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Interdisciplinary and cross-cultural approaches to design for healthy ageing

- Scharoun, Lisa, Hills, Danny, Montana-Hoyos, Carlos Alberto

Cross-cultural design for healthy ageing

- Scharoun, Lisa, Hills, Danny, Montana-Hoyos, Carlos, Peng, Fanke, Sung, Vivien

  • Authors: Scharoun, Lisa , Hills, Danny , Montana-Hoyos, Carlos , Peng, Fanke , Sung, Vivien
  • Date: 2020
  • Type: Text , Book
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  • Description: We wrote this book as a compilation of many years of research and pedagogical experiences around cross-cultural and multidisciplinary design for healthy ageing. In it, we combine different voices and perspectives, including descriptions of several cross-cultural design for healthy ageing workshops conducted with students from design and nursing disciplines in different Australasian locations. These experiences are described in detail, offering a roadmap and many ideas for readers to build upon. Literature reviews and background research inform these practical experiences, which were then used to develop new theory and insights around the topics, mainly from academic and pedagogic points of view. The multiplicity of voices of student participants in the workshops provides a more personalised account of these experiences, while our reflections highlight the pedagogic and life-changing value of these experiences. We are a multidisciplinary team of researchers based mainly in Australia. Initially, a majority of the team members met while working at the University of Canberra (UC), with specialties in nursing, graphic design, industrial design, and fashion design, all from different cultural backgrounds and with interests in health and healthy ageing. Building on research undertaken with several study tours of Australian students from design and nursing to various Asian countries, mainly China and Singapore, and through collaborations with numerous partners including higher education institutions in Singapore, China, Hong Kong, and Taiwan, the research team explored the multi-layered relationships between design and healthy ageing. "From Introduction"

Student perspectives on participation in multidisciplinary, cross-cultural study tours and design workshops

- Hills, Danny, Tribe, Ruby, Weng, Cheng-Wei, Chong, Grace, Ng, Tracy, Koh, Jo-Lynn, Chen, Shao-Ming, An, Sharon, Jhaung, Debbie, Gardner, Paul, Ilami, Hariz, Seow, Emmaline, Ting-Yu, Lin, Qi, Tan, Hao, Li, Carey, Dayna

Trade agreements and the risks for the nursing workforce, nursing practice and public health : A scoping review

- Kidgell, Dianna, Hills, Danny, Griffiths, Debra, Endacott, Ruth

  • Authors: Kidgell, Dianna , Hills, Danny , Griffiths, Debra , Endacott, Ruth
  • Date: 2020
  • Type: Text , Journal article , Review
  • Relation: International Journal of Nursing Studies Vol. 109, no. (2020), p. 1-10
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  • Description: Background: Trade agreements in the 21st century have evolved to include provisions that affect domestic public policy and public health in signatory countries. There are growing calls for health professionals and public health advocates to pursue an active advisory role in trade negotiations in order to anticipate and prevent negative outcomes for health services and public health. Aim: This scoping review explored current literature to identify existing knowledge of the implications of trade agreements for the nursing workforce, nursing practice and public health using as an example the 2018 'Comprehensive and Progressive Agreement for Trans-Pacific Partnership'. Design: Scoping review Data sources: Emerald Insight, Informit, Ovid MEDLINE, PubMed, ProQuest, Scopus, and a number of specialist Economics, International Trade and Business, and International Relations databases. Grey literature included national and international policy documents. Review method: Literature was selected according to extraction field criteria, supplemented by hand searching of relevant grey literature and snowballing references from the selected literature reference lists. Analysis was undertaken to identify key themes emerging from the literature. Review results: Six key themes relevant to nursing workforce, nursing practice or public health were 1. Lack of consultation with public health and health professionals in trade negotiations; 2. Implications of strengthened intellectual property provisions for equitable access to medicines (including biologics) and medical devices; 3. Threats to government capacity to regulate domestic policy for public health and health services through 'Investor State Dispute Settlement' provisions 4. Threats to government capacity to regulate domestic policy for public health and health services through 'Regulatory Coherence' 5. Potential limited benefits to communities and increased health inequities 6. Potential implications of increased temporary migration. Gaps were identified in the literature for implications for nursing practice and the nursing workforce from regulatory and labour provisions of trade agreements. Conclusions: The analysis of the literature reviewed is of international importance for the nursing workforce, nursing practice and public health. Policymakers must anticipate and respond to how the inclusion of labour or regulatory provisions in trade agreements will affect nursing practice and the nursing workforce, and how this may subsequently impact on the health of communities globally. (C) 2020 Elsevier Ltd. All rights reserved.

Facilitating mindfulness-based interventions for anxiety in older people : history, effectiveness, and future possibilities

- Hungerford, Catherine, Hills, Sharon, Richards, Catelyn, Robinson, Tracy, Hills, Danny

  • Authors: Hungerford, Catherine , Hills, Sharon , Richards, Catelyn , Robinson, Tracy , Hills, Danny
  • Date: 2022
  • Type: Text , Journal article , Review
  • Relation: Issues in Mental Health Nursing Vol. 43, no. 11 (2022), p. 1014-1021
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  • Description: The origins of mindfulness go back some 25 centuries to Eastern teachings, including Buddhism and Hinduism. Mindfulness-based interventions gained credence in Western mental health settings in the late 1970s through the work of medical researcher Kabat-Zinn, whose interest in Eastern meditation led him to develop a program for stress reduction. Since then, mindfulness-based interventions have been utilized for various populations, including older people with anxiety. Group mindfulness-based interventions have demonstrated benefits for older people with anxiety living in residential aged care and the community. In primary care settings, innovative delivery models for group mindfulness-based interventions could be facilitated by nurses to support older people with anxiety to age in place with dignity. The benefits of mindfulness-based interventions suggest the value of integrating ancient Eastern techniques with modern Western strategies to achieve better health outcomes for older people with mental health concerns. © 2022 Taylor & Francis Group, LLC.

Conclusions, Overview, and Recommendations

- Scharoun, Lisa, Peng, Fanke, Hills, Danny, Liu, Jie, Montana-Hoyos, Carlos, Sung, Vivien

Clinician perspectives on preregistration nursing student participation in interdisciplinary, cross-cultural study tours and design workshops

- Hills, Danny, Tan, Khoon, Heng, Doreen

Home-based care for people with disabilities : role of registered nurses within the district health system in Thailand

- Wanaratwichit, Civilaiz, Hills, Danny, Cruickshank, Mary

  • Authors: Wanaratwichit, Civilaiz , Hills, Danny , Cruickshank, Mary
  • Date: 2020
  • Type: Text , Journal article
  • Relation: Collegian Vol. 27, no. 1 (2020), p. 18-22
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  • Description: Background: In Thailand, the number of people with physical disabilities (PwD) has been increasing. Following sweeping health care reforms in 2002, efforts were made to improve accessibility to health care by greatly increasing the number of Registered Nurses (RNs) working in local community health centres. Little is known, however, about the role of RNs in improving accessibility to home-based care and the outcomes of care for PwD in Thailand. Aim: To explore the role of RNs in providing high quality home-based services for PwD who have severe limitations in movement. Methods: A case study design was used to explore and describe the role of RNs in home-based care for PwD in one rural and one urban area in lower north Thailand. There were 73 participants, including PwD and their family members, community health volunteers, primary care providers, local government officers and members of the District Health management team. Data were collected from in-depth interviews and focus groups, which were analysed using thematic analysis. Results: The roles of RNs in home-based care for PwD were found in four domains, as case manager, rehabilitation care provider, manager of the community health volunteers and broader care coordinator. Conclusion: The full scope of the RN role in the provision of home-based care for PwD, in the district health system of Thailand, not only involves direct nursing care. The role also encompasses planning and co-ordination of the broad range of professional and non-professional services to meet the needs of PwDs in rural and urban settings. © 2019 Australian College of Nursing Ltd

The way we do things around here. A qualitative study of the workplace aggression experiences of Victorian nurses, midwives and care personnel

- Hills, Sharon, Crawford, Kimberley, Lam, Louisa, Hills, Danny

  • Authors: Hills, Sharon , Crawford, Kimberley , Lam, Louisa , Hills, Danny
  • Date: 2021
  • Type: Text , Journal article
  • Relation: Collegian Vol. 28, no. 1 (2021), p. 18-26
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  • Description: Background: Workplace aggression in the health and care sectors is a major work health and safety and public health concern, worldwide. In Australia, rates of exposure to workplace aggression are consistent with those experienced by nurses internationally, and have not decreased over the past 35 years. Objectives: To explore the experiences and perspectives of nurses, midwives and care personnel relating to experiences of verbal or written and physical aggression from external sources (patients, patients’ relatives or carers and others external to the workplace) and internal sources (co-workers). Design: A pragmatic, descriptive, qualitative study, integrating themes emerging from online survey comments and follow-up, in depth interviews. Settings: Health and aged care services in the Australian State of Victoria. Participants: Nurses, midwives and care personnel who were members of the Australian Nursing and Midwifery Federation – Victorian Branch in May and June 2017. Method: Thematic analysis was undertaken on the combined comments provided in up to seven free-form text fields of an online survey questionnaire and the content of follow-up interviews of selected survey participants. Results: From the online survey data, comments from 623 participants were able to be included in analyses. Of the 293 respondents initially indicating a willingness to be contacted by researchers, a sample of 29 participated in in-depth interviews. Eight thematic categories emerged from the data, relating to patient aggression, contextual categories (three sub-categories – care of older people, mental health care and emergency department settings), co-worker aggression (two sub-categories – aggression from managers/supervisors, aggression from colleagues/peers), reporting behaviours, trade union involvement, security personnel and police involvement, legal action and the impacts of workplace aggression. Conclusions: Over the past 35 years, little progress has been made in mitigating the likelihood and consequences of this serious work health and safety, and public health issue. There appears to be have been a sustained failure to implement co-ordinated, multi-sectorial, system-wide and targeted interventions to reduce what seem to be growing levels of harmful exposure to incivility and aggression in care settings in Victoria. There is an urgent need to strengthen and enforce existing legislation, introduce new laws and develop more effective systems and practices to adequately protect the health and safety of nurses, midwives and other care personnel in their daily work. Stronger evidence for system and service level interventions to prevent and minimise workplace aggression in care settings is also required. © 2020 Australian College of Nursing Ltd

Understanding design culture from east to west : a transdisciplinary approach to teaching

- Scharoun, Lisa, Fialho Teixeira, Müge, Hills, Danny, Teixeira, Frederico, Flynn, Daphne, Gudur, Raghavendra

Quality of life and loneliness post-bereavement : results from a nationwide survey of bereaved older adults

- Engel, Lidia, Brijnath, Bianca, Chong, Terence, Hills, Danny, Hjorth, Larissa, Loi, Samantha, Majmudar, Ishani, Mihalopoulos, Cathrine, Gerber, Katrin

  • Authors: Engel, Lidia , Brijnath, Bianca , Chong, Terence , Hills, Danny , Hjorth, Larissa , Loi, Samantha , Majmudar, Ishani , Mihalopoulos, Cathrine , Gerber, Katrin
  • Date: 2023
  • Type: Text , Journal article
  • Relation: Death Studies Vol. 47, no. 9 (2023), p. 994-1005
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  • Description: Older people experience bereavements more often than any other age group. National survey data collected across Australia from 633 bereaved adults aged 65+ years showed that 21% met the criteria for prolonged grief. Their quality of life was significantly lower and loneliness significantly higher compared to older people in the general population. Risk factors for the low quality of life and high loneliness post-bereavement included being female, experiencing the death of a partner, and being the full-time carer of the deceased. Time since bereavement, expectedness, and cause of death were not significantly associated with quality of life and loneliness. © 2022 Taylor & Francis Group, LLC.
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