Dr Joan Ostaszkiewicz

STAFF PROFILE

Position

Honorary Fellow

Faculty

Faculty of Health

Department

School of Nursing & Midwifery

Campus

Off-Campus (Home)

Qualifications

Graduate Certificate of Higher Ed. Learning & Teaching, Deakin University, 2016
Doctor of Philosophy, Deakin University, 2013
Master of Nursing Research, University of Melbourne, 2004

Contact

Biography

Dr Ostaszkiewicz is a Registered Nurse and a Research Fellow in the Centre for Quality and Patient Safety Research- Barwon Health Partnership. Joan contributes to leading innovative clinical and translational research that makes a difference to older people, particularly those with dementia and who are dependent on a carer. Her research is aligned with national and international priorities for research that have a positive impact on communities and directly impacts the quality, safety and experience of health care. 

Read more on Joan's profile

Biography summary

Joan's research interests span three core areas: (i) establishing an evidence base for the care of older people; (ii) supporting the nursing and carer workforce to provide evidence-based care, and (ii) developing, implementing and evaluating evidence-based resources.


Joan has experience managing large scale, multi-site research projects, working with multidisciplinary teams, and conducting research using qualitative and quantitative approaches.


As a nurse and a researcher, Joan is particularly interested in how values, beliefs and fears about old age, incontinence, disability, and dementia, impact on the care of older people. Her PhD study resulted in a Grounded theory that describes and explains factors influencing the management of incontinence in aged care facilities.


Recently, Joan developed 'The Dignity in Continence Care' framework that aims to support nurses and care workers in their efforts to identify and meet the continence care needs of individuals with complex health conditions who depend on another person for assistance to manage incontinence or to maintain continence. The framework is underpinned by two core concepts: (i) dignity and (ii) care, and is characterised by a focus on: empathic continence care; personhood in dementia; therapeutic communication; authentic partnership in continence care; acknowledging stigma, social taboos and courtesy stigma; and the need for a foundational continence assessment.

Joan is widely published and her research includes Cochrane systematic reviews, guidelines, continence assessment and management tools, and models of care for aged care. She has worked across a range of health settings, including acute and sub-acute care settings, the aged care sector, and community care, in nurse consultant and case management roles.

Research interests

Dr Ostaszkiewicz has a background in research and quality improvement on issues related to the care of the older person. Her research output includes over four million dollars in research funding, 40 peer review publications, five book chapters, and over 50 national and international presentations. She has contributed to securing research funds that have resulted in resources to promote evidence-based nursing care for older people, including: (i) The Tri-Focal Model of Care, (ii) Guidelines for the nursing assessment and management of urinary retention in elderly hospitalised patients, and a suite of Continence Assessment and Management Tools for residential aged care. Dr Ostaszkiewicz has conducted research to establish:

  • A framework to promote dignity in continence care for people who are care dependent
  • A theoretical model of the association between elder abuse, incontinence and care dependence
  • A grounded theory about providing continence care in aged care facilities
  • The prevalence and management of incontinence in acute and subacute settings
  • The association between constipation and lower urinary tract symptoms
  • Residents’ perspectives on living with incontinence
  • Carers’ perspectives of respite care
  • The quality of continence care in Australian aged care facilities
  • The presence of incomplete bladder emptying in frail older adults
  • A clinical nursing leadership model for enhancing continence care for older adults in a sub-acute inpatient care setting.

Her international research has resulted in information about current practices related to the use and reuse of catheters for intermittent catheterisation and catheter bags for long-term use; a role profile of a Nurse Continence Specialist, two meta-analyses about bladder training and voiding programmes for the management of urinary incontinence, and a systematic review about urinary bag decontamination for long-term use.
 

Affiliations


Dr Ostaszkiewicz is am Honorary Fellow at the National Institute on Ageing, and is a founding member of the Victorian Branch of the Continence Foundation of Australia and the Continence Nurses Society of Australia. She chairs the International Continence Society Nursing Research Sub-committee and is on the editorial committee for the Australian & New Zealand Continence Journal and the Cochrane Incontinence Review Group. 

Teaching interests

Dr Ostaszkiewicz co supervises Honours, Masters and PhD students in the School of Nursing and Midwifery at Deakin University and teaches in the undergraduate programme in units about the care of the older person, and research methods. She also has experience in mentoring in a Massive Open Online Course. 

Knowledge areas

Aged care, dementia, incontinence, evidence based practice, systematic reviews, Grounded theory methods, systematic review methods, critical appraisal, and the translation of research into practice

Expertise

Aged care, dementia, incontinence, evidence based practice, systematic reviews, Grounded theory methods, systematic review methods, critical appraisal, and the translation of research into practice

Conferences

Cottenden A, Fader M, Chatterton C, Conrath P, Engqvist H, Eustice S, Hakan L, Newman D, Ostaszkiewicz J, Palmer M, Wilson T, & Haylen B. Standardisation of terminology for incontinence products. 47th International Continence Society Scientific Meeting. 12-15th September 2017. Florence, Italy.

Thompson J, Ostaszkiewicz J & Watt E. (2017). Practice Standards for Nurse Continence Specialists. [Poster]. 26th National Conference on Incontinence. 15-18th November 2017. Sydney.

Ostaszkiewicz J, Hutchinson A, Tomlinson E. (2016). Cleaning, containing and concealing incontinence in residential aged care facilities: Staff members’ constructions of quality continence care. [Podium presentation]. 25th National Conference on Incontinence. 9-12th November 2016, Adelaide

Ostaszkiewicz J., Hutchinson A., Cull E. (2016). Understanding what constitutes quality continence care for people living in long-term aged care facilities. [Podium presentation]. 46th International Continence Society Scientific Meeting. 13-16th September 2016, Tokyo. Available from: https://youtu.be/-8yrCREq5Q8

Ostaszkiewicz J., Eustice S., Roe B, Thomas L, Islam T, O’Connell B, Cody J, Omar I. (2016). ‘Variation in toileting assistance programmes terminology: A possible solution’. [E-Poster]. 46th International Continence Society Scientific Meeting. 13-16th September 2016, Tokyo.

Ostaszkiewicz, J. [Chair], Palmer, MH., Roe, B., Eustice, S., Talley, K. (2015). Promoting an evidence-based approach to quality continence care for frail older adults. [Workshop]. 45th Annual Meeting of the International Continence Society. 6-9th October, 2015. Montreal, Canada

Thompson, J., Paterson, J., Ostaszkiewicz, J., Watt, E., St John, W. (2015). Continence Nursing Clinical Practice Standards: What they mean and how to use them. [Workshop]. 24th National Conference on Incontinence. Continence Foundation of Australia. 25-28th Nov, 2015. Melbourne. Australia

Ostaszkiewicz, J. [Chair], Palmer, MH. (2015). Continence promotion in residential aged care facilities. [Workshop]. 24th National Conference on Incontinence. Continence Foundation of Australia. 25-28th Nov, 2015. Melbourne. Australia

Ostaszkiewicz J., Ottmann G., Isaacs R., Hutchinson A. (2015). Quality Continence Care in residential aged care facilities: What should we measure? 24th National Conference on Incontinence. Continence Foundation of Australia. 25-28th Nov, 2015. Melbourne. Australia

Ostaszkiewicz, J., O’Connell, B., Lakhan, P., Hawkins, M. (2014). Challenges of Caring for Residents with Behavioural and Psychological Symptoms of Dementia. [Podium presentation]. 47th Australian Association of Gerontology National Conference, 26-28 November 2014, Adelaide Oval, Adelaide, Australia

Ostaszkiewicz, J., O’Connell, B. & Dunning, T. (2014). Providing continence care in long-term aged care facilities: Findings from a grounded theory study. [Poster Podium Presentation] 44th Annual Scientific Meeting of the International Continence Society (ICS). Rio de Janeiro, 20-24 October, 2014. Brazil

Ostaszkiewicz, J., O’Connell, B., Dunning, T. (2014). The unintended effects of the regulatory framework on continence care in Australian residential aged care facilities. 23rd National Conference on Incontinence. 10-13th Sep, 2014, Cairns, Australia

Ostaszkiewicz, J. (2014). Empowering nurses to promote continence and manage incontinence across the lifespan. (Invited speaker). 5th Global Forum on Incontinence, 8-9 Apr 2014, Madrid, Spain

Ostaszkiewicz, J. (2014). Dignifying 'dirty' work': Providing continence care in residential aged care facilities. [Invited speaker]. Every Body’s Business – Aged Care and Incontinence. Continence Foundation of Australia. 21st Mar 2014, Melbourne, Australia

Awards

Dr Ostaszkiewicz is the recipient of a number of awards including the Continence Nurses Society Australia (Vic-Tas Branch) 2017 Research Award, the Incontinence Products Promotional Group Nurse Scholarship 2016 (Vic-Tas branch), an Australian Postgraduate Award, the 2008 American Nurses Journal Book of the Year Award in the category of research, the 2012 Royal College of Nursing Aged Care Myrtle Ivy Quicke Memorial Grant, the 2010 Australian Nursing Federation Gerontology Scholarship, and the 2008 Nurses Memorial Centre Scholarship. 

Publications

Filter by

2020

Challenges for nurses when communicating with people who have life-limiting illness and their families: A focus group study

D Kerr, S Milnes, J Ammentorp, C McKie, T Dunning, J Ostaszkiewicz, M Wolderslund, P Martin

(2020), Vol. 29, pp. 416-428, Journal of Clinical Nursing, London, Eng., C1

journal article

The development and validation of instruments to measure dignity-protective continence care for care-dependent older people in residential aged care facilities: a study protocol

J Ostaszkiewicz, T Dunning, A Hutchinson, A Wagg, S Gwini, V Dickson-Swift

(2020), pp. 1-8, Neurourology and urodynamics, Chichester, Eng., C1

journal article
2019

Development of quality outcome indicators to improve the quality of urinary and faecal continence care

Adrian Wagg, Dianne Gove, Kai Leichsenring, J Ostaszkiewicz

(2019), Vol. 30, pp. 23-32, International urogynecology journal, Cham, Switzerland, C1

journal article

Promoting evidence-based urinary incontinence management in acute nursing and rehabilitation care-a process evaluation of an implementation intervention in the orthopaedic context

Maria Hlleberg Nyman, Henrietta Forsman, Lars Wallin, Joan Ostaszkiewicz, Ami Hommel, Ann Eldh

(2019), Vol. 25, pp. 282-289, Journal of evaluation in clinical practice, Chichester, Eng., C1

journal article

Staff experiences with implementing a case conferencing care model in nursing homes: a focus group study

Sigrid Nakrem, Geir-Tore Stensvik, Rickard Skjong, Joan Ostaszkiewicz

(2019), Vol. 19, pp. 1-11, BMC health services research, London, Eng., C1

journal article

Current evidence about catheter maintenance solutions for management of catheter blockage in long-term urinary catheterisation

Joanne Dean, Joan Ostaszkiewicz

(2019), Vol. 25, pp. 74-80, Australian and New Zealand continence journal, Osborne Park, W.A., C1

journal article

A national project to develop and validate practice standards for Australian nurse continence specialists

Joan Ostaszkiewicz, Janie Thompson, Elizabeth Watt

(2019), Vol. 25, pp. 16-21, Australian and New Zealand continence journal, Osborne Park, W.A., C1

journal article
2018

A conceptual model of the risk of elder abuse posed by incontinence and care dependence

J Ostaszkiewicz

(2018), Vol. 13, pp. 1-11, Internationals journal of older people nursing, London, Eng., C1

journal article

"Dignity": a central construct in nursing home staff understandings of quality continence care

J Ostaszkiewicz, E Tomlinson, A Hutchinson

(2018), Vol. 27, pp. 2425-2437, Journal of clinical nursing, Chichester, Eng., C1

journal article
2017

Tri-focal model of care implementation: perspectives of residents and family

A Hutchinson, H Rawson, B O'Connell, H Walker, T Bucknall, H Forbes, J Ostaszkiewicz, C Ockerby

(2017), Vol. 49, pp. 33-43, Journal of nursing scholarship, London, Eng., C1

journal article

Reframing continence care in care-dependence

J Ostaszkiewicz

(2017), Vol. 38, pp. 520-526, Geriatric nursing, Amsterdam, The Netherlands, C1

journal article

Urinary incontinence and its management in patients aged 65 and older in orthopaedic care - what nursing and rehabilitation staff know and do

Maria Hlleberg Nyman, Henrietta Forsman, Joan Ostaszkiewicz, Ami Hommel, Ann Eldh

(2017), Vol. 26, pp. 3345-3353, Journal of clinical nursing, Chichester, Eng., C1

journal article
2016

Night-time continence care in Australian residential aged care facilities: findings from a grounded theory study

J Ostaszkiewicz, B O'Connell, T Dunning

(2016), Vol. 52, pp. 152-162, Contemporary nurse, Oxford, Eng., C1

journal article

Fear and overprotection in Australian residential aged care facilities: the inadvertent impact of regulation on quality continence care

J Ostaszkiewicz, B O'Connell, P Dunning

(2016), Vol. 35, pp. 119-126, Australasian journal on ageing, Chichester, Eng., C1

journal article

'We just do the dirty work': dealing with incontinence, courtesy stigma and the low occupational status of carework in long-term aged care facilities.

J Ostaszkiewicz, B O'Connell, T Dunning

(2016), Vol. 25, pp. 2528-2541, Journal of clinical nursing, London, Eng., C1

journal article

Learning to accept incontinence and continence care in residential aged care facilities: family members' experiences

J Ostaszkiewicz, E Tomlinson, A Hutchinson

(2016), Vol. 22, pp. 14-21, Australian and New Zealand continence journal, Osborne Park, WA, C1

journal article
2015

Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence

A Wagg, W Gibson, J Ostaszkiewicz, T Johnson III, A Markland, M Palmer, G Kuchel, G Szonyi, R Kirschner-Hermanns

(2015), Vol. 34, pp. 398-406, Neurourology and urodynamics, London, Eng., C1

journal article

Ongoing challenges responding to behavioural and psychological symptoms of dementia

J Ostaszkiewicz, P Lakhan, B O'Connell, M Hawkins

(2015), Vol. 62, pp. 506-516, International Nursing Review, London, Eng., C1

journal article
2014

Ethical challenges associated with providing continence care in residential aged care facilities: Findings from a grounded theory study

J Ostaszkiewicz, B O'Connell, T Dunning

(2014), Vol. 20, pp. 179-186, Australian and New Zealand Continence Journal, Osbourne Park, WA, C1

journal article
2013

Incontinence in the frail elderly

A Wagg, L Chen, R Kirschner-Hermanns, G Kuchel, T Johnson 2nd, J Ostaszkiewicz, A Markland, M Palmer, G Szonyi

(2013), pp. 1001-1099, Incontinence, Paris, France, B1

book chapter

Management using continence products

A Cottenden, D Bliss, B Buckley, M Fader, C Gartley, D Hayder, J Ostaszkiewicz, M Wilde

(2013), pp. 1651-1786, Incontinence, Arnhem, The Netherlands, B1-1

book chapter

Toileting assistance programmes for the management of urinary incontinence in adults

J Ostaszkiewicz, S Eustice, B Roe, L Thomas, B French, T Islam, B O'Connell, J Cody

(2013), Vol. 2013, Cochrane Database of Systematic Reviews, C1

journal article

Urinary bag decontamination for long-term use: A systematic review

M Wilde, M Fader, J Ostaszkiewicz, J Prieto, K Moore

(2013), Vol. 40, pp. 299-308, Journal of Wound, Ostomy and Continence Nursing, C1

journal article
2012

Residents' perspectives on urinary incontinence: A review of literature

J Ostaszkiewicz, B O'Connell, T Dunning

(2012), Vol. 26, pp. 761-772, Scandinavian Journal of Caring Sciences, C1

journal article

Carers' perspectives of respite care in Australia: An evaluative study

B O'connell, M Hawkins, J Ostaszkiewicz, L Millar

(2012), Vol. 41, pp. 111-119, Contemporary Nurse, C1

journal article

Nurses' advice regarding sterile or clean urinary drainage bags for individuals with a long-term indwelling urinary catheter

J Ostaszkiewicz, J Paterson

(2012), Vol. 39, pp. 77-83, Journal of Wound, Ostomy and Continence Nursing, C1

journal article

How is the quality of continence care determined in Australian residential aged care settings?: a content analysis of accreditation reports

J Ostaszkiewicz, B O'Connell, T Dunning

(2012), Vol. 18, Australian and New Zealand continence journal, Perth, W. A., C1-1

journal article
2011

A suite of evidence-based continence assessment tools for residential aged care

B O'Connell, J Ostaszkiewicz, M Hawkins

(2011), Vol. 30, pp. 27-32, Australasian Journal on Ageing, C1

journal article

Care needs and functional status of older acute care patients.

B O'Connell, M Hawkins, L Baker, J Ostaszkiewicz

(2011), Vol. 4, pp. 271-279, Research in gerontological nursing, C1

journal article

Nursing care needs of patients with and without dementia admitted to hospital with fractured neck of femur

B O'Connell, J Orr, J Ostaszkiewicz, C Gaskin

(2011), Vol. 15, pp. 136-144, International Journal of Orthopaedic and Trauma Nursing, C1-1

journal article
2010

The effects of conservative treatment for constipation on symptom severity and quality of life in community-dwelling adults

J Ostaszkiewicz, L Hornby, L Millar, C Ockerby

(2010), Vol. 37, pp. 193-198, Journal of Wound, Ostomy and Continence Nursing, C1

journal article
2009

Moving beyond resistance to restraint minimization: A case study of change management in aged care

S Johnson, J Ostaszkiewicz, B O'Connell

(2009), Vol. 6, pp. 210-218, Worldviews on Evidence-Based Nursing, C1

journal article
2008

Habit Retraining for Urinary Incontinence in Adults

J Ostaszkiewicz, B O'Connell

(2008), pp. 157-187, Reviewing Research Evidence for Nursing Practice: Systematic Reviews, B1

book chapter

The Tri-focal model of care: Advancing the teaching-nursing home concept

B O'Connell, J Ostaszkiewicz, K Sukkar, K Plymat

(2008), Vol. 14, pp. 411-417, International Journal of Nursing Practice, C1

journal article

Incontinence: Managed or mismanaged in hospital settings?

J Ostaszkiewicz, B O'Connell, L Millar

(2008), Vol. 14, pp. 495-502, International Journal of Nursing Practice, C1

journal article

A guideline for the nursing assessment and management of urinary retention in elderly hospitalised patients

J Ostaszkiewicz, B O`Connell, C Ski

(2008), Vol. 14, pp. 76-83, Australian and New Zealand continence, Parkville, Vic., C1

journal article
2007

Clinical usefulness and feasibility of using reality orientation with patients who have dementia in acute care settings

B O'Connell, A Gardner, M Takase, M Hawkins, J Ostaszkiewicz, C Ski, P Josipovic

(2007), Vol. 13, pp. 182-192, International Journal of Nursing Practice, C1

journal article

Systematic reviews of bladder training and voiding programmes in adults: a synopsis of findings from data analysis and outcomes using metastudy techniques

Brenda Roe, Joan Ostaszkiewicz, Jill Milne, Sheila Wallace

(2007), Vol. 57, pp. 15-31, Journal of advanced nursing, Chichester, Eng., C1-1

journal article

Systematic reviews of bladder training and voiding programmes in adults: a synopsis of findings on theory and methods using metastudy techniques

Brenda Roe, Jill Milne, Joan Ostaszkiewicz, Sheila Wallace

(2007), Vol. 57, pp. 3-14, Journal of advanced nursing, Chichester, England, C1-1

journal article
2006

A clinical nursing leadership model for enhancing continence care for older adults in a subacute inpatient care setting

J Ostaszkiewicz

(2006), Vol. 33, pp. 624-629, Journal of Wound, Ostomy and Continence Nursing, C1

journal article
2005

Sink or swim--ageing in Australia.

B O'Connell, J Ostaszkiewicz

(2005), Vol. 29, pp. 146-150, Australian health review : a publication of the Australian Hospital Association, C1

journal article

Effects of timed voiding for the management of urinary incontinence in adults: Systematic review

J Ostaszkiewicz, B Roe, L Johnston

(2005), Vol. 52, pp. 420-431, Journal of Advanced Nursing, C1

journal article

Does successful treatment of constipation or faecal impaction resolve lower urinary tract symptoms? A structured review of the literature

J Ostaszkiewicz, C Ski, L Hornby

(2005), Vol. 11, pp. 70-80, Australian and New Zealand Continence Journal, West Leederville, W.A., C1

journal article

The challenge of managing continence care in residential aged care settings : recommendations for research and practice

B O`Connell, J Ostaszkiewicz, K Day

(2005), Vol. 23, pp. 5-18, Geriaction, Burwood, N.S.W., C1

journal article
2004

Habit retraining for the management of urinary incontinence in adults (review)

J Ostaszkiewicz, L Johnston, B Roe

(2004), Vol. 4, pp. 1-34, The Cochrane library, Hoboken, N.J., C1-1

journal article

Timed voiding for the management of urinary incontinence in adults (Review)

J Ostaszkiewicz, L Johnston, B Roe

(2004), pp. 1-21, Cochrane library, Vista, Calif., C1-1

journal article

Habit retraining for the management of urinary incontinence in adults

J Ostaszkiewicz, T Chestney, B Roe

(2004), pp. 1-33, Cochrane Database of Systematic Reviews, Chichester, Eng., C1-1

journal article

Timed voiding for the management of urinary incontinence in adults

J Ostaszkiewicz, L Johnston, B Roe

(2004), pp. 1-26, Cochrane database of systematic reviews, Chichester, Eng., C1-1

journal article

Funded Projects at Deakin

Australian Competitive Grants

Translating dignity principles into practice in aged care homes

Dr Joan Ostaszkiewicz

MRFF Next Generation Clinical Researchers Program Translating Research into Practice (TRIP) Fellowships - admin through NHMRC

  • 2020: $10,277
  • 2019: $91,590

Other Public Sector Funding

Development and trial of best practice protocol for management of urinary retention in elderly patients in acute and sub-acute settings

Dr Chantal Ski, Prof Beverly O'Connell, Dr Joan Ostaszkiewicz

  • 2006: $4,942

National Continence Helpline Evaluation

Prof Beverly O'Connell, Dr Joan Ostaszkiewicz, Prof Anne Gardner, Dr Cadeyrn Gaskin

  • 2007: $3,704
  • 2006: $13,636

The development of screening and assessment tools for continence management in residential aged care

Prof Beverly O'Connell, A/Prof David Fonda, Dr Joan Ostaszkiewicz, Dr Mary Hawkins, Dr Cadeyrn Gaskin

  • 2006: $56,693

Industry and Other Funding

Essentials of continence care for hospitalised older adults

Prof Beverly O'Connell, Dr Joan Ostaszkiewicz

  • 2006: $15,000

Peter James Centre Research Fellow

Dr Joan Ostaszkiewicz

  • 2008: $25,781
  • 2007: $24,186
  • 2006: $69,601

Trial of an innovative education and workforce development model for aged care

Prof Beverly O'Connell, Dr Joan Ostaszkiewicz

  • 2008: $164,677
  • 2007: $158,780

Exploring methods for conducting research to promote quality continence care for vulnerable older adults

Dr Joan Ostaszkiewicz

  • 2015: $574
  • 2014: $8,672

A collaboration to establish the validity of the Continence Nurses Society of Australia (CoNSA) Continence Nurse Specialist Standards for Practice

Dr Joan Ostaszkiewicz, Ms Janie Thompson, Ms Elizabeth Watt

  • 2015: $2,195

Development and evaluation of an instrument to measure dignity in continence care for people who are care-dependent

Dr Joan Ostaszkiewicz, Prof Trisha Dunning, Prof Alison Hutchinson, Prof Adrian Wagg, Dr Stella Gwini

  • 2019: $9,788

Defining and measuring dignity for hospitalised older people

Dr Debra Kerr, Dr Rosie Crone, Prof Trisha Dunning, Dr Joan Ostaszkiewicz

  • 2019: $5,290

Supervisions

No completed student supervisions to report