1,631 results
Search Results
102. Understanding COPD Emergency Department presentations: using thematic analysis to explore the voices of patients, nurses, and doctors on the lived experience of managing COPD.
- Author
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MOLONEY, CLINT
- Subjects
- *
OBSTRUCTIVE lung disease treatment , *NURSES' attitudes , *HOSPITAL emergency services , *NURSING , *PROFESSIONS , *FUNCTIONAL status , *PHYSICIANS' attitudes , *MEDICAL care , *PATIENTS , *INTERVIEWING , *PATIENTS' attitudes , *EXPERIENCE , *QUALITATIVE research , *TREATMENT failure , *EMERGENCY medical services , *QUALITY assurance , *EMPLOYEES' workload , *COMMUNICATION , *QUALITY of life , *RESEARCH funding , *THEMATIC analysis , *MEDICAL appointments , *MEDICAL case management , *INTEGRATED health care delivery , *MEDICAL practice , *MEDICAL needs assessment , *DISEASE exacerbation ,DISEASE relapse prevention - Abstract
Aim: To describe for areas of improvement in the management of COPD and reduction in emergency department presentations in Queensland. Background: If current trends in the management of COPD do not change, the predicted 4.5 million Australians diagnosed with COPD by 2050 will place significant burdens on already over-utilised frontline ED services. Separately COPD is more costly per case than cardiovascular disease and is a more common presentation to Emergency Departments in any year than most types of cancer, road traffic accidents and heart disease. Study Design and Methods: This study used a qualitative thematic analysis methodology in which field convergent interviews were employed to generate data. Sixteen staff and nine patients across three major Southern Queensland Health acute care facilities participated in the study. The authors analysed interview data using qualitative thematic analysis. Results: This research has revealed several noteworthy concepts worthy of further exploration. Thematic analysis from both staff and patient interviews identified the following issues: 1. Nurse case management, 2. Integrated communication of patient assessment and history data, 3. Failure in COPD management, and 4. Knowledge utilisation among ED clinicians. Inherent among these key concepts is a primary goal of coordinated congruent COPD management that optimise a patient's functional status and quality of life, improving symptoms management, and avoiding recurrent exacerbations. Discussion: These insights into the experience of patients and hospital staff into the management of COPD provides valuable insight into current and desired practices that can help to minimise presentations to Emergency Departments. The findings of the research provide insights and future direction for improvements by addressing the inconsistency in disease management. The need for more accessible and consistent patient management and a more congruent centralised patient support framework was also identified. Conclusion: There is indication of support stemming from the voices of patients and hospital staff around the need for COPD case management to become the dominant method of care. Future research should consider the cost benefit and patient outcomes of the implementation of such a role and the avoidance of ED presentations. Implications for research, policy, and practice: The findings of this research imply a need to streamline the patient support and disease management discharged planning process by ensuring one health professional maintains ongoing education, support, and assessment to the patient. Future research needs to better ascertain the positive economic benefits to healthcare organisations by employing Case Managers for patients with COPD. What is already known about the topic? * Case management roles can be effective in reducing ED usage for adults with chronic illnesses. * The World Health Organization (WHO) has called for planned ongoing assessment, care and support coordinated by a proactive investment in real time solutions that address the increasing burden of this disease on the healthcare sector. * The WHO has endorsed targeted patient support strategies that coordinate care over time, addressing the physical and mental health needs of people with chronic illness. What this paper adds: * Findings from this research show that discharged planning support practices with Southern Queensland Healthcare Organisations require review and ongoing evaluation. * This may include, streamlining the patient support and disease management discharged planning; or designated case management or integration of systems to prevent ED presentations. * This research adds to the voices of patients and staff that confirm published research recommendations. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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103. TEMPORALITY, DEVELOPMENT AND DECAY IN THE WHITSUNDAYS (QUEENSLAND, AUSTRALIA).
- Author
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HAYWARD, PHILIP
- Subjects
INDIGENOUS Australians ,ARCHIPELAGOES ,SYNCHRONIC order - Abstract
Copyright of Croatian Journal of Ethnology & Folklore Research / Narodna Umjetnost is the property of Institute of Ethnology & Folklore Research and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
104. EFFECT OF SOIL CEMENT COLUMN SPACING AND AREA REPLACEMENT RATIO ON EMBANKMENT BEARING CAPACITY: A QUEENSLAND CASE STUDY.
- Author
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Bolton, Mark, Noonan, Jay, and Oh, Erwin
- Subjects
SOIL cement ,EMBANKMENTS ,BEARING capacity of soils ,FINITE element method - Abstract
This paper investigates the effect of soil/cement column diameter and spacing on bearing capacity beneath a road embankment situated on normally consolidated estuarine deposits in the South East Queensland region. The modelling was undertaken using the Finite Element method and the results are discussed with respect to the variation in parameters as described. A site investigation was undertaken during the planning stages for construction of the embankment to establish the soil profile on the site. A range of laboratory tests were performed on the undisturbed sample obtained during the investigation. The results of the laboratory tests and several alternative established methods were utilised to establish the Plaxis input parameters as discussed in this paper. The results of the analysis reveal a direct relationship between the ultimate bearing capacity and the area replacement ratio, providing a practical tool for estimating soil cement column spacings to achieve a required bearing capacity in South East Queensland conditions. [ABSTRACT FROM AUTHOR]
- Published
- 2016
105. Selection of effective strains of Bradyrhizobium for Caatinga stylo (Stylosanthes seabrana).
- Author
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DATE, RICHARD A.
- Subjects
BRADYRHIZOBIUM ,GRASSLAND soils ,NITROGEN fixation ,SOIL temperature ,PASTURES ,CLAY soils - Abstract
Copyright of Tropical Grasslands / Forrajes Tropicales is the property of International Centre for Tropical Agriculture - CIAT and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
106. National implementation trial of BeUpstanding™: an online initiative for workers to sit less and move more.
- Author
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Healy, Genevieve N., Goode, Ana D., Ulyate, Lisa, Abbott, Alison, Dunstan, David W., Eakin, Elizabeth G., Gilson, Nicholas D., Gunning, Lynn, Jetann, Jodie, LaMontagne, Anthony D., Moodie, Marj, Mulcahy, Samantha, Owen, Neville, Shilton, Trevor, Sweeny, Leanne, Straker, Leon, and Winkler, Elisabeth A. H.
- Subjects
EMPLOYEES ,WORLD Wide Web ,RESEARCH funding ,WORK environment ,STANDING position ,MEDICAL care ,CULTURE ,EVALUATION of human services programs ,INTERNET ,BEHAVIOR ,DESCRIPTIVE statistics ,WALKING ,SURVEYS ,SITTING position ,CLUSTER sampling ,HEALTH promotion ,CONFIDENCE intervals ,POSTURE ,INDUSTRIAL hygiene ,TIME - Abstract
Background: The online BeUpstanding™ program is an eight-week workplace-delivered intervention for desk-based workers to raise awareness of the benefits of sitting less and moving more and build a supportive culture for change. A workplace representative (the "champion") delivers the program, which includes a workshop where teams collectively choose their sit less/move more strategies. A toolkit provides the champion with a step-by-step guide and associated resources to support program uptake, delivery, and evaluation. Here we report on the main findings from the Australian national implementation trial of BeUpstanding. Methods: Recruitment (12/06/2019 to 30/09/2021) was supported by five policy and practice partners, with desk-based work teams from across Australia targeted. Effectiveness was measured via a single arm, repeated-measures trial. Data were collected via online surveys, toolkit analytics, and telephone calls with champions. The RE-AIM framework guided evaluation, with adoption/reach (number and characteristics); effectiveness (primary: self-reported workplace sitting time); implementation (completion of core components; costs); and, maintenance intentions reported here. Linear mixed models, correcting for cluster, were used for effectiveness, with reach, adoption, implementation, and maintenance outcomes described. Results: Of the 1640 website users who signed-up to BeUpstanding during the recruitment period, 233 were eligible, 198 (85%) provided preliminary consent, and 118 (50.6%) champions consented and started the trial, with 94% (n = 111 champions) completing. Trial participation was from across Australia and across industries, and reached 2,761 staff, with 2,248 participating in the staff survey(s): 65% female; 64% university educated; 17% from a non-English speaking background. The program effectively changed workplace sitting (-38.5 [95%CI -46.0 to -28.7] minutes/8-hour workday) and all outcomes targeted by BeUpstanding (behaviours and culture), with small-to-moderate statistically-significant effects observed. All participating teams (n = 94) completed at least 5/7 core steps; 72.4% completed all seven. Most champions spent $0 (72%) or >$0-$5 (10%) per team member; most (67/70 96%) intended to continue or repeat the program. Conclusions: BeUpstanding can be adopted and successfully implemented by a range of workplaces, reach a diversity of staff, and be effective at creating a supportive culture for teams of desk-based workers to sit less and move more. Learnings will inform optimisation of the program for longer-term sustainability. Trial registration: ACTRN12617000682347. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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107. Service User Perspectives of Family Involvement and Mental Health Care Outcomes in Queensland.
- Author
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Cameron, Sarah L. A., Gallo Cordoba, Beatriz, Maybery, Darryl, and Shweta Kalyani, Kumari
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MENTAL illness treatment ,MEDICAL care use ,HEALTH services accessibility ,MENTAL health services ,HEALTH attitudes ,MENTAL health ,QUESTIONNAIRES ,EVALUATION of medical care ,DESCRIPTIVE statistics ,CHI-squared test ,FAMILIES ,FAMILY attitudes ,CAREGIVERS ,FAMILY-centered care ,STATISTICS ,SOCIODEMOGRAPHIC factors ,COMPARATIVE studies ,DATA analysis software ,MEDICAL needs assessment ,PATIENTS' attitudes ,CAREGIVER attitudes - Abstract
Family‐focussed practice is an important component of mental health care. In Australia, service users' views about their experience of service are collected using instruments such as the Your Experience of Service (YES) survey. This study examined 10,579 Queensland (Australia) service users' experiences of mental health services during 2019–2021, with a particular focus on their perspectives of how family and carers are involved in their care. The study examined if family‐focussed practice is welcomed by service users and if it is important in terms of predicting recovery‐related outcomes (e.g., hopefulness, managing day‐to‐day life, well‐being, and experience of care) and which demographics (e.g., age, gender, and Indigenous status) and service characteristics (e.g., time in service, duration, year of service, and setting type) are associated with these outcomes and with family member involvement. A substantial majority of service users reported a positive experience of care (very good or excellent), feeling they had opportunities for family involvement and that their opinions about family involvement were respected (usually or always). Chi‐square tests and nonlinear regression models showed that family involvement predicts care outcomes. Specifically, where individuals felt that their perspectives were recognised, their outcomes were consistently rated as more positive. The results also revealed that setting, age group, time in service, and admission status were significantly correlated with all user experience outcome variables and family‐oriented variables. Future research has the potential to further strengthen this understanding of service users' preferred opportunities and opinions about family involvement and how to improve family engagement and better meet the needs of service users and their families. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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108. Non-invasive wool hormone assessment of Australian merino rams (Ovis aries): a pilot investigation of cortisol and testosterone.
- Author
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Fox, Dylan, Wilson, Benn, and Narayan, Edward
- Subjects
SHEEP ,TESTOSTERONE ,WOOL ,HYDROCORTISONE ,RAMS - Abstract
Introduction: Non-invasive hormone assessment is growing in interest as producers and livestock researchers seek new methods to assess animal welfare. Non-invasive wool assessment offers long-term, historic reflections of hormone concentration at the scale of weeks and months - and are not limited by sampling stress - thus making wool an appropriate tissue for long-term hormone analysis. This pilot study quantified cortisol and testosterone concentrations of ram fleece and determined if there is a significant difference between segments of the sample staple, and whether there is a correlation between hormones. Cortisol is a glucocorticoid produced within the adrenal glands and secreted in anticipation of or in response to a stressor. Testosterone is an androgen mainly synthesised within the testes of males and responsible for several critical functions including regulation of muscle growth, libido and spermatogenesis. Methods: In our study, 70 topknot wool samples were collected from rams on a commercial stud property in Dirranbandi, Queensland, Australia. Of these animals, 12 samples were selected at random to undergo cortisol and testosterone quantification. In the laboratory, a single, intact staple was isolated from the total sample, divided into 10 mm segments and prepared for their respective (cortisol or testosterone) immunoassays. Results: No significant difference (p > 0.05) was found between wool segments for either cortisol or testosterone, however, statistical differences (p < 0.05) were found between individuals for both hormones. A strong positive correlation (R2 = 0.9173, p < 0.05) was found between wool cortisol and testosterone concentrations. Discussion: In summary, this study reveals the major future possibilities for noninvasive wool hormone assessment in merino rams. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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109. Genetic patterns reveal geographic drivers of divergence in silvereyes (Zosterops lateralis).
- Author
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Radu, Annika, Dudgeon, Christine, Clegg, Sonya M., Foster, Yasmin, Levengood, Alexis L., Sendell-Price, Ashley T., Townsend, Kathy A., and Potvin, Dominique A.
- Subjects
SUBSPECIES ,SINGLE nucleotide polymorphisms ,GENETIC variation ,HETEROZYGOSITY - Abstract
Identifying mechanisms that drive population divergence under varying geographic and ecological scenarios can inform our understanding of evolution and speciation. In particular, analysis of genetic data from island populations with known colonisation timelines allows us to identify potential source populations of diverging island subspecies and current relationships among populations. Silvereyes (Zosterops lateralis) are a small passerine that have served as a valuable study system to investigate evolutionary patterns on both large and small geographic scales. We examined genetic relatedness and diversity of two silvereye subspecies, the mainland Z. l. cornwalli and island Z. l. chlorocephalus, and used 18 077 single nucleotide polymorphisms (SNPs), to compare locations across southeast Queensland, Australia. Although silvereyes are prolific island colonisers our findings revealed population divergence over relatively small spatial scales was strongly influenced by geographic isolation mediated by water barriers. Strong genetic connectivity was displayed between mainland sites, but minimal inter-island connectivity was shown despite comparable sampling distances. Genetic diversity analysis showed little difference in heterozygosity between island and mainland populations, but lower inbreeding scores among the island populations. Our study confirmed the range of the Z. l. chlorocephalus subspecies throughout the southern Great Barrier Reef. Our results show that water barriers and not geographic distance per se are important in driving incipient divergence in island populations. This helps to explain the relatively high number of phenotypically differentiated, but often geographically proximate, island silvereye subspecies compared to a lower number of phenotypically less well-defined Australian continental subspecies. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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110. Accountability and Control: A sociological account of secondary school assessment in Queensland.
- Author
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Lingard, Bob
- Subjects
EDUCATION ,EVALUATION ,EDUCATIONAL accountability ,EDUCATION policy ,SOCIOLOGY - Abstract
This paper analyses sociologically the current form of school-based secondary assessment, in Queensland which is criterion-referenced to Year 10 and a hybrid criterion/norm referenced form at the end of Year 12. Habermas' arguments are used to suggest that this. assessment pattern will give the state potentially greater 'steering capacity' over education by 'rationalising' it-the 'scientisation of schooling'. This form of assessment fits within the accountability discourse of the economically parsimonious 1980 while meeting selection demands. However, the approach does meet some educational demands. The paper also reflects upon the role of the state and expert knowledge in policy formulation. [ABSTRACT FROM AUTHOR]
- Published
- 1990
- Full Text
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111. Why Has the Workplace Become Safer?
- Author
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Borooah, Vani K. and Mangan, John
- Subjects
WORK environment ,INDUSTRIAL safety ,LABOR supply ,MANUFACTURED products ,ECONOMIC history ,ECONOMETRICS - Abstract
This paper asks whether the fall over 1983-1993 in the aggregate injury-to-workforce ratio (the injury rate) that occurred in Queensland was due to improvements in industrial safety or due to shifts in employment away from 'unsafe' industries. The conclusion, based on data from the Queensland Employee Injury Data Base, is that improvements in industrial safety were the main reason for the State's workplace becoming safer. The paper then conducts an econometric investigation in to why industrial injury rates in Queensland fell over 1983-1993. The evidence is that in Mining. Manufacturing and Construction, there was a significant autonomous decrease in the injury rate. The problem is that since the data available were only for those injuries against which compensation was claimed, it is difficult to say-except as a matter of judgment- whether improvements in injury rates in these sectors were due to genuine improvements in safety or caused by a frill in the propensity to claim compensation. Changes in general economic conditions-particularly, rising unemployment-have also contributed to falling injury rates. [ABSTRACT FROM AUTHOR]
- Published
- 1998
- Full Text
- View/download PDF
112. The Queensland mental health court: a unique model.
- Author
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Coghlan, Suzanne and Harden, Scott
- Subjects
MENTAL health ,MENTAL health services ,MENTAL illness - Abstract
There is a longstanding but sometimes controversial belief that a person is not criminally responsible for a crime if they were suffering from a mental illness at the time of the offence. The Queensland Mental Health Court (QMHC) system, in which assisting clinicians have a central role, is underwritten by this belief. This paper describes the QMHC system. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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113. FIRST THEY CAME FOR THE UNSCHOOLERS: A Faircloughian Critical Discourse Analysis of Queensland Home Education Policies.
- Author
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English, Rebecca
- Subjects
CRITICAL discourse analysis ,EDUCATION policy ,HOME schooling ,SOCIAL impact ,SOCIAL order ,SOCIAL change - Abstract
Increasing numbers of Australian parents, like me, are choosing to home educate. US estimates suggest, within home educated populations, 5 per cent of home education cohorts (Riley, 2018) follow an unschooling, or self-directed education (SDE), approach. In the past, these parents registered with the government department; however, policy changes made in Queensland in May 2018 make registration almost impossible for unschoolers and discriminate against families whose registration was based on a philosophy such as SDE. In this paper, I use Fairclough's (2003) Critical Discourse Analysis as a tool to interrogate how changes to the Queensland Education Act (2006) in May 2018 privilege a curriculum centric approach to education by requiring families to report on their child's 'progress' in relation to schooled children's levels. I argue these changes privilege the needs of bureaucrats who are invested in presenting a 'school' view of education. Fairclough (2003) would describe this policy change as a change to the social order that privileges the discourse of education over the real education occurring in families that choose to follow an SDE philosophy. By undertaking a Faircloughian Discourse Analysis, the paper analyses the policy shifts in Queensland's Education Act in regard to home educators. The concluding section of the paper suggests these changes may affect registration rates among SDE families or unschoolers which has both practical and philosophical effects. Practically, the changes affect family support and benefits payments because registration is required to access government support payments. Philosophically, there are wider cultural and social impacts by legitimating government overreach and further entrenching school models of education. [ABSTRACT FROM AUTHOR]
- Published
- 2019
114. Weighted cross-gradient function for joint inversion with the application to regional 3-D gravity and magnetic anomalies.
- Author
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Gross, L
- Subjects
MAGNETIC anomalies ,GRAVITY anomalies ,COST functions ,MATHEMATICAL regularization - Abstract
In the absence of quantitative relationships, a cross-gradient function can be used to correlate unknown physical properties in a joint inversion of geophysical data sets. It introduces a structural correlation between properties. A commonly used, inexact approach adds a weighted cross-gradient term as a penalty to the cost function being minimized during inversion. This weighting factor needs to be tuned to balance the regularization and cross-gradient terms. In this paper we propose nonlinear weighting for the cross-gradient function which addresses the very different magnitudes of the cross-gradient and regularization terms. This approach also couples the weighting factors for the regularization and correlation terms reducing the number of tuning parameters. The approach is investigated for a synthetic case. Results are also shown for the 3-D joint inversion of high-resolution magnetic and gravity anomaly data from Southern Queensland in Australia with over 30 million cells. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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115. Factors affecting general practitioners' decisions to adopt new prescription drugs - cohort analyses using Australian longitudinal physician survey data.
- Author
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Zhang, Yuting, Méndez, Susan J., and Scott, Anthony
- Subjects
APIXABAN ,ANTICOAGULANTS ,GENERAL practitioners ,PROPORTIONAL hazards models ,DRUGS ,COHORT analysis ,PHYSICIANS ,TEACHING hospitals - Abstract
Background: We investigate factors affecting Australian general practitioners' decisions to adopt novel oral anticoagulants (NOACs) for the prevention of stroke/systemic embolism among patients with atrial fibrillation. Australia has a national homogeneous review and coverage system, which enables us to distinguish physician level factors while maintaining system level factors and patient coverage information constant.Methods: We conduct a cohort analyses by using longitudinal physician survey data from the Medicine in Australia: Balancing Employment and Life panel survey of Australian physicians (MABEL). MABEL data contain rich physician-level information such as age, gender, education, risk preferences, personality, physicians' communications with other medical professionals, and other practice characteristics. Importantly, the survey data were linked, with physician's consent, to actual utilization data from the Australian Pharmaceutical Benefits Scheme and the Medicare Benefits Schedule between January 1, 2012 and December 31, 2015. We measure speed (days until first time prescribing) of adopting NOACs. We estimate a Cox proportional hazard model to estimate factors affecting the adoption speed.Results: Several factors predict earlier adoption of NOACs: being male, more likely to take clinical risk, higher prescribing volume, being a principal or partner in the practice instead of an employee, spending less time in a typical consultation, and practicing in more affluent areas or areas with a higher proportion of older patients. GPs in Queensland are more likely to adopt NOACs and more likely to be extensive early adopters compared to other GPs. Other characteristics including physician personality, family circumstances, their involvement with public hospitals and teaching activities, and the distance between physician practice location to other clinics in the area are not statistically associated with earlier adoption.Conclusions: Our paper is one of the first to study the relationship between GPs' risk preferences, personality and their decisions to adopt new prescription drugs. Because NOACs are commonly prescribed and considered more cost-effective than their older counterpart, understanding factors affecting physicians' decisions to adopt NOACs has direct policy implications. Our results also highlight that even with universal coverage for prescription drugs, access to new drugs is different among patients, partially because who their doctors are and where they practice. [ABSTRACT FROM AUTHOR]- Published
- 2019
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116. Bridging the gap between Australian pathology and university education: Student perceptions of a career pathway in medical laboratory science.
- Author
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DONKIN, REBECCA and HOLMES, MARK
- Subjects
COLLEGE students ,CONFIDENCE intervals ,EMPLOYMENT ,INTERNSHIP programs ,LEARNING strategies ,LONGITUDINAL method ,MEDICAL laboratory science ,MEDICAL technologists ,PATHOLOGY ,SCALE analysis (Psychology) ,STUDENT attitudes ,T-test (Statistics) ,GRADUATE education ,VOCATIONAL guidance ,QUALITATIVE research ,JUDGMENT sampling ,EDUCATION of medical technologists ,QUANTITATIVE research ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Work-integrated learning (WIL) for students studying medical laboratory science (MLS) provides hands-on experience that prepares graduates for entry into the pathology workforce. This study explored the student perceptions of studying MLS, before and after WIL placement in a pathology service, and the associated employment opportunities in a pathology laboratory. The WIL pathology technician model enabled students to gain experience across regional and metropolitan locations within the state of Queensland, Australia. With nearly two thirds of graduates employed in the profession and a quarter continuing further education in this field, this program was regarded as a success and helps meet the needs of a growing population with an expectancy of high quality health care. Discussed in this paper is the unique role of the pathology industry working with a regional university to develop successful graduates for a career in pathology, with a focus on the impact of WIL. [ABSTRACT FROM AUTHOR]
- Published
- 2019
117. Influence of communal and private folklore on bringing meaning to the experience of persistent pain.
- Author
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Hendricks, Joyce Marie
- Subjects
CHRONIC pain & psychology ,BIOGRAPHY (Literary form) ,CONCEPTUAL structures ,EXPERIENCE ,EXPERIMENTAL design ,FEMINISM ,FOLKLORE ,INTERVIEWING ,LANGUAGE & languages ,RESEARCH methodology ,RESEARCH ,SOCIAL constructionism ,NARRATIVES - Abstract
Aim To provide an overview of the relevance and strengths of using the literary folkloristic methodology to explore the ways in which people with persistent pain relate to and make sense of their experiences through narrative accounts. Background Storytelling is a conversation with a purpose. The reciprocal bond between researcher and storyteller enables the examination of the meaning of experiences. Life narratives, in the context of wider traditional and communal folklore, can be analysed to discover how people make sense of their circumstances. Data sources This paper draws from the experience of the author, who has previously used this narrative approach. It is a reflection of how the approach may be used to understand those experiencing persistent pain without a consensual diagnosis. Review methods Using an integrative method, peer-reviewed research and discussion papers published between January 1990 and December 2014 and listed in the CINAHL, Science Direct, PsycINFO and Google Scholar databases were reviewed. In addition, texts that addressed research methodologies such as literary folkloristic methodology and Marxist literary theory were used. Discussion The unique role that nurses play in managing pain is couched in the historical and cultural context of nursing. Literary folkloristic methodology offers an opportunity to gain a better understanding and appreciation of how the experience of pain is constructed and to connect with sufferers. Conclusion Literary folkloristic methodology reveals that those with persistent pain are often rendered powerless to live their lives. Increasing awareness of how this experience is constructed and maintained also allows an understanding of societal influences on nursing practice. Implications for practice/research Nurse researchers try to understand experiences in light of specific situations. Literary folkloristic methodology can enable them to understand the inter-relationship between people in persistent pain and how they construct their experiences. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
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118. Sampling designs on stream networks using the pseudo-Bayesian approach.
- Author
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Falk, Matthew, McGree, James, and Pettitt, Anthony
- Subjects
SAMPLING (Process) ,BAYESIAN analysis ,MONTE Carlo method ,STATISTICAL correlation ,MATHEMATICAL variables - Abstract
Monitoring stream networks through time provides important ecological information. The sampling design problem is to choose locations where measurements are taken so as to maximise information gathered about physicochemical and biological variables on the stream network. This paper uses a pseudo-Bayesian approach, averaging a utility function over a prior distribution, in finding a design which maximizes the average utility. We use models for correlations of observations on the stream network that are based on stream network distances and described by moving average error models. Utility functions used reflect the needs of the experimenter, such as prediction of location values or estimation of parameters. We propose an algorithmic approach to design with the mean utility of a design estimated using Monte Carlo techniques and an exchange algorithm to search for optimal sampling designs. In particular we focus on the problem of finding an optimal design from a set of fixed designs and finding an optimal subset of a given set of sampling locations. As there are many different variables to measure, such as chemical, physical and biological measurements at each location, designs are derived from models based on different types of response variables: continuous, counts and proportions. We apply the methodology to a synthetic example and the Lake Eacham stream network on the Atherton Tablelands in Queensland, Australia. We show that the optimal designs depend very much on the choice of utility function, varying from space filling to clustered designs and mixtures of these, but given the utility function, designs are relatively robust to the type of response variable. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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119. 'He was learning to read, but he wasn't learning to live': Socially inclusive learning in a community setting
- Author
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Marston, Greg and Johnson-Abdelmalik, Jeffrey
- Published
- 2015
120. NAPLaN test data, ESL Bandscales and the validity of EAL/D teacher judgement of student performance.
- Author
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Creagh, Sue
- Published
- 2014
121. Characterization Analysis of Airborne Particulates from Australian Underground Coal Mines Using the Mineral Liberation Analyser.
- Author
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LaBranche, Nikky, Teale, Kellie, Wightman, Elaine, Johnstone, Kelly, and Cliff, David
- Subjects
MINERALS ,MINES & mineral resources ,DUST diseases ,SCANNING electron microscopes ,PARTICLE size distribution - Abstract
Exposure monitoring and health surveillance of coal mine workers has been improved in Australia since coal workers' pneumoconiosis was reidentified in 2015 in Queensland. Regional variations in the prevalence of mine dust lung disease have been observed, prompting a more detailed look into the size, shape, and mineralogical classes of the dust that workers are being exposed to. This study collected respirable samples of ambient air from three operating coal mines in Queensland and New South Wales for characterization analysis using the Mineral Liberation Analyser (MLA), a type of scanning electron microscope (SEM) that uses a combination of the backscattered electron (BSE) image and characteristic X-rays for mineral identification. This research identified 25 different minerals present in the coal samples with varying particle size distributions for the overall samples and the individual mineralogies. While Mine 8 was very consistent in mineralogy with a high carbon content, Mine 6 and 7 were found to differ more significantly by location within the mine. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
122. 'Hardworkers': Filipino Nurses' professional practice in Queensland.
- Author
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Marcus, K., Short, S., and Nardi, B.
- Subjects
NURSES ,PROFESSIONAL practice ,REMITTANCES ,LABOR market - Abstract
Objective: The Philippines is one of the leading providers of nurses to the world with a Government policy supporting nurse export in exchange for remittances to the country. This paper assesses Filipino-qualified nurses who secured registered nursing status in Australia, on their sector of employment, their level of labour market integration and their level of theoretical knowledge, clinical and cross cultural communication skills. Design and Setting: Directors of Nursing, Senior Managers, peers and Filipino qualified registered nurses who were employed in the public sector in Queensland [Australia] were interviewed. Questions included Filipino nurses and their communication skills, knowledge in theory, clinical and medication skills, and their migration and transition into the Australian culture. All interviews were recorded, transcribed and coded for thematic analysis. Findings: Nineteen participants were interviewed with key themes emerging in migration, nursing theory and communication skills. 100% of participants described Filipino nurses as conscientious hard workers. The majority of Filipino nurses arrived in Australia after working in the United Kingdom. While their clinical skills were considered good, their knowledge of nursing theory was considered to be lacking. There was concern that our sample was skewed towards highly educated Filipino nurses, which is atypical according to the literature. Problems with understanding the Australian language accent and slang was a common issue for Filipino nurses when arriving in Australia. Discussion: This project was novel incorporating Queensland Health and key informants in the Philippines, providing new evidence about the transition and employment outcomes of Filipino registered nurses in Australia. This research contributes to health worker migration to Australia from source countries like the Philippines and encourages an ethical system for recruitment. The release of the WHO Code of Conduct for International Health Professional Recruitment in 2011, makes this study timely. [ABSTRACT FROM AUTHOR]
- Published
- 2014
123. Using gps probe speed data to estimate the attribution of speeding on casualty crashes: A case study in Queensland
- Author
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Soole, David W, O'Hern, Steve, Cameron, Max, Peiris, Sujanie, Newstead, Stuart, Anderson, Warren, and Smith, Tracey
- Published
- 2023
124. Walter Hill: The scotsman who grew Queensland
- Author
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Nielsen, David and Kumarasuriyar, Anoma
- Published
- 2023
125. Can a Paradigm Shift from Risk Management to Critical Reflection Improve Child-Inclusive Practice?
- Author
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Morley, Christine, Clarke, Joanne, Leggatt-Cook, Chez, and Shkalla, Donna
- Subjects
ENGLISH-speaking countries ,CHILD welfare ,RISK assessment ,NEOLIBERALISM - Abstract
Child protection systems within Anglophone countries have been increasingly dominated by neoliberal managerial, risk-dominant paradigms over the past three decades. Assumed to deliver a cost-effective strategy to increase the safety of children, there are many ways this paradigmatic combination systematically undermines child welfare, participation, and well-being. This paper specifically focuses on the ways that risk assessment, neoliberal, and managerial discourses have infiltrated practice and operate to silence and exclude children's voices. It draws on two case studies to showcase key findings of a comprehensive, state-wide research project called Empowering Children's Voices, which was initiated by UnitingCare, a non-government organisation within Queensland, Australia, and conducted in partnership with researchers from Queensland University of Technology. It will be argued that a paradigm shift towards a critically reflective reinterpretation of risk can be far more effective at promoting child-inclusive practice and establishing children's empowered voices as a protective factor against harm. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
126. Just transition management: Balancing just outcomes with just processes in Australian renewable energy transitions.
- Author
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Goddard, George and Farrelly, Megan A.
- Subjects
- *
RENEWABLE energy sources , *CLIMATE change mitigation , *ELECTRIC power production , *ENERGY policy - Abstract
Transitioning electricity generation sectors to renewable energy is a necessary element of climate change mitigation but a challenging one with years of technical and social lock-in creating considerable inertia and a pace of change insufficient to meet the task. Transition management has emerged as a promising approach to proactively manage and accelerate transitions in sectors like energy and water and has the potential to do so in manner that would help secure energy justice. However, the approach has been criticised for ignoring the political dynamics of transitions, risking procedural and recognition injustice for traditional energy production regions while increasing opposition to a transition. This paper uses a qualitative case study approach to understand how a transition to renewable energy generation could be achieved in a way that secures energy justice for traditional energy production regions like those of Gladstone in the Australian state of Queensland. The paper augments the transition management approach with the “just transitions” concept, which has emerged from labour movements as a means to mitigate negative impacts on workers and communities in traditional energy production regions, to create a “Just Transition Management” framework that is applied as a diagnostic tool to the case study. While results suggest a transition is imminent within Queensland, a lack of: consistent, supportive federal policy; long-term visions, and a clear process leaves it at risk of being captured by the powerful incumbent resources sector utilising an “environment vs. jobs” narrative. Yet, the results also suggest that adopting a just transition management approach has the potential to successfully resist the influence of the resources sector, by providing cheap, secure renewable energy and supporting affected workers into roles in the renewable energy sector using a reflexive, representative network governance approach. Data analysis reveals how the application of just transition principles has already engaged communities and unions that were previously sceptical of renewable energy. Overall, this study suggests that the just transition management framework assists in identifying the political barriers to transitions and energy justice more broadly, while also providing a management approach which creates powerful niche actor-networks to counter the narratives and influence of the incumbent resource sector. Thus it could support successful transitions that achieve the distributional, recognition and procedural justice needed for energy justice globally. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
127. PROPORTIONALITY UNDER THE HUMAN RIGHTS ACT 2019 (QLD): WHEN ARE THE FACTORS IN S 13(2) NECESSARY AND SUFFICIENT, AND WHEN ARE THEY NOT?
- Author
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BLORE, KENT
- Subjects
- *
HUMAN rights , *FREEDOM of expression - Abstract
With the introduction of the Human Rights Act 2019 (Qld), limits on human rights in Queensland must now be justified. Section 13(1) sets out the test for justification and s 13(2) lists a number of factors that 'may' be relevant. At first blush, the word 'may' makes the factors seem like a smorgasbord, to be picked from as one fancies. This paper contends that the factors in s 13(2) align closely with 'structured proportionality', such that the factors are prerequisites for a conclusion that a limit is justified, rather than optional considerations. However, there are a number of possible exceptions to that general rule which give the word 'may' work to do. These include 'internal limitations' which modify the test of justification, and the need for flexibility in how public entities go about giving proper consideration to human rights. [ABSTRACT FROM AUTHOR]
- Published
- 2022
128. In-the-Moment Experiences of Rural School Principals in the COVID-19 Pandemic.
- Author
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White, Simone, Harmon, Hobart, Johnson, Jerry, and O'Neill, Brian
- Subjects
SCHOOL principals ,COVID-19 pandemic ,RURAL schools ,STATE departments of education ,SCHOOL administrators - Abstract
The COVID-19 pandemic has exposed the many existing inequalities in education systems across the world. Not all children have easy access to educational online resources or digital technologies, a situation more amplified in rural contexts where access, connectivity and affordability play a significant factor. This qualitative account reveals examples of how rural school leaders were able to find innovative ways early in the COVID-19 pandemic to address the remote learning needs of their students and families. This paper shares in-the-moment experiences of rural principals, and those who supported them, in quickly transitioning to address student needs when school buildings closed. Support actions of regional and state education agencies are also described. Principals' schools are located in rural areas of Kansas, Pennsylvania and Queensland, Australia. Principals' attention to place and teacher capacity enabled students and families to access educational offerings and supports in new ways. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
129. Association of remoteness and ethnicity with major amputation following minor amputation to treat diabetes-related foot disease.
- Author
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Alahakoon, Chanika, Thanigaimani, Shivshankar, Singh, Tejas P., Drovandi, Aaron, Charles, James, Fernando, Malindu, Lazzarini, Peter A., Moxon, Joseph V., and Golledge, Jonathan
- Subjects
MINORS ,INDIGENOUS children ,FOOT diseases ,INDIGENOUS Australians ,AMPUTATION ,MYOCARDIAL ischemia ,PERIPHERAL vascular diseases - Abstract
Introduction: Minor amputation is commonly needed to treat diabetes-related foot disease (DFD). Remoteness of residence is known to limit access to healthcare and has previously been associated with poor outcomes. The primary aim of this study was to examine the associations between ethnicity and remoteness of residency with the risk of major amputation and death following initial treatment of DFD by minor amputation. A secondary aim was to identify risk factors for major amputation and death following minor amputation to treat DFD. Research design and methods: This was a retrospective analysis of data from patients who required a minor amputation to treat DFD between 2000 and 2019 at a regional tertiary hospital in Queensland, Australia. Baseline characteristics were collected together with remoteness of residence and ethnicity. Remoteness was classified according to the 2019 Modified Monash Model (MMM) system. Ethnicity was based on self-identification as an Aboriginal and Torres Strait Islander or non-Indigenous person. The outcomes of major amputation, repeat minor amputation and death were examined using Cox-proportional hazard analyses. Results: A total of 534 participants were included, with 306 (57.3%) residing in metropolitan or regional centres, 228 (42.7%) in rural and remote communities and 144 (27.0%) were Aboriginal or Torres Strait Islander people. During a median (inter quartile range) follow-up of 4.0 (2.1–7.6) years, 103 participants (19.3%) had major amputation, 230 (43.1%) had repeat minor amputation and 250 (46.8%) died. The risks (hazard ratio [95% CI]) of major amputation and death were not significantly higher in participants residing in rural and remote areas (0.97, 0.67–1.47; and 0.98, 0.76–1.26) or in Aboriginal or Torres Strait Islander people (HR 1.44, 95% CI 0.96, 2.16 and HR 0.89, 95% CI 0.67, 1.18). Ischemic heart disease (IHD), peripheral artery disease (PAD), osteomyelitis and foot ulceration (p<0.001 in all instances) were independent risk factors for major amputation. Conclusion: Major amputation and death are common following minor amputation to treat DFD and people with IHD, PAD and osteomyelitis have an increased risk of major amputation. Aboriginal and Torres Strait Islander People and residents of remote areas were not at excess risk of major amputation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
130. Malnutrition Prevalence in Australian Residential Aged Care Facilities: A Cross-Sectional Study.
- Author
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O'Shea, Marie-Claire, Bauer, Judy, Barrett, Clare, Corones-Watkins, Katina, Kellett, Ursula, Maloney, Stephen, Williams, Lauren T., Osadnik, Christian, and Foo, Jonathan
- Subjects
ELDER care ,CROSS-sectional method ,MALNUTRITION ,HEALTH status indicators ,RESEARCH funding ,STATISTICAL sampling ,DESCRIPTIVE statistics ,CHI-squared test ,LONGITUDINAL method ,ANTHROPOMETRY ,DATA analysis software ,RESIDENTIAL care ,SENSITIVITY & specificity (Statistics) - Abstract
Long-term or residential services are designed to support older people who experience challenges to their physical and mental health. These services play an important role in the health and well-being of older adults who are more susceptible to problems such as malnutrition. Estimates of the significance of malnutrition require up-to-date prevalence data to inform government strategies and regulation, but these data are not currently available in Australia. The aim of this study was to collect malnutrition prevalence data on a large sample of people living in residential aged care facilities in Australia. A secondary aim was to examine the relationship between malnutrition and anthropometry (body mass index (BMI) and weight loss). This prevalence study utilised baseline data collected as part of a longitudinal study of malnutrition in 10 Residential Aged Care facilities across three states in Australia (New South Wales, South Australia, and Queensland). The malnutrition status of eligible residents was assessed by dietitians and trained student dietitians using the Subjective Global Assessment (SGA) with residents categorised into SGA-A = well nourished, SGA-B = mildly/moderately malnourished, and SGA-C = severely malnourished. Other data were extracted from the electronic record. Of the 833 listed residents, 711 residents were eligible and had sufficient data to be included in the analysis. Residents were predominantly female (63%) with a mean (SD) age of 84 (8.36) years and a mean (SD) BMI of 26.74 (6.59) kg/m
2 . A total of 40% of residents were categorised as malnourished with 34% (n = 241) categorised as SGA-B, and 6% (n = 42) SGA-C. Compared to the SGA, BMI and weight loss categorisation of malnutrition demonstrated low sensitivity and high specificity. These findings provide recent, valid data on malnutrition prevalence and highlight the limitations of current Australian practices that rely on anthropometric measures that under-detect malnutrition. There is an urgent need to implement a feasible aged care resident screening program to address the highly prevalent condition of malnutrition in Australia. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
131. Responding to health literacy of refugees in Australian primary health care settings: a qualitative study of barriers and potential solutions.
- Author
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Peprah, Prince, Lloyd, Jane, and Harris, Mark
- Subjects
HEALTH literacy ,PRIMARY health care ,HEALTH of refugees ,RACE discrimination ,MEDICAL personnel - Abstract
Background: Organisational health literacy is a promising area of research that enables a focus on how systems and services can be designed in ways that are responsive to populations with varying states and levels of health literacy, knowledge, and practices, including African refugees. The challenge is how organisations and professionals do this in practice, and research in this area is in its early stages. This qualitative study examined barriers to implementing health literacy responsive care practices in primary health care settings in Australia. It also offered suggestions to potentially address the barriers to improving organisational health literacy. Methods: Refugees (n = 19), primary health care professionals (n = 14), and other key stakeholders (n = 19) were recruited through convenience and snowball strategies from three states in Australia: New South Wales, Victoria, and Queensland. All but one participant was interviewed face-to-face via Zoom. Semi-structured interview guides were used to guide the conversations. Transcriptions from audio recordings were analysed using directed content analysis. Results: Thirteen themes were extracted from the data. Themes were organised into the following categories: structural and systemic, organisational context, individual professional level, individual patient level, and socio-community level. Major structural and system-level factors affecting organisational health literacy included rigid systems and structures and limited time. Key organisation-level factors included inflexible organisational processes and policies, institutionalised othering, discrimination and racism, and lack of interpreters. Individual professional factors were poor communication with patients and cultural knowledge gaps. Linguistic issues and service mistrust were key individual patient-level factors. Socio-community factors included limited community engagement. Participants identified potential solutions to help services navigate out of the barriers and improve their response to health literacy. Conclusion: The findings suggest that mainstream services and organisations could improve timely and appropriate health care access and utilisation for refugees through strategies such as designing services and health literacy programs with refugee communities, promoting health literacy champions in the workforce, integrating health literacy and culturally responsive care plans and strategies into organisational priorities. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
132. Factors associated with unintended pregnancy and contraceptive practices in justice-involved adolescent girls in Australia.
- Author
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Smith, Helene, Wilson, Mandy, Donovan, Basil, Jones, Jocelyn, Butler, Tony, Nathan, Sally, and Simpson, Paul
- Subjects
TEENAGE pregnancy ,CONTRACEPTION ,UNPLANNED pregnancy ,TEENAGE girls ,YOUNG adults ,INDIGENOUS Australians ,QUARTERLY reports ,CONTRACEPTIVES - Abstract
Introduction: Despite a decline in unintended teenage pregnancy in Australia, rates remain higher amongst justice-involved adolescent girls, who are more likely to be from disadvantaged socio-economic backgrounds, have histories of abuse, substance use and/or mental health issues. Furthermore, exposure to the criminal justice system may alter access to education and employment and opportunities, potentially resulting in distinct risk-factor profiles. We examine factors associated with unintended pregnancy, non-contraceptive use and Long-Acting Reversible Contraception (LARC) in a sample of sexually active, justice-involved adolescent girls from Western Australia and Queensland. Methods: Data from the Mental Health, Sexual Health and Reproductive Health of Young People in Contact with the Criminal Justice System (MeH-JOSH) Study was analysed on 118 sexually active adolescent girls. Participants were aged between 14 and 17 years, purposefully sampled based on justice-system involvement and completed an anonymous telephone survey. We constructed two multivariate models taking reproductive outcomes as the dependent variables. Results: Over one quarter (26%, 30/118) reported a past unintended pregnancy, 54 did not use any contraception at their last sexual encounter, and 17 reported LARC use. Following adjustments in the multivariate analysis, lifetime ecstasy use was associated with both unintended pregnancy (aOR 3.795, p = 0.022) and non-contraception use (aOR 4.562, p = 0.004). A history of physical abuse was also associated with both any contraception (aOR 3.024, p = 0.041) and LARC use (aOR 4.892, p = 0.050). Identifying as Aboriginal & Torres Strait Islander, education/employment status and geographic location appeared to have no association. Conclusion: Our findings suggest that justice-involved adolescent girls have distinct risk factors associated with unplanned pregnancy and contraception use compared to the general population, but more research is required to understand the mechanisms and contexts underlying these risk factors. How exposure to physical violence may encourage contraception and LARC use, in particular, warrants further attention as does the association with ecstasy use. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
133. Qualitative Exploration of Speech Pathologists' Experiences and Priorities for Aphasia Service Design: Initial Stage of an Experience‐Based Co‐Design Project to Improve Aphasia Services.
- Author
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Anemaat, Lisa, Palmer, Victoria J., Copland, David A., Binge, Geoffrey, Druery, Kent, Druery, Julia, Mainstone, Kathryn, Aisthorpe, Bruce, Mainstone, Penelope, and Wallace, Sarah J.
- Subjects
SPEECH therapists ,LANGUAGE & languages ,HEALTH services accessibility ,MENTAL health services ,QUALITATIVE research ,RESEARCH funding ,FOCUS groups ,CLINICAL supervision ,INTERPROFESSIONAL relations ,RESEARCH evaluation ,MEDICAL care ,INTERVIEWING ,APHASIA ,DESCRIPTIVE statistics ,EXPERIENCE ,PATIENT-centered care ,THEMATIC analysis ,TRANSITIONAL care ,ATTITUDES of medical personnel ,PRIORITY (Philosophy) ,STROKE rehabilitation ,COMMUNICATION ,PHYSICIAN-patient relations ,COMMUNITY services ,HEALTH equity ,EVIDENCE-based medicine ,HEALTH care teams ,MEDICAL referrals - Abstract
Introduction and Aims: Stroke survivors with aphasia (impaired language/communication) have poor outcomes and gaps in the clinical implementation of best practice contribute to this. Little is known, however, about speech pathologist perspectives on the touchpoints (key moments shaping experiences) in the clinical care pathway that have the greatest impact on service delivery nor how this varies by geographical location. We explored the experiences of speech pathologists who provide aphasia services to establish priorities for improvement and design. Methods and Analysis: This is the initial experience gathering and priority identification stage of an experience‐based co‐design (EBCD) project. Speech pathologists were recruited from 21 geographically diverse Hospital and Health Services in Queensland, Australia. Speech pathologists working in acute, rehabilitation and community services shared positive and negative experiences of delivering aphasia care in interviews and focus groups. Experiential data were analysed using qualitative thematic analysis to determine touchpoints. Priorities for service design were identified using an adapted nominal group technique. Results: Speech pathologists (n = 62) participated in 16 focus groups and nine interviews and shared 132 experiences of delivering aphasia care. Providing care in teams with poor awareness of the impacts of aphasia was identified as a key challenge, as poor patient‐provider communication was perceived to increase risk of adverse outcomes for patients. Speech pathologists identified areas for improvement related to their own professional needs (e.g., greater access to clinical supervision); collaborative health care (e.g., better coordination and interdisciplinary care to increase therapy time); and the service context and environment (e.g., psychological services able to support diverse communication needs). Conclusions: Speech pathologist delivery of aphasia services could be improved through increased access to clinical supervision, opportunities for peer debriefing and interdisciplinary care. Priorities for service design varied by geographical location and included: education to support care transitions (remote areas), improved referral pathways and service linkage (regional areas) and dedicated aphasia staffing (metropolitan areas). Patient or Public Contribution: A consumer advisory committee comprising people with aphasia (n = 3, authors K.M., K.D. and B.A.), their significant others (n = 2, authors J.D. and P.M.), and a Cultural Capability Officer (author G.B.) guided this research. The team: (1) reviewed participant information; (2) co‐designed surveys and workshop resources; (3) copresented research outcomes and contributed to publications. Research questions and study design (e.g., analysis methods and assessment measures) were developed by the research team (authors L.A., V.J.P., D.A.C. and S.J.W.). [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
134. Outcomes of Revascularisation for Treating Lifestyle-Limiting Intermittent Claudication in Aboriginal and Torres Strait Islander People and Non-Indigenous Patients from North Queensland: A Retrospective Cohort Study.
- Author
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Wong, Shannon, Thanigaimani, Shivshankar, Charles, James, Whaleboat, Donald, and Golledge, Jonathan
- Subjects
INDIGENOUS Australians ,INTERMITTENT claudication ,TORRES Strait Islanders ,ANKLE brachial index ,PERIPHERAL vascular diseases ,COHORT analysis - Abstract
Background: This retrospective analysis of an ongoing prospective cohort study aimed to assess the outcome of revascularisation for treating lifestyle-limiting intermittent claudication caused by peripheral artery disease (PAD) in Aboriginal and Torres Strait Islander Peoples and non-Indigenous North Queenslanders. Methods: Consenting patients with PAD who underwent endovascular or open revascularisation procedures for treating lifestyle-limiting intermittent claudication were included. The primary outcome measure was major adverse limb events (MALEs), defined as major amputation or the requirement for repeat open or endovascular revascularisation. Results: Of the 378 included patients, 18 (4.8%) identified as Aboriginal and/or Torres Strait Islander Peoples. During a mean follow-up (standard deviation) of 6.0 (3.9) years, the incidence of MALE was similar in the Aboriginal and Torres Strait Islander People and non-Indigenous Australians (absolute percentage: 50.0% vs. 40.6%, log rank p = 0.59). In both unadjusted and adjusted analyses, Aboriginal and Torres Strait Islander Peoples and non-Indigenous Australians had similar risks of MALE (unadjusted hazard ratio, HR, 1.20, 95% confidence interval, CI, 0.61, 2.36; adjusted HR 1.02, 95%CI 0.50, 2.06). Conclusions: This study suggests that Aboriginal and Torres Strait Islander People are under-represented in the population of patients undergoing revascularisation to treat intermittent claudication. Due to small numbers it cannot be reliably concluded that Aboriginal and Torres Strait Islander People and non-Indigenous Australians have similar rates of MALE. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
135. A qualitative study of pharmacy nurse providers of community based post-birth care in Queensland, Australia.
- Author
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Zadoroznyj, Maria, Brodribb, Wendy, Falconer, Lauren, Pearce, Lauren, Northam, Casey, and Kruske, Sue
- Subjects
NURSES ,GENERAL practitioners ,MATERNAL health services ,CHILD health services ,DRUGSTORES ,CHILDBIRTH - Abstract
Background: Reduced length of hospital stay following childbirth has placed increasing demands on community-based post-birth care services in Australia. Queensland is one of several states in Australia in which nurses are employed privately by pharmacies to provide maternal and child health care, yet little is known about their prevalence, attributes or role. The aims of this paper are to (1) explore the experiences and perspectives of a sample of pharmacy nurses and GPs who provide maternal and child health services in Queensland, Australia (2) describe the professional qualifications of the sample of pharmacy nurses, and (3) describe and analyze the location of pharmacy nurse clinics in relation to publicly provided services. Methods: As part of a state-wide evaluation of post-birth care in Queensland, Australia, case studies were conducted in six regional and metropolitan areas which included interviews with 47 key informants involved in postnatal care provision. We report on the prevalence of pharmacy nurses in the case study sites, and on the key informant interviews with 19 pharmacy nurses and six General Practitioners (GPs). The interviews were transcribed and analysed thematically. Results: The prevalence of pharmacy nurses appears to be highest where public services are least well integrated, coordinated and/or accessible. Pharmacy nurses report high levels of demand for their services, which they argue fill a number of gaps in the public provision of maternal and child health care including accessibility, continuity of carer, flexibility and convenient location. The concerns of pharmacy nurses include lack of privacy for consultations, limited capacity for client record keeping and follow up, and little opportunity for professional development, while GPs expressed concerns about inadequate public care and about the lack of regulation of pharmacy based care. Conclusions: Pharmacy based clinics are a market-driven response to gaps in the public provision of care. Currently there are no minimum standards or qualifications required of pharmacy nurses, no oversight or regulation of their practice, and no formal mechanisms for communicating with other providers of postnatal care. We discuss the implications and possible mechanisms to enhance best-practice care. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
136. 2011 to 2012 Queensland floods and cyclone events: Lessons learnt for bridge transport infrastructure.
- Author
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Pritchard, R. W.
- Subjects
FLOOD control ,CYCLONES ,INFRASTRUCTURE (Economics) ,BRIDGE design & construction ,STRUCTURAL engineering - Abstract
During the two-year period, April 2010 to April 2012, a series of extreme weather events occurred in Queensland. Due to extensive flooding and cyclonic conditions impacting communities and vital infrastructure, the majority of the state was declared a natural disaster zone. As a consequence, it is estimated the road network suffered damages in excess of $7 billion with local authorities suffering additional damage of similar magnitude in monetary terms. This paper identifies a range of issues encountered as a result of these natural disasters, including the destruction of timber bridges, settlement of piers, scour at abutments and loss of road approaches to bridges. It is postulated that the AS 5100 Bridge Design Code was written mainly for traditional rural applications. Additionally, this paper examines the actual loads that urban bridges were subjected to including floating debris such as shipping containers, cars and river-craft (for example 300 t vessels) that should be incorporated in future revisions of AS 5100. It is suggested that in future, bridge design codes should consider the context and location of bridges for connectivity and post disaster functionality. It is recommended such learning's be considered and applied to new bridges and remedial works in conjunction with suggested amendments to AS 5100 Bridge Design Code. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
137. Professional reading
- Published
- 2013
138. Success and sustainability in rural P-12 schools : defining a successful school -Queensland style.
- Author
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O'Neill, Brian
- Published
- 2013
139. Reflections on a successful sustainable partnership between police and researchers: Responding to violent assaults against police project in north Queensland
- Author
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Casson, Darryn, Guteridge, Kevin, and Dawes, Glenn
- Published
- 2019
140. Spending Environmental Expenditure More Effectively: A Case Study from Brisbane, Australia.
- Author
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Marinoni, Oswald, Heyenga, Sonja, Brigden, Amanda, Archer, Ainsley, and Higgins, Andrew
- Subjects
CASE studies ,URBANIZATION ,WATERSHEDS ,ENVIRONMENTAL protection ,COMBINATORIAL optimization - Abstract
Growing urbanisation causes pressures on many environmental assets such as groundwater systems, waterways, atmosphere, ecosystems and others. To manage and mitigate the negative effects of these pressures, environmental programs are typically launched, which comprise of eligible projects in different affected locations. The implementation of individual projects has a cost. However, due to budget constraints, most frequently not all suggested projects can be implemented which makes necessary to choose a subset. In this paper, we use a cost utility approach and a subsequent combinatorial optimisation based on metaheuristics to determine a project portfolio which returns a maximum aggregated utility while keeping the budget constraint. To ensure that the mutual exclusiveness of projects at one particular site is guaranteed, we further developed the employed metaheuristics. We apply this approach within a waterway health program in a river catchment in Brisbane, Australia, and compare its results to a commonly used selection process that does not involve combinatorial optimisation. We find that the use of combinatorial optimisation leads to a considerable improvement of the selection process and can help to more effectively allocate environmental expenditure. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
141. Green fireballs and ball lightning.
- Author
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HUGHES, STEPHEN
- Subjects
METEORS ,BALL lightning ,HYPOTHESIS ,HYDRODYNAMICS ,IONOSPHERE - Abstract
This paper presents evidence of an apparent connection between ball lightning and a green fireball. On the evening of the 16 May 2006 at least three fireballs were seen by many people in the skies of Queensland, Australia. One of the fireballs was seen passing over the Great Divide about 120km west of Brisbane, and soon after, a luminous green ball about 30 cm in diameter was seen rolling down the slope of the Great Divide. A detailed description given by a witness indicates that the phenomenon was probably a highly luminous form of ball lightning. A hypothesis presented in this paper is that the passage of the Queensland fireball meteor created an electrically conductive path between the ionosphere and ground, providing energy for the ball lightning phenomenon. A strong similarity is noted between the Queensland fireball and the Pasamonte fireball seen in New Mexico in 1933. Both meteors exhibit a twist in the tail that could be explained by hydrodynamic forces. The possibility that multiple sightings of fireballs across southeast Queensland were produced owing to fragments from comet 73P Schwassmann-Wachmann 3 is discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
142. Analysis of Asphalt Concrete Permeability Data Using Representative Pore Size.
- Author
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Vardanega, P. J. and Waters, T. J.
- Subjects
ASPHALT concrete ,PERMEABILITY of concrete ,PAVEMENTS ,ENGINEERS ,SOILS ,QUEENSLAND. Dept. of Transport - Abstract
The permeability of asphalt concrete has been the subject of much study by pavement engineers over the last decade. The work undertaken has tended to focus on high air voids as the primary indicator of permeable asphalt concrete. This paper presents a simple approach for understanding the parameters that affect permeability. Principles explained by Taylor in 1956 in channel theory work for soils are used to derive a new parameter-representative pore size. Representative pore size is related to the air voids in the compacted mix and the D
75 of the asphalt mix grading curve. Collected Superpave permeability data from published literature and data collected by the writers at the Queensland Department of Transport and Main Roads is shown to be better correlated with representative pore size than air voids, reducing the scatter considerably. Using the database of collected field and laboratory permeability values an equation is proposed that pavement engineers can use to estimate the permeability of in-place pavements. [ABSTRACT FROM AUTHOR]- Published
- 2011
- Full Text
- View/download PDF
143. Queensland Aborigines, Multiple Realities and the Social Sources of Suffering Part 2 Suicide, Spirits and Symbolism.
- Author
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Cox, Leonie
- Subjects
INDIGENOUS peoples ,SPIRITUALISM ,POLITICAL ethics ,SUICIDE ,ABORIGINAL Australians - Abstract
This is the second part of a paper that explores a range of magico-religious experiences such as immaterial voices and visions, in terms of local cultural, moral and socio-political circumstances in an Aboriginal town in rural Queensland. This part of the paper explores the political and cultural symbolism and meaning of suicide. It charts the saliency of suicide amongst two groups of kin and cohorts and the social meaningfulness and problematic of the voices and visions in relation to suicide, to identity and family forms and to funerals and a heavily drinking lifestyle.I argue that voices and visions are used to reinterpret social experience and to establish meaning and that tragically suicide evokes connectivity rather than anomie and here cannot be understood merely as an individualistic act or evidence of individual pathology. Rather it is about transformation and crossing a threshold to join an enduring domain of Aboriginality. In this life world, where family is the highest social value and where a relational view of persons holds sway, the individualistic practice of psychiatric and other helping professions, is a considerable problem. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
144. LIFE IN THE "REAL WORLD": A PROFILE OF QUEENSLAND UNIVERSITY OF TECHNOLOGY LIBRARY AND INFORMATION SCIENCE GRADUATES.
- Author
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Powell, Tracey and Partridge, Helen
- Subjects
SURVEYS ,LIBRARY education ,LIBRARY science ,INFORMATION science ,EMPLOYMENT of college graduates - Abstract
A graduate destination survey can provide a snap shot in time of a graduate's career progression and outcome. This paper will present the results of a Queensland University of Technology study exploring the employment outcomes of students who had completed a library and information science course from the Faculty of Information Technology between 2000 and 2008. Seventy-four graduates completed an online questionnaire administered in July 2009. The study found that 90% of the graduates surveyed were working and living in Queensland, with over three quarters living and working in Brisbane. Nearly 70% were working full-time, while only 1.4% indicating that they were unemployed and looking for work. Over 80% of the graduates identified themselves as working in "librarianship". This study is the first step in understanding the progression and destination of QUT's library and information science graduates. It is recommended that this survey becomes an ongoing initiative so that the results can be analysed and compared over time. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
145. Mission-Based Indigenous Production at the Weipa Presbyterian Mission, Western Cape York Peninsula (1932–66).
- Author
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Morrison, Michael, McNaughton, Darlene, and Shiner, Justin
- Subjects
CHRISTIAN missions ,INDIGENOUS peoples ,FOOD production ,HONEY - Abstract
Previous research on remote nineteenth-and early twentieth-century Indigenous missions in northern and central Australia point to their often tenuous existence and the complex nature of engagements between Christian Missionaries and Indigenous people. This paper explores the contribution and significance of Indigenous production of wild foods in the context of one such settlement located at Weipa on Cape York Peninsula, north eastern Australia. It is premised on the assertion that investigation of the economies of these often remote settlements has the potential to reveal much about the character of cross-cultural engagements within the context of early mission settlements. Many remote missions had a far from secure economic basis and were sometimes unable to produce the consistent food supplies that were central to their proselytizing efforts. In this paper it is suggested that Indigenous-produced wild foods were of significant importance to the mission on a day-to-day basis in terms of their dietary contribution (particularly in terms of protein sources) and were also important to Indigenous people from a social and cultural perspective. We develop this argument through the case study of culturally modified trees that resulted from the collection of wild honey. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
146. THE PERFECT PLACE TO WORK? AUSTRALIAN ACADEMIC LIBRARIES AND UNACCEPTABLE BEHAVIOUR.
- Author
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Moorcroft, Heather
- Subjects
ACADEMIC libraries ,LIBRARIANS' attitudes ,BEHAVIORAL assessment ,EDUCATIONAL surveys ,WEBSITES ,LIBRARY personnel - Abstract
Despite the stereotype of libraries as peaceful retreats, unacceptable behaviour is a reality that desk staff have to deal with. This paper outlines the results of two surveys conducted at Charles Darwin University Library to investigate the extent to which this is a problem in Australian academic libraries. The first survey went to CAUL (Council of Australian University Librarians) and the results made available via the CAUL website. As this survey was completed only by management, a second survey was conducted with front desk staff and via the Lending and Document Delivery Group of the Queensland University Libraries Office of Cooperation (QULOC). [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
147. Queensland Aborigines, Multiple Realities and the Social Sources of Suffering: Psychiatry and Moral Regions of Being.
- Author
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Cox, Leonie
- Subjects
ABORIGINAL Australians ,INDIGENOUS Australians ,SPIRITUALISM ,RELIGIOUS behaviors ,PSYCHIATRY ,TORRES Strait Islanders - Abstract
This two part paper considers the experience of a range of magico-religious experiences (such as visions and voices) and spirit beliefs in a rural Aboriginal town. The papers challenge the tendency of institutionalised psychiatry to medicalise the experiences and critiques the way in which its individualistic practice is intensified in the face of an incomprehensible Aboriginal 'other' to become part of the power imbalance that characterises the relationship between Indigenous and white domains. The work reveals the internal differentiation and politics of the Aboriginal domain, as the meanings of these experiences and actions are contested and negotiated by the residents and in so doing they decentre the concerns of the white domain and attempt to control their relationship with it. Thus the plausibility structure that sustains these multiple realities reflects both accommodation and resistance to the material and historical conditions imposed and enacted by mainstream society on the residents, and to current socio-political realities. I conclude that the residents' narratives chart the grounds of moral adjudication as the experiences were rarely conceptualised by local people as signs of individual pathology but as reflections of social reality. Psychiatric drug therapy and the behaviourist assumptions underlying its practice posit atomised individuals as the appropriate site of intervention as against the multiple realities revealed by the phenomenology of the experiences. The papers thus call into question Australian mainstream 'commonsense' that circulates about Aboriginal and Torres Strait Islander people which justifies representations of them as sickly outcasts in Australian society. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
148. Improving Temporal Coverage of an Energy-Efficient Data Extraction Algorithm for Environmental Monitoring Using Wireless Sensor Networks.
- Author
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Supriyo Chatterjea and Havinga, Paul
- Subjects
ENVIRONMENTAL monitoring ,WIRELESS sensor networks ,SENSOR networks ,ENERGY consumption ,STRATEGIC planning ,ENVIRONMENTAL engineering ,HYDROLOGY - Abstract
Collecting raw data from a wireless sensor network for environmental monitoring applications can be a difficult task due to the high energy consumption involved. This is especially difficult when the application requires specialized sensors that have very high energy consumption, e.g. hydrological sensors for monitoring marine environments. This paper introduces a technique for reducing energy consumption by minimizing sensor sampling operations. In addition, we illustrate how a randomized algorithm can be used to improve temporal coverage such that the time between the occurrence of an event and its detection can be minimized. We evaluate our approach using real data collected from a sensor network deployment on the Great Barrier Reef. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
149. Why bother to ‘downshift’? The characteristics and satisfaction of downshifters in the Brisbane-South East Queensland region, Australia.
- Author
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Chhetri, Prem, Khan, Asad, Stimson, Robert, and Western, John
- Subjects
QUALITY of life ,HUMAN ecology ,ECONOMIC history ,SURVEYS - Abstract
Using the data collected as part of a Quality of Life (QoL) survey in the Brisbane-South East Queensland region (SEQ) of Australia, this paper examines differences in satisfaction levels between downshifters and non-downshifters, and identifies socio-economic predictors of the downshifting phenomenon. Almost 30% of survey respondents are classified as downshifters. Multivariate Analysis of Covariance reveals significant differences between downshifters and non-downshifters in a number of life-satisfaction domains, although the degree to which they were satisfied with their life before downshifting is unknown. Analysis of Covariance shows that downshifters reported a significantly lower level of satisfaction than non-downshifters, especially with respect to satisfaction with the amount of money available to them, independence or freedom, and employment. Multivariate logistic regression analysis reveals that post-secondary education and employment were positively associated with downshifting, while age was significantly associated with downshifting. It is argued that if downshifting is associated with lower levels of satisfaction, intervention may be required to initiate programs to engage downshifters more fully in the workforce by facilitating more flexible work arrangements and an improved working environment. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
150. SHARED SERVICES IN AUSTRALIAN LOCAL GOVERNMENT: A CASE STUDY OF THE QUEENSLAND LOCAL GOVERNMENT ASSOCIATION MODEL.
- Author
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Dollery, Brian, Hallam, Greg, and Wallis, Joe
- Subjects
LOCAL government ,SUPPORT services (Management) ,SHARED services (Management) ,CITY councils - Abstract
A host of recent public inquiries into Australian local government have recommended increased use of shared services and resource-sharing models between groups of local councils. While little is known about the extent and consequences of service sharing, emphasis has been fixed on 'horizontal' shared service models between different local councils in the same municipal jurisdictions. However, other models of shared services and resource sharing are possible. This paper considers the Queensland Local Government Association (LGAQ) model as a case study of a resource sharing between all councils in a given system of local government. This form of shared service and resource sharing seems to offer excellent prospects for cost savings and capacity enhancement. [ABSTRACT FROM AUTHOR]
- Published
- 2008
- Full Text
- View/download PDF
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