Kathleen Clapham | University of Wollongong (original) (raw)
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This paper presents four poems collaboratively developed and performed at an intensive research-w... more This paper presents four poems collaboratively developed and performed at an intensive research-writing workshop held by members of the Health Node of the National Indigenous Research and Knowledges Network (NIRAKN). The workshop encouraged participants to develop scholarly publications through collaboration between Indigenous and non-Indigenous researchers who worked together through mutual respect and a range of creative writing processes. The poem-writing practice was a positive, stimulating experience for participants. It demonstrated the value of using creative practice as part of scholarly research. The poetry writing helped to explore participants' underlying views about research, kick-started the writing process, and supported Indigenous, collaborative, non-competitive approaches to research.
Health Promotion International, Aug 1, 2022
Age-Friendly Cities (AFC) is a framework for promoting healthy ageing through local actions. We u... more Age-Friendly Cities (AFC) is a framework for promoting healthy ageing through local actions. We use systems thinking to assess potential outcomes of actions to support older people’s mobility, undertaken within an AFC commitment in Greater Sydney. Interviews with 20 informants involved in providing space, infrastructure, or services that affect how older people get around were analysed using causal loop diagrams (CLDs). Four approaches to support older people’s mobility were identified and situated to the Multiple Governance Framework: land use, open and public space, supplementary transport, and community transport. Analysis revealed potential for unwanted consequences associated with each, which can be generalised into three generic potential outcomes for other jurisdictions to consider. A recommendation from this research is for policy actors to examine feedback interactions between actions so that they can foresee a wider range of outcomes and take defensive action against those unwanted. By situating CLDs within the Multiple Governance Framework, this research not only identifies what to look for, in terms of potential outcomes, but also where to look, in terms of the level of decision-making. This research offers a new way to assess the functioning of AFC governance networks by their collective outcomes and challenges the standards for the evaluation of AFC.
International Journal of Environmental Research and Public Health, Oct 11, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
BMC Public Health, Mar 4, 2020
Background: Paediatric burns are highly painful and traumatising injuries that are overrepresente... more Background: Paediatric burns are highly painful and traumatising injuries that are overrepresented among Aboriginal and Torres Strait Islander people. Paediatric burn patients' pain remains poorly managed by pharmacological interventions, leading to increased anxiety, distress, and trauma in patients and their caregivers. Non-pharmacological psychosocial interventions have been suggested as effective in reducing pain and psychological morbidities among paediatric burn patients and their caregivers; however, their degree of effectiveness and appropriateness for Aboriginal and Torres Strait Islander people is unclear. Methods: A non-date restricted systematic review was conducted through four databases. Studies published in English assessing psychosocial interventions on paediatric burn patients' physical pain along with theirs and/or their caregiver's anxiety, distress, or trauma symptoms were identified and included in this review. Included studies were assessed for their ability to reduce one of the outcomes of interests and for their reflection of Aboriginal and Torres Strait Islander peoples' perspectives of health. Results: Of the 3178 identified references, 17 were eligible. These include distraction based techniques (n = 8), hypnosis/familiar imagery (n = 2), therapeutic approaches (n = 4), and patient preparation/procedural control (n = 3). Distraction techniques incorporating procedural preparation reduced pain, while discharge preparation and increased 'patient control' reduced patient and caregiver anxiety; and internet based Cognitive Behaviour Therapy reduced short-term but not long-term post-traumatic stress symptoms. No interventions reflected Aboriginal and Torres Strait Islander peoples' perspectives of health; and few targeted caregivers or focused on reducing their symptoms. Conclusions: The development and assessment of psychosocial interventions to appropriately meet the needs of Aboriginal and Torres Strait Islander paediatric burn patients is required.
BMC Health Services Research, Nov 28, 2022
Background: Quality and safety in Australian healthcare is inequitably distributed, highlighted b... more Background: Quality and safety in Australian healthcare is inequitably distributed, highlighted by gaps in the provision of quality care for Aboriginal and Torres Strait Islander children. Burns have potential for long-term adverse outcomes, and quality care, including culturally safe care, is critical to recovery. This study aimed to develop and apply an Aboriginal Patient Journey Mapping (APJM) tool to investigate the quality of healthcare systems for burn care with Aboriginal and Torres Strait Islander children. Study design: Interface research methodology, using biomedical and cultural evidence, informed the modification of an existing APJM tool. The tool was then applied to the journey of one family accessing a paediatric tertiary burn care site. Data were collected through yarning with the family, case note review and clinician interviews. Data were analysed using Emden's core story and thematic analysis methods. Reflexivity informed consideration of the implications of the APJM tool, including its effectiveness and efficiency in eliciting information about quality and cultural safety. Results: Through application of a modified APJM tool, gaps in quality care for Aboriginal and Torres Strait Islander children and families were identified at the individual, service and system levels. Engagement in innovative methodology incorporating more than biomedical standards of care, uncovered critical information about the experiences of culturally safe care in complex patient journeys. Conclusion: Based on our application of the tool, APJM can identify and evaluate specific aspects of culturally safe care as experienced by Aboriginal and Torres Strait Islander peoples and be used for quality improvement.
European journal of public health, Sep 1, 2020
Australasian Road Safety Conference, 2016, Canberra, ACT, Australia, Sep 1, 2016
Hunter et al.
Australasian Road Safety Conference, 2016, Canberra, ACT, Australia, Sep 1, 2016
Ralph et al.
Child restraint use reduces injury risk in the event of a crashyet use of restraints is low in Ab... more Child restraint use reduces injury risk in the event of a crashyet use of restraints is low in Aboriginal communities Project Aims STAGE 1 Consult with members of an urban Aboriginal community on issues surrounding use of child restraints for children when travelling in cars STAGE 2 Develop & implement a program to facilitate & encourage the correct use of child restraints, & evaluate its acceptability
This paper presents four poems collaboratively developed and performed at an intensive research-w... more This paper presents four poems collaboratively developed and performed at an intensive research-writing workshop held by members of the Health Node of the National Indigenous Research and Knowledges Network (NIRAKN). The workshop encouraged participants to develop scholarly publications through collaboration between Indigenous and non-Indigenous researchers who worked together through mutual respect and a range of creative writing processes. The poem-writing practice was a positive, stimulating experience for participants. It demonstrated the value of using creative practice as part of scholarly research. The poetry writing helped to explore participants' underlying views about research, kick-started the writing process, and supported Indigenous, collaborative, non-competitive approaches to research.
Health Promotion International, Aug 1, 2022
Age-Friendly Cities (AFC) is a framework for promoting healthy ageing through local actions. We u... more Age-Friendly Cities (AFC) is a framework for promoting healthy ageing through local actions. We use systems thinking to assess potential outcomes of actions to support older people’s mobility, undertaken within an AFC commitment in Greater Sydney. Interviews with 20 informants involved in providing space, infrastructure, or services that affect how older people get around were analysed using causal loop diagrams (CLDs). Four approaches to support older people’s mobility were identified and situated to the Multiple Governance Framework: land use, open and public space, supplementary transport, and community transport. Analysis revealed potential for unwanted consequences associated with each, which can be generalised into three generic potential outcomes for other jurisdictions to consider. A recommendation from this research is for policy actors to examine feedback interactions between actions so that they can foresee a wider range of outcomes and take defensive action against those unwanted. By situating CLDs within the Multiple Governance Framework, this research not only identifies what to look for, in terms of potential outcomes, but also where to look, in terms of the level of decision-making. This research offers a new way to assess the functioning of AFC governance networks by their collective outcomes and challenges the standards for the evaluation of AFC.
International Journal of Environmental Research and Public Health, Oct 11, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
BMC Public Health, Mar 4, 2020
Background: Paediatric burns are highly painful and traumatising injuries that are overrepresente... more Background: Paediatric burns are highly painful and traumatising injuries that are overrepresented among Aboriginal and Torres Strait Islander people. Paediatric burn patients' pain remains poorly managed by pharmacological interventions, leading to increased anxiety, distress, and trauma in patients and their caregivers. Non-pharmacological psychosocial interventions have been suggested as effective in reducing pain and psychological morbidities among paediatric burn patients and their caregivers; however, their degree of effectiveness and appropriateness for Aboriginal and Torres Strait Islander people is unclear. Methods: A non-date restricted systematic review was conducted through four databases. Studies published in English assessing psychosocial interventions on paediatric burn patients' physical pain along with theirs and/or their caregiver's anxiety, distress, or trauma symptoms were identified and included in this review. Included studies were assessed for their ability to reduce one of the outcomes of interests and for their reflection of Aboriginal and Torres Strait Islander peoples' perspectives of health. Results: Of the 3178 identified references, 17 were eligible. These include distraction based techniques (n = 8), hypnosis/familiar imagery (n = 2), therapeutic approaches (n = 4), and patient preparation/procedural control (n = 3). Distraction techniques incorporating procedural preparation reduced pain, while discharge preparation and increased 'patient control' reduced patient and caregiver anxiety; and internet based Cognitive Behaviour Therapy reduced short-term but not long-term post-traumatic stress symptoms. No interventions reflected Aboriginal and Torres Strait Islander peoples' perspectives of health; and few targeted caregivers or focused on reducing their symptoms. Conclusions: The development and assessment of psychosocial interventions to appropriately meet the needs of Aboriginal and Torres Strait Islander paediatric burn patients is required.
BMC Health Services Research, Nov 28, 2022
Background: Quality and safety in Australian healthcare is inequitably distributed, highlighted b... more Background: Quality and safety in Australian healthcare is inequitably distributed, highlighted by gaps in the provision of quality care for Aboriginal and Torres Strait Islander children. Burns have potential for long-term adverse outcomes, and quality care, including culturally safe care, is critical to recovery. This study aimed to develop and apply an Aboriginal Patient Journey Mapping (APJM) tool to investigate the quality of healthcare systems for burn care with Aboriginal and Torres Strait Islander children. Study design: Interface research methodology, using biomedical and cultural evidence, informed the modification of an existing APJM tool. The tool was then applied to the journey of one family accessing a paediatric tertiary burn care site. Data were collected through yarning with the family, case note review and clinician interviews. Data were analysed using Emden's core story and thematic analysis methods. Reflexivity informed consideration of the implications of the APJM tool, including its effectiveness and efficiency in eliciting information about quality and cultural safety. Results: Through application of a modified APJM tool, gaps in quality care for Aboriginal and Torres Strait Islander children and families were identified at the individual, service and system levels. Engagement in innovative methodology incorporating more than biomedical standards of care, uncovered critical information about the experiences of culturally safe care in complex patient journeys. Conclusion: Based on our application of the tool, APJM can identify and evaluate specific aspects of culturally safe care as experienced by Aboriginal and Torres Strait Islander peoples and be used for quality improvement.
European journal of public health, Sep 1, 2020
Australasian Road Safety Conference, 2016, Canberra, ACT, Australia, Sep 1, 2016
Hunter et al.
Australasian Road Safety Conference, 2016, Canberra, ACT, Australia, Sep 1, 2016
Ralph et al.
Child restraint use reduces injury risk in the event of a crashyet use of restraints is low in Ab... more Child restraint use reduces injury risk in the event of a crashyet use of restraints is low in Aboriginal communities Project Aims STAGE 1 Consult with members of an urban Aboriginal community on issues surrounding use of child restraints for children when travelling in cars STAGE 2 Develop & implement a program to facilitate & encourage the correct use of child restraints, & evaluate its acceptability