Elizabeth Manias
Biographic Data
| ID | 130427 |
|---|---|
| NAME | Elizabeth Manias |
| GIVEN NAMES | Elizabeth |
| FAMILY NAME | Manias |
| SIGNATURE | MANIAS E |
| AFFILIATIONS | The University of Melbourne |
| ORCID | 0000-0002-3747-0087 |
| VERIFIED | Yes |
| TOTAL WORKS | 41 |
| TOTAL CITATIONS | 28 |
| AUTHOR COUNT | 41 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Patient and Family Perspectives on Statutory Duty of Candour Following Serious Adverse Patient Safety Events
Co‐Producing a Patient Reported Experience Measure (PREM) With and for People With Intellectual Disability
BACKGROUND: Patient reported experience measures (PREMs) are widely used as key indicators of value in healthcare towards improved services but are rarely applied among people with intellectual disability. Incorporating the experiences of people with intellectual disability in PREMs data is vital as this group often encounter poor healthcare access and outcomes. This study reports the coproduction of accessible PREMs for people with intellectual …
Care My Way
BACKGROUND: For many individuals, living with cancer means having a chronic and complex health condition that requires well-coordinated care between primary and specialist settings. Continuity of care is often compromised by lack of shared information between providers about a person's circumstances, communication support needs, health information or cultural requirements. This project aimed to use co-design with people from culturally and lingui…
Co‐Producing Patient‐Reported Experience Measures With People With Intellectual Disability to Improve Healthcare Quality and Outcomes
INTRODUCTION: Intellectual disability, defined by significant limitations in both intellectual functioning and adaptive behaviour with onset during the developmental period, affects an estimated 2% (108 million) of people worldwide. People with intellectual disability experience major health inequity, poor health outcomes and premature deaths, with mortality rates that are 7-12 times higher than the general population. Patient-reported experience…
A Mixed Methods Evaluation of the Statutory Duty of Candour in Victorian Health Services
BACKGROUND: A statutory duty of candour (SDC) was introduced in 2022 in the Australian state of Victoria to increase openness and honesty with patients and families about healthcare adverse events. SDC requires each healthcare service entity by law to provide the patient or their family or carer who experiences an adverse event with; a written account of the facts, an apology, a description of the health service's response to the event, and the s…
Communication Processes Related to Decision‐Making in Medication Management Between Healthcare Providers, Older People and Their Carers
Outpatient Virtual Care Among People Living With and Beyond Cancer From Culturally and Linguistically Diverse Backgrounds in Australia
BACKGROUND: Virtual care is increasingly being used to deliver outpatient cancer services, yet people from culturally and linguistically diverse (CALD) backgrounds can experience inequities in accessing these services. A range of complex and context-specific factors impact the effectiveness of virtual care and equity in its use and outcomes. This study draws on the methodological principles of realist evaluation to provide contextual understandin…
Patient Safety Events Among People from Ethnic Minority Backgrounds
Patient safety events in cancer care occur frequently among patients from ethnic minority backgrounds. Unsafe cancer care for this population is associated with inadequate use of interpreters, lack of shared understanding and expectations of care processes linked to cultural and linguistic barriers. Approaches to enhance engagement are required
Fertility Concerns and Information Needs and Preferences of Australian Women With Chronic Kidney Disease
Objective Pregnancy is associated with adverse maternal and fetal outcomes for women with chronic kidney disease (CKD). Yet few women with CKD report receiving information about pregnancy and often experience difficulties making informed childbearing decisions and optimizing pregnancy outcomes. The aim of this study was to identify the fertility and childbearing concerns and related information needs and preferences of women with CKD living in Au…
Application of Guided Self-Determination Method and Photovoice in Qualitative Longitudinal Research for Enhanced Sensemaking in Chronic Kidney Disease with Multimorbidity
Qualitative longitudinal research (QLR) elevates the dynamic dimensions of time, process, continuity and change and is particularly well placed for understanding how people's lives unfold over their health journeys. This study illustrates how the application of a novel multimodal method for exploring patient life stories and complex health journeys enables enhanced sensemaking of their perspectives. The QLR was a two-year study spent collecting d…
Creating safer cancer care with ethnic minority patients
INTRODUCTION: Effective consumer engagement practices can enhance patient safety. This is important for consumers from ethnic minority backgrounds who are exposed to increased risk of patient safety events. Using the Systems Engineering Initiative for Patient Safety model, this study explored staff experiences of creating opportunities for engagement with consumers from ethnic minority backgrounds to contribute to their cancer care safety. METHOD…
Approaches for enhancing patient-reported experience measurement with ethnically diverse communities
The findings provide a basis for a maturity model that may guide change to increase participation of ethnically diverse communities in PREMs. In the short-medium term, health systems and services must be able to recognise and respond to cultural and linguistic diversity in the population when applying existing PREMs. In the longer-term, by working in collaboration with ethnically diverse communities, systems and services may co-create adapted or …
What are the research priorities for optimising the safe and effective use of opioids in Australian general practice
Applying terror management theory as a framework to understand the impact of heightened mortality salience on children, adolescents, and their parents
Assessing the environment for engagement in health services
INTRODUCTION: Although it is widely accepted that the physical environment can impact health quality and care outcomes, its impact on consumer engagement with health services has not been examined. Currently, no tools exist that assess the opportunities for consumer engagement offered within the physical environment. We aimed to develop and validate an environmental audit tool to assist health services and researchers to assess the extent to whic…
Creating opportunities for patient participation in managing medications across transitions of care through formal and informal modes of communication
BACKGROUND: Communicating about medications across transitions of care is important in older patients who frequently move between health care settings. While there is increasing interest in understanding patient communication across transitions of care, little is known about older patients' involvement in formal and informal modes of communication regarding managing medications. OBJECTIVE: The aim of this paper was to explore how older patients p…
Validation of Two Screening Tools for Detecting Delirium in Older Patients in the Post-Anaesthetic Care Unit
(1) Background: Delirium is a common complication among surgical patients after major surgery, but it is often underdiagnosed in the post-anaesthetic care unit (PACU). Valid and reliable tools are required for improving diagnoses of delirium. The objective of this study was to evaluate the diagnostic test accuracy of the Three-Minute Diagnostic Interview for Confusion Assessment Method (3D-CAM) and the 4A's Test (4AT) as screening tools for detec…
How do health services engage culturally and linguistically diverse consumers? An analysis of consumer engagement frameworks in Australia
BACKGROUND: Engagement frameworks provide the conceptual structure for consumer engagement in healthcare decision making, but the level to which these frameworks support culturally and linguistically diverse (CALD) consumer engagement is not known. OBJECTIVE: This study aimed to investigate how consumer engagement is conceptualised and operationalized and to determine the implications of current consumer engagement frameworks for engagement with …
Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety
Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation
Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses' key concerns can inform EMR implementation and ongoing optimisation strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new…
Interprofessional and Intraprofessional Communication about Older People’s Medications across Transitions of Care
Communication breakdowns contribute to medication incidents involving older people across transitions of care. The purpose of this paper is to examine how interprofessional and intraprofessional communication occurs in managing older patients' medications across transitions of care in acute and geriatric rehabilitation settings. An ethnographic design was used with semi-structured interviews, observations and focus groups undertaken in an acute t…
Experiences of Pain in Hospitalized Children During Hematopoietic Stem Cell Transplantation Therapy
Children undergoing hematopoietic stem cell transplantation (HSCT) are vulnerable to pain due to the intensity and toxicity of this treatment. An instrumental case study design of two qualitative phases was conducted to examine the pain experiences of hospitalized children during HSCT therapy and how contextual factors related to the pediatric HSCT environment influenced their experience of pain. The Social Communication Model of Pain provided th…
Knowledge and Power Relations in Older Patients' Communication About Medications Across Transitions of Care
Communicating about medications across transitions of care is a challenging process for older patients. In this article, we examined communication processes between older patients, family members, and health professionals about managing medications across transitions of care, focusing on older patients' experiences. A focused ethnographic design was employed across two metropolitan hospitals. Data collection methods included interviews, observati…
Beyond translation
BACKGROUND: In the context of an effective consumer engagement framework, there is potential for health-care delivery to be safer. Consumers from culturally and linguistically diverse (CALD) backgrounds may experience several barriers when trying to engage about their health care, and they are not acknowledged sufficiently in contemporary strategies to facilitate patient engagement. METHODS: Four focus group discussions were facilitated by biling…
Perspectives of pregnant women, family members and health professionals on medication adherence in Nigeria
Nigeria has the highest burden of mother-to-child transmission of human immunodeficiency virus (HIV) worldwide. Pregnant women living with HIV in Nigeria face challenges adhering to antiretroviral therapy (ART). We explored the perspectives of pregnant women living with HIV, family members, friends and health professionals to understand adherence to ART. Pregnant women, family members, friends and health professionals recruited from four HIV trea…
Gatekeeping practices of nurses in operating rooms
Governance in operating room nursing
Availability, Accessibility, Acceptability, and Quality of Interpreting Services to Refugee Women in New Zealand
A significant number of people have been displaced from their country of origin and become refugees. Good health is essential for refugees to actively engage and take up opportunities within the society in their host countries. However, negotiating a new and unfamiliar health system hinders refugees' ability to access and make use of the available health services. Communication difficulties due to language barriers are the most commonly cited cha…
Rethinking nurses' observations
Experiences of Pain in Hospitalized Children During Hematopoietic Stem Cell Transplantation Therapy
Children undergoing hematopoietic stem cell transplantation (HSCT) are vulnerable to pain due to the intensity and toxicity of this treatment. An instrumental case study design of two qualitative phases was conducted to examine the pain experiences of hospitalized children during HSCT therapy and how contextual factors related to the pediatric HSCT environment influenced their experience of pain. The Social Communication Model of Pain provided th…
An Analysis of Clinical Handover Miscommunication Using a Language and Social Psychology Approach
Clinical handover is a key communication event in patient care and a major contributing factor in adverse events in hospitals. Current research on handover emphasizes communication skills training. We investigate the intergroup context and systemic factors of the hospital environment that also affect handover. We explore the responses of 707 health professionals about handover practice. We invoke Coupland and colleagues' integrative model of "mis…
Exploring power relations embedded in medication communication processes on general medical wards
Purpose – The purpose of this paper is to examine power relations embedded in verbal and non-verbal medication communication processes that involve nurses, doctors, pharmacists and patients in two general medical wards of an acute care hospital. Design/methodology/approach – This paper reports on the findings of an ethnographic study investigating medication communication processes in hospital spatial environments. It was theoretically informed b…
The effects of physical environments in medical wards on medication communication processes affecting patient safety
Possibilities for critical social theory and Foucault’s work
Possibilities for critical social theory and Foucault’s work: a toolbox approach The benefits and constraints of philosophical frameworks using the work of Michel Foucault and critical social theorists, such as Fay, Giroux and McLaren, are examined in the light of their traditions. The reasons nurse researchers adopt these frameworks are explored, as are the tensions between the respective theories. A complementary ‘toolbox’ approach to the resea…
Governance in operating room nursing
Socio-demographic and clinical characteristics of re-presentation to an Australian inner-city emergency department
Emergency department re-presentation rates cluster around one week after discharge and rapidly decrease thereafter. Housing status and being a recipient of a government pension are the most significant risk factors. Early identification and appropriate referrals for those patients who are at risk of emergency department re-presentation will assist in the development of targeted strategies to improve health service delivery to this vulnerable grou…
Rethinking nurses' observations
Gatekeeping practices of nurses in operating rooms
Disclosing clinical adverse events to patients
Objectives To understand patients’ and health professionals’ experience of Open Disclosure and how practice can inform policy. Background Open Disclosure procedures are being implemented in health services worldwide yet empirical evidence on which to base models of patient–clinician communication and policy development is scant. Design, setting and participants A qualitative method was employed using semi‐structured open‐ended interviews with 154…
Health Professionals' Views of Communication
Health professionals' views of communication: implications for assessing performance on a health-specific English language test
Medication communication during ward rounds on medical wards
Communication plays a crucial role in the management of medications. Ward rounds are sites where health professionals from different disciplines and patients come together to exchange medication information and make treatment decisions. This article examines power relations and spatial practices surrounding medication communication between patients and health professionals including doctors, nurses and pharmacists during ward rounds. Data were co…
Exploring power relations embedded in medication communication processes on general medical wards
Purpose – The purpose of this paper is to examine power relations embedded in verbal and non-verbal medication communication processes that involve nurses, doctors, pharmacists and patients in two general medical wards of an acute care hospital. Design/methodology/approach – This paper reports on the findings of an ethnographic study investigating medication communication processes in hospital spatial environments. It was theoretically informed b…
The effects of physical environments in medical wards on medication communication processes affecting patient safety
Communication relating to family members' involvement and understandings about patients' medication management in hospital
BACKGROUND: Many patients with complex health-care needs are prescribed several medications on a daily basis. With admission to hospital, patients are often placed in a vulnerable position. Family members can therefore play an important role in supporting patients in decision making about managing medications and negotiating communication exchange with health professionals. OBJECTIVES: From the perspective of family members, to explore family mem…
Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings
BACKGROUND: Communication problems contribute enormously to medication errors and adverse events. Encouraging patient engagement can help to facilitate effective medication management. OBJECTIVES: To examine barriers and enablers affecting how patients engage with managing their medications in specialty hospital settings. DESIGN: An exploratory qualitative design was used involving in-depth interviews with doctors, nurses, pharmacists, patients a…
An Analysis of Clinical Handover Miscommunication Using a Language and Social Psychology Approach
Clinical handover is a key communication event in patient care and a major contributing factor in adverse events in hospitals. Current research on handover emphasizes communication skills training. We investigate the intergroup context and systemic factors of the hospital environment that also affect handover. We explore the responses of 707 health professionals about handover practice. We invoke Coupland and colleagues' integrative model of "mis…
Standard setting in specific-purpose language testing
This paper explores the views of nursing and medical domain experts in considering the standards for a specific-purpose English language screening test, the Occupational English Test (OET), for professional registration for immigrant health professionals. Since individuals who score performances in the test setting are often language experts rather than domain experts, there are possible tensions between what is being measured by a language test …
What is the role of cultural competence in ethnic minority consumer engagement? An analysis in community healthcare
Our findings indicate that cultural competence and effective consumer engagement are closely linked in ethnic minority populations. Embedding cultural competence as a health system, service and professional capability is therefore critical to ensure equitable healthcare quality for consumers from all ethnic backgrounds
Beyond translation
BACKGROUND: In the context of an effective consumer engagement framework, there is potential for health-care delivery to be safer. Consumers from culturally and linguistically diverse (CALD) backgrounds may experience several barriers when trying to engage about their health care, and they are not acknowledged sufficiently in contemporary strategies to facilitate patient engagement. METHODS: Four focus group discussions were facilitated by biling…
Perspectives of pregnant women, family members and health professionals on medication adherence in Nigeria
Nigeria has the highest burden of mother-to-child transmission of human immunodeficiency virus (HIV) worldwide. Pregnant women living with HIV in Nigeria face challenges adhering to antiretroviral therapy (ART). We explored the perspectives of pregnant women living with HIV, family members, friends and health professionals to understand adherence to ART. Pregnant women, family members, friends and health professionals recruited from four HIV trea…
Availability, Accessibility, Acceptability, and Quality of Interpreting Services to Refugee Women in New Zealand
A significant number of people have been displaced from their country of origin and become refugees. Good health is essential for refugees to actively engage and take up opportunities within the society in their host countries. However, negotiating a new and unfamiliar health system hinders refugees' ability to access and make use of the available health services. Communication difficulties due to language barriers are the most commonly cited cha…
How do health services engage culturally and linguistically diverse consumers? An analysis of consumer engagement frameworks in Australia
BACKGROUND: Engagement frameworks provide the conceptual structure for consumer engagement in healthcare decision making, but the level to which these frameworks support culturally and linguistically diverse (CALD) consumer engagement is not known. OBJECTIVE: This study aimed to investigate how consumer engagement is conceptualised and operationalized and to determine the implications of current consumer engagement frameworks for engagement with …
Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety
Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation
Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses' key concerns can inform EMR implementation and ongoing optimisation strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new…
Interprofessional and Intraprofessional Communication about Older People’s Medications across Transitions of Care
Communication breakdowns contribute to medication incidents involving older people across transitions of care. The purpose of this paper is to examine how interprofessional and intraprofessional communication occurs in managing older patients' medications across transitions of care in acute and geriatric rehabilitation settings. An ethnographic design was used with semi-structured interviews, observations and focus groups undertaken in an acute t…
Experiences of Pain in Hospitalized Children During Hematopoietic Stem Cell Transplantation Therapy
Children undergoing hematopoietic stem cell transplantation (HSCT) are vulnerable to pain due to the intensity and toxicity of this treatment. An instrumental case study design of two qualitative phases was conducted to examine the pain experiences of hospitalized children during HSCT therapy and how contextual factors related to the pediatric HSCT environment influenced their experience of pain. The Social Communication Model of Pain provided th…
Knowledge and Power Relations in Older Patients' Communication About Medications Across Transitions of Care
Communicating about medications across transitions of care is a challenging process for older patients. In this article, we examined communication processes between older patients, family members, and health professionals about managing medications across transitions of care, focusing on older patients' experiences. A focused ethnographic design was employed across two metropolitan hospitals. Data collection methods included interviews, observati…
Assessing the environment for engagement in health services
INTRODUCTION: Although it is widely accepted that the physical environment can impact health quality and care outcomes, its impact on consumer engagement with health services has not been examined. Currently, no tools exist that assess the opportunities for consumer engagement offered within the physical environment. We aimed to develop and validate an environmental audit tool to assist health services and researchers to assess the extent to whic…
Medicine (31 works) · Psychology (26 works) · Nursing (24 works) · Health care (22 works) · Qualitative research (15 works) · Political science (14 works) · Sociology (14 works) · Patient-Provider Communication in Healthcare (11 works) · Public relations (10 works) · Business (9 works)