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UDRH Progress Report University Department of Rural Health, Tasmania Progress Report 1 January – 30 June 2006 UDRH Progress Report Page 1 of 23 Tasmania (Jan – June 2006)

University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

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Page 1: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

University Department of Rural Health, Tasmania

Progress Report

1 January – 30 June 2006

UDRH Progress Report Page 1 of 23 Tasmania (Jan – June 2006)

Page 2: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

UDRH Name Tasmania Reporting Period January – June 2006 Summary of the progress of the UDRH (clause 5.4) (Provide a summary of whether the objectives and outcomes of the Project are being achieved and if not, why not) The UDRH received a highly competitive RHSET grant. During the reporting period, an agreement was entered into between the UDRH and the Commonwealth’s Rural Health Support, Education and Training (RHSET) program, titled “A National, online inter-professional Education Strategy for Rural and Remote Clinical Educators”. The objectives of the RHSET Program are to contribute towards the recruitment and retention of rural health workers by finding initiatives that provide them with appropriate support, education or training. UDRH Deputy Director, Dr Rosalind Bull, was invited to facilitate Preceptorship Workshop to Radiotherapists across Australia and New Zealand. The workshop was run in conjunction with the Australian Institute of Radiographers and was aimed to develop knowledge and skills around teaching and learning and preparing clinical settings for students. Two new Rural Health Teaching Sites (RHTS) were opened during this reporting period, one in Nubeena and one in Swansea. The expansion of our teaching site network will continue to provide support for health science students undertaking placements in these rural areas. The opening of these two additional sites highlight the close collaboration with communities from both the Glamorgan Spring Bay Council and the Tasman Council and brings our total RHTS to 12 across the State. The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements. In an attempt to increase the level of support and the return rate for the Student Satisfaction Survey, the UDRH placed the Survey on-line and receipt of financial support was made conditional on completion of the survey. As a result the number of students receiving support has increased dramatically – the return rate for the Survey is now more than 90% and a consistently high satisfaction rate reported. In April, the UDRH, Tasmania, hosted the National Indigenous Staff Network (ISN) Meeting. A collection of ISN members working in UDRHs across Australia met in Launceston to share information and resources to achieve positive outcomes in relation to Aboriginal health and wellbeing. The UDRH’s Graduate Research Program continues to grow with 17 PhD and 9 Masters candidates, totally 26. Seven workshops and one retreat have been offered during this reporting period and all have been well attending with positive evaluations. With the implementation of the new 5 year medical curriculum at the University of Tasmania, School of Medicine the UDRH has been involved in the development, coordination and delivery of Theme 3 Community Health and Disease. Semester 1 has delivered a seminar series and prepared for Semester 2 which includes the continuation of the seminars and implementation of the community placement program. The seminar series have been aligned to the weekly cases and the other Theme areas. A highlight has seen the integration of cultural safety into the curriculum through a variety of seminars, workshops and talking circles. The Indigenous Health Theme Bank has a web presence for use by Faculty of Health Science students and staff. Strategies are now being explored ensuring a higher hit rate through advanced search engines. The Theme Bank has received endorsement from medical

UDRH Progress Report Page 2 of 23 Tasmania (Jan – June 2006)

Page 3: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

practitioners working in the field of Aboriginal health in Tasmania to first and six year medical students enrolled at the University of Tasmania. In collaboration with the Schools of Medicine, Pharmacy and Nursing & Midwifery, the Department of Health & Human Services, The Migrant Resource Centre, and Grit Media, the UDRH developed a DVD titled “See through our eyes: a refugee perspective on health”. The DVD is to be used as a teaching and learning resource introducing important concepts in refugee health care. The DVD was made possible from a grant from the Pro Vice-Chancellor (Teaching and Learning), University of Tasmania. The UDRH ran a Health Careers Camp in June. The program continues to provide support and promotion for rural health careers and establishes effective working relations within the Faculty of Health Science, community professionals and service delivers across the State. A copy of the Careers Program report is attached (Appendix 1). UDRH – Rural Health Bulletins The UDRH produced two Rural Health bulletins during this reporting period. The April Bulletin was the UDRH’s first E-Bulletin and was enthusiastically received. The June edition was available in both paper (Appendix 2) and electronically. Links to both bulletins can be found at http://www.ruralhealth.utas.edu.au/news/issue/5 (April) and http://www.ruralhealth.utas.edu.au/docs/bulletins/udrh-bulletin-2006-jun.pdf (June).

UDRH Progress Report Page 3 of 23 Tasmania (Jan – June 2006)

Page 4: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

Key Result Area 1 - Increase and improve rural experiences for health science students. Key Performance Indicator 1a: State the number of Australian (and international) undergraduate students undertaking clinical placements or other educational activities of one week or longer in rural or remote sites organised or facilitated by the UDRH, by discipline, course, Indigenous status, numbers of students and student weeks. Student satisfaction with placements, and students’ exposure to cultural awareness training relating to Indigenous issues, are also included in this reporting form. (International students need only be noted in columns 2 and 3)

Discipline/ Course (remove or add as necessary) Note: Only undergraduate health disciplines are to be reported

Number of students provided with placements of one week to less than two weeks (including international students)

Number of students provided

with placements

of two weeks or

longer (including

international students)

Number of student weeks

Number of Indigenous students

Students reporting high

level of satisfaction

with their placement

(No. of placements

completed/no. of surveys return)(%

satisfaction)

Number of student receiving cultural awareness training as part of their placement (placements of 2 weeks or longer)

1-2 weeks

>2 weeks Return rate

Satisfaction

Aboriginal Health Audiology Dentistry Dietetics 1 6 1/1 100% Health Promotion Medical Radiation Medicine 21 (8) 69 1 29/7 100% Nursing 82 (5) 371 1 87/79 97% Occupational Therapy 2 20 2/2 100% Optometry Orthoptics Orthotics/Prosthetics 1 8 1/1 100% Pharmacy 8 (2) 10 Physiotherapy 5 19 5/5 100% Podiatry 1 6 1/1 100% Psychiatry Social work Speech Therapy 3 28 3/3 100% TOTAL 10 129 10 527 2

Definitions: A student placement is defined as a one week or longer undergraduate Australian health professional student placement. The placement activities may include attending orientation, formal lectures, tutorials, clinical placements, clinical skills labs, and/or partaking in specific rural projects (including those items in the KPI 2 undergraduate section which should be regarded as a subset of KPI 1). It is to form part of the student’s assessment and experience. An undergraduate placement is for students whose placement is for an undergraduate course. For example a postgraduate entry undergraduate medical degree will be logged as an undergraduate placement and not a post graduate placement. Students who are not Australian citizens or permanent residents ("international students") should be noted adjacent to these numbers. For example, if 20 Australian citizens/permanent residents attend and 5 students who are not Australian citizens or permanent residents attend, the entry should be "20 (5)"

UDRH Progress Report Page 4 of 23 Tasmania (Jan – June 2006)

Page 5: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

A one week student placement is defined as a minimum of 5 consecutive (not cumulative) days in the rural or remote site. A two week student placement is defined as a minimum period of 12 consecutive (not cumulative) days in the rural and remote site. Student satisfaction is to be reported for those students undertaking placements of two weeks or longer. The number of placements over two weeks completed during the period against the number of completed returned surveys will be expressed as a percentage. For example 52 placements (ie over two weeks) completed with 32 surveys being completed and returned is a satisfaction rate of 100% if all of the surveys are positive should be expressed as 52/32 (100%). Cultural awareness training is training relevant to Indigenous issues. It may take a variety of formats; and may be delivered by the UDRH, by local organisations or by the university in consultation with the UDRH or site. Cultural awareness training relates to those students who undertake placements of two weeks or longer.

UDRH Progress Report Page 5 of 23 Tasmania (Jan – June 2006)

Page 6: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

Key Performance Indicator 1b: State the number of Australian (and international) postgraduate students undertaking placements involving educational or research activities of one week or longer in rural or remote sites organised or facilitated by the UDRH, by discipline, course, Indigenous status, numbers of students and student weeks. Student satisfaction with placements, and students’ exposure to cultural awareness training relating to Indigenous issues, are also included in this reporting form. (International students need only be noted in columns 2 and 3).

Discipline/ Course (remove or add as necessary) Note: Only postgraduate health disciplines are to be reported

Number of students provided

with placements of one week to less than two weeks (including

international students)

Number of students provided

with placements

of two weeks or

longer (including

international students)

Number of

student weeks

Number of Indigenous

students

Students reporting high

level of satisfaction with their placement

(No. of placements

completed/no. of surveys return)(%

satisfaction)

Number of student

receiving cultural

awareness training as part of their placement (placement

s of 2 weeks or longer)

1-2 weeks

>2 weeks

Return rate Satisfaction

Aboriginal Health Audiology Dentistry Dietetics Health Promotion Medical Radiation Medicine Nursing Occupational Therapy Optometry Orthoptics Orthotics/Prosthetics Pharmacy Psychology 6 13 - - Physiotherapy Podiatry Psychiatry Social work Speech Therapy

TOTAL 6 13 Definitions: A student placement is defined as a one week or longer postgraduate Australian health professional student placement. The placement must be organised or facilitated by the UDRH to be included. Post graduate entry into undergraduate course will be recorded as an undergraduate placement under KPIa1. Students who are not Australian citizens or permanent residents ("international students") should be noted adjacent to these numbers. For example, if 20 Australian citizens/permanent residents attend and 5 students who are not Australian citizens or permanent residents attend, the entry should be "20 (5)" Postgraduate is defined as study or research subsequent to the completion of a Bachelor Degree (the basic (first) undergraduate degree), including Graduate Certificate or Diploma, Masters or higher level. Definitions for the remaining columns are the same as for KPI 1a.

UDRH Progress Report Page 6 of 23 Tasmania (Jan – June 2006)

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UDRH Progress Report

Key Result Area 2 - Expand educational opportunities that are relevant for rural and remote practice. Key Performance Indicator 2: State the number of enrolments in undergraduate and postgraduate units and courses delivered by or in association with the UDRH, where the UDRH is responsible for 50% or more of teaching. Include the number of indigenous students and students who are existing rural or remote health professionals and EFTSU. (Please note that the undergraduate student numbers may be a sub-set of those reported under KRA1)

Number of either:

OR

Unit/Course and University course code

Total number of students

Number of Indigenous students (subset of total number of students)

Number of students who are existing rural or remote health professionals (subset of total number of students)

EFTSU

Participant hours

Vocational Community Leadership Website

Unknown

Introduction to research in primary health care

6 Unknown 3/6 21

Introduction to quantitative research methods

8 Unknown 4/6 28

Undergraduate MBBS Curriculum development Theme 3 Community Health and Disease (for implementation during 2006)

63 Unknown

Postgraduate and research students PhD (enrolled & supervised through UDRH)

17 1 5 14

PhD Co-supervised by UDRH staff at >50% but enrolled in other schools

4 0 0 2.95

Research Masters 5 0 5 2.5 Masters preliminary 4 0 4 2 Grad Cert/Grad Dip E-Health 36 0 9 9 Definitions: All students to be included where the UDRH is responsible for 50% or more of teaching. Courses can be defined as a course of study, unit, subject or topic. These may be delivered externally. Vocational courses means accredited vocational training courses. Postgraduate course numbers include both course-based postgraduate students and research students affiliated with the UDRH. GP Registrars may also be included in this category. Affiliated means that substantial formal support is provided to the student by the UDRH, such as formal supervision by a UDRH academic, use of UDRH facilities for three or more months or student participation in a UDRH research or development activity. Numbers to be reported are those enrolled at the beginning of the year or semester. Existing rural and remote health professionals are health professionals living and working in RRMA 3 to RRMA 7 areas. EFTSU means Equivalent Full Time Student Units, that is, an estimation of the proportion of what the auspicing body considers a full-time load for a student in that program.

UDRH Progress Report Page 7 of 23 Tasmania (Jan – June 2006)

Page 8: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

Key Result Area 3 – Undertake research and related activities in rural and remote health issues Key Performance Indicator 3a: Report on the number of new research and development grants and consultancies (including specific-funded consultancies) awarded in the reporting period including the lead agency, funding source and period and value. Title of project Lead agency Funding source/s Funding

period Value to UDRH

Total value

‘States of mind’: A Best practice Framework for Tasmanian SAAP Services Working with Children aged 0-5 Exposed to Domestic Violence.

A consultancy commissioned by The Salvation Army Tasmania

Supported Accommodation Assistance Program jointly funded by the Tasmanian and Australian Governments

Oct 2005-June 2006

$10,000 $10,000

Parenting Partners evaluation

A consultancy commissioned by The Salvation Army Tasmania

Commonwealth Department of Families and Community Services

June 2005- Dec 2006

$6,000 $6,000

Evaluation of Get Walking Tasmania Week Program

A consultancy commissioned by Tasmanian Government

State Government Tasmania

July 2006- Dec 2008

$9,980 $9,980

Healthy Eating for Healthy Ageing

UDRH Home & Community Care (HACC) – DHHS

June 2006 – May 2007

$72,000 $72,000

West Coast Health Development Project

A consultancy commissioned by Tasmanian Government

Dept. of Health & Ageing

March – Nov 2006

$34,000 $34,000

Meander Valley Community Health Mapping Project

A consultancy commissioned by the Meander Valley Council

Meander Valley Council Feb 2006 – October 2006

$6,319 $6,319

Campbell Town Community Development Project

A consultancy commissioned by the Campbell Town Health and Community Service

Campbell Town Health and Community Service

April 2006 – Sept 2006

$2,657 $2,657

National online Multidisciplinary Preceptor program

UDRH (Tasmania) in collaboration with Monash, Sydney, Charles Sturt and Latrobe Universities

RHSET May 2006-May 2008

$30,764

$153,823

Professional Development: Mental Health Ethics Pilot

A consultancy commissioned by the Mental Health Services, Tasmania

MHS - DHHS Feb – Dec 2006

$9,992 $9,992

Medical Training for Shipmasters

A consultancy commissioned by the Australian Maritime College

Australian Maritime College

January –December 2006

$6,909 $6,902

Evaluation of Communities for Children – Burnie

A consultancy commissioned by Centacare Tasmania

Australian Government Department of Family and Community Services

Jan 2006- Jun 2009

$55,936 $55,936

Maintaining the Momentum – re-funding

UDRH NSPS – Dept. of Health & Ageing

July – Sept 2006

$5,831 $5,831

Tele-Check: Help is as close as the phone – re-funding

UDRH NSPS – Dept. of Health & Ageing

July – Sept. 2006

$34,210 $34,210

UDRH Progress Report Page 8 of 23 Tasmania (Jan – June 2006)

Page 9: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

KPI 3a Definitions: Only grants awarded during the reporting period are to be listed here. Funds received, or activity undertaken against grants previously awarded, are not to be listed here. Both grants administered by the UDRH (ie where the UDRH is the lead agency), and grants in which the UDRH is not the lead agency but still performing an active role, are to be included. This reflects and encourages collaborative research activity. Value to UDRH means the monetary value which is administered by the individual UDRH.

Key Performance Indicator 3b: Report on the number of publications and publicly available reports produced by UDRH staff and affiliated students during the reporting period. Name of Paper/article/report

Publication Publication date (anticipated/if known)

Peer-reviewed/non-peer reviewed

Le, Q, ‘Issues on Health Data Collection’

AARE conference proceedings, Parramatta NSW

March 2006 Peer-reviewed

Le, Q, ‘Social Epidemiology and its contribution to Critical Discourse Analysis’, pp. 312-316

Proceedings of the International Conference on Critical Discourse Analysis: Theory into Research

February 2006 Peer-reviewed

Le, Q, McManamey, R, ‘The Discourse of Outsourcing: Some Implications for Health Services and Education’, pp. 324-331

Proceedings of the International Conference on Critical Discourse Analysis: Theory into Research

February 2006 Peer-reviewed

Le, Q, Le, T, ‘Cultural Attitudes of Vietnamese Migrants on Health’

AARE conference proceedings, Parramatta NSW

March 2006 Non-peer reviewed

Le, Q, McManamey, R, ‘Multilevel Analysis and its implications for Rural Education’

SPERA conference proceedings

Approx. July 2006 Peer-reviewed

Le, Q. ‘Cultural Meaning in Health Communication’

Proceedings of the 5th Australia & New Zealand Adolescent Health Conference

December 2006 Peer-reviewed

Whetton, S ‘Health Informatics: who am I (and does it really matter?)’

Proceedings of the HIC2006 conference

August 2006 Peer-reviewed

E. Bell, Stirling, C. ‘What makes multidisciplinary practices happen?: Using a hermeneutic technique to understand better falls prevention’

Holistic Nursing Practices

2006 20 (3), 130-136. International peer-reviewed journal

E. Bell. ‘Self, meaning, International Drug paper accepted May International peer-

UDRH Progress Report Page 9 of 23 Tasmania (Jan – June 2006)

Page 10: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

and culture in service design: Using a hermeneutic technique to design a residential service for adolescents with drug issues’

Policy 2006 reviewed journal

O'Meara, P., Walker, J., Stirling, C., Pedler, D., Tourle, V., Davis, K., et al. (2006). The Rural and Remote Ambulance Paramedic: moving beyond emergency response. Bathurst: School of Public Health, Charles Sturt University.

Published Report May 2006 Non-peer reviewed

Warburton, J and Stirling, C. “Factors affecting volunteering among older rural and city dwelling adults in Australia”

Educational Gerontology: An International Journal

Paper accepted April 2006

Peer reviewed

Stirling, C. ‘Volunteer Visibility within Organisations’

Inaugural Volunteering Research Symposium Book of Abstracts

March 2006 Non-peer reviewed

Bull, R. & FitzGerald, M. 2006 ‘Nursing in a technological environment: nursing care in the operating room’

International Journal of Nursing Practice

February 2006, 12, 3-7.

Peer Reviewed

Bull, R, ‘Case Study: Participant observation in the operating theatre: 'Theatre wear must be worn past this point'’

In Hansen, E. Successful Qualitative Health Research, Allen & Unwin

2006 Book

Bull, R. ‘Multiprofessional education as a way of developing the research capacity off practising health professionals’

Association of Medical Education in Europe AMEE 2006 conference, Sept 2006

Paper accepted Peer reviewed

Dalton L, Howarth H., Taylor S, Marriott J, Galbraith K, Simpson M, Bull R, Best D and Leversha A. ‘Working together: a Team based Consortium for a National Preceptor Education Program’

Health Partnerships: Practices and Challenges: Opal Cove Resort, Coffs Harbour, 15-19

Conference Monograph

Non-peer reviewed

Simpson, M, Leversha, A., Marriott, J., Taylor,

Journal of Pharmacy Practice and Research,

For publication in July 36 (2) 1-3.

Peer reviewed

UDRH Progress Report Page 10 of 23 Tasmania (Jan – June 2006)

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UDRH Progress Report

S., Bull, R, Howarth, H., Gailbraith, K., Dalton. L, Best, D. & Rose, M. ‘Development of a mentoring module to enhance an online national pharmacy preceptor training program’ Taylor S, Best D, Marriott J, Dalton L, Bull R, Galbraith K, Howarth H, Leversha A, Simpson M, Rose M. Pharmacy student views on preceptorship during rural placements

Pharmacy Education Accepted for publication

Peer reviewed

Marriott J, Galbraith K, Taylor S, Dalton L, Rose M, Bull R, Leversha A, Best D, Howarth H, Simpson M Pharmacists’ views of preceptorship

Pharmacy Education Accepted for publication

Peer reviewed

Kilpatrick, S., and Bound, H. ‘Skilling a seasonal workforce: A way forward for rural regions’

Australian Vocational Education and Training Research Messages 2005, NCVER, Adelaide, p. 15.

May 2006 Non-peer reviewed

Kilpatrick, S., Barrett, M. and Jones, T. ‘Learning through Research: A Regional University and its Community’

International Journal of Pedagogies and Learning

late 2006 Peer reviewed

Kilpatrick, S. and Millar, P. ‘Management Skill Development and VET in the Livestock Industry’, report for the Sheep Cooperative CRC, Meat and Livestock Australia and Australian Wool Innovation.

University of Tasmania, Launceston.

Feb 2006 Report

Kilpatrick, S., Fulton, A., Johns, S. and Weatherley, J. ‘A responsive training market: The role of brokers. A report for the Cooperative Venture for Capacity

Rural Industries Research and Development Corporation, Canberra.

2006 Report

UDRH Progress Report Page 11 of 23 Tasmania (Jan – June 2006)

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UDRH Progress Report

Building’ Kilpatrick, S., Fulton, A. and Johns, S. ‘Matching training needs to opportunities: A guidebook. Prepared for the Cooperative Venture for Capacity Building’

Rural Industries Research and Development Corporation, Canberra.

2006 Report

Cane, R.J., Kilpatrick,S. Final Report:The Evaluation of the Bachelor of Dental Surgery, Undergraduate Clinical Placement Program 2005

Department of Health and Human Services Tasmania

March 2006 Report

Cane, R.J., Kilpatrick,S. ‘Evaluating enhanced learning outcomes during an undergraduate extramural placement’

Proceedings of the 84th General Session of the International Association for Dental Research

June 2006 Peer-reviewed

Kilpatrick, S., Johns, S., Millar, P., Le, Q. and Routley, G. (2006) Innovative solutions to skill shortages in health. Community Services & Health Industry Skills Councils

Proceedings at the Making a Difference…Building the Future CS&H Workforce Conference, Brisbane

June 2006 Peer-reviewed

Kilpatrick, S. Susan Johns, S. and Jessica Whelan, J. (2006) Partnerships and Place: Mobilising Resources from Outside.

Paper presented at Senses of Place Conference, University of Tasmania, Hobart

April 2006 Peer-reviewed

Smith, T, Walker, S., Stone, N., Fuller, J, Playford, D., Bull, R., Chesters, J 2006 "Rural Interprofessional Education in Australia: Networking to fill the vacuum"

All Together Better Health III: challenges in interprofessional education and practice, Imperial College London

April 2006 Peer-reviewed

UDRH Progress Report Page 12 of 23 Tasmania (Jan – June 2006)

Page 13: University Department of Rural Health, Tasmania · The UDRH has successfully supported an increased number of undergraduate nursing students undertaking rural clinical placements

UDRH Progress Report

Lauder, W., Reel, S., Farmer, J. & Griggs, H. (2006) ‘Social capital, rural nursing and rural nursing theory’

Nursing Inquiry, Vol. 13, No. 1, pp. 73-79

March 2006 Peer reviewed

Abbott-Chapman, J. ‘Moving from technical and further education to university: an Australian study of mature students’

British Journal of Vocational Education and Training, Vol. 58, No. 1, pp 1-18.

March 2006 Peer reviewed

Abbott-Chapman, J. ‘Improving the Participation of Disadvantaged Students in Post-compulsory Education and Training: An Ongoing Challenge’

UNESCO/Asia-Pacific Educational Research Assoc: “Learning and Teaching for the Twenty-First Century: papers in Honour of Professor Phillip Hughes”

late 2006 Peer reviewed

Le Vine, P., ‘Influence of International Politics on Mental Health Development’ poster

Third International Conference of the Asian Federation for Psychotherapy - conference proceedings

August 2006 Peer reviewed

Le Vine, P. & Watanabe, ‘Classical Morita Therapy: Influence of International Politics on Mental Health Environments (Community-based therapeutic intervention for suicide prevention in remote Japan)’

2006 International Congress of Psychotherapy and the Third International Conference of the Asian Federation for Psychotherapy - conference proceedings

August 2006 Peer reviewed

Le Vine, P., ‘Overlapping Contexts in Indigenous Research via Film Ethnography: Culture-based Trauma in remote Cambodia and Implications for Australia

Royal Australia and New Zealand College of Psychiatrists Influencing Social Determinants of mental health and well-being in rural, indigenous and island communities – conference proceedings

August 2006 Peer reviewed

KPI 3b Definitions: Publications which have been accepted for publication during the reporting period, are to be reported. Reporting is on papers which were accepted for publication during the reporting period. The list will include full reference, anticipated publication date/publication date (if known) and be separated into peer reviewed publications, non-peer reviewed publications, and reports produced (eg on a consultancy basis) which are not

UDRH Progress Report Page 13 of 23 Tasmania (Jan – June 2006)

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UDRH Progress Report

published in journals, but which are publicly available/in the public domain. Conference presentations that are not published in proceedings are not included.

UDRH Progress Report Page 14 of 23 Tasmania (Jan – June 2006)

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Key Result Area 4 – Support for rural health professionals, consumers and communities. Key Performance Indicator 4: Report on the development activities for health professionals, consumers, and communities, conducted during the reporting period, by numbers of participants, duration and type. Type of activity Number of

participants Number of indigenous participants

Total number of participant-hours

Training for effective clinical support (ie preceptor training) Clinical supervisor (radiotherapists) preparation 20 Not known 120 Clinical supervisors training (NW Physiotherapy) 18 Not known 288 Site support visits to rural Pharmacies 28 Not known - Journal clubs/ seminars/grand rounds Indigenous Staff Network Writing Workshop 18 18 54 After the band-aid – 2006 Tasmanian Volunteer Ambulance Officers Seminar

Approx 80 Not known 40

Workshop on Continuous community needs assessment

13 Not known 26

Seminar presentation: Dementia and an Ageing Population, National Ex-Servicemen’s Round Table on Aged Care

25 4 12.5

Formal mentoring National Institute of Clinical Studies Fellowship Seminars

1 Not known -

Seminars via Department of Health & Human Services Telehealth Network *UDRH Seminar 4 - The context of rural health practice

63 Not Known 63

*UDRH Seminar 5 – Background to the reform agenda for mental health services in Tasmania

48 Not Known 48

*UDRH Seminar 6 – Designing a residential service for adolescents with substance abuse issues in Tasmania

46 Not Known 46

*UDRH Seminar 7 – Supportive care needs across time for Tasmanian women with breast cancer

33 Not Known 33

What editors want 25 Not known 25 Online training Other training Electronic Health Records (Northern Community Physiotherapists, DHHS)

8 Not known 12

Maintaining the Momentum (suicide prevention) 180 Not known 1080 Pharmacy Lecture on Medications & Ageing to physiotherapists statewide

20 Not known 20

TeleCheck (suicide prevention) Operators TeleCheck (suicide prevention) Community Awareness

12

31

Not known

72

93 Being a team player – workshop for Tasmanian volunteer ambulance officers

18 Not known 18

Australian Nursing Federation Lecture – Medications & Swallowing

40 Not known 40

AAG Rural Conference (23-24 March) Tamworth. Workshop: 'Issues, challenges and opportunities for rural ageing research’.

50 Not known 50

Furneaux Group Community Health Advisory 12 2 72

UDRH Progress Report Page 15 of 23 Tasmania (Jan – June 2006)

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UDRH Progress Report

Committee – Strategic Planning Workshop Local Government Community Engagement Forum

25 Not known 50

Planning and conducting ethical research 7 0 14 Introduction to graduate research 10 0 50 Planning the literature review 10 0 20 Designing questions that lead to methodology 10 0 20 Reviewing the evidence 6 0 18 Developing research arguments 5 0 15 Writing for Publication 6 0 12 Developing an audit trail 4 0 10 Developing research questions 7 0 18 Writing for rigour 4 0 12 Designing research 8 0 16 Developing theoretical frameworks 8 0 24 Research school (2 days) 26 0 351 * The UDRH Seminar Series utilises, and is supported through, the Tasmanian Government’s Department of Health and Human Services Telehealth (video-conference) network. Definitions: Training for effective clinical support means training for persons to undertake clinical supervision of students, as mentors, preceptors or supervisors. All forms of training aimed specifically at clinical support for students or recent graduates are to be listed here. As many of the professional activities are also of benefit to participating UDRH staff, their participation is included.

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Key Result Area 5 – Contribution to innovation in education, research and service development through collaborations with universities, health services and professional and community organisations. Key Performance Indicator 5: Report on the number and type of UDRH collaborations with other organisations, including a description of the project/activity. (Note: Where collaborations take place over more than one category ie University-based and State Health Services please report as a joint collaboration ie list all collaborators in ‘Other partners’). Collaborators Description of joint projects/activities University-based UTAS Medical Education Unit and School of Medicine

Medical education assessment techniques (Ongoing publications in preparation; attendance on Medical Education Assessment Task Group)

UTAS Health Science departments; also sociology and government (and substantial interactions and partnership-building with national and international rural health research and government regulatory bodies)

Developing rural and remote competencies for medicine and allied health professionals (development of publications on best practice)

Charles Sturt University, Monash University, University of Tasmania

The rural and regional ambulance paramedic: moving beyond emergency response

AHREN Research Network Revision of the Rural health Research Position Paper

Medical Education Unit, School of Medicine UTAS Development and implementation of Theme 3 Community Health and Disease seminar and placement program

Australian Consortium for the Education of Preceptors

• A national online interprofessional support and education strategy

Contract in place, project plan including evaluation strategy developed. Currently in Phase 1 of a Phase 5 project.

Rural Clinical School (lead agency), Medicine, Nursing, Geography & Environmental Science, Sociology and Economics.

Healthy Ageing in Rural and Regional Tasmania - NHMRC Strategic grant submission (result currently unknown). Other partners include Aged Care (DoHA), Community & Population Health (DHHS) and the Local Government Association of Tasmania.

UTAS School of Medicine NHMRC Clinical Centre for Research Excellence in COPD funding submission (short-listed)

UTAS Discipline of Pathology and School of Nursing & Midwifery

Joint Capacity Building in Population Health – NHMRC - dementia research funding submission (not successful)

UTAS Rural Clinical School Membership - Community Advisory Committee UTAS School of Medicine, School of Nursing & Midwifery & School of Pharmacy*

Rural Interprofessional Program Emergency Retreat (RIPPER)

Charles Darwin, Edith Cowan, Flinders, Latrobe, University of Newcastle, Uni of Tas – Philosophy

Advancing Australia’s Regions study proposal

UTAS Health Science, Arts, Business and Science and Computing

Development of a multi-media CD to facilitate successive problem-solving situations, decision points and decision pathways, across units of study. This will give learners the opportunity to make alternative decisions and explore the consequences of these. Tasks will be structured to enable students from the Faculties of Health Science; Science, Engineering & Technology (Computing), Business (Information Systems) and Arts (Social Work, Government) to collaborate on complex interprofessional problems.

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UTAS Health Science Development of a multi-layered interactive web site with specific materials for communities, health professionals, students and academics. An open access page will provide an orientation to rural health issues and act as an entry point to other layers. Limited access pages will provide specific resources for other groups. These will include issues papers, assignment or assessment ideas, video presentations, reference materials, discussion forums relevant to the needs/interests of each group.

Monash University, Sydney University, LaTrobe University and LaTrobe University

RHSET – Development of an on-line multi-disciplinary preceptor program

School of Pharmacy Series of orientation workshops for 4th year pharmacy students on rural placements

UTAS School of Sociology, Education and Management

Co-supervisors for our Graduate Research Support Program

UTAS School of Nursing Bachelor of Nursing student support program UTAS School of Medicine, Rural Clinical School, Faculty of Health Science, Riawunna

Joint staff appointments

Australian Rural Health Education Network (ARHEN) Inter-Professional Education Network

Presentation at the All Together Better Health Conference in London and worked together on abstracts for the NRHA Conference for 2997 and an NHMRC application

UTAS School of Pharmacy and Riawunna Series of student lectures on “Diversity in Pharmacy Practice”, “Rural Health” and “Indigenous Health”

RUSTICA Rural Student Association Provide representation and support State health services Rural Health Week Joint planning Committee for Rural Health Week

(Tasmania) to be rolled out in Sept 2007 Department of Health and Human Services Development of a continuous community needs

assessment methodology Department of Health and Human Services – Population Health

Invited to serve as a ‘Key Contact’ for the Population Health Expert Alcohol Steering Committee

Department of Health and Human Services – Launceston General Hospital

Research project re the needs of recently arrived overseas trained doctors

Department of Health & Human Services – Aged Rural Community Health (ARCH)

West Coast Health Development project

Department of Health and Human Services (Tas.) Healthy Eating for Healthy Ageing project – membership includes senior DHHS staff

Department of Health and Human Services - St Marys

Development of Trauma Support Networks for community service

Professional bodies (e.g. Divisions of General Practice) St Giles – Early Childhood: Invest to Grow: Established and Developing Programs 2004-2008 National Project

First stage of the evaluation conduct of locally funded project. Preparations of interim report no 1.

NHMRC Research Council member Involvement in the period included: • 2 Research committee meetings • 5 Research committee exec. meetings • Chair – 3 Strategic Initiatives Working

committee • Chair – 2 meetings Health Services

Research committee • Chair – Palliative Care Research

committee • 2 Aboriginal and Torres Strait Islander

Research committee • Discussion paper (Future of Strategic

Research for NHMRC) • NHMRC Proposal for research

restructuring • Participation in 3 strategic Grant Review

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Panels (health services research, palliative care, healthy start to life)

NHMRC Grant Review Panel member 5H Health Science/Primary Care

Invited to serve on Grant Review Panel for 2006, Chaired by Professor Jane Gunn of the University of Melbourne Commenced review of 17 NHMRC Project Grant applications, including 5 as primary spokesperson, 5 as secondary spokesperson and 7 as tertiary spokesperson.

Other partners (e.g. community groups, local government, business) The Salvation Army Ongoing completion of two projects (one crisis

accommodation services and on parenting programs as detailed elsewhere); ongoing submission of joint funding applications

ACROD (TAS branch) National Industry Association for Disability Services

Ongoing collaboration on project about disability services for adolescents

St John Ambulance Australia Participant in the Member Development Advisory Panel

Premiers Physical Activity Council Participant in the Research and Evaluation Advisory sub-committee

Department of Health and Human Services, TAFE Tasmania, Northern Group Training, Tasmanian School of Nursing and Midwifery

Development of an Intravenous Management Module. Due for submission for accreditation with the Nursing Board of Tasmania Sept 2006

Department of Health and Human Services, TAFE Tasmania, Northern Group Training, Tasmanian School of Nursing and Midwifery

Review of Medication Management Program. Due for submission for Re-accreditation in OCT 2006

(Tas.) Dept. of Health and Human Services –DHHS

Healthy Eating for Healthy Ageing project – membership includes senior DHHS staff

Tasmanian Institute of Law Enforcement Studies (UTAS), DHHS, Dept of Education, Dept of Police and Emergency Services, Link Youth Health Service, local councils.

Start up of SNAP (Social Norms Analysis Project) with rural youth in the Huon and on the West Coast. The project is funded by the Alcohol Education and Rehabilitation Foundation and aims to reduce alcohol-related harm. Ending Dec ‘07

Council for the Humanities and Social Sciences Participant in ‘Expanding Horizons’ event in Canberra which brought together politicians and early career researchers from many disciplines

Tasmanian Dept. of Education (DoE) Supervision training of (counsellor) supervisors, while assisting policy development.

Family-Based Care (North) Member of Board Australian College of Ambulance Professionals (Tasmania) and Calvary Hospital

Supported a research bursary for a Rural Health Masters preliminary program

Multiple Collaborators Health Issues Centre (consumer group), Community Services & Health Industry Skills Council, Australian Physiotherapy Assn, ARHEN and DHHS Tasmania – Innovative solutions to skill shortages in health

Input into reference group for project

Our Economy Taskforce – A subcommittee of the of the University –Tasmanian State government partnership agreement. Members represent UTAS Tasmanian Institute of Agricultural Science, School of Economics, School of Management, State Government Departments of Education, Economic Development, Treasury and Tourism

Organisation of a ‘hypothetical’ entitled 'Biotechnology in 2020'. Speakers represented the UTas Menzies Research Institute, UTas Faculty of Law, University of South Australia School of Pharmacy and Medical Sciences and a Marinova Pty Ltd, a private sector biotechnology business

Partners in Health Rural Research Committee in collaboration with the Rural Clinical School and Dept. of Health and Human Services (Tas.)

Participant of the Rural Research Scholarship Committee and overseeing PhD student progress through our Graduate Research Program.

UTAS Faculty of Health Science, community health professionals, Department of Education

Participant and presenters at Health Careers Camp

Tasmanian Divisions of General Practice, Department of Health and Human Services-Allied Health & Aged Rural and Community Health

Members of our Executive Management Group

Primary Health Care , Research Evaluation & Development (PHC RED)

Participant in the Tasmanian PHC RED State-wide Advisory Committee

General Practice Training Tasmania Inc., Members of our Academic Rural Health Advisory

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Department of Health & Human Services-Hospital & Ambulance Services Division, Mental Health Services, Aged & Community Services Tasmania, Primary Health, Northern Midlands Council, Rural Workforce Support Tasmania, Divisions of General Practice

Group

UTAS School of Information Systems, School of Computing, Department of Health & Human Services Tasmania, Australian College of Health Informatics, Launceston General Hospital, Royal Hobart Hospital, Health Professions Council of Australia

Participants in Course Advisory Committee for the E-Health (Health Informatics) Graduate Program

* Rural Interprofessional Program Emergency Retreat (RIPPER) The development, implementation & evaluation of a pilot program showcasing the principles of interprofessional education through collaborative learning with students from the Schools of Medicine, Pharmacy & Nursing. Academics and health professionals from the Scottsdale area will facilitate student learning through case based rural emergency scenarios, simulations, role plays and reflection during a weekend retreat. This program is currently in the planning stages. Definitions: Collaborations include only organisations with whom the UDRH has a signed Memorandum of Understanding or has formally agreed to work together on a defined project/activity, and where collaborative activities were undertaken during the reporting period. University-based collaborators include both other Departments, Schools and Faculties within the partner (auspicing) University/ies, as well as collaborations with non-partner Universities. Description of projects are to be brief, consisting of a simple title which conveys the nature of the project to a lay reader

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Key Result Area 6 - Embrace a strong population or public health focus; and contribute to the development of innovative service delivery models in rural and remote health. Key Performance Indicator 6a: Report on the population or public health focus underpinning UDRH activity. (A paragraph of approximately half a page describing one or two initiatives which demonstrate the UDRH’s population or public health focus during the reporting period) Through the ongoing development of Theme 3 Community Health and Disease the partnership between the UDRH Tasmania and the School of Medicine has provided a means for shifting medical education at the undergraduate level from a biomedical approach to a population health focus. UDRH staff, in particular Alison Miles, have developed the population health focus for delivery through a seminar series and community placement program for the first three years of the new medical curriculum at the University of Tasmania. Professional networks have enabled high profile guest speakers meet with medical students early on in their learning and teaching in the areas of population health and public health initiatives.

UDRH Senior Research Fellow, Dr Tania Winzenberg, as been awarded a prestigious National Health and Medical Research Council (NHMRC) Fellowship. The NHMRC GP Training Fellowship award of is funded over four years and will allow Tania to continue to develop expertise and in research relevant to primary health care. The projects on which she will be working initially are in the important areas of osteoporosis and fracture prevention across all life stages, and childhood obesity.

Key Performance Indicator 6b: Report on UDRH activities which have contributed to the development of innovative service delivery models in rural and remote health. (A paragraph of approximately half a page describing one or two initiatives which demonstrate the UDRH’s contributed to the development of innovative service delivery models in rural and remote health during the reporting period.) Parenting Partners Project: Holistic action research for disadvantaged rural and regional clients (Dr Erica Bell) The delivery of successful parenting programs for regional and rural clients with small children (0-5) who are disengaged from their local communities and support services presents particular challenges. Available evidence suggests the children of such families experience poorer outcomes across a broad range of physical, psychological, emotional, and social domains, with inter-generational effects that have long and short-term implications for the broader community. Yet there is very little published literature available on appropriate evaluation techniques for rural and regional parenting programs. In 2006 The University Department of Rural Health has worked in collaboration with The Salvation Army (TAS) to develop an evaluation model for action research for a Parenting Partners project delivered by this NGO. This project encompasses nine parenting programs delivered in Burnie, Devonport, and Ulverstone. It is intended that this evaluation model and the data collection template be used in future evaluations of parenting projects by The Salvation Army. A key part of the project has involved organisational capacity building i.e. coaching The Salvation Army project officers to develop skills in research and evaluation, including in research ethics in the sensitive area of parenting program evaluation. The evaluation model developed provides a basis for holistic evaluation of the match between client needs and expectations, and client experiences of programs. The results of this project will be published in an evaluation report to the Department of Family and Community Services, and submitted to an international community services development journal. UDRH Progress Report Page 21 of 23 Tasmania (Jan – June 2006)

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West Coast Health Development Project (Stuart Auckland) The West Coast Health Project is an important component of the structural changes in the management of health services on the west coast of Tasmania. The change resulted in the management of health services under a single auspice, the Department of Health and Human Services (DHHS). In addition, considerable investment in health infrastructure has occurred over the last 12 – 18 months with the development of a new Hospital within the township of Queenstown. These changes present an ideal opportunity to investigate opportunities for community participation in the design, monitoring and evaluation of health services on the west coast. The project aims to undertake research into integrated health service delivery models and to identify possible future integrated health service delivery models for the west coast of Tasmania. Integration is increasingly viewed as a means of improving the efficiency and effectiveness of health service delivery. Subject to the outcomes of the research the project will investigate and make recommendations concerning the development of a resource kit to equip key West coast health stakeholders with the information, skills and knowledge required to successfully engage the broader west coast community in the implementation of the recommended integrated health service delivery model. The project methodology and outcomes will inform future studies relating to the design options of integrated health service delivery models in other rural and remote settings. Department of Education and “Supervision for Supervisors” of Mental Health School Services (Peg LeVine)

Supervision for Mental Health Support Systems in State Schools: A joint initiative between UDRH and Department of Education. This project was designed to support key, senior supervisors within school systems from a multi-discipline perspective (across Social Workers, Guidance Officers, Psychologists, and Speech Therapists). Our Department tendered two sessions of training (North and South Tasmania), with the goal towards formalising a scheme for personal and professional supervision – centred around rural-based needs. While these paragraphs may repeat information reported elsewhere, they should not simply refer to other information in the report (eg by stating “see above”), as the aim is to provide stand-alone information that can be easily collated by the Department into a digestible program-wide report on these areas of activity.

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ATTACH FINANCIAL STATEMENTS (ANNUAL QUALIFIED ACCOUNTANT’S REPORT) AND ANY OTHER DOCUMENTATION REQUIRED UNDER YOUR CONTRACT

UDRH Progress Report Page 23 of 23 Tasmania (Jan – June 2006)