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Social and Behavioral Sciences Commons™
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Articles 1 - 12 of 12
Full-Text Articles in Social and Behavioral Sciences
Uptake Of Medicare Chronic Disease Items In Australia By General Practice Nurses And Aboriginal Health Workers, Elizabeth J. Halcomb, Patricia M. Davidson, Nicola Brown
Uptake Of Medicare Chronic Disease Items In Australia By General Practice Nurses And Aboriginal Health Workers, Elizabeth J. Halcomb, Patricia M. Davidson, Nicola Brown
Elizabeth Jane Halcomb Professor
The Australian health care system is currently in a state of reform and there is increasing pressure to provide care in community settings. Rising costs, demands and population ageing underscore the importance of adopting models of health care delivery to address changing epidemiological patterns. Population ageing and the increase of chronic conditions challenge models based on acute care. Changes to the Medicare benefits schedule have facilitated the development of a range of expanded nursing services in the general practice setting. In particular, item number 10997 was introduced to reimburse practice nurses and Aboriginal health workers (AHWs) for providing monitoring and …
Development Of A Clinician-Led Research Agenda For General Practice Nurses, Elizabeth J. Halcomb, Louise Hickman
Development Of A Clinician-Led Research Agenda For General Practice Nurses, Elizabeth J. Halcomb, Louise Hickman
Elizabeth Jane Halcomb Professor
Objective: This study sought to identify and prioritise research issues as perceived by Australian general practice nurses. In this context, a research priority refers to the most pressing research problems that necessitate exploration to improve clinical practice. Design: This paper reports the findings of a two-round Delphi study. Initially, focus groups identified research issues. Subsequently, an online survey facilitated ranking of these issues on a 5-point Likert scale. Setting: Australian general practices. Subjects: Twenty-five practice nurses participated in the focus groups and 145 practice nurses responded to an online survey. Main outcome measure(s): The main outcome measure was the prioritisation …
Practice Nurses Experiences Of Mentoring Undergraduate Nursing Students In Australian General Practice, Elizabeth J. Halcomb, Kathleen Peters, Susan Mcinnes
Practice Nurses Experiences Of Mentoring Undergraduate Nursing Students In Australian General Practice, Elizabeth J. Halcomb, Kathleen Peters, Susan Mcinnes
Elizabeth Jane Halcomb Professor
Internationally, the delivery of health services has shifted from secondary to primary care, necessitating an exponential growth of the nursing workforce and expansion of the nursing role in general practice. This growth, and the subsequent need to develop this workforce, has created a need to expose undergraduate nurses to general practice nursing as a viable career option. Concurrently, universities are struggling to find sufficient clinical places for their undergraduate students to gain clinical experience. It is logical, therefore, to increase the number of undergraduate nursing student placements in general practice. Through qualitative research methods, this paper seeks to explore the …
Sessional Teachers In A Bn Program: Bridging The Divide Or Widening The Gap?, Sharon Andrew, Elizabeth J. Halcomb, Debra Jackson, Kath Peters, Yenna Salamonson
Sessional Teachers In A Bn Program: Bridging The Divide Or Widening The Gap?, Sharon Andrew, Elizabeth J. Halcomb, Debra Jackson, Kath Peters, Yenna Salamonson
Elizabeth Jane Halcomb Professor
Casualisation of the academic workforce has resulted in an increase in the employment of sessional teachers in Bachelor of Nursing (BN) programs. Many of these teachers are drawn from specialty clinical areas and continue to work clinically while teaching part-time. The aim of this study was to explore the perceptions of sessional teachers about their perceived contribution to an undergraduate Bachelor of Nursing program in a single Australian university. Twelve sessional teachers participated in semi-structured interviews as part of a larger mixed method study exploring the issues related to sessional teaching in the Bachelor of Nursing program. Three themes emerged …
Casualisation Of The Teaching Workforce: Implications For Nursing Education, Elizabeth J. Halcomb, Sharon Andrew, Kath Peters, Yenna Salamonson, Debra Jackson
Casualisation Of The Teaching Workforce: Implications For Nursing Education, Elizabeth J. Halcomb, Sharon Andrew, Kath Peters, Yenna Salamonson, Debra Jackson
Elizabeth Jane Halcomb Professor
Internationally, nursing faculty shortages have been reported and there is a potential for them to worsen into the next decade as existing faculty age. To, in part, address this issue, across disciplines there is clearly an international trend towards the increasing casualisation of the higher education workforce. Despite the potential impact of this two-tiered workforce structure, there has been limited examination of the discipline specific issues related to the employment of a growing number of sessional nursing staff. This paper provides a critical review of the literature related to the employment of sessional teachers in higher education. The paper advances …
A Qualitative Evaluation Of New Zealand Consumers Perceptions Of General Practice Nurses, Elizabeth J. Halcomb, Kath Peters, Deborah Davies
A Qualitative Evaluation Of New Zealand Consumers Perceptions Of General Practice Nurses, Elizabeth J. Halcomb, Kath Peters, Deborah Davies
Elizabeth Jane Halcomb Professor
Background An important consideration in health service delivery is ensuring that services meet consumer needs and that consumers are satisfied with service delivery. Patient satisfaction can impact on compliance with suggested treatments and therefore impact on health outcomes. Comparatively few studies have explored consumer satisfaction with nurses in general practice. Methods A sub-group of 18 consumers from a larger quantitative evaluation of consumer satisfaction with New Zealand general practice nurses participated in semi-structured telephone interviews. Interview data was analysed using thematic analysis. Results Four major themes emerged from the data. These themes highlighted that, despite confusion experienced by some consumers …
Clinical Placements In General Practice: Relationships Between Practice Nurses And Tertiary Institutions, Kath Peters, Elizabeth J. Halcomb, Susan Mcinnes
Clinical Placements In General Practice: Relationships Between Practice Nurses And Tertiary Institutions, Kath Peters, Elizabeth J. Halcomb, Susan Mcinnes
Elizabeth Jane Halcomb Professor
As a practice-based discipline a key component of undergraduate nurse education is clinical practice experience. The quality of clinical experiences has a significant impact on the students' ability to function competently post graduation. The relationship between higher education institutions (HEIs) and health service placement providers impacts upon the quality of clinical placements. In Australia, the growth of primary care nursing and the shortage of acute clinical places has prompted HEIs to explore the placement of students in general practice. Given the increasing attention being paid to non-traditional clinical placements, it is timely to explore how universities are establishing relationships and …
The Chronic Heart-Failure Assistance By Telephone (Chat) Study: Assessment Of Telephone Support For Vulnerable Patients With Chronic Disease, Julie Yallop, Bianca Chan, Leon Piterman, Andrew Tonkin, Andrew Forbes, Patricia M. Davidson, Robyn Clark, Elizabeth Halcomb, Andrea Nangle, Simon Stewart, Joanne Croucher, Henry Krum
The Chronic Heart-Failure Assistance By Telephone (Chat) Study: Assessment Of Telephone Support For Vulnerable Patients With Chronic Disease, Julie Yallop, Bianca Chan, Leon Piterman, Andrew Tonkin, Andrew Forbes, Patricia M. Davidson, Robyn Clark, Elizabeth Halcomb, Andrea Nangle, Simon Stewart, Joanne Croucher, Henry Krum
Elizabeth Jane Halcomb Professor
Aim: To determine whether telephone support using an evidence-based protocol for chronic heart failure (CHF) management will improve patient outcomes and will reduce hospital readmission rates in patients without access to hospital-based management programs. Methods: The rationale and protocol for a cluster-design randomised controlled trial (RCT) of a semi-automated telephone intervention for the management of CHF, the Chronic Heart-failure Assistance by Telephone (CHAT) Study is described. Care is coordinated by trained cardiac nurses located in Heartline, the national call center of the National Heart Foundation of Australia in partnership with patients' general practitioners (GPs). Conclusions: The CHAT Study model represents …
A Comparative Study Of Assessment Grading And Nursing Students' Perceptions Of Quality In Sessional And Tenured Teachers, Yenna Salamonson, Elizabeth J. Halcomb, Sharon Andrew, Kathleen Peters, Debra Jackson
A Comparative Study Of Assessment Grading And Nursing Students' Perceptions Of Quality In Sessional And Tenured Teachers, Yenna Salamonson, Elizabeth J. Halcomb, Sharon Andrew, Kathleen Peters, Debra Jackson
Elizabeth Jane Halcomb Professor
Purpose: Although the global nursing faculty shortage has led to increasing reliance upon sessional staff, limited research has explored the impact of these sessional staff on the quality of teaching in higher education. We aim to examine differences in (a) student satisfaction with sessional and tenured staff and (b) assessment scores awarded by sessional and tenured staff in students' written assignments. Design: A comparative study method was used. Participants were recruited from students enrolled in the three nursing practice subjects across the 3 years of the baccalaureate program in an Australian university during the second semester of 2008. Methods: This …
Quit In General Practice: A Cluster Randomised Trial Of Enhanced In-Practice Support For Smoking Cessation, Nicholas Arnold Zwar, Robyn Richmond, Elizabeth Halcomb, John Furler, Julie Smith, Oshana Hermiz, Irene Blackberry, Ron Borland
Quit In General Practice: A Cluster Randomised Trial Of Enhanced In-Practice Support For Smoking Cessation, Nicholas Arnold Zwar, Robyn Richmond, Elizabeth Halcomb, John Furler, Julie Smith, Oshana Hermiz, Irene Blackberry, Ron Borland
Elizabeth Jane Halcomb Professor
Background This study will test the uptake and effectiveness of a flexible package of smoking cessation support provided primarily by the practice nurse (PN) and tailored to meet the needs of a diversity of patients. Methods/Design This study is a cluster randomised trial, with practices allocated to one of three groups 1) Quit with Practice Nurse 2) Quitline referral 3) GP usual care. PNs from practices randomised to the intervention group will receive a training course in smoking cessation followed by access to mentoring. GPs from practices randomised to the Quitline referral group will receive information about the study and …
Marginalised Mothers: Lesbian Women Negotiating Heteronormative Healthcare Services, Brenda Hayman, Lesley Wilkes, Elizabeth J. Halcomb, Debra Jackson
Marginalised Mothers: Lesbian Women Negotiating Heteronormative Healthcare Services, Brenda Hayman, Lesley Wilkes, Elizabeth J. Halcomb, Debra Jackson
Elizabeth Jane Halcomb Professor
Lesbian mothers share mainstream existence with other mothers by virtue of their motherhood, but remain marginalised by their non-heterosexual identity. This paper will draw on the qualitative findings of a recent Australian study that examined the experiences of lesbian mothers. Using a story-sharing method, data were collected using three methods; a demographic data sheet, in-depth semi-structured interviews and journaling. The findings demonstrated that participants experienced various forms of homophobia when interfacing with healthcare services and providers and included exclusion, heterosexual assumption, inappropriate questioning and refusal of services. Strategies used to avoid homophobia included screening and crusading.
Beyond The Rhetoric: What Do We Mean By A 'Model Of Care'?, Patricia Davidson, Elizabeth Halcomb, L Hickman, J Phillips, B Graham
Beyond The Rhetoric: What Do We Mean By A 'Model Of Care'?, Patricia Davidson, Elizabeth Halcomb, L Hickman, J Phillips, B Graham
Elizabeth Jane Halcomb Professor
Background: Contemporary health care systems are constantly challenged to revise traditional methods of health care delivery. These challenges are multifaceted and stem from: (1) novel pharmacological and non-pharmacological treatments; (2) changes in consumer demands and expectations; (3) fiscal and resource constraints; (4) changes in societal demographics in particular the ageing of society; (5) an increasing burden of chronic disease; (6) documentation of limitations in traditional health care delivery; (7) increased emphasis on transparency, accountability, evidence-based practice (EBP) and clinical governance structures; and (8) the increasing cultural diversity of the community. These challenges provoke discussion of potential alternative models of care, …