Implementing injury surveillance systems alongside injury prevention programs: evaluation of an online surveillance system in a community setting
- Ekegren, Christina, Donaldson, Alex, Gabbe, Belinda, Finch, Caroline
- Authors: Ekegren, Christina , Donaldson, Alex , Gabbe, Belinda , Finch, Caroline
- Date: 2014
- Type: Text , Journal article
- Relation: Injury Epidemiology Vol. 1, no. 1 (2014), p. 1-15
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Relation: http://purl.org/au-research/grants/nhmrc/1058737
- Relation: http://purl.org/au-research/grants/nhmrc/565907
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- Description: BACKGROUND:Previous research aimed at improving injury surveillance standards has focused mainly on issues of data quality rather than upon the implementation of surveillance systems. There are numerous settings where injury surveillance is not mandatory and having a better understanding of the barriers to conducting injury surveillance would lead to improved implementation strategies. One such setting is community sport, where a lack of available epidemiological data has impaired efforts to reduce injury. This study aimed to i) evaluate use of an injury surveillance system following delivery of an implementation strategy; and ii) investigate factors influencing the implementation of the system in community sports clubs. METHODS:A total of 78 clubs were targeted for implementation of an online injury surveillance system (approximately 4000 athletes) in five community Australian football leagues concurrently enrolled in a pragmatic trial of an injury prevention program called FootyFirst. System implementation was evaluated quantitatively, using the RE-AIM framework, and qualitatively, via semi-structured interviews with targeted-users. RESULTS:Across the 78 clubs, there was 69% reach, 44% adoption, 23% implementation and 9% maintenance. Reach and adoption were highest in those leagues receiving concurrent support for the delivery of FootyFirst. Targeted-users identified several barriers and facilitators to implementation including personal (e.g. belief in the importance of injury surveillance), socio-contextual (e.g. understaffing and athlete underreporting) and systems factors (e.g. the time taken to upload injury data into the online system). CONCLUSIONS:The injury surveillance system was implemented and maintained by a small proportion of clubs. Outcomes were best in those leagues receiving concurrent support for the delivery of FootyFirst, suggesting that engagement with personnel at all levels can enhance uptake of surveillance systems. Interview findings suggest that increased uptake could also be achieved by educating club personnel on the importance of recording injuries, developing clearer injury surveillance guidelines, increasing club staffing and better remunerating those who conduct surveillance, as well as offering flexible surveillance systems in a range of accessible formats. By increasing the usage of surveillance systems, data will better represent the target population and increase our understanding of the injury problem, and how to prevent it, in specific settings.
- Authors: Ekegren, Christina , Donaldson, Alex , Gabbe, Belinda , Finch, Caroline
- Date: 2014
- Type: Text , Journal article
- Relation: Injury Epidemiology Vol. 1, no. 1 (2014), p. 1-15
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Relation: http://purl.org/au-research/grants/nhmrc/1058737
- Relation: http://purl.org/au-research/grants/nhmrc/565907
- Full Text:
- Reviewed:
- Description: BACKGROUND:Previous research aimed at improving injury surveillance standards has focused mainly on issues of data quality rather than upon the implementation of surveillance systems. There are numerous settings where injury surveillance is not mandatory and having a better understanding of the barriers to conducting injury surveillance would lead to improved implementation strategies. One such setting is community sport, where a lack of available epidemiological data has impaired efforts to reduce injury. This study aimed to i) evaluate use of an injury surveillance system following delivery of an implementation strategy; and ii) investigate factors influencing the implementation of the system in community sports clubs. METHODS:A total of 78 clubs were targeted for implementation of an online injury surveillance system (approximately 4000 athletes) in five community Australian football leagues concurrently enrolled in a pragmatic trial of an injury prevention program called FootyFirst. System implementation was evaluated quantitatively, using the RE-AIM framework, and qualitatively, via semi-structured interviews with targeted-users. RESULTS:Across the 78 clubs, there was 69% reach, 44% adoption, 23% implementation and 9% maintenance. Reach and adoption were highest in those leagues receiving concurrent support for the delivery of FootyFirst. Targeted-users identified several barriers and facilitators to implementation including personal (e.g. belief in the importance of injury surveillance), socio-contextual (e.g. understaffing and athlete underreporting) and systems factors (e.g. the time taken to upload injury data into the online system). CONCLUSIONS:The injury surveillance system was implemented and maintained by a small proportion of clubs. Outcomes were best in those leagues receiving concurrent support for the delivery of FootyFirst, suggesting that engagement with personnel at all levels can enhance uptake of surveillance systems. Interview findings suggest that increased uptake could also be achieved by educating club personnel on the importance of recording injuries, developing clearer injury surveillance guidelines, increasing club staffing and better remunerating those who conduct surveillance, as well as offering flexible surveillance systems in a range of accessible formats. By increasing the usage of surveillance systems, data will better represent the target population and increase our understanding of the injury problem, and how to prevent it, in specific settings.
Unprepared for the depth of my feelings' - capturing grief in older people through research poetry
- Gerber, Katrin, Brijnath, Bianca, Lock, Kayla, Bryant, Christina, Hills, Danny, Hjorth, Larissa
- Authors: Gerber, Katrin , Brijnath, Bianca , Lock, Kayla , Bryant, Christina , Hills, Danny , Hjorth, Larissa
- Date: 2022
- Type: Text , Journal article
- Relation: Age and Ageing Vol. 51, no. 3 (2022), p.
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- Description: Background: Older people are more likely to experience bereavements than any other age group. However, in healthcare and society, their grief experiences and support needs receive limited attention. Through innovative, arts-based research poetry, this study aimed to capture older people's bereavement stories and the effects of grief on their physical and mental health. Method: Semi-structured in-depth interviews with 18 bereaved older adults were analysed using thematic and poetic narrative analysis, following a five-step approach of immersion, creation, critical reflection, ethics and engagement. Results: Research poems were used to illustrate three themes of bereavement experiences among older adults: feeling unprepared, accumulation of losses and ripple effects of grief. While half of participants reported that the death of their family member was expected, many felt unprepared despite having experienced multiple bereavements throughout their life. Instead, the accumulation of losses had a compounding effect on their health and well-being. While these ripple effects of grief focussed on emotional and mental health consequences, many also reported physical health effects like the onset of a new condition or the worsening of an existing one. In its most extreme form, grief was connected with a perceived increased mortality risk. Conclusions: By using poetry to draw attention to the intense and often long-lasting effects of grief on older people's health and well-being, this article offers emotional, engaging and immersive insights into their unique bereavement experiences and thereby challenges the notion that grief has an expiry date. © 2022 The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.
- Authors: Gerber, Katrin , Brijnath, Bianca , Lock, Kayla , Bryant, Christina , Hills, Danny , Hjorth, Larissa
- Date: 2022
- Type: Text , Journal article
- Relation: Age and Ageing Vol. 51, no. 3 (2022), p.
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- Description: Background: Older people are more likely to experience bereavements than any other age group. However, in healthcare and society, their grief experiences and support needs receive limited attention. Through innovative, arts-based research poetry, this study aimed to capture older people's bereavement stories and the effects of grief on their physical and mental health. Method: Semi-structured in-depth interviews with 18 bereaved older adults were analysed using thematic and poetic narrative analysis, following a five-step approach of immersion, creation, critical reflection, ethics and engagement. Results: Research poems were used to illustrate three themes of bereavement experiences among older adults: feeling unprepared, accumulation of losses and ripple effects of grief. While half of participants reported that the death of their family member was expected, many felt unprepared despite having experienced multiple bereavements throughout their life. Instead, the accumulation of losses had a compounding effect on their health and well-being. While these ripple effects of grief focussed on emotional and mental health consequences, many also reported physical health effects like the onset of a new condition or the worsening of an existing one. In its most extreme form, grief was connected with a perceived increased mortality risk. Conclusions: By using poetry to draw attention to the intense and often long-lasting effects of grief on older people's health and well-being, this article offers emotional, engaging and immersive insights into their unique bereavement experiences and thereby challenges the notion that grief has an expiry date. © 2022 The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.
Health literacy among children living with a long-term condition : ‘what I know and who I tell’
- Peck, Blake, Bray, Lucy, Dickinson, Annette, Blamires, Julie, Terry, Daniel, Carter, Bernie
- Authors: Peck, Blake , Bray, Lucy , Dickinson, Annette , Blamires, Julie , Terry, Daniel , Carter, Bernie
- Date: 2023
- Type: Text , Journal article
- Relation: Health Education Journal Vol. 82, no. 5 (2023), p. 487-504
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- Description: Background: Little is known about the health literacy of children living with long-term conditions. This study aimed to gain insight into the life of children with a long-term condition in the context of health literacy, specifically their understanding of their health and the barriers and facilitators to sharing information about their condition with others. Design: Child-centred qualitative arts-based approach with children aged 6–12 years. Setting: Children participating in the study came from three countries – the UK, Australia and New Zealand. Method: A participatory arts-based qualitative child-centred approach prompted children to draw, label and use stickers, body-outlines and collage to describe elements central to health literacy. This encompassed their long-term condition, their understanding of their condition, its management and decision-making associated with sharing information about their condition with others. The sessions were audio-recorded, and reflexive thematic analysis was undertaken. Results: Four central themes related to key elements of child health literacy: (1) pragmatic understanding – what it feels like and what happens in my body; (2) management regime – what do I have to do to keep on going; (3) information sharing – I don’t tell random people; and (4) benefits of sharing – they’ve got my back. Conclusion: Children indicated a pragmatic or process type understanding of their condition and its management. Children were discerning about who they shared information about their condition with, but tended to establish a network of well-informed peers capable of providing support if needed. Despite gaps in children’s health literacy, parents and families have an important role to play in checking children’s understandings and developing critical health literacy. © The Author(s) 2023.
- Authors: Peck, Blake , Bray, Lucy , Dickinson, Annette , Blamires, Julie , Terry, Daniel , Carter, Bernie
- Date: 2023
- Type: Text , Journal article
- Relation: Health Education Journal Vol. 82, no. 5 (2023), p. 487-504
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- Description: Background: Little is known about the health literacy of children living with long-term conditions. This study aimed to gain insight into the life of children with a long-term condition in the context of health literacy, specifically their understanding of their health and the barriers and facilitators to sharing information about their condition with others. Design: Child-centred qualitative arts-based approach with children aged 6–12 years. Setting: Children participating in the study came from three countries – the UK, Australia and New Zealand. Method: A participatory arts-based qualitative child-centred approach prompted children to draw, label and use stickers, body-outlines and collage to describe elements central to health literacy. This encompassed their long-term condition, their understanding of their condition, its management and decision-making associated with sharing information about their condition with others. The sessions were audio-recorded, and reflexive thematic analysis was undertaken. Results: Four central themes related to key elements of child health literacy: (1) pragmatic understanding – what it feels like and what happens in my body; (2) management regime – what do I have to do to keep on going; (3) information sharing – I don’t tell random people; and (4) benefits of sharing – they’ve got my back. Conclusion: Children indicated a pragmatic or process type understanding of their condition and its management. Children were discerning about who they shared information about their condition with, but tended to establish a network of well-informed peers capable of providing support if needed. Despite gaps in children’s health literacy, parents and families have an important role to play in checking children’s understandings and developing critical health literacy. © The Author(s) 2023.
Predictors of nursing student satisfaction as a key quality indicator of tertiary students' education experience : an integrative review
- Cant, Robyn, Gazula, Swapnali, Ryan, Colleen
- Authors: Cant, Robyn , Gazula, Swapnali , Ryan, Colleen
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Nurse Education Today Vol. 126, no. (2023), p.
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- Description: Introduction: Student satisfaction is an important quality indicator in higher education, impacting student retention and institutional rankings. Healthcare education literature lacks factors related to student satisfaction. Reporting these elements might assist educators in curriculum design that helps to retain students. This is imperative for nursing education with the current global need for graduates. Objectives: To explore, synthesize and report available evidence on conceptual elements underlying the formation of higher education students' satisfaction, with a focus on nursing education. Design: Integrative review. Data sources: Six databases were searched for learner experiences of satisfaction: MEDLINE, Academic Search Complete, CINAHL Complete, ERIC, APA PsychArticles, PsychInfo. Articles were screened, assessed for quality and 12 nursing student studies and 10 conceptual studies of mixed student cohorts were reviewed. Review methods: Peer-reviewed literature in English during the period 2012 to 2022 was reviewed using methods documented for an integrative review. Results: Twenty-two included studies were mostly quasi-experimental, based on statistical analysis of higher education student surveys. Antecedent elements affecting satisfaction in mixed student cohorts were Service Quality, Institutional Image and perceived Value. These studies identified up to seven dimensions underlying student satisfaction. Nursing studies were focused on the quality of service delivery related to teaching and confirmed five elements: Faculty, Learning environment, Curriculum, Social interaction and Development. Conceptual studies also reported ‘consequent’ elements, high satisfaction resulting in positive student behavioural intent, loyalty and positive word of mouth. The details of antecedent and consequent elements that underlie student satisfaction are described. Conclusion: Conceptual studies of mixed student cohorts identified nine elements that inform student satisfaction with learning experiences. Nursing student studies tested fewer variables and confirmed up to five elements forming student satisfaction. There is a need to investigate the impact of additional key elements in nursing students - perceptions of value, institutional image and administrative support. © 2023 The Authors
- Authors: Cant, Robyn , Gazula, Swapnali , Ryan, Colleen
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Nurse Education Today Vol. 126, no. (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: Student satisfaction is an important quality indicator in higher education, impacting student retention and institutional rankings. Healthcare education literature lacks factors related to student satisfaction. Reporting these elements might assist educators in curriculum design that helps to retain students. This is imperative for nursing education with the current global need for graduates. Objectives: To explore, synthesize and report available evidence on conceptual elements underlying the formation of higher education students' satisfaction, with a focus on nursing education. Design: Integrative review. Data sources: Six databases were searched for learner experiences of satisfaction: MEDLINE, Academic Search Complete, CINAHL Complete, ERIC, APA PsychArticles, PsychInfo. Articles were screened, assessed for quality and 12 nursing student studies and 10 conceptual studies of mixed student cohorts were reviewed. Review methods: Peer-reviewed literature in English during the period 2012 to 2022 was reviewed using methods documented for an integrative review. Results: Twenty-two included studies were mostly quasi-experimental, based on statistical analysis of higher education student surveys. Antecedent elements affecting satisfaction in mixed student cohorts were Service Quality, Institutional Image and perceived Value. These studies identified up to seven dimensions underlying student satisfaction. Nursing studies were focused on the quality of service delivery related to teaching and confirmed five elements: Faculty, Learning environment, Curriculum, Social interaction and Development. Conceptual studies also reported ‘consequent’ elements, high satisfaction resulting in positive student behavioural intent, loyalty and positive word of mouth. The details of antecedent and consequent elements that underlie student satisfaction are described. Conclusion: Conceptual studies of mixed student cohorts identified nine elements that inform student satisfaction with learning experiences. Nursing student studies tested fewer variables and confirmed up to five elements forming student satisfaction. There is a need to investigate the impact of additional key elements in nursing students - perceptions of value, institutional image and administrative support. © 2023 The Authors
Venous access : The patient experience
- Robinson-Reilly, Melissa, Paliadelis, Penny, Cruickshank, Mary
- Authors: Robinson-Reilly, Melissa , Paliadelis, Penny , Cruickshank, Mary
- Date: 2016
- Type: Text , Journal article
- Relation: Supportive Care in Cancer Vol. 24, no. 3 (2016), p. 1181-1187
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- Description: The evolution of venous access via peripheral cannulation, particularly in relation to the risks and the benefits of this procedure, is reported widely in the literature. However, there is limited research specific to the patient experience of undergoing venous access. The intent of this qualitative study was to understand patients' experience of venous access, with the aim of bringing forth their voices about the experiences of repeated venous access/cannulation attempts. This qualitative study used a hermeneutic phenomenological approach to explore the experiences of 15 participants in two rural oncology units in Australia. The participants had experienced repeated peripheral cannulation in order to receive chemotherapy. Study participants were asked to describe what it was like for them to be repeatedly cannulated. Data were collected via audiotaped individual interviews, the participants' stories were transcribed and analysed thematically. Themes emerged from the participants' stories that provided insights into their perceptions of the experience of being cannulated and the decision-making processes regarding how and where the procedure occurred. The findings suggest that a holistic approach to care was often missing causing the participants to feel vulnerable. Gaining insight into their experiences led to a greater understanding of the impact of this procedure on patients and the need to improve care through encouraging more collaborative decision-making processes between clinicians and patients. The implications for policy and practice focus on improving patient outcomes via procedural governance and education, with the intent of translating the findings from this research into evidence-based practice.
- Authors: Robinson-Reilly, Melissa , Paliadelis, Penny , Cruickshank, Mary
- Date: 2016
- Type: Text , Journal article
- Relation: Supportive Care in Cancer Vol. 24, no. 3 (2016), p. 1181-1187
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- Description: The evolution of venous access via peripheral cannulation, particularly in relation to the risks and the benefits of this procedure, is reported widely in the literature. However, there is limited research specific to the patient experience of undergoing venous access. The intent of this qualitative study was to understand patients' experience of venous access, with the aim of bringing forth their voices about the experiences of repeated venous access/cannulation attempts. This qualitative study used a hermeneutic phenomenological approach to explore the experiences of 15 participants in two rural oncology units in Australia. The participants had experienced repeated peripheral cannulation in order to receive chemotherapy. Study participants were asked to describe what it was like for them to be repeatedly cannulated. Data were collected via audiotaped individual interviews, the participants' stories were transcribed and analysed thematically. Themes emerged from the participants' stories that provided insights into their perceptions of the experience of being cannulated and the decision-making processes regarding how and where the procedure occurred. The findings suggest that a holistic approach to care was often missing causing the participants to feel vulnerable. Gaining insight into their experiences led to a greater understanding of the impact of this procedure on patients and the need to improve care through encouraging more collaborative decision-making processes between clinicians and patients. The implications for policy and practice focus on improving patient outcomes via procedural governance and education, with the intent of translating the findings from this research into evidence-based practice.
Acceptability of a Dyadic Tai Chi intervention for older people living with dementia and their informal carers
- Barrado-Martín, Yolanda, Heward, Michelle, Polman, Remco, Nyman, Samuel
- Authors: Barrado-Martín, Yolanda , Heward, Michelle , Polman, Remco , Nyman, Samuel
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Aging and Physical Activity Vol. 27, no. 2 (2019), p. 166-183
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- Description: Exercise is effective in preventing falls among older adults. However, few studies have included people living with dementia and their carers and explored their experiences. The aim of this study is to explore what affects the acceptability of exercise interventions to better meet the needs of people with dementia and their carers as a dyad. Observations, field notes containing participant's and instructor's feedback, and focus groups with 10 dyads involved in Tai Chi classes for 3 or 4 weeks in two sites in the South of England were thematically analyzed to understand their experiences. Findings suggest that dyads' determination to achieve the benefits of Tai Chi facilitated their adherence, whereas a member of the dyad's low sense of efficacy performing the movements during classes was a barrier. Simplifying class content and enhancing the clarity of instructions for home-based practice will be key to support the design of future exercise interventions. © 2019 The Authors.
- Authors: Barrado-Martín, Yolanda , Heward, Michelle , Polman, Remco , Nyman, Samuel
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Aging and Physical Activity Vol. 27, no. 2 (2019), p. 166-183
- Full Text:
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- Description: Exercise is effective in preventing falls among older adults. However, few studies have included people living with dementia and their carers and explored their experiences. The aim of this study is to explore what affects the acceptability of exercise interventions to better meet the needs of people with dementia and their carers as a dyad. Observations, field notes containing participant's and instructor's feedback, and focus groups with 10 dyads involved in Tai Chi classes for 3 or 4 weeks in two sites in the South of England were thematically analyzed to understand their experiences. Findings suggest that dyads' determination to achieve the benefits of Tai Chi facilitated their adherence, whereas a member of the dyad's low sense of efficacy performing the movements during classes was a barrier. Simplifying class content and enhancing the clarity of instructions for home-based practice will be key to support the design of future exercise interventions. © 2019 The Authors.
Understanding fear after an anterior cruciate ligament injury : a qualitative thematic analysis using the common-sense model
- Little, Cameron, Lavender, Andrew, Starcevich, Cobie, Mesagno, Christopher, Mitchell, Tim, Whiteley, Rodney, Bakhshayesh, Hanieh, Beales, Darren
- Authors: Little, Cameron , Lavender, Andrew , Starcevich, Cobie , Mesagno, Christopher , Mitchell, Tim , Whiteley, Rodney , Bakhshayesh, Hanieh , Beales, Darren
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 4 (2023), p.
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- Description: Fear is a significant factor affecting successful return to sport following an anterior cruciate ligament (ACL) injury. However, there is a lack of understanding of the emotional drivers of fear and how fear beliefs are formed. This study qualitatively explored the contextual and emotional underpinnings of fear and how these beliefs were formed, with reference to the Common-Sense Model of Self-Regulation. Face-to-face online interviews were conducted with ACL-injured participants (n = 18, 72% female) with a mean age of 28 years (range 18–50 years). Participants were either 1 year post ACL reconstruction surgery (n = 16) or at least 1 year post injury without surgery (n = 2) and scored above average on a modified Tampa Scale of Kinesiophobia. Four participants were playing state-level sport or higher. Five themes emerged describing factors contributing to fear: ‘External messages’, ‘Difficulty of the ACL rehabilitation journey’, ‘Threat to identity and independence’, ‘Socioeconomic factors’, and ‘Ongoing psychological barriers’. A sixth theme, ‘Positive coping strategies’, provided insight into influences that could reduce fear and resolve negative behaviors. This study identified a broad range of contextual biopsychosocial factors which contribute to fear, supporting the notion that ACL injuries should not be treated through a purely physical lens. Furthermore, aligning the themes to the common-sense model provided a conceptual framework conveying the inter-related, emergent nature of the identified themes. The framework provides clinicians with a means to understanding fear after an ACL injury. This could guide assessment and patient education. © 2023 by the authors.
- Authors: Little, Cameron , Lavender, Andrew , Starcevich, Cobie , Mesagno, Christopher , Mitchell, Tim , Whiteley, Rodney , Bakhshayesh, Hanieh , Beales, Darren
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 4 (2023), p.
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- Description: Fear is a significant factor affecting successful return to sport following an anterior cruciate ligament (ACL) injury. However, there is a lack of understanding of the emotional drivers of fear and how fear beliefs are formed. This study qualitatively explored the contextual and emotional underpinnings of fear and how these beliefs were formed, with reference to the Common-Sense Model of Self-Regulation. Face-to-face online interviews were conducted with ACL-injured participants (n = 18, 72% female) with a mean age of 28 years (range 18–50 years). Participants were either 1 year post ACL reconstruction surgery (n = 16) or at least 1 year post injury without surgery (n = 2) and scored above average on a modified Tampa Scale of Kinesiophobia. Four participants were playing state-level sport or higher. Five themes emerged describing factors contributing to fear: ‘External messages’, ‘Difficulty of the ACL rehabilitation journey’, ‘Threat to identity and independence’, ‘Socioeconomic factors’, and ‘Ongoing psychological barriers’. A sixth theme, ‘Positive coping strategies’, provided insight into influences that could reduce fear and resolve negative behaviors. This study identified a broad range of contextual biopsychosocial factors which contribute to fear, supporting the notion that ACL injuries should not be treated through a purely physical lens. Furthermore, aligning the themes to the common-sense model provided a conceptual framework conveying the inter-related, emergent nature of the identified themes. The framework provides clinicians with a means to understanding fear after an ACL injury. This could guide assessment and patient education. © 2023 by the authors.
“They loved gambling more than me. ” Women's experiences of gambling-related harm as an affected other
- McCarthy, Simone, Thomas, Samantha, Pitt, Hannah, Warner, Elyse, Roderique-Davies, Gareth, Rintoul, Angela, John, Bev
- Authors: McCarthy, Simone , Thomas, Samantha , Pitt, Hannah , Warner, Elyse , Roderique-Davies, Gareth , Rintoul, Angela , John, Bev
- Date: 2023
- Type: Text , Journal article
- Relation: Health Promotion Journal of Australia Vol. 34, no. 2 (2023), p. 284-293
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- Description: Background: Gambling poses a global threat to public health due to its far-reaching impacts. Research has demonstrated a ripple effect of harmful gambling on social network members and broader communities. While researchers have documented extreme harms associated with an affected other, limited research has qualitatively investigated how women describe their concerns about the gambling of a social network member, and any subsequent negative impacts on their own lives. Methods: An online panel survey was conducted with women aged 18 years and older, who gambled at least once in the last 12 months, and resided in the Australian states of Victoria and New South Wales. This paper focused on the open text responses of a subsection of the sample (n = 136) who reported being negatively impacted by someone else's gambling. The study utilised reflexive thematic analysis to interpret the data. Results: Results indicated that women were concerned about the gambling behaviours of a broad range of social network members. Open text responses regarding the nature of these concerns mostly related to individualised paradigms of gambling behaviour – including whether the participant perceived their network member could afford to gamble, was being responsible with their gambling, or were gambling too frequently. Participants experienced a range of negative impacts including significant financial issues, relationship difficulties, poorer emotional wellbeing as a result of worrying about the gambler, and loss of trust. Some described the negative experiences associated with growing up with a parent who gambled. Conclusion: The research demonstrates the broad impacts of gambling on affected others. This study enhances our understanding of how women are harmed by gambling and considers the complexities of their experiences and relationships with the gambler. This extends knowledge beyond quantitative descriptors of harm among affected others and provides a critical reflection on the nuances of women's experiences with gambling and gambling harm. © 2022 The Authors. Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.
- Authors: McCarthy, Simone , Thomas, Samantha , Pitt, Hannah , Warner, Elyse , Roderique-Davies, Gareth , Rintoul, Angela , John, Bev
- Date: 2023
- Type: Text , Journal article
- Relation: Health Promotion Journal of Australia Vol. 34, no. 2 (2023), p. 284-293
- Full Text:
- Reviewed:
- Description: Background: Gambling poses a global threat to public health due to its far-reaching impacts. Research has demonstrated a ripple effect of harmful gambling on social network members and broader communities. While researchers have documented extreme harms associated with an affected other, limited research has qualitatively investigated how women describe their concerns about the gambling of a social network member, and any subsequent negative impacts on their own lives. Methods: An online panel survey was conducted with women aged 18 years and older, who gambled at least once in the last 12 months, and resided in the Australian states of Victoria and New South Wales. This paper focused on the open text responses of a subsection of the sample (n = 136) who reported being negatively impacted by someone else's gambling. The study utilised reflexive thematic analysis to interpret the data. Results: Results indicated that women were concerned about the gambling behaviours of a broad range of social network members. Open text responses regarding the nature of these concerns mostly related to individualised paradigms of gambling behaviour – including whether the participant perceived their network member could afford to gamble, was being responsible with their gambling, or were gambling too frequently. Participants experienced a range of negative impacts including significant financial issues, relationship difficulties, poorer emotional wellbeing as a result of worrying about the gambler, and loss of trust. Some described the negative experiences associated with growing up with a parent who gambled. Conclusion: The research demonstrates the broad impacts of gambling on affected others. This study enhances our understanding of how women are harmed by gambling and considers the complexities of their experiences and relationships with the gambler. This extends knowledge beyond quantitative descriptors of harm among affected others and provides a critical reflection on the nuances of women's experiences with gambling and gambling harm. © 2022 The Authors. Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.
Exploring mental health clinicians' perceptions of the zero suicide prevention Initiative
- Porter, Joanne, Dabkowski, Elissa, Connolly, Owen, Prokopiv, Valerie
- Authors: Porter, Joanne , Dabkowski, Elissa , Connolly, Owen , Prokopiv, Valerie
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Mental Health Nursing Vol. 31, no. 3 (2022), p. 536-543
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- Description: Suicide continues to impact rural and regional families and communities across Australia and has become a key focus of healthcare, research, and government policy in recent years. The challenge for healthcare organizations is to translate policy visions and research for clinicians to effectively embed in day to day practice when supporting people who experience suicidal crisis. This study explored the introduction of an evidence-based Zero Suicide framework that includes a suicide prevention pathway and training package to a rural and regional community mental health team in Victoria, Australia. A qualitative semi-structured interview technique was used to explore the perceptions of mental health clinicians of the Zero Suicide approach, the training package and the barriers to inform its implementation across a specialist mental health service. Clinicians were complimentary of the intent of Zero Suicide and the training package and felt they had increased confidence in delivering suicide safe care. Four major themes were identified through thematic analysis: (i) Minimizing risk with realistic expectations; (ii) A good approach to making a difference; (iii) Lessons learnt; and (iv) Barriers to implementation needing to change culture. Overall participants identified the importance of continued regular suicide prevention training for all staff but also in tailoring it to different consumer and clinician needs. In addition, organizational structure and adequate staff resourcing were important to participants as was working within a safety culture. © 2021 John Wiley & Sons Australia, Ltd.
- Authors: Porter, Joanne , Dabkowski, Elissa , Connolly, Owen , Prokopiv, Valerie
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Mental Health Nursing Vol. 31, no. 3 (2022), p. 536-543
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- Description: Suicide continues to impact rural and regional families and communities across Australia and has become a key focus of healthcare, research, and government policy in recent years. The challenge for healthcare organizations is to translate policy visions and research for clinicians to effectively embed in day to day practice when supporting people who experience suicidal crisis. This study explored the introduction of an evidence-based Zero Suicide framework that includes a suicide prevention pathway and training package to a rural and regional community mental health team in Victoria, Australia. A qualitative semi-structured interview technique was used to explore the perceptions of mental health clinicians of the Zero Suicide approach, the training package and the barriers to inform its implementation across a specialist mental health service. Clinicians were complimentary of the intent of Zero Suicide and the training package and felt they had increased confidence in delivering suicide safe care. Four major themes were identified through thematic analysis: (i) Minimizing risk with realistic expectations; (ii) A good approach to making a difference; (iii) Lessons learnt; and (iv) Barriers to implementation needing to change culture. Overall participants identified the importance of continued regular suicide prevention training for all staff but also in tailoring it to different consumer and clinician needs. In addition, organizational structure and adequate staff resourcing were important to participants as was working within a safety culture. © 2021 John Wiley & Sons Australia, Ltd.
What factors affect implementation of early rehabilitation into intensive care unit practice? A qualitative study with clinicians
- Parry, Selina, Remedios, Louisa, Denehy, Linda, Knight, Laura, Beach, Lisa, Rollinson, Thomas, Berney, Sue, Puthucheary, Zudin, Morris, Peter, Granger, Catherine
- Authors: Parry, Selina , Remedios, Louisa , Denehy, Linda , Knight, Laura , Beach, Lisa , Rollinson, Thomas , Berney, Sue , Puthucheary, Zudin , Morris, Peter , Granger, Catherine
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Critical Care Vol. 38, no. (2017), p. 137-143
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- Description: Purpose To identify the barriers and enablers that influence clinicians' implementation of early rehabilitation in critical care. Materials and methods Qualitative study involving 26 multidisciplinary participants who were recruited using purposive sampling. Four focus groups were conducted using semistructured questions to explore attitudes, beliefs, and experiences. Data were transcribed verbatim and thematic analysis was performed. Results Six themes emerged, as follows: (1) the clinicians' expectations and knowledge (including rationale for rehabilitation, perceived benefits, and experience), (2) the evidence for and application of rehabilitation (including beliefs regarding when to intervene), (3) patient factors (including prognosis, sedation, delirium, cooperation, motivation, goals, and family), (4) safety considerations (including physiological stability and presence of devices or lines), (5) environmental influences (staffing, resources, equipment, time, and competing priorities), and (6) culture and teamwork. Key strategies identified to facilitate rehabilitation included addressing educational needs for all multidisciplinary team members, supporting junior nursing staff, and potential expansion of physiotherapy staffing hours to closer align with the 24-hour patient care model. Conclusions Key barriers to implementation of early rehabilitation in critical care are diverse and include both clinician- and health care system–related factors. Research targeted at bridging this evidence-practice gap is required to improve provision of rehabilitation. © 2016 Elsevier Inc.
- Authors: Parry, Selina , Remedios, Louisa , Denehy, Linda , Knight, Laura , Beach, Lisa , Rollinson, Thomas , Berney, Sue , Puthucheary, Zudin , Morris, Peter , Granger, Catherine
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Critical Care Vol. 38, no. (2017), p. 137-143
- Full Text:
- Reviewed:
- Description: Purpose To identify the barriers and enablers that influence clinicians' implementation of early rehabilitation in critical care. Materials and methods Qualitative study involving 26 multidisciplinary participants who were recruited using purposive sampling. Four focus groups were conducted using semistructured questions to explore attitudes, beliefs, and experiences. Data were transcribed verbatim and thematic analysis was performed. Results Six themes emerged, as follows: (1) the clinicians' expectations and knowledge (including rationale for rehabilitation, perceived benefits, and experience), (2) the evidence for and application of rehabilitation (including beliefs regarding when to intervene), (3) patient factors (including prognosis, sedation, delirium, cooperation, motivation, goals, and family), (4) safety considerations (including physiological stability and presence of devices or lines), (5) environmental influences (staffing, resources, equipment, time, and competing priorities), and (6) culture and teamwork. Key strategies identified to facilitate rehabilitation included addressing educational needs for all multidisciplinary team members, supporting junior nursing staff, and potential expansion of physiotherapy staffing hours to closer align with the 24-hour patient care model. Conclusions Key barriers to implementation of early rehabilitation in critical care are diverse and include both clinician- and health care system–related factors. Research targeted at bridging this evidence-practice gap is required to improve provision of rehabilitation. © 2016 Elsevier Inc.
The agenda for change among female rural general practitioners
- Authors: Schwarz, Imogen
- Date: 2003
- Type: Text , Conference paper
- Relation: Paper presented at the 7th National Rural Health Conference, Canberra : 1st - 4th March, 2003
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- Description: This paper presents the preliminary results of a qualitative study examining the agenda for change being pursued by key influential women in Australia to address male-centred rural general practitioner (GP) workforce policies. Many current recruitment and retention programs do not reflect the needs of female GPs as they are based on the traditional notions of a country GP — that is a full-time, on call doctor with a supporting spouse. As women become the majority in medicine, key women influentials in the rural general practice field are advocating for the restructuring of medicine so that women GPs can be part of the solution to rural health care issues. Previous empirical research and theoretical analyses have suggested that medicine and rural communities are patriarchal. To date data collection for this explorative study consists of 5 in-depth interviews with a purposive sample of key women activists across the spectrum of organised medicine. Preliminary results show how women are pressuring for change but also the sources of resistance they encounter from the dominant medical culture. Key women players use particular collective and individual strategies to advocate for female GP issues. These results reflect some research findings on women leaders and female rural GPs. In conclusion, it is important that women are given equal access to decision-making positions to enable their input into the structure and culture of rural general practice. The recommendation put forward is to build inclusive recruitment and retention rural workforce strategies for female rural GPs.
- Description: E1
- Description: 2003000514
- Authors: Schwarz, Imogen
- Date: 2003
- Type: Text , Conference paper
- Relation: Paper presented at the 7th National Rural Health Conference, Canberra : 1st - 4th March, 2003
- Full Text:
- Reviewed:
- Description: This paper presents the preliminary results of a qualitative study examining the agenda for change being pursued by key influential women in Australia to address male-centred rural general practitioner (GP) workforce policies. Many current recruitment and retention programs do not reflect the needs of female GPs as they are based on the traditional notions of a country GP — that is a full-time, on call doctor with a supporting spouse. As women become the majority in medicine, key women influentials in the rural general practice field are advocating for the restructuring of medicine so that women GPs can be part of the solution to rural health care issues. Previous empirical research and theoretical analyses have suggested that medicine and rural communities are patriarchal. To date data collection for this explorative study consists of 5 in-depth interviews with a purposive sample of key women activists across the spectrum of organised medicine. Preliminary results show how women are pressuring for change but also the sources of resistance they encounter from the dominant medical culture. Key women players use particular collective and individual strategies to advocate for female GP issues. These results reflect some research findings on women leaders and female rural GPs. In conclusion, it is important that women are given equal access to decision-making positions to enable their input into the structure and culture of rural general practice. The recommendation put forward is to build inclusive recruitment and retention rural workforce strategies for female rural GPs.
- Description: E1
- Description: 2003000514
Implied consent and nursing practice : Ethical or convenient?
- Authors: Cole, Clare
- Date: 2012
- Type: Text , Journal article
- Relation: Nursing Ethics Vol. 19, no. 4 (2012), p. 550-557
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- Description: Nursing professionals in a variety of practice settings routinely use implied consent. This form of consent is used in place of or in conjunction with informed or explicit consent. This article looks at one aspect of a qualitative exploratory study conducted in a Day of Surgery Admission unit. This article focuses on the examination of nurses' understandings of implied consent and its use in patient care in nursing practice. Data were collected through one-on-one interviews and analysed using a thematic analysis. Nurses participating in this study revealed that they routinely used implied consent in their nursing practice. This article will look at whether implied consent supports or impedes a patient's autonomy. © The Author(s) 2012.
- Authors: Cole, Clare
- Date: 2012
- Type: Text , Journal article
- Relation: Nursing Ethics Vol. 19, no. 4 (2012), p. 550-557
- Full Text:
- Reviewed:
- Description: Nursing professionals in a variety of practice settings routinely use implied consent. This form of consent is used in place of or in conjunction with informed or explicit consent. This article looks at one aspect of a qualitative exploratory study conducted in a Day of Surgery Admission unit. This article focuses on the examination of nurses' understandings of implied consent and its use in patient care in nursing practice. Data were collected through one-on-one interviews and analysed using a thematic analysis. Nurses participating in this study revealed that they routinely used implied consent in their nursing practice. This article will look at whether implied consent supports or impedes a patient's autonomy. © The Author(s) 2012.
Multidisciplinary simulation training for Australian perioperative teams : a qualitative descriptive exploratory study
- Hibberson, Michelle, Lawton, Jessica, Whitehead, Dean
- Authors: Hibberson, Michelle , Lawton, Jessica , Whitehead, Dean
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Perioperative Nursing Vol. 36, no. 4 (2023), p. e-14-e-35
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- Description: Background: Perioperative units are complex and high-risk environments in which teams of multidisciplinary health care professionals work collaboratively. Multidisciplinary simulation training is a form of education that allows perioperative teams to practise the non-technical and technical skills essential for managing emergency events within the perioperative environment. Despite the benefits of multidisciplinary simulation training, there is a paucity of literature about it; therefore, this study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken simulation training. Objectives: This study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken multidisciplinary simulation training with the aim of: 1. identifying the enablers of and/or barriers to multidisciplinary simulation training 2. gaining insight into the frequency of training and types of scenarios used during simulation training 3. exploring the potential changes to teamwork and communication following multidisciplinary simulation training. Design: A qualitative descriptive exploratory design was adopted. Methods: Data were collected from nursing and anaesthetic participants through individual interviews using a semi-structured interview guide. Interviews were recorded and transcribed, and data were analysed using thematic analysis. Results: Four themes and nine subthemes were identified within the data. The themes were simulation is educational, safe space, frequency and teamwork. The subthemes were emergency scenarios, practise skills and knowledge, training novice and inexperienced staff, fear of simulation, facilitators, debriefing, available facilities, staff availability and multidisciplinarity. Conclusion: Australian perioperative teams widely used multidisciplinary simulation training to practise the technical skills needed to manage emergencies consistently. However, the frequency was variable and dependent on the availability of staff and facilities. A ‘safe space’ was vital, allowing perioperative team members to engage in training and discussions without judgement or embarrassment. Multidisciplinary simulation training is an effective training technique and should be routinely undertaken by Australian perioperative teams to develop consistency in managing emergency events within the perioperative setting. © 2023, Australian College of Perioperative Nurses. All rights reserved.
- Authors: Hibberson, Michelle , Lawton, Jessica , Whitehead, Dean
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Perioperative Nursing Vol. 36, no. 4 (2023), p. e-14-e-35
- Full Text:
- Reviewed:
- Description: Background: Perioperative units are complex and high-risk environments in which teams of multidisciplinary health care professionals work collaboratively. Multidisciplinary simulation training is a form of education that allows perioperative teams to practise the non-technical and technical skills essential for managing emergency events within the perioperative environment. Despite the benefits of multidisciplinary simulation training, there is a paucity of literature about it; therefore, this study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken simulation training. Objectives: This study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken multidisciplinary simulation training with the aim of: 1. identifying the enablers of and/or barriers to multidisciplinary simulation training 2. gaining insight into the frequency of training and types of scenarios used during simulation training 3. exploring the potential changes to teamwork and communication following multidisciplinary simulation training. Design: A qualitative descriptive exploratory design was adopted. Methods: Data were collected from nursing and anaesthetic participants through individual interviews using a semi-structured interview guide. Interviews were recorded and transcribed, and data were analysed using thematic analysis. Results: Four themes and nine subthemes were identified within the data. The themes were simulation is educational, safe space, frequency and teamwork. The subthemes were emergency scenarios, practise skills and knowledge, training novice and inexperienced staff, fear of simulation, facilitators, debriefing, available facilities, staff availability and multidisciplinarity. Conclusion: Australian perioperative teams widely used multidisciplinary simulation training to practise the technical skills needed to manage emergencies consistently. However, the frequency was variable and dependent on the availability of staff and facilities. A ‘safe space’ was vital, allowing perioperative team members to engage in training and discussions without judgement or embarrassment. Multidisciplinary simulation training is an effective training technique and should be routinely undertaken by Australian perioperative teams to develop consistency in managing emergency events within the perioperative setting. © 2023, Australian College of Perioperative Nurses. All rights reserved.
Simplifying qualitative case study research methodology : a step-by-step guide using a palliative care example
- Miller, Elizabeth, Porter, Joanne, Barbagallo, Michael
- Authors: Miller, Elizabeth , Porter, Joanne , Barbagallo, Michael
- Date: 2023
- Type: Text , Journal article
- Relation: Qualitative Report Vol. 28, no. 8 (2023), p. 2363-2379
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- Description: Qualitative case study research can be a helpful methodology when conducting health research. However, it can be overlooked or dismissed as a possible methodological choice due to different epistemological positionings by case study theorists and often confusing and contradictory definitions and terminology. Much has been written about case studies, but it takes time to wade through volumes of often philosophically and methodologically dense material to locate a theorist who presents case study research at a depth the novice researcher can understand. Case study research literature may offer a condensed summary of processes but often needs more theoretical detail. Therefore, discerning where to begin can be time-consuming, frustrating, and overwhelming. There are very few qualitative case study protocols and no step-by-step guide describing the planning and decision-making process within nursing. To address the need for clarity, this article endeavors to set out how to conduct a qualitative case study in a step-by-step guide using the approaches of Merriam and Stake as the foundation using a palliative care setting as an application example. It contributes to knowledge and practice by developing a foundational understanding of case study methodology in the hope that novice researchers will consider case study research as a methodological choice for their study and conduct it in a trustworthy and rigorous manner. Copyright 2023: Elizabeth M. Miller, Joanne E. Porter, Michael S. Barbagallo, and Nova Southeastern University.
- Authors: Miller, Elizabeth , Porter, Joanne , Barbagallo, Michael
- Date: 2023
- Type: Text , Journal article
- Relation: Qualitative Report Vol. 28, no. 8 (2023), p. 2363-2379
- Full Text:
- Reviewed:
- Description: Qualitative case study research can be a helpful methodology when conducting health research. However, it can be overlooked or dismissed as a possible methodological choice due to different epistemological positionings by case study theorists and often confusing and contradictory definitions and terminology. Much has been written about case studies, but it takes time to wade through volumes of often philosophically and methodologically dense material to locate a theorist who presents case study research at a depth the novice researcher can understand. Case study research literature may offer a condensed summary of processes but often needs more theoretical detail. Therefore, discerning where to begin can be time-consuming, frustrating, and overwhelming. There are very few qualitative case study protocols and no step-by-step guide describing the planning and decision-making process within nursing. To address the need for clarity, this article endeavors to set out how to conduct a qualitative case study in a step-by-step guide using the approaches of Merriam and Stake as the foundation using a palliative care setting as an application example. It contributes to knowledge and practice by developing a foundational understanding of case study methodology in the hope that novice researchers will consider case study research as a methodological choice for their study and conduct it in a trustworthy and rigorous manner. Copyright 2023: Elizabeth M. Miller, Joanne E. Porter, Michael S. Barbagallo, and Nova Southeastern University.
Twinning with Tonga : the experiences of Tongan stakeholders with a long-term partnership with regional Victoria, Australia
- Mornane, Carolyn, Franc, Michelle, Waddington, Maureen, Peck, Blake, Terry, Daniel
- Authors: Mornane, Carolyn , Franc, Michelle , Waddington, Maureen , Peck, Blake , Terry, Daniel
- Date: 2019
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 7, no. 3 (2019), p. 144-150
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- Description: Twinning programs in health have gained increased recognition as a WHO preferred strategy for providing a sustainable strategy for enhancing the delivery of best practice healthcare globally. The Tonga Twinning Program (TTP), represents a longstanding relationship of some twenty-five years between The Ministry of Health in Tonga and St John of God Hospital, Ballarat, Australia and provides a compelling example of what can be achieved. This article presents the findings from a longitudinal exploration of the experiences and perceptions of the TTP through the voices of those key-stakeholders situated in Tonga who have engaged with the program. Informed by the tenets of hermeneutic phenomenology, a modified thematic analysis highlighted two major themes, ‘A shared mission’ and ‘The outcomes are more than the tangibles’, which supported by a series of sub-themes, identify the core components of the experience of the TTP. This study suggests that the TTP has supported a collective sense of bringing the very best available knowledge and skills to the people of Tonga and has fostered a genuine and open dialogue between partners as a mechanism for change that goes well beyond simply a capacity to replicate skills and instead has establish a genuine reciprocity akin to being a family.
- Authors: Mornane, Carolyn , Franc, Michelle , Waddington, Maureen , Peck, Blake , Terry, Daniel
- Date: 2019
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 7, no. 3 (2019), p. 144-150
- Full Text:
- Reviewed:
- Description: Twinning programs in health have gained increased recognition as a WHO preferred strategy for providing a sustainable strategy for enhancing the delivery of best practice healthcare globally. The Tonga Twinning Program (TTP), represents a longstanding relationship of some twenty-five years between The Ministry of Health in Tonga and St John of God Hospital, Ballarat, Australia and provides a compelling example of what can be achieved. This article presents the findings from a longitudinal exploration of the experiences and perceptions of the TTP through the voices of those key-stakeholders situated in Tonga who have engaged with the program. Informed by the tenets of hermeneutic phenomenology, a modified thematic analysis highlighted two major themes, ‘A shared mission’ and ‘The outcomes are more than the tangibles’, which supported by a series of sub-themes, identify the core components of the experience of the TTP. This study suggests that the TTP has supported a collective sense of bringing the very best available knowledge and skills to the people of Tonga and has fostered a genuine and open dialogue between partners as a mechanism for change that goes well beyond simply a capacity to replicate skills and instead has establish a genuine reciprocity akin to being a family.
Convenient consumption : a critical qualitative inquiry into the gambling practices of younger women in Australia
- Thomas, Samantha, Pitt, Hannah, Randle, Melanie, Cowlishaw, Sean, Rintoul, Angela, Kairouz, Sylvie, Daube, Mike
- Authors: Thomas, Samantha , Pitt, Hannah , Randle, Melanie , Cowlishaw, Sean , Rintoul, Angela , Kairouz, Sylvie , Daube, Mike
- Date: 2022
- Type: Text , Journal article
- Relation: Health promotion international Vol. 37, no. 6 (2022), p.
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- Description: There are a range of stereotypes and assumptions associated with women's gambling behaviours. While researchers have demonstrated that the practices associated with women's gambling are changing and becoming increasingly normalized, there is a limited understanding of how younger women ascribe meanings to these practices. This study explored the gambling practices of younger women. Forty-one women (20-40 years) participated in qualitative telephone interviews. Participants were asked open-ended questions about personal engagement in gambling, including experiences of gambling, gambling engagement, and experiences with different gambling products and environments. Data interpretation was guided by reflexive thematic analysis. Three themes were constructed from the data: (i) gambling infrastructures, including both products and the embedding of gambling in community environments, contributed to the convenient and regular consumption of gambling, with gambling easy to access and engage with; (ii) social networks and intergenerational gambling practices impacted the perceived social value and competencies related to gambling; and (iii) technology facilitated new gambling practices, routinizing gambling behaviours through automation and building perceived competencies with a range of gambling products. Gambling regulation and public health responses to gambling often focus on either individual behaviours or product characteristics. This study suggests that this focus is too narrow and excludes important influences on younger women's gambling practices, which include the infrastructure that supports the provision and consumption of gambling products. Public health research, policy and practice must consider the full range of determinants that may contribute to the initiation and continuation of gambling in younger women. © The Author(s) 2022. Published by Oxford University Press. Younger women’s engagement with gambling is changing. While there has been a significant focus on the gambling behaviours of men, very little research has investigated how women engage in different forms of gambling. We conducted in-depth telephone interviews with n = 41 women (20–40 years) in Australia about their personal engagement in gambling, their experiences of gambling, their motivations to gamble, and their engagement with different gambling products and environments. First, we found that the embedding of gambling in community environments (e.g. lotteries at shopping centres) meant that gambling was easy to access and engage with. This led to the convenient and regular consumption of some gambling products. Second, existing social practices among participants’ social networks (including friends and family members) contributed to women feeling that gambling had social value, and that they had the skills to successfully participate in different forms of gambling. Finally, new technologies created routine gambling behaviours. For example, women automated the purchase of lottery tickets or used apps to help to build complex bets on activities such as sports. We conclude that public health and health promotion research, policy and practice must consider the unique factors that may influence the gambling behaviours of younger women.
- Authors: Thomas, Samantha , Pitt, Hannah , Randle, Melanie , Cowlishaw, Sean , Rintoul, Angela , Kairouz, Sylvie , Daube, Mike
- Date: 2022
- Type: Text , Journal article
- Relation: Health promotion international Vol. 37, no. 6 (2022), p.
- Full Text:
- Reviewed:
- Description: There are a range of stereotypes and assumptions associated with women's gambling behaviours. While researchers have demonstrated that the practices associated with women's gambling are changing and becoming increasingly normalized, there is a limited understanding of how younger women ascribe meanings to these practices. This study explored the gambling practices of younger women. Forty-one women (20-40 years) participated in qualitative telephone interviews. Participants were asked open-ended questions about personal engagement in gambling, including experiences of gambling, gambling engagement, and experiences with different gambling products and environments. Data interpretation was guided by reflexive thematic analysis. Three themes were constructed from the data: (i) gambling infrastructures, including both products and the embedding of gambling in community environments, contributed to the convenient and regular consumption of gambling, with gambling easy to access and engage with; (ii) social networks and intergenerational gambling practices impacted the perceived social value and competencies related to gambling; and (iii) technology facilitated new gambling practices, routinizing gambling behaviours through automation and building perceived competencies with a range of gambling products. Gambling regulation and public health responses to gambling often focus on either individual behaviours or product characteristics. This study suggests that this focus is too narrow and excludes important influences on younger women's gambling practices, which include the infrastructure that supports the provision and consumption of gambling products. Public health research, policy and practice must consider the full range of determinants that may contribute to the initiation and continuation of gambling in younger women. © The Author(s) 2022. Published by Oxford University Press. Younger women’s engagement with gambling is changing. While there has been a significant focus on the gambling behaviours of men, very little research has investigated how women engage in different forms of gambling. We conducted in-depth telephone interviews with n = 41 women (20–40 years) in Australia about their personal engagement in gambling, their experiences of gambling, their motivations to gamble, and their engagement with different gambling products and environments. First, we found that the embedding of gambling in community environments (e.g. lotteries at shopping centres) meant that gambling was easy to access and engage with. This led to the convenient and regular consumption of some gambling products. Second, existing social practices among participants’ social networks (including friends and family members) contributed to women feeling that gambling had social value, and that they had the skills to successfully participate in different forms of gambling. Finally, new technologies created routine gambling behaviours. For example, women automated the purchase of lottery tickets or used apps to help to build complex bets on activities such as sports. We conclude that public health and health promotion research, policy and practice must consider the unique factors that may influence the gambling behaviours of younger women.
“I just know if i keep going, I'll end up hating nursing.” lived experiences of emergency nurses three years into the global COVID-19 pandemic
- Simic, Megan, Porter, Joanne, Peck, Blake, Mesagno, Christopher
- Authors: Simic, Megan , Porter, Joanne , Peck, Blake , Mesagno, Christopher
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Emergency Nursing Vol. 50, no. 3 (2024), p. 425-435
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- Description: Introduction: As the coronavirus disease 2019 pandemic continues globally, the personal and professional pressure on health care workers continues to accumulate. Literature suggests that as the pandemic evolves, nurses are experiencing increased levels of anxiety, depression, and post-traumatic stress, ultimately leading them to voice intentions to leave the profession, if they have not done so already. Methods: Informed by an interpretive hermeneutic phenomenological approach, this longitudinal study was designed to capture how the lived experiences of 9 emergency nurses evolved over the coronavirus disease 2019 pandemic, highlighting their feelings, attitudes, and perceptions toward working in the emergency department at this time in history. Interviews were undertaken in June 2022 and were analyzed using a thematic analysis approach. Results: Data analysis resulted in a total of 2 major themes and 8 minor themes. The 2 major themes included “exposed wounds” and “Band-Aid solutions.” Levels of burnout increased during the pandemic, with most of the emergency nurse participants dropping their hours, moving roles within the profession, or leaving the profession entirely. Findings elucidate where and how concerns may arise in clinical practice and holistic well-being among emergency nurses, particularly surrounding professional boundaries and protecting work-life balance and professional identity. Discussion: As the world moves to managing coronavirus disease 2019 as a recognized common respiratory illness, providing time and space for emergency nurses to voice their concerns, design their well-being interventions, set professional boundaries, and reconnect with their professional passion may see lower attrition rates and higher levels of professional satisfaction in emergency nurses globally. © 2024 Emergency Nurses Association
- Authors: Simic, Megan , Porter, Joanne , Peck, Blake , Mesagno, Christopher
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Emergency Nursing Vol. 50, no. 3 (2024), p. 425-435
- Full Text:
- Reviewed:
- Description: Introduction: As the coronavirus disease 2019 pandemic continues globally, the personal and professional pressure on health care workers continues to accumulate. Literature suggests that as the pandemic evolves, nurses are experiencing increased levels of anxiety, depression, and post-traumatic stress, ultimately leading them to voice intentions to leave the profession, if they have not done so already. Methods: Informed by an interpretive hermeneutic phenomenological approach, this longitudinal study was designed to capture how the lived experiences of 9 emergency nurses evolved over the coronavirus disease 2019 pandemic, highlighting their feelings, attitudes, and perceptions toward working in the emergency department at this time in history. Interviews were undertaken in June 2022 and were analyzed using a thematic analysis approach. Results: Data analysis resulted in a total of 2 major themes and 8 minor themes. The 2 major themes included “exposed wounds” and “Band-Aid solutions.” Levels of burnout increased during the pandemic, with most of the emergency nurse participants dropping their hours, moving roles within the profession, or leaving the profession entirely. Findings elucidate where and how concerns may arise in clinical practice and holistic well-being among emergency nurses, particularly surrounding professional boundaries and protecting work-life balance and professional identity. Discussion: As the world moves to managing coronavirus disease 2019 as a recognized common respiratory illness, providing time and space for emergency nurses to voice their concerns, design their well-being interventions, set professional boundaries, and reconnect with their professional passion may see lower attrition rates and higher levels of professional satisfaction in emergency nurses globally. © 2024 Emergency Nurses Association
“I don't really wanna go back. I know what I've got in front of me.” Lived experiences of emergency nurses 2 years into the global COVID-19 pandemic
- Simic, Megan, Porter, Joanne, Peck, Blake, Mesagno, Christopher
- Authors: Simic, Megan , Porter, Joanne , Peck, Blake , Mesagno, Christopher
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Emergency Nursing Vol. 50, no. 2 (2024), p. 273-284
- Full Text:
- Reviewed:
- Description: Introduction: As the coronavirus disease 2019 pandemic continued into 2021 and beyond, unrelenting work pressures continued to mount on the emergency nursing workforce. In the second year of this longitudinal study on emergency nurse lived experiences, staff outlined the continued strain of the profession, highlighting their increasing levels of burnout and identifying early stages of trauma response. Methods: This research aimed to continue to explore lived experiences of Australian emergency nurses working on the frontline 2 years into the coronavirus disease 2019 pandemic. A qualitative research design was used, guided by an interpretive hermeneutic phenomenological approach. A total of 9 Victorian emergency nurses from both regional and metropolitan hospitals were interviewed between October and November 2021. Analysis was undertaken using a thematic analysis method. Results: A total of 3 major themes and 12 subthemes were extracted from the data. The 3 overarching themes included “On the floor each day,” “Can I keep going?” and “What's around the corner?” Increasing levels of emotional exhaustion and burnout were evident, with emergency nurses stating their intentions to leave the profession. Discussion: Deep engagement with participant emergency nurses across 2 years of the coronavirus disease 2019 pandemic has revealed a need for greater emphasis on staff well-being for future maintenance of a resilient and healthy workforce. Without this, lack of support for subsequent nursing cohorts may affect the quality and reliability of care being provided in acute care centers. © 2023 Emergency Nurses Association
- Authors: Simic, Megan , Porter, Joanne , Peck, Blake , Mesagno, Christopher
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Emergency Nursing Vol. 50, no. 2 (2024), p. 273-284
- Full Text:
- Reviewed:
- Description: Introduction: As the coronavirus disease 2019 pandemic continued into 2021 and beyond, unrelenting work pressures continued to mount on the emergency nursing workforce. In the second year of this longitudinal study on emergency nurse lived experiences, staff outlined the continued strain of the profession, highlighting their increasing levels of burnout and identifying early stages of trauma response. Methods: This research aimed to continue to explore lived experiences of Australian emergency nurses working on the frontline 2 years into the coronavirus disease 2019 pandemic. A qualitative research design was used, guided by an interpretive hermeneutic phenomenological approach. A total of 9 Victorian emergency nurses from both regional and metropolitan hospitals were interviewed between October and November 2021. Analysis was undertaken using a thematic analysis method. Results: A total of 3 major themes and 12 subthemes were extracted from the data. The 3 overarching themes included “On the floor each day,” “Can I keep going?” and “What's around the corner?” Increasing levels of emotional exhaustion and burnout were evident, with emergency nurses stating their intentions to leave the profession. Discussion: Deep engagement with participant emergency nurses across 2 years of the coronavirus disease 2019 pandemic has revealed a need for greater emphasis on staff well-being for future maintenance of a resilient and healthy workforce. Without this, lack of support for subsequent nursing cohorts may affect the quality and reliability of care being provided in acute care centers. © 2023 Emergency Nurses Association
“If I can't do it, who will?” Lived experiences of australian emergency nurses during the first year of the COVID-19 pandemic
- Jackson, Megan, Porter, Joanne, Peck, Blake, Mesagno, Christopher
- Authors: Jackson, Megan , Porter, Joanne , Peck, Blake , Mesagno, Christopher
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Emergency Nursing Vol. 49, no. 5 (2023), p. 733-743
- Full Text:
- Reviewed:
- Description: Introduction: The World Health Organization estimates that approximately 180,000 health care workers have died in the fight against COVID-19. Emergency nurses have experienced relentless pressure in maintaining the health and well-being of their patients, often to their detriment. Methods: This research aimed to gain an understanding of lived experiences of Australian emergency nurses working on the frontline during the first year of the COVID-19 pandemic. A qualitative research design was used, guided by an interpretive hermeneutic phenomenological approach. A total of 10 Victorian emergency nurses from both regional and metropolitan hospitals were interviewed between September and November 2020. Analysis was undertaken using a thematic analysis method. Results: A total of 4 major themes were produced from the data. The 4 overarching themes included mixed messages, changes to practice, living through a pandemic, and 2021: here we come. Discussion: Emergency nurses have been exposed to extreme physical, mental, and emotional conditions as a result of the COVID-19 pandemic. A greater emphasis on the mental and emotional well-being of frontline workers is paramount to the success of maintaining a strong and resilient health care workforce. © 2023 Emergency Nurses Association
- Authors: Jackson, Megan , Porter, Joanne , Peck, Blake , Mesagno, Christopher
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Emergency Nursing Vol. 49, no. 5 (2023), p. 733-743
- Full Text:
- Reviewed:
- Description: Introduction: The World Health Organization estimates that approximately 180,000 health care workers have died in the fight against COVID-19. Emergency nurses have experienced relentless pressure in maintaining the health and well-being of their patients, often to their detriment. Methods: This research aimed to gain an understanding of lived experiences of Australian emergency nurses working on the frontline during the first year of the COVID-19 pandemic. A qualitative research design was used, guided by an interpretive hermeneutic phenomenological approach. A total of 10 Victorian emergency nurses from both regional and metropolitan hospitals were interviewed between September and November 2020. Analysis was undertaken using a thematic analysis method. Results: A total of 4 major themes were produced from the data. The 4 overarching themes included mixed messages, changes to practice, living through a pandemic, and 2021: here we come. Discussion: Emergency nurses have been exposed to extreme physical, mental, and emotional conditions as a result of the COVID-19 pandemic. A greater emphasis on the mental and emotional well-being of frontline workers is paramount to the success of maintaining a strong and resilient health care workforce. © 2023 Emergency Nurses Association
Sport parenting during the COVID-19 pandemic: perceptions of parents and youth in Australia
- Elliott, Sam, Pankowiak, Aurelie, Eime, Rochelle, Drummond, Murray
- Authors: Elliott, Sam , Pankowiak, Aurelie , Eime, Rochelle , Drummond, Murray
- Date: 2023
- Type: Text , Journal article
- Relation: Psychology of Sport and Exercise Vol. 64, no. (2023), p.
- Full Text:
- Reviewed:
- Description: Understanding the impact of the COVID-19 pandemic on parental involvement in youth sport is largely unknown. The objective of the study presented in this paper was to understand parental involvement in relation to their child's participation in organised sport during the COVID-19 pandemic. Using an interpretive descriptive methodology, online qualitative interviews and online focus groups with parents and youth (15–18 years) (n = 29) were conducted during June 2020. Following a rigorous reflexive thematic analysis, four themes illustrated the nature of sport parenting during this stressful and uncertain period: (a) reshaping sport parenting identity, (b) the unexpected growth of sport parenting responsibilities, (c) responding to children's loss of sport, and (d) policies impact family commitment and attitudes to returning to sport. The findings are discussed considering Harwood and Knight's (2015) postulates of parenting expertise in sport and offer potential ideas to better support parents and children situated in unexpectedly stressful situations. © 2022 Elsevier Ltd
- Authors: Elliott, Sam , Pankowiak, Aurelie , Eime, Rochelle , Drummond, Murray
- Date: 2023
- Type: Text , Journal article
- Relation: Psychology of Sport and Exercise Vol. 64, no. (2023), p.
- Full Text:
- Reviewed:
- Description: Understanding the impact of the COVID-19 pandemic on parental involvement in youth sport is largely unknown. The objective of the study presented in this paper was to understand parental involvement in relation to their child's participation in organised sport during the COVID-19 pandemic. Using an interpretive descriptive methodology, online qualitative interviews and online focus groups with parents and youth (15–18 years) (n = 29) were conducted during June 2020. Following a rigorous reflexive thematic analysis, four themes illustrated the nature of sport parenting during this stressful and uncertain period: (a) reshaping sport parenting identity, (b) the unexpected growth of sport parenting responsibilities, (c) responding to children's loss of sport, and (d) policies impact family commitment and attitudes to returning to sport. The findings are discussed considering Harwood and Knight's (2015) postulates of parenting expertise in sport and offer potential ideas to better support parents and children situated in unexpectedly stressful situations. © 2022 Elsevier Ltd