ORCID Profile
0000-0002-6004-5994
Current Organisation
University of Sydney
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Publisher: Coventry University, Lanchester Library
Date: 12-2017
Publisher: Oxford University Press (OUP)
Date: 10-2023
Publisher: Coventry University, Lanchester Library
Date: 28-11-2018
DOI: 10.18552/IJPBLHSC.V6I2.436
Abstract: Practice education is an integral component of occupational therapy curricula to ensure graduates are competent in delivering effective and efficient services to their clients. This study aimed to understand occupational therapy students’ perceptions of the impact of student-delivered services for clients aged over 65 years. A case study design directed at in-depth exploration of undergraduate occupational therapy student experiences of working with older adults was employed. Semi-structured interviews were conducted with eight final-year students at an Australian university during 2015. Data were analysed using thematic analysis. The key finding was that students generally believed they contributed positively to aspects of client-services during placements. Students reported on the development of competence during placement and the positive impact they had on services for older adults. The study highlighted the unique intergenerational relationship students had with older adults during their therapeutic encounters. However, very few participants recognised the importance and complexity of providing holistic services to older adults. Conclusion: There is potential to improve services for older adults by offering a greater number of placement opportunities involving students in direct client services. If occupational therapy students are better prepared, supported, and informed of the complexities associated with working with older adults, direct client-services rendered by students could potentially be enhanced. This will require ongoing collaboration between occupational therapy workforce, placement sites, and universities to align occupational therapy curricula with healthcare needs.
Publisher: BMJ
Date: 03-2022
DOI: 10.1136/BMJOPEN-2021-057184
Abstract: Initiation of advance care planning (ACP) and palliative care (PC) assessments in general practice is key to quality end-of-life care. The Advance Project promotes a team-based approach to initiating ACP and PC needs assessment in general practices through training, resources and practical support for implementation from local primary health networks (PHNs). This paper aims to understand: (1) general practice participants’ experiences of undertaking Advance Project training and implementing the Advance Project resources in their practices (2) barriers and facilitators to implementation of Advance Project resources and (3) PHN staff experiences of supporting general practices through training and practical support for implementation of the Advance Project resources. Qualitative study using semistructured interviews and thematic analysis. Twenty-one general practices and four PHNs from three Australian states were recruited between June 2019 and May 2020. General practitioners (GPs), general practice nurses, practice managers (PMs) and PHN staff. 45 participants comprising 13 GPs, 13 general practice nurses, 9 PMs, 3 allied health staff and 7 PHN staff were interviewed. The general practice participants generally agreed that the Advance Project training/resources led to changes in their own behaviour and increased their awareness of the importance of ACP/PC discussion with their patients. Participants reported the following benefits for patients: increased awareness of ACP engagement with families/carers and peace of mind. Key facilitators for successful implementation were a team-based approach, the role of the PHN, the role of practice ch ions, training facilitators’ ability to influence peers and facilitate change, and mentoring support. Barriers to implementation included issues related to workplace culture, cost, time/workload, patients and health system. Findings suggest that the Advance Project approach facilitated successful implementation of ACP and PC needs assessment into usual care in general practices that encouraged teamwork among GPs and general practice nurses. The ability of the practice to make the best use of practical support and guidance available to them through their local PHN both before and during implementation was a key factor in integration of Advance Project resources into routine practice.
Publisher: Coventry University, Lanchester Library
Date: 28-11-2018
DOI: 10.18552/IJPBLHSC.V6I2.493
Abstract: As placement numbers expand, there is a concern that the quality of student experience and learning may diminish. Furthermore, there is a paucity of evidence for evaluation and quality improvement in clinical health placements and there have been few studies undertaken to assess quality. Valid and reliable measures of placement quality are needed to provide an evidence-base to guide decisions about the most efficient and effective placement models in health. A two-phase mixed methods design, using a modified Delphi process, focus groups, and surveys, developed and tested items to measure placement quality. Thematic analysis, descriptive statistics, and exploratory factor analysis (EFA) were used to analyse the data. Twenty-three participants took part in the Phase 1 stakeholder focus groups, and 150 useable surveys were returned by 161 who took part in Phase 2 to test validity and reliability of the student survey items. Results show broad agreement on the features of a quality clinical placement across allied health dentistry, medicine, and pharmacy professions. The student survey was found to be a valid and reliable measure of placement quality, with the EFA showing one component accounting for 58.5% of the variance in the survey data. The findings offer a framework and approach that others can adopt to measure placement quality in their setting. The measures may be adaptable to contexts outside health.
Publisher: Hindawi Limited
Date: 06-09-2022
DOI: 10.1111/HSC.13984
Abstract: Access to high-quality and safe evidence-based palliative care (PC) is important to ensure good end-of-life care for older people in residential aged care homes (RACHs). However, many barriers to providing PC in RACHs are frequently cited. The Quality End-of-Life Care (QEoLC) Project was a multicomponent intervention that included training, evidence-based tools and tele-mentoring, aiming to equip healthcare professionals and careworkers in RACHs with knowledge, skills and confidence in providing PC to residents. This study aims to understand: (1) the experiences of healthcare professionals, careworkers, care managers, planners/implementers who participated in the implementation of the QEoLC Project and (2) the barriers and facilitators to the implementation. Staff from two RACHs in New South Wales, Australia were recruited between September to November 2021. Semi-structured interviews and thematic data analysis were used. Fifteen participants (seven health professionals [includes one nurse, two clinical educators, three workplace trainers, one clinical manager/nurse], three careworkers and five managers) were interviewed. Most RACH participants agreed that the QEoLC Project increased their awareness of PC and provided them with the skills/confidence to openly discuss death and dying. Participants perceived that the components of the QEoLC Project had the following benefits for residents: more appropriate use of medications, initiation of timely pain management and discussions with families regarding end-of-life care preferences. Key facilitators for implementation were the role of ch ions, the role of the steering committee, regular clinical meetings to discuss at-risk residents and mentoring. Implementation barriers included: high staff turnover, COVID-19 pandemic, time constraints, perceived absence of executive sponsorship, lack of practical support and systems-related barriers. The findings underline the need for strong leadership, supportive organisational culture and commitment to the implementation of processes for improving the quality of end-of-life care. Furthermore, the results highlight the need for codesigning the intervention with RACHs, provision of dedicated staff/resources to support implementation, and integration of project tools with existing systems for achieving effective implementation outcomes.
Location: Australia
No related grants have been discovered for Srivalli Vilapakkam Nagarajan.