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The article presents a list of archival resources related to labor history available in the parliamentary papers of the then-colonies of Tasmania and Western Australia from the second half of the 19th century, organized into topical sections such as immigration, convict labor, railways, and public works.

This paper reports on changes in the social‐emotional well‐being of 6‐ to 12‐year‐old children tested before the COVID‐19 pandemic and during 2020 and 2021. Well‐being was assessed using a video game that empowers children to report their own well‐being, including school attachment, social and emotional well‐being, behavioural conformity and family support. We compared well‐being over time for two groups of children in government schools in Queensland, Western Australia and Tasmania. The treatment group of 580 children were tested in 2019 (Time 1) and a second time in mid‐late 2020 and early 2021 (Time 2). The comparison group of 841 children were tested twice before the pandemic. Results showed that children in the treatment group reported significantly lower family support at Time 2 than those in the comparison group. This reduction in perceived family support was stronger for girls. In addition, children in the treatment group who reported lower levels of family support at Time 1 reported a steeper decline in family support by Time 2. Finally, boys in the treatment group reported significantly better behavioural conformity and emotional well‐being relative to girls over time. Results highlight the varied impacts of the pandemic lockdowns and the need to provide continued support to vulnerable families. [ABSTRACT FROM AUTHOR]

Objective: To describe patterns of use of the available Government-subsidised mental health services among people living in Australian residential aged care facilities. Methods: A retrospective population-based trend analysis was conducted, including all non-Indigenous people living in an Australian facility between 2012 and 2017. Adjusted incidence proportions and trends were estimated for four groups of mental health services. Results: The use of Medicare-subsidised mental health services was very low overall. The proportion of residents who accessed primary care mental health services increased from 1.3% in 2012/2013 to 2.4% in 2016/2017, while psychiatry service use increased from 1.9 to 2.3%. Claims for clinical psychology increased from 0.18 to 0.26%, and claims for a registered psychologist, occupational therapist or social worker rose from 0.45 to 1.2%. People with dementia were less likely than people without dementia to access all services aside from psychiatry services. Conclusions: Less than 3% of residents accessed funding subsidies for mental health services and people with dementia experienced pronounced barriers to service access. Mental health care is a pillar of the publicly-funded health system in Australia, and low use of these services among aged care residents indicates a need for organisational and policy changes to improve access. What is known about the topic? People living in residential aged care facilities report very high rates of mental health conditions, including depression and anxiety. What does this paper add? We demonstrate very low use (<3%) of Government-funded mental health services among people living in residential aged care facilities in Australia, with only small increases in use over time. What are the implications for practitioners? Practitioners should routinely assess the mental health needs of people living in residential aged care and refer for in-reach mental health services where needed, noting that facility staff are usually not trained for this role. [ABSTRACT FROM AUTHOR]

This paper presents the history of penal transportation from Britain to Australia in relation to four distinct 'phases' of operation, each signifying a different context, and a series of different features of how convictism operated in Australia - the penological thinking, the nature of the colonies, and the conditions and systems of discipline that convicts found themselves within. The first decades of convictism in New South Wales (and Tasmania) have been described in some ways as a relatively benign system, founded upon an early system of convict assignment, and a series of legal, property and wage rights for convicts. That gave way to a tougher form of convictism, as the early assignment system transformed into a tougher form, alongside the rescinding of various convict rights, and a diminution of their status. That was then replaced by a system of probation, in the face of criticism of the assignment system. Probation was in turn halted as Britain looked to end transportation. Yet another chapter in the story of transportation from Britain to Australia emerged as settlers petitioned for the use of convict labour in Western Australia. That soon ended as transportation gave way to the penitentiary as the main mode of punishmen. The purpose of exploring this history is to signal the great complexity within how penal transportation operated in practice, and to set up future work via a natural experiments approach, which will consider such differences in more detail, and crucially, the implications of those differences for the colonies and the convicts. [ABSTRACT FROM AUTHOR]

Voluntary assisted dying laws have now been enacted in all six Australian States with reform being considered in the remaining two. While there is an emerging body of literature examining various aspects of regulation, there has been scant consideration of what these reforms mean for First Nations peoples, and to what extent their experiences have been considered in the process of developing legislation. This article provides a critical analysis of how Indigenous perspectives both contributed to, and were engaged with, during the law reform processes in Victoria and Western Australia, the first two States to grapple with this topic. Findings reveal the sophistication in how Indigenous organisations and individuals engaged with this issue and highlight the critical importance of not universalising Indigenous perspectives. Significantly, there was much greater engagement with Indigenous views in Western Australia than in Victoria. We conclude by considering how Indigenous voices can meaningfully influence Australian law reform processes. [ABSTRACT FROM AUTHOR]

We analysed changes in magnitude and timing of the largest annual observed daily flow (Amax), in each water year, for 596 stations in high-value water resource catchments and flood risk locations across Australia. These stations are either included in the Bureau of Meteorology's Hydrologic Reference Stations or used in its operational flood forecasting services. Monotonic trend (which is either consistently increasing or decreasing) analyses of the magnitude and timing of flood peaks (estimated using Amax) were performed using the Theil–Sen and Mann–Kendall approaches and circular statistics to identify the strength of seasonality and timing. We analysed regional significance across different drainage divisions using the Walker test. Monotonic decreasing trends in Amax flood magnitude were found in the Murray–Darling River Basin and in other drainage divisions in Victoria, southwest and midwest of Western Australia and South Australia. No significant obvious pattern in Amax magnitude was detected in northern Queensland, coastal NSW, central Australia and Tasmania. Monotonic increasing trends were only found in the Tanami–Timor Sea Coast drainage division in northern Australia. Monotonic trends in Amax magnitude were regionally significant at the drainage division scale. We found two distinct patterns in flood seasonality and timing. In the northern and southern parts of Australia, flood peaks generally occur from February to March and August to October, respectively. The strength of this seasonality varies across the country. Weaker seasonality was detected for locations in the Murray–Darling River Basin, and stronger seasonality was evident in northern Australia, the southwest of Western Australia, South Australia, Victoria and Tasmania. The trends of seasonality and timing reveal that in general, flood peaks have occurred later in the water year in recent years. In northern Australia, flood peaks have generally occurred earlier, at a rate of 12 days/decade. In Victoria, New South Wales and Tasmania, the trends in timing are generally mixed. However, in the southwest of Western Australia, the largest change in timing was evident, with Amax peaks commencing later at a rate of 15 days/decade. Decadal variability in flood timing was found at the drainage division scale as well. Most stations show a decreasing trend in Amax magnitude, but how that trend is associated with the change in timing is not clear. [ABSTRACT FROM AUTHOR]

Aim The aim of this study was to assess student nurses’ knowledge of and attitudes towards pressure injury prevention evidence-based guidelines. Background Pressure injuries are a substantial problem in many healthcare settings causing major harm to patients, and generating major economic costs for health service providers. Nurses have a crucial role in the prevention of pressure injuries across all health care settings. Design A multi-centered, cross-sectional study was conducted using a paper-based questionnaire with undergraduate nursing students enrolled in seven universities with campuses across five Australian states (Queensland, New South Wales, Western Australia, Victoria and Tasmania). Methods Data were collected from nursing students using two validated instruments (Pressure Ulcer Knowledge Assessment Instrument and Attitude Toward Pressure Ulcer Prevention Instrument), to measure students’ pressure injury prevention knowledge and attitudes. Results Students reported relatively low pressure injury prevention knowledge scores (51%), and high attitude scores (78%). Critical issues in this study were nursing students’ lack of knowledge about preventative strategies to reduce the amount and duration of pressure/shear, and lower confidence in their capability to prevent pressure injury. Level of education and exposure to working in a greater number of different clinical units were significantly related to pressure injury prevention knowledge and attitude scores. Conclusion The study findings highlight the need to implement a comprehensive approach to increasing Australian nursing students’ pressure injury prevention and management knowledge, as well as ensuring that these students have adequate experiences in clinical units, with a high focus on pressure injury prevention to raise their personal capability. [ABSTRACT FROM AUTHOR]

This paper presents a model of United Kingdom Local economic development characterised by a grassroots orientation and partnership between public and private actors—marriages h la mode. It then offers research findings on the emergence of Local Economic Initiatives (LEIS) from Western ' Australia and Tasmania. Factors in the structure of their respective political economies appear to have made for a speedier adoption in Western Australia than Tasmania of such alternative policy characteristics as a grassroots participatory approach to policy design and implementation, which is underwritten to a considerable extent by non earmarked public funds. Over and above the structural factors, an Australia-wide network of LEI enthusiasts, within and outside government, has encouraged imitation of the Western Australian policy innovation in Tasmania. We marriages à la mode model has not been fully replicated in Australia, however, by virtue of the relatively low profile of business organisations in LEIs. [ABSTRACT FROM AUTHOR]

The baseline distribution data for all species of a given group in a region can provide fundamental insights into biogeographic questions about historic patterns of species richness, population trends and extinction. Grasshoppers are one major group of insects for which a continent‐wide perspective on their geographic distribution can be obtained. This is because they were extensively surveyed in Australia for 54 years (1936–1989) as part of Commonwealth expeditions to obtain specimens for the Australian National Insect Collection (ANIC). Field notebooks recorded from those surveys, under the direction of ANIC curator and director K. H. L. Key, form the principal source of historic distribution records for grasshoppers in Australia. We digitised all the 223 notebooks (2486 pages) and transcribed all the field trips conducted in Western Australia (WA) and Tasmania (47 notebooks, 590 pages). We then carefully geocoded all sampling sites of the transcribed notebooks, following the odometer readings and descriptions of routes from a suitable reference point using historic topographic maps and Google Earth. In total, we extracted 8975 geographic coordinates for 477 species having a confirmed or putative taxonomic name at genus or species level (only 170 of these species have been formally described). We found that species richness varied spatially, with highest richness in arid interior and north of WA. Historic grasshopper surveys were non‐randomly distributed across both WA and Tasmania with the highest survey intensity around coastal regions. Variation was observed among surveyors in terms of the number of species detected per site, between‐site distance and the season of survey being conducted. Overall, however, the dataset is among the most comprehensive continent‐wide surveys of Australian invertebrates and will greatly facilitate future work on their ecology, biogeography, conservation and responses to environmental change. [ABSTRACT FROM AUTHOR]

Odontasteridae (Asteroidea) are important members of Antarctic faunas. Less wellknown are odontasterid species present outside of high-latitudes, which occur primarily in the deepsea. Multiple new odontasterids were identified from deep-sea settings in Australian waters, including a new genus and species, Marshastra loisetteae gen. nov. sp. nov., from the shelf off Western Australia, and Hoplaster oloughlini sp. nov. from Tasmania and the south Pacific region. A phylogeny of Hoplaster suggests diversification from a Southern Hemisphere setting into the Atlantic and northward as well as across Tasmanian seamounts, indicating diversification into deep-sea habitats from shallower waters. [ABSTRACT FROM AUTHOR]

Lunatic asylums formed part of the civic infrastructure that was constructed out of British colonists invading and subsequently colonising unceded, Indigenous Australian lands during the eighteenth and nineteenth century. This historical narrative examined nineteenth century primary and secondary sources including, patient lists, medical files, and government correspondence, to provide insight into the experiences of Indigenous Australians admitted to Australia's earliest lunatic asylums. Awareness that lunatic asylums formed part of the structure imposed during colonisation, provides nurses and other health professionals with greater historical literacy regarding the impact of colonial lunatic asylums on Indigenous Australians. Such impacts continue to be experienced through transgenerational trauma and emphasise the importance of culturally safe mental health services. [ABSTRACT FROM AUTHOR]

Fathers in families raising children with disabilities are under-researched. Fathers' perspectives can be better accommodated in childhood disability services that operate on a family-centred paradigm if their perspectives are understood. This study aimed to investigate the perspectives of fathers on caring and family life, work, and health. A mixed-methods design with an online questionnaire included open-ended questions and three instruments: Depression Anxiety Stress Scales (DASS); Health Promoting Activities Scale (HPAS-M); Fathers of Children with Developmental Challenges (FCDC) Scale. Fathers (n = 33) reported high depressive (58%), anxiety (37%), and stress symptoms (61%). Fathers reported low participation in health-promoting activity with less than weekly: planning health activities (58%); solo physical activity (26%); social activity (3%); time relaxing (16%). Sixty-four percent worked full-time, although work was reported to be challenged by family responsibilities. Fathers described directly caring for their children although service interactions were low and delegated to mothers. Fathers in this study reported stress, mental health issues, and low participation in healthy activity. Fathers experienced challenges related to career progression and job choices due to family responsibilities. Providing individualised and responsive support to fathers of a child with a disability would better support the family unit. Fathers of children with a disability in this study experienced high mental health symptoms. Fathers were involved with their child's care at home but had low service interactions suggesting that service providers need to discover new ways to better engage fathers. Fathers experienced challenges to participation in paid work secondary to care responsibilities for their child with a disability and resulting needs of their family. Services that better support fathers are important to promote better health and wellbeing and support families. [ABSTRACT FROM AUTHOR]

[Display omitted] • Wildfires are becoming more severe and frequent and their effects increasingly expose water resources to stress. • Climate, wildfire, streamflow records (1975 to 2018), topography, and landcover data from 92 catchments were combined to quantify the contribution of wildfire to streamflow variability across Australian temperate forests. • On average wildfire regimes relatively results in 8.8% increases in streamflow across Australian temperate forests. • Wildfire effects on regional streamflow varied spatially depending on hydroclimate factors, particularly precipitation. As wildfires become more frequent and severe, there are concerns regarding their impacts on water yield from forested catchments. While there are many studies in Australia about the effects of individual wildfires on streamflow at fine scales (<1 km2) in specific geographic settings, the effects of wildfire regimes on streamflow at broad spatial scales across temperate forests in Australia are not well understood. In this paper, we combined climate, wildfire, streamflow records (1975 to 2018), topographic, and landcover data from 92 catchments (74 – 4740 km2) in the Australian temperate zone to quantify the contribution of wildfire regimes over time to streamflow variability in different hydroclimatic settings (humid, dry sub-humid, and semi-arid) and geographic regions (Southeast Australia (SEA), Southwest Western Australia (SWWA), and Tasmania (TAS)). Wildfire regimes were represented by two metrics: the burnt area to drainage area (BDA) ratio for wildfire events in each year and a spatially averaged metric of Time Since Fire (TSF), which is a spatial average of time since the last wildfire in the catchment. By comparing prefire and postfire runoff ratios our study found that on average there was a short-term increase in runoff ratio (∼3% in year 1 and ∼6% in year 2 post-fire) after wildfires with BDA > 25%. No influence of fire was found in the long-term (15–20 years after the wildfire) runoff ratio. We found that wildfire regime, measured by TSF, explained ∼8.8% of the variation in annual streamflow across the Australian temperate zone, and that with decreasing TSF (i.e., increased wildfire impact), the average streamflow increased. Streamflow variation explained by wildfire regimes varied with hydroclimate. The explained variance of streamflow by wildfire regimes in semi-arid catchments (23%) and dry sub-humid catchments (13%) were higher than humid catchments (5%). Our results provide a broad-scale understanding of how wildfire regimes influence streamflow variability at broad temporal and spatial scales, and provided important context and baseline information for determining the implications of changes in climate and fire regimes for regional water availability. [ABSTRACT FROM AUTHOR]

Objective. To analyse Medicare expenditure by State/Territory, remoteness, and Indigenous demography to assess funding equality in meeting the health needs of remote Indigenous populations in the Northern Territory. Methods. Analytic descriptions of Medicare online reports on services and benefits by key demographic variables linked with Australian Bureau of Statistics data on remoteness and Indigenous population proportion. The Northern Territory Indigenous and non-Indigenous populations were compared with the Australian average between the 2010/2011 and 2019/2020 fiscal years in terms of standardised rates of Medicare services and benefits. These were further analysed using ordinary least squares, simultaneous equations and multilevel models. Results. In per capita terms, the Northern Territory receives around 30% less Medicare funds than the national average, even when additional Commonwealth funding for Aboriginal medical services is included. This funding shortfall amounts to approximately AU$80 million annually across both the Medicare Benefits Schedule and Pharmaceutical Benefits Scheme. The multilevel models indicate that providing healthcare for an Aboriginal and Torres Strait Islander person in a remote area involves a Medicare shortfall of AU$531-- AU$1041 less Medicare Benefits Schedule benefits per annum compared with a non-Indigenous person in an urban area. Indigenous population proportion, together with remoteness, explained 51% of the funding variation. An age--sex based capitation funding model would correct about 87% of the Northern Territory primary care funding inequality. Conclusions. The current Medicare funding scheme systematically disadvantages the Northern Territory. A needs-based funding model is required that does not penalise the Northern Territory population based on the remote primary health care service model. [ABSTRACT FROM AUTHOR]

Although the Australian forest plantation industry acknowledges that there is a role for corporate social responsibility (CSR) in forest management, there is confusion as to what this constitutes in practice. This paper describes the conflicts between internal and external stakeholder views on CSR in plantation forestry. We conducted in-depth interviews with key informants across three plantation management regions in Australia: Tasmania, the Green Triangle and south-west Western Australia. We interviewed a range of stakeholders including forest company employees, local councils, Indigenous representatives, and environmental non-government organisations. CSR-related initiatives that stakeholders believed were important for plantation management included the need for community engagement, accountability towards stakeholders, and contribution to community development and well-being. Although there was wide support for these initiatives, some stakeholders were not satisfied that forest companies were actively implementing them. Due to the perception that forest companies are not committed to CSR initiatives such as community engagement, some stakeholder expectations are not being satisfied. [Copyright &y& Elsevier]

Abstract: This paper reports research undertaken to examine the relative public acceptance of rural land uses in two regions of southern Australia. Participants from Tasmania and southwest Western Australia completed a questionnaire about their views on the acceptability of ten traditional and nontraditional land uses in rural areas (n =2167). Participants made clear evaluative distinctions between traditional agricultural land uses (cropping, grazing, horticulture, dairy), non-traditional ‘green’ land uses (wind farms and revegetation), plantations and rural residential development. Analysis of distribution of views suggested strong positive consensus regarding traditional agricultural and nontraditional ‘green’ land uses, but diverse and sometimes conflicting views regarding plantations and rural residential development. The findings clarify the relative public acceptance of land uses – both controversial and non-controversial – within the study areas, and suggest land use policies that distinguish between traditional agricultural land uses and non-traditional land uses are consistent with public perceptions. The findings also demonstrate that non-traditional land uses may be more acceptable in some regions and among some social groups than others, highlighting the significance of enabling local land use planning priorities. [Copyright &y& Elsevier]

This research article aims to examine the extent of holistic sustainability (economic, environmental, and social) disclosure practices of public agencies in Tasmania, South Australia, and Western Australia under the influence of over-arching state-based public policies. The article also investigates other factors that have influenced these disclosure practices. To accomplish these objectives, the study analyzed ten to twelve years of annual reports from twelve key public agencies. The analyses of these annual reports were based on the Global Reporting Initiative (GRI)'s Sector Supplementary for Public Agencies (SASP) framework. We have analyzed each state's policy documents, disclosure instruction manuals to agencies, and selected agencies' annual reports. The study found that holistic sustainability disclosure practices (economic, social, and environmental) were embraced by agencies in all jurisdictions and manifested through several initiatives. However, our analysis revealed that among the three selected states, South Australian agencies' commitment toward holistic sustainability practices were the most robust, consistent, and comprehensive. The Tasmanian public agencies also reflected a similar degree of commitment. In comparison, the Western Australian agencies' disclosure practices were weak, superficial, and inconsistent, primarily due to lack of institutional pressure. Finally, our analysis found that, in general, the level of holistic sustainability disclosure practices and other policy measures improves if political support and institutional regulatory pressure prevail, in addition to overall change in global normative values. [ABSTRACT FROM AUTHOR]

The article examines the political party system and change of regime in Tasmania and Western Australia. The change of regime in Western Australia generated substantial evidence for the importance of partisan factors. The two major party groupings produced election manifestos that differed in the mix and relative importance of policy commitments, and these differences were born out in the policies of the new regime. However, Tasmania did not produce evidence for the importance of similar partisan factors either in the process of electoral change or in the subsequent policies of the new regime.

Subseasonal forecast skill is not homogeneous in time, and prior assessment of the likely forecast skill would be valuable for end-users. We propose a method for identifying periods of high forecast confidence using atmospheric circulation patterns, with an application to southern Australia precipitation. In particular, we use archetypal analysis to derive six patterns, called archetypes, of daily 500-hPa geopotential height (Z500) fields over Australia. We assign Z500 reanalysis fields to the closest-matching archetype and subsequently link the archetypes to precipitation for three key regions in the Australian agriculture and energy sectors: the Murray Basin, southwest Western Australia, and western Tasmania. Using a 20-yr hindcast dataset from the European Centre for Medium-Range Weather Forecasts subseasonal-to-seasonal prediction system, we identify periods of high confidence as when hindcast Z500 fields closely match an archetype according to a distance criterion. We compare the precipitation hindcast accuracy during these confident periods compared to normal. Considering all archetypes, we show that there is greater skill during confident periods for lead times of less than 10 days in the Murray Basin and western Tasmania, and for greater than 6 days in southwest Western Australia, although these conclusions are subject to substantial uncertainty. By breaking down the skill results for each archetype individually, we highlight how skill tends to be greater than normal for those archetypes associated with drier-than-average conditions. [ABSTRACT FROM AUTHOR]

The accidental introduction of the eucalypt‐feeding paropsine beetle Paropsisterna cloelia (Paropsisterna variicollis) into New Zealand (NZ) in 2016 prompted investigation of the species complex to which the invasive species belongs. Two mitochondrial gene regions, Cytochrome c oxidase subunit 1 and Cytochrome b, were sequenced from field‐collected specimens superficially resembling P. cloelia collected in Queensland, the Australian Capital Territory, New South Wales, Victoria, South Australia, Tasmania, Western Australia (WA) and NZ. Four distinct Paropsisterna species groups were found, and representatives from each clade were identified with named species using morphology. P. cloelia was confirmed via sequencing and morphology to occur in all sampled geographic regions. The WA and NZ populations showed no diversity at the gene regions studied and hence represent invasive populations. The invasive WA haplotype was shared with both Tasmania and Victoria, whereas the NZ haplotype was unique, but most similar to one shared between WA, Tasmania and Victoria. The melanistic colour variant of P. cloelia was only found in eastern mainland Australian populations and was absent from Tasmania and invasive populations. Implications for pest management, including biological control, are discussed. [ABSTRACT FROM AUTHOR]

A taxonomic revision of the Australian endemic genus Levenhookia R.Br. (Stylidiaceae) recognises 12 species, of which L. aestiva Wege, sp. nov. from south-western Australia is newly described. Levenhookia preissii (Sond.) F.Muell. is lectotypified and recircumscribed as a Swan Coastal Plain endemic, resulting in its addition to the Threatened and Priority Flora List for Western Australia. Lectotypes are also selected for L. dubia Sond., L. leptantha Benth., L. sonderi (F.Muell.) F.Muell. and L. stipitata (Benth.) F.Muell. ex Benth. Verification of herbarium records has expanded the known distribution of L. murfetii Lowrie & Conran and L. pulcherrima Carlquist and has confirmed the widespread distribution of L. dubia across southern Australia including Tasmania, where it is currently listed as extinct-surveys based on information gleaned from historical collections may lead to its rediscovery in this State. Descriptions, distribution maps and photographs for all species are provided along with a key to species. [ABSTRACT FROM AUTHOR]

The advance of renal replacement therapy options for people with end-stage kidney disease has given rise to the development of specialist renal nurses including the renal transplant coordinator. The renal transplant coordinator role requires a high level of specialist knowledge in renal and transplantation nursing plus a commitment to following through with people in the long term. To find out just what renal transplant coordinators in Australia do, an interview was conducted with renal transplant coordinators from each Australian state and territory. Their stories relate to transplanting units; referring centres; and, adult, paediatric, statewide and national renal services. They demonstrate the diversity that exists within the role of the renal transplant coordinator. [ABSTRACT FROM AUTHOR]

BACKGROUND: Palliative care services are increasingly identifying areas for improvement, then trying to create appropriate changes in response. Nurses in particular are often expected to take leading roles in quality improvement (QI) but are not necessarily trained or supported in these processes. METHODS: A framework approach to change was developed to guide services through a change cycle and delivered via workshops by representatives of three Australian national projects. Participants were predominantly nurses (80%), with the majority (63.7%) over the age of 50. FINDINGS: The workshops and the framework were positively evaluated, with participants feeling confident in a number of QI-related activities following workshop training. CONCLUSION: Recognising and addressing problems in clinical practice and service delivery is an important way for nurses to ensure quality care for patients; however, they need support in developing the skills and knowledge that are essential to successful QI activities. [ABSTRACT FROM AUTHOR]

Background: Typically, dementia involves progressive cognitive and functional deterioration, leading to death. A palliative approach recognizes the inevitable health decline, focusing on quality of life. The approach is holistic, proactive, supports the client and the family, and can be provided by the client's usual care team. In the last months of life, distressing symptoms, support needs, and care transitions may escalate. This project trialed a strategy intended to support a consistent, high quality, palliative approach for people with dementia drawing close to death. The strategy was to implement two communities of practice, drawn primarily from service provider organizations across care sectors, supporting them to address practice change. Communities comprised practitioners and other health professionals with a passionate commitment to dementia palliative care and the capacity to drive practice enhancement within partnering organizations. Project aims were to document: (i) changes driven by the communities of practice; (ii) changes in staff/practitioner characteristics during the study (knowledge of a palliative approach and dementia; confidence delivering palliative care; views on death and dying, palliative care, and a palliative approach for dementia); (iii) outcomes from perspectives of family carers, care providers, and community of practice members; (iv) the extent to which changes enhanced practice and care continuity; and (v) barriers to and facilitators of successful community of practice implementation. Methods/design: This action research project was implemented over 14 months in 2010/11 in metropolitan Perth, Western Australia and regional Launceston, Tasmania. Each state based community of practice worked with the researchers to scope existing practice and its outcomes. The research team compiled a report of existing practice recommendations and resources. Findings of these two steps informed community of practice action plans and development of additional resources. Change implementation was recorded and explored in interviews, comparisons being made with practice recommendations. Changes in staff/practitioner characteristics were evaluated using survey data. Findings from semi structured interviews and survey administration established outcomes from perspectives of family carers, care providers, and community of practice members. Consideration of processes and outcomes, across the two state based settings, informed identification of barriers and facilitators. Community of practice reflections also informed study recommendations [ABSTRACT FROM AUTHOR]

This article discusses the issue of abortion and the changes in Australian Capital Territory (ACT), the legislation pertaining to abortion in both Western Australia and Tasmania. It presents as well the subjects of national concerns on maternity and race politics in relation to the on-going debates on abortion.

Background: In a number of countries, frameworks have been developed to improve self-management support (SMS) in order to reduce the impact of chronic disease. The frameworks potentially provide direction for system-wide change in the provision of SMS by healthcare systems. Although policy formulation sets a foundation for health service reform, little is currently known about the processes which underpin SMS framework development as well as the respective implementation and evaluation plans.Methods: The aim of this study was to conduct a cross-country comparative document analysis of frameworks on SMS for chronic diseases in member countries of the Organisation for Economic Cooperation and Development. SMS frameworks were sourced through a systematic grey literature search and compared through document analysis using the Health Policy Triangle framework focusing on policy context, contents, actors involved and processes of development, implementation and evaluation.Results: Eight framework documents published from 2008 to 2017 were included for analysis from: Scotland, Wales, Ireland, Manitoba, Queensland, Western Australia, Tasmania and the Northern Territory. The number of chronic diseases identified for SMS varied across the frameworks. A notable gap was a lack of focus on multimorbidity. Common courses of action across countries included the provision of self-management programmes for individuals with chronic disease and education to health professionals, though different approaches were proposed. The 'actors' involved in policy formulation were inconsistent across countries and it was only clear from two frameworks that individuals with chronic disease were directly involved. Half of the frameworks had SMS implementation plans with timelines. Although all frameworks referred to the need for evaluation of SMS implementation, few provided a detailed plan.Conclusions: Differences across frameworks may have implications for their success including: the extent to which people with chronic disease are involved in policy making; the courses of action taken to enhance SMS; and planned implementation processes including governance and infrastructure. Further research is needed to examine how differences in frameworks have affected implementation and to identify the critical success factors in SMS policy implementation. [ABSTRACT FROM AUTHOR]