As an ongoing and long term provider of a diverse range of complex and vital health care services, HammondCare Greenwich Hospital is uniquely positioned to translate research into practice. Our priority is to ensure that our research findings are implemented across all our services and that they make a real impact on patient care.
HammondCare Greenwich Hospital is also a teaching hospital, dedicated to the ongoing education and professional development of health professionals.
For our current research projects, see below. You might also be interested in viewing HammondCare's 2014 Research Report.
Selected 2014 research projects
The lived experience of occupational therapy in palliative care
With its broad range of interventions and focus on client-centredness, occupational therapy parallels the holistic philosophy of palliative care. Greater understanding of its contribution is crucial to providing optimal care.
This study investigated the lived experience of occupational therapy in palliative care for people with a life-threatening illness. Semi-structured interviews were conducted, from which five main themes were identified: the occupational therapist “makes life more comfortable”; role confusion; ability to have a choice; liberating experience in terms of occupation, and acceptance versus motivation to continue.
This study gives insight into the way people with a life-threatening illness perceive occupational therapy in palliative care and provides a starting point to guide practice that is attentive to the needs of people with a life-threatening illness at end of life.
Spiritual care and kidney disease in NZ: A qualitative study with New Zealand renal specialists
People with chronic kidney disease have a shortened life expectancy and carry a high symptom burden. Research suggests that attending to renal patients’ spiritual needs may help improve their quality of life. The aim of this study was to investigate the provision of spiritual care in New Zealand renal units from the perspective of specialists.
The study followed a generic qualitative approach and included semi-structured interviews with specialists recruited from New Zealand’s ten renal centres.Understandings of spirituality varied.. Patients’ spiritual needs were generally acknowledged and respected though formal spiritual assessments were not done. Consideration of death was discussed as an often unexamined need. The dominant position was that the specialists did not provide explicit spiritual care but there was some ad hoc provision offered. Suggestions for improvements included in-service training, better utilization of chaplaincy services and training in advance care planning.
Falling through the cracks: New Zealand prostate cancer survivors’ experiences and views regarding PSA testing
The aim of this study was to identify and examine prostate cancer survivors' experiences and views regarding PSA testing. Three themes emerged.
The first theme was related to the concept of two viewpoints that participants referred to as the ‘bad camp’ and ‘good camp.’ The ‘bad camp’ referred to GPs who followed the Ministry of Health guidelines, which do not support screening asymptomatic men. The ‘good camp’ referred to GPs who monitor their middle-aged to older-aged patients’ PSA levels via annual blood tests, and who typically refer their patients to a urologist for further investigation if their PSA exceeds a certain threshold level.
The second theme was related to participants’ views on PSA testing as a form of early detection.
The third theme related to participants conveying the view that GPs as a group were not providing adequate information to their patients regarding prostate health, which was in contrast to the growing public awareness of prostate health issues through the media.
Palliative care development in the Asia-Pacific region: an international surveyfrom the Asia Pacific Hospice Palliative Care Network
Although palliative care is an important public healthcare issue worldwide, the current situation in the Asia-Pacific region has not been systematically evaluated until now. This survey aimed to clarify the current status of palliative care in the Asia-Pacific region. Questionaires were sent out to a representative physician of each member country/region of the Asia Pacific Hospice Palliative Care Network (APHN), examining palliative care service provision, information regarding physician certification in palliative care, the availability of essential drugs for palliative care and the regulation of opioid-prescribing practice.
Results of the study showed that Some form of specialist palliative care services had developed in all the 12 countries/regions that responded, and that the development of palliative care is in different stages across countries/regions in the Asia-Pacific region. Data from this survey can be used as baseline data for monitoring the development of palliative care in this region.
Siblings caring for and about pediatric palliative care patients
This study proposed to identify the concerns and experiences of siblings of pediatric palliative care (PPC) patients, which are not well understood. Semi structured interviews were carried out and analyzed using qualitative inductive thematic analysis. Study subjects were 18 siblings of PPC patients aged 9 to 22 living in the Auckland area. The siblings of PPC patients held concerns about their siblings’ impending death and desires to be involved in their lives and care. Siblings may benefit from opportunities to be involved in conversations about mortality and the care of their ill sibling. They are able to express their concerns and help provide care to PPC patients.
The spiritual environment in New Zealand hospice care: identifying organisational commitment to spiritual care
This study describes the structural and operational capacity of New Zealand's hospices to attend to the spiritual needs and concerns of patients, families and staff, based on a survey sent to 25 hospices. The survey collected information on facilities, practices and organisational aspects of spiritual care. The authors conclude from the results that, “.... while sites delivered a range of spiritual services, all could improve the level of spiritual care they provide. The two most common items missing were ‘spiritual professional development’ and ‘formal spiritual assessment’".
If you would like to know more about research at HammondCare, or if you would like to be involved, please see our website for more information.