Luke Molloy

• Doctor of Philosophy
• University of Wollongong

Background: Inpatient mortality is a critical outcome measure for healthcare services. Improving patient outcomes and ensuring high-quality healthcare outcomes requires an understanding of the factors that contribute to inpatient mortality. Aim: This study aimed to investigate the impact of safety culture, quality of care, missed care, and nurse st...

Aims To investigate the impact of the nursing practice environment, nurse staffing, working overtime and compliance with hand hygiene standards on hospital‐acquired infections. Design A multi‐source quantitative study. Methods Nursing data were collected from selected wards in one hospital between 18 January 2021 and 15 March 2021. Hand hygiene c...

Aim The aim of this discussion paper is twofold: (1) To critically examine the challenges related to resuscitations among rural nurses and how these contribute to a sense of professional isolation and (2) To discuss practical solutions and strategies that could be implemented to mitigate the effects of professional isolation. Background Profession...

Introduction Access to culturally appropriate healthcare is vital to ensure refugee and migrant women receive optimal care, particularly during the perinatal period. Refugee and migrant women report lower satisfaction with pregnancy care due to language barriers and a perceived lack of understanding of their needs. The aim of this study is to explo...

Aims To explore nurses’ attitudes towards safety and their association with nurses’ perceptions of adverse events and quality of care in Saudi Arabian hospitals. Design A cross-sectional study using a web-based survey. Methods A web-based survey was administered to nurses working in five hospitals in Saudi Arabia. Nurses’ attitudes regarding safe...

The aim of this study was to explore psychiatric nurse's experiences of caring for people with auditory hallucinations in an acute unit. A qualitative study was conducted using thematic analysis. The study involved semi‐structured interviews with 18 acute unit nurses all of whom provided interventions to patients with auditory hallucinations. Overa...

Aim The focus of this paper is to provide a detailed ethnographic exploration of rural nurses' experiences of their resuscitation preparedness and the subsequent post‐resuscitation period. Design An ethnographic study across two small rural hospital sites in New South Wales, Australia. Methods Fieldwork was undertaken between December 2020 and Ma...

This review explores the transformative impact of sensory modulation interventions in acute inpatient mental health care setting utilising meta-ethnography. The methodology by Noblit & Hare guided the approach to creating the review. Searches of articles published within the previous 10 years were conducted in Cumulative Index of Nursing and Allied...

Aim To synthesize existing literature describing the impact of intentional rounding on patient outcomes among hospitalized adults. Background Intentional rounding has been described as purposeful therapeutic communication between nurses and patients during regular checks with patients using standardized protocols. Despite the widespread adoption o...

In Australia, acute inpatient units within public mental health services have become the last resort for mental health care. This research explored barriers and facilitators to safe, person‐centred, recovery‐oriented mental health care in these settings. It utilised participant observations conducted by mental health nurses in acute inpatient units...

Undertaking research involving vulnerable groups, such as those requiring resuscitation involves careful analysis during the ethical review process. When a person lacks the capacity to make an informed choice about their participation in a research study, a waiver of consent offers an alternative. This paper is based on a doctoral research study us...

Reducing and eliminating seclusion and restraint in inpatient settings has been a key area of focus in mental health policy and research for many years. To address this issue, numerous programmes aimed at minimising the use of these practices have been developed over the past two decades, with varying degrees of success. This article reports on res...

Anorexia nervosa has a high mortality rate and is often treated in the inpatient setting, where close monitoring and medical support are available. Consistent with objective biomedical benchmarks, conventional inpatient treatment is often focussed on weight gain. Consumers report that clinicians provide care focussed on weight and physical restorat...

Person-centred approaches to practice recognise the global call to humanise healthcare, where people are valued and their preferences and needs are respected (WHO, 2015). Researchers must also embrace person-centred approaches to further inform person-centredness as the foundation of healthcare policy and practice. Healthcare researchers, policymak...

Objectives: This study examined the association between safety attitudes, quality of care, missed care, nurse staffing levels, and the rate of healthcare-associated infection (HAI) in adult intensive care units (ICUs). Methods: A cross-sectional study was conducted in five hospitals. Nurses completed a validated survey on safety attitudes, quali...

Aims: To examine the association between nursing unit safety culture, quality of care, missed care and nurse staffing levels, and inpatient falls using two data sources: incidence of falls and nurses' perceptions of fall frequency in their units. The study explores the association between the two sources of patient falls and identifies if nurses'...

Introduction This study investigated the differential trajectories and relevant determinants of depressive symptoms in adolescents by following cohorts that included junior, senior, and vocational high school adolescents, over a 3‐year period in Taiwan. Methods Longitudinal data were obtained from 575 adolescents who participated in the Taiwan Ado...

Background Safety culture is known to influence patient outcomes, but the relationship between nursing units’ safety cultures and the development of pressure injuries in acute care hospitals is unclear. Pressure injuries are a nursing-sensitive patient outcome and are widely considered preventable. Objective To examine the impact of unit safety cul...

Objectives: This study explores older people's use of a free bus service in Wollongong, Australia. The research focus was on understanding the experiences of people over the age of 60 who use the service and the extent to which it contributes to their physical, mental and social well-being. Methods: The ethnographic research utilised fieldwork a...

This study explored the impact of Strengths Model training, supervision and mentorship on the practice of a group of multi‐disciplinary mental health clinicians that included mental health nurses, social workers, psychologists, and occupational therapists. A qualitative approach that combined critical realism and grounded theory was used. The findi...

Mental and substance use disorders are leading contributing factors for the Australian non‐fatal burden of disease. These disorders frequently co‐occur in the mental health population, and mental health nurses are the largest group of professionals treating dual diagnosis. A comprehensive understanding of mental health nurses' attitudes and percept...

The training and registration of psychiatric/mental health nurses has a contested past in Canada. One of the consequences of the professional jostling between psychiatry and nursing for control over this area is the unusual circumstances of Canada having two education systems for this specialty. To understand why the schism has taken place and the...

Accessible Summary What is known on the subject? There is no qualitative systematic review of nurses' perceptions of their interactions with people hearing voices. There are some studies exploring the interventions provided by community psychiatric nurses to people hearing voices; these give a sense of what interactions may contain. What the pape...

Background Increasing demand and limited supply of clinical placements in nursing underscore the need to better understand the role of clinical placements in students' learning. Identifying pedagogically rich activities that support work place learning alongside factors that influence educational outcomes has the potential to optimise professional...

Background Nurses are often the first responders to resuscitations. Understanding their experiences of resuscitation will highlight the resuscitative context nurses work within and identify the conditions that support or hamper their delivery of safe and effective resuscitative care. Aim The aim of this integrative review is to develop an understa...

The Nursing and Midwifery Board of Australia’s Code of Conduct for Nurses sets out the professional behaviour and conduct expectations for nurses in all practice settings. The publication of a revised version in 2018, which included expectations related to culturally safe and respectful practice and Aboriginal and Torres Strait Islander Peoples’ he...

Background: : For nearly thirty years, significant concerns have been raised about the public-provided mental health services for Aboriginal and Torres Strait Islander peoples. Staff have been identified as having little understanding of Indigenous culture, and this had resulted in inappropriate treatment. In attempting to understand what speciali...

Physical activity is one of the most important interventions to improve the health and well-being of populations. Gaining sufficient physical activity can often be difficult for older people, who are less likely to be involved in formal exercise. Older people are also more likely to suffer from social isolation. Active transport is an ideal opportu...

Nurses and midwives of Australia now is the time for change! As powerfully placed, Indigenous and non-Indigenous nursing and midwifery professionals, together we can ensure an effective and robust Indigenous curriculum in our nursing and midwifery schools of education. Today, Australia finds itself in a shifting tide of social change, where the voi...

Therapeutic recreation programs utilize leisure to maximize a person's overall health and well-being. The focus of this study is a professional experience placement held within an outdoor recreation center involving student nurses and people with a lived experience of mental illness. The study aimed to explore student nurse's beliefs about their pr...

There is a high prevalence of exposure to traumatic events in childhood among people who have mental health issues. Presentation to the emergency department (ED) can be challenging for these patients because the environment and their experience of care can trigger traumatic memories. Trauma-informed care is an approach to practice that is guided by...

Background: Huddles are short, regular debriefings that are designed to engage clinical staff in discussions about existing or emerging safety issues. They allow a brief conversation to take place creating a 'situational awareness' about the complexities of the healthcare environment for that day. Methods: The huddle was implemented in a pediatr...

This article presents findings from the multi‐sited ethnography of mental health nursing practice as it relates to the care of Indigenous users of public mental health services in Australia. It provides an analysis of mental health nurses beliefs and ideas about Aboriginal and Torres Strait Islander people encountered over the course of this resear...

This study examined the rates and types of trauma reported by consumers utilising an inner city mental health service in Sydney, Australia. The study also explored whether consumers felt that it had been helpful to be asked about their experience of trauma, whether they thought that these questions should be asked routinely and if they wanted to ta...

Over the last three decades, resilience has become a key area in mental health research, practice and policy, due to its potential to positively impact on wellbeing and quality of life. Research findings have identified that resilience positively correlates with an individual’s subjective sense of well-being and decreased mental health problems. Gi...

Criticism of public mental services provided to Indigenous Australians have persisted over the last two decades, despite several national reports and policies that have attempted to promote positive service change. Mental health nurses represent the largest professional group practising within these services. This paper reports on a multi-sited eth...

The failure of public mental services in Australia to provide care deemed culturally safe for Aboriginal and Torres Strait Islander people has persisted despite several national reports and policies that have attempted to promote positive service change. Nurses represent the largest professional group practising within these services. This article...

A growing body of evidence highlights that trauma is the single most significant predictor that an individual will need support from mental health services. Yet despite this association, mental health services have been slow to provide approaches to care and treatment that deal directly with trauma. Embedding the principles of trauma-informed care...

Mental health has been a national health priority area since 1996 and its current emphasis in the media signifies its importance for the Australian community and thus its place in nursing curricula.

Objective The objective of this article is to describe the potential benefits of medicinal cannabis in emesis control and the position of nurses looking after palliative patients who are on medicinal cannabis treatment in Australia. Setting Palliative care Primary argument Cannabis is the most commonly abused drug and its use for medical purposes w...

Background Ethnography, originally developed for the study of supposedly small-scale societies, is now faced with an increasingly mobile, changing and globalised world. Cultural identities can exist without reference to a specific location and extend beyond regional and national boundaries. It is therefore no longer imperative that the sole object...

Background Public mental services in Australia have failed to provide culturally appropriate care for Indigenous Australians despite several national reports and policies that have attempted to promote service improvement in this area. Purpose This research focused on the experiences of working as a mental health nurse in an Australian public menta...

The move towards comprehensive nurse training in Australia thirty years ago continues to trouble many of its mental health nurses. It has been viewed as a failure by many and the profession has been judged by some commentators to have lost its preparedness for specialist care. Discourse put forward to support this negative evaluation usually centre...

Aim: To present a critical methodological review of the ethnonursing research method. Background: Ethnonursing was developed to underpin the study and practice of transcultural nursing and to promote 'culturally congruent' care. Ethnonursing claims to produce accurate knowledge about cultural groups to guide nursing care. The idea that the nurse...

Mainstream mental health services in Australia have failed to provide culturally appropriate care for Aboriginal and Torres Strait Islander people despite several national reports and policies that have attempted to promote positive service development in response to the calls for change from the Aboriginal and Torres Strait Islander communities. I...

Being admitted to an inpatient mental health unit does not necessarily protect a patient against suicidal behavior. Given their purpose and design, these clinical areas can provide a safe environment for reducing hanging deaths. Strategies for reducing suicide by hanging in acute inpatient units should include ongoing review of the safety of the en...

The experience of nursing staff and consumers in inpatient mental health wards is often reported as being negative. Efforts to improve culture and practice have had limited success, with ineffective leadership, staff resistance, and unresponsive organisational culture identified as common barriers to change. Practice development has been promoted a...

In the 1990s, the first report of the Royal Commission into Aboriginal Deaths in Custody, the Burdekin Report on uman Rights and the 'Ways Forward' report, identified significant problems within mainstream mental health services for Aboriginal and Torres Strait Ilslander people through out Australia. Both the Royal Commission report and the Burdeki...

Administration of p.r.n. (pro re nata) medication is a typical practice in acute inpatient mental health units. Although guided by the prescription, the administration of p.r.n. medication is a relatively autonomous component of the nurse's role, and the decision to administer is generally one for the nurse. During a number of facilitated planning...