March 2024

Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review

2024-09-09T13:56:14+10:00

Background: There is increasing recognition of the importance of the preconception period for addressing reproductive and intergenerational health inequities and supporting improved maternal and child health outcomes. This study aimed to understand the extent and type of evidence that exists in relation to preconception health for Indigenous peoples living in high-income countries with similar experiences of colonisation, namely, Australia, New Zealand, Canada, and the United States. Methods: This review was conducted as per the JBI methodology and PRISMA Extension for Scoping Reviews. A comprehensive search of PubMed, CINAHL [EBSCO], Ovid Embase, Scopus, and the Wiley Cochrane Library was conducted using [...]

Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review2024-09-09T13:56:14+10:00

Incidence of Stroke in Indigenous Populations of Countries with a Very High Human Development Index—A Systematic Review.

2024-07-09T08:59:38+10:00

Background and Objectives Cardiovascular disease contributes significantly to disease burden among many Indigenous populations. However, data on stroke incidence in Indigenous populations are sparse. We aimed to investigate what is known of stroke incidence in Indigenous populations of countries with a very high Human Development Index (HDI), locating the research in the broader context of Indigenous health. Methods We identified population-based stroke incidence studies published between 1990 and 2022 among Indigenous adult populations of developed countries using PubMed, Embase, and Global Health databases, without language restriction. We excluded non–peer-reviewed sources, studies with fewer than 10 Indigenous people, or not covering [...]

Incidence of Stroke in Indigenous Populations of Countries with a Very High Human Development Index—A Systematic Review.2024-07-09T08:59:38+10:00

Positive change in intent to practice rurally is strongly associated with nursing and allied health students of metropolitan origin after rural clinical placement

2024-04-29T10:27:51+10:00

Abstract Objective To: (1) assess whether rural clinical placements influence change in intention to practice rurally for nursing and allied health students, (2) to assess whether residential origin (metropolitan or rural) or university location (metropolitan or non-metropolitan) influence this change, and (3) assess residential origin of health professionals practicing rurally after graduation. Design Cross-sectional survey (2014-2022) conducted in Northern/Northeastern Victoria and Grampians region by nursing and allied health students completing rural clinical placements. Survey explored student placement satisfaction, intention to practice rurally and demographic information, with a follow-up two years’ post-placement. Findings Experience of a rural placement increased students’ intention [...]

Positive change in intent to practice rurally is strongly associated with nursing and allied health students of metropolitan origin after rural clinical placement2024-04-29T10:27:51+10:00

The Influence of Connection on Early Career Nurses’ Rural Experiences: A Descriptive Phenomenological Study

2024-04-07T11:34:26+10:00

Introduction. Rural nursing careers offer a multitude of benefits for individuals. Despite this, there continues to be a growing deficit in the number of nurses choosing to practice in rural areas. As the first 12–18 months of a nursing career are fundamental in shaping career location decisions, it is important to explore factors that influence early career nurses’ employment decisions. Methods. A phenomenological study was undertaken to explore early career nurses’ experiences during their first year of rural practice and describe how the nurses’ experiences influenced their decision to remain in rural employment. Data were collected via semistructured interviews and underwent inductive [...]

The Influence of Connection on Early Career Nurses’ Rural Experiences: A Descriptive Phenomenological Study2024-04-07T11:34:26+10:00

University staff perspectives on determinants of high-quality health professions student placements in regional, rural and remote Australia: protocol for a mixed-method study.

2024-04-07T15:39:18+10:00

Introduction In rural areas, work-integrated learning in the form of health student placements has several potential benefits, including contributing to student learning, enhancing rural health service capacity and attracting future rural health workforce. Understanding what constitutes a high-quality rural placement experience is important for enhancing these outcomes. There is no current standardised definition of quality in the context of rural health placements, nor is there understanding of how this can be achieved across different rural contexts. This study is guided by one broad research question: what do university staff believe are the determina

University staff perspectives on determinants of high-quality health professions student placements in regional, rural and remote Australia: protocol for a mixed-method study.2024-04-07T15:39:18+10:00

Australian rural service learning student placements: A national survey

2024-04-29T10:29:05+10:00

Abstract This preliminary national study is the first of its kind to investigate how service learning placements are implemented in real world settings in rural Australia and what factors enable or hinder their implementation. An anonymous survey was distributed to 17 University Departments of Rural Health (UDRH) in Australia. Numerical data were analysed descriptively. Textual data were analysed using a hybrid content analysis approach. Thirty seven respondents provided data representing 12 UDRHs. Responding UDRHs reported facilitating service learning programs, with experience in this context ranging from 3 months to 21 years. Service learning placements predominantly occurred in schools and aged [...]

Australian rural service learning student placements: A national survey2024-04-29T10:29:05+10:00

February 2024

Barriers and enablers of dementia training in healthcare workers in rural and remote Australia: A scoping review to inform future approaches to training

2024-07-09T08:58:14+10:00

Introduction Dementia is now responsible for the greatest burden of disease of any chronic illness in older Australians. Rural and remote communities bear the impacts of this disproportionately. Additional training and education for healthcare staff to support people living with dementia is needed. Objective The objective of this scoping review was to map and synthesise the evidence related to barriers and enablers of accessing dementia training for Australian healthcare workers located in rural and remote areas. Design This scoping review systematically searched multiple databases in January 2023 for peer-reviewed literature on the topic. Reviewers used Covidence to screen titles and [...]

Barriers and enablers of dementia training in healthcare workers in rural and remote Australia: A scoping review to inform future approaches to training2024-07-09T08:58:14+10:00

Study supports for rural mature-aged university health students: a Stakian multicase study

2024-04-29T10:32:34+10:00

Abstract Background The participation and success of university health students in rural areas is critical in addressing the maldistribution of the rural health workforces internationally. Particular attention to the experiences of mature-aged health students is needed to build a sustainable rural health workforce, given the higher proportions of mature-aged university students in rural, regional and remote areas compared with metropolitan areas and rural mature-aged students wanting to stay in their communities. However, little is known about the kinds of supports rural mature-aged students require to succeed with their studies. Methods Drawing on rural standpoint theory and using structural inequality as [...]

Study supports for rural mature-aged university health students: a Stakian multicase study2024-04-29T10:32:34+10:00

Incidence of Stroke in Indigenous Populations of Countries With a Very High Human Development Index: A Systematic Review

2024-04-07T19:09:25+10:00

Background and objectives: Cardiovascular disease contributes significantly to disease burden among many Indigenous populations. However, data on stroke incidence in Indigenous populations are sparse. We aimed to investigate what is known of stroke incidence in Indigenous populations of countries with a very high Human Development Index (HDI), locating the research in the broader context of Indigenous health. Methods: We identified population-based stroke incidence studies published between 1990 and 2022 among Indigenous adult populations of developed countries using PubMed, Embase, and Global Health databases, without language restriction. We excluded non-peer-reviewed sources, studies with fewer than 10 Indigenous people, or not covering a 35- [...]

Incidence of Stroke in Indigenous Populations of Countries With a Very High Human Development Index: A Systematic Review2024-04-07T19:09:25+10:00

Acute coronary syndrome pathway use and differences in intervention times in rural hospitals: A retrospective cohort analysis

2024-04-07T19:12:31+10:00

Background The potential that clinical pathways support reduced time-to-intervention is of heightened importance in emergency department (ED) presentations with life-threatening conditions, such as acute coronary syndrome (ACS). There is limited contemporary evidence regarding ACS Pathway use in a hybrid documentation system or across rural facilities with varying ED capacities. This study examined ACS Pathway use and the associated time-to-interventions in one rural health district to assess this potential. Methods Data from 202 ED self-presentations that received an acute myocardial infarction (AMI) diagnosis in one Australian rural health district were reviewed. The outcomes were documented ACS Pathway use and four binary time-to-intervention outcomes: [...]

Acute coronary syndrome pathway use and differences in intervention times in rural hospitals: A retrospective cohort analysis2024-04-07T19:12:31+10:00
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