413 research outputs found
A randomised controlled trial of a consumer-focused e-health strategy for cardiovascular risk management in primary care
No full textA study has found that three quarters of Australians and New Zealanders admitted to hospital with severe heart conditions are not receiving the basic preventive care needed to reduce their chance of future heart attacks.
“It’s not good enough that the majority of patients leaving hospital miss out on the most basic care they need to avoid repeat heart attacks down the line,” said study leader Associate Professor Julie Redfern, of The George Institute and The University of Sydney.
About 75,000 Australians are hospitalised due to Acute Coronary Syndrome (ACS, commonly heart attacks) annually, with half of the cases reported in 2010 due to repeat events. Repeat events are more likely to be fatal.
International and Australian guidelines universally recommend preventive care for people who have an acute event, in order to avoid a repeat heart attack. Ideally, this preventive package should commence during the initial hospital admission and should comprise a combination of medications, lifestyle advice and referral to a preventive service such as cardiac rehabilitation.
Authors: Redfern, J, Usherwood, T, Harris, MF, Rodgers, A, Hayman, N, Panaretto, K, Chow, C, Lau, AY, Neubeck, L, Coorey, G, Hersch, F, Heeley, E, Patel, A, Jan, S, Zwar, N, Peiris,
Why vital signs observations are delayed and interrupted on acute hospital wards: a multisite observational study
No full textBackground: vital signs monitoring is key to identifying deteriorating hospital patients. However, adherence to monitoring protocols is limited, with observations frequently missed or delayed. Previous studies of interruptions and delays to vital signs observations have been descriptive, with none attempting to conceptualise the types of tasks that are prioritised over vital signs observations.Objective: this paper aims to explore how nursing teams perform vital sign observations on acute hospital wards and conceptualises which types of work delay or interrupt them.Design: non-participant observational study.Setting(s): four hospitals in the south of England.Methods: eligible adult wards (surgical and medical) within each hospital were randomly sampled for inclusion. Four sets of two-hour daytime observation sessions were undertaken on each ward. Two observers recorded structured and unstructured observations (open comments, field notes) on a tablet with adapted QI Tool software. We collected data over 128 h, including 715 sets of vital signs observations and 1127 interruptions. We undertook a qualitative content analysis of interruptions and delays to planned vital signs observations using both structured and unstructured observations.Results: we identified eight reasons why vital signs were delayed or interrupted: fixed routines, staff availability, bundled care, proximity-related activities, collaborative care, patient inaccessible or unavailable, requests for or responses to time-critical activities, or limited context available. We propose a new concept of ‘temporal status.’ Flexible care (vital signs observations, ‘bundled care’ and ‘proximity-related care’) has a low temporal status so is delayed in favour of higher temporal status activities (fixed routines and time-critical care).Conclusions: our findings could explain why vital signs taken early in the morning and evening are least likely to be postponed, as there may be fewer competing tasks with a higher temporal status at these times. Our work also challenges binary conceptualisations of interruptions as ‘beneficial’ or ‘detrimental’, recognising the complexity of nursing care decisions on a moment-by-moment basis. Our new framework suggests the lower temporal status of vital signs observations (and other flexible care) means they are delayed by higher temporal status tasks during daytime shifts in acute hospitals, regardless of their clinical priority
Radiograph evaluation in children with acute hip pain
No full textAcute hip pain is relatively common in children. The etiology varies according to age and sex. Conventional radiography is commonly used to evaluate the painful hip. The views obtained depend on local departmental protocol, and there is no scientific basis for the choice of preferred projection. The authors' aim was to evaluate the role of anteroposterior (AP) and frog lateral (FL) radiographs in children younger than 14 years of age with hip pain to develop rational, evidence-based investigation guidelines. Four investigators retrospectively reviewed AP and FL radiographs of 96 children. The results were analyzed using the chi-square statistic. Overall results showed a reduction in sensitivity to about 70% and specificity to 90% when using a single view instead of combined views. These results indicate that despite the potential risks of increased radiation exposure with more than one view, combined AP and FL radiographs improve the diagnostic accuracy compared with single views alone. The authors believe that the additional radiation burden is therefore justified
The Folly
No full textCatalogue of an exhibition held at Gallery 1, Grantpirrie, Redfern, N.S.W., 5-28 February 2009."The Folly is a three-screen digital work in which Arlo Mountford has animated three paintings by the sixteenth century Flemish artist, Pieter Bruegel the Elder. Using the computer, Mountford redrew the genre paintings The Corn Harvest (1565), The Hunters in the Snow (1565) and Landscape with the Fall of Icarus (c1558)"--Website.Catalogue essay by Zara Stanhope
Cardiac services for care of suspected acute coronary syndromes in Australia and New Zealand hospitals
No full textAbstract 18319Isuru Ranasinghe, Carolyn Astley, Bernadette Aliprandi-Costa, Derek Chew, Christopher J Ellis, Christopher J Hammett, Tom G Briffa, Tegwen E Howell, Karen J Lintern, Hella Parker, Bridie Carr, Greg D Gamble, Rosanna Tavella, Julie Redfern, John French, David Briege
Redfern kids connect : technology and empowerment
No full textRedfern Kids Connect is a community technology project that has run in inner-city Sydney since 2002. Redfern is known to many as the heart of urban Aboriginal Australia and as a diverse community facing challenges around poverty, crime and race relations. For three years, children (8-12 years old), and volunteers (university students and young professionals) have met each Saturday to play on computers and socialise. The project’s experiences with relationships, technology, and empowerment have been as confusing as they have been exciting. In the spirit of action research, this thesis explores the impacts the project has had. Uniquely embedded in the process of reflection occurring away from its on-the-ground activities, it tells the project’s story through the eyes of its volunteers. The research concludes that the project's main contributions to empowerment have been through building social capital (Cox, Putnam) and improving new forms of literacy (Warschauer). Vital to supporting and extending these outcomes have been taking a social approach to supporting technology use, shaping a safe and open environment (Marvin et. al), supporting critical thinking and expression (Freire) and examining the project 'behind the scenes'. The author takes the dual role of researcher and participant in the research
Making change happen
No full textThis book is a unique window into a dynamic time in the politics and history of Australia. The two decades from 1970 to the Bicentennial in 1988 saw the emergence of a new landscape in Australian Indigenous politics. There were struggles, triumphs and defeats around land rights, community control of organisations, national coalitions and the international movement for Indigenous rights. The changes of these years generated new roles for Aboriginal people. Leaders had to grapple with demands to be administrators and managers as well as spokespeople and lobbyists. The challenges were personal as well as organisational, with a central one being how to retain personal integrity in the highly politicised atmosphere of the ‘Aboriginal Industry’. Kevin Cook was in the middle of many of these changes – as a unionist, educator, land rights campaigner, cultural activist and advocate for liberation movements in Southern Africa, the Pacific and around the world. But ‘Cookie’ has not wanted to tell the story of his own life in these pages. Instead, with Heather Goodall, a long time friend, he has gathered together many of the activists with whom he worked to tell their stories of this important time. Readers are invited into the frank and vivid conversations Cookie had with forty-five black and white activists about what they wanted to achieve, the plans they made, and the risks they took to make change happen
Julie Phillips Brown
No full textImage for Virginia Poets Database
Image downloaded from Cornell University, Society for the Humanities. Photo Credit: Wendy Lynch Redfernhttps://digitalcommons.odu.edu/vapoets-images/1031/thumbnail.jp
Defining British Cinema: Transnational and Territorial Film Policy in the United Kingdom
No full textThe article explores the relationship between the transnational and the territorial in British film policy since the middle of the 1990s. The author argues that British film policy makers have sought to construct a British national cinema through encouraging productions to come to Great Britain. British policymakers also sought to develop a stable national film industry through a combination of a series of protectionist measures imposed on distributors and exhibitors from 1927 to 1984
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