Jeffrey Donald Fuller

Flinders University · School of Nursing and Midwifery

Objective To test a management model of facilitated reflection on network feedback as a means to engage services in problem solving the delivery of integrated primary mental healthcare to older people. Design Participatory mixed methods case study evaluating the impact of a network management model using organisational network feedback (through soc...

Background: Hypertension and diabetes are two of the high prevalent non-communicable diseases. Inadequate care coordination among health systems and between health professionals as well as limited self-care capability of patients lead to the suboptimal care for people with hypertension and diabetes. Person-centred integrated care aiming to address...

Recovery‐oriented mental health practice guidelines recommend regular consumer involvement in care plans, yet in many acute settings, these are not routinely created thereby compromising accountability. This study explored the impact of workplace culture on the capacity of mental health nurses to involve consumers in care planning and consequently...

Aims To evaluate the effect of a nurse‐coordinated hospital‐initiated transitional care programme on hypertension control for older people with diabetes in China. Design A cluster randomized controlled trial. Methods A total of 10 wards (clusters) of four acute care hospitals participated in the trial. They were randomly assigned to the intervent...

It is mental health consumer's human right to lead a fulfilling life as they are empowered to actively manage their recovery. This can be facilitated through care planning, yet research suggests that the care plan is not routinely created, discussed, or updated in acute mental health settings. Research on care planning and the role of the mental he...

Aim: To develop a conceptual framework that can be used for the integration of community health nursing (CHN) practice, education, and research within a Nursing Centre (NC) model. Background: New forms of training and support are needed to equip nurses to manage the complex and costly challenges facing health care systems. The NC model provides sco...

The establishment of Primary Health Networks (PHNs) was accompanied by assignment of responsibility for funding for primary mental healthcare. To ensure this funding is spent in line with government priorities, the Federal government developed a planning document with established priorities and guidance documents for how the planning document shoul...

Background: Collaborative care is a means of improving outcomes particularly for people with complex needs. The Partners in Recovery (PIR) program, established in Australia in 2012, provides care coordination to facilitate access to health and social support services for people with severe and persistent mental illness. Of the 48 PIR programs acro...

Objective: Integrated care has been identified as means of managing the demands on the healthcare budget while improving access to and quality of services. It is particularly pertinent to rural health services, which face limited access to specialist and support services. This paper explores the capacity of three rural communities in South Austral...

Background: Although China has a large number of older people living with diabetes and hypertension, the primary care system is underdeveloped and so management of these conditions in community care settings is suboptimal. Studies have shown that the collaborative care model across care settings that address both pharmacology and nonpharmacology i...

The Nursing Centre (NC) model is a globally recognized integrated model of community nursing care, education, and research. Despite operating since 2002, outcomes of the NC in Indonesia have never been identified. Research conducted for a doctorate sought to explore the outcomes of the NC as a collaborative approach to service learning in Indonesia...

Background Equitable access to primary health care (PHC) is an important component of integrated chronic disease management. Whilst context is known to influence access to PHC, it is poorly researched. The aim of this study was to determine the contextual influences associated with access arrangements in four Australian models of integrated PHC. Me...

This qualitative research article explored the convergences and divergences of perceptions of adolescent romantic experience between a group of adolescents and parents in China. One-to-one, in-depth interviews were conducted with 38 adolescents (aged 15-18 years; 26 girls, 12 boys) and 27 parents (aged 40-52 years; 16 mothers, 11 fathers) from the...

Chinese adolescents are increasingly engaging in romantic experiences and high-risk sexual behaviors within a rapidly-changing cultural and socio-economic context. Parental communication about sexuality has been recognized as protective for adolescents to make informed decisions about sexual practice. In this study, we explored what was discussed a...

Despite the wide use of service learning, there is lack of a standardised definition and measurable outcomes. Definitions of service learning found in the literature vary from the very broad to the highly specific. The aim of this review was to generate a functional definition of service learning and identify its components to constructively design...

Mental health care for older people is primarily delivered in the community and is largely dependent on informal carers. Mental health policy encourages partnerships between carers and service providers to facilitate service access, coordination and positive experience of care. However, carers often lack information and support from services, with...

Within a rapidly changing cultural and socio-economic context, young people in China are increasingly engaging in romantic experiences and sexual behaviours with consequences such as unwanted pregnancies and sexually transmitted infections. Across a range of contexts, parental communication about sexuality has been recognised as protective in terms...

Despite the wide use of service learning, there is lack of a standardised definition and measurable outcomes. Definitions of service learning found in the literature vary from the very broad to the highly specific. The aim of this review was to generate a functional definition of service learning and identify its components to constructively design...

Mental healthcare for older people is primarily delivered in the community with informal carers, usually family providing much of this. Older people often require input from a range of services across sectors.

This paper shows that an overseas academic Nursing Centre (NC) model can be used in the Australian context to improve community nursing care. The NC is an integrated model of community care and nursing. This model, which has been recognised globally, aims to integrate health services, nursing education and research within the community.

Objectives: To examine the partnerships in population health planning between Medicare Locals (MLs) and Local Health Networks (LHNs) in South Australia, and the factors that facilitated or constrained collaborations, to offer lessons for LHNs and Primary Health Networks. Design, participants and setting: We conducted a qualitative study using in...

BACKGROUND: Patients can have an important role in reducing harm in primary-care settings. Learning from patient experience and feedback could improve patient safety. Evidence that captures patients' views of the various contributory factors to creating safe primary care is largely absent. The aim of this study was to address this evidence gap. MET...

Background: Patients are a valuable source of information about ways to prevent harm in primary care and are in a unique position to provide feedback about the factors that contribute to safety incidents. Unlike in the hospital setting, there are currently no tools that allow the systematic capture of this information from patients. The aim of thi...

People with mental illness have been identified as being more likely to experience type 2 diabetes and the complications arising from this, necessitating more complex chronic illness self-management. Social support has been identified as a significant factor in the successful adoption of lifestyle change for people with type 2 diabetes, however peo...

Introduction: The Nursing Centre (NC) Indonesia was established from a collaboration between the nursing education institutions, health services and the local government in West Java Indonesia. Its purpose is to integrate health services, nursing education and research through the optimal usage of a diverse range of potential resources in the commu...

Background: Patients are a valuable source of information about ways to prevent harm in primary care and are in a unique position to provide feedback about the factors that contribute to safety incidents. Unlike in the hospital setting, there are currently no tools that allow the systematic capture of this information from patients. The aim of this...

Care co-ordination is reported to be an effective component of chronic disease (CD) management within primary care. While nurses often perform this role, it has not been reported if they or other disciplines are best placed to take on this role, and whether the discipline of the co-ordinator has any impact on clinical and health service outcomes. W...

To translate the English version of the assessment of chronic illness care (ACIC) to Chinese, to conduct a trial in Hunan province and to develop a Chinese version ACIC. According to the WHO rules, we translated the English version of the ACIC to Chinese and took the culture factor into account. Three hundred and ninety persons, who engaged in the...

Introduction and problem: There is significant unmet need for mental health care for older persons in Australia, with those living in rural communities particularly disadvantaged in terms of availability and access to services. Linkages and collaboration between health and social services has been advocated in national policies, though integrated p...

Aim: to explore patients perceptions of safety in General Practice Method: focus groups and interviews Results: patients assumed practices were safe until an incident took place

Objective: To design the simplified Chinese version of the Assessment of Chronic Illness Care (ACIC) in mechanism edition by translation and cross-- cultural revision and evaluate its reliability and validity. Methods: We introduced ACIC from abroad and refined it into simplified Chinese edition including 7 dimensions and 34 items in translation, b...

Background: Rural and remote residents have been identifi ed as a group with limited access to mental health services. Older rural people may experience additional problems due to lack of access to transport, limited opportunities for social engagement and the stigma attached to mental illness. Aim: To explore the extent to which service providers,...

To evaluate the situation for chronic disease management in China, and to seek the method for improving the collaborative management for chronic diseases in community. We searched literature between January 2008 and November 2013 from the Database, such as China Academic Journal Full-Text Database, and PubMed. The screening was strictly in accordan...

Introduction: An integrated approach to the mental healthcare of older people is advocated across health, aged care and social care sectors. It is not clear, however, how the management of integrated servicing should occur, although interorganisational relations theory suggests a reflective network approach using evaluation feedback. This research...

Background Rural and remote Australians face a range of barriers to mental health care, potentially limiting the extent to which current services and support networks may provide assistance. This paper examines self-reported mental health problems and contacts during the last 12 months, and explores cross-sectional associations between potential fa...

Objectives: To explore patients' and carers' experiences of rural general practice to identify their perceptions of safety of care. Design, participants and setting: Four focus group interviews were conducted with 26 rural patients and carers in south-west Victoria between September and December 2012. Frequent users of general practice were recr...

Objectives: To explore Australian General Practice Accreditation Limited (AGPAL) surveyors' perceptions of the impact of accreditation on patient safety and to elicit suggestions for improving patient safety in Australian general practices. Design, setting and participants: We conducted semi-structured telephone interviews with a purposive natio...

Australia, in common with many other countries, is expanding the role of Primary Health Care (PHC) to manage the growing burden of chronic disease and prevent hospitalisation. Australia's First National Primary Health Care Strategy released in 2010 places general practice at the centre of care delivery, reflecting a constitutional division of labou...

This paper draws on the implementation experience of the South Australian GP Plus Practice Nurse Initiative in order to establish what is needed to support the development of the chronic disease management role of practice nurses. The Initiative was delivered between 2007 and 2010 to recruit, train and place 157 nurses across 147 General Practices...

Objectives: Unmet mental health care needs of older people (aged 65 and over) have been identified as a serious problem internationally, particularly in rural areas. In this study we explored the views of health and social care providers of the barriers to effective mental health care for older people in a rural region in Australia. Method: Semi...

Funded by the Australian Department of Health and Ageing and delivered by the Improvement Foundation Australia, the Australian Primary Care Collaboratives (APCC) program utilises world-recognised Collaboratives methodology to facilitate quality improvement (QI) in Australian general practice. To date, 20% of Australian general practices have taken...

Objective:Service networks can work as integrative structures in primary health care [1]. The objective of these three studies was to elucidate network governance and evaluation processes that are not well developed in Australia. Methodology: (1) Narrative review on the enablers of effective service linkages in primary mental health care [2,3]. (2)...

Background The patterns of health service use by rural and remote residents are poorly understood and under-represented in national surveys. This paper examines professional and non-professional service use for mental health problems in rural and remote communities in Australia. Methods A stratified random sample of adults was drawn from non-metro...

The need for mental health services for older people living in rural areas is increasing in South Australia. Providing such care requires coordination between several types of services across government, hospital and non-government sectors. The purpose of this study was to identify barriers to collaboration from the perspective of external aged car...

To determine the safety and acceptability of the TrueBlue model of nurse-managed care in the primary healthcare setting. A mixed methods study involving clinical record audit, focus groups and nurse interviews as a companion study investigating the processes used in the TrueBlue randomised trial. Australian general practices involved in the TrueBlu...

To determine the effectiveness of collaborative care in reducing depression in primary care patients with diabetes or heart disease using practice nurses as case managers. A two-arm open randomised cluster trial with wait-list control for 6 months. The intervention was followed over 12 months. Eleven Australian general practices, five randomly allo...

To evaluate clinicians' perceptions of what helps and hinders the delivery of mental health care across a service network in a rural setting. Qualitative, semistructured interviews were conducted with 10 individuals who work in one rural mental health care service network. A regional centre in rural South Australia involving representatives of the...

While participatory social network analysis can help health service partnerships to solve problems, little is known about its acceptability in cross-cultural settings. We conducted two case studies of chronic illness service partnerships in 2007 and 2008 to determine whether participatory research incorporating social network analysis is acceptable...

This paper provides a model for how health promotion teams might establish and support regional collaborations of organisations in a broad response to climate change that enables emergence of multiple strategies tailored to regional needs. Complex Adaptive Systems Theory (CAS) and Organisational Learning informed action to foster a Climate Change C...

Search Strategy for Medline. Detail of comprehensive search strategy for this review.

Exclusion and Inclusion Criteria. Detail of specific criteria for papers included in this search.

While integrated primary healthcare for the management of depression has been well researched, appropriate models of primary care for people with severe and persistent psychotic disorders are poorly understood. In 2010 the NSW (Australia) Health Department commissioned a review of the evidence on "shared care" models of ambulatory mental health ser...

The Farm-Link Program is funded by the Australian Government through the Department of Health and Ageing under the National Suicide Prevention Strategy and is coordinated by the University of Newcastle's Centre for Rural and Remote Mental Health in collaboration with New South Wales (NSW) Health's Rural Area Mental Health Services and the NSW Farme...

The Farm-Link Program is funded by the Australian Government through the Department of Health and Ageing under the National Suicide Prevention Strategy and is coordinated by the University of Newcastle's Centre for Rural and Remote Mental Health in collaboration with New South Wales (NSW) Health's Rural Area Mental Health Services and the NSW Farme...

Australia, like other jurisdictions, is recognising the poorer physical health of people with mental health disorders. This paper explores policy responses to this issue through discourse analysis of 22 Australian Federal and State government policy documents published in 2006-2011. The paper utilises Bacchi's 'what's the problem represented to be?...

With the move to community care and increased involvement of generalist health care providers in mental health, the need for health service partnerships has been emphasised in mental health policy. Within existing health system structures the active strategies that facilitate effective partnership linkages are not clear. The objective of this study...

Medline search strategy used for search and adapted for other databases. List of search terms and sequence of search entries used in MEDLINE that was then adapted for use in other databases.

Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear however what factors enable or hinder effective collaboration. The objective of this study was...

The individual and contextual factors influencing current mental health and well-being within rural communities are poorly understood. A stratified random sample of adults was drawn from non-metropolitan regions of NSW, Australia. One-quarter (27.7%) of the 2,639 respondents were from remote/very remote regions. An aggregate measure of current well...

This paper outlines the methods and baseline data from a multisite cohort study of the determinants and outcomes of mental health and well-being within rural and remote communities. A stratified random sample of adults was drawn in non-metropolitan New South Wales using the Australian Electoral Roll, with the aim of recruiting all adult members of...

This study investigates the relationship between levels of mental health and well-being (in terms of self-reported levels of distress) with employment and occupational status of rural residents, to better inform the provision of mental health services to those in greatest need in rural communities. A stratified random sample of community residents...

This study aimed to define current hearing health service networks for farming families in a major regional centre in New South Wales, in order to identify approaches that can strengthen local service provision. A pilot survey of individuals and agencies that potentially work with farmers was undertaken and a social network analysis completed to as...

Minimal trauma fracture (MTF) is an indication of osteoporosis and risk of future fracture. Our objective was to describe osteoporosis risk identification and secondary prevention in a regional and rural population hospitalised for an MTF. A retrospective inpatient file audit and follow-up telephone interview. Patients aged 45 years and over admitt...

Rural and remote areas of Australia are facing serious health workforce shortages. While a number of schemes have been developed to improve recruitment to and retention of the rural health workforce, they will be effective only if appropriately targeted. This study examines the factors that most encourage students attending rural clinical placement...

Farmers represent a subgroup of rural and remote communities at higher risk of suicide attributed to insecure economic futures, self-reliant cultures and poor access to health services. Early intervention models are required that tap into existing farming networks. This study describes service networks in rural shires that relate to the mental heal...

Appendix. Building Mental Health Awareness and Service Networks in Rural Australian Communities – A Service Delivery Evaluation.