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Full-Text Articles in Social and Behavioral Sciences
Activating Primary Care Copd Patients With Multi-Morbidity (Apcom) Pilot Project: Study Protocol, Sameera Ansari, Hassan Hosseinzadeh, Sarah May Dennis, Nicholas Zwar
Activating Primary Care Copd Patients With Multi-Morbidity (Apcom) Pilot Project: Study Protocol, Sameera Ansari, Hassan Hosseinzadeh, Sarah May Dennis, Nicholas Zwar
Faculty of Science, Medicine and Health - Papers: part A
Chronic obstructive pulmonary disease (COPD), third leading cause of mortality worldwide,1 is primarily caused by cigarette smoking in Australia.2 COPD often occurs in the presence of multi-morbidity, which is the simultaneous occurrence of two or more chronic conditions; this is a growing concern in a health system focused on single-disease management.3 Around 80% of older Australians have multi-morbidity, average prevalence of chronic respiratory disease being 9.5%.4 A systematic review of COPD education programs suggests that equipping patients with self-management skills is as important as disease knowledge.5 Studies exploring positive effects of chronic disease-management interventions6 also underline the lack of studies …
Changes In Medical Education To Help Physicians Meet Future Health Care Needs, Judith N. Hudson, Kathryn M. Weston, Elizabeth Farmer
Changes In Medical Education To Help Physicians Meet Future Health Care Needs, Judith N. Hudson, Kathryn M. Weston, Elizabeth Farmer
Faculty of Science, Medicine and Health - Papers: part A
Health care needs are changing due to the rapidly ageing population and the increasing number of patients with long term conditions and comorbidities.1 This has occurred at a time of continuing maldistribution of the medical workforce in Australia and increased specialisation and subspecialisation within the medical profession and the medical education system. As the next generation of doctors will need to serve an older population and those with more than one condition, a more useful focus would be "much less on narrow disease silos and . more on the breadth of possible permutations of co-morbidity". 1 Long periods of training …
Many People In Scotland Now Benefit From Anticipatory Care Before They Die: An After Death Analysis And Interviews With General Practitioners, Julia Tapsfield, Charlie Hall, Carey Lunan, Hazel Mccutcheon, Peter Mcloughlin, Joel J. Rhee, Alfonso Leiva, Juliet Spiller, Anne Finucane, Scott Murray
Many People In Scotland Now Benefit From Anticipatory Care Before They Die: An After Death Analysis And Interviews With General Practitioners, Julia Tapsfield, Charlie Hall, Carey Lunan, Hazel Mccutcheon, Peter Mcloughlin, Joel J. Rhee, Alfonso Leiva, Juliet Spiller, Anne Finucane, Scott Murray
Faculty of Science, Medicine and Health - Papers: part A
Background Key Information Summaries (KIS) were introduced throughout Scotland in 2013 so that anticipatory care plans written by general practitioners (GPs) could be routinely shared electronically and updated in real time, between GPs and providers of unscheduled and secondary care. Aims We aimed to describe the current reach of anticipatory and palliative care, and to explore GPs' views on using KIS. Methods We studied the primary care records of all patients who died in 2014 in 9 diverse Lothian practices. We identified if anticipatory or palliative care had been started, and if so how many weeks before death and which …
Developing The Delirium Care Pathways, Victoria Traynor, Nicole Britten, Pippa Burns
Developing The Delirium Care Pathways, Victoria Traynor, Nicole Britten, Pippa Burns
Faculty of Science, Medicine and Health - Papers: part A
The aim of this study was to develop delirium care pathways (DCPs) useable and relevant for registered practitioners in all care settings: community; acute; and nursing homes. A qualitative approach was adopted to develop the pathways inductively. Focus groups and one-to-one interviews with registered practitioners (n = 45) working as managers, practitioners and clinical nurse consultants were undertaken to develop draft versions of the pathways, which was pilot trialled across 19 clinical settings. The publication of the DCPs was a concise and easily readable document for registered practitioners who required immediate guidance on how to implement evidence-based delirium care for …
Improving The Uptake Of Pre-Travel Health Advice Amongst Migrant Australians: Exploring The Attitudes Of Primary Care Providers And Migrant Community Groups, Holly Seale, Rajneesh Kaur, Abela Mahimbo, C Raina Macintyre, Nicholas Arnold Zwar, Mitchell Smith, Heather Worth, Anita Heywood
Improving The Uptake Of Pre-Travel Health Advice Amongst Migrant Australians: Exploring The Attitudes Of Primary Care Providers And Migrant Community Groups, Holly Seale, Rajneesh Kaur, Abela Mahimbo, C Raina Macintyre, Nicholas Arnold Zwar, Mitchell Smith, Heather Worth, Anita Heywood
Faculty of Science, Medicine and Health - Papers: part A
Background: Migrant travellers who return to their country of origin to visit family and friends (VFR) are less likely to seek travel-related medical care and are less likely to adhere to recommended medications and travel precautions. Through this study, we aimed to get an understanding of the views of stakeholders from community migrant centres and primary care providers on barriers for migrants, particularly from non-English speaking backgrounds, in accessing travel health advice and the strategies that could be used to engage them. Methods: A qualitative study involving 20 semi-structured interviews was undertaken in Sydney, Australia between January 2013 and September …
Facilitating Better Health Care For Mental Health Consumers: Complexities Of Establishing A Partnership Program, Christopher Patterson, Alex Gagan, Sarah Watson, Angela Douglas
Facilitating Better Health Care For Mental Health Consumers: Complexities Of Establishing A Partnership Program, Christopher Patterson, Alex Gagan, Sarah Watson, Angela Douglas
Faculty of Science, Medicine and Health - Papers: part A
Abstract of paper that presented at the Australian College of Mental Health Nursing 39th International Mental Health Nursing Conference, 22-24 October, 2013, Perth, Australia.
Facilitating Better Health Care For Mental Health Consumers Through Engagement: Complexities Of Establishing A Partnership Pilot Program Between Mental Health Professionals And University Exercise Physiology Students, Angela Douglas, Alex Gagan, Keirin Mccormack, Sarah Lisle
Facilitating Better Health Care For Mental Health Consumers Through Engagement: Complexities Of Establishing A Partnership Pilot Program Between Mental Health Professionals And University Exercise Physiology Students, Angela Douglas, Alex Gagan, Keirin Mccormack, Sarah Lisle
Faculty of Science, Medicine and Health - Papers: part A
Abstract of the oral presentation.
Is A Good Idea Enough?' Engaging Mental Health Professionals And University Of Wollongong Students To Facilitate Sustainable Change In Health Care For Mental Health Consumers, Angela Douglas, Alex Gagan, Keirin Mccormack, Sarah Lisle
Is A Good Idea Enough?' Engaging Mental Health Professionals And University Of Wollongong Students To Facilitate Sustainable Change In Health Care For Mental Health Consumers, Angela Douglas, Alex Gagan, Keirin Mccormack, Sarah Lisle
Faculty of Science, Medicine and Health - Papers: part A
Abstract of paper that presented at the 2013 Engagement Australia Conference, 15-17 July, Australian Catholic University, Melbourne.
Quality Of Life Of Community-Based Palliative Care Clients And Their Caregivers, Tanya Connell, Ritin S. Fernandez, Duong Tran, Rhonda Griffiths, Janeane Harlum, Meera Agar
Quality Of Life Of Community-Based Palliative Care Clients And Their Caregivers, Tanya Connell, Ritin S. Fernandez, Duong Tran, Rhonda Griffiths, Janeane Harlum, Meera Agar
Faculty of Science, Medicine and Health - Papers: part A
This study aimed to investigate health-related quality of life of palliative care (PC) clients and their caregivers, at baseline and follow-up, following a referral to a community PC service. Quality of life of clients and their caregivers was respectively measured using the McGill Quality of Life instrument (MQoL) and the Caregiver Quality of Life Cancer Index (CQoLC) instruments. Participants were recruited from June 8 to October 27, 2006. This study was undertaken in one zone of an Area Health Service in New South Wales, which has a diverse socioeconomic population. The zone covers an area of 6237 km2 and is …
Patients Communicating With Their Primary Care Physician About Chronic Disease Treatment In Regional Australia: Is Health Literacy Important?, J Mullan, K Weston, A Bonney, C Magee, G Albert, B Gerges, Soheir Abadier, T Smith, V Bonney, B Dijkmans-Hadley, C Kielly-Carroll
Patients Communicating With Their Primary Care Physician About Chronic Disease Treatment In Regional Australia: Is Health Literacy Important?, J Mullan, K Weston, A Bonney, C Magee, G Albert, B Gerges, Soheir Abadier, T Smith, V Bonney, B Dijkmans-Hadley, C Kielly-Carroll
Faculty of Science, Medicine and Health - Papers: part A
No abstract provided.
Facilitation Development In The Essentials Of Care Program; Learning About And Leading Change, D Higgs, P Bergin, C Green, J Crisp, K Walsh
Facilitation Development In The Essentials Of Care Program; Learning About And Leading Change, D Higgs, P Bergin, C Green, J Crisp, K Walsh
Faculty of Science, Medicine and Health - Papers: part A
Abstract of paper presented at the Australian Nursing and Midwifery Conference, Newcastle, Australia, 17-18 October 2013.
From Darkness To Lightness: Developing A Working Definition Of Special Observation In An Acute Aged Care Setting, Michael Kerr, Yvonne Verner, Victoria Traynor
From Darkness To Lightness: Developing A Working Definition Of Special Observation In An Acute Aged Care Setting, Michael Kerr, Yvonne Verner, Victoria Traynor
Faculty of Science, Medicine and Health - Papers: part A
Background: Special observation is a practice in common use in acute care settings for older people, in particular when dementia and/or delirium are/is experienced, but there is little evidence of best practice approaches. Aim and objectives: The overall aim of this project was to develop a working definition of special observation in acute aged care settings. The objectives were to identify barriers and enablers for undertaking special observation and compare descriptions of special observation practice by staff with those in policy and related documents. Methods: The setting was an acute care ward in a large regional hospital in New South …
Observations Of Mealtimes In Hospital Aged Care Rehabilitation Wards, Karen Walton, Peter Williams, Linda Tapsell, Matthew Hoyle, Zhi Wei Shen, Lauren Gladman, Martin Nurka
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 …
Patient-Centred Care: What's Important To Our Patients?, N Smith
Patient-Centred Care: What's Important To Our Patients?, N Smith
Faculty of Science, Medicine and Health - Papers: part A
Patients were asked what mattered to them in their episode of surgery and anaesthesia. Although most responses were based on the medical condition and procedure, this approach allowed the anaesthetist to customise aspects of care to individual patients. It is a concept that appears relevant and worthwhile to our patients.
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
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 …
Recovery And Mental Health Care: Views Of Ed Nurses, Donna Marynowski-Traczyk, Lorna Moxham, Marc Broadbent
Recovery And Mental Health Care: Views Of Ed Nurses, Donna Marynowski-Traczyk, Lorna Moxham, Marc Broadbent
Faculty of Science, Medicine and Health - Papers: part A
The demand for acute and emergency mental health care exceeds current supply of available services and it is well documented that registered nurses are increasingly caring for consumers with a mental illness as part of their daily work.
Adapting General Practice Training To Meet The Evolving Health Care Needs Of Our Communities, Andrew Bonney, Simon Morgan, Parker Magin
Adapting General Practice Training To Meet The Evolving Health Care Needs Of Our Communities, Andrew Bonney, Simon Morgan, Parker Magin
Faculty of Science, Medicine and Health - Papers: part A
Abstract of workshop held at General Practice Education and Training Convention 2013, 11-12 September 2013, Perth.
Fostering Teamwork For Health Care Professionals In The Online Learning Environment, Joanne T. Joyce-Mccoach
Fostering Teamwork For Health Care Professionals In The Online Learning Environment, Joanne T. Joyce-Mccoach
Faculty of Science, Medicine and Health - Papers: part A
The inclusion of group assignments as part of teaching and learning in the education of health professionals is an expectation of registration bodies and health care stakeholders. Effective teamwork skills are seen as essential for productive working relationships in multidisciplinary teams and contributing to better health outcomes for staff and health care consumers. The translation of traditional approaches to teaching health care professionals to the online learning environment requires course coordinators to re-examine the relevance, design and assessment of group work. This presentation showcases the development of online group assessments that applies these education principles to the development of an …
Care Of Patients With A Diagnosis Of Chronic Obstructive Pulmonary Disease: A Cluster Randomised Controlled Trial, Nicholas Zwar, Oshana Hermiz, Elizabeth J. Comino, Sandy Middleton, Sanjyot Vagholkar, Wei Xuan, Stephen F. Wilson, Guy B. Marks
Care Of Patients With A Diagnosis Of Chronic Obstructive Pulmonary Disease: A Cluster Randomised Controlled Trial, Nicholas Zwar, Oshana Hermiz, Elizabeth J. Comino, Sandy Middleton, Sanjyot Vagholkar, Wei Xuan, Stephen F. Wilson, Guy B. Marks
Faculty of Science, Medicine and Health - Papers: part A
Objective: To evaluate a partnership model of care for patients with a diagnosis of chronic obstructive pulmonary disease (COPD). Design, setting and participants: Cluster randomised controlled trial with blinded outcome assessment of 44 general practices in south-western Sydney comprising 451 people with a diagnosis of COPD, conducted between 2006 and 2009. Intervention: Participants from intervention group practices were visited at their home by a registered nurse with specific training in COPD care who worked with the general practitioner, the patient and other health professionals to develop and implement an individualised care plan based on best-practice guidelines. Participants from control group …
Nutrition Status Of Primary Care Patients With Depression And Anxiety, Adrienne K. Forsyth, Peter G. Williams, Frank P. Deane
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
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
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
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
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 …
Annual Influenza Vaccination: Coverage And Attitudes Of Primary Care Staff In Australia, Kirsten Ward, Holly Seale, Nicholas Zwar, Julie Leask, C Raina Macintyre
Annual Influenza Vaccination: Coverage And Attitudes Of Primary Care Staff In Australia, Kirsten Ward, Holly Seale, Nicholas Zwar, Julie Leask, C Raina Macintyre
Faculty of Science, Medicine and Health - Papers: part A
Background Annual influenza vaccination is recommended for all Australian health care workers (HCWs) including those working in primary health care. There is limited published data on coverage, workplace provision, attitudes and personal barriers to influenza vaccination amongst primary health care staff. The aim of this study was to contribute to the limited literature base in this important area by investigating these issues in the primary health care setting in New South Wales (NSW), Australia. Methods A postal survey was sent to general practitioners (GPs) and practice nurses (PNs) from inner city, semi-urban and rural areas of NSW, Australia. There were …
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
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
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
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
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
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 …