Nigel is a lecturer / researcher with the School of Nursing, Midwifery and Social Work and the Midwifery Research Unit. He is also an Adjunct Associate Professor with the Molly Wardaguga Research Centre, Charles Darwin University. He is a Midwife with clinical, education, research and policy experience encompassing a broad range of midwifery care provision including birth suite, continuity of care and community midwifery. Nigel is an effective clinical leader with a track record for linking research with clinical practice and effecting practice change. He completed a PhD in 2013 researching different techniques for the administration of sterile water injections for the management of back pain in labour. His research in this field is ongoing. Nigel’s other areas of research interest include the duration and management of normal first and second stage labour. Nigel has expertise in conducting randomised controlled trials and mixed methods design. He is a strong collaborative researcher with projects involving fellow academics from Australia, Sweden, the United Kingdom and the USA.
Journal Article: First do no harm: a single site pre-post implementation study of a perineal protection bundle
Lee, Nigel, Allen, Jyai, Jenkinson, Rebecca, Gao, Yu and Kildea, Sue (2023). First do no harm: a single site pre-post implementation study of a perineal protection bundle. Women and Birth, 36, S2-S3. doi: 10.1016/j.wombi.2023.07.007
Journal Article: A pre-post implementation study of a care bundle to reduce perineal trauma in unassisted births conducted by midwives
Lee, Nigel, Allen, Jyai, Jenkinson, Bec, Hurst, Cameron, Gao, Yu and Kildea, Sue (2023). A pre-post implementation study of a care bundle to reduce perineal trauma in unassisted births conducted by midwives. Women and Birth. doi: 10.1016/j.wombi.2023.08.003
Journal Article: Comparison of a single vs. a four intradermal sterile water injection for relief of lower back pain for women in labour: a randomised controlled trial
Lee, Nigel, Webster, Joan, Beckmann, Michael, Gibbons, Kristen, Smith, Tric, Stapleton, helen and Kildea, Sue (2013). Comparison of a single vs. a four intradermal sterile water injection for relief of lower back pain for women in labour: a randomised controlled trial. Midwifery, 29 (6), 585-591. doi: 10.1016/j.midw.2012.05.001
Water injections: Transforming childbirth pain management for any woman, anywhere.
(2023–2027) NHMRC Investigator Grants
A novel use of sterile water for injection to relieve pain in labour
(2021–2025) NHMRC MRFF PPHR - Efficient Use of Existing Medicines
(2014–2017) NHMRC Project Grant
Use of the REBozo TEChnique in second stage labour to correct malposition and reduce the incidence of assisted vaginal births for nulliparous women with epidurals: A pilot randomised controlled trial
Doctor Philosophy
(2023) Doctor Philosophy
Nurses' perceptions of pain assessment tools in ICU
Doctor Philosophy
Lee, Nigel, Webster, Joan, Beckmann, Michael, Gibbons, Kristen, Smith, Tric, Stapleton, helen and Kildea, Sue (2013). Comparison of a single vs. a four intradermal sterile water injection for relief of lower back pain for women in labour: a randomised controlled trial. Midwifery, 29 (6), 585-591. doi: 10.1016/j.midw.2012.05.001
Glover, Pauline, Lewis, Louise, McNeill, Liz, Costins, Pauline, Warland, Jane, Kew, Clare, Bradfield, Zoe, Kuliukas, Lesley, Staff, Lynne, Burns, Virginia, Mannix, Trudi, Taylor, Ann, Lee, Nigel and Brady, Susannah (2017). Midwifery. Milton, QLD Australia: John Wiley & Sons.
Minymaku Kutja Tjukurpa: Women's Business Manual: Literal translation: 'Women Only Story'
Drogeuller, Adeline, Latif, Ahmed, Bisits, Andrew, Sneddon, Anne, Preston-Thomas, Annie, Steiner, Caitlin, Homer, Caroline, Chapple, Cathy, Costello, Craig, Ellwood, David, Gleeson, Glenda, Paterson-Walley, Glenda, Dahlen, Hannah, Hanock, Heather, Knox, Janet, Delima, Jennifer, Lakshmi, Jhansi, David, Josh, Gardiner, Judith, Sullivan, Katie, Scott, Lesley, Marshall, Lewis, Dennis, Louise, Little, Lucy, Young, Lyndall, O'Brien, Margaret, Haliday, Megan, Nicholl, Michael, Luey, Michele ... Walsh, Warren (2014). Minymaku Kutja Tjukurpa: Women's Business Manual: Literal translation: 'Women Only Story'. 5th Edition ed. Alice Spring, NT, Australia: Centre for Remote Health.
Disturbances in the rhythm of labour
Lee, Nigel and Tracy, Sally K. (2018). Disturbances in the rhythm of labour. Midwifery: preparation for practice. (pp. 861-889) edited by Sally Pairman, Sally K. Tracy, Hannah G. Dahlen and Lesley Dixon. Chatswood, NSW, Australia: Elsevier Australia.
First do no harm: a single site pre-post implementation study of a perineal protection bundle
Lee, Nigel, Allen, Jyai, Jenkinson, Rebecca, Gao, Yu and Kildea, Sue (2023). First do no harm: a single site pre-post implementation study of a perineal protection bundle. Women and Birth, 36, S2-S3. doi: 10.1016/j.wombi.2023.07.007
Lee, Nigel, Allen, Jyai, Jenkinson, Bec, Hurst, Cameron, Gao, Yu and Kildea, Sue (2023). A pre-post implementation study of a care bundle to reduce perineal trauma in unassisted births conducted by midwives. Women and Birth. doi: 10.1016/j.wombi.2023.08.003
Lee, Nigel, Hawley, Glenda, Morris, Jessica and Kearney, Lauren (2023). Perineal repair performed by midwives in Australia: A cross-sectional survey study of education and practice. Women and Birth. doi: 10.1016/j.wombi.2023.08.001
Lee, Nigel and Jauncey-Cooke, Jacqueline (2023). A collaborative approach to engaging undergraduate students in learning and developing evidence-based practice. Focus on Health Professional Education: A Multi-Professional Journal, 24 (1), 63-68. doi: 10.11157/fohpe.v24i1.575
Lee, Nigel, Flynn, Julie, Gao, Yu and Kildea, Sue (2023). Comparing compliance with commencement and use of two partograph designs for women in active labour: a randomised controlled trial. Women and Birth, 36 (1), e17-e24. doi: 10.1016/j.wombi.2022.04.004
Consent during labour and birth as observed by midwifery students: a mixed methods study
Lee, Nigel, Kearney, Lauren, Shipton, Emma, Hawley, Glenda, Winters-Chang, Peta, Kilgour, Catherine, Brady, Susannah, Peacock, Ann, Anderson, Loretta and Humphrey, Tracy (2023). Consent during labour and birth as observed by midwifery students: a mixed methods study. Women and Birth. doi: 10.1016/j.wombi.2023.02.005
Anderson, Loretta A., Kildea, Sue, Kynoch, Kathryn, Gao, Yu and Lee, Nigel (2023). Midwives experiences of interventions to improve breast expression following preterm birth: a qualitative study. Midwifery, 116 103530, 1-8. doi: 10.1016/j.midw.2022.103530
Shipton, Emma V., Callaway, Leonie, Foxcroft, Katie, Lee, Nigel and de Jersey, Susan J. (2022). Midwife-led continuity of antenatal care and breastfeeding duration beyond postpartum hospital discharge: A systematic review. Journal of Human Lactation, 39 (3), 089033442211266-440. doi: 10.1177/08903344221126644
Barnett, Belinda, Jenkinson, Bec and Lee, Nigel (2022). The impact of a perineal care bundle on women’s birth experiences in Queensland, Australia: a qualitative thematic analysis. Women and Birth, 36 (3), 271-280. doi: 10.1016/j.wombi.2022.09.002
Anderson, Loretta A., Kildea, Sue, Lee, Nigel, Kynoch, Kathryn and Gao, Yu (2022). A comparison of the timing of hand expressing of human milk with breast massage to standard care for mothers of preterm infants: an exploratory pilot using a randomized controlled design. Journal of Human Lactation, 39 (2), 8903344221088789-235. doi: 10.1177/08903344221088789
Sterile water injections for management of renal colic pain: a systematic review
Lee, Nigel and Mårtensson, Lena B. (2022). Sterile water injections for management of renal colic pain: a systematic review. Scandinavian Journal of Urology, 56 (3), 1-9. doi: 10.1080/21681805.2022.2066719
Lee, Nigel, Gao, Yu, Mårtensson, Lena B., Callaway, Leonie, Barnett, Belinda and Kildea, Sue (2022). Sterile water injections for relief of labour pain (the SATURN trial): study protocol for a randomised controlled trial. Trials, 23 (1) 155, 321. doi: 10.1186/s13063-022-06093-3
Lee, Nigel, Leiser, Bernadette, Halter-Wehrli, Yvonne, Mårtensson, Lena B., Gao, Yu and Kildea, Sue (2022). A comparison of two versus four sterile water injections for the relief of back pain in labour: a multicentre randomised equivalence trial. Women and Birth, 35 (6), e556-e562. doi: 10.1016/j.wombi.2022.02.002
Mårtensson, Lena B., Gunnarsson, Britt-Marie, Karlsson, Sandra, Lee, Nigel and Bergh, Ingrid (2022). Effect of topical local anaesthesia on injection pain associated with administration of sterile water injections - a randomized controlled trial. BMC Anesthesiology, 22 (1) 35, 35. doi: 10.1186/s12871-022-01573-0
Lee, Nigel, Munro, Victoria, Oliver, Kirra and Flynn, Julie (2021). Maternal positioning with flexed thighs to correct foetal occipito-posterior position in labour: a systematic review and meta-analysis. Midwifery, 99 103008, 103008. doi: 10.1016/j.midw.2021.103008
Allen, Jyai, Small, Kirsten and Lee, Nigel (2021). How a perineal care bundle impacts midwifery practice in Australian maternity hospitals: A critical, reflexive thematic analysis. Women and Birth, 35 (1), e1-e9. doi: 10.1016/j.wombi.2021.01.012
Lee, Nigel, Gao, Yu, Collins, Sally L., Mårtensson, Lena B., Randall, Wendy, Rowe, Toni-Marie and Kildea, Sue (2020). Caesarean delivery rates and analgesia effectiveness following injections of sterile water for back pain in labour: a multicentre, randomised placebo controlled trial. EClinicalMedicine, 25 100447, 100447. doi: 10.1016/j.eclinm.2020.100447
Using simulation to teach undergraduate nursing and midwifery students research design
Lee, Nigel and Peacock, Ann (2020). Using simulation to teach undergraduate nursing and midwifery students research design. Nurse Education in Practice, 45 102804, 102804. doi: 10.1016/j.nepr.2020.102804
Anderson, Loretta, Kynoch, Kathryn, Kildea, Sue and Lee, Nigel (2019). Effectiveness of breast massage in the treatment of women with breastfeeding problems: a systematic review. JBI database of systematic reviews and implementation reports, 17 (8), 1-1694. doi: 10.11124/jbisrir-2017-003932
Does introducing a dedicated early labour area improve birth outcomes? A pre-post intervention study
Williams, Lauren, Jenkinson, Bec, Lee, Nigel, Gao, Yu, Allen, Jyai, Morrow, Jane and Kildea, Sue (2019). Does introducing a dedicated early labour area improve birth outcomes? A pre-post intervention study. Women and Birth, 33 (3), 259-264. doi: 10.1016/j.wombi.2019.05.001
Lee, Nigel, Jomeen, Julie, Mårtensson, Lena B., Emery, Vanessa and Kildea, Sue (2019). Knowledge and use of sterile water injections amongst midwives in the United Kingdom: a cross-sectional study. Midwifery, 68, 9-14. doi: 10.1016/j.midw.2018.10.001
Woman-centred care: an integrative review of the empirical literature
Brady, Susannah, Lee, Nigel, Gibbons, Kristen and Bogossian, Fiona (2019). Woman-centred care: an integrative review of the empirical literature. International Journal of Nursing Studies, 94, 107-119. doi: 10.1016/j.ijnurstu.2019.01.001
Maternal and neonatal outcomes from a comparison of spontaneous and directed pushing in second stage
Lee, Nigel, Gao, Yu, Lotz, Lauren and Kildea, Sue (2018). Maternal and neonatal outcomes from a comparison of spontaneous and directed pushing in second stage. Women and Birth, 32 (4), e433-e440. doi: 10.1016/j.wombi.2018.10.005
Lee, Nigel, Firmin, Meaghan, Gao, Yu and Kildea, Sue (2018). Perineal injury associated with hands on/hands poised and directed/undirected pushing: a retrospective cross-sectional study of non-operative vaginal births, 2011-2016. International Journal of Nursing Studies, 83, 11-17. doi: 10.1016/j.ijnurstu.2018.04.002
Sterile water injections for childbirth pain: An evidenced based guide to practice
Mårtensson, Lena B., Hutton, Eileen K., Lee, Nigel, Kildea, Sue, Gao, Yu and Bergh, Ingrid (2017). Sterile water injections for childbirth pain: An evidenced based guide to practice. Women and Birth, 31 (5), 380-385. doi: 10.1016/j.wombi.2017.12.001
Lee, Nigel, Kildea, Sue and Stapleton, Helen (2017). ‘Tough love’: the experiences of midwives giving women sterile water injections for the relief of back pain in labour. Midwifery, 53, 80-86. doi: 10.1016/j.midw.2017.07.016
Comparing Different Partograph Designs for Use in Standard Labor Care: A Pilot Randomized Trial
Lee, Nigel J., Neal, Jeremy, Lowe, Nancy K. and Kildea, Sue V. (2017). Comparing Different Partograph Designs for Use in Standard Labor Care: A Pilot Randomized Trial. Maternal and Child Health Journal, 22 (3), 1-9. doi: 10.1007/s10995-017-2366-0
Teis, Rachel, Allen, Jyai, Lee, Nigel and Kildea, Sue (2017). So you want to conduct a randomised trial? Learnings from a 'failed' feasibility study of a Crisis Resource Management prompt during simulated paediatric resuscitation. Australasian Emergency Nursing Journal, 20 (1), 37-44. doi: 10.1016/j.aenj.2016.12.001
First stage of labour management practices: a survey of Australian obstetric providers
White, Louise, Lee, Nigel and Beckmann, Michael (2016). First stage of labour management practices: a survey of Australian obstetric providers. Australian and New Zealand Journal of Obstetrics and Gynaecology, 57 (3), 266-271. doi: 10.1111/ajo.12510
"No pain, no gain": the experience of women using sterile water injections
Lee, Nigel, Kildea, Sue and Stapleton, Helen (2016). "No pain, no gain": the experience of women using sterile water injections. Women and Birth, 30 (2), 153-158. doi: 10.1016/j.wombi.2016.09.010
Lee, Nigel, Kildea, Sue and Stapleton, Helen (2015). 'Facing the wrong way': Exploring the Occipito Posterior position/back pain discourse from women's and midwives perspectives. Midwifery, 31 (10), 1008-1014. doi: 10.1016/j.midw.2015.06.003
Reducing the Caesarean section rate
Lee, Nigel (2013). Reducing the Caesarean section rate. Australian Nursing Journal, 21 (2), 42-43.
Lee, Nigel, Webster, Joan, Beckmann, Michael, Gibbons, Kristen, Smith, Tric, Stapleton, helen and Kildea, Sue (2013). Comparison of a single vs. a four intradermal sterile water injection for relief of lower back pain for women in labour: a randomised controlled trial. Midwifery, 29 (6), 585-591. doi: 10.1016/j.midw.2012.05.001
Lee, Nigel, Mårtensson, Lena B., Homer, Caroline, Webster, Joan, Gibbons, Kristen, Stapleton, Helen, Dos Santos, Natalie, Beckmann, Michael, Gao, Yu and Kildea, Sue (2013). Impact on Caesarean section rates following injections of sterile water (ICARIS): a multicentre randomised controlled trial. BMC Pregnancy and Childbirth, 13 (May 2013) 105, 105.1-105.10. doi: 10.1186/1471-2393-13-105
Lee, Nigel, Martensson, Lena B. and Kildea, Sue (2012). Cross sectional study of Australian midwives knowledge and use of sterile water injections for pain relief in labour. Women and Birth, 25 (4), e75-e80. doi: 10.1016/j.wombi.2011.11.002
Lee, Nigel, Coxeter, Peter, Beckmann, Michael, Webster, Joan, Wright, Vanessa, Smith, Tric and Kildea, Sue (2011). A randomised non-inferiority controlled trial of a single versus a four intradermal sterile water injection technique for relief of continuous lower back pain during labour. BMC Pregnancy and Childbirth, 11 (21) 21, 1-9. doi: 10.1186/1471-2393-11-21
Preparing students to contribute to quality improvement in the practice setting
Jauncey-Cooke, Jacqueline and Lee, Nigel (2021). Preparing students to contribute to quality improvement in the practice setting. Council of Deans of Nursing & Midwifery Symposium, Sunshine Coast, QLD Australia, 23-24 November 2021.
Brady, Susannah, Lee, Nigel, Gibbons, Kristen and Bogossian, Fiona (2019). The contribution of midwifery education to the provision of woman-centred care: Outcomes and implications of an integrative review. ACM 2019 National Conference – Power, Passion and Politics, Canberra, Australia, 17–19 September 2019. Amsterdam, Netherlands: Elsevier BV. doi: 10.1016/j.wombi.2019.07.198
Lee, Nigel, Gao, Yu, Lotz, Lauren and Kildea, Sue (2019). The power of silence: maternal and neonatal outcomes from a comparison of spontaneous and directed pushing in second stage labour. ACM 2019 National Conference, Canberra, ACT, Australia, 17–19 September 2019. Amsterdam, Netherlands: Elsevier. doi: 10.1016/j.wombi.2019.07.178
Lee, Nigel, Gao, Yu, Lotz, Laurne and Sue Kildea (2019). The power of silence: maternal and neonatal outcomes from a comparison of spontaneous and directed pushing in second stage labour. Australian College of Midwives (ACM 2019), Canberra, ACT, Australia, 17-19 September 2019. Amsterdam, Netherlands: Elsevier. doi: 10.1016/j.wombi.2019.07.178
Second stage techniques and risk of perineal injury: A retrospective cohort study
Lee, Nigel, Firmin, Meaghan, Gao, Yu and Kildea, Sue (2017). Second stage techniques and risk of perineal injury: A retrospective cohort study. AMSTERDAM: ELSEVIER SCIENCE BV. doi: 10.1016/j.wombi.2017.08.026
Lee, Nigel, Stapleton, Helen and Kildea, Sue (2013). 'I would do it again in a heartbeat': The experiences of women and midwives using sterile water injections. AMSTERDAM: ELSEVIER SCIENCE BV. doi: 10.1016/j.wombi.2013.08.253
Lee, Nigel, Kildea, Sue, Coxeter, Peter, Wright, Vanessa, Beckmann, Michael, Webster, Joan and Smith, Patricia (2011). A randomised controlled non-inferiority trial comparing a single and four Sterile Water Injection Technique for the relief of back pain during labour. ELSEVIER SCIENCE BV. doi: 10.1016/j.wombi.2011.07.025
Water injections: Transforming childbirth pain management for any woman, anywhere.
(2023–2027) NHMRC Investigator Grants
A novel use of sterile water for injection to relieve pain in labour
(2021–2025) NHMRC MRFF PPHR - Efficient Use of Existing Medicines
(2014–2017) NHMRC Project Grant
Use of the REBozo TEChnique in second stage labour to correct malposition and reduce the incidence of assisted vaginal births for nulliparous women with epidurals: A pilot randomised controlled trial
Doctor Philosophy — Principal Advisor
Other advisors:
Nurses' perceptions of pain assessment tools in ICU
Doctor Philosophy — Principal Advisor
Other advisors:
Factors influencing intentions of women and maternity health care providers to achieve and facilitate a normal physiological birth, using qualitative research approach, underpinned by a critical realist methodology.
Doctor Philosophy — Associate Advisor
Other advisors:
Understanding obstetric violence in Australia: prevalence, experiences and maternity carers perspectives
Doctor Philosophy — Associate Advisor
Other advisors:
Models of care and the effect of breastfeeding rates on hospital discharge
Doctor Philosophy — Associate Advisor
Other advisors:
(2023) Doctor Philosophy — Principal Advisor