Asian migrants' lived experience and acculturation to western health care in rural Tasmania
- Terry, Daniel, Ali, Mohammed, Lê, Quynh
- Authors: Terry, Daniel , Ali, Mohammed , Lê, Quynh
- Date: 2011
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 19, no. 6 (2011), p. 318-323
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- Description: Objectives: The study was designed to explore the lived experience of Asian migrants' health care-seeking behaviour in Tasmania, to discern the acculturation process by which Asian migrants are enabled to use the health system and to identify strategies, which assist migrants to understand and use the health system better. Methods: Qualitative research was adopted. Semistructured interviews were conducted with 36 Asian migrants residing in North, South and North West Tasmania, which were recruited through purposive sampling. Results: Six main themes emerged from the interviews: the acculturation process, interactions with the health care system, access issues, culturally appropriate health care, positive health care in Tasmania and suggestions for improving health care. Conclusions: The findings indicated that Asian migrants' views affected their health care-seeking behaviours because of the lack of information, poor communication, limited access and choices in Tasmania. Interestingly, those married to local Tasmanians had the shortest trajectory to health system acculturation. The study recommended developing health and well-being for Asian migrants by increasing access to information regarding navigating the health system and improving access to and awareness of language services. In addition, ensuring adequate, appropriately written, culturally specific and congruent information should be available to assist migrants' transition into a new health care system. Lastly, greater cultural awareness within the health profession to meet the needs of culturally specific individuals and communities is required when they seek care. © 2011 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.
- Authors: Terry, Daniel , Ali, Mohammed , Lê, Quynh
- Date: 2011
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 19, no. 6 (2011), p. 318-323
- Full Text:
- Reviewed:
- Description: Objectives: The study was designed to explore the lived experience of Asian migrants' health care-seeking behaviour in Tasmania, to discern the acculturation process by which Asian migrants are enabled to use the health system and to identify strategies, which assist migrants to understand and use the health system better. Methods: Qualitative research was adopted. Semistructured interviews were conducted with 36 Asian migrants residing in North, South and North West Tasmania, which were recruited through purposive sampling. Results: Six main themes emerged from the interviews: the acculturation process, interactions with the health care system, access issues, culturally appropriate health care, positive health care in Tasmania and suggestions for improving health care. Conclusions: The findings indicated that Asian migrants' views affected their health care-seeking behaviours because of the lack of information, poor communication, limited access and choices in Tasmania. Interestingly, those married to local Tasmanians had the shortest trajectory to health system acculturation. The study recommended developing health and well-being for Asian migrants by increasing access to information regarding navigating the health system and improving access to and awareness of language services. In addition, ensuring adequate, appropriately written, culturally specific and congruent information should be available to assist migrants' transition into a new health care system. Lastly, greater cultural awareness within the health profession to meet the needs of culturally specific individuals and communities is required when they seek care. © 2011 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.
The quality of life and social needs of international medical graduates : emerging themes in research
- Terry, Daniel, Woodroffe, Jessica, Ogden, Kathryn
- Authors: Terry, Daniel , Woodroffe, Jessica , Ogden, Kathryn
- Date: 2011
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 1, no. 1 (2011), p. 59-67
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- Description: A literature review was conducted to identify the experiences, challenges and acculturation of International Medical Graduates (IMGs) living and working throughout rural and remote Australia. As such recently published literature highlighted key factors impacting IMGs living and working in rural and remote areas which informed the acculturation process in western society. IMGs acculturation throughout Australian rural settings occurs rapidly among these higher educated migrants. Those IMGs with Australian spouses or who have practiced in rural settings prior to migration also experience a new phase of acculturation. However, maintaining cultural and religious connectivity continues to be challenging in these settings. Community awareness and an ability to embrace IMGs and cultural differences remain crucial for identity and cultural retention. Nevertheless, few studies recognised quality of life and social needs of IMGs and their family’s impact on the rural acculturation and settlement success. Previous research has focused primarily on employment integration, satisfaction and practice support. The identified literature is in no way extensive as it focuses on IMGs in the Australian context, which may impact on transferability. A gap exists where quality of life and social needs of IMGs and their families have been overlooked. These are crucial factors impacting rural acculturation, retention and IMGs health and wellbeing. The literature highlights insights into IMGs acculturation as they migrate and reside in Tasmania, a less culturally diverse population, remains absent with very little comparable research conducted.
- Authors: Terry, Daniel , Woodroffe, Jessica , Ogden, Kathryn
- Date: 2011
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 1, no. 1 (2011), p. 59-67
- Full Text:
- Reviewed:
- Description: A literature review was conducted to identify the experiences, challenges and acculturation of International Medical Graduates (IMGs) living and working throughout rural and remote Australia. As such recently published literature highlighted key factors impacting IMGs living and working in rural and remote areas which informed the acculturation process in western society. IMGs acculturation throughout Australian rural settings occurs rapidly among these higher educated migrants. Those IMGs with Australian spouses or who have practiced in rural settings prior to migration also experience a new phase of acculturation. However, maintaining cultural and religious connectivity continues to be challenging in these settings. Community awareness and an ability to embrace IMGs and cultural differences remain crucial for identity and cultural retention. Nevertheless, few studies recognised quality of life and social needs of IMGs and their family’s impact on the rural acculturation and settlement success. Previous research has focused primarily on employment integration, satisfaction and practice support. The identified literature is in no way extensive as it focuses on IMGs in the Australian context, which may impact on transferability. A gap exists where quality of life and social needs of IMGs and their families have been overlooked. These are crucial factors impacting rural acculturation, retention and IMGs health and wellbeing. The literature highlights insights into IMGs acculturation as they migrate and reside in Tasmania, a less culturally diverse population, remains absent with very little comparable research conducted.
Access to health care services in an Australian rural area – a qualitative case study
- Le, Quynh, Nguyen, Hoang, Auckland, Stuart, Hoang, Ha, Terry, Daniel
- Authors: Le, Quynh , Nguyen, Hoang , Auckland, Stuart , Hoang, Ha , Terry, Daniel
- Date: 2012
- Type: Text , Journal article
- Relation: International Journal of Annotative Interdisciplinary Research Vol. 1, no. 3 (2012), p. 29-36
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- Description: The study is aimed at investigating access to primary health care by examining various access parameters such as availability, accessibility, and affordability in Meander Valley, Northern Tasmania, Australia. Qualitative research design and data analysis were adopted. Semi-structured interviews were conducted with 30 people that were recruited through convenience sampling. The findings indicated that participants generally expressed relative satisfaction with local health care service provision, although a number of participants cited satisfaction with some services and dissatisfaction with others. The main issues of concern were the absence of specialised, dental and after-hours care, high cost of services, and issues of access to transport. The resourcefulness of people with chronic health issues and their carers emerged as important, as was the relationship between lifestyle choices, alternative and mainstream health care options. This study revealed major barriers to health care access by residents in rural Australia, which calls for urgent corrective measures. Further research should be directed to the exploration of the experience and expertise of carers and health professionals so as to obtain a more complete picture of access to health care services in rural settings. In addition, the study recommends a thorough investigation of the alternative health care options.
- Authors: Le, Quynh , Nguyen, Hoang , Auckland, Stuart , Hoang, Ha , Terry, Daniel
- Date: 2012
- Type: Text , Journal article
- Relation: International Journal of Annotative Interdisciplinary Research Vol. 1, no. 3 (2012), p. 29-36
- Full Text:
- Reviewed:
- Description: The study is aimed at investigating access to primary health care by examining various access parameters such as availability, accessibility, and affordability in Meander Valley, Northern Tasmania, Australia. Qualitative research design and data analysis were adopted. Semi-structured interviews were conducted with 30 people that were recruited through convenience sampling. The findings indicated that participants generally expressed relative satisfaction with local health care service provision, although a number of participants cited satisfaction with some services and dissatisfaction with others. The main issues of concern were the absence of specialised, dental and after-hours care, high cost of services, and issues of access to transport. The resourcefulness of people with chronic health issues and their carers emerged as important, as was the relationship between lifestyle choices, alternative and mainstream health care options. This study revealed major barriers to health care access by residents in rural Australia, which calls for urgent corrective measures. Further research should be directed to the exploration of the experience and expertise of carers and health professionals so as to obtain a more complete picture of access to health care services in rural settings. In addition, the study recommends a thorough investigation of the alternative health care options.
Migrants' perceptions of health promotion messages in rural Tasmania: Negotiating and communicating health risk
- Terry, Daniel, Lê, Quynh, Hoang, Ha
- Authors: Terry, Daniel , Lê, Quynh , Hoang, Ha
- Date: 2012
- Type: Text , Journal article
- Relation: Health, Risk and Society Vol. 14, no. 7-8 (2012), p. 639-653
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- Description: Asian migrants living in rural Tasmania experience a social and cultural environment dissimilar to larger Australian cities. This study investigated Asian migrants' lived experiences, their intercultural views with a focus on health risk behaviours within the challenge of a new rural environment. Certain health risks were identified and possible social and cultural connections. This exploratory study used a qualitative approach focussing on the personal experience of the Asian migrants living in rural Tasmania, Australia. Interviews were conducted from October to December 2011 with 36 Asian migrants residing in rural Tasmania, recruited through purposive sampling. Sub-populations such as Asian migrants residing in less dense culturally and linguistically diverse communities, including Tasmania, continue to maintain health and health risk beliefs from their culture. Migrant sub-population selectively adapted to their new environment, with longer term migrants acquiring western health conditions. The research provided insights about Asian migrant's views regarding non-communicable health issues in less dense culturally and linguistically diverse communities. In addition to adding to existing knowledge, the study provided some specific insights for better understanding of the relationship between health, risk and society and hopefully for improving primary health care access and delivery of care in rural and other small communities where sparse and less cohesive culturally and linguistically diverse communities exist. © 2012 Copyright Taylor and Francis Group, LLC.
- Authors: Terry, Daniel , Lê, Quynh , Hoang, Ha
- Date: 2012
- Type: Text , Journal article
- Relation: Health, Risk and Society Vol. 14, no. 7-8 (2012), p. 639-653
- Full Text:
- Reviewed:
- Description: Asian migrants living in rural Tasmania experience a social and cultural environment dissimilar to larger Australian cities. This study investigated Asian migrants' lived experiences, their intercultural views with a focus on health risk behaviours within the challenge of a new rural environment. Certain health risks were identified and possible social and cultural connections. This exploratory study used a qualitative approach focussing on the personal experience of the Asian migrants living in rural Tasmania, Australia. Interviews were conducted from October to December 2011 with 36 Asian migrants residing in rural Tasmania, recruited through purposive sampling. Sub-populations such as Asian migrants residing in less dense culturally and linguistically diverse communities, including Tasmania, continue to maintain health and health risk beliefs from their culture. Migrant sub-population selectively adapted to their new environment, with longer term migrants acquiring western health conditions. The research provided insights about Asian migrant's views regarding non-communicable health issues in less dense culturally and linguistically diverse communities. In addition to adding to existing knowledge, the study provided some specific insights for better understanding of the relationship between health, risk and society and hopefully for improving primary health care access and delivery of care in rural and other small communities where sparse and less cohesive culturally and linguistically diverse communities exist. © 2012 Copyright Taylor and Francis Group, LLC.
Singing the blues : a literature review of the effects of music on postnatal depression
- Terry, Melissa, Terry, Daniel
- Authors: Terry, Melissa , Terry, Daniel
- Date: 2012
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. , no. 3 (2012), p.
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- Description: Postnatal depression, also known as postpartum depression, is not a new condition, but has been well documented for decades, as have the treatments. The most common treatments for postnatal depression include pharmacological, psychological, psychosocial, relaxation and other holistic methods and may be used individually or in various combinations. Recently, the western world has come to acknowledge and use more traditional or complementary and alternative styles of therapy. These specifically include massage, meditation and yoga, and music therapy. Music has become more popular as more research defines its power over the body, both physically and mentally. It is anticipated with the right information any woman, no matter her location, could use this powerful tool to alleviate the symptoms of postnatal depression. This would also save further distress of separation from family and other support networks as well as reduce financial burdens when seeking care. A literature review was conducted to determine if this relatively new intervention in western society has been used and to determine what the outcomes have been. Currently, no research has been conducted which relates to the use of music as an intervention for women with postnatal depression, particularly those in rural areas.
- Authors: Terry, Melissa , Terry, Daniel
- Date: 2012
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. , no. 3 (2012), p.
- Full Text:
- Reviewed:
- Description: Postnatal depression, also known as postpartum depression, is not a new condition, but has been well documented for decades, as have the treatments. The most common treatments for postnatal depression include pharmacological, psychological, psychosocial, relaxation and other holistic methods and may be used individually or in various combinations. Recently, the western world has come to acknowledge and use more traditional or complementary and alternative styles of therapy. These specifically include massage, meditation and yoga, and music therapy. Music has become more popular as more research defines its power over the body, both physically and mentally. It is anticipated with the right information any woman, no matter her location, could use this powerful tool to alleviate the symptoms of postnatal depression. This would also save further distress of separation from family and other support networks as well as reduce financial burdens when seeking care. A literature review was conducted to determine if this relatively new intervention in western society has been used and to determine what the outcomes have been. Currently, no research has been conducted which relates to the use of music as an intervention for women with postnatal depression, particularly those in rural areas.
To lead or be led
- Authors: Terry, Daniel
- Date: 2012
- Type: Text , Journal article
- Relation: Australian Nursing Journal Vol. 20, no. 5 (2012), p. 40-41
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- Description: Ongoing challenges for nurses working in the primary care/community setting include professional development external policy which esteems productivity greater than the quality of care and changes in the economy which have shaped the community at large.
- Authors: Terry, Daniel
- Date: 2012
- Type: Text , Journal article
- Relation: Australian Nursing Journal Vol. 20, no. 5 (2012), p. 40-41
- Full Text:
- Reviewed:
- Description: Ongoing challenges for nurses working in the primary care/community setting include professional development external policy which esteems productivity greater than the quality of care and changes in the economy which have shaped the community at large.
Continuity of carer in the public hospital system in the eyes of rural women and maternity health providers in Tasmania, Australia
- Hoang, Ha, Le, Quynh, Terry, Daniel, Kilpatrick, Sue, Stuart, Jacqueline
- Authors: Hoang, Ha , Le, Quynh , Terry, Daniel , Kilpatrick, Sue , Stuart, Jacqueline
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. (2013), p. 1-6
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- Description: This study investigates Tasmanian maternity health providers’ and rural women’s experiences and views of continuity of care in the public health system and the feasibility of this model is explored. Semi-structured interviews were conducted with 22 women who had childbirth experiences in six rural areas in Tasmania in the past five years. In addition 20 multidisciplinary maternity health providers currently employed by the health care system were also interviewed. Multidisciplinary maternity health providers and rural women believed that continuity of carer would help them build up relationship with each other and contribute to their satisfaction with care. However, both Tasmanian maternity health providers and rural consumers recognised the challenges of providing continuity of carer in the current public health system due to the constraints of human resources. Given the human resource constraints in the public hospital system, women would be happy with the quality of care provided by the team of health professionals.
- Authors: Hoang, Ha , Le, Quynh , Terry, Daniel , Kilpatrick, Sue , Stuart, Jacqueline
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. (2013), p. 1-6
- Full Text:
- Reviewed:
- Description: This study investigates Tasmanian maternity health providers’ and rural women’s experiences and views of continuity of care in the public health system and the feasibility of this model is explored. Semi-structured interviews were conducted with 22 women who had childbirth experiences in six rural areas in Tasmania in the past five years. In addition 20 multidisciplinary maternity health providers currently employed by the health care system were also interviewed. Multidisciplinary maternity health providers and rural women believed that continuity of carer would help them build up relationship with each other and contribute to their satisfaction with care. However, both Tasmanian maternity health providers and rural consumers recognised the challenges of providing continuity of carer in the current public health system due to the constraints of human resources. Given the human resource constraints in the public hospital system, women would be happy with the quality of care provided by the team of health professionals.
Current programs and future needs in health literacy for older people : a literature review
- Lê, Quynh, Terry, Daniel, Woodroffe, Jess
- Authors: Lê, Quynh , Terry, Daniel , Woodroffe, Jess
- Date: 2013
- Type: Text , Journal article , Review
- Relation: Journal of Consumer Health on the Internet Vol. 17, no. 4 (2013), p. 369-388
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- Description: Inadequate health literacy occurs more amongst older adults and can result in difficulties synthesising information and communicating with health professionals, increased emergency visits and hospitalizations, poor uptake of preventative interventions, increased mortality, and ultimately greater health care costs. A literature review was conducted that identified 12 articles that discussed and examined health literacy interventions among older adults. It revealed few papers exist which highlight programs that examine health literacy outcomes for older adults. The review identified evidence-based best-practice models of health literacy interventions need to be further developed to meet the health literacy needs of aging population. © 2013 Copyright Quynh Le, Daniel R. Terry, and Jess Woodroffe.
- Authors: Lê, Quynh , Terry, Daniel , Woodroffe, Jess
- Date: 2013
- Type: Text , Journal article , Review
- Relation: Journal of Consumer Health on the Internet Vol. 17, no. 4 (2013), p. 369-388
- Full Text:
- Reviewed:
- Description: Inadequate health literacy occurs more amongst older adults and can result in difficulties synthesising information and communicating with health professionals, increased emergency visits and hospitalizations, poor uptake of preventative interventions, increased mortality, and ultimately greater health care costs. A literature review was conducted that identified 12 articles that discussed and examined health literacy interventions among older adults. It revealed few papers exist which highlight programs that examine health literacy outcomes for older adults. The review identified evidence-based best-practice models of health literacy interventions need to be further developed to meet the health literacy needs of aging population. © 2013 Copyright Quynh Le, Daniel R. Terry, and Jess Woodroffe.
International research students’ experiences in academic success
- Authors: Yeoh, Joanne , Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Educational Research Vol. 1, no. 3 (2013), p. 275-280
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- Description: The flow of international students to study in Australia increases each year. It is a challenge for students to study abroad in a different sociocultural environment, especially for postgraduate research students, as they experience numerous difficulties in an unfamiliar and vastly different study environment. A study aimed to investigate the experiences of international research students and how this impacted upon their studies at the University of Tasmania (UTAS). This study also provides insight and guidance regarding the experiences of current and future international research students in Australia and universities globally. It also offers to educational services and relevant government agencies a greater understanding on how to support international research students more effectively. Qualitative research methods were used to gain deeper insights about the issue. Semi-structured interviews were conducted with ten participants who were selected randomly from different faculties within the university. All collected data were analysed by Nvivo version 10. Constructivist grounded theory was the basis of qualitative data analysis. The findings indicate that there are five main areas of difficulty when international research students are studying in the Australian tertiary education context. These are; language barrier, time management, research resources, educational background and cultural background. The findings of the study provide guidelines and references for current and prospective international research students in the Australian university context.
- Authors: Yeoh, Joanne , Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Educational Research Vol. 1, no. 3 (2013), p. 275-280
- Full Text:
- Reviewed:
- Description: The flow of international students to study in Australia increases each year. It is a challenge for students to study abroad in a different sociocultural environment, especially for postgraduate research students, as they experience numerous difficulties in an unfamiliar and vastly different study environment. A study aimed to investigate the experiences of international research students and how this impacted upon their studies at the University of Tasmania (UTAS). This study also provides insight and guidance regarding the experiences of current and future international research students in Australia and universities globally. It also offers to educational services and relevant government agencies a greater understanding on how to support international research students more effectively. Qualitative research methods were used to gain deeper insights about the issue. Semi-structured interviews were conducted with ten participants who were selected randomly from different faculties within the university. All collected data were analysed by Nvivo version 10. Constructivist grounded theory was the basis of qualitative data analysis. The findings indicate that there are five main areas of difficulty when international research students are studying in the Australian tertiary education context. These are; language barrier, time management, research resources, educational background and cultural background. The findings of the study provide guidelines and references for current and prospective international research students in the Australian university context.
Living in a regional area : access, utilisation and health care quality
- Lê, Quynh, Auckland, Stuart, Nguyên, Hoang, Terry, Daniel, Hoang, Ha
- Authors: Lê, Quynh , Auckland, Stuart , Nguyên, Hoang , Terry, Daniel , Hoang, Ha
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. (2013), p. 20-32
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- Description: Primary health care plays a significant role in the well-being of individuals and communities, yet access to these services can vary. Factors such as socio-economic status and location of residence can impact this access. A study was conducted to investigate the relationship between location, utilisation, quality and health outcomes of primary health care services in the Meander Valley municipality of Tasmania, Australia. This paper reports the findings of the study which adopted a mixed-methods approach with multiple sources of data including government reports, survey questionnaires and interviews. The regional socio-economic disadvantage reflected not only the health disparities and poorer health conditions, but also the affordability to seek care. This was compounded by the lower levels of available health services and private health insurance. The lack of local services or their low quality was the main motivation for many to seek care outside of the region, which was unaffordable and at times logistically impossible. On the basis of the findings, a number of recommendations are provided to guide the current and future health care services and to improve the well-being of the Meander Valley community.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyên, Hoang , Terry, Daniel , Hoang, Ha
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. (2013), p. 20-32
- Full Text:
- Reviewed:
- Description: Primary health care plays a significant role in the well-being of individuals and communities, yet access to these services can vary. Factors such as socio-economic status and location of residence can impact this access. A study was conducted to investigate the relationship between location, utilisation, quality and health outcomes of primary health care services in the Meander Valley municipality of Tasmania, Australia. This paper reports the findings of the study which adopted a mixed-methods approach with multiple sources of data including government reports, survey questionnaires and interviews. The regional socio-economic disadvantage reflected not only the health disparities and poorer health conditions, but also the affordability to seek care. This was compounded by the lower levels of available health services and private health insurance. The lack of local services or their low quality was the main motivation for many to seek care outside of the region, which was unaffordable and at times logistically impossible. On the basis of the findings, a number of recommendations are provided to guide the current and future health care services and to improve the well-being of the Meander Valley community.
Patient-held logbooks for cancer care treatment : the users’ evaluative perspective
- Lê, Quynh, Auckland, Stuart, Nguyen, Hoang, Terry, Daniel, Lê., Dustin
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel , Lê., Dustin
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. 2 (2013), p. 15-19
- Full Text:
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- Description: The quality and usefulness of patient held logbooks as a record to improve communication between healthcare professionals providing cancer care was evaluated. Its aim was to facilitate greater coordination and information sharing between patients, carers, clinicians and other health professionals. A mixed-method exploratory study conducted 12-week post distribution of logbooks to patients undertaking cancer care. Data was gathered through questionnaires returned by 66 participants (response rate of 57.4%) and interviews with five clinical oncology nurses at a Tasmanian hospital. The logbook quality was evaluated against two sets of indicators, including content and layout. The general effectiveness of the patient logbook was also assessed based on its usefulness, usability, efficiency and satisfaction. The logbook was considered useful among 63 (95.1%) participants. They acknowledged the logbook enabled them to be better informed, created a feeling of empowerment and greater control over their medical condition. The logbook was observed to improve communication between clinicians, their patients and families. The evaluation generated rich, in-depth information and provided useful insights into the general quality and usefulness of the logbook for cancer care. The strengths and weaknesses of the logbook were highlighted and how to better utilise its functions in the current medical system.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel , Lê., Dustin
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. 2 (2013), p. 15-19
- Full Text:
- Reviewed:
- Description: The quality and usefulness of patient held logbooks as a record to improve communication between healthcare professionals providing cancer care was evaluated. Its aim was to facilitate greater coordination and information sharing between patients, carers, clinicians and other health professionals. A mixed-method exploratory study conducted 12-week post distribution of logbooks to patients undertaking cancer care. Data was gathered through questionnaires returned by 66 participants (response rate of 57.4%) and interviews with five clinical oncology nurses at a Tasmanian hospital. The logbook quality was evaluated against two sets of indicators, including content and layout. The general effectiveness of the patient logbook was also assessed based on its usefulness, usability, efficiency and satisfaction. The logbook was considered useful among 63 (95.1%) participants. They acknowledged the logbook enabled them to be better informed, created a feeling of empowerment and greater control over their medical condition. The logbook was observed to improve communication between clinicians, their patients and families. The evaluation generated rich, in-depth information and provided useful insights into the general quality and usefulness of the logbook for cancer care. The strengths and weaknesses of the logbook were highlighted and how to better utilise its functions in the current medical system.
The baby, the bath water and the future of IMGs
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. 1 (2013), p. 51-62
- Full Text:
- Reviewed:
- Description: Migration has significantly accelerated over in the past few decades, with the migration of doctors and other health professionals from developed countries forming a large part of the globalisation of health care. As such, migrant labour has been observed as a means of meeting job shortages within developed countries, from low-skilled to highly-skilled professional occupations, such as International Medical Graduates (IMG). Australia, like many other developed countries, has trained insufficient doctors in the past. This has led to the immigration of IMGs to fill this gap, particularly in rural and remote areas. As countries, such as Australia has developed an ongoing need for IMGs, so too the policies and regulations have developed over the decades to meet those needs. However, as Australia now begins to train more local medical graduates, the future for IMGs remains less conceivable. The aim of this paper is to discuss the increased use of IMGs and the development of legislation and policy to regulate this cohort of migrant labour in Australia while examining what the future may be for IMGs.
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. 1 (2013), p. 51-62
- Full Text:
- Reviewed:
- Description: Migration has significantly accelerated over in the past few decades, with the migration of doctors and other health professionals from developed countries forming a large part of the globalisation of health care. As such, migrant labour has been observed as a means of meeting job shortages within developed countries, from low-skilled to highly-skilled professional occupations, such as International Medical Graduates (IMG). Australia, like many other developed countries, has trained insufficient doctors in the past. This has led to the immigration of IMGs to fill this gap, particularly in rural and remote areas. As countries, such as Australia has developed an ongoing need for IMGs, so too the policies and regulations have developed over the decades to meet those needs. However, as Australia now begins to train more local medical graduates, the future for IMGs remains less conceivable. The aim of this paper is to discuss the increased use of IMGs and the development of legislation and policy to regulate this cohort of migrant labour in Australia while examining what the future may be for IMGs.
The critical discourse analysis paradox : a brief research reflection
- Authors: Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Internet Journal of Language, Culture and Society Vol. 38, no. (2013), p. 42-44
- Full Text:
- Reviewed:
- Description: Critical Discourse Analysis (CDA) is a means of criticising or critiquing the social order of power, inequality and hegemony in language. Within a doctoral study CDA was used to determine if social power, dominance, and inequality are enacted and reproduced through the text and talk of key participants. A reflection of the researcher experiences is provided as the results were analysed and prepared for publication. The discussion highlights there are other also discourses of power and hegemony which may impact researchers and authors themselves as they report and discuss discourse which marginalises those individuals and groups for whom the research is being conducted. As researchers and academics attempt to articulate and discuss discourse which marginalise and stigmatise, they need to acknowledge and recognise the discourse, which impacts their own ability to advocate for change, adjustment and empowerment.
- Authors: Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Internet Journal of Language, Culture and Society Vol. 38, no. (2013), p. 42-44
- Full Text:
- Reviewed:
- Description: Critical Discourse Analysis (CDA) is a means of criticising or critiquing the social order of power, inequality and hegemony in language. Within a doctoral study CDA was used to determine if social power, dominance, and inequality are enacted and reproduced through the text and talk of key participants. A reflection of the researcher experiences is provided as the results were analysed and prepared for publication. The discussion highlights there are other also discourses of power and hegemony which may impact researchers and authors themselves as they report and discuss discourse which marginalises those individuals and groups for whom the research is being conducted. As researchers and academics attempt to articulate and discuss discourse which marginalise and stigmatise, they need to acknowledge and recognise the discourse, which impacts their own ability to advocate for change, adjustment and empowerment.
The paradox of going hungry when there is so much food : the perspective of vulnerable youth and their caseworkers
- Lê, Quynh, Auckland, Stuart, Nguyen, Hoang, Terry, Daniel, Barnett, Tony
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel , Barnett, Tony
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Food Security Vol. 1, no. 2 (2013), p. 10-15
- Full Text:
- Reviewed:
- Description: This study aimed to examine the food security challenges experienced among vulnerable youth in North West Tasmania. An exploratory, descriptive design was used to collect data through face-to-face interviews and focus group discussions with 22 young residents and with five stakeholders and representatives from different community and state organisations. The most significant finding of the study was that a proportion of young residents in the North West Coast of Tasmania were threatened by food insecurity, which was caused by a combination of factors including patterns of food consumption and dietary behaviours. Those with higher financial difficulty due to the lack of a stable job were significantly more vulnerable to food insecurity and faced a higher chance of having health problems. The findings of the project have many implications to improve the food security and lives of vulnerable youth.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel , Barnett, Tony
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Food Security Vol. 1, no. 2 (2013), p. 10-15
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- Description: This study aimed to examine the food security challenges experienced among vulnerable youth in North West Tasmania. An exploratory, descriptive design was used to collect data through face-to-face interviews and focus group discussions with 22 young residents and with five stakeholders and representatives from different community and state organisations. The most significant finding of the study was that a proportion of young residents in the North West Coast of Tasmania were threatened by food insecurity, which was caused by a combination of factors including patterns of food consumption and dietary behaviours. Those with higher financial difficulty due to the lack of a stable job were significantly more vulnerable to food insecurity and faced a higher chance of having health problems. The findings of the project have many implications to improve the food security and lives of vulnerable youth.
The safety of international students in a regional area of Australia : perceptions and experiences
- Lê, Quynh, Auckland, Stuart, Nguyen, Hoang, Terry, Daniel
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of the Australian and New Zealand Student Services Association Vol. , no. 42 (2013), p. 15-24
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- Description: In Australia, international students have not only made an enormous economic contribution to the educational sector, but also enriched the cultural diversity of Australian institutions and societies. When international students become a part of the Australian community, issues related to their personal safety are significant, not only to relevant authorities but also to the broader community. This study aimed to investigate the safety of international students at a regional campus and surrounding environment. Semi-structured interviews were conducted with 25 international students aimed at exploring the current concerns and needs regarding their safety on and off campus. In addition, a focus group discussion was conducted with five stakeholders to investigate ways to improve the safety of international students in the current context. Four main themes emerged from the data, including safety concerns, safety risks, preventative safety strategies, and safety needs. One of the most frequent suggestions was to increase the reach of surveillance, greater support from the responsible authorities, particularly as related to environments beyond the confines of the university campus. The findings of this study have offered practical implications associated with the enhancement of the safety of international students in regional Australia.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of the Australian and New Zealand Student Services Association Vol. , no. 42 (2013), p. 15-24
- Full Text:
- Reviewed:
- Description: In Australia, international students have not only made an enormous economic contribution to the educational sector, but also enriched the cultural diversity of Australian institutions and societies. When international students become a part of the Australian community, issues related to their personal safety are significant, not only to relevant authorities but also to the broader community. This study aimed to investigate the safety of international students at a regional campus and surrounding environment. Semi-structured interviews were conducted with 25 international students aimed at exploring the current concerns and needs regarding their safety on and off campus. In addition, a focus group discussion was conducted with five stakeholders to investigate ways to improve the safety of international students in the current context. Four main themes emerged from the data, including safety concerns, safety risks, preventative safety strategies, and safety needs. One of the most frequent suggestions was to increase the reach of surveillance, greater support from the responsible authorities, particularly as related to environments beyond the confines of the university campus. The findings of this study have offered practical implications associated with the enhancement of the safety of international students in regional Australia.
The shortage-surplus paradox : a literature review of primary health care accessibility
- Terry, Melissa, Terry, Daniel, Hoang, Ha, Hannah, Chona
- Authors: Terry, Melissa , Terry, Daniel , Hoang, Ha , Hannah, Chona
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. 3 (2013), p. 40-50
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- Description: The National Primary Health Care Strategy in Australia recommends primary health care services need to be clinically and culturally appropriate and delivered in a timely and affordable manner. However simultaneously recognised, access is still inequitable in among various population groups and many areas of Australia. Geographical Information System (GIS) have been used to explore geographical health disparities, planning health care service delivery and provide data in a meaningful way to inform public health strategies. Moreover, GIS has also been used to spatially analyse, measure and provide insight into a population’s accessibility to health care services. A literature search was conducted to identify studies which examined primary health care accessibility using GIS techniques among various urban and rural populations. A limited number of studies demonstrated in addition to distance; time; and location, low socioeconomic status, Culturally and Linguistically Diverse (CALD) background among other factors influences health care access. In addition, other factors were identified to impact health care access, which is an individualised process, influenced by individual characteristics, beliefs, attitudes, and an individual’s activity space. As health care accessibility becomes more prominent within policy, among practitioners and increasingly researched, it has the potential to move beyond recognising areas of poor accessibility among individuals and communities. With a greater integration of both spatial and aspatial data, the process has the likelihood, to provide greater insight into patient behaviour, public perception, amelioration service quality and improve population health and wellbeing.
- Authors: Terry, Melissa , Terry, Daniel , Hoang, Ha , Hannah, Chona
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. 3 (2013), p. 40-50
- Full Text:
- Reviewed:
- Description: The National Primary Health Care Strategy in Australia recommends primary health care services need to be clinically and culturally appropriate and delivered in a timely and affordable manner. However simultaneously recognised, access is still inequitable in among various population groups and many areas of Australia. Geographical Information System (GIS) have been used to explore geographical health disparities, planning health care service delivery and provide data in a meaningful way to inform public health strategies. Moreover, GIS has also been used to spatially analyse, measure and provide insight into a population’s accessibility to health care services. A literature search was conducted to identify studies which examined primary health care accessibility using GIS techniques among various urban and rural populations. A limited number of studies demonstrated in addition to distance; time; and location, low socioeconomic status, Culturally and Linguistically Diverse (CALD) background among other factors influences health care access. In addition, other factors were identified to impact health care access, which is an individualised process, influenced by individual characteristics, beliefs, attitudes, and an individual’s activity space. As health care accessibility becomes more prominent within policy, among practitioners and increasingly researched, it has the potential to move beyond recognising areas of poor accessibility among individuals and communities. With a greater integration of both spatial and aspatial data, the process has the likelihood, to provide greater insight into patient behaviour, public perception, amelioration service quality and improve population health and wellbeing.
Challenges of food security for migrants living in a regional area of Australia : food availability, accessibility and affordability
- Yeoh, Joanne, Le, Quynh, Terry, Daniel, McManamey, Rosa
- Authors: Yeoh, Joanne , Le, Quynh , Terry, Daniel , McManamey, Rosa
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Food Security Vol. 2, no. 3 (2014), p. 72-78
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- Authors: Yeoh, Joanne , Le, Quynh , Terry, Daniel , McManamey, Rosa
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Food Security Vol. 2, no. 3 (2014), p. 72-78
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Food security in a regional area of Australia : a socio-economic perspective
- Le, Quynh, Auckland, Stuart, Nguyen, Hoang, Murray, Sandra, Long, Gretchen, Terry, Daniel
- Authors: Le, Quynh , Auckland, Stuart , Nguyen, Hoang , Murray, Sandra , Long, Gretchen , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Universal Journal of Food and Nutrition Science Vol. 2, no. 4 (2014), p. 50-59
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- Authors: Le, Quynh , Auckland, Stuart , Nguyen, Hoang , Murray, Sandra , Long, Gretchen , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Universal Journal of Food and Nutrition Science Vol. 2, no. 4 (2014), p. 50-59
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Having enough cultural food? A qualitative exploration of the experiences of migrants in a regional area of Australia
- Yeoh, Joanne, Lê, Quynh, Terry, Daniel, McManamey, Rosa
- Authors: Yeoh, Joanne , Lê, Quynh , Terry, Daniel , McManamey, Rosa
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Food Research Vol. 4, no. 2 (2014), p. 16
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- Description: The notion of food security encompasses the ability of individuals, households and communities to acquire food that is healthy, sustainable, affordable, appropriate and accessible. Despite Australia’s current ability to produce more food than required for its population, there has been substantial evidence demonstrating that many Australians struggle to feed themselves, particularly those from a cultural and linguistically diverse (CALD) background. This qualitative phenomenological study investigated the experiences of food security among migrants in a regional area of Australia (Tasmania). 33 semi-structured interviews were conducted with Tasmanian migrants. The interviews were analysed thematically using Nvivo 10.0 and three main themes emerged: (1) migrant’s experiences of food security in Tasmania; (2) the factors that influence migrant food security in Tasmania; and (3) acculturation strategies. Participants were satisfied with their current food security in Tasmania but they still encountered some challenges in the availability, accessibility and affordability of healthy and cultural food. Factors that influenced their food security were educational background, the language barrier, socioeconomic status, geographical isolation, and their cultural background. Migrants managed to adapt to the new food culture by using different acculturation strategies. Migrants residing in Tasmania encounter a diverse number of challenges pertaining to food security and use different food security strategies while acculturating to the new environment. These findings may inform other migrant communities in Australia, relevant non-government organisations and government departments and suggest strategies to address food security challenges among migrants.
- Authors: Yeoh, Joanne , Lê, Quynh , Terry, Daniel , McManamey, Rosa
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Food Research Vol. 4, no. 2 (2014), p. 16
- Full Text:
- Reviewed:
- Description: The notion of food security encompasses the ability of individuals, households and communities to acquire food that is healthy, sustainable, affordable, appropriate and accessible. Despite Australia’s current ability to produce more food than required for its population, there has been substantial evidence demonstrating that many Australians struggle to feed themselves, particularly those from a cultural and linguistically diverse (CALD) background. This qualitative phenomenological study investigated the experiences of food security among migrants in a regional area of Australia (Tasmania). 33 semi-structured interviews were conducted with Tasmanian migrants. The interviews were analysed thematically using Nvivo 10.0 and three main themes emerged: (1) migrant’s experiences of food security in Tasmania; (2) the factors that influence migrant food security in Tasmania; and (3) acculturation strategies. Participants were satisfied with their current food security in Tasmania but they still encountered some challenges in the availability, accessibility and affordability of healthy and cultural food. Factors that influenced their food security were educational background, the language barrier, socioeconomic status, geographical isolation, and their cultural background. Migrants managed to adapt to the new food culture by using different acculturation strategies. Migrants residing in Tasmania encounter a diverse number of challenges pertaining to food security and use different food security strategies while acculturating to the new environment. These findings may inform other migrant communities in Australia, relevant non-government organisations and government departments and suggest strategies to address food security challenges among migrants.
Satisfaction amid professional challenges : international medical graduates in rural Tasmania
- Terry, Daniel, Lê, Quynh, Hoang, Hoang
- Authors: Terry, Daniel , Lê, Quynh , Hoang, Hoang
- Date: 2014
- Type: Text , Journal article
- Relation: Australasian Medical Journal Vol. 7, no. 12 (2014), p. 500-517
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- Description: Background At the time of recruitment, migration, and placement, international medical graduates (IMGs) encounter professional challenges. These challenges may include a loss of status and professional identity, professional isolation in rural practice, restrictions on medical practice, and social isolation. Understanding the nature of these challenges may facilitate the recruitment, placement, and success of international medical graduates within rural Tasmania. Aims The aim of this study was to investigate the experiences, challenges, and barriers that IMGs encounter as they work and live in rural Tasmania. Methods The study used a mixed-methods design where data were collected using a questionnaire and semi-structured interviews across the south, north, and northwest of Tasmania. IMGs were recruited through purposive snowball and convenience sampling. Results A total of 105 questionnaires were returned (response rate 30.0 per cent) and 23 semi-structured interviews were conducted with IMGs across Tasmania. Questionnaire participants indicated that the majority of IMGs are satisfied in their current employment; however, interview participants indicated there were a number of barriers to practising medicine in Tasmania as well as factors that would influence ongoing employment in the state. Despite these challenges, professional support was recognised as a key contributor to professional satisfaction, particularly among IMGs who had just arrived. Conclusion The study contributes to the current knowledge and understanding of IMGs who live and work in rural areas. The study shows that there are high levels of satisfaction among IMGs with their current position; however, the research also provides insight into the complexities and factors that impact IMGs as they work and live within rural areas such as Tasmania. This study offers an understanding for policy to improve greater retention of IMGs across rural areas. © 2014 Australasion Medical Jaurnal. All rights received.
- Authors: Terry, Daniel , Lê, Quynh , Hoang, Hoang
- Date: 2014
- Type: Text , Journal article
- Relation: Australasian Medical Journal Vol. 7, no. 12 (2014), p. 500-517
- Full Text:
- Reviewed:
- Description: Background At the time of recruitment, migration, and placement, international medical graduates (IMGs) encounter professional challenges. These challenges may include a loss of status and professional identity, professional isolation in rural practice, restrictions on medical practice, and social isolation. Understanding the nature of these challenges may facilitate the recruitment, placement, and success of international medical graduates within rural Tasmania. Aims The aim of this study was to investigate the experiences, challenges, and barriers that IMGs encounter as they work and live in rural Tasmania. Methods The study used a mixed-methods design where data were collected using a questionnaire and semi-structured interviews across the south, north, and northwest of Tasmania. IMGs were recruited through purposive snowball and convenience sampling. Results A total of 105 questionnaires were returned (response rate 30.0 per cent) and 23 semi-structured interviews were conducted with IMGs across Tasmania. Questionnaire participants indicated that the majority of IMGs are satisfied in their current employment; however, interview participants indicated there were a number of barriers to practising medicine in Tasmania as well as factors that would influence ongoing employment in the state. Despite these challenges, professional support was recognised as a key contributor to professional satisfaction, particularly among IMGs who had just arrived. Conclusion The study contributes to the current knowledge and understanding of IMGs who live and work in rural areas. The study shows that there are high levels of satisfaction among IMGs with their current position; however, the research also provides insight into the complexities and factors that impact IMGs as they work and live within rural areas such as Tasmania. This study offers an understanding for policy to improve greater retention of IMGs across rural areas. © 2014 Australasion Medical Jaurnal. All rights received.