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.
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- 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.
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- 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.
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:
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- 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
- Full Text:
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- 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
Trajectories of child free sugars intake and dental caries - a population-based birth cohort study
- Ha, Diep, Nguyen, Huy, Bell, Lucinda, Devenish-Coleman, Gemma, Golley, Rebecca, Thomson, W., Manton, David, Leary, Sam, Scott, Jane, Spencer, John, Do, Loc
- Authors: Ha, Diep , Nguyen, Huy , Bell, Lucinda , Devenish-Coleman, Gemma , Golley, Rebecca , Thomson, W. , Manton, David , Leary, Sam , Scott, Jane , Spencer, John , Do, Loc
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Dentistry Vol. 134, no. (2023), p.
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- Description: Objectives: To investigate the association between trajectories of free sugars intake during the first five years of life and dental caries experience at five years. Methods: Data from the SMILE population-based prospective birth cohort study, collected at one, two and five years old, were used. A 3-days dietary diary and food frequency questionnaire were used to estimate free sugars intake (FSI) in grams. The primary outcomes were dental caries prevalence and experience (dmfs). The Group-Based Trajectory Modelling method was used to characterize three FSI trajectories (‘Low and increasing’; ‘Moderate and increasing’; and ‘High and increasing’), which were the main exposures. Multivariable regression models were generated to compute adjusted prevalence ratios (APR) and rate ratios (ARR) for the exposure, controlling for socioeconomic factors. Results: The prevalence of caries was 23.3%, with a mean dmfs of 1.4, and a median of 3.0 among those who had caries. There were clear gradients of caries prevalence and experience by the FSI trajectories. The ‘High and increasing’ had an APR of 2.13 (95%CI 1.23-3.70) and ARR of 2.77 (95%CI 1.45-5.32) against the ‘Low and increasing’. The ‘Moderate and increasing’ group had intermediate estimates. A quarter of the caries cases could have been prevented if the whole study sample had been in the ‘Low and increasing’ FSI trajectory. Conclusion: A sustained, high trajectory of FSI from a young age was positively associated with child dental caries. Measures to minimise consumption of free sugars must commence early in life. Clinical significance: The study has provided high level evidence to inform clinicians’ decisions in promoting a healthy dietary pattern for young children. © 2023
Understanding experiences of Aboriginal and/or Torres Strait Islander patients at the emergency departments in Australia
- Rahman, Muhammad Aziz, Huda, Md Nazmul, Somerville, Emma, Penny, Lauren, Dashwood, Ryan, Bloxsome, Sharon, Warrior, Keith, Pratt, Katie, Lankin, Margaret, Kenny, Kevin, Arabena, Kerry
- Authors: Rahman, Muhammad Aziz , Huda, Md Nazmul , Somerville, Emma , Penny, Lauren , Dashwood, Ryan , Bloxsome, Sharon , Warrior, Keith , Pratt, Katie , Lankin, Margaret , Kenny, Kevin , Arabena, Kerry
- Date: 2023
- Type: Text , Journal article
- Relation: EMA - Emergency Medicine Australasia Vol. 35, no. 4 (2023), p. 595-599
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- Description: Objectives: The present study describes the experiences of Aboriginal and/or Torres Strait Islander patients and the factors that shaped their experiences of ED visits in regional settings. Methods: This is a qualitative descriptive study. We conducted semi-structured in-depth interviews with Aboriginal and/or Torres Strait Islander patients who used the ED services at three hospitals in New South Wales, Northern Territory and South Australia. We coded the collected data and analysed them using a thematic analysis technique. Results: A total of 33 Aboriginal and/or Torres Strait Islander patients participated. Analyses of their experiences revealed four themes, which included: (i) patients' waiting times in ED; (ii) cultural determinants of health; (iii) treatment services; and (iv) safety, security and privacy. Conclusions: A holistic approach and a robust hospital commitment to address cultural needs while considering overall health, social and emotional wellbeing, will enhance Aboriginal and/or Torres Strait Islander patients' satisfaction for ED visits. © 2023 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine.
- Authors: Rahman, Muhammad Aziz , Huda, Md Nazmul , Somerville, Emma , Penny, Lauren , Dashwood, Ryan , Bloxsome, Sharon , Warrior, Keith , Pratt, Katie , Lankin, Margaret , Kenny, Kevin , Arabena, Kerry
- Date: 2023
- Type: Text , Journal article
- Relation: EMA - Emergency Medicine Australasia Vol. 35, no. 4 (2023), p. 595-599
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- Description: Objectives: The present study describes the experiences of Aboriginal and/or Torres Strait Islander patients and the factors that shaped their experiences of ED visits in regional settings. Methods: This is a qualitative descriptive study. We conducted semi-structured in-depth interviews with Aboriginal and/or Torres Strait Islander patients who used the ED services at three hospitals in New South Wales, Northern Territory and South Australia. We coded the collected data and analysed them using a thematic analysis technique. Results: A total of 33 Aboriginal and/or Torres Strait Islander patients participated. Analyses of their experiences revealed four themes, which included: (i) patients' waiting times in ED; (ii) cultural determinants of health; (iii) treatment services; and (iv) safety, security and privacy. Conclusions: A holistic approach and a robust hospital commitment to address cultural needs while considering overall health, social and emotional wellbeing, will enhance Aboriginal and/or Torres Strait Islander patients' satisfaction for ED visits. © 2023 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine.
Understanding the translingual practices among international students in multilingual cities
- Yin, Yijun, Chik, Alice, Falloon, Garry
- Authors: Yin, Yijun , Chik, Alice , Falloon, Garry
- Date: 2023
- Type: Text , Journal article
- Relation: Australian review of applied linguistics Vol. 46, no. 1 (2023), p. 54-75
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- Description: The impact of global mobility and technology innovations on urban linguistic diversity poses a key challenge to understand how and to what extent international students are immersed in the target language. Such diversity of languages and modes of communication has pointed to a fundamental transformation in the way that international students interact with both online and offline resources. The translingual practices of Chinese international students presented in this study suggest that, instead of being a language learner in an English-dominant country, these students make use of but go beyond their full repertoires to conduct various online and offline activities when living in a translanguaging space. An evaluation of both online and offline practices demonstrates how their online translingual practices were merged into offline contexts, to create opportunities for learning and social engagement. Understanding international students’ experience with both online and offline resources provides useful insights into the translingual practices and processes adopted by them when living and studying in a multilingual city.
- Authors: Yin, Yijun , Chik, Alice , Falloon, Garry
- Date: 2023
- Type: Text , Journal article
- Relation: Australian review of applied linguistics Vol. 46, no. 1 (2023), p. 54-75
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- Description: The impact of global mobility and technology innovations on urban linguistic diversity poses a key challenge to understand how and to what extent international students are immersed in the target language. Such diversity of languages and modes of communication has pointed to a fundamental transformation in the way that international students interact with both online and offline resources. The translingual practices of Chinese international students presented in this study suggest that, instead of being a language learner in an English-dominant country, these students make use of but go beyond their full repertoires to conduct various online and offline activities when living in a translanguaging space. An evaluation of both online and offline practices demonstrates how their online translingual practices were merged into offline contexts, to create opportunities for learning and social engagement. Understanding international students’ experience with both online and offline resources provides useful insights into the translingual practices and processes adopted by them when living and studying in a multilingual city.
Virtual care initiatives for older adults in Australia : scoping review
- Savira, Feby, Gupta, Adyya, Gilbert, Cecily, Huggins, Catherine, Browning, Colette, Chapman, Wendy, Haines, Terry, Peeters, Anna
- Authors: Savira, Feby , Gupta, Adyya , Gilbert, Cecily , Huggins, Catherine , Browning, Colette , Chapman, Wendy , Haines, Terry , Peeters, Anna
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Journal of Medical Internet Research Vol. 25, no. (2023), p.
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- Description: Background: There has been a rapid shift toward the adoption of virtual health care services in Australia. It is unknown how widely virtual care has been implemented or evaluated for the care of older adults in Australia. Objective: We aimed to review the literature evaluating virtual care initiatives for older adults across a wide range of health conditions and modalities and identify key challenges and opportunities for wider adoption at both patient and system levels in Australia. Methods: A scoping review of the literature was conducted. We searched MEDLINE, Embase, PsycINFO, CINAHL, AgeLine, and gray literature (January 1, 2011, to March 8, 2021) to identify virtual care initiatives for older Australians (aged
- Authors: Savira, Feby , Gupta, Adyya , Gilbert, Cecily , Huggins, Catherine , Browning, Colette , Chapman, Wendy , Haines, Terry , Peeters, Anna
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Journal of Medical Internet Research Vol. 25, no. (2023), p.
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- Description: Background: There has been a rapid shift toward the adoption of virtual health care services in Australia. It is unknown how widely virtual care has been implemented or evaluated for the care of older adults in Australia. Objective: We aimed to review the literature evaluating virtual care initiatives for older adults across a wide range of health conditions and modalities and identify key challenges and opportunities for wider adoption at both patient and system levels in Australia. Methods: A scoping review of the literature was conducted. We searched MEDLINE, Embase, PsycINFO, CINAHL, AgeLine, and gray literature (January 1, 2011, to March 8, 2021) to identify virtual care initiatives for older Australians (aged
Why have eight researcher women in STEMM left academic research, and where did they go?
- Christian, Katherine, Johnstone, Carolyn, Larkins, Jo-ann, Wright, Wendy
- Authors: Christian, Katherine , Johnstone, Carolyn , Larkins, Jo-ann , Wright, Wendy
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal for Academic Development Vol. 28, no. 1 (2023), p. 31-44
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- Description: The workplace for early-career researchers (ECRs) in STEMM (science, technology, engineering, mathematics and medicine) is highly competitive; ECRs urgently need to publish and attract funding to secure their next job. The literature suggests this environment is more difficult for women than for men. They start the postdoctoral period in equal numbers; however more women leave academia than men and women are under-represented at the senior levels. Interviews of eight women who had recently left academic research explored their reasons for the change, providing insight into the difficult decision-making processes and the largely beneficial outcomes of their choices of new careers. © 2021 Informa UK Limited, trading as Taylor & Francis Group.
- Jackson, Megan, Porter, Joanne, Peck, Blake, Mesagno, Christopher
- Authors: Jackson, Megan , Porter, Joanne , Peck, Blake , Mesagno, Christopher
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Emergency Nursing Vol. 49, no. 5 (2023), p. 733-743
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- Description: Introduction: The World Health Organization estimates that approximately 180,000 health care workers have died in the fight against COVID-19. Emergency nurses have experienced relentless pressure in maintaining the health and well-being of their patients, often to their detriment. Methods: This research aimed to gain an understanding of lived experiences of Australian emergency nurses working on the frontline during the first year of the COVID-19 pandemic. A qualitative research design was used, guided by an interpretive hermeneutic phenomenological approach. A total of 10 Victorian emergency nurses from both regional and metropolitan hospitals were interviewed between September and November 2020. Analysis was undertaken using a thematic analysis method. Results: A total of 4 major themes were produced from the data. The 4 overarching themes included mixed messages, changes to practice, living through a pandemic, and 2021: here we come. Discussion: Emergency nurses have been exposed to extreme physical, mental, and emotional conditions as a result of the COVID-19 pandemic. A greater emphasis on the mental and emotional well-being of frontline workers is paramount to the success of maintaining a strong and resilient health care workforce. © 2023 Emergency Nurses Association
- Authors: Green, Monica
- Date: 2022
- Type: Text , Journal article
- Relation: Children, Youth and Environment Vol. 32, no. 2 (2022), p. 125-144
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- Description: This small-scale study examinesyoung people’s perspectives aboutenergy transition and climate change adaptation in regional Gippsland, Victoria,Australia. As the opinions and experiences of children and youth have been historically overlooked in contemporary sustainability climate discourse and policy, this research investigatespreviously unheard accounts.The studydrawsonfourfacilitated “Conversations for Change”discussions with a total of 14 young people (aged 9-17)that exploredtheir ideas and concerns about sustaining themselves and their communities during a time of climate change and energy transition. Theirideas and opinionsaboutliving in/with a climate-alteredlocaland global futurearereflected across four main themes: (a)young people’s values;(b) perceptions of energy, transition and adaptation;(c) the enabling role of climate literacy for young people; and (d) responding to a just energy transition through collective endeavors.
- Sluiter, Ian, Holdgate, Guy, Reichgelt, Tammo, Greenwood, David, Kershaw, A. P., Schultz, Nick
- Authors: Sluiter, Ian , Holdgate, Guy , Reichgelt, Tammo , Greenwood, David , Kershaw, A. P. , Schultz, Nick
- Date: 2022
- Type: Text , Journal article
- Relation: Palaeogeography, Palaeoclimatology, Palaeoecology Vol. 596, no. (2022), p.
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- Description: We present a composite terrestrial pollen record of latest Eocene through Oligocene (35.5–23 Ma) vegetation and climate change from the Gippsland Basin of south-eastern Australia. Climates were overwhelmingly mesothermic through this time period, with mean annual temperature (MAT) varying between 13 and 18 °C, with an average of 16 °C. We provide evidence to support a cooling trend through the Eocene–Oligocene Transition (EOT), but also identify three subsequent warming cycles through the Oligocene, leading to more seasonal climates at the termination of the Epoch. One of the warming episodes in the Early Oligocene appears to have also occurred at two other southern hemisphere sites at the Drake Passage as well as off eastern Tasmania, based on recent research. Similarities with sea surface temperature records from modern high southern latitudes which also record similar cycles of warming and cooling, are presented and discussed. Annual precipitation varied between 1200 and 1700 mm/yr, with an average of 1470 mm/yr through the sequence. Notwithstanding the extinction of Nothofagus sg. Brassospora from Australia and some now microthermic humid restricted Podocarpaceae conifer taxa, the rainforest vegetation of lowland south-eastern Australia is reconstructed to have been similar to present day Australian Evergreen Notophyll Vine Forests existing under the sub-tropical Köppen-Geiger climate class Cfa (humid subtropical) for most of the sequence. Short periods of cooler climates, such as occurred through the EOT when MAT was ~ 13 °C, may have supported vegetation similar to modern day Evergreen Microphyll Fern Forest. Of potentially greater significance, however, was a warm period in the Early to early Late Oligocene (32–26 Ma) when MAT was 17–18 °C, accompanied by small but important increases in Araucariaceae pollen. At this time, Araucarian Notophyll/Microphyll Vine Forest likely occurred regionally. © 2022 Elsevier B.V.
African women’s experience of domestic violence and help-seeking behaviour in Melbourne, Australia
- Kuyini, Ahmed, Kor, Deng, Diu, Joyce, David, Ruffina, Yoa, Tut
- Authors: Kuyini, Ahmed , Kor, Deng , Diu, Joyce , David, Ruffina , Yoa, Tut
- Date: 2022
- Type: Text , Journal article
- Relation: Australasian Review of African Studies Vol. 43, no. 2 (2022), p. 59-86
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- Description: This study explored African refugee background women’s experience of domestic violence and help-seeking behaviour. The women were part of a domestic violence prevention and intervention project run by a local community organisation. Underpinned by help-seeking frameworks such as Theory of Planned Behaviour, data were gathered via two focus group interviews with seventeen women in Melbourne, Australia. Thematic analysis was used to analyse the data. The results showed that participants experienced different forms of violence. Many did not seek help early, and help-seeking was constrained by cultural considerations and children in the relationship. Implications are discussed in relation to formal and informal support or interventions. © 2022, Australasian Review of African Studies. All Rights Reserved.
- Authors: Kuyini, Ahmed , Kor, Deng , Diu, Joyce , David, Ruffina , Yoa, Tut
- Date: 2022
- Type: Text , Journal article
- Relation: Australasian Review of African Studies Vol. 43, no. 2 (2022), p. 59-86
- Full Text:
- Reviewed:
- Description: This study explored African refugee background women’s experience of domestic violence and help-seeking behaviour. The women were part of a domestic violence prevention and intervention project run by a local community organisation. Underpinned by help-seeking frameworks such as Theory of Planned Behaviour, data were gathered via two focus group interviews with seventeen women in Melbourne, Australia. Thematic analysis was used to analyse the data. The results showed that participants experienced different forms of violence. Many did not seek help early, and help-seeking was constrained by cultural considerations and children in the relationship. Implications are discussed in relation to formal and informal support or interventions. © 2022, Australasian Review of African Studies. All Rights Reserved.
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
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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.