Boundary crossers : how providers facilitate ethnic minority families' access to dementia services
- Brijnath, Bianca, Gilbert, Andrew, Antoniades, Josefine, Croy, Samantha, Kent, Mike, Ellis, Katie, Browning, Colette, Goeman, Dianne, Adams, Jon
- Authors: Brijnath, Bianca , Gilbert, Andrew , Antoniades, Josefine , Croy, Samantha , Kent, Mike , Ellis, Katie , Browning, Colette , Goeman, Dianne , Adams, Jon
- Date: 2022
- Type: Text , Journal article
- Relation: Journals of Gerontology - Series B Psychological Sciences and Social Sciences Vol. 77, no. 2 (2022), p. 396-406
- Full Text: false
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- Description: Objectives: Providers who work closely with ethnic minority people with dementia and their families are pivotal in helping them access services. However, few studies have examined how these providers actually do this work. Using the concept of "boundary crossers,"this article investigates the strategies applied by these providers to facilitate access to dementia services for ethnic minority people with dementia and their families. Methods: Between 2017 and 2020, in-depth video-recorded interviews were conducted with 27 health, aged care, and community service providers working with ethnic minority people living with dementia across Australia. Interviews were conducted in one of seven languages and/or in English, then translated and transcribed verbatim into English. The data were analyzed thematically. Results: Family and community stigma associated with dementia and extra-familial care were significant barriers to families engaging with services. To overcome these barriers, participants worked at the boundaries of culture and dementia, community and systems, strategically using English and other vernaculars, clinical and cultural terminology, building trust and rapport, and assisting with service navigation to improve access. Concurrently, they were cognizant of familial boundaries and were careful to provide services that were culturally appropriate without supplanting the families' role. Discussion: In negotiating cultural, social, and professional boundaries, providers undertake multidimensional and complex work that involves education, advocacy, negotiation, navigation, creativity, and emotional engagement. This work is largely undervalued but offers a model of care that facilitates social and community development as well as service integration across health, aged care, and social services. © 2021 The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved.
Delineating genetic management units of sambar deer (Rusa unicolor) in south-eastern Australia, using opportunistic tissue sampling and targeted scat collection
- Davies, Christopher, Wright, Wendy, Wedrowicz, Faye, Pacioni, Carlo, Hogan, Fiona
- Authors: Davies, Christopher , Wright, Wendy , Wedrowicz, Faye , Pacioni, Carlo , Hogan, Fiona
- Date: 2022
- Type: Text , Journal article
- Relation: Wildlife Research Vol. 49, no. 2 (2022), p. 147-157
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- Description: Context: Invasive species are major drivers of biodiversity loss, requiring management to reduce their ecological impacts. Population genetics can be applied to delineate management units, providing information that can help plan and improve control strategies. Aim: The present study aims to use a genetic approach to test the existence of three previously proposed sambar deer populations in south-eastern Australia. In doing so, the study aims to delineate management units of sambar deer in south-eastern Australia. Methods: Sambar deer DNA was sourced opportunistically from tissue samples and targeted scat collection. Samples were collected from three areas in Victoria, south-eastern Australia: Mt Cole (MC), French Island (FI) and eastern Victoria (EV). Contemporary population structure was assessed using a suite of 11 polymorphic microsatellite markers. The number of maternal sambar deer lineages in south-eastern Australia was investigated through sequencing of the mitochondrial (mt)DNA control region. Key results: Three distinct genetic clusters were identified. Differentiation among inferred clusters was found to be high, with FST ranging from 0.24 between EV and FI clusters and 0.48 between MC and FI clusters. Two mtDNA haplotypes were identified; R.u1 was found throughout EV and FI, and R.u2 was unique to MC. DNA isolated from scats provided reliable data and proved critical for sampling areas where hunting and culling of deer are not generally undertaken. Conclusions: Three genetically distinct sambar deer management units in south-eastern Australia are defined-MC, FI and EV. Sambar deer control strategies should be applied to each management unit independently. This may be difficult or infeasible for the EV management unit, which is large and geographically complex. Further research may help identify additional fine-scale genetic structure in EV, allowing smaller, more practicable management units to be identified. Implications: Genetic data can be used to identify management units for invasive species, which will be critical for the development of future management strategies and improving control operations. The approach outlined here could also be applied to improve the management of other introduced deer species in south-eastern Australia. © 2022 CSIRO Open Access.
- Authors: Davies, Christopher , Wright, Wendy , Wedrowicz, Faye , Pacioni, Carlo , Hogan, Fiona
- Date: 2022
- Type: Text , Journal article
- Relation: Wildlife Research Vol. 49, no. 2 (2022), p. 147-157
- Full Text:
- Reviewed:
- Description: Context: Invasive species are major drivers of biodiversity loss, requiring management to reduce their ecological impacts. Population genetics can be applied to delineate management units, providing information that can help plan and improve control strategies. Aim: The present study aims to use a genetic approach to test the existence of three previously proposed sambar deer populations in south-eastern Australia. In doing so, the study aims to delineate management units of sambar deer in south-eastern Australia. Methods: Sambar deer DNA was sourced opportunistically from tissue samples and targeted scat collection. Samples were collected from three areas in Victoria, south-eastern Australia: Mt Cole (MC), French Island (FI) and eastern Victoria (EV). Contemporary population structure was assessed using a suite of 11 polymorphic microsatellite markers. The number of maternal sambar deer lineages in south-eastern Australia was investigated through sequencing of the mitochondrial (mt)DNA control region. Key results: Three distinct genetic clusters were identified. Differentiation among inferred clusters was found to be high, with FST ranging from 0.24 between EV and FI clusters and 0.48 between MC and FI clusters. Two mtDNA haplotypes were identified; R.u1 was found throughout EV and FI, and R.u2 was unique to MC. DNA isolated from scats provided reliable data and proved critical for sampling areas where hunting and culling of deer are not generally undertaken. Conclusions: Three genetically distinct sambar deer management units in south-eastern Australia are defined-MC, FI and EV. Sambar deer control strategies should be applied to each management unit independently. This may be difficult or infeasible for the EV management unit, which is large and geographically complex. Further research may help identify additional fine-scale genetic structure in EV, allowing smaller, more practicable management units to be identified. Implications: Genetic data can be used to identify management units for invasive species, which will be critical for the development of future management strategies and improving control operations. The approach outlined here could also be applied to improve the management of other introduced deer species in south-eastern Australia. © 2022 CSIRO Open Access.
Electronic cigarettes or vaping : are there any differences in the profiles, use and perceptions between a developed and a developing country?
- Rahman, Muhammad Aziz, Joseph, Bindu, Nimmi, Naima
- Authors: Rahman, Muhammad Aziz , Joseph, Bindu , Nimmi, Naima
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 19, no. 3 (2022), p.
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- Description: The use of electronic cigarettes or vaping is currently increasing in popularity globally. Debate continues regarding their potential role for smoking cessation. We aimed to compare the profiles, use and perceptions of using e-cigarettes amongst online forum users in a developed and a developing country. A cross-sectional survey was conducted among members of different popular online forums in Australia and Bangladesh who were current or ex-users of e-cigarettes. There were 422 study participants, 261 (62%) from Australia and 161 (38%) from Bangladesh. The mean age was 36.3 (±12) years and 83% were men. Australians were more likely to be exclusive users of e-cigarettes (70% vs. 30%, AOR 3.05 [95% CI 1.63–5.71]), but less likely to be dual users of smoking and e-cigarettes (43% vs. 57%, 0.36 [0.19–0.69]); they were also more likely to mention that the perceived reasons for using were their low cost, good taste/flavour, safety and assistance in reducing or quitting smoking (66% vs. 34%, 5.10 [2.04–12.8]), but less likely to mention a social/cool image as a reason for use (23% vs. 77%, 0.11 [0.01–0.87]) compared with Bangladeshi participants. About two-thirds of the participants in both countries perceived the use of e-cigarettes as less addictive than cigarettes and more than three-quarters perceived them as less harmful. E-cigarette users in Australia were more likely to use them to reduce or quit cigarettes compared with those in Bangladesh, and dual use was common in Bangladesh. These findings warrant the consideration of precautions for promoting e-cigarettes as a harm reduction strategy for smoking cessation in developing countries, such as Bangladesh. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
- Authors: Rahman, Muhammad Aziz , Joseph, Bindu , Nimmi, Naima
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 19, no. 3 (2022), p.
- Full Text:
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- Description: The use of electronic cigarettes or vaping is currently increasing in popularity globally. Debate continues regarding their potential role for smoking cessation. We aimed to compare the profiles, use and perceptions of using e-cigarettes amongst online forum users in a developed and a developing country. A cross-sectional survey was conducted among members of different popular online forums in Australia and Bangladesh who were current or ex-users of e-cigarettes. There were 422 study participants, 261 (62%) from Australia and 161 (38%) from Bangladesh. The mean age was 36.3 (±12) years and 83% were men. Australians were more likely to be exclusive users of e-cigarettes (70% vs. 30%, AOR 3.05 [95% CI 1.63–5.71]), but less likely to be dual users of smoking and e-cigarettes (43% vs. 57%, 0.36 [0.19–0.69]); they were also more likely to mention that the perceived reasons for using were their low cost, good taste/flavour, safety and assistance in reducing or quitting smoking (66% vs. 34%, 5.10 [2.04–12.8]), but less likely to mention a social/cool image as a reason for use (23% vs. 77%, 0.11 [0.01–0.87]) compared with Bangladeshi participants. About two-thirds of the participants in both countries perceived the use of e-cigarettes as less addictive than cigarettes and more than three-quarters perceived them as less harmful. E-cigarette users in Australia were more likely to use them to reduce or quit cigarettes compared with those in Bangladesh, and dual use was common in Bangladesh. These findings warrant the consideration of precautions for promoting e-cigarettes as a harm reduction strategy for smoking cessation in developing countries, such as Bangladesh. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
- Galbally, Megan, Watson, Stuart, Spigset, Olav, Lappas, Martha, Walker, Susan, Lewis, Andrew
- Authors: Galbally, Megan , Watson, Stuart , Spigset, Olav , Lappas, Martha , Walker, Susan , Lewis, Andrew
- Date: 2022
- Type: Text , Journal article
- Relation: Placenta Vol. 119, no. (2022), p. 44-51
- Full Text: false
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- Description: Placental dysfunction and inefficiency, is important in understanding fetal growth restriction and low birth weight. Two recent studies have examined the relationship between antidepressant use in pregnancy and placental weight ratios one found lower placental weight ratio associated with antidepressant use and the other found a higher ratio. This study examined 342 women recruited in early pregnancy, including 75 taking antidepressants, 29 with current depression and 238 controls. Antidepressant use was measured through self-report in early and late pregnancy, hospital records at delivery and drug concentrations in umbilical cord and maternal blood obtained at delivery. Maternal depression was measured using the Structured Clinical Interview for the DSM IV (SCID) at recruitment. Placentas were collected at delivery and weighed, and infant birth weight recorded. Placental efficiency was measured using standardised placental weight residuals and included as the outcome in general linear models (ANOVA/ANCOVA) to test hypotheses. While placental weight was higher for those on antidepressants compared to controls (z=.30 c.f. Z=-0.08, p=.012), there were no significant differences between the three groups after adjusting for maternal body mass index at recruitment. When comparing antidepressant groups separately there were small-to-moderate positive associations between (SSRI) concentrations and placental weight (rho's > 0.20, p's > 0.05), which did not reach significance. Antidepressant use in pregnancy was not associated with significant changes in placental efficiency after adjustment for confounding variables. Future research should expand on this to examine other aspects of placental function and include a wide range of potential confounding variables to draw clinically meaningful conclusions. •Birth weight to placental weight ratio is often used as a proxy for placental dysfunction.•Placental dysfunction may underlie the association between antenatal antidepressant use and low infant birth weight.•Two studies found the opposite relationship between antidepressants and placental weight but did not adjust for confounders.•We found placental weight, when adjusted for confounders, was not significantly different for those on antidepressants.
Factors affecting the organisational adoption of blockchain technology in australia : a mixed-methods approach
- Authors: Malik, Muhammad Saleem
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: Blockchain (BCT) is an emerging technology that promises many benefits for organisations, such as disintermediation, data security, data transparency, a single version of the truth, and trust among trading partners. Despite its multiple benefits, the adoption rate of BCT among organisations has not reached a significantly high level worldwide. The present thesis addresses this issue in the Australian context. There is a knowledge gap in what specific factors, among the plethora of factors reported in the extant scholarly and commercial literature, affect Australian organisations while deciding to adopt BCT. To fill this gap, this thesis uses a mixed-methods approach known as sequential exploratory mixed methods. In this approach, the research starts with a qualitative phase as an initial phase followed by a quantitative phase. During the qualitative phase, data were collected through semi-structured interviews of the BCT experts and decision-makers working with the ifferent Australian organisations that adopted or were in the process of adopting BCT. The Technology, Organisation, Environment (TOE) framework, based on the qualitative interpretative approach, was used as a theoretical lens during the qualitative phase. The qualitative data were analyzed using the thematic analysis technique with the SQR NVivo software. The analysis shows that the different factors, belonging to the technological, organisational, and environmental contexts, affect the organisational decision to adopt BCT in Australia. The technological factors include perceived benefits, perceived computability, perceived complexity, perceived disintermediation, and perceived information transparency; organisational factors are organisational innovativeness, organisational learning capability, top management support; environmental factors consist of government support, standards uncertainty, competition intensity, and trading partners readiness. The qualitative analysis also shows the direct and moderating effect of the perceived risks between the relationship of the identified factors and organisational adoption of BCT. Based on the findings of the qualitative phase, the thesis develops a theoretical conceptual model, which shows the relationship between the factors and the organisational adoption of BCT. To increase the external validity of the developed conceptual model, the thesis started a quantitative phase with the administration of an online survey for data collection. Certain criteria were set to screen out the irrelevant participants in the survey. During this phase, hypotheses were proposed for the relationship of the factors identified in the qualitative phase and the organisational adoption of BCT. The survey data was analyzed using the PLS Structural Equation Modelling (SEM) technique with the SmartPLS 3 software. The quantitative analysis confirms the findings of the qualitative phase that the perceived benefits, perceived compatibility, perceived information transparency, perceived disintermediation, organisational innovativeness, organisational learning capability, top management support, competitive intensity, government support, and trading partner readiness have a positive effect on the organisational adoption of BCT. Whereas the perceived complexity, standards uncertainty, and perceived risks have a negative effect. The analysis also shows that the moderating effects of perceived risks are significant in the relationship of perceived compatibility, perceived information transparency, perceived disintermediation, organisational innovativeness, organisation innovativeness, competition intensity, and organisational adoption of BCT. Contrary to the qualitative findings, ‘perceived risks’ has no moderating effects on the relationship of perceived benefits, organisational learning capability, top management support, government support, trading partner readiness, and the adoption of BCT. The thesis has both theoretical and practical contributions, which are useful both for theory development and decision-making for the adoption of BCT in Australia. Theoretically, this thesis contributes to the existing IT adoption literature in several ways. Firstly, the thesis provides empirical evidence about the factors affecting organisational adoption of BCT in Australia. This is the first in-depth sequential exploratory mixed methods research that bridges this knowledge gap in the extant literature. The identification of such factors is important, particularly for the Australian government and organisations interested in the value creation of BCT. Second, the thesis reports the effect of new factors, namely, perceived information transparency, perceived disintermediation, organisational innovativeness, organisational learning capability, standards uncertainty, trading partner readiness, and competition intensity on BCT adoption that are exclusively identified in this research. Third, this thesis confirms the findings of the past studies that the factors of perceived benefits and perceived compatibility, perceived complexity, and top management support have an effect on the organisational adoption of BCT. Fourth, according to the best of the authors' knowledge, this is the first research that has used the qualitative interpretive research approach to investigate the organisational adoption of BCT. Therefore, the thesis confirms the suitability of the qualitative interpretive research approach for BCT adoption. Lastly, most of the researchers have used the TOE framework in either in qualitative or quantitative research. This thesis proves its validity in mixed methods research as well. The thesis's practical contributions are discussed in chapter 7.
- Description: Doctor of Philosophy
- Authors: Malik, Muhammad Saleem
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: Blockchain (BCT) is an emerging technology that promises many benefits for organisations, such as disintermediation, data security, data transparency, a single version of the truth, and trust among trading partners. Despite its multiple benefits, the adoption rate of BCT among organisations has not reached a significantly high level worldwide. The present thesis addresses this issue in the Australian context. There is a knowledge gap in what specific factors, among the plethora of factors reported in the extant scholarly and commercial literature, affect Australian organisations while deciding to adopt BCT. To fill this gap, this thesis uses a mixed-methods approach known as sequential exploratory mixed methods. In this approach, the research starts with a qualitative phase as an initial phase followed by a quantitative phase. During the qualitative phase, data were collected through semi-structured interviews of the BCT experts and decision-makers working with the ifferent Australian organisations that adopted or were in the process of adopting BCT. The Technology, Organisation, Environment (TOE) framework, based on the qualitative interpretative approach, was used as a theoretical lens during the qualitative phase. The qualitative data were analyzed using the thematic analysis technique with the SQR NVivo software. The analysis shows that the different factors, belonging to the technological, organisational, and environmental contexts, affect the organisational decision to adopt BCT in Australia. The technological factors include perceived benefits, perceived computability, perceived complexity, perceived disintermediation, and perceived information transparency; organisational factors are organisational innovativeness, organisational learning capability, top management support; environmental factors consist of government support, standards uncertainty, competition intensity, and trading partners readiness. The qualitative analysis also shows the direct and moderating effect of the perceived risks between the relationship of the identified factors and organisational adoption of BCT. Based on the findings of the qualitative phase, the thesis develops a theoretical conceptual model, which shows the relationship between the factors and the organisational adoption of BCT. To increase the external validity of the developed conceptual model, the thesis started a quantitative phase with the administration of an online survey for data collection. Certain criteria were set to screen out the irrelevant participants in the survey. During this phase, hypotheses were proposed for the relationship of the factors identified in the qualitative phase and the organisational adoption of BCT. The survey data was analyzed using the PLS Structural Equation Modelling (SEM) technique with the SmartPLS 3 software. The quantitative analysis confirms the findings of the qualitative phase that the perceived benefits, perceived compatibility, perceived information transparency, perceived disintermediation, organisational innovativeness, organisational learning capability, top management support, competitive intensity, government support, and trading partner readiness have a positive effect on the organisational adoption of BCT. Whereas the perceived complexity, standards uncertainty, and perceived risks have a negative effect. The analysis also shows that the moderating effects of perceived risks are significant in the relationship of perceived compatibility, perceived information transparency, perceived disintermediation, organisational innovativeness, organisation innovativeness, competition intensity, and organisational adoption of BCT. Contrary to the qualitative findings, ‘perceived risks’ has no moderating effects on the relationship of perceived benefits, organisational learning capability, top management support, government support, trading partner readiness, and the adoption of BCT. The thesis has both theoretical and practical contributions, which are useful both for theory development and decision-making for the adoption of BCT in Australia. Theoretically, this thesis contributes to the existing IT adoption literature in several ways. Firstly, the thesis provides empirical evidence about the factors affecting organisational adoption of BCT in Australia. This is the first in-depth sequential exploratory mixed methods research that bridges this knowledge gap in the extant literature. The identification of such factors is important, particularly for the Australian government and organisations interested in the value creation of BCT. Second, the thesis reports the effect of new factors, namely, perceived information transparency, perceived disintermediation, organisational innovativeness, organisational learning capability, standards uncertainty, trading partner readiness, and competition intensity on BCT adoption that are exclusively identified in this research. Third, this thesis confirms the findings of the past studies that the factors of perceived benefits and perceived compatibility, perceived complexity, and top management support have an effect on the organisational adoption of BCT. Fourth, according to the best of the authors' knowledge, this is the first research that has used the qualitative interpretive research approach to investigate the organisational adoption of BCT. Therefore, the thesis confirms the suitability of the qualitative interpretive research approach for BCT adoption. Lastly, most of the researchers have used the TOE framework in either in qualitative or quantitative research. This thesis proves its validity in mixed methods research as well. The thesis's practical contributions are discussed in chapter 7.
- Description: Doctor of Philosophy
Generating population estimates for migratory shorebird species in the world’s largest flyway
- Hansen, Birgita, Rogers, Danny, Watkins, Doug, Weller, Dan, Clemens, Robert, Newman, Mike, Woehler, Eric, Mundkur, Taej, Fuller, Richard
- Authors: Hansen, Birgita , Rogers, Danny , Watkins, Doug , Weller, Dan , Clemens, Robert , Newman, Mike , Woehler, Eric , Mundkur, Taej , Fuller, Richard
- Date: 2022
- Type: Text , Journal article
- Relation: Ibis Vol. 164, no. 3 (2022), p. 735-749
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- Description: Population estimates are widely used to underpin conservation decisions. However, determining accurate population estimates for migratory species is especially challenging, as they are often widespread and it is rarely possible to survey them throughout their full distribution. In the East Asian–Australasian Flyway (EAAF), this problem is compounded by its size (85 million square kilometres) and the number of migratory species it supports (nearly 500). Here, we provide analytical approaches for addressing this problem, presenting a revision of the EAAF population estimates for 37 migratory shorebird species protected under Australian national environmental legislation. Population estimates were generated by (1) summarizing existing count data in the non-breeding range, (2) spatially extrapolating across uncounted areas, and (3) modelling abundance on the basis of estimates of breeding range and density. Expert review was used to adjust modelled estimates, particularly in under-counted areas. There were many gaps in shorebird monitoring data, necessitating substantial use of extrapolation and expert review, the extent of which varied among species. Spatial extrapolation to under-counted areas often produced estimates that were much higher than the observed data, and expert review was used to cross-check and adjust these where necessary. Estimates of population size obtained through analyses of breeding ranges and density indicated that 18 species were poorly represented by counts in the non-breeding season. It was difficult to determine independently the robustness of these estimates, but these breeding ground estimates were considered the best available data for 10 species that mostly use poorly surveyed freshwater or pelagic habitats in the non-breeding season. We discuss the rationale and limitations of these approaches to population estimation, and how they could be modified for other applications. Data available for population estimates will vary in quality and extent among species, regions and migration stage, and approaches need to be flexible enough to provide useful information for conservation policy and planning. © 2021 British Ornithologists' Union.
- Authors: Hansen, Birgita , Rogers, Danny , Watkins, Doug , Weller, Dan , Clemens, Robert , Newman, Mike , Woehler, Eric , Mundkur, Taej , Fuller, Richard
- Date: 2022
- Type: Text , Journal article
- Relation: Ibis Vol. 164, no. 3 (2022), p. 735-749
- Full Text:
- Reviewed:
- Description: Population estimates are widely used to underpin conservation decisions. However, determining accurate population estimates for migratory species is especially challenging, as they are often widespread and it is rarely possible to survey them throughout their full distribution. In the East Asian–Australasian Flyway (EAAF), this problem is compounded by its size (85 million square kilometres) and the number of migratory species it supports (nearly 500). Here, we provide analytical approaches for addressing this problem, presenting a revision of the EAAF population estimates for 37 migratory shorebird species protected under Australian national environmental legislation. Population estimates were generated by (1) summarizing existing count data in the non-breeding range, (2) spatially extrapolating across uncounted areas, and (3) modelling abundance on the basis of estimates of breeding range and density. Expert review was used to adjust modelled estimates, particularly in under-counted areas. There were many gaps in shorebird monitoring data, necessitating substantial use of extrapolation and expert review, the extent of which varied among species. Spatial extrapolation to under-counted areas often produced estimates that were much higher than the observed data, and expert review was used to cross-check and adjust these where necessary. Estimates of population size obtained through analyses of breeding ranges and density indicated that 18 species were poorly represented by counts in the non-breeding season. It was difficult to determine independently the robustness of these estimates, but these breeding ground estimates were considered the best available data for 10 species that mostly use poorly surveyed freshwater or pelagic habitats in the non-breeding season. We discuss the rationale and limitations of these approaches to population estimation, and how they could be modified for other applications. Data available for population estimates will vary in quality and extent among species, regions and migration stage, and approaches need to be flexible enough to provide useful information for conservation policy and planning. © 2021 British Ornithologists' Union.
- Ha, Diep, Nguyen, Huy, Dao, An, Golley, Rebecca, Thomson, W., Manton, David, Leary, Sam, Scott, Jane, Spencer, Andrew, Do, Loc
- Authors: Ha, Diep , Nguyen, Huy , Dao, An , Golley, Rebecca , Thomson, W. , Manton, David , Leary, Sam , Scott, Jane , Spencer, Andrew , Do, Loc
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Dentistry Vol. 122, no. (2022), p.
- Full Text: false
- Reviewed:
- Description: Objectives: To investigate the trajectory of maternal intake of sugar-sweetened beverages (SSB) during the first five years of their child's life and its effect on the child's dental caries at five years-of-age. Methods: This is an ongoing prospective population-based birth cohort study in Adelaide, Australia. Mothers completed questionnaires on their SSB intake, socioeconomic factors and health behaviors at the birth of their child and at the ages of one, two and five years. Child dental caries measured as decayed, missing, or filled tooth surfaces was collected by oral examination. Maternal SSB intake was used to estimate the trajectory of SSB intake. The trajectories then became the main exposure of the study. Dental caries at age five years were the primary outcomes. Adjusted mean- and prevalence-ratios were estimated for dental caries, controlling for confounders. Results: 879 children had dental examinations at five years-of-age. Group-based trajectory modeling identified three trajectories of maternal SSB intake: ‘Stable low’ (40.8%), ‘Moderate but increasing’ (13.6%), and ‘High early’ trajectory (45.6%). Multivariable regression analysis found children of mothers in the ‘High early’ and ‘Moderate but increasing’ groups to have greater experience of dental caries (MR: 1.37 (95%CI 1.01–1.67), and 1.24 (95%CI 0.96–1.60) than those in the ‘Stable low’ trajectory, respectively. Conclusion: Maternal consumption of SSB during pregnancy and in the early postnatal period influenced their offspring's oral health. It is important to create a low-sugar environment from early childhood. The results suggest that health promotion activities need to be delivered to expecting women or soon after childbirth. © 2022
Participation and dropout of Hockey New South Wales participants in 2017 and 2018: a longitudinal study
- Owen, Katherine, Foley, Bridget, Eime, Rochelle, Rose, Catriona, Reece, Lindsey
- Authors: Owen, Katherine , Foley, Bridget , Eime, Rochelle , Rose, Catriona , Reece, Lindsey
- Date: 2022
- Type: Text , Journal article
- Relation: BMC Sports Science Medicine and Rehabilitation Vol. 14, no. 1 (2022), p. 103-103
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- Description: Sports have a focus on increasing participation, which contributes to increasing population levels of physical activity, social cohesion and longevity of the sport. The primary aim of this study was to examine reasons for drop-out of a popular team sport in Australia, Field Hockey and identify opportunities to increase participation. This longitudinal study obtained routinely collected registered player data from Hockey New South Wales over two consecutive years, and survey data from registered players who dropped out. Logistic regression models identified demographic subgroups who were more likely to drop out of sport, and the reasons for dropping out. In 2018, 8463 (31%) of hockey players did not return to play hockey after the previous season and 805 (10%) of these completed a survey. Specific groups who were more likely to stop playing included 5-6 years (OR: 2.1, 95% CI 1.8-2.6 reference: 12-17 years), females (OR: 1.1, 95% CI 1.0-1.2 reference: males), Indigenous (OR: 1.2, 95% CI 1.1-1.4 reference: non-Indigenous), most disadvantaged (OR: 1.1, 95% CI 1.0-1.2 reference: least disadvantaged) or regional and remote (1.1, 95% CI 1.0-1.2 reference: major cities). Top reasons for drop out were medical/age (17%), change in circumstances (16%) and high cost (13%), lack of time (13%) and lack of enjoyment (7%). Although Hockey successfully reaches a large proportion of underrepresented groups in sport, these groups are more likely to drop out. Sports should consult these groups to develop enjoyable, flexible, and modifiable versions of the game that are appropriate to their needs.
- Authors: Owen, Katherine , Foley, Bridget , Eime, Rochelle , Rose, Catriona , Reece, Lindsey
- Date: 2022
- Type: Text , Journal article
- Relation: BMC Sports Science Medicine and Rehabilitation Vol. 14, no. 1 (2022), p. 103-103
- Full Text:
- Reviewed:
- Description: Sports have a focus on increasing participation, which contributes to increasing population levels of physical activity, social cohesion and longevity of the sport. The primary aim of this study was to examine reasons for drop-out of a popular team sport in Australia, Field Hockey and identify opportunities to increase participation. This longitudinal study obtained routinely collected registered player data from Hockey New South Wales over two consecutive years, and survey data from registered players who dropped out. Logistic regression models identified demographic subgroups who were more likely to drop out of sport, and the reasons for dropping out. In 2018, 8463 (31%) of hockey players did not return to play hockey after the previous season and 805 (10%) of these completed a survey. Specific groups who were more likely to stop playing included 5-6 years (OR: 2.1, 95% CI 1.8-2.6 reference: 12-17 years), females (OR: 1.1, 95% CI 1.0-1.2 reference: males), Indigenous (OR: 1.2, 95% CI 1.1-1.4 reference: non-Indigenous), most disadvantaged (OR: 1.1, 95% CI 1.0-1.2 reference: least disadvantaged) or regional and remote (1.1, 95% CI 1.0-1.2 reference: major cities). Top reasons for drop out were medical/age (17%), change in circumstances (16%) and high cost (13%), lack of time (13%) and lack of enjoyment (7%). Although Hockey successfully reaches a large proportion of underrepresented groups in sport, these groups are more likely to drop out. Sports should consult these groups to develop enjoyable, flexible, and modifiable versions of the game that are appropriate to their needs.
Peer educators in the facilitation of sexuality and respectful relationship education for people with an intellectual disability : a scoping review and narrative synthesis
- James, Michelle, Porter, Joanne, Kattel, Sumitra, Prokopiv, Valerie, Hopwood, Peter
- Authors: James, Michelle , Porter, Joanne , Kattel, Sumitra , Prokopiv, Valerie , Hopwood, Peter
- Date: 2022
- Type: Text , Journal article
- Relation: Sexuality and Disability Vol. 40, no. 3 (2022), p. 487-502
- Full Text:
- Reviewed:
- Description: A scoping review was conducted to identify how peer-education models are being used in sexuality and respectful relationship education for people with a disability. The search was conducted in August 2021 using the Joanna Briggs framework to scope and map the literature and research activity. Using strict criteria, 7 online databases, grey literature and reference lists were searched for resources written or published in the last 15 years (2006–2021). Relevant sources were shortlisted and assessed by the two authors. Six sources met the criteria for inclusion in this review. In total, four educational programs are described and discussed. The results identify four sexuality and respectful relationship programs that met screening criteria: (1) “Telling it like it is!”, (2) “Sexual Lives and Respectful Relationships”, (3) “Talking about sex and relationships: the views of young people with learning disabilities”, and (4) “Health, Safety & Sexuality Training for You & Me”. Peer-educators experienced increased confidence and feelings of empowerment, while people without an intellectual disability reported a greater understanding of the challenges and experiences of people with a disability. The use of peer educators to deliver sexuality and respectful relationship education for people with intellectual disability is a promising education model with multiple potential benefits for participants. However, more research is needed to understand the consequences and limitations of such programs. © 2022, Crown.
- Authors: James, Michelle , Porter, Joanne , Kattel, Sumitra , Prokopiv, Valerie , Hopwood, Peter
- Date: 2022
- Type: Text , Journal article
- Relation: Sexuality and Disability Vol. 40, no. 3 (2022), p. 487-502
- Full Text:
- Reviewed:
- Description: A scoping review was conducted to identify how peer-education models are being used in sexuality and respectful relationship education for people with a disability. The search was conducted in August 2021 using the Joanna Briggs framework to scope and map the literature and research activity. Using strict criteria, 7 online databases, grey literature and reference lists were searched for resources written or published in the last 15 years (2006–2021). Relevant sources were shortlisted and assessed by the two authors. Six sources met the criteria for inclusion in this review. In total, four educational programs are described and discussed. The results identify four sexuality and respectful relationship programs that met screening criteria: (1) “Telling it like it is!”, (2) “Sexual Lives and Respectful Relationships”, (3) “Talking about sex and relationships: the views of young people with learning disabilities”, and (4) “Health, Safety & Sexuality Training for You & Me”. Peer-educators experienced increased confidence and feelings of empowerment, while people without an intellectual disability reported a greater understanding of the challenges and experiences of people with a disability. The use of peer educators to deliver sexuality and respectful relationship education for people with intellectual disability is a promising education model with multiple potential benefits for participants. However, more research is needed to understand the consequences and limitations of such programs. © 2022, Crown.
- Chhabra, Jasleen, Li, Wendy, McDermott, Brett
- Authors: Chhabra, Jasleen , Li, Wendy , McDermott, Brett
- Date: 2022
- Type: Text , Journal article
- Relation: American Journal of Men's Health Vol. 16, no. 1 (2022), p. 15579883221079489-15579883221079489
- Full Text: false
- Reviewed:
- Description: The purpose of this study was to identify the risk factors associated with paternal perinatal mental distress in a sample of Australian men. A mixed-methods design was used. The qualitative component (N = 13) using thematic analysis identified maternal depression, marital distress, masculine gender role stress, unplanned pregnancy, work–family conflict, and sleep disturbance as risk factors for paternal perinatal mental distress. The quantitative component (N = 525) expanded on the qualitative findings and examined the associations between the identified risk factors and mental distress of fathers in the perinatal period measured by Edinburgh postnatal depression scale. Hierarchical multiple regression analysis revealed six significant predictors of paternal perinatal mental distress with masculine gender role stress being the most significant risk factor for paternal perinatal mental distress. The results from this study provide an insight into how masculine gender role may affect the expression and experience of mental distress in fathers within the perinatal period. Implications of research findings are discussed.
Seeking approval from universities to research the views of their staff : do gatekeepers provide a barrier to ethical research?
- Christian, Katherine, Johnstone, Carolyn, Larkins, Jo-Ann, Wright, Wendy
- Authors: Christian, Katherine , Johnstone, Carolyn , Larkins, Jo-Ann , Wright, Wendy
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Empirical Research on Human Research Ethics Vol. 17, no. 3 (2022), p. 317-328
- Full Text:
- Reviewed:
- Description: A “gatekeeper” controls access to an organization; “gatekeeper approval” is often needed before external research can take place within an organization. We explore the need for gatekeeper approval for research with university staff employing, as a case study, a project which collected data in Australia. This case study addresses known issues, seemingly rarely addressed in the literature. The Human Research Ethics Committee (HREC)'s requirement for approval from individual universities to approach their staff brought significant consequences, exacerbated by the lack of university procedures for such approvals. Simultaneously, since invitations could legitimately be distributed via other avenues, such approval was superfluous. We recommend the HREC's blanket requirement for institutional approval instead be considered on a case-by-case basis depending on the risk of the research, and perhaps waived for low-risk research where participants are able to provide informed consent, and that universities establish processes to deal with requests from external researchers. © The Author(s) 2022.
- Authors: Christian, Katherine , Johnstone, Carolyn , Larkins, Jo-Ann , Wright, Wendy
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Empirical Research on Human Research Ethics Vol. 17, no. 3 (2022), p. 317-328
- Full Text:
- Reviewed:
- Description: A “gatekeeper” controls access to an organization; “gatekeeper approval” is often needed before external research can take place within an organization. We explore the need for gatekeeper approval for research with university staff employing, as a case study, a project which collected data in Australia. This case study addresses known issues, seemingly rarely addressed in the literature. The Human Research Ethics Committee (HREC)'s requirement for approval from individual universities to approach their staff brought significant consequences, exacerbated by the lack of university procedures for such approvals. Simultaneously, since invitations could legitimately be distributed via other avenues, such approval was superfluous. We recommend the HREC's blanket requirement for institutional approval instead be considered on a case-by-case basis depending on the risk of the research, and perhaps waived for low-risk research where participants are able to provide informed consent, and that universities establish processes to deal with requests from external researchers. © The Author(s) 2022.
Statistical calibration of long-term reanalysis data for australian fire weather conditions
- Biswas, Soubhik, Chand, Savin, Dowdy, Andrew, Wright, Wendy, Foale, Cameron, Zhao, Xiaohui, Deo, A
- Authors: Biswas, Soubhik , Chand, Savin , Dowdy, Andrew , Wright, Wendy , Foale, Cameron , Zhao, Xiaohui , Deo, A
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Applied Meteorology and Climatology Vol. 61, no. 6 (2022), p. 729-758
- Full Text: false
- Reviewed:
- Description: Reconstructed weather datasets, such as reanalyses based on model output with data assimilation, often show systematic biases in magnitude when compared with observations. Postprocessing approaches can help adjust the distribution so that the reconstructed data resemble the observed data as closely as possible. In this study, we have compared various statistical bias-correction approaches based on quantile–quantile matching to correct the data from the Twentieth Century Reanalysis, version 2c (20CRv2c), with observation-based data. Methods included in the comparison utilize a suite of different approaches: a linear model, a median-based approach, a nonparametric linear method, a spline-based method, and approaches that are based on the lognormal and Weibull distributions. These methods were applied to daily data in the Australian region for rainfall, maximum temperature, relative humidity, and wind speed. Note that these are the variables required to compute the forest fire danger index (FFDI), widely used in Australia to examine dangerous fire weather conditions. We have compared the relative errors and performances of each method across various locations in Australia and applied the approach with the lowest mean-absolute error across multiple variables to produce a reliable long-term biascorrected FFDI dataset across Australia. The spline-based data correction was found to have some benefits relative to the other methods in better representing the mean FFDI values and the extremes from the observed records for many of the cases examined here. It is intended that this statistical bias-correction approach applied to long-term reanalysis data will help enable new insight on climatological variations in hazardous phenomena, including dangerous wildfires in Australia extending over the past century. © 2022 American Meteorological Society.
The experience of structural burden for culturally and linguistically diverse family carers of people living with dementia in Australia
- Gilbert, Andrew, Antoniades, Josefine, Croy, Samantha, Thodis, Antonia, Adams, Jon, Goeman, Dianne, Browning, Colette, Kent, Mike, Ellis, Katie, Brijnath, Bianca
- Authors: Gilbert, Andrew , Antoniades, Josefine , Croy, Samantha , Thodis, Antonia , Adams, Jon , Goeman, Dianne , Browning, Colette , Kent, Mike , Ellis, Katie , Brijnath, Bianca
- Date: 2022
- Type: Text , Journal article
- Relation: Health and Social Care in the community Vol. 30, no. 6 (2022), p. e4492-e4503
- Full Text:
- Reviewed:
- Description: Evidence suggests that family carers of culturally and linguistically diverse (CALD) people living with dementia experience higher stress and unmet need than the general Australian population. These disparities are often framed as the result of CALD communities failing to seek formal support. Challenging this, we draw on the concept of ‘structural burden’ to explore how the complexity of health and aged systems contribute to the burden that CALD carers experience. We conducted semi‐structured interviews with 104 family carers for CALD people with dementia in Australia, followed by thematic analysis of transcripts. Additional to structural burdens encountered by the general older population, CALD carers faced challenges understanding Australia's Anglo‐centric aged care system, locating culturally appropriate care and were required to translate the languages and operations of health and aged care systems into terms their family members understood. This burden was mitigated by the presence of ethno‐specific organisations and other navigation support. Australia's aged care system has moved towards centralised governance and consumer‐directed care provision. This system involves a confusing array of different programmes and levels, bureaucratic applications and long waiting times. Carers' encounters with these systems demonstrates how some CALD people are being left behind by the current aged care system. While ethno‐specific services can reduce this burden, not all CALD groups are represented. Consequently, improving access to dementia care among CALD populations requires entry point and navigation support that is culturally appropriate and linguistically accessible.
- Authors: Gilbert, Andrew , Antoniades, Josefine , Croy, Samantha , Thodis, Antonia , Adams, Jon , Goeman, Dianne , Browning, Colette , Kent, Mike , Ellis, Katie , Brijnath, Bianca
- Date: 2022
- Type: Text , Journal article
- Relation: Health and Social Care in the community Vol. 30, no. 6 (2022), p. e4492-e4503
- Full Text:
- Reviewed:
- Description: Evidence suggests that family carers of culturally and linguistically diverse (CALD) people living with dementia experience higher stress and unmet need than the general Australian population. These disparities are often framed as the result of CALD communities failing to seek formal support. Challenging this, we draw on the concept of ‘structural burden’ to explore how the complexity of health and aged systems contribute to the burden that CALD carers experience. We conducted semi‐structured interviews with 104 family carers for CALD people with dementia in Australia, followed by thematic analysis of transcripts. Additional to structural burdens encountered by the general older population, CALD carers faced challenges understanding Australia's Anglo‐centric aged care system, locating culturally appropriate care and were required to translate the languages and operations of health and aged care systems into terms their family members understood. This burden was mitigated by the presence of ethno‐specific organisations and other navigation support. Australia's aged care system has moved towards centralised governance and consumer‐directed care provision. This system involves a confusing array of different programmes and levels, bureaucratic applications and long waiting times. Carers' encounters with these systems demonstrates how some CALD people are being left behind by the current aged care system. While ethno‐specific services can reduce this burden, not all CALD groups are represented. Consequently, improving access to dementia care among CALD populations requires entry point and navigation support that is culturally appropriate and linguistically accessible.
The impact of covid-19 on psychosocial well-being and learning for australian nursing and midwifery undergraduate students: a cross-sectional survey
- Rasmussen, Bodil, Hutchinson, Alison, Lowe, Grainne, Wynter, Karen, Redley, Bernice, Holton, Sara, Manias, Elizabeth, Phillips, Nikki, McDonall, Jo, McTier, Lauren, Kerr, Debra
- Authors: Rasmussen, Bodil , Hutchinson, Alison , Lowe, Grainne , Wynter, Karen , Redley, Bernice , Holton, Sara , Manias, Elizabeth , Phillips, Nikki , McDonall, Jo , McTier, Lauren , Kerr, Debra
- Date: 2022
- Type: Text , Journal article
- Relation: Nurse Education in Practice Vol. 58, no. (2022), p.
- Full Text:
- Reviewed:
- Description: Aim: To explore the impact of COVID-19 on psychosocial well-being and learning for nursing and midwifery undergraduate students in an Australian university. Background: The World Health Organization has reported a substantial psychological impact of COVID-19 on healthcare professionals to date. Evidence is lacking, however, regarding university nursing and midwifery students of the pandemic and its impact on their educational preparation and/or clinical placement during the COVID-19 pandemic. Design: Cross-sectional survey of nursing and midwifery undergraduate students enrolled in the Bachelor of Nursing suite of courses from the study institution in August- September 2020. Methods: A cross-sectional self-administered anonymous online survey was distributed to current nursing and midwifery undergraduate students. The survey included three open-ended questions; responses were thematically analysed. Results: Of 2907 students invited, 637 (22%) responded with 288 of the respondents (45%) providing a response to at least one of the three open-ended questions. Three major themes associated with the impact of the pandemic on psychosocial well-being and learning were identified: psychosocial impact of the pandemic, adjustment to new modes of teaching and learning, and concerns about course progression and career. These themes were underpinned by lack of motivation to study, feeling isolated, and experiencing stress and anxiety that impacted on students’ well-being and their ability to learn and study. Conclusions: Students were appreciative of different and flexible teaching modes that allowed them to balance their study, family, and employment responsibilities. Support from academic staff and clinical facilitators/mentors combined with clear and timely communication of risk management related to personal protective equipment (PPE) in a healthcare facility, were reported to reduce students’ stress and anxiety. Ways to support and maintain motivation among undergraduate nursing and midwifery students are needed. © 2021
- Authors: Rasmussen, Bodil , Hutchinson, Alison , Lowe, Grainne , Wynter, Karen , Redley, Bernice , Holton, Sara , Manias, Elizabeth , Phillips, Nikki , McDonall, Jo , McTier, Lauren , Kerr, Debra
- Date: 2022
- Type: Text , Journal article
- Relation: Nurse Education in Practice Vol. 58, no. (2022), p.
- Full Text:
- Reviewed:
- Description: Aim: To explore the impact of COVID-19 on psychosocial well-being and learning for nursing and midwifery undergraduate students in an Australian university. Background: The World Health Organization has reported a substantial psychological impact of COVID-19 on healthcare professionals to date. Evidence is lacking, however, regarding university nursing and midwifery students of the pandemic and its impact on their educational preparation and/or clinical placement during the COVID-19 pandemic. Design: Cross-sectional survey of nursing and midwifery undergraduate students enrolled in the Bachelor of Nursing suite of courses from the study institution in August- September 2020. Methods: A cross-sectional self-administered anonymous online survey was distributed to current nursing and midwifery undergraduate students. The survey included three open-ended questions; responses were thematically analysed. Results: Of 2907 students invited, 637 (22%) responded with 288 of the respondents (45%) providing a response to at least one of the three open-ended questions. Three major themes associated with the impact of the pandemic on psychosocial well-being and learning were identified: psychosocial impact of the pandemic, adjustment to new modes of teaching and learning, and concerns about course progression and career. These themes were underpinned by lack of motivation to study, feeling isolated, and experiencing stress and anxiety that impacted on students’ well-being and their ability to learn and study. Conclusions: Students were appreciative of different and flexible teaching modes that allowed them to balance their study, family, and employment responsibilities. Support from academic staff and clinical facilitators/mentors combined with clear and timely communication of risk management related to personal protective equipment (PPE) in a healthcare facility, were reported to reduce students’ stress and anxiety. Ways to support and maintain motivation among undergraduate nursing and midwifery students are needed. © 2021
The pharmacy community apgar questionnaire : a modified Delphi technique to develop a rural pharmacist recruitment and retention tool
- Terry, Daniel, Peck, Blake, Hills, Danny, Bishop, Jaclyn, Kirschbaum, Mark, Obamiro, Kehinde, Phan, Hoang, Baker, Ed, Schmitz, David
- Authors: Terry, Daniel , Peck, Blake , Hills, Danny , Bishop, Jaclyn , Kirschbaum, Mark , Obamiro, Kehinde , Phan, Hoang , Baker, Ed , Schmitz, David
- Date: 2022
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 22, no. 4 (2022), p. 7347
- Full Text:
- Reviewed:
- Description: INTRODUCTION: An adequate healthcare workforce remains essential for the health of rural communities. Strategies to address rural health workforce challenges have often centred on the medical and nursing workforce; however, addressing the rural pharmacist workforce also remains critical as they are often the first point of contact for health advice. Initiatives have increased pharmacist supply; however, key issues such as poor attraction, recruitment, and retention to rural areas remain. The aim of this study was to support the recruitment and retention of pharmacists in rural areas of Australia through the development of the Pharmacy Community Apgar Questionnaire (PharmCAQ). METHODS: A modified Delphi technique was employed to develop the PharmCAQ. A panel of experts were purposively selected. Eight representatives were from organisations with rural experience relevant to the study including the Society of Hospital Pharmacists of Australia, the Pharmaceutical Society of Australia, the Pharmacy Guild of Australia, the Pharmacy Board of Australia, and a representative of a government health agency, who also leads a hospital pharmacy. Three additional participants included local and international academics with health policy and rural health workforce expertise. All participants participated in three separate focus groups of 45-60 minutes duration, where the review and refinement of factors that drive recruitment and retention of pharmacist were discussed. Face and content validity was achieved through the representatives, while internal consistency was achieved when the tool was piloted among 10 rural pharmacists in rural Victoria. RESULTS: Fifty key factors that impact the recruitment and retention of pharmacists were identified, developed and succinctly described. All factors were grouped into five classifications: (1) geographic, (2) economic and resources, (3) practice and scope of practice, (4) practice environment and (5) community practice support. After final consensus, the factors and their definitions formed the final questionnaire. Lastly, the reliability of PharmCAQ was determined, with a Cronbach's alpha coefficient of 0.852. CONCLUSION: While the development and use of the Apgar questionnaire for the recruitment and retention of health professionals is not a novel idea, seeking to specifically focus on pharmacists is unique. However, 10 factors were similar to factors associated with rural recruitment and retention of both physicians and nurses; they encompassed geographic, community support, and economic and resource factors. Regardless of similarities or differences between health professions in terms of recruitment and retention, as a mechanism for addressing the worsening health professional shortage currently experienced in rural areas, the PharmCAQ was developed to support the recruitment and retention of the pharmacist workforce in rural areas.
- Authors: Terry, Daniel , Peck, Blake , Hills, Danny , Bishop, Jaclyn , Kirschbaum, Mark , Obamiro, Kehinde , Phan, Hoang , Baker, Ed , Schmitz, David
- Date: 2022
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 22, no. 4 (2022), p. 7347
- Full Text:
- Reviewed:
- Description: INTRODUCTION: An adequate healthcare workforce remains essential for the health of rural communities. Strategies to address rural health workforce challenges have often centred on the medical and nursing workforce; however, addressing the rural pharmacist workforce also remains critical as they are often the first point of contact for health advice. Initiatives have increased pharmacist supply; however, key issues such as poor attraction, recruitment, and retention to rural areas remain. The aim of this study was to support the recruitment and retention of pharmacists in rural areas of Australia through the development of the Pharmacy Community Apgar Questionnaire (PharmCAQ). METHODS: A modified Delphi technique was employed to develop the PharmCAQ. A panel of experts were purposively selected. Eight representatives were from organisations with rural experience relevant to the study including the Society of Hospital Pharmacists of Australia, the Pharmaceutical Society of Australia, the Pharmacy Guild of Australia, the Pharmacy Board of Australia, and a representative of a government health agency, who also leads a hospital pharmacy. Three additional participants included local and international academics with health policy and rural health workforce expertise. All participants participated in three separate focus groups of 45-60 minutes duration, where the review and refinement of factors that drive recruitment and retention of pharmacist were discussed. Face and content validity was achieved through the representatives, while internal consistency was achieved when the tool was piloted among 10 rural pharmacists in rural Victoria. RESULTS: Fifty key factors that impact the recruitment and retention of pharmacists were identified, developed and succinctly described. All factors were grouped into five classifications: (1) geographic, (2) economic and resources, (3) practice and scope of practice, (4) practice environment and (5) community practice support. After final consensus, the factors and their definitions formed the final questionnaire. Lastly, the reliability of PharmCAQ was determined, with a Cronbach's alpha coefficient of 0.852. CONCLUSION: While the development and use of the Apgar questionnaire for the recruitment and retention of health professionals is not a novel idea, seeking to specifically focus on pharmacists is unique. However, 10 factors were similar to factors associated with rural recruitment and retention of both physicians and nurses; they encompassed geographic, community support, and economic and resource factors. Regardless of similarities or differences between health professions in terms of recruitment and retention, as a mechanism for addressing the worsening health professional shortage currently experienced in rural areas, the PharmCAQ was developed to support the recruitment and retention of the pharmacist workforce in rural areas.
Applied aspirations : design and applied art at the Ballarat Technical Art School during the early twentieth century
- Authors: Whetter, Elise
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: Applied art and design schools operate at the nexus of art, industry, and education. During the early decades of the twentieth century, the regionally located Ballarat Technical Art School (BTAS) was the leading institution of its kind in Victoria, Australia, amid shifting economic, cultural, and pedagogical conditions. Emerging from a 1907 amalgamation of institutions, and subsequently administrated by the School of Mines Ballarat (SMB), BTAS was equipped with the assets, experience, and historic reputation necessary to surpass its provincial and metropolitan rivals. This micro-historical case-study employs qualitative analysis of primary sources to investigate the aims, outputs, and importance of BTAS, contextualised by the expectations and influences it operated under during the inaugural principalship of artist and educator, Herbert Henry Smith. Smith oversaw the training of designers, craftspeople, artists, and teachers from 1907 until his retirement in early 1940—a period of tumultuous events, fiscal obstacles, and social and cultural debate. The institution was accountable to diverse stakeholders and arbiters of taste, and successive cohorts learned in a contested space between tradition, origination, and modernisation. Pierre Bourdieu’s cultural theory serves to navigate this web of hierarchies, assumptions, and tensions, while secondary sources help contextualise findings. This thesis also discusses the suite of drawing, design and material-based disciplines delivered at BTAS as single subjects, full courses, and supplementary art-trade training. Throughout, featured students provide examples of regionally trained, Australian designer-maker and artist-teacher experiences. BTAS students learned from ambitious and skilled men and women, benefited from strong professional networks, and fostered a notable esprit-de-corps. The school was significant for its contribution to female technical training. The school’s pre-eminent position was modified during the late 1920s, when much art and art-teacher training was re-centred in Melbourne. Yet, the valuable, compelling, and widespread influence of Ballarat Technical Art School graduates resonated for decades.
- Description: Doctor of Philosophy
- Authors: Whetter, Elise
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: Applied art and design schools operate at the nexus of art, industry, and education. During the early decades of the twentieth century, the regionally located Ballarat Technical Art School (BTAS) was the leading institution of its kind in Victoria, Australia, amid shifting economic, cultural, and pedagogical conditions. Emerging from a 1907 amalgamation of institutions, and subsequently administrated by the School of Mines Ballarat (SMB), BTAS was equipped with the assets, experience, and historic reputation necessary to surpass its provincial and metropolitan rivals. This micro-historical case-study employs qualitative analysis of primary sources to investigate the aims, outputs, and importance of BTAS, contextualised by the expectations and influences it operated under during the inaugural principalship of artist and educator, Herbert Henry Smith. Smith oversaw the training of designers, craftspeople, artists, and teachers from 1907 until his retirement in early 1940—a period of tumultuous events, fiscal obstacles, and social and cultural debate. The institution was accountable to diverse stakeholders and arbiters of taste, and successive cohorts learned in a contested space between tradition, origination, and modernisation. Pierre Bourdieu’s cultural theory serves to navigate this web of hierarchies, assumptions, and tensions, while secondary sources help contextualise findings. This thesis also discusses the suite of drawing, design and material-based disciplines delivered at BTAS as single subjects, full courses, and supplementary art-trade training. Throughout, featured students provide examples of regionally trained, Australian designer-maker and artist-teacher experiences. BTAS students learned from ambitious and skilled men and women, benefited from strong professional networks, and fostered a notable esprit-de-corps. The school was significant for its contribution to female technical training. The school’s pre-eminent position was modified during the late 1920s, when much art and art-teacher training was re-centred in Melbourne. Yet, the valuable, compelling, and widespread influence of Ballarat Technical Art School graduates resonated for decades.
- Description: Doctor of Philosophy
Challenges faced by early-career researchers in the sciences in Australia and the consequent effect of those challenges on their careers : a mixed methods project
- Authors: Christian, Katherine
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: The purpose of the study was to explore the challenges faced by early-career researchers (ECRs) in the sciences in Australia and the consequent effect of those challenges on their careers. Using a realist/postpositivist paradigm, an evaluative approach, and a framework of job satisfaction, this project has explored and compared the views of ECRs to evaluate the factors which shape the ECR experience and contribute to job satisfaction or dissatisfaction and intention to leave, and to define the features which are necessary to keep an ECR in research. Data collection for this mixed methods study entailed a national survey of researchers working in universities and research institutes (n=658), a focus group discussion and semistructured in-depth interviews with eight women from a variety of scientific disciplines who had recently left academic research workplaces. I focussed particularly on the difficulties consequent to job insecurity: the constant need to attracting funding and a permanent position, lack of work-life balance and associated stress; and evidence of workplace difficulties such as bullying, harassment or inequity and support – or lack of it – offered by the research institutions. I examined the factors which contribute to and barriers which prevent job satisfaction of this population, and the consequent intention (if any) for ECRs to leave research or change their career path. I found an interesting situation whereby the satisfaction derived from a “love of science” was counterbalanced by stress and poor working conditions which are a consequence of lack of job security, typified by poor supervision, bullying or harassment, inequitable hiring practices, a concerning rate of impact from “questionable research practices” (impacting 34%-41% of respondents) and evidence of very high (80%) intention of ECRs to leave their position. The most significant predictor of intention to leave is time as a postdoctoral scientist: eventually the job insecurity and its associated stresses become too much and the ECRs leave their chosen career for work elsewhere. This decision, too, provides interesting findings as many of the ECRs have difficulty planning what to do next. They feel ill-prepared for an alternate career and suffer from a sense of failure as a result of having to leave academia. While addressing the shortage of funding is outside the scope of this study, in addition to offering my findings I put forward a range of recommendations which could lead to ar change of culture and benefit the wellbeing of ECRs in STEMM without incurring significant cost. The Australian Government, higher education institutions and the research community need to improve job security and workplace conditions and take better care of our people in STEMM disciplines or we will not have the scientists we need to deliver the “innovative Australia” planned for 2030 (Department of Industry Innovation and Science, 2018)
- Description: Doctor of Philosophy
- Authors: Christian, Katherine
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: The purpose of the study was to explore the challenges faced by early-career researchers (ECRs) in the sciences in Australia and the consequent effect of those challenges on their careers. Using a realist/postpositivist paradigm, an evaluative approach, and a framework of job satisfaction, this project has explored and compared the views of ECRs to evaluate the factors which shape the ECR experience and contribute to job satisfaction or dissatisfaction and intention to leave, and to define the features which are necessary to keep an ECR in research. Data collection for this mixed methods study entailed a national survey of researchers working in universities and research institutes (n=658), a focus group discussion and semistructured in-depth interviews with eight women from a variety of scientific disciplines who had recently left academic research workplaces. I focussed particularly on the difficulties consequent to job insecurity: the constant need to attracting funding and a permanent position, lack of work-life balance and associated stress; and evidence of workplace difficulties such as bullying, harassment or inequity and support – or lack of it – offered by the research institutions. I examined the factors which contribute to and barriers which prevent job satisfaction of this population, and the consequent intention (if any) for ECRs to leave research or change their career path. I found an interesting situation whereby the satisfaction derived from a “love of science” was counterbalanced by stress and poor working conditions which are a consequence of lack of job security, typified by poor supervision, bullying or harassment, inequitable hiring practices, a concerning rate of impact from “questionable research practices” (impacting 34%-41% of respondents) and evidence of very high (80%) intention of ECRs to leave their position. The most significant predictor of intention to leave is time as a postdoctoral scientist: eventually the job insecurity and its associated stresses become too much and the ECRs leave their chosen career for work elsewhere. This decision, too, provides interesting findings as many of the ECRs have difficulty planning what to do next. They feel ill-prepared for an alternate career and suffer from a sense of failure as a result of having to leave academia. While addressing the shortage of funding is outside the scope of this study, in addition to offering my findings I put forward a range of recommendations which could lead to ar change of culture and benefit the wellbeing of ECRs in STEMM without incurring significant cost. The Australian Government, higher education institutions and the research community need to improve job security and workplace conditions and take better care of our people in STEMM disciplines or we will not have the scientists we need to deliver the “innovative Australia” planned for 2030 (Department of Industry Innovation and Science, 2018)
- Description: Doctor of Philosophy
Embodied exploratory processes in Australian performance training and international influences
- Authors: Beddie, Melanie , Tait, Peta
- Date: 2021
- Type: Text , Journal article
- Relation: Theatre, Dance and Performance Training Vol. 12, no. 1 (2021), p. 5-19
- Full Text: false
- Reviewed:
- Description: While Australian training of performers generally reflects the dominant international processes, it also includes exploratory training that encourages innovative ways of working. This article considers the alignment of training in Australian conservatorium tertiary courses with the teaching of approaches to encourage responses ‘in the moment’, and spontaneity and physicality in the training of the performer. The article is based on research tracing the training backgrounds of influential teachers to understand what is being taught. It argues that the five teachers discussed here in detail value these embodied approaches because they also contribute to the process of working with dramatic text. These teachers are: David Latham, Lindy Davies, Robert Meldrum, John Bolton and Kim Durban. The article reveals that while the embodied exploratory training to energise performance greatly expanded from the 1980s in Australia, it has a trajectory back to the stylised work of Jacques Copeau and Suzanne Bing in France in the early twentieth century, and came under the influence of Laban, Jacques Lecoq, Grotowski, Brook and other teachers of physical styles including Mike Alfreds and Yat Malmgren. Embodied exploratory approaches that underpin devised postdramatic works are also used in training to work on dramatic theatre. © 2020 Informa UK Limited, trading as Taylor & Francis Group.
- Murphy, Barbara, Zaman, Sarah, Tucker, Kim, Alvarenga, Marlies, Morrison-Jack, Jenni, Higgins, Rosemary, Le Grande, Michael, Nasis, Arthur, Jackson, Alun
- Authors: Murphy, Barbara , Zaman, Sarah , Tucker, Kim , Alvarenga, Marlies , Morrison-Jack, Jenni , Higgins, Rosemary , Le Grande, Michael , Nasis, Arthur , Jackson, Alun
- Date: 2021
- Type: Text , Journal article
- Relation: European Journal Cardiovascular Nursing Vol. 20, no. 7 (2021), p. 633-640
- Full Text: false
- Reviewed:
- Description: Despite its demonstrated benefits, cardiac rehabilitation (CR) attendance, and completion is suboptimal, particularly in women. The aims of this study were (i) to develop and pilot test a women-only yoga-based CR programme (the Women's Yoga CR Programme WYCRP) (ii) to investigate programme acceptability and (iii) to investigate attendance and completion of the WYCRP and continuation to Phase III community-based CR. Women eligible for CR at a tertiary hospital in Melbourne, Australia were recruited. Over a 6-month period in 2019, they were offered the WYCRP or usual CR. The WYCRP involved attendance at a 1-h yoga session following the usual 1-h mixed-sex education session, over a 7-week period. Participants completed pre- and post-programme questionnaires and attended focus groups to assess programme acceptability. Rates of attendance, completion, and continuation for the WYCRP were recorded and compared to those for the standard CR programme offered in 2018. In total, 27 women were eligible for the study and attended the initial CR assessment. Of those, 22 (81%) attended the WYCRP, 1 (4%) attended usual CR, and 4 (15%) did not attend CR. Ratings of programme acceptability were consistently positive qualitative comments highlighted both physical and emotional benefits. While attendance at the WYCRP was not significantly higher than for usual CR the previous year (81% vs. 76% P = 0.40), CR completion, and continuation were (95% vs. 56% P = 0.02, and 72% vs. 12% P < 0.001, respectively). This pilot study has demonstrated that women-only yoga-based CR is appealing to women and can improve women's CR completion and continuation. These preliminary findings support further development of women-only and yoga-based CR options.
Factors affecting the organizational adoption of blockchain technology : extending the technology–organization– environment (TOE) framework in the Australian context
- Malik, Saleem, Chadhar, Mehmood, Vatanasakdakul, Savanid, Chetty, Madhu
- Authors: Malik, Saleem , Chadhar, Mehmood , Vatanasakdakul, Savanid , Chetty, Madhu
- Date: 2021
- Type: Text , Journal article
- Relation: Sustainability (Switzerland) Vol. 13, no. 16 (2021), p.
- Full Text:
- Reviewed:
- Description: Blockchain technology (BCT) has been gaining popularity due to its benefits for almost every industry. However, despite its benefits, the organizational adoption of BCT is rather limited. This lack of uptake motivated us to identify the factors that influence the adoption of BCT from an organizational perspective. In doing this, we reviewed the BCT literature, interviewed BCT experts, and proposed a research model based on the TOE framework. Specifically, we theorized the role of technological (perceived benefits, compatibility, information transparency, and disintermediation), organizational (organization innovativeness, organizational learning capability, and top management support), and environmental (competition intensity, government support, trading partners readiness, and standards uncertainty) factors in the organizational adoption of BCT in Australia. We confirmed the model with a sample of adopters and potential adopter organizations in Aus-tralia. The results show a significant role of the proposed factors in the organizational adoption of BCT in Australia. Additionally, we found that the relationship between the influential factors and BCT adoption is moderated by “perceived risks”. The study extends the TOE framework by adding factors that were ignored in previous studies on BCT adoption, such as perceived information trans-parency, perceived disintermediation, organizational innovativeness, organizational learning capa-bility, and standards uncertainty. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
- Authors: Malik, Saleem , Chadhar, Mehmood , Vatanasakdakul, Savanid , Chetty, Madhu
- Date: 2021
- Type: Text , Journal article
- Relation: Sustainability (Switzerland) Vol. 13, no. 16 (2021), p.
- Full Text:
- Reviewed:
- Description: Blockchain technology (BCT) has been gaining popularity due to its benefits for almost every industry. However, despite its benefits, the organizational adoption of BCT is rather limited. This lack of uptake motivated us to identify the factors that influence the adoption of BCT from an organizational perspective. In doing this, we reviewed the BCT literature, interviewed BCT experts, and proposed a research model based on the TOE framework. Specifically, we theorized the role of technological (perceived benefits, compatibility, information transparency, and disintermediation), organizational (organization innovativeness, organizational learning capability, and top management support), and environmental (competition intensity, government support, trading partners readiness, and standards uncertainty) factors in the organizational adoption of BCT in Australia. We confirmed the model with a sample of adopters and potential adopter organizations in Aus-tralia. The results show a significant role of the proposed factors in the organizational adoption of BCT in Australia. Additionally, we found that the relationship between the influential factors and BCT adoption is moderated by “perceived risks”. The study extends the TOE framework by adding factors that were ignored in previous studies on BCT adoption, such as perceived information trans-parency, perceived disintermediation, organizational innovativeness, organizational learning capa-bility, and standards uncertainty. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.