Digital Commons Network^™

Determining The Mental Wellbeing Of Family Day Care Educators In Australia, Theresa Rayfield, Ruth Wallace, Karen Lombardi, Eben Afrifa-Yamoah, Brennen Mills

Research outputs 2022 to 2026

Family Day Care (FDC) is an essential service supporting Australian families requiring convenient, versatile, and quality education and care for their children. FDC educators’ mental wellbeing (MWB), often overlooked, is vital to ensure optimal education and care. This study aimed to gauge Australian FDC educators’ MWB and identify factors positively or negatively affecting MWB. A cross-sectional questionnaire measuring MWB, and eight predictor variables influencing MWB, was completed by Australian FDC educators. Structural equation modelling was utilised to ascertain relationships of the predictor variables on MWB. This study established MWB was lower than population norms (N = 292) and provided a …

Nurse Leaders’ Perceptions Of Organisational Policies, Guidelines, And Practices That Enact Children And Young People’S Involvement In Hospitals, Mandie Jane Foster, Julie Blamires, Virginia Jones, Smita Keshoor, Chris Moir, Annette Dickinson

Research outputs 2022 to 2026

There is limited literature on nurse leaders’ perceptions of organisational policies, guidelines, and practices that enact children and young people’s (CYP) involvement in hospitals. Nurse leaders within what were the four District Health Board providers of children’s tertiary health services in New Zealand (Auckland, Counties Manukau, Wellington, and Canterbury) were invited to respond to an online survey during November 2022 through to January 2023. The survey was developed by the researchers in accordance with the literature and included 11 open-ended questions. The open-ended questions were analysed iteratively through inductive thematic analysis. Eight out of 24 invited nurse leaders responded to …

The Nurse's Role In Curative-To-Palliative Transitions In Advanced Cancer: A Theory Synthesis Using Turner's Method, Geya George, Deborah Kirk, Davina Porock

Research outputs 2022 to 2026

Aim: This paper aims to explain the process of formulating a robust theory that comprehensively explains the nurse's role during the transition from curative to the palliative phase in advanced cancer care. Design: A qualitative theory synthesis approach was applied, utilising Turner's 9-step theory synthesis method to integrate five grounded theories and 10 qualitative studies. The Walker and Avant method of concept development and analysis further ensured rigour. Methods: Turner's theory synthesis was used to formulate a more comprehensive, testable theory from five existing grounded theories and 10 other qualitative studies that explain the nurse's role in supporting and facilitating …

Leveraging Esg Investment To Enhance Labor Employment In Hospitality And Tourism Firms: An Signaling Theory Perspective, Bing Hu, Tianyu Zheng, Songshan Huang, Ke Zhang

Research outputs 2022 to 2026

Despite the growing focus in hospitality and tourism literature on the impact of environmental, social and governance (ESG) investment on corporate performance, empirical research has yet to explore its effects on labor employment, which are critical to economic vitality and social cohesion. Drawing on signaling theory, this study explores the effect of ESG investment on hospitality and tourism firm’ labor employment. The results of a fixed effects panel model suggest that ESG investment positively influences the labor employment of hospitality and tourism firms. Moreover, this positive effect is stronger for hospitality and tourism firms with fewer financing constraints and less …

Navigating The Deep Features Of Change: A Dynamic Approach For Skill Development In The Construction Industry, Keyao Li, Mark A. Griffin, Heap Yih Chong

Research outputs 2022 to 2026

Purpose: Digitalisation promises new levels of productivity and efficiency in construction but requires a well-equipped, skilled workforce to meet future demands. Beyond attracting skilled workers, the industry must understand future skill requirements. This study addresses this need by developing a skill framework that defines key skill levels and patterns in response to evolving demands. Design/methodology/approach: A mixed-methods approach with three consecutive analyses was adopted. First, a theoretical analysis developed a conceptual framework based on work and role performance theories. Second, a scoping review and descriptive analyses provided quantitative insights into the skills covered in current literature. Finally, identified skill groups …

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 …

Stakeholder Co-Design Of Sustainable Urban Pest Management Strategies, Elizabeth C. Lowe, Nathan J. Butterworth, Alexander Austin, Cameron Webb, Tanya Latty

Research outputs 2022 to 2026

The high levels of broad-spectrum insecticides used to manage invertebrates in many cities around the world has significant environmental and health impacts. Integrated pest management (IPM) is a framework for sustainable pest control practice, but uptake of IPM remains low in most cities. We used participatory action research with pest management industry stakeholders (practitioners, industry representatives, researchers and government employees) to identify key issues in urban pest management in Australia, set priorities for change and discuss collaborative solutions. Via an online survey and a face-to-face workshop, the participants identified the key themes of education and training, public awareness, environmental impacts …

Fall Prevention Interventions In Community-Dwelling Older People With Cognitive Impairment: A Systematic Review, Sumattana Glangkarn, Pelden Chejor, Rujira Nonsa-Ard, Kasama Wongprachum, Sirapat Khodseewong, Chaiwut Bourneow, Davina Porock

Research outputs 2022 to 2026

Introduction: Falls are a major health concern for older adults, particularly those with cognitive impairment. Many factors contribute to the risk of falls, making it a complex issue to manage. Aim: This systematic review aimed to identify and describe the implementation strategies used for fall prevention in community-dwelling older people with cognitive impairment. Eligibility criteria: The review included studies on fall prevention interventions for community-dwelling adults aged > 50 years with cognitive impairment. Eligible studies were primary research, including experimental, quasi-experimental, qualitative, and mixed methods designs, with detailed implementation strategies. Systematic reviews, protocols, editorials, opinions, commentaries, and conference papers were excluded. …

Research Publication Performance Of The Australian And New Zealand Nursing And Midwifery Professoriate, Lisa Mckenna, Fiona Bogossian, Simon Cooper, Tracy Levett-Jones, Philippa Seaton

Research outputs 2022 to 2026

Aim: To analyse research publication performance of Australian and New Zealand professors and associate professors of nursing and midwifery, and compare with 2016 data. Methods: A search of university websites was conducted to identify all nursing and midwifery professoriate in Australia and New Zealand. Each individual was then searched in the Scopus database to identify individual total citations, h-index, number of publications, first author Field Weighted Citation Impact (FWCI) and overall FWCI. Comparisons with 2016 data were also undertaken. Results: A total of 304 academics were included, comprising 270 from Australia and 34 from New Zealand, and 169 full professors …

A Collaborative Communities-Of-Practice Methodology For Environmental Design Research: A Case Study Application In Palliative Care, Emil E. Jonescu, Benjamin Farrell, Chamil Erik Ramanayaka, Lori Delaney, Edward Litton, Talia J. Uylaki, Gareth Watts, Bella Brigham, Frances Bellemore, Davinia Seah

Research outputs 2022 to 2026

Environmental design in palliative care settings receives increasing attention, yet methodologies for studying such environments often lack interdisciplinary integration. Traditional research designs may overlook the lived expertise of clinicians and designers. Objectives: This article describes a collaborative, cross-disciplinary communities-of-practice model developed as a methodological framework to enable effective environmental evaluation and design processes in healthcare settings. Its application is illustrated through a case study in a palliative care unit. Methods: A co-designed, multi-methods approach was developed by a team of clinicians, facility managers, and academic researchers. The methodology included a scoping review, site-specific environmental data logging (sound, temperature, lighting), and …

Can Environmentally Friendly Hotels Lead Customers To Green Behaviors? Evidence From The Stimulus–Organism–Response Model And Social Cognitive Theory, Saeid Nosrati, Mohtaram Rabbani, Razieh Sharifipur Shirazi, Ilkay Yorganci, Niusha Talebzadeh, Negin Bassirat

Research outputs 2022 to 2026

Purpose Using the stimulus–organism–response model and social cognitive theory, this study aims to examine how environmentally friendly hotels influence customers’ green patronage intention and green word-of-mouth. The study explored the mediating effects of hedonic value and utilitarian value and the moderating role of environmental concern. Design/methodology/approach Data were collected from 200 customers of environmentally friendly hotels in Iran and analyzed using structural equation modeling (SEM) with Mplus (version 8.3) software. Findings The results indicate that environmentally friendly hotels positively influence hedonic and utilitarian values, as well as green patronage intention and green word-of-mouth. Additionally, hedonic and utilitarian values partially mediate …

Determining The Carbon Footprint Of Australia’S Electricity, Gas, Water And Waste Services Sector, Soheil Kazemian, Rashid Zaman, Behzad Foroughi, Morteza Ghobakhloo

Research outputs 2022 to 2026

Purpose – This study aims to address the global challenge of quantifying sectoral carbon emissions, offering a scalable methodology applicable across diverse national contexts. As one of the world’s leading greenhouse gas emitters, Australia has a critical role in achieving the Paris Climate Change Agreement’s net-zero emissions goal by 2050. The utility services sector – electricity, gas, water and waste services – has historically been Australia’s largest source of CO2-equivalent emissions. However, this also highlights its significant potential to contribute to national emission reductions through targeted mitigation strategies. This research analyses the total carbon footprint of Australia’s utility services sector …

Exploring The Use Of Strategic Influencer Leadership (Sil) In Health Communication: A Cross-Cultural, Multi-Case Study, Katharina Wolf, Catherine Archer, Syafiq B. Assegaff, Joseph Nalloor

Research outputs 2022 to 2026

Purpose This study challenges the social media-centric view of influencers, arguing that health communication benefits from diverse strategic influencers beyond commercial figures. Trust, credibility and cultural resonance are essential for effective public health messaging, yet contemporary approaches often prioritise engagement metrics over strategic influence. Design/methodology/approach This paper employs a multi-case study approach to examine the strategic use of influencers in health communication across Indonesia, the United Arab Emirates and Australia during the COVID-19 pandemic. It explores how health professionals, royal representatives and a politician shaped public health messaging within culturally specific contexts. A mixed-methods approach, incorporating ethnographic research and thematic …

Research Priorities For Nursing And Allied Health: A Priority-Setting Project Using A Partnership Approach, Marina Weckend, Lucy Gent, Erin Godecke, Linda Coventry, Gemma Doleman, Amanda Towell-Barnard, Lisa Whitehead

Research outputs 2022 to 2026

Background: Research priorities guide research activities, funding and resources within health services. To ensure that research efforts are meaningful and impactful, it is vital that organisational research agendas reflect the priorities of both healthcare consumers and staff, alongside broader national and international research frameworks. This paper outlines a research priority-setting project conducted across two hospitals in Western Australia, aimed at identifying shared research priorities through a collaborative and inclusive approach. Aim: To identify the top ten nursing and allied health research priorities for two hospitals in Western Australia. Methods: A modified James Lind Alliance Priority Setting Partnership approach was used, …

Sport Participation And The Pursuit Of Active And Healthy Lifestyles: Everyday Athletes’ Relationships With Eating And Exercise, Valeria Varea, Eibhlish O'Hara, Dawn Penney, Victoria Evans

Research outputs 2022 to 2026

Purpose – Athletes are more likely to experience eating and exercise disorders than non-athletes. Little is known about the incidence of eating and exercise disorders amongst non-elite participants, many of whom participate outside of club governance and support structures. The aim of this paper is to explore eating and exercise attitudes and behaviours amongst participants in both formal and informal sport and, in so doing, generate insights to inform future educational initiatives that seek to promote healthy and active lifestyles. Design/methodology/approach – An online survey was completed by 110 participants, 9 of whom were interviewed for the second phase of …

Reducing No-Show Rates In A Rural Family Medicine Clinic Through Personal Phone Call Reminders, Joyce Bumgardner

Doctor of Nursing Practice Projects

Background: Missed patient appointments cost the healthcare industry billions annually, reducing provider accessibility and practice revenue. At a rural family medicine office in western Lincoln County, North Carolina, new patient no-show rates exceeded 10%, surpassing the healthcare system’s goal of 5% or less. Automated appointment reminders via text, phone, and email were already in place, but did not adequately address the problem. New patient appointments occupy a 40-minute time slot, twice that of established patients, increasing the impact of each missed appointment.

Purpose: The purpose of this quality improvement project was to determine whether personal phone call reminders made with …

The Role Of Healthcare Leaders’ Perceived Emotional Intelligence In Staff Acceptance Of Artificial Intelligence Tools, Daniel Brian Mcswain

Doctor of Business Administration Dissertations

Artificial intelligence tools are increasingly used in healthcare, but successful implementation depends on more than technical deployment. Staff acceptance is one important factor that influences whether AI tools are used in practice. Traditional technology acceptance research has emphasized perceived usefulness, ease of use, social influence, and facilitating conditions. Less attention has been given to the role of emotional intelligence and trust during an AI-related change. The purpose of this research was to examine the relationship between healthcare leaders’ perceived emotional intelligence and their clinical team’s behavioral intention to use AI tools. The study also examined whether age moderated this relationship …

Gratitude Journaling And Mindfulness To Mitigate Burnout In Mental Health Staff, Jennifer Davis

Doctor of Nursing Practice Projects

Burnout among mental health professionals in inpatient behavioral health settings negatively affects staff well-being, job satisfaction, and patient care quality. This Doctor of Nursing Practice (DNP) quality improvement project evaluated the effectiveness of an 8-week mindfulness and gratitude journaling program implemented on a rural behavioral health unit in North Carolina. Guided by Jean Watson’s Theory of Human Caring, the intervention aimed to enhance resilience and workplace wellness through daily mindfulness and reflective journaling practices. A repeated cross-sectional design using anonymous pre- and post-intervention surveys was conducted with 30 staff participants. Thirty participants enrolled in the study, and 24 completed the …

Enhancing Clinical Judgement In Pre-Licensure Nursing Students Through Active Learning Strategies Of Unfolding Case Studies And Simulations For Postpartum Hemorrhage, Lisa M. Alley

Doctor of Nursing Practice Projects

New graduate nurses lack the appropriate clinical judgement to provide optimal, safe, quality care, as evidenced by the report of errors in health care (Rodziewicz et al., 2024). The purpose of this project was to provide an evidence-based intervention that used an unfolding case study and simulation to further develop clinical judgement among undergraduate nursing students in a rural ADN program. The project used a pre-test and post-test to measure students' improvement prior to versus after the learning experience and debrief. This project also introduced a DASH tool, which is a debriefing assessment for simulations in healthcare, to help students …

Enhancing Mass Casualty Incident Preparedness: Bridging The Gap Between Education And Practice, Emily M. Coggins

Doctor of Nursing Practice Projects

The increasing amount of mass casualty incidents (MCIs), such as natural disasters, large-scale emergencies, and active shooter events, has emphasized the need for healthcare professionals to respond effectively. Traditional undergraduate nursing curriculum often offers limited opportunities for students to practice disaster preparedness through simulated experiences. This DNP project was created to evaluate the effectiveness of implementing an MCI training simulation to increase the confidence and competence of senior pre-licensure nursing students when responding to a mass casualty event. The project implemented a 1-day, simulation-based MCI event for senior nursing students enrolled in an Adult Health II course. The event included …

Senior Heart Health Facilitating Hypertension Management, Heather Hodgens Lupo

Doctor of Nursing Practice Projects

Hypertension affects approximately 70% of adults aged 65 years and older and remains a leading contributor to cardiovascular morbidity and mortality in the United States, highlighting the need for effective community-based hypertension management interventions. Despite the availability of evidence-based guidelines, gaps in education and self-management persist among older adults. This Doctor of Nursing Practice (DNP) quality improvement project, Senior Heart Health: Facilitating Hypertension Management, was designed to improve hypertension-related knowledge among adults aged 55 years and older through a structured, community-based health coaching intervention.

The project was implemented in a rural community and consisted of four weekly educational sessions delivered …