http://www.ipp-shr.cqu.edu.au/podcasts en-au IPP-SHR, CQU Fri, 03 Jul 2009 09:04:08 +1000 Fri, 03 Jul 2009 09:00:00 +1000 IPP-SHR Content Management System v2.0 ipp-shr@cqu.edu.au (IPP-SHR) troy@alivewebs.com.au (Troy Parker) 1440 Health International Science Conversation and detailed insights with leading psycho-social health researchers in the world. http://www.ipp-shr.cqu.edu.au/podcasts/logo.jpg http://www.ipp-shr.cqu.edu.au/podcasts 144 100 Latest Health News From IPP-SHR IPP-SHR Podcasts | The Latest in Psycho-Social Research from around the World. IPP-SHR is a collaborative initiative jointly funded by the National Health and Medical Research Council and CQUniversity. The primary aim of this international program in research is to examine and document the human experience of serious illness (both physical and mental). IPP-SHR, CQU IPP-SHR, Dr Pam McGrath, Hamish Holewa, Michael Bouwman, Stasia Kail-Buckley ipp-shr@cqu.edu.au (IPP-SHR) No The importance of Indigenous nations connection with Country for health and wellbeing http://www.ipp-shr.cqu.edu.au/podcasts/?id=74 http://www.ipp-shr.cqu.edu.au/podcasts/?id=74 Fri, 03 Jul 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The importance of Indigenous nations connection with Country for health and wellbeing For IPP-SHR podcasts, Michael Bouwman talks with Johnathan Yotti Kingsley about his research into the health and well-being effects Indigenous people experience when they are involved in 'Caring for Country' projects in Victoria, Australia, and how it is helping them to heal from the effects of colonization. The deep connection Indigenous Australians have with nature and their land or 'country' is described as a type of life support system. Connection with the land provided a feeling of being needed, a sense of pride, responsibility, self worth, and ownership. Participants described caring for their country as an inherent obligation intrinsic to Aboriginal identity, requiring knowledge passed down for generations. They also described the medicinal and spiritual effects of being in nature, where they felt calm and centered. Kingsley believes it would be beneficial for non-indigenous Australians to become involved with 'Caring for Country' projects as a tool for increasing overall population health. no 00:08:38 health, wellbeing, spirituality, Indigenous people, land management perceptions and responses on the stigma of poverty http://www.ipp-shr.cqu.edu.au/podcasts/?id=73 http://www.ipp-shr.cqu.edu.au/podcasts/?id=73 Fri, 26 Jun 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia perceptions and responses on the stigma of poverty Stigmatisation faced by people living in poverty contributes to social exclusion and poor health outcomes. This week Hamish Holewa of IPP-SHR podcasts talks with Dr Linda Reutter about her research into the stigma attached to poverty in Canada. Through interactions with others, including, staff of welfare agencies, people in poverty believe they are seen as free loaders whose poverty is due to laziness, irresponsible spending, and choosing an easy life. These beliefs are legitimised by media and government policies but are in conflict with peoples' personal identities. Participants described their resourcefulness, budgeting and survival skills in the face of chronic stress and anxiety, being unable to afford food, medication, and health services. Strategies people used to reconcile differences between their personal and social identities included: hiding their poverty, confronting discrimination, and making a difference by helping others. While some participants were able to ignore comments by others, many internalised the stereotype, becoming depressed and further withdrawn. It is recommended that welfare agencies become more supportive, policy changes be made so that income inadequacy is not perpetuated, and evidence of the structural causes of poverty be disseminated to counteract the belief that this is an individual responsibility. no 00:12:11 descriptive methods; health, determinants of; poverty, psychosocial issues; poverty stigma; qualitative methods, general; social inequality; vulnerable populations Evaluation of peer-based needle programme in Vietnam http://www.ipp-shr.cqu.edu.au/podcasts/?id=72 http://www.ipp-shr.cqu.edu.au/podcasts/?id=72 Fri, 19 Jun 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Evaluation of peer-based needle programme in Vietnam For this week's podcast, Michael Bouwman spoke to Dr Anh Ngo about the challenges faced and lessons learned when a peer-based needle syringe program was introduced in Vietnam to reduce the spread of HIV. Whilst needle exchange programs have generally been successful, implementation in Vietnam was slow due to the government's reluctance to adopt a harm reduction strategy which was seen as a 'social evil'. The program was often unsupported by local governments and law enforcement personnel due to a difficult legal conflict that its existence created: police being legally obliged to arrest drug users at the same time as the program legally entitled drug users to obtain new sterile needles. According to Anh, increased education, training and community engagement regarding the programs benefits is required for wider implementation. The success of the program depends on reducing the stigma associated with intravenous drug use and changing social attitudes to enable drug users to be seen as patients who need medication and access to health services rather than 'social evils'. no 00:06:57 Injecting drug users; Needle syringe; Evaluation; Qualitative; Vietnam Overseas Trained Doctors professional relationships in Indigenous rural areas http://www.ipp-shr.cqu.edu.au/podcasts/?id=71 http://www.ipp-shr.cqu.edu.au/podcasts/?id=71 Fri, 12 Jun 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Overseas Trained Doctors professional relationships in Indigenous rural areas To talk about the role of overseas trained doctors in rural and Indigenous areas, Dr Angela Durey spoke to Hamish Holewa for this week's IPP-SHR podcast. Between mid-1990s to 2004, there has been an eighty per cent increase in overseas trained doctors working in rural areas, compared with an eight percent increase for Australian trained doctors. Despite this increase, overseas trained doctors often find themselves in a different culture, with different healthcare models and often feel ill prepared, unsupported and have no control over how the service operates. Other challenges noted include: a change in biomedical and familiar disease treatment schedules; bureaucratic and communication challenges; and transitioning from paper- based to computer- based systems. A higher recruitment and retention rate for overseas trained doctors in Indigenous communities can be achieved through increased cultural and communication training, fostering equality within the rural healthcare, avoiding top-down organisational models and approaching issues in an open and flexible manner. no 00:07:56 Overseas trained doctors (OTDs), Indigenous health services, rural, remote Exploratory study of spiritual care at end-of-life http://www.ipp-shr.cqu.edu.au/podcasts/?id=70 http://www.ipp-shr.cqu.edu.au/podcasts/?id=70 Fri, 22 May 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Exploratory study of spiritual care at end-of-life The concepts of religion are better understood than those belonging to spirituality. The understanding of spirituality is usually viewed from a philosophical angle regarding who one is and why one exists. To talk about the important role that spirituality plays at the end of life, Dr Tim Daaleman talked to Michael Bouwman, for IPP-SHR Podcasts. How spirituality is delivered at the end of life - although being a core component of palliative care - still remains unclear. The study involved 12 clinicians and health workers who were selected as spiritual caregivers by terminally ill patients and their family members. Predominant themes that emerged were that of 'being present' a purposeful action that went beyond medical care, and that of 'opening eyes', which involved a carer's recognition and awareness of their patient's humanity: they knew and could see what was happening to their patient, and the patient could see that their health provider cared about what was going on. These processes lead to the mutual activity of co-creating, where a care plan could be generated between the caregiver and the patient. A major inhibitor to spiritual care was the lack of time. Other barriers could also occur through cultural or social unease between the caregiver and patient. Coupled with appropriately matched caregivers and ample time, effective communication and the concise gathering, interpretation and relaying of information was found to be the main factors to providing spiritual care. no 00:08:26 spirituality, religion, psycho-social care, support cancer Grandmothers support for mother's who breastfeed http://www.ipp-shr.cqu.edu.au/podcasts/?id=69 http://www.ipp-shr.cqu.edu.au/podcasts/?id=69 Fri, 15 May 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Grandmothers support for mother's who breastfeed To talk about her study on grandmothers' breastfeeding support for mothers, Dr Jane Grassley talked to Hamish Holewa for IPP-SHR Podcasts. It was found that a grandmother's own infant feeding practices influenced mothers' decisions to initiate and continue breastfeeding. Open encouragement and support from grandmothers assisted a mother's decision to breastfeed and helped protect the mother from ongoing justification of breastfeeding. This was particularly important in cultures that have sanctions against public breastfeeding and unfriendly breastfeeding workplaces. It was also noted that some grandmothers felt that breastfeeding was a barrier to bonding with the grandbaby, including, being able to feed the baby, allowing the baby to stay overnight and concern for the mothers well being. It was also shown that there were numerous myths that persisted in relation to breastfeeding; including: concern that a mother is not making enough milk, that exclusive breastfeeding did not deliver all dietary requirements and that breastfeeding "just did not work anymore". Practical implications suggests including grandmothers in breastfeeding conversations with health professionals, encouraging grandmother's to tell stories about their experiences, and providing additional information to grandmothers. no 00:13:20 breastfeeding, grandmother, mother, advocacy Concept analysis of holistic nursing care in paediatric nursing http://www.ipp-shr.cqu.edu.au/podcasts/?id=68 http://www.ipp-shr.cqu.edu.au/podcasts/?id=68 Fri, 08 May 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Concept analysis of holistic nursing care in paediatric nursing Issues associated with the successful integration and delivery of a holistic framework for nursing in South Africa is discussed for IPP-SHR podcasts. Speaking with Michael Bouwman, Dr Adele Tjale explains the compounding factors that inhibit uptake of a holistic paradigm within a dual health care system that has two viewpoints: a biomedical and indigenous focus. Integration of a holistic framework into the clinical environment requires a discourse shift accompanied with additional education, analysis and understanding. no 00:09:35 concept analysis, paediatric child health, holistic nursing care, spirituality The stigmatising of older people with delirium http://www.ipp-shr.cqu.edu.au/podcasts/?id=67 http://www.ipp-shr.cqu.edu.au/podcasts/?id=67 Fri, 01 May 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The stigmatising of older people with delirium To discuss the concerns of older people with delirium and stigma that is attached to being an older adult, Hamish Holewa, for IPP-SHR podcasts, talked to Dr Neville Stephen. Ageism is prevalent in every society with evidence that some institutional practices in health care unintentionally support the use of ageism, reflecting the ageist notion of 'being old doesn't matter'. It was found that what wasn't said was just as important as what was said. In the aged care environment this was highlighted by professionals not always advocating for the needs and desires of older people under their care. Ageist practice was also found to be exacerbated by the practice of infantalisation of the individual, in which elderly people are characterised as having a second childhood, denying their independent and adult status. It was found that individuals employed strategies that resisted ageist discuss and practice, including: masking their chronological age; challenging views that elderly people are 'useless' and a 'burden on society'; and medicalising symptoms such delirium by providing clear reasons for why an individual may be delirious and exhibiting certain behaviours. no 00:09:23 ageism, critical gerontology, delirium, gerontological nursing, older people Changes to parents experiences with their newborn from increases in birth screening http://www.ipp-shr.cqu.edu.au/podcasts/?id=66 http://www.ipp-shr.cqu.edu.au/podcasts/?id=66 Fri, 24 Apr 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Changes to parents experiences with their newborn from increases in birth screening Mandatory newborn screening has resulted in increased numbers of newborns getting diagnoses for conditions that don't always manifest at the start of life. Such diagnoses can leave parents apprehending a disease, in their child, who may be asymptomatic and in the absence of illness. To discuss the impact on how the rapid growth of newborn screening, in the US for cystic fibrosis, is altering affected families newborn experiences with their child, Dr Rachel Grob spoke to Michael Bouwman for IPP-SHR podcasts. Implications for parents receiving a genetic diagnosis varied, however parents did state that a diagnosis can result in an initial knowledge shift in regards to how to care for their newborn. A further issue noted was that sometimes results don't show a clear process for the disease, leaving some families feeling that the medical staff have trouble in admitting that they don't know, and subsequently providing helpful practical information. Practical suggestions from the study include: providing increased assistance in obtaining further information after diagnosis; the availability of trained genetic counsellors to help answer specific questions; how much information and when that information is given; and the conducting of tests in a paediatric setting, rather than through a mandatory newborn screening. As a result of previous genetic diagnoses, some families indicated that they would not choose a screening option, preferring to watch their infant for any symptoms before running any tests. no 00:10:42 Newborn screening, Genetics, Disease, Illness, Parenting, USA, Cystic fibrosis African american, hispanic and caucasian burdens on end-of-life decision-making http://www.ipp-shr.cqu.edu.au/podcasts/?id=65 http://www.ipp-shr.cqu.edu.au/podcasts/?id=65 Fri, 17 Apr 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia African american, hispanic and caucasian burdens on end-of-life decision-making Whilst there are certain variations between how different cultural groups respond to the burden of surrogate decision making, it was noted that the burden of decision making transcends all cultures. To talk about her study on the burdens faced by African-American, Hispanic and Caucasian surrogates, Dr Ursula Braun spoke to Hamish Holewa for IPP-SHR podcasts. It was found that in general the surrogates' role was incredibly weighted, compounded by the strain of making the right decision, and fear of being accused by other family members for making incorrect decisions whilst needing to make decisions quickly with often uncertainty about the treatment and outcome. Practical strategies to assist surrogates making decision included, physicians acknowledging the burden, continuing support through good communication about treatment and outcomes and encouraging discussion among the family on the best treatment preferences. no 00:08:06 Using electronic communication tools to combat loneliness http://www.ipp-shr.cqu.edu.au/podcasts/?id=64 http://www.ipp-shr.cqu.edu.au/podcasts/?id=64 Fri, 10 Apr 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Using electronic communication tools to combat loneliness There are two types of loneliness: social and emotional. Loneliness is not so much about the quantity of relationships, but rather there quality and meaningfulness of such relationships to the individual. Protective factors from loneliness include good health, unrestricted mobility and having a partner. For IPP-SHR podcasts, Dr Tineke Fokkema discussed her involvement in the Esc@pe project, which evaluated the effect that electronic communication tools such as the internet could have on loneliness amongst participants that lived at alone at home and had restrictive mobility. A significant drop in loneliness was observed throughout the program, although, such reduction may be attributed to visits the participants were experiencing from the volunteers in the project, rather than their internet activities. However, the intervention did result in participants reporting higher self-confidence, as they felt proud of their increase in computer literacy. no 00:09:30 Stroke survivors decisions on help seeking http://www.ipp-shr.cqu.edu.au/podcasts/?id=63 http://www.ipp-shr.cqu.edu.au/podcasts/?id=63 Fri, 03 Apr 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Stroke survivors decisions on help seeking Evidence suggests that only 30-60 percent of stroke survivors seek help within the recommended time frame. Due to current medical advances people are more likely to survive a stroke, but will still experience disabilities. However, current guidelines state that early specialist stroke treatment can reduce disablement and increase the chances of recovery. For IPP-SHR podcasts, Natasha Moloczij talked to Hamish Holewa about stroke survivors perspectives on their decisions when to seek help. Four themes were identified that influenced seeking help: recognition, interpretation, negotiation, and action or inaction; it was found that the more times people went through each state, the longer they took to get help. During this time it was noted that people monitored their symptoms to see if they were getting better or worse: putting off seeking help if there was no pain and they could function; eventually seeking help if the symptoms continued and got worse. Other influential factors were a person's need to continue on with responsibilities and commitments and the influence of another person, family or friends. A helping strategy was to involve families or friends in interventions for those at risk and also to involve GPs, as it was common that GPs were contacted first. no 00:09:21 decision-making, delay, help-seeking, qualitative, stroke Complexities preventing physicians from discussing the removal of ICDs at the end of life http://www.ipp-shr.cqu.edu.au/podcasts/?id=62 http://www.ipp-shr.cqu.edu.au/podcasts/?id=62 Fri, 27 Mar 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Complexities preventing physicians from discussing the removal of ICDs at the end of life An Implantable Cardioverter Defibrillator or ICD can save a person's life by correcting a potentially lethal heart-beat. But what if a patient, who is nearing the end of life, just wants to die peacefully? It is rare that a patient is asked if they would rather the shocks stop, and they were allowed to pass away. To discuss his study on the barriers that prevent physicians from having this discussion with their patients, Dr Nathan Goldstein, talked to Michael Bouwman for IPP-SHR podcasts. Nathan discussed how physicians found it difficult to place these devices in the same context as other vital decisions that had to be made at the end of a patient's life. Physicians also noted the magnitude and sense of finality of turning a defibrillator off, versus the easy of taking a patient on and off their medication. In addition to this was the size of the device itself: a small nearly unseen bump under the collar bone was often not thought about, according to some physicians, as there was no physical reminder. However, it was stated the most significant aspect of this issue was the difficulty in predicting a patient's cardiac rhythm at the end of life, and when a defibrillator was going to shock. Due to this unknown entity, some patient's might not die soon after a defibrillator is removed, rather death would occur weeks or months later. no 00:08:43 palliative care, advanced technology, communication, patient physician relationship, implantable cardioverter defibrillator The use of public spaces for socialising and observing http://www.ipp-shr.cqu.edu.au/podcasts/?id=61 http://www.ipp-shr.cqu.edu.au/podcasts/?id=61 Fri, 20 Mar 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The use of public spaces for socialising and observing For IPP-SHR podcasts, Dr Vicky Cattell talked to Hamish Holewa about her study on improved understanding of the use of public spaces. This study looked into people's interactions within their everyday public spaces, and how these spaces promoted well-being - the main focus being on what promoted/protected health, rather than what caused illness. It was noted that quiet, green and peaceful places were chosen by people as places of privacy and solitude. However, it was noted that the active, community spaces of urban life was also what people sought - to use these public spaces to interact with others. Some also felt it enough to be able to sit back and observe interactions going on around them. It was also noted that public spaces, such as, local markets and shopping streets, had a higher potential for encouraging inter-ethnic understanding. This study showed that busy spaces had therapeutic qualities, people felt comfortable, could mix and observe with others in their own urban environment. no 00:07:36 Public spaces, Well-being, Social interaction, Social relations, Therapeutic landscapes, Community cohesion Potential suicide risk factors for combat veterans http://www.ipp-shr.cqu.edu.au/podcasts/?id=60 http://www.ipp-shr.cqu.edu.au/podcasts/?id=60 Fri, 06 Mar 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Potential suicide risk factors for combat veterans Recent theories state that a person's tendency to suicide is dependent on three factors: acquired ability, burdensomeness and failed belongingness. This, added with a repeated exposure to painful stimuli, can lead to a habituation to pain. To discuss her study on how this theory applies to combat veterans, Dr Lisa Brenner spoke to Michael Bouwman for IPP-SHR podcasts. Lisa talked about how soldiers use military values and skills when in combat situations, and how this highly violent environment can lead to a numbing of feelings and a high tolerance of pain, which was found to be a major issue behind suicidal attempts. On return home veterans reported feelings of dissociation, disconnectedness and of not belonging, which in turn can lead to feeling like a burden on others and a loss of self sense and purpose. It was found that veterans felt that family and friends were the reason why they were still alive, however, this was coupled with a feeling of distress if they were not able to provide financially for their family. The goal from this study is to increase more work with veterans and revise traditional rehabilitation systems, which in turn, would help with returning to work that is meaningful, and help to adapt military values to positive experiences in civilian life. no 00:09:40 Intimate partner violence survivors experiences on depression and pain http://www.ipp-shr.cqu.edu.au/podcasts/?id=59 http://www.ipp-shr.cqu.edu.au/podcasts/?id=59 Fri, 27 Feb 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Intimate partner violence survivors experiences on depression and pain Although statistics vary, over a life time, over twenty percent of women may suffer an Intimate partner violence (IPV) episode. IPV survivors can view their abuse as a breach of trust, isolating them from society and leaving them with an incredibly sense of loneliness. IPV survivors also have a higher rate of physical and mental health problems with an increase in depression, PTSD, drug abuse and poor health. Dr Christina Nicolaidis talked about her study, to Hamish Holewa, for IPP-SHR podcasts. Christina's study focused on how IPV survivors want their health providers to talk about the rest of their health, and on what IPV survivors thought about the connection between abuse and mental/physical health symptoms. It was found that women who are IPV survivors are very aware that the abuse is related to mental and physical symptoms, but they wanted the providers to holistically understand their symptoms and not dismiss symptoms purely because they are IPV survivors. Trusting health professionals to view their symptom holistically was a large concern, women felt unsure of disclosing information: the more the providers knew, the more chance they could use it against them, making the women feel their symptoms were all in their head. Respect from a health provider towards the women was seen as very important: women wanted respect towards their whole selves. Health providers need to be very sensitive about these issues: an appropriate preface is required before the discussion of violence can begin. no 00:07:56 intimate partner violence, depression, pain, physical symptoms, qualitative research, physician, patient relationship Non-Service Users' Perspectives of Chronic Pain http://www.ipp-shr.cqu.edu.au/podcasts/?id=58 http://www.ipp-shr.cqu.edu.au/podcasts/?id=58 Fri, 20 Feb 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Non-Service Users' Perspectives of Chronic Pain Chronic pain can have a debilitating affect on one's life, stipulated by: interference with daily activities; decreased independence and withdrawal from interactions with family and friends. Back pain sufferers reported feels of isolation and desperation. To discuss this issue, Dr Carol Campbell, talked for IPP-SHR podcasts, about how participants, through observing the reactions of others, learnt to withdraw from talking about their pain so as not to be judged as complaining and to be seen as a 'back bore'. It was found that participants who talked freely and openly about their pain frustrated and alienated family, friends and health professionals. Limiting discussion about persistent helped in maintain relationships with family and friends. Self-management of pain relied on use of medications; however participants noted a discontentment with medicine use. To improve the situation the study found that medical practitioners need to open the lines of communication with sufferers: enabling the exploration of alternative medications; explain about medication side-effects, and enable the sufferer to confidently make their own informed choice. no 00:09:25 chronic pain, lay perspectives, qualitative research, pain self-management Patients' perspectives of diabetes management assisted by telemedicine http://www.ipp-shr.cqu.edu.au/podcasts/?id=57 http://www.ipp-shr.cqu.edu.au/podcasts/?id=57 Fri, 13 Feb 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Patients' perspectives of diabetes management assisted by telemedicine Effectively managing diabetes requires discipline in ones diet, self-monitoring and lifestyle patterns. For IPP-SHR podcasts, Dr Paula Trief talked about experiences of elderly diabetic patients' from low socio-economic backgrounds who were partaking in a telemedicine diabetes case management intervention, called IDEAtel. Using a specifically designed computer, patients had the ability to upload their blood pressure and sugar readings, and video conference with a nurse or dietician. Compared to usual treatment modalities, involvement with the intervention lead to improved blood sugar control, blood pressure and lipids. Enthusiasm and involvement of the physician which originally lead to the patients deciding to take part in the intervention was found as an important factor in the success of the intervention. Patients noted the main obstacle was learning a new pattern of behaviour: changing their diet, self-monitoring and adopting more physical activity. Patients indicated positive feelings associated with in their health and changes in their habits. Additionally, regular quantification of blood levels, diet and physical activity empowered patients in self monitoring of their health. The study stressed the importance of communication skills and the establishment of a positive relationship between the health care provider and client as methods of enduring success. no 00:09:36 diabetes, elderly, telemedicine, case management Personal expectations influencing the use of medications http://www.ipp-shr.cqu.edu.au/podcasts/?id=56 http://www.ipp-shr.cqu.edu.au/podcasts/?id=56 Fri, 06 Feb 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Personal expectations influencing the use of medications Regardless of advice and influence from health care providers, a patient's decision to whether they adhere to a medication treatment plan is hers or his. Dr Lisa Dolovich spoke to Michael Bouwman about her study which looked at patient expectations when it came to the use of medications. It was found that patients didn't have a high expectation that their medications would cure their illness, but rather they thought it would allow them a better quality of life: a realistic expectation rather than an idealistic one. Lisa noted that a number of patients found ways of testing their medications: lowering, increasing and skipping doses, which as patients indicated, allowing individual dosage control gave a sense of control over their condition. Further causes for non-adherence included patients stating that they felt some medicines weren't natural and were stigmatising. A positive relationship with the health care provider had an impact on adherence rates, allowing patients and practitioners to openly discuss issues associated with the medicine regime including expectations and side-effects and also have to open a channel for dialogue involving health related questions. no 00:10:10 Medicantion Adherence, palliative care professionals'' and carers'' perceptions of end-of-life hyrdation and nutrition http://www.ipp-shr.cqu.edu.au/podcasts/?id=55 http://www.ipp-shr.cqu.edu.au/podcasts/?id=55 Fri, 30 Jan 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia palliative care professionals'' and carers'' perceptions of end-of-life hyrdation and nutrition Most palliative care patients, at the end-of-life, will have a significantly decreased food or drink intake, if any at all. Such cessation can be due to lack of energy, anorexia, dysphasia or nausea and this absence of nutrition leads to isotonic dehydration: the loss of salt and water from the body. Whilst potentially distressing for the families and health professionals, isotonic dehydration can be beneficial for the patient. To discuss the reactions and perceptions of families and health professionals to medically administered nutrition and hydration, Dr Pamela van der Riet talked with Hamish Holewa for IPP-SHR podcasts. Noted were benefits associated with reduced issues with fluids, less incontinence and vomiting and some documentation relating to decreased pain. Despite such benefits, decreasing of medically administered hydration and nutrition to a palliative patient can be distressing to the family. Education, open discussion and a team approach for staff in acute care and families, as well as basic care for the patient, was seen as very important in easing the experience and burden on all in palliative care. no 00:08:58 The balancing act of psychiatrists'' experiences with moral distress http://www.ipp-shr.cqu.edu.au/podcasts/?id=54 http://www.ipp-shr.cqu.edu.au/podcasts/?id=54 Fri, 23 Jan 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The balancing act of psychiatrists'' experiences with moral distress Moral distress: the state experienced when a person's moral choice is unattainable due to their professional constraints. For IPP-SHR podcasts, Dr Wendy Austin with Michael Bouwman explores the issue of moral distress within the psychiatric profession. Three separate issues are highlighted when exploring moral distress including: the balancing act; the double agent; and the natural and artificial self. Such issues relate to the tension created by the public's expectation regarding the trustworthy provision of specific expertise where answers may be less clear and morally compromising. Although, a health care system will always have scenarios in which morally distressful situations arise, such occasions can be reduced through further exploration of the limitations inherent with the psychiatric discipline and societies understanding of such a role. no 00:08:42 autonomy, ethics, moral distress, psychiatry, realational responsibility Health Programs for tobacco use amongst Indigenous americans http://www.ipp-shr.cqu.edu.au/podcasts/?id=53 http://www.ipp-shr.cqu.edu.au/podcasts/?id=53 Fri, 16 Jan 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Health Programs for tobacco use amongst Indigenous americans American Indian/ Alaskan Natives (AI/AN) have the highest smoking rates of all ethnic groups within the United States of America. Risk factors associated with such prevalence include peer and parental influences, access to tobacco, underestimation of negative effects of tobacco usage and low socio-economic status, whilst protective factors include academic success and role models. In discussing the cultural influences of tobacco use in relation to tobacco prevalence within AI/ AN populations, Claradina Soto spoke to Hamish Holewa for IPP-SHR podcasts. Depending upon situational context, exposure and understanding of the traditional role of tobacco may have protective factors against further tobacco use. In translation of cultural appropriate health programs for AI/ AN populations, practitioners and researchers need to be respectful of complexities and differences of the cultures. Program implementation should be mindful of community participation including, consultation with elders, face-to-face meeting with community members, consultation with the tribal council and ongoing feedback and communication once implementation has been completed. Communities should participate as equal partners in program development, implementation, evaluation and dissemination. no 00:09:55 American Indian; tobacco; adolescents; prevention Psychosocial factors aggravating symptoms of sick house syndrome http://www.ipp-shr.cqu.edu.au/podcasts/?id=52 http://www.ipp-shr.cqu.edu.au/podcasts/?id=52 Fri, 19 Dec 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Psychosocial factors aggravating symptoms of sick house syndrome Chemicals infused into building materials have the potential to cause significant symptoms, such as, headaches, eczema and even loss of consciousness for those living in such establishments. Exploring such symptoms, Dr Nami Imai conducted a study in Japan on "Sick House Syndrome" or SHS, an illness caused by the chemicals and toxins used in new or remodelled homes. Due to energy efficiency measures, homes may not be thoroughly ventilated, causing serious reactions in those that move into the houses. It is a difficult situation for those suffering from SHS: the illness can cause job losses, significant economic hardship in purchasing a new or different home, coupled with the psychological pressure of moving home. Additional research needs to be undertaken in understanding the causalities of Sick House Syndrome and to understand the people affected by this syndrome. Although the Japanese government legislated new building requirements for 2003, people are still reporting health problems related to the new building code. no 00:09:25 ethnography, Japan, multiple chemical sensitivity, qualitative research, sick house syndrome Mothers' experiences of having a preterm infant in neonatal care http://www.ipp-shr.cqu.edu.au/podcasts/?id=51 http://www.ipp-shr.cqu.edu.au/podcasts/?id=51 Fri, 12 Dec 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Mothers' experiences of having a preterm infant in neonatal care Mothers to preterm infants are often unprepared, feel alone and find the neo-natal environment a difficult place to become accustomed to their new role. Exploring these difficulties, Dr Hanne Aagaard spoke with Hamish Holewa about her study on how mothers, with preterm infants in neo-natal units, can best be supported and guided to confidently take control of their baby's care. Psycho-social factors related to the neo-natal unit including, the lack of privacy , unfamiliarity with surroundings, feelings of incompetence in caring for the infant, and guilt and distress in relation to the infants health impinged on the mothers' ability to care for their child. Health professionals in neo-natal units need to minimise separation between mother and child, provide support and guidance in caring for the infant, and provide information in a non-authoritarian, supportive manner. no 00:10:01 Mothers' experiences: Preterm infants; NICU environment; Mother-nurse relationship; Meta-synthesis Mental health from a consumer perspective against routine outcome measurements http://www.ipp-shr.cqu.edu.au/podcasts/?id=50 http://www.ipp-shr.cqu.edu.au/podcasts/?id=50 Fri, 05 Dec 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Mental health from a consumer perspective Routine outcome measurements used to gauge the effectiveness of mental health service treatments have been developed from the perspective of the health professional, not from the perspective of the consumers who actually use the services. Such perspectives potentially limit the scope of outcome measurements to a predefined view of symptom reduction, rather than taking into account the consumer's view of recovery. Talking about the effectiveness of mental health services from the consumer's perspective, Michael Bouwman spoke to Prof Brenda Happell. Participants noted that personal improvement was not always the result of medical intervention: support and social connectedness was seen as most important, as well as medication, spirituality and in some cases, cigarettes. The development of individually tailored crisis management plans, which incorporate a broad range of therapies that assist an individual through the recovery process, was noted as beneficial. no 00:09:40 consumer participation, evaluation, mental health services, outcome measurement, recovery Perceived care needs for patients' waiting for heart and lung transplants http://www.ipp-shr.cqu.edu.au/podcasts/?id=49 http://www.ipp-shr.cqu.edu.au/podcasts/?id=49 Fri, 28 Nov 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Perceived care needs for patients' waiting for heart and lung transplants Waiting for a suitable organ transplant is a long, unpredictable, isolating and stressful experience. Although there is hope, there is also a great deal of uncertainty. To discuss her study on how nurses can support patients through the transplant period, Janelle Yorke spoke to Michael Bouwman. Communication by the nurses was found to be most important, including information and regular contact. Noted was that patients wanted nurses to know them and their needs, and tailor information to their needs: to cut through the medical "mumbo jumbo". Familiarity, positive thinking and compassion were also found to be an overwhelming need of patients. Medical staff need to develop a means of providing frequent, informed, appropriate and compassionate communication with patients awaiting transplant, either through transplant support groups or through innovative information technology usage, including the telephone, Skype or the internet. no 00:10:12 support groups, nursing, organ transplant, qualitative research, information technology usage in health care Children's involvement in hospital thematic design and colour http://www.ipp-shr.cqu.edu.au/podcasts/?id=48 http://www.ipp-shr.cqu.edu.au/podcasts/?id=48 Fri, 21 Nov 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Children's involvement in hospital thematic design and colour Contrary to popular belief that children prefer bright colours with Disney themes in the hospital environment, a recent study by Dr Jane Coad has found that mid to low tones of colour and natural themes were preferred by children in hospitals. For IPP-SHR podcasts, Hamish Holewa spoke to Jane about her innovative study which not only asked for children's preferences for a new hospital being built, but included children and young people in the development of the study. Findings indicated that children preferred colour within the blue range: paler tones were chosen by younger children and darker tones by older children. Instead of the traditionally used themes of Disney and football/fairies, the natural themes of the sea and animals were frequently chosen. It was also found that the children wanted a 'home away from home' feel with soft furnishings including, cushions, rugs, and comfortable lighting. Findings have been used in the design of the University Hospital Coventry and Warwickshire Trust. no 00:09:29 children and young people, choice, hospital environment, participatory research Breast Feeding Choices after Birthing Trauma http://www.ipp-shr.cqu.edu.au/podcasts/?id=47 http://www.ipp-shr.cqu.edu.au/podcasts/?id=47 Fri, 14 Nov 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Breast Feeding Choices after Birthing Trauma The World Health Organisation recommends exclusive breastfeeding for the first six months, but recent studies have shown that between four to seven months post-partum only 12 to 14 percent of mothers are still breastfeeding. One area rarely looked into is the experience of a traumatic childbrith and how it can influence the decision a mother makes in regards to breastfeeding, in which Dr Cheryl Tatano Beck discusses with Michael Bouwman for IPP-SHR podcasts. Mothers spoken to about their traumatic birth experience reported two paths: to breastfeed their baby as a way of proving their motherhood after the trauma, or to choose not to breastfeed due to their experience. Three themes emerged for mothers choosing to breastfeed: to prove oneself, make amends with the baby and to start the healing process. Factors impacting on a mother's choice not to breastfeed included: sense of physical violation, physical pain, perceived inadequate milk supply, intruding negative flashbacks to childbirth and feelings of detachment. no 00:10:32 birth trauma, breast-feeding, phenomenology, PTSD, qualiative Emotional responses to food - adults with eating disorder http://www.ipp-shr.cqu.edu.au/podcasts/?id=46 http://www.ipp-shr.cqu.edu.au/podcasts/?id=46 Fri, 07 Nov 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Emotional responses to food - adults with eating disorder Control has been attributed as a key motivator behind eating disorders. Paradoxically, the ability for one to exert control over food, accompanies their loss of control in relation to food. Talking about her recent study exploring adults with eating disorders emotional responses' to images of food, Dr Anna Chur-Hansen spoke to Hamish Holewa for IPP-SHR podcasts. Using a qualitative methodolgy, adults with eating disorders were asked about their feelings and emotions whilst being shown different pictures of food. Results indicated that the central tenant to all reactions related to the notion of self control. Participants indicated positive feelings when they were able to influence their eating behaviours, and felt negative feelings when one could not exercise such control. It is suggested that Cognitive Behaviour Therapy (CBT) can potentially assist a person's need for control and help adjust maladaptive ways of thinking and behaving. no 00:10:16 emotion, qualitative, eating disorder, CBT, cognitive behaviour therapy, anorexia nervosa, bulimia Sexuality in Relation to Cancer Nursing http://www.ipp-shr.cqu.edu.au/podcasts/?id=45 http://www.ipp-shr.cqu.edu.au/podcasts/?id=45 Fri, 31 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Sexuality in Relation to Cancer Nursing Discussing sexuality with cancer patients undergoing chemotherapy transcends the physical act: issues of body image; fertility; relationships and self esteem arise. In this week's podcast, Michael Bouwman discusses with Marie Lavin the effect that Chemotherapy has on a patient's sexuality and health care responses to this issue. Obstacles discovered in addressing sexuality with patients included: minimal to no education in that area, cultural issues and access to private physical environment. A workshop module is outlined as a method of increasing awareness and training to address issues of sexuality within an oncology setting. no 00:09:43 Ireland, oncology, sexuality, breast cancer, education, qualitative methodology Living with early-stage Alzheimer's disease http://www.ipp-shr.cqu.edu.au/podcasts/?id=44 http://www.ipp-shr.cqu.edu.au/podcasts/?id=44 Fri, 24 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Living with early-stage Alzheimer's disease Within populist culture, Alzheimer's disease has been described as a death that leaves the body behind, death in slow motion, or becoming a mere shadow of one's self. However, people living with Alzheimer's disease who have access to the right resources can continue to work out a way of living with the disease. For IPP-SHR podcasts, Hamish Holewa spoke to Associate Professor Hazel MacRae, about her article that explores participants' experiences of living with early stage Alzheimer's disease. Participants reported strategies such as, social comparison, humour, hope, instrument telling and normalisation, as methods of coping with the disease. Additionally, medicialising the disease, which places the disease beyond the control of the individual, is another successful strategy used by people living with early stage Alzheimer's. no 00:10:00 Alzheimer's disease, culture and illness, meaning Narratives from caregivers of children surviving the terrorist http://www.ipp-shr.cqu.edu.au/podcasts/?id=43 http://www.ipp-shr.cqu.edu.au/podcasts/?id=43 Fri, 17 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Narratives from caregivers of children surviving the terrorist 344 people were killed in the Beslan terrorist attack, of these 186 were children. Almost every member of Beslan lost someone they loved. For IPP-SHR podcasts,Hamish Holewa spoke to Dr Ughetta Moscardino about her work with survivors and caregivers of survivors from Beslan. Discussed were the protective factors associated with their society having a strong sense of cohesion, community and social opportunities. Factors relating to parenting, health and resilience were also discussed. no 00:09:56 Beslan, terrorism, children, families, culture, Russia, resilience Latin American Hospitals http://www.ipp-shr.cqu.edu.au/podcasts/?id=42 http://www.ipp-shr.cqu.edu.au/podcasts/?id=42 Fri, 10 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Latin American Hospitals In some developing countries, non-adoption of evidence-based childbirth practices has resulted in a higher rate of episiotomies and deaths from hemorrhaging during childbirth. To explore this topic, Hamish Holewa spoke with Dr Marci Campbell about her study on facilitators and barriers to adoption of evidence based perinatal care in Latin American hospitals. Two evidence based practices were identified as not always following evidence based medicine, including: routine episiotomy rather than selective episiotomy; and active management of the third stage of labour. Findings indicated evidence based practice was not necessarily followed due to issues associated with: providing evidence based medicine; cultural and social translation; lack of role models and hierarchical leadership. To facilitate adoption of best practice, increased access to information, continuing education and peer/role model teaching is needed. no 00:10:31 Cultural Factors in Health Consultations http://www.ipp-shr.cqu.edu.au/podcasts/?id=41 http://www.ipp-shr.cqu.edu.au/podcasts/?id=41 Fri, 03 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cultural Factors in Health Consultations Whilst limited English proficiency can result in poor communication within a health care environment, cultural misunderstandings can have the biggest impact. For IPP-SHR Podcasts Michael Bouwman spoke with Dr Daniel Dohan about barriers in language and communication with Russian speaking patients with cancer. It was found that tensions regarding patient-physician communication is not about language but the cultural differences in regards to disclosure of their illness, such as non-acknowledgment of illness and receiving full informed disclosure of details. Discussed was how families did their best to protect relations by playing the 'game'. The use of professional interpreters in the exam room, with the patient and doctor, could help with the difficult cultural issues. Support options discussed included, how interpretation services are run and increasing the presence of interpreters in clinics and further cultural training for health professionals. no 13:08:01 immigrant health, communication, cancer, qualitative research, vulnerable populations Strain in nursing care of people with dementia http://www.ipp-shr.cqu.edu.au/podcasts/?id=40 http://www.ipp-shr.cqu.edu.au/podcasts/?id=40 Fri, 12 Sep 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Strain in nursing care of people with dementia Despite research conducted with families of those living with dementia, there is scant literature on the ability of staff members to cope with providing appropriate care to dementia patients. It is assumed that such staff providing dementia care faces only stresses associated with the intrinsic difficulty of looking after people with dementia. Exploring this theme, for IPP-SHR podcasts Hamish Holewa spoke with Dr Mike Bird about his study which focused on the stressors staff face in dementia care settings in Australia, the UK and Sweden. Common findings from all three countries indicated that staff face numerous 'environmental factors' in facilitating optimal dementia care. Such stresses included: limited resources; unsupportive management; low pay and perceived professional responsibilities ofdementia cares. Additional stresses reported involved the 'encounter' of caring with people with dementia, including inability to interpret residents' needs, resident protection and competing needs. no 00:09:00 nurses experience, dementia, nursing care, qualitative research, interviews, focus groups Primary Health Care- Alcohol and Tobacco Use http://www.ipp-shr.cqu.edu.au/podcasts/?id=39 http://www.ipp-shr.cqu.edu.au/podcasts/?id=39 Fri, 05 Sep 2008 09:00:00 +1000 IPP-SHR, CQU Primary Health Care Programs- Alcohol and Tobacco Use Primary health care is the cornerstone of many international actions that are aimed at improving health. In particular, Dr Marko Kolsek spoke with Michael Bouwman about using this approach for management of alcohol and tobacco use within seven European countries. Alcohol and tobacco use is a determinant of many illnesses and its use contextualized through the lifestyle of an individual, their culture and community. Effective translation of primary health care programs tailored towards alcohol and tobacco use across multiple countries requires awareness of cultural, socio-economic and political factors that may favor or hinder such management. Although primary health programs cannot be directly transferred between different countries, primary health program factors such as, the involvement of various actors within the community and a comprehensive program transcend boarders. no 00:09:22 qualitative research, community action, primary health care, alcohol, tobacco, health promotion, participatory research Drug Treatment Services in Russia http://www.ipp-shr.cqu.edu.au/podcasts/?id=38 http://www.ipp-shr.cqu.edu.au/podcasts/?id=38 Fri, 29 Aug 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Drug Treatment Services in Russia It is estimated that there are two million opiate users in Russia. With increasing growth within this population, Opiates abuse accounts for large proportion of treatment demands in Russia and Europe. To discuss drug users' views on treatment services and substitution therapy, Hamish Holewa spoke with Natalia Bobrova. As a smaller component of a larger project called 'Knowledge for action in HIV/Aids in the Russian Federation', findings showed that maximising early access to drug treatment services for drug users is an important step in preventing new HIV cases. User perceptions of drug treatments tended to be negative with rehabilitation services organised under an abstinence approach based on highly medicalised short-term episodic care. Some users indicated a stigmitsing and uncaring attitude from service provides, however a third of participants felt that psychological counseling was helpful in addiction treatment. Increased access to services and an holistic approach to treatment that addresses the diversity of drug users is posited as a positive step forward. no 00:09:15 drug treatment, perceptions, Russia, substitution therapy Humour in Critical Care: A Sustaining Value http://www.ipp-shr.cqu.edu.au/podcasts/?id=37 http://www.ipp-shr.cqu.edu.au/podcasts/?id=37 Fri, 22 Aug 2008 09:00:00 +1000 IPP-SHR, CQU Humour in Critical Care: A Sustaining Value Humour in palliative care is beneficial, not only for the patients, but for care givers themselves. Dr Ruth Dean recently spoke with Michael Bouwman about the role of humour in the care of critically ill patients. It was shown that humour can be appropriate within a palliative care environment and has positive benefits, such as reliving ongoing stress and tension. Ruth stated that the human connection made between patient and care giver, in the dehumanising environment of critical care, makes a positive difference to the experience of the patient and their care giver. no 00:10:21 Humour, ICU, Intensive Care Unit, Palliative Care, Maintaining Authenticity: Challenges of Challenging Paid-for-Participation http://www.ipp-shr.cqu.edu.au/podcasts/?id=36 http://www.ipp-shr.cqu.edu.au/podcasts/?id=36 Fri, 15 Aug 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Maintaining Authenticity: Challenges of Challenging Paid-for-Participation Sometimes, paid-for-participation interviews don't always yield the results that were hoped for. For IPP-SHR podcasts, Hamish Holewa spoke with Dr Kay Cook about the outcomes of paid-for-participation. Although some participants were open about taking part for the money, participants indicated that payment did not automatically entitle the interviewer to their personal story. As a result some adversarial interviews resulted, where the participant tried to maintain control over their identity and unsettle the balance of power through tactics such as minimal disclosure and rehearsed narratives. Such tactics were emphasised when participants did not feel the research had any intrinsic benefit to them or their community. When using pay-for-participation as a recruitment method, the authenticity of the researcher and the research needs to be communicated effectively and for participants to identify with the goals of the research. no 00:09:47 qualitative methods, general, interviews, vulnerable populations, data collection and management, dramaturgical analysis Nurses' Experiences of Drug Administration Errors http://www.ipp-shr.cqu.edu.au/podcasts/?id=35 http://www.ipp-shr.cqu.edu.au/podcasts/?id=35 Fri, 08 Aug 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Nurses' Experiences of Drug Administration Errors The administration of medication is an important task within the nursing profession and administration errors can lead to significant consequences for the patient and the health professional. To discuss such consequences, Michael Bouwman spoke with Anne-Berit Schelbred about nurses' experiences of drug administration errors. Drug administration errors can have a 'devastating' effect on nurses and can have an enduring effect on their professional and personal lives. It was reported that management reactions are central to the outcomes an administration error can have on a nurse. Openness, support and a non-punitive approach from managers can assist nurses dealing with such events. Additionally, a systematic exploration, of practice routines and underlying causes of the area, needs to be instigated after an error to ensure quality assurance. no 00:06:29 empirical research report, drug adminstration errors, psycho social consquences, medication errors, nurses, qualitative research Breast Cancer Screening in Israel http://www.ipp-shr.cqu.edu.au/podcasts/?id=34 http://www.ipp-shr.cqu.edu.au/podcasts/?id=34 Fri, 01 Aug 2008 09:00:00 +1000 IPP-SHR, CQUniversity Breast Cancer Screening in Israel Russian immigrant women in Israel place their own preventative health care at a very low level in their lives. To explore such reasons, Hamish Holewa spoke with Dr Larissa Remennick to discuss why women, who immigrated from the former Soviet Union, which had strong emphasis on preventive health, proceeded to neglect their preventative health checks once they were in Israel. Main factors that resulted in this neglect of health concerns included: the lowering of socio-economic status and inadequate occupation opportunities; the lack of culturally and linguistically appropriate information given to the women; former paternalistic responsibilities to one's own health; and the older aged women's attitudes towards the risk of breast cancer. Findings from the study extend to all countries that have a significant immigration program and highlight the need for special culturally appropriate programs specifically designed to encourage the use of health services for immigrants. no 00:10:21 lay health beliefs, breast cancer screening, Russian immigrant women Cardiovascular Risk Assessment Software http://www.ipp-shr.cqu.edu.au/podcasts/?id=33 http://www.ipp-shr.cqu.edu.au/podcasts/?id=33 Fri, 25 Jul 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cardiovascular Risk Assessment Software The prevalence of computer decision support programs can improve cardiovascular risk assessment and management. For this week's IPP-SHR podcast, Michael Bouwman spoke to Dr Anne Wilson about the role of decision support programs in reducing the odds of the risk of cardiovascular disease occurring, and General Practitioners' views on working with this software. The discussion was set in the context of the new decision support software: EMPOWER. A distinction between EMPOWER and other decision support software is the EMPOWER'S ability to incorporate educational material and advocate for shared decision making between health professionals and patients. Practice and policy implications of software utilisation were also discussed, including: workflow and routine impact, shared information access and data entry glitches. Overall software decision making programs were generally welcomed by patients within a cardio-vascular risk management framework. no 00:09:44 cardiovascular, decision aid, electronic decision support software, evaluation, medical informatics "Grand Families" Changing Roles in Non-parent Headed Households http://www.ipp-shr.cqu.edu.au/podcasts/?id=32 http://www.ipp-shr.cqu.edu.au/podcasts/?id=32 Fri, 18 Jul 2008 09:00:00 +1000 IPP-SHR, CQU "Grand Families" Changing Roles in Non-parent Headed Households According to the 2000 US census approximately 4.5 million children were living in a grandparent household. To discuss this growing social phenomenon IPP-SHR podcast host, Hamish Holewa spoke with Dr Catherine Tompkins about her study exploring the relationship between grandparents and the grandchildren in which the grandparent is the primary care giver. Discussed was the social situations that result in grandparents taking on the care of their grandchildren and the personal responsibility that grandparents feel towards taking on the care of their grandchildren. Further discussed were the form of grandparent/grandchild relationships and the circumstances that resulted in the grandchildren then becoming care providers of the grandparents. no 00:09:50 grandparent, grandchildren, primary care givers, grandparent-headed household, dyad Social Workers' Fears of Threats http://www.ipp-shr.cqu.edu.au/podcasts/?id=31 http://www.ipp-shr.cqu.edu.au/podcasts/?id=31 Fri, 11 Jul 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Social Workers' Fears of Threats Fear of assault was found to be the top fear for social workers, followed by fear of death, losing control and being disapproved of respectively. For IPP-SHR Podcasts Michael Bouwman spoke with Dr Martin Smith about the fears social workers face every day in their working lives. Discussed was the notion that the perceived threat is just as serious as an attack; the building up of the expectation of the threat, and the consequences of being over-fearful and emphasising the threat can be greater than the threat itself. Martin noted that in such cases, an ordinary exchange can impinge on a worker's confidence and can be a catalyst for the onset of extreme fear, reducing the person into a non-person. Good supervision and support can help workers identify the fear spectrum and act before it impacts negatively on them. no 00:10:25 fear, threats, accusations, complaints processes, containment Relatives' Experiences in Intensive Care http://www.ipp-shr.cqu.edu.au/podcasts/?id=30 http://www.ipp-shr.cqu.edu.au/podcasts/?id=30 Fri, 20 Jun 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Relatives' Experiences in Intensive Care Intensive Care Units (ICU) can be alien and frightening environments for relatives caring for those close to them. Hamish Holewa, talked to Research Nurse, Anne Agard about her study exploring the experiences of relatives of patients in ICU. Anne explained that the presence of high-tech equipment, differing and numerous sounds, and ICU policies and rules act to increase the uncertainty. It was reported that ICU staff's ongoing exposure to the ICU environment can have a desensitising effect which can negatively impact upon the effective assessment of relatives' needs. Anne discussed three dominant coping strategies that relatives employee, including: enduring uncertainty, putting self aside and forming personal cues. Such strategies must be understood by health professionals involved within the critical care process to decrease further negative sequelae of the experience of relatives caring for loved ones in ICU. no 00:08:35 Intensive care, relatives, experiences, qualitative research The Politics of Orphanhood - an Ethiopian Study http://www.ipp-shr.cqu.edu.au/podcasts/?id=29 http://www.ipp-shr.cqu.edu.au/podcasts/?id=29 Fri, 13 Jun 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia The Politics of Orphanhood - an Ethiopian Study Despite popular opinion, 70% of orphans in Ethiopia are non-AIDS orphans, with most orphaned due to famine, war, disease and abandonment mainly due to poverty. For this week's podcast, Michael Bouwman spoke to Dr Tatek Abebe about the complexities of orphan care in Ethiopia. Tatek emphasised the importance of not viewing orphans as victims, as this fails to capture the burden of care shouldered by orphans, their families and communities. Also discussed were factors that influence the quality of care that orphans receive, the influences that surround who a family will provide care for, and how these orphans view themselves as 'resources' to the families that care for them. The outcomes of this study show the need for higher government involvement in care, intervention strategies need to involve disadvantaged children, in general, and to listen to the views of orphans and acknowledge their contributions to the family. no 00:07:06 Ethiopia, HIV/AIDS, orphans, extended families, children, qualitative Parental views on pediatric pain management in Jordanian Cancer Hospital http://www.ipp-shr.cqu.edu.au/podcasts/?id=28 http://www.ipp-shr.cqu.edu.au/podcasts/?id=28 Fri, 06 Jun 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Parental views on pediatric pain management in Jordanian Cancer Hospital Children's pain management represents a challenge for health professionals and caring institutions worldwide. For IPP-SHR podcasts, Hamish Holewa spoke to Paula Forgeron, about this problem and the fact that in developing countries - the focus being on Jordan - government regulations, lack of training and not enough health professionals result in paediatric pain management either being ignored or under treated. Paula discussed that through her study, the opposite occurred to what previous literature had stated: parents in Jordan wanted their child's pain managed, that mothers wanted to make decisions about care and no concerns were raised about addiction. This study challenged the religious assumptions that had been placed on the parents and revealed that almost all the parents felt that their worst pain experience was to see their child in pain. no 00:10:23 Pediatric pain, pain service, child health services, cancer pain, developing countries The 'Good Nurse' viewpoints from Japanese Patients http://www.ipp-shr.cqu.edu.au/podcasts/?id=27 http://www.ipp-shr.cqu.edu.au/podcasts/?id=27 Fri, 30 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia The 'Good Nurse' viewpoints from Japanese Patients Literature suggests that nurses' ethical approach is driven by good moral sense and rarely by principles. Michael Bouwman spoke to Dr Seiko Izumi, for the next series of IPP-SHR podcasts. Seiko discussed her multi-national collaborated study on what defines a 'good nurse' and the ethical standpoint of Asian countries was looked at in comparison with the strong influence from western theories. The outcomes of the study found that most ethical acts of nurses were driven by a deep moral virtue rather than following predefined principles. Patients felt a good nurse is a good person, interested in the patient, with professional competence. The use of the Japanese Kanji character of the person (hito) symbolises the relationship between a good nurse and patient. A patient not only wants to be treated as a person, but also be treated by a person. no 00:09:54 cancer patients, Japanese, nurse-patient relations, nursing ethics, phenomenology, professional comportment, virtue ethics Community Programs and Neonatal Care in South Africa http://www.ipp-shr.cqu.edu.au/podcasts/?id=26 http://www.ipp-shr.cqu.edu.au/podcasts/?id=26 Fri, 23 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Community Programs and Neonatal Care in South Africa Statistics show that newborn and maternal deaths in South African are higher than most middle income countries. Hamish Holewa, for IPP-SHR podcasts, spoke with Dr Debra Jackson about the factors that impact the utilisation of maternal health services. Discussed were the issue of gaps in service coverage and quality, which, if improved, could prevent most of the causes of maternal and newborn deaths. Also talked about was the methodology used within the study of obtaining information on how women utilised ante-natal and post-natal care, and what factors resulted in a higher or lower level of utilisation. As the main cause of death is AIDS, understanding, encouragement and more focus on saving the mother's life, as well as the baby's, can drastically improve the situation. no 00:09:48 HIV/AIDS, infant mortality, maternity care, maternal mortality, neonatal follow-up, postpartum care, situation analysis, utilization of health services, verbal autopsy Decision Making at Birth: New Strategies for Midwifes http://www.ipp-shr.cqu.edu.au/podcasts/?id=25 http://www.ipp-shr.cqu.edu.au/podcasts/?id=25 Fri, 16 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Decision Making at Birth: New Strategies for Midwifes When it comes to birthing practices, most decisions are made by health professionals with little involvement from the birthing mother. Michael Bouwman recently talked to Dr Sam Porter about his study on the new directions in decision making strategies of midwives, which incorporate using known skills and knowledge to work in collaboration with mothers. Sam talked about the most commonly used method being a classic protocol driven approach, the relevance of power in decision making, in relation to a safe birth and healthy mother and child, and the experience being a positive one for the mother. The role of the midwifery managers and their incorporation of the new approach was also discussed, allowing for a balance between protocol and the involvement of the mother in her birthing decisions. no 00:10:33 clinical decision-making, focus groups, midwifery, new professionalism, observation, qualitative research Cancer Survivors and the Successful Return to Work http://www.ipp-shr.cqu.edu.au/podcasts/?id=24 http://www.ipp-shr.cqu.edu.au/podcasts/?id=24 Fri, 09 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cancer Survivors and the Successful Return to Work With a 66% overall 5 year relative survival rate for cancer patients during 1996 to 2003, cancer survivorship represents an increasing significant issue in regards to survivors returning to work. For this IPP-SHR Podcast, Hamish Holewa talks to Dr Nancy Nachreiner about her recent study on cancer survivors and their return to work. Discussed issues include returning to work for cancer survivors: the importance of work in a persons life, the increased survival rate of cancer sufferers, and the potential benefits to both employees and employers on having successful return to work policies. Practical implications of this study were also discussed including issues of physician support, providing background knowledge, and the need for suitable planning before returning to work. no 00:08:35 Psycho-oncology, psycho oncology, survivorship, cancer, return-to-work, mortality Lay Health Care Worker Programs in South Africa http://www.ipp-shr.cqu.edu.au/podcasts/?id=23 http://www.ipp-shr.cqu.edu.au/podcasts/?id=23 Fri, 02 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Lay Health Care Worker Programs in South Africa Michael Bouwman recently spoke with Dr Marina Clarke as part of the IPP-SHR podcasts. Discussion involved the implementation and evaluation of a community outreach health care approach, undertaken by primary health care nurses in the South African agricultural sector. Also discussed where problems associated with changes to legislation, high incidence of alcohol abuse and the degradation of workers living conditions, have made it more difficult to provide health care. Marina and Michael also talked about the intervention itself, the use of trained volunteers who were lay health workers and the feedback Marina received from these health workers about being involved. The podcasts focuses on the practical implications of identifying and training people to support and train lay health workers and talking about what has been learned from this approach, Marina indicated that successful integration of lay health workers requires a community development approach, one that requires education of local politicians, policy makers and health care members. no 00:11:20 Agriculture, Community Programs, Integrated Care, Lay Health Worker, Nurse, Poverty, Primary Health Care, South Africa, Tuberculosis. Supporting Sibilings through Paediatric BMT http://www.ipp-shr.cqu.edu.au/podcasts/?id=22 http://www.ipp-shr.cqu.edu.au/podcasts/?id=22 Fri, 25 Apr 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Supporting Sibilings through Paediatric BMT Hamish Holewa recently spoke with Krista Wilkins about her study on supporting siblings through the paediatric bone marrow transplant trajectory. Krista spoke about the link between good information, truthfulness and choice and the implications for clinical practice and whether the findings have been translated into better supportive care for siblings. no 00:08:00 BMT, bone marrow transplant, family, communication, siblings, paediatric, pediatric Surrogate Decision-Making http://www.ipp-shr.cqu.edu.au/podcasts/?id=21 http://www.ipp-shr.cqu.edu.au/podcasts/?id=21 Fri, 18 Apr 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Surrogate Decision-Making For IPP-SHR podcasts, Michael Bouwman talked with Dr Elizabeth Vig about her study and article on surviving surrogate decision-making. Lisa and Michael discussed the notion of end-of-life surrogate decision-making in health and that the surrogates' characteristics, life circumstances and social networks affect the surrogate experience of decision-making. Lisa talked about her findings and how they highlight the complexity of relationship and communication issues for the surrogate-patient and for the surrogate-clinician, and detailed her suggestions for reducing surrogates stress. no 00:09:00 Communication, bioethics, consent, Technology and Care in ICU http://www.ipp-shr.cqu.edu.au/podcasts/?id=20 http://www.ipp-shr.cqu.edu.au/podcasts/?id=20 Fri, 28 Mar 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Technology and Care in ICU IPP-SHR's podcast host, Hamish Holewa, speaks with Anne Charlott Wikstrom, Head of the Division in the Department of Nursing, Health and Culture at University West, Trollhattan, Sweden, about research she has done exploring the meaning of technology in intensive care units. Hamish and Anne discuss some of the ethical dilemmas associated with using technology in this context and engage in an interesting exploration of the notion of technology being embedded in care and medical treatment. no 00:09:00 technology, care, bioethics, communication, hierarchy, communication Reproductive Intentions Among HIV Positive http://www.ipp-shr.cqu.edu.au/podcasts/?id=19 http://www.ipp-shr.cqu.edu.au/podcasts/?id=19 Fri, 21 Mar 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Reproductive Intentions Among HIV Positive Michael Bouwman recently talked with Dr Diane Cooper about her study on reproductive intentions among HIV-positive women and men in South Africa. Michael and Diane discussed the context of the work on the reproductive choices of HIV positive men and women in South Africa, and why there is previously no research completed on this topic. Diane also discussed with Michael the role that ART (antiretroviral treatment) and PMTCT (prevention of mother-to-child HIV transmission) now play in influencing reproductive choice, and Diane talked about what recommendations she has to inform the development of supportive policy and programs for safer and healthier reproductive options among HIV positive individuals in South Africa. no 00:09:00 HIV, reproductive, qualitative, psychosocial, ethics Health Failure Prognosis Communication http://www.ipp-shr.cqu.edu.au/podcasts/?id=18 http://www.ipp-shr.cqu.edu.au/podcasts/?id=18 Fri, 14 Mar 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Health Failure Prognosis Communication Hamish Holewa recently caught up with Dr Patricia Caldwell to talk about her study and article on preferences of patients with heart failure for prognosis communication. Hamish and Patricia discussed the disadvantages heart patients faced when discussing and attending to end-of-life issues. The study explored issues including truth-telling, wellness, end-of-life planning and positive experiences of qualitative methodology in exploring end-of-life issues. Hamish and Patricia also discussed her findings on hope for quality of life, symptom control and control over end of life decisions, as well as the practical implications of the study's findings. no 00:10:23 communication, heart failure, CPD, prognosis communication, palliative care Chemotherapy and Needle Anxiety http://www.ipp-shr.cqu.edu.au/podcasts/?id=17 http://www.ipp-shr.cqu.edu.au/podcasts/?id=17 Fri, 07 Mar 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Chemotherapy and Needle Anxiety Michael Bouwman recently talked with Anna Cox about needle anxiety after going through chemotherapy. Anna and Michael talked about the difference between needle phobia and needle anxiety, and what created Anna's interest in this area. Anna also talked about her findings on the causative relationship between the experience of chemotherapy and the development of needle anxiety. Michael and Anna also discussed practical and psycho-social strategies recommended to prevent this needle anxiety, including the monitoring of chemotherapy regimes for their effect on a patients psycho-social well-being. no 00:08:25 Chemotherapy, psychosocial side effects, needle anxiety, cancer, oncology, haematology Ethical Dilemmas in Telephone Nursing http://www.ipp-shr.cqu.edu.au/podcasts/?id=16 http://www.ipp-shr.cqu.edu.au/podcasts/?id=16 Fri, 29 Feb 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Ethical Dilemmas in Telephone Nursing Hamish Holewa speaks with Swedish researcher Dr Inger Holmstrom about her study on the ethical dilemmas arising from telephone nursing. Hamish and Inger discuss the significant changes to health care in Sweden that have resulted in the expanding use of telephone nursing and Inger touches upon her motivation for conducting this research. Inger also speaks about the relevance of her findings to the experiences of moral stress and burnout found among nurses and suggests ways, identified in her research, for policy makers and service providers to address these concerns. no 00:08:00 telemedicine, tele nursing, psycho social issues, remote medicine, ethics, bioethics Mental Health Consumers and the Therapeutic Relationship http://www.ipp-shr.cqu.edu.au/podcasts/?id=15 http://www.ipp-shr.cqu.edu.au/podcasts/?id=15 Fri, 22 Feb 2008 09:00:00 +1000 IPP-SHR, CQU Mental Health Consumers and the Therapeutic Relationship Michael Bouwman talked with Mona Shattell about her study and article on mental health service recipients' experience of the therapeutic relationship. Mona and Michael discussed Mona's findings that touch, self-disclosure, and blunt feedback challenged some long-held beliefs. Mona also talked about other factors that she found to be important in what makes the "therapeutic" in a therapeutic relationship. Michael and Mona also talked about what feedback has come from health professionals or consumers and how that is making a difference in the real world. no 00:07:00 mental health, therapeutic relationships, psychosocial factors, recovery Psycho-Social Influences on Breast Cancer Prognosis http://www.ipp-shr.cqu.edu.au/podcasts/?id=14 http://www.ipp-shr.cqu.edu.au/podcasts/?id=14 Fri, 15 Feb 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Psycho-Social Influences on Breast Cancer Prognosis Hamish Holewa talks with Petros Rafailidis about his involvement in a study of the effect of psycho-social factors on breast cancer outcomes. Hamish and Petros discuss the psycho-social factors that have been found to be relevant to disease outcome and Petros talks about the limits of research in this area and the fact that conflicting evidence exists on the impact of psycho-social factors. no 00:07:58 Breast cancer, systematic review, psyscho social factors, health determinants, Cardiac Pain or Panic Disorder? http://www.ipp-shr.cqu.edu.au/podcasts/?id=13 http://www.ipp-shr.cqu.edu.au/podcasts/?id=13 Fri, 08 Feb 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cardiac Pain or Panic Disorder? In this IPP-SHR podcast Michael Bouwman talks with Helen Hamer about her research into the difficulties health professionals' face in distinguishing between cardiac pain and panic disorder within an emergency room context. Helen and Michael discuss Helen's motivation for doing this research, the difficulties associated with diagnosing panic disorder and the ways in which health professionals go about managing such uncertainty and ambiguity. no 00:08:00 cardiac pain, panic disorder, anxiety disorder, emergency decision making, bioethics, psychosocial factors, ambiguity in diagnosis Health Services Priority Setting http://www.ipp-shr.cqu.edu.au/podcasts/?id=12 http://www.ipp-shr.cqu.edu.au/podcasts/?id=12 Fri, 01 Feb 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Health Services Priority Setting Hamish Holewa talks with Dr Lydia Kapiriri about her research on priority setting in developing country health care institutions, which was conducted within a Ugandan hospital. Lydia talks about the varied ethical and priority setting concepts documented by the study and how the findings of this research can be translated into practice. no 00:09:00 health economics, priority setting, Uganda, developing countries, bio ethics, qualiative, accountablity of reasonableness Participation in Qualitative Research http://www.ipp-shr.cqu.edu.au/podcasts/?id=11 http://www.ipp-shr.cqu.edu.au/podcasts/?id=11 Fri, 25 Jan 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Participation in Qualitative Research Michael Bouwman talks with Dr Elizabeth Peel about research she has done exploring why people take part in qualitative research. Michael and Elizabeth discuss Elizabeth's motivation to do this work and, as well as why she chose a qualitative methodology to explore these issues. Elizabeth also speaks about the insights her findings provide into the role of nurses in the research recruitment process and the important factors that drive participation in research. no 00:07:53 Qualitative Research, Psychosocial factors, Benefits Health Providers' Illness Naratives http://www.ipp-shr.cqu.edu.au/podcasts/?id=10 http://www.ipp-shr.cqu.edu.au/podcasts/?id=10 Fri, 18 Jan 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Health Providers' Illness Naratives IPP-SHR host Michael Bouwman talks with Dr Robert Kempainen about his qualitative study analysing personal illness narratives written by health care professionals. Michael and Robert discuss the findings of this research; the unique issues this study raises for health professionals and consumers; and how these findings can be used for educational purposes. no 00:08:00 health providers, qualitative study, health care professional, Dr Judith Kaur from the Mayo Clinic USA talks about Indigenous Cancer Issues http://www.ipp-shr.cqu.edu.au/podcasts/?id=9 http://www.ipp-shr.cqu.edu.au/podcasts/?id=9 Fri, 21 Dec 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Dr Judith Kaur from the Mayo Clinic USA talks about Indigenous Cancer Issues This special long play installment of the occasional lecture series looks at Indigenous health issues in North America from the unique perspective of Dr Judith Kaur, a Choktoi Cherokee, and one of only two American-Indian medical oncologists in the USA. Dr Kaur is the medical director of the American Native Programs at the Mayo Clinic Comprehensive Cancer Centre, which is involved in outreach with American Indians and Indigenous Alaskans. Dr Kaur's research includes a special interest in women's cancer, especially cervical and breast cancer. She is associate professor of oncology in the Mayo Clinic College of Medicine. She is also the medical director of the Mayo Clinic Hospice and chair of the palliative care taskforce. THIS IS THE LAST PODCAST FOR 2007. WISHING YOU SEASONS GREETINGS AND A HAPPY NEW YEAR. WE WILL BE RETURNING FOR WEEKLY PODCASTS ON THE 18TH OF JANUARY 2008. no 00:54:42 Indigenous, Cancer Control, Prevention, Native Americans, Mayo, Psychosocial Issues Patient Expectations of Blood Testing http://www.ipp-shr.cqu.edu.au/podcasts/?id=8 http://www.ipp-shr.cqu.edu.au/podcasts/?id=8 Fri, 14 Dec 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Patient Expectations of Blood Testing Hamish Holewa interviews Dr Marloes van Bokhoven about work she has done exploring why patients want to have their blood tested. Marloes discusses her motivation for conducting research into patients' expectations of blood testing; her findings that patients' often hold high expectations of blood testing; and the fundamental tension highlighted in her research between maintaining the magic of testing and handling the misunderstood disadvantages associated with screening. no 00:06:59 GP, general practice, qualitative, blood testing, patient expectation, screening, psychosocial Schizophrenia in China and India http://www.ipp-shr.cqu.edu.au/podcasts/?id=7 http://www.ipp-shr.cqu.edu.au/podcasts/?id=7 Fri, 07 Dec 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Schizophrenia in China and India In this IPP-SHR Podcast, host Stasia Kail-Buckley talks with Professor Louise Higgins about her research exploring mental health nurses' experiences of schizophrenia care in China and India. Louise and Stasia discuss the issues relating to care within these cultures, and the similarities and differences between the western model of care and Chinese and Indian approaches. The interview concludes with a discussion of the potential for these findings to be incorporated into western mental health systems to improve outcomes for individuals with schizophrenia. no 00:08:00 mental health, psychosocial, china, india, nurses experience, qualiative methodology Maintaining Face in the presentation of depression http://www.ipp-shr.cqu.edu.au/podcasts/?id=6 http://www.ipp-shr.cqu.edu.au/podcasts/?id=6 Fri, 30 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Maintaining Face in the presentation of depression Michael Bouwman talks with Dr Kristian Pollock about her study on maintaining face in the presentation of depression in medical encounters. Kristian and Michael talk about the tension between the benefits of saving face verses the benefits of appropriate diagnosis and treatment. They also discuss the qualitative research process adopted in Kristian's study, focusing on how the findings on 'face' emerged from the data analysis. no 00:07:51 Depression, GP consultation, mental health, mental health models, anti depressents, Community Based Services for Mothers at High Psycho-Social Risk http://www.ipp-shr.cqu.edu.au/podcasts/?id=5 http://www.ipp-shr.cqu.edu.au/podcasts/?id=5 Fri, 23 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Community Based Services for Mothers at High Psycho-Social Risk In this podcast Hamish Holewa talks with Professor Maria Jose Rodrigo Lopez, who has been involved with a Spanish study evaluating a community centre-based program for mothers facing significant barriers to effective parenting. Hamish and Professor Rodrigo-Lopez discus her involvement in this program, how the program is run and it's effectiveness at supporting mothers to engade in positive parenting practices. no 00:07:42 childhood, parenting, psycho-social risk, community based programs Positive Outcomes Gained from Touch Therapy for Autistic Children. Stasia Kail-Buckley recently talked to Dr Lesley Powell about her study and subsequent article into the positive outcomes gained from touch therapy for autistic children. http://www.ipp-shr.cqu.edu.au/podcasts/?id=4 http://www.ipp-shr.cqu.edu.au/podcasts/?id=4 Fri, 16 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Positive Outcomes Gained from Touch Therapy for Autistic Children. Stasia Kail-Buckley recently talked to Dr Lesley Powell about her study and subsequent article into the positive outcomes gained from touch therapy for autistic children. Stasia Kail-Buckley talks with Dr Lesley Powell about her study exploring the experience of touch between children with autism and their parents. Dr Powell discusses the positive outcomes that autistic children were found to gain from touch therapy and the way in which this practical intervention can empower parents. no 00:06:54 autism, children, touch therapy, ipp-shr, health, psycho social research, cquniversity Consumer Operated Self-Help Centres in New Jersey, USA. Michael Bouwman spoke with Dr Margaret Swarbrick, who has been involved in a study on consumer operated self help centres in New Jersey USA. Michael's podcast discussion with Dr Swarbrick focussed o http://www.ipp-shr.cqu.edu.au/podcasts/?id=3 http://www.ipp-shr.cqu.edu.au/podcasts/?id=3 Fri, 09 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Consumer Operated Self-Help Centres in New Jersey, USA. Michael Bouwman recently spoke with Dr Margaret Swarbrick, who has been involved in a study on consumer operated self help centres in New Jersey USA. Michael's podcast discussion with Dr Swarbrick f Michael Bouwman spoke with Dr Margaret Swarbrick, who has been involved in a study of consumer operated self help centres in New Jersey, USA. Michael's podcast discussion with Dr Swarbrick focussed on the success of these self help centres in aiding people's recovery from mental illness, some of the obstacles faced in the data collection and relevant feedback received from the study. no 00:00:47 self help centres, recovery, mental health, ipp-shr, health, psycho social research, cquniversity Fathers' Thoughts on Caring for their Young Children with Type 1 Diabetes. Stasia Kail-Buckley talked to Dr Sullivan-Bolyai about her study and article, the difficulties these fathers faced and their fears and achievements in learning how to care for a http://www.ipp-shr.cqu.edu.au/podcasts/?id=2 http://www.ipp-shr.cqu.edu.au/podcasts/?id=2 Fri, 02 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Stasia Kail-Buckley talked to Dr Sullivan-Bolyai about her study and article, the difficulties these fathers faced and their fears and achievements in learning how to care for their child with type 1 diabetes. Stasia Kail-Buckley talked to Dr Susan Sullivan-Bolyai about her study of the parenting experiences of fathers of children with Type One Diabetes. Through their discussion, Stasia and Susan explore the difficulties these fathers face, their fears, and their achievements in learning how to care for their children and be a strong support in their lives. no 00:08:59 fathers, children, type 1 diabetes, ippshr, health, psycho social research, cquniversity Difficulty in management of non specific acute back pain in the UK. Michael Bouwman talked to Dr Alan Breen who recently completed a study on GP management of acute back pain in the United Kingdom. http://www.ipp-shr.cqu.edu.au/podcasts/?id=1 http://www.ipp-shr.cqu.edu.au/podcasts/?id=1 Sat, 27 Oct 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Difficulty in management of non specific acute back pain in the UK. Michael Bouwman talked to Dr Alan Breen who recently completed a study on GP management of acute back pain in the United Kingdom. Michael Bouwman talked to Dr Alan Breen who has recently completed a study on GP management of acute back pain in the United Kingdom. Michael and Alan discuss the difficulties encountered by GPs managing patient issues relating to acute non-specific back pain and the lack of guiding evidence available in this area. no 00:07:40 ippshr, health, psycho social research, cquniversity