Time, terrain and trust: Impacts of rurality on case management in rural Australia

Dellemain, Jozette; Hodgkin, Suzanne; Warburton, Jennifer

doi:10.1016/j.jrurstud.2016.11.006

Cited by 11 publications

(2 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Attaining a “sense of belonging” is essential not only for optimum practice but also for the long‐term retention of community nurses (Coughlan & Patton, ; Moseley, Jeffers, & Paterson, ). It also allows for the trust to develop between nurse and client and to establish interagency cooperation for the disclosing of relevant personal and private information (Dellemain, Hodgkin, & Warburton, ). Our conceptual model of “the early career transition pathway to specialist community nursing” enhances the TRANSPEC model (Chamberlain et al, ; Hegney et al, ) and culminates with the novice community nurse specialist at the beginning of the progression from novice to expert (Benner, ).…”

Section: Discussionmentioning

confidence: 99%

Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

et al. 2019

View full text Add to dashboard Cite

AimTo further develop and validate a new model of the early career transition pathway in the speciality of community nursing.DesignDelphi policy approach, guided by a previous systematic review and semi‐structured interviews.MethodsFour rounds of an expert panel (N = 19). Rounds one, two and four were questionnaires consisting of a combination of closed (Likert response) and open‐ended questions. Round three comprised of a focus group conducted using virtual meeting technology.ResultsThe final model demonstrated reliable and valid measures. There were deficiencies in “pre‐entry”—where the marketing of community nursing was negligible and the support around orientation informal and minimal, mainly due to tight budgetary concerns. Community practice holds a whole new dimension for nurses transitioning from acute care as the concept of “knowing your community” took time and support—time to be accepted reciprocally and develop a sense of belonging to the community.

show abstract

Section: Discussionmentioning

confidence: 99%

Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Rural and remote populations have higher rates of morbidity and mortality, increasing in direct relationship with the level of remoteness (Tham & Ward, ). An extensive body of literature highlights the considerable inequities between urban and rural populations’ access to services (Dellemain, Hodgkin, & Warburton, ). Stressors for rural carers are compounded by isolation, multiple transitions in accessing specialist care, excessive travel requirements and experiences of being ‘lost’ in the system (Hatcher et al, ).…”

Section: Introductionmentioning

confidence: 99%

Preparedness for caregiving: A phenomenological study of the experiences of rural Australian family palliative carers

Mason

Hodgkin

2019

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

The care of people with life‐limiting illnesses is increasingly moving away from an acute setting into the community. Thus, the caregiver role is growing in significance and complexity. The importance of preparing and supporting family caregivers is well established; however, less is known about the impact of rurality on preparedness and how preparedness shapes the caregiving continuum including bereavement. The aim of this study, conducted in 2017, was to explore how bereaved rural family palliative carers described their preparedness for caregiving. Interpretative phenomenological analysis was employed following semi‐structured interviews with four women and six men (N = 10, aged 55–87 years). Participants were recruited voluntarily through past engagement with a Regional Specialist Palliative Care Consultancy Service in Australia. The experiences of caregivers illustrated a lack of preparedness for the role and were characterised by four major themes: Into the unknown, Into the battle, Into the void and Into the good. The unknown was associated with a lack of knowledge and skills, fear, prognostic communication, exclusion, emotional distress and grief experience. Battles were experienced in a number of ways: intrapsychically (existing within the mind), through role conflict and identity; interpersonally with the patient, clinician and family; and systematically (against health, financial and legal systems). The void was felt during isolation in caregiving, in relinquishing the role, in bereavement and in feeling abandoned by service providers. Positive experiences, such as being valued, included and connected to supports, and the fostering of closer relationships and deeper meaning, occurred less frequently but temporarily buffered against negative aspects. Implications from this study for policy and practice centre on the frequent, purposeful and genuine engagement of caregivers. Services and clinicians are encouraged to enhance communication practices, promote meaningful inclusion, address access issues and enhance support at role relinquishment.

show abstract

Traversing the Dark Geography of Retirement: Learnings from Ethical and Reciprocal Research Conducted with the Older Male in Australia

Mulligan

2020

Palgrave Studies in Education Research Methods

View full text Add to dashboard Cite

Time, terrain and trust: Impacts of rurality on case management in rural Australia

Cited by 11 publications

References 32 publications

Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

Preparedness for caregiving: A phenomenological study of the experiences of rural Australian family palliative carers

Traversing the Dark Geography of Retirement: Learnings from Ethical and Reciprocal Research Conducted with the Older Male in Australia

Contact Info

Product

Resources

About