Rural primary health care workers and research : what is their present capacity?

Aims & rationale/Objectives : The main objectives of this project were to:
- conduct an audit of research skills and experience of primary health care staff in nine south western Victorian not-for-profit agencies
- identify capacity for research in five pre-identified areas
- investigate unpublished research endeavours/innovative projects taking place in the linked community organisations.
Methods : A 9-item survey was developed and will be distributed to all primary health care staff at the nine agencies via the internal email system of each organisation. The survey was developed after consultation with several agency directors, to obtain an organisational perspective on research capacity issues. Staff were also invited to take part in informal focus groups exploring key themes.
Principal findings : This study is in progress, and is expected to be completed at the end of March, 2007. Expected findings are the identification of primary health care staff's capacity for research, and discussion of relevant organisational assistance which would develop their research skills or enable continued participation in research.
Discussion : Phase 2 of the Australian PHC Research, Evaluation and Development Strategy aims to support the development and expansion of the primary health care research workforce. Findings from the current study will support this goal by assisting rural primary health care workers to identify the training and support they need to undertake quality research. The data could also be used to: a) assist the consortium to identify common research interests; b) to inform the consortium regarding the potential for collective research efforts; and c) to support funding submissions from the consortium or from individual agencies.
Implications : These findings will help to inform improved strategic planning in relation to building research capacity. The data could also be used by participating agencies to support applications for research grant funding.
Presentation type : Poster
Session theme : Building research capacity

Registered and enrolled nurses : experiences of ethical issues in nursing practice

Research aims:
To explore and describe registered and enrolled nurses’ experiences of ethics and human rights issues in nursing practice in the Australian State of Victoria.

Method:
Descriptive survey of 398 Victorian nurses using the Ethical Issues Scale (EIS) survey questionnaire.

Major findings:
The most frequent and most disturbing ethical issues reported by the nurses surveyed included: protecting patients’ rights and human dignity, providing care with possible risk to their own health, informed consent, staffing patterns that limited patient access to nursing care, the use of physical/chemical restraints, prolonging the dying process with inappropriate measures, working with unethical/impaired colleagues, caring for patients/families who are misinformed, not considering a patient’s quality of life, poor working conditions.

Conclusions:
Nurses in Victoria frequently experience disturbing ethical issues in nursing practice that warrant focussed attention by health service managers, educators and policy makers.

Subtypes of psychopathy : proposed differences between narcissistic, borderline, sadistic and antisocial psychopaths

Atascadero State Hospital (ASH) is a maximum-security forensic hospital that houses male patients with a wide range of psychiatric diagnoses. Psychopaths at this institution appear to be a heterogeneous group of individuals who, while sharing core personality characteristics, manifest substantial variability in their behavior. Identifying subtypes within this clinical classification can have implications for patient treatment and management, as well as for the safety of the staff who work with them and for the communities to which they will eventually return. Several means of identifying subtypes have been proposed in the literature, and potential subgroups have been identified. Clinical observations at ASH have suggested 4 possible subtypes of psychopathy: narcissistic, borderline, sadistic, and antisocial. Issues related to the conceptualization of psychopathy are addressed, recognizing that additional data are needed to understand the observed variations in cases of psychopathy.

Burnout and the conservation of resources theory

This thesis examines, within the framework of the Conservation of Resources Theory, the development of burnout in a sample of Victorian nurses over a nine-month period. Results showed that work characteristics demonstrated different associations with burnout and that COR theory was partially successful as an explanatory framework.

Physical activity, dietary change and weight control : a public health perspective

This study examined weight-control behaviour among Victorian adults, focusing specifically on physical activity and dietary fat-related behaviour and beliefs. It also explored barriers to changing diet and physical activity, and used common theories of behaviour change to identify factors that influence weight-control behaviour, weight change and perceived weight-control success.

Interrupted cadence : the mismatch of the school music curriculum and the intercultural understandings of pre-service teachers in Victoria, Australia

In Victoria, Australia, the curriculum framework for schools, Victorian Essential Learning Standards (VELS) stipulates multiculturalism as an integral part of the education of students. This encompasses knowledge, skills, values and behaviours (Victorian Curriculum Assessment Authority, 2009). In this curriculum framework, teachers must consider ‘intercultural understanding’. It seems logical that, to teach this, preservice teacher education students should be able to embrace this idea. VELS addresses multicultural understanding and the development of thinking skills. The Arts domain specifically provides diverse opportunities for students to “develop aesthetic and critical awareness … of arts works from different social, historical and cultural contexts”. In this research, undertaken between 2005 and 2008, semi-structured interviews were completed with final year pre-service music education students about their intercultural understandings in music education. Interpretative phenomenological analysis of the data showed that, although many feel confident including music of other cultures, having had some experience in their tertiary education, some have pursued other ways to inform themselves about music of other cultures. There appears to be a mismatch between curricular expectations and the limited time and resources available in tertiary education programs for music. The disparity between the school music curriculum framework and the preparation of teachers requires attention and resolution.

Perceptions and personality : a viewer-centred approach to film violence research

This thesis took a viewer-centred approach to the study of media violence. The findings indicated that viewer perceptions and personality mediate the affective, cognitive and arousal responses of viewers. The importance of the viewer perception and personality examined in this thesis also differed as a function of gender and age. The portfolio focused on the current Victorian correctional system's response to, and attempts to rehabilitate, convicted sexual offenders. It presents four case studies to demonstrate how the Victorian Sexual Offender Treatment Program attempts to apply empirically validated "best practice" principles of offender rehabilitation.

Analysis of outsourcing in the Victorian public health sector

The research has uncovered a major reason for outsourcing in this sector as a desire to improve middle management, specifically their skill levels and familiarity with new operating procedures. Outsourcing negative outcomes were the result of decision-makers not considering the length of relationships between parties and the lack of information available to monitor quality and other contractual terms. Outsourcing has been performed for various reasons, but rarely have decision-makers considered the full range of factors that may potentially affect the optimal nature of the decision, or the organisational characteristics of their workplaces.

An evaluation of the Victorian Certificate of Education common study of English

This paper traces the development of the Victorian Certificate of Education and in particular the common English Field of Study demonstrating that the VCE is the culmination of many forces acting both within and from outside education. Changes in education are traced and the stimuli for these changes are shown to be economic, social, political and educational.

Freshwater influences on hydrology and seagrass dynamics of intermittent estuaries

Over a three-year period, impacts of changed flow regimes in small western-Victorian estuaries with Mediterranean climates were investigated. Ecosystems with artificially increased and reduced freshwater inflows were compared using a whole-system, process-based approach. Studies on such systms are rare despite their vulnerability and ecological importance.

Professionals' attributions and referral decisions in cases of domestic violence

This thesis is the first national study of workers who have contact with victims and perpetrators of domestic violence. It highlights that the victim and perpetrator's gender, as well as the relevant professional's agency type and experience, all influenced their attitudes to, and service delivery decisions with, domestic violence-related clients. The portfolio utilises four case studies to examine the way that two Victorian sex offender programs attempt to balance risk-need and good lives principles in the assessment and treatment of sex offenders.

Clinical waste management in Victorian hospitals

This project for the Doctor of Technology provides a significant contribution to the understanding of healthcare waste management in Victoria and worldwide. The thesis describes approaches to enable healthcare facilities to identify factors that contribute to waste generation and resulting impacts on the environment in order to reduce them.

Speaking up : changing social relations in south-west Victorian grassroots activism

This research of three grassroots activist communication campaigns makes a significant contribution to knowledge in socio-political and communicative fields. It demonstrates how to conduct effective, ethical and sustained communication campaigns that lead to wider social benefits and provides new perspectives about public relations and its role in contemporary society.

Readiness for substance abuse treatment amongst Victorian prisoners

The thesis examined treatment readiness in offender rehabilitation. Findings empirically refuted the notion that treatment readiness occurs in sequential progression through stages. Instead the study offered two treatment readiness models based on concurrent states of thought and behaviour. Furthermore, the treatment readiness models were found to be significantly predicted by offenders' cognitive styles and self-efficacy. The portfolio seeks to demonstrate, through four case studies, how different variables within the three-part ecological framework can either promote or constrain the reintegration process of ex-prisoners and ex-offenders.

Exploring jockey and family life through a social health lens

Workplace practices form an overarching social determinant of health for Victorian jockeys and their families. This research highlights the importance of riding opportunity, coping with risk and danger, and the gratification associated with the lifestyle to be key characteristics that impact on jockey family health for the better or worse.