Building a Gymnasium¾Building Health in Lake Cargelligo

1995 ◽  
Vol 1 (1) ◽  
pp. 94
Author(s):  
Joy Northey
Keyword(s):  
Community Health ◽  
Rural Community ◽  
New South ◽  
New South Wales ◽  
Health Staff ◽  
Local Health ◽  
Health Issues ◽  
Combined Approach ◽  
South Wales ◽  
The Town

Lake Cargelligo is a small, isolated rural community in the centre of New South Wales with a population of 2000, of these 60% live in the town. The project to build a gymnasium was the result of a combined approach to improve the health and fitness of the community by hospital and community health staff and by the community at large. It was the outcome of a series of innovative approaches to addressing local health issues.

Case Study

2011 ◽  
pp. 191-203
Author(s):  
E. Saurman ◽  
D. Perkins ◽  
D. Lyle ◽  
M. Patfield ◽  
R. Roberts
Keyword(s):  
Mental Health ◽  
Health Service ◽  
New South ◽  
New South Wales ◽  
Health Staff ◽  
Local Health ◽  
Rural And Remote ◽  
South Wales ◽  
Western Area ◽  
Area Health

The MHEC-RAP project involves the innovative application of video conferencing to mental health assessment in rural NSW. The preliminary evaluation findings of the project are presented. Mental health emergencies in rural and remote settings cause particular problems and are not amenable to conventional health service solutions. Patients and local health care staff may be isolated from specialist mental health staff and from acute inpatient services. Decisions to transport patients for specialist assessments or treatment may be required at night or at weekends and may involve families, police, ambulance services and local health staff. Such decisions need to be made promptly but carefully and the ability to obtain a specialist assessment may assist in making a decision about how best to care for the patient bearing in mind the need to provide a responsive, high quality and safe service to patients and local clinicians. In this chapter we examine a novel approach which uses audio-visual technology to conduct remote emergency mental health patient assessment interviews and provide consultations to local clinicians in rural communities in western NSW. The Mental Health Emergency Care – Rural Access Project or ‘MHEC-RAP’ was developed in 2007 following a series of consultations held in rural towns and implemented in 2008 within the Greater Western Area Health Service (GWAHS), New South Wales, Australia. GWAHS is a primary example of a rural and remote health service. It serves 287,481 people (8.3% of whom are Indigenous Australians) in an area that is 445,197sq km or 55% of the state of New South Wales (Australian Bureau of Statistics, 2001; Greater Western Area Health Service, 2007, 2009). The communities within GWAHS are mostly small, the towns are widely dispersed and local services are “limited by distance, expense, transport, and the difficulty of recruiting health professionals to these areas” (Dunbar, 2007 page 587). The chapter focuses on the design of the service, its implementation and its performance in the first year. We conclude with a discussion about the service, its broader relevance, transferability and its sustainability.

scholarly journals BreastScreen: Keeping Abreast with the Community

1996 ◽  
Vol 2 (4) ◽  
pp. 70
Author(s):  
Lucy Needham
Keyword(s):  
Community Health ◽  
Breast Screening ◽  
New South ◽  
New South Wales ◽  
Local Communities ◽  
Health Staff ◽  
South Wales ◽  
Vast Area

BreastScreen NSW Central & Western covers approximately half of New South Wales (NSW), and this vast area and the diversity of its population requires a different approach from programs in smaller and more homogeneous locations. Although the Program has a discrete budget and staff dedicated solely to breast screening, it has also been important to develop, foster and maintain links with community health staff and with members of local communities in order to provide the service effectively. A variety of links which have been developed and are crucial to the success of the program are described.

Cultural safety in hospitals: validating an empirical measurement tool to capture the Aboriginal patient experience

2020 ◽  
Vol 44 (2) ◽  
pp. 205
Author(s):  
Elissa Elvidge ◽  
Yin Paradies ◽  
Rosemary Aldrich ◽  
Carl Holder
Keyword(s):  
Patient Perspective ◽  
New South ◽  
New South Wales ◽  
Performance Measure ◽  
Cultural Safety ◽  
Measurement Tool ◽  
Local Health ◽  
Validity And Reliability ◽  
South Wales ◽  
Aboriginal Patient

ObjectiveThe aim of the present study was to develop a scale to measure cultural safety in hospitals from an Aboriginal patient perspective. MethodsThe Cultural Safety Survey was designed to measure five key characteristics of cultural safety that contribute to positive hospital experiences among Aboriginal hospital patients. Investigators developed a range of different methods to assess the validity and reliability of the scale using a sample of 316 participants who had attended a New South Wales hospital in the past 12 months. Targeted recruitment was conducted at two hospital sites. Opportunistic recruitment took place through a local health district, discharge follow-up service and online via social media. ResultsThe Cultural Safety Survey Scale was a robust measurement tool that demonstrated a high level of content and construct validity. ConclusionThe Cultural Safety Survey Scale could be a useful tool for measuring cultural safety in hospitals from the Aboriginal patient perspective. What is known about the topic?There are increasing calls by governments around the world for health institutions to enhance the cultural safety of their services as one way of removing access barriers and increasing health equity. However, currently there are no critical indicators or systematic methods of measuring cultural safety from the patient perspective. What does this paper add?The cultural safety scale, an Australian first, presents the first empirically validated tool that measures cultural safety from the Aboriginal patient perspective. What are the implications for practitioners?This measurement model will allow hospitals to measure the cultural safety of their services and ascertain whether current efforts aimed to improve cultural safety are resulting in Aboriginal patients reporting more culturally safe experiences. Over time it is hoped that the tool will be used to benchmark performance and eventually be adopted as a performance measure for hospitals across New South Wales.

scholarly journals A multi-organisation aged care emergency service for acute care management of older residents in aged care facilities

2015 ◽  
Vol 39 (5) ◽  
pp. 514 ◽  
Author(s):  
Jane Conway ◽  
Sophie Dilworth ◽  
Carolyn Hullick ◽  
Jacqueline Hewitt ◽  
Catherine Turner ◽  
...  
Keyword(s):  
New South ◽  
Point Of Care ◽  
New South Wales ◽  
Aged Care ◽  
Residential Aged Care ◽  
Local Health ◽  
South Wales ◽  
Care Assessment ◽  
Care Facilities ◽  
Aged Care Facilities

This case study describes a multi-organisation aged care emergency (ACE) service. The service was designed to enable point-of-care assessment and management for older people in residential aged care facilities (RACFs). Design of the ACE service involved consultation and engagement of multiple key stakeholders. The ACE service was implemented in a large geographical region of a single Medicare Local (ML) in New South Wales, Australia. The service was developed over several phases. A case control pilot evaluation of one emergency department (ED) and four RACFs revealed a 16% reduction in presentations to the ED as well as reductions in admission to the hospital following ED presentation. Following initial pilot work, the ACE service transitioned across another five EDs and 85 RACFs in the local health district. The service has now been implemented in a further 10 sites (six metropolitan and four rural EDs) across New South Wales. Ongoing evaluation of the implementation continues to show positive outcomes. The ACE service offers a model shown to reduce ED presentations and admissions from RACFs, and provide quality care with a focus on the needs of the older person.

scholarly journals The fossil human skull found at Talgai, Queensland

1918 ◽  
Vol 208 (348-359) ◽  
pp. 351-387 ◽  
Keyword(s):  
New South ◽  
New South Wales ◽  
Black Soil ◽  
Local Conditions ◽  
Human Skull ◽  
South Wales ◽  
The University ◽  
The Town ◽  
Heavy Rains ◽  
Brown Clay

Situated in the Darling Downs of Southern Queensland, in the vicinity of the town of Warwick, are a series of alluvial flats, watered by the tributary creeks of the Condamine River, which is itself a branch of the Darling. One of these creeks, the Dalrymple, winds a tortuous course through the black-soil country, a few miles north of Warwick, and traverses Talgai Station. In the year 1884, after exceptionally heavy rains, the creek came down in strong flood and overflowed the flats to a width of over half a mile. When the floods subsided, it was found that an old water course or “billabong” had been washed out, leaving a channel about ten feet in depth. A fencer who was at work at Talgai at this time, while traversing this freshly washed-out channel, had his attention arrested by what seemed to he a curiously shaped stone in the side of the cut, lying embedded by itself, not at the bottom, but about three feet up the side. It was firmly fixed in the clay, and in dislodging it he formed the opinion that it had not been recently disturbed. When he had freed it, perceiving that it was a skull, he took it to the proprietor of Talgai Station, from whose son it passed into the possession of Mr. E. A. Crawford, of Greenethorpe, New South Wales. This gentleman, in May, 1914, submitted a photograph of it to Prof. Edgeworth David, F. B. S., Professor of Geology in the University of Sydney, who showed it to Prof. J. T. Wilson, F. R. S. He, immediately perceiving the possibilities, expressed a strong desire to have the specimen itself forwarded to Sydney. This having been done, the preliminary investigations were immediately commenced by Profs. David and Wilson, and the results communicated to the British Association for the Advancement of Science in Sydney, in August, 1914(1). Shortly after this, Prof. David made a journey to the site of the discovery. He was fortunate enough to find the original discoverer, who, though a very old man, retained a clear recollection of the circumstances of the find. He visited the locality, and, with a memory still clear as to the local conditions, pointed out to Prof. David, to within a few yards, the spot in the gully where the skull was unearthed. His account of the discovery was as just related, and he was able to identify the formation of red-brown clay, interspersed with nodular concretions of carbonate of lime, as identical with that from the upper portion of which the skull was originally removed.

Junior clinical academic psychiatrists in Australia: The University of New South Wales initiative

2018 ◽  
Vol 27 (3) ◽  
pp. 241-244 ◽  
Author(s):  
Adith Mohan ◽  
Adam Bayes ◽  
Perminder S Sachdev ◽  
Gordon Parker ◽  
Philip B Mitchell
Keyword(s):  
New South ◽  
New South Wales ◽  
Local Health ◽  
Specialty Training ◽  
Research Engagement ◽  
Track Record ◽  
South Wales ◽  
Entry Points ◽  
The University ◽  
Health Districts

Objective: We examined current pathways of training for junior clinical academic psychiatrists in Australia. An initiative of the School of Psychiatry, University of New South Wales, is described from the perspective of two junior clinical academics. Conclusions: Australia has limited defined clinical academic pathways for psychiatrists when compared internationally. Numerous challenges for junior psychiatrists entering academia include tensions between clinical and academic roles, reduced remuneration, difficulty building a competitive track record and a scarcity of funding. Potential solutions lie with universities and local health districts partnering to fund clinical academic roles and offering flexible entry points across specialty training. Fostering research engagement in junior psychiatrists will develop the next generation of clinical academics with benefit for clinical and academic domains.

Improving child immunisation rates in a disadvantaged community in New South Wales, Australia: a process evaluation for research translation

2019 ◽  
Vol 25 (4) ◽  
pp. 310
Author(s):  
Susan Thomas ◽  
Helen Higgins ◽  
Julie Leask ◽  
Lisa Menning ◽  
Katrine Habersaat ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Home Visiting ◽  
New South ◽  
New South Wales ◽  
World Health ◽  
Research Translation ◽  
Health Staff ◽  
Disadvantaged Community ◽  
South Wales ◽  
New Strategy

The World Health Organization’s Tailoring Immunization Programmes approach was used to develop a new strategy to increase child vaccination coverage in a disadvantaged community in New South Wales, Australia, including reminders, outreach and home visiting. After 18 months, the strategy hasn’t been fully implemented. A process evaluation was conducted to identify barriers and facilitators for research translation. Participants included child health nurses, Population Health staff, managers and general practitioners. The Capability–Opportunity–Motivation model of behaviour change (COM-B) was used to develop questions. Twenty-four participants took part in three focus groups and four interviews. Five themes emerged: (i) designing and adopting new ways of working is time-consuming and requires new skills, new ways of thinking and changes in service delivery; (ii) genuine engagement and interaction across fields and institutions helps build capacity and strengthen motivation; (iii) implementation of a new strategy requires clarity; who’s doing what, when and how?; (iv) it is important not to lose sight of research findings related to the needs of disadvantaged families; and (v) trust in the process and perseverance are fundamental. There was strong motivation and opportunity for change, but a need to enhance service capability. Areas requiring support and resources were identified.

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