SUNSHINE COAST HEALTH INSTITUTE 2017 - 2019 TRIENNIAL REPORT, 'THE FIRST THREE YEARS'

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SUNSHINE COAST HEALTH INSTITUTE 2017 - 2019 TRIENNIAL REPORT, 'THE FIRST THREE YEARS'
SUNSHINE
COAST
HEALTH
INSTITUTE

2017 – 2019 TRIENNIAL REPORT,
‘THE FIRST THREE YEARS’

“Striving to improve the health and wellbeing
outcomes for the region and beyond”
SUNSHINE COAST HEALTH INSTITUTE 2017 - 2019 TRIENNIAL REPORT, 'THE FIRST THREE YEARS'
ii   SUNSHINE COAST HEALTH INSTITUTE                                                                                                               2017 – 2019 Triennial Report   iii

                                                                                                               CONTENTS

             Sunshine Coast Health Institute acknowledges and pays respect to the Traditional Custodians,      A message from our Chair       04
             the Gubbi Gubbi and Jinibara people, their Elders, past, present and future on whose lands
             and waters we provide health services. Achieving sustainable health gains for Aboriginal and
             Torres Strait Islander people in the Sunshine Coast and Gympie regions is a core responsibility   About us                       05
             and high priority for our health service and is a guiding principle of Making Tracks towards
             closing the gap in health outcomes for Indigenous Queenslanders by 2033.                          Our governance                 07

             Public availability statement                                                                       ‰   Our organisation         09
             An electronic copy of this report is available at https://www.schealthinstitute.com.au/ .           ‰   Our partners             10
             Copies of the annual report are available by emailing SC-SCUH-SCHI-Reception@health.qld.
             gov.au.
                                                                                                               Our performance                12
             Providing feedback
             We continually strive to meet best practice reporting standards and value the views of
                                                                                                                 ‰   Education and training   12
             our readers. We invite you to provide feedback on this report by emailing SC-SCUH-SCHI-             ‰   Research                 16
             Reception@health.qld.gov.au.
                                                                                                                 ‰   Engagement               25
             Interpreter Service Statement
             Sunshine Coast Health Institute is committed to providing accessible services to people from
                                                                                                               Our financials                 29
             all culturally and linguistically diverse backgrounds. If you require assistance to understand
             the annual report, please contact the Sunshine Coast Health Institute on +61 7 5202 4333          Peer reviewed publications     30
             or email SC-SCUH-SCHI-Reception@health.qld.gov.au to arrange an interpreter to effectively
             communicate the report to you.

             Attribution
             Content from this annual report should be attributed as: Sunshine Coast Health Institute
             Annual Report 2017–19.

             © Sunshine Coast Health Institute 2020
SUNSHINE COAST HEALTH INSTITUTE 2017 - 2019 TRIENNIAL REPORT, 'THE FIRST THREE YEARS'
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                As I come to the end of my first year as Chair of the Sunshine Coast Health Institute (SCHI) I
                have great pleasure in writing the foreword to the first triannual report since its beginnings
                in 2017.
             SCHI began as a bold and exciting venture to bring together a collaborative partnership of the
             region’s education and research leaders, namely the University of the Sunshine Coast, TAFE
             Queensland and Griffith University, together with Sunshine Coast Hospital and Health Service,
             to establish an institute for innovation in health education and research aimed at improving
             health and wellbeing outcomes across the Sunshine Coast region. SCHI forms an innovative
             health campus with course offerings in medicine, allied health, nursing and midwifery.
             As the partnership matures and collaboration becomes embedded in SCHI, exciting advances
             in education and research are developing. The educational focus is on the advancement
             of interprofessional education in health with the newly formed Centre for Interprofessional
             Education and Collaborative Practice opening at SCHI in July. Supported by all partners, this
             centre offers a unique opportunity for the development of educational pathways across the
             tertiary sector in all aspects of health. Research at SCHI is in its early phase however five
             areas critical for the wellbeing of the region have been identified. Collaborative research
             programs in these areas have begun. Moreover, a lively research culture is growing through
             SCHI seminars and symposium, encouraged by growing postgraduate participation.
             Continuing efforts are being made to grow the SCHI profile, improve community interaction
             and build its reputation as a vibrant health campus. This is recognised by the SCHI Executive
             and has led to governance changes whereby the newly established engagement committee,
             alongside those of research and education, which feed directly into the SCHI Executive.             ABOUT US
             SCHI has begun an exciting journey, and I trust that you will support and join us to establish a
             vibrant and exciting health institute to deliver improved health outcomes for our region.           Sunshine Coast Health Institute (SCHI) is an education, training and research institute
                                                                                                                 formed as a joint venture collaboration that commenced in January 2017. The collaborative
             In closing, I would like to thank Anton Sanker who was the inaugural Director of SCHI               partnership incorporates Sunshine Coast Hospital and Health Service (the health service),
             until 2019 and all those involved in having the foresight and vision to establish a health          University of the Sunshine Coast (USC), Griffith University (GU) and TAFE Queensland (TAFE)
             institute here on the Sunshine Coast. I would also like to make special mention of Adjunct          working together to achieve our mission to improve health and wellbeing outcomes for the
             Professor Naomi Dwyer, who was Chair from 2018 - 2019, and whose enthusiastic support,              region and beyond.
             farsightedness and determination ensured the establishment of SCHI.
                                                                                                                 Building upon the significant investment of $100 million to create a state-of-the-art facility,
                                                                                                                 SCHI partners undertook a period of focus during 2019 to map out and create a platform
                                                                                                                 for growth in the coming years. The significant expertise brought together in this unique
             Vicki Sara AO FAA FTSE                                                                              partnership, in which working together in unison creates a real opportunity to influence and
             Emeritus Chancellor and Professor                                                                   innovate in the delivery of solutions that address health service, consumer and community
                                                                                                                 needs.
                                                                                                                 The SCHI Strategic Plan 2018-2023 will guide Sunshine Coast Health Institute in its
                                                                                                                 development over the next five years.
SUNSHINE COAST HEALTH INSTITUTE 2017 - 2019 TRIENNIAL REPORT, 'THE FIRST THREE YEARS'
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                                                                                                                OUR GOVERNANCE

             OUR MISSION                                                                                        Central to the governance model of SCHI is the Joint Venture Agreement, which was entered
             SCHI will improve health and wellbeing outcomes for the region and beyond.                         into by the four foundation partners.
                                                                                                                The SCHI Executive is responsible for the overall governance, management, strategic
             OUR VISION
                                                                                                                priorities, directions, and objectives of SCHI, the Joint Venture Agreement, and the
             SCHI will be an institute for innovation that leads research-informed health care, education and   relationship between the foundation members and is chaired by an external appointee. The
             training that delivers solutions to address health service, consumer and community needs.          SCHI Executive receives strategic advice from three groups representing the key focus areas
                                                                                                                of SCHI:

                                                                                                                   ‰ SCHI Education Advisory Group
                                                                                                                   ‰ SCHI Research Advisory Group
                                                                                                                   ‰ SCHI Engagement Advisory Group

                                                                                                                The advisory groups are each Chaired by a SCHI partner representative who also has a seat
                                                                                                                at the SCHI Executive.
                                                                                                                The work of the SCHI Executive and advisory groups is supported by the SCHI Operations
                                                                                                                Committee, which is responsible for making all decisions concerning the day-to-day
                                                                                                                operations and administration of SCHI.

             STRATEGIC GOALS
                 1. Innovation and excellence in professional, interprofessional and inter-sectoral
                    education, training and workforce development.
                 2. Excellence in health and educational research that addresses the challenges and
                    opportunities of the region and beyond.
                 3. Provide leadership in innovative models of evidence-based health care and
                    population health.
                 4. Invest in authentic stakeholder engagement.
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                                                                                                                                                          OUR ORGANISATION
             The SCHI committee structure plays an integral role in delivering the SCHI vision.                                                           Sunshine Coast Hospital and Health Service is the appointed Manager of SCHI in accordance
                                                                                                                                                          with the Joint Venture Agreement. The SCHI workforce consists of a specialised team of
             The committees advise and support the direction, operational and strategic aspects of SCHI.
                                                                                                                                                          dedicated staff. These staff report to the SCHI Director with a proportion being jointly funded
             The committees act on behalf of the partners, ensuring transparency of decision making
                                                                                                                                                          by the partners through the Joint Venture Agreement, and work on behalf of the partners to
             and mitigation of risk. At all levels of the committee structure, membership comprises
                                                                                                                                                          operate the SCHI.
             representation from each of the partners in alignment with the Joint Venture Agreement and
             the SCHI philosophy of collaboration.

                 Emeritus Professor     Adj Professor Naomi Dwyer      Professor Sheena Reilly       Professor Tim Wess             Ana Rodger
                     Vicki Sara            Health Service Chief      Pro-Vice Chancellor (Health)   Deputy Vice-Chancellor        General Manager
                SCHI Executive Chair             Executive                Griffith University            (Academic)          TAFE Queensland East Coast
                                       Sunshine Coast Hospital and                                           USC                      Region
                                              Health Service
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             OUR PARTNERS

             SUNSHINE COAST HOSPITAL AND HEALTH SERVICE                                                         TAFE QUEENSLAND
             The health service is the major provider of public health services, health education and           TAFE Queensland has been delivering quality training to Queensland communities for more
             research in the Sunshine Coast, Gympie and Noosa local government areas. The health                than 137 years and provides practical, industry-relevant courses that produce confident, job-
             service provides care for the community through its five hospitals, a residential aged care        ready graduates. Since the inception of the Sunshine Coast Health Institute (SCHI) in 2017,
             facility and several community health facilities including:                                        TAFE Queensland has been able to prepare its local health students for a smooth transition
                                                                                                                to the workforce, by training them in specialised learning spaces, using state-of-the-art
                 ‰ Sunshine Coast University Hospital                                                           equipment.
                 ‰ Nambour General Hospital                                                                     As one of the four organisations that form the Sunshine Coast Health Institute (SCHI)
                 ‰ Caloundra Health Service                                                                     partnership, TAFE Queensland has been instrumental in the development of the institute.
                                                                                                                Since the launch of SCHI in January 2017, TAFE Queensland has delivered training to over
                 ‰ Gympie Hospital                                                                              2780 students at the institute, with nearly 1600 students having graduated so far. The TAFE
                 ‰ Maleny Soldiers Memorial Hospital                                                            Queensland qualifications available at the institute include:
                 ‰ Glenbrook Residential Aged Care Facility                                                        ‰ Diploma of Nursing
                 ‰ Janelle Killick Community Care Unit                                                             ‰ Certificate IV in Allied Health Assistance
                 ‰ Maroochydore Community Hub.                                                                     ‰ Certificate III in Health Administration
             Collaboration between the SCHHS and SCHI enables provision of training for the next                   ‰ Certificate III in Individual Support (Ageing Home and Community)
             generation of staff, fosters innovation and maintains a culture of ongoing clinical audit,            ‰ Certificate III in Health Services Assistance
             redesign and clinical practice improvement to support excellence in the delivery of care.
                                                                                                                   ‰ Certificate II in Health Support Services.
             SCHI provides first class tertiary teaching and research facilities for SCHHS clinical staff
             including state-of-the-art simulation facilities and multi-purpose teaching areas. Teaching and    GRIFFITH
             research are integral to the SCHHS’ ability to build capacity to implement and support new
                                                                                                                The Griffith University School of Medicine Sunshine Coast (GUSOMSC) commenced
             models of care and service delivery, which will result in improved outcomes for the SCHHS
                                                                                                                operations in mid-2018, in preparation for its first intake of students in 2019. Primarily
             community.
                                                                                                                based at Sunshine Coast Health Institute (SCHI), co-located with Sunshine Coast University
                                                                                                                Hospital (SCUH), the Sunshine Coast MD Program provides an exciting opportunity for Griffith
                                                                                                                University medical students. Studying towards their MD qualification in a state-of-the-art
             USC
                                                                                                                facility with experienced, highly regarded teachers, in a small cohort affords students a
             USC (University of the Sunshine Coast) was founded by its community in 1996 and today has          more personalised learning experience, with high quality academic and pastoral support.
             almost 18,000 students enrolled in more than 120 higher education programs. USC provides           Clinical staff within the Sunshine Coast Hospital and Health Service contribute greatly to the
             hands-on learning and practical skills needed by the people of our diverse regions from            development of these doctors of the future.
             Moreton Bay to the Fraser Coast: nurses, teachers, mental health and medical professionals,
             environmentalists, scientists, engineers, lawyers, problem solvers, creators and creative          In the short time since its inception, the Griffith University School of Medicine Sunshine Coast
             thinkers, high-performance athletes, entrepreneurs and the leaders of tomorrow who improve         (GUSOMSC) team, led by Associate Professors Jen Williams and Ted Weaver and Ms Sam
             the lives of people at home and abroad.                                                            Miles, has grown to 18 academic and professional staff.

             The majority of USC’s course enrolments at SCHI comprise nursing and allied health students,       During 2019, the staff within School of Medicine supervised both University of Qld (UQ) 4th
             which rose from 1073 in 2017 to 1665 in 2019 (up 55 per cent). Nursing and Midwifery               year MD students and GU 4th year students. At the end of 2019, students from UQ farewelled
             together comprise about 85 per cent of USC’s course enrolments at the Institute, with              SCUH and SCHI as teaching and learning sites, allowing the SOM to focus on GU students
             Nutrition and Dietetics and Occupational Therapy making up most of the remainder.                  only. In 2019, fifteen GU MD program students from the Sunshine Coast graduated, with five
                                                                                                                currently working as interns in the SCHHS.
             As well as attending classes at SCHI, USC students have gained hands-on clinical education
             in state-of-the-art simulation suites, including exact replicas of the Sunshine Coast University
             Hospital’s operating suite, intensive care room, birthing suite and emergency resuscitation
             bay. This experience has provided an ideal platform for undertaking clinical placements,
             especially at the adjacent hospital, and developing skills for future employment.
             As a foundation partner of the Sunshine Coast Health Institute (SCHI), USC achieved some
             impressive goals in education, research and collaboration during the Institute’s first three
             years from 2017 to 2019.
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             OUR PERFORMANCE

             EDUCATION AND TRAINING
             Sunshine Coast Health Institute helps bring Ashleigh’s dream
             to life (March 2019)
             TAFE student Ashleigh Nolan started her path to her dream
             career, after a cancer diagnosis within the family gave her the
             inspiration to return to study.
             After witnessing the amazing contribution nurses made to their
             patients during her mother’s cancer treatment Ashleigh enrolled
             in a Diploma of Nursing with TAFE Queensland at the Sunshine
             Coast Health Institute. Completing her Diploma in December
             2018 and was accepted into a Bachelor of nursing with fellow
             Sunshine Coast Health Institute partner, USC.
             Her aim is to work as a registered nurse and eventually work
             in oncology just like the nurses who treated her mother and
             inspired her journey.

            Learning opportunities abound at Griffith University School of Medicine on the Sunshine Coast
            (December 2018)
            A wealth of new student learning opportunities were on the agenda as the new Griffith University
            School of Medicine at the Sunshine Coast prepared to open its doors. Griffith was set to take on its
            first intake of students in 2019 where they would undertake the Doctor of Medicine program in SCHI’s
            state-of-the-art facilities and one of the fastest growing regions in the country. This partnership has
                                                                                allowed local high school students
                                                                                to have the opportunity to complete
                                                                                their medical studies in their region
                                                                                and subsequently practice locally
                                                                                in the community. A pathway for
                                                                                local high school students is the
                                                                                opportunity to study the Bachelor
                                                                                of Medical Science at USC in order
                                                                                to gain provisional entry into the
                                                                                Doctor of Medicine.
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             The SCHI partnership brings together four organisations that          Future directions for GU SOM include further participation in SCHI
             provide workforce training and education to most health               partners’ interprofessional education and training opportunities,
             professionals who operate a tertiary teaching hospital. One of the    and further development and testing of various educational
             goals is to align teaching and training activities to provide high-   innovations.
             quality interprofessional learning experiences, which ultimately
                                                                                   These are in areas such as
             improve clinical practice, care, and patient outcomes. Since 2017,
             the number of courses offered at SCHI has steadily increased, with       ‰ Expanded use of simulation in teaching and development
             12 courses now offered on campus.                                          of basic clinical competencies
             SCHI’s dedicated and integrated research and learning spaces             ‰ Extension of involvement of junior medical staff from SCUH
             provide opportunities for health professionals to participate              in near peer teaching
             in teaching, research, and clinical practice in one convenient           ‰ Trialling of longitudinal portfolio based clinical
             location. SCHI’s academic and professional staff work together             assessments.
             to provide innovative education that expertly matches well-
             established learning theory with innovation, passion, and a wide      In the next 2 years the GU SOM intends to
             variety of simulation tools to enhance clinical preparedness.            ‰ Extend further student exposure at Nambour General
             Additionally, SCHI has been integral in helping the health service         Hospital as it is progressively re-developed
             grow and develop its future leaders by providing education that is
             accessible and responsive to the needs of students and clinicians,       ‰ Design and introduce a longitudinal rural medical training
             the health system and the needs of the region.                             scheme based at Gympie General Hospital
             In 2019, Griffith University School of Medicine (GUSOM) welcomed         ‰ Embed research training and participation for selected
             its inaugural group of Year 1 MD students. From 2020, based                students
             in SCUH/SCHI, the GUSOMSC will supervise an end to end MD                ‰ Develop a micro-credentialing program to further the
             program with about 50 students in each year group, 1st to 4th              education and professional development of all teachers
             year. Student numbers in the SOM are detailed in Table 1.                  within the GU SOM.
             Table 1
                                                                                   The GU SOM SC has aspirations to be the powerhouse that drives
                                                                                   the teaching and training of doctors who will underpin the medical
                             YEAR 1    YEAR 2      YEAR 3     YEAR 4               workforce of the Sunshine Coast Hospital and Health Service in the
                                                                                   years ahead.
                2019         48        0           32         15 GU/35 UQ          Interprofessional Education and Interprofessional Collaborative
                                                                                   Practice
                2020         46        48          43         49                   The SCHI partnership provides a unique opportunity for
                                                                                   interprofessional education and interprofessional collaborative
                                                                                   practice across the four partner organisations and a unified SCHI
             The majority of students studying at SCHI in 2019 returned in 2020    Model of interprofessional education and a SCHI Interprofessional
             for further study, and feedback from them about their teaching and    Practice Capability Framework been developed.
             learning experience was overwhelmingly positive. All students in
             2019 studying at the GU SOM SC passed their assessments, which
             was a pleasing result, and testimony to the quality of the teaching
             and the ability of the students’ Clinical placements in 2021 were
             over-subscribed, indicating the popularity of the School.
             GUSOMSC is also working in close partnership with the University
             of the Sunshine Coast. USC staff teach into the pre-clinical phase
             of the GU MD program, and conversely GU MD staff contribute to
             USC courses. A direct entry pathway to the GU MD program via the
             USC Bachelor of Medical Science was established in 2019 for high-
             achieving high school graduates, with 22 students in the initial
             intake. The first intake of direct entry graduate students from the
             USC course will commence the GU MD program in 2021.
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             INTERPROFESSIONAL EDUCATION AND INTERPROFESSIONAL COLLABORATIVE PRACTICE                        Research Symposium (November 2018)
                                                                                                             Researchers of the Sunshine Coast Hospital
                                                                                                             and Health Service and the partners of the
                                                                                                             Sunshine Coast Health Institute showcased
                                                                                                             their work at the annual SCHHS Research
                                                                                                             Symposium. Professor Fiona Bogossian
                                                                                                             (USC) chaired the Program and Organising
                                                                                                             Committees and the symposium which
                                                                                                             included presentations from SCHI partners
                                                                                                             and students.
                                                                                                             The event is central in developing
                                                                                                             healthcare in our region through research
                                                                                                             and innovation and is a way of supporting staff in advancing healthcare. Research drives
                                                                                                             innovation and excellence in health care, attracts a high-quality workforce, and improves
                                                                                                             health outcomes for the community. It fosters inter-disciplinary essential for meeting the future
                                                                                                             needs of the population. The symposium’s themes of collaboration, translation and innovation
                                                                                                             will allow the health service and SCHI partners showcase the impact of their research.

                                                                                                                                                              The collaborative partnership brings together
                                                                                                                                                              works together to achieve the SCHI mission
                                                                                                                                                              to improve health and wellbeing outcomes
                                                                                                                                                              for the region and beyond.
             The SCHI partnership provides a unique opportunity for interprofessional education and
             interprofessional collaborative practice across the four partner organisations and a unified                                                     The SCHI facility has an active and successful
             SCHI Model of interprofessional education and a SCHI Interprofessional Practice Capability                                                       research culture. Evidence of this is the
             Framework been developed.                                                                                                                        157 peer-reviewed publications from SCHI
                                                                                                                                                              partners, see pages 30 42.

             RESEARCH
             Boost for USC in search for epilepsy
             treatment (December 2018)
             SCHI based USC researcher Professor
             Robert Harvey and his team secured
             a $600,000 boost to investigate new
             treatments for severe seizures that affect
             children. The Epilepsy research project
             received three-years grant funding from
             the National Health and Medical Research
             Council (NHMRC). The drug memantine,
             originally developed for Alzheimer’s
             disease, is a key focus of research based
             out of the Sunshine Coast Health Institute.
             This was a milestone for the growing University showing just how far their health and medical
             research expertise has grown in just 20 years.
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             CLUSTERS OF RESEARCH EXCELLENCE
             SCHI researchers have aligned into five clusters of research excellence aligning with our                 communities) of complex diseases such as cystic fibrosis, chronic obstructive
             community need. These are outlined below:                                                                 pulmonary disease, lung cancer, diabetic foot ulcers, spontaneous bacterial
                                                                                                                       peritonitis in cirrhosis, and COVID-19.
             PRACTICE EDUCATION IN HEALTH
                                                                                                                   4. Optimise pharmacodynamics for combatting AMR infections to improve treatment
             Lead: Professor Fiona Bogossian
                                                                                                                      regimens and antimicrobial efficacy, thereby improving patient outcomes and
             This research theme recognises that quality education for clinical practice roles is the                 reducing current and future AMR burden.
             foundation for the provision of optimal health care for patients/clients/families and
             communities. Practice education in health research can shape health systems and is
             advanced by enquiry three subthemes:                                                              HEALTHY AGEING; PRIMARY AND SECONDARY PREVENTION
                                                                                                               Lead: Associate Professor Chris Askew, SCUH Principal Research Fellow
                 ‰ Interprofessional Education and Collaborative Practice
                                                                                                               Healthy Ageing is the process of developing and maintaining the functional ability that
                 ‰ Workforce and Career Development Pathways
                                                                                                               enables well-being in older age (World Health Organisation, 2015). The vision of the SCHI
                 ‰ Education Technology                                                                        Healthy Ageing Research Cluster is to enhance function and well-being through innovative
                                                                                                               research that leads to better detection, prevention, and management of chronic and age-
             Interprofessional Education and Collaborative Practice                                            related conditions.
             The focus of activity in this subtheme is to provide evidence for the effectiveness of            Through our SCHI partners and national and international collaborators, the Healthy Ageing
             interprofessional education (when two or more professions learn with, from and about each         Research Cluster brings together clinicians, health-practitioners, health-researchers, and
             other) in facilitating and maintaining an effective collaborative practice in order to enable     research-students from a wide range of health and scientific disciplines.
             optimal health outcomes.
                                                                                                               We place a strong emphasis on multidisciplinary approaches that are solutions-focused
             Workforce and career development pathways                                                         and that advance all aspects of human function, namely biological function (including
             The focus of activity in this subtheme is to identify and develop career pathways for health      organ function), physical function, cognitive function, and social function. This emphasis on
             professionals (including all clinical and non-clinical health workforce) across the career        function is consistent across our key research streams, which are:
             lifespan. It links staff learning and development to other human resources and business
             activities, including strategic planning, workforce planning, and career development.                ‰ Detection and Evaluation

             Educational technology                                                                               ‰ Prevention and Care

             The focus of activity in this subtheme is to strengthen the evidence, visibility, and impact of      ‰ Treatment and Translation
             education technology, facilitate learning and improve performance by creating, using, and
                                                                                                               Our research is engaged with and informed by the needs of patients, consumers, and
             managing appropriate technological processes and resources. It encompasses research
                                                                                                               community groups. We support a wide range of experimental and clinical research studies
             relating to simulation modalities and technology-enabled learning.
                                                                                                               that include people of all ages, particularly those with or at risk of chronic conditions. We
                                                                                                               actively partner with the health and aged-care sectors to ensure that all of our work supports
                                                                                                               the translation and implementation of new knowledge into practice.
             INFECTIOUS DISEASES AND ANTIMICROBIAL RESISTANCE
             Lead: Associate Professor Erin Price, USC Senior Research Fellow (until June 2020)
             The Infectious Diseases and Antimicrobial Resistance (ID&AMR) cluster at SCHI is focused on       MATERNAL AND CHILD HEALTH
             biomedical research into all aspects of human infectious diseases. The cluster has several        Lead: Professor Jeanine Young AM, USC USC (until June 2020) Associate Professor Lauren
             broad themes that represent our research strengths:                                               Kearney, USC and Dr Rachel Nugent, SCHHS (from June 2020)

                 1. Better understand the presence, origin, and transmission of infectious diseases            In 2020, maternal and child health research within SCHHS is focused on two key areas:
                    and their antimicrobial resistance (AMR) potential in the community- and                   optimal peri-partum care and the first 1000 days. Our primary aim is to improve health
                    hospital-acquired infections using cutting-edge approaches such as genomics,               outcomes for newborn infants, young children, and their families. Our translation objectives
                    transcriptomics, and novel real-time PCR diagnostics.                                      are 1) the promotion of healthy pregnancy and normal birth and 2) early identification of
                                                                                                               infants, children, and families with identifiable risk factors who receive timely, effective care
                 2. Enhance antimicrobial stewardship measures to enable more informed antimicrobial           to facilitate optimal outcomes. Current research activity is centred around five themes:
                    use both in our hospitals and the community, with a view to reducing the overuse/
                    inappropriate use of antimicrobials to mitigate a return to the post-antibiotic era.
                 3. Characterise chronic infectious diseases using metagenomic and metatranscriptomic
                    techniques to unveil the ‘microbiomes’ (i.e. bacterial, fungal, viral, and archaeal
20   SUNSHINE COAST HEALTH INSTITUTE                                                                                                                                                                                                              2017 – 2019 Triennial Report   21

                                                                                                                COMPETITIVE GRANTS
             Maternity:
                                                                                                                    Title            Principle investigator                                 Organisation        Research Grants*
                 ‰ Promoting and facilitating normal birth including respectful maternity care and
                   reducing maternal-infant separation
                                                                                                                   A/Prof           Fraser                 Russell                         USC                  CRC Honey Bees 1/1/17 to 13/12/21- $202,000. CRC for
                 ‰ Optimising outcomes for women with complex pregnancies/birth                                                                                                                                 Honey Bee Products - Anti-inflammatory and Anti-oxidant.

                 ‰ Collaborative models of maternity care                                                                                                                                                       National Health and Medical Research Council - Centre of
                                                                                                                                                                                                                Research Excellence 10/9/19 to 31/1/20 - $69,644. Cell
                                                                                                                                                                                                                culture model of endothelial glycocalyx shedding.

             Child Health:
                                                                                                                   Dr               Mia                    Schaumberg                      USC                  National Health and Medical Research Council Boosting
                 ‰ Safe Infant Sleeping and strategies to reduce the risk associated with Sudden                                                                                                                Dementia Research Grants 1/8/20 to 30/11/24 - $465,651.
                   Unexpected Death in Infancy                                                                                                                                                                  Taking a whole of day approach to optimising activity to
                                                                                                                                                                                                                prevent dementia in people with type 2 diabetes.
                 ‰ Multiagency approaches to infant death investigation and family support
                                                                                                                   Dr               Ingrid                 Rosbergen                       SCHHS                Health Practitioner Research 2019 - $155,080. The efficacy
                                                                                                                                                                                                                of telerehabilitation compared with centre-based community
                                                                                                                                                                                                                rehabilitation on time spent physically active in people with
             OPTIMISING HEALTH SERVICE DELIVERY AND MANAGEMENT                                                                                                                                                  stroke: a pilot randomized controlled trial. 01/07/2019 to
                                                                                                                                                                                                                30/06/2022.
                                                                                                                                                                                                                SERTF grant 2018-07 $19,990.40. Telerehabilitation
             Lead: Associate Professor Jo Wu, A/Professor in Nursing, USC                                                                                                                                       for home-based stroke survivors: a co-design study.
             The vision of this research cluster is to improve the health communities (local, state/national,                                                                                                   04/03/2020 to 31/12/2021.
             global levels) through collaborative research to inform the optimisation of efficient health                                                                                                       SERTF grant 2019-18. $19,538.10. The efficacy of home-
             services. This is done by:                                                                                                                                                                         based telerehabilitation compared with centre-based
                                                                                                                                                                                                                community rehabilitation on time spent physically active
                                                                                                                                                                                                                in people with stroke: a pilot randomised controlled trial.
                 ‰ Review current key research activities, including staff capacities                                                                                                                           04/09/2020 to 31/12/2021.
                 ‰ Build research collaboration capacity
                 ‰ Enable and enhance research quality                                                             Prof             Tony                   Stanton                         SCHHS, GU            SERTF grant 2017-18-088. Synbiotics: Easing renal failure
                                                                                                                                                                                                                by improving gut microbiology II (SYNERGY II). $40,000.00.
             Improvements:                                                                                                                                                                                      08/05/2017 to 31/12/2020.
                 ‰ Consumers/patients: advancing quality of care by engaging with consumers and                                                                                                                 SERTF grant 2019-08. $47,900.00. Coronary Artery
                   experienced researchers to improve healthcare delivery                                                                                                                                       calcium score: Use to Guide management of Hereditary
                                                                                                                                                                                                                Coronary Artery Disease – (CAUGHT-CAD). 03/09/2019 to
                                                                                                                                                                                                                31/12/2021.
                 ‰ Staff: developing translational and collaborative health service research by
                   empowering, valuing and mentoring clinicians in undertaking research projects of
                   their interested areas
                 ‰ Leadership and management: supporting the improvements of collaborative research
                   in organisational level

             There are four key areas of collaborations identified:

                 ‰ End of life (EoL) shared decision making
                 ‰ State-wide evaluation GEDI program                                                           *Funding organisation, year of application, ammount awarded, project title and project dates.

                 ‰ Drives to build/support a productive collaborative health research culture
                 ‰ Incorporating Telehealth to support healthcare deliveries
22   SUNSHINE COAST HEALTH INSTITUTE                                                                                                                                                                                                                                                                     2017 – 2019 Triennial Report   23

         Title            Principle investigator                                 Organisation        Research Grants*                                                    Title            Principle investigator                                 Organisation        Research Grants*

        A/Prof           Rathika                Krishnasamy                     SCHHS                SERTF grant 2018-06. $15,220.00. Patient-centred                   Dr               Jessica                Hambly                          SCHHS                SERTF grant 2019-02. $20,000.00. Therapeutic Drug
                                                                                                     approaches to improving physical function in kidney disease.                                                                                                    Monitoring of 24-hour beta-lactam antimicrobial infusions in
                                                                                                     Study yet to commence. End date 31/07/2021.                                                                                                                     elastomeric pump devices. Study yet to commence. End date
                                                                                                                                                                                                                                                                     31/12/2021.
                                                                                                     QH Clinical Research Fellowship 2019. $300,000.00.
                                                                                                     Development and Implementation of Innovative Pragmatic
                                                                                                     Trials to Improve Patient-centred Outcomes in Dialysis.
                                                                                                     17/10/2019 to 17/10/2023.                                          Dr               Timothy                Baird                           SCHHS                SERTF grant 2019-24. $20,000.00. Using metagenomics to
                                                                                                                                                                                                                                                                     improve diagnosis of chronic obstructive pulmonary disease
                                                                                                                                                                                                                                                                     (COPD) pulmonary infections. 09/01/2020 to 31/12/2021.
        A/Prof           Jennifer               Broom                           SCHHS                SERTF grant 2017-18-009. $50,000.00. Navigating an
                                                                                                     Uncertain Antimicrobial Future: A Sociological Study.
                                                                                                     18/09/2019 to 23/10/2020.                                          Prof             Rob                    Harvey                          USC                   National Health and Medical Research Council - Project
                                                                                                     SERTF grant 2018-01. $50,000.00. Recognising Vulnerability                                                                                                      Grant 1/1/19 to 31/12/21 - $592,755. Investigating NMDA
                                                                                                     in Addressing Antimicrobial Resistance: A Sociological                                                                                                          receptor-mediated pathological mechanisms underlying
                                                                                                     Approach. Study yet to commence. End date 31/12/2022.                                                                                                           epilepsy

                                                                                                     Advance Qld Fellowship 2017. $300,000.00. Novel
                                                                                                     antimicrobial stewardship innovations to preserve antibiotics
                                                                                                     for the future. 03/07/2017 to 03/04/2021.
                                                                                                                                                                        Dr               Lauren                 Kearney                         USC                  Sunshine Coast Hospital and Health Service 12/3/19 to
                                                                                                                                                                                                                                                                     31/12/20 - $39,951. Strength with Immersion Model (SwIM)
        Dr               Erin                   Price                           USC                  Wishlist-Sunshine Coast Hospital and Health Service’s Study,
                                                                                                     Education, Research Trust fund Research Grants 7/1/19 to
                                                                                                     7/4/22 - $300,000. Next-generation diagnostics for chronic
                                                                                                     lung disease infections.
                                                                                                     Pathology Queensland - Study, Education and Research               Dr               Lauren                 Kearney                         USC                  Sunshine Coast Hospital and Health Service 12/3/19 to
                                                                                                     Committee - $8400. Whole genome sequencing to evaluate                                                                                                          31/12/20 - $39,951. Strength with Immersion Model (SwIM)
                                                                                                     within-host diversity of Staphylococcus aureus                                                                                                                  Newly qualified midwives employed within continuity of care
                                                                                                                                                                                                                                                                     models: evaluation of a Queensland state-wide initiative to
                                                                                                                                                                                                                                                                     strengthen professional capacity and support organisational
        Dr               Shradha                Subedi                          SCHHS                Pathology Qld (year unknown). $9.800.00. Whole                                                                                                                  change.
                                                                                                     genome sequencing to evaluate within-hot diversity of
                                                                                                     Staphylococcus aureus. 20/07/2020 to 20/01/2021.
                                                                                                                                                                        Dr               Clare                  Thomas                          SCHHS, GU            Children’s Hospital Foundation 2020. $98,253.75.
                                                                                                                                                                                                                                                                     Evaluation of a paediatric inter-facility transfer initiative
                                                                                                                                                                                                                                                                     for acutely unwell children in regional Queensland:
                                                                                                                                                                                                                                                                     Standardised Workflow for Inter-Facility Transfer of Kids
        Dr               Derek                  Sarovich                        USC                  QIMR Berghofer Medical Research Institute Other Funding                                                                                                         [SWIFTKids]. 01/09/2020 to 31/12/2021.
                                                                                                     Opportunity, Queensland Waste to Biofutures Fund 30/6/17
                                                                                                     to 30/6/20 - $371,891. More rapid and cost-effective                                                                                                            Wishlist grant 2019-29. $19,723.89. Paediatric education
                                                                                                     diagnosis of antibiotic-resistant infections.                                                                                                                   and assessment for non-urgent transfers (PEANUT):
                                                                                                                                                                                                                                                                     Evaluation of the PEANUT project. 23/07/2020 to
                                                                                                     Wishlist 7/12/18 to 31/12/18 - $10,000. Local hospital                                                                                                          31/12/2021.
                                                                                                     epidemiology and molecular characteristics of ESBL-
                                                                                                     producing Enterobacteria ceae and other multi-resistant
                                                                                                     Gram negative organisms
                                                                                                                                                                        Prof             Jeanine                Young                           USC                  Sunshine Coast Hospital and Health Service 8/4/19 to
                                                                                                                                                                                                                                                                     18/12/21. “Child Health Nurses’ Perceptions of Family
                                                                                                                                                                                                                                                                     C.A.R.E.”
                                                                                                                                                                                                                                                                     Calvary Hospital Maternity Special Purposes Account
                                                                                                                                                                                                                                                                     23/9/19 to 19/11/20 - $1200. THE Mini ESCCaPE TRIAL:
                                                                                                                                                                                                                                                                     Enabling Safe and Close Care In Postnatal Environments: A
                                                                                                                                                                                                                                                                     Pilot.

     *Funding organisation, year of application, ammount awarded, project title and project dates.                                                                   *Funding organisation, year of application, ammount awarded, project title and project dates.
24   SUNSHINE COAST HEALTH INSTITUTE                                                                                                                                                                                                       2017 – 2019 Triennial Report   25

                                                                                                                                                                    ENGAGEMENT

                                                                                                                                                                    Strong engagement is key to the success of
         Title            Principle investigator                                 Organisation        Research grants*                                               SCHI. As a collaborative partnership SCHI’s
                                                                                                                                                                    goal is to develop and maintain professional
                                                                                                                                                                    partnerships, alliances and effective networks,
        Dr               Alison                 Craswell                        USC                  The George Institute for Global Health - Other Funding
                                                                                                     Opportunities 1/9/17 to 30/5/20 - $39.691. Reducing            while actively supporting and participating in
                                                                                                     the burden of catheter complications: a national approach      consultation with relevant stakeholders. This
                                                                                                     (REDUCCTION) ¿ Process Evaluation                              work is overseen by the SCHI Engagement
                                                                                                                                                                    Advisory Group which reports to the SCHI
                                                                                                                                                                    Executive Committee.
        A/Prof           Nicholas               Gray                            SCHHS                Wishlist grant 2019-16. $50,000.00. Recognising
                                                                                                     Vulnerability in Addressing Antimicrobial Resistance: A        All SCHI partners are represented on this
                                                                                                     Sociological Approach. Study yet to commence. End date         group and over the past three years, there
                                                                                                     31/12/2022.                                                    have been many successful collaborations and
                                                                                                                                                                    engagement opportunities including 25 site
        Prof             Kim                    Greaves                         SCHHS, GU            Prof Greaves is an investigator on a 2019 NHMRC grant          tours, research events, high school career’s
                                                                                                     led by the University of Sydney. No funds will be awarded      days and educational seminars. The following
                                                                                                     to SCHHS. Improving Communication about Heart disease          vignettes provide an overview of activities:
                                                                                                     risk Assessment using Translational research strategies in
                                                                                                     General Practice (CHAT-GP). 01/10/2019 tp 30/09/2023.
                                                                                                     SERTF grant 2018-11. $45,695.15. The Leg Scan
                                                                                                     Study: Calf muscle as a potential marker of myocardial
                                                                                                     microvascular funtion in cardiac patients with and without
                                                                                                     diabetes26/06/2019 to 30/06/2021.

                                                                                                                                                                    ‰ Sunshine Coast Hospital and Health Service Research Day (November 2017)
        Dr               Melissa                Nataatmadja                     SCHHS                QH Clinical Research Fellowship 2020. $150,000.00.
                                                                                                     Predicting and facilitating success on home dialysis,
                                                                                                     through understanding of burden, quality of life and patient   Sunshine Coast Hospital and Health Service
                                                                                                     outcomes. 2/09/2020 to 21/12/2023.                             Researchers showcased their work at the
                                                                                                                                                                    annual Research Day. This event was central
                                                                                                                                                                    to developing healthcare in our region
        Dr               Derek                  Sarovich                        USC                  QIMR Berghofer Medical Research Institute Other Funding        through research and innovation and a way
                                                                                                     Opportunity, Queensland Waste to Biofutures Fund 30/6/17       of supporting SCHHS staff in advancing
                                                                                                     to 30/6/20 - $371,891. More rapid and cost-effective           healthcare. The total value of grant funding
                                                                                                     diagnosis of antibiotic-resistant infections.                  awarded for research projects in 2016 from
                                                                                                     Wishlist 7/12/18 to 31/12/18 - $10,000. Local hospital         Strategic Funding Grants, Wishlist research
                                                                                                     epidemiology and molecular characteristics of ESBL-            grants and research higher degree scholarships
                                                                                                     producing Enterobacteria ceae and other multi-resistant
                                                                                                     Gram negative organisms                                        and Study, Education and Research Trust Fund
                                                                                                                                                                    (SERTF) and external grants (including the
                                                                                                                                                                    National Health and Medical Research Council)
                                                                                                                                                                    was $3,330,702.00.

     *Funding organisation, year of application, ammount awarded, project title and project dates.
26   SUNSHINE COAST HEALTH INSTITUTE                                                                                                               2017 – 2019 Triennial Report   27

             ‰ 2018 High School Careers Day (August 2018)            ‰ 2018 TAFE Queensland Graduation (June 2019)

             The Sunshine Coast Health Institute inspired the        TAFE Queensland students undertaking qualifications in nursing, aged care, health services
             next generation of doctors, nurses, surgeons,           assistance and health administration at the Sunshine Coast Health Institute donned caps and
             physiotherapists and health care workers at its         gowns for their graduation as they prepared to enter the thriving local health industry. This
             first High School Careers Day in August 2018.           was an exciting time for TAFE students to take their training into the real world and forge a
             More than 200 students in years 10, 11 and 12           rewarding career helping the community.
             students, with an interest in a career I n health
             care were invited to attend the expo.
                                                                     ‰ Wound Management and Stomal Therapy Seminar (July 2019)
             The expo is targeted at and showcased a ‘Day
             in the life of the health service’ as well as           The SCHHS Wound Management team launch
             highlighting career opportunities available             their first annual forum at SCHI. The Sunshine
             throughout the Sunshine Coast Hospital and              Coast Wound Management and Stomal
             Health Service.                                         Therapy Seminar attracted over 200 health
                                                                     care professionals and students from across
             This event was the first time, Griffith University
                                                                     Australia.
             showcased their new Doctor of Medicine
             Program, which launched in SCHI in 2019.                This program provided up-to-date information
                                                                     and strategies for best practice in acute and
                                                                     chronic wound management and stomal
             ‰ Diabetes in Pregnancy Education Day (November 2018)   therapy. During this event attendees took part
                                                                     in a formal presentation, a series of workshops
             The Sunshine Coast Health Institute hosted              and also engage in industry trade displays.
             the ‘Diabetes in Pregnancy Education Day’ in
             November 2018. Diabetes is the fastest growing
             chronic condition in Australia, increasing
             at a faster rate than other chronic diseases.           ‰ Chronic Pelvic Pain Symposium
             Gestational diabetes, diabetes developed
             during pregnancy, is the fastest growing type           The A symposium on the management of chronic
             of diabetes in Australia, affecting thousands of        pelvic pain in women was organised and facilitated
             pregnant women.                                         by Dr Anders Faber Swensson, a Consultant
                                                                     obstetrician and Gynaecologist based at SCUH.
             This event provided an educational opportunity          The symposium was held in SCHI on 29/2/20.
             for professionals and students involved in the
             care of pregnancy complicated by diabetes.              Chronic pelvic pain in women is emerging as
                                                                     a significant problem, and it requires a multi-
             The day catered for the learning needs of a             professional team involved in the care of these
             variety of professionals and students.                  women to produce optimal results in treatment.

             This collaborative educational approach aims            The invited keynote speaker was Dr Susan Evans,
             to ensure that all health professionals are             based in Adelaide.
             well equipped to work together to achieve
             the best outcomes for mothers and babies in             52 registrants from a variety of disciplines attended
             pregnancies complicated by diabetes.                    the symposium.
28   SUNSHINE COAST HEALTH INSTITUTE                                                                                                                                                             2017 – 2019 Triennial Report   29

                                                                                                                 FINANCIALS

             ‰ 2019 High School Careers Day (August 2019)                                                        Sunshine Coast Health Institute (SCHI) is an Unincorporated Joint Operation with Sunshine
                                                                                                                 Coast Hospital and Health Service (the health service), University of the Sunshine Coast (USC)
             For a second time the Sunshine Coast Health                                                         and TAFE Queensland (TAFE) entering into an agreement as the Foundation Members. The
             Institute welcomed over 200 students to their 2019                                                  Joint Venture Agreement (JVA) commenced on 1 January 2017 with operations beginning on 9
             High School Careers Day. Students were surprised                                                    January 2017.
             to learn about the many directions in which a                                                       Griffith Medical School (Griffith) entered into a Lease Agreement with the health service on
             career in health can lead from management, to                                                       the 1 October 2017 to occupy 23.7 per cent of the Joint Operations area. As part of the Lease
             medical specialists, administration and everything                                                  Agreement, Griffith provided a capital contribution for their share of the SCHI Joint Operations
             in between. Students also learnt about the                                                          Fixed Assets, with 23.7 per cent of the assets allocated to Griffith.
             courses available through our education partners
             right here in the Sunshine Coast. Students were                                                     Each partner has equal rights and obligations to the assets, liabilities, revenues and
             able to engage with representatives from the                                                        expenses of the joint operations areas of SCHI. Each partner contributes to the running costs
             Sunshine Coast Hospital and Health Service and                                                      of SCHI at a set percentage, based on the relative space and resource utilisation of each
             our education partners, as well as participate                                                      partner under the agreement.
             in workshops presented by the Queensland                                                            The space allocation costs for areas used jointly by the partners up to 30 September 2017 as
             Ambulance Service and the SCHI simulation team.                                                     agreed in the JVA was:
             The event was a huge success with both students
             and teachers gaining much from the day.                                                                ‰ Health service – 52.6 per cent
                                                                                                                    ‰ TAFE – 23.7 per cent
                                                                                                                    ‰ USC – 23.7 per cent.
             ‰ Annual Research Day (November 2019)
                                                                                                                 The space allocation from 1 October 2017 as agreed in the JVA was:
             The SCHI hosted the Sunshine Coast Hospital
             and Health Service (SCHHS) Annual Research                                                             ‰ Health service – 28.9 per cent
             Day which showcased the diverse and high                                                               ‰ TAFE – 23.7 per cent
             impact research occurring across the health
             service. The day highlighted the increasing level                                                      ‰ USC – 23.7 per cent
             of research activity, its high quality, diversity                                                      ‰ GRIFFITH – 23.7 per cent.
             of topics, translational impact and the great
             collaboration that underpins these activities.                                                      In addition to the joint facilities, each partner occupies and uses resources and campus
             As a university health service, the goal is to                                                      infrastructure specific to their needs. These are the ‘dedicated’ areas and the partners are
             nurture researchers, and it was great to see                                                        responsible for their direct costs associated with those areas. Each partner is invoiced
             both emerging researchers and experienced                                                           monthly on a cost recovery basis for all joint operation and dedicated area expenses. Costs
             researchers well represented on the program.                                                        are offset by any revenues earned from activities that use the joint areas.
             There was also a great panel session about
             Reaching for the SCHI, a discussion around the                                                      Annual financial reports are prepared as Special Purpose Reports, in accordance with the
             critical success factors for the institute to further                                               requirements of the agreement and in compliance with relevant recognition and measurement
             develop research excellence and capacity.                                                           criteria of Australian Accounting Standards. Annual financial reports are audited by
                                                                                                                 Queensland Audit office and, being classified as special purpose reports, the SCHI partners
                                                                                                                 are the only intended users of the special purpose financial statements.
             ‰ Thrive Eating Disorder Symposium (November 2019)

             Sunshine Coast Hospital and Health Service (SCHHS) Eating Disorders Service was proud to
             host the 2019 Thrive Eating Disorder Symposium.

             The Thrive Eating Disorder Symposium provides the opportunity for health professionals
             across Australia to hear from leading experts on eating disorders, people with a lived
             experience and their carers. Events such as these are key to shining the light on those affected,
             including families and carers.

             Their input is critical to informing robust and considered care and treatment options in the
             future with the consumers at the heart. Symposiums such as this help to normalise eating
             disorders and reduce the stigma, as well as connect suffers with professional help available.
30   SUNSHINE COAST HEALTH INSTITUTE                                                                                                                                                                      2017 – 2019 Triennial Report   31

            PEER REVIEWED PUBLICATIONS BY SCHI MEMBERS
             Abraham, L. J., Thom, O., Greenslade, J. H., Wallis, M., Johnston, A. N., Carlström, E., . . . Crilly,   Broom, A., Kirby, E., Gibson, A. F., Post, J. J., & Broom, J. (2017). Myth, Manners, and Medical
             J. (2018). Morale, stress and coping strategies of staff working in the emergency department:            Ritual: Defensive Medicine and the Fetish of Antibiotics. Qualitative health research, 27(13),
             A comparison of two different-sized departments. Emergency medicine Australasia : EMA,                   1994-2005. doi:10.1177/1049732317721478
             30(3), 375-381. doi:10.1111/1742-6723.12895
                                                                                                                      Broom, J., & Broom, A. (2018). Fear and hierarchy: critical influences on antibiotic decision-
             Adie, J., Graham, W., & Wallis, M. (2017). Entry points to the health system: A review of the            making in the operating theatre. The Journal of hospital infection, 99(2), 124-126.
             emerging community models for management of non-life threatening urgent conditions                       doi:10.1016/j.jhin.2017.12.007
             relevant to Australia. Asia Pacific Journal of Health Management, 12(2), 9-16.
                                                                                                                      Broom, J., & Broom, A. (2018). Guideline relevance, diagnostic uncertainty, fear and
             Alexander, C. R., & Bogossian, F. (2018). Midwives and clinical investigation: A review of the           hierarchy: Intersecting barriers to antibiotic optimization in respiratory infections. Respirology
             literature. Women and birth : journal of the Australian College of Midwives, 31(6), 442-452.             (Carlton, Vic.), 23(8), 733-734. doi:10.1111/resp.13334
             doi:10.1016/j.wombi.2018.02.003
                                                                                                                      Broom, J., Broom, A., Good, P., & Lwin, Z. (2019). Why is optimisation of antimicrobial use
             Askew, C. D., & Green, S. (2019). Confirming V̇o 2max without bias. Journal of applied                   difficult at the end of life? Internal medicine journal, 49(2), 269-271. doi:10.1111/imj.14200
             physiology (Bethesda, Md. : 1985), 126(2), 511. doi:10.1152/japplphysiol.00883.2018
                                                                                                                      Broom, J., Broom, A., & Kirby, E. (2018). Context-sensitive antibiotic optimization: a
             Bailey, T. G., Perissiou, M., Windsor, M., Russell, F., Golledge, J., Green, D. J., & Askew, C.          qualitative interviews study of a remote Australian hospital setting. The Journal of hospital
             D. (2017). Cardiorespiratory fitness modulates the acute flow-mediated dilation response                 infection, 100(3), 265-269. doi:10.1016/j.jhin.2018.06.002
             following high-intensity but not moderate-intensity exercise in elderly men. J Appl Physiol
                                                                                                                      Broom, J., Broom, A., & Kirby, E. (2019). The drivers of antimicrobial use across institutions,
             (1985), 122(5), 1238-1248. doi:10.1152/japplphysiol.00935.2016
                                                                                                                      stakeholders and economic settings: a paradigm shift is required for effective optimization.
             Bailey, T. G., Perissiou, M., Windsor, M. T., Schulze, K., Nam, M., Magee, R., . . . Askew, C. D.        The Journal of antimicrobial chemotherapy, 74(9), 2803-2809. doi:10.1093/jac/dkz233
             (2018). Effects of acute exercise on endothelial function in patients with abdominal aortic
                                                                                                                      Broom, J., Broom, A., Kirby, E., & Post, J. J. (2018). Improvisation versus guideline
             aneurysm. American journal of physiology. Heart and circulatory physiology, 314(1), H19-H30.
                                                                                                                      concordance in surgical antibiotic prophylaxis: a qualitative study. Infection, 46(4), 541-548.
             doi:10.1152/ajpheart.00344.2017
                                                                                                                      doi:10.1007/s15010-018-1156-y
             Bennett, E., Berry, K., Emeto, T. I., Burmeister, O. K., Young, J., & Shields, L. (2017). Attitudes
                                                                                                                      Broom, J., Tee, C. L., Broom, A., Kelly, M. D., Scott, T., & Grieve, D. A. (2019). Addressing social
             to lesbian, gay, bisexual and transgender parents seeking health care for their children in
                                                                                                                      influences reduces antibiotic duration in complicated abdominal infection: a mixed methods
             two early parenting services in Australia. Journal of clinical nursing, 26(7-8), 1021-1030.
                                                                                                                      study. ANZ journal of surgery, 89(1-2), 96-100. doi:10.1111/ans.14414
             doi:10.1111/jocn.13595
                                                                                                                      Broom, J. K., Broom, A. F., Kirby, E. R., & Post, J. J. (2018). How do professional relationships
             Best, K., Bogossian, F., & New, K. (2018). Language Exposure of Preterm Infants in the
                                                                                                                      influence surgical antibiotic prophylaxis decision making? A qualitative study. American
             Neonatal Unit: A Systematic Review. Neonatology, 114(3), 261-276. doi:10.1159/000489600
                                                                                                                      journal of infection control, 46(3), 311-315. doi:10.1016/j.ajic.2017.09.004
             Bogossian, F., Cooper, S., Kelly, M., Levett-Jones, T., McKenna, L., Slark, J., & Seaton, P. (2018).
                                                                                                                      Buzza, G., Lovell, G. P., Askew, C. D., & Solomon, C. (2019). The Effect of Short- and Long-Term
             Best practice in clinical simulation education − are we there yet? A cross-sectional survey
                                                                                                                      Aerobic Training Years on Systemic O2 Utilization, and Muscle and Prefrontal Cortex Tissue
             of simulation in Australian and New Zealand pre-registration nursing education. Collegian,
                                                                                                                      Oxygen Extraction in Young Women. Journal of strength and conditioning research, 33(8),
             25(3), 327-334. doi:10.1016/j.colegn.2017.09.003
                                                                                                                      2128-2137. doi:10.1519/JSC.0000000000002512
             Bogossian, F., & McLelland, G. (2019). Editorial: Peer review deliberations. Women and
                                                                                                                      Byard, R. W., Shipstone, R., Thompson, J. M. D., & Young, J. (2019). How reliable is parental/
             birth : journal of the Australian College of Midwives, 32(4), 289-290. doi:10.1016/j.
                                                                                                                      carer assessment of infant health status? Forensic science, medicine, and pathology, 15(4),
             wombi.2019.04.011
                                                                                                                      629-630. doi:10.1007/s12024-019-00157-8
             Bogossian, F. E., Cant, R. P., Ballard, E. L., Cooper, S. J., Levett-Jones, T. L., McKenna, L. G., .
                                                                                                                      Byard, R. W., Shipstone, R. A., & Young, J. (2019). Continuing major inconsistencies in the
             . . Seaton, P. C. (2019). Locating “gold standard” evidence for simulation as a substitute for
                                                                                                                      classification of unexpected infant deaths. Journal of forensic and legal medicine, 64, 20-22.
             clinical practice in prelicensure health professional education: A systematic review. Journal of
                                                                                                                      doi:10.1016/j.jflm.2019.03.007
             clinical nursing, 28(21-22), 3759-3775. doi:10.1111/jocn.14965
                                                                                                                      Cabilan, C. J., Vallmuur, K., Eley, R., Judge, C., Cochrane, S., Reed, C., . . . Wood, G. (2018).
             Brady, S., Lee, N., Gibbons, K., & Bogossian, F. (2019). Woman-centred care: An integrative
                                                                                                                      Impact of ladder-related falls on the emergency department and recommendations for
             review of the empirical literature. International journal of nursing studies, 94, 107-119.
                                                                                                                      ladder safety. Emergency medicine Australasia : EMA, 30(1), 95-102. doi:10.1111/1742-
             doi:10.1016/j.ijnurstu.2019.01.001
                                                                                                                      6723.12854
             Broom, A., Gibson, A., Kirby, E., Davis, M., & Broom, J. (2018). The private life of medicine:
                                                                                                                      Cant, R., Cooper, S., Sussex, R., & Bogossian, F. (2019). What’s in a Name? Clarifying the
             Accounting for antibiotics in the ‘for-profit’ hospital setting. Social Theory & Health, 16(4),
                                                                                                                      Nomenclature of Virtual Simulation. Clinical Simulation in Nursing, 27, 26-30.
             379-395. doi:10.1057/s41285-018-0063-8
32   SUNSHINE COAST HEALTH INSTITUTE                                                                                                                                                                       2017 – 2019 Triennial Report   33

             Chaboyer, W., Harbeck, E., Bucknall, T., McInnes, E., Thalib, L., Whitty, J., . . . Gillespie, B.        Craswell, A., Coates, K., Taylor, A., Marsden, E., Crilly, J., Glenwright, A., & Wallis, M. (2017).
             (2017). Initial psychometric testing and validation of the patient participation in pressure             Streamlining care of older people in residential aged care: Nurse practitioner candidate
             injury prevention scale. Journal of advanced nursing, 73(9), 2237-2247. doi:10.1111/                     and emergency department care coordination. The Journal for Nurse Practitioners, 13(7),
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