ORCID Profile
0000-0002-6955-0727
Current Organisations
Flinders University
,
University of South Australia
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Publisher: Elsevier BV
Date: 09-2019
DOI: 10.1016/J.APMR.2019.01.011
Abstract: To systematically search the literature and construct a meta-synthesis of how choice and control are perceived by people with spinal cord injury (SCI). Medline, Academic Search Premier, CINAHL, Cochrane, EMBASE, HealthSource, ProQuest, PsychInfo, SAGE, and SCOPUS were searched from 1980 until September 2018 including all languages. Reference lists of selected studies were also reviewed. Eligible qualitative studies included perspectives about choice of control as reported by people with an SCI. Studies were excluded if they included perspectives from other stakeholder groups. A total of 6706 studies were screened for title and abstract and full text of 127 studies were reviewed resulting in a final selection of 29. Characteristics of the studies were extracted along with any data (author interpretations and quotes) relating to perspectives on choice and control. First-order analysis involved coding the data in each study and second-order analysis involved translating each segment of coded data into broader categories with third-order analysis condensing categories to 2 broad overarching themes. These themes were experiencing vulnerability or security and adapting to bounded abilities. Perspectives of choice and control are influenced by interrelated environmental, interpersonal, and personal contexts. From a personal perspective, participants reported a readiness for adaptation that included turning points where emotional and cognitive capacity to make choices and take control changed. Health professionals need to be responsive to this readiness, promote empowerment and foster, rather than remove, hope.
Publisher: Elsevier BV
Date: 03-2022
DOI: 10.1016/J.PHYSIO.2021.12.002
Abstract: Healthcare students are at risk of high stress and anxiety, particularly during clinical placements. This study measured the stress and anxiety levels of physiotherapy students during clinical placements, how stress/anxiety changed over time, effect on academic performance, factors influencing stress/anxiety and coping strategies. A prospective cohort study using surveys collecting quantitative and qualitative data. Three sites where physiotherapy students from one university undertook clinical placements. 109 students across 159 placements. The State-Trait Anxiety Inventory (STAI [Y2]) provided a baseline measure of general stress level and propensity for anxiety. Perceived stress and anxiety were measured using visual analogue scales (VASs) at baseline and weekly over the 5-weeks duration of placements. A questionnaire sought students' perceptions of factors affecting stress/anxiety and coping strategies. VAS stress/anxiety scores were highly variable between participants. Higher VAS scores were seen at Weeks 3 and 4 compared to Week 5 and placements earlier in the academic year. Baseline VAS scores were significantly associated with Weeks 1-5 VAS scores. Higher VAS scores were associated with poorer academic results. Stress/anxiety were affected by patient complexity, assessments, workload, poor health and family issues. Most participants felt supported by clinical educators eers, and used coping strategies including exercise and taking breaks. Physiotherapy students demonstrated highly variable stress/anxiety levels during clinical placements, with higher levels negatively affecting academic performance. Baseline measures of perceived stress/anxiety could potentially highlight students at risk of high levels of stress/anxiety during clinical placements, allowing more targeted interventions. Australian New Zealand Clinical Trials Registry (ACTRN12618000302257).
Publisher: Springer Science and Business Media LLC
Date: 04-07-2018
Publisher: Wiley
Date: 02-07-2012
DOI: 10.1111/J.1600-0412.2012.01462.X
Abstract: A systematic review was undertaken to update the understanding of the available evidence for antenatal physical therapy interventions for low back or pelvic pain in pregnant women to improve functional outcomes when compared with other treatments or no treatment. Seven electronic databases were systematically searched and supplemented by hand searching through reference lists. Two reviewers independently selected trials for inclusion and independently assessed the internal validity of the included trials using the Clinical Appraisal Skills Program tool. Four trials with 566 participants were identified that met the inclusion criteria. The validity of the trials was moderate. Exercise, pelvic support garments and acupuncture were found to improve functional outcomes in pregnant women with low back or pelvic pain. No meta-analysis was performed because of the heterogeneity of functional outcome measures. While there is some evidence that physical therapy using exercise, acupuncture and pelvic supports may be useful, further research needs to consider other treatment modalities used by physical therapists and establish an appropriate, reliable and valid functional outcome measure to assess low back and pelvic pain in pregnancy.
Publisher: Oxford University Press (OUP)
Date: 08-2014
Abstract: Disasters have a significant impact on mental health that may be mitigated by promoting resilience. This study explores the lay perspective on public health interventions that have the potential to facilitate resilience of adults who experience a natural disaster. Semi-structured interviews were conducted 6 months post-disaster between June 2011 and January 2012 with 19 people who experienced the 2010/11 Victorian floods. Twenty lay witness statements from people who presented to the 2009 Victorian Bushfires Royal Commission were also selected for analysis. Transcripts were analysed using an interpretive and comparative content analysis to develop an understanding of disaster resilience interventions in an ecological framework. The participants identified resilience focused interventions such as information that help in iduals manage emotions and make effective decisions and plans, or enable access to resources face-to-face communication strategies such as public events that restore or create new social connections rebuilding of community capacity through coordination of volunteers and donations and policies that manage disaster risk. Disaster recovery interventions designed within an ecological model can promote a comprehensive integrated systems approach to support resilience in affected populations.
Publisher: Informa UK Limited
Date: 2005
Publisher: Informa UK Limited
Date: 16-02-2021
Publisher: Informa UK Limited
Date: 06-2012
Publisher: Informa UK Limited
Date: 14-03-2014
Publisher: Informa UK Limited
Date: 06-2012
Publisher: Informa UK Limited
Date: 08-10-2022
DOI: 10.1080/09638288.2021.1984592
Abstract: Following a brain injury survivors may have physical, or cognitive changes or behaviours which bring safety risks into play when engaging in activities. Therapists experience tensions in enabling the dignity of participation in the context of managing risk. Ten occupational therapists and seven physiotherapists participated in a grounded theory study utilising semi-structured in-depth interviews to explore the tensions between dignity and management of safety risks. Data were analysed using constant comparative method and a process of moving from open coding to categories to theory development. The process of weighing up was central to the therapists' approach to supporting dignity while managing risk. Respecting dignity itself is placed at risk when preventing harm is weighted higher than living a full life. Therapists who use weighing up as a process that respects dignity place greater value on the principles of respecting autonomy and promotion of justice for people with a brain injury. Rather than taking control and attempting to minimise risk therapists who privilege the perspective of the client, and provide opportunities for learning through failure or success, enable clients to live a full life.IMPLICATIONS FOR REHABILITATIONEnsuring that clients with brain injury are safe often requires therapists to exercise control and remove agency thus removing the rights of the client to the dignity of risk and living a full life.Providing opportunities within rehabilitation for clients to experience failure and success enables learning and thereby support dignity.Privileging the client perspective provides clients the dignity of living a normal life.
Publisher: SAGE Publications
Date: 22-09-2011
Abstract: In this article, the author explores the eschatological development in Dietrich Bonhoeffer's theology, from his earliest lectures in 1932, to his final fragmentary writings in the Tegel prison cell. It will be shown that Bonhoeffer's eschatological interpretation of the Book of Genesis ( Schöpfung und Fall) returns in his later work as an interpretive key to understanding his concept of “religionless Christianity.” Finally, the article attempts to show how a similarly eschatological commitment may assist the contemporary church to witness to Christ in a “world come of age,” and what such a witness may look like.
Publisher: Bowling Green State University Libraries
Date: 05-2010
Publisher: Wiley
Date: 24-01-2016
DOI: 10.1111/AJR.12272
Abstract: To explore perceptions of health among South Australian farmers. Descriptive qualitative study, using semi-structured interviews. Two rural towns in the Riverland region of South Australia. Fifteen adults involved in farming within the Riverland region of South Australia, from a variety of farming industries age range 23-70 years old 53% male, 47% female. Perceptions and definitions of health. Participants described an ecological understanding of health across in idual, farm, and community domains. Participants perceived health as being able to function and complete farm work. Participants reported that farm work helped to maintain fitness, but the multiple stress and hazards associated with farming had a significant influence on health. Participants described how health was influenced by community activities and social support from friends and families. Women were reported to take a lead role in health. Health providers can frame interventions to resonate with the perceptions of health held by people, shaped and formed by the context of farming. Further research is needed to explore farmers' perceptions of health in different locations, from different industries and from a range of age groups.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 19-04-2022
Publisher: Elsevier BV
Date: 03-2013
DOI: 10.1016/J.GERINURSE.2012.12.011
Abstract: Resilience has been recognized as the ability to bounce back from adversity and regain health. This review seeks to explore the validity of the current understanding of resilience as it applies to older people and its application as guide for interventions. One mixed method, 19 qualitative and 22 quantitative papers were located through a systematic search of nine databases. Results confirmed a number of themes of personal resources. Older people who have the ability to use personal resources and see the world beyond their own concerns are more likely to be resilient. In addition a number of environmental factors were identified including social support from community, family and professionals as well as access to care, availability of resources and the influence of social policy and societal responses. Nurses can facilitate resilience of older people by maintaining or enhancing social support and facilitating access to care and resources.
Publisher: Wiley
Date: 31-10-2022
DOI: 10.1111/HEX.13636
Abstract: Acquired brain injury (ABI) can result in considerable life changes. Having choice and control over daily life is valued by people following ABI. This meta‐synthesis will analyse and integrate international research exploring perspectives of choice and control in daily life following ABI. Databases were searched from 1980 to 13 January 2022 for eligible qualitative studies. After duplicates were removed, 22,768 studies were screened by title and abstract, and 241 studies received full‐text assessment with 56 studies included after pearling. Study characteristics and findings were extracted that related to personal perspectives on choice and control by people with an ABI (including author interpretation and quotes). Data from each study were coded and then segments of coded data across the studies were compared to create multiple broad categories. Findings were then reduced from categories into 3 overarching themes with 12 subthemes. These themes were: (1) feeling like a second‐class citizen (2) reordering life and (3) choosing a path. Participants with an ABI tussled between their feelings of loss following brain injury and their thinking about how they start to regain control and become agents of their own choices. The themes describe their sense of self, their changed self and their empowered self in relation to ‘choice and control’. Re‐engaging with choice and control after ABI is dynamic and can be challenging. Health professionals and supporters need to facilitate a gradual and negotiated return to agency for people following ABI. A sensitive and person‐centred approach is needed that considers the readiness of the person with ABI to reclaim choice and control at each stage of their recovery. Clear service or process indicators that are built on lived experience research are needed to facilitate changes in service delivery that are collaborative and inclusive. This review included the voices of 765 people living with ABI and was conducted by a erse team of allied health professionals with practice knowledge and research experience with people following ABI. Twenty‐nine of the 56 included studies had participants contributing to their design or analysis.
Publisher: Springer Science and Business Media LLC
Date: 24-06-2019
Publisher: Informa UK Limited
Date: 08-08-2017
DOI: 10.1080/09593985.2017.1357152
Abstract: Attitudes are recognized as influencing research implementation. However, little is known about the process by which physiotherapists' attitudes and beliefs shape their use of 7-day per week therapy and circuit class therapy research findings. Understanding beliefs may assist in addressing barriers to research uptake. Fifteen physiotherapists from six rehabilitation centers who ranged in seniority, experience, and education levels consented to be interviewed. The transcribed interviews were analyzed using a qualitative content analysis drawing on the Theory of Planned Behavior. Participants felt that they had autonomy in adopting new approaches when the evidence was supported by social norms. Participants believed that 7-day per week therapy delivers a seamless service that increases physiotherapy time, which helps maintain patient improvement, but needs to accommodate patient choice and expectations. Circuit class therapy was viewed positively as it provides more physiotherapy time, increases patient social interaction, and motivation. However, this was qualified by a belief that patients would not receive in idualized, quality of movement focused therapy, particularly for patients with limited capacities. Implementation of a new approach depends on the past experience, coherence with in idual beliefs regarding important elements of therapy content, and opportunities to control barriers to implementation.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2018
DOI: 10.1097/JTE.0000000000000058
Abstract: Student engagement with both face-to-face and online sessions is becoming increasingly important as a metric of teaching success. Understanding engagement needs to move beyond positioning the student as a generic learner and explore the variations in person and context that will enable a transformative approach to blended learning arrangements. This article investigates physical therapy students' perceptions regarding resources they choose to engage with to support their learning. One hundred and fifteen (59% female) average age 21.7 years 7.8% international students in the Bachelor of Physiotherapy and Master of Physiotherapy programs at the University of South Australia. A questionnaire with open-ended questions was administered in class and provided data on students' preferences and perceptions regarding resources that support their learning. Students' attendance, online resource usage, and grade point average were collected and used to explore themes emerging from the data. Students with higher grades described their own behaviors that assisted their learning while students with lower grades focused on external barriers that limited their learning. Participants chose to attend class because this enabled them to ask questions, access explanations and demonstrations, increase concentration, pick up nonverbal communication, and access teacher support. Participants chose to use online activities because this supported them to work at their own pace, or at an optimal time, or concentrate more. Participants reported making choices based on perceptions that a particular behavior would contribute to the immediate process of learning or assessment outcomes, rather than long-term goals such as being able to provide the best patient care. Classroom delivery is successful for students who attribute social interaction as a key aspect to their effective learning while online delivery formats meet the needs of students who engage better in private contexts. Engagement success may increase if face-to-face sessions have flexible access, while online activities include opportunities for interaction and support.
Publisher: Informa UK Limited
Date: 17-02-2022
Publisher: Wiley
Date: 27-10-2015
DOI: 10.1071/HE15052
Publisher: Cambridge University Press (CUP)
Date: 10-2014
DOI: 10.1017/DMP.2014.104
Abstract: This report aimed to examine the literature regarding evidence about community-based interventions that use the concept of resilience to increase positive health outcomes after disaster. A search was conducted of databases gray literature, public health journals, and available key journals focused on disaster, emergency, and trauma from inception to December 2013. Excluded were non-English publications, only about children or adolescents, or a commentary or theoretical discussion on resilience. From a total of 1880 records, excluding duplicates, 8 studies were found. Exclusions included participants younger than age 18 years (n=74), non-English (n=40), nonempirical (n=265), not referring to disaster (n=188), not a public health intervention (n=319), and not related to an intervention targeting resilience (n=890). This systematic review highlighted a gap in the evidence relating to interventions targeting the resilience of adults who have experienced a disaster. The results were mixed in relation to information provision but promising for strategies that promote social interactions or develop community competence. Future studies could explore the ability of interventions to build the intrinsic capacity of a system, community, or society at risk of a disaster to adapt and survive. ( Disaster Med Public Health Preparedness. 2014 :1-9)
Publisher: Public Library of Science (PLoS)
Date: 02-03-2016
Publisher: Springer Science and Business Media LLC
Date: 13-02-2019
Publisher: Informa UK Limited
Date: 22-12-2023
Publisher: Informa UK Limited
Date: 17-06-2019
No related grants have been discovered for Gisela van Kessel.