Medicine and Health Sciences Commons^™

Process Evaluation Of A School- And Home-Based Sun Safety Education Intervention, Robyn S. Johnston

Theses: Doctorates and Masters

Effective interventions that reduce children's sun exposure are likely to reduce melanoma incidence in the longer term. However, for such interventions to have an impact they must be adequately implemented. School-based sun protection programs have been evaluated to determine their effectiveness in changing behaviours, however, few studies have assessed the implementation of such programs, or the effect of their implementation on outcomes. Kidskin was a five-year intervention trial designed to assess the effectiveness of a multicomponent intervention in reducing sun exposure in children in Perth, Western Australia. This thesis describes the process evaluation of the school- and home-based educational components …

Why Undergraduate Nurses Choose Not To Pursue Mental Health Nursing As A Career In Western Australia : A Descriptive Study, Therese Howell

Theses : Honours

Not only are fewer undergraduate nursing students opting to pursue a career in mental health nursing (Arnswald, 1987; Clinton & Hazelton, 2000; Happell, 1998; Lam, McMaster & Troup, 1993), but nursing students continue to rank mental health nursing as their lowest preference of career choice. Instead, nursing undergraduates appear to be opting for positions within the surgical or critical care specialties (Durkin, 2002; Happell, 1999; Happell1999; Happell, 2001). The aim of this descriptive study was to investigate and identify the potential reasons why undergraduate nursing students do not take up mental health nursing as a career. This descriptive study implemented …

Using Reflective Journeys To Engage And Empower Leadership Teams, T J. Sullivan

EDU-COM International Conference

The Reflective Leader Development Workshop was designed to professionally and personally develop individual leaders in the health care and education industries into working teams. It was used to meld the individual nursing administrators and school heads in the Master of Education (Educational Management) programme at Universiti Brunei Darussalam into small cooperative leadership learning teams that would function after the programme, as workplace support networks. However, the need for renewal of leadership is always present. It readily became obvious that a workshop using reflective journeys could engage and empower leadership teams in the workplace at individual and group levels. So the …

Enrolled Nurses' Attitudes, Subjective Norms, Intentions And Behaviour Related To Independent Medication Administration, Donna Sayers

Theses : Honours

The purpose of this quantitative descriptive research study was to investigate Enrolled Nurses' attitudes, intentions and behaviour in relation to independent medication administration (IMA). This research was necessary as a significant number of Enrolled Nurses (ENs) are now able to administer medications up to Schedule Four level, without supervision when they have completed a medication administration programme (MAP). This change in the scope of practice for the EN will eventually be introduced nationally as recommended by the National Review of Nursing Education (2002). Anecdotal reports suggest that IMA is causing concern for the EN but little or no research has …

Nurses' Decision Making Processes Regarding Indwelling Catheter Insertion And Removal, Helen Hull

Theses : Honours

Urinary catheterisation remains a common procedure conducted by nurses often as a result of autonomous decision making. This research aimed to identify and describe the lived experience of nurses' decision making processes regarding the insertion and removal of urinary catheters. The research was believed to be important as there is a myriad of literature on what is best practice but very little on what is actually taking place in nursing practice. A qualitative phenomenological study design was chosen, where nurse participants were interviewed using open-ended questions. Descriptive phenomenology was the chosen method which follows in Heidegerr's tradition that allowed nurses …

Sex Differentiation And Sexually Dimorphic Disease, Emily A. Jefferson

Theses : Honours

Sexual dimorphism of the central nervous system is a still widely debated and an area of much research. Conclusive evidence that anatomical and physiological differences in the CNS exist has been reported by post-mortem studies and magnetic resonance imaging (MRI). This present study seeks to contribute to the understanding of the differences in the brain between genders and to ascertain reasons as to why the literature is so varied. A number of structures such as the cerebral cortex, hypothalamic nuclei and the amygdala have proven to be significantly larger within males as opposed to females. The nuclei of the hypothalamus …

Exploring The Notion Of Emotional Attachment In Orford's Model Of Addiction : Review, And A Step Towards Operationalising Orford's Concept Of Strong Attachment In Addiction : A Qualitative Study, Kate E. Baily

Theses : Honours

Orford's (2001) notion that a strong emotional attachment to an object (drug) or activity (gambling) is a central component of addiction has received little empirical attention. The published research on attachment to inanimate objects was reviewed and led to the following conclusions. First, attachment theory has been validly applied to people's relationships with inanimate objects. Second, researchers have developed technologies (e.g., psychological measures, operational definitions) to enable empirical research in this area. Third, this research is in its early phases, but has produced reliable standardised measures of people's emotional attachment to brands. Further research is needed to operationalise Orford's (2001) …

Effect Of A Paediatric Incentive Spacer And Reinforcement Of Inhalation Technique Training In Preschool Children, Jasminka Murdzoska

Theses : Honours

Incorrect inhaled drug delivery technique is a common problem in paediatric asthma [1-4]. Previously, device technique training has been shown to significantly improve inhaler skills, using subjective methods, namely check-list analysis [5-8]. However, more objective measures are needed to examine more comprehensively the effect of training in preschool children and parents. Resistance to regular asthma therapy is also a frequent problem when attempting to treat young children. Reasoning with young children can be very difficult and parents often have to struggle with their child to achieve compliance [2]. The Funhaler spacer (FH) (Funhaler™; InfaMed, Australia) has been developed in an …

Interhemispheric Modulation Of Corticomotor Excitability Following I-Wave Periodicity Transcranial Magnetic Brain Stimulation (Itms), Lucy Catherine Millar

Theses : Honours

AIMS: Transcranial Magnetic Stimulation (TMS) has been recently demonstrated to have potential therapeutic benefits by promoting cortical plasticity through modulation of corticospinal excitability. We have previously shown in healthy adult subjects that paired-pulse TMS (1.5ms ISI) applied over Ml at 0.2Hz for 15min (known as iTMS), can raise corticospinal excitability for a period (~10min) that outlasts the intervention. Since interhemispheric changes in corticomotor excitability are considered to have fundamental importance in the control of voluntary movement, and recovery of motor function following unilateral damage, importance is placed on understanding the mechanisms involved. The aims of the current study were therefore …

A Comparison Of Nurses' Clinical Judgement And The Short Form-Mini Nutritional Assessment Tool In Assessing The Nutritional Status Of Older Patients In An Acute Clinical Setting, Roger Shreeve

Theses : Honours

Decreased nutritional status of older hospitalised patients has been identified as a significant problem. The prevalence of malnutrition in older people has been reported to be between 17% and 65% in acute hospital settings. This has led to the recognition of a need for a valid instrument to adequately assess nutritional status. Tools developed to date still require much time and expertise to implement, limiting their use within the practical setting. Nurses are in an ideal position to conduct nutritional assessments. They possess clinical knowledge which can be utilised to provide individualised and timely assessment. To. date, the literature does …

Congruent Leadership And Empowerment, David Stanley

EDU-COM International Conference

Who are the clinical nurse leaders? What are the qualities and characteristics of clinical nurse leaders? Why they are seen as clinical leaders and what might their experiences of clinical leadership be? This paper outlines a research project that sought to explore these questions. The research discussed involved surveying registered/qualified nurses (n = 830) who staffed 36 clinical areas in one acute NHS Trust in the English Midlands. The data proved a rich source of information about clinical leadership, the attributes of clinical leaders and who might be recognised as a clinical leader. The questionnaire was followed by interviews with …

Pastoral Care In Education, Lydia Hearn, Renee Campbell-Pope, Joanne House, Donna Cross

Research outputs pre 2011

EXECUTIVE SUMMARY

1. During the past decade, there has been growing recognition the school environment plays a major role in the social and emotional competence and wellbeing of children. As a consequence, increasing national and international commitment has been directed towards the development of Health Promoting Schools2, with efforts being made to assess how curriculum and pastoral practice can best contribute to students’ social, emotional, physical and moral wellbeing. Within Australia, the National Safe Schools Framework3 has set as a key priority the importance of achieving a shared vision of physical and emotional safety and wellbeing for all students …

Communication On A Health-Related Website Offering Therapeutic Support: Phase 1 Of The Heartnet Website, Leesa N. Bonniface, Lelia Rosalind Green, Maurice G. Swanson

Research outputs pre 2011

This paper investigates the usefulness of a modest-budget website set up to support people recovering from heart-related incidents through a combination of all or some of the following: surgery, drugs, and lifestyle change. Online communities have been shown to offer support for their members. Ideally, the members of this experimental site would eventually constitute an online community. Effective interaction and personal communication indicate that an online community is developing. The opposite is also true: declining and aborted exchanges might indicate a failure to establish community. This paper reports on the first eight weeks of the experimental website HeartNET. As a …

Paramedics And Pre-Hospital Management Of Acute Myocardial Infarction: Diagnosis And Reperfusion, Steven Johnston, Richard Brightwell, Melanie Ziman

Research outputs pre 2011

In this paper, we discuss and critically analyse pre-hospital management of acute myocardial infarction (AMI). It is clear from several large studies that rapid diagnosis and application of thrombolysis reduces morbidity and mortality rates. Strategies that improve time to treatment in the pre-hospital setting are therefore of fundamental importance in the management of this fatal disease. The advantage of 12 lead electrocardiography use by paramedics to diagnose AMI and reduce time to treatment is discussed. Moreover, paramedic application of thrombolysis in the pre-hospital environment is examined. Several studies conducted worldwide support the notion that ambulance services can play a role …

Producing Safety: Evaluating Structuration Theory As A Framework For Exploring The Values In Action Within The Civil Construction Industry In Wa, Susanne Bahn, Llandis Barratt-Pugh

Research outputs pre 2011

In this paper we argue that occupational safety and health (OS&H) in the workplace is a production of values in action. We propose that such relations may best be explored through the structuration lens generated by Giddens (1984). We both use structuration theory to conceptualise the relations that produce safety and evaluate the utility of the theory as a research framework. We provide a detailed discussion of the context of, and rationale for a proposed study. The paper then analyses the components of structuration theory and frames the production of safety within these conceptual relations. The paper argues that the …

Sports Science Roundtable: Does Sports Science Research Influence Practice?, David Bishop, Angus Burnett, Damien Farrow, Tim Gabbett, Robert Newton

Research outputs pre 2011

As sports scientists, we claim to make a signifi cant contribution to the body of knowledge that infl uences athletic practice and performance. Is this the reality? At the inaugural congress of the Australian Association for Exercise and Sports Science, a panel of well-credentialed academic experts with experience in the applied environment debated the question, Does sports-science research influence practice? The fi rst task was to defi ne “sports-science research,” and it was generally agreed that it is concerned with providing evidence that improves sports performance. When practices are equally effective, sports scientists also have a role in identifying practices …

Literacy And Recent History Of Diarrhoea Are Predictive Of Plasmodium Falciparum Parasitaemia In Kenyan Adults, Rodney Coldren, Trish Prosser, Fredrick Ogolla, Victor Ofula

Research outputs pre 2011

Background - Malaria is one of the most serious health problems in Kenya. In 2004, the Kenya Medical Research Institute and the US Army Medical Research Unit – Kenya surveyed adults in Samburu, Malindi, and Busia districts to determine socioeconomic risk factors for infection.

Methods - Sociodemographic, health, and antimalarial data were collected along with blood for malaria testing. A smear was considered negative only if no Plasmodium falciparum parasites were observed in 100 high-powered fields. Univariate analysis was performed with Pearson's Chi-square test and univariate logistic regression. A multivariate logistic regression model was then created which included only variables …

Reproductive Hormones Modulate Oxidative Stress In Alzheimer's Disease, Anna Barron, Stephanie Fuller, Giuseppe Verdile, Ralph Martins

Research outputs pre 2011

Alzheimer's disease (AD) is a neurodegenerative disease characterized by gradual cognitive decline, impairments in speech and language, and dysfunction in the sensorimotor systems, culminating in complete reliance on nursing care. Oxidative stress, caused by an imbalance in the pro-oxidant/antioxidant mechanisms in the body, has been implicated in AD pathogenesis, as in many other age-associated diseases such as atherosclerosis, Parkinson disease, and amyotrophic lateral sclerosis. Although the hormones estrogen, progesterone, testosterone, and luteinizing hormone are best known for their roles in reproduction, many studies show these hormones have other roles, including neuroprotection. Changes in the levels of these hormones that occur …

Core Temperature And Hydration Status During An Ironman Triathlon, Paul B. Laursen, Rob Suriano, Marc Quod, Hamilton Lee, Chris Abbiss, Kazunori Nosaka, David Martin, David Bishop

Research outputs pre 2011

No abstract provided.

Reliability Of Normalisation Methods For Emg Analysis Of Neck Muscles, Kevin Netto, Angus F Burnett

Research outputs pre 2011

Acceptable reliability of normalisation contractions in electromyography (EMG) is paramount for testing conducted over a number of days or if normal laboratory strength testing equipment is unavailable. This study examined the reliability of maximal voluntary isometric contractions (MVIC) and sub-maximal (60%) isometric contractions for use in neck muscle EMG studies. Surface EMG was recorded bilaterally from eight sites around the neck at C4/5 level from five healthy male subjects. Subjects performed MVIC and sub-maximal normalisation contractions using an isokinetic dynamometer (ID) and a portable cable dynamometer with attached strain gauge (PCD) in addition to a MVIC against a manual resistance …

Other People's Country: A Memoir; And, Developing A Trustworthy Narrator: An Essay, Maureen Helen

Theses: Doctorates and Masters

This thesis comprises two interrelated sections. The first section is a substantial piece of creative writing, which l have cailed 'Other People's Country: A Memoir, in the genre of travel memoir, and an essay. The memoir borrows techniques from fiction, drama and poetry to tell a story of a middle-aged, middle-class city nurse, who travels to a remote settlement at the edge of the Western Desert of Western Australia to provide health care for a fluctuating population of around 400 people, for whom English is a third or fourth language.

Writing that includes stories about vulnerable people from another culture, …

Neck Loading In High Performance Combat Pilots During Aerial Combat Manoeuvres And Specific Neck Strengthening Exercises, Kevin J. Netto

Theses: Doctorates and Masters

Background: Neck pain and injury is a common occurrence in high performance combat pilots (HPCP) around the world. The cause of this has been attributed to exposure to the unavoidable high mechanical loading related to the neck being positioned in non-neutral head postures whilst being exposed to moderate to high +Gz levels. Specific neck conditioning exercises have been proposed as being a possible method to decrease the incidence of neck pain and injury in this population. However, there has been sparsely published research examining the suitability of selected exercises for HPCP who participate in regular aerial combat manoeuvres (ACM).

Networks And Narratives: An Exploration Of Their Relationship And Potential For Understanding The Actual Experiences Of Women With Hiv/Aids, Purity N. Irungu

Theses: Doctorates and Masters

This study set out to examine literature relating to social network theory and narrative theory in order to explore how their potential connection could be used in future to understand and improve the actual life-experiences of women infected by the Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS). The thesis was done entirely by library research using secondary sources but is original in its intent. It includes a critical examination of some of the work of earlier researchers, including Lockhart's (2000) anthropological study of the social construction of `risk' of AIDS in urban Tanzania. Much previous research studied …

Controlling Involvement To Promote Confidence In Palliative Care Decisions - A Grounded Theory From The Patient's Perspective, Susan F. Lee

Theses: Doctorates and Masters

Decision making in the context of palliative care is particularly complex given the unpredictable illness trajectories experienced by patients and the number of individuals who may be part of the decision making process. This grounded theory study explored and described from the perspective of patients with advanced illness, their experiences of making care decisions. A review of literature at the commencement of the study indicated that there was a lack of evidence to support the best way of ascertaining patient's preferences for involvement in decisions in a palliative care context and almost no research to guide clinicians about the involvement …

Confined Space Fatalities, Ciaran Maccarron

Theses: Doctorates and Masters

The extent of work related fatal accidents has been analysed statistically by agencies throughout the world. As a result of this analysis there is a wealth of information available categorised by industry types, sub-industry, occupation, sex, age, nature of occurrence, bodily location, agency of occurrence and mechanism of injury. It is however extremely difficult to identify information pertaining to confined space fatalities such as contributory factors, mechanisms of injury and other data of an epidemiological nature.

An Investigation Of The Effect Of Exercised Arm, Training Status, And Racial Background On Changes In Markers Of Muscle Damage Following Maximal Eccentric Exercise Of The Elbow Flexors, Michael J. Newton

Theses: Doctorates and Masters

Despite the substantial body of research accumulated on exercise-induced muscle damage, there remain several areas that warrant further investigation. Study groups comprised of individuals from differing racial background and /or training status have the potential to influence the intra-group variability in damage markers following eccentric exercise. In addition, if a contralateral arm model is employed, intra- and inter-group variation could be influenced by the formation of groups based on limb dominance and /or the order in which the arms are exercised. Currently there is a dearth of research addressing these factors, however, these types of studies are important as they …

Controlling And Constraining The Participation Of The Hepatitis C-Affected Community In Australia: A Critical Discourse Analysis Of The First National Hepatitis C Strategy And Selected News Media Texts, Judith D. Pugh

Theses: Doctorates and Masters

The construction of texts that place hepatitis C-positive persons at social risk (Candlin, 1989, p. ix), informs this study of the ways in which public health policy makers and journalists in Australia communicate about hepatitis C. The institutions of public health and the news media form part of the cultural context within which persons construct their illness narratives. The privileged perspectives and framing of public health policy and news media discourses; the discursive practices associated with the institutions of public health and the media around hepatitis C and hepatitis C-positive persons, the “objects” of knowledge (Foucault, 1969/2002, p. 81); and …

Exploring Young People's Concepts Of Smoking Addiction: Perceived Opportunities To Try Smoking Without Becoming Addicted, Calvin Wang

Theses: Doctorates and Masters

This study explores how young people conceptualise addiction to smoking and, also the relationship between young people's addiction beliefs and intentions to smoke cigarettes. Addiction to smoking is a major health problem, not just for adults, but also for young smokers, up to 60% of whom are dependent on nicotine. However, anti-smoking prevention efforts targeted at young people generally emphasise ill-health effects and little attention is paid to addiction education which is generally considered relevant only to adult smoking and cessation efforts. Perhaps as a consequence, young people appear to have many misconceptions and unrealistic ideas about addiction, and these …

Effects Of Hypoxia On Exercise Induced Muscle Damage, Trevor M. Farr

Theses: Doctorates and Masters

The present study investigated the hypothesis that maximal voluntary contractions (MVC) peak torque, VJ, muscle tenderness, and plasma creatine activity would be significantly less for the condition that subjects were exposed to hypoxic (H) condition for 4 hours after eccentric exercise compared with the normoxic (N) condition.

A Case Study Investigation Of The Development And Treatment Of Alter Personalities In Dissociative Identity Disorder, Ian Brown

Theses: Doctorates and Masters

Progress in the study and treatment of Dissociative Identity Disorder (DID) has been hampered by ideological debate regarding its validity. This is particularly the case when patient's suffering from DID also report ritualistic abuse. Part of the difficulty has been that past studies have not established independent checks to assess whether alters are artefacts introduced by therapeutic bias. This study addressed this issue by using independent judges to test the validity of a patient being treated for DID who claimed ritualistic abuse. The judges were 16 clinicians with an average of 21 years experience in their respective disciplines. The study …