Medicine and Health Sciences Commons^™

Barriers And Enablers To Implementation Of A New Zealand-Wide Guideline For Assessment And Management Of Cardiovascular Risk In Primary Health Care: A Template Analysis, Ann Mckillop, Jackie Crisp, Kenneth Walsh

Faculty of Health and Behavioural Sciences - Papers (Archive)

Aim: The aim of this study was to identify the enablers and barriers to guideline implementation in a primary healthcare setting by employing the Promoting Action on Research Implementation in Health Services (PARIHS) framework as a template for data analysis and interpretation. Background: The use of clinical practice guidelines is pivotal to improving health outcomes. However, the implementation of guidelines into practice is complex, unpredictable, and, in spite of much investigation, remains resistant to explanation of what works and why. Optimising the enablers and minimising the barriers to implementation of a guideline for reducing cardiovascular disease risk has the potential …

Nutrition Status Of Primary Care Patients With Depression And Anxiety, Adrienne K. Forsyth, Peter G. Williams, Frank P. Deane

Faculty of Health and Behavioural Sciences - Papers (Archive)

The objective of this study was to evaluate the nutrition status of people referred to a nutrition and physical activity program for the management of mental health in a general practice.

An Indoor Localisation And Motion Monitoring System To Determine Behavioural Activity In Dementia Afflicted Patients In Aged Care, Matthew D'Souza, Montserrat Ros, Mohanraj Karunanithi

Faculty of Health and Behavioural Sciences - Papers (Archive)

Dementia is highly prevalent among the older population. Most patients with dementia are admitted to an aged care facility due to wandering behaviour which tends to result in dangerous scenarios such as straying away from the facility and being seriously injured. Due to the decreasing availability of carers in aged care, there is a need to prioritise monitoring of patients that have a severe case of wondering. The challenge is to allow carers to monitor the status of such patients in terms of position localisation and motion behavioural status, in real-time. The long term behavioural analysis of such patients would …

Study Protocol For A Randomized Controlled Trial Of Humor Therapy In Residential Care: The Sydney Multisite Intervention Of Laughterbosses And Elderclowns (Smile), Belinda Goodenough, Lee-Fay Low, Anne-Nicole Casey, Lynn Chenoweth, Richard Fleming, Peter Spitzer, Jean-Paul Bell, Henry Brodaty

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: Humor therapy is a non-pharmacological intervention with potential to improve mood and quality of life for institutionalized older persons, including those with dementia. The primary aims of the Sydney Multisite Intervention of LaughterBosses and ElderClowns (SMILE) are to examine the effects of humor therapy on residents' mood, quality of life, social engagement, and agitation. Methods: SMILE is a single-blinded cluster-randomized controlled trial where 398 consented residents in 35 residential aged care facilities will be allocated to receive humor therapy or usual care. Residents allocated to the intervention group will engage in humor therapy with professional performers (ElderClowns) and trained …

The Introduction And Evaluation Of A Warfarin Management Strategy Into Illawarra Residential Aged Care Facilities, Margaret Jordan, Judy Mullan, Victoria Traynor

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Aims & rationale/Objectives Population ageing poses major challenges for health systems. Additionally, training future general practitioners in the management of older and chronically ill patients is potentially hampered by the reluctance of these patients to consult trainees for chronic care. This paper reports a cross-sectional study investigating the attitudes of older patients to trainees, to inform strategies to improve older patient-trainee interaction. Methods The survey instrument was distributed to 1900 patients aged 60 and over from 38 training practices from five Australian states using a stratified, randomised cluster sampling process. Generalised estimating equation models were used for analysis. Principal findings …

Exploring The Relevancy Of The Person Centred Care Model For Dementia Care Within Aboriginal And Torres Strait Islander Communities, Faye B. Mcmillan, David R. Kampers, Victoria Traynor, J Dewing

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Long-Term Care For People With Dementia: Environmental Design Guidelines., Richard Fleming, Nitin Purandare

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Large-Scale Training In The Essentials Of Dementia Care In Australia: Dementia Care Skills For Aged Care Workers Project, Richard Fleming, Diana Fitzgerald

Faculty of Health and Behavioural Sciences - Papers (Archive)

Dementia has been identified as a national health priority in Australia. National programs in the areas of research, education and training have been established. The Dementia Care Skills for Aged Care Workers program is a three-year project that commenced in 2006. It has the goal of providing training in the essentials of dementia care to 17,000 staff of aged care services across Australia. Successful completion of the training results in the award of a nationally recognized qualification. Although the delivery of the training has been difficult in some areas – because of the long distances to be covered by trainers …

Midwifery And The Context Of Care: Is It Possible To Be 'Woman Centred'?, Moira Williamson, Lindsey Harrison

Faculty of Health and Behavioural Sciences - Papers (Archive)

Title: Midwifery and the context of care: Is it impossible to be ‘woman centred’? Dr Moira Williamson, School of Nursing, Midwifery and Indigenous Health, University of Wollongong, Northfields Avenue, Wollongong NSW 2522, Australia, ph. +61 2 4221 3381, email: moiraw@uow.edu.au Dr Lindsey Harrison, School of Health Sciences, University of Wollongong Background: Findings from a qualitative study show that the context of care can inhibit midwives’ provision of woman centred care; especially impacted is their ability to provide culturally appropriate care. Aim of the Study: The aims of the study were to gain an understanding of midwives’ concepts of culture and …

Constructing A Research Based Pre-Care Model To Improve Mental Health Interventions For Young People, Lindsey Harrison, Sue Webster

Faculty of Health and Behavioural Sciences - Papers (Archive)

ObjectiveThis study had two aims. Firstly, to explore how young people experienced the onset of mental health problems and to investigate their initial interactions with the health system; and secondly, to use thesefindings to construct a pre-care model that can be used by nurses and other health care professionals todesign appropriate interventions.DesignGrounded theory method was used to develop a theory of young peoples experience of the pathway to mental health care. Data were obtained through in-depth semi-structured interviews.SettingParticipants were recruited through two community health centres in a Sydney metropolitan area healthservice.SubjectsThe purposive sample consisted of eight males and twelve females …

Evaluating The Impact Of The Environment On The Physical Activity Levels Of People With Dementia In Aged Care Facilities, Loren Devries, Victoria Traynor, Nancy Humpel

Faculty of Health and Behavioural Sciences - Papers (Archive)

To evaluate the impact of the environment on the physical activity levels of people with dementia living in residential aged care facilities

An Investigation Into The Potential Barriers Associated With Warfarin Prescribing In An Elderly Population Residing In Illawarra Based Aged Care Facilities, Judy Mullan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Warfarin Prescribing: • Systems varied - faxed warfarin-specific chart - faxed warfarin orders - phone calls from GPs - phone call from RN to GP’s secretary dose recorded on chart with a ‘post-it’ note • Common problems - faxes (misplaced or not received) - ? current orders • “If there was a standard package for dealing with nursing homes then we would go along with that and just get used to it” (GP)

An Investigation Into The Potential Barriers Associated With Warfarin Prescribing In An Elderly Population Residing In Illawarra-Based Aged Care Facilities, Judy Mullan, Margaret L. Jordan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Warfarin Prescribing: • Systems varied - faxed warfarin-specific chart - faxed warfarin orders - phone calls from GPs - phone call from RN to GP’s secretary dose recorded on chart with a ‘post-it’ note • Common problems - faxes (misplaced or not received) - ? current orders • “If there was a standard package for dealing with nursing homes then we would go along with that and just get used to it” (GP)

Continuing Stability Of Center Differences In Pediatric Diabetes Care: Do Advances In Diabetes Treatment Improve Outcome?, Carine E. De Beaufort, Peter G. F. Swift, Timothy C. Skinner, - Hvidoere Study Group On Childhood Diabetes

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: To reevaluate the persistence and stability of previously observed differences between pediatric diabetes centers and to investigate the influence of demography, language communication problems, and changes in insulin regimens on metabolic outcome, hypoglycemia, and ketoacidosis.

Research Design and Methods: This was an observational cross-sectional international study in 21 centers, with clinical data obtained from all participants and A1C levels assayed in one central laboratory. All individuals with diabetes aged 11–18 years (49.4% female), with duration of diabetes of at least 1 year, were invited to participate. Fourteen of the centers participated in previous Hvidoere Studies, allowing direct …

Can Motivational Signs Prompt Increases In Incidental Physical Activity In An Australian Health-Care Facility?, A L. Marshall, A E. Bauman, C Patch, J Wilson, J Chen

Faculty of Health and Behavioural Sciences - Papers (Archive)

This study aimed to evaluate whether a stairpromoting signed intervention could increase the use of the stairs over the elevator in a health-care facility. A time-series design was conducted over 12 weeks. Data were collected before, during and after displaying a signed intervention during weeks 4–5 and 8–9. Evaluation included anonymous counts recorded by an objective unobtrusive motion-sensing device of people entering the elevator or the stairs. Self-report data on stair use by hospital staff were also collected. Stair use significantly increased after the first intervention phase (P 0.02), but after the intervention was removed stair use decreased back towards …

A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman

Faculty of Health and Behavioural Sciences - Papers (Archive)

Headache is a common symptom in primary care about which surprisingly little is known. Over a 14-month period 3847 patients making 4940 consecutive visits for headache to 38 primary care practices in the USA and Canada were studied. The clinical characteristics of patients, as well as the diagnostic and therapeutic strategies employed by their doctors, were examined. Visits for headache represented 1.5% of all visits during this period. Most patients (72.0%) made only one visit, and nearly half of the headaches reported were new. Only a small number of patients (3.0%) received a computerized tomographic scan; other investigations were used …