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Recognizing that university statements about equity, diversity, and inclusion are often cosmetic, performative, or at best, aspirational, rather than indicative of on-campus realities, this project analyzes interpretations of student identity and diversity through publicly available materials. The primary purpose of this research was to investigate how university messages about equity, diversity, and inclusion, available through public websites, are interpreted by faculty and students. Using a students-as-partners approach, we identified and analyzed themes based on our own perceptions and understandings of each of five university websites: University of Calgary (Canada), University of Alabama (USA), Deakin University (Australia), University of Exeter (UK), and Portland State University (USA). While equity, diversity, and inclusion are signature initiatives at many universities, we found that analyses of their websites suggest that the ways in which those are operationalized differ. The patterns identified suggest that messaging through university websites can promote or detract from equity, diversity, and inclusion in university settings, and we observed differences in the ways in which institutions operationalized and represented initiatives related to equity, diversity, and inclusion. Exploring how these efforts at our five institutions are messaged to and interpreted by students provides a better understanding of the institutional priorities and the assumed values identified by student co-researchers. The use of student co-researchers proved an especially valuable contribution to this analysis to gain perspectives about presentations of student identity and diversity. Using this form of embedded research, we identify the limited presentations of and perceptions around diversity at institutions of higher education cited by student co-researchers.

Internationally, standard observational measures of Early Childhood Education and Care (ECEC) are used to assess the quality of provision. They are applied as research tools but, significantly, also guide policy decisions, distribution of resources and public opinion. Considerable faith is placed in such measures, yet their validity, reliability and functioning within context should all be considered in interpreting the findings they generate. We examine the case of the Classroom Assessment Scoring System (CLASS) in the Australian study, "Effective Early Education for Children" ("E4Kids"). Using this measure Australian educators were identified as "low quality" in provision of instruction (average 2.1 on a scale of 1-7). When these results became public, they attracted negative press coverage and the potential for harm. We interrogate these findings asking three questions relating to sampling, contextual and empirical evidence that define quality and measurement strategies. We conclude that measurement problems, most notably a floor effect, is the most likely explanation for uniformly low CLASS-Instructional scores among Australian ECEC educators, and indeed across international studies. Using a theoretically and empirically informed rescaling strategy we show that there is a diversity of instructional quality across Australian ECEC, and that rescaling might more effectively guide improvement strategies to target those of lowest quality. Beyond, our findings call for a more critical approach in interpretation of standard measures of ECEC quality and their applications in policy and practice, internationally.

A key role of universities is the credentialing of student learning by awarding degrees and diplomas. This requires universities to have confidence in the integrity of their assessment processes and in turn, external stakeholders to have the same confidence. This study investigates the following research question: 'Has COVID-19 had an impact on the assessment and invigilation of accounting courses in Australia and New Zealand and, if so, how?' This is a critical issue for accounting faculty in many countries as COVID-19 has forced a shift in the way assessments are administered -- from face to face to online. The study involved a survey of accounting faculty in Australia and New Zealand and found changes occurred to how students were assessed because of COVID-19 and a variety of institutional responses to this. The paper makes recommendations for accounting educators, universities, and the professional accounting bodies.

The role of interdisciplinarity in achieving authentic and transformative learning outcomes is both contested and complex. At the same time, traditional disciplinary ways of being, doing and knowing have been further tested by the impact of COVID-19 on students, schools and communities. In Tasmania, already experiencing amongst the lowest levels of educational attainment in Australia, the educational implications of COVID-19 have been polarising. Preliminary reports have employed interdisciplinary perspectives to understand how the situation is unfolding. Extremes of privilege and poverty have intensified, with accentuated disadvantage experienced by already vulnerable groups, whilst ingenuity, adaptability and innovation have flourished elsewhere. The spectrum and range of this polarisation yield compelling evidence for the inadequate address of complex societal problems through singular disciplines or institutions. This article explores storied data generated from the intersections of interdisciplinary strategy enacted across three settings: education, creative industries and community-based arts practice. The data derive from two Tasmanian case studies where interdisciplinary collaboration between the education sector, creative industries and community is well established. In subsequent discussion, the multidisciplinary authorship team make and offer meaning from participatory lived experiences of pursuing social justice outcomes prior to and during the COVID-19 pandemic. From this, we posit how lived experiences of interdisciplinarity impact social justice enterprise in times of increasingly complex socio-economic challenge. In addressing these concerns, we elucidate the role interdisciplinarity plays in both enabling and inhibiting social justice imperatives shared across education, creative industry and community-based arts practice immediately prior to and during a global pandemic. In so doing, we elicit the ways interdisciplinary practices, partnerships and priorities recalibrate in response to global challenges.

Observational studies comparing child outcomes in early care and education classrooms of differing quality are often confounded by between-child differences. A within-child design, tracking children across contexts, can identify the effects of quality with less confounding. An analysis of Australian children (N = 1128, mean age 5 years, 48% female, 2.9% Indigenous, ethnicity data unavailable) tracked across pre-K, K, and year 1 (2010-2012) was conducted to assess how changes in observed quality (Classroom Assessment Scoring System) were associated with changes in cognitive development (Woodcock-Johnson III). Thresholds of quality were also investigated. Increases in Emotional Support were associated with improved language development ([beta] = 0.54, 95% CI [0.1-0.99], approximating 2.6 weeks development). Results highlight that emotional quality is an integral and potent component of early learning.

In this paper we argue that a messy design process does not mitigate against sharing and transfer of artefacts across educational domains. In fact, such a process can aid in developing a model for learning and teaching that is reusable and authentic. We describe the planning and design of an integrated and interactive blended learning environment for students while demonstrating that messiness does not necessarily preclude modelling. Drawing on the educational design literature, our aim in the project discussed in this paper was to develop sustainable designs as a key feature and to facilitate applicability across disciplines. We are proposing a planning and design process framework for blended learning that may be shareable, reusable and flexible while being neither ill-structured nor ill-defined.

Objective: The purpose of this study was to examine how pre-service physical education (PE) teacher education students understand health education and their role as health educators. The challenges that a cohort of pre-service teachers (n = 20) majoring and minoring in PE face in engaging in a socially contextualised understanding of health are examined. Design: Study participants were in a semester length foundational health education course. Following ethics board approval, participants' reflective journals were accessed for data. The data were coded for themes and then analysed using Windschitl's framing of constructivism in practice. Setting: Undergraduate health education teacher education programme at an Australian university. Results: Findings reveal how PE teacher education students made meaning of socially contextualised and contested areas of health, and developed their own understanding of health education pedagogical practice. Common challenges were evidenced by the students when attempting to explain their expanding understanding of health education pedagogy and practice. Conclusion: The simple understandings and conceptual ambiguities evident in this group of students help to explain why health education taught in secondary schools by PE teachers more often takes the form of 'PE theory' than health education.

Objective: Moderate risk patients with chest pain and no previously diagnosed coronary artery disease (CAD) who present to ED require further risk stratification. We hypothesise that management of these patients by ED physicians can decrease length of stay (LOS), without increasing patient harm. Methods: A prospective pilot study with comparison to a pre‐intervention control group was performed on patients presenting with chest pain to an ED in Perth, Australia between May and October 2021, following the introduction of a streamlined guideline consisting of ED led decision making and early follow up. Patients had no documented CAD and were at moderate risk of major adverse cardiac events (MACE). Electronic data was used for comparison. Primary outcomes were total LOS and LOS following troponin. Results: One hundred eighty‐six patients were included. Median total LOS was reduced by 62 min, but this change was not statistically significant (482 [360–795] vs 420 [360–525] min, P = 0.06). However, a significant 60 min decrease in LOS was found following the final troponin (240 (120–571) vs 180 (135–270) min, P = 0.02). There was no difference in the rate of MACE (0% vs 2%, P = 0.50), with no myocardial infarction or death. Conclusions: Our study suggests that patients with no pre‐existing CAD can be safely managed by emergency physicians streamlining their ED management and decreasing LOS. This pathway could be used in other centres following confirmation of the results by a larger study. [ABSTRACT FROM AUTHOR]

Background and Objective: Unwarranted variations in lung cancer care have been well described in both Australia and Aotearoa New Zealand, with shortfalls in hospital‐based workforce and infrastructure previously demonstrated. A survey of lung cancer clinicians was performed to gain an updated understanding of current workforce and infrastructure. Methods: An online Qualtrics survey included questions on institutional demographics, estimated lung cancer case load, multidisciplinary team (MDT) characteristics including workforce and local infrastructure. We sought to obtain one response from every institution treating lung cancer in Australia and Aotearoa New Zealand. Results: Responses were received from 89 institutions, estimated to include 85% centres treating lung cancer in Australia and 100% of public hospitals in Aotearoa New Zealand. Lung cancer nurse specialist and Nuclear Medicine are poorly represented in multidisciplinary teams (MDTs) with just 34/88 (38%) institutions fulfilling recommended core workforce for MDT meetings. Case presentation is low with 32/88 (36%) regularly discussing all lung cancer patients at MDT. Metropolitan institutions appear to have a more comprehensive range of services on site, compared to non‐metropolitan institutions. Few (4/88) institutions have embedded smoking cessation services. Compared to the previous 2021 Landscape Survey, thoracic surgery representation and core MDT workforce have improved, with modest change in specialist nurse numbers. Conclusion: This wide‐reaching survey has identified persistent deficiencies and variations in lung cancer workforce and gaps in infrastructure. Multidisciplinary collaboration and care coordination are needed to ensure all patients can access timely and equitable lung cancer care. [ABSTRACT FROM AUTHOR]

• Whole-population analysis of access to high-quality ECE using a national standard. • Inequities of access associated with geographic and socio-economic disadvantage. • Recent immigrants over-represented in poor quality services. • Calls for interrogation and identification of effective thresholds of quality. The United Nations Sustainable Development Goal (4.2) calls for all children to have access to high quality Early Childhood Education (ECE), recognising the potential of ECE to promote children's development and ongoing national prosperity. Yet, in marketized systems both structural features (availability and affordability of services) and social factors (family knowledge and social connection) can drive inequitable access to the highest quality provision. In the current study, we analyse data for N =77,113 children in Australia's new whole-population integrated database to ask: Who accesses high-quality ECE services? Australia's national quality rating of ECE services provided whole-of-country standard measurement of ECE quality. We find that, although Australia provides an income-scaled subsidy to families to enable ECE attendance, inequalities are seen in the quality of service accessed. Families experiencing socio-economic disadvantage and those living in regional and remote locations are under-represented in services rated high-quality. Recent immigrants, regardless of their economic status, are most likely to attend poorer quality services. These findings highlight the need to identify and remediate mechanisms preventing those most likely to benefit from the highest quality ECE from access. Such actions are critical to deliver on the promise of ECE to disrupt intergenerational disadvantage and enable sustainable national development. [ABSTRACT FROM AUTHOR]

Aim: Recent rapid advances in genomics are revolutionising patient diagnosis and management of genetic conditions. However, this has led to many challenges in service provision, education and upskilling requirements for non‐genetics health‐care professionals and remuneration for genomic testing. In Australia, Medicare funding with a Paediatric genomic testing item for patients with intellectual disability or syndromic features has attempted to address this latter issue. The Sydney Children's Hospitals Network – Westmead (SCHN‐W) Clinical Genetics Department established Paediatric and Neurology genomic multidisciplinary team (MDT) meetings to address the Medicare‐specified requirement for discussion with clinical genetics, and increasing genomic testing advice requests. Methods: This SCHN‐W genomic MDT was evaluated with two implementation science frameworks – the RE‐AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) and GMIR – Genomic Medicine Integrative Research frameworks. Data from June 2020 to July 2022 were synthesised and evaluated, as well as process mapping of the MDT service. Results: A total of 205 patients were discussed in 34 MDT meetings, facilitating 148 genomic tests, of which 73 were Medicare eligible. This was equivalent to 26% of SCHN‐W genetics outpatient activity, and 13% of all Medicare‐funded paediatric genomic testing in NSW. 39% of patients received a genetic diagnosis. Conclusion: The genomic MDT facilitated increased genomic testing at a tertiary paediatric centre and is an effective model for mainstreaming and facilitating precision medicine. However, significant implementation issues were identified including cost and sustainability, as well as the high level of resourcing that will be required to scale up this approach to other areas of medicine. [ABSTRACT FROM AUTHOR]

Background: We examined the body mass index (BMI) of students attending Seventh-day Adventist (Adventist) schools in Australia in 2001 and 2012. Methods: A total of 3069 students attending Adventist schools in Australia responded to a health and lifestyle survey in 2001 (N = 1335) and 2012 (N = 1734). The survey captured self-reported height and weight, demographics (age, sex, year level, religion), and select health behaviors. Results: Compared with national norms, lower rates of overweight and obesity were observed in the study cohort, but higher rates of underweight. There was no change in the mean BMI of the students attending Adventist schools in Australia from 2001 to 2012. Regression analyses indicated that a lower BMI was associated with age, sex, more regularly eating breakfast, consuming less soft drink, and having a regular exercise program. The students reported a high consumption of fruits, vegetables, and whole grains compared with Australian national norms, and 29% claimed to be vegetarian. Conclusions: Students attending Adventist schools appear to have a lower prevalence of overweight and obesity than the secular population, but a higher prevalence of underweight. The mechanisms through which Adventist schools may influence student's BMI warrants further investigation.

Objective: International guidelines provide increasing support for computed tomography coronary angiography (CTCA) in investigating chest pain. A pathway utilising CTCA first‐line for outpatient stable chest pain evaluation was implemented in an Australian ED. Methods: In pre‐post design, the impact of the pathway was prospectively assessed over 6 months (August 2021 to January 2022) and compared with a 6‐month pre‐implementation group (February 2021 to July 2021). CTCA was recommended first‐line in suspected stable cardiac chest pain, followed by chest pain clinic review. Predefined criteria were provided recommending functional testing in select patients. The impact of CTCA versus functional testing was evaluated. Data were obtained from digital medical records. Results: Three hundred and fifteen patients were included, 143 pre‐implementation and 172 post‐implementation. Characteristics were similar except age (pre‐implementation: 58.9 ± 12.0 vs post‐implementation: 62.8 ± 12.3 years, P = 0.004). Pathway‐guided management resulted in higher first‐line CTCA (73.3% vs 46.2%, P < 0.001), lower functional testing (30.2% vs 56.6%, P < 0.001) and lower proportion undergoing two non‐invasive tests (4.7% vs 10.5%, P = 0.047), without increasing investigation costs or invasive coronary angiography (ICA) (pre‐implementation: 13.3% vs post‐implementation: 9.3%, P = 0.263). In patients undergoing CTCA, 40.7% had normal coronaries and 36.2% minimal/mild disease, with no difference in disease burden post‐implementation. More medication changes occurred following CTCA compared with functional testing (aspirin: P = 0.005, statin: P < 0.001). In patients undergoing ICA, revascularisation to ICA ratio was higher following CTCA compared with functional testing (91.7% vs 18.2%, P < 0.001). No 30‐day myocardial infarction or death occurred. Conclusions: The pathway increased CTCA utilisation and reduced downstream investigations. CTCA was associated with medication changes and improved ICA efficiency. [ABSTRACT FROM AUTHOR]

University enabling programs, worldwide, generally target high school students who excel at school, or post-secondary students who have underperformed in their university entry examinations. Murdoch University provides an access program for Year/Grade 12 students who are not on a university pathway during their final year of high school. This intervention engages students at a transitional stage of cognitive development to: (a) determine their readiness to move to the next level of their cognitive thinking; (b) facilitate that process through collaborative learning; (c) support and nurture university aspirations and (d) provide a direct transition pathway from secondary to higher education. The influence of Vygotsky's zones of proximal development in the context of this program is discussed, and by comparing the performance of these students in their first year of university with other domestic-entry students, we argue that this enabling program prepares them for successful transition into higher education.

Introduction: In Australia, opportunistic screening (occurring as skin checks) for the early detection of melanoma is common, and overdiagnosis is a recognised concern. Risk-tailored cancer screening is an approach to cancer control that aims to provide personalised screening tailored to individual risk. This study aimed to explore the views of key informants in Australia on the acceptability and appropriateness of risk-tailored organised screening for melanoma, and to identify barriers, facilitators and strategies to inform potential future implementation. Acceptability and appropriateness are crucial, as successful implementation will require a change of practice for clinicians and consumers. Methods: This was a qualitative study using semi-structured interviews. Key informants were purposively selected to ensure expertise in melanoma early detection and screening, prioritising senior or executive perspectives. Consumers were expert representatives. Data were analysed deductively using the Tailored Implementation for Chronic Diseases (TICD) checklist. Results: Thirty-six participants were interviewed (10 policy makers; 9 consumers; 10 health professionals; 7 researchers). Key informants perceived risk-tailored screening for melanoma to be acceptable and appropriate in principle. Barriers to implementation included lack of trial data, reluctance for low-risk groups to not screen, variable skill level in general practice, differing views on who to conduct screening tests, confusing public health messaging, and competing health costs. Key facilitators included the perceived opportunity to improve health equity and the potential cost-effectiveness of a risk-tailored screening approach. A range of implementation strategies were identified including strengthening the evidence for cost-effectiveness, engaging stakeholders, developing pathways for people at low risk, evaluating different risk assessment criteria and screening delivery models and targeted public messaging. Conclusion: Key informants were supportive in principle of risk-tailored melanoma screening, highlighting important next steps. Considerations around risk assessment, policy and modelling the costs of current verses future approaches will help inform possible future implementation of risk-tailored population screening for melanoma. [ABSTRACT FROM AUTHOR]

As the global population rises, there is an ever-increasing demand for food, in terms of volume, quality and sustainable production. Protected Cropping Structures (PCS) provide controlled farming environments that support the optimum use of crop inputs for plant growth, faster production cycles, multiple growing seasons per annum and increased yield, while offering greater control of pests, disease and adverse weather. Globally, there has been a rapid increase in the adoption of PCS. However, there remains a concerning knowledge gap in the availability of accurate and up-to-date spatial information that defines the extent (location and area) of PCS. This data is fundamental for providing metrics that inform decision making around forward selling, labour, processing and infrastructure requirements, traceability, biosecurity and natural disaster preparedness and response. This project addresses this need, by developing a national map of PCS for Australia using remotely sensed imagery and deep learning analytics, ancillary data, field validation and industry engagement. The resulting map presents the location and extent of all commercial glasshouses, polyhouses, polytunnels, shadehouses and permanent nets with an area of >0.2 ha. The outcomes of the project revealed deep learning techniques can accurately map PCS with models achieving F-Scores > 0.9 and accelerate the mapping where suitable imagery is available. Location-based tools supported by web mapping applications were critical for the validation of PCS locations and for building industry awareness and engagement. The final national PCS map is publicly available through an online dashboard which summarises the area of PCS structures at a range of scales including state/territory, local government area and individual structure. The outcomes of this project have set a global standard on how this level of mapping can be achieved through a collaborative, multifaceted approach. [ABSTRACT FROM AUTHOR]

The aim of this paper was to find out how knowledge and skills in demand by libraries compare with librarians' preoccupations and aspirations. Two sets of data were analysed using content analysis. A) 972 criteria in 127 Australian library-related job advertisements (from 2021) were coded against ALIA's Foundation knowledge for entry-level library and information professionals. B) 465 articles published in INCITE (an Australian professional LIS magazine) from 2018 to 2020 were mapped against the framework afforded by the IFLA Trend Report 2019 Update. From the ten domains in ALIA's foundation knowledge, behavioural skills were the most sought domain in the job advertisements (84.3% of advertisements), followed by those of leadership and management (58.3%), digital technologies (49.6%), and literacies and learning (22%). Professionalism (5.5%) and research (14.2%) were the least sought domains. Of the three key trends identified by IFLA, the top preoccupation in the professional literature was found to be 'dealing with uncertainty' (60.2% of articles). This is the first study to analyse both job advertisements and professional literature and map them against expected professional competencies and the sector's emerging trends. [ABSTRACT FROM AUTHOR]

The reduction of saltmarsh habitat at a global scale has seen a concomitant loss of associated ecosystem services. As such, there is a need and a push for habitat rehabilitation. This study examined an innovative saltmarsh restoration project in Australia which sought to address the threats of mangrove encroachment and sea level rise. The project was implemented in 2017, using automated hydraulic control gates, termed "SmartGates," to lower the tidal regime over one site, effectively reversing sea level rise at a local level. Measured indicators of saltmarsh cover, number of species, seedling counts, and saltmarsh assemblages all showed significant positive development over time, with trends varying based on saltmarsh zone. The saltmarsh, predominantly Sarcocornia quinqueflora, developed from remnant supralittoral (previously high) marsh which remained at 45% cover to achieve over 15% coverage across the cleared habitat after 3 years. Slower development in the low marsh (<5%) compared to other zones contrasts with other saltmarsh restoration studies which may be due to the unique nature of the restoration method or the nature of Australian saltmarsh species which favor higher elevations and drier conditions. The development of saltmarsh at the treatment site was found to track toward that at comparison sites over time, becoming similar to some comparison sites by the studies end. This study highlights the usefulness of the novel restoration method used and of the measured indicators for assessing saltmarsh development. This innovative tidal control method could play an important role in the future of saltmarsh restoration worldwide. [ABSTRACT FROM AUTHOR]

Objective: Gaps and complexities exist in cancer referral and diagnosis in Australia, leading to delays in cancer treatments. Developing evidence-based referral pathways is important for promoting better and more timely cancer diagnosis and care. Type of program or service: This paper describes a toolkit endorsed by the Cancer Institute NSW as a guide for promoting best practice in localising cancer referral and diagnosis pathways in line with the national Optimal Care Pathways. Use of toolkit: Employing methods in the toolkit yielded an increased understanding of cancer care pathways, strengthened collaboration between tertiary and primary sector stakeholders, and enhanced the project skills of Cancer System Innovation Managers. The toolkit has become a valuable guide for consolidating referral pathways for various cancers in the NSW local health districts and could apply to cancer services in other jurisdictions. Lessons learnt: The pilot project showed that the toolkit is useful in developing referral pathways and reflects best stakeholder engagement practices. Local evidence should be generated to support systematic change and should include the perspectives of cancer patients and clinicians. NSW local health districts continue to use the toolkit methods to optimise care to improve outcomes for people living with cancer. [ABSTRACT FROM AUTHOR]

Objective and importance of study: Risk-stratified approaches to cancer screening aim to provide tailored risk advice to individuals, rather than the mostly one-size-fits-all approach designed for the average person that is currently used in Australia. Stratified cancer screening has the potential to increase the benefits and reduce the harms of screening. Initial risk assessment is a crucial first step for screening programs that use risk stratification. We report findings from a qualitative study exploring the views of the Australian public on how to best deliver risk-stratified cancer screening in the population to help inform future implementation. Study type: Qualitative interview study. Methods: We conducted semistructured interviews with participants from a previous study, half of whom had received personal genomic risk information and half of whom had not. We asked how and where they would like to see risk-stratified screening delivered and how they felt about different health professionals assessing their cancer risk. Data were analysed thematically. Results: Forty interviews were conducted. The age range of participants was 21-68 years; 58% were female. Themes included: 1) Convenience is a priority; 2) General practice is a good fit for some; 3) Web-based technology is part of the process; and 4) "I would want to know why [I was being stratified]". Similar views were expressed by both groups. Our findings suggest that although health professionals were identified as having an important role, there were mixed preferences for delivery by general practitioners, medical specialists or nurses. Participants were less concerned about who undertook the risk assessment than whether the health professional had the appropriate skill set and availability. Clear communication and evidence of the need for change in screening eligibility and frequency were key factors in the successful delivery of risk-stratified screening. Conclusion: We identified that convenience and good communication, including clear explanations to the public with convincing evidence for change, will enable the successful delivery of risk-stratified cancer screening in the population, including organised and opportunistic screening approaches. Health professional education and upskilling across disciplines will be key facilitators. Engagement and further consultation with primary care and other key stakeholders will be central. [ABSTRACT FROM AUTHOR]

In this paper we present results of the impact diagnostic testing and associated context-specific workshops have on students' written communication skills in a graduate-level accounting course. We find that students who undertook diagnostic testing performed better in their first semester accounting subject. This improvement is positively associated with student attendance at context-specific writing skills-based workshops. When we extend the analysis to examine the long-term benefits of participation in the academic development program, there is evidence that diagnostic testing has led to sustained improvement in students' writing ability within their final semester accounting subject. (Contains 11 notes, 6 tables, and 1 figure.)

The Australian Disability Discrimination Act (1992) has challenged higher education to meet the increasing needs of students with different abilities. This may be more so in programmes that have practice components where students must demonstrate competency, regardless of their situation. This qualitative exploratory study undertaken at the University of South Australia (UniSA) investigated host healthcare organisations' perspectives on providing clinical practice placements and supporting Bachelor of Nursing (BN) students with physical disabilities through their practice components. An advisory group consisting of the university's legal officer, disability services representative, programme directors and other academics from the BN monitored the project. Directors of nursing from 50 randomly selected South Australian metropolitan and rural healthcare organisations that host student placements nominated a representative from their organisations to participate in a series of focus groups. Focus group discussion was guided by open questions developed from relevant literature, research team deliberations, advisory group recommendations and the previous focus group discussions. Data analysis consisted of manually identifying themes from each stage of the process, and the congregate data. The findings were bridging the reality gap through joint commitment, the right of disclosure versus confidentiality and proactivity through collaboration and communication.

A series of linked relationships is advanced which together suggest changes should be made to training programs for airside drivers at major airports in the United States, Australia and the United Kingdom. Overall, the links suggest a relationship between the number of airside incidents such as collisions at airports, the ethnic diversity evident among airside drivers, and the training programs for those drivers. The article advances literature from religious, sporting and ethnic communications research which strongly suggests that addressing an individual or group's ethnic characteristics, especially kinship relationships, increases the effectiveness of business-oriented communications such as education and marketing. But data from interviews among developers and managers of airside driver training programs suggests that no attempt has been made previously to address airside drivers' ethnic background. Reasons presented for this include a widespread lack of recognition of ethnic diversity as an issue in airside driver training, and a consequent lack of government regulation to incorporate such recognition in training programs. Other reasons include cost factors in training development, and the fragmentation of the airside business space between hundreds, if not thousands, of independent contractors. This article suggests that the inclusion of ethnically-oriented strategies in airside driver training programs will act to improve training outcomes and result in fewer airside incidents over time. Benefits available to the transport industry include reductions in liability costs, improvements in passenger and asset safety, and reduction in network blockages.

Background: Optimal strategies to facilitate implementation of evidence-based clinical pathways are unclear. We evaluated two implementation strategies (Core versus Enhanced) to facilitate implementation of a clinical pathway for the management of anxiety and depression in cancer patients (the ADAPT CP). Methods: Twelve cancer services in NSW Australia were cluster randomised, stratified by service size, to the Core versus Enhanced implementation strategy. Each strategy was in place for 12 months, facilitating uptake of the ADAPT CP (the intervention being implemented). The Core strategy included a lead team with champions, staff training and awareness campaigns prior to implementation, plus access to feedback reports and telephone or online support during implementation. The Enhanced strategy included all Core supports plus monthly lead team meetings, and proactive, ongoing advice on managing barriers, staff training and awareness campaigns throughout implementation. All patients at participating sites were offered the ADAPT CP as part of routine care, and if agreeable, completed screening measures. They were allocated a severity step for anxiety/depression from one (minimal) to five (severe) and recommended management appropriate to their severity step. Multi-level mixed-effect regression analyses examined the effect of Core versus Enhanced implementation strategy on adherence to the ADAPT CP (binary primary outcome: adherent ≥ 70% of key ADAPT CP components achieved versus non-adherent < 70%), with continuous adherence as a secondary outcome. Interaction between study arm and anxiety/depression severity step was also explored. Results: Of 1280 registered patients, 696 (54%) completed at least one screening. As patients were encouraged to re-screen, there were in total 1323 screening events (883 in Core and 440 in Enhanced services). The main effect of implementation strategy on adherence was non-significant in both binary and continuous analyses. Anxiety/depression step was significant, with adherence being higher for step 1 than for other steps (p = 0.001, OR = 0.05, 95% CI 0.02–0.10). The interaction between study arm and anxiety/depression step was significant (p = 0.02) in the continuous adherence analysis only: adherence was significantly higher (by 7.6% points (95% CI 0.08–15.1%) for step 3 in the Enhanced arm (p =.048) and trending to significance for step 4. Discussion: These results support ongoing implementation effort for the first year of implementation to ensure successful uptake of new clinical pathways in over-burdened clinical services. Trial registration: ANZCTR Registration: ACTRN12617000411347 (Trial registered 22/03/2017; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=372486&isReview=true) [ABSTRACT FROM AUTHOR]

Background: Lung cancer is the number one cause of cancer death worldwide. Although international trials demonstrate that targeted screening using low dose computed tomography (LDCT) significantly reduces lung cancer mortality, implementation of screening in the high-risk population presents complex health system challenges that need to be thoroughly understood to support policy change. Aim: To elicit health care providers' and policymakers' views about the acceptability and feasibility of lung cancer screening (LCS) and barriers and enablers to implementation in the Australian setting. Methods: We conducted 24 focus groups and three interviews (22 focus groups and all interviews online) in 2021 with 84 health professionals, researchers, and current cancer screening program managers and policy makers across all Australian states and territories. Focus groups included a structured presentation about lung cancer and screening and lasted approximately one hour each. A qualitative approach to analysis was used to map topics to the Consolidated Framework for Implementation Research. Results: Nearly all participants considered LCS to be acceptable and feasible but identified a wide range of implementation challenges. Topics (five specific to health systems and five cross-cutting with participant factors) identified were mapped to CFIR constructs, of which 'readiness for implementation', 'planning' and 'executing' were most salient. Health system factor topics included delivery of the LCS program, cost, workforce considerations, quality assurance and complexity of health systems. Participants strongly advocated for streamlined referral processes. Practical strategies to address equity and access, such as using mobile screening vans, were emphasised. Conclusions: Key stakeholders readily identified the complex challenges associated with the acceptability and feasibility of LCS in Australia. The barriers and facilitators across health system and cross-cutting topics were clearly elicited. These findings are highly relevant to the scoping of a national LCS program by the Australian Government and a subsequent recommendation for implementation. [ABSTRACT FROM AUTHOR]

This article synthesizes three research projects conducted in New South Wales, Australia, exploring forms of acceleration for gifted students. The first involved early entry for gifted children, the second examined experiences of students who had skipped at least one grade, and the third examined a vertical programming system that allowed acceleration within subjects at an academically selective high school. (Contains references.) (Author/DB)