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ObjectiveStudents from regional and remote backgrounds are more likely to stay and work in regional and remote locations. Health students transition and retention at university impacts the retainment of a competent rural health workforce. This study aimed to examine the perceptions of allied health students as they reflected upon their first six weeks at university and identified strategies which enhanced these experiences.DesignA cross‐sectional study. Surveys were administered to students who then completed a reflection exercise. Data were analysed using Pearson correlation coefficient and chi‐squares.SettingAn Australian regional university.ParticipantsFirst year occupational therapy, physiotherapy and speech pathology students.Main outcome measuresFactors influencing the first 6 weeks at university.ResultsOne hundred and forty‐three students participated. Homesickness was the major challenge in transitioning to university life. Subthemes identified were adjusting to being away from home, adjusting to university culture and the mature‐aged student. Specific issues included a lack of familiarity with university campuses and services, being unprepared for the workload and confusion while learning new skills.ConclusionOrientation week activities assist students transition into university and age‐appropriate and family‐friendly activities should be considered for mature‐age students. All students were found to benefit from support to address economic pressures and skill development focusing on coping with university workload. The development of regional university policy including these strategies is likely to enhance student success.

Background:A Rapid Response Team can respond to critically ill patients in hospital to prevent further deterioration and unexpected deaths. However, approximately one-third of reviews involve a patient approaching the end-of-life. It is not well understood whether patients have pre-existing advance care plans at the time of significant clinical deterioration requiring Rapid Response Team review. Nor is it understood whether such critical events prompt patients, their families and treating teams to discuss advance care planning and consider referral to specialist palliative care services.Aim and design:This systematic review examined advance care planning with patients who experience significant clinical deterioration in hospital and require Rapid Response Team review. The prevalence of pre-existing advance directives, whether this event prompts end-of-life discussions, the provision of broader advance care planning and referral to specialist palliative care services was examined.Data sources:Three electronic databases up to August 2017 were searched, and a manual review of article reference lists conducted. Quality of studies was appraised by the first and fourth authors.Results:Of the 324 articles identified through database searching, 31 met the inclusion criteria, generating data from 47,850 patients. There was a low prevalence of resuscitation orders and formal advance directives prior to Rapid Response Team review, with subsequent increases in resuscitation and limitations of medical treatment orders, but not advance directives. There was high short- and long-term mortality following review, and low rates of palliative care referral.Conclusions:The failure of patients, their families and medical teams to engage in advance care planning may result in inappropriate Rapid Response Team review that is not in line with patient and family priorities and preferences. Earlier engagement in advance care planning may result in improved person-centred care and referral to specialist palliative care services for ongoing management.

Participation rates of women in Science, Technology, Engineering and Mathematics (STEM) is comparatively low and their attrition rates high. An obvious solution is to attract more women to study such subjects. In 2016 the authors undertook research to find out why so few women enrolled in STEM subjects and investigate ways of increasing their recruitment and retention in this area. The informants in our study were enrolled in a tertiary preparation course as well as nursing and education programs. A critique of the literature was used to develop a survey that informed focus group and interview schedules which were used in collecting data. Our study found that many of the factors that hindered women from applying for STEM courses twenty years ago still apply today and recommends actions that can help increase recruitment of women into STEM and assist their retention and graduation in those areas of tertiary education.

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Regional and national interest in reforming teaching in Indonesia has seen governments, NGOs and education specialists combine to drive pedagogical changes among school teachers there. Results of these programs have been indifferent at best. This paper reports on teacher reform programs in Provinsi Papua, one of the most marginal societies in Indonesia. The Papuan Provincial Government, AusAID and an Australian University focused on bringing cohorts of secondary teachers and Principals for professional development to Australia. An evaluative, survey inquiry was conducted into the effectiveness of a series of AusAID (now DFAT Australian Aid) Scholarship programs on changing capacities and approaches of teachers and Principals at least eighteen months after their offshore experience. Findings revealed significant changes in teaching practices, improved quality of teacher-student relationships and improved interactions with colleagues. We argue that our findings demonstrate an appetite for student-centred approaches to teaching and that offshore programs may have important outcomes that larger scale, in-country programs fail to realise. This has implications for DFAT Australian Aid-funded and similar Scholarship programs.

While a literature review is a necessary milestone to be completed by all researchers in a timely and efficient manner, it is often one of the most difficult aspects of the research journey. Moreover, traditional approaches often leave novice researchers, to struggle with the conceptualisation of their literature review, now complicated by the overwhelming quantity of research available online. This paper presents a rationale the use of Qualitative Data Analysis Software (QDAS) programs for literature reviews. QDAS tools allow the researcher to explore large amounts of textual documents to see patterns. These programs are often overlooked by novice researchers due to their complexity and the lack of expertise provided to assist them. To combat this dilemma our paper outlines the N7+1 approach to using Nvivo11™ for literature reviews. Through this approach researchers can develop an “auditable footprint,” keep everything in one place, and go paperless.

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