The education needs of caregivers of stroke survivors in acute and community settings

Stroke is a major cause of chronic illness in Australia, where it is estimated that between 200,000 and 250,000 people live with disabilities due to stroke. Given stroke's effect on survivors and the accompanying burden on caregivers, attention should be given to addressing the needs of caregivers of stroke survivors because they are central to supporting survivors living in the community. Research has shown that the information needs of caregivers are not being met across healthcare settings. Thus, some attention must be given to the development of educational materials that address caregiver needs. In this study we interviewed caregivers to determine their perspectives on support and educational needs at two different stages in the recovery of the stroke survivor: the acute hospital and the community. Despite a high level of uncertainty among caregivers in the acute and community settings, limited information was provided to assist them in their new role. A multifaceted approach would involve the development and implementation of specifically designed educational materials for caregivers, the use of a tool such as a patient-held record to assist in and improve the continuity and communication of care, and the provision of ongoing support from a stroke nurse practitioner who would follow stroke survivors from the acute setting to the community. This approach should be evaluated so that the important issue of addressing caregiver needs is given its due attention.

Effect of a self-directed learning package on emergency nurses` knowledge of assessment of oxygenation and use of supplemental oxygen

Abstract Emergency nurses frequently and independently make decisions regarding supplemental oxygen. The importance of these decisions for patients is highlighted by the well documented association between respiratory dysfunction and adverse events. This study aimed to: (i) examine the effect of educational preparation on emergency nurses' knowledge of assessment of oxygenation, and the use of supplemental oxygen; (ii) explore the impact of existing knowledge on decisions related to the implementation of supplemental oxygen; and (iii) explore nurses' characteristics that were associated with effectiveness of the educational preparation. A pretest/post-test, controlled, quasi-experimental design was used in this study. Educational preparation was effective in increasing emergency nurses' knowledge. Baseline level of knowledge was predictive of reports of independent decisions regarding the implementation of oxygen. There was a significant positive relationship between postgraduate qualification in emergency nursing and the effect of education, and significant negative relationships between effect of education and baseline level of knowledge and daily decisions to implement supplemental oxygen.

Development, reliability and validity of an instrument measuring the attitudes and knowledge of emergency department staff regarding the emergency nurse practitioner role

Introduction: The Emergency Department (ED) at The Northern Hospital is currently participating in the Victorian Department of Human Services funded Emergency Nurse Practitioner Project. This project aims to develop, implement and evaluate the Emergency Nurse Practitioner role in Victorian EDs. This led to a need to develop a specific data collection tool called The Northern Emergency Nurse Practitioner Staff Survey to examine the knowledge and attitudes of ED medical and nursing staff. This paper describes the development of The Northern Emergency Nurse Practitioner Staff Survey and presents the results of reliability and validity studies. Method: Twenty-five items were developed and piloted on a sample of 58 ED medical and nursing staff. Content and face validity were established by expert panel review. Reliability was established by tests of unidimensionality, exploratory factor analysis and internal consistency. Results: Four items were discarded because of low item to total correlation. Exploratory factor analysis of the remaining items revealed five factors with eigenvalues >1 and acceptable correlation coefficients that explained 76.7% of the variance. Cronbach’s coefficent α for these items was 0.926 indicating a high degree of internal consistency. The factors were titled to reflect the content domain of the items in each factor and the factors arranged in a logical sequence to form the final version of The Northern Emergency Nurse Practitioner Survey.

Mathematical knowledge of some entrants to a pre-service education course

Standards for teaching emphasise the need for teachers to have deep content knowledge. To assess the mathematical knowledge of students enrolling in its B.Ed. program, the University of New England has introduced a mathematics diagnostic test. This work is the first stage of an ongoing research project into the numeracy needs of students entering the B.Ed. program. The test is a pen-andpaper test that replaces previous on-line, multiple-choice tests. This paper reports on the test results, discusses some common errors made by students and outlines the future direction of the research.

Current knowledge of the environmental influences on Australian cashmere production and quality

Goat fibre production is affected to a similar extent by genetic and environmental influences. Environmental influences include bio-geophysical factors (photoperiod, climate-herbage system and soil-plant trace nutrient composition), country of origin, nutrition factors (live weight, growth patterns) and management factors (farm, herd age and sex structure). Nutrition and management influences discussed include rate of stocking, energy nutrition, live weight change, parturition and management during shearing. The nutritional variation within and among years is the most important climatic factor influencing cashmere production, fibre diameter and fibre curvature (crimp). With productive cashmere goats, large responses to energy supplementation have been measured with optimum nutritional management. The effects and importance of management and hygiene during fibre harvesting (shearing) in producing quality fibre are emphasised.

Knowledge of late-life depression : an empirical investigation of aged care staff

Objectives: This study examined knowledge of late-life depression among staff working in residential and community aged care settings, as well as their previous training in caring for older people with depression.

Method: A sample of 320 aged care staff (mean age = 42 years) completed a survey questionnaire. Participants included direct care staff, registered nurses and Care Managers from nursing and residential homes and community aged care services.

Results: Less than half of the participating aged care staff had received any training in depression, with particularly low rates in residential care. Although aware of the importance of engaging with depressed care recipients and demonstrating moderate knowledge of the symptoms of depression, a substantial proportion of staff members saw depression as a natural consequence of bereavement, aging or relocation to aged care.

Conclusion: Experience in aged care appears to be insufficient for staff to develop high levels of knowledge of depression. Specific training in depression is recommended for staff working in aged care settings in order to improve the detection and management of late-life depression, particularly among direct carers, who demonstrated least knowledge of this common disorder.

Public and stakeholder values and knowledge of wildlife in Victoria, Australia

Prompted by a lack of human dimensions research in Australia, this study investigated the values and knowledge relating to wildlife held by members of the public within distinct demographic subsets of the Victorian population and members of wildlife management stakeholder groups; and compared these characteristics with how Victorian wildlife managers perceive these groups. A combination of semi-structured interviews and postal questionnaires were used. Fifteen in-depth interviews were conducted to explore how wildlife managers perceive the values and knowledge of wildlife held by members of various subsets of the Victorian population. A total of 1,431 questionnaires were completed by members of 13 public and stakeholder groups throughout Victoria, and these were analysed to explore values and knowledge relating to wildlife in Victoria. The findings of this study suggest that Victorian people have a strong emotional attachment to individual animals (the humanistic value), and an interest in learning about wildlife (the curiosity/learning/interacting value). The dominionistic/wildlife-consumption, utilitarian-habitat, aesthetic and negativistic values were not expressed by the majority of respondents from the public samples. The data also suggest that Victorian people have relatively low levels of factual knowledge about Australian wildlife. Thus, wildlife managers should expect support for wildlife management objectives that reflect the strong humanistic orientation of Victorians and tailor management and education programs to appeal to this value and Victorians' interest in learning about wildlife. Members of the Field Naturalists Club of Victoria (FNCV), Bird Observers Club of Australia (BOCA), Australian Conservation Foundation (ACF) stakeholder groups and management agency Parks Victoria expressed a strong interest in learning about wildlife. Members of the Royal Society for the Prevention of Cruelty to Animals (RSPCA) obtained high humanistic value scores; and members of the Victorian Field and Game Association (VFGA) obtained high domimomstic/wildlife-consumption value scores. Importantly, the humanistic and curiosity/learning/interacting values were the most strongly expressed values in all six groups and these values could be the key to more effective communication and collaboration between groups. Relationships between demographic factors, and values and knowledge relating to wildlife were found. For example, rural Victorians held a stronger dominionistic/ wildlife-consumption value than urban Victorians; females held stronger humanistic, curiosity/learning/interacting and negativistic values than males; young Victorians (18-34 years) held a lower curiosity/learning/interacting value and lower factual knowledge of wildlife than older Victorians; and more highly educated Victorians were more knowledgeable about wildlife than people with less formal education. No statistically significant differences were found between the values and knowledge of wildlife held by different income classes. While relationships between demographic factors, and values and knowledge relating to wildlife were found, they were generally much smaller than expected based on wildlife managers' perceptions and previous research. For example, the results suggest that Victorian females have a slightly stronger humanistic value of wildlife than males do. However, the important message emerging from the data is that males and females both express a strong emotional attachment to individual animals. Importantly, the results indicate that the effects of demographic factors on values and knowledge relating to wildlife are not always consistent across different geographic locations and stakeholder groups. For example, the slightly stronger interest in learning about wildlife among females when compared with males was observed in the rural and urban-fringe samples but not in the urban samples. This suggests that caution must be used when generalising the findings from human dimensions studies from one type of community or stakeholder group to another. Management programs should be tailored to the specific characteristics of the target audience. The findings also indicate that Victorian wildlife managers have diverse perceptions about the values and knowledge of wildlife held by members of different publics and stakeholder groups, and that the perceptions held by wildlife managers are not always consistent with the actual values and knowledge of wildlife held by members of different publics and stakeholders. For example, counter to the perceptions expressed by the interviewed wildlife managers, the interest in and factual knowledge of wildlife held by members of voluntary conservation groups equalled or surpassed that of wildlife managers; young Victorian adults (18-34 years) held a slightly lower curiosity/learning/interacting value and slightly lower level of factual knowledge of wildlife than older Victorians; and rural and urban communities in Victoria held low dominionistic and utilitarian values. Such discrepancies highlight the importance of investigating the actual values and knowledge held by members of such groups, so that appropriate and effective wildlife management programs can be implemented. Inaccurate perceptions and assumptions may contribute to ineffective communication between managers, stakeholders and publics; and adversely effect the success of wildlife management programs.

Attitudes and knowledge of shade-coffee farmers towards vertebrates and their ecological functions.

The purpose of this study was to assess farmers’ attitudes, as well as perceptions and knowledge that shape those attitudes, toward the ecological role of vertebrates inhabiting shaded-coffee farms. We also aimed to determine whether differences existed among two groups of farmers: one that had attended environmental education workshops, and one that had not. We conducted 36 oral interviews of farmers in the region of Cuetzalan, Mexico. All farmers were members of an important regional cooperative, Tosepan Titataniske. In general, farmers’ attitudes towards birds were positive. Snakes were perceived as useful but dangerous animals. Attitudes towards nonflying mammals were mostly indifferent. Bats were poorly understood and badly perceived. Seed dispersal was perceived as an important ecological function performed by animals. Pollination was also perceived as important, but to a lesser degree. Knowledge about ecological functions was high for seed dispersal, and low for pollination. We found a positive correlation between attendance of educational workshops and the presence of “environmentally-friendly” attitudes, perceptions, and knowledge. However, a cause-effect relationship could not be clearly established. We suggest that environmental education programs include the objective of increasing the knowledge of people about the ecological functions played by different groups of animals that live in agroecosystems. Particular efforts should be directed toward improving the way in which certain non-charismatic groups of animals, such as bats, are perceived.

Inclusive policy action : exploring the realities and knowledge of teachers implementing inclusive education

Inclusive Policy Action recognizes the complexity of inclusive policy for teachers. However, the author presents a strong view that a constructive approach for future action can be accomplished by drawing on teachers' own accounts of the significant characteristics contributing to effective inclusion. Accordingly, teachers' work is recognized as a vital contributing factor to successful inclusion, despite the often over-powering emphasis on additional funding. For this reason the finer structures of changed pedagogy, the development of teacher knowledge and the vision of quality education for all students are explored using teachers' own voice to theorize and analyze the actuality of successful inclusive practice. The emergent characteristics relate to the importance of communicative infrastructures promoting knowledge within learning communities rather than political directives associated with inclusive education policy. These characteristics draw attention to the need to reconsider and revalue the knowledge and expertise generated by education policy actors, namely the teachers and school administrators involved in institutional planning and practice.