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A documentary analysis of Victorian Government health information assets’ websites to identify availability of documentation for data sharing and reuse in Australia
No full textBackground: Health data sharing is important for monitoring diseases, policy and practice, and planning health services. If health data are used for secondary purposes, information needs to be provided to assist in reuse.
Objectives: To review government health information asset websites to ascertain the extent of readily available, explanatory documentation for researcher sharing and reuse of these data.
Method: Documentary analysis was undertaken on selected Victorian Government health information assets’ websites in Australia. Data were obtained on nine information-categories: data custodian; data context; data dictionary; quality controls; data quality; limitations; access process; privacy/confidentiality/security and research requests/outputs. Information-categories were compared by dataset type (administrative or population-health) and by curating organisation (government or other agency). Descriptive statistics were used.
Results: The majority of the 25 websites examined provided information on data custodian (96%) and data context (92%). Two-thirds reported access process (68%) and privacy/confidentiality/security information (64%). Compared with population-health websites, administrative dataset websites were more likely to provide access to a data dictionary (67% vs 50%) and information on quality controls (56% vs 44%), but less likely to provide information on the access process (56% vs 75%) and on research requests/outputs (0% vs 56%, p = 0.024). Compared with government-curated websites, other agency websites were more likely to provide information on research requests/outputs (80% vs 7%, p < 0.001). Conclusion: There is inconsistent explanatory documentation available for researchers for reuse of Victorian Government health datasets. Importantly, there is insufficient information on data quality or dataset limitations. Research-curated dataset websites are significantly more transparent in displaying research requests or outputs
Disaster nursing during the COVID-19 pandemic: A collection of new evidence
No full text[Extract] Given the area of disaster nursing remains deplete of robust evidence required to drive effective and efficient nursing interventions, this special section aimed to present an overview of current disaster nursing evidence to promote excellence in nursing practice, research and education. As the call for papers coincided with the COVID-19 pandemic, we also recognised the need for a disaster nursing evidence base to help guide the pivotal role of nurses in health care delivery during this pandemic. Since the emergence of, and ongoing nature of the pandemic, the important role played by nurses has been highlighted. Given that nurses comprise the largest part of the healthcare workforce (Said & Chiang, 2020), undertake most of the infectious disease containment and provide most of the front-line care during pandemics (Usher et al., 2009), the need for evidence to support nurses and to understand their issues and concerns during pandemics is crucial. In addition, the challenges faced by nurses as they carried out these important roles have been immense. For example, not only are they burdened by the increased volume and intensity of their work, but they are also challenged by a constant need to adapt ways of working (Maben & Bridges, 2020). We also know that nurses are at risk of burnout (Zhang et al., 2020), compassion fatigue (Alharbi et al., 2020), emotional/psychosocial exhaustion (Maben & Bridges, 2020) and issues related to the use and supply of personal protective equipment (PPE) (Fernandez et al., 2020). Nurses have also expressed concern about treating infectious patients, the risk of infecting family members (Fernandez et al., 2020) and stigma associated with their work (Chiang et al., 2007)
Mental Healthcare Providers Understanding and Experiences of Palliative Care: A Qualitative Analysis
No full textObjective: To understand the experiences and perceptions of mental health providers about palliative care. Background: Little attention is paid to the experience of people with chronic persistent mental illness (CPMI) and life-threatening diseases and how their dying experience might differ from those without a CPMI.
Methods: Interpretive description informed the project. Sixteen mental health care providers were interviewed using a semi-structured interview template. The interviews were recorded, transcribed, and analyzed using a reflexive, inductive-deductive thematic approach, guided by Braun & Clarke's framework for thematic analysis.
Results: Four themes were identified from the data: intersectionality, limited collaboration, misconceptions about palliative care, and relationships. Mental health providers identified gaps in their knowledge of palliative care practices along with their knowledge of death and dying
Navigating Trust in Mobile Payments: Using Necessary Condition Analysis to Identify Must-Have Factors for User Acceptance
No full textDrawing upon the mobile technology acceptance model (MTAM), this study addresses this conspicuous gap by identifying the necessary conditions for fostering trust and usage intention of mobile payment (m-payment) gateways. Data collected from 218 users of mobile-payment from Malaysia were analyzed using partial least squares structural equation modeling (PLS-SEM) to identify the should-have factors for perceived trust and intention to use mobile payment gateways. In addition, necessary condition analyses (NCA) are utilized to identify the must-have factors for perceived trust and intention to use mobile payment gateways. Results revealed that other factors of mobile usefulness, perceived security, and user mobility explained perceived trust except for mobile ease of use. In turn, mobile usefulness, user mobility, perceived security, mobile ease of use, and perceived trust established a positive relationship with intention to use. The NCA complemented these results showing that mobile usefulness, mobile ease of use, and user mobility qualified as necessary and sufficient conditions for perceived trust with medium-sized effect and mobile usefulness is qualified as a medium-sized necessary and sufficient condition for intention to use. This is the first few article that extends earlier literature by offering arguments on the different aspects of MTAM. By using NCA, we provide theoretical and methodological evidences, we identify which are the essential ones that enhances trust and usage
Lower limb gait joint coordination variability in people with diabetes-related foot ulcers
No full textBackground: Diabetes-related foot ulcers pose substantial health risks globally, yet the biomechanical intricacies underlying their development remain incompletely understood. This study aimed to evaluate lower limb gait joint coordination variability in individuals with diabetes-related foot ulcers compared to those with diabetes (without diabetes-related foot ulcers) and healthy controls.
Methods: A total of 99 participants (diabetes-related foot ulcers cases – 16, Diabetes controls – 50, Health controls – 33) compared three self-paced walking trials. Vector coding, a technique quantifying movement coordination, was employed, analysing hip-knee, knee-ankle, and hip-angle joint couplings in the sagittal plane.
Findings: No significant differences in coordination variability were found among the groups. However, distinct coupling pattern frequencies emerged, with diabetes-related foot ulcers cases exhibiting unique anti-phase hip and ankle coupling frequency counts compared to healthy controls.
Interpretation: These findings challenge conventional understandings of diabetes-related foot ulcers biomechanics and underscore the complexity of gait in this population
Cross-validating the Couple Resilience Inventory with individuals in LGBTQ relationships in Singapore: Insights from a mixed-methods approach
No full textThe Couple Resilience Inventory (CRI) was first developed by relationship researchers to assess the strategies that intimate couples use to cope with stressful life events. To date, the inventory has not been cross-validated in non-Western societies. A mixed-methods approach was used to examine the relevance, reliability, and validity of the CRI with individuals in LGBTQ relationships purposively sampled from Singapore’s LGBTQ community. In the qualitative phase, researchers conducted semi-structured interviews with 16 participants to assess the face and content validity of the inventory. Data were analyzed using Applied Thematic Analysis (Guest et al., 2011). Findings showed most items were clear and applicable to participants, three items were lacking in comprehension and clarity, and three new resilience strategies were suggested. Findings were used to modify existing items and generate new ones in the CRI. The modified inventory was cross-validated with 213 participants in the subsequent quantitative phase. Confirmatory Factor Analysis revealed that the two-factor model was a good fit, χ2 (179, N = 213) = 277.49, p < .001, CFI = 0.97, SRMR = 0.05. The new items also loaded highly onto the positive resilience factor. The findings generally support the relevance, reliability and validity of the modified CRI among individuals in LGBTQ relationships in Singapore. The study also extends the current understanding of couple resilience by revealing how LGBTQ couples in Singapore utilized stoicism, pragmatism and gratitude to remain resilient against stressors. This study underscores the importance of utilizing qualitative and quantitative methods in developing, modifying, and refining psychological measures
Evaluating Clinical Placement Performance in Allied Health Student-Led Healthcare Services: A Modified Delphi Study
No full textUniversity-affiliated student-led healthcare services have emerged to address challenges in securing quality clinical placements. As the benefits and challenges of student-led healthcare services emerge in recent literature, it is important to identify key measurement areas that will help stakeholders evaluate placements, allowing for standardisation, comparability, and quality improvement. This study aims to achieve consensus among key stakeholders on important areas of measurement for evaluating clinical placement performance in student-led healthcare services. A three-round modified Delphi study was conducted with 18 experts using purposive sampling to ensure diverse firsthand experience in clinical placements. Each round yielded quantitative (e.g. percentage of agreement) and qualitative (e.g. free text responses) data. Quantitative data were analysed to determine consensus with ≥70% agreement, and qualitative responses thematically analysed. Round one identified 47 areas of measurement for evaluating clinical placement. In rounds two and three, consensus was established on 44 areas of measurement related to four overarching themes: Learning Outcomes, Experience of Placement, Cost of Placement, and Research in Clinical Placement. The findings provide a solid foundation for evaluating clinical placements across various models, including student-led healthcare services, and offer valuable insights to guide future research into evaluating clinical placements
Pluronic F-68 Improves Root Growth of Recalcitrant Rice Cultivar Through Enhanced Auxin Biosynthesis
No full textIn plants, roots play a vital role in crop performance and yield that impact the agricultural productivity. Pluronic F-68 (PF-68) is a type of non-ionic surfactant that is typically utilized as a plant growth additive. There is a lack of studies on the impact of PF-68 on root growth. This work aims to assess the impacts of PF-68 on recalcitrant MR 219 rice root growth. Supplementation of 0.04% PF-68 enhanced the length (18.50%) and number of roots (15.87%) of MR 219 rice. The PF-68-treated MR 219 rice also showed a significant increment in sugar accumulation (1.73 mg/mL) and glutamate synthase activity (0.88 µmol/g protein). Consistent with the root growth enhancement, MR 219 rice supplemented with PF-68 recorded an increased in transcription levels of Indole-3-Acetic Acid 23 (OsIAA23) (1.84-folds) and WUSCHEL-Related Homeobox 11 (OsWOX11) (2.00-folds). Moreover, the PF-68-treated MR 219 rice also exhibited an enhancement of indole acetic acid (IAA) concentrations (27.33 ng/g FW), further suggesting its role in auxin biosynthesis. Taken together, our study revealed that the introduction of PF-68 enhanced the root growth of MR 219 rice through improved sugar accumulation, glutamate synthase activity, and auxin biosynthesis
Dentistry and Travel Medicine – What is keeping them apart?
No full text[Extract] To the Editor
January to September 2024 recorded 1.1 billion international arrivals (overnight visitors).1 A great many of them will have consulted a travel health professional in preparation for a safe trip. For over 25 years, the specialty of travel medicine, represented by the International Society of Travel Medicine, the Faculty of Travel Medicine, Royal College of Physicians and Surgeons (Glasgow) (FTM RCPSG), and regional and national travel medicine societies, provides pretravel care, advice, vaccinations, and consideration of pre-existing medical conditions as well as assistance during travel and post-travel care
Seven-year-old beginner cellists’ lived experiences of music performance
No full textMusic performance is a demanding activity requiring complex coordination of abilities from diverse domains. It can be perceived as a form of artistic expression and communication but experienced as a demonstration of personal competency with emotional ramifications that affect musicians’ ongoing interest and motivations. Participating in music performance is often a key part of musical development; however, children’s perspectives on formative experiences of music performance during early learning are largely unknown. Given the broad range of interacting factors and significant implications, understanding musicians’ performance experiences, particularly for child learners, is vital to support sustained engagement. The present study investigated 14 seven-year-old beginner cellists’ experiences of music performance during the first 18 months of tuition via a novel combination of Interpretative Phenomenological Analysis and Participatory Action Research methodologies. Three superordinate themes emerged: (1) feelings of arousal and emotional valence during performance, (2) the identification of four distinct performance environments, and (3) the impact of performance experiences in each environment on children’s personal development, including fostering autonomy, agency, confidence, altruism, and social connection. The findings have pedagogical implications for how educators and parents of novice musicians in middle childhood can provide safe music learning environments with varied means of engaging in a range of supportive performance opportunities