6 results
Search Results
2. Procedural skills practice and training needs of doctors, nurses, midwives and paramedics in rural Victoria.
- Author
-
Campbell, David, Connolly, Marnie, Shepherd, Irwyn, McGrail, Matthew, Kassell, Lisa, Williams, Brett, and Nestel, Debra
- Subjects
CLINICAL competence ,MEDICAL care ,SIMULATION methods & models ,RURAL health services ,TRAINING - Abstract
Introduction: Procedural skills are a significant component of clinical practice. Doctors, nurses, midwives and paramedics are trained to use a variety of procedural skills. Rural clinicians in particular are often required to maintain competence in some procedural skills that are used infrequently, and which may require regular and repeated rehearsal. This paper reports on a research project conducted in Gippsland, Victoria, to ascertain the frequency of use, and relevance to clinical practice, of a range of skills in the fields of medicine, nursing, midwifery, and paramedic practice. The project also gathered data on the attitudes of clinicians regarding how frequently and by what means they thought they needed to practice these skills with a particular focus on the use of simulation as an educational method. Methods: The research was conducted following identification of a specific set of procedural skills for each professional group. Skills were identified by an expert steering committee. We developed online questionnaires that consisted of two parts: 1) demographic and professional characteristics, and 2) experience of procedural skills and perceived training needs. We sought to invite all practicing clinicians (doctors, nurses, midwives, paramedics) working in Gippsland. Online surveys were distributed between November 2011 and April 2012 with three follow-up attempts. The Monash University Human Research Ethics Committee approved the study. Results: Valid responses were received from 58 doctors, 94 nurses, 46 midwives, and 30 paramedics, whom we estimate to represent not more than 20% of current clinicians within these professions. This response rate reflected some of the difficulties experienced in the conduct of the research. Results were tabulated for each professional group across the range of skills. There was significant correlation between the frequency of certain skills and confidence with maintenance of these skills. This did not necessarily correlate with perceptions of respondents as to how often they need to practice each skill to maintain mastery. The more complex the skill, the more likely the respondents were to report a need for frequent rehearsal of the skill. There was variation between the professional groups as to how to retain mastery; for some skills, professional groups reported skill maintenance through clinical observation and clinical practice; for other skills, simulation was seen to be more appropriate. Conclusion: This project provided insight into the clinical application of procedural skills for clinicians comprising a relatively large professional population within a defined geographical region in rural Victoria, as well as attitudes to skills maintenance and competency. Although not the focus of the study, an unexpected outcome was the design of questionnaires on procedural skills. We believe that the questionnaires may have value in other rural settings. We acknowledge the limitations of the study in the text. The project provides some information on which to base planning for procedural skills education, including simulation-based training, and directions for further research. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
3. Interpreting the mammal deposits of Cloggs Cave (SE Australia), GunaiKurnai Aboriginal Country, through community‐led partnership research.
- Author
-
McDowell, Matthew C., David, Bruno, Mullett, Russell, Fresløv, Joanna, Delannoy, Jean‐Jacques, Mialanes, Jerome, Thomas, Cath, Ash, Jeremy, Crouch, Joe, Petchey, Fiona, Buettel, Jessie, and Arnold, Lee J.
- Subjects
ARCHAEOLOGICAL excavations ,FIRST Nations of Canada ,CAVES ,MAMMALS ,MIXING height (Atmospheric chemistry) ,SEQUENCE stratigraphy ,HABITAT selection - Abstract
Palaeontological animal bone deposits are rarely investigated through research partnerships where the local First Nations communities have a defining hand in both the research questions asked and the research processes. Here we report research undertaken through such a partnership approach at the iconic archaeological site of Cloggs Cave (GunaiKurnai Country, East Gippsland), in the southern foothills of SE Australia's Great Dividing Range.A new excavation was combined with detailed chronometric dating, high‐resolution 3D mapping and geomorphological studies. This allowed interpretation of a sequence of stratigraphic layers spanning from a lowermost excavated mixed layer dated to between 25,640 and 48,470 cal BP, to a dense set of uppermost, ash layers dated to between 1460 and 3360 cal BP. This long and well‐dated chronostratigraphic sequence enabled temporal trends in the abundant small mammal remains to be examined.The fossil assemblage consists of at least 31 taxa of mammals which change in proportions through time. Despite clear evidence that the Old Ancestors repeatedly carried vegetation into the cave to fuel cool fires (no visible vegetation grows in Cloggs Cave), we observed little to no evidence of cooking fires or calcined bone, suggesting that people had little involvement with the accumulation of the faunal remains. Small mammal bones were most likely deposited in the cave by large disc‐faced owls, Tyto novaehollandae (Masked Owl) or Tyto tenebricosa (Sooty Owl).Despite being well dated and largely undisturbed, the Cloggs Cave assemblage does not appear to track known Late Quaternary environmental change. Instead, the complex geomorphology of the area fostered a vegetation mosaic that supported mammals with divergent habitat preferences. The faunal deposit suggests a local ancestral landscape characterised by a resilient mosaic of habitats that persisted over thousands of years, signalling that the Old Ancestors burned landscape fires to encourage and manage patches of different vegetation types and ages within and through periods of climate change. Read the free Plain Language Summary for this article on the Journal blog. Read the free Plain Language Summary for this article on the Journal blog. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
4. Remote general practice supervision with video cameras: Insights for the global COVID-19 pandemic.
- Author
-
Simmons, Margaret, Brown, James, and Willems, Julie
- Subjects
COVID-19 pandemic ,CAMCORDERS ,THEMATIC analysis ,SUPERVISION - Abstract
Background and objective There is growing evidence regarding the effectiveness of registrar training through video cameras, which has relevance for quality supervision during times of crises such as the global COVID-19 pandemic. Methods Interviews were conducted in 2012 with supervisors, registrars and patients evaluating video camera use for telesupervision across six rural sites in Gippsland, Australia. Thematic analysis was employed in 2013 - and re-examined in 2021 in light of the global COVID-19 pandemic - to explore user experience with video technology. Results Participants identified advantages of video supervision addressing distance and temporal issues, also emphasising quality supervision and education. Challenges included patient confidentiality, internet stability and loss of serendipitous 'corridor conversations'. Discussion Remote supervision is no longer simply an issue for rural and remote training. During crises such as a global pandemic, tele-supervision becomes the purview of all. There are distinct merits and limitations in adopting video technology, warranting consideration of individual training contexts. These findings can help inform remote supervision via video in varied milieu. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
5. What are the associations between thinning and fire severity?
- Author
-
Taylor, Chris, Blanchard, Wade, and Lindenmayer, David B.
- Subjects
FOREST management ,OLD growth forests ,WILDFIRE prevention ,EMPIRICAL research - Abstract
There has been concern globally about the impacts of wildfires on lives, property and biodiversity. Mechanical thinning has been proposed as a way to reduce fire severity. However, its effectiveness appears to vary between regions and ecosystems. Here, we sought to answer the question: Does thinning reduce the severity of wildfire in managed eucalypt forests? We did this by completing an empirical study of the factors affecting two levels of fire severity – crown burn and crown burn/crown scorch in lowland and wet/damp forest burned in 2019‐2020 in East Gippsland, Australia. We found complex interactions between thinning, forest type and time since the last major disturbance in the best‐fitting models for crown burn and crown burn/crown scorch. The probability of a crown burn was higher in younger stands of thinned forest than in unthinned forest. Crown burn risk in thinned forest was characterised by an inverse relationship with increasing time since the last disturbance; there were no such effects in unthinned forest. We found that the probability of crown burn/crown scorch increased with time since last disturbance in both thinned and unthinned lowland forest. The probability of crown burn/crown scorch also increased over time in wet/damp forest, but the patterns were different between unthinned and thinned stands. Risk of crown burn/crown scorch was lower in young thinned forest relative to unthinned forest, but this pattern reversed with increasing time since the last disturbance. Our analyses showed the efficacy of thinning was variable, depending on fire severity, type of forest targeted for management and the age of that forest (as reflected by the time since the last major disturbance). Therefore, thinning interventions to mitigate fire severity should not be implemented without consideration of these factors and are unlikely to be a viable management option in many circumstances. This is because, in some cases, thinning can lead to elevated fire severity (e.g. soon after thinning for crown burn and in older forests for crown burn/crown scorch) and hence have opposite effects to those intended from such activities. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
6. Intermarriage Among Italians: Some Regional Variations in Australia.
- Author
-
Roy, Parimal and M. Th., Ian Hamilton
- Subjects
- *
INTERMARRIAGE , *MARRIAGE , *ITALIANS , *IMMIGRANTS - Abstract
This article is a part of a larger project on the prevalence of intermarriage in Australia based on an analysis of census data. The primary aim of the article is to identify the extent of intermarriage between Italian-born migrants, people born in Australia and other birthplace groupings. The analysis focuses on the pattern of Italian intermarriage in Gippsland in order to demonstrate that the incidence differs from that in urban areas of Australia. Gippsland is a rural region in south-eastern Australia where the economy is based on brown coal power generation, a paper mill, timber extraction and dairying. Intermarriage in Gippsland will be compared with another rural area within the same state of Victoria and with the urban area of Melbourne. The rural area chosen for comparison with Gippsland was the statistical division of North East region in the state of Victoria. This area was selected because it contained a significant number of Italian immigrants who have been settled for a long period, primarily in the tobacco industry. In addition the state of Queensland, which has a high percentage of Italian immigrants, also in tobacco and sugar growing regions, was identified separately in the analyses. Cost considerations precluded the division of Queensland into rural and urban regions. Comparisons will also be made with intermarriage patterns among Italians in Melbourne, which has a long history of Italian settlement, and is the Australian city with the highest proportion of Italian immigrants.
- Published
- 2000
- Full Text
- View/download PDF
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.