A dispersed refuge model for women escaping domestic violence : A regional case study
- Authors: McDonald, John , Green, Rosemary
- Date: 2001
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 7, no. 1 (2001), p. 85-89
- Full Text: false
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- Description: Refuges for women escaping domestic violence have traditionally been communal residences located in metropolitan areas. More recently, alternative service models have been funded to provide for clients with multiple and complex needs. This paper evaluates the first year of operation of an innovative refuge model for women and their children. "Marg's Place" is a statewide, high security, dispersed accommodation support model located in a regional setting. Evaluation methods included interviews, surveys, and analysis of client databases and program documents. Thirty-five women and 42 children used the service for an average stay of 20 days during the first 12 months. The main findings were that the dispersed model can cater for a wide range of service users, including those with multiple and complex needs, who would be unlikely to be successfully accommodated in a communal refuge. There was little evidence that the dispersed model contributes to feelings of isolation or loneliness for women or children. The regional setting presented both advantages and disadvantages for women wanting to resettle in the area. Women reported significantly enhanced levels of empowerment, and the high security provisions met their needs for safety. Overall, this refuge model provides an accessible, responsive and effective service.
- Description: 2003004475
Ballarat health consortium : A case study of influential factors in the development and maintenance of a health partnership
- Authors: McDonald, John , Murphy, Angela , Payne, Warren
- Date: 2001
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 7, no. 2 (2001), p. 75-82
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- Description: Intersectoral partnerships in health have a central role in current policy and programs. Partnerships are seen to be an effective strategy for maximising health outcomes. However, theoretical models of health partnerships are underdeveloped. Moreover, the research literature contains inconsistent findings about their effectiveness, and there has been very little evaluative research on health partnerships in this country. This paper reports on a case study of an intersectoral consortium using a health promotion approach to cardiovascular disease. A model of partnership formation and development is presented. From this, a research strategy was devised and carried out. Results indicate that the health consortium was formed inresponse to a critical health issue, and as a separate legal entity without recurrent funding, it has been sustained through the commitment of individual members. Project funding has, in large part, dictated its operations. The case study reveals the strengths, vulnnerabilities and achievements of this consortium over five years. To produce sustainable health outcomes, the researchers conclude, partnerships require strategic management to capitalise on individual endeavours, organisational alignments, and government or funder priorities. Ideological zeal for intersectoral health partnerships must be balanced by rigorous evaluation; together with more sophisticated indicators for measuring success in partnerships in health promotion. Theoretical development of models of health partnerships will also contribute to their enhanced effectiveness.
- Description: 2003004325
Evidence-based health care and community nursing : Issues and challenges
- Authors: McDonald, John , Smith, Janine
- Date: 2001
- Type: Text , Journal article
- Relation: Australian health review : a publication of the Australian Hospital Association Vol. 24, no. 3 (2001), p. 133-140
- Full Text: false
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- Description: This paper examines the implications of the movement towards evidence-based health care for community-based, primary health care nursing in Australia. While both aim to improve health status, we argue that they are antithetical in many respects. Community nurse practitioners draw upon primary health care principles and adopt a holistic, preventive, empowering approach to working with and in communities. By contrast, evidence-based approaches utilise systematic reviews of primarily quantitative research to inform decisions about health at three levels: public health, the health care system, and individual patients. In response to this challenge, community nurses must reiterate their philosophies and practice models. Moreover, it is imperative to produce verifiable evidence of the effectiveness of their approach while mounting a thorough critique of the evidence-based movement.
- Description: 2003004331
Using global optimization to improve classification for medical diagnosis and prognosis
- Authors: Bagirov, Adil , Rubinov, Alex , Yearwood, John
- Date: 2001
- Type: Text , Journal article
- Relation: Topics in health information management Vol. 22, no. 1 (2001), p. 65-74
- Full Text: false
- Description: Global optimization-based techniques are studied in order to increase the accuracy of medical diagnosis and prognosis with data from various databases. First, we discuss feature selection, the problem of determining the most informative features for classification in the databases under consideration. Then, we apply a technique based on convex and global optimization for classification in these databases. The third application of this technique is a method that calculates centers of clusters to predict when breast cancer is likely to recur in patients for which cancer has been removed. The technique achieves high accuracy with these databases. Better classifiers will lead to improved assistance in making medical diagnostic and prognostic decisions.
- Description: 2003003662
Arsenic contamination in Bangladesh groundwater : A major environmental and social disaster
- Authors: Alam, M. G. M. , Allinson, Graeme , Stagnitti, Frank , Tanaka, A. , Westbrooke, Martin
- Date: 2002
- Type: Text , Journal article
- Relation: International Journal of Environmental Health Research Vol. 12, no. 3 (2002), p. 236-253
- Full Text: false
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- Description: In attempting to eliminate disease caused by drinking polluted surface water, millions of shallow surface wells were drilled into the Ganges delta alluvium in Bangladesh. The latest statistics indicate that 80% of Bangladesh and an estimated 40 million people are at risk of arsenic poisoning-related diseases because the ground water in these wells is contaminated with arsenic. The clinical manifestations of arsenic poisoning are myriad, and the correct diagnosis depends largely on awareness of the problem. Patients with melanosis, leuco-melanosis, keratosis, hyperkeratosis, dorsum, non-petting edema, gangrene and skin cancer have been identified. The present article reviews the current arsenic contamination of ground water, hydrological systems, groundwater potential and utilization and environmental pollution in Bangladesh. This paper concludes by clarifying the main actions required to ensure the sustainable development of water resources in Bangladesh.
- Description: 2003000124
Reducing the energy cost of dragging sheep during sheep shearing
- Authors: Payne, Warren , Culvenor, John , Lawrance, Michael , Harvey, Jack , Cowley, Stephen , Stuart, David , Williams, Robyn
- Date: 2002
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 18, no. 2 (2002), p. 173-179
- Full Text: false
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- Description: The task of dragging sheep into position for shearing has been reported by shearers as the most physically demanding and one of the highest injury risk aspects of shearing, particularly with regard to back injury. This study aimed to identify which of the currently used drag paths induced the lowest energy consumption and risk of injury. The drag path with the lowest work economy (oxygen cost per sheep dragged per minute) and highest injury risk is used by left-handed shearers who are shearing from a workstation which is designed for right-handed shearers. Importantly, there were no significant differences in the work economy of the two drag paths which were used most frequently and which involved the lowest injury risk. These data have been used in advocating the adoption of simple shearing shed design solutions to assist in the control of injury risk and energy expenditure in the wool industry.
- Description: 2003000247
Strengthening primary health care : Building the capacity of rural communities to access health funding
- Authors: McDonald, John , Brown, Leann , Murphy, Angela
- Date: 2002
- Type: Text , Journal article
- Relation: Australian journal of rural health Vol. 10, no. 3 (2002), p. 173-177
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- Description: Present health funding models can place onerous pressures on rural health services. Staff may lack the time, resources, access to data, and the expertise needed to complete complex and lengthy funding submissions. This present study describes an innovative capacity-building approach to working with Victorian rural communities seeking to access health care funding through the Regional Health Services Program. This approach used several strategies: engaging stakeholders in targeted rural communities, developing an information kit and running a workshop on preparing submissions to the Regional Health Services Program, facilitating community consultations, and providing ongoing support with submissions. Six rural communities were supported in this way. Four have been funded to date, with a combined annual recurrent budget for new primary health care services of over $2.5 million. Each community has developed a service delivery model that meets the particular needs of their local area. This capacity-building approach is both effective and replicable to other health funding opportunities. The definitive version of this article is available at www3.interscience.wiley.com
- Description: 2003000079
A critical evaluation of the Australian accident classification standard
- Authors: Viner, D. , Harvey, Jack , Borys, David
- Date: 2003
- Type: Text , Journal article
- Relation: Safety in Australia Vol. 25, no. 2 (2003), p. 27-39
- Full Text: false
- Description: The researchers undertook a study involving post-graduate occupational health and safety students at the University of Ballarat designed to evaluate the effectiveness of the Australian standard for classifying accidents. The results showed that the classification scheme has significant limitations which may impact upon the setting of prevention priorities at the national, state, industry and organisational levels of the system for risk control.
- Description: C3
- Description: 2003002690
An exploration of the role that expert knowledge plays in the assessment of undergraduate clinical competence: registered nurses' experiences
- Authors: Paliadelis, Penny , Cruickshank, Mary
- Date: 2003
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 3, no. 2 (2003 2003), p. 191-191
- Full Text: false
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- Description: INTRODUCTION: This phenomenological study, conducted in rural Australia, explored the experiences of registered nurses (RNs) responsible for assessing the clinical competence of undergraduate nursing students. The purpose of the study was to gain insight into the experiences of a group of registered nurses who assess student competence by exploring how they perform the assessment process. A key assumption on which this study was based is that the participants are 'expert nurses', as defined by Benner. METHOD: Participants were recruited using purposive sampling from a population of registered nurses who assessed the clinical performance of undergraduate nursing students studying at a rural university in New South Wales, Australia. Individual unstructured interviews were conducted and audiotaped with the participants' permission. The analysed data were given to all participants to check for accuracy and validation and a thematic analysis of the data was conducted. RESULTS: Four themes were identified; the major theme, described in this article, was identified in all the narratives. The participants all acknowledged that they use their expert nursing knowledge to assist them when assessing the clinical competence of nursing students. The participants used a variety of terms to describe this type of knowledge such as intuition, instinct, gut feeling and 'just knowing'. CONCLUSION: While the findings of this study confirmed that experienced nurses unconsciously use their expert nursing knowledge when making decisions about students' competence, the findings also indicated a lack of awareness or underestimation of the value of expert clinical knowledge. These findings reinforce the need for further investigation to determine the role of expert nursing knowledge in the clinical competency assessment process. This is particularly significant for rural registered nurses employed in small health-care facilities, who often assume the role of assessors of student clinical competence.
Impact of health and safety representative training on concepts of accident causation and prevention
- Authors: Culvenor, John , Cowley, Stephen , Harvey, Jack
- Date: 2003
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 19, no. 3 (2003), p. 279-292
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- Description: In South Australia, health and safety representatives (HSRs) may undertake three levels of training, commencing at basic level, then progressing through advanced level to continuing level. A survey of 1,200 HSRs in SA was conducted to assess their beliefs about accident causation and accident prevention. In regard to accident causation, the survey found that HSRs showed a tendency to favour behavioural causation over workplace environment or systems-type causation. In regard to accident prevention, HSRs at all levels of training had a preference for low-order controls. However, there appears to be some shift in thinking by the time HSRs have completed all levels of training (that is, to the continuing training level), though the thinking of most remains distinctly safe-worker in orientation.
- Description: C1
- Description: 2003003020
Prevention of falls and manual handling injuries among plasterers : The case for intervention
- Authors: Cowley, Stephen , Leggett, Susan
- Date: 2003
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety Australia and New Zealand Vol. 19, no. 5 (2003), p. 447-456
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- Description: Although there are few sources of information specific to plastering, there are data that suggest that individuals who do this type of work are at high risk of injury. While it is commonly accepted internationally that plasterers are exposed to significant risks in the areas of manual handling and falls, direct comparisons to and wholesale adoption of overseas knowledge are inappropriate. A literature review has demonstrated that there has been a great emphasis on defining the size of the problem. There is limited research relating to the adoption of evaluated risk control strategies, and what controls are known are not necessarily universally applicable. The risk control strategies that are known and available are in need of evaluation. To increase the adoption of evaluated risk controls, it is recommended that social marketing strategies be used.
- Description: C1
- Description: 2003000620
Willing hands at Hualien
- Authors: Driver, Strobe
- Date: 2003
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 11, no. 6 (2003), p. 259
- Full Text: false
- Reviewed:
- Description: C1
13 days and counting : A mutual support model for young, homeless women in crisis
- Authors: Green, Rosemary , Mason, Robyn , Ollerenshaw, Alison
- Date: 2004
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 23, no. 2 (2004), p. 46-50
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- Description: An innovative program in rural Victoria matches young homeless women with older homeless women and provides them with a range of support services.The result is more stability in the accommodation setting, mutual benefit and satisfaction for clients, and impressive rates of permanent housing outcomes.
- Description: C1
- Description: 2003000964
A rural perspective of telephone counselling and referral
- Authors: Watson, Robert , McDonald, John
- Date: 2004
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 10, no. 2 (2004), p. 97-103
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- Description: A telephone survey was used to examine rural residents' (n=102) perceptions and knowledge of a well-established national telephone counselling and referral service-Lifeline. Residents in rural Australia experience generally poorer access and availability to health-related services than their metropolitan counterparts. They may also have problems with confidentiality and stigmatisation in using what services are available in their area. Although this was a non-comparative study, it was reasoned that these barriers to help-seeking in rural areas would mean their population would know and value a service such as Lifeline, which provides equitable and anonymous support and referrals to all Australians. The results showed that the service was known, valued, and supported strongly by the respondents. The findings supported the belief that telephone counselling and referral has an important and unique place in rural health support and referral.
- Description: C1
- Description: 2003000949
Increasing the adoption of OHS risk controls in small business : Can social marketing help to achieve change?
- Authors: Cowley, Stephen , Else, Dennis , LaMontagne, A.
- Date: 2004
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety Australia and New Zealand Vol. 20, no. 1 (2004), p. 69-77
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- Description: 2003000708
Knowledge, beliefs and attitudes of squash venue operators relating to use of protective eyewear
- Authors: Eime, Rochelle , Finch, Caroline , Owen, Neville , Gifford, Sandra , Vear, Paul
- Date: 2004
- Type: Text , Journal article
- Relation: International Journal of Injury Control and Safety Promotion Vol. 11, no. 1 (2004), p. 47-53
- Full Text: false
- Reviewed:
- Description: Sports venues are in a position to potentially influence the safety practices of their patrons. This study examined the knowledge, beliefs and attitudes of venue operators that could influence the use of protective eyewear by squash players. A 50% random sample of all private and public squash venues affiliated with the Victorian Squash Federation in metropolitan Melbourne was selected. Face-to-face interviews were conducted with 15 squash venue operators during August 2001. Interviews were transcribed and content and thematic analyses were performed. The content of the interviews covered five topics: (1) overall injury risk perception, (2) eye injury occurrence, (3) knowledge, behaviors, attitudes and beliefs associated with protective eyewear, (4) compulsory protective eyewear and (5) availability of protective eyewear at venues. Venue operators were mainly concerned with the severe nature of eye injuries, rather than the relatively low incidence of these injuries. Some venue operators believed that players should wear any eyewear, rather than none at all, and believed that more players should use protective eyewear. Generally, they did not believe that players with higher levels of experience and expertise needed to wear protective eyewear when playing. Only six venues had at least one type of eyewear available for players to hire or borrow or to purchase. Operators expressed a desire to be informed about correct protective eyewear. Appropriate protective eyewear is not readily available at squash venues. Better-informed venue operators may be more likely to provide suitable protective eyewear. [ABSTRACT FROM AUTHOR] Copyright of Injury Control & Safety Promotion is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Description: 2003001113
What works for therapists conducting family meetings : Treatment integrity in family-focused grief therapy during palliative care and bereavement
- Authors: Chan, Eunice , O'Neill, Imogen , McKenzie, Maria , Love, Anthony , Kissane, David
- Date: 2004
- Type: Text , Journal article
- Relation: Journal of Pain and Symptom Management Vol. 27, no. 6 (2004), p. 502-512
- Full Text: false
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- Description: The purpose of this study was to evaluate the treatment integrity of Family-focused Grief Therapy (FFGT), a preventive intervention designed for families at high risk of poor functioning during palliative care and bereavement. From the 81 families participating in a randomized controlled trial (53 assigned to therapy), 28 were randomly selected for this study of treatment fidelity using the ITGT integrity measure. A total of 109 family sessions were appraised. This represented a review of 62 % of treated families, 38 % of total therapy sessions, and 87% of the 15 participating therapists. Weighted mean percentage occurences therapist behaviors permitted trends in therapy application to be observed. Inter-rater reliability using the FFGT integrity measure was satisfactory, with 88 % overall agreement. Eighty-six percent of therapists adhered faithfully to core elements of the model. Therapist competence was evidenced by a strong therapeutic alliance (94 %), affirmation of family strengths in over 90%, and focus on agreed themes in 76 % of sessions. Therapists averaged 10 grief-related questions per session, 7 on communication-related issues during assessment, 7 on conflict late in therapy, and 4 on cohesiveness across the course of therapy. Consistent application of FFGT, with attention to its low-key themes of family communication, cohesiveness, conflict resolution, and shared grief has been demonstrated. The model is generalizable when applied by family therapists. (C) 2004 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
Adolescents with chronic illnesses : School absenteeism, perceived peer aggression, and loneliness
- Authors: Shute, Rosalyn , Walsh, Christine
- Date: 2005
- Type: Text , Journal article
- Relation: The Scientific World Journal Vol. 5, no. (2005), p. 535-544
- Full Text: false
- Reviewed:
- Description: Frequent school absence is often cited as a risk factor for peer relationship problems in youngsters with chronic illnesses, but this assumption has not been subjected to quantitative empirical examination. This issue was examined in the present study by exploring the relationship between school absenteeism, peer aggression, and loneliness in adolescents with chronic illnesses. Forty-one adolescents with chronic illnesses completed a modified version of the Direct and Indirect Aggression Scale and the Asher Loneliness Scale. Details of school absences and hospitalizations were obtained from parents and school and hospital records. No evidence was found to support the notion that peer aggression and loneliness are related to absenteeism, but social aggression (for both boys and girls) and verbal aggression (more markedly for girls) were associated with loneliness. Of the group, 19% reported experiencing verbal aggression and 12% social aggression at least weekly; informal qualitative data suggesting that such aggression is often related to limited sporting ability and appearance. Interventions at both the individual and school community level are warranted.
- Description: C1
- Description: 2003001251
Initial force and desirable handle height range when pushing a trolley
- Authors: Culvenor, John
- Date: 2005
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 21, no. 4 (2005), p. 341-349
- Full Text:
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- Description: Trolleys are used in many workplaces, often as a solution to the hazards of lifting and carrying. Guidelines are available to set limits on the force that can be reasonably applied for push and pull activities in a workplace setting. With a level floor, low friction and short movements, the force applied for acceleration when pushing a trolley is more significant than the sustained effort (however, many factors interact with the force and these must be considered together). This study determined the initial force applied to trolleys in a manufacturing setting, with a level floor and low rolling friction. Subjects were asked to move trolleys (weighing between 160 kg and 400 kg) a short distance in the way that they would normally do the work. Results showed a preferred grip height of 120-135 cm. The average results for applied force fell closely along a linear relationship. Future research could be conducted in an experimental setting and include more comprehensive trials with a greater number of subjects (including women).
- Description: C1
- Description: 2003002990
Managing panic disorder in general practice
- Authors: Austin, David , Blashki, Grant , Barton, David , Klein, Britt
- Date: 2005
- Type: Text , Journal article
- Relation: Australian Family Physician Vol. 34, no. 7 (2005), p. 563-571
- Full Text: false
- Reviewed:
- Description: BACKGROUND: Panic disorder (PD) is common in the community and contributes to significant distress and decreased quality of life for people who suffer from it. Most people with PD will present in the first instance to their general practitioner or hospital emergency department for assistance, often with a focus on somatic symptoms and concerns. OBJECTIVE: This article aims to assist the GP to manage this group of patients by providing an outline of aetiology, approaches to assessment, and common management strategies. DISCUSSION Although GPs have an important role to play in ruling out any causal organic basis for panic symptoms, the diagnosis of PD can usually be made as a positive diagnosis on the basis of careful history taking. Thorough and empathic education is a vital step in management. The prognosis for PD can be improved by lifestyle changes, specific psychological techniques, and the judicious use of pharmacotherapy.