A historical review of the nurse practitioner role in Australia

Internationally, the nurse practitioner role has been shown to be cost-effective, safe, and instrumental in improving patient outcomes. The nurse practitioner role in Australia is in its infancy. Major stakeholders such as the nurses' boards and state departments of health throughout Australia were contacted to identify major policies and discussion papers. Database searches were conducted in CINAHL and EBSCOhost. Disparity between states exists in all facets of the nurse practitioner role, especially in definition of the role, scope of practice, educational qualifications, and specialized functions. Access to Medicare funding is unobtainable, resulting in inequity of access to health services for disadvantaged communities. The State Nurse Practitioner Taskforce Reports highlight the disparity between the role of nurse practitioner in each State of Australia and has led to fragmentation of the role at a national level. There is a need for consistency, which could be achieved if it were coordinated by a national nursing body with a voice in national health policy development and implementation

The interface of accounting and gender in specialist accounting history journals in the english language

This study focuses on the participation of women in the development of the specialist international accounting history literature. Specifically, based on data collected from the three specialist, internationally refereed, accounting history journals in the English language from the time of first publication in each case, the study provides evidence of the involvement of women through publication, through membership of editorial boards and editorial advisory boards and also through holding editor, associate editor and guest editor positions. In doing so, the study builds on the earlier work of Carnegie and Potter (2000) and extends an understanding of publishing patterns in the specialist international accounting history literature.

Problem of precision missile guidance: LQR and H‡ control frameworks

Addressed here is the precision missile guidance problem where the successful intercept criterion has been defined in terms of both minimizing the miss distance and controlling the missile body attitude with respect to the target at the terminal point. We show that the H∞ control theory, when suitably modified, provides an effective framework for the precision missile guidance problem. The existence of feedback controllers (guidance laws) is investigated for the case of finite horizon and non-zero initial conditions. Both state feedback and output feedback implementations are explored.

Employment relations : integrating industrial relations and human resource management

Incorporating Human Resource Management policies within the regulatory and institutional framework that governs contemporary industrial relations has always been problematic. This paper details the nature and causes of this problem, noting the different conceptual and practical understandings that underpin each form of labour management when being applied in organisational settings. It then looks at a range of industrial relations realities confronting managers when trying to apply HRM practices, and how these practices might be accommodated within the context of such realities as a means of improving organisational effectiveness. In so doing it delineates four approaches an organisation might take in its relations with trade unions when bargaining and concluding labour contracts, and which of these are consistent and inconsistent with the coexistence of HRM and industrial relations practices. It then looks at the issue of workplace change involving trade unions and collective bargaining in terms of three categorical models—the management-driven model, the trade union gatekeeper model, and the management-union alliance model, the intention again being to show which are consistent and inconsistent with the coexistence of these different forms of labour management. The paper concludes by drawing on these conceptual models to outline the issues and policies that need to be considered when applying HRM practices within an industrial relations setting.

Personality, behavioural and affective characteristics of hazardous drinkers

The aim of this study was to investigate the influence of appetitive and aversive motivation on hazardous drinking behaviour by drawing on Reinforcement Sensitivity Theory (RST). A between-groups design examined differences between hazardous drinkers and matched controls on self-report and behavioural appetitive and aversive motivation. The relationship between motivational processes and changes in affective states following behavioural task performance was also examined. Data from 27 hazardous drinkers (M = 21.88 years, SD = 3.29) and 27 gender and age matched controls (M = 21.85 years, SD = 4.08) were utilised. The Card Arranging Reward Responsivity Objective Test (CARROT) assessed behavioural appetitive motivation and the computerised Q-TASK provided an index of behavioural aversive motivation. Self-report appetitive and aversive motivation was measured using the Sensitivity to Punishment and Reward Questionnaire (SPSRQ). Brief scales tapping state positive and negative affect were also administered. Hazardous drinkers were significantly higher than controls on self-report but not behavioural measures of appetitive motivation. Results also indicated that hazardous drinkers reported significantly higher levels of negative affect. These data suggest that hazardous drinkers are characterised by high trait appetitive motivation and state negative affect. It was suggested that RST may provide a useful framework for understanding both the appetitive and aversive motivational processes involved in drinking behaviour.

A review of the scope of scientific studies relating indoor environment and student performance

In 2006-7 the Australian government will invest $9.3 billion in state government and nongovernment educational facilities (DEST 20061). One area of particular interest to both government and school designers is maximising this investment through providing students with healthy and
productive indoor learning environments. The lack of post-occupancy evaluations carried out in schools (Lackney 2001) means that designers are reliant on “best practice” indoor environment quality guidelines developed primarily from scientific studies. The problem with scientific evaluation is that often the complexity of the influences upon student performance is simplified in order to gather information, rather than necessarily providing a more holistic and realistic explanation of any improved outcomes. This paper examines the scope of various studies of classroom indoor environment qualities that have thus far contributed to current understanding of their impact on student learning outcomes. The review demonstrates the lack of comprehensive research into the full range of influences on student performance and offers a better understanding of the limitations of knowledge about indoor environment qualities. This information provides valuable input to research development and post-occupancy evaluation that can better integrate the full range of influences upon students of school facilities and test the assumptions made about “best practice”.

Autonomy and disintegration in Indonesia

Fragmentation in Indonesia is by far the most critical issue now facing the state. This book analyses social unrest, autonomy and separatism in the wake of the Indonesian economic crisis, placing them in the context of state evolution, and looking at the competing aims of economic and political globalisation with local agendas.

People, power and public relations

Public relations is conventionally viewed from a corporate perspective. However, recent events in Victoria have illustrated the fact that grassroots activism holds an increasing share of public relations expertise. In contemporary Victoria civil activism has advanced a long way from traditional adversarial NIMBY (Not In My Back Yard) campaigns and has succeeded in generating both social and cultural change. How does a civil activist approach the complex problem of public relations? How do they convince publics their arguments are in the interest of the whole community? Is it is a question of mimicking corporate techniques or has a new style of public relations evolved specific to their needs? This paper examines a case study in which an outer- suburban grassroots activist group effected significant change in state government and corporate policy. The results challenge the view that public relations is the exclusive tool of large corporations and governments and calls for a redefinition of ‘what is public relations’?

Economic reforms, cultural policy : opportunities and challenges to the arts and culture in Vietnam in the age of globalization

The author investigates social change in Vietnam in the late 1980s-2000s, a transition from a subsidized economy to a market-oriented economy. The author discusses the influences of socioeconomic changes on the operation of the performing arts sector through analyzing changes in cultural policies, opportunities, and challenges confronted by performing arts organizations. The new cultural policy allows arts organizations, arts managers, and artists more opportunities to develop a greater degree of autonomy and more freedom in performing, programming and other artistic activities. The author believes that open policies will motivate Vietnam to develop its own national identity and to participate in cultural exchange with other parts of the world. However, under the impact of global culture, global economics, cuts in state funding, and rapid technological development, the performing arts sector has faced challenges in terms of financial viability, audience development, and balance between commercialization and artistic creativity. The author suggests that privatization should be implemented depending on the art form. Consideration should be given by the Vietnamese government to implementing appropriate funding policies and schemes, as state funding still forms a significant part of public companies' incomes.

Letting go without a fight : decolonization, democracy and war, 1900-94

Does the type of regime really make no difference to the likelihood of violent conflict over basic issues of stateness such as separatism and decolonization? Can democratic peace theory be successfully applied when dealing with the national identity or stateness question? This article extends the application of the democratic peace to the process of decolonization. It examines conflict between imperial states and their colonies during the process of decolonization and investigates the question of whether democracy affects the likelihood of conflict. The central finding is that, contrary to the implications of some prominent theories of state formation and democracy, democratic imperial states are significantly less likely to go to war with their colonial possessions in the process of achieving independence. Further, the authors find only a monadic, not dyadic, democratic peace effect. The regime type of the colony does not have a significant effect on the likelihood of war. It is the nature of the regime of imperial states, rather than that of colonies, that is a significant factor. In addition, the predominant source of this effect appears to be the institutional constraints placed on executive action within democracies, rather than the influence of mass politics or the effects of political competition. Regarding power-related factors, power parity between sovereign and colony makes conflict more likely (a colonial power-transition effect), but imperial decline actually makes war with colonies less likely. Sensitivity analysis reveals that a number of other hypothesized effects cannot find robust support. Simulations are used to assess the magnitude of the effect of regime type pre- and post-independence. Overall, the article contributes to theory development by investigating different institutional aspects of democracy and by distinguishing monadic and dyadic effects.

New Zealand development and trial of mental health nursing clinical indicators - a bicultural study

This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand. ANZCMHN, Greenacres). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. During the national field study, consumer files (n=327) from 11 District Health Boards, and registered nurses (n=422) completed an attitude questionnaire regarding the regularity of specific nursing and service activities. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5–89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice.

The effects of an area-based intervention on the uptake of maternal and child health assessments in Australia : a community trial

Background
Recognition of the importance of the early years in determining health and educational attainment and promotion of the World Health Organization Health for All (HFA) principles has led to an international trend towards community-based initiatives to improve developmental outcomes among socio-economically disadvantaged children. In this study we examine whether, Best Start, an Australian area-based initiative to improve child health was effective in improving access to Maternal and Child Health (MCH) services.

Methods
The study compares access to information, parental confidence and annual 3.5 year Ages and Stages visiting rates before (2001/02) and after (2004/05) the introduction of Best Start. Access to information and parental confidence were measured in surveys of parents with 3 year old children. There were 1666 surveys in the first wave and 1838 surveys in the second wave. The analysis of visiting rates for the 3.5 year Ages and Stages visit included all eligible Victorian children. Best Start sites included 1,739 eligible children in 2001/02 and 1437 eligible children in 2004/05. The comparable figures in the rest of the state were and 45, 497 and 45, 953 respectively.

Results
There was a significant increase in attendance at the 3.5 year Ages and Stages visit in 2004/05 compared to 2001/02 in all areas. However the increase in attendance was significantly greater at Best Start sites than the rest of the state. Access to information and parental confidence improved over the course of the intervention in Best Start sites with MCH projects compared to other Best Start sites.

Conclusion
These results suggest that community-based initiatives in disadvantaged areas may improve parents' access to child health information, improve their confidence and increase MCH service use. These outcomes suggest such programmes could potentially contribute to strategies to reduce child health inequalities.

Seasonal and habitat related variation in the health of tropical savanna finches

Differences in habitat quality can affect the abundance, distribution, and physiological status of wild birds. In Australia’s tropical savannas, grass finches live in habitats of varying land use and resultant habitat quality. Recent studies have documented regional declines in the abundance and distribution of small granivorous birds in areas affected by cattle grazing, urban development, and changes in fire frequency and timing. Small birds, especially semi-nomadic species of grass-finches, are extremely difficult to survey for changes in local abundance and productivity. Consequently, we are using a range of physiological measures to determine the susceptibility of populations to decline. We present the preliminary findings of a study using multiple condition indices to describe the health of five grass finch species living in a variety of savanna habitats. Our early results suggest that simple body condition measures such as bird mass, muscle contour, and fat storage, are not always sensitive enough to identify subtle differences in the health of individuals and populations. Measures of haematological health state, stress, and background nutritional status of finch populations appear to be associated with seasonal and site differences where body condition measures or abundance surveys would have failed to present a coherent picture. We are using habitat characteristics important to these species to help explain the differences in the health of finch populations across the North.

Residential housing and the green agenda

Australia’s residential development industry is at least superficially embracing environmental and sustainability issues in urban design. Rapidly emerging use of recycled water, lower impact outfalls, the use of roof water and water sensitive design for both housing and landscapes are all trends of interest to the property profession. There is particular interest in the cost of meeting end-user, local Government, State Government and development industry expectations for a green agenda for the residential sector.

Science education in primary schools in a state of change

Through a longitudinal study of one teacher's science teaching practice set in the context of her base school, this thesis records the effects of the structural and policy changes that have occurred in Victorian education over the past 6-7 years - the 'Kennett era'. Initially, the purpose of the study was to investigate the teacher's practice with the view to improving it. For this, an action research approach was adopted. Across the year 1998, the teacher undertook an innovative science program with two grades, documenting the approach and outcomes. Several other teachers were involved in the project and their personal observations and comments were to form part of the data. This research project was set in the context of a single primary school and case study methodology was used to document the broader situational and daily influences which affected the teacher's practice. It was apparent soon after starting the action research that there were factors which did not allow for the development of the project along the intended lines. By the end of the project, the teacher felt that the action research had been distorted - specifically there had been no opportunity for critical reflection. The collaborative nature of the project did not seem to work. The teacher started to wonder just what had gone wrong. It was only after a break from the school environment that the teacher-researcher had the opportunity to really reflect on what had been happening in her teaching practice. This reflection took into account the huge amount of data generated from the context of the school but essentially reflected on the massive number of changes that were occurring in all schools. Several issues began to emerge which directly affected teaching practice and determined whether teachers had the opportunity to be self-reflective. These issues were identified as changes in curriculum and the teaching role, increased workload, changed power relations and changed security/morale on the professional context. This thesis investigates the structural and policy changes occurring in Victorian education by reference to documentation and the lived experiences of teachers. It studies how the emerging issues affect the practices of teachers, particularly the teacher-researcher. The case study has now evolved to take in the broader context of the policy and structural changes whilst the action research has expanded to look at the ability of a teacher to be self-reflective: a meta-action research perspective. In concluding, the teacher-researcher reflects on the significance of the research in light of the recent change in state government and the increased government importance placed on science education in the primary context.