Medicine and Health Sciences Commons^™

Evaluating The Effects Of A Physical Activity On Agitation And Wandering (Paaw) Experienced By Individuals Living With A Dementia In Care Homes, Victoria Traynor, Nadine S. Veerhuis, Keryn M. Johnson, Jessica Hazelton, Shiva Gopalan

Faculty of Science, Medicine and Health - Papers: part A

Aim and Methods: The aim was to evaluate the implementation of a structured physical activity (PA) programme for individuals living with a dementia in care homes. More specifically, the study aimed to test the effects on the behavioural and psychological symptoms of dementia (BPSD) using the Cohen-Mansfield Agitation Inventory and Algase Wandering Scale. The study was undertaken over 16 weeks using a quasi-experimental design. Registered nurses, physiotherapists, assistants in nursing and physiotherapy aids from one aged care organisation in NSW, Australia, undertook the study with academics.

Results: A total of 72 individuals living with a dementia from four …

Correlates Of Tummy Time In Infants Aged 0-12 Months Old: A Systematic Review, Lyndel Hewitt, Rebecca M. Stanley, Anthony D. Okely

Illawarra Health and Medical Research Institute

Background: Tummy time, defined as an infant being placed on their stomach whilst they are awake and supervised, has been shown to have a positive effect on infant development and head shape. Tummy time can be influenced by a number of factors. Using a social ecological model, categories of potential variables can be examined to determine their influence on behaviours such as tummy time. The purpose of this systematic review was to examine potential correlates of tummy time in infants from birth to 12 months old.

Methods: Electronic databases were originally searched between March to December 2016. Included …

Interdisciplinary Model Of Care (Radicals) For Early Detection And Management Of Chronic Obstructive Pulmonary Disease (Copd) In Australian Primary Care: Study Protocol For A Cluster Randomised Controlled Trial, Jennifer Yameng Liang, Michael J. Abramson, Nicholas Arnold Zwar, Grant Russell, Anne Holland, Billie Bonevski, Ajay Mahal, Benjamin Van Hecke, Kirsten Phillips, Paula Eustace, Eldho Paul, Kate Petrie, Sally Wilson, Johnson George

Faculty of Science, Medicine and Health - Papers: part A

Introduction Up to half of all smokers develop clinically significant chronic obstructive pulmonary disease (COPD). Gaps exist in the implementation and uptake of evidencebased guidelines for managing COPD in primary care. We describe the methodology of a cluster randomised controlled trial (cRCT) evaluating the efficacy and costeffectiveness of an interdisciplinary model of care aimed at reducing the burden of smoking and COPD in Australian primary care settings. Methods and analysis A cRCT is being undertaken to evaluate an interdisciplinary model of care (RADICALS - Review of Airway Dysfunction and Interdisciplinary Community-based care of Adult Long-term Smokers). General practice clinics across …

Effects Of Physical Exercise On Health And Well-Being Of Individuals Living With A Dementia In Nursing Homes: A Systematic Review, Lindsey Brett, Victoria Traynor, Paul J. Stapley

Faculty of Science, Medicine and Health - Papers: part A

Background Physical exercise interventions have benefits for older individuals and improve the health and well-being of individuals living with a dementia, specifically those living in nursing homes. Purpose Report evidence from randomized controlled trials and cluster randomized control trials that evaluated the effects of physical exercise interventions on individuals living with a dementia in nursing homes. Data sources Web of Science, Scopus, Science Direct, Academic Search Complete, Proquest Central, British Medical Journal Database, PubMed, Cochrane Library, PEDro, Informit, Informa, and Nursing Consult were searched for relevant clinical trials and snowballing of recommended studies. Study selection One reviewer screened articles on …

Tools To Reduce First Year Nursing Students' Anxiety Levels Prior To Undergoing Objective Structured Clinical Assessment (Osca) And How This Impacts On The Student's Experience Of Their First Clinical Placement, Annette Stunden, Elizabeth J. Halcomb, Diana Jefferies

Faculty of Science, Medicine and Health - Papers: part A

Background One form of assessment that tests students' theoretical skills and confidence in their clinical practice is known as the Objective Structured Clinical Assessment (OSCA). Traditionally it was first launched from medical education, and is now being incorporated by other disciplines, such as nursing. Objectives This review seeks to present the best available evidence into strategies that help reduce first year nursing students' anxiety levels prior to undergoing OSCA and clinical placement. Search Strategy A systematic literature search was performed using Medline and CINAHL. Selection Criteria This review considered any English language original research published between 2005 and 2013. Results …

An Evidence-Based Physical Exercise Protocol For People Living With Dementia In Nursing Homes, Lindsey Brett, Victoria Traynor, Paul J. Stapley, Shahla Meedya

Faculty of Science, Medicine and Health - Papers: part A

Abstract of a presentation at the 25th Alzheimer Europe Conference: Dementia: putting strategies and research into practice, Ljubljana, Slovenia, 2-4 September 2015.

Supporting Placement Supervision In Clinical Exercise Physiology, Rebecca Sealey, Jacqueline Raymond, Herb Groeller, Kieron Rooney, Meagan Crabb, Kerrianne Watt

Faculty of Science, Medicine and Health - Papers: part A

The continued engagement of the professional workforce as supervisors is critical for the sustainability and growth of work-integrated learning activities in university degrees. This study investigated factors that influence the willingness and ability of clinicians to continue to supervise clinical exercise physiology work-integrated learning opportunities and makes recommendations for future supervision engagement. Themes identified from a supervisor survey were: staffing and time availability; administrative processes and support; student quality, knowledge and attitudes; student learning experiences; supporting the profession; service benefit; clinical personal benefit; funding; workplace support; staff qualifications and experience; prior positive experiences; future recruitment; facilities and infrastructure; and supporting …

Evaluation Of Assessment In The Context Of Work-Based Learning: Qualitative Perspectives Of New Graduates, Claire Palermo, Alexandra Chung, Eleanor Beck, Susan Ash, Sandra Capra, Helen Truby, Brian Jolly

Faculty of Science, Medicine and Health - Papers: part A

Aim Evaluation or assessment of competence is an important step to ensure the safety and efficacy of health professionals, including dietitians. Most competency-based assessment studies are focused on valid and reliable methods of assessment for the preparation of entry-level dietitians, few papers have explored student dietitians' perceptions of these evaluations. The present study aimed to explore the perceptions of recent graduates from accredited nutrition and dietetics training programs in Australia. It also aimed to establish the relevance of competency-based assessment to adequately prepare them for entry-level work roles. Methods A purposive sample of newly graduated dietitians with a range of …

Evidence-Based Recommendations For Building Better Bras For Women Treated For Breast Cancer, Sheridan Gho, Bridget J. Munro, Sandra C. Jones, Julie R. Steele

Faculty of Science, Medicine and Health - Papers: part A

Participating in exercise is beneficial for women who have been treated for breast cancer. However, not being able to find a comfortable exercise bra can be a barrier to exercise participation. This study aimed to systematically investigate what breast support women treated for breast cancer want when they exercise in order to provide evidence-based recommendations to improve exercise bra designs for these women. Based on 432 responses from a national online survey, frequency and relationship data were analysed (binary logistic regression) to understand exercise bra issues pertinent to this population. These issues included being able to control for asymmetrical cup …

Limited Knowledge About Folic Acid And Iodine Nutrition In Pregnant Women Reflected In Supplementation Practices, Souad Elmani, Karen E. Charlton, Victoria M. Flood, Judy Mullan

Faculty of Science, Medicine and Health - Papers: part A

Aim In order to reduce the risk of neural tube defects (NTDs) and iodine deficiency in pregnancy, the National Health and Medical Research Council recommends that pregnant women supplement their diet with folic acid and iodine. This study aimed to identify the knowledge, attitudes and practices of pregnant women regarding intake of these nutrients in order to assess whether women are adequately exposed to this health message. Methods One hundred and fifty-two conveniently sampled pregnant women residing in a regional area of New South Wales, Australia, completed a pretested questionnaire on knowledge and practices regarding nutritional supplement use during pregnancy …

Antenatal Shared Care Model: What Do Pregnant Women And Their Healthcare Providers Know About Iodine?, Catherine Lucas, Karen E. Charlton, Lucy Brown, Erin Brock, Leanne C. Cummins

Faculty of Science, Medicine and Health - Papers: part A

Abstract of a presentation that was present at the NSA 2014 Annual Scientific Meeting, 26-28 November, Hobart, Australia.

Interdisciplinary Lifestyle Intervention: A Pilot Study Of Effects On Weight Loss, Linda Tapsell, Marijka Batterham, Rebecca Thorne, Joseph Russell, Allison Humphries

Faculty of Science, Medicine and Health - Papers: part A

Abstract of a presentation that was present at the NSA 2014 Annual Scientific Meeting, 26-28 November, Hobart, Australia.

Perceived Exercise Barriers Explain Exercise Participation In Australian Women Treated For Breast Cancer Better Than Perceived Exercise Benefits, Sheridan Gho, Bridget J. Munro, Sandra C. Jones, Julie R. Steele

Faculty of Science, Medicine and Health - Papers: part A

Objectives This study aimed to determine the effect of perceived exercise benefits and barriers on exercise levels among women who have been treated for breast cancer, and who were not part of formal exercise interventions. Design Anonymous, national online cross-sectional survey. Methods 432 women treated for breast cancer completed an online survey covering their treatment and demographic background, current exercise levels, and perceived exercise benefits and barriers. Each perceived benefit and barrier was considered in a binary logistic regression against reported exercise levels to ascertain significant relationships (p < 0.05) and associative values (odds ratio). Results Agreement with sixteen out of 19 exercise barriers, were significantly related to being more likely to report insufficient exercise levels, whereas agreement with 6 out of 15 exercise benefits were significantly related to being less likely to report insufficient levels of exercise. Feeling too weak, lacking self-discipline and not being a priority were the barriers with the largest association to insufficient exercise levels (OR (95% CI) = 10.97 (3.90-30.86); 8.12 (4.73-13.93); and 7.43 (3.72-14.83), respectively). Conversely, exercise enjoyment, improved feelings of well-being, and decreased feelings of stress and tension were the top three benefits associated with being less likely to have insufficient exercise levels (OR (95% CI) = (0.21 0.11-0.39), 0.21 (0.07-0.63), and 0.31 (0.15-0.63), respectively). Limitations Self-reported data measures were used to collect exercise data. Conclusions Targeting exercise barriers specific to women treated for breast cancer may improve exercise participation levels in this cohort. Awareness of the impact of exercise barriers identified in the present study will enable physical therapists to better plan exercise interventions that support all women treated for breast cancer.

Methodology For Jbi Umbrella Reviews, Edoardo Aromataris, Ritin S. Fernandez, Christina Godfrey, Cheryl Holly, Hanan Khalil, Patraporn Tungpunkom

Faculty of Science, Medicine and Health - Papers: part A

Every year the Joanna Briggs Institute publishes a Reviewers' Manual, which is designed to support individuals who are undertaking systematic reviews following JBI methodologies and methods. This chapter represents the latest work and methodological development of the Institute that was not ready for inclusion in the 2014 edition of the Reviewers' Manual that was published in January. As with the Reviewers' Manual we recommend that this chapter be utilised in conjunction with the JBI SUMARI User Guide. Please note that this chapter makes reference to forthcoming analytical modules that do not currently exist in the JBI SUMARI software suite, but …

Can Nurses Successfully Diagnose And Manage Patients With Copd?, Paul Enright, Elizabeth J. Halcomb, Luis Torre-Bouscoulet

Faculty of Science, Medicine and Health - Papers: part A

COPD is a highly prevalent chronic disease which can cost a country hundreds of millions of dollars per year. So it seems appropriate for as much of the diagnosis and care of patients with COPD to be managed by the most cost-effective health care providers as possible whilst maintaining quality outcomes.

An Assessment Of The Bhutanese Traditional Medicine For Its Ethnopharmacology, Ethnobotany And Ethnoquality: Textual Understanding And The Current Practices, Phurpa Wangchuk, Stephen G. Pyne, Paul A. Keller

Faculty of Science, Medicine and Health - Papers: part A

Ethnopharmacological relevance : This study involves the assessment of the Bhutanese traditional medicine (BTM) which was integrated with the mainstream biomedicine in 1967 to provide primary health care services in the country. It caters to 20-30% of the daily out-patients within 49 traditional medicine units attached to 20 district modern hospitals and 29 Basic Health Units in the country. Aim of the study : This study presents the ethnopharmacological, ethnobotanical and the ethnoquality concepts in relation to mainstream Tibetan medicine and describes the current practices of BTM. Materials and methods : Experienced BTM practitioners (Drung-tshos and Smen-pas) were selected using …

Effects Of Age On Strength Of The Toe Flexor Muscles, Karen J. Mickle, Salih Angin, Gillian Crofts, Julie R. Steele, Christopher Nester

Faculty of Science, Medicine and Health - Papers: part A

Abstract of paper that presented at the Eleventh Footwear Biomechanics Symposium, Natal, Brazil, 2013.

The Effects Of Spending Time Outdoors In Daylight On The Psychosocial Wellbeing Of Older People And Family Carers: A Comprehensive Systematic Review Protocol, Victoria Traynor, Ritin Fernandez, Katherine Caldwell

Faculty of Science, Medicine and Health - Papers: part A

Review question/objective The overall objective of this research is to undertake a systematic review of the effects of spending time outdoors in daylight on the psychosocial wellbeing of older adults and family carers. The specific questions to be addressed are: Which aspects of psychosocial wellbeing are affected by spending time outdoors in daylight in older adults and family carers? To what extent is spending time outdoors in the daylight effective in improving aspects of psychosocial wellbeing in older adults and family carers?

Observations Of Mealtimes In Hospital Aged Care Rehabilitation Wards, Karen Walton, Peter Williams, Linda Tapsell, Matthew Hoyle, Zhi Wei Shen, Lauren Gladman, Martin Nurka

Faculty of Science, Medicine and Health - Papers: part A

Malnutrition is common in long-stay elderly hospitalized patients and their dietary intakes are often poor, despite the provision of adequate quantities of food to meet patient needs. The aim of this study was to identify environmental factors that were associated with achieving adequate food consumption in a hospital context. This study observed the daily routines of 30 elderly patients over 2 days in rehabilitation wards in three Australian hospitals. All activities associated with mealtimes were recorded, from the commencement of breakfast to the conclusion of supper at the end of the day. Four key themes emerged: the eating location; assistance …

Goal Setting In Cardiac Rehabilitation: Implications For Clinical Practice, Ritin Fernandez, Rohan Rajaratnam, Kasey Evans, Anau Speizer

Faculty of Science, Medicine and Health - Papers: part A

Background: Effective goal setting is a vital component of cardiac rehabilitation (CR) programs. Objective: The objectives of this study were to investigate the types of goals set by patients attending a CR program in a tertiary teaching hospital and the compatibility of the goals set with the patient's risk factor profile. Methods: A descriptive, cross sectional, retrospective audit of the medical records of patients who attended the CR program in a tertiary teaching hospital in Sydney NSW between January 2007 and December 2009 was undertaken. The medical records of 355 patients who attended CR within the stipulated time frame were …

A Patient Experiencing Pseudoseizures: A Case Report, F Joseph, J Quinlan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Pseudoseizures are a relatively complex problem of unknown aetiology and prognosis. They can at times resemble genuine seizure attacks but they have no abnormal electroencephalograpic (EEG) activity. Understanding the patient's unique psychological background appears to be fundamental in managing seizure frequency. Pseudoseizures can be disruptive to a person's lifestyle, limiting their ability to function and progress in society, particularly when it comes to employment or social interaction. The case discussed involves a 59-year old man who presents with what is believed to be seizurerelated activity but through the course of clinical evaluation, this turned out to be pseudoseizures

Outcomes From A Pilot Project On Workplace Culture Observations: Getting Evaluation And Outcomes On The Agenda, Jan Dewing, Sue Moore, Rachel Lohrey, Julia Hoogesteger, Zena Sale, Chris Winstanley

Faculty of Science, Medicine and Health - Papers: part A

Abstract Aims and objectives: The overall aim of this mini project was to collaboratively engage in a learning activity that would provide evidence about the workplace culture to be used to inform other aspects of practice development work. The objectives were: to enhance observation skills; contribute to a team development activity; share and develop critical questions for use with local practice development action planning and build up active commitment to practice development work within the group. Design: A small pilot project embedded within a larger complex emancipatory practice development programme. Method: An unstructured observation method was used and followed up …

Education Improves Bra Knowledge And Fit, And Level Of Breast Support In Adolesent Female Athletes: A Cluster-Randomised Trial, Deirdre Mcghee, Julie R. Steele, Bridget J. Munro

Faculty of Health and Behavioural Sciences - Papers (Archive)

Questions: Can an education booklet handed out by a physiotherapist improve bra knowledge and fit, and level of breast support, of bras worn by adolescent female athletes? Design: Cluster-randomised trial with intention-to-treat analysis. Participants: 115 adolescent females from four regional sporting academies aged 16 yr (SD 1) and with an average Australian bra size of 12B. Intervention: The experimental group received an education booklet on bra fit and breast support from a sports physiotherapist. The control group received no intervention. Outcome measures: The primary outcome was bra knowledge measured by a questionnaire. Secondary outcomes were a pass on the Bra …

The Development Of A Pre-Registration Nursing Competencies Assessment Tool For Use Across Australian Universities, Patrick A. Crookes, Roy Brown, Phill Della, Denise Dignam, Helen Edwards, Helen Mccutcheon

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Evaluating Inpatient Public Rehabilitation In Australia Using A Utilization Review Tool Developed In North America, C. Poulos

Graduate School of Medicine - Papers (Archive)

Objective: To evaluate inpatient rehabilitation in public facilities in Australia against a utilization review tool used in the USA. Design: Prospective cohort study. Subjects: Patients identified in the acute wards of a regional referral hospital and subsequently transferred to a public inpatient rehabilitation facility. Methods: The InterQual utilization review criteria were applied to days of stay in the rehabilitation wards. Reasons for variance and actual therapy time were recorded. Results: Data on 267 patient episodes (7359 days) are available. Only 48% of patient days met utilization review criteria, with reasons for variance including insufficient therapy, awaiting discharge to long-term care …

Complex Adaptive Systems As A Model For Evaluating Organisational Change Caused By The Introduction Of Health Information Systems, Kieren Diment Mr, Ping Yu, K. Garrety

Faculty of Informatics - Papers (Archive)

This paper documents the preliminary development of a framework for evaluating organisational change processes during the implementation of an electronic nursing documentation system in residential aged care facilities. It starts with a brief outline of organisational change processes. This is followed by a more detailed exposition of the principles underlying complex adaptive systems (CAS) theory, where we explain how mathematical concepts can be used to illuminate qualitative research approaches. Finally we present some preliminary findings on the facilitators and barriers for the introduction of the electronic documentation system, explained with reference to the CAS theory, based on analysis of interviews …

Atp Release During Cystometry In Women With Detrusor Overactivity And Painful Bladder Syndrome: Contribution To 'Urgency'?, Elizabeth Burcher, Kylie J. Mansfield, W Allan, C Walsh, Kate H. Moore, Ying Cheng

Graduate School of Medicine - Papers (Archive)

ATP is an important signalling molecule whose release from the bladder urothelium in response to stretch is thought to stimulate afferent nerves and thus convey information about bladder fullness (and the sensation of urgency). Our aim was to measure the release of ATP during urodynamic filling of bladders of women with idiopathic detrusor overactivity (DO), painful bladder syndrome (PBS) and stress incontinence (controls), in order to test the hypothesis that ATP release might play a role in bladder function and/or dysfunction.

Media Reporting Of Health Interventions: Signs Of Improvement, But Major Problems Persist, Amanda J. Wilson, Billie Bonevski, Alison L. Jones, David Henry

Graduate School of Medicine - Papers (Archive)

Background: Studies have persistently shown deficiencies in medical reporting by the mainstream media. We have been monitoring the accuracy and comprehensiveness of medical news reporting in Australia since mid 2004. This analysis of more than 1200 stories in the Australian media compares different types of media outlets and examines reporting trends over time.

Methods and Findings: Between March 2004 and June 2008 1230 news stories were rated on a national medical news monitoring web site, Media Doctor Australia. These covered a variety of health interventions ranging from drugs, diagnostic tests and surgery to dietary and complementary therapies. Each story was …

Transforming Higher Education Through Learning-Oriented Assessment, Mike Keppell, Dominique Parrish

Faculty of Science, Medicine and Health - Papers: part A

Outcomes By the completion of the workshop participants will be able to: • Recognise the distinct characteristics of a learning-oriented assessment task • Determine the appropriateness of learning-oriented assessment for their own context • Design a learning-oriented assessment task for a subject they are currently teaching • Examine a model for transforming and leading change in higher education through learning-oriented assessment • Explore potential avenues for transforming and leading change in assessment in the university setting.

Do We Encourage Health Or Illness? A Survey Of Exercise Rehabilitation Practices For Patients In Australian Renal Units, Y. White, B. Grenyer

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: People with end stage renal disease (ESRD) have been reported as having low levels of physical activity. Sedentary behaviours increase illness risks which may lead to burdens on the public health system which include costs of medical care. Research has established that exercise is reported to improve general health and wellbeing. Benefits include better aerobic tolerance, maintenance and improvement in physical function and capacity, and improvement in self-concept and well-being. These same improvements also occur in an exercising ESRD population, even though the improvements might be of less magnitude. Renal unit staff can have a major impact on patients …