Melanie Rae Bish

Melanie Rae Bish
La Trobe University · Department of Rural Nursing and Midwifery

PhD, MN, BN(hons),BN

About

27
Publications
4,399
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
182
Citations
Introduction
I have recently completed a PhD (Nursing) with my dissertation focusing on fostering rural nurse leadership. I have a particular interest in leadership, structural empowerment, rural workforce planning and participatory action research.
Additional affiliations
January 2014 - present
La Trobe University
Position
  • Stream coordinator
Description
  • Clinical leadership in healthcare - Master of Nursing subject
January 2013 - present
La Trobe University
Position
  • Program Coordinator
Description
  • Initial Registration for Overseas Nurses (IRON) program
February 2009 - present
La Trobe University
Position
  • Professor (Associate)
Education
January 2014 - December 2015
La Trobe University
Field of study
  • Graduate Certificate in Higher Education
January 2007 - May 2014
La Trobe University
Field of study
  • Nursing - PhD
May 2002
La Trobe University
Field of study
  • Nursing

Publications

Publications (27)
Article
To identify factors that influence directors of nursing in their approach to leadership when working in rural Victoria, Australia. In rural areas, nurses account for the largest component of the health workforce and must be equipped with leadership knowledge and skills to lead reform at a service level. A qualitative descriptive design was used. In...
Article
This paper outlines the processes and results of a participatory action research study undertaken to identify issues that may impact on strategies to foster nurse leadership in rural hospitals. Five Directors of Nursing from rural regions of Victoria, Australia participated. The group activities involved discussion and analysis of previous research...
Article
Purpose: Rural nurse leaders on a global scale are being challenged to create structures and processes to enable excellence in nursing care. The purpose of this scoping review is to offer an indication of the available literature relating to contemporary issues in rural nursing leadership. A review of contemporary issues facing rural nurse leaders...
Article
Purpose: The COVID-19 pandemic revealed a global urgency to address health care provision disparities, which have largely been influenced by systematic racism in federal and state policies. The World Health Organization recommends educational institutions train clinicians in cultural competence (CC); however, the mechanisms and interacting social...
Article
Background Healthcare workers experience morally stressful situations during delivery of care which may trouble their conscience. Literature emerging in the context of global pandemics suggest increased frequency of morally stressful situations in healthcare and a link with negative outcomes such as attrition and burnout. Little is known about the...
Article
Full-text available
Purpose There is evidence that patient safety has not improved commensurate with the global attention and resources dedicated to achieving it. The authors explored the perspectives of hospital leaders on the challenges of leading safe care. Design/methodology/approach This paper reports the findings of a three-year longitudinal study of eight Aust...
Article
Background Despite healthcare scholars valuing diversity, current cultural awareness training does not address mechanisms that drive societal patterns, that generates cultural insensitivity and reinforces stereotypes of minority groups. The influence of culture on thinking is an important issue because of potential ethnocentric biases on the design...
Article
Full-text available
Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveye...
Article
Full-text available
Objectives: Using routinely collected hospital data, this study explored secular trends over time in breast feeding initiation in a large Australian sample. The association between obesity and not breast feeding was investigated utilising a generalised estimating equations logistic regression that adjusted for sociodemographics, antenatal, intrapar...
Article
Full-text available
Background Cultural awareness and cultural competence have become important skills in higher education as populations continue to grow in diversity around the world. However, currently, there are few instruments designed to assess student awareness of the aspects of culture, and the existing instruments need further development and testing for use...
Article
Global mobility, technological developments, and evolved organizational design have expanded the scope of workplace teams beyond traditional arrangements, giving rise to global virtual teams. As universities across the world encourage mobility, there are unprecedented opportunities to create discipline-specific international networks, increase cros...
Article
Full-text available
Objective To determine whether sex differences exist in the triage, management and outcomes associated with non-traumatic chest pain presentations in the emergency department (ED). Methods All adults (≥18 years) with non-traumatic chest pain presentations to three EDs in Melbourne, Australia between 2009 and 2013 were retrospectively analysed. Dat...
Article
Aims: Obesity-related complications have been identified across the entire childbearing journey. This study investigated changes in obesity prevalence and their impact on obstetric outcomes in a regional hospital in Victoria, Australia. Methods: All delivering women during 1 January 2010 and 31 December 2016 were eligible to participate. Trends...
Article
Full-text available
Background: Socioeconomic inequalities in cardiovascular morbidity have been previously reported showing direct associations between socioeconomic disadvantage and worse health outcomes. However, disagreement remains regarding the strength of the direct associations. The main objective of this panel design was to inspect socioeconomic gradients in...
Article
Background: Mental illness is a recognised global health issue and is a major burden of disease that health systems have failed to adequately address. National reforms in Australia to improve mental health service delivery propose building the knowledge and skills of service providers, such as paramedics, to ensure that they appropriately respond...
Article
Full-text available
Introduction: Rural healthcare resource limitations can affect the choices people make and their quality of life during its end stages. In rural regions of Australia, district nurses (DNs) working in generalist community roles provide access to care by visiting people in their homes. They may be well positioned to improve the quality of the end-of...
Article
Objective: This study aimed to determine how the abilities of the Charlson Index and Elixhauser comorbidities compared with the chronic health components of the Acute Physiology and Chronic Health Evaluation (APACHE II) to predict in-hospital 30 day mortality among adult critically ill patients treated inside and outside of Intensive Care Unit (IC...
Article
Aim: The development of a practice model for rural district nursing successful end-of-life advocacy care. Background: Resources to help people live well in the end stages of life in rural areas can be limited and difficult to access. District nurse advocacy may promote end-of-life choice for people living at home in rural Australia. The lack of...
Article
Choices in care during the end stages of life are limited by the lack of resources and access for rural people. Nursing advocacy based on the holistic understanding of people and their rural communities may increase the opportunity for choice and improve the quality of care for people living and dying at home. Pragmatism and nurse agency theory wer...
Article
Aim To highlight philosophical and theoretical considerations for planning a mixed methods research design that can inform a practice model to guide rural district nursing end of life care. Background Conceptual models of nursing in the community are general and lack guidance for rural district nursing care. A combination of pragmatism and nurse ag...
Chapter
This text provides a comprehensive overview of leadership and management in health services, with a particular focus on the Australasian context.
Article
Background: Choice to live and die at home is supported by palliative care policy; however, health resources and access disparity impact on this choice in rural Australia. Rural end-of-life home care is provided by district nurses, but little is known about their role in advocacy for choice in care. Objectives: The study was conducted to review...
Article
Full-text available
This interpretive descriptive, qualitative study explored secondary school nurses' perceptions of factors that impact on their role and their views on how their role can be best supported. Nine secondary school nurses from four Department of Human Services regions in Victoria, Australia, participated in semistructured, in-depth interviews. Purposiv...
Article
AimTo provide insight into the perceptions of structural empowerment of nurse leaders working in rural and regional Victoria, Australia. Background Fostering nurse leadership in rural health services may be informed by gaining insight into rural nurse leaders' perceptions of structural empowerment. MethodA sample of nurse executives (n = 45) from h...
Article
Full-text available
This article reports on Australian research, funded by the Victorian Department of Human Services Nurse Policy Branch and conducted in two rural Victorian health services. Predicted workforce shortages in the health professions and accompanying growth in demand for services have set the scene for exploring new ways of working. Focused on Victoria's...
Article
A major action area of this plan was to improve the oral health of people with special needs, including individuals with mental health issues. Socio-economic disadvantage and people in rural and regional locations were highlighted as key areas that should be targeted for improvement in oral health outcomes. An important key strategy proposed in the...

Network

Cited By

Projects

Projects (2)
Project
To identify the educational needs and clinical requirements of post graduate critical care nursing students in rural and regional contexts.