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Rural New South Wales (rural + new_south_wales)
Selected AbstractsCONTINUUM OF CARE AND THE ANTENATAL RECORD IN RURAL NEW SOUTH WALESAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 3 2003Karen Patterson ABSTRACT Objective: The aim of the study was to determine the effect of the woman held antenatal record card (PNC2) on the continuity of maternity care received when presenting to the acute rural setting for clinical assessment. Design: Qualitative, open-ended questionnaires. Setting: Rural New South Wales public hospital. Subjects: Maternity consumers, 50 women who were inpatients receiving antenatal or postnatal care between August and October 1998. A stratified sample of healthcare professionals employed by the service, 12 midwives and 13 general practitioners. Main outcome measure: The self reported use of the antenatal card and the viewed effects of the card on the continuity of healthcare received. Results: The study identified a significant difference between the responding professionals (93%) positive perception of the effect of the PNC2 on the women's pregnancy continuum of care and the maternity consumer (36%), who felt it bore little impact on their care. The study findings suggested a lack of compliance and standardisation in usage of the antenatal card negated any flow on effects for the women. Conclusions: The intended purposes of the PNC2 were compromised in this rural setting. The study recommends that stakeholders in rural maternity care be accountable for examining the benefits and barriers of their antenatal practices, that the rural community's expectations of ,continuity of maternity care' are sought and that there should be a review of the available models of rural antenatal care. [source] The use of Bupropion for Smoking Cessation in Rural New South WalesAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 2 2004Bo S. Wong No abstract is available for this article. [source] Models of mental health nurse,general practitioner liaison: promoting continuity of careJOURNAL OF ADVANCED NURSING, Issue 5 2003Terence V. McCann BA MA PhD RMN RGN RNT mccann t.v. & baker h. (2003)Journal of Advanced Nursing 41(5), 471,479 Models of mental health nurse,general practitioner liaison: promoting continuity of care Aim and rationale.,Community mental health nurses and general practitioners share a pivotal role in the provision of mental health care in the community. The focus of this study was to identify models of general practitioner collaboration used by these nurses, and analyse the implications of these models for promoting continuity of care. The study was derived from a larger study of how community mental health nurses promote wellness with clients who are experiencing an early episode of psychotic illness. Methods.,This qualitative study used interviews and observation to collect data. The study took place in 1999 in regional and rural New South Wales, Australia and involved community mental health nurses. Findings.,The findings show that two models of nurse and general practitioner (GP) collaboration emerged from the data: Shared Care and Specialist Liaison. In the Shared Care model, nurses maintain close contact with GPs throughout the episode of acute care. In the Specialist Liaison model, the community mental health team assumes overall responsibility for care and treatment throughout the acute episode of illness. Contact with GPs throughout the episode of care by the community mental health team is, at best, intermittent. Conclusion.,The findings suggest that the Shared Care model is more consistent with supporting personal and organizational continuity of care, whereas the Specialist Liaison model is limited to encouraging personal continuity of care but further study is needed. [source] Asthma management in rural New South Wales: Perceptions of health care professionals and people with asthmaAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 4 2009Biljana Cvetkovski Abstract Objective:,To investigate the perceptions and attitudes towards asthma management of general practitioners, pharmacists and people with asthma in a rural area. Design:,Qualitative semistructured interviews. Setting:,Small rural centre in New South Wales. Participants:,General practitioners, pharmacists and people with asthma in a rural area. Results:,General practitioners perceived that the patient provided a barrier to the implementation of optimal asthma services. They were aware that other health care professionals had a role in asthma management but were not aware of the details, particularly in relation to that of the pharmacist and would like to improve communication methods. Pharmacists also perceived the patient to be a barrier to the delivery of optimal asthma management services and would like to improve communication with the general practitioner. The impact of the rural environment for the health care professionals included workforce shortages, availability of support services and access to continuing education. People with asthma were satisfied with their asthma management and the service provided by the health care professionals and described the involvement of family members and ambulance officers in their overall asthma management. The rural environment was an issue with regards to distance to the hospital during an emergency. Conclusions:,General practitioners and pharmacists confirmed their existing roles in asthma management while expressing a desire to improve communication between the two professions to help overcome barriers and optimise the asthma service delivered to the patient. The patient described minimal barriers to optimising asthma management, which might suggest that they might not have great expectations of asthma care. [source] Generational attitudes of rural mental health nursesAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 2 2009Andrew Crowther Abstract Objective:,To determine how attitudes of rural mental health nurses differ across generations. Design:,Survey. Setting:,Mental health services in rural New South Wales. Participants:,Practising mental health nurses. Main outcome measures:,Survey responses. Results:,Survey response rate 44%. A total of 89 mental health nurses, clustered in inpatient units and community health centres, responded. Of these nurses, 4 were veterans, 52 baby boomers, 17 Generation X and 5 Generation Y. Conclusions:,There are significant differences in how mental health nurses from different generations view their work, and in what is expected from managers. Managers need to modify traditional working styles, allowing greater flexibility of employment. They must also accept lower staff retention rates, and facilitate the development of younger staff. [source] The family and nurse in partnership: Providing day-to-day care for rural cancer patientsAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 2 2005Lesley M. Wilkes Abstract Objective:,To explore demands made on family members in managing symptoms and providing for the day-to-day care of relatives with cancer in rural New South Wales and how specialist palliative care nurses support these family members. Design:,Cross sectional qualitative study. Setting:,Seven health centres across rural New South Wales that cover a broad geographical area and reflect the diversity in economic conditions, population density and distance from three major urban centres in New South Wales. Subjects:,The study involved two groups of participants. The first group consisted of one or more members of families of oncology patients who were accessed through health workers at the seven centres. Nineteen family members from 17 families were interviewed. The second group comprised 10 nursing staff working as specialist palliative care nurses across the same geographical area as the families. Main outcome measures:,Physical care and symptom management were the two main areas of interest. Results:,The rural experience of caring for palliative care patients was challenging, with support nurses needing to take into consideration all aspects of the patients' and families' living environments. Conclusion:,There is a need for equipment and basic resources to be readily available to practitioners, funding for ongoing education and 24-h care. [source] | ||||||||||