Digital Commons Network^™

Students’ Experiences Of Living With Adhd At University: A Meta-Ethnography, Maree Mestichelli, Elisa Pepall, Thuy Tran, Mandy Stanley, Amy Cairns, Therese A. O’Sullivan

Research outputs 2022 to 2026

While the prevalence of attention deficit hyperactivity disorder (ADHD) among university students varies depending on the population studied, it has been estimated at approximately 16%. University students with ADHD may find that the condition affects their academic performance, social interactions, and well-being. This meta-ethnographic review synthesizes findings from 25 qualitative studies to explore the lived experiences of university students with ADHD. The studies, published between 2000 and 2023, were predominantly conducted in the United States with sample sizes ranging from 4 to 135 students. Students came from a broad range of academic disciplines and included undergraduates, recent graduates, and attendees …

Benefits Of Prehabilitative Exercise On Physiological, Functional And Patient-Reported Outcomes In Patients Undergoing Oncologic Surgery: A Systematic Review And Meta-Analysis, Natália Casagrande, Favil Singh, Anderson Rech, Régis Radaelli, Bruna M. Paniz, Guilherme T. Silvestro, Guilherme N. Eberhardt, Janaína Brollo, Maximiliano C. Kneubil, Claudio P. Júnior, Pedro W.M. De Almeida, Maria Cristina F. Magalhães, Francesco Bettariga, Pedro Lopez

Research outputs 2022 to 2026

Purpose: Prehabilitation, delivered between cancer diagnosis and surgery, may enhance functional reserve and improve tolerance to surgical stress, but evidence remains conflicting across cancer types and outcomes. We aimed to evaluate the effects of prehabilitative exercise on physiological, functional, and patient-reported outcomes in patients undergoing oncologic surgery.

Methods: A systematic review and meta-analysis was conducted (PROSPERO: CRD420251072796). Randomized controlled trials comparing structured exercise interventions with usual care in adults undergoing oncologic surgery were included. Searches were performed across seven databases until June 2025. Outcomes included cardiorespiratory fitness, muscle strength, physical function, fatigue, psychological distress, and quality of life. A three-level …

Bishop’S Categories 40 Years On: Reclaiming And Sustaining Story And Culture Authors, Helen Adam, Libby Jackson-Barrett, Nicola Daly, Maria Nayr De Pinho Correia Ibrahim, Gloria Boutte

Research outputs 2022 to 2026

Bishop’s foundational framework for analysing multicultural children’s literature has provided essential tools for understanding cultural representation for almost 40 years. However, the evolution of First Nations children’s literature and the increased Indigenous control over publishing and storytelling suggest Bishop’s original three categories may not fully capture the complexity of contemporary Indigenous storytelling. This study reports on a comprehensive analysis of 750 books by and about Aboriginal and Torres Strait Islander peoples, employing yarning methodology and Indigenous research approaches to examine patterns of cultural representation across historical periods. Whilst Bishop’s categories remain relevant, two additional categories emerged: Culturally Sustaining and Cultural …

Effects Of Immediate Skin-To-Skin Contact In Preterm Infants In High-Resource Settings: A Systematic Review, Victoria Rettedal, Siren Rettedal, Maren Johanne Heilskov Rytter, Linea Grothe Larsen, Frederikke Buskov, Evalotte Mörelius, Katrin Mehler, Karoline Lode-Kolz

Research outputs 2022 to 2026

Aim: A landmark trial published in 2021 demonstrated a 25% reduction in neonatal mortality when comparing immediate skin-to-skin contact (iSSC) to conventional care in infants with birthweight 1–1.8 kg in low- and middle-resource settings. New evidence from randomised clinical trials on iSSC in high-resource settings has recently become available. This systematic review aimed to evaluate evidence for immediate/early SSC, defined as initiated within 1 h after birth, versus conventional care in inborn preterm infants in high-resource settings.

Methods: Ten electronic databases, including PubMed, Embase, and Cochrane CENTRAL, from 2000 until February 2026, were searched. Randomised clinical trials comparing iSSC to …

Evaluating Training Effectiveness For A Technology-Driven Pain Assessment Application: A Cross-Sectional Study, Rosemary Saunders, Peter Palamara, Seng Giap Marcus Ang, Olivia Gallagher, Michelle Gay, Irene Ngune, Lauren Jenner, Amineh Rashidi, Christopher Etherton-Beer, Jeff Hughes

Research outputs 2022 to 2026

Purpose: Appropriate pain assessment of adults is critical for effective pain management. Technology-driven tools can contribute to improved pain assessments. Training is vital when integrating new clinical digital tools. Minimal studies have evaluated post-training outcomes. The aim of this study was to evaluate the training provided to clinical staff on the use of a pain assessment application for hospitalized adult patients. Design A cross-sectional study utilizing The Kirkpatrick Model of Training Evaluation.

Methods: Clinical staff (nurses and physiotherapists) on an acute metropolitan hospital orthopedic ward in Western Australia were invited to face-to-face training of PainChek Universal, a pain assessment application …

Factors That Impede Women's Contraceptive Care Needs During And Immediately After Incarceration In New South Wales, Australian. Qualitative Perspectives Of Professional Staff Working With Incarcerated Women, Helene Smith, Mandy Wilson, Basil Donovan, Jocelyn Jones, Tony Butler, Paul Simpson

Research outputs 2022 to 2026

Introduction: Women with a history of incarceration report higher rates of pregnancy and abortion, lower contraception use and poorer birth outcomes compared to other women in the community. This suggests family-planning and reproductive-health needs that are not well served by current models of care. Despite this, little is known about how contraception is provided within Australian carceral settings, or the structural barriers experienced by professional staff working in these environments. We report findings from a qualitative study conducted in New South Wales (NSW), Australia, describing professional staff's views of factors that support or impede women's contraceptive care needs both during …

Governing Professional Mobility: An Llm-Assisted Framework And Empirical Taxonomy Of Health-Professional Mobility Agreements, David C. Benton, Andrew D. Benton

Research outputs 2022 to 2026

Background: Health-professional mobility agreements (eg, compacts, mutual recognition arrangements, memoranda of understanding) are increasingly used to address workforce shortages, support crossborder practice, and enable new technology-mediated modes of service delivery. Regulators need rapid, reproducible ways to assess whether such instruments protect the public while facilitating proportionate professional mobility.

Purpose: To develop and internally test a 10-dimension, 41-subdimension assessment framework for health-professional mobility agreements; examine whether large language model (LLM)–assisted coding can approximate expert legal regulatory assessment; and derive an empirical taxonomy of mobility and other similar instruments.

Methods: A focused documentary synthesis of legal instruments, academic literature, and intergovernmental guidance …

Influence Of Rice Hull Biochar And Cedar Bark Media On Strawberry Productivity And Carbon Sequestration Potential In Hydroponic Systems, Sakalya Rajapakse, Munehiro Tanaka

Research outputs 2022 to 2026

This study evaluated the influence of rice hull biochar (RHB) and cedar bark media (CBM) as sustainable substrates for hydroponic strawberry cultivation. The total yield from virgin CBM was 413 g/plant and that from virgin RHB was 354 g/plant. Used CBM increased the yield by 4 % (429 g/plant) while used RHB increased yield by 18 % (419 g/plant) compared to the virgin, with no significant substrate differences. Fruit yields and physical properties were strongly correlated, particularly with particle density (R2 = 0.573). After 7 years of cultivation, plant residues had accumulated in both substrates. Uncarbonized carbohydrates in RHB indicated …

Information-Processing Gap And Insider Trading Profitability: Evidence From The Xbrl Mandate, Yuyun Huang, Jerry T. Parwada, Yuan George Shan, Joey W. Yang

Research outputs 2022 to 2026

The information processing costs faced by external investors may provide corporate insiders with a comparative advantage. We examine how the phased introduction of the eXtensible Business Reporting Language (XBRL) mandate, designed to lower investors' costs of processing public disclosures, affects insiders’ trading profitability. We find that opportunistic insider sales, but not purchases, become significantly less profitable following the first wave of mandatory XBRL adoption. This decline is consistent with a reduced number of insider sales preceding 10-K filings that convey unfavorable news, as well as with a general fall in insider trading activity and profitability across all three mandate waves. …

It Will Only Work If Everyone Is On Board: A Needs And Context Assessment To Inform Exercise Oncology Implementation Within A Public Healthcare Organisation, Georgia L. White, Mary A. Kennedy, Bryan A. Chan, Hattie Wright, Grace L. Rose

Research outputs 2022 to 2026

Introduction: Exercise has well-established benefits across the cancer continuum for people living with and beyond cancer, yet the exercise oncology field faces a research-to-practice gap. Understanding the factors that influence implementation in any given context is essential to ensure implementation strategies have the greatest likelihood of success. The study mapped onsite exercise oncology services, staff-reported implementation barriers and facilitators, organisational readiness, and experiences reported by people living with or beyond cancer, across a large public healthcare organisation.

Methods: Staff and people living with and beyond cancer across cancer care centres within the public healthcare organisation completed an online survey. Data …

Modifiable Risk Factors And Hearing Loss: The National Health And Nutrition Examination Survey 1999–2020, Yulu Zheng, Tingting Li, Zhiyuan Wu, Yahong Zhu, Zheng Guo, Xingang Li

Research outputs 2022 to 2026

Objective: To explore the associations between major modifiable risk factors and hearing loss.

Methods: This serial cross-sectional study was conducted within the National Health and Nutrition Examination Survey 1999–2020 in the United States. Associations were assessed using modified Poisson regression and within-sample population attributable fraction (PAF).

Results: Eight thousand seven hundred and seventy adults aged 40–85 years were included in the analyses, the mean (SD) age was 58.0 (11.7) years, with 4002 men (45.6%). Hearing loss was associated with low educational attainment with prevalence ratio 1.23, 95% confidence interval (1.15, 1.31); low income 1.11 (1.04, 1.19); diabetes 1.10 (1.03, 1.18); …

Spatio-Temporal Responses Of A Migratory Shorebird Community Reflect Complex Trade-Offs Among Overabundance Of Predators And Disturbance, K. M. Aarif, Aymen Nefla, Zuzana Musilova, Petr Musil, Sora M. Estrella

Research outputs 2022 to 2026

Animal selection of foraging grounds is a trade-off among available feeding resources, intra and interspecific competition, disturbance and predation risks. The present study was carried out at Kadalundi-Vallikkunnu Community Reserve on the West coast of Kerala (India) in the Central Asian Flyway. The Reserve hosts different coastal habitats, including mudflats, mangroves and sand beaches, and although 31 species of shorebirds are commonly present, it is heavily impacted by human activities. The findings highlight the necessity of robust management of anthropogenic waste and reveal the detrimental impacts of human activities on species communities of conservation concern. We investigated how the densities …

Triglyceride Glucose Index And Modified Triglyceride Glucose Indices Are Instrumental To Optimize 3p Medical Management For Postpartum Cardiovascular Disease, Dong Lin, Haoxian Tang, Enoch Odame Anto, Yueran Zhou, Shenglan Zhang, Xiulian Deng, Cuihong Tian, Weijie Cao, Zhuoqiao He, Zhisheng Chen, Pengxiang Ying, Yequn Chen, Xuerui Tan

Research outputs 2022 to 2026

Background: Postpartum cardiovascular disease (CVD) following hypertensive disorders of pregnancy (HDP) involves multifactorial mechanisms linking metabolic susceptibility to vascular damage. Identifying predictive biomarkers and modifiable risk factors is crucial for early stratification in the context of predictive, preventive, and personalized medicine (PPPM). We aimed to investigate the association of triglyceride-glucose (TyG) indices with incident CVD in women with prior HDP and to assess the causal relationship using Bayesian weighted Mendelian randomization (BWMR) analysis, with a focus on the implications for PPPM strategies in postpartum management. Methods: In this longitudinal cohort study, 1,642 women with prior HDP from the UK Biobank …

When Affect Is Not Episodic: Extending Affective Events Theory Under Sustained Oversight, Cathrine Frost, Andrei A. Lux, Peter Galvin

Research outputs 2022 to 2026

Affective Events Theory explains how workplace emotions arise from discrete events and shape attitudes and behaviour. Drawing on a phenomenological study of 29 employees and 13 managers working within oversight saturated supervisory contexts in the post–Royal Commission Australian financial services sector, this paper extends Affective Events Theory by examining how affective experience unfolds when accountability is continuous, and discretion is constrained. Across dual-cohort findings, affect was not primarily anchored to identifiable events that resolved over time. Instead, participants described emotion as persistent and cumulative, produced through ambiguity and emotional restraint, and circulating across supervisory roles. Employees reported sustained interpretive effort …

Strategizing Success: Advancing Women's Leadership And Careers In Healthcare Through A Positive Gain Spiral, Farveh Farivar, Andrei A. Lux, Nasim Salehi

Research outputs 2022 to 2026

Purpose – Women’s career progression in healthcare continues to lag men’s, particularly at senior leadership levels, limiting organizational performance and weakening leadership pipelines. This study applies Conservation of Resources (COR) theory’s positive gains cycle to examine how supportive organizational environments and human resource management practices can accelerate women’s advancement from early career stages to senior leadership. Design/methodology/approach – Using a social constructivist approach, we conducted 30 in-depth interviews with Australian healthcare leaders (20 female and 10 male) across multiple organizational levels. Thematic analysis identified the resources and interactions that enable sustained leadership progression for women. Findings – Four interconnected resources, …

A Brunerian Theoretical Framework For Ece: A Review Of Jerome Bruner’S Theoretical Contributions To Early Childhood Education, Samantha Wynne, Christine Robinson, Dee O’Connor

Research outputs 2022 to 2026

This paper presents the findings of an independent study, a systemic narrative literature review, that identifies and synthesises Jerome Bruner’s theoretical propositions related to young children’s knowledge construction and learning from birth to the early years of schooling. The research contributes the Brunerian Theoretical Framework, the first contextualised synthetisation of Brunerian theory as it relates to Early Childhood Education (ECE). Bruner’s postmodern constructivist and culturalist perspectives related to epistemology, theory, and pedagogy are explicated in the review of literature. Importantly, this paper explores Bruner’s culturalist provocation to centre epistemological inquiry in education. Bruner proposes that when educators adopt an epistemic …

Evaluating The Impact Of Learning And Development On Staff Motivation In International Non-Governmental And International Non-Profit Organisations, Munira Amidkhonova, Michelle Gander

Research outputs 2022 to 2026

The main objective of this study was to understand the impact of learning and development (L&D) on staff motivation in international non-governmental organisations (INGOs) and international non-profit organisations (INPOs), focusing on those organisations operating in the Global South, also known as developing countries. Using a mixed-methods approach, 46 participants with decision-making authority from several INPOs and INGOs completed an online survey to investigate the impact of L&D and organisational factors on staff motivation and how well a model of L&D evaluation was undertaken. Follow-up semi-structured interviews were undertaken with 18 of these participants. It was found that organisations were generally …

Multi-Scale Sensor-Aware Variational Autoencoders For Adaptive Iot Security: Integrating Drift Calibration And Cyberattack Detection, Md Kamal Hossain, Iftekhar Ahmad, Daryoush Habibi

Research outputs 2022 to 2026

Existing approaches to Industrial Internet of Things (IoT) anomaly detection treat sensor drift calibration and cyberattack detection as separate problems, overlooking their strong interdependence and the compound failure modes that arise when drift dynamics are exploited by stealthy adversaries. Industrial Internet of IoT sensor networks therefore require a unified framework that jointly models both phenomena. This paper proposes the first unified multi-scale sensor-aware variational autoencoder (MS-VAE) framework that jointly models sensor drift and malicious activity within shared latent representations, enabling integrated calibration and security monitoring. The framework introduces three key components: (i) a multi-scale latent architecture that captures short-term anomalies …

Nothing Else Matters: Why Relationships May Be Key To Establishing Healthy Eating Behaviours In Young Children, Therese A. O’Sullivan, Kathryn G. Di Candilo

Research outputs 2022 to 2026

Food is more than its nutritional components. It brings people together, and connects us to family, culture, and heritage. The development of eating habits and relationships with food begins in infancy and continues across the lifespan. Echoing the theme of Metallica’s 72 Seasons, which was being toured in Australia when this work was presented, experiences during the early years may shape later patterns of behaviour and identity. This can include mindsets around food and eating. This review aims to explore how early life parent/caregiver feeding practices may impact this development of children’s eating behaviours. A respectful and responsive approach to …

The Ecology Of Hope: Building Rainbows In Education Systems, Jennifer Achari

Research outputs 2022 to 2026

Hope is frequently invoked in education, yet rarely theorised. Where it has been theorised, it has been understood in two largely separate ways: as an individual psychological capacity, in the positive-psychology tradition and as a critical-emancipatory stance, in the pedagogy of hope. This article proposes a third: a theory, the ecology of hope, that locates hope not in the individual alone but in the relationship between a person and the systems that surround them. Bringing the cognitive psychology of hope into dialogue with ecological systems theory, the social-ecological account of resilience, and utopian methodology, in which a better society is …

The Evolution Of Match-Play In Major League Soccer From 2018 To 2023, Callum J. Mccaskie, Christopher Wing

Research outputs 2022 to 2026

Major League Soccer (MLS) has experienced significant growth since its establishment 30 years ago. However, no research has investigated the on-field performance trends. Thus, the purpose of this study was to examine the evolution of MLS match-play via technical and tactical key performance indicators, and investigate the differences between teams according to league finishing position. MLS on-field performance indicators were obtained across six seasons from open-source website FBref. Mean game values were collected from 21 match performance indicators for every MLS team over six seasons. Teams were also classified according to their league finishing position at the conclusion of each …

Trends And Indications For Cesarean Section In The Origins Birth Cohort, Kristjana Einarsdottir, Lisa Gibson, Sarah Whalan, Jacqueline Davis, Laurence Amy Payette, Ravisha Srinivasjois, Desiree T. Silva

Research outputs 2022 to 2026

Objective: Cesarean section (CS) rates have increased substantially in Australia, with particularly high use observed in private maternity care and for pre-labor CS. The aim of the present study was to describe the CS rates and the clinical indications for pre-labor CS in the ORIGINS birth cohort.

Methods: This study analyzed data from the ORIGINS birth cohort, a large birth cohort in Western Australia, including 9473 births occurring at Joondalup Health Campus between 2016 and 2024. Rates of CS and pre-labor CS were compared across study periods (2016–2020 and 2021–2024) and by facility type (public vs. private). Indications for pre-labor …

Understanding Barriers And Motivators For Fruit And Vegetable Intake In Female Stroke Survivors: A Qualitative Study, Caroline R. Hill, Jack Dalla Via, Lauren C. Blekkenhorst, Montana Dupuy, Rosanne Freak-Poli, Liezhou Zhong, Jonathan M. Hodgson, Moira Sim, Mandy Stanley, Amanda Devine, Simone Radavelli-Bagatini

Research outputs 2022 to 2026

Purpose: Adequate fruit and vegetable (FV) intake is the foundation of a healthy diet; however, intake is especially low among stroke survivors. This study explores barriers and motivators to FV intake in female stroke survivors and informs strategies to improve well-being.

Methods: Female stroke survivors completed questionnaires and attended either a focus group or an interview, with the resulting transcripts analysed using reflexive thematic analysis.

Results: Ten female stroke survivors aged (mean [SD]) 66.3 [17.1] years completed the study. Across the focus groups (n = 3) and interviews (n = 2), three themes emerged: (1) “Navigating alone,” reported that survivors …

Fostering Relational Leadership Skills In Mining: The Signal Online Program, Arian Kunzelmann, Armaghan Shafaei, Esme Franken, Kate Blackwood, Tim Bentley, R. Xia, L. Deacon

Research outputs 2022 to 2026

Summary: Leaders play a critical role in shaping workplace well-being, respect, and mental health in mining. This study examined the relational leadership capabilities underpinning the SIGNal program and explored the contextual factors that influence leadership development and the application of learning in mining workplaces. The quantitative findings showed that supportive, inclusive, growth-oriented, and adaptive leadership behaviours tend to co-exist and are strongly associated with positive worker outcomes. Workers who perceived their leaders as highly relational reported substantially higher levels of job satisfaction, work engagement, well-being, and respect at work. The findings also highlighted the importance of organisational factors, with psychosocial …

A Delicate Balance: Experiences And Wellbeing Of Pre-Service Teachers Navigating Demands And Benefits Of Studying While Working As A Teacher, Caroline F. Mansfield, Jane Kirkham, Narelle Lemon, Lisa Papatraianou

Research outputs 2022 to 2026

In the face of a global teacher shortage various strategies are being used to bolster the teaching workforce. In Australia, one such strategy has been to employ pre-service teachers under alternative permission to teach contracts. Given the recency of this phenomenon, there is little empirical evidence about the impact of this strategy on pre-service teachers, specifically how this experience may influence their wellbeing and retention in the profession. Utilising the Job Demands-Resources (JD-R) framework, this study explores the benefits and demands of alternative permission to teach arrangements on pre-service teachers, and in particular the impact on their wellbeing and career …

Advancing Programmatic Assessment In Dietetics Through A Multi-Institutional Community Of Practice, Gemma Jenkins, Claire Palermo, Therese A. O'Sullivan, Alexander M. Clark, Leesa Costello

Research outputs 2022 to 2026

Programmatic assessment has gained momentum in health professions education for its potential to address challenges in competency-based education. Yet, little is known about how to create the cultural and systemic changes needed for sector-wide enactment. This study used realist evaluation to develop and refine theory about how, why, and in what contexts a community of practice for Australian and New Zealand dietetic educators contributed to advancing programmatic assessment in dietetics higher education. Programme theory highlights the influence of committed, cross-institutional members, supported by an experienced and inclusive facilitator, on both the functioning and outcomes of the community of practice. Within …

The Hows And Whys Of Gendered Grouping Practices In Primary Physical Education In England, Shaun D. Wilkinson, Annette Stride, Dawn Penney

Research outputs 2022 to 2026

Background: Single- and mixed-sex grouping have long been a focus of attention in physical education (PE) and are matters often at the fore of discussions about curriculum planning, teaching, and learning. Nonetheless, there remains little consensus or guidance on which approach (or combination of approaches) should be preferred in PE in primary and secondary schools in England. Further, while single- and mixed-sex grouping have been extensively researched in PE in secondary schools, hitherto there remains an absence of research examining these practices in PE in primary schools. This research sought to address gaps in the literature to build a stronger …

Promoting The Concept Healthy Ageing For Use In Gerontological Health And Social Care Policy And Practice, Claire Donnellan

Research outputs 2022 to 2026

Aims: The concept of healthy or successful ageing dates back to the 1960s, where its goal is more realistic in today's ageing society as a result of effective interventions to control and reduce disability and health risks. The aim of this paper is to outline the importance of defining ageing, the semantics and indicators used, and to identify common challenges for health professionals' understanding and application of a healthy ageing approach in their everyday clinical practice. Design and Methods: This discursive paper demonstrates how realistic ageing indicators are for highlighting the variation and impact of challenges associated with ageing. It …

Centring The Audience: Attitudes And Behaviours In Australian Arts Organisations, Katya Johanson, Abbie Trott, Mark Taylor, Anne Kershaw, Hilary Glow, Tracy Margieson

Research outputs 2022 to 2026

Many arts organisations seek to increase the diversity of their audiences. Recent literature suggests that this requires organisations to interrogate and change their ways of operating. This is a fundamental shift for a sector that has long considered the goal of diversifying audiences as a problem external to the organisation. Responding to this discrepancy, this article compares attitudes and behaviours among workers in arts organisations, to identify whether staff see the need to make change and practise the behaviours required. It identifies and uses three organisational capabilities–‘dynamic capabilities’, ‘social networks’ and ‘business improvement processes’–to frame an analysis of a national …

The Development Of A Midwifery Specific Tool To Identify The Barriers And Enablers To Change Within The Midwifery Setting, Sara Davis

Theses: Doctorates and Masters

Despite being well-positioned to identify service gaps and propose improvements, many midwives lack the knowledge, skills, confidence, or tools to effect practice change. Implementation science (IS) offers a structured approach to moving evidence-based innovations into practice; however, existing IS theories, models, and frameworks do not reflect the unique context of midwifery practice. The first step in the intentional implementation of an evidence-based practice innovation is to conduct a context assessment to identify factors that may facilitate or impede its uptake. There are numerous evidence-based checklists for this, but none capture all the influences on midwifery practice environments.

In this study, …