A short multi-factor screening tool to assess falls-risk in older people presenting to an Australian emergency department : A feasibility study

Journal article

Fulbrook, Paul, Miles, Sandra J., McCann, Bridie and Steele, Michael. (2023). A short multi-factor screening tool to assess falls-risk in older people presenting to an Australian emergency department : A feasibility study. International Emergency Nursing. 70, p. Article 101335. https://doi.org/10.1016/j.ienj.2023.101335
AuthorsFulbrook, Paul, Miles, Sandra J., McCann, Bridie and Steele, Michael
Abstract

Objective
The purpose of this study was to evaluate use of a short multi-factor falls-risk screening tool for older people within the emergency department, to enable rapid identification of falls-risk and triggers for multidisciplinary referral for further falls-specific assessment.

Methods
Older people, aged ≥70 years, presenting to the emergency department with a fall-related injury or disease (n = 137) were recruited by a research nurse following randomisation. A short multi-factor screening tool was completed, comprised of 14 falls-risk-related assessment components.

Results
Only one participant did not generate any referrals. Participants generated most referrals for medications (85.4%), social and housing (84.6%), vision (67.2%), podiatry (66.9%), or function and mobility (54.7%). Based on our results, the screening tool could be reduced to eleven components. The median time-to-screen was 11 min (IQR 9–15), with 736 triggers generated for referral and further assessment of falls-risk.

Conclusion
Falls are a major cause of ED presentation for older people. A short multi-factor screening tool with eleven components could be adapted to local familiar falls-risk tools and be completed in less than 10 min. Further research to trial the feasibility of completing ED referrals based on screening results is required to confirm the usefulness of such screening and referral within the ED.

Keywordsemergency department; falls; older person; risk assessment; screening
Year2023
JournalInternational Emergency Nursing
Journal citation70, p. Article 101335
PublisherElsevier Ltd
ISSN1755-599X
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ienj.2023.101335
PubMed ID37659216
Scopus EID2-s2.0-85169837516
Open accessPublished as ‘gold’ (paid) open access
Page range1-6
FunderThe Prince Charles Hospital Foundation
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online31 Aug 2023
Publication process dates
Accepted16 Jul 2023
Deposited16 Apr 2025
Grant IDNI2016-109
Additional information

© 2023 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Jinli Zhang, Chunyan Ma, Hang Li, Michael Steele and Adi Idris. (2018). Prevalence of hepatitis B virus infection in Kaifeng, China: A 5-year observation. Journal of Microbiology and Biotechnology. 46(4), pp. 430-433. https://doi.org/10.4014/mbl.1806.06010
Paediatric emergency nurses’ perceptions of parents’ understanding of discharge information: A qualitative study
Phonpruk, Kodchanipa, Flowers, Karen, Fulbrook, Paul and Naughton, Geraldine. (2018). Paediatric emergency nurses’ perceptions of parents’ understanding of discharge information: A qualitative study. Australasian Emergency Care. 21(2), pp. 56 - 63. https://doi.org/10.1016/j.auec.2018.05.001
The experience of men and women with cystic fibrosis who have become a parent: A qualitative study
Jessup, Melanie, Li, Anne, Fulbrook, Paul and Bell, Scott C.. (2018). The experience of men and women with cystic fibrosis who have become a parent: A qualitative study. Journal of Clinical Nursing. 27(44050), pp. 1702 - 1712. https://doi.org/10.1111/jocn.14229
ACCCN Workforce Standards for Intensive Care Nursing: Systematic and evidence review, development, and appraisal
Chamberlain, Diane J., Pollock, Wendy and Fulbrook, Paul. (2018). ACCCN Workforce Standards for Intensive Care Nursing: Systematic and evidence review, development, and appraisal. Australian Critical Care. 31(5), pp. 292 - 302. https://doi.org/10.1016/j.aucc.2017.08.007
Effectiveness of programs to promote cardiovascular health of Indigenous Australians: A systematic review
Mbuzi, Vainess, Fulbrook, Paul and Jessup, Melanie. (2018). Effectiveness of programs to promote cardiovascular health of Indigenous Australians: A systematic review. International Journal for Equity in Health. 17(1), pp. 1 - 17. https://doi.org/10.1186/s12939-018-0867-0
Salivary testosterone as a potential indicator for risky behaviour associated with smoking-related peer pressure in adolescents
Idris, Adi, Ghazali, Nur B., Said, Nadzirah M., Steele, Michael, Koh, David and Tuah, Nik A.. (2018). Salivary testosterone as a potential indicator for risky behaviour associated with smoking-related peer pressure in adolescents. International Journal of Adolescent Medicine and Health. 30(1), pp. 1 - 3. https://doi.org/10.1515/ijamh-2015-0125
Multidisciplinary evaluation of an emergency department nurse navigator role: A mixed methods study
Jessup, Melanie, Fulbrook, Paul and Kinnear, Frances B.. (2018). Multidisciplinary evaluation of an emergency department nurse navigator role: A mixed methods study. Australian Critical Care. 31(5), pp. 303 - 310. https://doi.org/10.1016/j.aucc.2017.08.006
Prescription of pressure injury preventative interventions following risk assessment: An exploratory, descriptive study
Lovegrove, Josephine Grace, Fulbrook, Paul and Miles, Sandra. (2018). Prescription of pressure injury preventative interventions following risk assessment: An exploratory, descriptive study. International Wound Journal. 15(6), pp. 985 - 992. https://doi.org/10.1111/iwj.12965
The relationship between pressure ulcer risk assessment and preventative interventions: A systematic review
Lovegrove, Josephine Grace, Miles, Sandra and Fulbrook, Paul. (2018). The relationship between pressure ulcer risk assessment and preventative interventions: A systematic review. Journal of Wound Care. 27(12), pp. 862 - 875. https://doi.org/10.12968/jowc.2018.27.12.862
Are pressure injuries related to skin failure in critically ill patients?
Nowicki, Jake L., Mullany, Daniel, Spooner, Amy, Nowicki, Tracy A., Mckay, Peta M., Corley, Amanda, Fulbrook, Paul and Fraser, John F.. (2018). Are pressure injuries related to skin failure in critically ill patients? Australian Critical Care. 31(5), pp. 257 - 263. https://doi.org/10.1016/j.aucc.2017.07.004
High-risk respiratory patients' experiences of bronchoscopy with conscious sedation and analgesia: A qualitative study
Saxon, Catherine, Fulbrook, Paul, Fong, Kwun M. and Ski, Chantal F.. (2018). High-risk respiratory patients' experiences of bronchoscopy with conscious sedation and analgesia: A qualitative study. Journal of Clinical Nursing. 27(13-14), pp. 2740 - 2751. https://doi.org/10.1111/jocn.14120
The patients’ perspective of sustaining a fall in hospital: A qualitative study
Gettens, Stephanie, Fulbrook, Paul, Jessup, Melanie and Low Choy, Nancy. (2018). The patients’ perspective of sustaining a fall in hospital: A qualitative study. Journal of Clinical Nursing. 27(3-4), pp. 743 - 752. https://doi.org/10.1111/jocn.14075
Sensory and Motor Interventions for Very Early School-age Children: a Cluster Pragmatic Randomised Controlled Trial Examining Effect on Development, Behaviour and Academic Learning Outcomes.
Miles, Sandra Jennifer. (2018). Sensory and Motor Interventions for Very Early School-age Children: a Cluster Pragmatic Randomised Controlled Trial Examining Effect on Development, Behaviour and Academic Learning Outcomes [Thesis]. https://doi.org/10.4226/66/5b0636d4e2186
Evaluation of standardized instruments for use in universal screening of very early school-age children: Suitability, technical adequacy, and usability
Miles, Sandra, Fulbrook, Paul and Mainwaring-Mägi, Debra. (2018). Evaluation of standardized instruments for use in universal screening of very early school-age children: Suitability, technical adequacy, and usability. Journal of Psychoeducational Assessment. 36(2), pp. 99 - 119. https://doi.org/10.1177/0734282916669246
Depression and pain in heart transplant recipients: an observational study
Conway, Aaron, Sheridan, Judith, Maddicks-Law, Joanne, Fulbrook, Paul, Ski, Chantal, Thompson, David, Clark, Robyn A. and Doering, Lynn. (2017). Depression and pain in heart transplant recipients: an observational study. Biological Research for Nursing. 19(1), pp. 71 - 76. https://doi.org/10.1177/1099800416666717
Perioperative hypothermia during hip fracture surgery: An observational study
Gurunathan, Usha, Stonell, Christopher and Fulbrook, Paul. (2017). Perioperative hypothermia during hip fracture surgery: An observational study. Journal of Evaluation in Clinical Practice. 23(4), pp. 762 - 766. https://doi.org/10.1111/jep.12712
Implementation and evaluation of a ‘Navigator’ role to improve emergency department throughput
Fulbrook, Paul, Jessup, Melanie and Kinnear, Frances. (2017). Implementation and evaluation of a ‘Navigator’ role to improve emergency department throughput. Australasian Emergency Nursing Journal. 20(3), pp. 114 - 121. https://doi.org/10.1016/j.aenj.2017.05.004
Indigenous peoples’ experiences and perceptions of hospitalisation for acute care: A metasynthesis of qualitative studies
Mbuzi, Vainess, Fulbrook, Paul and Jessup, Melanie. (2017). Indigenous peoples’ experiences and perceptions of hospitalisation for acute care: A metasynthesis of qualitative studies. International Journal of Nursing Studies. 71, pp. 39 - 49. https://doi.org/10.1016/j.ijnurstu.2017.03.003
Indigenous cardiac patients’ and relatives’ experiences of hospitalisation: A narrative inquiry
Mbuzi, Vainess, Fulbrook, Paul and Jessup, Melanie. (2017). Indigenous cardiac patients’ and relatives’ experiences of hospitalisation: A narrative inquiry. Journal of Clinical Nursing. 26(23-24), pp. 5052 - 5064. https://doi.org/10.1111/jocn.14005
Motivational interviewing to enhance treatment attendance in mental health settings: A systematic review and meta-analysis
Lawrence, Petra, Fulbrook, Paul, Somerset, Shawn and Schulz, Paula. (2017). Motivational interviewing to enhance treatment attendance in mental health settings: A systematic review and meta-analysis. Journal of Psychiatric and Mental Health Nursing. 24(9-10), pp. 699 - 718. https://doi.org/10.1111/jpm.12420
Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: A single-group pretest/post-test study
Davison, Michelle, Kinnear, Frances and Fulbrook, Paul. (2017). Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: A single-group pretest/post-test study. BMJ Simulation & Technology Enhanced Learning. 3(4), pp. 149 - 153. https://doi.org/10.1136/bmjstel-2016-000138
Pressure injury prevalence in intensive care versus non-intensive care patients: A state-wide comparison
Coyer, Fiona, Miles, Sandra, Gosley, Sandra, Fulbrook, Paul, Sketcher-Baker, Kirstine, Cook, Jane-Louise and Whitmore, Jacqueline. (2017). Pressure injury prevalence in intensive care versus non-intensive care patients: A state-wide comparison. Australian Critical Care. 30(5), pp. 244 - 250. https://doi.org/10.1016/j.aucc.2016.12.003
Nursing Strategies for Effective Weaning of the Critically Ill Mechanically Ventilated Patient
Darian Ward and Paul Fulbrook. (2016). Nursing Strategies for Effective Weaning of the Critically Ill Mechanically Ventilated Patient. Critical Care Nursing Clinics of North America. 28(4), pp. 499-512. https://doi.org/10.1016/j.cnc.2016.07.008
Pilot testing a model of psychological care for heart transplant recipients
Conway, Aaron W., Sheridan, Judith, Maddicks-Law, Joanne and Fulbrook, Paul Richard. (2016). Pilot testing a model of psychological care for heart transplant recipients. BMC Nursing. 15(62), pp. 1 - 8. https://doi.org/10.1186/s12912-016-0183-1
Pressure injury risk assessment in intensive care : Comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales
Fulbrook, Paul and Anderson, Alissa. (2016). Pressure injury risk assessment in intensive care : Comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales. Journal of Advanced Nursing (online version). 72(3), pp. 680 - 692. https://doi.org/10.1111/jan.12825
The Safewards Program in Queensland public hospital acute mental health settings
Higgins, Niall, Dart, Nathan, Meehan, Thomas, Fulbrook, Paul, Kilshaw, Michael, Anderson, Debra and Fawcett, Lisa. (2016). The Safewards Program in Queensland public hospital acute mental health settings. Australian Nursing and Midwifery Journal. 23(11), pp. 41 - 41.
A 10-year review of a vascular access service for patients receiving hemodialysis: Analysis of procedural modifications and service innovations
Lancashire, John F., Steele, Michael Craig, Swinbank, Amy, Du Toit, Dianne and Jackson, Mark J.. (2016). A 10-year review of a vascular access service for patients receiving hemodialysis: Analysis of procedural modifications and service innovations. JAVA. 21(2), pp. 93 - 102. https://doi.org/10.1016/j.java.2016.03.003
Salivary leptin concentrations in Bruneian secondary school children
Idris, Adi, Khamis, Ahmed Gharib, Ghazali, Nur Basirah, Steele, Michael, Koh, David and Tuah, Nik Ani. (2016). Salivary leptin concentrations in Bruneian secondary school children. Asian Pacific Journal of Tropical Biomedicine. 6(4), pp. 335 - 337. https://doi.org/10.1016/j.apjtb.2016.01.003
The effect of evidence-based, treatment-oriented, clinical practice guidelines on improving patient care outcomes: A systematic review protocol
Colbeck, Marc, Lockwood, Craig, Peters, Micah, Fulbrook, Paul and McCabe, Delia. (2016). The effect of evidence-based, treatment-oriented, clinical practice guidelines on improving patient care outcomes: A systematic review protocol. The JBI Database of Systematic Reviews and Implementation Reports. 14(6), pp. 42 - 51. https://doi.org/10.11124/JBISRIR-2016-002515
Accuracy of anxiety and depression screening tools in heart transplant recipients
Conway, Aaron William, Sheridan, Judith, Maddicks-Law, Joanne, Fulbrook, Paul Richard, Ski, Chantal, Thompson, David Robert and Doering, Lynn V.. (2016). Accuracy of anxiety and depression screening tools in heart transplant recipients. Applied Nursing Research. 31, pp. 177 - 181. https://doi.org/10.1016/j.apnr.2016.07.015
World Federation of Critical Care Nurses: Brisbane Declaration on Culturally Sensitive Critical Care Nursing
Friganovic, Adriano, Bloomer, Melissa, Northam, Holly L., Kalauz, Sonja, Zellinger, Mary, Lopez, Violeta and Fulbrook, Paul. (2016). World Federation of Critical Care Nurses: Brisbane Declaration on Culturally Sensitive Critical Care Nursing. Connect: The World of Critical Care Nursing. 10(3), pp. 80 - 82. https://doi.org/10.1891/1748-6254.10.3.80
Pressure injury risk assessment in intensive care: comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales
Fulbrook, Paul and Anderson, Alissa. (2016). Pressure injury risk assessment in intensive care: comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales. Journal of Advanced Nursing (online version). 73(3), pp. 680 - 692. https://doi.org/10.1111/jan.12825
An evaluation of staff transitioning from a combined adult/child emergency department to a new paediatric emergency department: A qualitative study
Peeler, Alison, Fulbrook, Paul Richard, Edward, Karen-Leigh and Kinnear, Frances B.. (2016). An evaluation of staff transitioning from a combined adult/child emergency department to a new paediatric emergency department: A qualitative study. Australasian Emergency Nursing Journal. 19(3), pp. 153 - 158. https://doi.org/10.1016/j.aenj.2016.05.004
Comparative effects of 2 aqua exercise programs on physical function, balance, and perceived quality of life in older adults with osteoarthritis
Fisken, Alison L., Waters, Debra L., Hing, Wayne A., Steele, Michael Craig and Keogh, Justin W.. (2015). Comparative effects of 2 aqua exercise programs on physical function, balance, and perceived quality of life in older adults with osteoarthritis. Journal of Geriatric Physical Therapy. 38(1), pp. 17 - 27. https://doi.org/10.1519/JPT.0000000000000019
Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress : A pilot study
Lawrence, Petra and Fulbrook, Paul. (2015). Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress : A pilot study. Pilot and Feasibility Studies. 1(33), pp. 1 - 9. https://doi.org/10.1186/s40814-015-0028-9
A survey of Australian nurses' knowledge of pressure injury/pressure ulcer management
Lawrence, Petra, Fulbrook, Paul and Miles, Sandra. (2015). A survey of Australian nurses' knowledge of pressure injury/pressure ulcer management. Journal of Wound Ostomy and Continence Nursing. 42(5), pp. 450 - 460. https://doi.org/10.1097/WON.0000000000000141
Unsteady natural convection and statistical analysis in a CNT-water filled cavity with non-isothermal heating
Rahman, Mahmudur M., Öztop, Hakan F., Steele, Michael Craig, Naim, Abdul Ghani, Al-Salem, Khaled and Ibrahim, Talaat A.. (2015). Unsteady natural convection and statistical analysis in a CNT-water filled cavity with non-isothermal heating. International Communications in Heat and Mass Transfer. 64, pp. 50 - 60. https://doi.org/10.1016/j.icheatmasstransfer.2015.02.012
Can a barcode scanner for blood collection improve patient identification integrity in the emergency department? A prospective before-and-after study
Spain, David, Crilly, Julia, Pierce, John, Steele, Michael Craig, Scuffham, Paul and Keijzers, Gerben B.. (2015). Can a barcode scanner for blood collection improve patient identification integrity in the emergency department? A prospective before-and-after study. Emergency Medicine Australasia. 27(1), pp. 47 - 54. https://doi.org/10.1111/1742-6723.12334
Critical care nursing organizations and activities : A fourth worldwide review
Williams, Ged, Fulbrook, Paul, Kleinpell, Ruth, Schmollgruber, Shelley and Alberto, Laura. (2015). Critical care nursing organizations and activities : A fourth worldwide review. International Nursing Review (online version). 62(4), pp. 453 - 461. https://doi.org/10.1111/inr.12205
Does a single dose of intravenous dexamethasone reduce Symptoms in Emergency department patients with low Back pain and RAdiculopathy (SEBRA)? A double-blind randomised controlled trial
Balakrishnamoorthy, Ravichandra, Horgan, Isabelle, Perez, Siegfried, Steele, Michael Craig and Keijzers, Gerben B.. (2015). Does a single dose of intravenous dexamethasone reduce Symptoms in Emergency department patients with low Back pain and RAdiculopathy (SEBRA)? A double-blind randomised controlled trial. Emergency Medicine Journal. 32(7), pp. 525 - 530. https://doi.org/10.1136/emermed-2013-203490
Certainty and uncertainty about end of life care nursing practices in New Zealand intensive care units : A mixed methods study
Coombs, Maureen, Fulbrook, Paul, Donovan, Sarah, Tester, Rachel and deVries, Kay. (2015). Certainty and uncertainty about end of life care nursing practices in New Zealand intensive care units : A mixed methods study. Australian Critical Care. 28(2), pp. 82 - 86. https://doi.org/10.1016/j.aucc.2015.03.002
Validity of the paddington alcohol test in an Australian emergency department
Fulbrook, Paul, Lawrence, Petra and Watt, Kerrianne. (2015). Validity of the paddington alcohol test in an Australian emergency department. Alcohol and Alcoholism. 50(4), pp. 407 - 412. https://doi.org/10.1093/alcalc/agv024
The experiences of parents and nurses of hospitalised infants requiring oxygen therapy for severe bronchiolitis : A phenomenological study
Peeler, Alison, Fulbrook, Paul and Kildea, Susan. (2015). The experiences of parents and nurses of hospitalised infants requiring oxygen therapy for severe bronchiolitis : A phenomenological study. Journal of Child Health Care. 19(2), pp. 216 - 228. https://doi.org/10.1177/1367493513503587
Shoulder pain in primary care - Part 2: Predictors of clinical outcome to 12 months
Laslett, Mark, Steele, Michael Craig, Hing, Wayne, McNair, Peter and Cadogan, Angela. (2015). Shoulder pain in primary care - Part 2: Predictors of clinical outcome to 12 months. Journal of Rehabilitation Medicine. 47(1), pp. 66 - 71. https://doi.org/10.2340/16501977-1885
Fear of falling : Association between the Modified Falls Efficacy Scale, in-hospital falls and hospital length of stay
Gettens, Stephanie and Fulbrook, Paul. (2015). Fear of falling : Association between the Modified Falls Efficacy Scale, in-hospital falls and hospital length of stay. Journal of Evaluation in Clinical Practice (online version). 21(1), pp. 43 - 50. https://doi.org/10.1111/jep.12226
Survey of an Australian general emergency department : Estimated prevalence of mental health disorders
Fulbrook, Paul and Lawrence, Petra. (2015). Survey of an Australian general emergency department : Estimated prevalence of mental health disorders. Journal of Psychiatric and Mental Health Nursing (online version). 22(1), pp. 30 - 38. https://doi.org/10.1111/jpm.12191
Issues and challenges associated with nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory: A qualitative study
Fulbrook, Paul, Conway, Aaron, Rolley, John and Page, Karen. (2014). Issues and challenges associated with nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory: A qualitative study. Journal of Clinical Nursing. 23(3-4), pp. 374 - 384. https://doi.org/10.1111/jocn.12147
Compliance with lipid-lowering medication after diagnosis of coronary heart disease
McKellar, Sandra and Fulbrook, Paul. (2014). Compliance with lipid-lowering medication after diagnosis of coronary heart disease. British Journal of Cardiac Nursing. 9(5), pp. 244 - 249.
Trends in nurse-administered procedural sedation and analgesia across cardiac catheterisation laboratories in Australia and New Zealand: Results of an electronic survey
Conway, Aaron, Rolley, John, Page, Karen and Fulbrook, Paul. (2014). Trends in nurse-administered procedural sedation and analgesia across cardiac catheterisation laboratories in Australia and New Zealand: Results of an electronic survey. Australian Critical Care. 27(1), pp. 4 - 10. https://doi.org/10.1016/j.aucc.2013.05.003
South African critical care nurses' views on end-of-life decision-making and practices
Fulbrook, Paul, Langley, Gayle, Schmollgruber, Shelley, Albarran, John and Latour, Jos. (2014). South African critical care nurses' views on end-of-life decision-making and practices. Nursing in Critical Care. 19(1), pp. 9 - 17. https://doi.org/10.1111/nicc.12026
Shoulder pain patients in primary care - Part 1: Clinical outcomes over 12 months following standardized diagnostic workup, corticosteroid injections, and community-based care
Laslett, Mark, Steele, Michael Craig, Hing, Wayne, McNair, Peter and Cadogan, Angela. (2014). Shoulder pain patients in primary care - Part 1: Clinical outcomes over 12 months following standardized diagnostic workup, corticosteroid injections, and community-based care. Journal of Rehabilitation Medicine. 46(9), pp. 898 - 907. https://doi.org/10.2340/16501977-1860
Sleep assessment of hospitalised patients : A literature review
Fulbrook, Paul, Hoey, Lynn and Douglas, James. (2014). Sleep assessment of hospitalised patients : A literature review. International Journal of Nursing Studies. 51(9), pp. 1281 - 1288. https://doi.org/10.1016/j.ijnurstu.2014.02.001
Use and validation of the balance outcome measure for elder rehabilitation in acute care
Kuys, Suzanne, Crouch, Tom, Dolecka, Urszula, Steele, Michael and Low Choy, Nancy. (2014). Use and validation of the balance outcome measure for elder rehabilitation in acute care. New Zealand Journal of Physiotherapy. 42(1), pp. 16 - 21.
The effects of multimodal exercise on cognitive and physical functioning and brain-derived neurotrophic factor in older women: a randomised controlled trial
Vaughan, Sue, Wallis, Marianne, Polit, Denise, Steele, Michael Craig, Shum, David and Morris, Norman. (2014). The effects of multimodal exercise on cognitive and physical functioning and brain-derived neurotrophic factor in older women: a randomised controlled trial. Age and Ageing. 43(5), pp. 623 - 629. https://doi.org/10.1093/ageing/afu010
Perception and responses to different forms of aqua-based exercise among older adults with osteoarthritis
Fisken, Alison L., Waters, Debra L., Hing, Wayne A., Steele, Michael Craig and Keogh, Justin W.. (2014). Perception and responses to different forms of aqua-based exercise among older adults with osteoarthritis. International Journal of Aquatic Research and Education. 8(1), pp. 32 - 52. https://doi.org/10.1123/ijare.2013-0007
A prospective evaluation of missed injuries in trauma patients, before and after formalising the trauma tertiary survey
Keijzers, Gerben B., Campbell, Don, Hooper, Jeffrey, Bost, Nerolie, Crilly, Julia, Steele, Michael Craig, Del Mar, Chris and Geeraedts, Leo M.G.. (2014). A prospective evaluation of missed injuries in trauma patients, before and after formalising the trauma tertiary survey. World Journal of Surgery. 38(1), pp. 222 - 232. https://doi.org/10.1007/s00268-013-2226-z
Introduction of an acute surgical unit: Comparison of performance indicators and outcomes for operative management of acute appendicitis
Lancashire, John F., Steele, Michael Craig, Parker, D. and Puhalla, H.. (2014). Introduction of an acute surgical unit: Comparison of performance indicators and outcomes for operative management of acute appendicitis. World Journal of Surgery. 38(8), pp. 1947 - 1953. https://doi.org/10.1007/s00268-014-2497-z
Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes
McGuire, Amanda, Anderson, Debra and Fulbrook, Paul. (2014). Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes. Collegian. 21(4), pp. 301 - 310. https://doi.org/10.1016/j.colegn.2013.07.001
The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants
Montgomery, Karly, Low Choy, Nancy, Steele, Michael and Hough, Judith. (2014). The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants. Journal of Paediatrics and Child Health. 50(12), pp. 972 - 977. https://doi.org/10.1111/jpc.12689
Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory : A modified Delphi study
Fulbrook, Paul, Conway, Aaron, Rolley, John and Page, Karen. (2014). Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory : A modified Delphi study. Journal of Advanced Nursing. 70(5), pp. 1040 - 1053. https://doi.org/10.1111/jan.12337
The first 18 months: Parental choices regarding their infant's health care needs
Kearney, Lauren and Fulbrook, Paul. (2014). The first 18 months: Parental choices regarding their infant's health care needs. Neonatal, Paediatric and Child Health Nursing. 17(3), pp. 17 - 22.
Risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory : a matched case-control study
Conway, Aaron, Page, Karen, Rolley, John and Fulbrook, Paul. (2013). Risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory : a matched case-control study. European Journal of Cardiovascular Nursing. https://doi.org/10.1177/1474515112470351
Crunch Time: How did the students perform?
Steele, Michael Craig and Sugden, Steve. (2013). Crunch Time: How did the students perform? International Journal of Mathematical Education in Science and Technology. 44(1), pp. 143 - 152. https://doi.org/10.1080/0020739X.2012.662302
Decreasing pressure injury prevalence in an Australian general hospital : a ten-year review
Miles, Sandra, Fulbrook, Paul, Nowicki, Tracy and Franks, Cherie. (2013). Decreasing pressure injury prevalence in an Australian general hospital : a ten-year review. Wound Practice & Research.
A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars
Cooke, Georga P.E., Doust, Jenny A. and Steele, Michael C.. (2013). A survey of resilience, burnout, and tolerance of uncertainty in Australian general practice registrars. BMC Medical Education. 13(2), pp. 1 - 6. https://doi.org/10.1186/1472-6920-13-2
Improving statistical analysis of matched case-control studies in nursing literature
Conway, Aaron, Rolley, John, Fulbrook, Paul, Page, Karen and Thompson, David. (2013). Improving statistical analysis of matched case-control studies in nursing literature. Research in Nursing and Health. https://doi.org/10.1002/nur.21536
Seasonal variation in health care-associated bloodstream infection: Increase in the incidence of gram-negative bacteremia in nonhospitalized patients during summer
Alcorn, Kylie, Gerrard, John, Macbeth, Deborough and Steele, Michael Craig. (2013). Seasonal variation in health care-associated bloodstream infection: Increase in the incidence of gram-negative bacteremia in nonhospitalized patients during summer. American Journal of Infection Control. 41(12), pp. 1205 - 1208. https://doi.org/10.1016/j.ajic.2013.05.019
Intravenous 0.9% sodium chloride therapy does not reduce length of stay of alcohol-intoxicated patients in the emergency department: A randomised controlled trial
Perez, Siegfried R.S., Keijzers, Gerben B., Steele, Michael Craig, Byrnes, Joshua and Scuffham, Paul A.. (2013). Intravenous 0.9% sodium chloride therapy does not reduce length of stay of alcohol-intoxicated patients in the emergency department: A randomised controlled trial. EMA - Emergency Medicine Australasia. 25(6), pp. 527 - 534. https://doi.org/10.1111/1742-6723.12151
Understanding the experiences of mothers who are breastfeeding an infant with tongue-tie : a phenomenological study
Edmunds, Janet, Fulbrook, Paul and Miles, Sandra. (2013). Understanding the experiences of mothers who are breastfeeding an infant with tongue-tie : a phenomenological study. Journal of Human Lactation. https://doi.org/10.1177/0890334413479174
Children's conceptions of their parent's lung transplant
Fulbrook, Paul, Leisfield, T and Wiggins, K. (2013). Children's conceptions of their parent's lung transplant. Journal of Child Health Care. https://doi.org/10.1177/1367493512450625
A comparison of the power of the discrete Kolmogorov-Smirnov and Chi-Square goodness-of-fit tests
Steele, Michael Craig, Smart, Neil A., Hurst, Cameron and Chaseling, Janet. (2012). A comparison of the power of the discrete Kolmogorov-Smirnov and Chi-Square goodness-of-fit tests. In K. Kumar and A. Chaturvedi (Ed.). International Conference on Recent Developments in Statistics, Econometrics and Forecasting, University of Allahabad, India, December 27-28, 2010. United States of America: Brown Walker Press. pp. 104 - 109
A survey of Italian intensive care nurses' knowledge levels
Fulbrook, Paul. (2012). A survey of Italian intensive care nurses' knowledge levels. Not Listed - Awaiting Journal Creation.
Open Access community child health clinics : the everyday experience of parents and child health nurses
Kearney, Lauren and Fulbrook, Paul. (2012). Open Access community child health clinics : the everyday experience of parents and child health nurses. Journal of Child Health Care. 16(1), pp. 5 - 14. https://doi.org/10.1177/1367493511419874
Effect of feedback on ventilator care bundle compliance : before and after study
Lawrence, Petra and Fulbrook, Paul. (2012). Effect of feedback on ventilator care bundle compliance : before and after study. Nursing in Critical Care. 17(6), pp. 293 - 301. https://doi.org/10.1111/j.1478-5153.2012.00519.x
A survey of European intensive care nurses' knowledge levels
Fulbrook, Paul, Albarran, John W., Baktoft, Birte and Sidebottom, Ben. (2012). A survey of European intensive care nurses' knowledge levels. International Journal of Nursing Studies. 49(2), pp. 191 - 200. https://doi.org/10.1016/j.ijnurstu.2011.06.001
Reduction of post-surgical pericardial adhesions using a pig model
Alizzi, Ali M., Summers, Phillip, Boon, Virginia H., Tantiongco, John-Paul, Thompson, Teresa, Leslie, Belinda J., Williams, David, Steele, Michael Craig, Bidstrup, Benjamin P. and Diqer, Al-Mutazz A.. (2012). Reduction of post-surgical pericardial adhesions using a pig model. Heart, Lung and Circulation. 21(1), pp. 22 - 29. https://doi.org/10.1016/j.hlc.2011.10.002
A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients
Smart, Neil A. and Steele, Michael Craig. (2012). A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients. Congestive Heart Failure. 18(4), pp. 205 - 211. https://doi.org/10.1111/j.1751-7133.2011.00274.x
Prognostic value of semi-quantitative bacteruria counts in the diagnosis of group B streptococcus urinary tract infection: A 4-year retrospective study in adult patients
Tan, Chee K., Ulett, Kimberly B., Steele, Michael C., Benjamin, William H. and Ulett, Glen C.. (2012). Prognostic value of semi-quantitative bacteruria counts in the diagnosis of group B streptococcus urinary tract infection: A 4-year retrospective study in adult patients. BMC Infectious Diseases. 12(273), pp. 1 - 8. https://doi.org/10.1186/1471-2334-12-273
Critical care nursing organizations and activities: A third worldwide review
Williams, Ged, Bost, Nerolie, Chaboyer, Wendy, Fulbrook, Paul, Alberto, Laura, Thorsteinsdóttir, Rósa, Schmollgruber, Shelley and Chan, David. (2012). Critical care nursing organizations and activities: A third worldwide review. International Nursing Review. 59(1), pp. 73 - 80. https://doi.org/10.1111/j.1466-7657.2011.00926.x
Using community surveillance data to differentiate between emerging and endemic amphibian diseases
Young, Sam, Skerratt, Lee F., Mendez, Diana, Speare, Rick, Berger, Lee and Steele, Michael Craig. (2012). Using community surveillance data to differentiate between emerging and endemic amphibian diseases. Diseases of Aquatic Organisms. 98(1), pp. 1 - 10. https://doi.org/10.3354/dao02416
Person-centered medicine and chronic disease :the role of interdisciplinary education and treatment adherence
Boyle, Cathy, Post, Gerardus, Masel, Philip, Fulbrook, Paul and Clark, Kevin. (2011). Person-centered medicine and chronic disease :the role of interdisciplinary education and treatment adherence. International Journal of Person Centered Medicine. 1(3), pp. 606 - 611.
Foetal monitoring: A women-centred decision-making pathway
Rattray, Janene, Flowers, Karen, Miles, Sandra and Clarke, Jillian. (2011). Foetal monitoring: A women-centred decision-making pathway. Women and Birth. 24(2), pp. 65 - 71. https://doi.org/10.1016/j.wombi.2010.08.003
The effect of physical training on systemic proinflammatory cytokine expression in heart failure patients: A systematic review
Smart, Neil A. and Steele, Michael Craig. (2011). The effect of physical training on systemic proinflammatory cytokine expression in heart failure patients: A systematic review. Congestive Heart Failure. 17(3), pp. 110 - 114. https://doi.org/10.1111/j.1751-7133.2011.00217.x
The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics :A randomised controlled study
Szlezak, Adam, Georgilopoulos, Peter, Bullock-Saxton, Joanne and Steele, Michael. (2011). The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics :A randomised controlled study. Manual Therapy. 16, pp. 609 - 613. https://doi.org/10.1016/j.math.2011.06.004
Tongue-tie and breastfeeding: A review of the literature
Edmunds, Janet, Miles, Sandra J. and Fulbrook, Paul. (2011). Tongue-tie and breastfeeding: A review of the literature. Breastfeeding Review (print version). 19(1), pp. 19 - 26.
The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes
Crilly, Julia, Keijzers, Gerben B., Krahn, Dirken, Steele, Michael Craig, Green, David and Freeman, Janeen. (2011). The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes. Quality Management in Health Care. 20(4), pp. 322 - 333. https://doi.org/10.1097/QMH.0b013e318231355a
The ventilator care bundle and its impact on ventilator-associated pneumonia: A review of the evidence
Lawrence, Petra and Fulbrook, Paul. (2011). The ventilator care bundle and its impact on ventilator-associated pneumonia: A review of the evidence. Nursing in Critical Care (print version). 16(5), pp. 222 - 234. https://doi.org/10.1111/j.1478-5153.2010.00430.x
Exercise training in haemodialysis patients: A systematic review and meta-analysis
Smart, Neil and Steele, Michael Craig. (2011). Exercise training in haemodialysis patients: A systematic review and meta-analysis. Nephrology. 16(7), pp. 626 - 632. https://doi.org/10.1111/j.1440-1797.2011.01471.x
Foetal monitoring: A woman-centred decision-making pathway
Rattray, Janene, Flowers, Karen, Miles, Sandra and Clarke, Jillian. (2011). Foetal monitoring: A woman-centred decision-making pathway. Women and Birth (print version). 24(2), pp. 65 - 71. https://doi.org/10.1016/j.wombi.2010.08.003
Tertiary survey performance in a regional trauma hospital without a dedicated trauma service
Keijzers, Gerben B., Campbell, Don, Hooper, Jeffrey, Bost, Nerolie, Crilly, Julia, Steele, Michael Craig, Eddington, Blake and Geeraedts, Leo M.G.. (2011). Tertiary survey performance in a regional trauma hospital without a dedicated trauma service. World Journal of Surgery. 35(10), pp. 2341 - 2347. https://doi.org/10.1007/s00268-011-1231-3
Die anwesenheit von angehörigen während der kardiopulmonalen reanimation / the presence of family members during cardiopulmonary resuscitation
Fulbrook, Paul. (2010). Die anwesenheit von angehörigen während der kardiopulmonalen reanimation / the presence of family members during cardiopulmonary resuscitation. Intensiv: Fachzeitschrift fuer Intensivpflege und Anaesthesie. 18(1), pp. 38 - 40.
Preparation of nurses for novice entry to perioperative practice: Evaluation of a short education program
Allanson, Anne Maree and Fulbrook, Paul. (2010). Preparation of nurses for novice entry to perioperative practice: Evaluation of a short education program. ACORN : The Journal of Perioperative Nursing in Australia. 23(2), pp. 14 - 27.
Bed safety off the rails
Nowicki, Tracy, Fulbrook, Paul and Burns, Cheryl. (2010). Bed safety off the rails. Australian Nursing and Midwifery Journal. 18(1), pp. 31 - 34.
Pressure injury prevention : continence, skin hygiene and nutrition management
Roosen, Kerri, Fulbrook, Paul and Nowicki, Tracy. (2010). Pressure injury prevention : continence, skin hygiene and nutrition management. Australian Nursing Journal. 18(2), pp. 31 - 34.
Evaluating the statistical power of goodness-of-fit tests for health and medicine survey data
Steele, M., Smart, N., Hurst, C. and Chaseling, J.. (2009). Evaluating the statistical power of goodness-of-fit tests for health and medicine survey data. In R.S. Anderssen, R.D. Braddock and L.T.H. Newham (Ed.). The 18th World IMACS Congress and MODSIM09 International Congress on Modelling and Simulation. United States of America: Modelling and Simulation Society of Australia and New Zealand and International Association for Mathematics and Computers in Simulation, July 2009. pp. 192 - 196
EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life care
Latour, Jos M., Fulbrook, Paul Richard and Albarran, John W.. (2009). EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life care. Nursing in Critical Care. 14(3), pp. 110 - 121. https://doi.org/10.1111/j.1478-5153.2008.00328.x
Provision of child health services 2005-2009: Evaluation of an open access clinic
Kearney, Lauren, Fulbrook, Paul Richard and Howlett, Lorrie. (2009). Provision of child health services 2005-2009: Evaluation of an open access clinic Queensland Health.
Changing the mindset: An inter-disciplinary approach to management of bariatric patient
Nowicki, Tracy, Burns, Cheryl, Fulbrook, Paul Richard and Jones, Jacqueline. (2009). Changing the mindset: An inter-disciplinary approach to management of bariatric patient. Collegian. 16(4), pp. 171 - 175. https://doi.org/10.1016/j.colegn.2009.03.002
Intensive and critical care nursing perspectives
Williams, G. F., Fulbrook, Paul Richard, Alexandrov, A. W., Montanez, W. Canon, Salisu-Kabara, H. M. and Chan, D. W.K.. (2009). Intensive and critical care nursing perspectives. In In A. Gullo, J. Besso and P.D.Lumb & G.F.Williams (Ed.). Intensive and critical care medicine pp. 119 - 132 Springer-Verlag.
A clinical improvement project to develop and implement a decision-making framework for the use of seclusion
Hyde, Sandra, Fulbrook, Paul Richard, Fenton, Keryn and Kilshaw, Michael. (2009). A clinical improvement project to develop and implement a decision-making framework for the use of seclusion. International Journal of Mental Health Nursing. 18, pp. 398 - 408. https://doi.org/10.1111/j.1447-0349.2009.00631.x
The effectiveness of a caring protocol: An evaluation study
Fulbrook, Paul. (2009). The effectiveness of a caring protocol: An evaluation study. Journal of Research in Nursing. 14(4), pp. 317 - 318. https://doi.org/10.1177/1744987108093360
The presence of family members during cardiopulmonary resuscitation: Position statement
Lynch, Fiona, Fulbrook, Paul, Latour, Jos, Albarran, John, de Graaf, Wouter, Devictor, Denis and Norekval, Tone. (2008). The presence of family members during cardiopulmonary resuscitation: Position statement. Infant: for neonatal and paediatric healthcare professionals (print version). 4(2), pp. 44 - 45.
Enteral feeding practices in European ICUs: A survey from the European federation of critical care nursing associations (EFCCNA)
Roynette, C., Numico, Anke Bongers, Fulbrook, Paul, Albarran, John and Hofman, Z.. (2008). Enteral feeding practices in European ICUs: A survey from the European federation of critical care nursing associations (EFCCNA). e-SPEN Journal: the European e-journal of clinical nutrition and metabolism. 2(2), pp. 33 - 39. https://doi.org/10.1016/j.eclnm.2007.10.004
Improving Teacher Responsiveness In Making Adjustments for School Children With 'Critical Prone' Medical Conditions
Miles, Sandra and Flowers, Karen. (2008). Improving Teacher Responsiveness In Making Adjustments for School Children With 'Critical Prone' Medical Conditions [Dataset]. Australian Catholic University. https://doi.org/10.26199/acu.85097
Paediatric critical care nurses' attitudes and experiences of parental presence during cardiopulmonary resuscitation: A European survey
Fulbrook, Paul, Latour, Jos and Albarran, John. (2007). Paediatric critical care nurses' attitudes and experiences of parental presence during cardiopulmonary resuscitation: A European survey. International Journal of Nursing Studies. 44(7), pp. 1238 - 1249. https://doi.org/10.1016/j.ijnurstu.2006.05.006
Critical care nursing organizations and activities - a second worldwide review: Original article
Willia, Ged, Chaboyer, Wendy, Alberto, Laura, Thorsteinsdottir, Rosa, Schmollgruber, Shelley, Fulbrook, Paul, Chan, Dominic and Bost, Nerolie. (2007). Critical care nursing organizations and activities - a second worldwide review: Original article. International Nursing Review. 54(2), pp. 151 - 159. https://doi.org/10.1111/j.1466-7657.2007.00543.x
A European survey of enteral nutrition practices and procedures in adult intensive care units
Fulbrook, Paul, Bongers, Anke and Albarran, John. (2007). A European survey of enteral nutrition practices and procedures in adult intensive care units. Journal of Clinical Nursing. 16(11), pp. 2132 - 2141. https://doi.org/10.1111/j.1365-2702.2006.01841.x
Identifying significant contributors to milk production in the absence of the herd size effect
Zamykal, Daniel, Steele, Mike, Kerr, Don and Chaseling, Janet. (2007). Identifying significant contributors to milk production in the absence of the herd size effect. In Oxley, L. and Kulasiri, D. (Ed.). MODSIM 2007 International Congress on Modelling and Simulation. University of Canterbury, Christchurch, New Zealand 10 - 13 Dec 2007 Christchurch, New Zealand: Modelling and Simulation Society of Australia and New Zealand Inc.. pp. 88-93
The presence of family members during cardiopulmonary resuscitation: European federation of critical care nursing associations, European society of paediatric and neonatal intensive care and European society of cardiology council on cardiovascular
Fulbrook, Paul, Latour, Jos, Albarran, John, de Graaf, Wouter, Lynch, Fiona, Devictor, Denis and Norekval, Tone. (2007). The presence of family members during cardiopulmonary resuscitation: European federation of critical care nursing associations, European society of paediatric and neonatal intensive care and European society of cardiology council on cardiovascular. European Journal of Cardiovascular Nursing. 6(4), pp. 255 - 258. https://doi.org/10.1016/j.ejcnurse.2007.07.003
Understanding the experiences of mothers who are breast feeding an infant with tongue-tie: a hermeneutic phenomenology study.
Miles, Sandra and Fulbrook, Paul. (2007). Understanding the experiences of mothers who are breast feeding an infant with tongue-tie: a hermeneutic phenomenology study [Dataset]. Australian Catholic University. https://doi.org/10.26199/acu.85095
Portable oxygen: Longer for less with oxymizer pendant
Fulbrook, Paul and Serginson, John. (2006). Portable oxygen: Longer for less with oxymizer pendant. Airways Journal (print version). 4(2), pp. 105 - 108.
Education for outreach: Development of an inter-professional MSC in critical care
Fulbrook, Paul and Cockerell, Janet. (2005). Education for outreach: Development of an inter-professional MSC in critical care. Nursing in Critical Care. 10(5), pp. 255 - 262. https://doi.org/10.1111/j.1362-1017.2005.00123.x
Advancing the clinical perspective: A practice development project to develop the nurse practitioner role in an acute hospital trust
Walsgrove, Hilary and Fulbrook, Paul. (2005). Advancing the clinical perspective: A practice development project to develop the nurse practitioner role in an acute hospital trust. Journal of Clinical Nursing. 14(4), pp. 444 - 455. https://doi.org/10.1111/j.1365-2702.2004.01089.x
Realizing advanced nursing practice through reflection
Fulbrook, Paul. (2004). Realizing advanced nursing practice through reflection. Nursing in Critical Care. 9(6), pp. 255 - 256. https://doi.org/10.1111/j.1362-1017.2004.00089.x
Developing a network protocol: Nurse-led weaning from ventilation
Fulbrook, Paul, Delaney, N., Rigby, J., Sowden, A., Trevett, M., Turner, L. and Whittam, A.. (2004). Developing a network protocol: Nurse-led weaning from ventilation. Connect: The World of Critical Care Nursing. 3(2), pp. 28 - 37.
Why do student nurses leave? Suggestions from a Delphi study
Fulbrook, Paul. (2003). Why do student nurses leave? Suggestions from a Delphi study. Nurse Education Today. 23(6), pp. 449 - 458. https://doi.org/10.1016/S0260-6917(03)00063-7
Developing best practice in critical care nursing: Knowledge, evidence and practice
Fulbrook, Paul. (2003). Developing best practice in critical care nursing: Knowledge, evidence and practice. Nursing in Critical Care. 8(3), pp. 96 - 102. https://doi.org/10.1046/j.1478-5153.2003.00010.x
Care bundles in critical care: A practical approach to evidence-based practice
Fulbrook, Paul and Mooney, Sharon. (2003). Care bundles in critical care: A practical approach to evidence-based practice. Nursing in Critical Care. 8(6), pp. 249 - 255. https://doi.org/10.1111/j.1362-1017.2003.00039.x