Tracy Flenady

Central Queensland University · School of Nursing and Midwifery

Background Algorithmic tools such as early warning systems (EWSs) have been embedded into clinical practice globally to facilitate the early recognition of patient deterioration and to guide the escalation of care. Concerns have been raised that the mandated use of these EWS tools may impact the development of nurses' higher-order thinking. However...

Aim To evaluate registered nurses' perceptions of whether the mandated use of the early warning system vital signs tool impacts the development of nurses' higher‐order thinking skills. Design A concurrent mixed methods study design. Method Using an online survey, registered nurses' perceptions were elucidated on whether early warning system algor...

Aim Ascertain the impact of mandated use of early warning systems (EWSs) on the development of registered nurses' higher‐order thinking. Design A systematic literature review was conducted, following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines and checklist (Page et al., 2021). Data Sources CINAHL, Medli...

Aim To explore the published evidence describing the impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture. Design Arksey and O'Malley (2005)'s scoping study framework and Preferred Reporting Items for Systematic Reviews and Meta‐Analysis Extension for Scoping reviews (PRISMA‐ScR). Methods A scoping rev...

Grounded theory comprises a family of research approaches designed to support the generation of a theory explaining a phenomenon experienced by a group of participants. One style of grounded theory, Classical grounded theory, is used less often than other types of grounded theory. The less frequent use of Classical grounded theory may be attributed...

Objective To identify factors influencing implementation of machine learning algorithms (MLAs) that predict clinical deterioration in hospitalized adult patients and relate these to a validated implementation framework. Materials and methods A systematic review of studies of implemented or trialed real-time clinical deterioration prediction MLAs w...

Background: Queensland Adult Deterioration Detection System (Q-ADDS) is the acute-care vital sign observation chart used widely throughout Queensland, Australia. The diagnostic accuracy of the chart in detecting patient deterioration is unknown. Aim: This study aims to assess how accurately the Q-ADDS observation chart predicts patient deterioratio...

Introduction Classic grounded theory (CGT) is a valuable method for nursing research, but the application of CGT methodology in nursing studies has not been specifically investigated. With the increasing use of CGT in nursing research, attention is now focusing on the quality of studies using this methodology. In this systematic review, we aim to d...

Introduction: Physiological signs of clinical deterioration are known to occur in the hours preceding a serious adverse event. As a result, track and trigger systems known as early warning systems (EWS) were introduced and routinely implemented as patient observation tools to trigger an alert in the presence of abnormal vital signs. Objective: T...

Background: Medication administration errors (MAEs) cause preventable patient harm and cost billions of dollars from already-strained healthcare budgets. An emerging factor contributing to these errors is nurse fatigue. Given medication administration is the most frequent clinical task nurses undertake; it is vital to understand how fatigue impact...

Background: Knowledge Translation (KT) Frameworks are commonly used in healthcare settings to integrate evidence into practice. However, little is known about how these KT frameworks affect organisational change including culture and patient safety outcomes in healthcare settings. Methods: A systematic review was undertaken. Five databases: PubMed,...

Background Early warning systems (EWS) are used across health care settings as a tool for the early identification of clinical deterioration and to determine the need to escalate care. Early detection of clinical deterioration and appropriate escalation of care in maternity settings is critical to the safety of pregnant women and infants; however,...

Aims: The aim of this concept analysis was to develop a contemporary operational definition of Clinical Judgement in nursing. Design: Concept analysis. Methods: Rodgers' evolutionary method of concept analysis. Throughout the study, the authors followed the SRQR checklist. Results: This concept analysis guided the development of an operation...

Background Little attention has been given to the process of implementing or evaluating a structured academic–clinician (university–health service) research capacity-building (RCB) model within healthcare settings. We have developed a model for collaborative multidisciplinary practice–research partnerships called the Research Ready Grant Program (R...

Background There is evidence reporting more positive outcomes from research capacity-building (RCB) programmes that include a research facilitator role. Further, it has been suggested that research facilitator roles can be a useful strategy in building the research capacity of healthcare clinicians. However, until now, little attention has been app...

Background: Little attention has been given to the process of implementing or evaluating a structured academic–clinician (University-Health Service) research capacity building model within healthcare settings. We have developed a model for collaborative multidisciplinary practice-research partnerships called Research Ready Grant Program (RRGP). The...

Background: There is evidence reporting more positive outcomes from research capacity building programs that include a research facilitator role. Further, it has been suggested that research facilitator roles can be a useful strategy in building the research capacity of health care clinicians. However, until now, little attention has been applied t...

Assessing the harmful consequences of gambling is an area of active investigation. One measure intended to capture gambling-related harm is the 10-item short gambling harm screen (SGHS). Although good psychometric properties have been reported, it has been suggested that the screen’s less severe probes may not represent genuinely harmful consequenc...

Background: Early warning systems (EWS) are most effective when clinicians monitor patients' vital signs and comply with the recommended escalation of care protocols once deterioration is recognised. Objectives: To explore sociocultural factors influencing acute care clinicians' compliance with an early warning system commonly used in Queensland...

BACKGROUND Confidential inquiries into maternal deaths have reported that recognition and timely interventions can reduce maternal morbidity and mortality. Although research has been undertaken that examines factors impacting registered nurses recognition of and response to the deteriorating patient, there is less literature identifying the factors...

Background: Early warning systems (EWS) are most effective when clinicians monitor patients’ vital signs and comply with the recommended escalation of care protocols once deterioration is recognised. Objectives: To explore sociocultural factors influencing acute care clinicians’ compliance with an early warning system commonly used in Queensland pu...

Background: Early warning systems (EWS) are most effective when clinicians monitor patients’ vital signs and comply with the recommended escalation of care protocols once deterioration is recognised. Objectives: To explore sociocultural factors influencing acute care clinicians’ compliance with an early warning system commonly used in Queensland pu...

Background: Early warning systems (EWS) are most effective when clinicians monitor patients’ vital signs and comply with the recommended escalation of care protocols once deterioration is recognised. Objectives: To explore sociocultural factors influencing acute care clinicians’ compliance with an early warning system commonly used in Queensland pu...

Background Tag Team Patient Safety Simulation (TTPSS) was developed to prepare work-ready nursing graduates in the context of patient safety. Method This descriptive study examined nursing students' (n = 721) satisfaction with the TTPSS and validated the Satisfaction with Patient Safety Simulation Experience Scale (SPSSES). Results Students repor...

Introduction: Patients experience physiological changes in the hours preceding adverse medical events, and patients or their family can be the first to identify ominous signs of clinical deterioration that have gone undetected by health professionals. Patient and family activated escalation systems provide consumers access to a referral system tha...

Background Since the ground-breaking report ‘To Err is Human: Building a Safer Health Care System’ was published nearly two decades ago, patient safety has become an international healthcare priority. Universities are charged with the responsibility of preparing the future nursing workforce to practise in accordance with relevant patient safety sta...

Background Abnormal respiratory rates are one of the first indicators of clinical deterioration in emergency department(ED) patients. Despite the importance of respiratory rate observations, this vital sign is often inaccurately recorded on ED observation charts, compromising patient safety. Concurrently, there is a paucity of research reporting wh...

Emergency Nurses’ rationale for non-adherence to clinical practice guidelines: compensating. Non-adherence to clinical practice guidelines has the potential to negatively impact patient outcomes. For example, the Australian Commission on Safety and Quality in Health Care reports a main contributor to undetected patient deterioration is inconsiste...

Emergency Nurses’ rationalisation of non-adherence to clinical practice guidelines. Background It is universally acknowledged that early recognition and response to acute deterioration reduces mortality rates. Published evidence confirms that physiological signs of clinical decline are often present in the hours preceding life threatening events s...

It is well documented that the respiratory rate is the least accurately recorded vital sign. Despite nurses consistently confirming that they understand the physiological importance of the respiratory rate, more often than not, they estimate a value rather than count for an entire minute. Until recently, little has been known about why this phenome...

It is well documented that the respiratory rate is the least accurately recorded vital sign. Despite nurses consistently confirming that they understand the physiological importance of the respiratory rate, more often than not, they estimate a value rather than count for an entire minute. Until recently, little has been known about why this phenome...

The aim of this classic grounded theory study was to unearth the main concern of emergency department (ED) registered nurses (RN) when they perform respiratory rate observations to generate a substantive theory that explicates how the identified problem is resolved. Analysis of data collected from 79 registered nurses identified that health sector...