7 results
Search Results
2. Examining the preparation and ongoing support of adults to take their medications as prescribed in kidney transplantation.
- Author
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Williams, Allison, Crawford, Kimberley, Manias, Elizabeth, Ellis, Christine, Mullins, Kim, Howe, Kathy, Kennedy, Elaine, Maney, Orla, Mark, Tia, Gregory, Debbie, Van Hardeveld, Emma, Yip, Doris, and Low, Jac Kee
- Subjects
IMMUNOSUPPRESSIVE agents ,DRUGS ,HEALTH promotion ,INTERVIEWING ,KIDNEY transplantation ,MEDICAL cooperation ,MEDICAL personnel ,PATIENT compliance ,PATIENT education ,PHARMACISTS ,RESEARCH ,RESEARCH funding ,TRANSPLANTATION of organs, tissues, etc. ,QUALITATIVE research ,SOCIAL support - Abstract
Rationale, aims and objectives The shortage of kidney donors and benefits of kidney transplantation make graft success imperative. Medication adherence is critical to prevent the risk of graft rejection. This paper examines how adults are prepared and supported by renal transplant co-ordinators and pharmacists to take their medications as prescribed in kidney transplantation. Methods Renal transplant co-ordinators and pharmacists of all five hospitals offering adult kidney transplantation in Victoria, Australia, were interviewed between November 2013 and February 2014. All data underwent qualitative descriptive analysis. Results Nine renal transplant co-ordinators and six pharmacists were interviewed. Although there was no standardized approach to education or other evidence-based strategies to facilitate medication adherence, there were similarities between sites. These similarities included printed information, pre-transplant education sessions, the use of medication lists and medication administration aids, intensive education in hospital and ensuring an adequate supply of medications post-discharge. Conclusions Renal transplant co-ordinators and pharmacists recognized the importance of early patient education concerning immunosuppressant medication. However, each site had developed their own way of preparing a patient for kidney transplantation and follow-up in the acute hospital setting based on experience and practice. Other non-educational strategies involving behavioural and emotional aspects were less common. Differences in usual care reinforce the necessity for evidence-based health care for best patient outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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- View/download PDF
3. Undergraduate midwifery students' first experiences with stillbirth and neonatal death.
- Author
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Mckenna, Lisa and Rolls, Colleen
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EXPERIENCE ,HEALTH occupations students ,INFANT mortality ,INTERVIEWING ,RESEARCH methodology ,MEDICAL cooperation ,MIDWIVES ,PERINATAL death ,RESEARCH ,STUDENTS ,JUDGMENT sampling ,ATTITUDES toward death ,SOCIAL support ,THEMATIC analysis ,MEDICAL coding - Abstract
While midwifery practice predominantly deals with happy experiences, unexpected and unpredictable events occur. This paper reports on a study that explored undergraduate midwifery students' first experiences of stillbirth and neonatal death. It sought to better understand their encounters to ensure curricula were responsive to students' needs. Semi-structured interviews were conducted with eight Bachelor of Midwifery students. Many were found to have been exposed to perinatal death early in their courses and were ill prepared for the confrontations. Furthermore, the existence of support services was varied. Dealing with these experiences appears to occur through a developmental process and resonates with previous research around compassion, fatigue and posttraumatic stress disorder. Overall, students require specific preparation prior to undertaking placements, as well as clearly identified support strategies if such experiences are encountered. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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4. Support for and willingness to be involved in voluntary assisted dying: a multisite, cross‐sectional survey study of clinicians in Victoria, Australia.
- Author
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Sellars, Marcus, Tacey, Mark, McDougall, Rosalind, Hayes, Barbara, Pratt, Bridget, Hempton, Courtney, Detering, Karen, Aldrich, Rosemary, Benson, Melanie, Kirwan, Jeffrey, Gold, Michelle, O'Driscoll, Lisa, and Ko, Danielle
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ASSISTED suicide laws ,RESEARCH ,OCCUPATIONAL roles ,TERMINAL care ,SOCIAL support ,ATTITUDE (Psychology) ,CROSS-sectional method ,MEDICAL care ,MEDICAL personnel ,MEDICAL cooperation ,PSYCHOSOCIAL factors ,QUESTIONNAIRES ,PALLIATIVE treatment ,ELDER care - Abstract
Background: In the Australian state of Victoria, specialist doctors are central to the operation of voluntary assisted dying (VAD). However, a broad range of clinicians may be involved in the care of patients requesting or using VAD. Aims: To describe levels of support for and willingness to be involved in VAD and consider factors associated with clinician support for the VAD legislation and physicians' willingness to provide VAD in practice. Methods: A multisite, cross‐sectional survey of clinicians in seven Victorian hospitals. All clinicians were invited to complete an online survey measuring demographic characteristics, awareness of and support for the VAD legislation, willingness to participate in VAD related activities and reasons for willingness or unwillingness to participate in VAD. Results: Of 5690 who opened the survey, 5159 (90.1%) were included in the final sample and 73% (n = 3768) supported the VAD legislation. The strongest predictor of support for the VAD legislation was clinical role. Forty percent (n = 238) of medical specialists indicated they would be willing to participate in either the VAD consulting or coordinating role. Doctors did not differ in willingness between high impact (44%) and low impact specialty (41%); however, doctors specialising in palliative care or geriatric medicine were significantly less willing to participate (27%). Conclusion: Approximately 73% of surveyed staff supported Victoria's VAD legislation. However, only a minority of medical specialists reported willingness to participate in VAD, suggesting potential access issues for patients requesting VAD in accordance with the legal requirements in Victoria. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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5. Integrating acute stroke telemedicine consultations into specialists' usual practice: a qualitative analysis comparing the experience of Australia and the United Kingdom.
- Author
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Bagot, Kathleen L., Cadilhac, Dominique A., Bladin, Christopher F., Watkins, Caroline L., Michelle, V. U., Donnan, Geoffrey A., Dewey, Helen M., Emsley, Hedley C. A., Davies, D. Paul, Day, Elaine, Ford, Gary A., Price, Christopher I., May, Carl R., McLoughlin, Alison S. R., Gibson, Josephine M. E., Lightbody, Catherine E., Vu, Michelle, and VST and ASTUTE investigators
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STROKE ,TELEMEDICINE ,MEDICAL consultation ,QUALITATIVE research ,CONTENT analysis ,STROKE diagnosis ,STROKE treatment ,COMPARATIVE studies ,CONFLICT (Psychology) ,RESEARCH methodology ,MEDICAL care ,MEDICAL cooperation ,MEDICAL referrals ,MEDICAL specialties & specialists ,SENSORY perception ,RESEARCH ,RESEARCH funding ,PILOT projects ,SOCIAL support ,EVALUATION research - Abstract
Background: Stroke telemedicine can reduce healthcare inequities by increasing access to specialists. Successful telemedicine networks require specialists adapting clinical practice to provide remote consultations. Variation in experiences of specialists between different countries is unknown. To support future implementation, we compared perceptions of Australian and United Kingdom specialists providing remote acute stroke consultations.Methods: Specialist participants were identified using purposive sampling from two new services: Australia's Victorian Stroke Telemedicine Program (n = 6; 2010-13) and the United Kingdom's Cumbria and Lancashire telestroke network (n = 5; 2010-2012). Semi-structured interviews were conducted pre- and post-implementation, recorded and transcribed verbatim. Deductive thematic and content analysis (NVivo) was undertaken by two independent coders using Normalisation Process Theory to explore integration of telemedicine into practice. Agreement between coders was M = 91%, SD = 9 and weighted average κ = 0.70.Results: Cross-cultural similarities and differences were found. In both countries, specialists described old and new consulting practices, the purpose and value of telemedicine systems, and concerns regarding confidence in the assessment and diagnostic skills of unknown colleagues requesting telemedicine support. Australian specialists discussed how remote consultations impacted on usual roles and suggested future improvements, while United Kingdom specialists discussed system governance, policy and procedures.Conclusion: Australian and United Kingdom specialists reported telemedicine required changes in work practice and development of new skills. Both groups described potential for improvements in stroke telemedicine systems with Australian specialists more focused on role change and the United Kingdom on system governance issues. Future research should examine if cross-cultural variation reflects different models of care and extends to other networks. [ABSTRACT FROM AUTHOR]- Published
- 2017
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6. Interprofessional interactions influence nurses' adoption of handover improvement.
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Coleman, Kimberley, Redley, Bernice, Wood, Beverley, Bucknall, Tracey, and Botti, Mari
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COMMUNICATION ,CORPORATE culture ,FOCUS groups ,INTERPROFESSIONAL relations ,RESEARCH methodology ,MEDICAL cooperation ,NURSE anesthetists ,NURSES' attitudes ,POST anesthesia nursing ,QUALITY assurance ,RECOVERY rooms ,RESEARCH ,RESEARCH funding ,PRIVATE sector ,SOCIAL support ,EVIDENCE-based nursing ,HUMAN services programs - Published
- 2015
7. Peer support to improve diabetes care: an implementation evaluation of the Australasian Peers for Progress Diabetes Program.
- Author
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Aziz, Zahra, Riddell, Michaela A., Absetz, Pilvikki, Brand, Margaret, Oldenburg, Brian, On behalf of the Australasian Peers for Progress Diabetes Project Investigators, and Australasian Peers for Progress Diabetes Project Investigators
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DIABETES prevention ,SELF-management (Psychology) ,SOCIAL support ,RANDOMIZED controlled trials ,PUBLIC health ,AUSTRALASIANS ,TYPE 2 diabetes treatment ,HEALTH self-care ,TYPE 2 diabetes & psychology ,CLUSTER analysis (Statistics) ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,MOTIVATION (Psychology) ,RESEARCH ,STATISTICAL sampling ,SUPPORT groups ,AFFINITY groups ,GROUP process ,EVALUATION research ,EVALUATION of human services programs ,PSYCHOLOGY - Abstract
Background: Several studies have now demonstrated the benefits of peer support in promoting diabetes control. The aim of this study is to evaluate the implementation of a cluster randomised controlled trial of a group-based, peer support program to improve diabetes self-management and thereby, diabetes control in people with Type 2 Diabetes in Victoria, Australia.Methods: The intervention program was designed to address four key peer support functions i.e. 1) assistance in daily management, 2) social and emotional support, 3) regular linkage to clinical care, and 4) ongoing and sustained support to assist with the lifelong needs of diabetes self-care management. The intervention participants attended monthly group meetings facilitated by a trained peer leader for 12 months. Data was collected on the intervention's reach, participation, implementation fidelity, groups' effectiveness and participants' perceived support and satisfaction with the intervention. The RE-AIM and PIPE frameworks were used to guide this evaluation.Results: The trial reached a high proportion (79%) of its target population through mailed invitations. Out of a total of 441 eligible individuals, 273 (61.9%) were willing to participate. The intervention fidelity was high (92.7%). The proportion of successful participants who demonstrated a reduction in 5 years cardiovascular disease risk score was 65.1 and 44.8% in the intervention and control arm respectively. Ninety-four percent (94%) of the intervention participants stated that the program helped them manage their diabetes on a day to day basis. Overall, attending monthly group meetings provided 'a lot of support' to 57% and 'moderate' support to 34% of the participants.Conclusion: Peer support programs are feasible, acceptable and can be used to supplement treatment for patients motivated to improve behaviours related to diabetes. However, program planners need to focus on the participation component in designing future programs. The use of two evaluation frameworks allowed a comprehensive evaluation of the trial from the provider-, participant- and public health perspective. The learnings gained from this evaluation will guide and improve future implementation by improving program feasibility for adoption and acceptability among participants, and will ultimately increase the likelihood of program effectiveness for the participants.Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12609000469213 . Registered 16 June 2009. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
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