Digital Commons Network^™

A Survey About Postoperative Delirium In Older Patients Among Nurses And Anaesthetists: Implications For Future Practice And Policy, Ezinne Oyidia Igwe, Victoria Traynor, Sheila E. Rodgers, Alasdair Waite, Alasdair M.J Maclullich, Irwin Foo

Faculty of Science, Medicine and Health - Papers: Part B

Background Postoperative delirium is a major complication associated with anaesthesia and surgery, more commonly seen in older people. Aims The aims of this study were to explore the knowledge and understanding of anaesthetists and nurses involved in anaesthesia through their responses to two case scenarios of postoperative delirium experienced by older people. Methods A 30-item online survey was sent to 500 potential respondents. Results Two hundred and twenty-six practitioners from Australia, New Zealand and Scotland responded. Most had no workplace protocols for anaesthesia planning in older people. There was substantial variability in practice in relation to postoperative delirium screening, detection, …

Nursing Care Left Undone, Practice Environment And Perceived Quality Of Care In Small Rural Hospitals, Sarah Smith, Samuel Lapkin, Jenny Sim, Elizabeth J. Halcomb

Faculty of Science, Medicine and Health - Papers: Part B

No abstract provided.

Job Satisfaction And Career Intention Of Australian General Practice Nurses: A Cross‐Sectional Survey, Elizabeth J. Halcomb, Sonia Bird

Faculty of Science, Medicine and Health - Papers: Part B

Purpose

The nursing workforce in Australian general practice has increased exponentially in size over recent years to meet the growing demand for health care. Nurses are more likely to remain working if they are satisfied with their jobs. Satisfaction is impacted by a complex range of factors, including the environment, workplace relationships, and the nurses’ role. Therefore, satisfaction data cannot be generalized across disparate clinical settings. This study sought to investigate the job satisfaction and turnover intentions of nurses working in Australian general practice.

Design and Methods

A cross‐sectional online survey of nurses employed in general practices across Australia was …

Conceptualising Technology Practice In Education Using Bourdieu's Sociology, Karley A. Beckman, Tiffani L. Apps, Sue Bennett, Lori Lockyer

Faculty of Social Sciences - Papers (Archive)

Evidence from large-scale studies of primary and secondary students' technology practices at school over the last decade show disparities in student practices and suggest that schools need to do more to cater for all students. Research that explores the influence of social and cultural factors may be useful for understanding such inequality in student practice. Bourdieu's theory of practice [(1977). Outline of a Theory of Practice. London: Cambridge University Press] is proposed as an example of a sociological theory that can be adopted in educational technology research to move towards understanding the wider complexities of technology practice. To encourage discourse …

Constraints Preventing Chinese Efl Teachers From Putting Their Stated Beliefs Into Teaching Practice, Lei-Min Shi, Janine Delahunty, Xiaoping Gao

Faculty of Law, Humanities and the Arts - Papers (Archive)

In China, developing students' overall communicative competence was set as the central goal of the current college English curriculum requirements since 2004. However, this goal has remained largely unfulfilled, particularly with regard to writing competence. This study proposes that the genrebased pedagogy in systemic functional linguistics may be the key to achieve this national curriculum goal. After teachers were trained in this pedagogy, through designed workshops for teacher development, this research examined possible changes in teachers' stated beliefs about effective writing pedagogy and actual teaching practices. The findings from classroom observations and teachers' self-reports suggest that even though all teacher …

The Development Of Professional Practice Standards For Australian General Practice Nurses, Elizabeth J. Halcomb, Moira Stephens, Julianne Bryce, Elizabeth Foley, Christine Ashley

Faculty of Science, Medicine and Health - Papers: part A

Aims The aim of this study was to explore the current role of general practice nurses and the scope of nursing practice to inform the development of national professional practice standards for Australian general practice nurses.

Background Increasing numbers of nurses have been employed in Australian general practice to meet the growing demand for primary care services. This has brought significant changes to the nursing role. Competency standards for nurses working in general practice were first developed in Australia in 2005, but limited attention has been placed on articulating the contemporary scope of practice for nurses in this setting.

Design …

Lessons From The Aime Approach To The Teaching Relationship: Valuing Biepistemic Practice, Samantha Mcmahon, Valerie Harwood, Gawaian Bodkin-Andrews, Sarah Elizabeth O'Shea, Anthony D. Mcknight, Paul A. Chandler, Amy Priestly

Faculty of Social Sciences - Papers (Archive)

The Australian Indigenous Mentoring Experience (AIME) is a national, extra-curricular mentoring programme that is closing the educational gap for young Indigenous Australians. So what is AIME doing that is working so well? This article draws on a large-scale classroom ethnography to describe the pedagogies that facilitate the teacher-student relationships in this programme. We use Shawn Wilson's theorisation of Indigenous ways of knowing in order to 'unpack' how these approaches succeeded in creating the egalitarian and trust-filled relationships reportedly experienced in the AIME programme.

Patients' Attitudes Towards Chaperone Use For Intimate Physical Examinations In General Practice, Lucie C. Stanford, Andrew D. Bonney, Rowena G. Ivers, Judy Mullan, Warren C. Rich, Bridget R. Dijkmans-Hadley

Faculty of Science, Medicine and Health - Papers: part A

BACKGROUND: The objective of this article is to investigate patients' attitudes to the use of chaperones for intimate physical examinations (IPEs) in a sample of Australian general practices. METHODS: A cross-sectional survey of adult patients from 13 randomly selected general practices in regional New South Wales was conducted between September and November 2012. Generalised linear mixed models were used for analysis. RESULTS: Of 780 surveys distributed, 687 (88%) were returned; the age range was 18-91 years and 356 (52%) were from female patients. Most women had never had a chaperone present for a Papanicolaou (Pap) smear (82.6%). Between 23% and …

Community And Ownership: A Relational Study Of Community Gardens, Ellen Van Holstein

University of Wollongong Thesis Collection 2017+

Community gardens are widely promoted for their community building and educational capacities and they are equally criticised for their capability to perpetuate neoliberal logics of self-reliance and responsible citizenship. This thesis takes a relational approach to community gardens, focusing on community gardens in a relatively affluent and gentrifying urban area. It does so through examining community gardeners’ practices in three community gardens in the inner west of Sydney, Australia, and the ways in which through these practices gardens are connected to the wider urban environments in which these spaces are situated. Rather than prioritise institutional relationships or practices which generate …

A Virtual Community Of Practice For General Practice Training: A Preimplementation Survey, Stephen Barnett, Sandra C. Jones, Sue Bennett, Donald C. Iverson, Laura Robinson

Faculty of Social Sciences - Papers (Archive)

Background: Professional isolation is an important factor in low rural health workforce retention.

Objective: The aim of this study was to gain insights to inform the development of an implementation plan for a virtual community of practice (VCoP) for general practice (GP) training in regional Australia. The study also aimed to assess the applicability of the findings of an existing framework in developing this plan. This included ascertaining the main drivers of usage, or usefulness, of the VCoP for users and establishing the different priorities between user groups.

Methods: A survey study, based on the seven-step health VCoP framework, was …

The Clinical Effectiveness Of Concise Cognitive Behavioral Therapy With Or Without Pharmacotherapy For Depressive And Anxiety Disorders; A Pragmatic Randomized Controlled Equivalence Trial In Clinical Practice, Denise Meuldijk, Ingrid V. Carlier, Irene M. Van Vliet, T Van Veen, R Wolterbeek, Albert M. Van Hemert, Frans G. Zitman

Faculty of Social Sciences - Papers (Archive)

Background: Depressive and anxiety disorders contribute to a high disease burden. This paper investigates whether concise formats of cognitive behavioral- and/or pharmacotherapy are equivalent with longer standard care in the treatment of depressive and/or anxiety disorders in secondary mental health care. Methods: A pragmatic randomized controlled equivalence trial was conducted at five Dutch outpatient Mental Healthcare Centers (MHCs) of the Regional Mental Health Provider (RMHP) 'Rivierduinen'. Patients (aged 18-65 years) with a mild to moderate anxiety and/or depressive disorder, were randomly allocated to concise or standard care. Data were collected at baseline, 3, 6 and 12 months by Routine Outcome …

Wildfire Survival Plans In Theory And Practice, Christine Eriksen, Trent D. Penman, Bronwyn L. Horsey, Ross A. Bradstock

Faculty of Science, Medicine and Health - Papers: part A

Bushfire survival plans are a valuable tool for residents living in fire-prone landscapes. Plans include assigning trigger points for action, roles for all household members, and alternate approaches should the original plan fail. Fire agencies advocate that residents write, practise and discuss these plans before the fire season. In this study we use a multiple-methods approach to examine the theoretical and actual application of bushfire survival plans in south-east Australia. First, we review agency advice regarding survival plans to determine the consistency, clarity and specificity of the advice. Second, an online survey of residents examines the relationships between types of …

Evaluation Of A Sexually Transmissible Infections Education Program: Lessons For General Practice Learning, Jenny Reath, Penny Abbott, Ann Dadich, Hassan Hosseinzadeh, Wendy Hu, Melissa Kang, Tim Usherwood, Carolyn Murray, Chris Bourne

Faculty of Social Sciences - Papers (Archive)

Background: The New South Wales (NSW) Sexually Transmissible Infections Program Unit (STIPU) produced nine resources to support the diagnosis and management of sexually transmissible infections (STIs) in general practice. Objective: In this study, we explored the processes of developing the resources and outcomes achieved. Methods: We analysed project documents and undertook a focus group interview with the STIPU Working Group to evaluate resource development and dissemination. Interviews with general practitioners (GPs) and practice nurses (PNs), combined with previously reported survey findings, provided an outcomes evaluation. Results: STIPU used a rigorous, multimodal approach to develop evidence-based clinical resources. GPs and PNs …

The Relevance Of Mindfulness Practice For Trauma-Exposed Disaster Researchers, Christine Eriksen, Tamara Ditrich

Faculty of Social Sciences - Papers (Archive)

This paper aims to raise awareness of vicarious trauma amongst disaster researchers, and suggests ways to prevent vicarious traumatisation from happening and/or reaching incapacitating levels. The paper examines the potential of mindfulness practice, grounded in Buddhist meditation, as a set of contemplation tools through which optimal level of functionality can be maintained or restored. The relevance of the emphasis in mindfulness on understanding suffering, non-attachment, non-judgement, and full participation in the present moment are related to the context of disaster research. The paper demonstrates the potential for increased researcher resilience through acknowledgement and understanding of impermanence, as well as skilful …

Living With Invasive Plants In The Anthropocene: The Importance Of Understanding Practice And Experience, Lesley M. Head, Brendon M. Larson, Richard Hobbs, Jennifer M. Atchison, Nicholas J. Gill, Christian Kull, Haripriya Rangan

Faculty of Social Sciences - Papers (Archive)

The role of humans in facilitating the rapid spread of plants at a scale that is considered invasive is one manifestation of the Anthropocene, now framed as a geological period in which humans are the dominant force in landscape transformation. Invasive plant management faces intensified challenges, and can no longer be viewed in terms of 'eradication' or 'restoration of original landscapes'. In this perspectives piece, we focus on the practice and experience of people engaged in invasive plant management, using examples from Australia and Canada. We show how managers 1) face several pragmatic trade-offs; 2) must reconcile diverse views, even …

Weather-Ways: Experiencing And Responding To Everyday Weather, Eliza De Vet

University of Wollongong Thesis Collection 1954-2016

Climates are changing, yet how these changes will affect individuals in their everyday lives is unclear. In climate change research, weather and climate (change) have largely been represented quantitatively. Such representations offer individuals, societies and institutions limited tangible explanation of future climate change, impeding efforts to develop and implement effective climate change responses. In order to comprehend the realities of climate change and potential adaptation capacities, research must recognise how individuals and societies currently relate to weather in context of everyday life.

This thesis contributes to research on weather relations by exploring the role of weather in everyday life in …

Engendering 'Rural' Practice: Women’S Lived Experience Of Legal Practice In Regional, Rural And Remote Communities In Queensland, Trish Mundy

Faculty of Law, Humanities and the Arts - Papers (Archive)

The experience and marginalised status of women lawyers within the Australian legal profession has been well documented over the past two decades. However, very little is known empirically about the ways in which 'rural' space and place might transform or impact that experience, and their relationship with the retention of women in rural, regional and remote (RRR) practice. This article reports on a phenomenological study of the lived experience of female solicitors practising in RRR communities in Queensland. The study asked 23 solicitors (male and female) about their experience of life and legal practice in their communities. This article concludes …

Rtop’S Second Pillar: The Responsibility To Assist In Theory And Practice In Solomon Islands, Charles Hawksley, Nichole Georgeou

Faculty of Law, Humanities and the Arts - Papers (Archive)

This paper explores the implementation of a regional capacity-building program in Solomon Islands, a state that experienced significant violence and political tension between 1998 and 2003. As Bellamy notes, the July 2003 intervention of the Regional Assistance Mission to Solomon Islands (RAMSI) is a useful and relevant case study for understanding the operationalization of Pillar II of RtoP, which we have termed the “Responsibility to Assist” (RtoA).1 While RAMSI has not consciously adopted RtoP language in its operations, the rationale for the intervention included humanitarian as well as wider regional security concerns.2 The mission’s emphasis on developing the state’s capacities …

Mechanisms Which Help Explain Implementation Of Evidence-Based Practice In Residential Aged Care Facilities: A Grounded Theory Study, Malcolm Masso, Grace Mccarthy, Alison Kitson

Australian Health Services Research Institute

BACKGROUND: The context for the study was a nation-wide programme in Australia to implement evidence-based practice in residential aged care, in nine areas of practice, using a wide range of implementation strategies and involving 108 facilities. The study drew on the experiences of those involved in the programme to answer the question: what mechanisms influence the implementation of evidence-based practice in residential aged care and how do those mechanisms interact?

METHODS: The methodology used grounded theory from a critical realist perspective, informed by a conceptual framework that differentiates between the context, process and content of change. People were purposively sampled …

The Contribution Of Focus Group Discussions To Aboriginal Australian Health Service Research: A Content Analysis Of Practice And Experience, Angela Dawson, John Daniels, Kathleen F. Clapham

Australian Health Services Research Institute

Focus Group Discussions (FGDs) are a common way of gathering qualitative data in Aboriginal health services research; however there have been no studies on the question of whether they are appropriate research tools in such contexts, nor are there are specific guidelines available to ensure that FGDs are delivered to collect data in ways that are consistent with Aboriginal approaches to consultation, ownership and ways of knowing. Furthermore, there is a lack of clarity concerning the theoretical and methodological perspectives that could be operationalised by FGDs to gather data, guide analysis and interpretation in ways that are culturally appropriate, ethically …

Educating Law Students For Rural And Regional Practice: Embedding Place Based Perspectives In Law Curricula, Amanda Kennedy, Trish Mundy, Jennifer Nielsen, Caroline Hart, Richard Coverdale, Reid Mortensen, Theresa Smith-Ruig, Claire Macken

Faculty of Law, Humanities and the Arts - Papers (Archive)

The attraction and retention of professionals generally in rural and regional Australia is an on-going concern. Recent attention has focused upon the recruitment of lawyers and legal professionals to rural and regional areas, where the proportion of lawyers practising has steadily declined over the past twenty years. While the precise extent of the decline is difficult to assess, and the causes of recruitment and retention issues for lawyers in rural and regional areas are nuanced and can vary from region to region, it is clear that concern about attraction and retention is a national one. A national survey conducted in …

Analysis Of The Psychological Impact Of A Vascular Risk Factor Intervention: Results From A Cluster Randomized Controlled Trial In Australian General Practice, Suzanne Helen Mckenzie, Upali W. Jayasinghe, Mahnaz Fanaian, Megan Passey, Mark Fort Harris

Illawarra Health and Medical Research Institute

Background Screening for vascular disease, risk assessment and management are encouraged in general practice however there is limited evidence about the emotional impact on patients. The Health Improvement and Prevention Study evaluated the impact of a general practice-based vascular risk factor intervention on behavioural and physiological risk factors in 30 Australian practices. The primary aim of this analysis is to investigate the psychological impact of participating in the intervention arm of the trial. The secondary aim is to identify the mediating effects of changes in behavioural risk factors or BMI. Methods This study is an analysis of a secondary outcome …

Ethical Practice In Learning Through Participation: Showcasing And Evaluating The Pace Ethical Practice Module, Michaela Baker, Alison Beale, Laura Ann Hammersley, Kate Lloyd, Anne-Louise Semple, Karolyn L. White

Faculty of Social Sciences - Papers (Archive)

In 2008, Macquarie University instituted the Participation and Community Engagement (PACE) initiative. This initiative embeds units in the curriculum that involve learning through participation (LTP) that is mutually beneficial to the student, the University and the organisation or community in which student participation activities take place. Ethical practice is thus an integral part of this initiative. The issue of ethical practice in LTP 'has not been comprehensively addressed in the literature to date' and warrants further examination. This paper discusses the development of the innovative PACE Ethical Practice Module to teach ethical practice in participation units. We evaluate the effectiveness …

Practice Nurses And Sexual Health Care: Enhancing Team Care Within General Practice, Penny Abbott, Ann Dadich, Hassan Hosseinzadeh, Melissa Kang, Wendy Hu, Chris Bourne, Carolyn Murray, Jenny Reath

Faculty of Social Sciences - Papers (Archive)

Background: Collaboration between general practitioners (GPs) and practice nurses (PNs) can enhance health care delivery. However, despite evidenced shortfalls in general practice-based sexual health care, the PN role in sexual health appears underdeveloped. Evaluation of New South Wales Sexually Transmissible Infections Programs Unit GP Project provided an opportunity to canvass views of GPs and PNs regarding PNs and sexual health care. Methods: A purposively sampled group of 10 PNs and nine GPs were interviewed. Interviews were transcribed and analysed thematically. Results: The extent and nature of PN-GP teamwork in sexual health care was variable, influenced largely by GP recognition and …

Addressing The Deficiencies In The Evidence-Base For Primary Practice In Regional Australia - Sentinel Practices Data Sourcing (Spds) Project: A Pilot Study, Abhijeet Ghosh, Karen E. Charlton, Lisa Girdo, Marijka J. Batterham, Keith Mcdonald

Faculty of Science, Medicine and Health - Papers: part A

Background Chronic disease risk on a population level can be quantified through health surveys, either continuous or periodic. To date, information gathered from primary care interactions, using sentinel sites, has not been investigated as a potentially valuable surveillance system in Australia.

Methods A pilot study was conducted in a single General Practice in a regional area of New South Wales, Australia to assess the feasibility of accessing data obtained through a computerised chronic disease management program that has been designed for desktop application (Pen Computer Systems (PCS) Clinical Audit Tool: ™ PCS CAT). Collated patient data included information on chronic …

Culturally And Linguistically Diverse General Practitioners' Utilisation Of Practice Nurses, Elizabeth J. Halcomb, Yenna Salamonson, Melissa Cooper, Jennifer L. Clauson, Lien Lombardo

Faculty of Science, Medicine and Health - Papers: part A

Background Practice nurses are primarily employed by general practitioners, however little is known about the barriers to practice nurse employment from the perspective of general practitioners (GPs). Aim This paper seeks to explore solo, culturally and linguistically diverse (CALD) general practitioners' perceptions of the practice nurse role, and to identify the barriers and facilitators of these doctors employing nurses within their practice. Methods A descriptive study, using semi-structured interviews, was conducted from July to August 2010. Participants were CALD GPs working as solo practitioners who were members of a Division of General Practice in South Western Sydney. Quantitative data were …

Electronic Discharge Summary Driving Advice: Current Practice And Future Directions, John Carmody, Michael Carey, Victoria Traynor, Don Iverson

Faculty of Science, Medicine and Health - Papers: part A

Background Driving is a complex task. Many older drivers are unaware of their obligation to inform authorities of conditions which may impact upon their driving safety. Aims This study sought to establish the adequacy of driving advice in electronic discharge summaries from an Australian stroke unit. Method One month of in-patient electronic discharge summaries were reviewed. A predetermined list of items was used to assess each electronic discharge summary: age; gender; diagnosis; relevant co-morbidities; deficit at time of discharge; driving advice; length of stay; and discharge destination. Results Of 41 participants, the mean age was 72 years. Twenty patients had …

Challenges To Getting Evidence Into Practice: Expert Clinician Perspectives On Psychotherapy For Personality Disorders, Kye L. Mccarthy, Phoebe E. Carter, Brin F. S Grenyer

Faculty of Social Sciences - Papers (Archive)

Background No known recent studies have investigated service provision for personality disorder in Australia, despite international studies suggesting provision of such services is sub-optimal. Aims This study aimed to gain insight into psychotherapy provided for personality disorders, treatments considered optimal by clinicians and opinions of clinicians on the current levels of care. Methods The views of 60 experienced clinicians working with personality disorders were sampled. Results Data showed significant gaps between current practices for the treatment of personality disorders provided by clinicians compared to their perceptions of optimal treatment practice. Conclusions This study highlights the evidence-practice gap and the need …

Perceptions Of Family Physician Trainees And Trainers Regarding The Usefulness Of A Virtual Community Of Practice, Stephen Barnett, Sandra C. Jones, Sue Bennett, Donald C. Iverson, Andrew Bonney

Faculty of Social Sciences - Papers (Archive)

Background: Training for Australian general practice, or family medicine, can be isolating, with registrars (residents or trainees) moving between rural and urban environments, and between hospital and community clinic posts. Virtual communities of practice (VCoPs), groups of people sharing knowledge about their domain of practice online and face-to-face, may have a role in overcoming the isolation associated with general practice training. Objective: This study explored whether Australian general practice registrars and their supervisors (trainers) would be able to use, and would be interested in using, a VCoP in the form of a private online network for work and training purposes. …

How On Earth? Cartography And Curatorial Practice In The Archipelago, Etienne Turpin, Anna-Sophie Springer

Faculty of Engineering and Information Sciences - Papers: Part A

While geologists and stratigraphers debate the scientific merits of the Anthropocene thesis, culture workers remain precariously exposed to experiences of the planetary upheavals characteristic of our all-too-human epoch. If, as Peter Sloterdijk has suggested, our planet of terrestrial globalization has become a world interior of capital, what are the cartographic and curatorial practices that might respond to the ecologies of excess in this world interior?