Medicine and Health Sciences Commons^™

Early Discharge Planning : Primiparous Women's Perceptions Of Their Readiness For Going Home, Graeme N. Boardley

Theses: Doctorates and Masters

Early discharge for women after childbirth was introduced in Australia approximately ten years ago. Early discharge involves going home from hospital within three days of giving birth. Since its introduction, early discharge has been the subject of much debate. Previous research has argued the cost effectiveness and safety of early discharge, but little has been done to examine this phenomenon from the human aspect. An exploratory study of first time mothers, in an early discharge programme was undertaken to address how these women felt in relation to their readiness for going home. A purposive sample of twenty Caucasian, English speaking …

Eye Health Of Aboriginal And Torres Strait Islander People: Aboriginal And Torres Strait Islander Health Reviews: Number 1, Neil Thomson, Beverley Paterson

Research outputs pre 2011

As with many other aspects of health status, it is most probable that prior to the European settlement of Australia in 1788 the eye health of Australian Aborigines and Torres Strait Islanders was excellent. In fact. their eye health was almost certainly better than that of Europeans of the time. There are no definite data from early post-settlement times, but this conclusion appears reasonable from the results of a number of thorough surveys conducted as late as the 1940s and 1950s ( 1-4) Despite finding some severe preventable problems, particularly trachoma (a form of infective conjunctivitis - see Appendix l …

Women's Perceptions Of Birth Centre Care: A Qualitative Approach, Karen Coyle

Theses: Doctorates and Masters

The purpose of this exploratory study was to describe women's perceptions of the care they received in a birth centre, compared to their previous experiences in a hospital. Australian statistics indicate that five percent of childbearing women now choose to receive care in a birth centre setting. Clinical outcomes of birth centre care are now well documented, but there is limited empirical data about women's experiences of this model of care. Seventeen women, who had recently given birth in a birth centre, and had previously experienced care in a hospital setting, were interviewed about their care experiences. Using content analysis, …

The Efficacy Of A 'Spacer' In The Delivery Of Salbutamol For The Prevention Of Exercise-Induced Asthma, David G. Reed

Theses : Honours

Salbutamol is a Beta-2-agonist, commonly prescribed for the prevention and reversal of Exercise induced asthma (EIA). The purpose of this study was to compare the efficacy of a spacer device in the delivery of salbutamol for the prevention of EIA Thirteen confirmed asthmatic subjects (10 female and 3 male), completed 3 exercise test sessions consisting of three treatments a) Ventolin via MDI (metered dose inhaler) and placebo via spacer, b) Ventolin via spacer and placebo via MDI and c) Placebo via spacer and MDI, randomly administered utilising a single blind, cross--over design. Following treatment, subjects completed an asthmogenic physical challenge …

Biometrics : An Exploration And Analysis Of User Acceptance Issues, Brendan J. O'Loughlin

Theses : Honours

The security industry has undergone dramatic growth over the last twenty years due to a burgeoning of demand for security products and services. The protection of people, assets and information has been prominent among the concerns of business, industry and the broader community. Crimes against domestic, commercial, and industrial premises, small and large, are a commonplace occurrence and security has therefore become an essential component of any facility's continual operation. The security industry has been quick to respond to these concerns through the rapid development of a wide range of products and services. Growth in security as an academic discipline …

Young Families' Utilisation, Self-Perceived Requirements, And Satisfaction With Child Health Services In The City Of Belmont, Western Australia, Ailsa M. Munns

Theses: Doctorates and Masters

The expectations of young families regarding care they would like to receive from community nurses working in the child health area is affected by the relationship between those expectations, utilisation and sociocultural factors such as family type, family composition and ethnicity. These factors influence family dynamics, needs, functioning and interactions with the wider community. A descriptive study with both quantitative and qualitative components was used to identify and analyse the self-identified requirements of young families utilising Child Health Services in the Belmont area, Western Australia, and their patterns of utilisation. Twenty five women who had a child or children under …

Rural Palliative Care Nursing: A Modified Grounded Theory Study, Ruth Mcconigley

Theses: Doctorates and Masters

This paper presents the findings of a study of rural palliative care nurses in Western Australia. The numbers of rural centres in Western Australia offering palliative care services are increasing; however at present there is little empirical data available about the roles of the nurses involved. This study was undertaken to begin to correct this deficit. The study examines basic social processes associated with the role of rural palliative care nurses and identities issues that affect the nurses’ professional practice. A modified grounded theory approach was used to form a conceptual framework that describes rural palliative care nursing. Theoretical sampling …

Changes In Muscular Power Associated With Delayed Onset Muscle Soreness, Carmel Nottle

Theses : Honours

The aims of the this study were to investigate the effects of delayed onset muscle soreness (DOMS) following downhill running on cycling power output and to determine the extent of any relationships between power output, strength, and DOMS. 12 active male subjects (aged 18-25 years) were randomly assigned to either a test (n=7) or control (n=5) group. The test group performed a 5 x 8 minute downhill running protocol at a grade of -7% and a speed corresponding to 80% of the subjects age predicted heart rate maximum. Measurements of isometric knee extension and flexion strength, peak and average cycling …

Sense Of Effort Associated With Exercise In The Chronic Fatigue Syndrome, Karen E. Wallman

Theses : Honours

Investigations into the mediators of effort sensation have indicated that central mechanisms related to corollary discharges may be responsible for an increased sense of effort during fatiguing isometric exercise. The role for central mediators for sense of effort have been objectively demonstrated through use of contralateral limb matching tasks. Subjects diagnosed with chronic fatigue syndrome (CFS) often report prevalent fatigue associated with a greater sense of effort when involved in exercise. This study employed a fatiguing contralateral limb-matching task in order to determine if CFS subjects (n == 6) experienced an altered sense of effort associated with the task when …

Factors Which Influence Women's Decisions For Choice Of Primary Surgery For Stage I And Stage Ii Breast Cancer, Barbara Mastaglia

Theses : Honours

A descriptive correlational study was conducted to describe the factors that Western Australian women with either Stage I or Stage II Breast Cancer, perceived to be important considerations when deciding upon either Modified Radical Mastectomy (MRM) or Breast Conserving Treatment (BCT) for surgical treatment. The Conflict Theory of Decision Making (Janis & Mann, 1977) was used as the theoretical framework to guide this study. Ward, Heidrich and Wolberg's (1989) Factor List, the Multidimensional Health Locus of Control (MHLC) Scale (Wallston, Wallston & De Vellis, 1978) and a demographic questionnaire were used to measure variables. Questionnaires were mailed to a consecutive …

The Participant's Perception Of The Contribution Of Lyengar Yoga To Their Health And Well-Being, Ann Dragon

Theses : Honours

To date little research has been conducted to substantiate the many anecdotal claims that yoga improves both physical and mental health. Berger and Owen (1992) demonstrated that yoga practice could enhance mood state. Mind-body exercise modalities, such as tai chi and yoga, potentially offer significant benefit in the areas of exercise rehabilitation and health promotion strategy (LaForge, 1997). Yoga is steadily gaining popularity amongst western culture with an increasing number of people participating in this mind-body exercise modality. Investigating the perceived contribution of regular yoga practice to health and well-being could uncover a number of positive 'indicators towards exercise adherence …

The Meaning Of Quality In Living Service Environments: An Analysis Of The Experiences Of People With Disabilities, Elderly People And Service Workers, Ruth Marquis

Theses: Doctorates and Masters

The purpose of the study was to examine the experiences of both people with disabilities and elderly people and to identify their perceptions of quality as it relates to living in a service or being supported by a service to live in the community. The study was naturalistic in design and used a phenomenological approach and inductive analysis. It involved immersion in living services for a two year period, in-depth interviews with people living and working in services and participant observation. Fifty service users between the ages of twenty-one and ninety-six, and twenty-six service workers between the ages of twenty-six …

A Systematic Evaluation Of Methods To Separate X- And Y- Bearing Sperm, Jacquelyn Irving

Theses: Doctorates and Masters

This project was initiated to determine if was possible to enrich either X- or Y- bearing sperm, and hence to preselect the sex of a child. Two of the possible reasons why couple might want to select the sex of a child are firstly because of a family history of an X-linked recessive genetic disorder, which usually only affect sons, and secondly families who have had several children of one sex. For this study, men with three or more children of the same sex were recruited following the publication of an article in The West Australian newspaper. The percentage of …

Validation Of The Barkemeyer-Callon-Jones Malingering Detection Scale: The Ability Of A Scale Differentiate Simulating Malingers From Controls And Prior Litigants From Those With No Litigation Experience Within A Sample Of Men Who Have All Suffered Chronic Low Back Pain, David Curnow

Theses: Doctorates and Masters

Chronic low back pain costs the community, and several authors have suggested that individuals often attempt to exaggerate chronic low back pain. Currently no reliable and valid scale for assessing malingering in chronic pain populations exists, and there is a large difference in opinion on the ability of experts using clinical judgment to detect malingering. The current study seeks to provide a validation for the BarkemeyerCallon-Jones Malingering Detection Scale (MDS) which has purported to be able to identify individuals attempting to malinger neurological conditions and pain. A simulation design was used, as in previous research, because it is difficult to …

Fitness To Stand Trial In Australia: The Investigation And Comparison Of Clinical Opinion And Legal Criteria, Miranda P. Hogg

Theses: Doctorates and Masters

The extent to which Australian psychologists and psychiatrists are cognisant of the legal standard for Fitness to Stand Trial (FST) was investigated. 198 psychologists from The Australian Psychological Society (APS), and 125 psychiatrists from The Royal Australian and New Zealand College of Psychiatrists (RANZCP) responded to a survey. Psychiatrists identified a greater number of legal criteria than psychologists. This finding extended across clinicians who had experience in the evaluation of fitness to stand trial and those who did not. No difference was found between psychologists and psychiatrists for mentioning irrelevant or insufficient considerations. However, a within-group analysis revealed that the …

The Lived Experiences Of Single Teenage Mothers In Botswana : A Phenomenological Study, Tshepiso D. Mojapelo

Theses: Doctorates and Masters

This study was designed to explore-the lived-experiences of single teenage mothers in Botswana, as perceived by them. The participants were teenage mothers who had to leave school due.to pregnancy. They had either completed year one in secondary school or were in year two. Their ages ranged between 16 and 19 years. The ages of their babies range from five to 10 months, with the exception of one child who was three years old. All teenage mothers came from low socio-economic backgrounds with families whose parents were either not working, or were working in the lowest paying jobs as cleaners or …

An Investigation Of A Theoretical Model Of Willingness To Donate Blood, Douglas Adam

Theses: Doctorates and Masters

The Australian Red Cross Blood Transfusion Service (ARCBTS) in Western Australian faces a major problem with periodic shortages of blood components. These shortages are expected to become more frequent and severe as demand continues to increase at a faster rate than supply. Given that only five percent of the population is registered as blood donors, clearly, the challenge for the ARCBTS is to encourage more people to become regular blood donors. The current study was undertaken to assist the ARCBTS in achieving this goal, by identifying and investigating the factors that influence people's willingness to donate blood. Based on the …

What Is The Intimate Experience Of Couples Following The Woman's Cancer-Related Breast Surgery?, Lynne Amor

Theses: Doctorates and Masters

The purpose of this phenomenological study is to describe and interpret the experience of couples following the woman's surgery for breast cancer, in order to gain an in depth understanding of how this mutilating surgery affects their everyday lives. Breast cancer is the most prevalent form of cancer in Australian women, and in most industrialised nations. Women in Australia have a one in fourteen lifetime risk of developing the disease. Little is known concerning what meanings this surgery brings to the intimacy experienced between partners. It is important to seek knowledge of the phenomenon of intimacy, how the couples understand …

Fear, Frustration And The Will To Overcome: A Social History Of Poliomyelitis In Western Australia, John H. Smith

Theses: Doctorates and Masters

This thesis investigates community responses to Poliomyelitis, and the Impact of the disease on those who experienced It, particularly during the epidemics that occurred In Western Australia between 1938 and 1956. The research sources an.: W.A. Health Department records, held mostly at the Battye Library, records held by Australian Archives and Royal Perth Hospital, newspaper reports, comparative studies from several states in Australia and overseas, oral history interviews, biographies and personal records. The history of polio has several layers and the presence or the disease In the community evoked varied and ambiguous reactions, summarised here as fear, frustration and the …

Evaluation Of The Bunbury Chronic Pain Management Program, Samar Aoun, Carmen Gregg

Research outputs pre 2011

The objective of this study was to evaluate the effectiveness of a six-week program in pain management for patients with chronic pain referred by GPs in Bunbury, Australind, Harvey, Collie, and Donnybrook. The evaluation consisted of a retrospective analysis of patient data from the first 3 courses of the program (November 1996 to March 1997), and satisfaction surveys for 26 clients, 26 GPs and the 7 staff in the multidisciplinary team.

A comparison of pre-program and post-program pain inventory psychometric measures revealed a significant decrease in the amount pain interfered with general activity, social activities, normal work, sleep and mood. …

The Assessment Of The Health Care Needs Of The Community From A Consumer And Provider Perspective, Samar Aoun, Genevieve Stone

Research outputs pre 2011

This project aimed at identifying the health care needs of a community from a consumer and a provider perspective using a combination of quantitative and qualitative research methodologies.

As stated in the objectives, this needs analysis has provided information on:

-the characteristics of the community served the local Division of General Practice (Chapter 2).

-the health status of the community, in terms of disease patterns, healthy lifestyles ... (Chapter 3).

-the extent to which services exhibit qualities of convenient location, availability, equity of access, integrated care and providing education (Chapters 4 and 5).

-the various aspects concerning general practice interests, …

Labour And Birth Information Needs Of First Time Mothers In Malawi And Satisfaction With Information Received, Address M. Malata

Theses: Doctorates and Masters

Giving labour and birth information to first time mothers is one of the challenges facing the midwives in Malawi. There are many underlying health and soeioeconomic problems facing the people of Malawi particularly mothers in the child bearing age because of inadequate human and material resources in the health sector. This thesis presents findings of a study carried out in Malawi to explore labour and birth information given to first time mothers at hospitals and in the communities. Maternal satisfaction with the information received was determined. In addition labour and birth information needs of first time mothers in Malawi were …

Health Educational Needs Of Middle Aged Men, Beth L. Hall

Theses: Doctorates and Masters

The purpose of this non-experimental, quantitative descriptive study was to identify the holistic health educational needs of middle aged men and to consider nursing interventions. Between the ages of forty to sixty years, physical illness can coincide with a cluster of social changes as well as the normal developmental mid-life review. This can result in a prolonged period of physical and emotional stress (Berger, 1994). Mortality statistics demonstrate that, in comparison to women, men in the 25 to 64 age group have higher rates of suicide, motor vehicle accidents, work place injuries, ischaemic heart disease, non gender specific cancers, and …

The Mirror Within: An Art Therapy Research Project Identifying The Links Between Anorexia Nervosa, Object Relations And The Potential Role Of Art As The Transitional Object, Bronwen Gray

Theses: Doctorates and Masters

This research focuses on the use of art therapy with female teenage clients suffering from anorexia nervosa. The aim was to undertake a pilot study that would establish whether art therapy could assist in identifying anorexic clients' ego boundary delineations using an object relations framework (That is, either enmeshed, inter related or isolated). Utilising Elkisch's picture analysis procedure, client art works were analysed by contrasting positive and negative characteristics as a way of gaining insight into the client's boundary delineation cognition. Five female subjects aged between thirteen and sixteen, who were taking part in the eating disorders program, located in …

The Perception Of Effort During Muscular Fatigue And Recovery, Juan H. Svendsen

Theses : Honours

This study investigated how sense of effort is altered during fatigue in nine normal subjects. A contralateral limb matching paradigm was used in which the subjects nondominant (reference) arm was held at 20% MVC with force production matched at one minute intervals by the dominant (marching arm). It was found that matching force increased in a linear fashion with fatigue. It was also observed that EMG amplitude increased in the reference and matching arm and remained elevated during a 15 minute recovery period. As in previous studies strong correlation (r = 0.85) between rmsEMG in the reference arm and matching …

Monitoring Of Oxygen Saturation During And After Endoscopy, George Paul Van Lawick

Theses : Honours

Fibreoptic endoscopy is a common and relatively safe diagnostic and therapeutic procedure used to examine the gastrointestinal tract. Previous research has established that oxygen desaturation is common among patients undergoing endoscopy and is one of the few complications which may arise during, and after the procedure. Oxygen saturation (Sa0₂) is a measurement of the percentage of oxygen carried by the haemoglobin and can be measured noninvasively and accurately using a pulse oximeter. Oxygen desaturation is generally described as Sa0₂ levels at or below 90%. Currently there are no clear guidelines for the duration of Sa0₂ monitoring …

Home Visiting: The Effect Of A Hospital Based Nurse Home Visiting Programme On The Rehabilitation Of Children Following Their Discharge From A Child Psychiatry Inpatient Unit, Gordon H. Peers

Theses: Doctorates and Masters

The purpose of this study was to examine the effect of a nurse home visiting programme on the rehabilitation of children following their discharge from a dedicated child psychiatry hospital. The research was based on the premise that a nurse home visiting programme may have a positive influence on the outcomes of the rehabilitation of children following their discharge from hospital, if it reduced the need of outpatient appointments with the psychiatrist and the need for children to be re-admitted to hospital.

Living With Mental Illness: A Descriptive Study Of Individual Adult Experiences Of Living With Mental Illness In Zomba, Malawi, Ivy J. Lekera

Theses: Doctorates and Masters

The purpose of this study was to examine the experiences of mental illness in the adult Malawian context. Using the interpretive paradigm, content analysis was used to uncover the lived experiences of mental illness. This study was based on the philosophy that meaning of a phenomenon is best understood if studied within its specific context and within Parse's theoretical framework. Two to four per cent of the global population share the experience of mental illness, however, little is known of individual experiences within the Malawian context. Much of the literature has focused on the physiological aspects, causes, and therapies involved …

The Ms. Stereotype : Could It Be A Health Risk?, Phillip Van Der Klift

Theses : Honours

Two studies extend previous findings of stereotyping (a) within the nursing context (Ganong, 1993; Ganong & Coleman, 1992, Ganong et al., 1988), and (b) in relation to female title of address (Dion, 1987; Dion & Cota, 1991; Dion & Schuller, 1991; Heilder, 1975). Against the theoretical background of person perception theory and its influence upon the therapeutic nurse client relationship, study 1 investigates the extent to which nurses' stereotype a vignetted female client on the basis of title of address. Fifty registered nurses from two hospitals rated their impressions and subsequent expectations of a vignetted client on the First Impressions …

The Effects Of Concurrent Strength And Muscular Endurance Resistance Training On Strength, Endurance And Body Composition In Previously Untrained Females, Derek W. Gibbins

Theses : Honours

The number of females engaged in some form of sporting activity is growing rapidly, but many women still shy away from weight training because of their fear of excessive muscular hypertrophy and its accompanying loss of femininity. Because strength and muscular endurance play a vital role in most sporting endeavours, and weight training has proven to be one of the most effective methods to improve both attributes, any training regime that could achieve concurrent increases in both measures without noticeable increases in muscle size would be ideally suited to most women. Changes in strength and endurance resulting from eight weeks …