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December 2023

Exclusions within Healthcare in a Regional Australian Setting: Voices of the Hardly Reached

2024-04-29T10:30:48+10:00

Abstract Health initiatives to improve inclusion of vulnerable people have tended to focus on a specific group with little evidence of improvement in health outcomes or attention to intersectionality. This study proposes that exclusion within health services can first be addressed through identification of common practices underpinning exclusion. A total of 119 seemingly hardly reached residents participated through individual interviews, small group interviews and focus group discussions. Undertaking a Derridean deconstruction analysis, the study identified three exclusionary practices commonly experienced by respondents when seeking healthcare in a regional setting. These are: i) language and communication, ii) assumptions and prejudice, and [...]

Exclusions within Healthcare in a Regional Australian Setting: Voices of the Hardly Reached2024-04-29T10:30:48+10:00

Lived experience narratives in health professional education: educators’ perspectives of a co-designed, online mental health education resource

2024-04-07T19:13:19+10:00

Introduction Meaningful involvement of people with lived experience is an invaluable approach to education that facilitates the development of knowledge, skills and attitudes for collaborative, compassionate and person-centred healthcare practice. The purpose of this evaluation was to gain health professional educators’ perspectives of an online learning resource that presents the lived experiences of people who have been consumers of the Australian mental health system. Methods A cross sectional study design was used to survey educators who had registered to use the online education resource. Data were collected using an online survey and follow-up interviews. Two lived experience researchers were involved [...]

Lived experience narratives in health professional education: educators’ perspectives of a co-designed, online mental health education resource2024-04-07T19:13:19+10:00

An underutilised resource: The evolving role of clinical nurses contributing to rural health research

2024-04-29T10:33:53+10:00

Abstract Aim We aim to discuss the advantages of supporting clinical nurses' involvement in place-based research in rural health services. Context Australian health services are currently struggling with increased demand in services from an aging population, chronic diseases and nursing workforce shortages. This impact is amplified in rural and remote regions of Australia. Approach Investment in place-based clinical nursing research provides opportunity for nursing recruitment, career and leadership development, and retention, while addressing local health issues and creating pathways for implementation of evidence-based practice. Conclusion Collaboration between rural health services, universities, policy makers and the Rural Health Multidisciplinary Training program [...]

An underutilised resource: The evolving role of clinical nurses contributing to rural health research2024-04-29T10:33:53+10:00

November 2023

Clinical yarning education: development and pilot evaluation of an education program to improve clinical communication in Aboriginal health care participant, and health manager perspectives.

2024-07-09T08:53:21+10:00

Background Effective communication between health care clinicians and Aboriginal patients is critical to delivering high quality, accessible, culturally secure health care. Despite this, ineffective communication is a well-documented barrier, and few studies have reported interventions to improve communication. Clinical Yarning is a patient centred communication framework for Aboriginal health care. Building on this framework, this study reports the development and evaluation of a Clinical Yarning education program. Methods A Clinical Yarning education program was developed, underpinned by the principles of cultural security and adult learning, informed by a behavioural skills approach. The program was delivered in five health/education settings in [...]

Clinical yarning education: development and pilot evaluation of an education program to improve clinical communication in Aboriginal health care participant, and health manager perspectives.2024-07-09T08:53:21+10:00

October 2023

Responsiveness of a rural Aboriginal community controlled health organisation: A qualitative study

2024-04-07T19:13:45+10:00

Introduction Responsiveness of health care systems is a global concept defined as the ability of systems to function in a manner that meets the expectations of individuals, and is under-studied. In Australia, Aboriginal Community Controlled Health Organisations (ACCHOs) are valued by Aboriginal and Torres Strait Islander Peoples for the provision of holistic culturally safe primary health care and are well positioned to be responsive to community needs. Objective To develop a conceptual framework examining the responsiveness of a rural ACCHO to the health care needs of Aboriginal and Torres Strait Islander Peoples in their service region. Design A qualitative interview [...]

Responsiveness of a rural Aboriginal community controlled health organisation: A qualitative study2024-04-07T19:13:45+10:00

A scoping review of the barriers and facilitators to accessing and utilising mental health services across regional, rural, and remote Australia

2024-04-07T19:14:10+10:00

Background Inadequate healthcare access and utilisation are implicated in the mental health burden experienced by those living in regional, rural, and remote Australia. Facilitators that better enable access and utilisation are also reported in the literature. To date, a synthesis on both the barriers and facilitators to accessing and utilising mental health services within the rural Australian context has not been undertaken. This scoping review aims to (1) synthesise the barriers and facilitators to accessing and utilising mental health services in regional, rural, and remote Australia, as identified using the Modified Monash Model; and (2) better understand the relationship between [...]

A scoping review of the barriers and facilitators to accessing and utilising mental health services across regional, rural, and remote Australia2024-04-07T19:14:10+10:00

Changing conversations about family violence in regional Western Australia: A primary prevention communication case study.

2024-07-09T08:47:45+10:00

Objective To illuminate the enablers and challenges of implementing a communication strategy designed to support Community, Respect, Equality (CRE) and a family and domestic violence (FDV) primary prevention plan in a regional Western Australian town. Method This research draws on documentation and interviews with members of Leading Lights, an advocacy group arising from a collaboration of local organisations to communicate the goals and priorities of the CRE action plan. Interviews explored how primary prevention messages were promoted to foster supportive community attitudes toward addressing the drivers of FDV. Results The initiative fostered a learning community that coordinated public messaging about the [...]

Changing conversations about family violence in regional Western Australia: A primary prevention communication case study.2024-07-09T08:47:45+10:00

September 2023

The distribution of registered occupational therapists, physiotherapists, and podiatrists in Australia

2024-04-07T19:14:50+10:00

Background In Australia, the distribution of occupational therapists, physiotherapists, and podiatrists density (per 10,000 population) by measure of location/rurality, usual resident population, and area-level socioeconomic status has not been described. Objective To describe the national as well as states-and territories-wide distribution of registered allied health workforce—occupational therapists, physiotherapists, and podiatrists—by measures of rurality and area-level socioeconomic position in Australia. Methods A linked data study that brings together (1) the location of health practitioners’ principal place of practice from the Australian Health Practitioner Regulation Agency, (2) a measure of location/rurality—Modified Monash Model (MMM), and (3) an area-level measure of socioeconomic status—Index [...]

The distribution of registered occupational therapists, physiotherapists, and podiatrists in Australia2024-04-07T19:14:50+10:00

Volunteering as prosocial behaviour by medical students following a flooding disaster and impacts on their mental health: A mixed-methods study.

2024-04-07T19:15:39+10:00

Background Volunteering is a form of prosocial behaviour that has a been recognised as having positive benefits for medical students. However, there is a lack of research on what influences students to volunteer during and after weather-related disasters. Our study (1) explores factors related to medical students' willingness and readiness to volunteer, and (2) describes mental health impacts of the flood events on students. Methods We conducted a mixed-methods study of medical students on rural clinical placements in a regional area of Australia, 2 to 6 weeks after two major flooding events in 2022. Data were collected through survey and focus [...]

Volunteering as prosocial behaviour by medical students following a flooding disaster and impacts on their mental health: A mixed-methods study.2024-04-07T19:15:39+10:00

August 2023

Evaluated nurse-led models of care implemented in regional, rural, and remote Australia: A scoping review

2024-04-07T19:16:05+10:00

Background Nurse-led models of care are important for populations residing in regional, rural, and remote settings, who experience barriers to accessing health care. A previous review examining a subset of research undertaken in the Australian context through the Rural Health Multidisciplinary Training program identified a paucity of literature around nurse-led models of care implemented in these settings. Given the maldistribution of the medical workforce in non-metropolitan settings, scoping the broader literature for evidence around nurse-led models of care in these settings is imperative for informing the future directions of the nursing workforce. Aim To identify available literature for evaluated nurse-led [...]

Evaluated nurse-led models of care implemented in regional, rural, and remote Australia: A scoping review2024-04-07T19:16:05+10:00
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