Project Description
2024 Winner Senior Investigator Award - Professor Sandy Middleton

Biography
Sandy Middleton is the Professor of Nursing, and Director of the Nursing Research Institute at St Vincent’s Health Network Sydney, St Vincent’s Hospital Melbourne and Australian Catholic University. She is a Fellow of the Australian Academy of Health and Medical Sciences. She has obtained 115 grants totalling $109.3M. She is an NHMRC Leadership Fellow and the lead investigator on the 15-year Quality in Acute Stroke Care Program, leading implementation of nurse-initiated protocols to manage fever, hyperglycaemia and swallowing post-stroke.
Work
Sandy Middleton is Professor of Nursing, and Director of the Nursing Research Institute (NRI) at St Vincent’s Health Network Sydney, and Australian Catholic University. An NHMRC Investigator Leadership Fellow; and Director of Maridulu Budyari Gumal, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE) Nursing and Midwifery Implementation Science Academy, her dedication to health services research spans 26 years, 241 peer-reviewed scientific publications and 115 grants >$109.3M million. Sandy has spent her research career leading health services research with a focus on advancing implementation science, specifically successful translation of new models of care and implementation of evidence-based practice. Nationally, Sandy has successfully established the NRI as one of Australia’s premier nursing research entities. As inaugural Director she has expanded the NRI, building a team of 28 within diverse health disciplines. She has mentored 38 honours students, doctoral candidates and post-doctoral researchers.
Inaugural Chair of the Australian Stroke Clinical Registry Steering Committee for the last ten years, Sandy has also contributed nationally to more than 30 research-related working groups and scientific committees, including two trienniums on NHMRC Principal Research Committees. These appointments enabled Sandy to advocate for health services research and researchers nationally; her esteem acknowledged by Fellowship of the Australian Academy of Health and Medical Sciences in 2019. Nationally, Sandy has also led development of the SPHERE Nursing & Midwifery Clinician Researcher Pathway– a 12-year research career pathway for expanding Australia’s nursing and midwifery research capacity.
Internationally, Sandy’s health services research contribution is demonstrated by: American Heart Association Council on Cardiovascular and Stroke, Stroke Article of the Year in 2012 as lead investigator on the landmark Quality in Acute Stroke Care Trial (15.7% death and dependency absolute reduction following implementation of nurse-initiated protocols to manage fever, hyperglycaemia and swallowing post-stroke); and again in 2023 after successful translation of these protocols into 72 hospitals in 18 European countries. Sandy’s significant international contributions also have been acknowledged with the receipt of two prestigious awards: Sigma Theta Tau International Nursing Researcher Hall of Fame; and Fellowship of the American Academy of Nursing. In 2024, she was ranked in the Stanford University top 2% of scientists by Field of Research Code.
These lifetime achievements in health services research, have been facilitated by Sandy’s impressive international collaborations and networks: European Stroke Organisation, European Acute Networks Striving for Excellence in Stroke (ANGELS) Initiative, and the European Registry of Stroke Care Quality (RES-Q). More recently, successful recruitment of 54 hospitals in Australia and New Zealand in the QASC Australasia Trial has relied on Sandy’s strong links and partnerships with clinical partners, statewide networks, the Acute Stroke Nurses Education Network (which she co-founded in 2012, Australian Stroke Trials Network, and the Stroke Foundation. This trial aims to determine the imperative health services question of the most effective facilitation ‘dose’ to improve evidence uptake and quality of stroke care.
Sandy’s commitment to research, translation, training, and teaching, coupled with her strong collaborative spirit, has led to significant improvements in clinical practice and health services research nationally and internationally.