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Full-Text Articles in Medicine and Health Sciences

Preventing Maternal And Early Childhood Obesity: The Fetal Flaw In Australian Perinatal Care, Margaret R. Miller, Lydia A. Hearn, Paige Van Der Plight, Jane Willcox, Karen Campbell Nov 2013

Preventing Maternal And Early Childhood Obesity: The Fetal Flaw In Australian Perinatal Care, Margaret R. Miller, Lydia A. Hearn, Paige Van Der Plight, Jane Willcox, Karen Campbell

Research outputs 2013

Almost half of Australian women of child-bearing age are overweight or obese, with a rate of 30–50% reported in early pregnancy. Maternal adiposity is a costly challenge for Australian obstetric care, with associated serious maternal and neonatal complications. Excess gestational weight gain is an important predictor of offspring adiposity into adulthood and higher maternal weight later in life. Current public health and perinatal care approaches in Australia do not adequately address excess perinatal maternal weight or gestational weight gain. This paper argues that the failure of primary health-care providers to offer systematic advice and support regarding women’s weight and related …


Promoting Abstinence From Alcohol During Pregnancy: Implications From Formative Research, Kathryn France, Robert Donovan, Nadine Henley, Carol Bower, Elizabeth Elliott, Janet Payne, Heather D'Antoine, Anne Bartu Jul 2013

Promoting Abstinence From Alcohol During Pregnancy: Implications From Formative Research, Kathryn France, Robert Donovan, Nadine Henley, Carol Bower, Elizabeth Elliott, Janet Payne, Heather D'Antoine, Anne Bartu

Research outputs 2013

This research developed messages to promote abstinence from alcohol during pregnancy and identified elements that enhance message persuasiveness. An exploratory phase was conducted in 2009 that comprised four focus groups with 23 women inWestern Australia and elicited beliefs and attitudes on alcohol use during pregnancy and motivations for behavior change. Four television concepts were subsequently developed and appraised in five focus groups with 31 participants using standard advertising pretesting questions. The implications for campaigns addressing prenatal alcohol exposure and further research are noted and limitations discussed. Funding was received from Healthway and the National Health and Medical Research Council.


The Economic Benefits Of Increased Levels Of Nursing Care In The Hospital Setting, Diane E. Twigg, Elizabeth Geelhoed, Alexandra Bremner, Christine M. Duffield Jan 2013

The Economic Benefits Of Increased Levels Of Nursing Care In The Hospital Setting, Diane E. Twigg, Elizabeth Geelhoed, Alexandra Bremner, Christine M. Duffield

Research outputs 2013

Aim: To assess the economic impact of increased nursing hours of care on health outcomes in adult teaching hospitals in Perth, Western Australia. Background: Advancing technology and increased availability of treatment interventions are increasing demand for health care while the downturn in world economies has increased demand for greater efficiency. Nurse managers must balance nurse staffing to optimize care and provide efficiencies. Design: This longitudinal study involved the retrospective analysis of a cohort of multi-day stay patients admitted to adult teaching hospitals. Methods: Hospital morbidity and staffing data from September 2000 until June 2004, obtained in 2010 from a previous …


The Emotional Intelligence Of A Group Of Critical-Care Nurses In South Africa, Amanda Towell, Elzabe Nel, Ann Muller Jan 2013

The Emotional Intelligence Of A Group Of Critical-Care Nurses In South Africa, Amanda Towell, Elzabe Nel, Ann Muller

Research outputs 2013

Critical-care nurses often look after three or more critically-ill patients during a shift. The workload and emotional stress can lead to disharmony between the nurse’s body, mind and spirit. Nurses with a high emotional intelligence have less emotional exhaustion and psychosomatic symptoms; they enjoy better emotional health; gain more satisfaction from their actions (both at work and at home); and have improved relationships with colleagues at work. The question arises: what is the emotional intelligence of critical-care nurses? A quantitative survey was conducted. The target population was registered nurses working in critical-care units who attended the Critical Care Congress 2009 …


Papanicoloau Smear Uptake Among Substance-Using Mothers In Western Australia, Sadie Geraghty, Sara J. Bayes, Renate Mclaurin, Angela O'Connor Jan 2013

Papanicoloau Smear Uptake Among Substance-Using Mothers In Western Australia, Sadie Geraghty, Sara J. Bayes, Renate Mclaurin, Angela O'Connor

Research outputs 2013

Background: Papanicoloau (Pap) smear screening has helped to reduce cervical cancer rates significantly through the detection of premalignant cells (Bray et al, 2005). Uptake among women who use alcohol and other drugs (AOD) is known to be low (Chau et al, 2002) so they are at increased risk of being under-represented in the adequately screened population. AOD-using women experience disproportionately increased morbidity and mortality from cervical dysplasia and cancer (Nogara et al, 2013). Pregnancy may provide the midwife an opportunity to offer this vital screening test. Objective: The audit investigated Pap smear uptake and results among AOD-using pregnant women. Setting: …


Effects Of Emergency Department Care Coordination Team Referrals In Older People Presenting With A Fall, Kristie J Harper, Nicholas P. Gibson, Annette D Barton, Antonio C Petta, Sara K Pearson, Antonio Celenza Jan 2013

Effects Of Emergency Department Care Coordination Team Referrals In Older People Presenting With A Fall, Kristie J Harper, Nicholas P. Gibson, Annette D Barton, Antonio C Petta, Sara K Pearson, Antonio Celenza

Research outputs 2013

Objectives: The study aims to describe the characteristics of patients presenting to an ED with a fall and evaluate multidisciplinary Care Coordination Team (CCT) referrals on patient outcomes. Methods: A single-centred retrospective analysis of electronic data at an adult tertiary hospital was performed using data from 2004 to 2009 of presentations for patients aged 65 years or over with a fall. The primary outcome measure was representation to hospital within 30 days, comparing patients referred to CCT and those not referred. Secondary outcomes were differences in demographic characteristics, mode of arrival, triage score and readmission. Results: The proportion of ED …