Digital Commons Network^™

Burn Injury Models Of Care: A Review Of Quality And Cultural Safety For Care Of Indigenous Children, Sarah Fraser, Julian Grant, Tamara Mackean, Kate Hunter, Andrew J A Holland, Kathleen F. Clapham, Warwick Teague, Rebecca Q. Ivers

Australian Health Services Research Institute

Safety and quality in the systematic management of burn care is important to ensure optimal outcomes. It is not clear if or how burn injury models of care uphold these qualities, or if they provide a space for culturally safe healthcare for Indigenous peoples, especially for children. This review is a critique of publically available models of care analysing their ability to facilitate safe, high-quality burn care for Indigenous children. Models of care were identified and mapped against cultural safety principles in healthcare, and against the National Health and Medical Research Council standard for clinical practice guidelines. An initial search …

Examining The High Users Of Hospital Resources: Implications Of A Profile Developed From Australian Health Insurance Claims Data, Joanna Khoo, Helen M. Hasan, Kathy Eagar

Australian Health Services Research Institute

Objective To develop and examine a profile of the demographic, hospital admission and clinical characteristics of high users of hospital resources within a cohort of privately insured Australians.Methods Hospital admissions claims data from a group of private health insurance funds were analysed. The top 1% of hospital users were selected based on three measures of resource utilisation: number of admissions, total bed days and total insurance benefits paid. The demographic, hospital admission and clinical characteristics data were compared for these three measures of resource utilisation.Results Compared with the general insured population, the three high-use cohorts are older, have more public …

Attitudes Towards Community Gambling Venues And Support For Regulatory Reform: An Online Panel Study Of Residents In New South Wales, Australia, Amy Bestman, Samantha L. Thomas, Melanie J. Randle, Hannah Pitt, Mike Daube

Australian Health Services Research Institute

Background: Harmful gambling has been identified as an important public health issue that affects individuals, families and the broader community. One gambling product, electronic gambling machines (EGMs), has been associated with significant gambling harm in Australia. There has been limited research that has explored community perceptions of EGMs and attitudes towards reform. This study, conducted in NSW, Australia, aimed to explore community use of EGM venues (clubs and hotels containing EGMs), attitudes towards EGMs and whether the use of these venues influenced attitudes towards EGM reform.

Methods: An online survey was conducted with 500 adults aged 16 years and over, …

More Than Talking: A Scoping Review Of Innovative Approaches To Qualitative Research Involving People With Dementia, Lyn Phillipson, Athena Hammond

Australian Health Services Research Institute

Participation in qualitative research frequently relies upon recall and verbal expression, which may be difficult for some people with dementia. While the use of arts-based and visual methods are transforming dementia care, exploratory research and evaluation methods have lagged behind with regard to the use of innovative qualitative approaches. This scoping review identified innovative qualitative methods that have been used to effectively engage and involve people with dementia in social and health research. Systematic searches of academic databases, Google Scholar, and hand searches identified 24 peer-reviewed articles published since 2010 for inclusion. Analysis focused on a description of both the …

Ahsri Annual Report 2017, Darcy Morris

Australian Health Services Research Institute

No abstract provided.

Overcoming Barriers To Use Of Child Car Seats In An Urban Aboriginal Community—Formative Evaluation Of A Program For Aboriginal Community Controlled Health Services, Lisa Keay, Kate Hunter, Martyn Ralph, Bobby Porykali, Marilyn Lyford, Kathleen F. Clapham, Winston Lo, Rebecca Ivers

Australian Health Services Research Institute

Background

Little is known about the barriers to use of child car seats in Australian Aboriginal communities, or the acceptability of programs to increase appropriate car seat use. This formative evaluation sought to consult and partner with Aboriginal Community Controlled Health Services (ACCHS) to develop and evaluate the feasibility and acceptability of a program intended to improve optimal use of child car seats.

Methods

Focus groups were conducted with parents and carers of Aboriginal children to identify the barriers and facilitating factors for child car seat use, and staff of two ACCHS were interviewed to inform program development. Following the …

Normative Data For Children And Adolescents Referred For Specialist Pain Management In Australia, Hilarie Tardif, Megan B. Blanchard, Meredith P. Bryce, Janelle M. White

Australian Health Services Research Institute

This paper aims to provide normative data for the PaedePPOC measures used by specialist paediatric pain management services. This information will provide a description of the children and adolescents referred for specialist pain management in Australia during the period from January 2014 to June 2018, allowing pain management services to compare scores for individuals seen at their service to these group values.

Transparency And Vision, Tommy Cleary

Australian Health Services Research Institute

Abstract presented at the Australasian Society for Continental Philosophy conference, 21-23 November 2018, Parramatta, Australia

Older Women Online: Engaged, Active And Independent, Helen M. Hasan, Henry Linger

Australian Health Services Research Institute

Older women in our communities are becoming marginalised through their lack of technical awareness and capability. Digital applications now dominate the way governments, business, communities and even families interact with all of us. As respected elders of our society, women not only need access to services which support their wellbeing as they age, but also have an important role to play in passing on their knowledge and wisdom to new generations. Through digital exclusion, older women often relied on others, particularly their spouses, to transact online activities. As they become carers for their ageing spouse or are widowed, they need …

Development And Validation Of A Casemix Classification To Predict Costs Of Specialist Palliative Care Provision Across Inpatient Hospice, Hospital And Community Settings In The Uk: A Study Protocol, Ping Guo, Mendwas Dzingina, Alice Firth, Joanna M. Davies, Abdel Douiri, Suzanne O'Brien, Cathryn Pinto, Sophie Pask, Irene Higginson, Kathy Eagar, Fliss E. M Murtagh

Australian Health Services Research Institute

Introduction: Provision of palliative care is inequitable with wide variations across conditions and settings in the UK. Lack of a standard way to classify by case complexity is one of the principle obstacles to addressing this. We aim to develop and validate a casemix classification to support the prediction of costs of specialist palliative care provision.

Methods and analysis: Phase I: A cohort study to determine the variables and potential classes to be included in a casemix classification. Data are collected from clinicians in palliative care services across inpatient hospice, hospital and community settings on: patient demographics, potential complexity/casemix criteria …

Relation Of Child, Caregiver, And Environmental Characteristics To Childhood Injury In An Urban Aboriginal Cohort In New South Wales, Australia, Katherine Thurber, Leonie Burgess, Kathleen Falster, Emily Banks, Holger Moller, Rebecca Q. Ivers, Chris T. Cowell, Vivian Isaac, Deanna Kalucy, Peter Fernando, Cheryl Woodall, Kathleen F. Clapham

Australian Health Services Research Institute

Objective: Despite being disproportionately affected by injury, little is known about factors associated with injury in Aboriginal children. We investigated factors associated with injury among urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales, Australia. Methods: We examined characteristics of caregiver-reported child injury, and calculated prevalence ratios of 'ever-injury' by child, family, and environmental factors. Results: Among children in the cohort, 29% (n=373/1,303) had ever broken a bone, been knocked out, required stitches or been hospitalised for a burn or poisoning; 40-78% of first injuries occurred at home and 60-91% were treated in hospital. Reported …

Stressful Life Events And Resilience Among Carers Of Aboriginal Children In Urban Settings: Cross Sectional Findings From The Study Of Environment On Aboriginal Resilience And Child Health (Search), Christian Young, Jonathan C. Craig, Kathleen F. Clapham, Sandra Williams, Anna Williamson

Australian Health Services Research Institute

Objective: In caregivers of urban Aboriginal children, to determine the frequency of major stressful life events, the proportion who meet criteria for resilience, and factors that are associated with resilience.

Design: Cross-sectional survey. Setting Four Aboriginal Community Controlled Health Services located in urban or regional areas in New South Wales, Australia.

Participants: 574 caregivers of Aboriginal children participating in the Study of Environment on Aboriginal Resilience and Child Health.

Primary outcome measure: Resilience, defined as having experienced three or more stressful life events in the last 12 months, and having scores of ≤21 on the Kessler 10 Psychological Distress scale. …

Mental Health-Related Emergency Department Presentations And Hospital Admissions In A Cohort Of Urban Aboriginal Children And Adolescents In New South Wales, Australia: Findings From Search, Anna Williamson, Adam M. Skinner, Kathleen Falster, Kathleen F. Clapham, Sandra Eades, Emily Banks

Australian Health Services Research Institute

OBJECTIVES: The aim of the current study is to quantify mental health-related emergency department (ED) presentations and hospitalisations, and associated child and family characteristics, in children recruited through four Aboriginal Community Controlled Health Organisations. SETTING: Four Aboriginal Community Controlled Health Services that deliver primary care. All services were located in urban or large regional centres in New South Wales, Australia. PARTICIPANTS: 1476 Aboriginal children aged 0-17 years at recruitment to the Study of Environment on Aboriginal Resilience and Child Health. PRIMARY OUTCOME MEASURES: ED presentations and hospital admissions with a primary mental health diagnosis obtained via linkage to population health …

Complexity Embodied: Using Body Mapping To Understand Complex Support Needs, Angela Dew, Louisa Smith, Susan Collings, Isabella Dillon Savage

Australian Health Services Research Institute

Arts-based methods reduce reliance on verbal communication. This makes them particularly useful for exploring sensitive and controversial topics, which can often be difficult to articulate verbally, and capturing the experiences and insights of marginalised groups including people with complex support needs. The visual arts-based method of body mapping provides an alternative way for participants to express their views and experiences through non-verbal storytelling. In this article, we report on the adaptation of body mapping to conduct research with two disadvantaged groups: adults with cognitive disability and complex support needs; and young people with complex support needs. We identify the potential …

Normative Data For Adults Referred For Specialist Pain Management In Australia, Hilarie Tardif, Megan B. Blanchard, Janelle M. White, Meredith P. Bryce

Australian Health Services Research Institute

Nicholas and colleagues have developed an extensive normative dataset for a range of assessment tools used in pain management services. The present paper aims to provide normative data for the measures used in the ePPOC minimum dataset for a large cohort of adults referred to pain management services throughout Australia. This information will provide a description of the people seeking specialist pain management in Australia during the period 2014-17, and allow pain management services to compare scores for individuals seen at their service to these group values.

Carer-Proxy And Child Self-Reported Ratings Of Pain And Quality Of Life, Hilarie Tardif, Megan B. Blanchard, R Sandells

Australian Health Services Research Institute

The aim of this paper is to examine agreement between carer-proxy reports and child self-report of pain and health-related quality of life. The paper will also examine whether agreement varies with the age and sex of the child.

Palliative Care Is Effective: But Hospital Symptom Outcomes Superior, Kathy Eagar, Sabina P. Clapham, Samuel F. Allingham

Australian Health Services Research Institute

Objectives: To explore differences in severe symptom outcomes for palliative care patients receiving hospital care compared with those receiving care at home.

Methods: Change in symptom distress from the start of an episode of palliative care to just prior to death was measured for 25 679 patients who died under the care of a hospital or home-based palliative care team between January 2015 and December 2016. Logistic regression models controlled for differences between hospital and home and enabled a comparison of the number of severe symptoms just prior to death.

Results: All symptoms improved and over 85% of all patients …

Challenges Of Is Research Translation: A Study Of Tensions Between Ict Innovation And Conservative Bureaucracies, Helen M. Hasan, Andrew Connery, Kathryn P. Crawford

Australian Health Services Research Institute

In highly-structured public bureaucracies, such as universities, the need for stable and ordered administration conflicts with attempts at innovation and creativity. This is a particular dilemma for universities, which exist to create and share knowledge. The case presented here concerns the tensions generated where a university's administration ignored innovative IS research findings which could translate into innovations from which they could benefit. We employ Leximancer to objectively analyse textual documents related to the case and invoke Activity Theory to make deeper sense of the phenomenon of our investigation. Identifying several contractions behind the tensions uncovered in this case, we turn …