
Ella OttreyMonash University (Australia) · Monash Centre for Scholarship in Health Education
Ella Ottrey
PhD, BNutrDietet
About
31
Publications
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Introduction
Ella Ottrey is a Post-doctoral researcher at Monash University and Accredited Practising Dietitian. Her research focuses on improving nutritional care in hospital, with particular interest in food services and organisational culture, and qualitative methodology.
Publications
Publications (31)
Qualitative longitudinal research (QLR) focuses on changes in perceptions, interpretations, or practices through time. Despite longstanding traditions in social science, QLR has only recently appeared in anatomical sciences education (ASE). While some existing methodology papers guide researchers, they take a narrow view of QLR and lack specificity...
Despite extensive preparedness literature, existing studies fail to adequately explore healthcare graduates’ feelings of preparedness longitudinally across new graduate transition journeys, nor do they compare different healthcare professions to ascertain what opportunities exist for multiprofessional transition interventions. Therefore, this Austr...
Background
Qualitative realist analysis is gaining in popularity in health professions education research (HPER) as part of theory‐driven program evaluation. Although realist approaches such as syntheses and evaluations typically advocate mixed methods, qualitative data dominate currently. Various forms of qualitative analysis have been articulated...
Introduction
With Australiaʼs ageing population, especially in rural regions, promoting physical activity among older adults is crucial.
Objective
To identify factors influencing participation of older adults (60 years or over) from a rural community in a modified sport program and assess satisfaction with a pilot modified sport program informed b...
Aims
Digital health transformation may enhance or impede person‐centred care and interprofessional practice, and thus the provision of high‐quality rehabilitation and nutrition services. We aimed to understand how different elements and factors within existing digital nutrition and health systems in subacute rehabilitation units influence person‐ce...
Purpose:
Person-centred care (PCC) is an essential component of high-quality healthcare across professions and care settings. While research is emerging in subacute nutrition services more broadly, there is limited literature exploring the person-centredness of nutrition care in rehabilitation. This study aimed to explore person-centred nutrition...
Interprofessional practice is increasingly cited as necessary in the delivery of high-quality nutrition and rehabilitation services. However, there is limited evidence available exploring the factors which influence interprofessional practice in subacute rehabilitation nutrition services. Our ethnographic study explored collaborative activities, in...
Aims:
Diet-related chronic disease contributes significantly to the global burden of disease. Dietitians are best placed to address this disease burden, yet graduate dietitians may struggle to find employment. This study aimed to explore dietetics graduates' experiences of employment and employability, up to 6-month post-degree completion.
Method...
Purpose:
Supervision training supports health care supervisors to perform their essential functions. Realist evaluations are increasingly popular for evaluating complex educational interventions, but no such evaluations exist appraising supervision workshops. Building on an earlier realist synthesis of supervision training, the authors evaluate wh...
Purpose:
Although transitions have been defined in various ways in the higher education literature (e.g., inculcation, development, becoming), little research exists exploring health care learners' conceptualizations of transitions across their transition from final year to new graduate. How they understand transitions is important because such co...
Introduction
Cost studies are increasingly popular given resource constraints. While scholars stress the context-dependent nature of cost, and the importance of theory, cost studies remain context-blind and atheoretical. However, realist economic evaluation (REE) privileges context and the testing/refinement of economic program theory. This prelimi...
Background
Training helps maintain high-quality supervision and its associated benefits (e.g. reduced burnout, improved care). While studies have previously evaluated extended-duration supervision training programmes, none have treated these as complex interventions so have not employed realist approaches.
Objectives
Building on a previous realist...
Introduction:
The OSCE is a sociomaterial assemblage-a meshing together of human and material components producing multiple effects. Materials matter because they shape candidate performance, with potentially calamitous career consequences if materials influence performance unjustly. While the OSCE literature refers to materials, few papers study...
Introduction
While preparedness for practice (P4P) has been variously described, little shared understanding exists about what P4P is across the health professions. How P4P is conceptualised matters, because this shapes how stakeholders think, talk about, and act towards it. Further, multiple understandings can result in diverse expectations for gr...
Communal dining offers multiple benefits for hospital patients, yet dining rooms may be underutilized in practice. This study aimed to understand and explore staffs’ perspectives and experiences of communal dining in subacute care, and the impacts on staff mealtime practice. Using qualitative, ethnographic methodology, 94 hours of fieldwork were co...
Background:
Change promotes quality in healthcare, yet adopting change can be challenging. Understanding how change in nutrition care is adopted may support better design and implementation of interventions that aim to address inadequate food intake in hospital. The present study followed the process of change in a healthcare organisation, explori...
Hospital malnutrition remains an important health-care issue, impacting morbidity, mortality, and health-care costs. There is limited evidence on effective strategies to treat and prevent this complex problem. This study aimed to explore and understand patterns of mealtime culture, environment, and social practice to unravel the factors that make m...
Nutrition care is a fundamental component of quality health care provided to patients in hospital, yet little is known about the staff who deliver this care and their interrelationships, and how this impacts nutrition care. In this ethnographic study on two subacute wards, 67 h of fieldwork was conducted over 3 months to explore the relationships,...
Ethnography is a qualitative research approach used to learn about people and their culture. There is a need to explore the application and use of ethnographic methodology in nutrition and dietetics research to inform future research and practice. Our aim was to examine the extent, range, nature, and contribution of ethnographic methodology in nutr...
Aim
To evaluate the implementation of Protected Mealtimes and contrast the findings with implementation fidelity.
Background
Protected Mealtimes is a systems approach developed to address the issue of malnutrition in hospitalised patients. Previous studies have used a pre‐post study design, with no high‐quality trials previously undertaken to meas...
Aim
To explore and understand patterns of mealtime culture, environment and social practice from the perspective of staff, volunteers and visitors on the hospital ward.
Background
Inadequate food intake is a common and complex problem in hospital and can lead to malnutrition. Mealtime interventions have been implemented to address this problem wit...
Aims:
To explore multiple perspectives and experiences of volunteer and visitor involvement and interactions at hospital mealtimes. In addition, to understand how the volunteer and visitor role at mealtimes is perceived within the hospital system.
Background:
Mealtime assistance can improve patients' food intake and mealtime experience. Barriers...
Meal-ordering systems are an important aspect of hospital food services, informing patients of the available menu choices and supporting the collection of meal orders. Although several meal-ordering systems are used in hospitals, there has been limited research into patients’ experience of these systems.
Aim To explore patients’ experience of writt...
Ethnography is a research approach concerned with the study of people and their culture. Although deeply rooted in the field of anthropology, diversification has seen ethnography applied to research in other domains, such as business and education. This research aimed to illustrate how an ethnographic approach can be applied effectively to explore...
Objectives:
Protected Mealtimes is an intervention developed to address the problem of malnutrition, particularly in the hospital setting. The intervention aims to provide interruption-free time to eat during a hospital admission, thus supporting increased nutritional intake. This review aimed to determine the impact of Protected Mealtimes on the...
Purpose:
Most patients in developed countries solely depend on the hospital menu to order their food. The provision of menu choices to patients differs between facilities. The purpose of this paper is to determine which strategies that provide menu choices to patients are effective in improving clinical and non-clinical outcomes in hospital.
Desi...
Dietitians have found anecdotally that renal and low potassium diet codes are often used for renal patients where there is no clinical indication. These diets are extremely restrictive in terms of nutrition provided and can adversely affect patients' ability to meet energy and protein needs while in hospital. These practices were audited to assess...
Studies have estimated the prevalence of malnutrition in Australian hospitals is between 20% and 50% (Norman K et al., 2008). This estimate is applicable to the inpatient population at a Melbourne metropolitan hospital according to the 2010 Australasian Nutrition Care Day Survey (unpublished data). Poor nutritional status in the inpatient setting i...
Recruitment and retention of health professionals to rural health services is an issue throughout Australia. Dietetic courses are able to influence student perceptions of rural practice through exposure to rural health issues and rural health practice during the placement component of training. There is increasing evidence that this exposure influe...