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Full-Text Articles in Medicine and Health Sciences

A Deconstruction And Reconstruction Of Advanced Nurse Specialisation And Education, Miriam E. Langridge Jan 2002

A Deconstruction And Reconstruction Of Advanced Nurse Specialisation And Education, Miriam E. Langridge

Theses: Doctorates and Masters

The purpose of this study was to present issues and the paradoxes surrounding advanced nurse specialisation (ANS) and education, This study was conducted in two parts. Part A examined the prospective experiences of 13 registered nurses (RNs) who were advancing in an area of special is III ion: they were working in a specialist area of practice and studying in II course specific 10 their specialisation. Two rounds of interviews were completed over six-month intervals. Part B examined the data gathered from a focus group interview and follow-up feedback from 10 nurse executives as stakeholders. The intersubjective data from this …


Developing And Testing A Pain Management Program For Family Caregivers Of Advanced Cancer Patients, Lynn Oldham Jan 2002

Developing And Testing A Pain Management Program For Family Caregivers Of Advanced Cancer Patients, Lynn Oldham

Theses: Doctorates and Masters

Increasingly, advanced cancer patients are receiving care in the community supported by families and hospice home care services. However, little or no preparation is provided to family caregivers who assume this supportive role, often 24 hours per day. Pain management is consistently identified by family caregivers as their primary concern related to care and support of a relative with cancer. This project involved a three-phase program of research to develop and test a pain management program (PMP) that would provide family caregivers of advanced cancer patients with information and skills to manage the patient's pain.


A Study Of The Cultural Appropriateness Of Service Delivery Models In The Australian Mental Health System, Mong L. Connell Jan 2002

A Study Of The Cultural Appropriateness Of Service Delivery Models In The Australian Mental Health System, Mong L. Connell

Theses: Doctorates and Masters

This study is an attempt to examine the cultural appropriateness of the mental health system in relation to the Vietnamese refugee community in Australia. Culture and mental health, as widely acknowledged in the field of transcultural psychiatry, are closely linked. No aspect of the diagnosis or treatment methods can be justified without reference to the cultural traditions of the mental health system and the client. In a country like Australia, where multiculturalism is a dominant feature of the society, the need is even greater in incorporating culture into every aspect of the mental health system, if it desires to provide …


Risk Factors For Coronary Heart Disease And Mediation By Socio-Economic Status : An Analysis Of The 1995 National Health Survey, Natalie J. Sherriffs Jan 2002

Risk Factors For Coronary Heart Disease And Mediation By Socio-Economic Status : An Analysis Of The 1995 National Health Survey, Natalie J. Sherriffs

Theses: Doctorates and Masters

As the leading cause of death and disease in Australia, Coronary Heart Disease (CHD) places a significant burden on society. There are many lifestyle factors that are known to increase the risk of CHD. This study looks at both risk factors and protective factors of CHD. Research also shows CHD prevalence to be predicted by socio-economic status (SES) variables. This study aims to identify the extent to which risk and protective factors predict CHD prevalence in an Australian National survey and whether the association between risk factors and CHD is confounded by SES variables. This study used data from the …


Genetic And Non-Genetic Factors Involved In Modifying The Clinical Severity Of Autosomal Dominant Polycystic Kidney Disease, Tina Schiavello Jan 2002

Genetic And Non-Genetic Factors Involved In Modifying The Clinical Severity Of Autosomal Dominant Polycystic Kidney Disease, Tina Schiavello

Theses: Doctorates and Masters

Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common Mendelian disorders, affecting approximately 1 in 1000 individuals. The disease is recognised as a systemic disorder, which expresses a complex phenotype between and within families. Mutations in at least two genes (PKDI and PKDZ) result in ADPKD, however, additional genetic and non-genetic factors are expected to contribute to the observed phenotypic variance.


A Retrospective Cohort Study Of Workers' Compensation Indicators From An Occupational Safety And Health Perspective, Alan D. Verdonk Jan 2002

A Retrospective Cohort Study Of Workers' Compensation Indicators From An Occupational Safety And Health Perspective, Alan D. Verdonk

Theses: Doctorates and Masters

Since 1984 the role of the government in Western Australia, has changed in relation to occupational safety and health. This study considers the effect of the occupational safety and health legislation using workers' compensation accident data. Academic and general staff accident data from a Western Australian University were researched. The time period is 20 years- 1979 through 1998 inclusive. 2,773 worker's compensation claims were analysed using Mann Whitney -U tests and cross-tabulations of safety prevention expenditure against the claims. The work environment provides the full spectrum of workplace activities ranging from domicile duties (student housing services) to heavy machinery work …


Fatigue, Ambulance Perspectives In A Comparative Study Between Air And Road Transports, Wayne J. Mckenna Jan 2002

Fatigue, Ambulance Perspectives In A Comparative Study Between Air And Road Transports, Wayne J. Mckenna

Theses: Doctorates and Masters

The study of fatigue in the health and transport sectors has predominantly been focused on night shift or day shift operations. This study has been applied to the hours of operation of Ambulance Officers who perform both night and day shifts, while also being required for on-call. The Officer on-call is on stand-by between shifts, to be available to respond for duties from the completion of one shift until the commencement of the next, usually a ten-hour shift. Studies of a similar focus have not been identified so a comparison of these specific findings has not been possible. However trends …


Bottle-Feeding Mothers' Experiences Of Coping In A Pro-Breastfeeding Context : The Case For A Caring-Options-Responsive Model Of Midwifery Services, Elizabeth P. Duffy Jan 2002

Bottle-Feeding Mothers' Experiences Of Coping In A Pro-Breastfeeding Context : The Case For A Caring-Options-Responsive Model Of Midwifery Services, Elizabeth P. Duffy

Theses: Doctorates and Masters

The original contribution of this qualitative study is that it sketches the front-line of the contested domain of infant feeding choices by exploring the under-researched experiences and perceptions of mothers who actively choose to bottle-feed their babies. Twelve bottle-feeding mothers in Western Australia participated in open-ended, in-depth interviews. The interview findings were further explored using participant observations of relevant hospital practices and critical, hermeneutic re-readings of midwifery's professional and policy documents. The thesis argues that bottle-feeding is marginalised by the midwifery profession that currently defines its practices in accordance with policies such as the Baby Friendly Hospital Initiative. Bottle-feeding mothers …


Mutation Detection For Genotype/Phenotype Correlation Studies In Autosomal Dominant Polycystic Kidney Disease, Marie Mccluskey Jan 2002

Mutation Detection For Genotype/Phenotype Correlation Studies In Autosomal Dominant Polycystic Kidney Disease, Marie Mccluskey

Theses: Doctorates and Masters

Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common genetic disorders (Gabow, 1993), with an estimated prevalence of 1 in 400 to 1 in 1000 (Dalgaard, 1957; Gabow, 1993). The disease is the fourth leading cause of renal failure with more than 10 million people affected worldwide (Grantham, 1997). Mutations in at least two genes (PKD1, PKD2) can lead to the disease (European PDK Consortium, 1994; Mochizuki, et al, 1996). This project deals with autosomal dominant PKD, caused by mutations in the PKD1 gene, which account for 85% of reported cases.