- 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
- 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.
- 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.
Characterizing Australia's east coast cyclones (1950–2019)
- Gray, Jessie, Verdon-Kidd, Danielle, Jaffrés, Jasmine, Hewson, Michael, Clarke, John, Sharma, Krishneel, English, Nathan
- Authors: Gray, Jessie , Verdon-Kidd, Danielle , Jaffrés, Jasmine , Hewson, Michael , Clarke, John , Sharma, Krishneel , English, Nathan
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Climatology Vol. 43, no. 7 (2023), p. 3324-3352
- Full Text:
- Reviewed:
- Description: East coast cyclones (ECCs) provide an essential reprieve from dry periods across eastern Australia. They also deliver flood-producing rains with significant economic, social and environmental impacts. Assessing and comparing the influence of different types of cyclones is hindered by an incomplete understanding of ECC typology, given their widely variable spatial and temporal characteristics. This study employs a track-clustering method (probabilistic, curve-aligned regression model) to identify key cyclonic pathways for ECCs from 1950 to 2019. Six spatially independent clusters were successfully distinguished and further sub-classified (coastal, continental and tropical) based on their genesis location. The seasonality and long-term variability, intensity (maximum Laplacian value ± 2 days) and event-based rainfall were then evaluated for each cluster to quantify the impact of these lows on Australia. The highest quantity of land-based rainfall per event is associated with the tropical cluster (Cluster 6), whereas widespread rainfall was also found to occur in the two continental clusters (clusters 4 and 5). Cyclone tracks orientated close to the coast (clusters 1, 2 and 3) were determined to be the least impactful in terms of rainfall and intensity, despite being the most common cyclone type. In terms of interannual variability, sea surface temperature anomalies suggest an increased cyclone frequency for clusters 1 (austral winter) and 4 (austral spring) during a central Pacific El Niño. Furthermore, cyclone incidence during IOD-negative conditions was more pronounced in winter for clusters 1, 2, 3— and clusters 4 and 5 in spring. All cyclones also predominantly occurred in SAM-positive conditions. However, winter ECCs for clusters 1 and 3 had a higher frequency in SAM-negative. This new typology of ECCs via spatial clustering provides crucial insights into the systems that produce extreme rainfall across eastern Australia and should be used to inform future hazard management of cyclone events. © 2023 The Authors. International Journal of Climatology published by John Wiley & Sons Ltd on behalf of Royal Meteorological Society.
- Authors: Gray, Jessie , Verdon-Kidd, Danielle , Jaffrés, Jasmine , Hewson, Michael , Clarke, John , Sharma, Krishneel , English, Nathan
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Climatology Vol. 43, no. 7 (2023), p. 3324-3352
- Full Text:
- Reviewed:
- Description: East coast cyclones (ECCs) provide an essential reprieve from dry periods across eastern Australia. They also deliver flood-producing rains with significant economic, social and environmental impacts. Assessing and comparing the influence of different types of cyclones is hindered by an incomplete understanding of ECC typology, given their widely variable spatial and temporal characteristics. This study employs a track-clustering method (probabilistic, curve-aligned regression model) to identify key cyclonic pathways for ECCs from 1950 to 2019. Six spatially independent clusters were successfully distinguished and further sub-classified (coastal, continental and tropical) based on their genesis location. The seasonality and long-term variability, intensity (maximum Laplacian value ± 2 days) and event-based rainfall were then evaluated for each cluster to quantify the impact of these lows on Australia. The highest quantity of land-based rainfall per event is associated with the tropical cluster (Cluster 6), whereas widespread rainfall was also found to occur in the two continental clusters (clusters 4 and 5). Cyclone tracks orientated close to the coast (clusters 1, 2 and 3) were determined to be the least impactful in terms of rainfall and intensity, despite being the most common cyclone type. In terms of interannual variability, sea surface temperature anomalies suggest an increased cyclone frequency for clusters 1 (austral winter) and 4 (austral spring) during a central Pacific El Niño. Furthermore, cyclone incidence during IOD-negative conditions was more pronounced in winter for clusters 1, 2, 3— and clusters 4 and 5 in spring. All cyclones also predominantly occurred in SAM-positive conditions. However, winter ECCs for clusters 1 and 3 had a higher frequency in SAM-negative. This new typology of ECCs via spatial clustering provides crucial insights into the systems that produce extreme rainfall across eastern Australia and should be used to inform future hazard management of cyclone events. © 2023 The Authors. International Journal of Climatology published by John Wiley & Sons Ltd on behalf of Royal Meteorological Society.
Chinese students’ decisions to study in Australia after the COVID pandemic-based on the PESTLE factor analysis
- Paynter, Merryn, Sharpe, Wen, Halabi, Abdel, Reimers, Vaughan, Ma, Hongming, Johnstone, Carolyn
- Authors: Paynter, Merryn , Sharpe, Wen , Halabi, Abdel , Reimers, Vaughan , Ma, Hongming , Johnstone, Carolyn
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Intercultural Relations Vol. 96, no. (2023), p.
- Full Text:
- Reviewed:
- Description: The purpose of this study is to explore the impact of the PESTLE (Political, Economic, Social, Technological, Legal, and Environmental) framework on the motivations of Chinese students to pursue a higher education degree at Australian universities following the COVID-19 pandemic. We conduct a survey with a unique sample of 446 Chinese undergraduate students who are looking to study a postgraduate degree abroad. Seldom used in an educational setting, our empirical findings show a positive effect of PESTLE, particularly the economic factor, on students’ choice to study abroad, which is contrary to the null hypothesis. This study has broader implications for university administrators as it suggests that the PESTLE model can be a useful tool in analyzing education choices at a time of uncertainty. © 2023 The Authors
- Authors: Paynter, Merryn , Sharpe, Wen , Halabi, Abdel , Reimers, Vaughan , Ma, Hongming , Johnstone, Carolyn
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Intercultural Relations Vol. 96, no. (2023), p.
- Full Text:
- Reviewed:
- Description: The purpose of this study is to explore the impact of the PESTLE (Political, Economic, Social, Technological, Legal, and Environmental) framework on the motivations of Chinese students to pursue a higher education degree at Australian universities following the COVID-19 pandemic. We conduct a survey with a unique sample of 446 Chinese undergraduate students who are looking to study a postgraduate degree abroad. Seldom used in an educational setting, our empirical findings show a positive effect of PESTLE, particularly the economic factor, on students’ choice to study abroad, which is contrary to the null hypothesis. This study has broader implications for university administrators as it suggests that the PESTLE model can be a useful tool in analyzing education choices at a time of uncertainty. © 2023 The Authors
- Atchan, Marjorie, Graham, Kristen, Hartney, Nicki, Martis, Ruth, Kearney, Lauren, Davey, Kym, Daellenbach, Rea, Hall, Helen, Sweet, Linda
- Authors: Atchan, Marjorie , Graham, Kristen , Hartney, Nicki , Martis, Ruth , Kearney, Lauren , Davey, Kym , Daellenbach, Rea , Hall, Helen , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Women and Birth Vol. 36, no. 3 (2023), p. e305-e313
- Full Text: false
- Reviewed:
- Description: Background: To manage the COVID-19 pandemic, public health restrictions and a rapid pivot to telehealth occurred. Peripartum services were significantly affected by a strained infrastructure. Decreased face to face access to health services and support affected maternal experiences and confidence internationally, yet little was reported with the Australian and Aotearoa New Zealand context. Aim: To explore the early parenting and infant feeding experiences of new mothers from Australia and Aotearoa New Zealand in the context of a pandemic. Methods: An interpretive qualitative approach and thematic analysis obtained an in-depth understanding of the experiences of 27 mothers who gave birth during the first wave of the COVID-19 pandemic in 2020. Findings: Australian and Aotearoa New Zealand women reported similar experiences, which varied contextually. Restrictions and requirements impacted favourably and unfavourably. Many women found the peace and space of social distancing an unexpected benefit and were proud of their achievements, whilst others shared feelings of isolation and distress. Some women felt they instinctively did what they needed to do. Experiences correlated with differing levels of self-efficacy. Discussion: While many women relished the freedom from social obligations when faced with feeding challenges, there was general dissatisfaction with the level of support available. Care was fragmented, and health care needs were unmet, impacting feeding and parenting decisions and mental health. Conclusion: Access to timely and appropriate professional support is an important factor in establishing breastfeeding and developing parenting confidence, particularly in the context of a pandemic and should be a health policy priority. © 2023 Australian College of Midwives
Evaluation of rural general practice experiences for pre-vocational medical graduates
- McGrail, Matthew, Chhabra, Jasleen, Hays, Richard
- Authors: McGrail, Matthew , Chhabra, Jasleen , Hays, Richard
- Date: 2023
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 23, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: Despite substantial investment in rural workforce support, sustaining the necessary recruitment and retention of general practitioners (GPs) in rural areas remains a challenge. Insufficient medical graduates are choosing a general/rural practice career. Medical training at postgraduate level, particularly for those ‘between’ undergraduate medical education and specialty training, remains strongly reliant on hospital experience in larger hospitals, potentially diverting interest away from general/rural practice. The Rural Junior Doctor Training Innovation Fund (RJDTIF) program offered junior hospital doctors (interns) an experience of 10 weeks in a rural general practice, aiming to increase their consideration of general/rural practice careers This study aimed to evaluate the educational and potential workforce impact of the RJDTIF program. Methods: Up to 110 places were established during 2019–2020 for Queensland’s interns to undertake an 8–12-week rotation (depending on individual hospital rosters) out of regional hospitals to work in a rural general practice. Participants were surveyed before and after the placement, although only 86 were invited due to the disruption caused by the COVID-19 pandemic. Descriptive quantitative statistics were applied to the survey data. Four semistructured interviews were conducted to further explore the experiences post-placement, with audio-recordings transcribed verbatim. Semi-structured interview data were analysed using inductive, reflexive thematic analysis. Results: In total, 60 interns completed either survey, although only 25 were matched as completing both surveys. About half (48%) indicated they had preferenced the rural GP term and 48% indicated strong enthusiasm for the experience. General practice was indicated as the most likely career option for 50%, other general specialty 28% and subspecialty 22%. Likelihood to be working in a regional/rural location in 10 years was indicated as ‘likely’ or ‘very likely’ for 40%, ‘unlikely’ for 24% and ‘unsure’ for 36%. The two most common reasons for preferencing a rural GP term were experiencing training in a primary care setting (50%) and gaining more clinical skills through increased patient exposure (22%). The overall impact on pursuing a primary care career was self-assessed as much more likely by 41%, but much less by 15%. Interest in a rural location was less influenced. Those rating the term poor or average had low pre-placement enthusiasm for the term. The qualitative analysis of interview data produced two themes: importance of the rural GP term for interns (hands-on learning, skills improvement, influence on future career choice and engagement with the local community), and potential improvements to rural intern GP rotations. Conclusion: Most participants reported a positive experience from their rural GP rotation, which was recognised as a sound learning experience at an important time with respect to choosing a specialty. Despite the challenges posed by the pandemic, this evidence supports the investment in programs that provide opportunities for junior doctors to experience rural general practice in these formative postgraduate years to stimulate interest in this much-needed career pathway. Focusing resources on those who have at least some interest and enthusiasm may improve its workforce impact © 2023, Rural and Remote Health.All Rights Reserved.
- Authors: McGrail, Matthew , Chhabra, Jasleen , Hays, Richard
- Date: 2023
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 23, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: Despite substantial investment in rural workforce support, sustaining the necessary recruitment and retention of general practitioners (GPs) in rural areas remains a challenge. Insufficient medical graduates are choosing a general/rural practice career. Medical training at postgraduate level, particularly for those ‘between’ undergraduate medical education and specialty training, remains strongly reliant on hospital experience in larger hospitals, potentially diverting interest away from general/rural practice. The Rural Junior Doctor Training Innovation Fund (RJDTIF) program offered junior hospital doctors (interns) an experience of 10 weeks in a rural general practice, aiming to increase their consideration of general/rural practice careers This study aimed to evaluate the educational and potential workforce impact of the RJDTIF program. Methods: Up to 110 places were established during 2019–2020 for Queensland’s interns to undertake an 8–12-week rotation (depending on individual hospital rosters) out of regional hospitals to work in a rural general practice. Participants were surveyed before and after the placement, although only 86 were invited due to the disruption caused by the COVID-19 pandemic. Descriptive quantitative statistics were applied to the survey data. Four semistructured interviews were conducted to further explore the experiences post-placement, with audio-recordings transcribed verbatim. Semi-structured interview data were analysed using inductive, reflexive thematic analysis. Results: In total, 60 interns completed either survey, although only 25 were matched as completing both surveys. About half (48%) indicated they had preferenced the rural GP term and 48% indicated strong enthusiasm for the experience. General practice was indicated as the most likely career option for 50%, other general specialty 28% and subspecialty 22%. Likelihood to be working in a regional/rural location in 10 years was indicated as ‘likely’ or ‘very likely’ for 40%, ‘unlikely’ for 24% and ‘unsure’ for 36%. The two most common reasons for preferencing a rural GP term were experiencing training in a primary care setting (50%) and gaining more clinical skills through increased patient exposure (22%). The overall impact on pursuing a primary care career was self-assessed as much more likely by 41%, but much less by 15%. Interest in a rural location was less influenced. Those rating the term poor or average had low pre-placement enthusiasm for the term. The qualitative analysis of interview data produced two themes: importance of the rural GP term for interns (hands-on learning, skills improvement, influence on future career choice and engagement with the local community), and potential improvements to rural intern GP rotations. Conclusion: Most participants reported a positive experience from their rural GP rotation, which was recognised as a sound learning experience at an important time with respect to choosing a specialty. Despite the challenges posed by the pandemic, this evidence supports the investment in programs that provide opportunities for junior doctors to experience rural general practice in these formative postgraduate years to stimulate interest in this much-needed career pathway. Focusing resources on those who have at least some interest and enthusiasm may improve its workforce impact © 2023, Rural and Remote Health.All Rights Reserved.
Finding a place for organic waste-to-energy in Australian agribusiness
- Authors: Hurley, Craig
- Date: 2023
- Type: Text , Thesis , PhD
- Full Text:
- Description: This thesis seeks to understand Australian agribusiness engagement with approaches to generate energy from organic waste materials. Applications of modern bioenergy technologies, utilising agriculture residues to produce electrical, thermal and transport energy, have been well established in many parts of the world. There has been enthusiasm for bioenergy from agriculture to make a substantial contribution to Australia’s energy mix, but the agriculture sector, like Australia more generally, has been slow to transition to bioenergy technologies. Adopting the pragmatism research philosophy, this study applies the Multi-Level Perspective and Social Practice Approach frameworks to explore Australian agribusiness engagement with bioenergy systems, to produce energy from organic waste. A multi-methods qualitative research methodology is used to analyse the adoption of organic waste-to-energy approaches by Australian agribusiness, and to identify the critical drivers and barriers impacting these transitions. Except for sugar processors, Australian agribusiness adoption of organic waste-to-energy approaches is in its very early stages. The main drivers prompting agribusinesses to explore their organic waste-to-energy options are, agribusinesses experiencing problems with the cost and/or quality of their energy supplies, and/or problems with the social acceptance of their existing organic waste management practices. The main barriers to agribusinesses making the transition to bioenergy technologies, include financial factors such as the high capital costs of bioenergy plants and low returns on investment. Other barriers include a low level of awareness and understanding of bioenergy approaches in the agriculture industry, and in Australia more broadly, and a lack of consultative expertise to develop and service bioenergy systems. For organic waste-to-energy to play a more substantial role in Australian agriculture, support is needed to overcome critical barriers. This study finds policy and support mechanisms are required to encourage greater collaboration of small-scale agribusinesses and other relevant stakeholders. Investment is also needed to increase Australia’s awareness and understanding of organic waste-to-energy approaches, and to build the consultative expertise and skills-base to support the development of bioenergy systems.
- Description: Doctor of Philiosophy
- Authors: Hurley, Craig
- Date: 2023
- Type: Text , Thesis , PhD
- Full Text:
- Description: This thesis seeks to understand Australian agribusiness engagement with approaches to generate energy from organic waste materials. Applications of modern bioenergy technologies, utilising agriculture residues to produce electrical, thermal and transport energy, have been well established in many parts of the world. There has been enthusiasm for bioenergy from agriculture to make a substantial contribution to Australia’s energy mix, but the agriculture sector, like Australia more generally, has been slow to transition to bioenergy technologies. Adopting the pragmatism research philosophy, this study applies the Multi-Level Perspective and Social Practice Approach frameworks to explore Australian agribusiness engagement with bioenergy systems, to produce energy from organic waste. A multi-methods qualitative research methodology is used to analyse the adoption of organic waste-to-energy approaches by Australian agribusiness, and to identify the critical drivers and barriers impacting these transitions. Except for sugar processors, Australian agribusiness adoption of organic waste-to-energy approaches is in its very early stages. The main drivers prompting agribusinesses to explore their organic waste-to-energy options are, agribusinesses experiencing problems with the cost and/or quality of their energy supplies, and/or problems with the social acceptance of their existing organic waste management practices. The main barriers to agribusinesses making the transition to bioenergy technologies, include financial factors such as the high capital costs of bioenergy plants and low returns on investment. Other barriers include a low level of awareness and understanding of bioenergy approaches in the agriculture industry, and in Australia more broadly, and a lack of consultative expertise to develop and service bioenergy systems. For organic waste-to-energy to play a more substantial role in Australian agriculture, support is needed to overcome critical barriers. This study finds policy and support mechanisms are required to encourage greater collaboration of small-scale agribusinesses and other relevant stakeholders. Investment is also needed to increase Australia’s awareness and understanding of organic waste-to-energy approaches, and to build the consultative expertise and skills-base to support the development of bioenergy systems.
- Description: Doctor of Philiosophy
Inclusion of animals in allied health practice in Australia : a beginning exploration
- Bennett, Bindi, Gates, Trevor, Yeung, Polly, Evans, Krystal
- Authors: Bennett, Bindi , Gates, Trevor , Yeung, Polly , Evans, Krystal
- Date: 2023
- Type: Text , Journal article
- Relation: Social Work in Mental Health Vol. 21, no. 3 (2023), p. 269-284
- Full Text: false
- Reviewed:
- Description: Working with domesticated animals in allied health fields continues to evolve in Australia. We sought to gain an understanding of practitioners’ knowledge, skills, and actions when working with domestic animals in Australia. Adapting methods and measurements from a study performed in Aotearoa New Zealand, the current study surveyed 28 allied health practitioners analyzing the extent animals have been incorporated into practice in Australia, and the practice considerations made to domestic animal welfare and ethics. This research showed a continuing lack of clear workplace policies, support or professional training, and a call for ethical guidelines when working in partnership with animals. © 2022 Taylor & Francis.
Pairwise approach for analysis and reporting of child's free sugars intake from a birth cohort study
- Nguyen, Huy, Ha, Diep, Dao, An, Golley, Rebecca, Scott, Jane, Spencer, John, Bell, Lucinda, Devenish-Coleman, Gemma, Do, Loc
- Authors: Nguyen, Huy , Ha, Diep , Dao, An , Golley, Rebecca , Scott, Jane , Spencer, John , Bell, Lucinda , Devenish-Coleman, Gemma , Do, Loc
- Date: 2023
- Type: Text , Journal article
- Relation: Community Dentistry and Oral Epidemiology Vol. 51, no. 5 (2023), p. 820-828
- Full Text:
- Reviewed:
- Description: Objectives: The prospective cohort design is an important research design, but a common challenge is missing data. The purpose of this study is to compare three approaches to managing missing data, the pairwise (n = 1386 children), the partial or modified pairwise (n = 1019) and the listwise (n = 546), to characterize the trajectories of children's free sugars intake (FSI) across early childhood. Methods: By applying the Group-based Trajectory Model Technique to three waves of data collected from a prospective cohort study of South Australian children, this study examined the three approaches in managing missing data to validate and discuss children's FSI trajectories. Results: Each approach identified three distinct trajectories of child's FSI from 1 to 5 years of age: (1) ‘low and fast increasing’, (2) ‘moderate and increasing’ and (3) ‘high and increasing’. The trajectory memberships were consistent across the three approaches, and were for the pairwise scenario (1) 15.1%, (2) 68.3% and (3) 16.6%; the partial or modified pairwise (1) 15.9%, (2) 64.1% and (3) 20.0%; and the listwise (1) 14.9%, (2) 64.9% and (3) 20.2% of children. Conclusions: Given the comparability of the findings across the analytical approaches and the samples' characteristics between baseline and across different data collection waves, it is recommended that the pairwise approach be used in future analyses to optimize the sample size and statistical power when examining the relationship between FSI in the first years of life and health outcome such as dental caries. © 2022 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.
Pairwise approach for analysis and reporting of child's free sugars intake from a birth cohort study
- Authors: Nguyen, Huy , Ha, Diep , Dao, An , Golley, Rebecca , Scott, Jane , Spencer, John , Bell, Lucinda , Devenish-Coleman, Gemma , Do, Loc
- Date: 2023
- Type: Text , Journal article
- Relation: Community Dentistry and Oral Epidemiology Vol. 51, no. 5 (2023), p. 820-828
- Full Text:
- Reviewed:
- Description: Objectives: The prospective cohort design is an important research design, but a common challenge is missing data. The purpose of this study is to compare three approaches to managing missing data, the pairwise (n = 1386 children), the partial or modified pairwise (n = 1019) and the listwise (n = 546), to characterize the trajectories of children's free sugars intake (FSI) across early childhood. Methods: By applying the Group-based Trajectory Model Technique to three waves of data collected from a prospective cohort study of South Australian children, this study examined the three approaches in managing missing data to validate and discuss children's FSI trajectories. Results: Each approach identified three distinct trajectories of child's FSI from 1 to 5 years of age: (1) ‘low and fast increasing’, (2) ‘moderate and increasing’ and (3) ‘high and increasing’. The trajectory memberships were consistent across the three approaches, and were for the pairwise scenario (1) 15.1%, (2) 68.3% and (3) 16.6%; the partial or modified pairwise (1) 15.9%, (2) 64.1% and (3) 20.0%; and the listwise (1) 14.9%, (2) 64.9% and (3) 20.2% of children. Conclusions: Given the comparability of the findings across the analytical approaches and the samples' characteristics between baseline and across different data collection waves, it is recommended that the pairwise approach be used in future analyses to optimize the sample size and statistical power when examining the relationship between FSI in the first years of life and health outcome such as dental caries. © 2022 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.
Potential contributions of the soil seed bank and seed rain for accelerating the restoration of riparian catchments in Australia
- Florentine, Singarayer, Milberg, Per, Westbrooke, Martin
- Authors: Florentine, Singarayer , Milberg, Per , Westbrooke, Martin
- Date: 2023
- Type: Text , Journal article
- Relation: Global Ecology and Conservation Vol. 47, no. (2023), p.
- Full Text:
- Reviewed:
- Description: The quality and quantity of soil seed bank composition can play a key role in secondary succession restoration efforts such as those involved in this study, which concerned the restoration of damaged native sites in riparian environments in Victoria, Australia. The objective of this study of the restoration work was to determine the role played by naturally existing soil seed bank in the success of natural restoration in these restored and unmanaged riparian areas. In this regard, we sampled the soil seed bank, seed rain, seedlings in the field and vegetation cover from three sub catchments defined by restoration attempts which had been conducted (i) < 3 years, (ii) 4–8 years, and (iii) > 9 years previous to sampling. In addition, (iv) in order to provide comparative data, adjacent sites (iv) chosen for future restoration and (v) with remnant vegetation, were also sampled. From samples, a total of 8858 seedlings were recorded from the seed bank and the vegetation survey showed 170 species, with exotic species being more numerous than native. The seed rain (a total of 1422 seeds) was dominated by exotic species at all sites. When comparing the vegetation distribution and the seed rain composition, it was clear that whilst the seed bank was more promising as a comparative recruitment source of native species, there were still too many sites dominated by exotic species to rely on this as a long-term restoration strategy. However, this study indicated that there were significant variations in restoration potential among the sites, suggesting that some careful prior site selection for investment of restoration efforts is an important issue. As a consequence, we have recommended that a detailed understanding of the soil seed bank and seed rain species composition prior to the restoration is essential, since a positive seed bank composition with a significant relative density of native species seeds, will provide an indication of native species’ resilience and their potential for recovery. We therefore believe that the findings of this study will provide valuable information to natural resource management agencies regarding the strategy for prioritisation of restoration sites, which will be more beneficial than randomly selecting sites for habitat restoration. In addition, with successful sector restoration, it is expected that the increasing usefulness of the seed bank will allow further restoration of adjacent areas with time. © 2023 The Authors
- Authors: Florentine, Singarayer , Milberg, Per , Westbrooke, Martin
- Date: 2023
- Type: Text , Journal article
- Relation: Global Ecology and Conservation Vol. 47, no. (2023), p.
- Full Text:
- Reviewed:
- Description: The quality and quantity of soil seed bank composition can play a key role in secondary succession restoration efforts such as those involved in this study, which concerned the restoration of damaged native sites in riparian environments in Victoria, Australia. The objective of this study of the restoration work was to determine the role played by naturally existing soil seed bank in the success of natural restoration in these restored and unmanaged riparian areas. In this regard, we sampled the soil seed bank, seed rain, seedlings in the field and vegetation cover from three sub catchments defined by restoration attempts which had been conducted (i) < 3 years, (ii) 4–8 years, and (iii) > 9 years previous to sampling. In addition, (iv) in order to provide comparative data, adjacent sites (iv) chosen for future restoration and (v) with remnant vegetation, were also sampled. From samples, a total of 8858 seedlings were recorded from the seed bank and the vegetation survey showed 170 species, with exotic species being more numerous than native. The seed rain (a total of 1422 seeds) was dominated by exotic species at all sites. When comparing the vegetation distribution and the seed rain composition, it was clear that whilst the seed bank was more promising as a comparative recruitment source of native species, there were still too many sites dominated by exotic species to rely on this as a long-term restoration strategy. However, this study indicated that there were significant variations in restoration potential among the sites, suggesting that some careful prior site selection for investment of restoration efforts is an important issue. As a consequence, we have recommended that a detailed understanding of the soil seed bank and seed rain species composition prior to the restoration is essential, since a positive seed bank composition with a significant relative density of native species seeds, will provide an indication of native species’ resilience and their potential for recovery. We therefore believe that the findings of this study will provide valuable information to natural resource management agencies regarding the strategy for prioritisation of restoration sites, which will be more beneficial than randomly selecting sites for habitat restoration. In addition, with successful sector restoration, it is expected that the increasing usefulness of the seed bank will allow further restoration of adjacent areas with time. © 2023 The Authors
Public health messaging during disasters: Practice and attitudes of Australian emergency nurses
- Coombs, Nicole, Porter, Joanne, Barbagallo, Michael, Plummer, Virginia
- Authors: Coombs, Nicole , Porter, Joanne , Barbagallo, Michael , Plummer, Virginia
- Date: 2023
- Type: Text , Journal article
- Relation: Australasian Emergency Care Vol. 26, no. 2 (2023), p. 193-197
- Full Text: false
- Reviewed:
- Description: The growing frequency of disasters increases health system demands, increasing the need for emergency departments to provide public health messaging to prevent illness and reduce risk. This study aims to explore emergency nurse practice and attitudes in providing public health messages from the emergency department during disasters in Australia. Quantitative phase of a mixed methods study, using an explanatory sequential design. Australian emergency nurses were surveyed using a validated online questionnaire. Data was analysed using descriptive and inferential statistics, an enumerative content analysis, participant profiling and a factor analysis. Disaster experience varied in 143 nurse participants. The perception of the emergency nurse’s role in providing public health messages is influencing practice. Embracing teachable moments and health promotion responsibilities, attributes to positive attitudes and practice. In contrast, negative attitudes, lack of confidence, time, policy, and training, are barriers to public health messages being provided in the emergency setting. These barriers suggest that Australian emergency nurses may not have the capability, the opportunity, nor the motivation, to provide preventative messages to their patients during disasters. Intrinsic and extrinsic factors need to be addressed, ensuring nurses are confident and supported in their public health messaging practice during disasters.
The experience of women from rural Australia with a preterm infant in a neonatal intensive care unit
- Laidlaw, Kerrie, Prichard, Ivanka, Sweet, Linda
- Authors: Laidlaw, Kerrie , Prichard, Ivanka , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 23, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: This study aimed to understand the experiences of women from rural areas who have had a preterm infant admitted to a neonatal intensive care unit. The study population comprised five women aged 29–36 years who birthed a premature infant of less than 32 weeks gestation within the previous 6 months at the time of recruitment. The setting was in rural areas of Australia, in the states of Victoria, New South Wales, Queensland and Western Australia. Methods: Semi-structured interviews using video-conferencing explored the experiences of the women and were analysed using thematic analysis. Results: Four key themes were identified from the data: emotional trauma, social displacement, external coping resources and craving continuity of care. Social displacement further impacted the emotional trauma already experienced by women who birthed a preterm infant by temporarily relocating to the city to be near to their infant in the neonatal intensive care unit. This led to the utilisation of additional socioeconomic resources including support from extended family and rural community members. The women highly valued yet struggled to find appropriate peer support and continuity of health care for their infant within their rural community after discharge from the neonatal intensive care unit. Conclusion: Health professionals have an opportunity to explore ways to address social displacement, particularly in relation to socioeconomic support and the involvement of extended family into a family integrated care framework within the neonatal intensive care unit. The long-term effects of this on the mother– infant dyad and the lack of appropriate community support also require further examination © 2023, Rural and Remote Health.All Rights Reserved.
The experience of women from rural Australia with a preterm infant in a neonatal intensive care unit
- Authors: Laidlaw, Kerrie , Prichard, Ivanka , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 23, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: This study aimed to understand the experiences of women from rural areas who have had a preterm infant admitted to a neonatal intensive care unit. The study population comprised five women aged 29–36 years who birthed a premature infant of less than 32 weeks gestation within the previous 6 months at the time of recruitment. The setting was in rural areas of Australia, in the states of Victoria, New South Wales, Queensland and Western Australia. Methods: Semi-structured interviews using video-conferencing explored the experiences of the women and were analysed using thematic analysis. Results: Four key themes were identified from the data: emotional trauma, social displacement, external coping resources and craving continuity of care. Social displacement further impacted the emotional trauma already experienced by women who birthed a preterm infant by temporarily relocating to the city to be near to their infant in the neonatal intensive care unit. This led to the utilisation of additional socioeconomic resources including support from extended family and rural community members. The women highly valued yet struggled to find appropriate peer support and continuity of health care for their infant within their rural community after discharge from the neonatal intensive care unit. Conclusion: Health professionals have an opportunity to explore ways to address social displacement, particularly in relation to socioeconomic support and the involvement of extended family into a family integrated care framework within the neonatal intensive care unit. The long-term effects of this on the mother– infant dyad and the lack of appropriate community support also require further examination © 2023, Rural and Remote Health.All Rights Reserved.
The quality of older adults’ involvement in clinical communication with general practitioners : evidence from rural towns in Australia
- Hamiduzzaman, Mohammad, Siddiquee, Noore, Gaffney, Harry, Aziz Rahman, Muhammad, Greenhill, Jennene
- Authors: Hamiduzzaman, Mohammad , Siddiquee, Noore , Gaffney, Harry , Aziz Rahman, Muhammad , Greenhill, Jennene
- Date: 2023
- Type: Text , Journal article
- Relation: Global Health Journal Vol. 7, no. 4 (2023), p. 186-193
- Full Text:
- Reviewed:
- Description: Objective: A study was conducted about the putative links of older rural Australians’ health knowledge and preparation with their quality of involvement in patient-general practitioner (GP) communication during health intake visits. Methods: It was a cross-sectional study between January 2021 and April 2022. The 32-item quality of involvement in communication scale was designed and incorporated into the SurveyGizmo software. This online survey was administered by sending an email request to the Renmark Rotary Club, which actively promoted this study across five rural towns in South Australia. 121 participants completed the surveys. Mean-sum scores were calculated based on the questionnaire responses to evaluate outcomes, specifically initiation of information, active participation, and emotional expression. We employed different methods including t-tests, ANOVA, and leaner regressions to analyse data. Results: The demographic profile of participants characterised by a female predominance (58.7%, 71/121), a majority falling within the 65‒< 70 age bracket (47.1%, 57/121), and a high level of educational attainment (58.7% had completed high school or higher, 71/121). Additionally, 35% of the participants predominantly spoke a language other than English at home. Regarding the initiation of information with GPs, the mean sum-score was (20.5 ± 3.7), indicating a marginally above-average level of engagement. Contrarily, the active participation was suboptimal, as suggested by a mean sum score of (35.9 ± 6.3). Furthermore, the emotional expression was relatively low, with a mean score of (13.9 ± 1.8). Substantial variations were discerned in the quality of patient-GP communication, contingent upon factors such as educational background, language spoken at home, health literacy, and preparatory measures for clinical visits. Participants who predominantly spoke a language other than English at home demonstrated significantly lower levels of information initiation with their GPs (P < 0.001). Higher educational attainment was positively correlated with increased active participation (P < 0.001). Enhanced health literacy and thorough visit preparation were significantly associated with increased levels of active participation (P < 0.001). Conclusion: Meaningful engagement through recognition, empowerment, and support (health literacy programs) for older rural adults is suggested for improving their quality of involvement in communication with GPs. © 2023
- Authors: Hamiduzzaman, Mohammad , Siddiquee, Noore , Gaffney, Harry , Aziz Rahman, Muhammad , Greenhill, Jennene
- Date: 2023
- Type: Text , Journal article
- Relation: Global Health Journal Vol. 7, no. 4 (2023), p. 186-193
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- Reviewed:
- Description: Objective: A study was conducted about the putative links of older rural Australians’ health knowledge and preparation with their quality of involvement in patient-general practitioner (GP) communication during health intake visits. Methods: It was a cross-sectional study between January 2021 and April 2022. The 32-item quality of involvement in communication scale was designed and incorporated into the SurveyGizmo software. This online survey was administered by sending an email request to the Renmark Rotary Club, which actively promoted this study across five rural towns in South Australia. 121 participants completed the surveys. Mean-sum scores were calculated based on the questionnaire responses to evaluate outcomes, specifically initiation of information, active participation, and emotional expression. We employed different methods including t-tests, ANOVA, and leaner regressions to analyse data. Results: The demographic profile of participants characterised by a female predominance (58.7%, 71/121), a majority falling within the 65‒< 70 age bracket (47.1%, 57/121), and a high level of educational attainment (58.7% had completed high school or higher, 71/121). Additionally, 35% of the participants predominantly spoke a language other than English at home. Regarding the initiation of information with GPs, the mean sum-score was (20.5 ± 3.7), indicating a marginally above-average level of engagement. Contrarily, the active participation was suboptimal, as suggested by a mean sum score of (35.9 ± 6.3). Furthermore, the emotional expression was relatively low, with a mean score of (13.9 ± 1.8). Substantial variations were discerned in the quality of patient-GP communication, contingent upon factors such as educational background, language spoken at home, health literacy, and preparatory measures for clinical visits. Participants who predominantly spoke a language other than English at home demonstrated significantly lower levels of information initiation with their GPs (P < 0.001). Higher educational attainment was positively correlated with increased active participation (P < 0.001). Enhanced health literacy and thorough visit preparation were significantly associated with increased levels of active participation (P < 0.001). Conclusion: Meaningful engagement through recognition, empowerment, and support (health literacy programs) for older rural adults is suggested for improving their quality of involvement in communication with GPs. © 2023