About
66
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Introduction
I am an Adjunct Professor at Monash University and at Federation University Australia. My research interests are in health and aged services and workforce, workplace aggression, mental health and well-being, and ageing.
Current institution
Additional affiliations
November 2022 - present
Australian Primary Health Care Nurses Association
Position
- Monitoring and Evaluation Manager
Description
- Part-time position
November 2022 - present
Australian Primary Health Care Nurses Association
Position
- Manager
Description
- Part-time position
August 2018 - July 2023
Education
October 2009 - December 2013
Publications
Publications (66)
This review examines the current literature on mental health in older Latin-American immigrants. This review was guided by Whittemore and Knafl’s (2005) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Nine electronic databases were systematically searched: Academic S...
Contemporary research on older Latin American immigrants emphasises their health issues and mental problems. Most lived experience research has been done in North America and Europe, with relatively few studies in Australia, creating a gap that needs to be addressed. As part of a broad Constructivist Grounded Theory study, the aim of this study was...
This chapter outlines and describes common statistical procedures used in nursing and midwifery research, which encompass descriptive statistics and inferential statistics. An intricate knowledge of how to calculate these statistics is not always crucial; however, it is essential to understand what they mean, how they are used, how they are present...
Background
Residential aged care facilities (RACFs) are high-mortality settings and the provision of high-quality palliative and end-of-life care is crucial for residents due to their limited life expectancy, medical comorbidities, frailty and complex care issues.Residential In-Reach programs (RIR) provide care, consultation, referral, education an...
Ageing in a non-native land brings numerous challenges that may complicate adaptation and health for older Latin American immigrants in Australia. While religiosity emerges as a protective factor for mental health, there is scarce research focused on exploring the multifaceted dimensions of religiosity in this population. As part of a broad Constru...
•Primary healthcare nurses’ must be prepared for extreme weather events.
•Leadership skills, workforce support, and facility-based plans are essential.
•Intersectoral collaboration and policy support facilitates preparedness.
Aim:
To assess the knowledge, attitudes and practices of Registered Nurses working in residential aged care facilities pertaining to pain management for residents living with dementia.
Background:
Sub-optimal pain management continues for people living with dementia in residential aged care. Registered Nurses are the pivotal staff responsible fo...
Introduction:
Pharmacists serve an important role in rural communities, and in some cases they may be the only health professional available. Their recruitment and retention is a major concern for rural communities and health services; however, a deeper understanding regarding the advantages and challenges of sustaining a rural pharmacy workforce...
Introduction
Effective primary healthcare services have been identified by the World Health Organization as the most equitable approach to enhancing universal healthcare. Robust models of mentoring for registered nurses (RNs) transitioning to primary healthcare roles have yet to be described in the Australian context. A robust mentoring model can s...
Background:
Anxiety is prevalent in older people and is associated with adverse health outcomes. Early detection and intervention are imperative, yet clinically significant anxiety in older people is often under-diagnosed. When diagnosed, pharmacotherapy is often the initial treatment, but resistance due to stigma, polypharmacy concerns, and side...
Aims
To define nurse‐led clinics in primary health care, identify barriers and enablers that influence their successful implementation, and understand what impact they have on patient and population health outcomes.
Background
Nurse‐led clinics definitions remain inconsistent. There is limited understanding regarding what enablers and barriers imp...
Person-centred decision-making approaches in mental health care are crucial to safeguard the autonomy of the person. The use of these approaches, however, has not been fully explored beyond the clinical and policy aspects of shared and supported decision-making. The main goal is to identify and collate studies that have made an essential contributi...
The aim of this review was to identify, assess, collate, and analyze existing research that has made a direct contribution to aiding understanding of the ethical and decision-making issues related to the use of advance care directives for people with dementia and/or other major neurocognitive disorders and/or their surrogate decision-makers on trea...
Introduction
Current nursing programs provide little pre-registration information and clinical exposure to primary health care nursing practice. Newly graduated nurses and those transitioning to primary health care report disorientation and confusion. Limited knowledge about the ideal elements of a program to support transitioning nurses is an impe...
Aim:
To explore, identify and integrate the existing knowledge to categorise the characteristics, likelihood, and consequences of workplace incivility among newly qualified graduate registered nurses. A particular focus of this review is on the experiences of new nurses related to these negative workplace behaviours and the strategies employed by...
Older people experience bereavements more often than any other age group. National survey data collected across Australia from 633 bereaved adults aged 65+ years showed that 21% met the criteria for prolonged grief. Their quality of life was significantly lower and loneliness significantly higher compared to older people in the general population....
Introduction:
An adequate healthcare workforce remains essential for the health of rural communities. Strategies to address rural health workforce challenges have often centred on the medical and nursing workforce; however, addressing the rural pharmacist workforce also remains critical as they are often the first point of contact for health advic...
Aim:
To identify the existing evidence on how nurse leaders promote and maintain civility amongst nurses in healthcare settings.
Background:
Research on managing workplace incivility in nursing, a prevalent and concerning issue worldwide, recommends nurse leaders to command cultural change through strong leadership and civility interventions. Ho...
Objective:
To pilot the Pharmacist Community Apgar Questionnaire (PharmCAQ) and evaluate its usability and capacity to develop a greater understanding of the unique factors that impact the rural recruitment and retention of pharmacists.
Design:
Cross-sectional design involving face-to-face, telephone or video conferencing interviews.
Setting:...
The origins of mindfulness go back some 25 centuries to Eastern teachings, including Buddhism and Hinduism. Mindfulness-based interventions gained credence in Western mental health settings in the late 1970s through the work of medical researcher Kabat-Zinn, whose interest in Eastern meditation led him to develop a program for stress reduction. Sin...
Background:
Studies show that participation in maternal and child health (MCH) services improves health outcomes for First Nations families. However, accessing MCH services can be associated with fear, anxiety, and low attendance at subsequent appointments.
Objective:
To identify the existing knowledge of models/interventions that support engage...
Background: Older people are more likely to experience bereavements than any other age group. However, in healthcare and society, their grief experiences and support needs receive limited attention. Through innovative, arts-based research poetry, this study aimed to capture older people's bereavement stories and the effects of grief on their physic...
Following the publication of the original article [1], the authors’ affiliation should be corrected. The authors’ affiliation has been updated in this correction article and the original article [1] has been corrected.
Background
Recruiting and retaining medical, nursing, and allied health professionals in rural and remote areas is a worldwide challenge, compromising continuity of care and population health outcomes in these locations. Specifically, pharmacists play an essential and accessible frontline healthcare role, and are often the first point of contact fo...
Aim and objectives:
To determine the factors influencing nurses' decisions and capacity to reduce sedentary behaviour in hospital inpatients in sub-acute hospital settings.
Background:
Sedentary behaviour in hospital inpatients is a complex issue that can be resistant to resolution. There is little research investigating factors influencing nurs...
Background:
Workplace aggression constitutes a serious issue for healthcare workers and organizations. Aggression is tied to physical and mental health issues at an individual level, as well as to absenteeism, decreased productivity or quality of work, and high employee turnover rates at an organizational level. To counteract these negative impact...
Background
Workplace aggression in the health and care sectors is a major work health and safety and public health concern, worldwide. In Australia, rates of exposure to workplace aggression are consistent with those experienced by nurses internationally, and have not decreased over the past 35 years.
Objectives
To explore the experiences and pers...
Background
: Trade agreements in the 21st century have evolved to include provisions that affect domestic public policy and public health in signatory countries. There are growing calls for health professionals and public health advocates to pursue an active advisory role in trade negotiations in order to anticipate and prevent negative outcomes fo...
Background
In Thailand, the number of people with physical disabilities (PwD) has been increasing. Following sweeping health care reforms in 2002, efforts were made to improve accessibility to health care by greatly increasing the number of Registered Nurses (RNs) working in local community health centres. Little is known, however, about the role o...
Objective
To test the feasibility of general practice nurse (GPN)–led screening for clinically significant symptoms of anxiety (CSSA) in older people and to estimate the prevalence of CSSA.
Methods
General practice nurse‐led screening for CSSA was undertaken in eight general practices by integrating the five‐item Geriatric Anxiety Inventory—Short...
Anxiety in older age is a worldwide problem and co-associated with other mental health problems, physical health conditions, disability, reduced quality of life and increased healthcare utilisation. Yet the symptoms of anxiety are often unrecognised in older people, challenging early diagnosis and increasing the risk of older people developing more...
Background
There is considerable contention in defining workplace aggression, especially in health care. This can lead to challenges in effectively researching workplace aggression, and ensuring a sound basis for developing strategies to prevent and minimise its likelihood and consequences.
Aim
The aim of this discussion paper is to provide a prag...
Background
Workplace incivility is a well-documented issue of concern known to negatively impact on new graduate nurses’ confidence, which in turn may affect the quality of patient care. However, there is lack of qualitative research that solely focuses on workplace incivility experiences of new graduate registered nurses enrolled in graduate nurse...
Background
Workplace aggression is a major work health and safety, and public health concern. To date, there has been limited investigation of population level exposure and responses to workplace aggression from all sources, and little evidence on the experiences, reporting and support-seeking behaviour of nurses, midwives and care personnel in Aus...
Objective Nursing and allied health professionals (AHPs) are in an ideal position to promote physical activity (PA) as part of their health care provision. The aim of this study was to investigate current promotion and knowledge of PA among people in these disciplines.Methods A cross-sectional online survey of practicing Australian physiotherapists...
Different disciplinary and cultural perspectives can be a means to create new ideas and approaches that provide a deeper understanding of the needs of the global ageing population. The impact of the ageing
populations in Australia, China and Singapore will be profound. This will challenge designers, planners and health care professionals to develop...
Hospitalisation of a parent with acute mental health problems impacts the consumer, their extended family/carers and children. Mental health nurses are at the forefront of promoting recovery for consumers in an acute inpatient setting. Recovery-oriented care can include provision of family-focused care which supports recovery of the parent-consumer...
Background
There are increasing numbers of international students undertaking health professional courses, particularly in Western countries. These courses not only expose students to the usual stresses and strains of academic learning, but also require students to undertake clinical placements and practice-based learning. While much is known about...
Objectives The aim of the present study was to investigate differences in prevalence, as well as risk and protective factors, for exposure to workplace aggression between male and female clinicians in Australian medical practice settings.Methods In a cross-sectional, self-report study in the third wave of the Medicine in Australia: Balancing Employ...
Objective The aim of the present study was to identify key enabling factors for engaging multidisciplinary teams (MDTs) in cancer care across the spectrum of translational research and quality improvement (QI) projects.Methods The study was conducted in two large Sydney metropolitan hospitals. Qualitative methods, including structured observations...
Objective:
The aim of the present study was to determine the association between clinician exposure to workplace aggression from any source in the previous 12 months and workforce participation intentions.
Methods:
A cross-sectional survey, in the third wave of the Medicine in Australia: Balancing Employment and Life (MABEL) study, was conducted...
Protocol for a Cochrane Review of intervention studies of education and training for preventing and minimising workplace aggression directed toward healthcare workers.
This best practice model of home-based care for people with disabilities in rural Thailand shifts
responsibility in the main service decisions from professionals to the community and other stakeholders and engages and empowered all stakeholders in the provision, co-ordination and management of care.
Objective:
To determine the likely impact of aggression from internal sources (co-workers) and external sources (patients, patients' relatives or carers and others) on Australian medical clinicians in the previous 12 months.
Design and setting:
An exploratory, descriptive study using cross-sectional survey design, conducted in the third wave of...
Introduction:
In Australia, recent changes in mental health emergency care (MHEC) service delivery models highlight the need for clinicians to increase their knowledge and skills in mental health. A workplace training program was developed and implemented across the state of New South Wales (NSW) between 2009 and 2010. The program focused on the a...
Introduction:
This report describes the extent to which 12 workplace aggression prevention and minimisation actions have been implemented in Australian clinical medical practice settings.
Methods:
Using a cross-sectional, self-report survey conducted as part of a national longitudinal study of the Australian medical workforce, differences in the...
A broad-ranging review of the published research literature was undertaken on workplace aggression in clinical medical practice. Prevalence studies have found that 15-75% of survey respondents reported verbal aggression and 2-29% reported physical aggression in medical practice settings in the previous 6-24 months. In comparison, there was limited...
Objectives: This study examined the extent to which a range of personal, professional, and work factors are associated with workplace
aggression experienced by medical practitioners in Australian clinical practice settings.
Objective. To determine the extent of aggression directed towards Australian doctors and the implementation of aggression prevention and minimisation strategies in medical workplaces. Methods. Data were obtained from the pilot phase (n = 321) of the Medicine in Australia: Balancing Employment and Life survey of the clinical medical workforce in 201...
To describe the 12-month prevalence of verbal or written and physical aggression from patients, patients' relatives or carers, coworkers and others in Australian clinical medical practice.
An exploratory, descriptive study of cross-sectional survey design in the third wave (March 2010 to June 2011) of the Medicine in Australia: Balancing Employment...
The aim of this study was to develop and evaluate an online, interprofessional education programme for clinicians commencing work in rural mental health services in New South Wales, Australia. Twenty-eight participants, including nurses, psychologists, social workers and occupational therapists, completed a 24-week education programme (Introduction...
To determine the extent of aggression directed towards Australian doctors and the implementation of aggression prevention and minimisation strategies in medical workplaces.
Data were obtained from the pilot phase (n=321) of the Medicine in Australia: Balancing Employment and Life survey of the clinical medical workforce in 2010. Descriptive statist...
Job satisfaction has become an increasingly important topic of focus for the medical profession over the last 20 years. This report details the application of factor analysis to validate a widely used 10-item job satisfaction scale that has not previously been validated in a medical practitioner population. The study drew on data from 9,900 partici...
Emergency Departments (EDs) are often the first point of contact for people with acute mental health problems. The impact of the Mental Health Emergency Care (MHEC) online learning program on the knowledge and skills development of clinicians and support staff was evaluated, and options for sustainable implementation of the program were proposed.
P...
Relationships between nurses' experiences of patient aggression in the previous three months, participation in aggression management training in the previous five years and perceived self-efficacy in dealing with patient aggression are reported. Over 76 per cent of general hospital nurses employed by a rural Area Health Service in New South Wales,...
