Fiona Coyer
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View article: Antibiotic residual drug error in the intensive care unit: A qualitative exploration of awareness, causes, and solutions
Antibiotic residual drug error in the intensive care unit: A qualitative exploration of awareness, causes, and solutions Open
ICU nurses demonstrated limited prior awareness of RDE, with participants identifying multiple contributing factors including personal practice variability, drug characteristics, workload pressures, and reconstitution technique. Proposed s…
View article: Intensive care unit nurses’ understanding and experience of clinical debriefing: A focus group
Intensive care unit nurses’ understanding and experience of clinical debriefing: A focus group Open
This study identified four themes that outlined the potential importance and meaning of clinical debriefing for ICU nurses. Despite several perceived barriers to implementing regular clinical debriefing, ICU nurses advocated for the opport…
View article: Factors influencing pain management in patients presenting to the emergency department: A mixed-method systematic review
Factors influencing pain management in patients presenting to the emergency department: A mixed-method systematic review Open
PROSPERO - CRD 42024601076.
View article: The prevalence and use of arterial catheters in adult intensive care units: An Australian and New Zealand point prevalence study
The prevalence and use of arterial catheters in adult intensive care units: An Australian and New Zealand point prevalence study Open
The high prevalence of AC use in ICUs highlights the need for improved evidence-based guidance for practice, including indications for use, maintenance practice, and removal.
View article: Non-mechanical haemodynamic support in acute pulmonary thromboembolism: a scoping review
Non-mechanical haemodynamic support in acute pulmonary thromboembolism: a scoping review Open
Background and aims Acute pulmonary thromboembolism (PE) may require haemodynamic supportive therapies while appropriate therapies for clot burden reduction are pursued. This scoping review aims to identify the non-mechanical haemodynamic …
View article: Measurement and Sequelae of Neonatal Skin Injuries: A Prospective Diagnostic/Feasibility Study
Measurement and Sequelae of Neonatal Skin Injuries: A Prospective Diagnostic/Feasibility Study Open
Neonatal skin injuries are common, but location and metric size contribute to inconsistent severity reporting. To date, non‐invasive technologies remain unexplored for neonatal injuries. The aim of this study was to assess the feasibility …
View article: A health economic analysis of ‘A novel implementation of best evidence practice for incontinence-associated dermatitis’ (IMBED)
A health economic analysis of ‘A novel implementation of best evidence practice for incontinence-associated dermatitis’ (IMBED) Open
View article: The effectiveness of a three-dimensional printed model for training novice healthcare professionals in central venous catheter insertion: A cross-sectional study in a critical care setting
The effectiveness of a three-dimensional printed model for training novice healthcare professionals in central venous catheter insertion: A cross-sectional study in a critical care setting Open
Nurses required additional assistance and took longer to complete the insertion, demonstrating preliminary evidence for the model's construct validity. Furthermore, the model was deemed a realistic training tool with successful insertion b…
View article: Securing Jugular Central Venous Catheters With Dressings Fixed to a Liquid Adhesive to Prevent Dressing Failure in Intensive Care Patients (the STICKY Trial): A Randomized Controlled Trial
Securing Jugular Central Venous Catheters With Dressings Fixed to a Liquid Adhesive to Prevent Dressing Failure in Intensive Care Patients (the STICKY Trial): A Randomized Controlled Trial Open
OBJECTIVES: Central venous catheters (CVCs) are vital for treating ICU patients. However, up to a quarter of CVCs fail from mechanical or infective complications. Poor securement of CVCs to the skin contributes to catheter failure, particu…
View article: Pressure Injury Prevalence in Intensive Care Versus Acute General Patients: a 5-year Analysis
Pressure Injury Prevalence in Intensive Care Versus Acute General Patients: a 5-year Analysis Open
Background: ICU patients have multiple risk factors and are vulnerable to pressure injury. Previous studies have shown that pressure injury prevalence and incidence are high in ICU compared to non-ICU samples. However, few studies report m…
View article: The ‘HAPI’ project five years on: Incidence and prevalence of Hospital-Acquired Pressure Injuries in one local health district in Australia
The ‘HAPI’ project five years on: Incidence and prevalence of Hospital-Acquired Pressure Injuries in one local health district in Australia Open
The HAPI project has successfully maintained a low incidence and prevalence rate of HAPI, over 5 years following implementation. This achievement highlights the benefits of utilising an implementation science approach to implementing a mul…
View article: Development and Preliminary Validation of a Central Venous Access Device‐Associated Skin Impairment Classification Tool Using Modified Delphi and Clinimetric Methods
Development and Preliminary Validation of a Central Venous Access Device‐Associated Skin Impairment Classification Tool Using Modified Delphi and Clinimetric Methods Open
Background An evidence and consensus‐based instrument is needed to classify central venous access device‐associated skin impairments. Aim The aim of this study was to design and evaluate the central venous access device‐associated skin imp…
View article: Psychometric Testing of an Instrument Assessing Family Knowledge, Contemplation, Confidence and Readiness for Engaging in Early Mobilisation of Critically Ill Patients: A Multi‐Site Cross‐Sectional Design
Psychometric Testing of an Instrument Assessing Family Knowledge, Contemplation, Confidence and Readiness for Engaging in Early Mobilisation of Critically Ill Patients: A Multi‐Site Cross‐Sectional Design Open
Background Early mobilisation is beneficial to support recovery among critically ill patients. The literature highlights the benefits of family engagement in early mobilisation, yet this practice remains underutilised. Effective implementa…
View article: Prophylactic dressings to prevent sacral pressure injuries in adult patients admitted to intensive care units: A three-arm feasibility randomized controlled trial
Prophylactic dressings to prevent sacral pressure injuries in adult patients admitted to intensive care units: A three-arm feasibility randomized controlled trial Open
Prophylactic sacral dressings are recommended for pressure injury prevention. Determining the feasibility of a larger trial to test the effectiveness of two dressings versus usual care in preventing sacral pressure injuries in intensive ca…
View article: Impact of an evidence‐based bundle on incontinence‐associated dermatitis prevalence in hospital patients: A quasi‐experimental translational study
Impact of an evidence‐based bundle on incontinence‐associated dermatitis prevalence in hospital patients: A quasi‐experimental translational study Open
The study aimed to evaluate the effect of an intervention on the prevalence and severity of incontinence‐associated dermatitis (IAD) in six hospitals in one state in Australia. This quasi‐experimental pre‐and post‐study, conducted in 18 wa…
View article: Assessment, management and prevention of acute wounds in the Australian context: a scoping review
Assessment, management and prevention of acute wounds in the Australian context: a scoping review Open
Aim To undertake a scoping review of research on the assessment, management and prevention of acute wounds, from both primary research studies in Australia and from worldwide synthesised evidence, in order to provide a global context of fu…
View article: Proactive debriefing to promote wellbeing in intensive care nurses: A protocol
Proactive debriefing to promote wellbeing in intensive care nurses: A protocol Open
This hybrid effectiveness-implementation study will use a pretest/post-test design to test a codesigned proactive debriefing intervention on the wellbeing of nurses working in a large quaternary intensive care unit. This research will be c…
View article: A scoping review and narrative synthesis of neonatal skin injury severity scales
A scoping review and narrative synthesis of neonatal skin injury severity scales Open
Background Mechanical force skin injuries are common for critical care patients, especially neonates. Currently, identification and severity assessments of injuries are dependent on clinical experience and/or utilization of severity tools.…
View article: Patient outcomes following medical emergency team review on general wards: Development of predictive models
Patient outcomes following medical emergency team review on general wards: Development of predictive models Open
Aim To develop and internally validate risk prediction models for subsequent clinical deterioration, unplanned ICU admission and death among ward patients following medical emergency team (MET) review. Design A retrospective cohort study o…
View article: Reshaping Wound Care: Evaluation of an Artificial Intelligence App to Improve Wound Assessment and Management
Reshaping Wound Care: Evaluation of an Artificial Intelligence App to Improve Wound Assessment and Management Open
This study evaluated the usability and effectiveness of an artificial intelligence application for wound assessment and management from a clinician-and-patient perspective. A quasi-experimental design was conducted in four settings in an A…
View article: The Viability and Acceptability of a Virtual Wound Care Command Centre in Australia
The Viability and Acceptability of a Virtual Wound Care Command Centre in Australia Open
The objective of this study was to assess the viability and acceptability of an innovative Virtual Wound Care Command Centre where patients in the community, and their treating clinicians, have access to an expert wound specialist service …
View article: Exploring body morphology, sacral skin microclimate and pressure injury development and risk among patients admitted to an intensive care unit: A prospective, observational study
Exploring body morphology, sacral skin microclimate and pressure injury development and risk among patients admitted to an intensive care unit: A prospective, observational study Open
Subepidermal oedema was associated with a patient's shape, body mass index and mattress type, factors that directly influence the pressure loading and the skin, whereas the Braden scale was associated with sacral temperature and clinical m…
View article: Preventing pressure injuries in intensive care unit patients compared to non-intensive care unit patients: Is it any different?
Preventing pressure injuries in intensive care unit patients compared to non-intensive care unit patients: Is it any different? Open
View article: Incontinence during and following hospitalisation: a prospective study of prevalence, incidence and association with clinical outcomes
Incontinence during and following hospitalisation: a prospective study of prevalence, incidence and association with clinical outcomes Open
Background Incontinence is common in hospitalised older adults but few studies report new incidence during or following hospitalisation. Objective To describe prevalence and incidence of incontinence in older inpatients and associations wi…
View article: Interventions to reduce peripheral blood culture contamination in acute care settings: A systematic review and meta-analysis
Interventions to reduce peripheral blood culture contamination in acute care settings: A systematic review and meta-analysis Open
Background Blood culture contamination is a significant problem in acute care settings. Contamination of a blood sample with pathogens not present in the patient’s blood leads to increases in length of stay, overuse of antimicrobials, and …
View article: Caffeine consumption and withdrawal among patients in the intensive care unit
Caffeine consumption and withdrawal among patients in the intensive care unit Open
Patients admitted to this ICU were ubiquitous consumers of caffeine before admission, and one-tenth were unaware. Patients viewed trials of therapeutic caffeine as highly acceptable. The results provide important baseline information for f…
View article: State‐wide prevalence of pressure injury in intensive care versus acute general patients: A five‐year analysis
State‐wide prevalence of pressure injury in intensive care versus acute general patients: A five‐year analysis Open
Aim The aim of this study was to analyse prevalence of pressure injury in intensive care versus non‐intensive care patients. Background Hospital‐acquired pressure injury is an enduring problem. Intensive care patients are more susceptible …
View article: The illness severity of ward remaining patients reviewed by the medical emergency team: A retrospective cohort study
The illness severity of ward remaining patients reviewed by the medical emergency team: A retrospective cohort study Open
Background Although progress has been made in identifying and responding to acutely deteriorating ward patients, judgements about the level of care required for patients after medical emergency team review are complex, rarely including a f…
View article: End‐user perceptions of sub‐epidermal moisture scanning ( <scp>SEMS</scp> ) acceptability: A descriptive qualitative study
End‐user perceptions of sub‐epidermal moisture scanning ( <span>SEMS</span> ) acceptability: A descriptive qualitative study Open
Aims To assess patients' and nurses' perceptions and experiences of subepidermal moisture scanning acceptability. Design Descriptive, qualitative, sub‐study, embedded within a pilot randomized control trial. Methods Ten patients who were i…
View article: A multidisciplinary approach to incontinence-associated dermatitis in a rural setting: a case study
A multidisciplinary approach to incontinence-associated dermatitis in a rural setting: a case study Open
Incontinence-associated dermatitis (IAD) is a common complication often unrecognised and mistreated in individuals with incontinence. It is the erosion of the skin from prolonged exposure to urine and/or faeces from incontinence and is oft…