'Right' for publication: Strategies for supporting novice writers across health and medical disciplines
- Authors: Paliadelis, Penny , Parker, Vicki , Parmenter, Glenda , Maple,
- Date: 2014
- Type: Text , Journal article
- Relation: Australian Health Review Vol. , no. (2014), p.165-168
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An exploration of the capacity of general practice nurses to improve the prevention and management of childhood obesity
- Authors: Paliadelis, Penny , Parmenter, Glenda
- Date: 2009
- Type: Text , Conference paper
- Relation: Primary Health Care Conference
- Full Text: false
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- Description: E1
Bush Battles: The Challenges of Providing Acute Health Care in Rural Contexts in Australia
- Authors: Parker, Vicki , Giles, Michelle , Parmenter, Glenda , Higgins, Isabel , Paliadelis, Penny , White, Angela
- Date: 2010
- Type: Text , Conference paper
- Relation: The 16th International Interdisciplinary Conference Vol. 9, p. 377-377
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- Description: Introduction. In Australia, the rural health care environment is characterized by increasing disadvantage in relation to access to services and resources. Within this context, health professionals are challenged to provide what they feel is good-quality health care in a community of which they are a part. This paper presents the results of a study which aimed to • identify challenges confronting health care professionals in rural acute care settings and • facilitate interprofessional collaboration in working toward improved patient outcomes and staff participation. Method. A mixed method approach involved a consultative, participatory process. An initial survey was followed by focus groups and workshops. The target population was health care professionals across disciplines, in rural acute care facilities within one large Area Health Service in NSW, Australia. Workshops facilitated interdisciplinary collaboration to identify strategies for addressing concerns with the aim of developing priorities for practice change projects. Results. Results highlighted issues to do with staffing, isolation and communication as most significantly impacting on staff and patient outcomes. Access to resources and support services was the most frequently cited challenge. Results were consistent across professions and sites within the Area Health service. Focus groups identified a range of issues related to geographic and professional isolation, working with and apart from larger centers, generalist practice, and insufficient services and staff. Conclusion. Findings point to the urgent need to support clinicians through the mobilization of strategies that are context specific, locally based and led, but at the same time transferrable across sites.
Disseminating research
- Authors: Paliadelis, Penny , Parmenter, Glenda , Lea, Jackie
- Date: 2011
- Type: Text , Book chapter
- Relation: Research methods in nursing and midwifery; Pathways to evidence-based practice p. 416
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Disseminating research
- Authors: Paliadelis, Penny , Parmenter, Glenda , Lea, Jackie
- Date: 2014
- Type: Text , Book chapter
- Relation: Research methods in nursing and midwifery; Pathways to evidence-based practice p. 376
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Effective interprofessional collaboration in rural contexts : A research protocol
- Authors: Mitchell, Rebecca , Paliadelis, Penny , McNeil, Karen , Parker, Vicki , Giles, Michelle , Higgins, Isabel , Parmenter, Glenda , Ahrens, Yvonne
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Advanced Nursing Vol. 69, no. 10 (2013), p. 2317-2326
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- Description: Abstract AIM: To describe the research protocol that will be used to investigate factors contributing to effective interprofessional practice in a rural context in Australia. BACKGROUND: Interprofessional practice is a key strategy for overcoming rural health challenges; however, our knowledge of interprofessional initiatives and consequences in rural areas is limited. DESIGN: A modified realistic evaluation approach will be used to explore the structures, systems, and social processes contributing to effective interprofessional outcomes. This 'context-mechanism-outcome' approach provides a useful framework for identifying why and how interprofessional practice works in rural contexts. METHOD: Initial propositions regarding the factors that explain effective collaborative practice will be generated through interviews with lead clinicians, policy-makers, and clinician managers. Clinician interviews, document analysis, and multi-participant focus groups will be used as evidence to support, refine, or redevelop the initial propositions. This will allow the development of a model of rural interprofessional practice that will explain how and why collaborative approaches work in rural environments. This study is funded by an Institute of Rural Clinical Services and Teaching grant (January 2010). DISCUSSION: Rural healthcare challenges are well documented; however, studies investigating the nature of interprofessional practice in rural contexts are not common. Rural contexts also present research design, particularly data collection, challenges. This proposed research is one of the first to identify the factors that facilitate or constrain effective interprofessional work in rural settings. This is particularly important, given the continuing workforce shortages and maldistribution and poorer health outcomes in rural communities globally.
Looking after yourself: Understandings of chronic-care self-management models in rural and urban contexts of UK and Australia
- Authors: Paliadelis, Penny , Carr, Susan , Lhussier, Monique , Forster, Natalie , Eaton, Simon , Parmenter, Glenda , Death, Catharine
- Date: 2014
- Type: Text , Conference paper
- Relation: NET 2014
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- Description: This paper reports on the outcomes of a two related projects undertaken during 2011-2012 in Australia (Rural Northern NSW) and the UK (Urban Northern UK) that sought to identify the strategies that clinicians employ to actively involve patients with chronic conditions in the planning and delivery of their care1,2,8. This study was informed by the global shift to partnership approaches in health policy and the growing imperative to deliver patient or client-centred care3,4,9,10. Support for self-management refers to the role that clinicians play in building client knowledge, skill and confidence to effectively manage their own healthcare concerns and treatments6. A qualitative methodology was used, with focus groups and interviews conducted to explore the strategies used by a range of primary healthcare providers, such as general practitioners, nurses, social workers, diabetes educators, dieticians and occupational therapists, to support clients to effectively manage their own chronic conditions. In particular this study aimed to understand the models and contexts of care that impacted on the participants’ practices and identify barriers and enablers to supporting client self-management from the participants’ perspective5,7. This paper presents the results of these studies and identifies the similarities and differences between the two contexts that have either facilitated or blocked clinicians’ efforts to support their clients to adopt self-care strategies7. We are not claiming national commentaries but are drawing on two studies that we consider provide insight into ‘typical’ practices in both countries. The finding of both studies identified that supporting patients/clients to engage in actively managing their health care needs requires changes to client and clinicians traditional perspectives on their role, practice and education, as well as developing more integrated health policies to better support clients with complex health care needs, who want to adopt self-management practices.
Negotiating Intersections: Inter-Professional Practice in Rural Health Care Contexts
- Authors: Parker, Vicki , Mitchell, Rebecca , McNeil, Karen , Ahrens, Yvonne , Higgins, Isabel , Parmenter, Glenda , Paliadelis, Penny , Giles, Michelle
- Date: 2012
- Type: Text , Conference paper
- Relation: International Journal of Qualitative Methods Vol. 11, p. 750-751
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- Description: Health care in most contexts depends on teams of professionals with diverse skills working together synergistically to achieve optimal outcomes for patients and their families. The way is which interprofessional practice occurs in rural healthcare varies from that which occurs in metropolitan areas. This variation reflects the social, economic and geographic characteristics of rural communities. Further, rural workforce challenges and lack of access to resources and services are compounded by the difficulties associated with the intersection of speciality driven metropolitan models and the generalist models of care that are a feature of rural health care. This study’s aim was to examine how IPP happens in rural contexts, and to identify barriers, enablers and existing and potential models of IPP. Interviews were conducted with health professionals (nurses, doctors and allied health) in a range of rural healthcare contexts (Hospitals, GP practices, Multi-Purpose Services and Community centres) in NSW, Australia. Interview data were supplemented with document review and review of communication systems. Findings suggest that the nature of IPP in rural contexts is diverse and determined by a number of critical factors including rurality, connection to community, availability of staff, funding programs and specific interests and skills of staff. Rural IPP is characterised by a small numbers of professionals across few professions, focus on generalist practice and informal communication systems. IPP is growing in response to changes in government funding models and policy and through the establishment or strengthening of pivotal co-ordinating roles, with a clear mandate to involve other professionals and patients in decision making.
Overcoming writers' block: The development of a new collaborative nursing and midwifery journal that encourages and supports novice writers to publish research projects
- Authors: Parmenter, Glenda , Paliadelis, Penny , Parker, Vicki , Giles, Michelle , Turner, Catherine
- Date: 2010
- Type: Text , Conference paper
- Relation: 21st international nursing research congress
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Rewriting the ‘rights' to get it right: An explorative study of medication administration practices
- Authors: Harris, J , Paliadelis, Penny , Parmenter, Glenda
- Date: 2012
- Type: Text , Conference paper
- Relation: NETNEP 2012 4th International Nurse Education Conference
- Full Text: false
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- Description: E1
The lure of the bush : Do rural placements influence student nurses to seek employment in rural settings?
- Authors: Lea, Jackie , Cruickshank, Mary , Paliadelis, Penny , Parmenter, Glenda , Sanderson, Helena , Thornberry, Patricia
- Date: 2008
- Type: Text , Journal article
- Relation: Collegian Vol. 15, no. 2 (May 2008), p. 77-82
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- Description: The aim of this study was to investigate whether rural clinical placements for student nurses at a rural university in New South Wales influence their decision to join the rural and remote Registered Nurse workforce. The study utilised a convenience sample of final year Bachelor of Nursing students at a rural university campus, and consisted of two stages of data collection. Stage One employed a pre- and post-clinical placement survey design that elicited both demographic and qualitative data. Stage Two consisted of individual interviews with a sample of final year nursing students while they were on a rural clinical placement. The findings highlight the factors that influence final year students' decisions to seek employment in rural healthcare facilities. These findings will be of interest to nurse academics concerned with ensuring that undergraduate nursing curricula relate to rural nursing practice in Australia and to those involved in recruitment of new graduate RN's to rural nursing practice.
The social lives of rural Australian nursing home residents
- Authors: Parmenter, Glenda , Cruickshank, Mary , Hussain, Rafat
- Date: 2012
- Type: Text , Journal article
- Relation: Ageing and Society Vol. 32, no. 2 (2012), p. 329-353
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- Description: ABSTRACT Contact with family and friends, in the form of visiting, is very important to the quality of the lives of rural nursing home residents. However, there has been little recent research that examines the frequency and determinants of visits to rural nursing homes and none in the rural Australian context. This study aimed to address this gap in the literature. A telephone survey with a close family member (N=257) of each participating resident in the rural New England area of New South Wales, Australia gathered data about 3,738 people who formed the potential social networks of these residents. This study found that the wider, potential, social networks of rural nursing home residents comprised approximately 17 people and involved a wide range of family and friends. However, their actual social networks consisted of approximately two females, daughters and friends, who had high-quality relationships with the resident and who visited at least once per month. In contrast to previous assertions that nursing home residents have robust support from their family and friends, the actual social networks of these residents have dwindled considerably over recent years, which may place them at risk of social isolation. This study has implications for nursing home policy and practice and recommendations for addressing the risk of social isolation that rural nursing home residents face are made.