ORCID Profile
0000-0003-1267-1031
Current Organisations
The University of Newcastle
,
Royal Adelaide Hospital
,
University of Adelaide
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Publisher: Informa UK Limited
Date: 08-2012
DOI: 10.5172/CONU.2012.42.1.107
Abstract: This paper reports on an evaluation of an educational initiative that seeks to improve the diabetes health outcomes of a vulnerable group, Indigenous Australians residing in remote and rural New South Wales. In this context seven Aboriginal Health Workers (AHWs) and ten registered nurses (RNs) undertook an accredited Australian Diabetes Educators Association (ADEA) course. The aims of this study were to identify the beliefs, attitudes and experiences of this group concerning specialist diabetes training, strategies already used by managers and those that could be used to help consolidate the diabetes expertise of AHWs and RNs. The findings indicate specialist diabetes training and constructive support is required if AHWs and RNs are to develop from a novice to an expert. We concluded that the ADEA diabetes course is highly relevant to the needs of Indigenous Australians and that constructive support from managers and the university is most important in the development of diabetes expertise.
Publisher: Wiley
Date: 11-06-2014
DOI: 10.1111/NIN.12073
Abstract: Approaches to self‐management traditionally focus upon in idual capacity to make behavioural change. In this paper, we use Bourdieu's concepts of habitus and capital to demonstrate the impact of structural inequalities upon chronic illness self‐management through exploring findings from 28 semi‐structured interviews conducted with people from a lower socioeconomic region of Adelaide, South Australia who have type 2 diabetes. The data suggests that access to capital is a significant barrier to type 2 diabetes self‐management. While many participants described having sufficient cultural capital to access and assess health information, they often lacked economic capital and social capital in the form of support networks who promote health. Participants were often involved in social networks in which activities which are contrary to self‐management have symbolic value. As a consequence, they entered relationships with health professionals at a disadvantage. We conclude that structural barriers to self‐management arising from habitus resulting in the performance of health behaviours rooted in cultural and class background and limited access to capital in the form of economic resources, social networks, health knowledge and prestige may have a negative impact on capacity for type 2 diabetes self‐management.
Publisher: Cambridge University Press (CUP)
Date: 06-2010
DOI: 10.1017/S1049023X00008153
Abstract: World Youth Day (WYD) and its associated activities were held in Sydney, Australia from 15–20 July 2008. The aims of this research were to pilot the use of postcards at mass gatherings and to collect baseline data of how young people (age 16–25 years) identify factors that may affect their health and safety when attending mass gatherings. The concerns of young people in relation to their health and safety at mass gatherings are poorly understood. It was decided that postcards would be an effective method of data collection in the mobile mass gathering environment. The research setting was the Pilgrim Walk at WYD. Participants on this walk were young people. To measure their health and safety concerns, a postcard was developed using a Likert scale to rank their attitudes on a continuum. Young people stated that staying hydrated, having enough to eat, and being safe in a crowd were important to them. They also indicated that they perceived, overcrowding, getting to and from an event, and violent behavior as the greatest risks to their health and safety at a mass gathering. The problems with postcard distribution at a “mobile” mass gathering have been identified. Even so, results gathered showed that young people were focused on “in the moment” aspects of their health such as access to food and water. They also had concerns for their safety due to potential overcrowding and/or violent behavior.
Publisher: Wiley
Date: 12-2013
DOI: 10.1111/AJR.12062
Abstract: Type 2 diabetes mellitus is an established health problem for Indigenous Australians. One strategy to address this issue is to educate health professionals in diabetes management and education. The objective of this paper is to identify important issues that compromise the clinical practice of rural and remote Aboriginal health workers (AHWs) and registered nurses (RNs) who undertook an accredited Australian Diabetes Educators Association diabetes course and to suggest strategies to improve practice. The design used a qualitative approach and discussion schedule to elicit responses. The setting involved two Aboriginal community controlled and seven mainstream health services in the Far Western region of New South Wales. The participants were experienced diabetes educators (RNs and AHWs), managers and students currently enrolled in the course (n = 17). The results indicated issues that compromise diabetes practice and identified strategies to improve practice. Issues were: the confusing funding practices by health providers, the duplication of health services, the lack of recognition of diabetes qualifications and the transient nature of Indigenous people. Strategies included the need for: continuous dedicated diabetes health funding, a role clarification for diabetes educators, strategic diabetes planning and the importance of diabetes educators working in partnership. The conclusion from this study indicates that if the delivery of diabetes health services to Indigenous Australians is to improve it is necessary to address these identified issues.
Publisher: Cambridge University Press (CUP)
Date: 02-2012
DOI: 10.1017/S1049023X11006765
Abstract: Introduction: Celebrating the end of secondary schooling (“Schoolies Festival”) is an established part of the school culture in Australia, with thousands of young students converging at beachside locations to celebrate this rite of passage. The aim of this study was to identify what young people believe is important to remain safe and healthy at this mass-gathering event. Methods: This study was conducted using postcard surveys requesting demographic data and responses to the questions: (1) What do you think is important to stay safe and healthy at this event? (2) What do you think is risky attending this event? (3) Which of these is most likely to affect you at this event? and (4) Where would you seek medical support? The surveys were distributed to attendees of a “Schoolies Festival” in Adelaide, Australia in 2008. Results: One hundred sixty-five of the 300 postcards were returned completed. The average age of the respondents was 17.7 years. “Not using drugs” was considered important to staying safe and healthy by 120 (73%) of respondents “drinking alcohol responsibly” was considered important by 89 (54%) and “violent behavior” and “exposure to illicit drugs” were identified as important risks by 135 (82%) and 98 (59%) of participants, respectively. Only 35 (21%) of respondents indicated that they would seek on-site health care if needed. Conclusion: Young people attending mass-gathering celebrations have valid concerns about drinking responsibly, exposure to illicit drugs, and sexual harassment. Health messages or health promotion strategies aimed at their specific concerns would be helpful in the mitigation of illness or injury at such events.
Publisher: Oxford University Press (OUP)
Date: 2023
DOI: 10.1093/RAP/RKAD068
Abstract: People with rheumatic diseases are frequent, long-term attenders of healthcare services. Their care experiences are central to improving services. This study aimed to explore real-world experiences and priorities of people attending outpatient rheumatology care, and those of healthcare professionals (HCPs) providing care. This qualitative study comprised five semi-structured focus groups. Participants included rheumatology outpatients (n = 16) of two tertiary teaching hospitals, and healthcare professionals (n = 14) (rheumatologists, rheumatology trainees, physiotherapists, specialty nurse, pharmacist). Participants explored priorities when attending outpatient services, real experiences, and aspirations for improving future care. Transcripts were coded using inductive and deductive thematic analysis. Seven key themes were identified: smooth flow of technical processes, care coordination, in idualised care, information sharing, clinical excellence, patient empowerment and comprehensive care. The findings were conceptually aligned with quality standards in Australia and worldwide. Different sub-themes and prioritisation of concerns emerged from patient and HCP subgroups. Highly prioritised themes for patients pertained to processes and technical aspects of care. HCPs focused on themes relating to non-technical aspects of service provision: information sharing, in idualisation of care, patient advocacy and empowerment. This study captured valuable insights into the current experience of outpatient rheumatology care from the perspective of patients and healthcare professionals. It informs a collective understanding of differing and shared priorities, positives of current care, and areas requiring change. Themes derived from this study data can be conceptualised in terms of the process, content and impact of care. Such domains can be measured longitudinally by routine implementation of validated PREMs in rheumatology.
Publisher: Informa UK Limited
Date: 02-2012
DOI: 10.5172/CONU.2012.40.2.179
Abstract: To review research evidence on the adults with type 1 diabetes mellitus (T1DM)'s ability to continue self management in the hospital setting. A person with T1DM requires a daily management routine to control glycaemia levels known as self management. On admission to hospital anecdotal evidence suggests people with T1DM are managed by health professionals and self management is difficult. A review of the literature is required to explore the anecdotal evidence. A literature review of available primary peer-reviewed research on self management of T1DM in hospital. A systematic search of the literature published between 1998 and 2008 was undertaken to identify research available on self management of T1DM in hospital. The mixed methods review was conducted using critique tools for randomised control trials, qualitative and quantitative studies. Four main themes were identified Glycaemic control, development of self management, the expert patient and T1DM management in hospital. Sixteen related publications were identified. In the context of their daily life adults with T1DM perceive their ability to self manage as important and view themselves as 'experts' in their self management. However, there is a recognised conflict about T1DM management between the 'expert' and health professional. Furthermore, management of T1DM by health professionals in the hospital setting has been identified as having a biomedical focus and being poorly managed. People with T1DM have knowledge and skills to self manage. Whilst there is support for adults to actively self manage their illness to maintain glycaemic control, there is no support in the literature regarding a continuation of self management in the hospital setting.
Publisher: Elsevier BV
Date: 06-2022
Publisher: Elsevier BV
Date: 03-2013
DOI: 10.1016/J.NEDT.2012.05.026
Abstract: This study investigates the influences on nursing student learning who live and learn in the same rural environment. A declining health workforce has been identified both globally and in Australia, the effects of which have become significantly apparent in the rural nursing sector. In support of rural educational programs the literature portrays rural clinical practice experiences as significant to student learning. However, there is little available research on what influences learning for the nursing student who studies in their own rural community. The aim of this study was to understand what influences student learning in the rural clinical environment. Through a multiple case study design five nursing students and two clinical preceptors from a rural clinical venue were interviewed. The interviews were transcribed and thematically analysed to identify factors that influenced student learning outcomes. The most significant influence on nursing student learning in the rural clinical environment was found to include the environment itself, the complex relationships unique to living and studying in a rural community along with the capacity to link theory to practice. The rural environment influences those in it, the demands placed on them, the relationships they form, the ability to promote learning and the time to teach and learn.
Publisher: Australian College of Perioperative Nurses
Date: 04-09-2020
Publisher: Elsevier BV
Date: 12-2010
DOI: 10.1016/J.COLEGN.2010.09.005
Abstract: During the summer months in Australia, school leavers celebrate their end of school life at schoolies festivals around the nation. These events are typically described as a mass gathering as they are an organised event taking place within a defined space, attended by a large number of people. A project was undertaken to analyse the usefulness of Arbon's (2004) conceptual model of mass gatherings in order to develop a process to better understand the Adelaide Schoolies Festival. Arbon's conceptual framework describes the inter-relationship between the psychosocial, environmental and bio-medical domains of a mass gathering. Each domain has set characteristics which help to understand the impact on the mass gathering event. The characteristics within three domains were collected using field work and bio-medical data to examine the relationship between injury and illness rates. Using the conceptual framework to evaluate this schoolies event helped create an understanding of the physiology, environment and behaviour contributing to patient presentations. Results showed that the schoolies crowd was active and energetic, and the main crowd behaviour observed was dancing and socialising with friends. The environmental domain was characterised by a grassy outdoor venue that was bounded and dry. Due to the overall health of the crowd, activities undertaken and the supportive environment, the majority of injuries to schoolies were minor (68%). However, twenty-four percent of schoolies who presented with alcohol related illness were found to have consumed alcohol at risky levels half of this cohort was transported to hospital. The conceptual framework successfully guided a higher level of examination of the mass gathering event. In particular, the framework facilitated a greater understanding of the inter-relationships of the various characteristics of a mass gathering event, in this case the Adelaide Schoolies Festival.
No related grants have been discovered for Rebecca Munt.