Digital Commons Network^™

Protective Effect Of Lower Limb Strength On Lower Limb Injuries Within International Sixes Lacrosse Players: A Nine-Month Prospective Study, Nicholas Joel Ripley, Matthew Collier, Jack T. Fahey, Paul Comfort

Research outputs 2022 to 2026

Abstract – Ripley, NJ, Collier, M, Fahey, JT, and Comfort, P. Protective effect of lower limb strength on lower limb injuries within international sixes lacrosse players: A nine-month prospective study. J Strength Cond Res XX(X): 000–000, 2026—The aim of this study was to prospectively determine whether lower limb strength, assessed through the isometric mid-thigh pull (IMTP), offers a protective effect to future lower limb injury in international men's sixes lacrosse players. Nineteen elite nonprofessional men's sixes lacrosse players from the British Men's Lacrosse team (25.4 ± 4.1 years, 1.8 ± 0.1 m, 88.9 ± 6.8 kg) performed 3 trials of …

Role Of Ethical Principles And Ai Characteristics In Shaping Generative Ai Use In Higher Education And Its Impact On Academic Performance, Mostafa Al-Emran, Mohammed A. Al-Sharafi, Behzad Foroughi, Noor Al-Qaysi, Nelson K.Y. Leung, Zaher Mundher Yaseen, Nor’Ashikin Ali

Research outputs 2022 to 2026

The rapid integration of Generative AI in higher education has transformed teaching and learning, yet limited research explores the factors driving its adoption and impact on academic performance. This study addresses the gap in understanding how ethical principles (fairness, accountability, transparency, accuracy, autonomy) and AI characteristics (perceived anthropomorphism, perceived intelligence) influence students’ use of Generative AI tools and their subsequent academic outcomes. The research aims to develop and test a theoretical model that integrates these factors to explain Generative AI adoption and its effect on perceived academic performance among university students. Data were collected through surveys from 318 students and …

Service Failures Under The Influence Of Ideological Polarization, Cheuk Hang Au

Research outputs 2022 to 2026

In an era of heightened ideological polarization, characterized by intense divisions in political and social beliefs, both political and business environments face unprecedented challenges. Socio-political risks, historically explored in strategic management, have gained renewed significance as polarization amplifies their impact on business operations and consumer behavior. This paper examines Cathay Pacific as a case study to investigate how ideological polarization influences consumer reactions to service failures and controversies. Using the Belief-Action-Outcomes (BAO) framework, we analyze the interplay between polarization-driven beliefs and anti-brand actions during periods of heightened political tension in Hong Kong. Our findings offer critical insights into the role …

Supporting Displaced Students With Disabilities In Post-Secondary Education: An International Scoping Review, Tetiana Bogachenko, Jia Xu, Larysa Klymanska, Nadia Chubko

Research outputs 2022 to 2026

Students with disabilities who are forced to leave their homes due to armed conflict, persecution, environmental crises, or other forms of involuntary displacement, within their country or internationally, face compounded barriers to accessing and succeeding in post-secondary education. Yet, their experiences, educational trajectories, and the supports available to them remain underexplored. This scoping review examines existing empirical research on the experiences of students with disabilities in post-secondary education who come from forced migration backgrounds. By addressing the intersection of disability, displacement, and post-secondary education, this review highlights the unique challenges faced by this population as well as supports identified as …

Tall Orders: A Comparison Of Resident Food Behaviours By Dwelling Type And Apartment Characteristics In Australia, Joelie Mandzufas, Siobhan Hickling, Kevin Murray, Sarah Foster, Gina S.A. Trapp

Research outputs 2022 to 2026

To accommodate population growth, Australian cities are becoming denser, with more Australians living in apartments. However, there is little understanding of whether this shift towards apartment living raises any potential short- and long-term implications for dietary health. Using an Australian nationally representative household survey, this cross-sectional study compared meal-purchasing frequency and fruit and vegetable intake by dwelling type, apartment block height, and number of bedrooms in the apartment. Adjusted mean differences were derived from linear regressions, adjusting for socio-demographic characteristics. Apartment residents purchased 0.72 more meals out each week than house residents (p < 0.001, 95% CI [0.599,0.831]) and consumed 0.10 fewer daily serves of vegetables (p = 0.002, 95% CI [0.038,0.163]). Among apartment residents, those in high-rise blocks purchased 0.80 more meals out each week than low-rise residents (p = 0.012, 95% CI [0.250,1.348]), and residents of one-bedroom or studio apartments ate 0.25 fewer serves of fruit per day than residents in apartments with at least three bedrooms (p = 0.003, 95% CI [0.038,0.163]). These findings provide important evidence to inform policy and targeted interventions that promote healthy food behaviours in apartment-living populations.

The Impact Of A Vancomycin Intervention On Vancomycin-Associated Nephrotoxicity In Children: A Quality Improvement Initiative, Megan R. Nettleton, Hwi Eun Mary Shim, Joanne Abbotsford, Zoy Goff, Briony Hazelton, Matthew O'Brien, Tenielle Porter, Thomas Snelling, Daniel K. Yeoh, Asha C. Bowen, Christopher C. Blyth, Anita J. Campbell

Research outputs 2022 to 2026

Background: Vancomycin is first-line treatment for methicillin-resistant Staphylococcus aureus (MRSA) infections. However, despite guideline recommendations, there is no evidence that targeting vancomycin trough concentrations of ≥15 mg/L in children confers clinical benefit and is associated with vancomycin-associated nephrotoxicity (VAN). Aim: This study aimed to evaluate the impact of a vancomycin safety bundle on VAN and vancomycin utilisation in hospitalised paediatric inpatients. Method: A pre–post-intervention study was conducted in a tertiary paediatric hospital comparing January–December 2018 (pre-intervention) to May 2019–April 2020 (post-intervention). Hospitalised children, aged 30 days to <18 years, that received intravenous vancomycin with at least one trough concentration were included. The intervention bundle comprised: (1) lowered empiric vancomycin trough targets (5–15 mg/L), (2) enhanced creatinine monitoring (concomitant serum creatinine with vancomycin trough), (3) guideline modification (reduced pre-authorised indications for empiric vancomycin use), and (4) prescriber education initiatives. Ethical approval was granted by the WA Child and Adolescent Health Service Research Ethics Committee, Governance Evidence Knowledge Outcomes Program (Reference no: 41830) and the study conforms with the National Health and Medical Research Council's Ethical considerations in quality assistance and evaluation activities. Results: A total of 314 vancomycin prescriptions were analysed (n = 204 pre-intervention; n = 110 post-intervention). Post-intervention, VAN incidence decreased almost twofold from 0.46 to 0.25 episodes per 1000 patient bed days (p ≤ 0.01), and vancomycin prescription days decreased by 19%. Total hospital drug costs for vancomycin decreased by AUD $16 033. Overall, and for paediatric invasive MRSA, no significant difference in clinical outcomes or 30-day mortality was observed between study periods. Conclusion: This study demonstrated the implementation of a vancomycin safety bundle significantly reduced paediatric VAN and vancomycin utilisation without compromising clinical outcomes. These data support antimicrobial stewardship interventions to improve medication safety for children.

Thinking With Trees: Responding To Sympoietic Plant Relations Through Visual Art, Xiaoyu Yang

Research outputs 2022 to 2026

Societal Impact Statement: Amid escalating climate crises, this paper explores how we might rethink our relationship with the natural world, particularly with plants and trees, through the perspectives of visual art. This paper reveals how art invites us to see trees and other plant life not as passive background scenery, but as living beings with their own forms of experience and individuality. Rather than offering technical solutions to the climate crisis, visual art creates something equally important: a shift in how we think and feel about ‘othering’ non-human life. By making visible the inner lives and behaviours of plants, art …

Tourism Low-Carbon Decision-Making Through The Avoid–Shift–Improve Framework, Pezhman Hatamifar, Arghavan Hadinejad, Jalayer Khalilzadeh, Kourosh Esfandiar, S. Mostafa Rasoolimanesh

Research outputs 2022 to 2026

Using the Avoid–Shift–Improve framework, this study examines how demographic factors and psychological, behavioral, and attitudinal drivers are associated with tourists’ low-carbon decision-making across mobility, consumption, and accommodation. Survey data were collected from 416 young Finnish travelers, and analyzed using correlation tests, repeated-measures ANOVA, and cluster segmentation to examine cross-domain and cross-strategy variation. Findings show that demographic factors have limited influence, whereas psychological, behavioral, and attitudinal drivers motivate sustainable choices. Shift dominant mobility decision-making, Avoid emergence in consumption, and Improve are most common in accommodation. Three adopter groups are identified as strong, moderate, and weak, reflecting different levels of engagement. Theoretically, …

What Are Information Literacy Skills? Western Australian Primary Teachers’ Interpretations Of The Ict Curriculum, Louise Moroney, Vaille Dawson

Research outputs 2022 to 2026

Teachers must equip students to navigate an increasingly complex world of unique challenges and opportunities, necessitating the development of a diverse range of transferable skills. These skills are embedded in the General Capabilities (GC) of the Australian school curriculum. Upper primary school teachers’ interpretations of one of the GC, Information and Communication Technology (ICT) learning progressions, was examined, as these skills have become increasingly important with the rise in generative and assistive artificial intelligence. Using an interpretivist paradigm, an exploratory study was used to determine the areas where 36 teachers differed in their interpretations of the learning progression. Data collected …

Alcohol Advertising At The Beach: Insights From Young People In Western Australia, Renee N. Carey, Gemma Crawford, Nicola D'Orazio, Gina S.A. Trapp, Lauren Nimmo, Tina Lam, Jonine Jancey, Justine E. Leavy

Research outputs 2022 to 2026

Background: Advertising and marketing by the alcohol industry serve to normalise alcohol use, with exposure to alcohol advertising linked to earlier and riskier drinking among young people. Advertising that portrays alcohol use in and around waterways is of particular concern, with one in five fatal drownings being associated with alcohol. Objective: This study aimed to explore the types of alcohol advertising that young people were exposed to, and to determine whether exposure to alcohol advertising was related to their alcohol use in aquatic environments. Methods: We surveyed 102 young people aged 18 to 25 years attending a free event at …

Brilliant Little Things: Drama-Based Mindfulness To Support Pre-Service Teacher Wellbeing, Christina C. Gray, John O’Rourke

Research outputs 2022 to 2026

Wellbeing is increasingly recognised as a critical concern in teacher education, yet pre-service teachers remain vulnerable to stress, burnout, and early attrition. This study examines Brilliant Little Things, an arts-based wellbeing initiative embedded within a drama education program. Using a phenomenological approach, the research draws on interviews, reflective journals, group chat posts, photographs, and artwork to explore how drama-based mindfulness practices can support the wellbeing of drama educators. Findings reveal how the production fostered reflection, connection, and emotional insight, offering a space for mindfulness and community. Narratives highlight the value of creative, relational pedagogies in strengthening resilience. This research contributes …

Can Dual-Task High-Velocity Exercise Training Improve Cognitive Function In Older Adults? Secondary Analysis Of An 18-Month Cluster Randomized Controlled Trial, Jamie L. Tait, Rachel L. Duckham, Timo Rantalainen, Catherine M. Milte, Luana C. Main, Caryl A. Nowson, Kerrie M. Sanders, Dennis R. Taaffe, Keith D. Hill, Gavin Abbott, Robin M. Daly

Research outputs 2022 to 2026

Background Identifying strategies to mitigate age-associated cognitive decline is crucial. High-velocity power training enhances physical function in older adults and cognitive training has mixed cognitive benefits, however the combined effects of these interventions remain uncertain. Objective This 18-month cluster randomized controlled trial investigated whether dual-task functional power training (DT-FPT) enhances cognition in older adults and assessed if responses differ by apolipoprotein-E and brain-derived neurotrophic factor (BDNF) polymorphisms. Subjects and Methods Twenty-two independent-living retirement communities (300 residents, ≥65y at increased falls risk) were randomized to 12-months of group-based DT-FPT (6-months supervised +6-months maintenance, 45–60 minutes, 2/week) performed simultaneously with cognitive and/or …

Compassionate Communities, Māori Ageing And End-Of-Life: A Systematic Review, Melissa Carey, Kathleen Mason, Levi Fox, Tess Moeke-Maxwell, Merryn Gott

Research outputs 2022 to 2026

Background: Māori people in Aotearoa New Zealand and Australia experience significant healthcare inequity as they age and towards the end of their lives. Compassionate community approaches to ageing and end-of-life care are increasing in popularity throughout the world. However, this approach has arisen from Eurocentric knowledge systems and not from First Nations people and their communities. Objectives: This research aimed to gain insight into what the Compassionate Communities approach means for First Nations people and identify implications for Māori in Aotearoa New Zealand and Australia. A systematic literature review explored the intersection of Compassionate Communities and First Nations peoples’ perspectives …

Effects Of Electroshock Treatment On Microstructure Evolution And Mechanical Properties Of Ti-8al-1mo-1v Alloy, Jian Zhou, Yu Peng Yao, Hong Xin Sun, Chang Liu, Yan Wen, Li Qiang Wang, Lai Chang Zhang, Le Chun Xie, Lin Hua

Research outputs 2022 to 2026

The effect mechanism of electroshock treatment (EST) on microstructure evolution and mechanical property variations of Ti-8Al-1Mo-1V alloy was investigated. The results show that EST results in the phase transformation from the acicular secondary αs to β phase. While the EST time is 0.12 s, the acicular martensitic phase (αM) precipitates. The results of electron backscattered diffraction (EBSD) reveals that the average grain size decreases from 3.95 to 2.53 μm after EST, indicating that the grains are refined, and the significant recrystallization behavior and martensitic transformation occur. The orientation distribution reveals a more uniform distribution of texture, which is caused by …

Effects Of Recreational Football On Body Composition, Cardiometabolic Health, And Functional Performance In Children And Adolescents: A Systematic Review And Meta-Analysis, Yanzhao Lei, Yanmei Ding, Bo Wang, Hengzhi Deng, Mingyue Yin, Kai Xu, Hengxian Liu, Meiling Tao, Yanfeng Li, Yilin Zhang, Yuhang Liu, Fanhao Meng, Hansen Li, Xing Zhang, Bitai Wu

Research outputs 2022 to 2026

Purpose: The systematic review and meta-analysis aimed to evaluate the effects of recreational football on body composition, cardiometabolic health, and functional performance in children and adolescents. Additionally, it explored potential moderators through subgroup analyses. Methods: A systematic search was conducted in six databases in May 2025. A random-effects model was employed for the meta-analysis, and effect sizes were reported as standardized mean differences (SMD, Hedges’ g). Subgroup and sensitivity analyses were conducted to examine sources of heterogeneity. Results: A total of 20 studies (N = 2,906; age range: 8–17 years) were included. Of the participants, 1,524 (52.44%) were male, 1,174 …

Embodied Tales Of Older Women And Their Relationship With Movement And Their Younger, Present And Future Selves, Valeria Varea, Robyne Garrett, Alfonso García-Monge, Gustavo González-Calvo

Research outputs 2022 to 2026

Ageing has been often seen as negative in Western cultures. Older bodies are frequently associated with decline, loss, dependency, illness and increasing incompetence. Significantly, this ‘decline model’ of ageing tends to ignore the diverse lived experiences of older adults. This paper draws on the theoretical concepts of embodiment and affect to explore the embodied experiences of a group of 17 older women, focussing on their relationship with movement and with their younger, present and future selves. We used a narrative analysis approach and creative nonfiction to represent the data. The findings are presented in composite narratives in the form of …

Fall Prevention Strategies And Fall-Related Outcome Measures Used For Inpatients In Mental Health Settings: A Scoping Review, Min Zhang, Gideon Di Ji, Irene Ngune, Khairul Dzakirin Bin Rusli, Maggie Zgambo, Rosemary Saunders, Seng Giap Marcus Ang

Research outputs 2022 to 2026

Introduction Patients in mental health settings are at risk of falling and sustaining injury due to the unique risk factors related to their mental illness and its accompanied treatment. Objective To examine the literature on the fall prevention strategies used, and fall-related outcome measures reported for inpatients in mental health settings. Methods A literature search was conducted using Medline, CINAHL, PsycINFO, Web of Science, Scopus and sources from the Grey Literatures. Peer-reviewed research studies that examined fall prevention strategies for inpatients in mental health settings were included. The fall prevention strategies and fall-related outcome measures were extracted and grouped using …

Gauging Affective Atmospheres In Language Teacher Education Through Dialogic Queering As Transformative Research, Julian Chen, Maggie Mcalinden

Research outputs 2022 to 2026

Inspired by feminist queering and affect theories to disrupt research norms, we drew on our felt experiences to explore the affective atmosphere of language teacher education. In this experimental work, we harnessed affect and queer theories to contest the gendered, classed, and heteronormative atmosphere of language teacher education using a form of post-qualitative inquiry that we named “dialogic queering”. Given our marginalized backgrounds (queer; academic of colour; working-class female academic), dialogic queering creates spaces to explore difficult but genuine thoughts and feelings while challenging norms entrenched in language teacher education. Underpinned by critical empathy, dialogic queering allowed us to decenter …

Professional Development To Inspire, Support, And Extend Stem-Related Learning, Somayeh Ba Akhlagh, Asma Hulayyil Aljohani, Maryam Jamal Alharthi, Nahla Mahmoud Gahwaji, Nouf Mohammed Albadi, Marianne Knaus

Research outputs 2022 to 2026

The success of STEM education in early childhood education is reliant on the pedagogical practices of teachers. Effective teaching of STEM requires specific knowledge of the four disciplines of STEM, appropriate teaching and learning methods and relevant experiences. In Saudi Arabia the teaching of STEM is a relatively new field, and this paper outlines a research project to promote the teaching and learning of STEM through professional development workshops. The research is informed by Vygotsky’s cultural-historical/socio-cultural theory, acknowledging the crucial role of social interaction and cultural context in a collaborative learning environment. To evaluate the project, a mixed methods approach …

Exploring Land, Language And Culture Through Playworld Translanguaging: One Child’S Meaning-Making Practices, Carly Steele, Toni Dobinson, Sender Dovchin, Christine Robinson, Grace Oakley, Wendy Cumming-Potvin, Graeme Gower, Katie Grace, Samina Manado

Research outputs 2022 to 2026

Foregrounded in the work of Elizabeth Povinelli and drawing on semiotic theory, translanguaging and play-based learning pedagogies, this article presents findings from a critical participatory action research project conducted in an early years classroom in a remote Aboriginal community school in Western Australia. It describes how two educators, from both non-Aboriginal and Aboriginal backgrounds, collaborated to create spaces for the children in their classroom to engage deeply with their land, language and culture through intentional, purposeful and planned play, specifically Playworld Translanguaging. Findings are presented as a narrative account of one child’s meaning-making practices in collaboration with their teachers and …

Gender Justice In The Triple Planetary Crisis: A Scoping Review, Catelyn Richards, Micah Peters, Julia Charalambous, Lila Singh-Peterson, Lucy Osborn, Aletha Ward, Jessica Leclair, Tracy Levett-Jones

Research outputs 2022 to 2026

Aim: To identify and report how gender justice is conceptualised and discussed in contemporary health literature in relation to the Triple Planetary Crisis of climate change, pollution and biodiversity loss, with a particular focus on the experiences of women and gender-diverse populations, and the representation of nurses and other healthcare professionals dominated by women. Design: Scoping review. Data Sources: Searches were conducted across MEDLINE (Ovid), Scopus, CINHAL, Embase and ProQuest, focusing on studies published from January 1 2000–23 September 2024. Review Methods: The review was conducted in accordance with the JBI methodology for scoping reviews and reported against the Preferred …

Health Determinant Effects Of Audience Experiences At Live First Nations Music Events In Central Australia, Naomi Sunderland, Kristy Apps, Brigitta Scarfe, Ping Zhang, Darren Garvey, Rae Cooper, Brydie Leigh Bartleet, Phil Graham, Glenn Barry

Research outputs 2022 to 2026

Objectives: First Nations musicians often describe live performance as a means of fostering social, cultural, and political change that shapes determinants of health (DoH) for First Nations Peoples. This study examined how audience experiences of First Nations live music events in Central Australia may influence those DoH–including intercultural understanding, social cohesion, and community wellbeing–and explored the durability of such effects over time. Design: Guided by an Indigenist mixed‑methods approach, we conducted a pilot survey at two arts festivals featuring diverse First Nations musicians, followed by optional six‑month “mini yarn” interviews to explore immediate and longer‑term audience experiences. Quantitative analyses included …

The Best Practice Guide For Early Childhood Education And Care Food Environment: Module 2: Menu And Meal Quality (Version 1.0), Ros Sambell, Audrey Elford, Connie N. Ihlein, Lochie Clark, Amanda Devine, Helen Alexiou, Lennie Barblett, Caterina Benati, Fiona Champion, Bek Clancy, Penelope Clark, Kathy Cologon, Wendy Cook, Katie Dix, Kirsty Elliott, Leanne Elliston, Amanda Ferguson, Ricky Gelman, Jodie Gray, Natalie Gulberti, Lorraine Hingston, Karen Krist, Deana Leahy, Penny Love, Stacey Mckenzie, Tamia Matthews, Merryn Netting, Ciara O’Flaherty, Asha Rojahn, Blake Stewart, Aimee Sullivan, Suzanne Tamone, Henry Tan, Sandra Vale, Jill Whelan, Erin Wild

Research outputs 2022 to 2026

Menu and meal quality is central to the role early learning settings play in children’s growth, development and wellbeing. The food provided across the day shapes children’s nutrient intake, their developing relationship with food, and the eating patterns they carry into later life. At the same time, services must balance nutritional quality with food safety, food allergen management and dietary needs, cultural diversity, family expectations, and practical constraints such as budgets, time and access to supplies.

This Menu and Meal Quality (MMQ) module aims to:

- Support ECEC services to provide menus and meals that align with the Australian Dietary …

A Systematic Review And Meta-Analysis Comparing The Diagnostic Accuracy Of Swab Cultures And Tissue Biopsy For Diagnosing Diabetic Foot Infections, Roberto S. Heck, ⁠Rodrigo R.S. Lins, ⁠Daniela R. Speransa, Pedro Lopez, ⁠Lessandra Michelin

Research outputs 2022 to 2026

Objectives: To evaluate and compare the diagnostic accuracy and concordance of swab cultures and tissue biopsy for identifying causative pathogens. Furthermore, to compare the sensitivity, specificity and overall diagnostic performance of swab cultures and tissue biopsies, using tissue biopsy as the reference standard in infected diabetic foot wounds.

Methods: We conducted a systematic review and meta-analysis using CINAHL, Embase and PubMed for published studies from inception to April 2025. Eligible studies compared the diagnostic accuracy or the list of pathogens of swab cultures and tissue biopsy in adult patients diagnosed with diabetic foot infections. A random-effects diagnostic accuracy meta-analysis was …

A Systematic Review Of Children’S Digital Funds Of Knowledge In Early Childhood Education And Care: Beginning The Conversation, Jess Hardley, Lennie Barblett, Maria Enriquez-Watt

Research outputs 2022 to 2026

Children's ‘funds of knowledge’ (FK) offer a strengths-based approach to recognising how children contribute to the curriculum. Growing up in a postdigital world, young children's lives are enmeshed with digital technologies. Yet the early childhood education and care (ECEC) sector remains hesitant to embed digital experiences in play and learning. While the concept of ‘digital fund of knowledge’ (DFK) has been explored in primary and secondary education, it remains underexamined in ECEC. This systematic review of four databases identified seven studies spanning Europe, Australia, the USA, Malta, Sweden and Finland. These highlight challenges including limited educators' understandings of children's DFK, …

Acute Effects Of Re-Warm-Up On Physical Performance, Muscle Temperature, And Perceived Exertion In Basketball Players: A Systematic Review And Meta-Analysis With Individual Participant Data, Yu Feng Yang, Enrique Flórez-Gil, Christos Koutsouridis, Yu Ming Zhong, Nuno Mateus, Eduardo Abade, Ching Feng Cheng, Mengde Lyu, Kai Xu

Research outputs 2022 to 2026

Objectives: (1) the acute effects of RWU on physical performance, body temperature (BT), and rating of perceived exertion (RPE) in basketball players; and (2) individual-level performance improvements across different RWU methods.

Methods: Three databases were searched for RWU studies in basketball players. An individual participant data meta-analysis was conducted using a two-stage approach with multilevel models, including adjustments for small sample sizes. Effect sizes were expressed as standardized mean changes (SMC) for within-group comparisons and standardized mean differences (SMD) for between-group comparisons.

Results: Seven studies (n = 82; 35 females, 47 males) were included, with individual raw data obtained from …

Beyond Coding: Balancing Interpretive Depth And Rigour In Ethnographic Data Analysis, Thi Ngoc Minh Nguyen, Gordana Dermody, Rosemary Saunders, Lisa Whitehead

Research outputs 2022 to 2026

Aim: To present a refined approach to analysing ethnographic data that preserves the distinctiveness of ethnography while ensuring it meets contemporary expectations of methodological rigour.

Design: Methodological discussion paper.

Data Sources: The approach draws on established ethnographic scholarship and is guided by Wolcott's framework for transforming qualitative data through three interrelated stages: description, analysis and interpretation. A practical application is illustrated through a focused ethnography exploring how older Vietnam-born Australians understand and manage chronic disease.

Implications for Nursing Practice: Focused ethnography has become increasingly popular in nursing research as it reflects the dual nature of the profession: striving to generate …

Development And Application Of A Frailty Index Derived From Patient-Reported Outcome Measures And Comorbidities In Oncology Patients, Divya Mathew, Heather Lane, David Ward, Rosemary Saunders, Lesley Millar, Christopher Etherton-Beer

Research outputs 2022 to 2026

Background: Emerging evidence supports the use of a frailty index as an objective measure of frailty. We constructed a frailty index from patient-derived outcome measures, as well as self-reported comorbidity data, and tested its correlation with survival.

Method: Data from 464 patients with lung, breast and colorectal cancer were obtained from the Continuous Improvement in Care – Cancer Project database, and a 42-variable frailty index was generated by dividing the total number of deficits present by the total number assessed and expressed as a ratio between 0 and 1. Frailty was defined as a frailty index of >0.2. Its association …

Diet And Physical Activity Behaviours Among People With Insomnia Symptoms: A Cross-Sectional Survey To Understand Treatment Needs And Acceptability, Jacy Hyland, Moira Junge, Joseph J. Scott, David Cunnington, Mia A. Schaumberg, Mathew J. Summers, Timothy Baird, Claire M. Ellender, Caitlin Fehily, Emma Axelsson, Sara Winter, Jenny Bowman, Hattie H. Wright, Christopher D. Askew, Alexandra P. Metse

Research outputs 2022 to 2026

Background: High adherence to a Mediterranean diet and regular moderate-intensity physical activity (≥5 days/week, ≥30 minutes/day) reduce the risk of insomnia symptom onset and maintenance, yet engagement in these behaviours among adults with insomnia symptoms and the acceptability of lifestyle support are not well understood.

Methods: Objectives: (1) characterise diet and physical activity behaviours among people with insomnia symptoms, including adherence to the Mediterranean diet and physical activity guidelines (moderate-intensity physical activity on ≥5days/week for ≥30 minutes/day), as well as the regularity of these behaviours; (2) explore clinical and socio-demographic factors associated with these behaviours; and (3) investigate the acceptability …

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 …