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A scoping review of the health technology procurement decision process in Indonesia
No full textBackground: There is no doubt technological development in the caring sciences can be an enabler of better outcomes. Technological development and the adoption of new technology can also become a constraint and pose challenges to the current patterns of work and organizational elements. A framework for decision making of when to purchase and incorporate new technology is required.
Purpose: This paper aimed to determine what is known of procurement decisions of advanced technology in healthcare generally and particularly in Indonesia.
Methods: A scoping review was conducted to ascertain the current understanding of what forms the basis of procurement decisions of health technology generally and particularly in Indonesia.
Results: A paucity of peer review literature was identified. There was no identified peer-reviewed literature with a focus on Indonesia. Without a guiding evidence base and agreed decision-making framework, it is likely that there is great variation in practices.
Conclusion: In the absence of a solid body of literature to inform practices, two principals to move to a sustainable adoption and integration of advancing and emerging technology into practice in the health care sciences are presented, and provide a scaffold to facilitate navigating what can be tricky waters constituted by enthusiasm and trepidation
Barriers to finding and maintaining open employment for people with intellectual disability in Australia
No full textEveryone has the right to employment. Work is important for health, well‐being, and social, economic, and financial inclusion. However, it is often difficult for people with intellectual disability to find and maintain work, especially in the open labour market. Policy challenges remain about who can access open employment (also sometimes called competitive or supported employment) and how often people with intellectual disability do so. Greater understanding about the barriers that people with intellectual disability encounter when they try to find and keep work in open employment is needed.
Drawing on research with 51 people with intellectual disability in Australia, this paper examines the systemic barriers they report to finding and maintaining work in open employment. The findings highlight that the barriers they experience stem from narrow, dismissive, and discouraging attitudes to their work in open employment and from a spectrum of experiences of stigma and discrimination in open workplaces. The paper thus provides new knowledge about reasons that people with intellectual disability may either reject or not continue in open employment and take up less inclusive work options. The paper discusses the implications of the findings, including the need for policy development for attitudinal change, designing more varied roles for employees with intellectual disability, ensuring access to industrial relations protections, and increasing and better regulating and funding requirements on support to people with intellectual disability who are seeking work in open employment
Desperately seeking innovation nirvana: Australia’s cooperative research centres
No full textThe Cooperative Research Centre (CRC) program has been one of the flagship programs of Australia’s National Innovation System (NSI) for 30 years. But compared to other members of the Organisation for Economic Co-operation and Development (OECD), statistics indicate that Australia has persistent low levels of business expenditure on research and development (BERD), while World Intellectual Property Office (WIPO) reports highlight poor diffusion-of-innovation characteristics. In response to reports of this ilk, and in line with the generally evolving nature of NSIs, the CRC program, and the Australian NSI system, has developed and matured. In a wide-ranging longitudinal review of the program’s policy documentation, we discover that a number of changes have affected the language used within the program, the targeted organizations, and, crucially, the duration of the funding periods. We conclude that, within the confines of the nation’s historical and geographic context, the CRC program exhibits similar characteristics to NSIs elsewhere. In addition, there may be scope for Australia to split the CRC program into separate streams, and that even further support for integration into the Asia-Pacific markets is likely to be beneficial to the diffusion of Australian innovation
“An unpopular cause”: The Union of Australian Women’s Support for Aboriginal rights
No full texthe Union of Australian Women (UAW) was a national organisation for left-wing women between World War II and the emergence of the women’s liberation movement. Along with other left-wing activists, UAW members supported Aboriginal rights, through their policies, publications and actions. They also attracted a number of Aboriginal members including Pearl Gibbs, Gladys O’Shane, Dulcie Flower and Faith Bandler. Focusing on NSW activity in the assimilation period, this article argues that the strong support of UAW members for Aboriginal rights drew upon the group’s establishment far-left politics, its relations with other women’s groups and the activism of its Aboriginal members. Non-Aboriginal members of the UAW gave practical and resourceful assistance to their Aboriginal comrades in a number of campaigns through the assimilation era, forming productive and collaborative relationships. Many of their campaigns aligned with approaches of the Communist Party of Australia and left-wing trade unions. In assessing the relationship between the UAW and Aboriginal rights, this article addresses a gap in the scholarship of assimilation era activism
Hybridity in the music of Youn Sun Nah: directions in jazz vocal style
No full textThis article explores the role of internationally celebrated jazz artist, Youn Sun Nah, as a key representative of 21st-century jazz vocal styles. An exploration of Nah’s familial roots and early musical education reveals her early exposure to a variety of musical traditions, from Western popular music to classical, through to Korean folk and electronic experimental styles. These influences become evident through an analysis of a selection of her recordings that demonstrate the hybridity of her repertoire and vocal technique. As an exemplary exponent of 21st-century jazz, Nah employs a broad range of skills and techniques that define and extend the boundaries of contemporary vocal jazz. This article also discusses the ways in which vocal educators can use cutting-edge role models such as Youn Sun Nah to demonstrate hybridity, improvisation, technology, repertoire, and collaboration as tools to encourage originality and creative exploration of new directions in jazz
Structures, processes and outcomes of specialist critical care nurse education: an integrative review
No full textPosition statements are used by large organisations such as the Australian College of Critical Care Nurses to publically present an official philosophy or beliefs and to propose recommendations. Position statements are increasingly used by health departments and healthcare facilities to allocate resources and to guide and audit nursing practice, yet there are limited resources on the process of their development. A position statement should help readers better understand the issue, communicate solutions to problems, and inform decision-making. It should be supported by the highest level of evidence available and reflect the organisation\u27s governing objectives and goals. In this article, we describe the structured approach used to develop a position statement for Australian critical care nurse education. The formation of an expert advisory panel, synthesis of available evidence using Whittemore and Knafl\u27s integrative review methodology, use of Donabedian\u27s structure-process-outcomes quality framework as a theoretical approach, and multiple layers of consensus building and consultation enabled the development of an important critical care document and informed an implementation plan. The framework and processes we have outlined in this discussion article may provide a useful starting point for other professional organisations wishing to develop similar position statements
The impact of rice protein and lipid on \u3cem\u3ein vitro\u3c/em\u3e rice starch digestibility
No full textThe influence of rice proteins and lipids on rice starch digestibility is studied in this thesis. An in vitro starch digestibility assay was optimised using rat intestinal acetone powder and blood glucose meter. High performance liquid chromatography (HPLC) and liquid chromatography mass spectrometry (LCMS) were used to estimate individual proteins and lipids. Addition of rice albumin, globulin, glutelin, prolamin, triacylglycerol and lysophospholipid to rice flour decreased in vitro starch digestibility. Parboiling altered in vitro starch digestibility, protein extractability, lipid content and amylose-lipid interaction. This study suggests rice proteins and lipids have significant effects on in vitro starch digestibility
The development and validation of the Adolescent Sport Drug Inventory (ASDI) among athletes from four continents
No full textA significant barrier to understanding the psychosocial antecedents of doping use among adolescent athletes is the lack of valid measures. In order to address this issue, the first aim of this paper was to develop and validate the Adolescent Sport Drug Inventory (ASDI) among adolescent athletes from Asia, Europe, North America, and Oceania. The second aim was to assess the construct validity of the ASDI. As such, this paper is divided into two parts. Part 1 relates to the development of the ASDI and contains two studies: item development (Study 1) and factorial validity (Study 2). Part 2 contains information on how the psychosocial variables measured in the ASDI are associated with situational temptation, and honesty (Study 3), maturation (Study 4), stress and coping (Study 5), and coaching (Study 6). In devising the ASDI, 19 different models were examined, which culminated in a 9-factor, 43-item ASDI. Coping, mastery-approach goals, and cognitive-social maturity were associated with doping attitudes. Caring motivational climates, strong coach-athlete relationships, and positive coach behaviors were associated with athletes being less susceptible toward doping, which provides construct validity for the ASDI. The ASDI is a valid tool to assess the psychosocial factors associated with doping among adolescent athletes. This questionnaire can be used to identify athletes who are the most at risk of doping, assess how the psychosocial factors associated with doping change over time, and to monitor the impact of antidoping interventions for adolescent athletes