ORCID Profile
0000-0002-2811-2720
Current Organisation
James Cook University
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Publisher: Cognizant, LLC
Date: 12-12-2016
Abstract: Beaches are important tourist attractions in many countries. To plan and manage coastal zones, authorities require knowledge about beach visitations. However, current procedures lack accuracy and coverage. To address this, a method to estimate the total beach visitor population was tested for a selected coastal strip over a specified time period, based on directly observed daily visitor counts. Visitor count data were then used to model readily observable weather and location factors predicting daily beach visitations at the peak-use period. Further application of the novel method will inform authorities with crucial and pertinent data to manage natural coastal visitor attractions.
Publisher: Elsevier BV
Date: 07-2022
DOI: 10.1016/J.AUCC.2021.06.006
Abstract: Patient death in critical care is not uncommon. Rather, the provision of end-of-life care is a core feature of critical care nursing, yet not all nurses feel adequately prepared for their role in the provision of end-of-life care. For this reason, the Australian College of Critical Care Nurses (ACCCN) supported the development of a Position Statement to provide nurses with clear practice recommendations to guide the provision of end-of-life care, which reflect the most relevant evidence and information associated with end-of-life care for adult patients in Australian critical care settings. A systematic literature search was conducted between June and July, 2020 in CINAHL Complete, Medline, and EMBASE databases to locate research evidence related to key elements of end-of-life care in critical care. Preference was given to the most recent Australian or Australasian research evidence, where available. Once the practice recommendations were drafted in accordance with the research evidence, a clinical expert review panel was established. The panel comprised clinically active ACCCN members with at least 12 months of clinical experience. The clinical expert review panel participated in an eDelphi process to provide face validity for practice recommendations and a subsequent online meeting to suggest additional refinements and ensure the final practice recommendations were meaningful and practical for critical care nursing practice in Australia. ACCCN Board members also provided independent review of the Position Statement. This Position Statement is intended to provide practical guidance to critical care nurses in the provision of adult end-of-life care in Australian critical care settings.
Publisher: Informa UK Limited
Date: 2002
Publisher: Figshare
Date: 2015
Publisher: Elsevier BV
Date: 04-2021
Publisher: Springer Singapore
Date: 2021
Publisher: Informa UK Limited
Date: 2002
Publisher: Figshare
Date: 2017
Publisher: Elsevier
Date: 2006
Publisher: BMJ
Date: 03-2020
DOI: 10.1136/BMJSEM-2019-000670
Abstract: The aim was to identify and describe outcomes from original published studies that present the number, nature, mechanism and severity of medically treated injuries sustained in community-level cricket. Systematic review. Nine databases were systematically searched to December 2019 using terms “cricket*” and “injur*”. Original, peer-reviewed studies reporting injury for at least one injury descriptor (body region, nature of injury and/or mechanism of injury) in community-level cricketers of all ages were included. Qualitative synthesis, critical appraisal and descriptive summary results are reported within the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Six studies were included: five reported hospital-treated data and one reported insurance claims data. Two had a low risk of bias. In hospital-based studies, fractures were the most frequent injury type. Upper and lower limb injuries (age ≥15 years) and injuries to the head (age years) were the most common body region injured. Being struck by the ball was the most common mechanism for injury presenting to hospitals. Children were also commonly struck by equipment. One study using insurance claims data reported soft tissue injuries as the main of injury type. Hospital treatment data were most prominent, which emphasised injuries of a more serious nature or requiring acute care. These injuries were primarily fractures, dislocation/sprain and strains, bruising and open wounds with the majority resulting from players being struck by the ball. Research into whether properly fitted protective equipment, at an approved standard, is worn and is effective, is recommended.
Publisher: Elsevier BV
Date: 07-2009
DOI: 10.1016/J.JSAMS.2008.04.003
Abstract: Because not all persons bathe at surf beaches, drowning rates based on resident population are likely to be underreported. To facilitate more precise drowning risk exposure data, this study aimed to develop a reliable direct observation measure of frequency and duration for surf beach bather exposure to water, by gender and age group. Bathers were defined as persons entering the water to wade, swim or surf with equipment. Observed bathers were systematically selected entering the water in daylight hours at six patrolled or unpatrolled beaches over 10 days. Variables measured were: weather and water conditions, water entries, duration of water exposure, water exposure location and person factors. The dataset comprised 204 (69.6%) males and 89 (30.4%) females, with males more likely to be in an older age group (p<0.05). Compared to females, males spent longer in the water, were more likely to use surfing equipment, and mainly used a surf zone located farther from the shore in deeper water (p<0.05). Two factors were significant predictors of bathing duration (adjusted R(2)=0.45): main surf zone occupied (based on water depth and distance from shore) and surf equipment used. The study provides new information about water exposure for bathers at surf beaches and new methods for measuring exposure to drowning risk. The findings suggest that overrepresentation of adolescent and adult males in surf beach drowning statistics is in part a product of greater total exposure to the water plus more frequent exposure to deeper water and bathing farther from shore.
Publisher: Figshare
Date: 2017
Publisher: Informa UK Limited
Date: 10-2000
Publisher: Figshare
Date: 2019
Publisher: Informa UK Limited
Date: 2001
Publisher: Wiley
Date: 27-04-2017
Publisher: Cognizant, LLC
Date: 2005
Publisher: Informa UK Limited
Date: 2000
Publisher: Springer Science and Business Media LLC
Date: 09-04-2019
Publisher: Routledge
Date: 11-08-2006
Publisher: Informa UK Limited
Date: 2000
Publisher: Informa UK Limited
Date: 24-04-2014
DOI: 10.1080/17457300.2014.908226
Abstract: Drowning risk factors may be identified by comparing drowning incidence rates for comparable at-risk populations but precise methods are lacking. To address this knowledge gap, an ecological study extrapolated crude time-duration exposure to water for a specified at-risk s le of surf bathers to estimate the bather population for all wave-dominated beaches in Victoria, Australia, over a four-year summer season period. An incidence rate was calculated using surf bather drowning deaths frequencies matched for time and location. For the s le, 47,341 hours of surf bathing were estimated from 177,528 bathing episodes. Generalising these results to Victoria, the crude drowning deaths incidence rate in the summer season was 0.41 per 1,000,000 person-hours of surf bathing (95% CI 0.37-0.45). Further application of the method, particularly in open water settings, may be used to identify candidate drowning risk factors to advance drowning prevention strategies.
Publisher: Springer International Publishing
Date: 05-12-2017
Publisher: Informa UK Limited
Date: 2001
Publisher: Figshare
Date: 2017
Publisher: Emerald
Date: 06-04-2023
DOI: 10.1108/JOCM-08-2022-0241
Abstract: A slew of conventional change models and theories appear in the extant change literature. Despite being theoretically sound, these a priori structured approaches to organizational change management have questionable application given the rapidly changing business environments. Novel approaches, offering greater flexibility to fast changing external conditions, may offer superior models to organizational change and organizational transformation (OT) in particular. In this paper, the application of a complex adaptive system (CAS) framework, from complexity theory (CT), for managing OT is assessed theoretically. A conceptual paper. A review of the extant change literature suggests that current approaches and models for organizational change are limited in their ability to reflect OT responses to today's highly dynamic external environments. New models are required to inform and guide organizations. A new model, i.e. CAS framework, is deemed suitable to guide the OT implementation. This paper critically analyses different approaches to change management, consolidates CAS framework, reviews its applications in the field of management and presents a case for CAS's application for the management of OT.
Publisher: Unpublished
Date: 2016
Publisher: Informa UK Limited
Date: 14-09-2002
Publisher: Elsevier BV
Date: 11-2020
Publisher: Wiley
Date: 08-03-2021
Publisher: BMJ
Date: 06-2019
DOI: 10.1136/BMJSEM-2019-000536
Abstract: There is a growing focus on ensuring the availability of automated external defibrillators (AED) in sport settings to assist in preventing sudden cardiac death. For the AED to be most effective, understanding how best to integrate it with wider risk management and emergency action plans (EAP) is needed. The aim of this survey was to identify sports club/facility member knowledge of AED use and club EAPs, 6 months following participation in a government-funded AED provision and cardiopulmonary resuscitation training programme. Cross-sectional survey of community sports clubs and facilities in Victoria, Australia. Included participants were members of sports club/facilities that had been provided with an AED and basic first aid training as part of a government programme to increase access to, and awareness of, AEDs. A descriptive analysis of availability of EAPs and AEDs, together with practical scenarios on AED use and maintenance, is presented. From 191 respondents, more than half (56%) had no previous training in AED use. Knowledge on availability of an EAP at the club/facility was varied: 53% said yes and knew where it was located, while 41% did not have, or did not know if they had, an EAP. Responses to clinical scenarios for use of AED were mostly accurate, with the exception of being unsure how to respond when ‘a participant falls to the ground and is making shaking movements.’ While there were positive outcomes from this programme, such as half of the respondents being newly trained in emergency first aid response, further improvements are required to assist members with embedding their AED into their club/facility EAP and practices.
Publisher: MDPI AG
Date: 17-12-2021
DOI: 10.3390/APP112412047
Abstract: The study assessed the utility of risk analysis for advancing knowledge on drowning risk factors. The setting was unintentional drowning of surf bathers in Australia. Bathers reported earlier exposure to selected risk factors (swimming ability, wave height associated with rip currents and surf bathing experience) and were observed for water exposure (in minutes). These data were then assembled in mathematical models. The analysis forecast relative drowning risk pertaining to risk markers representing selected surf bather subgroups (gender, age and water activity). Contextualized through previous study findings, comparison of results with a gold standard obtained from mortality data generated new surf bather drowning hypotheses suitable for future testing by rigorous analytical epidemiologic designs. The hypotheses were: (1) The male to female comparative surf bather drowning rate is explained primarily by differences in crude water exposure (2) the association of cardio-vascular medical conditions with surf bather drowning is stronger for older surf bathers compared to younger surf bathers and (3) other risk contributors to surf bather drowning are: Poorly calibrated perception of bathing ability (overconfidence) and use of alcohol. Nonetheless, drowning rates appear generally consistent with time exposure to water. The study findings may also support drowning prevention strategies targeting risk marker subgroups.
Publisher: Elsevier BV
Date: 09-2013
DOI: 10.1016/J.WEM.2013.02.001
Abstract: This study assessed the utility of lifeguard rescue data for providing information on person and situation factors to inform surf bather drowning prevention research. The dataset comprised 872 beach-days (daily lifeguard reports) obtained from 26 beaches over a 95-day period in Victoria, Australia. The rescue rate was 128 per 100,000 in-water bathers. One or more rescues were required on 125 beach-days (14%). Rescue on a beach-day was more likely for offshore wind conditions, relatively high daily air temperatures, and high bather numbers (P < .05). Compared to female bathers, males were more frequently rescued (65%) and more likely (P < .05) to be from a younger age group (30 years or less), although being older was associated with a relatively poorer condition on rescue. Although rescues are proportional to water exposure, frequencies are also influenced by situation and person factors. Bathers at relatively high risk of rescue are hypothesized to be overrepresented in amenable sea and weather conditions, and poor patient condition on rescue may be associated with exposure to a preexisting health condition.
Publisher: Informa UK Limited
Date: 12-05-2016
Publisher: Springer Nature Singapore
Date: 30-11-2019
Publisher: Springer International Publishing
Date: 2014
Publisher: Figshare
Date: 2017
Publisher: Elsevier BV
Date: 04-2009
DOI: 10.1111/J.1753-6405.2009.00367.X
Abstract: To document patterns of water exposure at surf beaches by gender and identify factors that predict bather confidence to return to shore if caught in a rip current. Recreational surf beach bathers (N=406) provided self-completed data on water exposure patterns, surf activity behaviours and potential drowning risk and protective factors. Relative to females, males visited surf beaches more frequently, expected to spend longer in the water and in deeper water, and more often bathed after using alcohol (p<0.05). Confidence to return to shore if caught in a rip current was predicted by confidence to identify a rip current, self-rated swimming ability, gender, times visited any beach, and age in a standard linear regression model (adjusted R(2)=0.68). The study supports explanations that high male drowning rates result from more frequent exposure to water than females at high situational risk levels. Controlled studies are required to determine the role in drowning of overconfidence, swimming ability, surf experience, floatation devices and response to sea conditions.
Publisher: Figshare
Date: 2017
Publisher: Springer Singapore
Date: 2021
Publisher: Figshare
Date: 2017
Publisher: Figshare
Date: 2017
Publisher: Informa UK Limited
Date: 2005
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2019
Publisher: SAGE Publications
Date: 05-2016
Abstract: Entrepreneurs have been characterized according to recognizable types according to attendant concerns and motivations. Within the small business sector of ecotourism, entrepreneurs must balance competing goals pertaining to business objectives, lifestyle aspirations and, most importantly, sustainable environmental practices. This study reports how ecotourism eco-entrepreneurs perceive and manage these goals, consistent with concerns and motivations, based on semi-structured interviews of small business operators. The findings show that eco-entrepreneurs’ social and sustainable characteristics are critical to overcome financially challenging and complex operating environments whilst also delivering a desired lifestyle. As a business strategy, eco-entrepreneurs were found to deliberately maintain small, low-impact ecotourism operations consistent with identified eco-values. Looking forward, eco-entrepreneurs forecast imminent threats to the ecotourism sector through uncontrolled development and mass-tourism business access to sensitive natural areas. If unresolved, this process will replace eco-entrepreneurs in small ecotourism operators with traditional profit-oriented entrepreneurs delivering undifferentiated and high-impact nature-based tourism experiences.
Publisher: Cold Spring Harbor Laboratory
Date: 10-01-2019
DOI: 10.1101/517300
Abstract: Robust epidemiological studies identifying determinants of negative health outcomes require significant research effort. Expert judgement is proposed as an efficient alternative or preliminary research design for risk factor identification associated with unintentional injury. This proposition was tested in a multi-factorial balanced experimental design using specialist judges (N=18), lifeguards and surfers, to assess the risk contribution to drowning for swimming ability, surf bathing experience, and wave height. All factors provided unique contributions to drowning risk ( p .001). An interaction ( p =.02) indicated that occasional surf bathers face a proportionally increased risk of drowning at increased wave heights relative to experienced surf bathers. Although findings were limited by strict criteria, and no gold standard comparison data were available, the study provides new evidence on causal risk factors for a drowning scenario. Countermeasures based on these factors are proposed. Further application of the method may assist in developing new interventions to reduce unintentional injury.
Publisher: Figshare
Date: 2017
Publisher: Elsevier BV
Date: 11-2013
Publisher: Wiley
Date: 23-02-2022
DOI: 10.1002/HPJA.583
Abstract: Participants engaged in rock fishing are at risk of drowning. Following coronial investigation of fatalities, a 3‐year safety c aign targeting rock fishers was developed in Victoria, Australia. Key c aign messages were wearing lifejackets, not fishing alone, and checking sea and weather conditions. The reported study provides results from a c aign evaluation. Evaluation by self‐report and direct observation of safety attitudes and behaviours was undertaken pre‐ and during c aign. Data collections were as follows: (a) online survey of rock fishers recruited from panels, social media and rock fishing networks (n = 350) and (b) rock fisher direct observation and self‐report at selected Victorian rock fishing platforms (n = 282 n = 58, respectively). Safety message recall was reported by 51.7% of rock fishers surveyed online though far fewer recalled c aign key messages. No effect on key safety behaviours or attitudes were detected for fishers on platforms during c aign. Never wearing a lifejacket was reported by 31.8% online, 60.3% at platforms and observed for 97.4%. From direct observation, most participants did not fish alone and checked conditions on arrival. C aign evaluation measures showed mixed outcomes. Irrespective, most rock fishers carry high drowning risk through failure to wear lifejackets. Legal mandating of lifejackets for identified high‐risk platform is being introduced for Victoria, although careful evaluation is required to detect unanticipated outcomes. Informing future c aign evaluation, complementary methods highlight likely bias in self‐reporting through faulty recall or social desirability. Future c aigns require innovative or novel design, over longer duration, to capture attention and change rock fisher behaviours.
Publisher: Figshare
Date: 2015
Publisher: BMJ
Date: 02-2008
Abstract: Retrospective data extraction from two complementary mortality datasets determined the descriptive epidemiology and population rates in unintentional drowning deaths at surf beaches (n = 129). The annual average crude surf beach drowning rate was 0.28 per 100 000 population for males and 2.36 per 100 000 population for international tourists. The study generated hypotheses for risk assessment to assist adult males, international tourists, people with cardiovascular conditions, and exposure to rip currents.
Publisher: Cognizant, LLC
Date: 09-2006
DOI: 10.3727/154427206779307321
Abstract: A clear understanding of the nature of risk in outdoor adventure tourism activities will assist the development of injury prevention strategies and so increase tourist safety. Using the ex le of surf beach drowning, a risk analysis process is outlined to identify the source and nature of hazards and related risks inherent to this setting. The process applies Haddon's Matrix to identify candidate risk factors related to either participants engaged in water-based activities or the surf beach environment. Causal risk factors are then distinguished using a risk balloon analogy. The final phase of the process assesses whether causal risk factors are modifiable for the purpose of developing injury prevention programs.
Publisher: BMJ
Date: 18-07-2011
Publisher: Informa UK Limited
Date: 2003
Publisher: Public Library of Science (PLoS)
Date: 24-10-2019
Location: Australia
No related grants have been discovered for Damian Morgan.