Profile image of Maryann Street

Dr Maryann Street

STAFF PROFILE

Position

Senior Research Fellow

Faculty

Faculty of Health

Department

School of Nursing & Midwifery

Campus

Melbourne Burwood Campus

Qualifications

Doctor of Philosophy, University of Melbourne, 1986
Bachelor of Science, University of Melbourne, 1981

Contact

Biography summary

Dr Maryann Street is a Senior Research Fellow in the Deakin University  Quality and Patient Safety (QPS) Strategic Research Centre - Eastern Health partnership. Maryann has been a principal investigator in collaborative multi-site research across Health Services.   Her research has focused on  issues including clinical risk in transitions of care, improving health care quality and patient safety through evidence-based practice and engaging patients to improve health care outcomes. Specific research studies include evaluating patient participation in nursing handover in acute care settings, improving patient outcomes associated with emergency care for older and vulnerable patients, risk management in patient care, nursing assessment for the safe and timely discharge of patients from post-anaesthetic care and the role of nurses in end-of-life advanced care planning.

Maryann is committed to research excellence and integrity, and is a member of the Eastern Health Research Ethics Subcommittee for assessment of applications for low-risk research proposals. She also undertakes review of research proposals for Deakin University Human Ethics Advisory Group (HEAG).

Research interests

Dr Maryann Street's  research focus is  the delivery of quality, safe and evidence-based patient care, especially during transitions of care, improving health care quality and patient safety through evidence-based practice and enhancing patient participation in care. Specific research studies include evaluating patient participation in nursing handover,  improving patient outcomes associated with emergency care for older and vulnerable patients, risk management in patient care, nursing assessment for the safe and timely discharge of patients from post-anaesthetic care and the role of nurses in end-of-life advanced care planning.

Affiliations

  • Australian Association of Gerontology (AAG)
  • College of Emergency Nurses Australasia (CENA)
  • Australian Society of Clinical & Experimental Pharmacologists and Toxicologists (ASCEPT)
  • Fellow and Member of International Society for Quality in Healthcare (ISQua)
  • Health Services Research Association of Australia N New Zealand (HSRAANZ)

Teaching interests

Dr Maryann Street has co-supervised six Bachelor of Nursing (Honours), one Master of Nursing Practice and two PhD students to completion and is currently supervising three Honours student. She has completed the Deakin University fast track training program for HDR supervision.

Bachelor of Nursing (Honours) projects

  • "Patient Experience of Medical Emergency Team activation calls"
  • “Pre-operative management and post-operative outcomes for older patients undergoing major emergency surgery”
  • “Factors influencing cardiomatabolic monitoring practices for adults in mental health in-patient units”
  • “Dialysis nurses’ attitudes towards an Accredited Exercise Physiologist intra-dialytic exercise program”
  • “Exploring the relationship between patient experience, nurse satisfaction and direct care hours”
  • “Emergency care of women with vaginal bleeding and / or abdominal pain in early pregnancy”

Masters of Nursing Practice projects

  • "Factors that determine length of stay and readiness for discharges from the Post Anaesthetia Care Unit: A retrospective clinical audit"

Doctorate of Philosophy
May 2013 – Dec 2014 Jintana Damkliang “Use of an Evidence-Based Care Bundle by Thai Emergency Nurses” (Co-supervisor with Prof. Julie Considine, Prof. Bridie Kent)

Sep 2017 - July 2020 Vanessa Watkins “Labouring together – collaborative alliances in maternity care in Victoria, Australia: a mixed methods study”. (Co-supervisor with Professor Alison M Hutchinson and Professor Cate Nagle).

Units taught

HNR 412 Bachelor of Nursing (Honours)

HNN 725 and HNN 726 Masters of Nursing Practice Minor Thesis

Knowledge areas

Nursing Research

Health Services Research

Quantitative Research Methodology

Emergency Care for Older people

Nursing assessment for patient discharge from the Post-Anaesthetic Care Unit

Expertise

Nursing Research Health Services Research Patient safety during transitions in care Quantitative analysis
  • Patient safety

Conferences

  • Street M, Considine J, Berry D, Gray E, Mapes J, Liskaser R, Papageorgiou S, Dempster J. Older age and communication deficit do not appear to impact patient participation in nursing handover. 53rd Australian Association of Gerontology Virtual Conference, Online November 18th-20th November 2020.
  • Howard R, Kuhn L, Millar F, Street M. October 2019. Integrating physical and mental health care: Cardiometabolic monitoring practices in three mental health inpatient units. Australian College of Mental Health Nurses 45th International Mental Health Nursing Conference, 8-10th of October 2019, Sydney, New South Wales - oral presentation. International Journal of Mental Health Nursing 28:23 (1page) October 2019.
  • Howard R, Kuhn L, Millar F,  Street M. Examining the characteristics of cardiometabolic monitoring and physical health assessment of mental health consumers within the first 72-hours of admission to a mental health inpatient unit. Australian College of Nurses National Nursing Forum, 21st-23rd of August 2019, Hobart, Tasmania - oral presentation.
  • Considine J, Street M, Bucknall T, Rawson H, Hutchinson A, Dunning T, Botti M, Duke M, Mohebbi M & Hutchinson A. November 2015. Emergency transfers from subacute to acute care: prospective case-time-control study. 51st Australian Association of Gerontology Conference. Melbourne, 21st-23rd November 2018.
  • Street M, Considine J, Bucknall T, Rawson H, Hutchinson AF, Botti M, Duke MM, Mohebbi M, Hutchinson AM, Dunning T.  Resuscitation plans for older subacute care patients following clinical deterioration. 51st Australian Association of Gerontology Conference, Melbourne, 21st - 23rd November 2018.
  • Berry D, Street M, Considine C. Service use by older people who frequently attend Emergency Departments. 51st Australian Association of Gerontology Conference, Melbourne, 21st - 23rd November 2018.
  • Berry D, Street M, Considine C. ‘Hello, you’ve looked after me before’. Service use by older people with very frequent emergency department attendance. 16th International Conference for Emergency Nursing (ICEN), Melbourne, October 2018
  • Street M, Phillips N, Haesler E, Kent B. Refining nursing assessment and management in the Post-Anaesthetic Care Unit: a new discharge criteria tool to minimise surgical patient risk. 2018 ACORN & ASIORNA International Conference, Adelaide, South Australia, May 2018.
  • Briggs K,  Botti M, Phillips NM, Street M. The Rite of Passage - PACU length of stay. 2018 ACORN & ASIORNA International Conference, Adelaide, South Australia, May 2018.
  • Kuhn L, Page K, Street M, Rolley J, Considine J. (2017). The Influence of Gender on Evidence-Based Practice for Patients with Acute Coronary Syndrome: A Retrospective Multi-Site Australian Study. Heart, Lung and Circulation, 26, S321. doi:http://dx.doi.org/10.1016/j.hlc.2017.06.646
  • Street M, Berry D, Mohebbi M, Considine J. Development of a risk predication model for older people staying more than four hours in the emergency department. ISQua’s 34th International Conference, London, United Kingdom, October 2017 (poster).
  • Street M, Berry D & Considine J. Characteristics and outcomes of older people who frequently attend the emergency department: A comparative cohort study. ISQua’s 34th International Conference, London, United Kingdom, October 2017 (poster).
  • Street M, Considine J, Berry D, Mohebbi M, Cross A. Influences on Emergency Department length of stay for older people. Australian Association of Gerontology 49th National Conference, Canberra, ACT, November 2016 (Oral Presentation).

Professional activities

Research Gate profile

https://www.researchgate.net/profile/Maryann_Street

 

Twitter: @maryann_street

Research groups

Deakin University Centre for Quality and Patient Safety (QPS) Research

Institute for Health Transformation

Awards

2017       Awarded an Academic Study Program to be conducted in Trimester 2, 2017. The program is to explore ways to foster patient and public involvement (PPI) in health services research and to describe the patient’s experience of health care. It includes visits with international researchers in the United Kingdom at University of Plymouth, PenCLARHC, the Health Foundation, CLAHRC South London and the Centre for Implementation Science at Kings College London. The program also covers a visit to the University of Agden, Norway as an invited visiting academic.
2015        Awarded Fellowship to the International Society for Quality in Healthcare (ISQua) on completion of the global education program, delivered by leading experts in quality and safety in healthcare, to stimulate thought and innovation, increase competence and confidence, encourage good practice and set the benchmark for healthcare quality.

2013     Awarded Oral Presentation Award for Best Paper presentation entitled “Improving patient outcomes and access to Emergency care for older people from Aged Care Homes”  at 2013 International Nursing Conference on Health, Healing, & Harmony: Nursing Values, in Thailand.

2010    Awarded “Best Research Presentation” at the Eastern Health Research Forum for presentation of “Eastern Health Emergency Department presentations by Residential Aged Care patients: what are the clinical and cost implications?” This award included a contribution of $1000 towards attendance at a conference to present this research.

Projects

Major Research projects include:

1. Patient participation in nursing handover.

Nursing handover is a frequent safety-critical activity in hospitals. Patient participation in nursing handover at the bedside increases patient safety and promotes a positive healthcare experience. Eastern Health Point of Care Audits showed that between 10% and 25% of nursing handovers were not conducted in the patient’s presence and the level to which patients were actively involved in nursing handover was unknown. This research study aimed to explore patient participation in nursing handover at Eastern Health.

A prospective observational study was undertaken on 10 wards (medical, surgical, rehabilitation and geriatric evaluation and management) at six hospitals. A total of 117 change-of-shift from morning to afternoon nursing handovers were observed,  followed by a short semi-structured interview with 33 patients, and interviews with the 20 nurses giving handover. We found that patients were active participants in one-third (33%), passive participants in a further 47% and for 20% the patient had no input at all. A complex interplay of factors that impacted the level of participation were identified as were strategies to enhance patient participation. These findings will inform nurses about the best way to effectively help patients, especially those who are older or have communication deficits, be more involved in bedside nursing handover.

2. Transitions of care for older people through the Emergency Department
Frequent presentations and longer stay in the Emergency Department for older people, including those from Residential Aged Care, are associated with diminished quality of care, increased morbidity and excess mortality. A study of the impact of In-reach Services at Eastern Health for people transferred from Residential Aged Care to the Emergency Department (ED) showed improved patient outcomes such as fewer presentations to the Emergency Department,  reduced length of stay and lower admission rates. The proportion of admitted patients who were discharged with an End of Life palliative care plan increased almost three-fold. 
A further study compared matched cohorts of older people from Residential Aged Care with those from the community. The findings suggested that systemic rather than clinical factors were most strongly predictive of access block. The most recent study identified 12 factors which independently predict whether an older person will remain in ED longer than 4 hours and developed a clinically reliable prediction model. 

The findings have been published in Health & Social Care in the Community, Australasian Journal on Ageing, Australasian Emergency Nursing Journal,  European Journal of Emergency Medicine and the International Journal for Quality in Health Care.


3. Nursing Assessment of patients for safe discharge from the Post-anaesthetic Care Unit (PACU)
Dr Street and colleagues obtained almost $140,000 funding from the HCF Health and Medical Research Foundation for a pilot study to evaluate an evidence-based Discharge Scoring Tool to be used by nurses in the PACU. The study aimed to give nurses a better tool for patient assessment, improve patient outcomes and reduce adverse events, thus reducing health care costs. This pre- and post- implementation study was conducted  in three Eastern Health PACUs . Previous work by Dr Street and colleagues informed the development of improved evidence-based PACU documentation for use at all Eastern Health sites.  The findings of the intervention study were published in BMJ Open.

Publications

Filter by

2020

Understanding the patient experience of early unplanned hospital readmission following acute care discharge: a qualitative descriptive study

J Considine, D Berry, S Sprogis, E Newnham, K Fox, P Darzins, H Rawson, M Street

(2020), Vol. 10, pp. 1-10, BMJ Open, London, Eng., C1

journal article

Clinical deterioration and hospital-acquired complications in adult patients with isolation precautions for infection control: A systematic review

D Berry, E Wakefield, M Street, J Considine

(2020), Vol. 76, pp. 2235-2252, Journal of Advanced Nursing, London, Eng., C1

journal article

Vital sign abnormalities as predictors of clinical deterioration in subacute care patients: A prospective case-time-control study

J Considine, M Street, A Hutchinson, M Mohebbi, H Rawson, T Dunning, M Botti, M Duke, A Hutchison, T Bucknall

(2020), Vol. 108, pp. 1-9, International Journal of Nursing Studies, Amsterdam, The Netherlands, C1

journal article
2019

Characteristics and outcomes of emergency interhospital transfers from subacute to acute care for clinical deterioration

Julie Considine, Maryann Street, Tracey Bucknall, Helen Rawson, Anastasia Hutchison, Trisha Dunning, Mari Botti, Maxine Duke, Mohammadreza Mohebbi, Alison Hutchinson

(2019), Vol. 31, pp. 117-124, International journal for quality in health care, Oxford, Eng., C1

journal article

Timing of emergency interhospital transfers from subacute to acute care and patient outcomes: a prospective cohort study

Julie Considine, Maryann Street, Alison Hutchinson, Tracey Bucknall, Helen Rawson, Anastasia Hutchinson, Trisha Dunning, Maxine Duke, Mohammadreza Mohebbi, Mari Botti

(2019), Vol. 91, pp. 77-85, International journal of nursing studies, Amsterdam, The Netherlands, C1

journal article

Service use by older very frequent emergency department users: a retrospective cohort study

D Berry, M Street, J Considine

(2019), Vol. 22, pp. 133-138, Australasian emergency care, Amsterdam, The Netherlands, C1

journal article

Association between excessive premature atrial complexes and cryptogenic stroke: results of a case-control study

J Sajeev, A Koshy, H Dewey, J Kalman, K Rajakariar, M Tan, M Street, L Roberts, J Cooke, M Wong, T Frost, A Teh

(2019), Vol. 9, BMJ open, London, Eng., C1

journal article

Resuscitation Status and Characteristics and Outcomes of Patients Transferred From Subacute Care To Acute Care Hospitals: A Multi?Site Prospective Cohort Study

Maryann Street, P Dunning, Tracey Bucknall, Alison Hutchinson, Helen Rawson, Anastasia Hutchinson, Mari Botti, Maxine Duke, Mohammadreza Mohebbi, Julie Considine

(2019), pp. 1-10, Journal of Clinical Nursing, London, Eng., C1

journal article
2018

Influences on emergency department length of stay for older people

M Street, M Mohebbi, D Berry, A Cross, J Considine

(2018), Vol. 25, pp. 242-249, European journal of emergency medicine, Philadelphia, Pa., C1

journal article

Comparison of policies for recognising and responding to clinical deterioration across five Victorian health services

J Considine, A Hutchison, H Rawson, A Hutchinson, T Bucknall, T Dunning, M Botti, M Duke, M Street

(2018), Vol. 42, pp. 412-419, Australian health review, Clayton, Vic., C1

journal article

Frequent use of emergency departments by older people: a comparative cohort study of characteristics and outcomes

Maryann Street, Debra Berry, Julie Considine

(2018), Vol. 30, pp. 624-629, International journal for quality in health care, Oxford, Eng., C1

journal article

Utility of photoplethysmography for heart rate estimation among inpatients

Anoop Koshy, Jithin Sajeev, Nitesh Nerlekar, Adam Brown, Kevin Rajakariar, Mark Zureik, Michael Wong, Louise Roberts, Maryann Street, Jennifer Cooke, Andrew Teh

(2018), Vol. 48, pp. 587-591, Internal Medicine Journal, Melbourne, Vic., C1

journal article

Smart watches for heart rate assessment in atrial arrhythmias

Anoop Koshy, Jithin Sajeev, Nitesh Nerlekar, Adam Brown, Kevin Rajakariar, Mark Zureik, Michael Wong, Louise Roberts, Maryann Street, Jennifer Cooke, Andrew Teh

(2018), Vol. 266, pp. 124-127, International journal of cardiology, Amsterdam, The Netherlands, C1

journal article

Refining nursing assessment and management with a new postanaesthetic care discharge tool to minimize surgical patient risk

Maryann Street, Nicole Phillips, Emily Haesler, Bridie Kent

(2018), Vol. 74, pp. 2566-2576, Journal of advanced nursing, London, Eng., C1

journal article
2017

Effect of gender on evidence-based practice for Australian patients with acute coronary syndrome: a retrospective multi-site study

L Kuhn, K Page, M Street, J Rolley, J Considine

(2017), Vol. 20, pp. 63-68, Australasian emergency nursing journal, Amsterdam, The Netherlands, C1

journal article

Effect of a newly designed observation, response and discharge chart in the post anaesthesia care unit on patient outcomes: a quasi-expermental study in Australia

M Street, N Phillips, M Mohebbi, B Kent

(2017), Vol. 7, pp. 1-11, BMJ Open, London, Eng., C1

journal article
2016

Analysis of the impact of limitation of medical treatment orders during unplanned transfers from sub-acute care to emergency departments

M Street, J Considine

(2016), Vol. 19, pp. 37-43, Australasian emergency nursing journal, Amsterdam, The Netherlands, C1

journal article

Effects of an intradialytic resistance training programme on physical function: a prospective stepped-wedge randomized controlled trial

P Bennett, S Fraser, R Barnard, T Haines, C Ockerby, M Street, W Wang, R Daly

(2016), Vol. 31, pp. 1302-1309, Nephrology dialysis transplantation, Oxford, Eng., C1

journal article

Attitudes of Nephrology Nurses Toward Patient Exercise During Hemodialysis

P Bennett, J Peter, W Wang, M Street

(2016), Vol. 43, pp. 331-337, Nephrology nursing journal : journal of the American Nephrology Nurses' Association, C1

journal article
2015

In-reach nursing services improve older patient outcomes and access to emergency care

M Street, J Considine, P Livingston, G Ottmann, B Kent

(2015), Vol. 34, pp. 115-120, Australasian journal on ageing, Melbourne, Vic, C1

journal article

Advance care planning for older people in Australia presenting to the emergency department from the community or residential aged care facilities

M Street, G Ottmann, M Johnstone, J Considine, P Livingston

(2015), Vol. 23, pp. 513-522, Health and social care in the community, Milton, Qld, C1

journal article

Minimising post-operative risk using a Post-Anaesthetic Care Tool (PACT): protocol for a prospective observational study and cost-effectiveness analysis

M Street, N Phillips, B Kent, S Colgan, M Mohebbi

(2015), Vol. 5, pp. 1-6, BMJ Open, London, Eng., C1

journal article

Multisite analysis of the timing and outcomes of unplanned transfers from subacute to acute care

J Considine, Maryann Street, Mari Botti, B O'Connell, B Kent, P Dunning

(2015), Vol. 39, pp. 387-394, Australian health review, Melbourne, Vic., C1

journal article

Using an evidence-based care bundle to improve Thai emergency nurses' knowledge of care for patients with severe traumatic brain injury

J Damkliang, J Considine, B Kent, M Street

(2015), Vol. 15, pp. 284-292, Nurse education in practice, Amsterdam, The Netherlands, C1

journal article

Nurses' perceptions of using an evidence-based care bundle for initial emergency nursing management of patients with severe traumatic brain injury: A qualitative study.

J Damkliang, J Considine, B Kent, M Street

(2015), International Emergency Nursing, C1

journal article

Using an evidence-based care bundle to improve initial emergency nursing management of patients with severe traumatic brain injury

J Damkliang, J Considine, B Kent, M Street

(2015), Vol. 24, pp. 3365-3373, Journal of clinical nursing, London, Eng., C1

journal article

A systematic review of reliable and valid tools for the measurement of patient participation in healthcare.

N Phillips, M Street, E Haesler

(2015), Vol. 25, pp. 110-117, BMJ quality & safety, London, Eng., C1

journal article
2014

Determining criteria to assess patient readiness for discharge from postanaesthetic care: An international Delphi study

N Phillips, M Street, B Kent, M Cadeddu

(2014), Vol. 23, pp. 3345-3355, Journal of Clinical Nursing, West Sussex, United Kingdom, C1

journal article

Measuring patient participation in health care: a comprehensive systematic review protocol

N Phillips, M Street, E Haesler

(2014), Vol. 12, pp. 68-88, JBI Database of systematic reviews and implementation reports, Adelaide, S. A., C1

journal article

A randomized, double-blind, placebo-controlled study of preemptive oral oxycodone with morphine patient-controlled anesthesia for postoperative pain management in patients undergoing uterine artery embolization for symptomatic uterine fibroids

A Konstantatos, H Kavnoudias, J Stegeman, D Boyd, M Street, M Bailey, S Lyon, K Thomson

(2014), Vol. 37, pp. 1191-1197, Cardiovascular and interventional radiology, New York, N. Y., C1-1

journal article

Initial emergency nursing management of patients with severe traumatic brain injury : development of an evidence-based care bundle for the Thai emergency department context.

J Damkliang, J Considine, B Kent, M Street

(2014), Vol. 17, pp. 152-160, Australasian Emergency Nursing Journal, Amsterdam , Netherlands, C1

journal article
2013

Post-anaesthetic discharge scoring criteria: Key findings from a systematic review

N Phillips, M Street, B Kent, E Haesler, M Cadeddu

(2013), Vol. 11, pp. 275-284, International Journal of Evidence-Based Healthcare, C1

journal article
2012

End-of-life care for aged care residents presenting to emergency departments

J Wilkinson, M Street, S Fullerton, P Livingston

(2012), Vol. 2, pp. 1-4, Journal of palliative care and medicine, Los Angeles, Calif., C1

journal article

Emergency Department access targets and the older patient: A retrospective cohort study of Emergency Department presentations by people living in Residential Aged Care Facilities

M Street, J Marriott, P Livingston

(2012), Vol. 15, pp. 211-218, Australasian Emergency Nursing Journal, C1

journal article
2011

Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handover

M Street, P Eustace, P Livingston, M Craike, B Kent, D Patterson

(2011), Vol. 17, pp. 133-140, International Journal of Nursing Practice, C1

journal article

Post-anaesthetic discharge scoring criteria : a systematic review

N Phillips, E Haesler, M Street, B Kent

(2011), Vol. 9, pp. 1679-1713, JBI Library of Systematic Reviews, Adelaide, S. A., C1

journal article
2010

Post-anaesthetic discharge scoring criteria: A comprehensive systematic review

Nicole Phillips, Maryann Street, Bridie Kent

(2010), Vol. 8, pp. 1-13, JBI Database of Systematic Reviews and Implementation Reports, C1

journal article
2009

Initial experience in 115 patients with the retrievable Cook Celect vena cava filter

O Doody, M Given, H Kavnoudias, M Street, K Thomson, S Lyon

(2009), Vol. 53, pp. 64-68, Journal of Medical Imaging and Radiation Oncology, C1

journal article

Radiation exposure and the justification of computed tomography scanning in an Australian hospital emergency department

M Street, Z Brady, B Van Every, K Thomson

(2009), Vol. 39, pp. 713-719, Internal Medicine Journal, C1-1

journal article
2008

Credentialing for radiology

M Street, K Thomson

(2008), Vol. 4, pp. 14-16, Biomedical imaging and intervention journal, Lumpur, Malaysia, C1-1

journal article

Funded Projects at Deakin

Other Public Sector Funding

Eastern Health Deakin Joint Nursing Appointment

Prof Julie Considine, Dr Maryann Street

  • 2020: $174,640
  • 2019: $297,911
  • 2018: $302,380
  • 2017: $212,266
  • 2016: $197,449
  • 2015: $193,295
  • 2014: $205,872
  • 2013: $202,057
  • 2012: $181,461
  • 2011: $191,957
  • 2010: $169,155
  • 2009: $186,015
  • 2007: $11,299

Eastern Health Falls Alarms Study

Prof Julie Considine, Dr Maryann Street

  • 2020: $12,000

Industry and Other Funding

Minimising post-operative risk through PACT (Post-Anaesthetics Care Tool): a pilot study and cost benefit analysis

Dr Maryann Street, Prof Nikki Phillips, Prof Bridie Kent

  • 2013: $76,900
  • 2012: $61,410

Supervisions

Associate Supervisor
2020

Vanessa Watkins

Thesis entitled: Labouring Together: Collaborative Alliances in Maternity Care in Victoria, Australia

Doctor of Philosophy (Nursing), School of Nursing & Midwifery

2014

Jintana Damkliang

Thesis entitled: Use of an Evidence-Based Care Bundle by Thai Emergency Nurses

Doctor of Philosophy (Nursing), School of Nursing & Midwifery