Developing a conceptual understanding of rural health practice

Bourke, Lisa; Sheridan, Collette; Russell, Ursula; Jones, Graeme I.; DeWitt, Dawn E.; Liaw, Siaw‐Teng

doi:10.1111/j.1440-1854.2004.00601.x

Cited by 113 publications

(92 citation statements)

References 38 publications

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“…This rural companion study of a recent Australian urban stroke incidence study confirms the (11), no previous Australasian rural stoke incidence publications were found in the literature.…”

Section: Discussionsupporting

confidence: 69%

Stroke Epidemiology in an Australian Rural Cohort (SEARCH)

Newbury

Kleinig

Leyden

et al. 2016

International Journal of Stroke

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Background Stroke rates in Australia and New Zealand have been declining since 1990 but all studies have been completed in large urban centers. Aim We report the first Australasian stroke incidence study in a rural population. Methods The authors applied the principle of complete ascertainment, used the WHO standard definition of stroke and classified ischemic stroke by the TOAST criteria. Data were collected from five rural centers defined by postcode of residence, over a 2-year period with 12 months of follow up of all cases. Results There were 217 strokes in 215 individuals in a population of 96,036 people, over 2 years, giving a crude attack rate of 113 per 100,000 per year. The 181 first-ever strokes (83% of total), standardized to the WHO world population, occurred at a rate of 50/100,000 (95% CI: 43–58). The 28-day fatality for first-ever strokes was 24% (95% CI: 18–31) and 77% (95% CI: 71–83) were classified as ischemic (140/181), 15% (95% CI: 10–21) intracerebral hemorrhage, 3% (95% CI: 1–6) due to subarachnoid hemorrhage and 5% (95% CI: 2–9) were unknown. A high proportion of first-ever ischemic strokes (44%) were cardioembolic, mostly (77%) due to atrial arrhythmias. Of the 38 with known atrial arrhythmias prior to stroke, only six (16%) were therapeutically anticoagulated. Conclusions This rural companion study of a recent Australian urban stroke incidence study confirms the downward trend of stroke incidence in Australia, and reiterates that inadequate anticoagulation of atrial arrhythmia remains a preventable cause of ischemic stroke.

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“…This rural companion study of a recent Australian urban stroke incidence study confirms the (11), no previous Australasian rural stoke incidence publications were found in the literature.…”

Section: Discussionsupporting

confidence: 69%

Stroke Epidemiology in an Australian Rural Cohort (SEARCH)

Newbury

Kleinig

Leyden

et al. 2016

International Journal of Stroke

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“…This questionnaire asked respondents to rate a set of 16 characteristics, derived from the extant literature 2,3,8,10 , on the basis of whether each differed between remote health and rural health on a scale of 1 ('not different') to 5 ('extremely different'). Demographic questions sought age, gender, predominant employment type and Indigenous status.…”

Section: Methodsmentioning

confidence: 99%

“…Yet rural health and remote health engage professionals from a broad range of disciplinary backgrounds and may have quite different goals, training, practice standards, ways of working and underlying understandings of rural health and remote health 1 . Some authors view rural and remote health as distinctive in terms of context, practice and research 2,3 . Others discount geographical influence and suggest that health differentials are explained by socioeconomic status or the social determinants of health 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Is remote health different to rural health?

Wakerman

Bourke

Humphreys

et al. 2017

Rural Remote Health

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Introduction:The study identifies the differences between rural health and remote health and describes key distinctive characteristics of remote health. Methods: The study used a mixed method approach of interviews and questionnaires (utilising a Likert scale) with expert stakeholders in rural health and remote health. A total of 45 interviews were conducted with experts selected from every state and territory of Australia. Of these, 41 also completed a questionnaire, of which 21 respondents were female, 20 identified predominantly as academics while six, five and five indicated that they worked in policy, advocacy and as a practitioner, respectively. Thirteen worked in rural health, 10 in remote health and 18 in both; 23 participants worked in Aboriginal and/or Torres Strait Islander health. Respondents had worked in rural health or remote health for mean periods of 13 years and 8 years, respectively. Results: Means for each of 15 characteristics indicated that respondents viewed each characteristic as different in remote health compared to rural health. Interviews confirmed these perceived differences, with particular emphasis on isolation, poor service access and the relatively high proportion of Indigenous residents. Those working in remote and Aboriginal health most strongly identified these distinctions. Conclusions: A detailed and rigorous description of the discipline of remote health, and the differences to rural health, will assist policymakers, health planners, teachers and researchers to develop an appropriate workforce, models of service delivery and policy that are relevant, appropriate and effective in order to ensure a more equitable distribution of resources and health outcomes across this vast continent.

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“…In the Australian rural environment, healthcare is provided to a widely dispersed population, yet services are smaller with fewer resources including health professionals (Bourke et al, 2004). In the rural context, health professionals are generalists who work closely and are interdependent on one another.…”

Section: Introductionmentioning

confidence: 99%

From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

Gum

Prideaux

Sweet

et al. 2012

Journal of Interprofessional Care

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Interprofessional practice implies that health professionals are able to contribute patient care in a collaborative environment. In this paper, it is argued that in a hospital the nurses' station is a form of symbolic power. The term could be reframed as a "health team hub," which fosters a place for communication and interprofessional working. Studies have found that design of the Nurses' Station can impact on the walking distance of hospital staff, privacy for patients and staff, jeopardize patient confidentiality and access to resources. However, no studies have explored the implications of nurses' station design on interprofessional practice. A multi-site collective case study of three rural hospitals in South Australia explored the collaborative working culture of each hospital. Of the cultural concepts being studied, the physical design of nurses' stations and the general physical environment were found to have a major influence on an effective collaborative practice. Communication barriers were related to poor design, lack of space, frequent interruptions and a lack of privacy; the name "nurses' station" denotes the space as the primary domain of nurses rather than a workspace for the healthcare team. Immersive work spaces could encourage all members of the healthcare team to communicate more readily with one another to promote interprofessional collaboration.

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Developing a conceptual understanding of rural health practice

Cited by 113 publications

References 38 publications

Stroke Epidemiology in an Australian Rural Cohort (SEARCH)

Stroke Epidemiology in an Australian Rural Cohort (SEARCH)

Is remote health different to rural health?

From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

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