Medical-attention injuries in community australian football: A review of 30 years of surveillance data from treatment sources
- Ekegren, Christina, Gabbe, Belinda, Finch, Caroline
- Authors: Ekegren, Christina , Gabbe, Belinda , Finch, Caroline
- Date: 2015
- Type: Text , Journal article
- Relation: Clinical Journal of Sport Medicine Vol. 25, no. 2 (2015), p. 162-172
- Relation: http://purl.org/au-research/grants/nhmrc/565900
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- Description: Objective: In recent reports, Australian football has outranked other team sports in the frequency of hospitalizations and emergency department (ED) presentations. Understanding the profile of these and other "medical-attention" injuries is vital for developing preventive strategies that can reduce health costs. The objective of this review was to describe the frequency and profile of Australian football injuries presenting for medical attention. Data Sources: A systematic search was carried out to identify peer-reviewed articles and reports presenting original data about Australian football injuries from treatment sources (hospitals, EDs, and health-care clinics). Data extracted included injury frequency and rate, body region, and nature and mechanism of injury. Main Results: Following literature search and review, 12 publications were included. In most studies, Australian football contributed the greatest number of injuries out of any sport or recreation activity. Hospitals and EDs reported a higher proportion of upper limb than lower limb injuries, whereas the opposite was true for sports medicine clinics. In hospitals, fractures and dislocations were most prevalent out of all injuries. In EDs and clinics, sprains/strains were most common in adults and superficial injuries were predominant in children. Most injuries resulted from contact with other players or falling. Conclusions: The upper limb was the most commonly injured body region for Australian football presentations to hospitals and EDs. Strategies to prevent upper limb injuries could reduce associated public health costs. However, to understand the full extent of the injury problem in football, treatment source surveillance systems should be supplemented with other datasets, including community club-based collections. © 2014 Wolters Kluwer Health, Inc. All rights reserved.
- Authors: Ekegren, Christina , Gabbe, Belinda , Finch, Caroline
- Date: 2015
- Type: Text , Journal article
- Relation: Clinical Journal of Sport Medicine Vol. 25, no. 2 (2015), p. 162-172
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text:
- Reviewed:
- Description: Objective: In recent reports, Australian football has outranked other team sports in the frequency of hospitalizations and emergency department (ED) presentations. Understanding the profile of these and other "medical-attention" injuries is vital for developing preventive strategies that can reduce health costs. The objective of this review was to describe the frequency and profile of Australian football injuries presenting for medical attention. Data Sources: A systematic search was carried out to identify peer-reviewed articles and reports presenting original data about Australian football injuries from treatment sources (hospitals, EDs, and health-care clinics). Data extracted included injury frequency and rate, body region, and nature and mechanism of injury. Main Results: Following literature search and review, 12 publications were included. In most studies, Australian football contributed the greatest number of injuries out of any sport or recreation activity. Hospitals and EDs reported a higher proportion of upper limb than lower limb injuries, whereas the opposite was true for sports medicine clinics. In hospitals, fractures and dislocations were most prevalent out of all injuries. In EDs and clinics, sprains/strains were most common in adults and superficial injuries were predominant in children. Most injuries resulted from contact with other players or falling. Conclusions: The upper limb was the most commonly injured body region for Australian football presentations to hospitals and EDs. Strategies to prevent upper limb injuries could reduce associated public health costs. However, to understand the full extent of the injury problem in football, treatment source surveillance systems should be supplemented with other datasets, including community club-based collections. © 2014 Wolters Kluwer Health, Inc. All rights reserved.
Continuing professional development of allied health professionals : A regional study
- Authors: Schenk, Peter
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: Background The Australian healthcare system is challenged by an ageing population and lifestyle risk factors that disproportionately affect people in regional (non-metropolitan) geographic regions. In addition, the allied health professionals who work in knowledge-intensive occupations in regional Victoria face barriers regarding profession related learning. Allied health professionals provide diagnostic and therapeutic patient care services, and within these professions, healthcare diagnoses and treatments are expected by society and government to be founded on scientific evidence. Therefore, remaining up-to-date with rapidly developing knowledge requires continuing professional development (CPD). Purpose This study explores pertinent issues affecting the CPD programs of allied health professionals and the interaction with regional Victorian public hospitals’ knowledge management (KM) approaches. Consequently, the study identifies opportunities for improving profession related learning, enhancing evidence-based practice and the efficacy of diagnoses and treatments. The proposed outcome of this study addresses perceived inadequacies of allied health professionals’ CPD and its contribution to medical errors. Furthermore, greater availability and effectiveness of profession related learning in these occupations should improve patients’ health outcomes. The study described in this thesis answers the primary research question: 1) What factors significantly influence the availability and effectiveness of continuing professional development (CPD) for allied health professionals (radiographers, sonographers and physiotherapists)? In addition, it also answers the secondary research question: 2) How can the findings of this research be represented to improve the CPD of allied health professionals and knowledge management (KM) in regional Victorian public hospitals? Methodology This study explores subjective phenomena involving human behaviour; therefore, the philosophical foundations of this study are post-positivist, with knowledge claims of interpretivist research. This research employs multi-site embedded case studies, defined as empirical enquiries investigating contemporary phenomena in real-world contexts. Therefore, they are suitable for this investigation, where participant experiences and contexts are equally important. Case selection in this study expresses regionalism through remoteness classifications of inner and outer regional areas, and hospital size comparing small/medium and large/referral regional hospitals. The 37 respondents to semi-structured interviews include hospital managers and purposefully selected allied health professionals (radiographers, sonographers and physiotherapists). The interviews were conducted from March to June 2017, with thematic analysis completed thereafter. Results Respondents in this study propose a holistic concept of CPD, encompassing all profession related learning opportunities, including learning from CPD activities and practice-based learning. Furthermore, the allied health professionals had various motivations for undertaking CPD, including maintaining and enhancing profession related knowledge, personal interest, supporting hospital needs, and meeting mandatory requirements. In addition, they discussed the factors that influenced their CPD planning, including their preference for formal face-to-face CPD activities, the availability of hospital-provided or local CPD activities, online learning, and overcoming barriers of their regional location. Finally, the factors influencing allied health professionals’ CPD include their planning of CPD programs, the influence of hospitals’ KM, and the competencies they consider necessary for good practice. Conclusion The thematic analysis in this study represents this study’s findings as a normative conceptual model in answer to the secondary research question. The Model of Allied Health Professionals’ CPD (described in section 6.7) proffers a heuristic framework depicting reflective feedback and the process of deliberative planning of CPD. Extrapolating knowledge from the literature and respondents’ experiences with CPD, the model’s elements include interrelationships between allied health professionals’ CPD planning and activities, hospitals’ approaches to KM, and informal workplace learning. Furthermore, the combined outcomes of CPD and KM contribute to allied health professionals’ competencies and expertise, presumably contributing to improving patients’ healthcare, including diagnoses and treatments.
- Description: Doctor of Philosophy
- Authors: Schenk, Peter
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: Background The Australian healthcare system is challenged by an ageing population and lifestyle risk factors that disproportionately affect people in regional (non-metropolitan) geographic regions. In addition, the allied health professionals who work in knowledge-intensive occupations in regional Victoria face barriers regarding profession related learning. Allied health professionals provide diagnostic and therapeutic patient care services, and within these professions, healthcare diagnoses and treatments are expected by society and government to be founded on scientific evidence. Therefore, remaining up-to-date with rapidly developing knowledge requires continuing professional development (CPD). Purpose This study explores pertinent issues affecting the CPD programs of allied health professionals and the interaction with regional Victorian public hospitals’ knowledge management (KM) approaches. Consequently, the study identifies opportunities for improving profession related learning, enhancing evidence-based practice and the efficacy of diagnoses and treatments. The proposed outcome of this study addresses perceived inadequacies of allied health professionals’ CPD and its contribution to medical errors. Furthermore, greater availability and effectiveness of profession related learning in these occupations should improve patients’ health outcomes. The study described in this thesis answers the primary research question: 1) What factors significantly influence the availability and effectiveness of continuing professional development (CPD) for allied health professionals (radiographers, sonographers and physiotherapists)? In addition, it also answers the secondary research question: 2) How can the findings of this research be represented to improve the CPD of allied health professionals and knowledge management (KM) in regional Victorian public hospitals? Methodology This study explores subjective phenomena involving human behaviour; therefore, the philosophical foundations of this study are post-positivist, with knowledge claims of interpretivist research. This research employs multi-site embedded case studies, defined as empirical enquiries investigating contemporary phenomena in real-world contexts. Therefore, they are suitable for this investigation, where participant experiences and contexts are equally important. Case selection in this study expresses regionalism through remoteness classifications of inner and outer regional areas, and hospital size comparing small/medium and large/referral regional hospitals. The 37 respondents to semi-structured interviews include hospital managers and purposefully selected allied health professionals (radiographers, sonographers and physiotherapists). The interviews were conducted from March to June 2017, with thematic analysis completed thereafter. Results Respondents in this study propose a holistic concept of CPD, encompassing all profession related learning opportunities, including learning from CPD activities and practice-based learning. Furthermore, the allied health professionals had various motivations for undertaking CPD, including maintaining and enhancing profession related knowledge, personal interest, supporting hospital needs, and meeting mandatory requirements. In addition, they discussed the factors that influenced their CPD planning, including their preference for formal face-to-face CPD activities, the availability of hospital-provided or local CPD activities, online learning, and overcoming barriers of their regional location. Finally, the factors influencing allied health professionals’ CPD include their planning of CPD programs, the influence of hospitals’ KM, and the competencies they consider necessary for good practice. Conclusion The thematic analysis in this study represents this study’s findings as a normative conceptual model in answer to the secondary research question. The Model of Allied Health Professionals’ CPD (described in section 6.7) proffers a heuristic framework depicting reflective feedback and the process of deliberative planning of CPD. Extrapolating knowledge from the literature and respondents’ experiences with CPD, the model’s elements include interrelationships between allied health professionals’ CPD planning and activities, hospitals’ approaches to KM, and informal workplace learning. Furthermore, the combined outcomes of CPD and KM contribute to allied health professionals’ competencies and expertise, presumably contributing to improving patients’ healthcare, including diagnoses and treatments.
- Description: Doctor of Philosophy
Burnout, stress and resilience of an Australian regional hospital during COVID-19: a longitudinal study
- Armstrong, Samantha, Porter, Joanne, Larkins, Jo-Ann, Mesagno, Christopher
- Authors: Armstrong, Samantha , Porter, Joanne , Larkins, Jo-Ann , Mesagno, Christopher
- Date: 2022
- Type: Text , Journal article
- Relation: BMC health services research Vol. 22, no. 1 (2022), p. 1-1115
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- Description: Abstract Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic.
- Authors: Armstrong, Samantha , Porter, Joanne , Larkins, Jo-Ann , Mesagno, Christopher
- Date: 2022
- Type: Text , Journal article
- Relation: BMC health services research Vol. 22, no. 1 (2022), p. 1-1115
- Full Text:
- Reviewed:
- Description: Abstract Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic.
Nursing perspectives on reducing sedentary behaviour in sub-acute hospital settings : a mixed methods study
- Hills, Danny, Ekegren, Christina, Plummer, Virginia, Freene, Nicole, Kunstler, Breanne, Robinson, Tracy, Healy, Ellen, Vo, Jennifer, Gasevic, Danijela, Crabtree, Amelia
- Authors: Hills, Danny , Ekegren, Christina , Plummer, Virginia , Freene, Nicole , Kunstler, Breanne , Robinson, Tracy , Healy, Ellen , Vo, Jennifer , Gasevic, Danijela , Crabtree, Amelia
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 31, no. 9-10 (2022), p. 1348-1361
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- Description: Aim and objectives: To determine the factors influencing nurses’ decisions and capacity to reduce sedentary behaviour in hospital inpatients in sub-acute hospital settings. Background: Sedentary behaviour in hospital inpatients is a complex issue that can be resistant to resolution. There is little research investigating factors influencing nurses’ promotion of reduced levels of sedentary behaviour in sub-acute hospital settings. Design: An explanatory sequential design was employed, comprising quantitative and qualitative phases. Methods: An online survey was conducted with a convenience sample of 138 nurses from five Australian states. Logistic regression modelling identified demographic and behavioural characteristics of nurses who often encouraged patients to reduce their sedentary behaviour. In-depth interviews were conducted with 11 ward nurses and nurse managers, with the content subjected to thematic analysis. STROBE and GRAMMS checklists were employed. Results: Nurses recognised their role in promoting reduced sedentary behaviour but faced a range of personal and organisational barriers in achieving this outcome for patients. Few nurses were aware of national physical activity and sedentary behaviour guidelines. Five themes emerged from interviews (nursing role, care challenges, expectations of advocates, teamwork and improving the experience). Overall, many nurses experienced a lack of agency in promoting reduced sedentary behaviour and cognitive dissonance in feeling unable to undertake this role. Conclusions: The results of this study are significant in confirming that reducing sedentary behaviour in hospital inpatients is influenced by a range of complex and multi-level factors. There is a fundamental need for organisational and clinical leadership in building a culture and climate in which staff feel empowered to promote reduced sedentary behaviour in their patients. Relevance to clinical practice: The results of this study highlight the importance of taking action to reduce sedentary behaviour in sub-acute hospital settings. A co-design approach to developing interventions in local health services is warranted. © 2021 John Wiley & Sons Ltd.
- Authors: Hills, Danny , Ekegren, Christina , Plummer, Virginia , Freene, Nicole , Kunstler, Breanne , Robinson, Tracy , Healy, Ellen , Vo, Jennifer , Gasevic, Danijela , Crabtree, Amelia
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 31, no. 9-10 (2022), p. 1348-1361
- Full Text:
- Reviewed:
- Description: Aim and objectives: To determine the factors influencing nurses’ decisions and capacity to reduce sedentary behaviour in hospital inpatients in sub-acute hospital settings. Background: Sedentary behaviour in hospital inpatients is a complex issue that can be resistant to resolution. There is little research investigating factors influencing nurses’ promotion of reduced levels of sedentary behaviour in sub-acute hospital settings. Design: An explanatory sequential design was employed, comprising quantitative and qualitative phases. Methods: An online survey was conducted with a convenience sample of 138 nurses from five Australian states. Logistic regression modelling identified demographic and behavioural characteristics of nurses who often encouraged patients to reduce their sedentary behaviour. In-depth interviews were conducted with 11 ward nurses and nurse managers, with the content subjected to thematic analysis. STROBE and GRAMMS checklists were employed. Results: Nurses recognised their role in promoting reduced sedentary behaviour but faced a range of personal and organisational barriers in achieving this outcome for patients. Few nurses were aware of national physical activity and sedentary behaviour guidelines. Five themes emerged from interviews (nursing role, care challenges, expectations of advocates, teamwork and improving the experience). Overall, many nurses experienced a lack of agency in promoting reduced sedentary behaviour and cognitive dissonance in feeling unable to undertake this role. Conclusions: The results of this study are significant in confirming that reducing sedentary behaviour in hospital inpatients is influenced by a range of complex and multi-level factors. There is a fundamental need for organisational and clinical leadership in building a culture and climate in which staff feel empowered to promote reduced sedentary behaviour in their patients. Relevance to clinical practice: The results of this study highlight the importance of taking action to reduce sedentary behaviour in sub-acute hospital settings. A co-design approach to developing interventions in local health services is warranted. © 2021 John Wiley & Sons Ltd.
Falls risk perception measures in hospital : a COSMIN systematic review
- Dabkowski, Elissa, Missen, Karen, Duncan, Jhodie, Cooper, Simon
- Authors: Dabkowski, Elissa , Missen, Karen , Duncan, Jhodie , Cooper, Simon
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Journal of Patient-Reported Outcomes Vol. 7, no. 1 (2023), p.
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- Description: Falls prevention in hospital continues to be a research priority because of the poor health outcomes and financial burdens that can arise. Recently updated World Guidelines for Falls Prevention and Management strongly recommend evaluating patients’ concerns about falling as part of a multifactorial assessment. The aim of this systematic review was to evaluate the quality of falls risk perception measures for adults in a hospital setting. This review was conducted using the Consensus-based Standards for the selection of health Measurement Instruments guidelines and provides a comprehensive summary of these instruments, including psychometric properties, feasibility and clinical recommendations for their use. The review followed a prospectively registered protocol, in which a total of ten databases were searched between the years 2002 and 2022. Studies were included if the instruments measured falls risk perception and/or other psychological falls constructs, if they were conducted in a hospital setting and if the target population contained hospital inpatients. A total of 18 studies met the inclusion criteria, encompassing 20 falls risk perception measures. These falls risk perception instruments were grouped into five falls-related constructs: Balance Confidence, Falls Efficacy/Concern, Fear of Falling, Self-Awareness and Behaviour/Intention. Two of the patient reported outcome measures (PROMs) received Class A recommendations (Falls Risk Perception Questionnaire and the Spinal Cord Injury-Falls Concern Scale); however, this rating is only applicable for the populations/context described in the studies. Thirteen PROMs received Class B recommendations, solidifying the need for further validation studies of these PROMs. © 2023, The Author(s).
- Authors: Dabkowski, Elissa , Missen, Karen , Duncan, Jhodie , Cooper, Simon
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Journal of Patient-Reported Outcomes Vol. 7, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Falls prevention in hospital continues to be a research priority because of the poor health outcomes and financial burdens that can arise. Recently updated World Guidelines for Falls Prevention and Management strongly recommend evaluating patients’ concerns about falling as part of a multifactorial assessment. The aim of this systematic review was to evaluate the quality of falls risk perception measures for adults in a hospital setting. This review was conducted using the Consensus-based Standards for the selection of health Measurement Instruments guidelines and provides a comprehensive summary of these instruments, including psychometric properties, feasibility and clinical recommendations for their use. The review followed a prospectively registered protocol, in which a total of ten databases were searched between the years 2002 and 2022. Studies were included if the instruments measured falls risk perception and/or other psychological falls constructs, if they were conducted in a hospital setting and if the target population contained hospital inpatients. A total of 18 studies met the inclusion criteria, encompassing 20 falls risk perception measures. These falls risk perception instruments were grouped into five falls-related constructs: Balance Confidence, Falls Efficacy/Concern, Fear of Falling, Self-Awareness and Behaviour/Intention. Two of the patient reported outcome measures (PROMs) received Class A recommendations (Falls Risk Perception Questionnaire and the Spinal Cord Injury-Falls Concern Scale); however, this rating is only applicable for the populations/context described in the studies. Thirteen PROMs received Class B recommendations, solidifying the need for further validation studies of these PROMs. © 2023, The Author(s).
- McDonald, Cassie, Granger, Catherine, Said, Catherine, Remedios, Louisa
- Authors: McDonald, Cassie , Granger, Catherine , Said, Catherine , Remedios, Louisa
- Date: 2022
- Type: Text , Journal article
- Relation: Qualitative Health Research Vol. 32, no. 2 (2022), p. 345-359
- Full Text: false
- Reviewed:
- Description: In this research, we explore and theorize on the potential of hospital outpatient rehabilitation waiting areas to respond and contribute to the health literacy needs of consumers. Constructivist grounded theory informed the sampling and analytical procedures. Thirty-three consumers attending outpatient rehabilitation for a range of health conditions were recruited to this multi-site study. Semi-structured interview and participant observation data were collected and analyzed concurrently using the constant comparison method. The substantive theory of “seeking choice to fulfill health literacy needs” and five interdependent categories were developed. Results indicated that consumers sought choice reflective of their needs; however, the waiting area offered limited choice. Consumers shared ideas to address the lack of choice. Results provide insight into the health literacy needs of consumers in hospital outpatient waiting areas and how health services can appropriately respond to these needs. Future research should investigate the effect of health service environments on health outcomes. © The Author(s) 2021.
Burnout, stress and resilience of an Australian regional hospital during COVID-19 : a longitudinal study
- Armstrong, Samantha, Porter, Joanne, Larkins, Jo-Ann, Mesagno, Christopher
- Authors: Armstrong, Samantha , Porter, Joanne , Larkins, Jo-Ann , Mesagno, Christopher
- Date: 2022
- Type: Text , Journal article
- Relation: BMC Health Services Research Vol. 22, no. 1 (2022), p.
- Full Text:
- Reviewed:
- Description: Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic. © 2022, The Author(s).
- Authors: Armstrong, Samantha , Porter, Joanne , Larkins, Jo-Ann , Mesagno, Christopher
- Date: 2022
- Type: Text , Journal article
- Relation: BMC Health Services Research Vol. 22, no. 1 (2022), p.
- Full Text:
- Reviewed:
- Description: Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic. © 2022, The Author(s).
Lived experiences and insights into the advantages important to rural recruitment and retention of general practitioners
- Terry, Daniel, Nguyen, Hoang, Schmitz, David, Baker, Ed
- Authors: Terry, Daniel , Nguyen, Hoang , Schmitz, David , Baker, Ed
- Date: 2018
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 18, no. 3 (2018), p. 1-16
- Full Text:
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- Description: INTRODUCTION: Despite existing studies in this field, community factors behind recruiting and retaining rural general practitioners (GPs) are not fully understood. To address this issue, the Community Apgar Questionnaire (CAQ) was developed to extend the understanding of communities' assets and capabilities that impact GP recruitment and retention. However, more in-depth insights are vital to develop a comprehensive approach. METHODS: This mixed methods study was administered using face-to-face structured interviews with a total of 40 health service representatives. All interviews lasted 35-40 minutes and were audio-taped. Qualitative data were generated from the extended responses to the structured questions of the CAQ and later transcribed. Thematic analysis was conducted in relation to explanations, elaborations, and relevant strategic approaches to improving workforce retention. RESULTS: The qualitative findings illuminated the most important advantages of recruiting and retaining GPs were linked to medical support, hospital and community support, and economic factors, while the challenges were related to geographic factors. The underlying reasons for and nature of those advantages and challenges reinforce that health professionals' decisions to stay or leave are complex and multifactorial. CONCLUSION: The originality of the study rests on the administration of the CAQ accompanied by the opportunity for participants to provide extended responses, which gives critical insights into the complexities of rural recruitment and retention. As such, the results confirm the need for a flexible multifaceted response to improving rural GP workforce and informs decision-making in terms of addressing workforce issues within the scope of available resources and capacity.
- Authors: Terry, Daniel , Nguyen, Hoang , Schmitz, David , Baker, Ed
- Date: 2018
- Type: Text , Journal article
- Relation: Rural and remote health Vol. 18, no. 3 (2018), p. 1-16
- Full Text:
- Reviewed:
- Description: INTRODUCTION: Despite existing studies in this field, community factors behind recruiting and retaining rural general practitioners (GPs) are not fully understood. To address this issue, the Community Apgar Questionnaire (CAQ) was developed to extend the understanding of communities' assets and capabilities that impact GP recruitment and retention. However, more in-depth insights are vital to develop a comprehensive approach. METHODS: This mixed methods study was administered using face-to-face structured interviews with a total of 40 health service representatives. All interviews lasted 35-40 minutes and were audio-taped. Qualitative data were generated from the extended responses to the structured questions of the CAQ and later transcribed. Thematic analysis was conducted in relation to explanations, elaborations, and relevant strategic approaches to improving workforce retention. RESULTS: The qualitative findings illuminated the most important advantages of recruiting and retaining GPs were linked to medical support, hospital and community support, and economic factors, while the challenges were related to geographic factors. The underlying reasons for and nature of those advantages and challenges reinforce that health professionals' decisions to stay or leave are complex and multifactorial. CONCLUSION: The originality of the study rests on the administration of the CAQ accompanied by the opportunity for participants to provide extended responses, which gives critical insights into the complexities of rural recruitment and retention. As such, the results confirm the need for a flexible multifaceted response to improving rural GP workforce and informs decision-making in terms of addressing workforce issues within the scope of available resources and capacity.
Adult inpatients’ perceptions of their fall risk : a scoping review
- Dabkowski, Elissa, Cooper, Simon, Duncan, Jhodie, Missen, Karen
- Authors: Dabkowski, Elissa , Cooper, Simon , Duncan, Jhodie , Missen, Karen
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Healthcare (Switzerland) Vol. 10, no. 6 (2022), p.
- Full Text:
- Reviewed:
- Description: Patient falls in hospitals continue to be a global concern due to the poor health outcomes and costs that can occur. A large number of falls in hospitals are unwitnessed and mostly occur due to patient behaviours and not seeking assistance. Understanding these patient behaviours may help to direct fall prevention strategies, with evidence suggesting the need to integrate patients’ perspectives into fall management. The aim of this scoping review was to explore the extent of the literature about patients’ perceptions and experiences of their fall risk in hospital and/or of falling in hospital. This review was conducted using a five-stage methodological framework recommended by Arksey and O’Malley. A total of nine databases were searched using key search terms such as “fall*”, “perception” and “hospital.” International peer-reviewed and grey literature were searched between the years 2011 and 2021. A total of 41 articles, ranging in study design, met the inclusion criteria. After reporting on the article demographics and fall perception constructs and measures, the qualitative and quantitative findings were organised into five domains: Fall Risk Perception Measures, Patients’ Perceptions of Fall Risk, Patients’ Perceptions of Falling in Hospital, Patients’ Fear of Falling and Barriers to Fall Prevention in Hospital. Approximately two-thirds of study participants did not accurately identify their fall risk compared to that defined by a health professional. This demonstrates the importance of partnering with patients and obtaining their insights on their perceived fall risk, as this may help to inform fall management and care. This review identified further areas for research that may help to inform fall prevention in a hospital setting, including the need for further research into fall risk perception measures. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
- Authors: Dabkowski, Elissa , Cooper, Simon , Duncan, Jhodie , Missen, Karen
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Healthcare (Switzerland) Vol. 10, no. 6 (2022), p.
- Full Text:
- Reviewed:
- Description: Patient falls in hospitals continue to be a global concern due to the poor health outcomes and costs that can occur. A large number of falls in hospitals are unwitnessed and mostly occur due to patient behaviours and not seeking assistance. Understanding these patient behaviours may help to direct fall prevention strategies, with evidence suggesting the need to integrate patients’ perspectives into fall management. The aim of this scoping review was to explore the extent of the literature about patients’ perceptions and experiences of their fall risk in hospital and/or of falling in hospital. This review was conducted using a five-stage methodological framework recommended by Arksey and O’Malley. A total of nine databases were searched using key search terms such as “fall*”, “perception” and “hospital.” International peer-reviewed and grey literature were searched between the years 2011 and 2021. A total of 41 articles, ranging in study design, met the inclusion criteria. After reporting on the article demographics and fall perception constructs and measures, the qualitative and quantitative findings were organised into five domains: Fall Risk Perception Measures, Patients’ Perceptions of Fall Risk, Patients’ Perceptions of Falling in Hospital, Patients’ Fear of Falling and Barriers to Fall Prevention in Hospital. Approximately two-thirds of study participants did not accurately identify their fall risk compared to that defined by a health professional. This demonstrates the importance of partnering with patients and obtaining their insights on their perceived fall risk, as this may help to inform fall management and care. This review identified further areas for research that may help to inform fall prevention in a hospital setting, including the need for further research into fall risk perception measures. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
Stereotyping stigma: undergraduate health students' perceptions at handover
- Doyle, Kerrie, Cruickshank, Mary
- Authors: Doyle, Kerrie , Cruickshank, Mary
- Date: 2012
- Type: Text , Journal article
- Relation: The Journal of nursing education Vol. 51, no. 5 (2012), p. 255-261
- Full Text: false
- Reviewed:
- Description: The World Health Organization (WHO) has recognized that errors in communication are one of the leading causes of adverse patient outcomes. Consequently, the WHO developed the High 5s Project to review, among other variables, handover of patients between shifts, professionals, and organizations. Seven countries were involved in the initial project. Australia responded by using the ISOBAR (Identify, Situation, Observations, Background, Agreed plan, and Read-back) tool as a template. However, none of the countries involved considered the social and emotional effects of handover on the staff or patients, although research has demonstrated that attitudes and values can be handed over from one nurse to another during this process. This article shows how the nurse who hands over care from one shift to the next can transfer stigma and labeling and offers suggestions for nurse educators and clinicians to apply national standards and core values to clinical practice and education.
Understanding the bereavement care roles of nurses within acute care : A systematic review
- Raymond, Anita, Lee, Susan, Bloomer, Melissa
- Authors: Raymond, Anita , Lee, Susan , Bloomer, Melissa
- Date: 2017
- Type: Text , Journal article , Review
- Relation: Journal of Clinical Nursing Vol. 26, no. 13-14 (2017), p. 1787-1800
- Full Text: false
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- Description: Aims and objectives: To investigate nurses’ roles and responsibilities in providing bereavement care during the care of dying patients within acute care hospitals. Background: Bereavement within acute care hospitals is often sudden, unexpected and managed by nurses who may have limited access to experts. Nurses’ roles and experience in the provision of bereavement care can have a significant influence on the subsequent bereavement process for families. Identifying the roles and responsibilities, nurses have in bereavement care will enhance bereavement supports within acute care environments. Design: Mixed-methods systematic review. Methods: The review was conducted using the databases Cumulative Index Nursing and Allied Health Literature Plus, Embase, Ovid MEDLINE, PsychINFO, CareSearch and Google Scholar. Included studies published between 2006–2015, identified nurse participants, and the studies were conducted in acute care hospitals. Seven studies met the inclusion criteria, and the research results were extracted and subjected to thematic synthesis. Results: Nurses’ role in bereavement care included patient-centred care, family-centred care, advocacy and professional development. Concerns about bereavement roles included competing clinical workload demands, limitations of physical environments in acute care hospitals and the need for further education in bereavement care. Conclusions: Further research is needed to enable more detailed clarification of the roles nurse undertake in bereavement care in acute care hospitals. There is also a need to evaluate the effectiveness of these nursing roles and how these provisions impact on the bereavement process of patients and families. Relevance to clinical practice: The care provided by acute care nurses to patients and families during end-of-life care is crucial to bereavement. The bereavement roles nurses undertake are not well understood with limited evidence of how these roles are measured. Further education in bereavement care is needed for acute care nurses. © 2016 John Wiley & Sons Ltd
- McDonald, Cassie, Remedios, Louisa, Cameron, Kate, Said, Catherine, Granger, Catherine
- Authors: McDonald, Cassie , Remedios, Louisa , Cameron, Kate , Said, Catherine , Granger, Catherine
- Date: 2022
- Type: Text , Journal article
- Relation: Health Environments Research and Design Journal Vol. 15, no. 1 (2022), p. 207-221
- Full Text: false
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- Description: Aim: The study aim was to (1) investigate the barriers and enablers experienced by consumers to accessing and engaging with health tools in hospital waiting areas and (2) evaluate consumers’ ideas for designing a health literacy responsive waiting area. Background: Health information, resources, and supports (“health tools”) in waiting areas should be responsive to the health literacy needs of consumers. However, consumers’ experiences of using health tools and their ideas for improving them are not known. Methods: Multicenter study was set in hospital waiting areas of outpatient rehabilitation services. Semistructured in-person interviews were conducted with 33 adult consumers attending appointments for various health conditions. Seven stages of the Framework Method were used to analyze data. Results: Six themes were identified which explained barriers and enablers from the perspective of consumers. The barriers were accessibility issues; personal factors—physical condition, emotional state, and preferences; and poorly presented and outdated resources. The enablers were design suits consumer needs and preferences; usable in available time or portable; and compatible environment for engaging and sharing. Consumers shared design ideas which fit within four typologies. Conclusions: A range of barriers and enablers exist which have an impact on consumers’ ability to engage with available health information, resources, and supports in hospital outpatient waiting areas. Practical insights from the perspective of consumers can be applied to future health service design. Consumer’s design ideas suggest that partnerships with consumers should be formed to design health literacy responsive waiting areas. © The Author(s) 2021.
- Miller, Elizabeth, Porter, Joanne, Barbagallo, Michael
- Authors: Miller, Elizabeth , Porter, Joanne , Barbagallo, Michael
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Health Environments Research and Design Journal Vol. 15, no. 1 (2022), p. 268-291
- Full Text: false
- Reviewed:
- Description: Aim: To review the latest qualitative literature on how the physical hospital environment affects palliative patients and their families. Background: People with a life-limiting illness may receive palliative care to improve their quality of life in hospital and may have multiple admissions as their illness progresses. Yet, despite a preference for a death at home, more than half of the dying population will receive end-of-life care in hospital. The physical hospital environment consists of ambiance, aesthetics, and architectural factors, and it is well known that the hospital’s acute wards are not a homely environment. Demand is increasing for the physical environment to be improved to better meet the needs and demands of palliative and end-of-life patients and their families. Method: Combining thematic analysis and meta-ethnography methodologies, 12 international qualitative papers were analyzed and synthesized by the three authors. Results: Findings resulted in the development of the SSAFeR Place approach that incorporates the concepts that are important to palliative and end-of-life patients and their families by describing an environment within the acute or palliative care units that feels safe, is private, customizable, and accommodates family; is a space to share with others, is homelike in ambiance and aesthetics, and is conducive for reflection. The concepts of identity, belonging, and safety are connected to the notions of home. Conclusions: To provide person-centered care and to move the focus toward the palliative approach of comfort and quality of life, attention to room size, layout, aesthetics, and ambiance is needed. © The Author(s) 2021.
Core competencies of emergency nurses for the armed conflict context : experiences from the field
- Mani, Zakaria, Kuhn, Lisa, Plummer, Virginia
- Authors: Mani, Zakaria , Kuhn, Lisa , Plummer, Virginia
- Date: 2024
- Type: Text , Journal article
- Relation: International Nursing Review Vol. 71, no. 3 (2024), p. 670-679
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- Description: Background: Armed conflicts are usually associated with high mortality and morbidity rates, with unpredictable workload, injuries and illnesses. Identifying emergency nurses’ views of the core competencies required to enable them to work effectively in hospitals in areas of armed conflict is critical. It is important to inform the requisite standards of care and facilitate the translation of knowledge into safe, quality care. Aim: The aim of this study was to identify emergency nurses’ perceptions of core competencies necessary to work in hospitals in the context of armed conflict. Method: A descriptive qualitative phase of a mixed-method study using semi-structured interviews with participants was conducted from June to July 2019. The COREQ guideline for reporting qualitative research was followed. Findings: A sample of 15 participants was interviewed. The participant perceptions provided a different perspective of core competencies required for emergency nurses in the context of armed conflict, culminating in four main areas: (i) personal preparedness, (ii) leadership, (iii) communication and (iv) assessment and intervention. Conclusion: This study identified emergency nurses’ perceptions of their core competencies. Personal preparedness, leadership, communication, assessment and intervention were identified as contributing to calmness of character, confidence in care and cultural awareness for care in this setting and were essential for them to work effectively when managing victims of armed conflict in emergency departments. Implications for nursing practice and health policy: The findings of this study are important and novel because the researchers sought the perspectives of emergency nurses who have experience in receiving patients from armed conflict firsthand. The findings will inform policymakers in those settings regarding standard of care, education and drills for hospital nurses in optimizing armed conflict care response outcomes. © 2023 The Authors. International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.
- Authors: Mani, Zakaria , Kuhn, Lisa , Plummer, Virginia
- Date: 2024
- Type: Text , Journal article
- Relation: International Nursing Review Vol. 71, no. 3 (2024), p. 670-679
- Full Text:
- Reviewed:
- Description: Background: Armed conflicts are usually associated with high mortality and morbidity rates, with unpredictable workload, injuries and illnesses. Identifying emergency nurses’ views of the core competencies required to enable them to work effectively in hospitals in areas of armed conflict is critical. It is important to inform the requisite standards of care and facilitate the translation of knowledge into safe, quality care. Aim: The aim of this study was to identify emergency nurses’ perceptions of core competencies necessary to work in hospitals in the context of armed conflict. Method: A descriptive qualitative phase of a mixed-method study using semi-structured interviews with participants was conducted from June to July 2019. The COREQ guideline for reporting qualitative research was followed. Findings: A sample of 15 participants was interviewed. The participant perceptions provided a different perspective of core competencies required for emergency nurses in the context of armed conflict, culminating in four main areas: (i) personal preparedness, (ii) leadership, (iii) communication and (iv) assessment and intervention. Conclusion: This study identified emergency nurses’ perceptions of their core competencies. Personal preparedness, leadership, communication, assessment and intervention were identified as contributing to calmness of character, confidence in care and cultural awareness for care in this setting and were essential for them to work effectively when managing victims of armed conflict in emergency departments. Implications for nursing practice and health policy: The findings of this study are important and novel because the researchers sought the perspectives of emergency nurses who have experience in receiving patients from armed conflict firsthand. The findings will inform policymakers in those settings regarding standard of care, education and drills for hospital nurses in optimizing armed conflict care response outcomes. © 2023 The Authors. International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.
Views of mental health nurses on responding to clinical aggression on general wards
- Olasoji, Michael, Henderson, Kathryn, Hopkins, Liza, Keppich-Arnold, Sandra, Joseph, Bindu
- Authors: Olasoji, Michael , Henderson, Kathryn , Hopkins, Liza , Keppich-Arnold, Sandra , Joseph, Bindu
- Date: 2024
- Type: Text , Journal article
- Relation: International Journal of Mental Health Nursing Vol. 33, no. 6 (2024), p. 2102-2112
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- Description: The overall aim of this study was to explore the views of mental health nurses (MHNs) about their experience of responding to workplace violence (WPV) and aggression (code greys and blacks) within acute general wards. WPV continues to pose a significant source of challenge within healthcare settings despite several initiatives that have been trialled over the years. It has the potential to impact patient care and overall staff health and well-being. Nurses play a significant role in the management of WPV; hence, it is important to understand how they respond to and manage incidents of WPV. The study design was an explorative descriptive qualitative design. Data were collected through semi-structured interviews involving n = 10 MHNs working within a mental health consultation liaison team that responds to incidents of violence and aggression (codes grey and black) in acute general wards. Participants were recruited using a convenient sampling method. Data were analysed using thematic analysis. The findings of this study highlighted the following themes: (1) Patient care (subthemes: patient frustration with hospital processes, lack of time and resources); (2) Staffing skills and confidence (subthemes: lack of adequate training, inability to intervene early and communication skills); (3) Understanding patient behaviours (subthemes: it's a psychiatry problem and zero tolerance approach). The management of WPV within acute hospital settings needs to be given due attention by healthcare services. Although a number of organisations are developing measures and guidelines to manage WPV, there is still a gap in the ability of general nursing staff to properly manage such incidences. Proper attention needs to be taken to the training of staff. © 2024 The Author(s). International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
- Authors: Olasoji, Michael , Henderson, Kathryn , Hopkins, Liza , Keppich-Arnold, Sandra , Joseph, Bindu
- Date: 2024
- Type: Text , Journal article
- Relation: International Journal of Mental Health Nursing Vol. 33, no. 6 (2024), p. 2102-2112
- Full Text:
- Reviewed:
- Description: The overall aim of this study was to explore the views of mental health nurses (MHNs) about their experience of responding to workplace violence (WPV) and aggression (code greys and blacks) within acute general wards. WPV continues to pose a significant source of challenge within healthcare settings despite several initiatives that have been trialled over the years. It has the potential to impact patient care and overall staff health and well-being. Nurses play a significant role in the management of WPV; hence, it is important to understand how they respond to and manage incidents of WPV. The study design was an explorative descriptive qualitative design. Data were collected through semi-structured interviews involving n = 10 MHNs working within a mental health consultation liaison team that responds to incidents of violence and aggression (codes grey and black) in acute general wards. Participants were recruited using a convenient sampling method. Data were analysed using thematic analysis. The findings of this study highlighted the following themes: (1) Patient care (subthemes: patient frustration with hospital processes, lack of time and resources); (2) Staffing skills and confidence (subthemes: lack of adequate training, inability to intervene early and communication skills); (3) Understanding patient behaviours (subthemes: it's a psychiatry problem and zero tolerance approach). The management of WPV within acute hospital settings needs to be given due attention by healthcare services. Although a number of organisations are developing measures and guidelines to manage WPV, there is still a gap in the ability of general nursing staff to properly manage such incidences. Proper attention needs to be taken to the training of staff. © 2024 The Author(s). International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
Perspectives of mental health nurses about sexual safety in acute inpatient mental health units
- Olasoji, Michael, Taylah, Powell, Megan, Layne, Hui, Ting, Nathan, Adamson, Caroline, Buultjens, Anderson, Shelley, Sue, Belmore, Joseph, Bindu
- Authors: Olasoji, Michael , Taylah, Powell , Megan, Layne , Hui, Ting , Nathan, Adamson , Caroline, Buultjens , Anderson, Shelley , Sue, Belmore , Joseph, Bindu
- Date: 2024
- Type: Text , Journal article
- Relation: International Journal of Mental Health Nursing Vol. 33, no. 6 (2024), p. 2113-2120
- Full Text:
- Reviewed:
- Description: The overall aim of this study is to explore the views of mental health nurses (MHNs) about the sexual safety of consumers receiving care in acute inpatient units. In Australia, people accessing mental health inpatient units have reported feeling unsafe while receiving care including experiences of sexual harassment and abuse from other patients. There has been no study to date that has explored the views of the MHNs providing care. An explorative descriptive qualitative study. Data were collected through semi-structured interviews involving n = 8 MHNs working on a metropolitan acute inpatient unit recruited using purposive convenience sampling. Data were analysed using thematic analysis. The findings of this study highlighted the themes of ‘It's everyone's job to keep the patient safe’, ‘Going over expectations’, ‘Impact on patients’ and ‘Built environment’. Participants in this study believed that the sexual safety of patients in the inpatient unit is everyone's responsibility and that it was important during the admission process to ensure patients are aware of how to both seek help if needed and ensure that their actions or behaviours do not pose sexual safety concerns in others. Ensuring sexual safety in the mental health inpatient units is a complex issue that requires evidence-based multipronged interventions involving all key stakeholders within the units. © 2024 The Author(s). International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
- Authors: Olasoji, Michael , Taylah, Powell , Megan, Layne , Hui, Ting , Nathan, Adamson , Caroline, Buultjens , Anderson, Shelley , Sue, Belmore , Joseph, Bindu
- Date: 2024
- Type: Text , Journal article
- Relation: International Journal of Mental Health Nursing Vol. 33, no. 6 (2024), p. 2113-2120
- Full Text:
- Reviewed:
- Description: The overall aim of this study is to explore the views of mental health nurses (MHNs) about the sexual safety of consumers receiving care in acute inpatient units. In Australia, people accessing mental health inpatient units have reported feeling unsafe while receiving care including experiences of sexual harassment and abuse from other patients. There has been no study to date that has explored the views of the MHNs providing care. An explorative descriptive qualitative study. Data were collected through semi-structured interviews involving n = 8 MHNs working on a metropolitan acute inpatient unit recruited using purposive convenience sampling. Data were analysed using thematic analysis. The findings of this study highlighted the themes of ‘It's everyone's job to keep the patient safe’, ‘Going over expectations’, ‘Impact on patients’ and ‘Built environment’. Participants in this study believed that the sexual safety of patients in the inpatient unit is everyone's responsibility and that it was important during the admission process to ensure patients are aware of how to both seek help if needed and ensure that their actions or behaviours do not pose sexual safety concerns in others. Ensuring sexual safety in the mental health inpatient units is a complex issue that requires evidence-based multipronged interventions involving all key stakeholders within the units. © 2024 The Author(s). International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
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