ORCID Profile
0000-0002-2392-173X
Current Organisations
The University of Auckland
,
University of Southern Queensland
,
University of Southern Queensland - Springfield Campus
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Publisher: Emerald
Date: 09-04-2021
DOI: 10.1108/JHOM-04-2020-0165
Abstract: The purpose of this review was to explore the literature for evidence of the impact of interprofessional practice models on health service inequity, particularly within community care settings for erse ageing populations. An integrative systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework combined with the EndNote reference management system. Following the collection and comprehensive screening process completion, a thematic analysis of the included articles occurred utilising within NVivo 12 software. The review found that there was a paucity of evidence related to the relationship between interprofessional practice models (IPM) and health service equity for ageing populations. There is a need to improve collaborative practices between social care, public health care and health service providers to more clearly define team member roles. Key aspirations included the need for future innovations in health service delivery to place health service equity as a goal for interprofessional practice. There is a need to find ways to measure and articulate the impact for vulnerable populations and communities. The review offers insight into the need for health care delivery models to place health service equity at the centre of the model design. In practice settings, this includes setting interprofessional team goals around achieving equitable care outcomes for, and with, vulnerable populations. Implications for practice relate to improving how interprofessional teams work with communities to achieve health care equity. There is a consensus across the literature that there continues to be health service inequity, yet IPE and interprofessional collaborative practice (IPC) have been growing in momentum for some time. Despite many statements that there is a link between interprofessional practice and improved health service equity and health outcomes, evidence for this is yet to be fully realised. This review highlights the urgent need to review the link between education and practice, and innovative health models of care that enable heath care professionals and social care providers to work together towards achieving health equity for ageing populations. It is clear that more evidence is required to establish evidence for best practice in interprofessional care that has the mitigation of health care inequity as a central objective.
Publisher: Springer Science and Business Media LLC
Date: 14-06-2023
Publisher: Wiley
Date: 24-06-2022
DOI: 10.1111/JAN.15324
Abstract: Describe the reported lived experiences of nurses who have participated at any stage of voluntary assisted dying (VAD), from the initial request to the end of life. A qualitative meta‐synthesis. Databases searched were CINAHL, MEDLINE, Emcare, Scopus and PsycInfo. The search was undertaken in September 2021 with no date limitations. Qualitative studies were considered if published in English, reported primary data analysis of nurses' experiences who had been involved in VAD and reported direct quotes from nurses. Qualitative studies meeting the selection criteria were critically appraised, then an open card‐sort method was applied. Quotes from nurses were organized to group similar experiences, constructing themes and metaphors across studies as a new understanding of nurses' experiences of VAD. Eight studies were included. Three major themes were constructed: An orderly procedure, reflecting the need for structure to feel adequately prepared A beautiful death, reflecting the autonomy the patient exercised when choosing VAD facilitated an exceptionally positive death and Psychological and emotional impact, where nurses recognized the emotional and ethical weight that they carried for themselves and the team when undertaking VAD. Nurses may benefit from clear policy, supervision and communication training to support them as countries transition to providing VAD services. Policy provides nurses with confidence that they are undertaking the steps of VAD correctly and provides a layer of emotional protection. Communication training specific to VAD is necessary to prepare nurses to recognize their own emotional experiences when responding to the needs of the patient and their family. VAD is increasingly becoming a legal option that nurses are encountering in their professional practice. Understanding nurses' experiences of being involved in VAD is required to support nurses in countries where VAD is becoming available to prepare professionally and psychologically.
Publisher: SAGE Publications
Date: 22-02-2022
Publisher: Wiley
Date: 05-11-2023
DOI: 10.1111/AJAG.13149
Abstract: Studies of dementia knowledge (including dementia risk reduction) in health‐care trainees highlight varying levels of understanding across countries and disciplines. This draws attention to the need for a well‐trained health workforce with the knowledge to ch ion and implement such strategies. This study (a) assessed dementia knowledge and health literacy among a s le of Australian health‐care students, (b) identified modality preferences of digital health interventions addressing dementia prevention and (c) examined potential relationships among health literacy, dementia knowledge, dementia prevention knowledge and a student's preferences for different digital health modalities. A cross‐sectional survey assessed dementia knowledge and health literacy in 727 health students across 16 Australian universities representing both metropolitan and regional cohorts. The All Aspects of Health Literacy Scale and the Dementia Knowledge Assessment Scale were administered. Questions about the perceived effectiveness of strategies and preferred digital health modalities for dementia prevention/risk reduction were asked. The students had relatively high health literacy scores. However, dementia knowledge and evidence‐based dementia prevention knowledge were average. Only 7% claimed knowledge of available dementia‐related digital health interventions. Associations among health literacy, dementia knowledge and dementia prevention, with recommendations for different digital modalities, are presented. Health‐related degrees need to increase dementia knowledge, health literacy and knowledge of effective dementia‐related digital health interventions. It is imperative to equip the future health workforce amid an ageing population with increased dementia rates and where evidence‐based digital health interventions will increasingly be a source of support.
Publisher: SAGE Publications
Date: 2023
Publisher: Auckland University of Technology (AUT) Library
Date: 03-2023
DOI: 10.24135/EE.V5I1.236
Abstract: Liberation is the act of setting free from internal and social oppression (Afuape, 2011), in 2019 it was the Liberation Trail fire that raged through our place, turning the living essence of our livelihood, and belongings to dust. The dust had barely settled when the torrential rains drenched the remains, weeping over the ashes. These ashes were not just of things, houses, and furniture, but also of trees, ferns, and animals of all sizes. Next, it was isolation and fear that arose from the ashes in the form of Coronavirus (COVID-19 virus). Isolating people from the natural environment and from each other. Through these transmutations, we relied upon the resilient nature of the human spirit to survive. This autoethnographic story explores human resilience in the face of personal and global loss. The power of storytelling is an ancient tradition, stemming from a human need to make meaning of the lived experience. Each person who tells a story speaks from their ‘biographical position’ and is unique as the storyteller (Denzin, 2014). Stories, or narratives, assisted in the survival of cultures by retelling warnings of potential threats. They are intrinsic to all cultures, whether they are written or verbal. The act of storytelling can impart a metaphysical presence that can provide a sense of spirituality in the communication process (Snyder & Lindquist, 2006 Uys, 2014). Storytelling has been described as an expression of human consciousness and as such, can guide the person towards healing the spirit, and liberating from trauma (Carter,2019).
Publisher: Elsevier BV
Date: 10-2022
DOI: 10.1016/J.NEDT.2022.105473
Abstract: The Australian Nursing and Midwifery Accreditation Council mandates the teaching of cultural safety in Bachelor of Nursing and Midwifery programs in Australia. However nursing and midwifery academics may lack the awareness and knowledge required to share and develop cultural safety practices with their students. Specific cultural safety professional development for academics may be needed. This research explores how nursing and midwifery academics at an Australian university understand cultural safety and whether they are equipped to embed it in the curriculum. It also examines whether professional development workshops can support academics to prepare for cultural safety. An intervention involving three cultural safety professional development workshops was offered to nursing academics at an Australian university. The authors used qualitative surveys to consider whether the workshops deepened participants' understanding of cultural safety and developed the self-reflection required to embed cultural safety in teaching. The workshops contributed to participants' improved understandings of culture, colonisation, white privilege and the need for self-reflection, but not all participants developed a working knowledge of cultural safety practice. Professional development workshops can assist nursing and midwifery academics to develop their knowledge of cultural safety, but detailed, contextual understanding is likely to need more than three sessions. Academics' motivations to include cultural safety in their teaching may be linked to their desire for patient-driven and equitable services and a desire to meet accreditation requirements.
Publisher: Auckland University of Technology (AUT) Library
Date: 24-11-2020
DOI: 10.15663/TEE.V4I.77
Abstract: New Zealand responded swiftly to the Covid-19 Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) to prevent the spread of sickness and prevent unnecessary deaths. The government initiated a four-level social distancing alert system with specified measures at each level to manage and minimise the risk of COVID-19. By late March 2020, Alert Level 4 required people to stay in their homes in their ‘bubbles’ or family units. Social contact was restricted other than for essential personal movement and travel was severely limited. The Ministry of Health (2020) produced tangihanga (funeral rituals) policy guidelines for Māori, requiring the immediate collection of the deceased’s body by a funeral director. Gatherings to do with death and post-death customs were severely restricted and all marae (indigenous gathering places, land, buildings) were closed and burials could only include the immediate family bubble. In this autoethnographic paper, we draw on one Māori family’s experience of the birth and death of a baby with an anticipated life-limiting illness, during the most restrictive lockdown phase, level 4. We describe the impact COVID-19 tangihanga policy restrictions had on the family. The guidelines prevented them from conducting timely customary internment rituals with support from kaumātua (older men and women) and whānau (family including extended family and friends) in accordance with their cultural preferences. To prepare for future pandemics we recommend mana whenua (local Māori who have authority over their lands and marae) have autonomy to plan and manage tangihanga to avoid unnecessary distress, particularly where there is a known palliative condition.
Publisher: Informa UK Limited
Date: 23-09-2020
Publisher: SensePublishers
Date: 2016
Publisher: Informa UK Limited
Date: 31-03-2021
Publisher: Elsevier BV
Date: 2023
DOI: 10.1016/J.AUCC.2022.08.010
Abstract: Bullying, discrimination, and sexual harassment are significant problems within healthcare organisations but are often under-reported. Consequences of these behaviours within a healthcare setting are wide ranging, affecting workplace environments, personal well-being, and patient care and leading to increased staff turnover and quality of patient care and outcomes. Whilst there has been some work undertaken in the general nursing workforce, there is a dearth of evidence regarding the extent and impact of these behaviours on the nursing workforce in intensive care units (ICUs) in Australia and New Zealand. We aimed to determine self-reported occurrences of bullying, discrimination, and sexual harassment amongst ICU nurses in Australia and New Zealand. A prospective, cross-sectional, online survey of ICU nurses in Australia and New Zealand was undertaken in May-June 2021, distributed through formal colleges, societies, and social media. Questions included demographics and three separate sections addressing bullying, sexual harassment, and discrimination. In 679 survey responses, the overall reported occurrences of bullying, discrimination, and sexual harassment in the last 12 months were 57.1%, 32.6%, and 1.9%, respectively. Perpetrators of bullying were predominantly nurses (59.6%, with 57.9% being ICU nurses) perpetrators of discrimination were nurses (51.7%, with 49.3% being ICU nurses) and perpetrators of sexual harassment were patients (34.6%). Respondents most commonly (66%) did not report these behaviours as they did not feel confident that the issue would be resolved or addressed. Determining the true extent of bullying, discrimination, and sexual harassment behaviours within the ICU nursing community in Australia and New Zealand is difficult however, it is clear a problem exists. These behaviours require recognition, reporting, and an effective resolution, rather than normalisation within healthcare professions and workplace settings in order to support and retain ICU nursing staff.
Location: Australia
Start Date: 2020
End Date: 2021
Funder: Health Research Council of New Zealand
View Funded ActivityStart Date: 2020
End Date: 2023
Funder: Health Research Council of New Zealand
View Funded ActivityStart Date: 2020
End Date: 2022
Funder: Health Research Council of New Zealand
View Funded Activity