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Dr Andrea Marshall


Sesqui Senior Lecturer in Critical Care Nursing
RN, PhD MNRes GradCertEdStud(Higher Ed) Sydney IC Cert NSWCN, MRCNA

Andrea is a registered nurse with a strong background in intensive care nursing practice. She has worked as a clinician, educator and researcher in critical care nursing in both Australia and overseas.

Areas of expertise

Andrea has research interests in critical care nursing practice and knowledge translation. Her main focus of research is in the area of nutritional therapy in critical illness and translating research in intensive care nursing practice. She has expertise in factor analysis and the case study method.

Current research projects

At present Andrea is working on the following projects:

  • Factors impacting nutritional delivery in critically ill adults
  • Interdisciplinary approaches to nutrition support in intensive care
  • The efficacy, cost-effectiveness an ecological impact of Selective Decontamination of the Digestive tract in critcally ill patients treated in the Intensive Care Unit: The SuDDICU study
  • Information use by critical care nurses clinical decision making
  • The impact of uncertainty on patient decision making
  • Impact of protocols and guidelines on nurse decision making
  • The use of respiratory assessment tools in the nursing evaluation of infants with bronchiolitis, and
  • The effectiveness of the daily topical application of EMLA cream to the wound bed of painful chronic leg ulcers.

Recent publications

Journals

Gallagher R, Marshall AP &Fisher MJ (2010) Symptoms and treatment-seeking responses in women experiencing acute coronary syndrome for the first time. Heart and Lung, 39(6): 477-484.

Hodge AN & Marshall AP (2009) Family presence in resuscitation and invasive procedures. Collegian, 16: 101-118.

McKinley S, Dracup K, Moser D, Riegel B, Doering LV, Meischke H, Aitken LM, Buckley T, Marshall AP & Pelter M (2009) A Short One-on-One Intervention Increases Knowledge, Attitudes and Beliefs Related to Response to Acute Coronary Syndrome in People with Coronary Heart Disease. International Journal of Nursing Studies, 46: 1037-1046.

Fisher MJ & Marshall AP (2009) Understanding descriptive statistics. Australian Critical Care 22(2): 93-97.

Aitken LM, Marshall AP, Elliott R, McKinley S (2009) Critical care nurses’ decision making: sedation assessment and management in intensive care. Journal of Clinical Nursing, 18, 36-45.

Gallagher R, Marshall AP, Fisher M, & Elliott D (2008) On my own: Women’s experience of recovery following an acute coronary event. Heart & Lung 37(6): 417-424.

Dracup K, McKinley S, Doering LV, Riegel B, Meischke H, Moser DK, Pelter M, Carlson B, Aitken L, Marshall AP, Cross R (2008) Acute coronary syndrome: What do patients know? Archives of Internal Medicine, 168(10): 1049-1054.

Marshall AP, Elliott R, Rolls K, Schacht S, Boyle M (2008) Eyecare in the critically ill: Clinical practice guideline. Australian Critical Care 2(2): 97-109.

Aitken L, Pelter M, Carlson B, Marshall AP, McKinley S, Dracup K (2008) Effective strategies to implement a multi-centre international study. Journal of Nursing Scholarship, 40(2): 101-108.

Aitken LM, Currey J, Marshall AP & Elliott D (2008) Discrimination of educational outcomes between differing levels of critical care programmes by selected stakeholders in Australia: a mixed-method approach. Intensive and Critical Care Nursing, 24(2): 68-77.

Hudson P & Marshall AP (2008) Extending the Nursing Role Emergency Departments: Challenges for Australia. Australasian Journal of Emergency Nursing, 11: 39-48.

Aitken LM & Marshall AP (2007) Writing a case study: ensuring a meaningful contribution to the literature. Australian Critical Care, 20(4): 132-136.

Marshall, AP, Currey, J, Aitken, LM & Elliott, D (2007). Key stakeholders' expectations of educational outcomes from Australian critical care nursing courses: A Delphi study. Australian Critical Care, 20(3): 89-99.

Marshall, AP, Fisher, MJ, Brammer, J, Eustace, P, Grech, C, Jones, B, & Kelly, M (2007) Assessing psychometric properties of scales: a case study. Journal of Advanced Nursing, 59(4): 398-406.

Hodge AN & Marshall AP (2007) Violence and aggression in the emergency department: a critical care perspective, Australian Critical Care (in press).

Marshall A & West S (2006) Enteral feeding in the critically ill: Are nursing practices contributing to hypocaloric feeding?, Intensive and Critical Care Nursing, 22: 95–105.

Aitken L & Currey J, Marshall A & Elliott D (2006) The diversity of critical care nursing education in Australian universities, Australian Critical Care, 19(2): 46-52.

Fisher M, Marshall A & Kendrick T (2005) Competency standards for critical care nurses: do they measure up?, Australian Journal of Advanced Nursing, 22(4): 32-39.

Marshall A & Fisher M (2005) Guest Editorial: Assessing clinical practice using the ACCCN Competency Standards: A valid tool? Australian Critical Care, 18(4): 136-137.

Marshall A & West S (2004) Gastric tonometry and monitoring gastrointestinal perfusion: Using research to support nursing practice, Nursing in Critical Care 9(3): 123-133.

Marshall A & West S (2004) Nutritional intake in the critically ill: Improving practice through research, Australian Critical Care, 17(1): 6-15.

Marshall A & West S (2003) Gastric tonometry and enteral nutrition: a possible conflict in critical care nursing practice, American Journal of Critical Care, 12(4): 349-356.

Paterson H, Marshall A & Hawley R (2003) The effectiveness of hip protectors in preventing hip fractures in older people: Utilising research to guide nursing practice, Geriaction 21(3): 19-23.

Tambimuttu J, Hawley R & Marshall A (2002) Nurse-initiated x-rays: Current practice, patient outcomes and future research directions, Australian College of Critical Care Nurses, 15(3): 119-122.

Marshall A (2001) Research in critical care: the challenge created by ethical standards, Australian College of Critical Care Nurses, 14(4): 136-137.

In press

Fisher MJ, Marshall AP & Mitchell M (in press) Testing differences in proportions, Australian Critical Care

Gallagher R, Marshall AP & Fisher MJ (in press) Symptoms and treatment seeking responses in women experiencing acute coronary syndrome for the first time. Heart and Lung

Aitken LM, Marshall AP, Elliott R & McKinley S (in press) Comparison of ‘think aloud’ and observation as data collection methods in the study of decision making regarding sedation in intensive care patients. International Journal of Nursing Studies

McKinley S, Aitken LM & Marshall AP (in press) Delays in presentation with acute coronary syndrome symptoms in people with coronary heart disease in Australia and New Zealand. Emergency Medicine Australasia

Books and book pages

Marshall AP (2009) The gut in critical illness, in AACN Critical Care Nursing, Elsevier, Philadelphia.

Marshall A & Boyle M (2006) Support of metabolic function, in Elliott D, Aitken L & Chaboyer W (eds), ACCCN's Critical Care Nursing, Mosby Elsevier, Marrickville NSW.

Marshall AP (2005) Gastric tonometry and monitoring of gastrointestinal perfusion. AACN Procedure Manual for Critical Care, 5th edn, Elsevier, Philadelphia.

Marshall A (2003) Resuscitation, in Hawley, R, King J & Weller, BF (eds) Australian Nurses’ Dictionary 3rd edn. Bailliere Tindall, Sydney.

Presentations (since 2005)

Purcell, A, King, J and Marshall, AP (2009) The effectiveness of the daily topical application of EMLA cream to the wound bed of painful chronic leg ulcers: A pilot study. Research for Health. The inaugural Nursing & Midwifery Research & Innovative Practice Conference 21 May, Northern Sydney Central Coast Area Health Service.

Marshall AP and Aitken LM (2009) Using research findings in clinical practice: Making it happen. 10th Annual Meeting of the Institute of Continuing Education, Australian College of Critical Care Nurses, Hobart, 28–30 May 2009.

Currey J and Marshall AP (2009) Finding answers to clinical questions. 10th Annual Meeting of the Institute of Continuing Education, Australian College of Critical Care Nurses, Hobart, 28–30 May 2009.

Marshall AP and Aitken LM (2009) Writing for publication. 10th Annual Meeting of the Institute of Continuing Education, Australian College of Critical Care Nurses, Hobart, 28–30 May 2009.

Marshall AP (2009) The Great Debate: Research is only for academics. [with Adams, C and Ward, M] Research for Health: The Inaugural Nursing & Midwifery Research & Innovation Practice Conference. Northern Sydney Central Coast Health, Royal North Shore Hospital, St Leonards NSW. 21 May 2009.

Marshall AP (2009) The rhetoric and reality of evidence based practice. A Critical Care Conference in the Vineyards. Hunter New England Health, Pokolbin, Hunter Valley NSW. 2–3 April 2009.

Marshall AP (2008) What evidence do clinicians use? Asia Pacific Critical Care Congress, Darling Harbour, Sydney.

Marshall AP (2008) Nurses have a prime role in feeding the ICU patient. Asia Pacific Critical Care Congress, Darling Harbour, Sydney.

Marshall AP, West SH and Aitken LM (2008) Nurses privilege verbal testimony when making enteral feeding related decisions. Asia Pacific Critical Care Congress, Sydney NSW.

Marshall, AP, West, SH and Aitken, LM (2008) Verbal testimony as information for evidence-based practice. The 1st Biennial Evidence-based Nursing Conference, Kuching, Sarawak, Malaysia.

Marshall, AP, Aitken, LM and Mitchell, M (2008) Publications workshop. 9th Annual Meeting of the Institute of Continuing Education, Australian College of Critical Care Nurses, Brisbane.

Marshall, AP, Leslie, G (2007) Publications workshop. 8th Annual Meeting of the Institute of Continuing Education, Australian College of Critical Care Nurses, Adelaide.

McKinley S, Marshall AP (2007) A Nursing Intervention Increases Knowledge, Attitudes and Beliefs About Response to Acute Coronary Syndrome in People with Coronary Heart Disease. American Heart Association Scientific Sessions, Orlando, Florida.

Gallagher R, Marshall A, Fisher M & Elliott D (2007) Recovery from acute coronary syndrome (ACS) for women living alone. Cardiac Society of Australia and New Zealand 55th Annual Scientific Meeting, Christchurch, New Zealand.

Aitken LM, Marshall A, Elliott R, McKinley S (2007) Critical care nurses’ decision making: sedation assessment and management in intensive care, Free paper presented at the Royal College of Nursing (UK) International Research Meeting, Dundee, Scotland.

McKinley S, Marshall AP and Chaboyer W (2007) From research question to proposal. 8th Annual Meeting of the Institute of Continuing Education, Australian College of Critical Care Nurses, Adelaide.

Marshall AP, Leslie G and Jones T (2007) Writing a review worth reading. 8th Annual Meeting of the Institute of Continuing Education, Australian College of Critical Care Nurses, Adelaide.

Aitken LM, Marshall AP Leslie, G and Currey J (2006) Writing a case study. 7th Annual Meeting of the Institute of Continuing Education, Australian College of Critical Care Nurses, Melbourne.
Fisher M, Marshall A, Gallagher R, Elliott D, Koo T & Waite M (2006) Women's recovery from Acute Coronary Syndrome: A gender relations approach, Paper presented at the International Council on Women's Health Issues 16th Congress, Sydney, 15–18 November.

Fisher M, Marshall A, Gallagher R, Elliott D & Waite M (2006) Acknowledging Individual Women's Experiences During Recovery from an Acute Coronary Syndrome: A New Socio-demographical Challenge for the 21st Century, Paper presented at The Beat Goes On, Royal North Shore Hospital, Sydney, 17 November.

Fisher M, Marshall A, Gallagher R, Elliott D & Waite M (2006) Acknowledging Individual Women's Experiences During Recovery from an Acute Coronary Syndrome: A New Socio-demographical Challenge for the 21st Century, Paper presented at the Heart Foundation Conference and Scientific Meeting, Cardiovascular Disease in the 21st Century: Shaping the Future, Sydney, 23–25 March.

Marshall A (2005) Enteral feeding in the critically ill: are nursing practices contributing to hypocaloric feeding?, Paper presented at the 30th Australia and New Zealand Annual Scientific Meeting on Intensive Care, Adelaide, October.

Awards and grants

2010

Australasian Wound Management Association
Project title: An innovative approach to wound management for patients with painful chronic leg ulcers
Value: $10,000
Investigators: A Purcell, J King, A Marshall

2009

NSW Health Nursing and Midwifery Innovation Scholarship
Project title: An innovative approach to wound management for patients with painful chronic leg ulcers
Value: $10,000
Investigators: A Purcell, J King, A Marshall

International Program Development Fund
Project title: Working with the Timorese Health System to Develop a Systematic, Practical and Team Oriented Critical Care Education Program for Health Professionals
Value: $18,000
Investigators: D Bandaranayake, L Travena, K Foster, R Harris, A Marshall

University of Sydney Teaching Improvement Scheme $9000

2006

Royal College of Nursing Australia Myrtle Ivy Quicke Memorial Scholarship, $10,000

Nurses and Midwives Board of NSW Category 6 Scholarship, $17,500

Weisbrodt L, McKinley S, Marshall A, Cole L & Seppelt I, ‘A randomised, controlled, double-blind trial of A ROUtine daily interruption to SEdation vs standard therapy in the Intensive Care Unit (AROUSE Study). Australian College of Critical Care Nurses, $36,061

2005

2005 Weisbrodt L, McKinley S, Marshall A, Seppelt I & Cole L, ‘A ROUtine daily interruption to SEdation (AROUSE).’ Australian and New Zealand Intensive Care Foundation, $27,578.90

2005 Fisher M, Marshall AP & Elliott D, ‘The life experiences and risk behaviour modification of individuals recovering from an acute cardiac event: A life history project.’ University of Sydney Research & Development Grant, $27,300

2003

Marshall A & West S, ‘Current enteral feeding practices of critical care and aged care nurses.’ University of Sydney Sesqui Grant Scheme, $18,000

2002

Kendrick TS, Fisher M & Marshall A, ‘Competency standards for critical care nurses: determining construct validity.’ Nurses Registration Board (NSW) Category 5 Scholarship, $6224

2001

Marshall AP, ‘Gastric tonometry and enteral nutrition: a possible conflict in critical care practice.’ University of Sydney Faculty of Nursing Academic Staff Conference Travel Grants Scheme, $200

Areas of teaching and research supervision

Current research students

Purcell A. An innovative approach to wound management for patients with painful chronic leg ulcers. Master of Philosophy

Davies C. Assessment of work of breathing in children with bronchiolitis. Master of Philosophy

Al Omari A. Weaning from ventilation in the intensive care unit: A systematic review. Master of Nursing (Honours)

Maw M. Dysphagia screening in nursing practice. Master of Nursing (Honours)

Completed research students

Leonie Weisbrodt A ROUtine Daily Interruption to Sedation (AROUSE) – pilot study. Master of Nursing (Honours) the University of Technology, Sydney

Areas of teaching

Potential projects for students include:

  • Nutrition support practices in intensive care
  • Nutrition support in acutely ill medical/surgical patients
  • Factors influencing nutrition guideline implementation
  • Nutrition in hospitals: a team approach
    Hypocaloric feeding in the critically ill: an analysis of long term outcomes
  • Outcomes from critical care nursing education
  • Swallowing assessment post extubation.

Community work

Andrea is an Associate Editor of Australian Critical Care and a Member on the Australian College of Critical Care Nursing Research Advisory Panel. Andrea is a member of a multidisciplinary team from the University of Sydney, Royal North Shore Hospital and the Ministry of Health, Timor Leste, involved in an education program aimed at critical care capacity building in East Timor.