Nurse-led framework to improve the safety and quality of residential aged care (HIRAID® Aged Care): protocol for a stepped-wedge cluster randomised controlled trial.

Background: The health issues experienced by older people can often be severe and complex, and an increasing number are using residential aged care services to meet their care needs. High-quality nursing care is fundamental to the health and safety of aged care residents and is contingent on nurses' accurate assessment, informed decision-making, and delivery of timely interventions. However, the role of the aged care nurse is often challenging, impeded by factors such as understaffing, high workloads, and a lack of access to clinical infrastructure and resources.

Introduction of standardised emergency department paediatric asthma clinical guidelines into a general metropolitan hospital.

'Aiming for Asthma Improvement in Children' is a South East Sydney Area Health Service (SESAHS) initiative. It is funded by the Commonwealth Government, under the Chronic & Complex Care Programmes, which is linked to New South Wales (NSW) Government Action Plan. One specific objective of the programme is to implement standardised paediatric asthma guidelines across the Emergency Departments of an area tertiary and local area hospitals.