Papers by Patricia A Logan
41 undertaken HRT for 6/12 following LLETZ to assist the healing process; however, this was unsuc... more 41 undertaken HRT for 6/12 following LLETZ to assist the healing process; however, this was unsuccessful in preventing scarring of the tissues that resulted in cervical stenosis. Haematometrocolpos is more commonly seen at menarche due to congenital causes such as imperforate hymen or vaginal atresia; however, it may also be an acquired pathology as a result of cervical stenosis post‐surgical or radiation treatment. Take home message: Haematometrocolpos is not a common finding on ultrasound; therefore if seen, a thorough clinical history will assist in identifying the underlying obstructive cause. P06 | Diastematomyelia—a rare ultrasound diagnosis of spinal dysraphism
Objective: This study aimed to measure the effectiveness of student handovers in simulation and e... more Objective: This study aimed to measure the effectiveness of student handovers in simulation and examine perceptions of handover effectiveness. Methods: A mixed-methods crossover study involving interprofessional teams of nursing students (NS), paramedic students (PS) and medical students (MS). Students participated in two medical clinical simulations, which involved handovers, completion of self-reflection questionnaires (SRQ) and pre-post simulation questionnaires: Readiness for Interprofessional Learning Scale (RIPLS) and Attitudes Towards Health Care Teams Scale (ATHCT). Results: 18 handovers were observed. Outbound simulation (n=9): 61% of all data items were transferred by the MS, 60% by NS, and 63% by PS. Inbound simulation (n=9): 80% of all data items were transferred by PS, 64% by NS and 50% by MS. Information handed over was most variable when broken down into categories. Data most likely to be handed over were patient demographics, clinical impression and treatment. Least ...
MedEdPublish, 2017
This article was migrated. The article was not marked as recommended. Research has shown that stu... more This article was migrated. The article was not marked as recommended. Research has shown that students feel overwhelmed by the amount of information covered in first year anatomy and physiology subjects (Eagleton, 2015). In this paper, we present an activity designed to facilitate learning of the organization of the human skeletal system and anatomical directional terms used to help describe it. Learning styles and the effect of body painting was also investigated.Two studies are described and each were analysed separately both quantitatively (pre- and post-test scores) and qualitatively (surveys).Body painting did not affect the number of directional terms included in the concept maps. The most common term used was "superior" and the least was "superficial". Students applied the greatest number of directional terms to the lower limb, upper limb and vertebral column. Knowledgeable students gained no benefit from the body painting activity and from completing the ...
Australasian Journal of Ultrasound in Medicine, 2017
AimTo construct gestational age (GA)‐related reference ranges of the intra‐amniotic umbilical cor... more AimTo construct gestational age (GA)‐related reference ranges of the intra‐amniotic umbilical cord vein (UCV) diameter, peak velocity (PV) and blood flow (Qucv) using a Central West New South Wales population.Materials and MethodsThis was a prospective, quasi‐experimental study of low risk, singleton pregnancies (n = 321) between 16 and 42 weeks of gestation. Participation was voluntary following informed consent. The UCV diameter and PV were measured using B mode and duplex Doppler respectively, and Qucv calculated. Percentile values and reference range graphs were established using quantile regression modelling in R statistical software. Intraclass correlation coefficients (ICCs) were calculated to assess the intra and intersonographer reliability.ResultsReference ranges for the UCV diameter, PV and Qucv were established and graphed. All three UCV measurements increased with advancing GA, with both diameter and Qucv exhibiting a decline in the late third trimester. The intrasonogr...
Australasian journal of ultrasound in medicine, Jun 22, 2016
In the central west NSW region, there are variations in population density, socioeconomic status ... more In the central west NSW region, there are variations in population density, socioeconomic status and ethnicity.
Mathematics Education Research Journal, 2011
As a result of a number of government reports, there have been numerous systemic changes in Indig... more As a result of a number of government reports, there have been numerous systemic changes in Indigenous education in Australia revolving around the importance of partnerships with the community. A forum with our local Dubbo community established the importance of working together and developed a model which placed the child in an ecological perspective that particularly noted the role of Elders and the place of the child in the family. However, there was also the issue of curriculum and mathematics education to be addressed. It was recognised that a colonised curriculum reduces the vision of what might be the potential for Indigenous mathematics education. This paper reports on the sharing that developed between our local community and some researchers and teachers from Sweden,
Journal of advanced nursing, Jan 9, 2015
The aim of this study was to explore and compare the experiences of nurses in Australia and the U... more The aim of this study was to explore and compare the experiences of nurses in Australia and the UK as they moved from clinical practice into higher education institutions. When nurse education moved from hospitals into higher education institutions, the roles and career pathways of nurse educators changed. The design method used in this study was qualitative interview study. Semi-structured interviews were undertaken with 14 nurse educators, seven in Australia and seven in the UK, in 2011-2012. Thematic analysis of the transcripts was undertaken and triangulated with automated content and thematic analysis by Leximancer© software. Nurse academics in Australia and the UK voiced similar enthusiasms and concerns. These coalesced around four emergent themes: adapting to change, external pressures, teaching and progress up the academic ladder. The Leximancer© analysis for both sites ranked 'research' as the primary theme, linked with 'time', 'University' and '...
International Journal of Innovation in Science and Mathematics Education, 2013
Science classes for health science degrees are some of the most challenging any lecturer will und... more Science classes for health science degrees are some of the most challenging any lecturer will undertake. In many institutions they act as the ‘gate-keeper’ subjects for the degrees they serve and are often deemed the reasons for high attrition and fail rates. This paper focuses on a suite of four biomedical science courses that run over the first two years of various healthcare degrees at Charles Sturt University. The majority of our regional students are enrolled in nursing or paramedic undergraduate degrees and have entered through non-traditional pathways. Students study these courses either internally on campus or via distance education with many moving between modes of delivery. In an attempt to improve student performance we set out to realign the course content and assessments of these key subjects using Bloom’s taxonomy. A review is presented of the teaching teams’ experiences and responses to the challenges in teaching human bioscience, pathophysiology and pharmacology. The...
Medicina, 2021
Background and Objectives: There is a paucity of integrated knowledge regarding legal considerati... more Background and Objectives: There is a paucity of integrated knowledge regarding legal considerations required to ensure patient safety through safe medicines management. This study explores the legal considerations surrounding medicines management, providing a synthesis of existing knowledge. An integrative systematic review of the current international knowledge was performed. Materials and Methods: The search encompassed the online databases of PubMed (including Medline), Scopus, CINAHL, and Web of Science using MeSH terms and relevant keywords relating to the legal considerations of medicines management in healthcare settings. Results: The search process led to the identification of 6051 studies published between 2010 and 2020, of which six articles were found to be appropriate for data analysis and synthesis based on inclusion criteria. Research methods were varied and included qualitative interviews, mixed-methods designs, retrospective case reports and cross-sectional interrup...
International Journal of Innovation in Science and Mathematics Education, 2013
Bioscience has long been reported as a source of difficulty and anxiety for nursing students. A n... more Bioscience has long been reported as a source of difficulty and anxiety for nursing students. A number of factors have been identified as risk indicators for non-completion and failure in human bioscience classes. Much of this work however has been retrospective and has focused on urban cohorts. Relatively little information is available for rural/regional cohorts. Aim: Determine indicators of risk, independent of university entry scores, for a regional/rural student body using an online demographic survey tool that includes a quick science test. Method: Students voluntarily completed a short science test and demographic survey upon entry to Human bioscience 1. Individual results/responses were combined with the final summative scores for each student and a multivariate analysis undertaken. Results: A total of 963 students participated in the study; 916 completed all assessments. Only 40.3% had university entry scores. Several risk factors surfaced, the most significant included if ...
Advances in medicines have increased the effectiveness of treatments and the social and cultural ... more Advances in medicines have increased the effectiveness of treatments and the social and cultural authority of doctors. However, as prescribing has become the dominant modality of treatment, the “pharmaceuticalization” of medical practice has often resulted in treatment “at a distance”, with doctors having limited contact with patients. Older and poorer people, who are socially distanced from medical prescribers, suffer more adverse drug reactions (ADRs) than the general population. A team approach to checking patients systematically for ADRs, as detailed in manufacturers’ literature, can minimise medication errors, but regular review is rare. This paper explains the benefits of medicines monitoring to protect older patients from iatrogenic harm, such as over-sedation, falls, or drug-induced Parkinsonism. We show how multidisciplinary initiatives to optimise prescribing can be supported by using a recognised resource—the adverse drug reaction profile (ADRe). The profile identifies an...
Background and Purpose The need for high-quality long-term healthcare services is increasing acro... more Background and Purpose The need for high-quality long-term healthcare services is increasing across the globe as the population ages. Strategies for improving transitional care from hospital to home are needed. This study aimed to explore the perspectives of patients aged 65 years and over and their family caregivers transitioning from hospital to home in an urban area of Turkey. Methods Thematic analysis of in-depth semi-structured interviews was conducted with older patients (n = 14), with at least one chronic disease and admitted to the hospital for a minimum of 3 days, and family caregivers (n = 11) who voluntarily participated. Results Main themes were “confused feelings of safety and stress”; “worried about being left alone”; and “disrupted healthcare journey.” The proactive rehabilitation model was used to elaborate on the study findings and interpret the perspectives and experiences of older patients and their family caregivers, which can be used for improving the quality of...
Pharmacy
Prescription medicines aim to relieve patients’ suffering but they can be associated with adverse... more Prescription medicines aim to relieve patients’ suffering but they can be associated with adverse side effects or adverse drug reactions (ADRs). ADRs are an important cause of hospital admissions and a financial burden on healthcare systems across the globe. There is little integrative and collective knowledge on ADR reporting and monitoring in the Norwegian healthcare system. Accordingly, this systematic review aims to investigate the current trends in ADR reporting, monitoring, and handling in the Norwegian healthcare system and describe related interventions. Appropriate keywords, with regard to ADRs in both English and Norwegian languages, were used to retrieve articles published from 2010 to 2019. Six articles met the inclusion criteria. The findings offer a comprehensive picture of ADR reporting and monitoring in the Norwegian healthcare system. Psychotropic medicines were most commonly implicated by patients, while professionals most commonly reported ADRs associated with ant...
Scandinavian Journal of Caring Sciences
International Journal of Environmental Research and Public Health
Background: Quality-of-care improvement and prevention of practice errors is dependent on nurses’... more Background: Quality-of-care improvement and prevention of practice errors is dependent on nurses’ adherence to the principles of patient safety. Aims: This paper aims to provide a systematic review of the international literature, to synthesise knowledge and explore factors that influence nurses’ adherence to patient-safety principles. Methods: Electronic databases in English, Norwegian, and Finnish languages were searched, using appropriate keywords to retrieve empirical articles published from 2010–2019. Using the theoretical domains of the Vincent’s framework for analysing risk and safety in clinical practice, we synthesized our findings according to ‘patient’, ‘healthcare provider’, ‘task’, ‘work environment’, and ‘organisation and management’. Findings: Six articles were found that focused on adherence to patient-safety principles during clinical nursing interventions. They focused on the management of peripheral venous catheters, surgical hand rubbing instructions, double-chec...
The Journal of Emergency Medicine
Background: Patient safety incidents are commonly observed in critical and high demanding care se... more Background: Patient safety incidents are commonly observed in critical and high demanding care settings, including the emergency department. There is a need to understand what causes patient safety incidents in emergency departments and determine the implications for excellence in practice. Objective: Our aim was to systematically review the international literature on patient safety incidents in emergency departments and determine what can be learned from reported incidents to inform and improve practice. Discussion: Patient safety incidents in emergency departments have a number of recognized contributing factors. These can be used as groundwork for the development of effective tools to systematically identify incident risk. Participation in efforts to diminish risk and improve patient safety through appropriate incident reporting is critical for removing barriers to safe care. Conclusions: This review enhances our awareness of contributing factors to patient safety incidents within emergency departments and encourages researchers from different disciplines to investigate the causes of practice errors and formulate safety improvement strategies.
Pharmacy (Basel, Switzerland), Jan 18, 2018
The power and influence of healthcare systems comes largely from the ability to prescribe efficac... more The power and influence of healthcare systems comes largely from the ability to prescribe efficacious medicine. However, medicine can sometimes cause harm rather than bring benefits. Systematically checking patients for the adverse effects of medicines, as listed in manufacturers' literature, would protect patients from iatrogenic harm, but this is rarely undertaken. We argue for the benefits of this approach using the example of the prescription of antipsychotics to older adults. Prescribing antipsychotics to control challenging behaviours associated with dementia is a controversial matter, and regulatory intervention is under discussion. Improved regulatory systems could protect against iatrogenic harm, such as over-sedation, falls, tremor, or drug-induced Parkinsonism. However, measuring the impact and outcomes of regulatory interventions has proved difficult, not least because there are rarely systematic records of all adverse effects of medicines. We indicate how regulatory...
Alternatives to laboratory animals : ATLA, Jul 1, 2018
The replacement, reduction and refinement of animal use in education is part of the regulatory le... more The replacement, reduction and refinement of animal use in education is part of the regulatory legislation in Australia, and requires the use of alternatives to animals where appropriate. The aims of this study were: a) to explore the extent of the replacement of animals when teaching life sciences to Australian undergraduate students; b) to understand which alternative models were being used, and the learning objectives covered; and c) to gain some insight into the circumstances facilitating the use of alternatives to animals in education. An anonymous online survey, consisting of open and closed questions, was conducted among faculty members that used either animal or alternative models in their teaching. A total of 27 faculty members participated, from eight universities. Human anatomy and physiology had the highest number of survey participants who had replaced animals entirely with alternative models. These subjects also had the highest number of participants that were using an...
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Papers by Patricia A Logan