Research at Calvary Public Hospital Bruce
Palliative Care and End of Life Care Research Projects
The Calvary Centre for Palliative Care Research, Canberra is a research initiative of Calvary Public Hospital Bruce, based at Clare Holland House.
The Centre operates to address priorities in: excellence in care, service development & innovation, clinical research and people & culture. Each project also addresses strategic national and local policy objectives.
The Centre’s mission is to make a substantial positive impact on palliative care, improve service delivery and improve patient and carer outcomes by:
- Conducting high quality, multidisciplinary research with a particular focus on the translation of research into practice.
- Building research capacity through training and mentoring palliative care clinicians, research students, career researchers and teaching staff.
- Advising, collaborating and consulting on key issues and challenges relating to palliative care research with the health industry, clinicians, government, patient/carer groups and other key stakeholders.
- Creating and sustaining a collegial, supportive and high performance research culture that is attractive to management, clinicians, the researchers and research students.
Project funding comes from competitive research grants, consultancies and from the ACT Health Department. Whenever possible, projects have national and international collaborators to embed the impact and engagement of work in multiple sites and contexts. We also work closely with relevant peak bodies, including Palliative Care Australia.
Professor Nicholas Glasgow
Head of the Calvary Centre for Palliative Care Research at Clare Holland House, ACT
Professor Nicholas Glasgow is a Fellow of the Chapter of Palliative Medicine of the Royal Australasian College of Physicians, a general practitioner, and Head of the Calvary Centre for Palliative Care Research at Clare Holland House, ACT.
A medical graduate of Auckland University, he worked full time in general practice in Auckland for ten years before taking up his first academic appointment in the early 1990s. Professor Glasgow came to Canberra in 1997 where he held several academic appointments: first with the University of Sydney in the Canberra Clinical School and then with the Australian National University (ANU), culminating in two terms as Dean of Medicine and Health Sciences and Dean of the Medical School from 2007-2016. He became an Emeritus Professor at the ANU in March 2018.
Professor Glasgow’s research interests include end of life and palliative care, asthma and respiratory health, chronic disease care and health system research including health workforce research. He is an accomplished supervisor of higher degrees, a well-regarded educator nationally and internationally, and an active scholar in medical education. He has served on a wide range of academic committees in Australia and overseas and in an advisory capacity to the ACT and federal governments over many years.
- Improving collaborative palliative care: after death reviews in residential aged care homes. Samara, J., Dawda, P., Bail, K., O’Connor, T.
- Routine Clinical Assessment of Psycho-Existential Symptoms in Supportive and Palliative Care. Kanathigoda, S. (CI at Calvary Bruce, CHH), Moss, G (CHH), Prof D. Kissane (UND), Prof. N. Glasgow (CHH)
- Touchpoint opportunities for everyday clinicians to make a difference in guiding patients to understand and eventually accept palliative care. R. Bilton-Simek (CI, CHH), Prof. Karen Strickland (UC), Prof. N. Glasgow (CHH), Amanda Keogh (CHH)
- A model to strengthen capacity and coordination of palliative and end-of-life care in Cooma residential aged care – Phase 2. Rainsford, S., Glasgow, N., Phillips, C.,, Hall, S.
- Breathlessness, Exertion And Morphine Sulphate Study (BEAMS): A pragmatic, phase III, multi-site, double-blind, placebo controlled, parallel arm, dose increment randomised trial of regular, low dose extended release morphine for chronic refractory breathlessness. Kanathigoda, S. (CI at Calvary Public Hospital Bruce, CHH) PaCCSC
- Literature search looking for research already published around empathic distress, compassion fatigue and resilience in health professionals. Waterford, M.
- Rainsford S, Hall Dykgraaf S, Kashim R, Phillips C, Glasgow, N.(2021) Strengthening advance care planning in rural residential aged care through multidisciplinary educational case conferences: A hybrid implementation-effectiveness study. Progress in Palliative Care. 29(4). 199-208, DOI- 10.1080/09699260.2021.1872136.
- Rainsford S, Hall Dykgraaf S, Kashim R, Phillips C, Glasgow, N. (2021) ‘Traversing difficult terrain’. Advance care planning in residential aged care through multidisciplinary case conferences: A qualitative interview study exploring the experiences of families, staff and health professionals. Palliative Medicine. 35 (6). 1148-1157. DOI- 10.1177/02692163211013250
- Samara, J., Liu, W., Kroon, W., Harvie, B., Hingeley, R., Johnston, N., (2021) Telehealth Palliative Care Needs Rounds During a Pandemic. The Journal for Nurse Practitioners. 17(3). 335-338. https://doi.org/10.1016/j.nurpra.2020.12.009
- O’Connor, T., Paterson, C., Gibson, J., Strickland, K. (2021) The conscious state of the dying patient: an integrative review. Palliative and Supportive Care. FirstView. Jan-13 https://doi.org/10.1017/S1478951521001541
- Forbat, L., Liu, W., Koerner, J., Lam, L., Samara, J., Chapman, M., Johnston, N. (2020). Reducing time in acute hospitals: A stepped wedge randomised control trial of a specialist palliative care intervention in residential care homes. Palliative Medicine 34(5), 571-589 doi: 10.1177/0269216319891077
- Sha, S., Du, W., Parkinson, A., Glasgow, N. (2020). Relative importance of clinical and sociodemographic factors in association with post‐operative in‐hospital deaths in colorectal cancer patients in New South Wales: An artificial neural network approach. Journal of Evaluation in Clinical Practice 26, 1389-1398 doi: 10.1111/jep.13318
- Rainsford, S., Johnston, N., Liu, W., Glasgow, N.J. (2020). The impact of introducing Palliative Care Needs Rounds into rural residential aged care: A quasi-experimental study. Australian Journal of Rural Health doi: 10.1111/ajr.12654
- Rainsford, S., Johnston, N., Liu, W., Glasgow, N.J., Forbat, E. (2020). Palliative care needs rounds in rural residential aged care: a mixed-methods study exploring experiences and perceptions of staff and general practitioners. Progress in Palliative Care 28, 308-317 doi: 10.1080/09699260.2019.1698177
- Liu, W., Koerner, J., Lam, L., Johnston, N., Samara, J., Chapman, M., Forbat, L. (2019). Improved quality of death and dying in care homes: a palliative care stepped wedge randomised control trial in Australia. American Geriatrics Society 68(2), 305-312 https://doi.org/10.1111/jgs.16192
- Forbat L, Johnston N., Mitchell I. (2019). Defining specialist palliative care: Findings from a Delphi study of clinicians. Australian Health Review doi: 10.1071/AH18198
- Rainsford S., Phillips C.B., MacLeod R.D., Wilson D.M. (2019). Funeral and interment practices of rural residents: A mixed methods study. Death Studies doi: 10.1080/07481187.2019.1616853
- Zhou, M., Du, W., Salvador-Carulla, L., Glasgow, N. (2019). Adverse drug event-related hospitalisation in persons with neurodevelopmental disorders: A state-wide retrospective cohort study. Journal of Intellectual Disability Research 63 (5), 429-440 doi: 10.1111/jir.12586
- Zhang, H., Du, W., Gnjidic, D., Chong, S., Glasgow, N. (2019). Trends in adverse drug reaction-related hospitalisations over 13 years in New South Wales, Australia. Internal Medicine Journal, 49 (1), 84-93 doi: 10.1111/imj.14134
- Carolan, C., Smith, A., Davies, G., Forbat, L. (2018). Seeking, Accepting and Declining Help for Emotional Distress in Cancer: A Systematic Review and Thematic Synthesis of Qualitative Evidence, European Journal of Cancer Care 2, doi: 10.1111/ ecc.12720
- Chapman, M., Johnston, N., Lovell, C., Forbat, L., Liu, W. (2018). Avoiding costly hospitalisation at end of life: Findings from a specialist palliative care pilot in residential care for older adults. BMJ Supportive and Palliative Care 8,102 – 109 doi: 10.1136/bmjspcare-2015-001071
- Forbat, L., Robertson, J., McNamee, P. (2018). Couple therapy following prostate cancer surgery: A manual to guide treatment .Journal of Family Therapy 40, 86 – 110 doi: 10.1111/1467-6427.12129
- Rainsford S., MacLeod R.D., Glasgow N.J., Wilson D.M., Phillips C.B., Wiles R.B. (2018). Rural residents’ perspectives on the rural ‘good death’: A scoping review. Health and Social Care in the Community 26, 273-294 doi: 10.1111/hsc.12385
- Rainsford S., Glasgow N.J., MacLeod R.D., Neeman T., Phillips C.B., Wiles R.B. (2018). Place of death in the Snowy Monaro region of New South Wales: A study of residents who died of a condition amenable to palliative care. Australian Journal of Rural Health 26, 126 – 133 doi: 10.1111/ajr.12393
- Rainsford S., Phillips C.B., Glasgow N.J., Macleod R.D., Wiles R.B. (2018). Dying at home in rural residential aged care: A mixed-methods study in the Snowy Monaro region, Australia. Health and Social Care in the Community doi: 10.1111/hsc.12583
- Du, W., Glasgow, N., Smith, P., Clements, A., Sedrakyan, A. (2018). Major inpatient surgeries and in-hospital mortality in New South Wales public hospitals in Australia: A state-wide retrospective cohort study. International Journal of Surgery 50, 126 – 132 doi:10.1111/hsc.12583
- Rainsford, S., Phillips, C., Glasgow, NJ., MacLeod, RD., Wiles, RB. (2018). The ‘safe death’: An ethnographic study exploring the perspectives of rural palliative care patients and family caregivers. Palliative Medicine doi: 10.1177/0269216318800613
- Forbat, L., Chapman, M., Lovell, C., Liu, W., Johnston, N. (2017). Improving specialist palliative care in residential care for older people: a checklist to guide practice. BMJ Supportive and Palliative Care 8, 347 – 353 http://dx.doi.org/10.1136/bmjspcare-2017-001332
- Forbat, L., Robinson, R., Bilton-Simek, R., Francois, K., Lewis, M., Haraldsdottir, E. (2017). Distance education methods are useful for delivering education to palliative caregivers: A single arm trial of an education package (PrECEPt). Palliative Medicine 2, 581 – 588 doi: 10.1177/0269216317712849
- Francois, K., Barclay, S., Lobb, E., Forbat, L. (2017). The Nature of Conflict in Palliative Care: A Qualitative Exploration of the Experiences of Staff and Family Members. Patient Education and Counselling 8, 1459 – 1465 doi: 10.1016/j. pec.2017.02.019
- Forbat, L., Kunicki, N., Chapman, M., Lovell, C. (2017). How and why are subcutaneous fluids administered in an advanced illness population: A systematic review. Journal of Clinical Nursing 9(10), 1204 – 1216 doi: 10.1111/jocn.13683
- Forbat, L., Simons, J., Sayer, C., Davies, M., and Barclay, S. (2017). Training paediatric health care staff in recognising, understanding and managing conflict with patients and families: Findings from a survey on immediate and six-month impact. Archives of Disease in Childhood 102(3), 250-254 doi: 10.1136/archdischild-2016-310737
- Rainsford S., MacLeod R.D., Glasgow N.J., Phillips C.B., Wiles R.B., Wilson D.M. (2017). Rural end of life care from the experiences and perspectives of patients and family caregivers: A systematic literature review. Palliative Medicine, 31, 895 – 912 doi: 10.1177/0269216316685234
- Rainsford S. (2018). Palliative care in rural settings, Textbook of Palliative Care. MacLeod R.D., Van den Block, L. Springer p1-15
- Samara, J. Palliative Care Needs Rounds in residential care settings: changing government policy and funding in Australia. Oceanic Palliative Care 2021. Sept 2021.
- Samara, J. Improving Palliative Care for Older Australians. Barossa Palliative Care Symposium. Feb 2020
- Rainsford, S., Hall, S., Kasim, R., Phillips, C., Glasgow, N. Being on the same page.” A qualitative study exploring the role of multidisciplinary educational case conferences in enabling the necessary conversations that underpin advance care planning in rural nursing homes. EAPC 2020 Virtual Conference Palermo, Italy, October 2020
- Forbat, L., Johnston, N., Liu, Wai-Man., Koerner, J., Chapman, M., Lam, L., Samara, J. Better lives and better deaths in aged care through specialist palliative care Needs Rounds: Results from a stepped wedge randomised controlled trial. Oceanic Palliative Care Conference, Perth, September 2019
- Rainsford, S. An initiative to improve palliative care provision by health care workers and general practitioners working in rural residential aged care. Oceanic Palliative Care Conference, Perth, September 2019
- Kirk, R. Increasing accessibility among Aboriginal and Torres Strait Islander peoples to Specialist Palliative Care Services. Oceanic Palliative Care Conference, Perth, September 2019
- Samara, J. Harm at End of Life. Australian College of Nurse Practitioners Dimensions in Care Conference, Perth, September 2019
- Samara, J., Johnston, N. The Silicone in Residential Aged Care. Australian College of Nurse Practitioners Transforming Healthcare Conference, Perth, September 2019
- Johnston, N. Donna Diers Oration. Australian College of Nurse Practitioners Transforming Healthcare Conference, Perth, September 2019
- Rainsford, S. & Phillips, C.B. An interview is not a consultation: The dual role of clinician-researcher. Lessons from an ethnographic study exploring rural patients and family caregivers’ perspectives on the ‘good death’. 22nd International Congress on Palliative Care, Montreal, Canada, October 2018
- Samara, J., Johnston, N., Forbat, L., Chapman, M., Liu, Wai-Man., Koerner, J. Nurse Practitioners INSPIRE new model of care in nursing homes. Australian College of Nurse Practitioners Dimensions in Care Conference, Brisbane Australia, September 2018
- Samara, J., Johnston, N., Chapman, M., Liu, Wai-Man, Forbat, L., Lovell, C., Koerner, J. Reducing urgent clinical workload: a sustainable model of palliative care in residential aged care. Cancer Nurses Society of Australia 23rd Annual Congress Brisbane, June 2018
- Rainsford, S., Glasgow, N., Hall, S., Phillips, C. (2020). A qualitative study exploring rural primary palliative care from the experiences and perspectives of Australian rural general practitioners and community nurses. 11th World Research Congress of the EAPC, Palermo, Italy
- Rainsford, S., Phillips, C. (2019). “An interview is not a consultation”. The dual role of clinician-researcher. Hospice UK, Liverpool, England
- Rainsford, S., Johnston, N., Glasgow, N., Forbat, L. (2019). An initiative to improve palliative care provision in rural care homes. “An interview is not a consultation”. The dual role of clinician-researcher. Hospice UK, Liverpool, England
- Rainsford, S. (2019). Does funeral planning influence the bereavement process? Funeral and interment practices and preferences of residents in a rural setting.. Oceanic Palliative Care Conference, Perth
- Rainsford, S. (2019). The ‘Safe Death’: Rural end-of-life care as described through the stories of patients and family caregivers. Oceanic Palliative Care Conference, Perth
- Rainsford, S., Glasgow, N.J., Phillips, C.B., MacLeod, R.D., Wiles R.B. (2018). The influence of rural culture on place of death: An ethnographic study exploring the experiences of patients and family caregivers. 22nd International Congress on Palliative Care, Montreal Canada
- Rainsford, S., Glasgow, N.J., Phillips, C.B., MacLeod, R.D., Wiles R.B. (2018). Dying in a safe place is more important than dying at home. An ethnographic study of rural patients and family caregivers. 10th World Research Congress of the European Association of Palliative Care, Bern, Switzerland
- Rainsford, S., Phillips, C.B., Glasgow, N.J., MacLeod, R.D., Wiles R.B. (2018). “This is Mum’s home now”. Residents’ and families’ experiences on dying in rural residential aged care. 10th World Research Congress of the European Association of Palliative Care, Bern, Switzerland
- Rainsford, S., Phillips, C.B., Glasgow, N.J., MacLeod, R.D., Wiles R.B., Wilson D. (2017). Place of death does not determine the ‘good death’ for rural family caregivers. An ethnographic study. European Association of Palliative Care Congress, Madrid, Spain
- Rainsford S., Glasgow N.J., MacLeod R., Phillips C., Neeman T., Wiles R. (2017). “I want to stay home and die on the farm.” The actual place of death in a rural setting. European Association of Palliative Care Congress, Madrid, Spain
- Integrating specialist palliative care into residential care for older people; A stepped wedge trial (INSPIRED). Forbat, L., Liu, W., Koerner, J., Lam, L., Samara, J., Chapman, M., Johnston, N.
- Integrating Palliative Care Needs Rounds into rural residential aged care. A mixed methods study. Rainsford, S., Johnson, N., Liu., W, Glasgow, N., Forbat, L.
- End-of-life planning for people living in rural and remote communities. Glasgow, N., Rainsford, S., Kanathigoda, S.
- Individualised gym program for inpatient palliative care patients for fatigue levels and functional status. Davies, P.
- Family meetings in in-patient specialist palliative care: A mechanism to convey empathy. Forbat, L., Francois, K., O’Callaghan, L., Kulikowski, J.
- The nature of conflict in palliative care: A qualitative exploration of the experiences of staff and family members. Francois, K., Lobb, E.A., Barclay, S., Forbat, L.
- Preventable presentations at Emergency Departments by patients receiving specialist out-patient palliative care in the Australian Capital Territory. Forbat, L., King, S., Maher, K., Chapman, M., Ranse, K., Kamrani, S.