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Documentation and management of paediatric obesity: Evidence from a paediatric inpatient unit
No full textIntroduction: The obesity epidemic is a worldwide phenomenon.1 In Australia, the prevalence of paediatric overweight or obesity is 25%.2 Children with obesity present to medical services more frequently than children with a healthy weight.3 Therefore, any hospital admission is an opportunity for clinicians to identify and manage children with overweight or obesity. Previous research has not objectively measured how frequently clinicians document a child as being above the healthy weight range and initiate weight management strategies. This study addresses this gap in the literature by demonstrating the prevalence rate and clinical characteristics of children with overweight/obesity in a non-tertiary paediatric inpatient unit and measuring the rate of clinician recognition, documentation, and initiation of weight management strategies
World Health Organization package of interventions for rehabilitation for cancer: a MASCC-endorsed resource for global action to address unmet rehabilitation needs of people affected by cancer
No full textIntegral human development: Hurling into the soul
Get PDFThe article offers a reflection on the relation between integral human development and integral ecology to create a lens for an incarnational spirituality of the soul. Grounded in and through God’s word and questions “hurling” into the soul, we are invited into the “play” of the Spirit, offering opportunities for memory, grace and hope to resound through the “seasons” of life and death. Through boldness, endurance and devotion to “the gospel of Christ” (1 Cor 9: 12), the hurling depths of the soul arises to witness to “become all things to all people” (1 Cor 9: 22). The article concludes by examining the Irish sport of Hurling as a metaphor for a spiritual ecology of discipleship, a journey of atonement invoking the “divine power” (2 Cor 10:4) of the soul
Does readability of textual disclosures in modern slavery reports pay off? Evidence from a regulatory setting
No full textThis study examines the association between textual disclosure readability in modern slavery reports and firm value. Using 212 Australian modern slavery statements for the financial year 2019–2020, a positive association is found between more readable textual disclosures in modern slavery reports and firm value. The study also finds that an optimistic tone in textual disclosures and better firm-level corporate governance accentuate this impact. Further analysis shows that the informative information component of textual disclosures in modern slavery reports is positively priced by investors. Our study’s findings contribute to the debate on why firms should consider improving the textual disclosure readability of modern slavery reports. The study also informs various regulators (e.g. Australian Border Force, Australian Securities and Investments Commission [ASIC], European Union [EU] and United Kingdom[UK] government agencies, etc.) and international organisations about firm-level efforts to promote high-quality reporting on the modern slavery risk
A qualitative investigation of nurses\u27 knowledge and practice gaps, regarding confidentiality and risk-actuated public interest disclosure-related decision-making
No full textThere is a legal duty of confidentiality on the part of nurses working in mental health care. Nonetheless, it may be necessary to release some information if a patient is assessed as posing a potential credible risk, to protect the patient or others from harm. However, contemporary research literature reveals gaps in nurses’ knowledge and practice, with respect to sharing patients’ confidential information. The aim of this study was to understand potential causal factors for these knowledge and practice gaps, so they can be addressed. A theoretical thematic analysis of focus-group data was undertaken. Findings indicated nurses had limited knowledge of confidentiality. Additionally, participants described a paucity of support networks nurses could approach for information. Participants also emphasised their perception that health services unrealistically expected them to always identify and manage patient risk. In summarising these findings, recommendations for interventions to address these knowledge and practice gaps are outlined
Community-based dementia risk management and prevention program for Aboriginal Australians (DAMPAA): A randomised controlled trial study protocol
No full textIntroduction: Aboriginal and Torres Strait Islander peoples are the First Peoples of Australia. Up to 45% of dementia in these populations is due to potentially modifiable risk factors. The Dementia Prevention and Risk Management Program for Aboriginal Australians (DAMPAA) is an Aboriginal Health Practitioner led programme that aims to reduce cognitive decline and functional impairment in older Aboriginal people.
Methods Design: DAMPAA is a multisite, randomised controlled trial aiming to deliver and evaluate a culturally appropriate risk factor management programme. Population: Community-dwelling Aboriginal people aged 45–90 years. Intervention: Participants will be randomly assigned to either usual care (control) or to a group programme comprising exercise and health education yarning sessions and pharmacist-delivered medication reviews delivered over a 12-month period.
Primary outcome: Cognitive function (Kimberley Indigenous Cognitive Assessment (KICA)-Cog score), daily function (KICA-Activities of Daily Living (ADL) score) and quality of life (Good Spirit, Good Life and EQ-5D-5L scores). Secondary outcomes: Process evaluation interviews, cardiovascular risk factors, falls and death. Process evaluation will be conducted with qualitative methods. Quantitative outcomes will be analysed with generalised linear mixed models.
Ethics and dissemination: The study was approved by the Western Australian Aboriginal Health Ethics Committee and the University of Western Australia Human Research Ethics Committee. Study results will be published in peer-reviewed journals and presented at scientific meetings. We will also develop and disseminate a comprehensive DAMPAA toolkit for health services. The study’s findings will guide future prevention strategies and outline a comprehensive process evaluation that may be useful in other Aboriginal health research to contextualise finding
Impact of the promoting physical activity in regional and remote cancer survivors intervention on health-related quality of life in breast and colorectal cancer survivors
No full textBackground: The PPARCS trial examined the efficacy of a distance-based wearable and health coaching intervention to increase physical activity (PA) in breast and colorectal cancer (CRC) survivors living in non-metropolitan areas. This paper examines the effects of the intervention on health-related quality of life (HRQoL) at 12 weeks (T2; end of intervention) and 24 weeks (T3; follow-up).
Methods: Participants that were insufficiently physically active and had successfully completed cancer treatment were randomised to an intervention or control group. PA was assessed using an ActiGraph (GT9X) at baseline, T2, and T3. Intervention effects on HRQoL were analysed using quantile regression comparing treatment groups across time.
Results: A total of 87 were randomised to intervention and control groups. There were generally no statistically significant differences between the groups on any HRQoL item except for pain. There was an arm (F(1, 219) = 5.0. p = 0.027) and time (F(2,221) = 4.8, p = 0.009) effect, reflecting the higher pain scores in the control group when collapsed across time points (median difference 16.7, CI 1.9 to 31.4, p = 0.027). For global HRQoL, the intervention group increased by 8.3 points between T1 and T2. The overall group median when collapsed across time was 16.7 points CI 8.2 to 25.2, p \u3c0.001) greater in the intervention group than controls.
Conclusions: While the PPARCS intervention resulted in significant increases in PA, participants indicated a high HRQoL at baseline, leaving little room for improvement. Findings suggest that PA may improve global HRQoL and pain in breast and CRC survivors
Towards an Indigenous-informed multispecies collaboratory
No full textHow does Australia’s latest Indigenous defeat relate to Environmental Education? The answer is direct complicity. This paper begins with the premise that the failure of Australia’s 2023 referendum on “The Voice to Parliament” is directly connected with education. The chapter builds on the proposition that local and Indigenous public knowledge could — and should — be the heart of environmental education. We apply a post-qualitative practice that is underpinned by innovative feminisms and the post-qualitative methods within a Multispecies Collaboratory, an experimental way of transforming our learning by attending to the responsive, relational world of all beings. We use this practice to think with while exploring socio-ecological relations, especially our own. Collaboratory colleagues include rivers with their kincentric ecologies, urban park ecosystems and backyard kin or families. Journaling, creative writing and photography record our learning journeys. The article concludes that continuing colonisation, epistemic violence and a culture of denial reinforce the dominant paradigm of silencing Indigenous voices. We argue that an Indigenous-informed onto-epistemology of living place can — and should — inform the heart and practice of environmental education, and an Indigenous-informed Multispecies Collaboratory is one way to deepen the multispecies engagement that underpins environmental education
Essential learnings from a Catholic school amalgamation
No full textThis paper analyses the impact of a recent large-scale Catholic school amalgamation. It explores how a change process that brought two existing schools together impacted staff, student and parent stakeholders within the initial year of a school amalgamation. The objective is to analyse the process to understand the impact and inform the leading and planning of future school amalgamations and associated processes, which have increased in recent years. The study was a single case study utilising survey data collected during the amalgamation. Participant perspectives are the primary means of data analysis, supplemented where relevant with documents relating to the planning and implementation of the amalgamation. Emerging themes are analysed to provide insight into the challenges and opportunities of current and future school amalgamations. This paper provides evidence of the school community\u27s goodwill and commitment to a merged entity and highlights the complexities of a school amalgamation