Australian Journal of Rural Health最新文献

{"title":"Stress and coping in Australian male farmers","authors":"Michele Anne Mitten MPsych (Clin),&nbsp;Pascal Molenberghs PhD","doi":"10.1111/ajr.13207","DOIUrl":"10.1111/ajr.13207","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Farmers face high levels of stress, often related to unique farming industry stressors. Coping strategies in dealing with stress, can be less (avoidant) or more (approach) effective. No previous research has investigated coping strategies across a range of farming-specific stressors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine levels of stress in various categories and the relationship between these stressors and coping strategies used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional survey, using self-report questionnaire. Independent variables included five stressor categories, and two types of coping.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>One hundred and twenty-five rural male farmers, over 18 years of age, across Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Demographic data were collected in addition to responses regarding stress and coping. The Australian Family Farming Stressor Scale, comprising five stressor categories, measured the stressors unique to Australian farming. The Brief COPE (B-COPE) measured approach and avoidant coping strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 125 responses to the survey were analysed, with ages ranging from 19 to 84. While varying levels of stress were found in all stressor categories, Daily Stressors rated highest, followed by Financial Stressors. Higher levels of avoidant coping were utilised for Family Stressors, whereas higher levels of approach coping were utilised for farm-related stressors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings indicate that the rating of stressors may be determined by current affairs, such as Daily Stressors rating highest. This could be due to the lack of available workforce during the COVID-19 pandemic. Furthermore, coping strategy findings could better inform clinical practice in assisting farmers in utilising their approach coping skills across all stressors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The collaborative potential of the rural health and student equity fields in higher education","authors":"Claire Quilliam PhD,&nbsp;Mollie Dollinger PhD,&nbsp;Carol McKinstry PhD,&nbsp;Nicole Crawford PhD,&nbsp;Pim Kuipers PhD,&nbsp;Philip Roberts PhD,&nbsp;Vincent Versace PhD","doi":"10.1111/ajr.13204","DOIUrl":"10.1111/ajr.13204","url":null,"abstract":"&lt;p&gt;There have been multiple government and community initiatives over the last 20 years to strengthen Australia's rural health workforce. At a national level, the Australian Government's Rural Health and Multidisciplinary Training (RHMT) Program is one of numerous Commonwealth rural health workforce programs aiming to address the maldistribution of the rural health workforce and comprises a network of Rural Clinical Schools (RCS) and University Departments of Rural Health (UDRHs). Demand for rural health professionals in regional, rural and remote Australia continues to outstrip supply; a trend that extends to other sectors, as illustrated by the Towards a Regional, Rural and Remote Jobs and Skills Roadmap Interim Report, https://www.jobsandskills.gov.au/publications/regional-rural-and-remote-australia-jobs-and-skills-roadmap.&lt;/p&gt;&lt;p&gt;A recent national review of Australian higher education, known as the Australian Universities Accord, https://www.education.gov.au/australian-universities-accord/resources/final-report, has recommended a range of higher education initiatives to address student inequities, including the expansion of higher education infrastructure in rural areas, most notably through the Regional University Study Hub (RUSH) program around the nation. UDRHs and RUSHs are funded by different Australian government departments (the Department of Health and Aged Care and the Department of Education respectively) and have different objectives, although they share broader overlapping aims of building higher education attainment for people living in rural communities and fostering the workforce across in-demand industries, including health. We believe there is potential unrealised synergy between RUSHs and UDRHs—noting that most RUSHs are relatively new compared with the UDRH network, which was established in the mid-1990s. We suggest that developing and harnessing collaborations and initiatives between the rural health and student equity in higher education fields could result in greater benefits for rural communities. We build on previous editorials in this Journal and call on our readership to consider how they can be better aligned with other rural higher education initiatives to strengthen the rural health workforce and improve the health of our rural communities.&lt;/p&gt;&lt;p&gt;For decades, policymakers in the field of higher education have focused on improving the access, participation and attainment of students from ‘equity groups’, including students from ‘regional and remote’ areas, which may include those from lower socio-economic areas, relative to their metropolitan counterparts. Australia has a long history of providing learning opportunities for regional, rural, remote and isolated students. Correspondence courses were first offered early last century, followed by learning over distance via School of the Air. Online learning has been provided by Open Universities and by universities that have prioritised distance learning and online deli","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 6","pages":"1095-1099"},"PeriodicalIF":1.9,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820098","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}

{"title":"Facilitating the future of small rural hospitals","authors":"Stephen Duckett PhD, DSc, FASSA, FAHMS","doi":"10.1111/ajr.13205","DOIUrl":"10.1111/ajr.13205","url":null,"abstract":"&lt;p&gt;I'm not a rural person. I was born in Sydney; I now live in Melbourne. I've never lived in a small town, so I feel like somewhat of a fraud talking about the future of small rural hospitals. In the past, my attitude towards rural health care could be characterised as benign neglect, with an important exception I'll come to. For some of my career, I was responsible for budgets and budget savings in particular. My view then was that the big money is in the big hospitals, so I didn't look to rural closures or amalgamations to solve budget deficits. This is still my view.&lt;/p&gt;&lt;p&gt;Almost a decade ago, I was asked to lead a review of quality and safety in Victorian hospitals following tragic outcomes at Bacchus Marsh Hospital associated with poor clinical governance. As part of that review, I was forced to think more carefully about the trade-offs involved in rural health provision, between access, the workforce and clinical governance challenges, and the broader role of hospitals that I will talk about later.&lt;/p&gt;&lt;p&gt;Victoria has seen a flurry of amalgamation talk over the last year with on again—off again—on again oscillations favouring mergers either forced or voluntary. There are good reasons to argue for amalgamations—particularly those that are voluntary—as they can create improvements for both staff and communities in rural Victoria as our Grampians Health case study shows.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Money is not the only reason to look to amalgamations, care quality is another and my observation—based on anecdote only I'm afraid—is that there are significant weaknesses in clinical governance in some small hospitals that need to be addressed. Part-time, advisory medical administrative oversight, especially without clear and transparent lines of accountability, has been shown to be a recipe for disaster (Medical Board of Australia v Dr. Gruner (Review and Regulation) (2022) VCAT 1116; Medical Board of Australia v Dr. Gruner (Review and Regulation) (2023) VCAT 273). Medical practitioners in some cases are able to hold small communities and their hospitals to ransom.&lt;/p&gt;&lt;p&gt;But I think the obsession with structural solutions is not the place to start. The critical issue to address is workforce, and not enough is being done about this. Secondly, and what I want to focus most of this talk on, is thinking through what a small rural hospital is, as we move into the second quarter of this century. The failure to fully understand the role that small hospitals play contributes to muddled policy thinking and poor policy prescriptions.&lt;/p&gt;&lt;p&gt;But first workforce. Australia has a plethora of rural workforce incentives, policies and strategies. They are interacting, overlapping, expensive and ineffective. If you add them all up, you might even have one program for every rural doctor! Unfortunately, this mish mash seems to me to be developed by bureaucrats and politicians who look for solutions in the wrong place.&lt;/p&gt;&lt;p&gt;If we conceptualise the problem as too ","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 6","pages":"1091-1094"},"PeriodicalIF":1.9,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820097","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}

{"title":"A vision to optimise Victorian rural trauma care","authors":"Connor Bentley MD,&nbsp;Gavin J. Carmichael MD,&nbsp;Joshua G. Kovoor MBBS,&nbsp;James S. May MD, BMedSci,&nbsp;John Kefalianos MBBS,&nbsp;Joe Ibrahim MD, BBioSc,&nbsp;Thiep Kuany MD,&nbsp;Yasser Arafat FRACS,&nbsp;Mathew O. Jacob FRACS","doi":"10.1111/ajr.13203","DOIUrl":"10.1111/ajr.13203","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The urgent need for equity in patient assistance travel schemes","authors":"Leanne Kelly BPubHlth (Hons)","doi":"10.1111/ajr.13201","DOIUrl":"https://doi.org/10.1111/ajr.13201","url":null,"abstract":"&lt;p&gt;Access to health care is a fundamental right for all Australians. Yet, for many living in rural communities, this right is often compromised by geographical and financial barriers, creating a health care landscape marked with inequity. While the Patient Assistance Travel Schemes (PATS) were designed to ease the burden of travelling for medical care, the reality is that these programs fall woefully short, exposing critical disparities that undermine their health.&lt;/p&gt;&lt;p&gt;The intention behind PATS is commendable. These schemes aim to alleviate some of the financial burdens faced by individuals who must travel long distances to receive the care they are not able to access in their region, or specialised medical care. However, the execution reveals a troubling gap between intent and reality. Current subsidies do not reflect the true financial and emotional strain that rural patients and their families incur. While patients may be able to claim partial reimbursements towards travel and accommodation, additional costs such as meals, time away from family and lost income during treatment are not covered.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; These out-of-pocket expenses can create a significant financial burden. The notion that individuals must choose between paying bills and accessing health care is unacceptable and inequitable.&lt;/p&gt;&lt;p&gt;Adding to the frustration is the lack of meaningful increases in reimbursement rates over the past decade. In Victoria, the private vehicle reimbursement rate has barely budged from 20 to 21 cents per kilometre, while the support for commercial accommodation has only increased from $45.10&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; to $49.50 per night (including GST), when actual accommodation costs are near $250 a night and parking is up to $60 a day. These minimal adjustments do not keep pace with the rising cost of living, fuel, parking and accommodation. As inflation continues to impact everyday expenses, the inadequacy of PATS reimbursement become increasingly glaring.&lt;/p&gt;&lt;p&gt;Compounding these issues are the inconsistencies in subsidy levels across different states and territories. While some jurisdictions, such as Tasmania, offer more support,&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; others, such as Western Australia, provide minimal assistance.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; This patchwork approach creates inequities that disproportionately affect rural populations, including Aboriginal and Torres Strait Islander communities, who face additional barriers to accessing care.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;The bureaucratic hurdles involved in claiming travel assistance add yet another layer of complexity. In Victoria, patients often endure long wait times—sometimes several weeks—while navigating a predominately paper-based submission process.&lt;span&gt;&lt;sup&gt;6&lt;/sup&gt;&lt;/span&gt; In contrast, New South Wales typically processes claims within 2 weeks through an online portal.&lt;span&gt;&lt;sup&gt;7&lt;/sup&gt;&lt;/span&gt; These discrepancies lead to unnecessary delays for patients who are already grappling","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 6","pages":"1260-1261"},"PeriodicalIF":1.9,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142867921","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}

{"title":"‘Keeps me young at heart’: Exploring the influence of volunteering on social connection, health and well-being in rural Australia","authors":"Tara Williams MPH,&nbsp;Ali Lakhani PhD,&nbsp;Evelien Spelten PhD","doi":"10.1111/ajr.13202","DOIUrl":"10.1111/ajr.13202","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The negative consequences of social disconnection, including loneliness and social isolation, is receiving considerable attention from researchers and policymakers, and growing as a global public health priority. Volunteering has emerged as a promising strategy to promote social connection and combat loneliness, calling for a closer examination of its potential benefits to individual social health and community cohesion. This study explores the experiences and impact of volunteering on individuals' social health, providing insights into both the positive impacts and possible limitations of volunteering in rural communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design/Setting/Participants</h3>\u0000 \u0000 <p>Twenty-two volunteers (6 males; 16 females) in one rural Northern Victoria community participated in semi-structured interviews via telephone, online or face-to-face. Thematic analysis was used to develop descriptive themes from the qualitative data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were identified: (1) creating social and community bonds, (2) giving back to the community, (3) building identity through volunteering and (4) social identity and belonging. Findings suggest that volunteering helps individuals to meet new people, increase opportunities for social interactions with others and within social groups, positively influencing their social identity and the identity of the community. Volunteers, who felt connected through their volunteering, experienced a sense of belonging. However, when feeling overburdened or undervalued, volunteers disengaged and sought new volunteering opportunities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study demonstrates the influence of rural volunteering on volunteer's social connections, identity and social health. Creating flexible, accessible and inclusive volunteering opportunities acts as a valuable community resource for building and maintaining social health and connection and reduces social disconnection in rural populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does distance to hospital and interhospital transfer negatively impact time to definitive fixation and outcomes in patients with fractured neck of femur in a rural setting?","authors":"Geoffrey T. Murphy MD,&nbsp;Felice Tong MD,&nbsp;Paul Rozenbroek MD,&nbsp;David Mostofizadeh MD,&nbsp;Andrew Sefton MBBS","doi":"10.1111/ajr.13200","DOIUrl":"10.1111/ajr.13200","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to investigate in patients over 65 with neck of femur (NOF) fractures in Rural Australia, does initial presentation to a peripheral hospital result in a delay to surgery?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Retrospective cohort study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Dubba Base Hospital, Trauma Hospital Rural Australia (Modified Monash Model (MMM) 3) and catchment area (MMM 3–7), NSW, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>The study includes 350 patients over 65, presenting with closed, unilateral NOF fractures who underwent operative management at the operating centre, 203 from peripheral hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Primary outcomes include time to surgery and adherence to recommended timeframes for NOF fixation. Secondary outcomes encompass complications, hospital length of stay and a subgroup analysis to identify causes of surgery delay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients transferred from peripheral hospitals experienced a statistically significant delay in time from presentation to surgery compared to those presenting directly to the operating centre (42 h vs. 24 h, <i>p</i> &lt; 0.001) and were more likely to be outside of current guidelines for NOF fixation within 36 h of presentation (OR 5.1, <i>p</i> &lt; 0.001). There were no differences in mortality at 1 year between the two groups (15% vs. 18%, <i>p</i> = 0.5). On subgroup analysis, distance from the operating centre, time to x-ray and after-hours presentation were associated with increased likelihood of surgery outside of 36 h in the peripheral hospital group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study underscores an inequity in service delivery for rural patients with NOF fractures, particularly those requiring transfer. Pre-arrival delays necessitate targeted interventions to address diagnostic service delays, logistical challenges and transport issues in rural health care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who stays? Australian alcohol and other drug work and worker characteristics predicting regional, rural and remote job retention","authors":"Jane Anne Fischer PhD,&nbsp;Victoria Kostadinov MPsych,&nbsp;Jacqueline Bowden PhD","doi":"10.1111/ajr.13198","DOIUrl":"10.1111/ajr.13198","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Australian alcohol and other drug (AOD) regional, rural and remote (RRR) workforce experiences chronic workforce retention challenges. However, little is known about the characteristics of RRR AOD workers nationally, or factors associated with retention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine the personal and professional characteristics of RRR AOD workers and identify factors that predict intent to remain in the workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Secondary analysis of Australian National AOD Workforce Survey data, a cross-sectional online survey of AOD workers (<i>N</i> = 1506).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>AOD workers employed in RRR Australia (<i>N</i> = 447).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Demographic and professional characteristics; intent to remain in current job for the next year.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The majority of RRR AOD workers were female (72%) and worked full time (65%) in the NGO sector (58%). Most (56%) intended to stay in their job. There were not only high rates of poor job engagement (33%) and high burnout (42%) but also high job satisfaction (80%). Significant predictors (<i>p</i> &lt; 0.05) of retention intention were job satisfaction, low burnout, employment security and respect in the workplace.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Workforce initiatives and benefits tailored to the current composition of the RRR AOD workforce are needed. Retention of workers may be facilitated by increasing job satisfaction, security and respect, and decreasing burnout.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 6","pages":"1239-1245"},"PeriodicalIF":1.9,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘They got my back’: Thematic analysis of relationship building in nurse home visiting in Aboriginal communities","authors":"Alexandra Gregory BAPsych(Hons),&nbsp;Kayli Wild PhD,&nbsp;Danielle Aquino MPH,&nbsp;Gary Robinson PhD","doi":"10.1111/ajr.13199","DOIUrl":"10.1111/ajr.13199","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The client–practitioner relationship is the cornerstone of nurse home-visiting programs. Little is understood about how relationship-based maternal and early childhood health care is perceived by women in remote Aboriginal communities. As part of an evaluation of nurse home-visiting in the Northern Territory, this research examines how relationships are established with clients, and what elements are valued most by women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Maternal Early Childhood Sustained Home-visiting (MECSH) is an Australian model of nurse-led home-visiting targeted at women facing adversity who need extra support. The model provides parenting information, health education and psychosocial support during pregnancy and the first 3 years of children's development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Interviews were conducted with 92 Aboriginal women and 11 practitioners including nurses, social workers and community workers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative semi-structured interviews were conducted with convenience samples of MECSH clients and practitioners. Data were analysed using a two-step process of structural coding and thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Trust was the foundation of clients' positive perception of the relationship with their MECSH provider. Relationships took time to develop, often beginning with practical support to meet clients' basic needs. Practitioner dependability and flexibility to client priorities, communication, confidentiality and being helpful to the woman and her family was important. Clients emphasised emotional support and friendship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The relationship-based approach was valued and consistent with culturally safe and trauma informed ways of working with Aboriginal families. Effort is required to commit to the model to address ongoing healthcare engagement and health outcomes in remote Northern Territory communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 6","pages":"1227-1238"},"PeriodicalIF":1.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging personnel are key to improved imaging service delivery in rural areas","authors":"Gordon Mander MClinSc, MHSc, BAppSc(MedRadTech),&nbsp;Debbie Starkey MEd(HigherEd), MAppSc(MedImagTech), GradCert, DipAppSc,&nbsp;Karen Dobeli PhD","doi":"10.1111/ajr.13197","DOIUrl":"10.1111/ajr.13197","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 6","pages":"1258-1259"},"PeriodicalIF":1.9,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}