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The authors thank the Science and Technology Research Project of Hebei Higher Education Institutions for financial support (QN2018169). The authors would like to thank Hui Li, Yizheng Yin and Jie Zhang for their help in collecting the data. We would also like to thank the Second Xiangya Hospital of Central South University for their assistance in recruiting the participants. We acknowledge the participant nurses who were involved in this study.
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This study was supported by The Nurse Maude Association, Christchurch, New Zealand, a community‐based nursing service in New Zealand. We acknowledge the contribution of the following Nurse Maude Association staff: Mary‐Anne Stone (MPH), Senior Manager of Research, Innovation and Aged Residential Care. Cathy Hammond (MA–Clinical Nursing), Clinical Nurse Specialist – Specialist Wound Service. Denise Brankin (RN, PGDipHSc), Service Manager, Specialty Nursing Services. Gill Coe (BA), Research Officer.creative
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The palaeoecological assessment, and the use of stable isotopes of carbon in subfossils of herbivores and omnivores, represents a novel approach to understand transitions in past food-web structure and the dynamics of lake ecosystems in response to natural perturbations and human impacts. Combined with records of subfossil assemblages of cladocerans and chironomids, it may be possible to decipher whether changes are attributable to external forces or internally derived system shifts. A sediment record taken from the shallow (2.3 m depth) Kings Billabong in the River Murray floodplain (Australia) was analysed to explore changes in trophic dynamics over the past century. The palaeoecological assessment revealed that littoral assemblages of cladocerans and benthic diatoms were gradually replaced by planktonic (planktonic and facultative planktonic) assemblages after river regulation in the 1920s. The stable isotopic composition of carbon (
Description:
The palaeoecological assessment, and the use of stable isotopes of carbon in subfossils of herbivores and omnivores, represents a novel approach to understand transitions in past food-web structure and the dynamics of lake ecosystems in response to natural perturbations and human impacts. Combined with records of subfossil assemblages of cladocerans and chironomids, it may be possible to decipher whether changes are attributable to external forces or internally derived system shifts. A sediment record taken from the shallow (2.3 m depth) Kings Billabong in the River Murray floodplain (Australia) was analysed to explore changes in trophic dynamics over the past century. The palaeoecological assessment revealed that littoral assemblages of cladocerans and benthic diatoms were gradually replaced by planktonic (planktonic and facultative planktonic) assemblages after river regulation in the 1920s. The stable isotopic composition of carbon (
Description:
Introduction: Rural and remote populations experience the greatest burden of chronic obstructive pulmonary disease (COPD), the fifth leading cause of death in Australia. Currently there is a need to prioritise health services to improve health outcomes among those at higher risk of COPD. Objectives: To investigate the differences in COPD hospitalisation between rural and urban populations and determine predictive factors contributing to COPD hospitalisation. Methods: Statewide hospitalisation data from 2010 to 2015 were obtained through the Victorian Admitted Episodes Dataset and other key data sets. The rates of hospitalisation were analysed using hierarchical multiple regression to examine the association between COPD hospitalisations and a number of predictor variables. Results: The highest COPD incidence occurred in metropolitan males aged 85 years of age and older (35.092 hospitalisations per 1000 population). Among metropolitan residents, smoking, population density and household income had a significant association with COPD hospitalisations for both sexes. Among rural males, smoking rates, household income and rural land use (farming) were significant predictors of COPD hospitalisations. There was an overall stability in statewide COPD hospitalisation over the 5 years to 2015, P = 0.420. Conclusion: This investigation highlights many rural and regional areas have much lower COPD hospitalisation rates than metropolitan areas. Between males and females, there are heterogenetic factors that contribute to the significant variation associated with COPD hospitalisation in metropolitan and rural areas, such as rural land use among rural males. This indicates that risk factor assessments, beyond smoking alone, need to be individualised and prioritised in practice to optimise care.
Description:
Introduction: Rural and remote populations experience the greatest burden of chronic obstructive pulmonary disease (COPD), the fifth leading cause of death in Australia. Currently there is a need to prioritise health services to improve health outcomes among those at higher risk of COPD. Objectives: To investigate the differences in COPD hospitalisation between rural and urban populations and determine predictive factors contributing to COPD hospitalisation. Methods: Statewide hospitalisation data from 2010 to 2015 were obtained through the Victorian Admitted Episodes Dataset and other key data sets. The rates of hospitalisation were analysed using hierarchical multiple regression to examine the association between COPD hospitalisations and a number of predictor variables. Results: The highest COPD incidence occurred in metropolitan males aged 85 years of age and older (35.092 hospitalisations per 1000 population). Among metropolitan residents, smoking, population density and household income had a significant association with COPD hospitalisations for both sexes. Among rural males, smoking rates, household income and rural land use (farming) were significant predictors of COPD hospitalisations. There was an overall stability in statewide COPD hospitalisation over the 5 years to 2015, P = 0.420. Conclusion: This investigation highlights many rural and regional areas have much lower COPD hospitalisation rates than metropolitan areas. Between males and females, there are heterogenetic factors that contribute to the significant variation associated with COPD hospitalisation in metropolitan and rural areas, such as rural land use among rural males. This indicates that risk factor assessments, beyond smoking alone, need to be individualised and prioritised in practice to optimise care.
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In the 12 years since Dudgeon et al. (2006) reviewed major pressures on freshwater ecosystems, the biodiversity crisis in the world's lakes, reservoirs, rivers, streams and wetlands has deepened. While lakes, reservoirs and rivers cover only 2.3% of the Earth's surface, these ecosystems host at least 9.5% of the Earth's described animal species. Furthermore, using the World Wide Fund for Nature's Living Planet Index, freshwater population declines (83% between 1970 and 2014) continue to outpace contemporaneous declines in marine or terrestrial systems. The Anthropocene has brought multiple new and varied threats that disproportionately impact freshwater systems. We document 12 emerging threats to freshwater biodiversity that are either entirely new since 2006 or have since intensified: (i) changing climates; (ii) e-commerce and invasions; (iii) infectious diseases; (iv) harmful algal blooms; (v) expanding hydropower; (vi) emerging contaminants; (vii) engineered nanomaterials; (viii) microplastic pollution; (ix) light and noise; (x) freshwater salinisation; (xi) declining calcium; and (xii) cumulative stressors. Effects are evidenced for amphibians, fishes, invertebrates, microbes, plants, turtles and waterbirds, with potential for ecosystem-level changes through bottom-up and top-down processes. In our highly uncertain future, the net effects of these threats raise serious concerns for freshwater ecosystems. However, we also highlight opportunities for conservation gains as a result of novel management tools (e.g. environmental flows, environmental DNA) and specific conservation-oriented actions (e.g. dam removal, habitat protection policies, managed relocation of species) that have been met with varying levels of success. Moving forward, we advocate hybrid approaches that manage fresh waters as crucial ecosystems for human life support as well as essential hotspots of biodiversity and ecological function. Efforts to reverse global trends in freshwater degradation now depend on bridging an immense gap between the aspirations of conservation biologists and the accelerating rate of species endangerment.
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This paper explores how front-line street-level bureaucrats (SLBs) cope with the expectations of citizens, clients, or ‘customers’ in daily work and how SLBs may be impacted by emotional labour. The study analyses data from 41 interviews with SLBs in local councils in Victoria, Australia. Although exploratory, it builds awareness and understanding of the emotional labour associated with public service. The situations that SLBs engage with on a daily basis are many and varied and take the form of increased expectations and intense encounters. Respondents experienced abuse, threats, violence, but also ‘sparkle moments’. Resources that helped SLBs cope are diverse and located both within and outside organisations. Implications are discussed and issues that merit additional investigation are raised concerning how SLBs can be supported to better meet the demands of the public. The research is of value to public managers and SLBs operating in a changing society with increased ‘customer’ expectations.
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The “electoral mandate” serves a useful function as a political weapon in competitive party democracies, notwithstanding the ambiguities, multi-layered complexities and uncertainty of many of the issues which the concept involves. The diverse uses of “mandate” indicate competing ideas in Australian politics about the responsibilities of parties to pursue commitments made during campaigns and the extent of rights to govern. This article portrays mandate not as a “theory” or “doctrine”, but as a rhetorical device that needs to be examined in the context of “contested word use” in political speech. The renewed interest in the study of rhetoric reflects the usefulness of examining multiple and layered meanings that exist under what ostensibly may appear as “empty rhetoric”, and to understand how rhetoric is used to persuade an audience of the validity of a particular action or viewpoint. While mandate often comes under attack as “meaningless”, it is a useful persuasive tool employed by politicians to consolidate their legitimacy and justify their rights to implement a political agenda and, as such, it contributes to public discourses relating to the nature of political representation.
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Aims and objectives: To investigate burnout among nurses from Australia and China and explore the effects of resilience and turnover intention on nurse burnout between the two countries. Background: Nursing shortages and burnout have become serious problems worldwide in recent years. In both developed and developing countries, such as Australia and China, nurse burnout levels are high and therefore attract concern from nurse managers, hospital administrators, nurse educators and researchers. However, few studies have been conducted exploring the differences in burnout and its predictors between Australian and Chinese nurses, particularly investigating the differences in the effect sizes of the predictors. Design: A comparative cross-sectional design was employed. Methods: A total of 100 Australian nurses and 197 Chinese nurses participated in the study. Australian participants completed an online questionnaire, while Chinese participants completed a hardcopy questionnaire. Burnout, resilience and turnover intention were measured. Results: Burnout was worse for Australian participants than Chinese participants. Only having turnover intention significantly predicted burnout in Australian participants, while low resilience, having turnover intention and low level of regular exercise strongly predicted burnout in Chinese participants. The effect size of turnover intention on burnout in the Australian group was almost twice that of the Chinese group. Conclusion: The findings of this study show that there are differences in burnout between Australian and Chinese nurses. The effects of resilience and turnover intention on burnout between the two groups are also identified. Relevance to clinical practice: The differences in nurse burnout and the effects of resilience and turnover intention on burnout should be better understood by nurse managers from Australia and China. Moreover, developing effective strategies relevant to their own country to reduce nurse burnout is recommended.
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The cornerstone of contemporary nursing practice is the provision of individualised nursing care. Sustaining and nourishing the stream of research frameworks that inform individualised care are the findings from qualitative research. At the centre of much qualitative research practice, however, is an assumption that experiential understanding can be delivered through a thematisation of meaning which, it will be argued, can lead the researcher to make unsustainable assumptions about the relations of language and meaning-making to experience. We will show that an uncritical subscription to such assumptions can undermine the researcher's capacity to represent experience at the high level of abstraction consistent with experience itself and to thus inform genuinely individualised care. Instead, using qualia as a touchstone for the possibilities of understanding and representing experience, we trace the ‘designative’ and ‘expressive’ distinction to language in order to raise critical questions concerning both these assumptions and common practices within qualitative research. Following the ‘expressive’ account of language, we foreground in particular the hermeneutic work of Gadamer through which we explore the possibilities for a qualitative research approach that would better seek the mot juste of individual experience and illuminate qualia in order to better inform genuinely individualised care.
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Children live in different contexts of protection and vulnerability when exposed to domestic violence. The negative impacts for many children are consistent and widely acknowledged. However, the implication that this requires men who use violence to address their fathering has been slower to emerge. This article draws from 69 in-depth qualitative interviews with men, women, and workers across four men's behaviour change programmes in rural Victoria, Australia. Particular attention is given to men's attitudes to their fathering and the formal and informal consequences they experienced as a result of their violence and its impact on their fathering. Although most men came to recognize that their violence impacted their children, they failed to make the connection that the involvement of statutory child protection services in their lives was a direct consequence of their abusive behaviour. This article explores this disconnection by fathers who use violence, their attitude to the involvement of statutory child protection services, and identifies the implications for social work practitioners in addressing this issue.
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This article examines Alfred Deakin’s attitudes towards, and impacts upon, Aboriginal people during the period 1880-1910, drawing on newspaper articles and parliamentary debates as principal source materials. The discussion begins by charting the long, influential and often positive relationships Deakin had with several Aboriginal communities during a period as a Victorian MLA between 1881 and 1884. It then proceeds to document Deakin’s extraordinary descent into paternalism and racially-based fatalism which pervaded his later association with Aboriginal affairs whilst Victoria’s Chief Secretary (1886–1890), Victorian MLA for Essendon and delegate to Federal conventions (1890-1900), as the Federation debates took shape. And finally, the article outlines the attitudes Deakin expressed towards Aboriginal people in his various post-Federation political roles, including Attorney-General, Prime Minister and Minister for External Affairs. In doing so, the discussion draws out the connections between Deakin’s advocacy of a white Australia and his attitudes towards Aboriginal Australia, and demonstrates the extent to which the creation of a new nation both informed and responded to socio-racial ideologies that mandated the exclusion of non-white identities from the nation-to-come