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November2017
Education Feature + New role to combat theory-practice gap + Course provides better understanding of domestic and family violence + Tailored approach required for adolescents impacted by suicide + Informatics training for nurses improves patient care
SUBSCRIBE FOR FREEMATERNAL WELLBEING CONFERENCE Visit HealthTimes.com.au/subscribe IBIS HOTEL MELBOURNE - FEBRUARY 19, 2018 HealthTimes - November 2017 | Page 29 http://bit.do/maternalwellbeing Or email contact@healthtimes.com.au PRESENTED BY
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At CQUniversity Australia, we know that research is about making a difference. Whether you want to advance your career in health or explore an area of interest, our research higher degrees will give you the skills you need to achieve your goals. With our research ranked at, above or well above world standards across various categories* you’ll be joining a
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HealthTimes - November 2017 | Page 03
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November 2017 We hope you enjoy perusing the range of opportunities included in this Issue.
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HealthTimes - November 2017 | Page 05
COSMETIC INJECTABLES 3 DAY WORKSHOP Aesthetic Training Australia provides Health professionals with a programme that leads to real opportunities and excellent understanding of Aesthetic procedures. Our trainers and staff provide students with a knowledge and ongoing support vital to success. Each delegate will be competent in the delivery of basic techniques of Botulinum Toxin and Dermal Fillers. Aesthetic Training Australia also provides Health Professionals with a strong understanding of business practice, marketing and legalities required to manage a successful cosmetic injectable business. Expand your clinical skills as a healthcare professional. Enjoy additional income by offering rewarding treatments that can improve clients self-esteem. Upcoming workshops: 19th, 20th & 21st February 2018 16th, 17th & 18th April 2018 (Melbourne) 4th, 5th & 6th June 2018
‘Ongoing monthly support & training’ Page 06| HealthTimes.com.au
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MATERNAL WELLBEING CONFERENCE IBIS MELBOURNE - 19 FEBRUARY 2018 For more information and to book tickets, go to bit.do/maternalwellbeing
Enquiries: Contact HealthTimes 1300 306 582 contact@healthtimes.com.au
PROGRAM & SPEAKERS INCLUDE Too little, too late. Too much, too soon: balancing the need for intervention in childbirth. Professor Caroline Homer AO, Distinguished Professor of Midwifery, University of Technology Sydney Improving the health of Aboriginal and Torres Strait Islander mother and babies. Professor Helen McLachlan – Professor of Midwifery, La Trobe University Group B streptococcus: Are we doing more harm than good? Kathryn Braye – PhD Candidate, Centre for Midwifery, Child and Family Health, University of Technology Sydney Optimal care for women with pre-eclampsia: from prevention to follow-up. Dr Wendy Pollock - Critical care nurse and midwife; Honorary Senior Fellow, Department of Nursing, University of Melbourne
Page 08| HealthTimes.com.au
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HealthTimes - November 2017 | Page 09
Tailored approach required for adolescents impacted by suicide By Nicole Madigan
W
hile awareness of suicide and its rippling effect on the community is increasing, much of the research into the psychological impact of those exposed to death by suicide has been focused on adults. Which is why top academic and suicide ‘postvention’ expert, Karl Andriessen has focused his PhD project at the University of New South Wales, on investigating the grief, mental health and helpseeking experiences of adolescents who have lost a loved one through suicide. The study, supported by the Anika Foundation for Adolescent Depression and Suicide, identifies the adolescents’ experiences, which may be specific for this age group, to determine whether they require specific attention from caregivers or health professionals. “It is well-known that exposure to suicide and bereavement after suicide is a risk factor for adverse outcomes related to health, mental health and social functioning,” says Mr Andriessen. “We started this research project because most of the research has been focused on the adult population, not on the younger age groups. “Hence, little is known about their grief and mental experiences, and their needs for support.
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“The study aims to redress that gap in our knowledge.” The project involved semi-structured telephone interviews with 39 adolescents bereaved by suicide and/or another cause of death. During the interview participants talked about their relationship with the person they had lost, feelings and needs at time of death, support sought or received, changes in their lives since the loss, what helped or what hindered coping with the loss, help-seeking over the years, and meaning of the loss. Mr Andriessen says there have been a number of important findings related to the impact of the death, the grief experience, personal growth, and help-seeking, specific to young people. “Adolescents may experience a lasting impact of the death, including feelings of sadness, missing, and anger. “In addition to these painful and negative feelings, the study found evidence of positive feelings such as relief and gratitude. “The grief feelings occur irrespective of the cause of death. The psychological closeness of the relationship with the deceased appears to be crucial regarding the experienced impact of the death.” Significantly, Mr Andriessen’s findings
“Experiencing the death of a close family member or a friend often results in personal growth and increased maturity. “They learned important ‘life-lessons’ relating to an increased awareness of the fragility of life, and a stronger appreciation of life and relationships. “Participants had become much more aware of the priorities or goals in their lives. Despite the devastating effects that a suicide death may have, the study found the experience can be a catalyst for positive mental health.” While the scope of the study didn’t extend to the evaluation of current services, it did show that age-appropriate treatment would have an impact on the mental health of young people effected by suicide. “Young people may seem reluctant to talk about their experiences. Hence, a variety of therapeutic approaches, and age-appropriate therapeutic skills are essential.” While this study is shedding some light on how clinicians can better tailor their treatment plans to adolescents, Mr Andriessen further research is needed. “Further research is needed regarding the bereaved adolescents’ perception of services, their accessibility and offers. “Also, research into the effectiveness of support, including non-psychotherapeutic interventions is needed.”
For more articles visit HealthTimes.com.au
HealthTimes - November 2017 | Page 11
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showed that young people were less likely to discuss their feelings with others, preferring to self-rely or offer support to others. They’re also less likely to consider professional support. “Adolescents experience a wide variety of activities as helpful for their grief experience, including contact with friends or family, doing something, or finding distractions. “They appear to have limited knowledge of professional help or perceive it as not available.” And those who do have experiences with professionals have mixed experiences varying from negative to positive. “Most referrals were initiated by parents, rather than by friends. For adolescents, it is important that it ‘clicked’ with the clinician. “Early negative experiences result in a quick dropout, often followed by a time lag before willing to engage again.” Although young people are comfortable with technology and the internet, the study shows that adolescents find it difficult to locate online information and support resources regarding bereavement and suicide bereavement. “Support through school was mostly experienced as not available, though a few received support,” says Mr Andriessen. “In general, adolescents seem unsure about the expertise and level of confidentiality of school-based support.” For many young people, the loss of a loved one through suicide is their first experience with death, so the impact can be broad and far-reaching.
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Reducing hospitalisations in residential aged care
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he population is ageing and efforts are underway around the world to ensure healthcare systems are equipped to keep up with healthcare demand. One important solution to overcome the growing pressure on hospitals is to reduce the number of emergency transfers from residential aged care facilities. Frailty and multiple comorbidities place residents of residential aged care facilities at high risk of emergency transfers to hospital, although many of these can be unnecessary or preventable. A team of CQUniversity Australia researchers have been working in close partnership with aged care management and staff from PresCare, a regional notfor-profit aged care organisation since 2013. PresCare invited CQUniversity researchers to independently evaluate their Sub-Acute Care Program, developed to reduce the hospitalisation of the residents in their aged care facility. Their goal was to create a program that empowers the nursing staff to detect signs of deteriorating resident health early and to manage the condition within the residential aged care facility. The program includes decision-support tools, resources and training, and is based on a three-step ‘traffic light’ system that aims to detect, assess and treat eight clinical conditions that commonly lead to hospital admission. In recognition of the successful outcomes of the program, PresCare received the HESTA Aged Care Award in 2016 for team innovation. The one-year evaluation study, led by Professor Lynne Parkinson, with co-researchers Associate Professor Trudy Dwyer, Professor Kerry Reid-Searl, and Doctor Barbara O’Neill, commenced in January 2014 and considered evidence from administrative data, a literature review, focus groups, and pre and post surveys. The research team compared two years of historica administrative data on the residential aged care facility’s hospital admissions with administrative
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data after the program’s introduction and found that there were fewer hospital transfers and more subacute care of clients being provided at the facility after program implementation. There was also evidence of substantial learning and development outcomes for nursing staff. The final report outlined a number of recommendations to facilitate the implementation of the program in other PresCare residential facilities across Queensland. These recommendations included providing detailed information to all stakeholders, including clients, family members, and community representatives and involving them in the process. The researchers also advised that any future rollouts should be introduced in stages and carefully evaluated to ensure all stakeholders know about and understand the benefits. Given the improvements to healthcare delivery at the first study site, PresCare again partnered with the CQUniversity team and received research funding from the Australian Centre for Health Services Innovation (AusHSI) to develop a framework to translate this new knowledge into practice. The project called, Early Detection of Deterioration in Elderly residents (EDDIE) study, led by Associate Professor Trudy Dwyer and Professor Lynne Parkinson, along with the original team, evaluated the implementation of the PresCare Sub-Acute Care Program and associated costs at a second residential aged care facility. Again there was evidence of staff and outside stakeholders favourably supporting the program’s implementation. With the Sub-Acute Care Program in place, fewer residents were transferred to hospital when compared to previous years, and when they were admitted, their lengths of stay in hospital were shorter. This project highlight’s CQUniversity’s practical approach to research, partnering with industry organizations to come up with real-world solutions. Find out how a research higher degree can help give your career an edge at cqu.edu.au/rhd.
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HealthTimes - November 2017 | Page 15
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New role to combat theory-practice gap By Nicole Madigan
V
ictoria’s La Trobe University has developed a ground-breaking new role, designed to enable advanced nursing clinicians to move seamlessly between a health care provider and an educational provider, in order to eliminate the theory practice gap. The lecturer-practitioner role was developed as a result of the formation of clinical partnerships between the university and health care providers, during which time the provision of specialist postgraduate education was identified as an area for further development. “The role is designed to be undertaken by someone wishing to maintain a strong senior clinical presence while also working in academia,” says Assoc Prof Bill McGuiness, Director, Alfred La Trobe Clinical School, School of Nursing and Midwifery. “Holding senior positions in clinical practice and academia can be challenging, however a wider understanding of how the curriculum needs to work in clinical practice and providing transparency is invaluable to the success of the course and its graduates. “The long term vision for the role is a candidate recognised clinically as an independent practitioner within their field of nursing, and recognised academically as a professor.”
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The Theory Practice Gap The Theory practice gap is a natural drift occurring as a result of nurse education moving from bedside apprenticeships to academic degrees. “The shift in learning environment altered nurse education priorities and created a divide from what was taught in theory and what was practiced clinically,” says Assoc Prof McGuiness. “This is intrinsically linked to the contrast of the academic and clinical environments. It is recognised the throughout nursing education, students report what they are taught in university not always aligning to the reality of clinical practice, this undermines the quality of nursing education in relation to clinical relevance and preparation to practice. “The gap is a reflection of the propensity for nursing academics to no longer practice or provide a clinical services. This differs from the medical education model where the academics still are active practitioners.” The LP Role An LP is an expert in their field and clinically current. The role, encompassing both theory and practice elements, ensures common ground on which to build the curriculum and deliver it.
The future “The role is designed to eliminate the theory practice gap and deliver a course which is transparent, responsive and clinically valid thus improving the postgraduate education standard,” says Assoc Prof McGuiness. “Maintaining a profile both clinically and academically, the role allows the lecturer practitioner to have access to resources in both areas to inform teaching and student experience.” The role is continually evaluated by the head of the clinical school and the head of education for the hospital to ensure it is working well for all partners.
With dual lines of reporting, individual candidates have annual performance reviews from both areas and are encouraged to continually seek feedback from students, peers and industry partners. “The role is evolving and it is hoped by promoting the La Trobe model and undertaking research to prove its efficiency it will be adopted by other courses and universities.” The challenge for the role moving forward though is the ongoing understanding of the expectations. “At times the partners try to establish a separation of health care provision from education provision, such as days of weeks on each area. “This prevents maximisation of the role, as it is able to meet both agendas when the LP has the flexibility to move between both environments on a needs basis.” Assoc Prof McGuiness says he hopes the graduates undertaking courses overseen by lecturer practitioners are delivered a course that is clinically relevant and prepares them for the practice roles they will undertake. “The model is also supporting of research projects spanning academia and clinical practice which will encourage graduates to undertake research in their clinical areas supported by the University. “It enables the incumbent to continue their personal development as a clinician, researcher and teacher. Such development can only value add to both health care provision and educational programs.”
HealthTimes - November 2017 | Page 21
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“Health care providers require an array of specialist education to upskill personnel in these area and to act as an incentive for staff recruitment,” says Assoc Prof McGuiness. “Education providers require clinical experienced personnel currently practicing to teach the programs and a fees structure that is attractive to potential students. “An LP’s total EFT is paid for by the health care provider with an agreed fraction of their salary paid reimbursed by the education provider. “The fraction of their role dedicated to either clinical or educational duties is determined by an annual discussion between the health care and education provide. “In summary the model facilitates high quality care and education for the specialised areas by sharing of a very valuable resource; the experienced specialist.”
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Conference provides vision for the future in nursing and midwifery education
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ursing and midwifery educators are in a changing world that challenges us to keep our knowledge current and to develop engaging, relevant content and teaching strategies. It is our vision, leadership, and guidance that will shape the worlds of students, clinicians, and communities. How do we ‘make a difference’? How do we support and create change in our different worlds? An excellent way to share ideas and make connections with other professional colleagues, meet experts in the field, and to learn about new strategies and research is to attend conferences. A conference provides a snapshot of what is happening in your professional domain, such as education. Conferences inspire and give new ways of looking at things, motivate you to reflect on your practice, and reinvigorate interest in your work. The National Nurse Education Conference (NNEC) 2018 This is an excellent conference for nursing and midwifery educators. The National Nurse Education Conference (NNEC) will be held Melbourne at the Crown Promenade Hotel 2-4 May 2018, with the 1st May providing preconference workshops. Further details can be found on the website https://dcconferences. eventsair.com/QuickEventWebsitePortal/ nnec2018/home. This is the only dedicated conference for nursing and midwifery educators in Australia and is held every two years. The conference is convened by the Australian Nurse Educators’ Society (ANTS: http://www.ants.org. au), which is the only professional organisation in Australia devoted exclusively to support nursing and midwifery educators. The theme of the conference is “Changing Worlds: Synergies in nursing, midwifery and
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health education”. Delegates will be from all around Australia and internationally. The conference will explore a range of topics, including: • Creating and supporting change • Innovative educational programs • Student engagement initiatives • Collaborative health education projects •Supporting vulnerable groups (such as children, refugees, Aboriginal and Torres Strait Islanders [ATSI]) What the conference offers The conference offers workshops, keynote (expert) speakers, presentations by delegates, and opportunities to network, including a social program. Workshops will be offered on the 1st May. Topics will include innovative teaching strategies, writing for publication, refugee health and its educational implications, and assessment and learner engagement. Keynote speakers will be from education, nursing, mental health and ATSI fields. Opportunities are provided for you to chat to the experts. Networking is very important at conferences. At the NNEC 2018 conference there will be dinner and dancing at a nearby restaurant by the river, and welcome drinks will be served on the first night. Continuing professional development hours are provided by ANTS. Full conference registration will achieve 20 hours of CPD. You can also attend for one day of the conference or just a workshop. Why not consider visiting Melbourne and attending NNEC 2018 -be inspired – share a vision for the future – and shape your learner’s world?
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HealthTimes - November 2017 | Page 23
Course provides better understanding of domestic and family violence
D
omestic and family violence is an issue that impacts on every part of our community. That’s according to CQUniversity Graduate Diploma of Domestic and Family Violence Practice (DFVP) student Leanne Rutherford. “Domestic and family violence (DFV) is a significant issue and is an area that requires a high level of expertise and understanding,” Ms Rutherford said. General Manager Children, Youth and Families at Churches of Christ Care, Ms Rutherford is wellexperienced in the area of DFV but said there was always room to better understand the complex and diverse issue that is DFV. “Undertaking this postgraduate course has provided an opportunity to expand my professional knowledge and expertise in the area of DFV practice,” she said. “This has allowed for more informed input into direct practice responses, policy and programing direction and the development of an organisation-wide approach to increase workplace safety for people experiencing DFV.” Ms Rutherford has over 20 years’ experience working in the human services sector in both direct service delivery and leadership positions within government (Child Safety) and non-government settings.
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“I have seen a significant shift in domestic violence over this time. This includes our understanding of the complexity and prevalence of domestic violence throughout our community; our greater understanding and awareness of the impact current social structures have on gender inequity; the shift in focus of responsibility and accountability for the violence and where this lies, this includes in the child protection space; and the need to work with whole families, including male perpetrators of violence, in order to effect change,” Ms Rutherford explained. “Having said this, there is a long way to go in how we respond to domestic and family violence in an integrated and effective way to ensure the safety of (primarily) children and women, and hold perpetrators to account. We are also yet to see early intervention and prevention programs, on a wide scale, that will support improving children receiving the right messages earlier.” Ms Rutherford said her focus now was on the provision of the best quality support and care to vulnerable children, young people and families in Queensland. “In order to do this I believe there needs to be a focus on the employment of the right people, with the right skills and a practice framework that ensures children and young
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people are safe and remain the centre of all we do.” A mother to two young children (eight and six), Ms Rutherford said she pursued a career working with families and children in the hope to ‘make a difference’. “Today my goal is to support all children, including my own, to grow up in a world where they are safe, confident, supported and free to be whoever they want to be every child deserves this.” Born and raised in Mackay but now based in Brisbane, as part of her general manager role, Ms Rutherford is responsible for multiple services provided across Queensland, including regional and remote areas. She enrolled in CQUni’s Graduate Diploma DFVP last year and will complete the course in 2019. “I’ve found the course to have good, current information and research that supports day-to-day practice. It is a practical course that challenges you to critically review current ways of thinking and practicing in this field. It supports and encourages you to look at what works well and what needs to change when responding to DFV, in addition to exploring alternative approaches. “This course in not just for those working in DFV specific services. Whether you work in Child Protection, health, legal or education services, with elderly people or with communities more broadly, this course will provide an excellent foundation for informed practice and responding more holistically to domestic and family violence within our communities.”
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Avondale’s Master of Nursing is designed to extend and deepen a registered nurse’s knowledge, skills and appreciation of advanced practice within complex health care environments. Students are given the choice to develop nursing specialist qualifications in either Clinical Nursing, Clinical Teaching or Leadership and Management. Mode: Distance education (Online) To find out more or apply, visit www.avondale.edu.au/nursing, phone +61 2 4980 2377, or email study@avondale.edu.au
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Informatics training for nurses improves patient care By Sharon Smith
W
ith the announcement of a nation-wide rollout of patient controlled electronic health records (or MyHealth Record) for every Australian by 2018 and the Australian Digital Health Agency’s strategic plan release for 2018-2022, the move to integrated electronic health records calls for a rethink of our understanding of what it means to be a nurse in an increasingly digital environment. In August this year the Health Informatics Society of Australia (HISA), Nursing Informatics Australia (NIA) and the Australian College of Nursing (ACN) partnered to develop the nursing informatics position statement which advocates for the instrumental role of nurses in digitally transforming healthcare, making the call to optimise the use of information and technology to enable better patient care. Tasneem Islam is a PhD nursing student at Deakin University and committee member at Nursing Informatics Australia. She is using her studies on bridging the translation gap between health technologies and their users to better inform the committee on informatics in practice. “I’m very pleased to be able to do so in my upcoming role as an electronic medical record [EMR] theatre clinical applications specialist at Monash Health,” Tasneem says. Informatics ideally allows nurses to do
what they do best – care for their patients safely. Technology plays a big part this, by allowing health care to be more accessible and patient-centred. For nurses, technology would ideally reduce workload and allow clinicians to adopt a more proactive role with the assistance of real-time data. For patients, telehealth services can make health care more convenient and personalised than ever. “Informatics is a very diverse specialty and I love that. You’ll get to collaborate with a range of professions and different disciplines - anywhere on the spectrum from pure clinician to pure IT. We want to avoid having silos of data where organisations can’t share and end up collecting the same data twice. Improving interoperability - getting systems to talk to each other - will help with this.” However figuring out how to manage and utilise the masses of data that electronic systems produce can be an issue. There is a lot of potential to gain new insights into the way health care is delivered and in improving patient safety using data mining and big data, but we first need a nursing workforce able to work with electronic data effectively. Tasneem said fragmentation of data can happen due to lack of interoperability, which
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health courses. Nurses and clinicians seeking formal qualifications can become a CHIA (Certified Health Informatician Australasia) through HISA. Support is also provided by HISA and its special interest group Nursing Informatics Australia, as well as the Australasian College of Health Informatics. Pure informatics as an undergraduate program is an option these days, with many universities offering bachelor degrees in health informatics. Undergraduate programs are beginning to reflect the growing importance of informatics and recognise it is a specialty no different from the traditional clinical specialties we know like cardiac or paediatric nursing. It’s still emerging and growing in Australia, so structured career pathways are under development. Tasneem however, has had the most success in keeping her feet in both kinds of theatres – hospital and university – and by attending events put on by local informatics interest groups. “While in my graduate year, I’d stumbled upon the term ‘informatics’ online and I quickly recognised that it was the field for me. Over the next three years, I maintained an interest and tried to attend local informatics events whenever I could. I finished honours and after another year of splitting my time between theatre and research assistant work, successfully applied for a PhD scholarship,”she says.
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leads to information being lost. “My research found that nurse managers often gathered data from various electronic sources to achieve one particular task, and in some cases kept their own records rather than trust the data in the system. We need to better streamline the process so that nurses spend less time finding the right data and more time analysing it and feeding it back to staff to improve practice.” While some nurses are very comfortable with electronic systems and others don’t feel confident or trained well enough to use them to their full potential, Tasneem says the lack of consistency is a major reason why the nursing informatics position statement was created. “I hope that [the position statement] will allow nurses to advocate for informatics integration at any level knowing that they will be supported. They can use the statement to assess their own workplaces and assist with the change process accordingly. It will also give nurses an idea of what health services and governing bodies should be working towards in terms of informatics.” Health professionals can undertake postgraduate training in health informatics through a number of Australian universities either through specialist graduate programs in health informatics programs online at University of Tasmania, Griffith University and Western Sydney University, as well as informatics units through Swinburne University, Deakin University and Monash University as part of their general postgraduate
HT-711-CTR-00815 1/2PG FULL COLOUR CMYK PDF Kick-start an exciting new chapter of your Mental Health career in Canberra! ACT Health is looking for experienced Registered and Enrolled Nurses and Senior Nursing Staff to fill a number of opportunities with generous salaries, professional development, and much more!
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Canberra’s brand new Secure Mental Health Unit provides a safe environment with 24 Hour clinical support for persons with a moderate to severe mental health illness. If you have mental health nursing experience and are ready to take the next step we are recruiting now. Benefits of working for ACT Health: • Generous relocation package available* • Nurse salaries among the highest in Australia • Ongoing professional development opportunities
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HT-711-CTR-01243-02 1/2PG FULL COLOUR CMYK PDF Looking for a complete change in your nursing career? We are looking for a dynamic, self-moovated nurse to join our small team in Sydney as a Nurse Recruiter. Nursing experience in the Middle East & overseas is preferred. Social media knowledge and skills are an advantage. Contact us today
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ECG INTERPRETATION WORKSHOP ADELAIDE- 21 MARCH 2018 For more information and to book tickets, go to: skill for assessing and treating patients with a wide range of bit.do/ECGADL
Enquiries: Contact HealthTimes 1300 306 582 contact@healthtimes.com.au
medical presentations including chest pain, syncope, stroke, shortness of breath and poisoning. In this clinically based workshop you will have the opportunity identify abnormalities associated with cardiac or lung disease or associated with toxicological or biochemical disorders. The workshop is delivered using an interactive, problem based ECGs in a small group before joining a large group discussion
nursing students and to paramedics.
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Great opportunities for Registered Midwives Are you a skilled and passionate Registered Midwife? We are looking for exceptional midwives to join our growing Women's Health Unit. • Reviewed Model of Care and a new management team
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