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Background: Communities of practice could contribute to transformations in health professions education to meet complex and emerging challenges. However, little is known about the underlying mechanisms of communities of practice in this setting, and how context influences outcomes. Objective: To understand when, why and how communities of practice with health professions education faculty work to facilitate higher education change. Design: A realist synthesis according to the RAMESES standards and steps described by Pawson and colleagues. Review methods: Early scoping of the literature informed the development of an initial program theory to describe underlying assumptions about how communities of practice in higher education, implemented with health professions education faculty, were likely to work. The theory was tested and further refined through a realist synthesis. A systematic search for evidence using search terms ‘faculty’, ‘communities of practice’ and ‘higher education’ and related terms was supplemented with citation tracking and hand searching of significant authors and journals. Following study appraisal, data were extracted and synthesised from 21 manuscripts describing 16 communities of practice. The realist synthesis focused on identifying patterns in context-mechanism-outcome interactions, and the alignment with substantive theory. Results: From the included manuscripts, ten context-mechanism-outcome configurations were identified that describe a range of individual, interpersonal and institutional outcomes of communities of practice with health professions education faculty and context-mechanism interactions that contribute to achieving these outcomes. Conclusions: This study expands theoretical understandings of how and why communities of practice work. There is value in communities of practice in the higher education sector, primarily in the field of health professions education. Communities of practice implemented in the context of complex chan

Objectives: The transition into residential aged care (RAC) is often associated with loss, grief, isolation and loneliness. This scoping review aimed to identify quantitative research which focused on reducing the negative effects associated with transition, thereby improving the transition experience. Methods: A scoping review, which concentrated on quantitative research, was conducted. MEDLINE, CINAHL andPSYCHINFO databases were searched using the initial search terms “olderadults”, “residential aged care” and “transition”. Results: From the 457 original citations identified, four met the inclusion criteria. The interventions used a range of professionals and clinicians, diverse content, and a mixture of outcomes. The content of the more successful studies were underpinned by mental wellness themes and helped to reduce depressive symptoms among new residents. Conclusions: Our review provides a summary of interventions aimed at improving the transition experience for older adults moving into RAC and highlights gaps in the literature. This review is limited by the paucity of quantitative research in this area. Further research is required to address the negative psychosocial effects associated with transition into RAC. Clinical Implications: Assessing which of the transition phases an individual is in can help individualize interventions to reduce negative symptoms relating to transition.

Barry Turner’s 1978 Man-made Disasters and Charles Perrow’s 1984 Normal Accidents were seminal books but a detailed comparison has yet to be undertaken. Doing so is important to establish content and priority of key ideas underpinning contemporary safety science. Turner’s research found socio-technical and systemic patterns that meant that major organisational disasters could be foreseen and were preventable. Perrow’s macro-structuralist industry focus was on technologically deterministic but unpredictable and unpreventable “system” accidents, particularly rare catastrophes. Andrew Hopkins and Nick Pidgeon respectively suggested that some prominent writers who wrote after Turner may not have been aware of, or did not properly acknowledge, Turner’s work. Using a methodology involving systematic reading and historical, biographical and thematic theory analysis, a detailed review of Turner’s and Perrow’s backgrounds and publications sheds new light on Turner’s priority and accomplishment, highlighting substantial similarities as well as clear differences. Normal Accidents did not cite Turner in 1984 or when republished with major additions in 1999. Turner became better known after a 1997 second edition of Man-made Disasters but under-acknowledgment issues by Perrow and others continued. Ethical citation and potential reasons for under-acknowledgment are discussed together with lessons applicable more broadly. It is concluded that Turner’s foundational importance for safety science should be better recognised.

Background: Previous research has suggested that toddlers are not provided with adequate dietary iron in long-day care (LDC) services. However, the iron bioavailability provided is unknown. The present study aimed to investigate the amount and bioavailability of iron provided to toddlers aged 2–3 years at LDC services. Methods: A cross-sectional audit was conducted using a 2-day weighed food record of 30 LDC services. Iron provision (not child intake) in LDC services across Perth, Australia was compared with the estimated average requirements (EAR) and LDC services provision guidelines (50% of EAR = 2 mg/day based on a 14% bioavailability factor). Bioavailability was estimated per mealtime using haem and non-haem iron, ascorbic acid, animal protein, calcium, soy, eggs and phytates using two pre-existing algorithms (by A. P. Rickard and colleagues and H. Hallberg and H. Hulten). Results: Median iron supplied (2.52 mg/day, interquartile range [IQR] = 2.43–3.17) was above the 50% of EAR of 2.0 mg/day (p < 0.001). Median bioavailable iron was 0.6 mg/day (IQR = 0.54–0.8) using the method of Rickard et al. and 0.51 mg/day (IQR = 0.43, 0.76 using that of Hallberg and Hulthen). The top three foods contributing to iron provision were bread, breakfast cereals and beef. Conclusions: Our results suggest that LDC services in Perth are meeting the minimum recommendation of provision of 50% of the iron EAR, and also that toddlers are provided with sufficient bioavailable iron. Future strategies should focus on promoting food combinations to maintain the iron bioavailability in meals currently served at LDC services.

The International Civil Aviation Organization (ICAO) Annex 13 framework for aviation investigation is longstanding and well developed but does not require or audit use of methodologies for investigation analysis, including research literature safety/accident models (SAMs). Government Safety Investigation Authority (SIA) websites rarely mention methodologies. Limited published research engages directly with SIAs. A research/practice gap has been suggested. To address ICAO, SIA and research gaps, this qualitative multi-case study examines SIA use and documentation of methodologies for accident analysis. Nine of seventeen SIA members of the International Transportation Safety Association (ITSA) that investigate aviation accidents agreed to participate and provided written answers to our research questions, relevant internal documentation, and exemplar investigation reports. Our key findings are that participant SIAs have augmented ICAO requirements internally by their use of methodologies but that this usage was generally not obvious in published investigation reports and other SIA website material. It also varied significantly among the participants. All participant SIAs reported use of multiple methodologies, sometimes in the same investigation. Explicitly reported SIA methodology usage included: six Reason-based, six Rasmussen-based, three ‘recent systemic’, five ‘BowTie’, five ‘bespoke’, and seven using various other methodologies like ‘SHELL’. The industry impact of this qualitative research is hoped to be significant by being shared with participant SIAs unaware of each other's practice, enabling consideration of different options. It can inform additional aviation SIAs, ICAO, air safety investigators, and other high-risk industry regulators and investigators. Safety researchers may be better placed to develop SAMs with greater practical industry relevance.

The average age of women nursing students in Australia is rising. With this comes the likelihood that more now begin university with family responsibilities, and with their lives structured by the roles of mother and partner. Women with more traditionally gendered ideas of these roles, such as nurturing others and self-sacrifice, are known to be attracted to nursing as a profession; once at university, however, these students can be vulnerable to gender role stress from the competing demands of study. A qualitative research design, guided by Gadamer's hermeneutic philosophy, explored the gendered behaviours and experiences of 22 women nursing students, all of whom had children and began university in a heterosexual intimate relationship. The findings reveal traditional ideas of gender were almost universal among participants, and these ideas had a significant influence on the nursing degree experience. Participants commonly prioritised family over the university and practiced maternal gatekeeping (prevention of male partner involvement in domestic work). These traditionally gendered behaviours, coupled with experiences of gender role stress, had a detrimental impact on participants' capacity to study and their personal wellbeing. The importance of these findings to the burgeoning nursing workforce shortage nursing is considered in terms of student retention and the supply of graduates into the profession. The implications to the nursing profession are also explored against the evidence that nursing students with traditional gender beliefs are less likely to develop as autonomous, critical thinking nurses compared to their gender-egalitarian peers. The introduction of gender theory via critical pedagogy in the undergraduate nursing degree curriculum is recommended to enlighten and empower women nursing students and promote the competence, agility, and sustainability of the nursing profession.

Objective The objective of the study was to explore how older people living in a residential aged care facility perceived that their oral health influenced their food preferences and attitudes towards food, their social interactions and their self-esteem. Background Poor oral health can have biological, behavioural and social impacts on quality of life among older adults (aged 65+ years). In terms of biological impacts, oral health impairments may cause older adults to avoid many types of foods. This shift in dietary pattern can lead to malnutrition among older people, undermine general health and negatively impact quality of life (QOL). Materials and Methods Using a mixed methods approach, quantitative data from the General Oral Health Assessment Index (GOHAI) were explored and supported by data from semi-structured interviews with 10 older adults from a residential aged care facility in Perth, (Australia) to provide insights into their oral health-related quality of life. Thematic analysis of qualitative data was guided by the conceptual framework informed by Locker. Results The average GOHAI score was 32.9 ± 3.6, which indicated that participants had an average oral health-related quality of life. Participants coped with oral functional problems by adopting personal strategies and seeking organisational assistance. Some participants appeared to have accepted associated changes to their physical appearance, while others reported significant dissatisfaction and low self-esteem. Perceptions differed on their social interactions at the facility, from being self-conscious about their own oral health problems, to distaste at others' eating behaviours. Conclusions Poor oral health had negative biological, behavioural and social impacts on daily activities and quality of life among some participants. However, changes at the organisation level may help to support participant QOL.

Objective The objective of the study was to explore how older people living in a residential aged care facility perceived that their oral health influenced their food preferences and attitudes towards food, their social interactions and their self-esteem. Background Poor oral health can have biological, behavioural and social impacts on quality of life among older adults (aged 65+ years). In terms of biological impacts, oral health impairments may cause older adults to avoid many types of foods. This shift in dietary pattern can lead to malnutrition among older people, undermine general health and negatively impact quality of life (QOL). Materials and Methods Using a mixed methods approach, quantitative data from the General Oral Health Assessment Index (GOHAI) were explored and supported by data from semi-structured interviews with 10 older adults from a residential aged care facility in Perth, (Australia) to provide insights into their oral health-related quality of life. Thematic analysis of qualitative data was guided by the conceptual framework informed by Locker. Results The average GOHAI score was 32.9 ± 3.6, which indicated that participants had an average oral health-related quality of life. Participants coped with oral functional problems by adopting personal strategies and seeking organisational assistance. Some participants appeared to have accepted associated changes to their physical appearance, while others reported significant dissatisfaction and low self-esteem. Perceptions differed on their social interactions at the facility, from being self-conscious about their own oral health problems, to distaste at others' eating behaviours. Conclusions Poor oral health had negative biological, behavioural and social impacts on daily activities and quality of life among some participants. However, changes at the organisation level may help to support participant QOL.

© 2020 Society for Research into Higher Education. A longitudinal qualitative study of undergraduate women nursing students demonstrated the profound and pervasive influence of the heterosexual intimate relationship on their university engagement and achievement. Hitherto, the importance of women’s private lives have been underappreciated in the arenas of student equity and retention. The study showed that traditional ideas of gender held within the intimate relationship were highly detrimental to student autonomy and capacity to engage, and that the university’s organisation and delivery of the curriculum exacerbated the situation. Participants made personal sacrifices, which, while enabling continuation of their studies, were deleterious to academic achievement and wellbeing. For eight women, this involved separation from their partners. These results have generic implications given the renewed focus on gender equity in higher education. They have specific implications for nurse education, given the rising numbers of mature-age women nurse students, and predicted nursing workforce shortages.

Background: The nursing practicum (clinical practice) is an essential but often highly stressful aspect of the nursing degree. A review of the published literature reveals a strong focus on the stressors that originate within the practicum environment, rather than the student’s life outside the university and practice setting. This article reports on an Australian study, completed before the COVID-19 pandemic, of the university experiences of undergraduate women nurse students with family responsibilities. The findings reveal the importance of factors outside the university on the women students’ practicum experience and their ability to engage and achieve. Methods: The study was qualitative, guided by Gadamer’s hermeneutic philosophy. Twenty-nine women students with family responsibilities (partners and children) were interviewed at two stages of their degree journey. Over 50 h of data were thematically analysed. Findings: The themes ‘family pressure’ and ‘practicum poverty’ describe the impact of domestic work, family finances and practicum organisation on student stress, wellbeing, achievement, thoughts of attrition, and family tension. These findings are particularly pertinent to Australia and other developed nations where the nurse student demographic continues to age. An interpretation of these findings against the recent impact of COVID-19 on nurse education and women’s life choices reveals the likelihood that these difficulties have intensified for women students with family responsibilities since the pandemic began. Conclusions and Recommendations: Many developed nations, including Australia, are increasingly reliant on older women nurse students to maintain the future graduate nursing workforce. This change in nurse student demographic to the mature-age student requires a revision of the organisation of the nursing practicum. Recommendations to nurse education to improve practicum accessibility for women students who have family responsibilities include th

Objective(s): The objective of this study was to conduct a community conversation to identify the views of the community members when designing an online community using Facebook to support the psychosocial well-being of hearing-impaired older adults. Methods: A community conversation was held with 40 older adults aged more than 60 years. The participants were divided into groups of five and asked to discuss three open-ended questions. The researchers facilitated the discussions. Results: The overwhelming response from this group was that they did not use Facebook or social media as a tool for social connection and did not see the benefits of social media applications. They preferred phone calls or in-person events to maintain their social relationships. Conclusions: Implications for areas of future research and interventions that target loneliness in older adults are discussed.

Background & aims Poor nutritional habits are linked to higher perceived stress, but the relationship between fruit and vegetable (FV) intake and stress is uncertain. The primary aim of this cross-sectional study was to explore the relationship between FV intake and perceived stress in a population-based cohort of men and women aged ≥ 25 years from the Australian Diabetes, Obesity and Lifestyle (AusDiab) Study. A secondary aim was to investigate the relationship between serum carotenoids, biomarkers of FV intake, and perceived stress. Methods In Australian men and women, dietary intake was assessed using a Food Frequency Questionnaire in 1999–2000 (n = 8689). Perceived stress was assessed using a validated Perceived Stress Questionnaire [PSQ index values ranging from 0 (lowest) to 1 (highest)]. Serum carotenoids were measured in a subset of participants (n = 1187) using high-performance liquid chromatography. Multivariable-adjusted linear and logistic regression were performed to investigate the associations between FV intake and perceived stress. Results Mean age of participants was 47.4 (SD 14.1) years (49.8% females). Participants with the highest intakes of FV had 10% lower PSQ index values than those with the lowest intake [Q4: 0.27 ± 0.004 vs. Q1: 0.30 ± 0.004 (mean ± SE), p = 0.004]. Similar associations were found for fruits and vegetables, analysed separately. In subgroup analyses higher FV intake was associated with lower perceived stress in the middle-aged adults [ ≥ 45- < 65 years (p = 0.004)], but not in the younger ( < 45 years) and older participants ( ≥ 65 years). Higher FV intake was also significantly associated with lower perceived stress in men (p = 0.009) and women (p = 0.012), separately. Serum carotenoid levels were inversely associated with perceived stress before, but not after adjusting for age and other confounding factors. Conclusion In Australian adults, higher FV intake was associated with lower perceived stress, particularly in the mid

© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This article argues for an expansion of the idea of the first-in-family student to include the student whose spouse or partner has not been to university. Between 2015 and 2016, a qualitative longitudinal study, guided by Gadamer’s hermeneutic philosophy, was undertaken. Twenty-nine undergraduate women nursing students who began university in a heterosexual intimate relationship participated. All 29 were interviewed in their fourth semester of their degree (or part-time equivalent), and 23 of these 29 completed a second interview in their last semester. Thematic analysis of the resultant 52 interviews revealed the participants who were the first person in their intimate relationship to go to university faced a series of difficulties associated with this relationship. The partners of these women were less willing to share in the university journey and offered little emotional support. Participants experienced personal growth and widened worldviews during their degree, and developed a more liberal stance on gender roles within the relationship. The women’s changing perspectives and their partners’ ongoing lack of emotional, and also practical support, tested the dynamics of the intimate relationship. The situations of tension and conflict that ensued challenged the women’s progression and with this, the stability and functioning of the relationship itself. Higher education initiatives are proposed to support this vulnerable student group. This includes partner outreach activities, enhanced pastoral support systems, and a flexible and responsive approach from the university to women who experience relationship difficulties during their degree. Further research is required to build a body of evidence around the first-in-relationship student experience.

This article argues the insufficiency of the traditional application of cultural, social and economic capital in conceptualising the non-traditional student experience. Built on the thematic analysis of 52 in-depth interviews with 28 mature-age women nursing undergraduates with family responsibilities in Australia, an alternative, expanded model of capital is proposed. The qualitative study, underpinned by Gadamer’s Hermeneutic Philosophy, revealed multiple threats and enablers to progression throughout the degree. Dimensions of capital previously unacknowledged in the nursing literature were necessary to fully conceptualise these rich and complex findings, including important student strengths. These dimensions: aspirational, navigational, resistant, familial and experiential capital, compensated when traditional dimensions were lacking, or incongruent with university expectations. This longitudinal study further revealed how the availability and importance of capital altered with the changing curriculum and participants’ personal growth.

[EN] Providing higher education students with opportunities to participate in peer-review feedback activities may facilitate interaction between students and enhance academic skills. Such activities are reported to help students transition from passive to active learners whilst increasing social connectedness and developing employability skills. This research aimed to evaluate student perceptions of a peer-review of assessment process offered in an undergraduate Health Science unit at Edith Cowan University in Western Australia, and their subsequent unit satisfaction. Before students began the peer-review process, a sample assignment was used to coach them on how to provide constructive feedback. They subsequently prepared a draft of their assignment for peer-review, and then reviewed the work of another student. Pre- and post-surveys were administered to assess students’ perceptions about the usefulness of the peer-review activity. Thirty-two students completed the pre-survey wherein 94% (n=30) reported the peer-review coaching helped them prepare their own assignment and 85% (n=27) reported learning how to provide constructive written feedback. Twenty-one students completed the post-survey, 76% (n=16), reporting they modified their own assignment as an outcome of their peer-review participation. Many respondents also reported improvements in their critical thinking (76%; n=16) and written communication skills (62%; n=13). Overall unit satisfaction increased exponentially.

This article argues the insufficiency of the traditional application of cultural, social and economic capital in conceptualising the non-traditional student experience. Built on the thematic analysis of 52 in-depth interviews with 28 mature-age women nursing undergraduates with family responsibilities in Australia, an alternative, expanded model of capital is proposed. The qualitative study, underpinned by Gadamer’s Hermeneutic Philosophy, revealed multiple threats and enablers to progression throughout the degree. Dimensions of capital previously unacknowledged in the nursing literature were necessary to fully conceptualise these rich and complex findings, including important student strengths. These dimensions: aspirational, navigational, resistant, familial and experiential capital, compensated when traditional dimensions were lacking, or incongruent with university expectations. This longitudinal study further revealed how the availability and importance of capital altered with the changing curriculum and participants’ personal growth.

Early childhood education and care services are a significant feature of Australian family life, where nearly 1.4 million children attended a service in 2019. This paper reports on the cost of food provided to children in long day-care (LDC) services and extrapolates expenditure recommendations to support food provision compliance. A cross-sectional audit of LDC services in metropolitan Perth was conducted to determine food group provision by weighing raw ingredients of meal preparation—morning tea, lunch, and afternoon tea (MT, L, AT). Ingredients were costed at 2017 online metropolitan pricing from a large supermarket chain. Across participating services, 2 days of food expenditure per child/day ranged between $1.17 and $4.03 across MT, L, AT, and averaged $2.00 per child/day. Multivariable analysis suggests that an increase of $0.50 per child/day increases the odds of a LDC service meeting > 50% of Australian Dietary Guideline (ADG) recommendations across ≥ 4 core food groups by fourfold (p = 0.03). Given the fact that the literature regarding food expenditure at LDC services is limited, this study provides information about food expenditure variation that impacts planning and provision of nutritionally balanced menus recommended for children. An average increase of food expenditure of $0.50 per child/day would increase food provision compliance.

Food connects people, and can significantly impact the physical, social and emotional development of young children. Food sharing and family-style mealtimes can support healthy eating practices and psychological well-being among young children, and carersother than family members, such as Early Childhood Education and Care staff, play an important role in the provision of these practices. Despite increasing numbers of Australian children attending Early Childhood Education and Care services, there is often reluctance among staff to promote such mealtime practices, to the detriment of children's social and emotional development. The aim of this paper was to focus on the potential role of Early Childhood Education and Care services in facilitating food sharing and family-style mealtime practices in the earliest stages of the lifespan. A qualitative, netnographic approach was used, and data was collected as part of the broader 'Supporting Nutrition for Australian Childcare' (SNAC) study, via online conversation threads, observations and qualitative interviews. Findings demonstrated that whilst many Early Childhood Education and Care services are committed to supporting food sharing and family-style mealtime practices, a number of barriers were reported. These included the perception that babies and toddlers could not participate in these practices, concerns about food hygiene and cross contamination of allergens, and negative parental influences on food sharing. In conclusion, this paper supports the practice of food sharing in Early Childhood Education and Care settings and calls for them to become embedded in everyday operations to support the physical, social and emotional development of Australia's future generations.

Exercise, spending time in nature and feeling part of a supportive community all contribute to better physical and mental health and to healthy ageing. This focused ethnography investigates how participation in self-organised ocean swimming groups contributes to healthy ageing amongst older men and women in the Australian coastal city of Perth. It explores the ways marine life, personal experiences and social connectedness mediate their group use of public blue space, and highlights that group membership promotes participants' enhanced health and wellbeing, and supports development of self-efficacy and resilience. These findings suggest that more inclusive access to ocean swimming and other forms of active or adventure-based leisure activities should be advocated from a public health perspective.

The goal of the present study was to investigate how negative peer interactions offline and online are associated with each other and with other daily interactions among early adolescents. To this aim, photo-elicitation interviewing was used to gather data among a sample of 34 early adolescents (13–14 years). A thematic analysis revealed that adolescents experience a wide range of different types of negative peer interactions offline and online. Most of the negative interactions recalled by the participants took place exclusively offline or online, and only a few were continued and/or managed in another environment. When participants were involved in online negative interactions they often acted as if nothing happened afterwards in the offline environment. On the other hand, offline negative interactions were often not continued online because the persons involved did not interact online. Further implications of the results for prevention and intervention, and for future research are discussed.

The childcare setting can significantly influence the lifelong eating habits and health outcomes of children.It is ideal for health-promoting interventions that optimise the provision of nutritious food and nutrition education. Unfortunately, these interventions are neither offered nor promoted in many childcare settings. Recent studies have indicated an increased risk of overweight/obesity with childcare attendance, which if present in early life is associated with increased risk of chronic disease and reduced psychological wellbeing.

This is the first article to describe how broadening of the term netnography in qualitative research is leading to misperceptions and missed opportunities. The once accepted need for human presence in netnographic studies is giving way to nonparticipatory (passive) approaches, which claim to be naturalistic and bias-free. While this may be tenable in some environments, it also removes the opportunity for cocreation in online communities and social media spaces. By contrast, participatory (active) netnographers have an opportunity to conduct their research in a way that contributes value and a continuity of narrative to online spaces. This article examines the ways in which netnographies are being used and adapted across a spectrum of online involvement. It explores the ways in which netnographies conform to, or depart from, the unique set of analytic steps intended to provide qualitative rigor. It concludes by advocating for active netnography, one which requires a netnographic “slog” where researchers are prepared for the “blood, sweat, and tears” in order to reap rich benefits.

Environmental degradation is a complex problem, many aspects of which may not be solved unless collective effort is undertaken. Collective Efficacy theory provides a useful framework to investigate how people view their ability and the effectiveness of their actions to solve environmental problems, which has been largely overlooked until now. Six focus groups were conducted to explore efficacy beliefs expressed by environmental Activists and Non-Activists in Perth, Western Australia, relating to waste management. All participants (n=38) expressed pessimistic views about the abilities of others to perform pro-environmental behaviours. However, Activists were positive that a collective effort would be effective ('many drops will fill up the bucket') while Non-Activists felt strongly that the problem would still exist even if everyone performed waste-minimising behaviours ('it's just a drop in the bucket'). Behaviour change interventions might be more effective if they focus on convincing people that collective effort will be effective in solving environmental problems.

Although netnography emerged in the 1990s, it is a term unfamiliar to many ethnographers and is still touted as a new methodology. Once explained, ethnographers often understand it in terms of online ethnography. While this is helpful, netnography, however, offers a set of steps and analytic approaches that can be applied across a spectrum of involvement online. Its focus is on gaining entree to an online community, distinguishing between participant observation and nonparticipant observation.

‘‘Build it and they will come,’’ an adage critiqued as a common misconception of participatory engagement with online communities. Previous research indicated that a netnographic approach based upon researcher– participant engagement would provide the best opportunity to build and sustain a successful support community [...].

The Nutrition Care Process (NCP) was designed to provide a framework of care for patients; however, implementation internationally remains inconsistent. This qualitative study determined the current NCP needs of Asian dietitians in order to develop a website to facilitate learning and an online community of practice. Seven face‐to‐face focus groups were conducted. Participants (n = 42) were predominantly female (86%); worked full‐time (93%), were employed in hospitals (88%) or private practice (12%) and documented medical records in English. Most knew of the NCP previously from conferences or university studies. Thematic analyses identified barriers to NCP and included a lack of (1) knowledge; (2) time; (3) access to training; (4) peer support; and (5) the funding required to acquire NCP resources. These findings informed the development of the website, which was piloted among student dietitians. Minor changes to functionality and community sections of the website were undertaken before global release. Within two months of launching the Dietitians Online Nutrition Care Process (DoNCP), a total of 95 international dietitians had signed up. Average weekly website statistics demonstrated 8488 page views, 28 posts and 45 sign‐ins. Whilst almost all focus group participants expressed positive attitudes towards the NCP and its adoption in their routine practice, significant barriers were identified. Hence the DoNCP website will provide opportunities for potential early adopters to (1) access resources and case studies; (2) enhance learning with experts in discussion forums; and (3) provide a supportive communication and peer‐networking as indicated by focus groups.

Objective: To identify the best available evidence on the influence of intimate partnerships (marriage or de facto relationships) on nurse student progression. Background: Projections of future nursing workforce shortages have provided renewed impetus to study pre-registration nurse student progression. Factors external to the university are highly influential for non-traditional student groups such as nursing. As the average age of nurse students' rise, the influence of intimate partnerships requires investigation. Data Sources: An international integrative review was conducted in literature from 1990 to 2015 across a range of databases. Review Methods: A structured approach was used for data collection, analysis and evaluation, resulting in a selection of 17 international papers. Results: There were few common definitions, and little agreement regarding measurement of key factors and variables across the literature. Research into partnership influences on nurse student progression was minimal however findings across a range of disciplines revealed partner support as a principal influence; enabling or hindering the student's social and academic university involvement. Given that nursing is a highly feminised profession, the finding that support was less forthcoming from female students' male partners than vice versa was a particular concern. Women students reported challenging their partners' traditional domestic gender role expectations, which sometimes led, to relationship conflict and breakdown, further impeding their ability to progress. Conclusion: Lesser support from their male partners may have unwelcome implications for the progression of the increasing population of mature-age women nurse students. The comparatively few studies and their diversity limit the applicability of the review findings to current nurse education. With workforce sustainability threatened, studies directly investigating the influence of partnerships on nurse student progression are r

Physiognomy is the art of judging temperament and character from outward appearance. The aim of this study was to legitimize the expectations of facial physiognomy in audience interpretation and recall of safety related messages. Mixed methods were utilize d to describe and analyse data for free facial and image description and the recall of facts presented in the image testimonial. F acial physiognomy was explored along four dimensions ranging from more trustworthy/less trustworthy and more dominant/less dominant dimensions and these images were introduced along with a printed message on electrical safety (n=100). Remarkable interactions between a source - credibility subscale and perceived dominance scale suggests that th ere is an innate frame of reference used by humans whereby decision judgments are made based on another person’s facial physiognomy. Furthermore, there is an atypical innate and perhaps evolved, or socialized, response with respect to whether humans will a pproach or avoid another person based on their facial physiognomy and people do make decision judgments based on dominance, trustworthiness, approach or avoidance behaviour and recall of information differs based on somatic facial characteristics when pres ented with an avatar of a human face in a workplace safety advertisement. The physiognomic appearance of an endorser can influence the believability and attitude components of potential target audiences; and thus, the impact of the intended message

Social media is a central component in the lives of many young people, and provides innovative potential to conduct research among this population. Ethical issues around online research have been subject to much debate, yet young people have seldom been consulted to provide a youth perspective and voice. Eight (8) focus groups involving 48 Grade 9 Western Australian secondary school students aged 13-14 years were held in 2012, to investigate how young people perceive the feasibility and acceptability of social media when used as a research tool to investigate various issues relevant to their mental health and wellbeing. Whilst young people recognise many benefits of researchers using social media in this way, such as its relevance, innovation and accessibility, there were salient issues of privacy, consent, and practicality that require careful negotiation. There is a need for continued exploration and scientific debate of the moral and ethical implications of using social media for research, to help ensure this is employed in an appropriate and effective way that is respectful of and sensitive to the needs and views of young people.