This study aims to determine the likelihood that rural nurses perceive a hypothetical medication ... more This study aims to determine the likelihood that rural nurses perceive a hypothetical medication error would be reported in their workplace. This employs cross-sectional survey using hypothetical error scenario with varying levels of harm. Clinical settings in rural Tasmania. Participants were 116 eligible surveys received from registered and enrolled nurses. Frequency of responses indicating the likelihood that severe, moderate and near miss (no harm) scenario would 'always' be reported or disclosed. Eighty per cent of nurses viewed a severe error would 'always' be reported, 64.8% a moderate error and 45.7% a near-miss error. In regards to disclosure, 54.7% felt this was 'always' likely to occur for a severe error, 44.8% for a moderate error and 26.4% for a near miss. Across all levels of severity, aged-care nurses were more likely than nurses in other settings to view error to 'always' be reported (ranging from 72-96%, P = 0.010 to 0.042,) and disclosed (68-88%, P = 0.000). Those in a management role were more likely to view error to 'always' be disclosed compared to those in a clinical role (50-77.3%, P = 0.008-0.024). Further research in rural clinical settings is needed to improve the understanding of error management and disclosure.
The objective of this present study was to describe the initial destination hospital of paediatri... more The objective of this present study was to describe the initial destination hospital of paediatric patients transported by Ambulance Victoria paramedics within the South Western area of Victoria to determine the proportion of patients that bypassed their closest hospital. All Ambulance Victoria primary ambulance transports for paediatric patients aged 1 month to 14 years in the Barwon South West region between 1 April 2008 and 28 February 2011 were reviewed. Each case was examined to determine the destination hospital location relative to the case scene location, and the overall nature of each case was grouped into one of seven categories (medical respiratory, medical cardiac, medical neurological, medical other, trauma time critical, and trauma non-time critical). There were 1191 cases identified, with 978 (82%) being taken to the closest hospital and 213 (18%) to a more distant facility. The average distance travelled from the scene to the destination hospital was 15.2 km, and almost 90% of patients transported to the nearest hospital were within 15 km of that hospital. Time critical trauma cases and respiratory-related medical cases had higher rates of transport to more distant hospitals as their initial destination (26% to non-closest and 23% to non-closest, respectively). The patient's condition and their location relative to the larger medical facilities appear to influence the decision of destination hospital. Uncertainty regarding the availability of 24 h hospital services and staffing details may contribute to longer transfers.
Elmer, Shandell and Kilpatrick, Sue 2008, Developing organisational capacity: from quality we lea... more Elmer, Shandell and Kilpatrick, Sue 2008, Developing organisational capacity: from quality we learn, in Alcohol, tobacco and other drugs practice, integration and development., [Dept. of Rural Health, University of Tasmania], [Hobart, Tasmania]. ... Alcohol, Tobacco and Other Drugs Council of Tasmania. Conference (2008 : Hobart, Tas.) ... Alcohol, tobacco and other drugs practice, integration and development. ... Unless expressly stated otherwise, the copyright for items in Deakin Research Online is owned by the author, with all rights reserved.
Aims & Rationale/Objectives Taking a capacity building approach to research and evaluation within... more Aims & Rationale/Objectives Taking a capacity building approach to research and evaluation within the context of a federally funded national program challenges the traditional paradigms of both research and evaluation. The objective of this approach was to foster attitudes and behaviours of reflection, critical inquiry and collaborative action amongst participants responsible for health care integration activities. Methods A series of workshops focusing on different elements of health care integration was conducted. Each workshop ...
Abstract: This report summarises issues of access and equity within education and training for pe... more Abstract: This report summarises issues of access and equity within education and training for people in rural and remote Australia. The issues identified relate to participation in vocational education and training [VET], issues of community (social and industry) and issues relating to the individual. Pathways and VET in terms of learning culture, course provision, delivery methods, program content, student support and entry requirements are also discussed. The report concludes with a discussion of access and equity implications ...
Skip to main content: My Account; Help; About; Home. ePublications@SCU. ePublications@SCU. < P... more Skip to main content: My Account; Help; About; Home. ePublications@SCU. ePublications@SCU. < Previous; Next >; Home > Business papers > 276. Southern Cross Business School. Title. Business operators contribution to regional areas: skills, benefits and roles beyond the store front. Authors. Peter Vitartas, Southern Cross UniversityFollow S Kilpatrick S Johns M Homisan. Custom Citation (Optional). Vitartas, P, Kilpatrick, S, Johns, S & Homisan, M ...
This article forms part of a series published as' Interface'. In some developed countri... more This article forms part of a series published as' Interface'. In some developed countries such as the UK, in-migration to rural areas is seen as a challenge for community cohesion as affluent newcomers move to accessible rural areas where they displace" locals" from affordable housing. However, in more remote locations, an influx of residents with new skills, entrepreneurial capacity and political capital can represent an opportunity for rural communities. In this paper, we discuss an alternative perspective from the UK experience, ...
Vocational Learning Transitions Interrelationships Partnerships and Sustainable Futures Proceedings of the 13th Annual International Conference, 2005
As a group, seasonal workers tend to fall through the formal training net. The temporary nature o... more As a group, seasonal workers tend to fall through the formal training net. The temporary nature of their work and the traditional understanding that seasonal work is unskilled has provided little impetus for workers, employers, providers or government to consider formal training. In this qualitative study of two regions, one in Circular Head, Tasmania and the other in Wide Bay-Burnett, Queensland, collaborative arrangements between stakeholders resulted in training benefiting seasonal workers, employers and the regional industry. The ...
Many small rural communities with ageing populations and limited opportunities for young people a... more Many small rural communities with ageing populations and limited opportunities for young people are not attracting skilled workers, but have a flow of skilled people through the community as locums, seasonal workers or contractors. This project investigated the question: how can rural communities capture maximum benefit from professional and other highly skilled workers in the context of an increasingly mobile and transitory workforce? It found that rural communities derive a wide range of benefits from mobile skilled workers. ...
This study aims to determine the likelihood that rural nurses perceive a hypothetical medication ... more This study aims to determine the likelihood that rural nurses perceive a hypothetical medication error would be reported in their workplace. This employs cross-sectional survey using hypothetical error scenario with varying levels of harm. Clinical settings in rural Tasmania. Participants were 116 eligible surveys received from registered and enrolled nurses. Frequency of responses indicating the likelihood that severe, moderate and near miss (no harm) scenario would &amp;amp;amp;amp;amp;amp;amp;amp;#39;always&amp;amp;amp;amp;amp;amp;amp;amp;#39; be reported or disclosed. Eighty per cent of nurses viewed a severe error would &amp;amp;amp;amp;amp;amp;amp;amp;#39;always&amp;amp;amp;amp;amp;amp;amp;amp;#39; be reported, 64.8% a moderate error and 45.7% a near-miss error. In regards to disclosure, 54.7% felt this was &amp;amp;amp;amp;amp;amp;amp;amp;#39;always&amp;amp;amp;amp;amp;amp;amp;amp;#39; likely to occur for a severe error, 44.8% for a moderate error and 26.4% for a near miss. Across all levels of severity, aged-care nurses were more likely than nurses in other settings to view error to &amp;amp;amp;amp;amp;amp;amp;amp;#39;always&amp;amp;amp;amp;amp;amp;amp;amp;#39; be reported (ranging from 72-96%, P = 0.010 to 0.042,) and disclosed (68-88%, P = 0.000). Those in a management role were more likely to view error to &amp;amp;amp;amp;amp;amp;amp;amp;#39;always&amp;amp;amp;amp;amp;amp;amp;amp;#39; be disclosed compared to those in a clinical role (50-77.3%, P = 0.008-0.024). Further research in rural clinical settings is needed to improve the understanding of error management and disclosure.
The objective of this present study was to describe the initial destination hospital of paediatri... more The objective of this present study was to describe the initial destination hospital of paediatric patients transported by Ambulance Victoria paramedics within the South Western area of Victoria to determine the proportion of patients that bypassed their closest hospital. All Ambulance Victoria primary ambulance transports for paediatric patients aged 1 month to 14 years in the Barwon South West region between 1 April 2008 and 28 February 2011 were reviewed. Each case was examined to determine the destination hospital location relative to the case scene location, and the overall nature of each case was grouped into one of seven categories (medical respiratory, medical cardiac, medical neurological, medical other, trauma time critical, and trauma non-time critical). There were 1191 cases identified, with 978 (82%) being taken to the closest hospital and 213 (18%) to a more distant facility. The average distance travelled from the scene to the destination hospital was 15.2 km, and almost 90% of patients transported to the nearest hospital were within 15 km of that hospital. Time critical trauma cases and respiratory-related medical cases had higher rates of transport to more distant hospitals as their initial destination (26% to non-closest and 23% to non-closest, respectively). The patient&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s condition and their location relative to the larger medical facilities appear to influence the decision of destination hospital. Uncertainty regarding the availability of 24 h hospital services and staffing details may contribute to longer transfers.
Elmer, Shandell and Kilpatrick, Sue 2008, Developing organisational capacity: from quality we lea... more Elmer, Shandell and Kilpatrick, Sue 2008, Developing organisational capacity: from quality we learn, in Alcohol, tobacco and other drugs practice, integration and development., [Dept. of Rural Health, University of Tasmania], [Hobart, Tasmania]. ... Alcohol, Tobacco and Other Drugs Council of Tasmania. Conference (2008 : Hobart, Tas.) ... Alcohol, tobacco and other drugs practice, integration and development. ... Unless expressly stated otherwise, the copyright for items in Deakin Research Online is owned by the author, with all rights reserved.
Aims & Rationale/Objectives Taking a capacity building approach to research and evaluation within... more Aims & Rationale/Objectives Taking a capacity building approach to research and evaluation within the context of a federally funded national program challenges the traditional paradigms of both research and evaluation. The objective of this approach was to foster attitudes and behaviours of reflection, critical inquiry and collaborative action amongst participants responsible for health care integration activities. Methods A series of workshops focusing on different elements of health care integration was conducted. Each workshop ...
Abstract: This report summarises issues of access and equity within education and training for pe... more Abstract: This report summarises issues of access and equity within education and training for people in rural and remote Australia. The issues identified relate to participation in vocational education and training [VET], issues of community (social and industry) and issues relating to the individual. Pathways and VET in terms of learning culture, course provision, delivery methods, program content, student support and entry requirements are also discussed. The report concludes with a discussion of access and equity implications ...
Skip to main content: My Account; Help; About; Home. ePublications@SCU. ePublications@SCU. < P... more Skip to main content: My Account; Help; About; Home. ePublications@SCU. ePublications@SCU. < Previous; Next >; Home > Business papers > 276. Southern Cross Business School. Title. Business operators contribution to regional areas: skills, benefits and roles beyond the store front. Authors. Peter Vitartas, Southern Cross UniversityFollow S Kilpatrick S Johns M Homisan. Custom Citation (Optional). Vitartas, P, Kilpatrick, S, Johns, S & Homisan, M ...
This article forms part of a series published as' Interface'. In some developed countri... more This article forms part of a series published as' Interface'. In some developed countries such as the UK, in-migration to rural areas is seen as a challenge for community cohesion as affluent newcomers move to accessible rural areas where they displace" locals" from affordable housing. However, in more remote locations, an influx of residents with new skills, entrepreneurial capacity and political capital can represent an opportunity for rural communities. In this paper, we discuss an alternative perspective from the UK experience, ...
Vocational Learning Transitions Interrelationships Partnerships and Sustainable Futures Proceedings of the 13th Annual International Conference, 2005
As a group, seasonal workers tend to fall through the formal training net. The temporary nature o... more As a group, seasonal workers tend to fall through the formal training net. The temporary nature of their work and the traditional understanding that seasonal work is unskilled has provided little impetus for workers, employers, providers or government to consider formal training. In this qualitative study of two regions, one in Circular Head, Tasmania and the other in Wide Bay-Burnett, Queensland, collaborative arrangements between stakeholders resulted in training benefiting seasonal workers, employers and the regional industry. The ...
Many small rural communities with ageing populations and limited opportunities for young people a... more Many small rural communities with ageing populations and limited opportunities for young people are not attracting skilled workers, but have a flow of skilled people through the community as locums, seasonal workers or contractors. This project investigated the question: how can rural communities capture maximum benefit from professional and other highly skilled workers in the context of an increasingly mobile and transitory workforce? It found that rural communities derive a wide range of benefits from mobile skilled workers. ...
A dynamic balance: social capital and …, Jan 1, 2011
Kilpatrick, Sue and Vanclay, Frank 2005, Communities of practice for building social capital in r... more Kilpatrick, Sue and Vanclay, Frank 2005, Communities of practice for building social capital in rural Australia : a case study of ExecutiveLink, in A dynamic balance : social capital and sustainable community development, UBC Press, The University of British Columbia, Vancouver, BC, ...
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