ORCID Profile
0000-0002-0010-4091
Current Organisation
Monash University
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Publisher: Elsevier BV
Date: 03-2022
DOI: 10.1016/J.NEDT.2021.105225
Abstract: Training helps maintain high-quality supervision and its associated benefits (e.g. reduced burnout, improved care). While studies have previously evaluated extended-duration supervision training programmes, none have treated these as complex interventions so have not employed realist approaches. Building on a previous realist synthesis, this evaluation tests and develops programme theory for extended-duration supervision training to answer the question: to what extent does the supervision training programme work, for whom, under what circumstances and why? We conducted a realist evaluation of a novel state-wide Victorian 3-month supervision training programme including one or two 3.5-h workshops followed by weekly reflexive longitudinal audio diaries (LADs) for up to 12 weeks. Realist evaluation data comprised 25 entrance interviews with nurses and allied health professionals, 176 LADs (and 29 written diaries), and 23 exit interviews. We employed team-based realist analysis to identify context-mechanism-outcome configurations (CMOCs) to test and develop programme theory. We refined four recurring CMOCs from the realist synthesis programme theory, found insufficient evidence for two, and established five new recurring CMOCs. We identified multiple positive outcomes from our extended-duration supervision training programme (e.g. improved supervisor practices) through various mechanisms relating to pedagogy (e.g. weekly reflexivity), supervisors (e.g. engagement), and workplaces (e.g. enabling supervision cultures). Some negative outcomes were reported (e.g. decreased engagement) through various mechanisms (e.g. suboptimal training design). Such mechanisms were thought to come about by erse contexts including supervisors (e.g. inexperienced/experienced), professions (nursing/allied health), and organisations (supervision-enabled/non-enabled cultures). Our findings extend the realist synthesis programme theory by highlighting various contexts triggering outcome-generating mechanisms. Programme outcomes are maximised through ongoing supervisor reflexivity paying attention to facilitator-supervisor relationships, as well as protected time for supervisors to translate learning into practice.
Publisher: Cambridge University Press (CUP)
Date: 07-11-2018
DOI: 10.1017/S0007114518002428
Abstract: Dementia is a leading cause of morbidity and mortality without pharmacologic prevention or cure. Mounting evidence suggests that adherence to a Mediterranean dietary pattern may slow cognitive decline, and is important to characterise in at-risk cohorts. Thus, we determined the reliability and validity of the Mediterranean Diet and Culinary Index (MediCul), a new tool, among community-dwelling in iduals with mild cognitive impairment (MCI). A total of sixty-eight participants (66 % female) aged 75·9 ( sd 6·6) years, from the Study of Mental and Resistance Training study MCI cohort, completed the fifty-item MediCul at two time points, followed by a 3-d food record (FR). MediCul test–retest reliability was assessed using intra-class correlation coefficients (ICC), Bland–Altman plots and κ agreement within seventeen dietary element categories. Validity was assessed against the FR using the Bland–Altman method and nutrient trends across MediCul score tertiles. The mean MediCul score was 54·6/100·0, with few participants reaching thresholds for key Mediterranean foods. MediCul had very good test–retest reliability (ICC=0·93, 95 % CI 0·884, 0·954, P ·0001) with fair-to-almost-perfect agreement for classifying elements within the same category. Validity was moderate with no systematic bias between methods of measurement, according to the regression coefficient ( y =−2·30+0·17 x ) (95 % CI −0·027, 0·358 P =0·091). MediCul over-estimated the mean FR score by 6 %, with limits of agreement being under- and over-estimated by 11 and 23 %, respectively. Nutrient trends were significantly associated with increased MediCul scoring, consistent with a Mediterranean pattern. MediCul provides reliable and moderately valid information about Mediterranean diet adherence among older in iduals with MCI, with potential application in future studies assessing relationships between diet and cognitive function.
Publisher: University of Otago Library
Date: 07-07-2023
Abstract: Introduction: The aim of this scoping review was to identify, organise and synthesise existing evidence in relation to the supervision of allied health students on clinical placement.Methods: Five databases were searched for peer reviewed articles published from 2000 onwards. Data were extracted and analysed according to approaches to supervision, and student and/or educator outcomes for different models used. Each outcome was aligned to modified Kirkpatrick levels of evaluation.Results: 39 articles were reviewed. The terms models and approaches were poorly defined and used interchangeably in the clinical placement literature. Studies varied in the methods employed and were typically of low to moderate methodological quality with a dominance of Kirkpatrick level 2a outcomes reported.Conclusions: This review has proposed a definition of supervision models to enable future research comparisons between models and to provide clarity to placement providers’ decision making. Overall evidence for reported outcomes is mixed and not strong enough to draw conclusions in favour of any one model. Approaches to supervision, not student ratio, may well be the catalyst for positive outcomes for all stakeholders and therefore should be the focus of future research.
Publisher: Public Library of Science (PLoS)
Date: 03-06-2016
Publisher: BMJ
Date: 04-2020
Abstract: An 87-year-old man with dementia with Lewy bodies, living in residential aged care, exhibited rapid functional decline and weight loss associated with injurious falls over 9 months. Independent clinicians (geriatrician and exercise physiologist) assessed him during an extended wait-list period prior to his commencement of a pilot exercise trial. The highly significant role of treatable factors including polypharmacy, sarcopenia and malnutrition as contributors to frailty and rapid functional decline in this patient are described. The results of a targeted intervention of deprescribing, robust exercise and increased caloric intake on his physical and neuropsychological health status are presented. This case highlights the need to aggressively identify and robustly treat reversible contributors to frailty, irrespective of advanced age, progressive ‘untreatable’ neurodegenerative disease and rapidly deteriorating health in such in iduals. Frailty is not a contraindication to robust exercise it is, in fact, one of the most important reasons to prescribe it.
Publisher: Elsevier BV
Date: 12-2019
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Kirsty Pope.