Paola, Biby, Sharon, Doerr, Abbigayle, Dusenbury, Wendy, Young, Rhonda, Lindstrom, Anne, Grove, Mary, Tsivgoulis, Georgios, Middleton, Sandy and Alexandrov, Andrei V.. (2018). Back to basics : Adherence with guidelines for glucose and temperature control in an American comprehensive stroke center sample. Journal of Neuroscience Nursing. 50(3), pp. 131-137. https://doi.org/10.1097/JNN.0000000000000358

Mapping workforce configuration and operational models in australian emergency departments : A national survey

Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Considine, Julie, Fitzgerald, Gerard, Christofis, Luke, Doubrovsky, Anna, Adams, Margaret and O'Connell, Jane. (2018). Mapping workforce configuration and operational models in australian emergency departments : A national survey. Australian Health Review. 42(3), pp. 340-347. https://doi.org/10.1071/AH16231

Improving quality and outcomes of stroke care in hospitals : Protocol and statistical analysis plan for the Stroke 123 implementation study

Cadilhac, Dominique A., Andrew, Nadine E., Kilkenny, Monique F., Hill, Kelvin, Grabsch, Brenda, Lannin, Natasha A., Thrift, Amanda G., Anderson, Craig S., Donnan, Geoffrey A., Middleton, Sandy and Grimley, Rohan. (2018). Improving quality and outcomes of stroke care in hospitals : Protocol and statistical analysis plan for the Stroke 123 implementation study. International Journal of Stroke. 13(1), pp. 96-106. https://doi.org/10.1177/1747493017730741

Quality of life is poorer for patients with stroke who require an interpreter : An observational Australian Registry study

Kilkenny, Monique F., Lannin, Natasha A., Anderson, Craig S., Dewey, Helen M., Kim, Joosup, Barclay-Moss, Karen, Levi, Chris, Faux, Steven, Hill, Kelvin, Grabsch, Brenda, Middleton, Sandy, Thrift, Amanda G., Grimley, Rohan, Donnan, Geoffrey and Cadilhac, Dominique A.. (2018). Quality of life is poorer for patients with stroke who require an interpreter : An observational Australian Registry study. Stroke. 49(3), pp. 761-764. https://doi.org/10.1161/STROKEAHA.117.019771

What do randomized controlled trials say about virtual rehabilitation in stroke? A systematic literature review and meta-analysis of upper-limb and cognitive outcomes

Aminov, Anna, Rogers, Jeffrey M., Middleton, Sandy, Caeyenberghs, Karen and Wilson, Peter H.. (2018). What do randomized controlled trials say about virtual rehabilitation in stroke? A systematic literature review and meta-analysis of upper-limb and cognitive outcomes. Journal of NeuroEngineering and Rehabilitation. 15(29), p. Article 29. https://doi.org/10.1186/s12984-018-0370-2

Treatment with exenatide in acute ischaemic stroke trial protocol : A prospective, randomised, open label, blinded end-point study of exenatide vs. standard care in post stroke hyperglycaemia

Muller, Claire, Cheung, N. Wah, Dewey, Helen, Churilov, Leonid, Middleton, Sandy, Thijs, Vincent, Ekinci, Elif I., Levi, Chris, Lindley, Richard, Donnan, Geoffrey, Parsons, Mark and Bladin, Christopher. (2018). Treatment with exenatide in acute ischaemic stroke trial protocol : A prospective, randomised, open label, blinded end-point study of exenatide vs. standard care in post stroke hyperglycaemia. International Journal of Stroke. 13(8), pp. 857-862. https://doi.org/10.1177/1747493018784436

Is length of time in a stroke unit associated with better outcomes for patients with stroke in Australia? An observational study

Busingye, Doreen, Kilkenny, Monique F., Purvis, Tara, Kim, Joosup, Middleton, Sandy, Campbell, Bruce C. V. and Cadihac, Dominique A.. (2018). Is length of time in a stroke unit associated with better outcomes for patients with stroke in Australia? An observational study. BMJ Open. 8(11), p. Article e022536. https://doi.org/10.1136/bmjopen-2018-022536

Implementation of a patient blood management program in an Australian private hospital orthopedic unit

Morgan, Paul N., Coleman, Patrick L., Martinez-Garduno, Cintia Mayel, Gunaratne, Anoja W., McInnes, Elizabeth and Middleton, Sandy. (2018). Implementation of a patient blood management program in an Australian private hospital orthopedic unit. Journal of Blood Medicine. 9, pp. 83-90. https://doi.org/10.2147/JBM.S157571

Interventions for the uptake of evidence-based recommendations in acute stroke settings

Luker, Julie A., Bernhardt, Julie, Graham, Ian D., Middleton, Sandy, Lynch, Elizabeth A., Thayabaranathan, Tharshanah, Craig, Louise and Cadilhac, Dominique A.. (2017). Interventions for the uptake of evidence-based recommendations in acute stroke settings. Cochrane Database of Systematic Reviews. 2017(1), p. Article CD012520. https://doi.org/10.1002/14651858.CD012520

Acute single channel EEG predictors of cognitive function after stroke

Aminov, Anna, Rogers, Jeffrey M., Johnstone, Stuart J., Middleton, Sandy and Wilson, Peter H.. (2017). Acute single channel EEG predictors of cognitive function after stroke. PLoS ONE. 12(10), p. Article e0185841. https://doi.org/10.1371/journal.pone.0185841

Barriers and enablers to adherence to anticoagulation in heart failure with atrial fibrillation : Patient and provider perspectives

Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2017). Barriers and enablers to adherence to anticoagulation in heart failure with atrial fibrillation : Patient and provider perspectives. Journal of Clinical Nursing. 26(23-24), pp. 4325-4334. https://doi.org/10.1111/jocn.13759

Mortality reduction for fever, hyperglycemia, and swallowing nurse-initiated stroke intervention : QASC trial (Quality In Acute Stroke Care) follow-up

Middleton, Sandy, Coughlan, Kelly, Mnatzaganian, George, Choy, Nancy Low, Dale, Simeon, Jammali-Blasi, Asmara, Levi, Chris, Grimshaw, Jeremy, Ward, Jeanette, Cadilhac, Dominique A., McElduff, Patrick, Hiller, Janet E. and D'Este, Catherine. (2017). Mortality reduction for fever, hyperglycemia, and swallowing nurse-initiated stroke intervention : QASC trial (Quality In Acute Stroke Care) follow-up. Stroke. 48(5), pp. 1331-1336. https://doi.org/10.1161/STROKEAHA.116.016038

Improving discharge care : The potential of a new organisational intervention to improve discharge after hospitalisation for acute stroke, a controlled before – after pilot study

Cadilhac, Dominique A., Andrew, Nadine E., Salama, Enna Stroil, Hill, Kelvin, Middleton, Sandy, Horton, Eleanor, Meade, Ian, Kuhle, Sarah, Nelson, Mark R. and Grimley, Rohan. (2017). Improving discharge care : The potential of a new organisational intervention to improve discharge after hospitalisation for acute stroke, a controlled before – after pilot study. BMJ Open. 7(8), p. Article e016010. https://doi.org/10.1136/bmjopen-2017-016010

Testing a systematic approach to identify and prioritise barriers to successful implementation of a complex healthcare intervention

Craig, Louise E., Churilov, Leonid, Olenko, Liudmyla, Cadilhac, Dominique A., Grimley, Rohan, Dale, Simeon, Martinez-Garduno, Cintia, McInnes, Elizabeth, Considine, Julie, Grimshaw, Jeremy M. and Middleton, Sandy. (2017). Testing a systematic approach to identify and prioritise barriers to successful implementation of a complex healthcare intervention. BMC Medical Research Methodology. 17(1), p. Article 24. https://doi.org/10.1186/s12874-017-0298-4

Treatment and outcomes of working aged adults with stroke : Results from a national prospective registry

Lannin, Natasha A., Anderson, Craig S., Kim, Joosup, Kilkenny, Monique, Bernhardt, Julie, Levi, Christopher, Dewey, Helen M., Bladin, Christopher, Hand, Peter, Castley, Helen, Hill, Kelvin, Faux, Steven, Grimley, Rohan, Grabsch, Brenda, Middleton, Sandy, Donnan, Geoffrey and Cadilhac, Dominique A.. (2017). Treatment and outcomes of working aged adults with stroke : Results from a national prospective registry. Neuroepidemiology. 49, pp. 113-120. https://doi.org/10.1159/000484141

Barriers and outcomes of an evidence-based approach to diagnosis and management of chronic obstructive pulmonary disease (COPD) in Australia : A qualitative study

Dennis, Sarah, Reddel, Helen K., Middleton, Sandy, Hasan, Iqbal, Hermiz, Oshana, Phillips, Rosemary, Crockett, Alan J., Vagholkar, Sanjyot, Marks, Guy B. and Zwar, Nicholas. (2017). Barriers and outcomes of an evidence-based approach to diagnosis and management of chronic obstructive pulmonary disease (COPD) in Australia : A qualitative study. Family Practice. 34(4), pp. 485-490. https://doi.org/10.1093/fampra/cmw103

Cluster-randomized, crossover trial of head positioning in acute stroke

Anderson, Craig S., Arima, Hisatomi, Lavados, Pablo, Billot, Laurent, Hackett, Maree L., Olavarria, Veronica, Muñoz Venturelli, Paula, Brunser, Alejandro, Peng, Bin, Cui, Liying, Song, Lily, Rogers, Kerrylee, Middleton, Sandy, Lim, Joyce Y., Forshaw, Denise, Lighbody, C. Elizabeth, Woodward, Mark, Pontes-Neto, Octavio, de Silva, H. Asita, ... Watkins, Caroline Leigh. (2017). Cluster-randomized, crossover trial of head positioning in acute stroke. The New England Journal of Medicine. 376(25), pp. 2437-2447. https://doi.org/10.1056/NEJMoa1615715

International uptake of a proven intervention to reduce death and dependency in acute stroke : A cross-sectional-survey following the QASC trial

Middleton, Sandy, Bruch, Dominik, Martinez-Garduno, Cintia M., Dale, Simeon and McNamara, Maria. (2017). International uptake of a proven intervention to reduce death and dependency in acute stroke : A cross-sectional-survey following the QASC trial. Worldviews on Evidence-Based Nursing. 14(6), pp. 447-454. https://doi.org/10.1111/wvn.12253

Risk-adjusted hospital mortality rates for stroke: evidence from the Australian Stroke Clinical Registry (AuSCR)

Cadihac, Dominique A., Kilkenny, Monique F., Levi, Christopher R., Lannin, Natasha A., Thrift, Amanda G., Kim, Joosup, Grabsch, Brenda, Churilov, Leonid, Dewey, Helen M., Hill, Kelvin, Faux, Steven G., Grimley, Rohan, Castley, Helen, Hand, Peter J., Wong, Andrew, Herkes, Geoffrey K., Gill, Melissa, Crompton, Douglas, Middleton, Sandy, ... Anderson, Craig S.. (2017). Risk-adjusted hospital mortality rates for stroke: evidence from the Australian Stroke Clinical Registry (AuSCR). Medical Journal of Australia. 206(8), pp. 345-350. https://doi.org/10.5694/mja16.00525

Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF) : The T3 Trial

Craig, Louise E., Taylor, Natalie, Grimley, Rohan, Cadilhac, Dominique A., McInnes, Elizabeth, Phillips, Rosemary, Dale, Simeon, O'Connor, Denise, Levi, Chris, Fitzgerald, Mark, Considine, Julie, Grimshaw, Jeremy M., Gerraty, Richard, Cheung, N. Wah, Ward, Jeanette and Middleton, Sandy. (2017). Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF) : The T3 Trial. Implementation Science. 12(1), p. Article 88. https://doi.org/10.1186/s13012-017-0616-6

Leaving a legacy of stroke in Europe : A community of dedicated professionals is changing the face of stroke in Europe

Mikulik, Robert, Ylikotila, Pauli, Roine, Risto, Brozman, Miroslav and Middleton, Sandy. (2017). Leaving a legacy of stroke in Europe : A community of dedicated professionals is changing the face of stroke in Europe. The CNS Journal. 3(1), pp. 8-18.

Multi-morbidity, frailty and self-care : Important considerations in treatment with anticoagulation drugs. Outcomes of the AFASTER study

Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2017). Multi-morbidity, frailty and self-care : Important considerations in treatment with anticoagulation drugs. Outcomes of the AFASTER study. European Journal of Cardiovascular Nursing. 16(2), pp. 113-124. https://doi.org/10.1177/1474515116642604

Hospital arrival times and post-imaging delays in stroke thrombolysis implementation

Kawano, Hiroyuki, Bivard, Andrew, Parsons, Mark W., Paul, Christine L., Krause, Martin, D'Este, Catherine, Bladin, Christopher F., Lindley, Richard I., Attia, John R., Henskens, Frans, Longworth, Mark, Middleton, Sandy, Ryan, Annika, Kerr, Erin, Sanson-Fisher, Robert W., Levi, Christopher R. and Thrombolysis ImPlementation in Stroke (TIPS) Study Group. (2017). Hospital arrival times and post-imaging delays in stroke thrombolysis implementation. Journal of Neurological Disorders & Stroke. 5(3), pp. 1-6.

Quality of acute care and long-term quality of life and survival

Cadilhac, Dominique A., Andrew, Nadine E., Lannin, Natasha A., Middleton, Sandy, Levi, Christopher R., Dewey, Helen M., Grabsch, Brenda, Faux, Steven, Hill, Kelvin, Grimley, Rohan, Wong, Andrew, Sabet, Arman, Butler, Ernest, Bladin, Christopher F., Bates, Timothy R., Groot, Patrick, Castley, Helen, Donnan, Geoffry A. and Anderson, Craig S.. (2017). Quality of acute care and long-term quality of life and survival. Stroke: a journal of cerebral circulation. 48(4), pp. 1026-1032. https://doi.org/10.1161/STROKEAHA.116.015714

Statistical analysis plan for the Head Position in Stroke Trial (HeadPoST) : An international cluster cross-over randomised trial

Billot, Laurent, Woodward, Mark, Arima, Hisatomi, Hackett, Maree, Muñoz Venturelli, Paula, Lavados, Pablo M., Brunser, Alejandro, Peng, Bin, Cui, Liying, Song, Lily, Heritier, Stephane, Jan, Stephen, Middleton, Sandy, Olavarría, Verónica V., Lim, Joyce, Robinson, Thompson, Pontes-Neto, Octavio, Watkins, Caroline L. and Anderson, Craig S.. (2017). Statistical analysis plan for the Head Position in Stroke Trial (HeadPoST) : An international cluster cross-over randomised trial. International Journal of Stroke. 12(6), pp. 667-670. https://doi.org/10.1177/1747493017701943

Effectiveness of a ‘do not interrupt’ bundled intervention to reduce interruptions during medication administration : A cluster randomised controlled feasibility study

Westbrook, Johanna I., Li, Ling, Hooper, Tamara D., Raban, Magda Z., Middleton, Sandy and Lehnbom, Elin C.. (2017). Effectiveness of a ‘do not interrupt’ bundled intervention to reduce interruptions during medication administration : A cluster randomised controlled feasibility study. BMJ Quality and Safety. 26(9), pp. 734-742. https://doi.org/10.1136/bmjqs-2016-006123

Influence of stroke coordinators on delivery of acute stroke care and hospital outcomes : An observational study

Purvis, Tara, Kilkenny, Monique F., Middleton, Sandy and Cadilhac, Dominique A.. (2017). Influence of stroke coordinators on delivery of acute stroke care and hospital outcomes : An observational study. International Journal of Stroke. 13(6), pp. 585-591. https://doi.org/10.1177/1747493017741382

Development and validation of a survey to measure features of clinical networks

Brown, Bernadette Bea, Haines, Mary, Middleton, Sandy, Paul, Christine, D'Este, Catherine, Klineberg, Emily and Elliot, Elizabeth. (2016). Development and validation of a survey to measure features of clinical networks. BMC Health Services Research. 16, p. Article 531. https://doi.org/10.1186/s12913-016-1800-0

Early intervention for chronic obstructive pulmonary disease by practice nurse and GP teams : A cluster randomized trial

Zwar, Nicholas A., Bunker, Jeremy M., Reddel, Helen K., Dennis, Sarah M., Middleton, Sandy, van Schayck, Onno C. P., Crockett, Alan J., Hasan, Iqbal, Hermiz, Oshana, Vagholkar, Sanjyot, Xuan, Wei and Mark, Guy B.. (2016). Early intervention for chronic obstructive pulmonary disease by practice nurse and GP teams : A cluster randomized trial. Family Practice. 33(6), pp. 663-670. https://doi.org/10.1093/fampra/cmw077

From QASC to QASCIP : Successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pretest/post-test study design

Middleton, Sandy, Lydtin, Anna, Comerford, Daniel, Cadilhac, Dominique A., McElduff, Patrick, Dale, Simeon, Hill, Kelvin, Longworth, Mark, Ward, Jeanette, Cheung, N. Wah and D'Este, Cate. (2016). From QASC to QASCIP : Successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pretest/post-test study design. BMJ Open. 6(5), p. Article e011568. https://doi.org/10.1136/bmjopen-2016-011568

Identifying the barriers and enablers for a triage, treatment, and transfer clinical intervention to manage acute stroke patients in the emergency department : A systematic review using the theoretical domains framework (TDF)

Craig, Louise E., McInnes, Elizabeth, Taylor, Natalie, Grimley, Rohan, Cadilhac, Dominique A., Considine, Julie and Middleton, Sandy. (2016). Identifying the barriers and enablers for a triage, treatment, and transfer clinical intervention to manage acute stroke patients in the emergency department : A systematic review using the theoretical domains framework (TDF). Implementation Science. 11, p. Article 157. https://doi.org/10.1186/s13012-016-0524-1

Education and practice gaps on atrial fibrillation and anticoagulation: A survey of cardiovascular nurses

Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2016). Education and practice gaps on atrial fibrillation and anticoagulation: A survey of cardiovascular nurses. BMC Medical Education. 16, p. Article 9. https://doi.org/10.1186/s12909-015-0504-1

How has the profile of Australian Nurse practitioners changed over time?

Middleton, Sandy, Gardner, Anne, Della, Phillip R., Lam, Lawrence, Allnutt, Nissa and Gardner, Glenn. (2016). How has the profile of Australian Nurse practitioners changed over time? Collegian. 23(1), pp. 69-77. https://doi.org/10.1016/j.colegn.2014.10.004

Addressing the stroke evidence-treatment gap

Ferguson, Caleb, Hickman, Louise D., Lal, Sara, Newton, Phillip J., Kneebone, Ian I., Mcgowan, Sharon and Middleton, Sandy. (2016). Addressing the stroke evidence-treatment gap. Contemporary Nurse. 52(2-3), pp. 253-257. https://doi.org/10.1080/10376178.2016.1215235

Stroke unit nurse managers’ views of individual and organisational factors liable to influence evidence-based practice : A survey

Drury, Peta, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon and Middleton, Sandy. (2016). Stroke unit nurse managers’ views of individual and organisational factors liable to influence evidence-based practice : A survey. International Journal of Nursing Practice. 22(2), pp. 169-178. https://doi.org/10.1111/ijn.12396

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

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

What are the reasons for clinical network success? A qualitative study

McInnes, Elizabeth C., Haines, Mary, Dominello, Amanda, Kalucy, Deanna, Jammali-Blasi, Asmara, Middleton, Sandy and Klineberg, Emily. (2016). What are the reasons for clinical network success? A qualitative study. BMC Health Services Research. 15(497), p. Article 497. https://doi.org/10.1186/s12913-015-1096-5

Regional variation in acute stroke care organisation

Muñoz-Venturelli, Paula, Robinson, Thompson, Olavarría, Verónica V., Arima, Hisaromi, Billot, Laurent, Hackett, Maree L., Lim, Joyce y., Middleton, Sandy, Pontes-Neto, Octavio, Peng, Bin, Cui, Liying, Song, Lily, Mead, Gillian, Watkins, Caroline, Lin, Ruey-Tay, Lee, Tsong-Hai, Pandian, Jeyaraj, de Silva, H. Asita, Anderson, Craig S. and the HeadPoST Investigators. (2016). Regional variation in acute stroke care organisation. Journal of the Neurological Sciences. 371, pp. 126-130. https://doi.org/10.1016/j.jns.2016.10.026

A behaviour change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams : The Out-and-About trial

McCluskey, Annie, Ada, Louise, Kelly, Patrick J., Middleton, Sandy, Goodall, Stephen, Grimshaw, Jeremy M., Logan, Pip, Longworth, Mark and Karageorge, Aspasia. (2016). A behaviour change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams : The Out-and-About trial. International Journal of Stroke. 11(4), pp. 425-437. https://doi.org/10.1177/1747493016632246

A survey of acute care clinicians views on factors influencing hand hygiene practice and actions to improve hand hygiene compliance

Jammali-Blasi, Asmara, McInnes, Elizabeth and Middleton, Sandy. (2016). A survey of acute care clinicians views on factors influencing hand hygiene practice and actions to improve hand hygiene compliance. Infection, Disease and Health. 21(1), pp. 16-25. https://doi.org/10.1016/j.idh.2016.01.004

Better outcomes for hospitalized patients with TIA when in stroke units: An observational study

Cadilhac, Dominique A., Kim, Joosup, Lannin, Natasha A., Levi, Christopher R., Dewey, Helen M., Hill, Kelvin, Faux, Steven, Andrew, Nadine E., Kilkenny, Monique F., Grimley, Rohan, Thrift, Amanda G., Grabsch, Brenda, Middleton, Sandy, Anderson, Craig S. and Donnan, Geoffrey A.. (2016). Better outcomes for hospitalized patients with TIA when in stroke units: An observational study. Neurology. 86(22), pp. 2042-2048. https://doi.org/10.1212/WNL.0000000000002715

Compliance with Australian stroke guideline recommendations for outdoor mobility and transport training by post-inpatient rehabilitation services : An observational cohort study

McCluskey, Annie, Ada, Louise, Kelly, Patrick J., Middleton, Sandy, Goodall, Stephen, Grimshaw, Jeremy M., Logan, Pip, Longworth, Mark and Karageorge, Aspasia. (2015). Compliance with Australian stroke guideline recommendations for outdoor mobility and transport training by post-inpatient rehabilitation services : An observational cohort study. BMC Health Services Research. 15, p. Article 296. https://doi.org/10.1186/s12913-015-0952-7

Barriers and enablers to implementing clinical treatment protocols for fever, hyperglycaemia, and swallowing dysfunction in the Quality in Acute Stroke Care (QASC) Project — A mixed methods study

Dale, Simeon, Levi, Christopher, Ward, Jeanette, Grimshaw, Jeremy M., Jammali-Blasi, Asmara, D'Este, Catherine, Griffiths, Rhonda, Quinn, Clare, Evans, Malcolm, Cadilhac, Dominic, Cheung, N. Wah and Middleton, Sandy. (2015). Barriers and enablers to implementing clinical treatment protocols for fever, hyperglycaemia, and swallowing dysfunction in the Quality in Acute Stroke Care (QASC) Project — A mixed methods study. Worldviews on Evidence-Based Nursing. 12(1), pp. 41-50. https://doi.org/10.1111/wvn.12078

Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care : Effects of a targeted protocol implementation for nursing and medical staff

Knowles, Serena, Lam, Lawrence T., McInnes, Elizabeth, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2015). Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care : Effects of a targeted protocol implementation for nursing and medical staff. BMC Nursing. 14, p. Article 6. https://doi.org/10.1186/s12912-015-0056-z

Head Position in Stroke Trial (HeadPoST) – sitting-up vs lying-flat positioning of patients with acute stroke: study protocol for a cluster randomised controlled trial

Muñoz-Venturelli, Paula, Arima, Hisatomi, Lavados, Pablo, Brunser, Alejandro, Peng, Bin, Cui, Liying, Song, Lily, Billot, Laurent, Boaden, Elizabeth, Hackett, Maree L., Heritier, Stephane, Jan, Stephen, Middleton, Sandy, Olavarría, Verónica V., Lim, Joyce Y., Lindley, Richard I., Heeley, Emma, Robinson, Thompson, Pontes-Neto, Octavio, ... Anderson, Craig S.. (2015). Head Position in Stroke Trial (HeadPoST) – sitting-up vs lying-flat positioning of patients with acute stroke: study protocol for a cluster randomised controlled trial. Trials. 16, p. Article 256. https://doi.org/10.1186/s13063-015-0767-1

Triage, treatment and transfer : Evidence-based clinical practice recommendations and models of nursing care for the first 72 hours of admission to hospital for acute stroke

Middleton, Sandy, Grimley, Rohan and Alexandrov, Anne W.. (2015). Triage, treatment and transfer : Evidence-based clinical practice recommendations and models of nursing care for the first 72 hours of admission to hospital for acute stroke. Stroke. 46(2), pp. e18-e25. https://doi.org/10.1161/STROKEAHA.114.006139

The caregiver role in thromboprophylaxis management in atrial fibrillation : A literature review

Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2015). The caregiver role in thromboprophylaxis management in atrial fibrillation : A literature review. European Journal of Cardiovascular Nursing. 14(2), pp. 98-107. https://doi.org/10.1177/1474515114547647

A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene

McInnes, Elizabeth, Phillips, Rosemary, Middleton, Sandy and Gould, Dinah. (2014). A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. BMC Infectious Diseases. 14, p. Article 611. https://doi.org/10.1186/s12879-014-0611-3

Atrial fibrillation : Stroke prevention in focus

Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2014). Atrial fibrillation : Stroke prevention in focus. Australian Critical Care. 27(2), pp. 92-98. https://doi.org/10.1016/j.aucc.2013.08.002

Health service management study for stroke : A randomized controlled trial to evaluate two models of stroke care

Chan, Daniel K.Y., Levi, Chris, Cordato, Dennis, O'Rourke, Fintan, Chen, Jack, Redmond, Helen, Xu, Ying-Hua, Middleton, Sandy, Pollack, Michael and Hankey, Graeme. (2014). Health service management study for stroke : A randomized controlled trial to evaluate two models of stroke care. International Journal of Stroke. 9(4), pp. 400-405. https://doi.org/10.1111/ijs.12240

Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia

Drury, Peta, Levi, Christopher, McInnes, Elizabeth, Hardy, Jennifer, Ward, Jeanette, Grimshaw, Jeremy M., D'Este, Catherine, Dale, Simeon, McElduff, Patrick, Cheung, N. Wah, Quinn, Clare, Griffiths, Rhonda, Evans, Malcolm, Cadilhac, Dominique and Middleton, Sandy. (2014). Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia. International Journal of Stroke. 9(1), pp. 23-31. https://doi.org/10.1111/ijs.12194

Thrombolysis ImPlementation in Stroke (TIPS) : Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice - protocol for a cluster randomised controlled trial in acute stroke care

Paul, Christine L., Levi, Christopher R., D'Este, Catherine, Parsons, Mark W., Bladin, Christopher F., Lindley, Richard I., Attia, John R., Henskens, Frans, Lalor, Erin, Longworth, Mark, Middleton, Sandy, Ryan, Annika, Kerr, Erin, Sanson-Fisher, Robert W. and Thrombolysis ImPlementation in Stroke (TIPS) Study Group. (2014). Thrombolysis ImPlementation in Stroke (TIPS) : Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice - protocol for a cluster randomised controlled trial in acute stroke care. Implementation Science. 9, p. Article 38. https://doi.org/10.1186/1748-5908-9-38

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, Christopher, D'Este, Catherine, McElduff, Patrick, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon, Cheung, N. Wah, Grimshaw, Jeremy M., Quinn, Clare, Ward, Jeanette, Evans, Malcolm, Cadilhac, Dominique, Griffiths, Rhonda and Middleton, Sandy. (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), pp. 766-776. https://doi.org/10.1111/ijs.12202

Evaluation of the implementation of a bowel management protocol in intensive care : Effect on clinical practices and patient 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 patient 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. 31(4), pp. 139-149. https://doi.org/10.1016/j.jvn.2013.04.002

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, p. Article 398. https://doi.org/10.1186/1472-6963-13-398

Development and interrater reliability testing of a telephone interview training programme for Australian nurse interviewers

Ahern, Tracey, Gardner, Anne, Gardner, Glenn, Middleton, Sandy and Della, Phillip. (2013). Development and interrater reliability testing of a telephone interview training programme for Australian nurse interviewers. Nurse Education Today. 33(5), pp. 470-474. https://doi.org/10.1016/j.nedt.2012.05.001

Atrial fibrillation and thromboprophylaxis in heart failure : The need for patient-centered approaches to address adherence

Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2013). Atrial fibrillation and thromboprophylaxis in heart failure : The need for patient-centered approaches to address adherence. Vascular Health and Risk Management. 9, pp. 3-11. https://doi.org/10.2147/VHRM.S39571

Comprehensive stroke units : A review of comparative evidence and experience

Chan, Daniel K. Y., Cordato, Dennis, O'Rourke, Fintan, Chan, Daniel L., Pollack, Michael, Middleton, Sandy and Levi, Chris. (2013). Comprehensive stroke units : A review of comparative evidence and experience. International Journal of Stroke. 8(4), pp. 260-264. https://doi.org/10.1111/j.1747-4949.2012.00850.x

Clinical guidelines for acute stroke management : Which recommendations should remain consensus-based?

Middleton, Sandy, Rowley, Julianne, Hillege, Sharon, Hill, Kelvin, Churilov, Leonid and Allnutt, Nissa. (2013). Clinical guidelines for acute stroke management : Which recommendations should remain consensus-based? Journal of Vascular Nursing. 31(2), pp. 72-83. https://doi.org/10.1016/j.jvn.2012.10.001

What people say about travelling outdoors after their stroke : A qualitative study

Barnsley, Lara, McCluskey, Annie and Middleton, Sandy. (2012). What people say about travelling outdoors after their stroke : A qualitative study. Australian Occupational Therapy Journal. 59, pp. 71-78. https://doi.org/10.1111/j.1440-1630.2011.00935.x

Stroke clinicians' priorities for stroke research

Lannin, Natasha, Ada, Louise, Lindley, Richard, Longworth, Mark, McCluskey, Annie and Middleton, Sandy. (2012). Stroke clinicians' priorities for stroke research. The Internet Iournal of Allied Health Sciences and Practice. 10(4), pp. 1-8. https://doi.org/10.46743/1540-580X/2012.1419

Care of patients with a diagnosis of chronic obstructive pulmonary disease : A cluster randomised controlled trial

Zwar, Nicholas A., Hermitz, Oshana, Comino, Elizabeth, Middleton, Sandy, Vagholkar, Sanjyot, Xuan, Wei, Wilson, Stephen and Marks, Guy B.. (2012). Care of patients with a diagnosis of chronic obstructive pulmonary disease : A cluster randomised controlled trial. Medical Journal of Australia. 197(7), pp. 394-398. https://doi.org/10.5694/mja12.10813

Stroke management : Updated recommendations for treatment along the care continuum

Wright, L., Hill, K. M., Bernhardt, J., Lindley, R., Ada, L., Bajorek, B. V., Barber, P. A., Beer, C., Golledge, J., Gustafsson, L., Hersh, D., Kenardy, J., Perry, L., Middleton, S., Brauer, S. G. and Nelson, M. R.. (2012). Stroke management : Updated recommendations for treatment along the care continuum. Internal Medicine Journal. 42(5), pp. 562-569. https://doi.org/10.1111/j.1445-5994.2012.02774.x

A pragmatic cluster randomized controlled trial of early intervention for chronic obstructive pulmonary disease by practice nurse-general practitioner teams : Study Protocol

Bunker, Jeremy M., Reddel, Helen K., Dennis, Sarah M., Middleton, Sandy, Van Schayck, CP, Crockett, Alan J., Hasan, Iqbal, Hermiz, Oshana, Vagholkar, Sanjyot, Marks, Guy B. and Zwar, Nicholas A.. (2012). A pragmatic cluster randomized controlled trial of early intervention for chronic obstructive pulmonary disease by practice nurse-general practitioner teams : Study Protocol. Implementation Science. 7(1), pp. 1 - 10. https://doi.org/10.1186/1748-5908-7-83

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), p. Article 49. 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, Redman, Sally and Yano, Elizabeth M.. (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, p. Article 25. https://doi.org/10.1186/1472-6955-11-25

Preventing hypothermia in elective arthroscopic shoulder surgery patients : A protocol for a randomised controlled trial

Duff, Jed, di Staso, Renatta, Cobbe, Kerry-Anne, Draper, Nicole, Tan, Simon, Haliday, Emma, Middleton, Sandy, Lam, Lawerence and Walker, Kim. (2012). Preventing hypothermia in elective arthroscopic shoulder surgery patients : A protocol for a randomised controlled trial. BMC Surgery. 12(14), pp. 1-6. https://doi.org/10.1186/1471-2482-12-14

Improving quality of life by increasing outings after stroke : Study protocol for the Out-and-About trial

McClusky, Annie, Ada, Louise, Middleton, Sandy, Kelly, Patrick J., Goodall, Stephen, Grimshaw, Jeremy M., Logan, Pip, Longworth, Mark and Karageorge, A.. (2012). Improving quality of life by increasing outings after stroke : Study protocol for the Out-and-About trial. International Journal of Stroke. 8(1), pp. 54-58. https://doi.org/10.1111/j.1747-4949.2012.00966.x

An outcomes approach to stroke care : The importance of teamwork and evidence-based nursing care

Middleton, Sandy. (2012). An outcomes approach to stroke care : The importance of teamwork and evidence-based nursing care. International Journal of Stroke. 7(3), pp. 224-226. https://doi.org/10.1111/j.1747-4949.2012.00774.x

Predictors of accuracy of diagnosis of chronic obstructive pulmonary disease in general practice

Zwar, Nicholas A., Marks, Guy B., Hermiz, Oshana, Middleton, Sandy, Comino, Elizabeth J., Hasan, Iqbal, Vagholkar, Sanjyot and Wilson, Stephen F.. (2011). Predictors of accuracy of diagnosis of chronic obstructive pulmonary disease in general practice. Medical Journal of Australia. 195(4), pp. 168-171. https://doi.org/10.5694/j.1326-5377.2011.tb03271.x

An investigation of family carers' needs following stroke survivors' discharge from acute hospital care in Australia

Perry, Lin and Middleton, Sandy. (2011). An investigation of family carers' needs following stroke survivors' discharge from acute hospital care in Australia. Disability and Rehabilitation. 33(19-20), pp. 1890-1900. https://doi.org/10.3109/09638288.2011.553702

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

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. 1699-706. https://doi.org/10.1016/S0140-6736(11)61485-2

The status of Australian nurse practitioners: The second national census

Middleton, Sandy, Gardner, Anne, Gardner, G. and Della, P R.. (2011). The status of Australian nurse practitioners: The second national census. Australian Health Review. 35(4), pp. 448 - 454. https://doi.org/10.1071/AH10987

Death, dependency and health status 90 days following hospital admission for acute stroke in NSW

Middleton, S., 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

Continence management in acute stroke : A survey of current practices in Australia

Jordan, Louise-Anne, Mackey, Elizabeth, Coughlan, Kelly, Wyer, Mary, Allnutt, Nissa and Middleton, Sandy. (2011). Continence management in acute stroke : A survey of current practices in Australia. Journal of Advanced Nursing. 67(1), pp. 94-104. https://doi.org/10.1111/j.1365-2648.2010.05480.x

Clinical guidelines for stroke management 2010

National Stroke Foundation and *Middleton, Sandy. (2010). Clinical guidelines for stroke management 2010 National Stroke Foundation.

Foreword

Middleton, Sandy. (2010). Foreword. In In Williams, Jane, Perry, Lin and Watkins, Caroline (Ed.). Acute stroke nursing pp. vii-xi Wiley-Blackwell.

A snapshot of Australian nurse practitioners' extended practice activities

Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Della, Phillip and Doubrovsky, Anna. (2010). A snapshot of Australian nurse practitioners' extended practice activities. The Nurse Practitioner Series. 3(1), pp. 8-15.

Evaluation of a housing support program for people who are at risk of homelessness : Perspective of people who refer clients

Rose, McMaster,, Hawley, Rhonda, Fletcher, Terese, Gillett, Wendy, McDermott, Susan and Middleton, Sandy. (2010). Evaluation of a housing support program for people who are at risk of homelessness : Perspective of people who refer clients. Journal of Social Distress and the Homeless. 19(April), pp. 18-46. https://doi.org/10.1179/105307810805365080

The work of nurse practitioners

Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Della, Phillip, Kain, Victoria and Doubrovsky, Anna. (2010). The work of nurse practitioners. Journal of Advanced Nursing. 66(10), pp. 2160-2169. https://doi.org/10.1111/j.1365-2648.2010.05379.x

The first Australian nurse practitioner census : A protocol to guide standardized collection of information about an emergent professional group

Middleton, Sandy, Gardner, Glenn, Gardner, Anne, Della, Phillip, Gibb, Michelle and Millar, Lynne. (2010). The first Australian nurse practitioner census : A protocol to guide standardized collection of information about an emergent professional group. International Journal of Nursing Practice. 16(5), pp. 517-524. https://doi.org/10.1111/j.1440-172X.2010.01877.x

Development and validation of a novel approach to work sampling : A study of work practitioner work patterns

Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Gibb, Michelle, Della, Phillip and Duffield, Christine. (2010). Development and validation of a novel approach to work sampling : A study of work practitioner work patterns. Australian Journal of Advanced Nursing. 27(4), pp. 4-12.

Setting stroke research priorities : The consumer perspective

Sangvatanakul, Pukkaporn, Hillege, Sharon, Lalor, Erin, Levi, Christopher, Hill, Kelvin and Middleton, Sandy. (2010). Setting stroke research priorities : The consumer perspective. Journal of Vascular Nursing. 28(4), pp. 121-131. https://doi.org/10.1016/j.jvn.2010.09.001

Patient care guidelines : A telephone survey of intensive care practices in New South Wales

Knowles, Serena, Rolls, Kaye, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2010). Patient care guidelines : A telephone survey of intensive care practices in New South Wales. Australian Critical Care. 23(1), pp. 21-29. https://doi.org/10.1016/j.aucc.2009.10.001

Increasing delivery of an outdoor journey intervention to people with stroke : A feasibility study involving five community rehabilitation teams

McCluskey, Annie and Middleton, Sandy. (2010). Increasing delivery of an outdoor journey intervention to people with stroke : A feasibility study involving five community rehabilitation teams. Implementation Science. 5, p. Article 59. https://doi.org/10.1186/1748-5908-5-59

Clients' understanding of the role of nurse practitioners

Susan, Allnutt,, Allnutt, Nissa, McMaster, Rose, O'Connell, Jane, Middleton, Sandy, Hillege, Sharon, Della, Phillip R., Gardner, Glenn E. and Gardner, Anne. (2010). Clients' understanding of the role of nurse practitioners. Australian Health Review. 34(1), pp. 59-65. https://doi.org/10.1071/AH09688

Nurses report a healthy culture : Results of the Practice Environment Scale (Australia) in an Australian hospital seeking magnet recognition

Walker, Kim, Middleton, Sandy, Rolley, John and Duff, Jed. (2010). Nurses report a healthy culture : Results of the Practice Environment Scale (Australia) in an Australian hospital seeking magnet recognition. International Journal of Nursing Practice. 16(6), pp. 616-623. https://doi.org/10.1111/j.1440-172X.2010.01890.x

Protocol and pilot data for establishing the Australian Stroke Clinical Registry

Cadihac, Dominique A., Lannin, Natasha A., Anderson, Craig S., Levi, Christopher R., Faux, Steven, Price, Chris, Middleton, Sandy, Lim, Joyce, Thrift, Amanda G. and Donnan, Geoffrey. (2010). Protocol and pilot data for establishing the Australian Stroke Clinical Registry. International Journal of Stroke. 5(3), pp. 217-226. https://doi.org/10.1111/j.1747-4949.2010.00430.x

Delivering an evidence-based outdoor journey intervention to people with stroke : Barriers and enablers experienced by community rehabilitation teams

McCluskey, Annie and Middleton, Sandy. (2010). Delivering an evidence-based outdoor journey intervention to people with stroke : Barriers and enablers experienced by community rehabilitation teams. BMC Health Services Research. 10, p. Article 18. https://doi.org/10.1186/1472-6963-10-18

The status of Australian nurse practitioners : The first national census

Gardner, Anne, Della, Phillip R., Middleton, Sandy and Gardner, Glenn. (2009). The status of Australian nurse practitioners : The first national census. Australian Health Review. 33(4), pp. 679-689. https://doi.org/10.1071/AH090679

Why fellowship? Peak professional bodies, peer recognition and credentialing in Australia

Middleton, Sandy, Walker, Kim and Leigh, Trina. (2009). Why fellowship? Peak professional bodies, peer recognition and credentialing in Australia. Collegian. 16(4), pp. 177-183. https://doi.org/10.1016/j.colegn.2009.06.002

Implementing clinical guidelines for acute stroke management : Do nurses have a lead role?

Hill, Kelvin, Middleton, Sandy, O'Brien, Elizabeth and Lalor, Erin. (2009). Implementing clinical guidelines for acute stroke management : Do nurses have a lead role? Australian Journal of Advanced Nursing. 26(3), pp. 53-58.

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, p. Article 16. https://doi.org/10.1186/1748-5908-4-16

The management of non-valvular atrial fibrillation (NVAF) in Australian general practice : Bridging the evidence-practice gap. A national representative postal survey

Gatellari, Melina, Worthington, John, Zwar, Nicholas A. and Middleton, Sandy. (2008). The management of non-valvular atrial fibrillation (NVAF) in Australian general practice : Bridging the evidence-practice gap. A national representative postal survey. BMC Family Practice. 9, p. Article 62. https://doi.org/10.1186/1471-2296-9-62

Nursing practice environment : How does one Australian hospital compare with magnet hospitals?

Middleton, Sandy, Griffiths, Rhonda, Fernandez, Ritin and Smith, Bronwyn. (2008). Nursing practice environment : How does one Australian hospital compare with magnet hospitals? International Journal of Nursing Practice. 14(5), pp. 366-372. https://doi.org/10.1111/j.1440-172X.2008.00708.x

A cluster randomised controlled trial of nurse and GP partnership for care of Chronic Obstructive Pulmonary Disease

Zwar, Nicholas, Hermiz, Oshana, Hasan, Iqbal, Comino, Elizabeth, Middleton, Sandy, Vagholkar, Sanjyot and Marks, Guy. (2008). A cluster randomised controlled trial of nurse and GP partnership for care of Chronic Obstructive Pulmonary Disease. BMC Pulmonary Medicine. 8, p. Article 8. https://doi.org/10.1186/1471-2466-8-8

Barriers to the use of anticoagulation for nonvalvular atrial fibrillation : A representative survey of Australian family physicians

Gatellari, Melina, Worthington, John, Zwar, Nicholas and Middleton, Sandy. (2008). Barriers to the use of anticoagulation for nonvalvular atrial fibrillation : A representative survey of Australian family physicians. Stroke. 39(1), pp. 227-230. https://doi.org/10.1161/STROKEAHA.107.495036

Identifying measures for evaluating new models of nursing care : A survey of NSW nurse practitioners

Middleton, Sandy, Allnutt, Susan, Griffiths, R., McMaster, Rose, O'Connell, Jane and Hillege, Sharon. (2007). Identifying measures for evaluating new models of nursing care : A survey of NSW nurse practitioners. International Journal of Nursing Practice. 13(6), pp. 331-340. https://doi.org/10.1111/j.1440-172X.2007.00647.x

Reviewing recommendations of root cause analyses

Middleton, Sandy, Chapman, Barbara, Griffiths, Rhonda and Chester, Rosemary. (2007). Reviewing recommendations of root cause analyses. Australian Health Review. 31(2), pp. 288-295. https://doi.org/10.1071/AH070288

Audit or research? Should nurse practitioners participate in these types of evaluation and what is the difference between them?

Middleton, Sandy. (2007). Audit or research? Should nurse practitioners participate in these types of evaluation and what is the difference between them? The Nurse Practitioner Series. 2(1), pp. 26-32.

Assessing surgeons' disclosure of risk information before carotid endarterrctomy

Middleton, Sandy, Gatellari, Melina, Harris, John P. and Ward, Jeanette E.. (2006). Assessing surgeons' disclosure of risk information before carotid endarterrctomy. ANZ Journal of Surgery. 76(7), pp. 618-624. https://doi.org/10.1111/j.1445-2197.2006.03788.x

Implementing root cause analysis in an area health service : Views of the participants

Middleton, Sandy, Walker, Carol and Chester, Rosemary. (2005). Implementing root cause analysis in an area health service : Views of the participants. Australian Health Review. 29(4), pp. 422-428. https://doi.org/10.1071/AH050422

Nursing intervention after carotid endarterectomy : A randomized trial of co-ordinated care post discharge (CCPD)

Middleton, Sandy, Donnelly, Neil, Harris, John and Ward, Jeanette. (2005). Nursing intervention after carotid endarterectomy : A randomized trial of co-ordinated care post discharge (CCPD). Journal of Advanced Nursing. 52(3), pp. 250-261. https://doi.org/10.1111/j.1365-2648.2005.03587.x

Effective discharge policy : Are we getting there?

Middleton, Sandy, Appleberg, Michael, Girgis, Seham and Ward, Jeanette E.. (2004). Effective discharge policy : Are we getting there? Australian Health Review. 28(3), pp. 255-259. https://doi.org/10.1071/AH040255

Improving stroke outcomes in Australia : A study of GP perspectives

Middleton, Sandy, Harris, John P., Sharpe, David M., Corbett, Alastair J., Lusby, Robert J. and Ward, Jeanette E.. (2004). Improving stroke outcomes in Australia : A study of GP perspectives. Australian Journal of Primary Health. 10(2), pp. 21-28. https://doi.org/10.1071/PY04022

Contamination of interventional research is possible through GP membership of more than one division

Middleton, Sandy and Ward, Jeanette. (2003). Contamination of interventional research is possible through GP membership of more than one division. Australian Family Physician. 32(1-2), pp. 95-96.

GP's views of quality initiatives to improve stroke outcomes following CEA

Middleton, Sandy, Harris, John, Lusby, Robert and Ward, Jeanette. (2003). GP's views of quality initiatives to improve stroke outcomes following CEA. Australian Family Physician. 32(10), pp. 858-861.

Vascular disease risk factor management four years after carotid endarterectomy : Are opportunities missed?

Middleton, Sandy, Harris, John, Lusby, R. and Ward, Jeanette. (2003). Vascular disease risk factor management four years after carotid endarterectomy : Are opportunities missed? ANZ Journal of Surgery. 73(4), pp. 225-231. https://doi.org/10.1046/j.1445-1433.2002.02570.x

Case scenarios to assess Australian general practitioners' understanding of stroke diagnosis, management and prevention

Middleton, Sandy, Sharpe, David, Harris, John, Corbett, Alastair, Lusby, Robert and Ward, Jeanette. (2003). Case scenarios to assess Australian general practitioners' understanding of stroke diagnosis, management and prevention. Stroke. 34(11), pp. 2681-2686. https://doi.org/10.1161/01.STR.0000096209.04460.BB