Saturday Abstracts

Find out a little more about each of the presenters and Abstracts set to sparkle on Saturday 6 April

Saturday Abstracts

This abstract presents the results of a stakeholder review of National Gestational Diabetes Register (NGDR). Data from the primary care component of the review including surveys and in-depth interviews will be presented. Findings from this review will be used to improve the delivery of the NGDR in the primary care setting.

Melinda Morrison is the NDSS Diabetes in Pregnancy Priority Area and National Lead. Melinda is a Credentialed Diabetes Educator who completed her PhD in the area of gestational diabetes. She has worked for Diabetes NSW ACT since 1999 and from 2013-16 was employed as the program leader for the NDSS Diabetes in Pregnancy National Development Program which focused on initiatives to support women with type 1 and type 2 diabetes to plan and prepare for pregnancy. Her current role includes reviewing NDSS pathways and services for women with gestational diabetes.

Point of care testing provides immediate results at the time and place of patient care, reducing clinical risks and allowing for contemporaneous discuss of results with the patient.   Changes to the healthcare plan can be implemented immediately and timely patient education provided.
Correct Care piloted a HbA1C point of care testing project in two prison health centres where prisoner populations have a high prevalence of diabetes.  Point of care testing complements Correct Care’s nurse led model of care. 
The project patient satisfaction survey was overwhelmingly positive, with prisoners reporting that non-invasive testing was preferable, instant results and receiving education at time of testing was more meaningful and had more impact on understanding.
Point of care testing is readily transferable to other primary care settings and promotes nurse-led care.  Similar improvements in patient care and satisfaction would anticipated in any primary care setting.

Louise Moore has been employed with Correct Care Australasia as the Health Service Manager at Hopkins Correctional Centre for the past six years. She has over 30 years’ experience in nursing with a background in Mental Health and Correctional Nursing.

Diabetes mellitus is a chronic condition that requires continuous medical care and ongoing patient self-management education to prevent acute complications and to reduce the risk of long-term complications. Diabetic foot ulceration is a common and debilitating chronic complication in patients with diabetes mellitus primarily caused by diabetic peripheral neuropathy. FootSmart is a program focused on understanding foot health and preventing diabetic foot ulceration for people living with diabetes. It is based on constructs of social learning theory, has a patient-centred philosophy of care; is designed around key self-management behaviours Our objective was to evaluate the effectiveness of FootSmart as an intervention in relation to diabetes-related empowerment in adults with type 2 diabetes after program. Data was collected from FootSmart programs run in Western Australia by Diabetes WA for people with diabetes from July 2016 to October 2018. Diabetes empowerment was assessed to measure self-determination using the validated Diabetes Empowerment Scale – Short Form (DES-SF) at pre and post program participation. We have shown that FootSmart, which is aimed at strengthening the self-management role of people living diabetes regarding their foot health, resulted in a significant positive effect on diabetes-related empowerment after program participation. 

Jennifer Sweeting is the Pilbara and Primary Care Coordinator at Diabetes WA. As an anthropologist, Jennifer possesses a unique cultural sensitivity and throughout her career, she has demonstrated the ability to work effectively with people of diverse perspectives and backgrounds across North America, Mongolia and Australia. The wealth of her experience includes the provision health and social science research, evaluation and development support to government and not-for-profit organisations, as well as community and stakeholder engagement. During her time at Diabetes WA, Jennifer has worked in research and evaluation; Aboriginal health; program delivery and management; and primary care coordination.

This paper will discuss the evaluation outcomes of using existing social media infrastructures to provide an effective pregnancy and parenting service, without any direct face to face contact. Healthdirect Australia’s social media research, analytics data and qualitative evaluation explores the consumers’ expectations and how healthcare providers may operate in this environment.
For many Australian parents their social networks are often the first port of call for parenting information, support and advice. The results will show the level to which our forums are a great resource for parents, increasing their health literacy and assisting them to judge what is trusted information. We will present the consumer voice from our forums as we seek to understand if this mode of health communication influences health behaviours. ~ Dianne is a midwife with over 30 years’ practice, having worked most of her career in rural New South Wales – first as a clinical midwife at Wagga Wagga Base Hospital and then for 10 years as the Clinical Midwifery Consultant for the area health service.
A city change move to Sydney, motivated by an enhanced career opportunity for her husband, that has also enhanced her career opportunities as well. Dianne continues in clinical practice in delivery suite at Prince of Wales Private, while working to enhance the services available to pregnant women and new parents nationally.

Dianne’s main work is as the Clinical Lead for the Pregnancy, Birth and Baby services at Healthdirect Australia – a COAG funded company charged with procuring and providing online and telehealth services to all Australians. Dianne oversees the services provided by Healthdirect related to expecting parents and parents of children under 5 years.

Providing primary health care services to remote and isolated areas can be challenging.  The Royal Flying Doctor Service (Queensland Section), provide a multi-disciplinary Field Day program which aims to overcome some of these difficulties. This presentation will describe the model of service delivery implemented throughout rural and remote Far North Queensland.
Strengths and challenges of the program will be discussed in the context of the diverse locations.A RFDSQ Registered Nurse/Midwife, Health Promotion Officer, Medical Officer, Mental Health Clinician and Pilot are the core team, with support from Allied Health professionals from partner organisations as required.
The team flies to the remote station for the day to provide General practice and nursing clinics plus delivery of a wide range of health education topics.The RFDS Field Day program highlights how a multi-disciplinary team can provide a primary health care service which aims to address the reflect the needs of the local community to achieve sustainable health outcomes.

 

An innovative model of care has been created to empower GP teams to lead the care of adolescents and young people with chronic complex conditions. Full implementation and evaluation will occur during 2019.

Key features of the model include:
• The GP team as the coordinator of care for the client and family
• Early engagement and preparation, with the client’s journey commencing at approximately 12 years of age
• A district-wide transition facilitator, who provides linkages between the client, GP Team, and LHD-based specialist services
• Needs assessment and risk stratification for clients and their families
• Integrated care and specialist clinical consultations (either in person or via telehealth)
• Case conferencing, care coordination and care navigation
• Professional development for GP teams
• Ad hoc support for GP teams 

 

Changing the model of care to be truly patient centred requires change in various paradigms, including team work. This practice example and patients’ stories show that team work empowered by trust, improved practice systems, data, and distributive leadership, had the potential to improve joy in work at this practice, not only for the nurses but the entire practice multidisciplinary team. It is clear that improved patient outcomes and patients learning to recognise and connect to their nurse in a “trusting relationship” has implications for the development of structural and funding models to better inform future policy decisions. 

Currently I am working as a Registered Nurse and Diabetes Educator at Hills Family General Practice. My role includes all areas of general practice nursing, including chronic disease management and preventative health which are my focus of interest. Hills Family General practice area also involved in Integrated Care and Health Care Home program which has given nurses more independence in caring for our patients as we are part of the team. We are always looking for areas to improve our patient’s health outcomes.

This paper reports additional results from the CKD-DETECT study. Specifically, the pre and post knowledge scores from all participants. This paper is currently under review in the Australian Journal of Primary Health ~ Pete Sinclair is lecturer at the University of Newcastle, his primary research interests include kidney disease, education intervention and primary health care.

Pete Sinclair is lecturer at the University of Newcastle, his primary research interests include kidney disease, education intervention and primary health care.

As we well know the internet has become an integral part of our everyday lives affecting the way we shop, bank, work and communicate. It has also changed the way patients can access healthcare services. MBS remuneration, introduces this year, now provides viable business options for Telehealth services.
Telehealth is a new and growing frontier in primary health service delivery, offering all sorts of benefits for consumers and workforce access solutions…but how confident are nurses and practitioners felling about the technology and working virtually?

Rose Griffiths is a registered nurse who is passionate about improving health service delivery. Rose managed of the Nursing in General Practice and Workforce programs in South East Melbourne for 15 years and was also instrumental in the development of the Dandenong Casey Generic Practice Policy and Procedure Manual and Triage Guide.
Rose has been involved as a writer and presenter for the APNA Foundations of Nursing course for 10 years and participated in numerous expert advisory groups. Rose also has published research, on the experience of student nurses and preceptors in primary care settings.
Currently Rose is working for headspace National in Melbourne, managing their Tele-psychiatry Service.

The Coordinated Veterans’ Care (CVC) Program has been supporting veterans with chronic conditions in a practice setting since 2011. This innovative care models utilises a care team made up of a GP and a practice nurse who work with the participant and their support team to manage their ongoing care with goal of improving the quality of life for the veteran and reducing unplanned hospitalisations. The program commenced on 1 May 2011 and as at 23 November 2018, a total of 40,823 veterans have been enrolled in the CVC Program, delivered by 8,237 practices.

Anna Polson works on the CVC Program for the Department of Veterans' Affairs

The independent review panel were thrilled to receive over 30 applications in the first year of the ‘Championing Change Innovation Practice Nurse Grant. The initiatives were diverse and were all designed to boost coverage rates or improve the quality use of adult vaccines. Whether the practice was big or small, rural or urban, the initiatives proposed by this years' grant recipients could easily be adapted and replicated in any Australian GP practice!

To find out more come to this session and learn from three (3) practice nurse grant recipients.

Grant Recipient:   Sofi Milenkovski and Sarah Christensen, IPC Health, Deer Park, Victoria
The IPC Health Deer Park community health service is a medium-sized practice based in Melbourne and operates in one of Australia’s top-ten most disadvantaged communities. The initiative incorporates myth busting, live Q&A sessions, HALO quizzes and appointment booking through a Facebook page. An in-clinic program ensures the offering is available to older age groups, the homeless, refugees, and those who do not use social media.
“This social media campaign should definitely increase adult immunisation uptake! A very comprehensive offering.” - Review panel

Grant Recipient:   Jo Sanders, Wellers Hill Medical Centre, Wellers Hill, Queensland
The Wellers Hill Medical Centre is a large practice that services three generations of the local community. The initiative addresses the poor search function available in their practice software. Supported by an immunisation sandwich board at reception and t-shirts for nurses, everyone is given a questionnaire to complete at reception, which is screened by GPs and eligible individuals written scripts and directed to the nurses’ station for immunisation.
“A good, replicable idea that should be successful! The sandwich board and t-shirts should prompt conversation and increase immunisation uptake.” - Review panel

Grant Recipient:   Sue Raether, Hamley Bridge Medical Centre, Hamley Bridge, South Australia
The Hamley Bridge Medical Centre in rural South Australia is the sole medical service for a small farming community and transient population. The initiative involves targeted community immunisation information events. Older generations are invited to ‘Barefoot bowls and boosters’ at the local bowling club. Events are promoted and hosted prior to harvesting and during school term for maximum attendance.
“A good way to promote community networking – farmers are a difficult group to access. This initiative literally and figuratively embodies community immunity!” - Review panel

Future career intentions can be influenced by the quality and delivery of undergraduate nursing education. Currently, most Australian Higher Education Institutions (HEIs) often focus undergraduate nursing curriculums and clinical placement experiences towards preparing pre-registration nurses for work in acute care settings. This abstract describes the strategies employed to invigorate a primary healthcare (PHC) unit at a single HEI encompassing five campuses across two primary health networks. It highlights the important role of PHC nurses in undergraduate education and developing our next generation of PHC nurses. Outcomes show that invigorating a PHC curriculum can positively improve the profile and interest in PHC as a career option amongst pre-registration nursing students. This is important as we strive to meet projected workforce demands created by the increased prevalence of chronic health conditions treated in the community.

Susan is an early career researcher and subject coordinator of the Primary Healthcare (PHC) unit at the University of Wollongong. Her PhD explored collaboration between general practitioners and registered nurses working in general practice. As an active early career researcher, Susan has 16 peer-reviewed publications in high impact national and international journals. Each publication has reported research in PHC and in particular to exploring workforce issues and the role of nurses working in general practice. As subject coordinator, Susan has reinvigorated the PHC unit by undertaking a major revision of all lecturers and tutorials and ensuring that all sessional tutors are experienced PHC clinicians.

The Sleep Health Foundation commissioned a report (2017) about the costs and consequences of sleep disorders and/or poor sleep. Inadequate sleep and untreated sleep disorders is a large, expensive and underappreciated Australian public health problem. 39.8% Australian adults (approx. 7.4 million) experienced some form of inadequate sleep in 2016-20171. The total cost was estimated to be $66.3 billion in 2016-17, with healthcare costs $1.8 billion. The impact of sleep disorders and inadequate sleep, effects all aspects of our physiology, including cardiovascular and immune functions. The ‘Asleep on the Job’ report highlighted the urgent need for improved sleep health awareness in our community. As a result, the Australian parliament launched an inquiry (2018) into Sleep Health Awareness in Australia2. This is a first, anywhere in the world.

Catherine is Respiratory and Sleep Clinical Nurse Consultant at Alfred Health Melbourne. She is the clinical lead of the Sleep and Ventilation Service. She completed post graduate qualifications in Critical Care Nursing and Masters of Nursing Science with a sleep focused project from La Trobe University Melbourne. Catherine has extensive experience in the management of acute and chronic sleep disorders and ventilatory failure using a variety of clinical tools (CPAP, NIV, HFN, oxygen). She is an accredited clinician for the Victorian Respiratory Support Service. She has particular interest in perioperative management of OSA and sleep medicine models of care in a variety of clinical settings. She is the current Australasian Sleep Association, Education committee member & Co chair of Nursing Education subcommittee and Thoracic Society of Australia and New Zealand clinical care and resources committee member.

The Advance ProjectTM is a free toolkit of resources and a training package, specifically designed to support nurses in Australian general practices to work with general practitioners to provide better care through team-based initiation of advance care planning (ACP) and palliative care (PC) in everyday general practice. The project is funded by the Australian Government with training endorsed/accredited by relevant professional and training associations Australian Primary Care Nurses Association, Royal Australian College of General Practitioners, and Australian College for Rural and Remote Medicine and delivered by a national consortium led by HammondCare.

Our presentation will focus on the revised training and new resources that are available for general practice nurses including individual tele-mentoring from an experienced palliative care nurse to support successful implementation of the Advance ProjectTM resources into routine practice. At the conclusion of the presentation nurses will be familiar with training opportunities and resources available through the project including tools for: initiating ACP, identifying patients who might be at risk of deteriorating and dying, and screening and evaluating patients’ and carers’ palliative and supportive care needs. You can register to access the free training and resources for clinicians, patients and carers through the project website www.theadvanceproject.com.au

Kelly Arthurs is a Palliative Care Nurse Consultant and the Clinician Mentor for the Advance Project. Kelly has 15 years of experience working in Palliative Care as a Clinician and Educator. Kelly has provided symptom management and end of life care in various settings including: Palliative Care Units, Community Care, Aged Care, and Private and Public Hospital Consultation. Kelly has extensive experience in mentoring and delivering education for nurses and General Practitioners in palliative care and advance care planning. Recently she has led a project for HammondCare (funded by the Sydney North Primary Health Network) to deliver quality end of life care initiatives in residential aged care across Northern Sydney.

 

 

Most Australians say they want to die at home, though less than 14% achieve that outcome. This represents a service gap that GPs and nurses are optimally positioned to fill. However, it is difficult for palliative care patients to be cared for at home without the support, also, of at least one carer, such as a family member. Community healthcare providers and carers can work together so that palliative patients can remain in their preferred place of care. Carers, when provided with consistent education and quality resources, can be integrated into the healthcare team.

This presentation has two parts. Firstly, it presents a randomised controlled trial (RCT) examining the issue of trained carers’ confidence with subcutaneous medication preparation and administration. Secondly, it presents the Caring@Home package – a suite of resources, developed with funding from the Australian Government Department of Health, available across the country for community service providers, healthcare professionals and carers to support carers to manage breakthrough symptoms safely using subcutaneous medicines.

Prof Liz Reymond MBBS(Hons), PhD, FRACGP, FAChPM
Dr Reymond holds the position of Deputy Director, Metro South Palliative Care Services (MSPCS). MSPCS provides inpatient, outpatient and community-based care across Metro South Health (MSH).  She is also Director of the Brisbane South Palliative Care Collaborative, the research and education arm of MSPCS. Her research interests include symptom management in palliative care patients and palliative care service delivery and development.  Her current service delivery quality improvement programme is focussed on development, implementation and evaluation of a MSH-wide Strategy for End-of-Life Care and directing the national caring@home project.

This abstract is a brief summary of a qualitative study we performed as a clinic on patient-nurse experience with primary care nurses in the context of chronic pain management. It discusses background to Australia's current chronic pain state, the role of the primary care nurse in chronic pain, as well as a data analysis of patient-nurse experience with regards too management of their chronic pain condition within the general practice setting.

Rebekah is currently employed as a clinical practice nurse in chronic pain with a specialist practice. Her qualifications include a bachelor in pre-registration nursing and graduate diploma in haematology/oncology. Rebekah's current job role is contribute to patient experience and satisfaction as part of a multidisciplinary chronic pain team.

This New Zealand-based pilot study examined the feasibility of introducing a complexity tool for use in PHC nursing. This presentation will explore the typology of cumulative complexity developed from a series of qualitative interviews and focus groups with thirty two PHC nurses in a variety of roles. Importantly, complexity reflected multiple patient needs that were related to a combination of diagnoses, socio-economic and cultural determinants of health, and service structures.  Early identification of cumulative complexity holds promise for improving care planning, patient outcomes and staff satisfaction.

I am currently the project manager for the PHC nursing integration project, a collaboration between the MidCentral District Health Board, the Central Primary Health Organisation and a number of PHC services. I am also a researcher at Massey University, with a background in PHC nursing and PHC nursing education.

GASP - Giving Asthma Support to Patients - is an innovative program which provides the resources to practice nurses to drive best-practice asthma management decisions in primary healthcare. Centred around a web-based decision support tool which is governed by an expert committee, GASP has been used in New Zealand for over 8 years and has consistently reduced hospital admissions, emergency department visits and oral steroid use among people with asthma. Asthma Australia and Comprehensive Care are partnering to bring the program to Australia general practices for the benefit of people with asthma.

Anthony Flynn is the Senior Manager of Research Policy and Advocacy at Asthma Australia. In this position he is responsible for the national research program and for connecting the evidence to inform policy prioritisation and advocacy campaigns. Anthony is a registered critical care nurse and has a Masters Degree in Social Sciences and is a Board Member at Medecins Sans Frontieres. Ánthony has been managing the innovative GASP program at Asthma Australia since 2014.

Dementia is the second leading cause of death in Australia. Many middle-aged patients do not know their lifestyle increases their risk of dementia. Primary care nurses are ideally placed to promote brain health in daily practice. While there is not yet strong evidence for specific interventions that can reduce the risk of dementia, experts believe that providing advice on likely risk factors may have specific benefits, can have broader benefits, and is unlikely to do harm. This presentation explores current recommendations for promoting brain health in Australian general practice.

Kali Godbee is a PhD Candidate with a background in Clinical Neuropsychology. Her research involves supporting general practitioners and practice nurses to work with their patients to reduce dementia risk. Previously, Kali project managed research on psychological treatments for problem gambling and a co-design intervention for community mental health.

For many patients the Emergency Department is the first place they go to when they are feeling unwell. Whether this is due to low health literacy, a lack of social supports or networks, poor discharge planning or difficulty in navigating the healthcare system, the result is an increased cost and burden on our Emergency Departments and hospitals. More importantly, it poses the question – what impact does this have on our patients? Are all ED presentations necessary? And if not, how can we better support patients in the community so that this can be avoided?

Through partnership with Western Health, Silverchain are delivering the Western Healthlinks program, an innovative, 3-year pilot which aims to reduce the number of unnecessary hospital admissions through Health Navigation and access to the Priority Response Assessment (PRA) Service.

The presentation will focus on the delivery of the PRA service model, the process our nurses follow and potential pathways that a PRA can take. These pathways include GP review, fast-tracked outpatient referral if clinically indicated or ED admission if necessary.

Having obtained my Graduate Certificate in Emergency Nursing through Deakin University in 2012, I have extensive experience working in acute hospitals, rural NSW and community settings.

I am currently employed as Lead Navigator and Registered Nurse for Silverchain Group and through partnership with Western Health, we are delivering the Western Healthlinks pilot Program, an innovative 3 year pilot.  It is a rewarding experience and brings with it many challenges as we work with patients who are highly vulnerable and most at-risk of presenting to hospital. These patients are identified by the Department of Health as being eligible for the program if they frequently present to the Emergency Department or have multiple co-morbidities and chronic or complex health conditions.

Through collaboration, coordination and integration, the program has been successful in reducing the number of unnecessary hospital admissions through the delivery of health navigation and priority response nursing assessment.

Research has shown that patient activation is related to positive health outcomes, consequently resulting in cost reductions to the healthcare system. Growing evidence suggests that increasing patient active involvement in the management of their diabetes through diabetes self-management education (DSME) improves a variety of health outcomes. Whilst many studies have shown positive effects of DSME on health outcomes, effects are often not sustained over time without ongoing support. In a recent pilot study, we determined that DESMOND was a successful intervention to significantly increase patient activation. Our objective for this study was to evaluate whether the effects of DESMOND on patient activation could be maintained in the short term. We have shown that DESMOND, which is aimed at strengthening the role of people living with type 2 diabetes in self managing their healthcare, resulted in a significant positive effect on patient activation that is sustained 3 months after program participation. Whilst the positive effects of DESMOND on patient activation were sustained 3 months after program participation, the magnitude of the effect was reduced. This points to the importance of regular primary care support following self-management education to help sustain positive behaviour changes over time. 

Jennifer Sweeting is the Pilbara and Primary Care Coordinator at Diabetes WA. As an anthropologist, Jennifer possesses a unique cultural sensitivity and throughout her career, she has demonstrated the ability to work effectively with people of diverse perspectives and backgrounds across North America, Mongolia and Australia. The wealth of her experience includes the provision health and social science research, evaluation and development support to government and not-for-profit organisations, as well as community and stakeholder engagement. During her time at Diabetes WA, Jennifer has worked in research and evaluation; Aboriginal health; program delivery and management; and primary care coordination.

 

The Mater Integrated Refugee Health Service (MIRHS) has an integrated model of care: newly arrived refugees are referred to a GP practice near their residence where a MIRHS nurse co-locates to support both the practice and patient for 6 months post-arrival. This facilitates linkage to primary care to establish newly arrived refugees with a healthcare home and nurture this connection in the critical early days of settlement. Since not all practices have a regular MIRHS nurse presence, a risk was identified that patients referred to a practice with only intermittent MIRHS nurse support might receive a lesser standard of care than those referred to a practice with regular MIRHS support.

MIRHS implemented both process and IT solutions to address this risk then conducted an audit across a number of GP practices to evaluate quality and equity of care. Our results indicate that this approach could be utilised with other patient groups with complex health needs in primary care to promote continuity, coordination and quality of care, especially if care is provided in multiple settings by different members of the care team.

Meryl Jones is the Nurse Unit Manager with the Mater Refugee Health Service in Brisbane. She has maintained a specific interest in providing care for people from culturally and linguistically diverse backgrounds throughout her nursing career and has worked in a variety of clinical settings in Australia and overseas, including paediatric emergency departments in Brisbane and the UK, ENT surgery for children living in remote Queensland Aboriginal communities, and cardiac surgery for children and adults in East Africa. Meryl is a member of the Steering Committee of the Refugee Nurses of Australia network and has presented at a number of national and international conferences and professional education sessions on refugee health.

Nancy Weatherford is a clinical nurse with the Mater Refugee Health Service in Brisbane. This service provides integrated primary health care services to both newly arrived refugees, and refugees and asylum seekers with complex health needs. She currently works in both the Mater Refugee Complex Care Clinic and Mater Integrated Refugee Health Service where she has a strong focus on patient care and using data to drive quality improvements: she has previously presented at the North American Refugee Health Conference on this innovative work.
Nancy has a passion for working with diverse and vulnerable groups and has also worked in the Torres Strait, Cape York, and in Kenya.

 

The growing burdens experienced by PHC nurses due to an expanding primary health care sector, and the lack of research exploring how the incoming workforce are prepared to work in this area instigated the conduct of this project. This abstract is of an integrative literature review of 12 primary research conducted on undergraduate nursing students’ knowledge, attitudes and career intention to work in PHC settings; or those that explored current primary health care (PHC) content in undergraduate nursing curricula. The papers identified that nursing curricula remain acute-care centric; and barriers to PHC content delivery may influence nursing students’ perceptions of PHC. This area of nursing is thus negatively perceived by nursing students, is viewed to be irrelevant in their training and is not viewed as an alluring specialty. Strategies are suggested after the synthesis of these findings, including the importance of increasing the involvement of practicing PHC nurses in the development of curriculum and delivery of PHC content in universities.

Kaara Ray B. Calma is a full-time PhD candidate and a teacher in the School of Nursing at the University of Wollongong. She is a passionate nurse and researcher in the Primary Health Care field, and her research interests include undergraduate nursing education, nursing workforce and health experience. She is a Registered Nurse with clinical experience in both acute care and general practice.
Kaara is one of the 21 World Health Organization Primary Health Care Young Leaders, which is a network of early career PHC professionals launched at the Global Conference on Primary Health Care in October 2018. Together with her research supervisors, Kaara recently published a paper from her Bachelor of Nursing (Honours) thesis in the Australian Journal of Primary Health entitled  ‘An exploration of the experiences of Australian Grey Nomads travelling with chronic conditions’. Kaara’s PhD project now focuses on undergraduate nursing education and primary health care.

Jane Desborough is a Senior Research Fellow at the Department of Health Services Research and Policy, Research School of Population Health, Australian National University. Jane leads the Patient Experience and Implementation team within the ANU’s project Our Health In Our Hands - personalised medicine transforming health care. Jane is a mixed methods researcher, who works closely with patients, clinicians and policy makers to conduct research that is not only responsive to their needs and preferences, but aims to target quality and outcomes improvement. Jane's current research involves working with patients and clinicians to co-create technology-based tools with the aims of enabling patients to manage their health, to support patients’ transition across the hospital - primary care interface, and to reduce unplanned hospital readmission. Jane is a registered nurse and midwife, and has worked clinically in a variety of settings for 25 years, including remote area nursing.

 

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