Dr Margaret Sandham

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Associate Head of Research, School of Clinical Sciences & Senior Lecturer - Nursing

Phone: +64 9 921 9999 ext. 7711

Email: margaret.sandham@aut.ac.nz

Physical Address:
Room AA259

Postal Address:
School of Clinical Sciences
AUT University
Private Bag 92006
Auckland 1142


Doctor of Clinical Psychology
Bachelor of Arts (Honours, Psychology)
Graduate Diploma of Arts (Psychology)
Bachelor of Health Science (Nursing)

Memberships and Affiliations:

New Zealand Registered Psychologist 90-04283 Clinical Psychologist Scope of Practice

New Zealand Registered Nurse 149223 Comprehensive Scope of Practice

Teaching Areas:

  • Psychopathology and neuroscience of mental illness
  • Mental health assessment
  • Brief psychological therapeutic interventions in nursing e.g. Cognitive Behavioural Therapy (CBT)
  • Research methods and evidence based practice 
  • Professional Supervision
  • Undergraduate and Post-Graduate Nursing 

Research Areas:

  • Outcome measurement
  • Psychometrics
  • Palliative Care
  • Mental health 

Research Summary:

Margaret’s research draws strongly from her dual backgrounds in Nursing and Clinical Psychology.  Margaret’s doctorate developed a measure of anxiety in older adults using a mixed-methods approach. This measure is presently in use within Waitemata DHB and is undergoing further psychometric evaluation within this population.

Margaret’s knowledge of psychometrics and patient reported outcome measures has led to several further research collaborations within palliative care and mental health, including measure development and evaluation. Evaluation includes ensuring that the measure is accurate, and that the score on the measure is not disadvantaging groups due to factors unrelated to the domain reportedly measured. For example, determining whether the score on a pain measure is based on pain or another unrelated factor (e.g. cultural aspects) that may unfairly disadvantage the patient.

Margaret is currently supervising masters and doctoral  students in psychology and nursing, in the areas of evaluating health related outcome measures, nurse wellbeing, and psychological treatment for cancer patients.

Margaret uses a mixed-methods approach to research, with particular strengths in confirmatory factor analysis and Rasch analysis.


  1. Sandham, M., Medvedev, O., Sprague, E., Higginson, I. J., Siegert, R. (2019). Rasch analysis of the Integrated Palliative Care Outcome Scale (IPOS). Journal of Pain and Symptom Management. 57 (2). 290-296. DOI10.1016/j.jpainsymman.2018.11.019
  2. Medvedev, O., Berk, M., Dean, O. M, Brown, E., Sandham, M.H, Dipnall, J. F., McNamara, R. K., Sumich, A., Krageloh, C. U., Siegert, R. J. [under review]. Generalisability theory distinguishes between stable and dynamic symptoms on the PANSS in a clinical trial for patients with chronic schizophrenia.
  3. Jarden, R., Sandham, M. H., Siegert, R. J., Koziol-McLain, J. (2018). Intensive care nurse conceptions of well-being: a prototype analysis. Nursing in Critical Care. 23(6). DOI: 10.1111/nicc.12379
  4. Jarden, R. Narayanan, A., Sandham, M. H., Siegert, R. J., Kozoil-McLain, J. [Under review]. Mapping ICU Nurse Wellbeing: Development and application of the iAnalysis model. Information Processing and Management.
  5. Jarden, R., Sandham, M. H, Siegert, R., & Koziol-McLain, J. (2019). Intensive care nurse wellbeing: A systematic review.  Australian Critical Care. doi:10.1016/j.aucc.2018.11.068
  6. Jarden, R., Sandham, M. H., Siegert, R., & Koziol-McLain, J. (2018). Strengthening workplace wellbeing: Perceptions of intensive care nurses.  Nursing in Critical Care. DOI: 10.1111/nicc.12386
  7. Jarden, R., Sandham, M. H, Siegert, R., & Koziol-McLain, J. [Under review]. Systematic review and quality appraisal of workers’ wellbeing measures: A protocol.  BMC Systematic Reviews.
  8. Sprague, E., Siegert, R.J., Medvedev, O., Roberts, M.H. (2018). Rasch analysis of the Edmonton Symptom Assessment System. Journal of Pain and Symptom Management, 55(5), 1356-1363.
  9. Roberts, M. H., Fletcher, R. B., & Merrick, P. L. (2016). Evaluation of the Factor Structure of the Adult Manifest Anxiety Scale - Elderly Version (AMAS-E) in Community Dwelling Older Adult New Zealanders. New Zealand Journal of Psychology, 45(3), 41-47.
  10. Stewart, M, Bushnell, J., Hauraki, J., & Roberts, M. (2014). Evidence and wisdom: The role and value of psychologists in Healthcare. Journal of the New Zealand College of Clinical Psychologists. July.
  11. Roberts, M. H, Fletcher, R, B. & Merrick, P. L. (2014). The validity and clinical utility of the Hospital Anxiety and Depression Scale (HADS) in Australasia. International Psychogeriatrics. 26 (2), 325-33.
  12. Fletcher, R. B, & Roberts, M. H (2013). The longitudinal stability of the leadership scale for sport. Measurement in Physical and Exercise Science, 17 (2), 89-104.
  13. Sandham, M. H. (2007). Professional Liability Issues of Interns and their Supervisors within the New Zealand Clinical Psychology Internship. New Zealand Clinical Psychologist. April.