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Andrea P Marshall

Andrea P Marshall
Griffith University & Gold Coast Health · School of Nursing & Midwifery

RN, BN, MN, PhD FACN

About

151
Publications
41,895
Reads
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2,834
Citations
Citations since 2016
80 Research Items
2110 Citations
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Introduction
Andrea is a leading critical care nursing researcher whose programme of research focuses on improving outcomes for acute and critically ill patients. She uses a range of methodological approaches and has specific expertise in undertaking research underpinned by knowledge translation and implementation science methodologies. With a strong national and international profile in critical care nursing Andrea leads many interdisciplinary research projects. She is currently Editor-in-Chief of the leading critical care nursing journal, Australian Critical. Andrea has authored over 100 research manuscripts in peer-reviewed journals, 10 book chapters and edited two editions of the leading Australian text Critical Care Nursing.
Additional affiliations
January 2012 - present
Griffith University & Gold Coast Health
Position
  • Professor
January 2012 - October 2015
Griffith University
Position
  • Professor of Acute and Complex Care Nursing
November 2006 - January 2012
The University of Sydney
Position
  • Sesqui Senior Lecturer Critical Care

Publications

Publications (151)
Article
Full-text available
Aims To describe the characteristics of hospital‐based, patient‐mediated interventions and their impact on patient, clinician and organization outcomes. Design Systematic review. Data Sources Health literature databases (MEDLINE, CINAHL and EMBASE) were searched in August 2021. Backward and forward citation searching was conducted. Review Method...
Article
Full-text available
Objectives Survival following traumatic injury has increased, requiring ongoing patient follow-up. While longitudinal outcomes of trauma patients are reported, little is known about optimal delivery of follow-up service for this group. The aim of this scoping review was to identify and describe the structure, process and outcomes of postdischarge f...
Article
Full-text available
Aims To explore Registered Nurses' approaches to pressure injury prevention, including how they perceive their roles, how they prioritize pressure injury prevention and factors influencing prevention in the Chinese context. Design A qualitative descriptive study. Methods Audio‐recorded, face‐to‐face, semi‐structured individual interviews were con...
Article
Full-text available
Introduction: When handover is conducted at the patient's bedside, active patient participation can be encouraged, which may improve the safety and quality of care. There is a need for valid and reliable tools to measure patient perceptions of participation in bedside handover, to ensure the rising number of implementation and improvement efforts...
Article
Background Up to 40% of patients with traumatic injury experience critical bleeding, many requiring transfusion of blood products. International transfusion guidelines recommend the use of viscoelastic testing to guide blood product replacement. We implemented a Point of Care ROTEM® blood test for trauma patients who present and initiate a trauma a...
Article
Introduction Central venous catheters are often used in managing critically ill patients. Clinical practice guidelines and care bundles exist to prevent central line associated blood stream infections; however, detailed adherence to these guidelines and care bundles is unclear. Aim This study was aimed to describe clinicians’ adherence to recommen...
Article
Full-text available
Evidence on sepsis screening and care in developing nations is insufficient to inform implementation practices in hospital wards. The aim of this multi‐method study was to describe and evaluate the implementation of a three‐step intervention (sepsis screening, alert activation, care) in five wards in Argentina in 2017. The implementation involved t...
Article
Abstract Nurses play a vital role in pressure injury prevention (PIP) but require foundational knowledge to ensure appropriate PIP strategies are enacted. Aims To describe and compare medical and surgical nurses’ knowledge of pressure injury (PI) in a tertiary level hospital in China, and to identify predictors of PI knowledge among these groups....
Article
Full-text available
Pressure injuries are frequently occurring adverse events in hospitals, negatively impacting patient safety and quality of care. Most pressure injuries are avoidable if effective prevention strategies are used. However, the extent to which various settings influence their use of prevention strategies is unknown. The aim of this study was to describ...
Article
Pressure injuries are frequently occurring adverse events in hospitals, negatively impacting patient safety and quality of care. Most pressure injuries are avoidable if effective prevention strategies are used. However, the extent to which various settings influence their use of prevention strategies is unknown. The aim of this study was to describ...
Article
Aim There is limited evidence on the diagnostic accuracy of a quick Sequential [Sepsis-Related] Organ Failure Assessment (qSOFA) sepsis screening (SS) tool in developing nation health settings. The aim of this study was to test the diagnostic accuracy of a qSOFA-based SS tool, and the predictive validity of the qSOFA score in hospital ward patients...
Article
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Aim To identify, synthesize and appraise the systematic reviews of ERAS for patients undergoing pancreatic surgery and facilitate ERAS implementation. Design An umbrella review was used to identify systematic reviews. Methods A systematic search following the PRISMA guidelines was used to search databases including PubMed, Embase, Cochrane Librar...
Article
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Background A large evidence-practice gap exists regarding provision of nutrition to patients following surgery. The aim of this study was to evaluate the processes supporting the implementation of an intervention designed to improve the timing and adequacy of nutrition following bowel surgery. Methods A mixed-method pilot study, using an integrate...
Article
Purpose: Patient participation is characterized by dyadic patient-nurse interactions that enable patients to passively or actively participate in communicative and physical care activities. Less research has been conducted on nonparticipation. Examining this phenomenon may highlight issues to address and identify strategies that may ultimately pro...
Article
Full-text available
Background Malnutrition in advanced cancer patients is common but limited and inconclusive data exists on the effectiveness of nutrition interventions. Feasibility and acceptability of a novel family-based nutritional psychosocial intervention were established recently. The aims of this present study were to assess the feasibility of undertaking a...
Article
Background Failure of clinicians to recognise and respond to patient clinical deterioration is associated with increased hospital mortality. Emergency response teams are implemented throughout hospitals to support direct‐care clinicians in managing patient deterioration, but patient clinical deterioration is often not identified or acted upon by cl...
Article
Objective To explore perceptions and experiences of patients discharged the same day (or not) and their family members towards same-day discharge following percutaneous coronary intervention. Design and methods A qualitative interpretative design. Semi-structured phone interviews were conducted with consented patients who underwent percutaneous co...
Article
Background: Intrahospital handovers are high risk. Standardization of content and process is recommended. Local problem: Emergency department to inpatient unit handovers were inefficient. Interventions: The intervention was a standardized operating protocol, including checklist and procedures. Methods: The intervention was coproduced and pro...
Article
Background Conceptual clarity for the term patient engagement is growing. However, there is variability in patient engagement in healthcare, which could be due to the absence of models to guide practice or a myriad of organisational, nurse and patient factors. The recently developed ‘Interactive Care Model’ provides guidance on how to genuinely pro...
Article
Background Literature about how same day discharge following percutaneous coronary intervention influences patient and organisational outcomes, especially length of stay and outpatient cardiac rehabilitation attendance, is limited. Aim The study aimed to evaluate patient and organisational outcomes after implementing same day discharge in one Aust...
Article
Background Timely and adequate nutrition after surgery is important. The aim of this study was to evaluate the effects of an intervention, developed using an integrated knowledge translation (iKT) approach, designed to improve oral intake among postoperative colorectal patients. Methods A pre/post, mixed-methods pilot study was undertaken at a ter...
Article
Background & aims Promoting patient participation in health care is a worldwide health care priority. When patients participate in their nutrition care during hospitalisation, they are more likely to meet their dietary needs. Patient participation is a potential solution to hospital malnutrition, for which inadequate dietary intake is the major mod...
Article
Full-text available
Background: People with cancer are at high risk of malnutrition. Nutrition education is an effective strategy to improve patient outcomes, however, little is known regarding the impact of family and/or carer involvement in nutrition education and requires investigation. The purpose of the study was to evaluate PIcNIC (Partnering with families to p...
Article
Objective: The aim of this study was to evaluate the outcomes of implementing a sepsis screening (SS) tool based on the quick Sequential [Sepsis-Related] Organ Failure Assessment (qSOFA) and the presence of confirmed/suspected infection. The implementation of the 6-hour (6-h) bundle was also evaluated. Design: Interrupted times series with prosp...
Article
General purpose: To provide information about the effectiveness of topical analgesic and local anesthetic agents for reducing pain associated with chronic leg ulcers. Target audience: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. Lear...
Article
Background: Published clinical practice guidelines on surgical site infection prevention are available; however, adherence to these guidelines remains suboptimal. Aims: The aim of this study was to evaluate the effectiveness and perceived benefits of intervention and implementation strategies co-created by researchers and clinicians to prevent s...
Article
Full-text available
Background: Nutrition is vital for health and recovery during hospitalisation, however most patients fail to meet minimum dietary requirements and up to 50% of patients are malnourished in hospital. When patients participate in nutrition care, their dietary intakes are improved. Advances in health information technology (HIT) have broadened the wa...
Article
Aims: To explore nurses' perceptions of factors that help or hinder intra-hospital handover. Background: Miscommunication during clinical handover is a leading cause of clinical incidents in hospitals. Intra-hospital nursing handover between the Emergency Department and Inpatient Unit is particularly complex. Design: A descriptive, qualitative...
Article
Objective: To determine the current evidence about patient and family engagement in communication with health professionals during transitions of care to, within and from acute care settings. Methods: An integrative review using seven international databases was conducted for 2003-2017. Forty eligible studies were analysed and synthesised using...
Poster
In this poster, the patient and organisational outcomes as a result of the implementation of same day discharge following percutaneous coronary intervention were reported.
Article
Objectives: To evaluate the implementation of a regular Nursing Round as an educational strategy for workplace learning in an intensive care unit with a single room environment. Research design: A multiple methods design was used. Fifty-four Nursing Rounds were observed and nurses (n = 40) completed bespoke evaluative surveys. Structured observa...
Poster
In this poster, the barriers to and facilitators of same day discharge following percutaneous coronary intervention were reported.
Article
Background: The safety and effectiveness of same day discharge (SDD) following percutaneous coronary intervention are well demonstrated; however, the uptake of this model of care is low. Purpose: The aim was to examine the effectiveness of implementing SDD using a process evaluation methodology. Methods: This study was undertaken in a cardiac...
Article
Background: Transitioning a patient from the operating theatre (OT) to the intensive care unit (ICU) is a dynamic and complex process. Handover of the critically ill postoperative patient can contribute to procedural and communication errors. Standardised protocols are means for structuring and improving handover content. Both have been shown to b...
Article
Full-text available
Background Malnutrition is frequent in patients with cancer, particularly those in advanced stages of the disease. The aim of the present study was to test the feasibility of a family-centred nutritional intervention, based on the Family Systems theory and past research. Methods This was a single-arm trial assessing feasibility (eligibility, recru...
Article
Full-text available
Background: The surgical Safety Checklist (SSC) was introduced in 2008 to improve teamwork and reduce the mortality and morbidity associated with surgery. Although mandated in many health care institutions around the world, challenges in implementation of the SSC continue. To use Normalisation Process Theory (NPT) to help understand how/why implem...
Article
在全球范围内,经皮冠状动脉介入术后当日出院可以提高出院效率,缩短住院时间,同时保证病人的安全。然而,这个当日出院的做法很不同以及支持其实施的策略尚未得到审查。因此我们撰写了此文献综述。其目的是描述经皮冠状动脉介入术后当日出院和总结在临床实践中便于当日出院的实施策略。这个文献综述包括了19篇含有当日出院实施策略内容的文章。 虽然每一篇文章基本上都描述了病人的选择、出院前的最后检查、出院指导和第二天的电话随访,但是这个当日出院的病人标准和管理过程有很大差异。比如在病人选择方面,一些研究者显得保守些,因为他们只给经桡动脉择期介入患者当日出院;而其他研究者对病人的选择标准却比较宽松和大胆,例如让经股动脉介入患者或者让以不稳定型心绞痛和心机梗死(包括非ST段/ST段抬高)就诊的患者给予介入术后当日出院...
Article
Full-text available
Background: Over the last decade, health care delivery has shifted to partnering with patients and their families to improve health and quality of care, and to lower costs. Partnering with family members (FMs) of critically ill patients who lack capacity is particularly important for improving experiences and outcomes for both patients and FMs. Ho...
Article
Aim: The aim of this study was to understand the beliefs, attitudes and perceptions of nurses regarding family participation and collaboration in the care of their hospitalized adult relative. Background: Family participation in care is known to enhance the quality of patient care. Nurses are uniquely placed to support such participation, includ...
Article
Proactive planning and managing moving from old to newly built hospitals, and the relocation process of patients for complex specialized units such as intensive care units, are necessary for both patient safety and staff well-being. This article provides an exemplar for how theory can be used to facilitate a positive relocation experience. Using ch...
Article
Aims and objectives: To identify barriers and facilitators to engagement of people with dementia and family carers in planning for discharge from hospital. Background: Hospital discharge can be particularly challenging for older people with dementia. To assist in the development of bespoke discharge processes that address the unique needs of old...
Article
This study aimed to evaluate the effect of EMLA 5% cream applied to painful chronic leg ulcers (CLUs) as a primary dressing on wound healing and health-related quality of life (HRQoL). A pilot, parallel-group, nonblinded, randomized controlled trial was conducted in 6 community nursing procedure clinics in New South Wales, Australia. A total of 60...
Article
Background: The validity of instruments is crucial in ensuring that data collected are sound and that these data represents what the instrument claims to measure. When an instrument is revised or used in a different population it is useful to re-examine its construct validity. Aim: To test the psychometrics properties of an instrument - the revi...
Article
Objective: To evaluate the effectiveness of the eutectic mixture of local anesthetics (EMLA; Aspen Pharmacare, St. Leonards, New South Wales, Australia) as a primary dressing on painful chronic leg ulcers. Design: A pilot randomized controlled trial. Setting: The study was conducted across 6 community nursing procedure clinics located in a com...
Article
Full-text available
Background Advancements in technology are enabling patients to participate in their health care through self-monitoring and self-management of diet, exercise and chronic disease. Technologies allowing patients to participate in hospital care are still emerging but show promise. Our team is developing a program by which hospitalised patients can par...
Article
Full-text available
Background: Early oral feeding after surgery is best practice among adult, noncritically ill patients. Evidenced-based guidelines (EBG) recommend commencing liquid and solid feeding within 24 h of surgery to improve patient (e.g. reduced morbidity) and hospital (e.g. reduced length of stay) outcomes. Whether these EBG are adhered to in usual clini...
Article
Full-text available
Background Patient participation in health care is associated with improved outcomes for patients and hospitals. New technologies are creating vast potential for patients to participate in care at the bedside. Several studies have explored patient use, satisfaction and perceptions of health information technology (HIT) interventions in hospital. Un...
Article
Full-text available
Introduction: Sepsis is a common condition observed outside critical care areas. The purpose of this review was to examine the application of sepsis screening tools for early recognition of sepsis in general hospitalised patients to: (i) identify the accuracy of these tools; (ii) determine the outcomes associated with their implementation and; (ii...
Article
Full-text available
Background Compliance with surgical safety checklists (SSCs) has been associated with improvements in clinical processes such as antibiotic use, correct site marking, and overall safety processes. Yet, proper execution has been difficult to achieve. Objectives The objective of this study was to undertake a process evaluation of four knowledge tran...
Article
Background: Critically ill patients are at increased risk of developing malnutrition-related complications because of physiological changes, suboptimal delivery, and reduced intake. Strategies to improve nutrition during critical illness recovery are required to prevent iatrogenic underfeeding and risk of malnutrition. The purpose of this study wa...
Article
Full-text available
Background: Active patient involvement in nutrition care may improve dietary intakes in hospital. Our team is developing an innovative programme allowing patients to self-assess and self-monitor their nutrition at the bedside. The present study aimed to assess usability and patient perceptions of an electronic foodservice system (EFS) for particip...
Article
Family centred care is a shared belief that a child's emotional and developmental needs are best met when the health system involves the family in planning, delivery and evaluation of care. The important role that families contribute to health care outcomes is emphasised throughout the National Safety and Quality Healthcare Service (NSQHS) Standard...
Article
Background: Rapid response systems incorporate concepts of early recognition of patient deterioration, prompt reporting, and response which result in escalation of patient care. The ability to initiate escalation of care is now being extended to families of hospitalized patients. Research aims: To identify the impact of implementation of family-...
Article
Background: Same day discharge following percutaneous coronary intervention has emerged worldwide to enhance discharge efficiency and decrease length of stay. However, uptake of this practice is variable and strategies to support its implementation have not been examined. Research question: Among patients who undergo nonurgent percutaneous coron...
Article
Full-text available
Purpose: To describe and understand activities patients and nurses undertake to enact patient participation in nursing care. Design: This observational study was conducted on two medical units at a public hospital in Australia. Twenty-eight nurse-patient dyads were observed for at least 4 hr. Data were collected from November 2013 to February 20...
Article
Full-text available
Aim: To describe an integrative review protocol to analyse and synthesize peer-reviewed research evidence in relation to engagement of patients and their families in communication during transitions of care to, in and from acute care settings. Background: Communication at transitions of care in acute care settings can be complex and challenging,...
Article
It is widely recognised, that the caregiver role creates a physical and emotional strain on family members during health adversity. Therefore, family assessment is considered a crucial step in determining appropriate support and guidance required for both patient and family within the oncology setting. Despite this, little is known about the family...
Article
Objective The aim of the present study was to describe the research activities being undertaken by health service employees within one Australian health service and explore their experiences with undertaking research.Methods The present mixed-methods study was conducted across one health service in Queensland, Australia, and included a cross-sectio...
Article
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Background: Team-based group communications using checklists are widely advocated to achieve shared understandings and improve patient safety. Despite the positive effect checklists have on collaborations and reduced postoperative complications, their use has not been straightforward. Previous research has described contextual factors that impact...
Article
Full-text available
Aim: Existing practice strategies for actively involving patients in care during hospitalisation are poorly understood. The aim of this study was to explore how healthcare professionals engaged patients in communication associated with care transitions. Method: An instrumental, collective case study approach was used to generate empirical data a...
Article
Background: Regardless of the benefits associated of the Surgical Safety Checklist, adherence across its three phases remains inconsistent. The aim of this study was to systematically identify issues around workflow that impact on surgical teams' ability to use the Surgical Safety Checklist in a large tertiary facility in Queensland, Australia. M...
Article
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The decision to conduct a randomized controlled trial (RCT) in a field raises ethical as well as scientific issues. From the clinical equipoise literature, future trials are justifiable if there is ”honest, professional disagreement in the community of expert practitioners as to the preferred treatment”. Empirical data are sparse about how clinicia...
Article
Background: Critically ill patients are at risk of developing malnutrition which contributes to functional decline and hospital re-admission. Strategies to promote nutritional intake have had a modest effect on protein-calorie intake. None have addressed the recovery trajectory of critical illness or incorporated family as advocates. Objectives:...
Article
Full-text available
Background: In Australia, newly graduated registered nurses enter the workforce and a number of these have previous experience as an enrolled nurses. For all newly graduated registered nurses, transitioning to the new role can be challenging. There is, however, an assumption that previous experience as an enrolled nurse may facilitate a smoother t...
Article
Full-text available
Background: As new hospitals are built to replace old and ageing facilities, intensive care units are being constructed with single patient rooms rather than open plan environments. While single rooms may limit hospital infections and promote patient privacy, their effect on patient safety and work processes in the intensive care unit requires gre...