Paul Mcliesh

University of Adelaide · School of Nursing

Abstract Background The use of virtual reality technologies such as 360-video, can provide innovative and effective adjuncts to traditional simulation activities when teaching nursing students. This paper describes the use of a 360-video to prepare nursing students for an operating room placement. Methods This educational project involved a purposi...

Background: Nurses transitioning into the specialty of orthopaedics gradually develop the skills required to provide care for patients with musculoskeletal conditions or injuries, but during the early stages this can be challenging and lead to a lack of confidence. Strategies aimed at developing confidence in these nurses to make sound decisions a...

Background: Nurses are involved in delivering care for patients following acute traumatic spinal cord injury throughout the entire care journey. An injury of this type is significant for the individual and their family and can be challenging for nurses delivering care for patients with life changing injuries, especially for nurses new to this sett...

Background: A major goal of care for orthopaedic surgical patients is the achievement of their pre-morbid functional level or at least an improvement of their functional ability. However, patients with altered mental status can significantly impact this and other outcomes and influence the delivery of care. Patient mobilisation is a role shared by...

This paper describes a collaboration between orthopaedic nurses in Myanmar (Burma) and Australia. It describes how that collaboration began and how it has grown. The unique needs and challenges of healthcare delivery in developing nations are discussed. Understanding these unique needs and challenges is vital in tailoring strategies to provide orth...

REVIEW QUESTION / OBJECTIVE The objective of this review is to identify the effectiveness of prehabilitation on postoperative outcomes of adults undergoing elective surgery. More specifically, the objective is to identify the impact of prehabilitation on postoperative complications and patient readmission, postoperative length of stay, postoperativ...

The way in which health care facilities store surgical plates and screws in Australia varies from state to state and even hospital to hospital. The prostheses are either obtained as individually packaged, pre-sterilised implants or stored in a screw caddy in an instrument tray, which is sterilised for multiple surgeries. The repeated exposure of th...

BACKGROUND: The risk of venous thromboembolism for orthopaedic patients is often high due to the length of surgery, damage from trauma to bone and soft tissues and lengthy periods of immobility or reduced mobility. Although venous thromboembolism occurs mainly in inpatients a significant number of patients develop venous thromboembolism post discha...

During 2008 seven practice improvement projects were conducted in an acute-care hospital under the banner of The Older Person and Improving Care (TOPIC 7). Each project team examined a discrete aspect of care of the elderly and this project focus was on pain management and in particular assessment of the older person with communication difficulties...