Digital Commons Network^™

Pain In People With Dementia Is A Significant Contributor To Increased Professional Caregiver Burden: Results Of An Observation Study, Kreshnik Hoti, Ipsit Vahia, Paola Chivers, Jeffery Hughes

Research outputs 2022 to 2026

Aim: To investigate the association between the presence of neuropsychological symptoms, professional caregiver burden and pain intensity.

Methods: Eleven neuropsychiatric symptoms reportedly associated with caregiver burden which are included within the PainChek® pain assessment tool were identified: aggressiveness, inappropriate behavior, distressed, verbally offensive, confusion, restlessness, pacing and wandering, crying, screaming, altered sleep and resisting care. A caregiver burden score based on binary scoring of the presence of these indicators was calculated (summative score range from 0 to 11). Generalized estimating equations were used to evaluate the relationships between (1) pain score and sum of caregiver indicators present and (2) pain …

Pharmacist-Led Educational Intervention To Improve Knowledge, Medication Adherence, And Asthma Control Among Asthma Patients At Ayder Comprehensive Specialized Hospital: A Protocol For Randomized Controlled Trial, Mekuriaw Dereje Tekele, Goitom Belay Kassa, Yainu Welegerima Welekidane, Derbew Fikadu Berhe, Abadi Kahsu Gebre, Afewerki Gebremeskel Tsadik

Research outputs 2022 to 2026

Objective: To evaluate the effect of a pharmacist-led educational intervention on medication knowledge, adherence, and asthma control among adult asthma patients at Ayder Comprehensive Specialized Hospital, Ethiopia.

Methods: A single-blind, parallel-group randomized controlled trial will be conducted. All eligible adult asthma patients on active follow-up at the chest clinic of Ayder Comprehensive Specialized Hospital will be included. Participants will be randomly assigned via a computer-generated sequence to an intervention group (structured pharmacist-led education using teach-back, illustrated pamphlets, a follow-up phone call and SMS) or a control group (routine care). Outcome assessors will be blinded to group allocation. Outcomes will be …

Post Activation Performance Enhancement Effects On Countermovement Jumps In Men And Women, Gabriel Felipe Arantes Bertochi, Márcio Fernando Tasinafo Júnior, Leonardo Lima, Kazunori Nosaka, Enrico Fuini Puggina

Research outputs 2022 to 2026

The present study investigated the post-activation performance enhancement (PAPE) effects of six different conditioning activities on countermovement jump (CMJ) height and compared the PAPE effects between sexes. We recruited 18 male and 17 female participants (age: 24.6 ± 3.7 y, height: 1.71 ± 0.10 m, body mass: 75.7 ± 16.1 kg) with at least one year of resistance exercise experience. They performed a familiarization session in which the one-repetition maximum back squat (1-repetition maximum back squat: 134 ± 32 kg; 1- repetition maximum back squat/body mass: 1.8 ± 0.4) was assessed. This was followed by six visits for six different …

Practising Digital Product Passport For Circular Supply Chain: Ecosystem Orchestration Perspective, Martin Agyemang, Daniel Faibil, Richard Asante, Cristina Iodice

Research outputs 2022 to 2026

Digital product passports (DPP) are emerging as an important tool to support industries in realising circular supply chain (CSC) practices. However, small and medium-sized enterprises (SMEs) remain constrained by various challenges in implementing DPP. Therefore, using social practice theory and ecosystem orchestration perspective, the study identifies factors essential for DPP-enabled CSC implementation by SMEs. The study proposes an actionable framework to classify and operationalise these factors. We collected data from managers and analysed it using the Best–Worst Method and Fuzzy-DEMATEL to understand the interdependence, coordination and temporal adaptation of the factors. The findings show that material factors are particularly salient …

Protomix: Unified Prototype Learning For Semantic Change Detection In Remote Sensing, Hengzhi Chen, Kun Hu, Patrick Filippi, Wei Xiang, Thomas Francis Bishop, Zhiyong Wang

Research outputs 2022 to 2026

As an emerging topic, semantic change detection (SCD) in remote sensing aims to both identify the locations of changes before and after events and determine the land cover (LC) classes of changed regions. While deep learning has demonstrated its great potential for SCD, the following two fundamental challenges remain: large variations among the same LC class as well as close similarity between different LC classes, and the severe underutilization of massive unchanged regions, which dominate remote sensing scenes but lack detailed semantic annotations. To address these issues, we propose a novel prototype learning framework for SCD, namely ProtoMix, by leveraging …

Restricting Outdoor Advertising Of Unhealthy Food: Feasibility Of Using A Nutrition Classification System In Australia, Claire E. Pulker, Frith Klug, Georgina S.A. Trapp, Ainslie Sartori, Michelle Mcintosh, Alexia Bivoltsis, Catrina Mcstay, Clare Whitton

Research outputs 2022 to 2026

Objective: Exposure to food advertising is associated with consumption. Globally, most outdoor food advertisements feature unhealthy foods or beverages. As Australian local government areas (LGAs) begin developing restriction policies, the feasibility of applying nutrient-based Nutrition Classification Systems to outdoor advertising requires evaluation.

Design: Observational study on 1) types of food business advertisements outdoors and 2) availability of quantitative nutrition and/or ingredient information for featured products. 178 outdoor advertisements were analysed, from a 500m audit around schools in 16 stratified LGAs (2019), along with bus shelter audits in four LGAs (2022). Advertisements were categorised as featuring ‘branded packaged products’, ‘food service …

Rrto: A High-Performance Transparent Offloading System For Model Inference In Mobile Edge Computing, Zekai Sun, Xiuxian Guan, Zheng Lin, Yuhao Qing, Haoze Song, Zihan Fang, Zhe Chen, Fangming Liu, Heming Cui, Wei Ni, Jun Luo

Research outputs 2022 to 2026

Deploying Machine Learning (ML) applications on resource-constrained mobile devices remains challenging due to limited computational resources and poor platform compatibility. While Mobile Edge Computing (MEC) offers an offloading-based inference paradigm using GPU servers, existing approaches can be divided into non-transparent and transparent methods, with the former necessitating source-code modifications. Non-transparent offloading achieves high performance but requires intrusive code changes, limiting compatibility with diverse applications. Transparent offloading, in contrast, offers wide compatibility but introduces two challenges: performance degradation under MEC's low and fluctuating bandwidth, where per-operator remote procedure calls (RPCs) inflate end-to-end latency and energy consumption; and black-box logic reconstruction, which …

School Is No Longer A Lone Wolf Effort: Leadership Strategies For Inclusive, Community-Based School Cultures, Stuart Woodcock, Elias Avramidis, Umesh Sharma, Pearl Subban, Caroline Sahli Lozano, Harry Kullman, Tim Lorman, Sergej Wüthrich, Margarita Knickenberg

Research outputs 2022 to 2026

Based on the premise that the successful implementation of inclusion is largely dependent on the educators’ commitment to inclusive ideals, this study sought to examine the ways principals promote an inclusive vision and foster the development of associated practices in their school community. The study employed an exploratory qualitative research design, collecting data through semi-structured interviews and focus groups with 12 principals of highly-ranked inclusive schools from four countries: Australia, Italy, Switzerland, and Spain. In so doing, the emphasis was placed on the principals’ perspectives and practices that contribute to the development of an inclusive school culture. The iterative process …

Selective Human Resource Practices, Psychological Safety Climate And Employee Wellbeing, Yvonne Brunetto, Matthew J. Xerri, Geremy Farr-Wharton

Research outputs 2022 to 2026

Purpose: Engineers and healthcare professionals perceive higher levels of stress compared with the general population, suggesting that past human resource management (HRM) systems have failed to manage them appropriately. This study examines whether psychosocial safety climate (PSC) acts as a psychological conduit in translating HRM practices and mediating their impact on wellbeing using the common good HRM (CGHRM) and Conservation of Resources theoretical frameworks.

Design/methodology/approach: Data were collected using surveys collected at two points – one-month apart, and then analysed using structural equation modelling (Analysis of Moment Structures) to manipulate survey data from 300 matched employees.

Findings – The variance …

Single Joint Assessment Of Isometric Plantarflexor Force Characteristics Using Portable Force Plates: A Systematic Review Of Methods And Reliability, James Williams, Paul Comfort, Nicholas J. Ripley, Jack T. Fahey, Ritchie Barber, Christopher Bramah

Research outputs 2022 to 2026

The aim of this systematic review was to (1) identify differences in isometric force plate testing procedures for the ankle plantarflexors and (2) determine the reliability of existing methods to inform minimum reporting standards. A systematic search of PubMed, Web of Science, Google Scholar, MEDLINE and CINAHL was conducted from inception to 2025, for peer-reviewed studies using portable force plates to assess isometric plantarflexor force. PRISMA guidelines were followed. Two independent reviewers assessed methodological quality using the COSMIN Risk of Bias tool and Mixed Methods Appraisal Tool, with discrepancies resolved collaboratively. Twenty studies met the inclusion criteria, revealing methodological variations …

The Contribution Of Nursing And Midwifery To Achieving The Sustainable Development Goals: A Bibliometric Analysis, David C. Benton, Andrew D. Benton, Kate Buchanan, Gemma Doleman, Karen Strickland, Lisa Whitehead

Research outputs 2022 to 2026

Background: Nurses and midwives are central to achieving the Sustainable Development Goals (SDGs) as the largest regulated sector of the global health workforce and as professions explicitly encouraged by the International Council of Nurses and the World Health Organization to advance the 2030 Agenda. This paper updates a 2016 bibliometric analysis to examine changes in nursing and midwifery scholarly engagement with the SDGs.

Methods: A bibliometric analysis of Scopus, CINAHL Ultimate, and PubMed was undertaken for publications from 2000 to 2025 containing Millennium Development Goal (MDG) or Sustainable Development Goal (SDG) terminology in nursing and midwifery literature. VOSviewer was used …

Towards The Acoustic Characterisation Of Ngilgi Cave's Amphitheatre Chamber In Western Australia, Mary Rapp, Manuj Yadav, John Bassett

Research outputs 2022 to 2026

Ngilgi Cave, Western Australia’s first show cave and a site of Wardandi custodianship for tens of thousands of years, has long been celebrated for its “remarkable acoustics”. This reputation is anchored in the early twentieth-century anecdote of Dame Nellie Melba singing in its Amphitheatre chamber. This paper presents a quantitative acoustic characterisation of that chamber using in situ measurements within a nominal 2500 m3 interconnected limestone volume with dense speleothem surfaces. Room acoustic parameters were measured as per ISO 3382–1 across four receiver positions spanning 1–15 m from the source. Spatially-averaged mid-frequency Reverberation Time was 1.2 s, Early Decay Time …

When Does The Peak Countermovement Jump Performance Occur? Mapping Peak-Trial Timing Across Six Clustered Repetitions, Karol Kruczek, Szymon Karpęcki, Tim Gabbett, Jason Lake, Michał Nowak

Research outputs 2022 to 2026

Force-plate countermovement jump (CMJ) testing is widely used to assess neuromuscular status, yet monitoring interpretation often relies on best-trial values from abbreviated protocols, potentially biasing conclusions when the session maximum occurs beyond the sampled attempts. We mapped peak-trial timing across a six-trial clustered (3 + 3) CMJ protocol for seven outcome and strategy force–time metrics, and tested whether this peak-trial pattern was preserved between personal best (PB) and typical state (TS) monitoring sessions, both defined using modified reactive strength index (mRSI) as the primary selection variable. Retrospective dual-force-plate data (1000 Hz; August 2020–December 2025) were analysed from 314 athletes who …

A Qualitative Analysis To Identify Implementation Strategies For A Deprescribing Clinical Practice Guideline Using The Cfir-Eric Matching Tool: Perspectives From Consumers And Professional Stakeholders, Hui Wen Quek, Xisco Reus, Kenneth Lee, Veronika Seda, Leon Adams, Osvaldo P. Almeida, Gillian E. Caughey, Jennifer Gowan, Kerryn Hart, Andrew Heredia, Anne Marie Hill, Lisa Kalisch Ellett, Dina Logiudice, Arduino A. Mangoni, Anthony Marinucci, Treasure Mcguire, Nilufeur Mckay, Vasi Naganathan, Christopher Ng, Maz Osborne, Kevan R. Polkinghorne, Constance D. Pond, Sepehr Shakib, Angela Shiu, Andrew Stafford, Tim Whitmore, Christopher Etherton-Beer, Amy Page

Research outputs 2022 to 2026

Introduction: Deprescribing is the planned withdrawal or dose reduction of medicines when harms outweigh benefits or when they are no longer required. Following publication of the Clinical Practice Guideline for Deprescribing in Older People in September 2025, supporting its uptake into routine practice is a critical next step.

Aim: This study aimed to identify implementation strategies, informed by stakeholder-perceived barriers, to support the implementation of deprescribing guidelines.

Method: A qualitative analysis was undertaken of open-text responses collected during the guideline public consultation (24 April–31 May 2025). Inductive thematic analysis identified implementation barriers, which were then deductively mapped to the Consolidated …

A Survey Of Australian Healthcare Practitioners’ Perspectives On Goal Setting In Occupational Rehabilitation, Grace Redden, Christopher J. Stevens, Jodie Cochrane Wilkie, Syeda Farah Zahir, Christian Swann

Research outputs 2022 to 2026

Introduction: Nearly half a million Australians experience workplace injury or illness each year, and return-to-work rates have declined, particularly for psychological conditions. Practitioners use goal setting to structure return-to-work planning and are directed by national guidance to set SMART (Specific, Measurable, Achievable, Realistic, Time-bound) goals. How practitioners apply these criteria across different injuries and illnesses is not well understood. This study examined practitioners’ perspectives on goal setting in workers’ compensation rehabilitation in Australia, with a focus on SMART goals.

Methods: A cross-sectional online survey of Australian healthcare practitioners who treated physical conditions, psychological conditions, or both, was conducted. Quantitative data …

Activity Profiles And Their Correlates In Patients With Localised Renal And Colorectal Cancer Shortly After Treatment: A Cross-Sectional Analysis, Annemone Siffels, Martijn J.L. Bours, Eline H. Van Roekel, Matty P. Weijenberg, J. P.Michiel Sedelaar, Stéphanie O. Breukink, Eric T.P. Keulen, Maryska Janssen-Heijnen, Koen G. Frenken, Katja K.H. Aben, Jake S.F. Maurits, Lambertus A.L.M. Kiemeney, Laurien M. Buffart, Alina Vrieling

Research outputs 2022 to 2026

Purpose: The purpose of this study is to identify activity profiles and their correlates in patients with localised renal cell carcinoma (RCC) and colorectal cancer (CRC) shortly after treatment completion.

Methods: In the ReLife (n = 326 patients with RCC) and EnCoRe (n = 358 patients with CRC) studies, we measured physical activity and sedentary behaviour at 3 months and 6 weeks after treatment completion using accelerometers. We used latent profile analyses to determine activity profiles. Demographic, lifestyle-related, and clinical correlates were investigated with multinomial regression analyses.

Results: We identified three activity profiles for both populations: a most sedentary (RCC:28%, …

Clinicians’ Experiences And Perspectives On Robot-Assisted Lower Limb And Gait Neurorehabilitation In Western Australia: Robot-Assisted Lower Limb Neurorehabilitation, Nikki Bakhtazad, Amanda Timler, Matthew K. Bagg, Rachel Buckingham, Saran Chamberlain, Barbara Singer, Patricia Martinet, Taya Hamilton, Jodie Marquez, Stuart Hodgetts, Ann Maree Vallence, Eric Gaitho, Emma Gee, Jessica Nolan

Research outputs 2022 to 2026

Purpose: Robot-assisted lower limb rehabilitation (RALLR) may be an effective adjunct to conventional therapy for those with neurological conditions. Robot-assisted rehabilitation is emerging in Western Australia (WA) and local perspectives on this technology have not been explored. This study aimed to explore perspectives of WA clinicians on RALLR, to inform further implementation.

Methods: This was a cross-sectional survey of neurorehabilitation clinicians across metropolitan WA. A subset of respondents completed semi-structured interviews. Transcripts were analysed thematically.

Results: Fifty-six clinicians (across four professions) completed the survey. Eleven participated in an interview. The majority of clinicians expressed interest in upskilling in rehabilitation robotics …

Controlled And Long-Term Multi-Drug Release From Silk Films, Christine Jurene O. Bacal, Pramod Dorishetty, Benjamin J. Allardyce, Nilupul Piyumantha, Fatemeh Ejeian, Amir Razmjou, Sharon Clark, Ruth Thornton, Filippo Valente

Research outputs 2022 to 2026

In this study, we propose a novel model of multi-layered, silk-based films for sustained and controlled release of multiple drugs for up to 25 days (600 h), with a prolonged tail-release phase extending to 45 days (1080 h), for biomedical applications. The compounds tested included ciprofloxacin (CIP, antibiotic) and dexamethasone (DEX, steroid) widely used in therapeutics formulations for the treatment of ear diseases like chronic otitis media. Using a layer-by-layer (LbL) assembly approach, sodium deoxycholate was also incorporated as a pH-sensitive, charge-interfacing agent between silk layers comprising of CIP or DEX, which proved critical in modulating interlayer interactions, enhancing drug …

Effect Of Blood Flow Restricted Walking On Cardiovascular Fitness, Muscular Development, And Functional Performance In Adults: A Systematic Review With Meta-Analysis, Michael Beere, James R. Mckee, Isaac Selva Raj, Kieran J. Marston, Kristen De Marco, Brook Galna, Jeremiah J. Peiffer, Belinda Brown, Keith D. Hill, Peter Edwards, Brendan R. Scott

Research outputs 2022 to 2026

Increasing evidence from randomised controlled trials demonstrates blood flow restriction (BFR) improves walking intervention outcomes compared to walking without BFR. This systematic review and meta-analysis examined the effects of BFR walking interventions on cardiovascular fitness, muscle strength and hypertrophy, and functional performance in adults, and moderators of age, health status, training volume and intensity. Six databases were systematically searched following PRISMA guidelines, up to April 2025. Studies were eligible if participants were ≥ 18 years, included randomised controlled trials with BFR walking interventions ≥ 12 sessions and ≥10 min/session, at least one measure of cardiovascular fitness, muscular strength, muscular hypertrophy, …

Edible Coatings Application For Postharvest Fruits Preservation: Bibliometric Trends, Material Design, Physiological Mechanisms, And Safety Perspectives, Muslim Qadir, Navjot Kaur, Dali Vilma Francis, Abdelmoneim K. Abdalla, Zora Singh, Zienab F.R. Ahmed

Research outputs 2022 to 2026

Fresh fruits play a vital role in ensuring food and nutritional security, while also making significant contributions to global trade. However, due to their highly perishable nature, they are susceptible to postharvest losses during storage, transportation, and marketing. Edible coatings (ECs) and edible films are effective postharvest preservation technologies for retarding senescence and preserving fruit quality. This review provides a comprehensive update on recent developments in ECs and films aimed at reducing postharvest losses in fresh fruits. These coatings are formulated using biopolymers, including polysaccharides, proteins, and lipids, along with food-grade additives. The review discusses how ECs modulate postharvest physiology …

Ethical Positionings Of Risk And Harm For Adolescents Encountering Sexual Content Online, Lelia Green, Giselle Woodley, Carmen Jacques, Elisabeth Staksrud, Liza Tsaliki, Brian O’Neill, Debra Dudek, Despina Chronaki, Thuy Dinh, Kelly Jaunzems

Research outputs 2022 to 2026

This paper interrogates the ethical complexities of talking with 12 to 17-year-olds about sexual content online. Authors were granted ethics approval by the Edith Cowan University Human Research Ethics Committee (2019-00583-GREEN) with three other participant countries translating Australian ethical protocols into their national contexts: Greece, Ireland and Norway. This paper addresses the four national contexts and examines the ethical issues arising for different countries’ ethics procedures when researchers conduct sensitive research with adolescents. Given widespread concern around the risk that children will be ‘sexualised’ by encountering sexual content online the ethical procedures adopted in each national context, and the way …

Factors Influencing Clinician Escalation Practices For Deteriorating Patients In An Australian Emergency Department, Na Wang, Ruth Endacott, Simon Cooper, Clifford J. Connell

Research outputs 2022 to 2026

Background: Physiological deterioration is typically identified through clinical signs and symptoms. There is a growing adoption of emergency department-specific responses to patient deterioration. Although the effectiveness of ward-based Rapid Response Systems is well-documented in the ‘failure-to-rescue’ literature and widely used in acute medical and surgical wards, their implementation and factors influencing failure-to-rescue in emergency department settings are less well understood.

Aim: To explore emergency nurses’ and doctors’ perceptions and experiences of escalation practices for deteriorating patients, including the factors influencing these practices, in an Australian ED.

Methods: A qualitative descriptive study using semi-structured interviews and Framework Analysis. Interviews were conducted …

Parents’ Perceptions Of Childhood And Adolescent Gender Dysphoria: A Systematic Review, Stella O’Malley, Robin Ion

Research outputs 2022 to 2026

Parents play a central role in supporting children experiencing gender dysphoria and in navigating decisions regarding social and medical transition. Despite this, parental perspectives remain underrepresented within the academic literature. This systematic review synthesized research examining how parents understand and interpret experiences of gender dysphoria during childhood and adolescence. Searches were conducted across multiple databases. Twenty-eight studies met the inclusion criteria. The literature consisted predominantly of qualitative studies and showed variation in recruitment methods and sampling strategies. Several themes emerged. Parents frequently described shock, confusion, grief, and uncertainty, followed by processes of meaning-making and adaptation. Social stigma and concerns regarding …

Psag: Projection-Based Stabilized Attribution Guidance For Online Continual Learning, Hang Yu, Kun Hu, Zhuqiang Lu, Steven Qiang Lu, Zhiyong Wang, Fengxiang He

Research outputs 2022 to 2026

Online Continual Learning (OCL) aims to incrementally learn from non-stationary data streams in a one-pass setting, facing the dual challenges of catastrophic forgetting and insufficient training. These challenges intensify the stability-plasticity dilemma, where pre-serving old knowledge conflicts with acquiring new information. In this paper, we propose Projection-based Stabilized Attribution Guidance (PSAG), a modular framework that leverages gradient-based attributions as active guidance signals to selectively preserve task-relevant representations. Our framework consists of three complementary mechanisms: (1) Attribution-Guided Feature Modulation (AGFM) that anchors critical features in the representation space; (2) Importance-Aware Loss Reweighting (IALR) that prioritizes informative samples at the loss level; …

Re-Thinking Bodies In Cross-Border Physical Education Teacher Education Policies: A Posthuman Perspective, Valeria Varea, Erik Backman

Research outputs 2022 to 2026

While posthumanist studies have increased in Physical Education Teacher Education (PETE), traditional analytical approaches are still often employed for the analysis of policy documents, which limits the ways that we can understand policy work. The aim of this paper is to explore how bodies are conceptualised and assembled in PETE policies in one institution from Sweden and one from Australia using a posthumanist perspective. We understand these policies as material doings and enactments of the world that can allow us to think differently about PETE. By using the concepts of assemblage and plugging in, three result categories are presented: (1) …

The Alteplase Dose Assessment For Pleural Infection Therapy (Adapt) Study-3: Efficacy And Safety Of 1 Mg Alteplase As A Starting Intrapleural Dose, Estee P.M. Lau, Michaela Donaghy, Sam Faber, Sophie Krivinskas, Francesco Piccolo, Calvin Sidhu, Tommaso D'Orsogna, Sona Vekaria, Edward Fysh, Y. C. Gary Lee

Research outputs 2022 to 2026

Introduction: Intrapleural tissue plasminogen activator/deoxyribonuclease (tPA/DNase) therapy has revolutionised management of pleural infection. However, the optimal tPA dose is still unknown. The Alteplase Dose Assessment for Pleural infection Therapy (ADAPT) study-3 aims to evaluate the efficacy and safety of a lower starting intrapleural dose of 1 mg tPA (with 5 mg DNase) for pleural infection.

Methods: Consecutive patients with pleural infection who required intrapleural fibrinolytic therapy were treated with 1 mg tPA/5 mg DNase. Escalation of tPA doses were permitted at any time at the discretion of treating physicians.

Results: A total of 100 patients (22% female, mean age = …

The Role Of Participant–Clinician Relationality And Intervention Source In A Violence Reduction Trial: A Qualitative Study, Paul Leslie Simpson, Freya Stephenson, Patricia Morgan, Emaediong I. Akpanekpo, Jocelyn Jones, Peter William Schofield, Lee Knight, Tony Butler

Research outputs 2022 to 2026

Violence and domestic violence are global public health problems with prevention programs showing limited effectiveness. The form of delivery of such programs can influence their utility yet delivery characteristics are often poorly described. We analysed interviews with clinicians (n = 5) and participants (n = 12) involved in ReINVEST, a violence reduction clinical trial, to identify key elements of delivery. Three themes were identified: (1) clinician accessibility; (2) clinicians as participant advocates; and (3) humane care, reflecting participant–clinician ‘relationality’ as a central component of program delivery. We propose that this relationality is more likely to emerge in interventions delivered independently …

Wealth-Related Inequality In Effective Coverage Of Postnatal Newborn Care In Tanzania; A Decomposition Analysis Of The Tanzania Demographic And Health Survey, 2022, Amanuel Yosef Gebrekidan, Yordanos Sisay Asgedom, Mesfin Abebe, Tsion Mulat Tebeje, Kassahun Animut Metkie, Simegn Molla Degisew, Kirubel Eshetu Haile, Seblewongel Gebretsadik Sertsewold, Gizachew Ambaw Kassie

Research outputs 2022 to 2026

Background: Effective postnatal newborn care provision is proven to be one effective strategy to reduce neonatal and under-five mortality. Despite the presence of small-scale studies that reported crude coverage of postnatal newborn care, nationwide evidence about effective postnatal newborn care coverage and evidence regarding the status of wealth-related inequality are limited in Tanzania. Therefore, this study aimed to assess the status of wealth-related inequality and determinants in effective coverage of postnatal newborn care in Tanzania.

Methods: A secondary data analysis was conducted based on cross-sectional data from the 2022 Tanzania Demographic and Health Survey. 4335 weighted samples of reproductive age-women …

When Dying Patients Fall Silent: How Nurses Navigate Decision-Making In The Last Days Of Life—A Qualitative Study, Tricia O'Connor, Aileen Collier, Karen Strickland, Carla Thamm, Catherine Paterson

Research outputs 2022 to 2026

Aim: To explore nurses' perspectives on decision-making processes and influencing factors when caring for unresponsive dying patients in the last days of life. Design: A qualitative interpretive study.

Methods: Using purposive recruitment and informal peer referral, twenty-one nurses from a specialist palliative care service in a metropolitan city in Australia were interviewed between July 2024 and January 2025. Data were analysed using reflexive thematic analysis. Decision-making theory was used as an interpretive lens.

Findings: Two themes were generated: ‘The patient as an absent presence’ and ‘Enacting agency through embodied cognition and relational attunement’, together with five interconnected subthemes. The analysis …

Colour Segmentation In Coffee Berry Recognition: Light And Texture Convergence For Single-Overflight Frugal Agro-Diagnostics In Smallholder Coffee Environments, Cook David, Chris Napier, Leisa Armstrong

Research outputs 2022 to 2026

Smallholder coffee plantations are disadvantaged compared to larger coffee estates because they lack the digital sophistication to perform regular investigation of crops for signs of berry disease and poor berry health. Accurate visual recognition of coffee berry health is critical for early detection, particularly by pests such as Hypothenemus hampei. A persistent challenge is distinguishing true signs of infestation, and the pursuit of healthy berries is a contested struggle, classified by the size and scale, and determined by constrained financial decision support systems preventing high-level precision crop evaluation. Much of the precision agriculture discourse ignores smaller concerns in the 2-hectare …