Faculty of Health Cultural Safety and Indigenous Working Group Showcase

Cultural Safety and Indigenous Perspectives in Teaching and Learning showcase shares tips and examples of how Cultural safety and Indigenous Perspectives have been embedded in health curricula including, in classroom science units, optometry work integrated learning units, course redesign in exercise and nutrition courses and a Seeing me Seeing you elective unit

Clinical management of financial toxicity - identifying opportunities through experiential insights of cancer survivors, caregivers, and social workers

Perspectives of cancer survivors, caregivers, and social workers as key stakeholders on the clinical management of financial toxicity (FT) are critical to identify opportunities for better FT management. Semi-structured interviews (cancer survivors, caregivers) and a focus group (social workers) were undertaken using purposive sampling at a quaternary public hospital in Australia. People with any cancer diagnosis attending the hospital were eligible. Data were analysed using inductive-deductive content analysis techniques. Twenty-two stakeholders (n = 10 cancer survivors of mixed-cancer types, n = 5 caregivers, and n = 7 social workers) participated. Key findings included: (i) genuine concern for FT of cancer survivors and caregivers shown through practical support by health care and social workers; (ii) need for clarity of role and services; (iii) importance of timely information flow; and (iv) proactive navigation as a priority. While cancer survivors and caregivers received financial assistance and support from the hospital, the lack of synchronised, shared understanding of roles and services in relation to finance between cancer survivors, caregivers, and health professionals undermined the effectiveness and consistency of these services. A proactive approach to anticipate cancer survivors’ and caregivers’ needs is recommended. Future research may develop and evaluate initiatives to manage cancer survivors and families FT experiences and outcomes

Haemophilia and ageing - GPs and men’s health

Research Questions : - Are men with haemophilia aware of (and participating in) men’s general preventative health checks?  - Do men with haemophilia go to a General Practitioner?</i

Blueprint Model of Care - Clinical Nurse Partnerships Domestic Violence Project

The purpose of this document is to provide a blueprint of the model of care embodied by the Clinical Nurse Partnerships - Domestic Violence Project. In this blueprint, the scope of practice of the Clinical Nurse leading the project is articulated, along with the philosophy underpinning the project, the logistical and resourcing considerations, success factors and challenges encountered

Journal club : Keeping up with the evidence

A monthly journal club was commenced at the Queensland Haemophilia Centre, involving staff from both the Royal Brisbane &amp; Women’s and Royal Children’s Hospital in 2006. Within our haemophilia setting, journal club involves critical analysis of haemophilia or other health related journal articles. This has involved regular attendance and participation by members of the multidisciplinary team, medical, nursing, social work / psychology and physiotherapy staff members

New treatment tender: change management challenges in rural and remote communities

In June 2011, the National Blood Authority in Australia announced the result of its tender for the supply of recombinant factor VIII (rFVIII) products, resulting in a change from one major supplier to another. In Australia, this is the first time a widely-used product has been withdrawn from the market. In the state of Queensland, it has been necessary for around 80% of patients with hemophilia A to switch to a new FVIII product within a 12-month deadline. Staff at the Queensland Haemophilia Centre faced some unique challenges with rural and remote communities. The state of Queensland covers 1.7 million square kilometres, around 3 times the size of France. Based in Brisbane city, the Queensland Haemophilia Centre staff (Royal Brisbane and Women’s Hospital) in conjunction with the Royal Children’s Hospital, have assisted the transition of product for patients located in far reaches of the state through means of outreach clinics, education days, telehealth clinics, email, phone, and mailouts. This poster outlines the activities of the staff during this time, adopting the popular ADKAR model for change management (Awareness, Desire, Knowledge, Ability, and Reinforcement). This model has helped staff to identify goals for patient education and awareness of new products. It has provided a focus for the treating team to support and engage with rural and remote families, therefore reducing barriers to change. It has helped identify and assist other key parties such as outlying hospital pharmacies, general practitioners, emergency departments, and outpatient treatment centres. Nurses and the data manager have also been able to stocktake and coordinate the usage of all residual FVIII stock in regional centres, ensuring no wastage of this precious resource during the transition period

A Scoping Review of Nursing Roles in Hepatitis C Virus Telehealth

Little is known about the roles of nurse practitioners (NPs) and nurses in hepatitis C virus (HCV) telehealth care. This scoping review aims to understand what is known about the roles of NPs and nurses in HCV telehealth care. This review was guided by Arksey and O’Malley’s methodological framework. A search of 18 databases was completed. Of 718 results identified, 16 met the objective of this review. In HCV telehealth care, the roles of NPs involved patient coordination and follow-up, diagnosis, and prescribing; the roles of nurses mainly included patient coordination and follow-up

Social determinant factors and access to health care for women experiencing domestic and family violence: Qualitative synthesis

Aims: The aim of this study was to explore the social determinant factors and access to health care for women with lived experience of domestic and family violence. Design: Qualitative synthesis. Data Sources: A search of CINHAL, Embase, Medline and PubMed, was conducted between December 2021 and March 2022. Review Methods: Primary qualitative studies published in English from 2000 to 2021 were included. Findings were thematically analysed using the Levesque et al. (2013) access to healthcare framework. Study design was assessed using the Critical Appraisal Skills Programme for qualitative research. Results: Twenty-eight studies were included. Findings related to the Levesque domains of approachability, appropriateness and availability of health services. Social determinants included perceived stigma and fear of discrimination leading to a lack of trust in healthcare professionals and fear of disclosure, which prohibits disclosure. Women reported their limited awareness of available support services, an absence of health professional screening and insufficient response when they disclosed presence of domestic and family violence, which collectively reduced their healthcare access. Conclusion: Findings advance our understanding of how social determinant factors influence women's ability to access health care. The determinants related to discrimination and stigma, which prohibited the establishment of trust, were the most influential factors on access to care. Impact: Women experiencing domestic and family violence are hesitant to disclose, and violence continues in secret. Social determinant factors of stigma and trust prohibit women's disclosure and therefore their access to health care. Findings hold implications for nurses' consciousness of these social determinant factors. Raising nurses' awareness to curiously question the presence of domestic and family violence may build trust that leads to disclosure and improves access to health care. No Patient or Public Contribution: The authors intend to present the findings to people with lived experience in the next phase of this programme of research.</p