This paper reports on the factors influencing decision-making for a group of 10 South Australian community nurses in cases of suspected child abuse. Each nurse participated in a structured interview. The data were organized into themes, using the computer program NUD*IST. Factors having an impact on the nurses' decisions to report included: the type of suspected abuse, making moral judgements and decision-making, the consequences of reporting, and the impact versus the outcomes of reporting. Most significantly, the community nurses based many of their decisions on their estimation of the kind of intervention likely to be undertaken by children's protection services.
This phenomenological study provides an in-depth understanding of the lived experiences of Muslim persons with diabetes during Ramadan. The findings facilitate health professionals' knowledge of the unique needs of these clients during this time. van Manen's (1990) and Hycner's (1985) analytical methods assisted in producing the themes: knowing and understanding - being in harmony with the body, knowing its capabilities and limitations and its response to change; controlling - being in charge of diabetes during Ramadan; accepting and recognising - acknowledging diabetes and its impact on fasting during Ramadan; and faith and belief - the courage of conviction.
This paper provides an ethnomethodological perspective on registered nurses' communication about abused children. During the study, data were gathered in four ways. Nine hundred and fifty South Australian hospital records of children were examined for nurses' documentation related to child abuse. Eleven paediatric department and emergency department registered nurses then responded to vignettes of suspected child abuse and were subsequently interviewed. Researcher journal entries about contextual issues served as the fourth stage of data collection. Data were analysed using Garfinkel's documentary method of interpretation. The findings included: nurses' use of codes of communication; denial and acts of resistance; and systematic malpractice.
Chronic conditions place a significant burden on the Australian health care system, and this burden continues to increase. This literature review examines the concepts of chronic illness and chronic condition self-management (CCSM), particularly in the context of asthma. It explores the implementation of, and barriers to, CCSM in the modern health care system with a focus on CCSM in children and adolescents, and the differences that need to be recognized when dealing with Indigenous Australian children.
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