ORCID Profile
0000-0002-6469-4027
Current Organisations
Charles Sturt University
,
University of Tasmania
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Publisher: Public Library of Science (PLoS)
Date: 10-11-2015
Publisher: Wiley
Date: 2007
DOI: 10.1002/PON.1174
Abstract: Providing for patients' psychosocial needs is a potential means of minimising cancer morbidity. Needs assessments can guide responsive patient-centred care. A longitudinal survey of women with early breast cancer consulting a breast nurse in a primarily rural state of Australia was undertaken to measure unmet supportive care needs, identify changes in unmet needs across time and compare results with previous studies. Needs assessments were completed with the Supportive Care Needs Survey (SCNS) at 1 month (n = 74) and 3 months (n = 83) post-diagnosis. Access to services was also examined. High levels of psychological and health system and information needs were identified at 1 month post-diagnosis, but these decreased significantly at 3 months post-diagnosis. Sexuality domain needs increased significantly during the same time. Compared to a previous SCNS study of rural women with breast cancer, unmet supportive care needs in this study were significantly lower than previously reported, although assistance with energy levels (i.e. fatigue) continues to be an unmet need for women with breast cancer. Results suggest there have been positive cultural changes within healthcare systems, specifically in better informing patients and providing support. Although services appear to be more responsive to breast cancer patients, significant unmet needs still exist.
Publisher: SAGE Publications
Date: 05-1998
Abstract: It is well known that occupations are differentially gendered and explanations for such gendering usually focus on structure and process in the labour market. However little is known of the fine detail of the way in which labour markets perform for particular occupations in particular local contexts. This article is based on micro-sociological research on the professional labour markets for law and engineering professionals in the city of Hobart, Australia. It addresses a discrepancy in women's participation and promotion rates in each of these professions: the proportion of women in high positions in engineering matches their educational qualification rates while that in law is considerably lower than educational qualification rates would suggest. The paper proposes that the explanation can be found in the respective organizational patterns of the two professions. Engineering is practised in large-scale bureaucratic organizations where formal rules govern recruitment and promotion, where equal opportunities legislation literally applies, and where a strict separation is maintained between public and domestic spheres. By contrast, law is practised in collegial partnerships where informal judgements govern recruitment and promotion, where the letter of equal opportunities legislation need not be applied, and where advancement depends on the subordination of the domestic to the public sphere.
Publisher: Wiley
Date: 28-06-2019
DOI: 10.1111/AJR.12527
Abstract: The issues addressed in this article are two-fold. Firstly, education about ageing is predominantly textbook-based. Secondly, many rural older people face social isolation which impacts their health. In addressing the first issue, we discovered that our project, Older Persons Teaching and Empowering Aged Care Students (OPTEACH), has the potential to have a positive impact on the second issue. We run university education sessions involving older people. Since such sessions present unique challenges, we obtained a grant to develop resources to assist educators and support rural older people to become "OPTEACHers." OPTEACH was undertaken in several rural communities in New South Wales and included staff and residents at residential aged care facilities and community-dwelling rural older people. Our previous work had highlighted a need for educator resources that would facilitate "ageing" being taught in a way that both involved and respected older people. Our ethos centres on the "co-creation" of knowledge, and having older peoples' unique contributions recognised and celebrated. Resources to assist with planning and being involved in OPTEACH education sessions are available at www.opteach.com.au. They will support a growing community of "OPTEACHers," with beneficial flow-on effects for rural older people. We seek to provide practical support to both educators and older people to provide "real life" education on the experience of ageing. Further evaluation is needed, yet we anticipate a positive impact on self-esteem, community "connectedness" and quality of life for older rural "OPTEACHers" as the approach gains momentum.
Publisher: Wiley
Date: 14-07-2015
DOI: 10.1071/HE14115
Publisher: Springer Science and Business Media LLC
Date: 12-05-2015
Publisher: Wiley
Date: 16-08-2022
DOI: 10.1002/JMRS.614
Abstract: Concurrent X‐ray imaging of the wrist, forearm and elbow in paediatric patients following a fall on the outstretched hand (FOOSH) is intended to minimise the risk of an undetected co‐occurring injury and is typically performed on patients aged 0–10 years. The purpose of this study was to explore the benefit of this strategy and to identify if age could provide evidence for imaging. A 12‐month retrospective review of all X‐ray examinations of the wrist, forearm and distal humerus of patients aged 0–10 years referred from the Emergency Department of Logan Hospital, Queensland was undertaken. The frequency, type and location of radiographic abnormalities and the requested examinations region of interest (ROI), referral notation and patient's age were recorded. Analysis was made by descriptive statistics. Four hundred and seventy‐six examinations met the studies inclusion criteria, 4.8% ( n = 23) identified an abnormality outside of the documented ROI. On review of the admission and treatment notes, 1.7% ( n = 8) were deemed to have detected traumatic abnormalities as a direct outcome of concurrent imaging. No age‐related evidence for imaging was identified. This study demonstrates limited benefit (1.7%) to concurrent imaging following a FOOSH. The results suggest that a thorough physical evaluation of the paediatric upper limb performed by the referrer is sufficient to accurately guide X‐ray imaging. These findings have the potential to positively impact a reduction in the number of X‐rays performed on paediatric patients and in turn contribute to limiting radiation dose. Further studies may be beneficial in verifying the study's findings.
Publisher: Informa UK Limited
Date: 07-09-2010
Publisher: Emerald
Date: 12-06-2017
DOI: 10.1108/JCRPP-03-2017-0014
Abstract: The purpose of this paper is to examine the potential benefits as well as some of the practical barriers to the implementation of a collective impact initiative in law enforcement and public health (LEPH) in Tasmania, Australia. The paper is based on a review of programs, agencies and initiatives that are at the intersection of LEPH in Tasmania, through an analysis of the findings in evaluation reports, and the views of practitioners identified at a workshop on LEPH held at a national AOD conference and facilitated by the authors. The strengths of collective impact initiatives, particularly in LEPH, are presented and some weaknesses identified. Some major obstacles to the consolidation of LEPH initiatives include siloed ways of working and budgets, lack of leadership and political will. Some progress has been made in addressing these weaknesses, although addressing complex social problems by moving beyond inter-agency collaboration toward an integrated model of service provision remains challenging. The authors argue that there are practical benefits to the adoption of a collective impact model to address problems in Tasmania that lie at the nexus between LEPH. In reviewing existing collaborations, the authors demonstrate the value of a structural mapping process to identify ways forward for government and non-government agencies that are inclined to go further in merging the two disciplinary areas. The authors offer some suggestions with respect to identifying the preconditions for a collective impact model and how to build on these to initiate action. A significant proportion of the literature on LEPH remains at a conceptual and theoretical level. This contribution highlights some practical issues while looking at existing ex les of collaboration across LEPH at a state level in Australia, and starts mapping a way forward for constructing more integrative LEPH initiatives.
Publisher: Universitat Politècnica València
Date: 26-06-2019
Abstract: This paper synthesises the results of three participatory action research (PAR) studies undertaken to improve the integration of evidence-based practice (EBP) education in three undergraduate health courses at one Australian university: Bachelor of Nursing, Bachelor of Occupational Therapy, and Bachelor of Physiotherapy. The PAR process with interested academics uncovered a range of EBP education strengths and weaknesses in the three courses. Common themes were evident, which are likely to be applicable in other similar courses. Identified weaknesses included a lack of explicit teaching about the meaning, principles, steps, and importance of EBP, partly stemming from a lack of shared understanding. A relative lack of emphasis on certain EBP steps was also noted, particularly the first step of ‘asking’ questions. A lack of communication with workplace learning (WPL) supervisors about how to facilitate EBP was also noted, raising concerns about variable EBP-education quality across WPL settings. Opportunities for improvement were identified by academics in each course, across multiple subjects and year levels. In our experience, PAR has been a highly constructive approach to EBP curriculum improvement. We encourage consideration of a PAR approach for addressing similarly complex curriculum challenges.
Publisher: Elsevier BV
Date: 03-2022
DOI: 10.1016/J.JMIR.2021.12.001
Abstract: The idea of radiographer image interpretation has not been fully explored in Fiji despite the great shortage of radiologists in the country. This is a feasibility study of radiographer image interpretation aimed at assessing the accuracy of radiographers in interpreting adult chest X-ray images at the Colonial War Memorial Hospital (CWMH) in Fiji. Forty PA chest X-ray images were interpreted in terms of correctly commenting on the presence/ absence of pathology, the name of the pathology, and the location of the pathology on the data sheets by the CWMH diagnostic radiographers (n = 14). The radiographers were grouped according to their years of work experience (≤ 5 vs > 5) and the Mann Whitney U test on a two-tailed p-value of 0.05 was used to compare this grouping. The data analysis was conducted using the Statistical Package for Social Sciences (SPSS) v.25 and Microsoft Excel. The diagnostic performance of all radiographers in terms of triaging normal and abnormal in the images shows sensitivity ranging from 71.4 to 100%, with specificity ranging from 47.4 to 100%. The mean sensitivity, specificity, and the overall accuracy of radiographers in triaging normal and abnormal on the images were 89.5%, 72.9%, and 81.6%, respectively. The mean accuracy in naming the pathology was 33.6% and the location sensitivity was 45.7%. There was no statistically significant difference in results between the radiographers' years of experience. Without any formal qualification, training, and practice, the current results suggest that the cohort of radiographers can perform normal/abnormal triage of CXRs within a test setting. With a significant reduction in the radiographers' accuracy in terms of naming and locating the abnormality, the study results do not support image interpretation by the radiographers at this stage. This feasibility study provides baseline information about the accuracy of image interpretation by diagnostic radiographers at CWMH and provides a platform for further research in image interpretation in Fiji.
Publisher: Wiley
Date: 08-2013
DOI: 10.1111/AJR.12037
Publisher: Wiley
Date: 29-06-2017
DOI: 10.1111/AJR.12211
Start Date: 2015
End Date: 2015
Funder: Tasmanian Community Fund
View Funded ActivityStart Date: 2009
End Date: 2009
Funder: University of Tasmania
View Funded ActivityStart Date: 2009
End Date: 2009
Funder: Jane Franklin Hall
View Funded ActivityStart Date: 2009
End Date: 2010
Funder: University of Tasmania
View Funded ActivityStart Date: 2006
End Date: 2007
Funder: Foundation for Alcohol Research & Education Ltd
View Funded ActivityStart Date: 2004
End Date: 2005
Funder: Department of Health and Ageing
View Funded Activity