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The term ‘Comprehensive Cancer Centre’ is outdated in contemporary Australian health systems 在当代澳大利亚医疗系统中,"综合癌症中心 "一词已经过时。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-28 DOI: 10.1111/ajr.13180
Sabe Sabesan FRACP, Abhishek Joshi FRACP, Shivanshan Pathmanathan FRACP
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引用次数: 0
International declaration on rural mental health research: 10 guiding principles and standards 国际农村心理健康研究宣言:10 项指导原则和标准。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-27 DOI: 10.1111/ajr.13167
Russell Roberts PhD, Sarah-Anne Munoz PhD, Karla Thorpe MSc, Hazel Dalton PhD, Leith Deacon PhD, David Meredith PhD, Mark Gussy PhD, Steve F. Bain DMin, Christian Swann PhD, Maria Lindstrom MSc, Jordi Blanch MD, PhD, Annette Beautrais PhD, Helene Silverblatt MD, Luis Salvador-Carulla PhD, MD, Finola Colgan BA, LLB, LLM, Tammy D. Heinz MSc, David Perkins PhD, Sean Russell MBA, Laura Grattidge MPH

Rural communities have unique mental health needs and challenges which are often related to the uniqueness of the community itself. On a per-capita basis, the investment in rural mental health research is far less than that in urban communities. Added to this, rural communities are often at risk of researchers, based in large urban universities, visiting, conducting the research with minimal engagement with local stakeholders and limited understanding of the community's social-service-environmental context. Often this research leaves no visible benefit to the community with respect to increased knowledge, resources or community capacity. This commentary is based on the insights of a panel of authors from 9 countries, each with extensive experience of rural mental health research and work. And it seeks to stimulate the discourse on responsible rural mental health practice. The aim of this commentary is to provide a reference on research practice for novice and experienced researchers on rural mental health research and practice, to assist policymakers, government and funding bodies to establish appropriate standards and guidelines for rural mental health research, and support rural communities to advocate for equity of funding and sustainable research as they engage with researchers, funders and governments. The 10 standards in this declaration will help guide researchers toward research that is beneficial to rural communities and also help develop the local community's research capability, which ultimately will serve to enhance the mental health and well-being of rural communities.

农村社区有着独特的心理健康需求和挑战,这往往与社区本身的独特性有关。按人均计算,农村心理健康研究的投入远远低于城市社区。此外,农村社区还经常面临着这样的风险,即城市大型大学的研究人员在访问和开展研究时,很少与当地利益相关者接触,对社区的社会服务环境了解有限。这种研究往往不会给社区带来知识、资源或社区能力方面的明显好处。本评论基于一个由来自 9 个国家的作者组成的小组的见解,每个人都在农村心理健康研究和工作方面有着丰富的经验。本评论旨在促进有关负责任的农村心理健康实践的讨论。本评论旨在为农村心理健康研究和实践方面的新手和经验丰富的研究人员提供研究实践方面的参考,帮助政策制定者、政府和资助机构为农村心理健康研究制定适当的标准和指导方针,并支持农村社区在与研究人员、资助者和政府接触的过程中倡导公平资助和可持续研究。本宣言中的 10 项标准将有助于指导研究人员开展有益于农村社区的研究,也有助于发展当地社区的研究能力,最终将有助于提高农村社区的心理健康和福祉。
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引用次数: 0
Rising to the challenge: The motivation to champion routine intimate partner violence screening in rural emergency departments 迎接挑战:在农村急诊科倡导常规亲密伴侣暴力筛查的动机。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-23 DOI: 10.1111/ajr.13176
Elham Saberi MPH, Marie Hutchinson PhD, John Hurley PhD

Objective

To understand the motivations of champions who worked to bring about system and practice change that supported routine screening for intimate partner violence (IPV) in two rural emergency departments (EDs).

Introduction

Practice changes are required to achieve routine and effective identification and response to IPV. Nurses play a significant role in affecting such practice change. This paper identifies the motivations of champions in the ED setting who successfully brought about such change.

Setting

The EDs of two Level 5 tertiary hospitals within a rural Local Health District (LHD) of New South Wales, Australia.

Participants

Twenty-three individuals who identified as champions and worked to introduce routine IPV screening in two rural hospital EDs.

Design

Qualitative longitudinal semi-structured interviews employing a process of constant comparison and an interpretive framework to analyse data thematically. Interviews were carried out between June and August 2017 and again between July and August 2019.

Results

Over the period of the study, routine screening was established, and screening rates steadily increased from a low baseline to a significantly higher rate. Three aspects of champion motivation emerged from the analysis: formation of an identity as a champion, making a difference to a significant social justice issue and providing quality and community-relevant care.

Conclusions

This study is the first study to report on champions and their motivation as they supported IPV practice change in the ED. The findings highlight the capacity for innovation in rural health services, with important implications for other settings looking to translate similar programs. Understanding motivating factors may assist in improved utilisation and support for champions. This is vital if champions are to bring about required practice change within their service and ensure the needs of individuals experiencing IPV are effectively met.

目的了解在两个农村急诊科(ED)中,支持亲密伴侣暴力(IPV)常规筛查的系统和实践变革的倡导者的工作动机:导言:要实现对亲密伴侣间暴力行为的常规有效识别和应对,就必须改变工作方式。护士在影响这种实践变革方面发挥着重要作用。本文介绍了在急诊室环境中成功实现这种改变的倡导者的动机:背景:澳大利亚新南威尔士州一个农村地方卫生区(LHD)内两家五级三等医院的急诊室:23名个人被确定为倡导者,并致力于在两家农村医院的急诊室引入常规IPV筛查:设计:定性纵向半结构式访谈,采用持续比较过程和解释性框架对数据进行专题分析。访谈于 2017 年 6 月至 8 月间进行,并于 2019 年 7 月至 8 月间再次进行:在研究期间,常规筛查得以确立,筛查率从较低的基线稳步上升到显著提高。从分析中得出了冠军动机的三个方面:形成冠军身份、在重大社会正义问题上有所作为以及提供优质的社区相关护理:本研究首次报告了支持者及其支持 ED IPV 实践变革的动机。研究结果凸显了农村医疗服务的创新能力,对其他环境下类似项目的转化具有重要意义。了解激励因素可能有助于提高对倡导者的利用和支持。如果倡导者要在其服务范围内实现所需的实践变革,并确保有效满足遭受 IPV 的个人的需求,这一点至关重要。
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引用次数: 0
Efficiency considerations for acute surgical units in rural and regional Australia 澳大利亚农村和地区急诊外科单位的效率考虑因素。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-20 DOI: 10.1111/ajr.13179
Gavin J. Carmichael BSc, Joshua G. Kovoor MS, Win Le Shwe Sin Ei MPH, Thiep Kuany MD, James Stafford May MD (Dist.), Alexander Beath MD, Yasser Arafat FRACS, Mathew O. Jacob FRACS
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引用次数: 0
An overview of outputs of Aboriginal- and Torres Strait Islander-related publications from University Departments of Rural Health in Australia; 2010–2021 澳大利亚大学农村卫生系与土著居民和托雷斯海峡岛民有关的出版物产出概览;2010-2021 年。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-18 DOI: 10.1111/ajr.13177
Sandra C. Thompson PhD, Emma V. Taylor Grad Dip, Ha Hoang PhD, Lisa Hall PhD, Bahram Sangelaji PhD, Charmaine Green PhD, Carolyn Lethborg PhD, Joanne Hutchinson MPS

Introduction

Disparities in the health of Indigenous people and in the health of rural populations are well described. University Departments of Rural Health (UDRHs) in Australia are federally funded under a program to address ongoing challenges with health workforce distribution for rural and remote areas. They have a significant role in research in regional, rural and remote areas, including research related to Indigenous health. However, a comprehensive analysis of their contributions to original Indigenous health related to Indigenous health is lacking.

Objective

This study examines the contributions of UDRHs to Indigenous issues through analysis of publications of UDRHs focused on Indigenous health during the period 2010–2021.

Design

This paper examines a database of UDRH Indigenous-related publications from 2010 to 2021.

Findings

A total of 493 publications to which UDRHs contributed were analysed, including 354 original research articles. Health services research was the most common category, followed by epidemiology and papers exploring Indigenous culture and health. While health services research substantially increased over the period, the numbers of original research papers specifically focused on Indigenous workforce issues, whether related to Indigenous people, students or existing workforce was relatively small.

Discussion

This broad overview shows the nature and trends in Indigenous health research by UDRHs and makes evident a substantial contribution to Indigenous health research, reflecting their commitment to improving the health and well-being of Indigenous communities.

Conclusions

The analysis can help direct future efforts, and future analyses should delve deeper into the impact of this research and further engage Indigenous researchers.

导言:土著居民的健康状况和农村人口的健康状况存在差异,这一点已得到充分说明。澳大利亚的大学农村卫生系(UDRHs)由联邦政府根据一项计划提供资金,以应对农村和偏远地区卫生人才分布方面的持续挑战。它们在区域、农村和偏远地区的研究中发挥着重要作用,包括与土著人健康相关的研究。然而,目前还缺乏对他们在与原住民健康有关的原住民健康方面所作贡献的全面分析:本研究通过分析 2010-2021 年期间关注原住民健康问题的 UDRHs 的出版物,研究 UDRHs 对原住民问题的贡献:本文研究了 2010 年至 2021 年期间 UDRH 与原住民健康相关的出版物数据库:共分析了 493 篇有 UDRHs 贡献的出版物,其中包括 354 篇原创研究文章。健康服务研究是最常见的类别,其次是流行病学和探讨土著文化与健康的论文。在此期间,卫生服务研究大幅增加,但专门关注土著劳动力问题(无论是与土著人、学生还是现有劳动力有关)的原创研究论文数量相对较少:讨论:这一概括性概述显示了 UDRHs 在土著健康研究方面的性质和趋势,并证明了他们对土著健康研究的巨大贡献,反映了他们对改善土著社区健康和福祉的承诺:分析有助于指导今后的工作,今后的分析应更深入地探讨这项研究的影响,并进一步吸引土著研究人员的参与。
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引用次数: 0
Who is suited to work in remote First Nations health? Perspectives of staff in remote Aboriginal Community-Controlled Health Services in northern Australia 谁适合在偏远原住民医疗机构工作?澳大利亚北部偏远原住民社区控制医疗服务机构工作人员的观点。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-12 DOI: 10.1111/ajr.13175
Lisa Bourke PhD, Noha Merchant BSc, Supriya Mathew PhD, Michelle Fitts PhD, Zania Liddle MEd, Deb Russell PhD, Lorna Murakami-Gold MEd, Narelle Campbell PhD, Bronwyn Rossingh PhD, John Wakerman MBBS, MTH, FACRRM, FAFPHM, DSc h.c.

Objective

There is a shortage of nurses, Aboriginal Health Practitioners, GPs and other staff in remote Australian health clinics. There is also high turnover of staff, leading to questions of ‘who’ is appropriate for remote First Nations practice? The aim of this paper was to identify the characteristics of staff who are likely to work well in remote First Nations settings, from the perspectives of remote health practitioners.

Design

This is a qualitative study involving content analysis of interviews.

Setting

The study is conducted in and with 11 Aboriginal Community Controlled Health Services across northern and central Australia.

Participants

Eighty-four staff working in these clinics who spoke about staff qualities suited to remote practice.

Results

Participants identified a range of qualities desirable in remote practitioners, which were grouped into three topics: (1) professional qualifications and experience, including cultural skills; (2) ways of working, including holisitic approach, resilience, competence, and being a team player, approachable, flexible and hard-working; and (3) specific community needs, namely the need for local First Nations staff, male practitioners and returning short-term staff. The combination of experiences, ways of working, and fit to both the team and community were emphasised.

Conclusion

Identifying the characteristics of staff who are likely to work well in these settings can inform recruitment strategies. This study found that a combination of professional qualifications, skills and experience as well as ways of working, individual characteristics and needs of communities are desirable for working in remote, First Nations settings.

目的:澳大利亚偏远地区医疗诊所的护士、土著保健医生、全科医生和其他工作人员短缺。人员流动率也很高,这就产生了 "谁 "适合在偏远原住民地区执业的问题?本文旨在从偏远地区医疗从业人员的视角出发,找出有可能在偏远原住民环境中工作得很好的员工的特点:设计:这是一项对访谈内容进行分析的定性研究:研究在澳大利亚北部和中部的 11 个原住民社区控制的医疗服务机构进行:在这些诊所工作的 84 名员工,他们谈到了适合偏远地区执业的员工素质:结果:参与者提出了一系列适合偏远地区从业人员的素质,并将其分为三个主题:(1) 专业资格和经验,包括文化技能;(2) 工作方式,包括整体方法、应变能力、能力、团队合作精神、平易近人、灵活和勤奋;(3) 具体的社区需求,即需要当地原住民工作人员、男性从业人员和短期返回的工作人员。强调了经验、工作方式的结合,以及与团队和社区的契合:确定有可能在这些环境中工作得很好的工作人员的特点,可以为招聘策略提供参考。本研究发现,综合考虑专业资格、技能和经验以及工作方式、个人特点和社区需求,是在偏远的原住民环境中工作的理想选择。
{"title":"Who is suited to work in remote First Nations health? Perspectives of staff in remote Aboriginal Community-Controlled Health Services in northern Australia","authors":"Lisa Bourke PhD,&nbsp;Noha Merchant BSc,&nbsp;Supriya Mathew PhD,&nbsp;Michelle Fitts PhD,&nbsp;Zania Liddle MEd,&nbsp;Deb Russell PhD,&nbsp;Lorna Murakami-Gold MEd,&nbsp;Narelle Campbell PhD,&nbsp;Bronwyn Rossingh PhD,&nbsp;John Wakerman MBBS, MTH, FACRRM, FAFPHM, DSc h.c.","doi":"10.1111/ajr.13175","DOIUrl":"10.1111/ajr.13175","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>There is a shortage of nurses, Aboriginal Health Practitioners, GPs and other staff in remote Australian health clinics. There is also high turnover of staff, leading to questions of ‘who’ is appropriate for remote First Nations practice? The aim of this paper was to identify the characteristics of staff who are likely to work well in remote First Nations settings, from the perspectives of remote health practitioners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is a qualitative study involving content analysis of interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>The study is conducted in and with 11 Aboriginal Community Controlled Health Services across northern and central Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Eighty-four staff working in these clinics who spoke about staff qualities suited to remote practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants identified a range of qualities desirable in remote practitioners, which were grouped into three topics: (1) professional qualifications and experience, including cultural skills; (2) ways of working, including holisitic approach, resilience, competence, and being a team player, approachable, flexible and hard-working; and (3) specific community needs, namely the need for local First Nations staff, male practitioners and returning short-term staff. The combination of experiences, ways of working, and fit to both the team and community were emphasised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Identifying the characteristics of staff who are likely to work well in these settings can inform recruitment strategies. This study found that a combination of professional qualifications, skills and experience as well as ways of working, individual characteristics and needs of communities are desirable for working in remote, First Nations settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 5","pages":"1008-1017"},"PeriodicalIF":1.9,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A cross-sectional study assessing concordance with advance care directives in a rural health district 一项横断面研究评估了一个农村医疗区对预先护理指令的遵从情况。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-09 DOI: 10.1111/ajr.13166
Dan Curley MBBS, Leigh Kinsman PhD, Graeme Mooney MSW, Gail Whiteford PhD, Tony Lower PhD, Megan Hobbs PhD, Beverley Morris BN, Kerry Bartlett BHSc, Alycia Jacob BL

Objective

To measure compliance with Advance Care Directives (ACDs) for decedents in a rural setting.

Design

Observational, cross-sectional medical records audit comparing requests in ACDs with actual outcomes.

Setting

Rural Australian coastal district.

Participants

People who had an ACD, died during the study period (30 May 2020 to 15 December 2021) and participated in a local research project.

Main Outcome Measure(s)

Compliance was measured by comparing stated requests in the ACD with outcomes recorded in medical records. This included the place of death and a list of ‘unacceptable interventions’.

Results

Sixty-eight people met the inclusion criteria (age range of 46–92 [mean 67 years; median 74 years]; 42 [62%] male). The main cause of death was cancer (n = 48; 71%). Preferred place of death was not stated in 16 ACDs. Compliance with documented preferred place of death was 63% (33/52): 48% (16/33) when the preferred place of death was home; 78% (7/9) when sub-acute was preferred; and 100% (10/10) when hospital was preferred. Compliance was 100% with ‘unacceptable interventions’.

Conclusion

These results demonstrate strong compliance with rural patients' requests in ACDs, particularly ‘unacceptable interventions’. Home was the most common preferred place of death, but the compliance measure (48%) was the lowest in this study. This requires further exploration.

目的衡量农村地区对死者预先护理指示(ACD)的遵守情况:观察性、横断面医疗记录审计,比较 ACD 申请与实际结果:环境:澳大利亚沿海农村地区:主要结果测量:主要结果测量:通过比较 ACD 中所述要求和医疗记录中记录的结果来测量遵守情况。这包括死亡地点和 "不可接受的干预 "清单:68人符合纳入标准(年龄范围为46-92岁[平均67岁;中位数74岁];42人[62%]为男性)。主要死因是癌症(48 人;71%)。16 份 ACD 没有说明首选死亡地点。有记录的首选死亡地点符合率为 63%(33/52):首选死亡地点为家庭时,符合率为 48%(16/33);首选亚急性时,符合率为 78%(7/9);首选医院时,符合率为 100%(10/10)。对 "不可接受的干预 "的依从性为 100%:结论:这些结果表明,农村患者在 ACD 中的要求,特别是 "不可接受的干预 "得到了很好的遵守。居家是最常见的首选死亡地点,但在本研究中,符合率(48%)却是最低的。这需要进一步探讨。
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引用次数: 0
Mobile breast screening services in Australia: A qualitative exploration of perceptions and experiences among rural and remote women aged ≥75 years 澳大利亚的流动乳腺筛查服务:对年龄≥75 岁的农村和偏远地区妇女的看法和经验的定性探索。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-08 DOI: 10.1111/ajr.13174
Joanne Adams PhD, Virginia Dickson-Swift PhD, Evelien Spelten PhD, Irene Blackberry PhD, Carlene Wilson PhD, Eva Yuen PhD

Objective

This qualitative descriptive study draws on data collected from a sub-sample of 15 women participating in a national study (n = 60) exploring the breast cancer screening motivations and behaviours of women aged ≥75 years. The study aimed to understand why women living in rural and remote areas might continue accessing mobile breast cancer screening despite being outside the targeted age range.

Setting

Settings ranged from large towns to very remote communities (according to Monash Modified Model (MMM) classification 3–7) where BreastScreen Australia mobile screening services were available.

Participants

Interview data from 15 women aged ≥75 years living in rural and remote locations who had used mobile screening services was utilised for this study.

Design

In-depth individual interviews were conducted via telephone or online platform (Zoom). These were transcribed verbatim and imported into NVivo software to enable thematic analysis to identify key themes.

Results

Many women aged ≥75 years in rural and remote areas expressed clear intentions to continue breast cancer screening, despite no longer being invited to do so. They perceived great value in the mobile service and were highly appreciative for it yet acknowledged limited sources of information about the process of ongoing screening.

Conclusion

Few women in rural and remote areas had discussed ongoing breast cancer screening with their general practitioner (GP). More information is required to inform women about the risks and benefits of ongoing screening. Without an invitation to attend screening rural women reported difficulty in knowing when the service would be available. Ongoing notification of the availability of mobile services for women aged ≥75 years in rural areas is recommended.

研究目的这项定性描述性研究从参与一项全国性研究(n = 60)的 15 名妇女的子样本中收集数据,该研究探讨了年龄≥75 岁妇女的乳腺癌筛查动机和行为。该研究旨在了解为什么生活在农村和偏远地区的妇女尽管不在目标年龄范围内,但仍会继续接受移动乳腺癌筛查:研究地点:从大城镇到非常偏远的社区(根据莫纳什修正模型(MMM)分类 3-7),澳大利亚乳腺癌筛查中心提供移动筛查服务:本研究使用了 15 名居住在农村和偏远地区、年龄≥75 岁、使用过移动筛查服务的妇女的访谈数据:设计:通过电话或在线平台(Zoom)进行深入的个人访谈。访谈内容逐字记录并导入 NVivo 软件,以便进行专题分析,确定关键主题:结果:许多年龄≥75 岁的农村和偏远地区妇女表示,尽管不再被邀请进行乳腺癌筛查,但她们仍有继续筛查的明确意愿。她们认为流动服务很有价值,并对此表示高度赞赏,但也承认有关持续筛查过程的信息来源有限:结论:农村和偏远地区的妇女很少与其全科医生(GP)讨论过乳腺癌持续筛查的问题。需要提供更多信息,让妇女了解持续筛查的风险和益处。农村妇女表示,如果没有收到参加筛查的邀请,她们很难知道何时可以获得筛查服务。建议持续通知农村地区年龄≥75 岁的妇女可获得流动服务。
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引用次数: 0
Rural unpaid caregivers' experiences in northern Aotearoa, New Zealand during the Covid-19 pandemic: A qualitative study Covid-19 大流行期间新西兰奥特亚罗瓦北部农村无酬照护者的经历:定性研究。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-08-01 DOI: 10.1111/ajr.13173
Rosemary Frey PhD, Janine Wiles PhD, Deborah Balmer PhD, Pare Meha PhD, John Parsons PhD, Mary Simpson PhD, Vanessa Burholt PhD

Objective

Rural unpaid caregivers experience different opportunities and challenges than their urban counterparts. Our aim was to understand rural unpaid caregivers' experiences of challenges and opportunities during the Covid-19 pandemic in New Zealand.

Setting

Rural northern New Zealand during the Covid-19 pandemic.

Participants

A convenience sample of 10 unpaid rural caregivers, most supporting an older person living with dementia.

Design

A qualitative descriptive design. Data included interviews and online workshops, and a thematic analysis.

Results

Rural unpaid caregivers observed that some aspects of living in a rural context were helpful during the Covid-19 pandemic. However, tasks such as shopping and long-distance travel and communication (both telephonic and digital) became more complex. Abrupt changes to routine and closure of resources and support groups created challenges. Unpaid caregivers worried about what would happen if they were hospitalised themselves. There was a diversity of experience both across caregivers, of familiar routines and rural context as resources, increased challenges requiring resourcefulness to adapt, and experiences of crisis. Many experienced all three states at different times.

Conclusion

This research provides valuable insights into challenges and opportunities experienced by rural unpaid caregivers during the Covid-19 pandemic and may help policy-makers and healthcare professionals develop improved emergency preparedness. Multilevel, multisector responses are needed to ensure effective health and social support and access to resources including health care, access to groceries and medication, transport, and communications (telephone and digital). Enhancing rural access to effective and inexpensive online services is particularly important, as is recognition of the value of rural sites or hubs of connection and social interaction.

目的农村无酬照护者与城市无酬照护者经历着不同的机遇和挑战。我们的目的是了解新西兰农村无酬照护者在 Covid-19 大流行期间所经历的挑战和机遇:环境:Covid-19 大流行期间的新西兰北部农村地区:10名农村无偿照顾者的便利样本,他们中的大多数人都在为患有痴呆症的老年人提供支持:设计:定性描述设计。数据包括访谈、在线研讨会和主题分析:结果:农村无酬照护者认为,在 Covid-19 大流行期间,在农村生活的某些方面很有帮助。然而,购物、长途旅行和通信(电话和数字)等任务变得更加复杂。日常生活的突然改变以及资源和支持团体的关闭带来了挑战。无酬照护者担心如果自己住院会发生什么。不同的照顾者有不同的经历:熟悉的日常事务和乡村环境是资源,挑战的增加需要机智的适应,以及危机的经历。许多人在不同时期经历了这三种状态:这项研究为了解农村无酬照护者在 Covid-19 大流行期间所经历的挑战和机遇提供了宝贵的见解,并可帮助政策制定者和医疗保健专业人员制定更好的应急准备措施。需要采取多层次、多部门的应对措施,以确保有效的健康和社会支持,并确保获得资源,包括医疗保健、日用品和药物、交通和通信(电话和数字)。加强农村地区获取有效且廉价的在线服务尤为重要,同时也要认识到农村地区连接和社会互动中心的价值。
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引用次数: 0
‘Profound personal and professional impacts’: A qualitative study of clinician experiences of a mental health disaster response to Australia's black summer bushfires 深刻的个人和职业影响":针对澳大利亚夏季黑色丛林大火的心理健康灾难应对措施的临床医生经验定性研究。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2024-07-24 DOI: 10.1111/ajr.13163
Margaret Thomas MMHN, Elizabeth Martin MPH, Sophie Isobel PhD

Objective

To explore the experiences of clinician and management stakeholders involved in a rural/metropolitan collaborative mental health disaster response to the 2019–2020 Black Summer bushfires in the Snowy Valleys region of southern New South Wales (NSW), Australia.

Setting

A mental health and drug health service in the Snowy Valleys region of rural NSW in collaboration with a mental health service from metropolitan Sydney, NSW.

Participants

Mental health clinicians and managers from a rural health district (n = 6) and a metropolitan health district (n = 8) involved in a collaborative disaster response to the 2019–2020 Black Summer bushfire disaster in the Snowy Valleys region of southern NSW, Australia.

Design

An interpretive qualitative study design using semi-structured individual interviews, with transcripts analysed using Reflexive Thematic Analysis.

Results

Thematic findings on participant experiences are presented under three organising constructs of before (stepping up and jumping right in), during (finding a rhythm of working together), and after (profound personal and professional impacts) the mental health disaster response.

Conclusion

Participant experiences had shared and distinct components before, during and after the mental health disaster response, culminating in profound personal and professional impacts. Findings highlight positive aspects and challenges for clinicians participating in a rural/metropolitan collaborative mental health disaster response. The findings of this study contribute new knowledge about experiences of mental health clinicians participating in a disaster response after bushfires, from dual perspectives of members of a bushfire-affected community and those responding from outside a bushfire-affected community, which may inform ongoing planning of responses to disaster in Australia.

目的探索参与澳大利亚新南威尔士州南部雪谷地区 2019-2020 年黑色夏季丛林大火农村/大都市合作精神卫生灾难应对措施的临床医生和管理利益相关者的经验:新南威尔士州农村雪谷地区的心理健康和药物健康服务机构与新南威尔士州悉尼大都市的心理健康服务机构合作:来自一个农村卫生保健区(n = 6)和一个大都会卫生保健区(n = 8)的心理健康临床医生和管理人员,他们参与了澳大利亚新南威尔士州南部雪谷地区 2019-2020 年黑夏丛林火灾灾难的合作应对:设计:采用半结构式个人访谈的解释性定性研究设计,使用反思性主题分析法对记录誊本进行分析:结果:在心理健康灾难应对之前(挺身而出、立即投入)、期间(找到合作的节奏)和之后(深刻的个人和专业影响)三个组织结构下,对参与者的经历进行了专题研究:参与者的经历在心理健康灾难应对之前、期间和之后既有共同的组成部分,也有不同的组成部 分,最终对个人和专业产生了深远的影响。研究结果凸显了临床医生在参与农村/大都市合作精神卫生灾难应对行动时所面临的积极方面和挑战。本研究的发现从受丛林火灾影响的社区成员和从受丛林火灾影响的社区外参与救灾的人员的双重视角,对心理健康临床医生参与丛林火灾后救灾工作的经验提供了新的知识,可为澳大利亚正在进行的救灾规划提供参考。
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Australian Journal of Rural Health
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