Medicine and Health Sciences Commons^™

Intersectionality Based Policy Analysis Of How Racism Is Framed In Medical Education Policies Guiding Aboriginal Health Curriculum, Petah Atkinson, Marilyn Baird, Karen Adams

Journal of the Australian Indigenous HealthInfoNet

Introduction: Racism has a profound impact on health inequities for Aboriginal and Torres Strait Islander people. Australian medical schools are required to include Aboriginal and Torres Strait Islander health curriculum in their medical courses and policies have been developed to support this work.

Methods: The research question was: how is racism framed in medical education policies guiding Aboriginal and Torres Strait Islander health curriculum for entry-level medical courses? Applying an Indigenous Research Paradigm and Intersectionality Based Policy Analysis, three key policies were analysed: Australian Medical Council (AMC) Standards for Assessment and Accreditation of Primary Medical programs; Aboriginal and Torres Strait …

Impact Evaluation Of A Central Australian Aboriginal Cultural Awareness Training Program For Health Professionals And Students, Chris Rissel, Lynette Liddle, Courtney Ryder, Annabelle Wilson, Madeleine Bower, Barbara Richards

Journal of the Australian Indigenous HealthInfoNet

The aim of this study was to prospectively evaluate the impact of a Central Australian cultural awareness training program for health care staff. A mixed methods approach was used. Program participants completed a baseline and post-program questionnaire, which included an attitude scale assessing cultural safety, critical thinking and transformative unlearning, and open-ended questions. An online follow-up survey two months later repeated these questions. Mean scale scores were compared using paired and unpaired t-tests. Qualitative data were analysed thematically. Baseline scale mean was 45.7. At post-program it had statistically significantly increased to 47.3, using both the paired (p=< 0.01) and unpaired t-test (p=< 0.03). At the two-month follow-up it had decreased to 42.2. This was not statistically different from the baseline score with a paired (n=11) t-test (p=< 0.37), however the difference was statistically significant with an unpaired t-test (p=< 0.01) which included an additional eight respondents. Qualitative feedback was consistently positive. Many respondents learnt new information about the negative effects of colonisation on Aboriginal and/or Torres Strait Islander people, and how this continues to affect current health. Learning about Aboriginal and/or Torres Strait Islander cultures, kinship relationships and systems, and communication styles was identified as directly relevant to work practices. A cultural education program produced positive short-term changes in attitudes and was highly valued by participants. However, it is unclear if these changes are maintained in the medium term.

Aboriginal Health Consumers Experiences Of An Aboriginal Health Curriculum Framework, Petah Atkinson, Marilyn Baird, Karen Adams

Australian Indigenous HealthBulletin

Introduction

In settler colonised countries medical education is situated in colonist informed health systems. This form of colonisation is characterised by overt racism and contributes to the significant health inequities experienced by Indigenous peoples. Not surprisingly, medical accreditation bodies in these countries have mandated the curriculum include content relating to Indigenous peoples. However, what is absent is the Indigenous health consumer worldview of health care and their nuanced lived experience of the delivery of medical care.

Methods

Yarning methods, integral to Aboriginal peoples’ ways of understanding and learning, were utilised. A Yarning guide was constructed with Social Yarn and Research …

Preparing Student Paramedics For The Mental Health Challenges Of The Profession By Using The Wisdom Of The Experienced, Lisa Holmes, Natalie Ciccone, Lynne Cohen, Richard Brightwell

Research outputs 2014 to 2021

Given the significant mental health issues affecting our paramedics, there exists an urgent need to promote positive mental health and well-being among future cohorts of student paramedics. This study investigated the preparedness of student paramedics for the mental health challenges of the profession and explored the coping strategies used by experienced paramedics. The study was conducted in two parts. Part A comprised of two surveys which were developed and administered to 16 course coordinators and 302 students of the 16 accredited undergraduate paramedicine courses across Australia and New Zealand. The survey aimed to identify the perceived need for preparation within …

The Ward-Based Nurse Clinical Educator: Impact On Student Learning Outcomes And Student And Preceptor Experiences, Karen Ann Mccarthy

Theses: Doctorates and Masters

Aim

This study aimed to determine the impact of the implementation of a ward based Nurse Clinical Educator (NCE) role on students and staff at one health service whilst students were on clinical practicum at a Western Australian regional health care facility.

Question

The research question was: “What impact does the NCE support intervention have on students and clinical staff during clinical practicum?” Background Clinical experience for undergraduate student nurses (students) undertaking their bachelor’s degree is of utmost importance for gaining both competence and registration. Students encounter difficulties in obtaining opportunities to practice their skills and develop competence when on …

Applications Of The Reflective Practice Questionnaire In Medical Education, Shane L. Rogers, Lynn E. Priddis, Nicole Michels, Michael Tieman, Lon J. Van Winkle

Research outputs 2014 to 2021

Background: We sought to determine whether the Reflective Practice Questionnaire (RPQ) is a reliable measure of reflective capacity and related characteristics in medical students. We also planned to learn how the RPQ could be used in medical education. Methods: The RPQ is a 40 item self-report questionnaire that includes a multi-faceted approach to measuring reflective capacity. It also includes sub-scales on several other theoretically relevant constructs such as desire for improvement, confidence, stress, and job satisfaction. The reliabilities of reflective capacity and other sub-scales were determined by calculating their Cronbach alpha reliability values. In the present study, the RPQ was …

Prevalence Of Epilepsy In China Between 1990 And 2015: A Systematic Review And Meta-Analysis, Peige Song, Yezhou Liu, Xinwei Yu, Jingjing Wu, Adrienne N. Poon, Alessandro R. Demaio, Wei Wang, Igor D. Rudan, Kityee Chan

Research outputs 2014 to 2021

Background: Epilepsy is a major neurological disorder that affects approximately 65 million people worldwide. Globally, the burden of epilepsy is not evenly distributed, with more than 80% of sufferers residing in low- and middle-income countries. This study estimates the burden of epilepsy in mainland China from 1990 to 2015 and explores the variations of burden by age and gender.

Methods: We conducted a systematic review of the peer-reviewed literature from 1990 to 2015 using Chinese and English academic databases (CNKI, WanFang, VIP and PubMed) to identify population- based prospective studies on the prevalence of epilepsy in mainland Chinese. Multilevel mixed-effects …

New Graduate Registered Nurses’ Knowledge Of Patient Safety And Practice: A Literature Review, Melanie Murray, Deborah Sundin, Vicki Cope

Research outputs 2014 to 2021

Aims and objectives

To critically appraise available literature and summarise evidence pertaining to the patient safety knowledge and practices of new graduate registered nurses.

Background

Responsibility for patient safety should not be limited to the practice of the bedside nurses, rather the responsibility of all in the healthcare system. Previous research identified lapses in safety across the health care, more specifically with new practitioners. Understanding these gaps and what may be employed to counteract them is vital to ensuring patient safety.

Design

A focused review of research literature.

Methods

The review used key terms and Boolean operators across a 5-year …

An Approach To Measuring And Encouraging Research Translation And Research Impact, Andrew M. Searles, Chrisotpher M. Doran, John R. Attia, Darryl A. Knight, John H. E. Wiggers, Simon Deeming, Joërg Mattes, Brad Webb, Steve Hannan, Rod Ling, Kim Edmunds, Penny Reeves, Michael Nilsson

Research outputs 2014 to 2021

Background:

Research translation, particularly in the biomedical area, is often discussed but there are few methods that are routinely used to measure it or its impact. Of the impact measurement methods that are used, most aim to provide accountability - to measure and explain what was generated as a consequence of funding research. This case study reports on the development of a novel, conceptual framework that goes beyond measurement. The Framework To Assess the Impact from Translational health research, or FAIT, is a platform designed to prospectively measure and encourage research translation and research impact. A key assumption underpinning FAIT …

Learning Preferences Of Enrolled Nursing Students: Educational Preparation And Training For Workplace Readiness, Kalpana Raghunathan, Sonia Allen, Elisabeth R. Jacob

Research outputs 2014 to 2021

In Australia there are two entry levels in nursing: the Registered Nurse (RN) and the Enrolled Nurse (EN). Nursing education research is predominately focused on higher education for Registered Nurses and postgraduate nursing students; as a result, the educational preferences of Enrolled Nursing students in the vocational education and training (VET) setting have not been identified. Enrolled Nursing students have some distinct educational needs as they transition through education into the workforce due to their diversity in learner characteristics and backgrounds. As the role of this group continues to expand in the workplace to meet the demands of the health …

Do Patients With Long-Term Side Effects Of Cancer Treatment Benefit From General Practitioner Support? A Literature Review, Irene M. Ngune, Moyez Jiwa, Alexandra Mcmanus, Jeff Hughes

Research outputs 2014 to 2021

Background: Alongside specialist cancer clinics, general practitioners have an important role in cancer patients ’ follow-up care, yet no literature summarises the nature, extent and impact of their involvement. This paper addresses this issue through a review of the literature. Methods: Studies were sourced from six academic databases - AustHealth ( n = 202), CINAHL ( n = 500), the Cochrane Library (reviews and trials; n = 200), Embase ( n = 368), PHCRIS ( n = 132) and PubMed/Medline ( n = 410). Studies that focused on interventions designed for patients receiving follow-up care and reported cancer care provided …

General Practitioners' Experiences Of Bereavement Care And Their Educational Support Needs: A Qualitative Study, Moira O'Connor, Lauren J. Breen

Research outputs 2014 to 2021

Background: General Practitioners (GPs) are well-positioned to provide grief support to patients. Most GPs view the provision of bereavement care as an important aspect of their role and the GP is the health professional that many people turn to when they need support. We aimed to explore GPs' understandings of bereavement care and their education and professional development needs in relation to bereavement care. Methods. An in-depth qualitative design was adopted using a social constructionist approach as our aims were exploratory and applied. Nineteen GPs (12 women and 7 men) living in Western Australia were interviewed; 14 were based in …

Development Of A Medical Academic Degree System In China, Lijuan Wu, Youxin Wang, Xiaoxia Peng, Manshu Song, Xiuhua Guo, Hugh Nelson, Wei Wang

Research outputs 2014 to 2021

Context: The Chinese government launched a comprehensive healthcare reform to tackle challenges to health equities. Medical education will become the key for successful healthcare reform. Purpose:We describe the current status of the Chinese medical degree system and its evolution over the last 80 years. Content: Progress has been uneven, historically punctuated most dramatically by the Cultural Revolution. There is a great regional disparity. Doctors with limited tertiary education may be licensed to practice, whereas medical graduates with advanced doctorates may have limited clinical skills. There are undefined relationships between competing tertiary training streams, the academic professional degree, and the clinical …

A Quantitative Analysis Of The Mass Media Coverage Of Genomics Medicine In China: A Call For Science Journalism In The Developing World, Feifei Zhao, Yan Chen, Siqi Ge, Xinwei Yu, Shuang Shao, Michael Black, Youxin Wang, Jie Zhang, Manshu Song, Wei Wang

Research outputs 2014 to 2021

Science journalism is a previously neglected but rapidly growing area of scholarship in postgenomics medicine and socio-technical studies of knowledge-based innovations. Science journalism can help evaluate the quantity and quality of information flux between traditional scientific expert communities and the broader public, for example, in personalized medicine education. Newspapers can play a crucial role in science and health communication, and more importantly, in framing public engagement. However, research on the role of newspaper coverage of genomics-related articles has not been readily available in resource-limited settings. As genomics is rapidly expanding worldwide, this gap in newspaper reportage in China is therefore …

Delivering Genetic Education And Genetic Counseling For Rare Diseases In Rural Brazil, A.X. Acosta, K Abe-Sandes, R Giugliani, Alan H. Bittles

Research outputs 2013

Brazil is the largest country in Latin America, with an ethnically diverse, Portuguese-speaking and predominantly Roman Catholic population of some 194 million. Universal health care is provided under the Federal Unified Health System (Sistema Único de Saúde) but, as in many other middle and low income countries, access to medical genetics services is limited in rural and remote regions of the country. Since there is no formally recognized Genetic Counseling profession, genetic counseling is provided by physicians, trained either in medical genetics or a related clinical discipline. A comprehensive medical genetics program has been established in Monte Santo, an inland …

Work Integrated Learning: A Whole Of Curriculum Approach, Catharine Andre, Beverley A. Ewens, Fiona Foxall

Research outputs 2013

The School of Nursing and Midwifery at Edith Cowan University, Western Australia is currently developing an innovative work integrated learning masters to service the needs of students and industry. As this paper details, the program is aimed at Registered Nurses and Midwives to support and develop the skills to conceptualise and implement a work integrated program of study, the products of which are then used as recognised assessment items. Unlike many other work integrated learning initiatives, this curriculum is entirely work integrated learning based with early units of study providing students with the foundational skills and conceptual understanding required to …

Multidimensional Approach To Nurse Client Communication In Two Malaysian Intensive Care Units, Faridah Hashim

Theses: Doctorates and Masters

Communication among patients and nurses m the Intensive Care Unit (ICU) has received extensive attention in the nursing research literature. These studies have identified numerous factors both enhancing and impeding effective nurse client communication. Despite the extensive research attention paid to nurse client communication in an ICU setting, no studies can be located that take a multidimensional approach to exploring the factors serving to enhance or impede such nurse "client communications. The literature review searched from 1980 when the landmark study by Ashworth ( 1980) reported on nurse-patient communication in the ICU. Many studies followed on nursing communication

Using Reflective Journeys To Engage And Empower Leadership Teams, T J. Sullivan

EDU-COM International Conference

The Reflective Leader Development Workshop was designed to professionally and personally develop individual leaders in the health care and education industries into working teams. It was used to meld the individual nursing administrators and school heads in the Master of Education (Educational Management) programme at Universiti Brunei Darussalam into small cooperative leadership learning teams that would function after the programme, as workplace support networks. However, the need for renewal of leadership is always present. It readily became obvious that a workshop using reflective journeys could engage and empower leadership teams in the workplace at individual and group levels. So the …

Congruent Leadership And Empowerment, David Stanley

EDU-COM International Conference

Who are the clinical nurse leaders? What are the qualities and characteristics of clinical nurse leaders? Why they are seen as clinical leaders and what might their experiences of clinical leadership be? This paper outlines a research project that sought to explore these questions. The research discussed involved surveying registered/qualified nurses (n = 830) who staffed 36 clinical areas in one acute NHS Trust in the English Midlands. The data proved a rich source of information about clinical leadership, the attributes of clinical leaders and who might be recognised as a clinical leader. The questionnaire was followed by interviews with …

Outcome Evaluation Of The School Drug Education Project: Final Report Presented To The School Drug Education And Road Aware Project, Therese Shaw, Margaret Hall, Donna Cross, Hamilton Greg

Research outputs pre 2011

In 2002, Curtin University's Western Australian Centre for Health Promotion Research provided a report which explored the feasibility of a range of options to evaluate the impact of the School Drug Education Project (SDEP) on students' drug use, perceptions of drug-related harm and attitudes towards drug use. Given the difficulties of achieving a prospective design, this proposal recommended comparing retrospective measures of SDEP participation, level of SDEP training and dose of SDEP implementation with Years 8-12 student drug-related outcome data collected from four large Western Australian studies conducted somewhat concurrently with the School Drug Education Project.

It was hypothesised that …

Trans-Adaption Of Successful Cigarette Smoking Intervention To Randomised School-Based Cannabis Intervention Trial, Child Health Promotion Unit, Edith Cowan University

Research outputs pre 2011

Despite the emergence of cannabis use as a public health issue of significance in the 21st Century, no school-based interventions specifically addressing cannabis use have been reported in the literature. The prevalence of adolescent cannabis use has risen during the 1990s while the age of onset has decreased. This three-year trial seeks to trans-adapt a successful school-based cigarette smoking program underpinned by harm minimisation (HM) theory (including abstinence messages), into a school-based cannabis intervention trial. This innovative intervention will be compared to the largely abstinence-based drug use prevention activities currently used in W A. The first and second years of …

Emergency Vehicle Siren Noise: A Potential For Hearing Loss, Douglas A. Riach

Theses: Doctorates and Masters

The purpose of this thesis was to critically investigate the noise produced by the sirens fitted to South Australian Police general patrol vehicles and calculate if this noise was of an intensity to cause noise induced hearing loss. Previous studies in Western Australia and in South Australia examined noise emissions from emergency vehicle sirens for the purpose of selecting the most suitable siren for emergency vehicles, this being the siren emitting the greatest intensity of sound. This study has researched emergency vehicle sirens from the perspective of employee exposure to siren noise. Noise levels were recorded from inside the police …

Nursing Students' And Clinical Teachers' Perceptions Of Effective Teacher Characteristics, Shirley Chow

Theses: Doctorates and Masters

Instructional and organisational strategies can improve students' transfer of knowledge and skill to the workplace. Constraints on transfer include: 1. a shortage of teachers who can build transfer inlo programmes; and 2. time span (interval) between teaching of the task and transfer of learning. Fifteen nursing students and five clinical teachers from a university in Western Australia participated in the initial qualitative component of the study. These students and teachers were asked to list effective clinical teachers' behaviours which were then compared with beaviours listed in the Rauen's Clinical Instructor Characteristics Rating Scale (1974). Using a modified Rauen's Scale, 200 …

The Modification, Implementation, And Evaluation Of An Hiv/Aids Education Programme For Students In Year 10, Paula Hahnel

Theses: Doctorates and Masters

This research addresses the issue of HIVIAIDS education for Year 10 students. The purpose of this study was twofold: to provide baseline data on students’ knowledge, beliefs, and attitudes about HIV and AIDS (Phase 1), and to evaluate the effect of an education intervention on possible determinants of behaviour (Phase 2), Previous studies have Indicated that improved knowledge may influence risk-reducing behaviour. In addition, adolescents have numerous misconceptions about the cause and transmission of HIV. However, there has been no known assessment of AIDS knowledge, attitudes, beliefs, and behaviours of high school students in Western Australia. The study was guided …

Patient Attitudes Toward Self-Medication During Hospitalization, Elizabeth A. Reilly

Theses : Honours

This study explored patient attitudes toward the behaviour of self-medication during hospitalization using Ajzen's and Fishbein's model of Reasoned Action {1980}. The goal of Ajzen's and Fishbein's model is to predict and understand an individual's behaviour. This study adapted the model and identified seven variables which were thought to influence a person's intention to self-medicate. Two hypotheses were developed based upon the relationships between the variables in the model and their predicted effect upon the behaviour of self-medication. Correlational statistics were performed to determine the general relationships between a subject's specific and general attitudes toward the behaviour of self-medication, their …