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"Hunter, Kate"
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Invisible veterans : what happens when military women become civilians again
\"Spotlights the challenges faced by our increasing cadre of military women when their service ends and they become veterans.\" --Provided by publisher.
Book
A sound conversation: Performance-makers and sound practices with Roslyn Oades, Madeleine Flynn and Tamara Saulwick
Recent debates about mediating bodies in live performance foreground advancements in audio technologies, highlighting the ways in which these advances have shifted disciplinary boundaries and propelled us into a new digital reality. What are the implications for embodied practice as it sits in relationship to technology? When does the body end and the technology begin? How do we understand the boundaries between skin, breath, plastic, voice, gesture, electronic signal and metal? How does the body listen, and why is it important to know?
Journal Article
Costs of cold acclimation on survival and reproductive behavior in Drosophila melanogaster
Fitness is determined by the ability of an organism to both survive and reproduce; however, the mechanisms that lead to increased survival may not have the same effect on reproductive success. We used nineteen natural Drosophila melanogaster genotypes from the Drosophila Genetic Reference Panel to determine if adaptive plasticity following short-term acclimation through rapid cold-hardening (RCH) affects mating behavior and mating success. We confirmed that exposure to the acclimation temperature is beneficial to survival following cold stress; however, we found that this same acclimation temperature exposure led to less efficient male courtship and a significant decrease in the likelihood of mating. Cold tolerance and the capacity to respond plastically to cold stress were not correlated with mating behavior following acclimation, suggesting that the genetic control of the physiological effects of the cold temperature exposure likely differ between survival and behavioral responses. We also tested whether the exposure of males to the acclimation temperature influenced courtship song. This exposure again significantly increased courtship duration; however, courtship song was unchanged. These results illustrate costs of short-term acclimation on survival and reproductive components of fitness and demonstrate the pronounced effect that short-term thermal environment shifts can have on reproductive success.
Journal Article
Redefining performance relationships: Stretching the limits of bodily co-presence in the audiovisual exhibition 'Near Sighted'
This article interrogates the ways in which we understand performance: as a process, an outcome, and a philosophical approach. Drawing on an innovative audiovisual exhibition, Near Sighted (2023) as a case study, the article examines the ways in which performance practices can be used to craft and shape other forms of work that are not live performance, but which nonetheless are performative in their approach, engagement and experience.
Journal Article
The journey of aftercare for Australia’s First Nations families whose child had sustained a burn injury: a qualitative study
Background
Access to ongoing multidisciplinary healthcare services for children who have sustained a burn injury is critical for optimal recovery. This paper reports on barriers and facilitators to culturally safe and appropriate burn aftercare for Australia’s First Nations children. The voices of First Nations families whose child had sustained a serious burn are central to this paper.
Methods
Eighteen families, which consisted of 59 family members, of children younger than 16 years who had sustained a burn injury were asked to describe their own journey in accessing appropriate burn aftercare. Interviews were conducted in the families’ homes using yarning (dialogue) and Dadirri (deep listening) as Indigenous research methods. Data was gathered in South Australia, the Northern Territory, Queensland and New South Wales, Australia. Using a cyclic process, transcripts and emerging themes were sent back to participants, and a collaborative approach was used to conduct the final analysis.
Results
Lack of culturally safe communication between service providers and family members, in addition to institutionalised racism, were found to be the major barriers to accessing healthcare services. Distance to medical treatment also impacted children’s access to aftercare. Involvement of First Nations Health Workers and/or Liaison Officers working with health providers, the child and family members, was found to be an important facilitator in reducing miscommunication and alleviating fear and anxiety in the children and families.
Conclusion
There are significant barriers to access to aftercare following a serious burn including miscommunication, lack of cultural safety, distance to medical treatment and racism. However, these can be largely mitigated when First Nations families have input into the care received and the care needed for ongoing burn care to be effective and are supported by First Nations Health/Liaison Officers support.
Journal Article
The road beyond licensing: the impact of a driver licensing support program on employment outcomes for Aboriginal and Torres Strait Islander Australians
Background
With increasingly tough graduated driver licensing laws in all Australian States and Territories, driver licensing support programs are recognised as being important to support Aboriginal and Torres Strait Islander peoples to obtain a driver licence. Such programs appear to improve licensing attainment rates, but few studies have examined the broader impact that these programs can have. This research aims to 1) examine the impact of a New South Wales (NSW) based driver licensing support program (Driving Change) on client employment outcomes; 2) assess the influence of geographical area of program delivery on driver licence attainment.
Methods
Driving Change was delivered from February 2013 to August 2016 in 4 urban and 7 regional Aboriginal communities of NSW. Clients were followed-up at 6 months or more following contact with the program as part of routine program operations. Descriptive statistics and regression models were used to analyse data.
Results
From 933 clients contacted 254 agreed to provide feedback, a response rate of 27%. Those that responded were mostly female (57%), aged 24 years and under (72%), unemployed (85%) with secondary education or less (71%) and from a regional area (74%).
Adjusted logistic regression indicated that clients who achieved an independent licence were more likely (OR: 2.5, 95% CI: 1.22–5.24,
p
= 0.011) of reporting a new job or change in job than those who did not attain a licence. Clients from regional areas were more likely (OR: 1.72, 95% CI: 1.27–2.33,
p
< 0.001) to gain an independent licence than those from urban areas. There was no difference in employment outcomes (OR: 1.2, 95% CI: 0.53–2.52,
p
= 0.719) for clients from urban compared to regional areas.
Conclusion
The Driving Change program appears to be effective in improving employment outcomes for those who gained a licence. Clients from regional areas were more likely to gain a licence compared to those in urban settings, and were predominantly young and unemployed, often a hard to reach cohort. Future licensing programs being delivered in regional areas need integrated pathways into employment opportunities to provide holistic services that address the social and economic challenges faced by Aboriginal and Torres Strait Islander Australians.
Journal Article
Yarning up about out‐of‐pocket healthcare expenditure in burns with Aboriginal families
This study sought to understand the impact of out‐of‐pocket healthcare expenditure (OOPHE) on Aboriginal families of children with acute burns injury.
Families participating in a larger Australia‐wide study on burns injuries in Aboriginal and Torres Strait Islander children were approached to participate. Decolonising methodology and yarning were employed with participants to scope OOPHE for burns care. Thematic analyses were used with transcripts and data organised using qualitative analysis software (NVivo, Version 12).
Six families agreed to participate. Four yarning sessions were undertaken across South Australia, New South Wales and Queensland. The range of OOPHE identified included: costs (transport, pain medication, bandages), loss (employment capacity, social and community) and support (family, service support). The need to cover OOPHE significantly impacted on participants, from restricting social interactions to paying household bills. Close family connections and networks were protective in alleviating financial burden.
OOPHE for burns care financially impacted Aboriginal families. Economic hardship was reported in families residing rurally or with reduced employment capacity. Family and network connections were mitigating factors for financial burden.
Targeted support strategies are required to address OOPHE in burns‐related injuries for Aboriginal communities.
Journal Article
Implementing healthcare decolonisation for Indigenous people: a systematic review
Background
The Western biomedical system, rooted in colonialism, holds Western science as the only universally valid knowledge system. While it has been justified as an objective approach to improve health, it has failed to address health inequities for Indigenous communities. There is increasing recognition of the need to decolonise healthcare, but its practical application remains unclear. This study systematically reviewed global literature to explore what decolonising healthcare means in practice.
Methods
A systematic search of published and grey literature was conducted across CINAHL, Embase, PubMed, Scopus, Google and reference lists for studies on decolonising health services for Indigenous peoples. Two reviewers independently screened and extracted data from eligible studies. Quality was appraised using the Joanna Briggs Institute’s tool for systematic reviews and the Consolidated Criteria for health research involving Indigenous peoples. Data analysis and presentation followed an inductive thematic approach, refined through discussions with authors and external members who identify as Indigenous community members.
Results
Fifteen studies from Canada, Australia, Aotearoa (New Zealand), the United States, Chile, and South Africa met the inclusion criteria, all reporting qualitative data. Key elements of decolonising healthcare included community governance, holistic care, relationality and trust, storytelling, reflexive practice, and colonisation-informed care. These were underpinned by cultural, ontological, axiological, and epistemic equity, along with shared power, essential for their decolonial nature. Studies identified barriers and facilitators to decolonising healthcare, reflecting broader structural factors. Reported outcomes included increased patient satisfaction, empowerment, and trust in services.
Conclusion
Decolonising healthcare requires acknowledging colonialism within healthcare systems and fostering medical encounters with equity between Western and Indigenous ways of knowing, being, and doing. Genuine community-informed partnerships and leadership from Indigenous communities are essential for developing and evaluating services aligned with Indigenous health, well-being, and healing paradigms.
Registration
PROSPERO ID: CRD42024495407.
Journal Article
Screening and social prescribing in healthcare and social services to address housing issues among children and families: a systematic review
ObjectivesHousing is a social determinant of health that impacts the health and well-being of children and families. Screening and referral to address social determinants of health in clinical and social service settings has been proposed to support families with housing problems. This study aims to identify housing screening questions asked of families in healthcare and social services, determine validated screening tools and extract information about recommendations for action after screening for housing issues.MethodsThe electronic databases MEDLINE, PsycINFO, EMBASE, Ovid Emcare, Scopus and CINAHL were searched from 2009 to 2021. Inclusion criteria were peer-reviewed literature that included questions about housing being asked of children or young people aged 0–18 years and their families accessing any healthcare or social service. We extracted data on the housing questions asked, source of housing questions, validity and descriptions of actions to address housing issues.ResultsForty-nine peer-reviewed papers met the inclusion criteria. The housing questions in social screening tools vary widely. There are no standard housing-related questions that clinical and social service providers ask families. Fourteen screening tools were validated. An action was embedded as part of social screening activities in 27 of 42 studies. Actions for identified housing problems included provision of a community-based or clinic-based resource guide, and social prescribing included referral to a social worker, care coordinator or care navigation service, community health worker, social service agency, referral to a housing and child welfare demonstration project or provided intensive case management and wraparound services.ConclusionThis review provides a catalogue of housing questions that can be asked of families in the clinical and/or social service setting, and potential subsequent actions.
Journal Article