Web Access Research Portal

Researcher: Kinsman, LD (Professor Leigh Kinsman)

Fields of Research

Health services and systems
Health care administration
Primary health care
Acute care
Nephrology and urology
Health and community services
Respiratory diseases
Mental health services
Clinical pharmacy and pharmacy practice
Infectious diseases
Preventative health care
Medicine, nursing and health curriculum and pedagogy
Cardiology (incl. cardiovascular diseases)
Family care
Business systems in context
Clinical pharmacology and therapeutics
Cancer genetics
Community and primary care
Sub-acute care
Health informatics and information systems
Health promotion
Mathematics and numeracy curriculum and pedagogy
Vocational education and training curriculum and pedagogy
Tumour immunology
Neurology and neuromuscular diseases

Research Objectives

Evaluation of health and support services
Clinical health
Health policy evaluation
Health education and promotion
Other health
Health inequalities
Evaluation of health outcomes
Rural and remote area health
Allied health therapies (excl. mental health services)
Behaviour and health
Expanding knowledge in commerce, management, tourism and services
Mental health
Health status (incl. wellbeing)
Health related to ageing
Diagnosis of human diseases and conditions
Teaching and instruction technologies
Social structure and health
Learner and learning
Public health (excl. specific population health)
Mental health services
Preventive medicine

Career Best Publications

Research Publications

'The largest lean transformation in the world': The implementation and evaluation of lean in Saskatchewan healthcare; Healthcare Quarterly
A cluster randomised trial to assess the impact of clinical pathways on AMI management in rural Australian emergency departments; Bmc Health Services Research
A critical care nurse’s guide to intra abdominal hypertension and abdominal compartment syndrome; Australian Critical Care
A systematic review on risk factors and associated outcomes of hospital readmission in COPD; APSA Annual Conference
An economic analysis of a system wide Lean approach: cost estimations for the implementation of Lean in the Saskatchewan healthcare system for 2012-2014; BMC Health Services Research
An integrated and coordinated approach to preventing recurrent coronary heart disease events in Australia; Medical Journal of Australia
An integrative review: adherence barriers to a low-salt diet in culturally diverse heart failure adults; Australian Journal of Advanced Nursing
Are GP supervisors confident they can assess registrar competence and safety, and what methods do they use?; Australian Family Physician
Assessing the impact of streaming in a regional emergency department; Emergency Medicine Australasia (Print)
Association of continuity of care with blood pressure control in patients with chronic kidney disease and hypertension; Australian Journal of General Practice
Chronic kidney disease (CKD) monitoring in Australian General Practice; 53rd Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology (ANZSN)
Chronic kidney disease monitoring in Australian general practice; Australian journal of general practice
Clinical decision-making: Midwifery students' recognition of, and response to, post partum haemorrhage in the simulation environment; Bmc Pregnancy and Childbirth
Clinical pathway compliance and quality improvement; Nursing Standard: promoting excellence in nursing care
Clinical pathways for primary care: effects on professional practice, patient outcomes, and costs (Protocol); Cochrane Database of Systematic Reviews
Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs (Review); Cochrane Database of Systematic Reviews
Clinical supervision using random case analysis in general practice training; Education for Primary Care
Diabetes knowledge levels in medical and surgical nurses; Journal of Diabetes Nursing: The Journal for Professionals Working in The Field of Diabetes Nursing
Do clinical pathways enhance access to evidence-based acute myocardial infarction treatment in rural emergency departments?ajr_1262 59..66; Australian Journal of Rural Health
Effects of clinical pathways for chronic obstructive pulmonary disease (COPD) on patient, professional and systems outcomes: protocol for a systematic review; Systematic Reviews
Emergency department crowding: A systematic review of causes, consequences and solutions; PLoS One
Emergency training boosts confidence; Australian Nursing Journal
Engagement with the Health System: Work Integrated Learning, Teaching and Research; Inglis Clark Symposium: Engaging with Impact
Evaluating the impact of sustainable comprehensive primary health care on rural health; Australian Journal of Rural Health
Evaluation of a clinical pathway for ‘radical laparoscopic prostatectomy’: an interrupted time series study; International Journal of Urological Nursing
Features of effective primary health care models in rural and remote Australia: a case-study analysis; Medical Journal of Australia
Final-year nursing students’ ability to assess, detect and act on clinical cues of deterioration in a simulated environment; Journal of Advanced Nursing
FIRST2 ACT: Educating nurses to identify patient deterioration — A theory-based model for best practice simulation education; Nurse Education Today
Forecasting emergency department presentations; Australian Health Review
Four year trends in emergency department presentations in Tasmania; Emergency Tasmanian Conference 2016
Guideline implementation fails to improve thrombolytic administration; Accident and Emergency Nursing
Have We Drawn the Wrong Conclusions About the Value of Care Pathways? Is a Cochrane Review Appropriate? Response to the Commentary Article Published by Kris Vanhaecht et al; Evaluation and The Health Professions
Hospital length of stay variation and comorbidity of mental illness: a retrospective study of five common chronic medical conditions; BMC Health Services Research
How do small rural primary health care services sustain themselves in a constantly changing health system environment?; Bmc Health Services Research
How far can systematic reviews inform policy development for “wicked” rural health service problems?; Australian Health Review
Identifying patient deterioration: Using simulation and reflective interviewing to examine decision making skills in a rural hospital; International Journal of Nursing Studies
Invasive management and late clinical outcomes in contemporary Australian management of acute coronary syndromes: observations from the ACACIA registry; Medical Journal of Australia
Investigating the referral of patients with non-urgent conditions to a regional Australian emergency department: a study protocol; BMC Health Services Research
Investigating why young people from vulnerable communities are more likely to present to the emergency department with non-urgent conditions; Emergency Nursing and Trauma Care Global Conference
Investing in longitudinal studies of primary healthcare: what can we learn about service performance, sustainability and quality?; Rural and Remote Health
Kanadischer Kraftakt (article in German); F & W - Fuehren und Wirtschaften im Krankenhaus
Leading the rebirth of the rural obstetrician; Medical Journal of Australia
Lean management in health care: definition, concepts, methodology and effects reported (systematic review protocol); Systematic Reviews
Lean management in health care: effects on patient outcomes, professional practice, and healthcare systems; Cochrane Database of Systematic Reviews
Lipid-lowering therapy among CKD patients in Australian general practice; 53rd Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology (ANZSN)
Making a difference: An appreciation of the career of Professor John Humphreysajr_1292 173; Australian Journal of Rural Health
Managing Deteriorating Patients: Registered Nurses’ Performance in a Simulated Setting; Open Nursing Journal
Managing patient deterioration: a protocol for enhancing undergraduate nursing students’ competence through web-based simulation and feedback techniques; BMC Nursing
Managing the deteriorating patient in a simulated environment: nursing students' knowledge, skill and situation awareness; Journal of Clinical Nursing
Managing women with acute physiological deterioration: Student midwives performance in a simulated setting; Women and Birth
Mapping patient flow in a regional Australian emergency department: A model driven approach; International Emergency Nursing
Measures for evidence based improvement in integrated care: Comparative analysis of chronic hospital patients with and without mental illness; 1st Asia Pacific Conference on Integrated Care
Patient deterioration education: Evaluation of face-to-face simulation and e-simulation approaches; Clinical Simulation in Nursing
Patient deterioration simulation experiences: impact on teaching and learning; Collegian
Patient-perceived access to care is a driver of increased emergency department presentations by the elderly; 6th Annual Worldwide Nursing Conference (WNC2018)
Planning for the future: emergency department presentation patterns in Tasmania, Australia; International Emergency Nursing
Predictors of progression of Chronic Kidney Disease (CKD) in Australian General Practice patients; 54th Australian and New Zealand Society of Nephrology (ANZSN) Annual Scientific Meeting
Prevention of cardiovascular disease in rural Australian primary care: an exploratory study of the perspectives of clinicians and high-risk men; Australian journal of primary health
Prolonged ED access block impacts on patient outcomes in a large regional hospital; 9th Health Services and Policy Research Conference, Melbourne, 2015
Public reporting to facilitate integration of physical and mental care for hospital patients; 19th International Conference for Integrated Care
Quality improvement: the divergent views of managers and clinicians; Journal of Nursing Management
Rating medical emergency teamwork performance: Development of the Team Emergency Assessment Measure (TEAM); Resuscitation: An Interdisciplinary Journal for The Dissemination of Clinical and Basic Science Research Relating to Acute Care Medicine and Cardiopulmonary Resuscitation
Research: Patient deterioration - patient safety; Australian Nursing and Midwifery Journal
Right service, right place: optimising utilisation of a community nursing service to reduce planned re-presentations to the emergency department; BMJ Open Quality
Risk factors for all-cause hospital readmission following exacerbation of COPD: a systematic review and meta-analysis; European Respiratory Review
Simulation: can it eliminate failure to rescue?; Nursing Times
Socioeconomic disadvantage as a driver of non-urgent emergency department presentations: A retrospective data analysis; PloS One
Staff perceptions of primary healthcare service change: influences on staff satisfaction; Australian Health Review
Study protocol: Evaluating the impact of a rural Australian primary health care service on rural health; Bmc Health Services Research
The development, implementation and evaluation of clinical pathways for chronic obstructive pulmonary disease (COPD) in Saskatchewan: protocol for an interrupted times series evaluation; BMC Health Services Research
The educational impact of web-based and face-to-face patient deterioration simulation programs: An interventional trial; Nurse Education Today
The Effects of Clinical Pathways on Professional Practice, Patient Outcomes, Length of Stay, and Hospital Costs: Cochrane Systematic Review and Meta-Analysis; Evaluation and The Health Professions
The emergency department and non-urgent presentations: What is northern Tasmania’s experience?; Emergency Tasmania Symposium 2018
The experience of conducting a Cochrane systematic review of the impact of clinical pathways on professional practice, patient outcomes, length of stay and hospital costs; International Journal of Care Pathways
The factors that influence junior doctors’ capacity to recognise, respond and manage patient deterioration in an acute ward setting: An integrative review; Australian Critical Care
The FIRST2 ACT simulation program improves nursing practice in a rural Australian hospital; Australian Journal of Rural Health
The impact of face-to-face and web-based simulation on patient deterioration and patient safety
The impact of face-to-face and web-based simulation on patient deterioration and patient safety
The impact of web-based and face-to-face simulation on patient deterioration and patient safety: protocol for a multi-site multi-method design; BMC Health Services Research
The quality of cardiovascular disease prevention in rural primary care; Australian Journal of Rural Health
The quality of the evidence base for clinical pathway effectiveness: room for improvement in the design of evaluation trials; BMC Medical Research Methodology
The state of our emergency departments: Tasmanian trends and perspectives; 15th International Conference for Emergency Nurses
Urban-rural differences in the care and outcomes of acute stroke patients: Systematic review; Journal of The Neurological Sciences
What is a clinical pathway? Development of a definition to inform the debate; BMC Medicine
What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review; BMC Medicine
What is lean management in health care? development of an operational definition for a Cochrane Systematic Review; Evaluation and the Health Professions
Why are we waiting? Patients’ perspectives for accessing emergency department services with non-urgent complaints; International Emergency Nursing
Why are we waiting? Patients’ perspectives for accessing emergency department services with non-urgent complaints; 2nd Global Conference on Emergency Nursing and Trauma Care
‘Making evidence count’: A framework to monitor the impact of health services research; Australian Journal of Rural Health

Research Projects

Numeracy for Life; Tasmanian Community Fund (TasCF)
Primary care to emergency department: right service, right time, right place; Clifford Craig Foundation (CCFoundation)
REDucing Delays In aneurysmal Subarachnoid Haemorrhage: the REDDISH study; National Health & Medical Research Council (NHMRC)
The impact of face-to-face and web-based simulation on patient deterioration and patient safety; Department of Health and Human Services Victoria (DHHS Vic)
Wound Registry; Wound Management Innovation Cooperative Research Centre (CRCWMI)
Royal Flying Doctor Service Tasmania: Primary Care Consortium
Translating evidence into practice and practice into evidence in northern Tasmania

Research Candidate Supervision