Medicine and Health Sciences Commons^™

Codependent Concerns Among Nurses, Virgina S. Besomo

Theses: Doctorates and Masters

Codependency is a complex dysfunctional behaviour pattern characterised by a dependence upon external reference points for ways of being. An abundance of nursing literature claims that codependency is (a) a problem among nurses, (b) related to the demands of the profession, and that (c) codependent nurses eventually suffer disillusionment and burnout. The purpose of this descriptive study was to examine the severity of codependent concerns among Western Australian registered nurses in order to direct a response to these claims. A random sample of 1000 West Australian registered nurses were mailed surveys with an option for them to respond anonymously by …

An Evaluation Of The Usefulness Of A Self-Appraisal & Goal Setting Instrument For Community Health Nurses, Helen K. Pannowitz

Theses: Doctorates and Masters

This descriptive exploratory study evaluated the usefulness of an adapted self-appraisal and goal setting performance instrument. The instrument is developmental in its purpose and is currently used by community health nurses at the Armadale Kelmscott Health Service of the Health Department of Western Australia. The study was conducted in two parts; the first part used a questionnaire to examine the perceptions of a group of community health nurses who use the instrument. The second part of the study which used a structured survey sought to determine how well the instrument's self-appraisal behaviours approximate with the Standards of the Australian Council …

Management Skills Of Middle-Level Nurse Managers In Malawi, Maureen L. Chirwa

Theses: Doctorates and Masters

Much has been written about the problems facing nurse managers in different countries including Malawi, yet the literature is sparse in relation to information about their perception of required management skills. There is enough evidence that nurse managers face many problems. These problems stem from different sources including organizational, economic, social or political changes. All changes within and outside the health care system affect nursing and its management. Nurse managers require relevant management skills to make valuable decisions and promote quality care, and enable them to motivate staff. Further, management skills will enable nurse managers to actively participate in policy …

The Modification, Implementation, And Evaluation Of An Hiv/Aids Education Programme For Students In Year 10, Paula Hahnel

Theses: Doctorates and Masters

This research addresses the issue of HIVIAIDS education for Year 10 students. The purpose of this study was twofold: to provide baseline data on students’ knowledge, beliefs, and attitudes about HIV and AIDS (Phase 1), and to evaluate the effect of an education intervention on possible determinants of behaviour (Phase 2), Previous studies have Indicated that improved knowledge may influence risk-reducing behaviour. In addition, adolescents have numerous misconceptions about the cause and transmission of HIV. However, there has been no known assessment of AIDS knowledge, attitudes, beliefs, and behaviours of high school students in Western Australia. The study was guided …

The Lived Experience Of The Aged Care Nurse, Christine Martin

Theses: Doctorates and Masters

The purpose of this phenomenological study was to describe and interpret the common, shared meanings of the experience of aged care nursing from the perspective of the registered nurse working in a nursing home. There are insufficient registered nurses being attracted into aged care, with resulting difficulties in maintaining regular staffing levels in nursing homes. Previous studies conducted in Australia have predominantly used quantitative research methods to investigate various influences QD the recruitment and retention of aged care nurses. These studies do not take into account the practitioners' perceptions of their experience of aged care nursing. A purposive sample of …

A Competency-Based Art Therapy Approach For Improving The Self-Esteem Of A Pre-Adolescent Girl, Maria T. Papaluca

Theses: Doctorates and Masters

The aim of the current study is to present multi-faceted instruments to measure the effectiveness of a competency-based approach to Art Therapy for improving the self-esteem of a pre-adolescent girl. The theoretical framework for this approach applies well established Art Therapy and Family Art Therapy theory and practice to contemporary clinical practices in individual Family Therapy. The Self-Perception Profile for Children (SPPC) (Harter, 1985b), House-Tree-Person Drawing Test (H-T-P) (Buck, 1970), the subject's self-ratings, ratings of the subject's competence by her mother and her teacher, and ratings of the subject's artwork by objective judges are employed in a Pretest-Posttest research design …

Factors That Influence Low Utilisation Of Natural Family Planning Methods Among Child Bearing Women (Aged 15-49 Years) In Mongu Urban District Zambia, Cecilia S. Lubinda

Theses: Doctorates and Masters

The purpose of this study was to explore and analyse factors that influence the low utilisation of natural family planning methods. A theoretical framework adapted from Betty Neuman's Systems Model was used to guide the study. Using Betty Neuman's Systems Model the person or client's behaviour influenced by the continuous interaction with the environment. The factors investigated were the women's personal characteristics, age, occupation, marital status and education, cultural influences which included the relationship between the husband and wife and the religious belief of the women. The last factor investigated was the influence of the info1111ation practices and family planning …

Needs Assessment In Mental Health Care In General Practice, Samar Aoun

Research outputs pre 2011

Current practices in mental health care among general practitioners (GPs) servicing part of the rural South West region of Western Australia were ascertained in a survey on psychosocial morbidity in rural general practice (Aoun et al 1995a,b). The survey identified the patient and illness profiles and the patterns of treatment and referral to mental health services...

Under Blue Skies : The Social Construction Of Intellectual Disability In Western Australia, Errol Cocks (Ed.)

Research outputs pre 2011

Research into the history of people with intellectual disabilities in Western Australia has been a sporadic undertaking. Scholarship to date has been mainly institutional in character and often undertaken as an adjunct to the study of mental illness. The people themselves have remained mostly invisible. In 1989, the Editors conceived of a social history research project in which, for the first time, an attempt would be made to document the lives of people with intellectual disabilities in Western Australia The project would also aim to describe the institutional, social, political and professional history we identify with mainstream historical scholarship...

Immunisation Delay In The 0-18 Month Age Group In The Kimberley Region Of Western Australia, Anne Mahony

Theses : Honours

In two separate complementary exploratory descriptive studies the cover and timing of vaccine administration to children in the 0-18 month age group in the remote Kimberley Region of Western Australia were quantified, and reasons for delay in vaccine administration were investigated. The adapted PRECEDE model was used to guide the research and to integrate and interpret the findings. Study One: Three separate computer immunisation databases were combined to provide the first validated age-appropriate infant immunisation data in Western Australia. For the first time in WA, the timing of administration of vaccines was investigated, and for the first time in Australia, …

Eccentrically Induced Skeletal Muscle Damage In Patients With Chronic Fatigue Syndrome (Cfs), With Reference To Overtrained Athletes, David L. Wright

Theses : Honours

Chronic fatigue syndrome (CFS) and Overtraining syndrome (OTS) are separate, complex conditions which have so many similar debilitating effects that it has led some researchers to conclude that OTS is a sub-condition of CFS. The purpose of this research was to compare the force and damage-recovery characteristics of skeletal muscle in CFS patients and control normals, after a single damaging bout of eccentric contractions in the non-dominant forearm flexors. The subjects ( n = 25 ), a convenience sample were assigned to three groups; [I] CFS + eccentric damage (n = 8), [2] Control Damage (CD)+ eccentric damage (n = …

Assessment Of Limb Perfusion By Measurement Of Toe Temperatures With A Skin Probe In Patients With Intraaortic Balloon Pumps, Jacqueline Hawkrigg

Theses: Doctorates and Masters

Assessment of peripheral perfusion is one of the most important aspects of care associated with nursing patients receiving intraaortic balloon pump (IABP) therapy. The validity of traditional methods of assessing peripheral perfusion based on colour, warmth, circulatory return, and quality of pedal pulses has' been questioned because of their subjective nature. Consequently, there is a need to identify a reliable quantitative method of monitoring peripheral perfusion in patients with IABPs. Measurement of toe temperatures by use of a skin probe has long been established as a reliable quantitative indicator of the state of lower limb perfusion in critically ill patients …

The Effect Of Eccentric And Concentric Training On The Size And Strength Of Human Skeletal Muscle, Haydn J. N. Mcdonald

Theses : Honours

The objective of this study was to determine if the high forces generated through eccentric contractions, and the subsequent damage sustained, contributes to greater growth and force increase in human skeletal muscle than other contraction types, and whether damage from eccentric exercise effects the increase in torque and muscle size expected after a progressive concentric strength training program. 20 healthy subjects were split into four groups which participated in 3 different training protocols, with one group serving as the control (C). Groups underwent either concentric training (CT), eccentric damage (ED), or a combination of the two protocols (DC) with the …

Is There A Difference In Cortical Representation Between Dominant And Non-Dominant Arm Muscles Of Elite Badminton Players?, Dylan J. Edwards

Theses : Honours

Training for sport involves the development of skill and coordination. The physiological changes associated with skill acquisition are complex and at present poorly understood. One of the areas in the central nervous system thought to be involved with skill acquisition is the cerebral motor cortex where localised areas are responsible for controlling specific muscle groups. Learning or improving a motor skill may require reorganisation of the cortical areas controlling relevant muscles to accommodate the new skill. To test this idea we studied a group of elite badminton players that were highly skilled in their dominant playing arm. Transcranial magnetic stimulation …

Effect Of Exercise Induced Muscle Soreness On The Motor Control Properties Of The Biceps Brachii, Alan J. Pearce

Theses : Honours

The objective of this study was to note the time course changes for up to 28 days on the motor control properties of biceps brachii muscle following a bout of eccentric exercise. Eight subjects (5 male, 25-40 years of age) performed 35 maximal voluntary eccentric contractions with the non-preferred arm of the elbow flexors through 130° of extension of 90°s^-1. Voluntary electromyographic (EMG) activity and motor evoked potentials (MEPs) elicited by transcranial magnetic stimulation (TMS) were recorded via surface electrodes placed over the belly of the biceps brachii muscle. Maximal isometric strength was measured at 90° elbow flexion. …

Practice Nurses And Hepatitis B : Preventative Actions And Their Relationship To Health Beliefs, Helen Le Sueur

Theses : Honours

Hepatitis B is a major, largely undiagnosed disease in the community and nurses working in doctors' surgeries (practice nurses) undertake many clinical tasks which may expose them to the Hepatitis B virus. Using the Health Belief Model as the theoretical framework, the purpose of this correlational-descriptive study was to determine what actions are taken, by practice nurses in Western Australia to protect themselves against Hepatitis B, and to what extent their health beliefs contribute to those actions. A response rate of 59% (118) was obtained from an anonymous, confidential questionnaire sent to a random sample of 200 practice nurses in …

The Supply Of Needles And Syringes To Injecting Drug Users : Attitudes And Practices Of Pharmacists In Western Australia, Heather June Newbey

Theses : Honours

Since 1986 in Western Australia many pharmacists have been supplying needles and syringes to injecting drug users as part of the governments's harm minimisation policy to prevent the spread of HIVI AIDS and other blood-borne viruses, particularly the more recently recognised hepatitis C. This practice was technically illegal, although officially condoned, until May 1994. Adequate baseline data not was available concerning needle and syringe supply or the attitudes of pharmacists concerning this issue. In this study a mail survey of Western Australian community pharmacists was conducted to determine the proportion of pharmacists currently supplying needles and syringes to injecting drug …

Influence Of The Label Intellectual Disability On Trainee Disability Service Providers' Impressions, Dianne Rosemary Mckillop

Theses : Honours

Labels can be identifiers of deviance from social norms and values as well as cognitive heuristics. Labelling theory proposes that deviancy labels create a perception of a stereotypical master status (Becker, 1963), which biases perceivers' impressions. The master status principle of labelling theory is analogous to the schema-based models of impression formation proposed by social psychology. The opposing view is that individual characteristics influence social perception to a greater extent than labels. The present study investigated the master status prediction of labelling theory using a social psychological framework. Empirical and theoretical evidence suggests that the perceptions of the people who …

Postdischarge Surveillance Of Surgical Wound Infection By Telephone Interview, Robyn Taverner

Theses : Honours

Many postoperative wound infections are not being detected by traditional methods of surveillance of hospital acquired infections, due to decreasing length of hospital stay Unless some form of postdischarge surveillance is undertaken, rates of hospital acquired infections will he underestimated. While Infection Control Practitioners are aware of this problem, implementation of postdischarge surveillance is hampered by lack of research into suitable cost-effective methods. This study describes the implementation and feasibility of postdischarge surveillance by telephone interview and compares rates of infection in a private hospital before and after discharge. During a five month period a systematic sample of 300 clients …

Localisation Of The Gene For A Novel Form Of Charcot-Marie-Tooth Disease In An Isolated Population, Kaite Honeyman

Theses : Honours

Localising the gene for a previously undescribed autosomal recessive form of CMT involved the use of a relatively new approach to rapid genome screening based on the identification of segments which are inherited identical by descent (IBD) from common founding ancestors. It is most feasible for populations which have been founded relatively recently (say less than 25 generations) and which have remained relatively isolated either geographically or culturally. The method is not suitable for highly inbred populations, that is with first and second cousin matings, as many segments will be inherited by chance. It appears to be a suitable screening …

Caring Communication: Strategies And Skills For Health Professionals, Tony Hussey, Michael Finn, Yvonne Hauck

Research outputs pre 2011

Over the last 15 years, the teaching of professional interpersonal communication skills has become well established within the curriculum for most health professionals. Recognition is thereby given to the significance of interpersonal communication skills in professional practice. One of the challenges in teaching and learning in this area of skill is the recognition and analysis of examples of both good and bad practice. This package provides a number of such examples.

The package consists of 33 vignettes in health care settings. These vignettes variously depict skills or groups of skills, illustrate negative and dysfunctional communication behaviours and, through the print …

Life At A Rural Psychiatric Hostel : The Experience Of A Group Of Male Residents, Rosalie R. Van Aken

Theses: Doctorates and Masters

The study reported in this thesis describes and analyses the experience of 15 men with long term mental illness, living and/or working at a rural farm and hostel complex. The research was set in the context of recent studies and literature focussing on the transfer of care of people with mental illness from large psychiatric hospitals to community based care and the consequent quality of life issues. A phenomenological approach was chosen as the most appropriate for the study, in order to understand the meaning of the residents' experience. Data was obtained from three sources: in-depth interviews with 2 key …

A Mathematical Model To Describe Haemophilus Influenzae Type B Within Western Australia, Kevin Dennis

Theses: Doctorates and Masters

This work is primarily aimed at determining the effect that an immunisation policy Is likely to have on the incidence of Haemophllus influenzae Type B (HIB) and systematic HIB in Western Australia. There was a significant effort made to collect data pertinent to the estimation of parameter values but since HIB has only been a notifiable disease since 1992, there was a distinct lack of relevant data available. Private communication with individual’s such as Dr Jeffrey Hanna and Dr Beryl Wild resulted in practical information being obtained that was used to estimate certain parameters. The deterministic mathematical models within the …

An Examination Of Selected Factors Associated With Nurses' Behaviour And Intentions Related To Patient Teaching, Ian R. Mullins

Theses: Doctorates and Masters

Patient teaching is integral in the provision of an effective health care service. Registered nurses in all settings, have a professional responsibility to contribute towards their clients’ health promotion and maintenance by providing those clients with the health education they require. This study investigated the patient teaching intentions and behaviours of 181 registered nurses employed in acute medical and surgical settings at three metropolitan hospitals in Perth Western Australia. Within the framework of Ajzen and Fishbein’s (1980) theory of reasoned action, the study examined the relationships between registered nurses’ intentions to teach patients, their patient teaching behaviours and selected factors …

Factors Influencing Western Australian Clinical Registered Nurses In Discharge Planning, S. R. Suiter

Theses: Doctorates and Masters

A descriptive quantitative study was conducted to determine what factors nurses considered when discharge planning, and how these factors compared with factors identified in the literature as being effective in planning for discharge. This study was undertaken because with the intended Prospective Payment System (PPS) of funding to hospitals, it is essential that Western Australian Clinical Registered Nurses are able to prepare patients for discharge effectively to prevent the financial burden of cost outliers and re-admissions. Anderson and Steinberg ( 1984) in their studies of factors that influence the cost of hospital care for the elderly, found that the results …

A Phenomenological Study Of Infertility : The Couple's Perspective, M. Imeson

Theses: Doctorates and Masters

The purpose of this phenomenological study was to describe and interpret the experience of infertility from the perspective of infertile couples, in order to gain an in-depth understanding of how it affects their lives. Ten to twenty per cent of the global population share the experience of infertility, however, little is known of their experiences and perceptions related to infertility. Literature to date mainly focuses on the physiological effects of infertility and does not take into account the context in which the experience takes place, or the meanings that people assign to this experience. To be effective, health carers need …

Attitudes Of Nurses To Palliative Care In Nursing Homes In The Perth Metropolitan Region, Lynne Cohen

Theses: Doctorates and Masters

Zanna and Rempel (1988) have proposed that attitudes are a summary evaluation of an attitude object based on three classes of information, namely: cognitive information, affective information and behavioural information. This model has mainly been tested in the social groups and social policies area investigating two classes of information: cognitive and affective, and therefore there is a need for research to test the validity of this model in other areas. The present study applies the model to the area of palliative care in nursing homes. 76 directors of nursing, 76 clinical nurse specialists, and 76 nursing assistants working in nursing …

Art Therapy In The Paediatric Oncology Setting: An Assessment Of The Feasibility Of Art Therapy To Address The Psychosocial Needs Of Paediatric Cancer Patients, Anthea Carboni

Theses: Doctorates and Masters

It is well recognised that children with cancer have special needs. Art therapy has been shown to be effective in meeting some of these needs. An exploratory study was conducted to assess the feasibility of art therapy to address the psychosocial needs of paediatric cancer patients in a medical setting where art therapy has not been practised before. A qualitative research design was used to investigate the research questions, using interviews as the main instrument. Subjects were recruited from the oncology team of a metropolitan children's hospital. The sample of thirteen informants consisted of representatives from the medical, nursing and …

Triage In Health Department Of Western Australia Accident And Emergency Departments, Geraldine M. Riordan

Theses: Doctorates and Masters

A survey of triage systems used in Health Department of Western Australia accident and emergency departments was undertaken to examine differences in practices between departments with and without designated triage nurses (TNs). One questionnaire surveyed 93 nurses in seven departments with TNs, a similar second questionnaire surveyed 89 nurses in 16 departments without TNs, and a third questionnaire was used in a structured telephone interview of receptionists in hospitals without TNs. Data were analysed using frequencies, percentages, means, standard deviations and ranges with common themes identified for open ended questions. The study was guided by Donabedian's systems evaluation model. The …

The Lived Experience Of Nurses Caring For The Dying, David M. Byrne

Theses: Doctorates and Masters

The study reported in this thesis describes and analyses the lived experience of caring for the dying amongst nine (9) nurses in a hospice setting. The research was established within the context of published literature on the subject of caring for the dying from nursing. A qualitative, phenomenological approach was chosen as the most appropriate for this study, in order to describe and interpret the understanding and shared meanings nurses have in the care of the dying. The major mode of data collection in this study was by in depth interview of nine (9) nurses, which was supplemented by the …