Medicine and Health Sciences Commons^™

The Role Of Fas And Fas Ligand In Apoptosis During Regression Of The Corpus Luteum, Sharon Roughton

Theses : Honours

Apoptosis, a form of physiological cell death, has been found to occur during regression of the corpus luteum (Juengel etal, 1993; Dharmarajan etal, 1994). The pathways involved in this process, however, have yet to be specified. One possible mediator of corpus luteum regression is the Fas (or AP0-1 or CD95) receptor, a transmembrane protein which induces apoptosis in the cell when ligated. In order to further confirm this hypolhesis, the present study establishes and quantitates the presence and regulation of Fas receptor and Fas ligand (Fasl) in the rat corpus luteum during pregnancy and post-partum. The animals used were sexually …

Locus Of Control And Self-Directed Learning As Predictors Of Well-Being In The Elderly, Deborah Gardner

Theses : Honours

Elderly people who remain mentally and physically active are more likely to be happy than those who do not (George, 1980; Toscland & Sykes, I 977). Demographic factors have usually accounted for only a small amount of the variance in well-being (Diener, 1984 ). Internal control, personal growth and direction in life might have more to do with well-being than demographic or personality factors (Ryff, 1995). This study examined the theoretical relationship between locus of control and self-directed learning readiness in the elderly and the predictability of self reported well-being from an internal locus of control and a self-directed learning …

Have A Safe Trip: An Investigation Of Rituals And Sanctions Surrounding Lsd Use, David Wellbourne-Wood

Theses : Honours

There is little recent literature which identifies social controls operating among illicit drug users in Perth, Western Australia. This hinders understanding of the local illicit drug scene and makes the formulation of appropriate harm reduction strategies difficult. This study is a qualitative investigation of rituals and social sanctions which surround the use of Lysergic Acid Diethylamide (LSD). The research describes these rituals and sanctions, and examines their various functions for eight experienced users. The research adopted elements of a phenomenological approach, using in-depth semi-structured interviews to elicit a description of users' subjective experiences with LSD, and Colaizzi's (1978) phenomenological analysis …

Home Hospice Cancer Care: Family Members' Expectations, Perceptions And Satisfaction With Care, Kristina Medigovich

Theses : Honours

Increasingly, there is greater expectation by the public, as health consumers, that they will receive care from health professionals which meets their expectations and does not leave them dissatisfied. The stress experienced by families caring for a family member with advanced cancer may be complicated when they are dissatisfied with care received from health care professionals. To further promote family satisfaction it is important therefore for health professionals to understand the theoretical underpinning of family satisfaction with care. One theoretical explanation of family member satisfaction with advanced cancer care in the palliative care setting, Porter's Discrepancy Theory, was investigated in …

The Parents' Experience Of Living In The Hospital With Their Sick Infant : A Phenomenological Study, Anne Bourke

Theses: Doctorates and Masters

The purpose of this phenomenological study was to describe the essential structure of the lived experience of what it was to be a resident parent on the ward in a public hospital with a sick infant. Many studies have highlighted both benefits and problems associated with the concept of parental participation in care. The role of the parents in hospital needs to be identified and expressed by both the parents and the nurses, in order to ellucidate the needs of parents who live in with their sick infant. Eight parents were interviewed regarding their experiences of "living in" the hospital …

Lymphoedema Following Surgery For Breast Cancer, Jacqueline Lord

Theses: Doctorates and Masters

Lymphoedema of the ipsilateral upper limb is one of the most significant long term complications of the surgical treatment of breast cancer and may be described as a life sentence of bodily disfigurement. The resultant cosmetic disfigurement, physical discomfort and reduced physical mobility combined with the psychological sequelae, far exceeds the original expectations of the breast surgery patient (Tobin, Lacey, Meyer, and Mortimer, 1993). It is estimated that one hundred thousand women in Australia have developed lymphoedema (or will develop it before they die) as a result of mastectomy and radiotherapy alone (Casley-Smith, 1992). In breast cancer patients, lymphoedema can …

A Patient Management Program: The Evaluation Of A Combined Pre-Admission And Early Discharge Program, Lorna Rogers

Theses: Doctorates and Masters

The purpose of this descriptive study was to describe the evaluation of a 'Patient Management Program'. This managed care type of program combined a Pre-Admission Clinic and an Early Discharge Program. It was established as a twelve month pilot program at a major Western Australian public teaching hospital in January 1995. It aimed to provide a more efficient health service by replacing part of elective surgical patients' inpatient care with outpatient services. The first component of the Program was the Pre-Admission Clinic, which allowed patients to undergo pre-operative assessment and testing prior to admission to hospital, thus facilitating same day …

The Lived Experiences Of People Living With Hiv Infection, Nongluck Suwisith

Theses: Doctorates and Masters

This phenomenological study was undertaken to describe the meaning of living with HIV infection. Descriptive phenomenology was utilised to investigate the lived experiences of persons who had human immunodeficiency virus infection (HIV/ AIDS), describe common elements, themes or patterns of lived experiences of persons with HIV / AIDS, and analyse the meaning of lived experiences of persons with HIV/ AIDS. Twelve Australians, experiencing HIV infection and participating in the community support groups in Perth, volunteered as participants. Two participated in the pilot study. The other ten participants were interviewed individually for the main study. Intensive open-end questions pertaining to the …

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 …

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 …

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...

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...

A Phenomenological Study Of The Homebirth Experience : The Couples Perspective, Susanjane Morison

Theses: Doctorates and Masters

The purpose of this qualitative study was to describe the experience of parents who have had a homebirth in the past two years in Perth. Studies conducted to date have predominantly used quantitative research methods, investigating the safety of homebirth and comparing home to hospital birth without exploring a couples experiences. A phenomenological approach was used as it seeks to understand human experience in context. The research design consisted of a field study, in which ten parent couples were interviewed and three homebirth videos observed. Data analysis was conducted according to the procedure outlined by Colaizzi (cited in Knaack, 1984, …

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 …

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 …

Central Fatigue In Chronic Fatigue Syndrome, Peter A. J. Hope

Theses : Honours

Fatigue associated with activity is a normal response, seeking to prevent damage or conserve energy. Some individuals show heightened fatigue responses with no distinct aetiology. In chronic fatigue syndrome (CFS), peripheral fatigue mechanisms display no apparent abnormalities, indicating some central mechanism. Transcranial magnetic stimulation (TMS) was used to compare force, perceived exertion, electromyogram response, motor evoked potentials (MEP) and silent periods (SP) following stimulation in normal and chronic fatigue groups. Participants (n=l2) were physically matched and performed a sustained sub-maximal (20% of MVC) isometric contraction of the elbow flexors. There were no significant differences (p < 0.05) in elbow flexor strength or time to reach fatigue. CFS participants showed a significant difference in perception of effort at outset. Differences were also noted in MEP amplitude and SP duration (p

Nutritional Problems And Information Needs Of Patients Receiving Chemotherapy And Radiation Therapy, Margaret Joan Robinson

Theses : Honours

Nutritional status is a major factor in determining the successful outcome of treatment for cancer. The combined effect of cancer, and the treatment for cancer, has the potential to severely impair nutritional status. The purpose of this study was to investigate the incidence and severity of treatment-related side-effects which affect nutritional status in cancer patients and to determine the sources and helpfulness of information about nutrition which had been utilised by patients. A descriptive study was used to investigate two groups of patients, one group who was receiving chemotherapy, and the other, radiation therapy. A questionnaire developed by the researcher …

Exploring Infertility Through Art, Olga Gibson

Theses: Doctorates and Masters

This study, entitled "Exploring infertility through art" focuses on researching the use of art to explore the psychogenic, psychological and physiological aspects of infertility and the psychosomatic avenues of expression possibly resulting in, or contributing to, infertility. The term psychogenic means "pertaining to disorders which are functional in origin" (Chaplin, 1973, p. · 391), or "term usually employed of disorders which originate in mental conditions, though they may come to involve physiological changes, as a result of these mental conditions" (Drever, 1978, p. 231). A psychogenic disorder is ''a functional disorder which has no known organic basis and is therefore …

The Role Of Social Support Networks In The Independent Functioning Of Elderly Persons, Maree Gabbedy

Theses : Honours

There is conclusive evidence which highlights the importance of physical and mental health in the ability of elderly persons to function within society, and elderly persons who require services to maintain their independence, are assumed to have lower levels of functioning than persons who do not apply for, or require assistance. Individuals, however, are rarely totally independent, as most people are involved in social networks, where the reciprocal exchange of money, emotional support, goods and services are exchanged with friends family and neighbours. This study, examined the role of social support networks in the independent functioning of the elderly, in …

The Effect Of A Prenatal Teaching Intervention On Postpartum Nipple Pain And Trauma, Elizabeth P. Duffy

Theses: Doctorates and Masters

The purpose of this experimental study was to investigate whether a prenatal teaching intervention on position and attachment of the baby on the breast had any effect on postpartum nipple pain and trauma, and breastfeeding rates at six weeks. Many mothers who Initiate breastfeeding, discontinue because they experience nipple pain and trauma. Correct position and attachment of the baby on the breast for feeding Is paramount in preventing these problems. Using Orem's supportive-educative nursing system, i was hypothesised that the teaching Intervention would result in significantly less nipple pain and trauma, and would Increase breastfeeding rates at six weeks. The …

The Development Of Community Mental Health Nursing Services In Western Australia : A History (1950-1995) And Population Profile, Phillip M. Maude

Theses: Doctorates and Masters

This descriptive• study discusses the development of community mental health (CMH) in Western Australia (WA) and describes the current practising population of CMH nurses. The study explores literature pertaining to the emergence of the CMH movement and the deinstitutionalisation of the mentally ill. A conceptual framework was developed by adapting Lewin's change theory. CMH nurses practising in WA (n= 130), were invited to participate in the study and were asked to complete a survey questionnaire. This resulted in a 66% response rate (n = 86). Quantitative data was analysed using the Statistical Package for the Social Sciences (SPSS). Open ended …

A Reflective Analysis Of Burn Wound Care: The Australian Burns Nurse' Perspective, Jaynie E. Sands

Theses: Doctorates and Masters

The purpose of this historiographical nursing study was to explore Australian Burn Wound Care from a nursing perspective, at two periods of time. It was the intention of the author to explore practices at the inception of specialised burns units, from the 1950's, presenting an historical perspective, and at the present time, May 1995. Eleven burns units across Australia participated in the study. There were 22 participants in the research sample. Each burns unit identified the first Charge Nurse (n =11) and the current Clinical Nurse Specialist (n =11), to be involved in the data collection process. The conceptual framework …

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 …

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 …

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 …

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 …

Breast Self Examination: A Healthy Approach: Teaching Manual, Margaret Imeson, Molly Mccartney

Research outputs pre 2011

The theme of this health teaching package is breast care with an emphasis on step-by-step instruction f0r breast self examination. The package has been designed to guide health professionals in the facilitation of workshops and discussion groups promoting breast care for women. Materials included in the manual may be adapted to suit audience requirements...

Perceptions Of Discharge Planning Needs : A Study Of Discharge Planning In The Mental Health Setting, Michael P. Finn

Theses: Doctorates and Masters

Major mental disorder, with prolonged periods of dysfunction that require long term care, is an issue of concern amongst mental health professionals. Although substantial effort and resources are devoted towards returning mentally ill individuals to the community, one of the most distinctive and consistent features of the persistently mentally ill (PMI) is their high rate of readmission to hospital. Existing studies into discharge planning revealed that no research had been undertaken to determine if this is the case in Western Australia. This study sought to investigate perceptions of discharge planning held by patients, carers, nurses and allied health workers involved …