Melbourne School of Health Sciences Collected Works - Research Publications
Now showing items 1-24 of 272
Predicting muscle loss during lung cancer treatment (PREDICT): protocol for a mixed methods prospective study
(BMJ PUBLISHING GROUP, 2021-09-01)
INTRODUCTION: Low muscle mass and low muscle attenuation (radiodensity), reflecting increased muscle adiposity, are prevalent muscle abnormalities in people with lung cancer receiving curative intent chemoradiation therapy (CRT) or radiation therapy (RT). Currently, there is a limited understanding of the magnitude, determinants and clinical significance of these muscle abnormalities in the lung cancer CRT/RT population. The primary objective of this study is to identify the predictors of muscle abnormalities (low muscle mass and muscle attenuation) and their depletion over time in people with lung cancer receiving CRT/RT. Secondary objectives are to assess the magnitude of change in these parameters and their association with health-related quality of life, treatment completion, toxicities and survival. METHODS AND ANALYSIS: Patients diagnosed with lung cancer and planned for treatment with CRT/RT are invited to participate in this prospective observational study, with a target of 120 participants. The impact and predictors of muscle abnormalities (assessed via CT at the third lumbar vertebra) prior to and 2 months post CRT/RT on the severity of treatment toxicities, treatment completion and survival will be assessed by examining the following variables: demographic and clinical factors, weight loss, malnutrition, muscle strength, physical performance, energy and protein intake, physical activity and sedentary time, risk of sarcopenia (Strength, Assistance in walking, Rise from a chair, Climb stairs, Falls history (SARC-F) score alone and with calf-circumference) and systemic inflammation. A sample of purposively selected participants with muscle abnormalities will be invited to take part in semistructured interviews to understand their ability to cope with treatment and explore preference for treatment strategies focused on nutrition and exercise. ETHICS AND DISSEMINATION: The PREDICT study received ethics approval from the Human Research Ethics Committee at Peter MacCallum Cancer Centre (HREC/53147/PMCC-2019) and Deakin University (2019-320). Findings will be disseminated through peer review publications and conference presentations.
Effects of preoperative physiotherapy on signs and symptoms of pulmonary collapse and infection after major abdominal surgery: secondary analysis of the LIPPSMAck-POP multicentre randomised controlled trial
BACKGROUND: Preoperative education and breathing exercise training by a physiotherapist minimises pulmonary complications after abdominal surgery. Effects on specific clinical outcomes such as antibiotic prescriptions, chest imaging, sputum cultures, oxygen requirements, and diagnostic coding are unknown. METHODS: This post hoc analysis of prospectively collected data within a double-blinded, multicentre, randomised controlled trial involving 432 participants having major abdominal surgery explored effects of preoperative education and breathing exercise training with a physiotherapist on postoperative antibiotic prescriptions, hypoxemia, sputum cultures, chest imaging, auscultation, leukocytosis, pyrexia, oxygen therapy, and diagnostic coding, compared to a control group who received a booklet alone. All participants received standardised postoperative early ambulation. Outcomes were assessed daily for 14 postoperative days. Analyses were intention-to-treat using adjusted generalised multivariate linear regression. RESULTS: Preoperative physiotherapy was associated with fewer antibiotic prescriptions specific for a respiratory infection (RR 0.52; 95% CI 0.31 to 0.85, p = 0.01), less purulent sputum on the third and fourth postoperative days (RR 0.50; 95% CI 0.34 to 0.73, p = 0.01), fewer positive sputum cultures from the third to fifth postoperative day (RR 0.17; 95% CI 0.04 to 0.77, p = 0.01), and less oxygen therapy requirements (RR 0.49; 95% CI 0.31 to 0.78, p = 0.002). Treatment effects were specific to respiratory clinical coding domains. CONCLUSIONS: Preoperative physiotherapy prevents postoperative pulmonary complications and is associated with the minimisation of signs and symptoms of pulmonary collapse/consolidation and airway infection and specifically results in reduced oxygen therapy requirements and antibiotic prescriptions. TRIAL REGISTRATION: ANZCTR 12613000664741 ; 19/06/2013.
Think-aloud study about the diagnosis of chronic heart failure in Belgian general practice
(BMJ PUBLISHING GROUP, 2019-06-01)
OBJECTIVES: Diagnosing chronic heart failure (CHF) in general practice is challenging. Our aim was to investigate how general practitioners (GPs) diagnose CHF in real-world patients. DESIGN: Think-aloud study. METHODS: Fourteen GPs were asked to reason about four real-world CHF cases from their own practices. The cases were selected through a clinical audit. This was followed by an interview to get a deeper insight in their reasoning. The Qualitative Analysis Guide of Leuven was used as a guide in data analysis. RESULTS: We developed a conceptual diagnostic model based on three important reasoning steps. First, GPs assessed the likelihood of CHF based on the presence or absence of HF signs and symptoms. However, this approach had serious limitations since GPs experienced many barriers in their clinical assessment, especially in comorbid elderly. Second, if CHF was considered based on step 1, the main influencing factor to take further diagnostic steps was the GPs' perception of the added value of a validated CHF diagnosis in that specific case. Third, the choice and implications of these further diagnostic steps (N-terminal pro B-type natriuretic peptide, ECG and/or cardiac ultrasound) were influenced by the GPs' knowledge about these tests and the quality of the cardiologists' reports. CONCLUSION: This think-aloud study identified the factors that influenced the diagnostic reasoning about CHF in general practice. As a consequence, targets to improve this diagnostic reasoning were withheld: a paradigm shift towards an earlier and more comprehensive risk assessment with, among others, access to natriuretic peptide testing and convincing GPs of the added value of a validated HF diagnosis.
Brazilian Versions of the Physical Function ICU Test-scored and de Morton Mobility Index: translation, cross-cultural adaptation, and clinimetric properties
(SOC BRASILEIRA PNEUMOLOGIA TISIOLOGIA, 2020-01-01)
OBJECTIVE: The present study aimed to translate and cross-culturally adapt the Physical Function in ICU Test-scored (PFIT-s) and the De Morton Mobility Index (DEMMI) to Brazilian Portuguese. METHODS: This study consisted of the translation, synthesis, and back-translation of the original versions of the PFIT-s and DEMMI, including revision by the Translation Group and pretesting of the translated version, assessed by an Expert Committee. The Brazilian versions of these instruments were applied to 60 cooperative patients with at least 48 h of mechanical ventilation at ICU discharge. The interrater reliability of both scales was tested using the Intraclass Correlation Coefficient (ICC). RESULTS: The authors of both original scales have approved the cross-culturally validated versions. Translation and back-translation attained consensus, and no item was changed. Both scales showed good interrater reliability (ICC>0.80) and internal consistency (α>0.80). CONCLUSION: The versions of the PFIT-s and DEMMI adapted to Brazilian Portuguese proved to be easy to understand and apply clinically in the ICU environment.
Cardiologists' perceptions on multidisciplinary collaboration in heart failure care - a qualitative study
BACKGROUND: Cardiologists play a key role in multidisciplinary care by guiding heart failure (HF) management in the hospital and in the community. Regional implementation of multidisciplinary health care interventions depends on how they perceive collaboration with other health care disciplines, yet research on this topic is limited. This study aimed to explore the views and opinions of cardiologists on multidisciplinary collaboration in HF care. METHODS: We conducted a qualitative study based on face-to-face semi-structured interviews with 11 Belgian cardiologists between September 2019 and February 2020. We used the Qualitative Analysis Guide of Leuven (QUAGOL) method as guidance for data analysis until data saturation was reached. RESULTS: Cardiologists consider the general practitioner (GP) and HF nurse as the most important partners in HF management. Cardiologists identified four problems in current multidisciplinary collaboration: the communication of a HF diagnosis to the patient, advanced care planning, titration of HF medication by the GP and electronic data exchange and communication. Three themes emerged as ideas for improvement of HF care: 1) expansion of the role of the HF nurse, 2) implementation of a structured, patient-centered, and flexible model of disease management program and 3) integrated data approaches. CONCLUSION: Cardiologists value close cooperation with GPs in HF management. They advocate an expanded future role for the HF nurse, increased eHealth, and structured disease management to optimize current HF care.
Facilitating Guideline Implementation in Primary Health Care Practices
(SAGE PUBLICATIONS INC, 2020-05-01)
Introduction: Many patients continue to receive suboptimal services, inappropriate, unsafe, and costly care. Underutilization of research by health professionals is a common problem in the primary care setting. Although many theoretical frameworks can be used to help address such evidence-practice gaps, health care professionals may not be aware of the benefits of frameworks or of the most appropriate ones for their context and thus, may be faced with the challenge of selecting and using the most relevant one. Aim: The aim of this article was to describe the process used to adapt a knowledge translation framework to meet the local needs of health professionals working in one large primary care setting. Methods: The authors developed a 5-step approach for guideline implementation. This approach was informed by prior research and the authors' experiences in supporting multidisciplinary teams of health care professionals during the implementation of evidence-based clinical guidelines into primary care practices. To ensure that the 5-step approach was practical and suitable for the context of guideline implementation by multidisciplinary teams in primary health care, the implementation team adapted the "knowledge-to-action" framework using a multistep process. Results: The implementation approach consisted of the following 5 steps: identification, context analysis, development of implementation plan, evaluation, and sustainability. All 5 steps were described alongside details about a national low back pain project. Discussion: This article describes a collaborative, grassroots process that addressed an identified need in one complex context by adapting a knowledge translation framework to meet the local needs of health professionals working in primary care settings. Existing implementation frameworks may be too complex or abstract for use in busy clinical contexts. The 5-step approach presented in this paper resulted in practical steps that are more readily understood by health care professionals and staff on "the ground."
Enhancing the connection between the classroom and the clinical workplace: A systematic review
INTRODUCTION: Although medical students are increasingly exposed to clinical experiences as part of their training, these often occur parallel with, rather than connected to, their classroom-based learning experiences. Additionally, students seem to struggle with spontaneously making the connection between these spheres of their training themselves. Therefore, this systematic review synthesized the existing evidence about educational interventions that aim to enhance the connection between learning in the classroom and its application in the workplace. METHODS: Electronic databases (AMED, CINAHL, EMBASE, ERIC, Medline, RDRB, PsycINFO and WoS) were screened for quantitative and qualitative studies investigating educational interventions that referenced a connection between the classroom and workplace-based experiences within undergraduate, graduate or postgraduate medical education. RESULTS: Three types of interventions were identified: classroom to workplace interventions, workplace to classroom interventions, and interventions involving multiple connections between the two settings. Most interventions involved a tool (e. g. video, flow chart) or a specific process (e. g. linking patient cases with classroom-based learning content, reflecting on differences between what was learned and how it works in practice) which aimed to enhance the connection between the two settings. DISCUSSION: Small-scale interventions can bring classroom learning and workplace practice into closer alignment. Such interventions appear to be the necessary accompaniments to curricular structures, helping bridge the gap between classroom learning and workplace experience. This paper documents examples that may serve to assist medical educators in connecting the classroom and the workplace.
Stigma reduction in relation to HIV test uptake in low- and middle-income countries: a realist review
BACKGROUND: This realist review was conducted to understand how stigma is reduced in relation to HIV test uptake in low- and middle-income countries (LMICs). METHODS: A systematic search of eight databases resulted in 34 articles considered for synthesis. Data synthesis was guided by a preliminary programme theory and included coding the meaning units to develop themes or intervention pathways that corresponded to context-mechanism-outcome configurations. RESULTS: We found that the interventions produced an effect through two pathways: (a) knowledge leads to changes in stigmatizing attitudes and increases in HIV test uptake and (b) knowledge and attitudes lead to changes in stigmatizing behaviours and lead to HIV test uptake. We also found one competing pathway that illustrated the direct impact of knowledge on HIV test uptake without changing stigmatizing attitudes and behaviour. The identified pathways were found to be influenced by some structural factors (e.g., anti-homosexuality laws, country-specific HIV testing programmes and policies), community factors (e.g., traditional beliefs and practices, sexual taboos and prevalence of intimate partner violence) and target-population characteristics (e.g., age, income and urban-rural residence). CONCLUSIONS: The pathways and underlying mechanisms support the adaptation of intervention strategies in terms of social context and the target population in LMICs.
Remote versus on-site proctored exam: comparing student results in a cross-sectional study
BACKGROUND: The COVID-19 pandemic has profoundly affected assessment practices in medical education necessitating distancing from the traditional classroom. However, safeguarding academic integrity is of particular importance for high-stakes medical exams. We utilised remote proctoring to administer safely and reliably a proficiency-test for admission to the Advanced Master of General Practice (AMGP). We compared exam results of the remote proctored exam group to those of the on-site proctored exam group. METHODS: A cross-sectional design was adopted with candidates applying for admission to the AMGP. We developed and applied a proctoring software operating on three levels to register suspicious events: recording actions, analysing behaviour, and live supervision. We performed a Mann-Whitney U test to compare exam results from the remote proctored to the on-site proctored group. To get more insight into candidates' perceptions about proctoring, a post-test questionnaire was administered. An exploratory factor analysis was performed to explore quantitative data, while qualitative data were thematically analysed. RESULTS: In total, 472 (79%) candidates took the proficiency-test using the proctoring software, while 121 (20%) were on-site with live supervision. The results indicated that the proctoring type does not influence exam results. Out of 472 candidates, 304 filled in the post-test questionnaire. Two factors were extracted from the analysis and identified as candidates' appreciation of proctoring and as emotional distress because of proctoring. Four themes were identified in the thematic analysis providing more insight on candidates' emotional well-being. CONCLUSIONS: A comparison of exam results revealed that remote proctoring could be a viable solution for administering high-stakes medical exams. With regards to candidates' educational experience, remote proctoring was met with mixed feelings. Potential privacy issues and increased test anxiety should be taken into consideration when choosing a proctoring protocol. Future research should explore generalizability of these results utilising other proctoring systems in medical education and in other educational settings.
Whiteness, Religious Diversity and Relational Belonging: Opportunities and Challenges for African Migrants in Australia
(Equinox Publishing, 2021)
African communities in Australia reflect the rich cultural and religious diversity of the African continent. Despite their persistence and agency, many members from these communities continue to experience a ‘fractured belonging’ due to persistent issues of racism and exclusion; issues that have been exacerbated during the COVID-19 pandemic. Religious community groups and organizations have long played important roles in assisting new migrants with settlement and belonging in Australia, including African migrants. This article presents preliminary findings from an Australian Research Council project on religious diversity and social cohesion, drawing on census data and interviews with African-Australian community and religious leaders in Melbourne and Hobart, from Mauritian, Ghanaian, Ethiopian, Somalian and South Sudanese communities. It explores the roles that religion and spirituality play in both addressing and perpetuating issues of racism, trauma and displacement. It also examines the development of ‘relational belonging’ and diverse, complex and dynamic identities among African migrants in contemporary Australia. It argues the case for retelling the history of African migration to Australia, to subvert the myth of a white Christian nation that excludes non-white Australians. It centres African migrants’ lived experience narratives and theories of belonging developed by African scholars to counter narrow and negative stereotypes perpetuated by political and media discourses.
Survey of neurodevelopmental allied health teams in Australian and New Zealand neonatal nurseries: Staff profile and standardised neurobehavioural/neurological assessment
AIMS: The primary aim of this study was to establish how many neonatal nurseries in Australia and New Zealand had a neurodevelopmental allied health team, to ascertain the disciplines involved, their qualifications and experience. The secondary aim was to evaluate which standardised neurobehavioural/neurological assessments were currently being implemented, and the existing practice in relation to their use. METHODS: A descriptive cross-sectional survey, sampling 179 eligible public and private hospital neonatal intensive care units (NICUs) and special care nurseries (SCNs) throughout Australia and New Zealand, was purpose-developed and administered electronically from the 5th April to 23rd July 2013. RESULTS: A total of 117 units (65%) overall, and 26 of 26 (100%) NICUs responded to the survey. NICUs had more neurodevelopmental allied health staff than SCNs, with physiotherapists and speech pathologists the most common disciplines. Physiotherapists were more likely to administer standardised neurobehavioural/neurological assessments in NICUs, while medical staff were more likely to do so in SCNs. A wide variety of standardised neurobehavioural/neurological assessment tools were used, with Prechtl's General Movements Assessment the most common in the NICUs (50%) and the Hammersmith Neonatal Neurological Examination the most common in the special care units (25%). Standardised neurobehavioural assessments were not administered in 22% of SCNs. CONCLUSIONS: Although neurodevelopmental allied health teams and standardised neurobehavioural/neurological assessments are valued by many, there was little consistency across Australian and New Zealand neonatal nurseries.
How is physical activity measured in lung cancer? A systematic review of outcome measures and their psychometric properties
Physical activity (PA) levels are low in patients with lung cancer. Emerging evidence supports the use of interventions to increase PA in this population. We aimed to (1) identify and synthesize outcome measures which assess PA levels in patients with lung cancer and (2) to evaluate, synthesize and compare the psychometric properties of these measures. A systematic review of articles from searches was conducted of five electronic databases and personal records. Eligible studies were those which assessed PA using either performance-based or patient-reported measures. For aim 2, studies identified in aim 1 reporting on at least one psychometric property (validity, reliability, responsiveness or measurement error) were included. Two independent reviewers assessed eligibility and risk of bias with the COnsensus-based Standards for the selection of health status Measurement INstruments. Thirty-four studies using 21 different measures of PA were identified. Seventeen studies used performance-based measures. The Godin Leisure Time Exercise Questionnaire (GLTEQ) was the most frequently used patient-reported measure. Psychometric properties were reported for 13 of these measures and most frequently for movement sensors. Two studies reported on properties of the GLTEQ. Quality ratings for risk of bias were low. There is significant heterogeneity amongst studies regarding method of PA measurement along the lung cancer continuum. Greater consensus could be achieved by using a consensus approach such as a Delphi process. Future studies should include assessment of psychometric properties of the measurement tool being used. Currently, it is recommended where feasible, both performance-based and patient-reported measurements of PA should be undertaken.
The Australian Pelvic Floor Questionnaire is a valid measure of pelvic floor symptoms in patients following surgery for colorectal cancer
AIMS: This study evaluated the construct validity of the Australian Pelvic Floor Questionnaire against two alternative measures of the severity of bladder and bowel symptoms. METHODS: This was an exploratory analysis of data from two prospective studies. Patients who had undergone surgery for colorectal cancer were analysed. Bladder and bowel symptoms were measured using three validated questionnaires: the Australian Pelvic Floor Questionnaire, the International Consultation on Incontinence Questionnaire Short Form Questionnaire for urinary incontinence and the International Consultation on Incontinence Questionnaire-Bowel Module post-cancer treatment. RESULTS: The study sample consisted of 44 participants, including 25 men and 19 women. The Australian Pelvic Floor Questionnaire bladder and bowel domain scores demonstrated moderate positive correlations with the International Consultation on Incontinence Questionnaire Short Form Questionnaire for urinary incontinence (r = 0.74, P < 0.01) and the International Consultation on Incontinence Questionnaire-Bowel Module (r = 0.69-0.78, P < 0.01). Similar results were obtained in each gender subgroup. CONCLUSIONS: This study suggested that the Australian Pelvic Floor Questionnaire may be a valid measurement tool for use in colorectal cancer populations in clinical trials and practice. Future research using larger cohorts is warranted.
The review of successful mental health and wellbeing supports for young black people: The project of South Sudanese Australian young people's mental health and wellbeing support.
This paper is a review of a successful mental health programs for young black people who have experienced some complex issues such mental health, racism and discrimination, family problems and bullying in schools. The article provides a brief overview of the ways and programs that may be usefully in supporting young people with mental health and wellbeing issues from the South Sudanese Australian community. A combination of desktop research and consultation with young people was employed to collect data. There was conversation meeting with 19 young people which conducted by a youth worker and one counsellor where young people were open to raise some mental health and wellbeing related issues that are affecting them, but there are no safe programs to support them. The review of successful mental health and wellbeing programs came out from the discussion based on the mental health and wellbeing issues raised by young people. The aim is to find out the existing mental health and wellbeing programs internationally that can be replicated as support programs for South Sudanese –Australian young people in Melbourne.
Challenges of Unemployment and Benefits of Employment for South Sudanese People from Refugee Backgrounds in Melbourne, Australia
Settlement of people from refugee backgrounds has been largely discussed in Australia because of critical social issues affecting the integration of newly emerged community such as the South Sudanese community. This research paper has taken one-step back to at looks the benefits of employment in settlement context of refugees using the case study of the South Sudanese community in Melbourne, Australia. The aim of this research was to provide an understanding of the benefits of employment on different forms of capitals that can assist refugees to overcome settlement challenges. These five capitals or benefits are economic capital, social capital, the cultural and psychological capital. This research was conducted through in-depth interviews with 20 participants from the South Sudanese community in Melbourne, Australia with refugee backgrounds. Participants were given taken the time to tell their settlement experiences, the level of participation in employment and benefits of employment to them and their families with duration range between 45 minutes to 60 minutes. Major findings confirmed that participation of refugees in employment assists them to access important benefits of economic capital, social capital, cultural and psychological capital, which they can accumulate through employment.
Teaching resilience skills to social work students and others
(National Association of Social Workers-Zimbabwe, 2020)
Social work as a profession is a growing area in many Indigenous community groups around the world. Students who choose to study social work have some strong voices and commitments to serve vulnerable families, individuals and community groups that are facing some social, health and political issues. Building resilience resources and skills for social work students who are studying social work course is part of the social work roles. In real life, social issues and health issues challenged many people in different levels which caused emotional challenges, feeling of uncertain and helpless. Therefore, teaching resilience skills to social work students is very important in order for students to be well-prepared and managed complex issues of their clients in the field of social work such as emotional reaction of clients and work pressures. This paper is a literature review of resilience that used Ubuntu concept from African Indigenous perspective in humanity and community. The paper first provided introduction of Ubuntu philosophy to reader. Second, the paper provided background of the research problem, which is the need of resilience skills in social work teaching. Finally, the paper summarised resilience skills that are suitable to social work practitioners, social work students and social work lecturers in their field of practice to support their clients and themselves while dealing with complex and emotional issues in the fields.
Mental health and the role of social workers and community workers during the coronavirus disease 2019 (COVID-19) period
(Institute of Development Administration, 2021)
Social workers play a significant role in supporting vulnerable families and individuals during difficult time. Social work as a profession is a frontline occupation that is forced to deal with the complex and difficult issues of coronavirus disease 2019 (COVID-19). Lockdown, self-isolation, the loss of loved ones, the loss of work, and dealing with family issues and children while working at home are emotionally challenging for many. This virus has raised high levels of anxiety, fear, confusion, frustration, hopeless and uncertainty feelings among many people internationally. Many people were isolated from their families and friends as well as from community. Governments in many countries brought in health measures to control the spread of coronavirus. These measures included quarantine, lockdown, social distancing/physical distancing, isolation, travel restrictions, masks, ventilators, respirators, personal protective clothing (PPE), online/remote services, containment, mitigation, sanitisers, flattening the curve, inflammatory syndrome and herbal/organic treatments. In addition to the loss of social connection, the loss of livelihoods and income are psychologically torturing. There were many lives lost because of coronavirus around the world how many. The impacts of coronavirus have been felt across the health, economic, social, and mental health sectors. Social workers were viewed first people to support people while they were going through difficulties. The situation analysis of emergency lockdown in Melbourne, Victoria, Australia demonstrated role of social workers in supporting vulnerable individuals and families during difficult time. The study shows serious impact of lockdown such as mental health, social and economic consequences on people. The impact of COVID-19 lockdown was clearly observed in relation to mental health, social and economic impacts on people. Many residents were psychological impacted and found themselves in tears, frustration, enraged, powerless, hopeless with lack of support. This analysis argues that social workers should be prepared and supported with enough resources to support people during emergency situations. Therefore, the role of social workers and community development workers is very critical in supporting and preparing vulnerable community groups, individuals, and families to cope with emergency events when they emerge. The case example of the COVID-19 emergency lockdown is the lockdown of high-rise towers in the city of Melbourne in Australia. Many people have been seeking support from social workers for emotional support as they are enraged and frustrated by the lockdown.
An exploration of interventions for healing intergeneration trauma to develop successful healing programs for Aboriginal Australians: A literature review
(Australian Indigenous HealthBulletin, 2020)
Introduction Health outcomes and life expectancy of Indigenous people throughout the world are far poorer than non-Indigenous populations. Emerging evidence from research shows that many social issues which impact on Indigenous peoples globally is linked to trauma over generations. This review explores literature about Indigenous people from around the world to seek interventions which have been successful in healing intergenerational trauma. Method To identify interventions that have been successful in healing intergenerational trauma amongst Indigenous populations globally, a systematic search strategy was conducted using keywords and synonyms related to the topic. Peer reviewed academic literature was sourced from four different databases i.e. Ebscohost, PubMed, CINAHL and Medline. Results There were 89 citations, 55 were identified as relevant, after duplicate copies were removed. Of these 55 papers, 23 met inclusion/exclusion criteria. Two additional papers from a reference lists were included and a total of 25 papers were analysed. A comprehensive critical appraisal of the literature was undertaken using three different appraisal tools. This review found that interventions which were successful in healing intergenerational trauma amongst Indigenous populations incorporated traditional cultural practices within their healing method(s). Discussion There was strong evidence that strengthening and reclaiming cultural identity enhances mental health disorders commonly experienced throughout Indigenous populations. Often non-Indigenous clinicians, although well intentioned, fail to address the needs of Indigenous people because they lack the understanding and awareness of Indigenous people’s culture. This review highlights benefits of blending Indigenous and Western approaches into healing intergenerational trauma and the concept of ‘Two-Eyed Seeing’. This concept acknowledges that each of our worlds has its strengths and if we respectfully and methodically accept these strengths, they can work together and effectively to bring about healing. Conclusion Healing from intergenerational trauma is not a straightforward process. Incorporating traditional healing methods assists in the development of cultural identity, which was found to be extremely important in the healing process. To address trauma effectively, clinicians need to acknowledge the historical impact from public policies by having a real understanding of our history.
Systemic vilification and racism are affecting on the South Sudanese community in Australia
(International Journal of Scientific Research (IJSR), 2018)
This paper presents qualitative research findings in relation to the systemic racism and racial vilification issues facing people from the South Sudanese community in Melbourne, Australia. The paper is drawn from a PhD study at Victoria University in which 20 participants were interviewed about settlement issues facing their community. Racism and discrimination is one of the themes that emerged as a problem facing people from the South Sudanese community, including in the employment sector and in schools, because of negative media reporting on this community. This racism and racial verification has been identified in research context as unfair in which some of these research argues for how members of the South Sudanese and recent African communities have become part of a broader system of racism and racialisation in Australia (Ang & Stratton 2001; Baak 2016; Due 2008; Majavu 2017; Walton et al. 2016). The impact of racial vilification has been largely felt by African community groups in public places such as schools, shopping centres, and bus and train stations. The comments made by politicians such as Peter Dutton have promoted hatred and encouraged a great deal of racism toward the South Sudanese community and other African groups, such as the Somalian community. There is no doubt that Australia is a fair-go country, but it has an interesting record about racism and discrimination toward minor groups such as African communities and the Aboriginal community. Racial vilification can be a damaging issue for young people and for minority community groups if there are no policies in places to protect them from such vilification (Baak, 2018).
Benefits of participation in sport for people from refugee backgrounds: A study of the South Sudanese community in Melbourne, Australia
(Journal issue, 2016-02-01)
Participation in sport provides different forms of capital for all, but particularly for those with refugee backgrounds who are facing settlement issues. Such people are caught in a challenging situation of dealing with settlement issues such as homesickness, cultural shock, lack of a background of social activities and networks, lack of employment, racism and discrimination. As a result of these settlement challenges and other social issues, a large number of young people become disengaged. Therefore, the aim of this study is to explore a social benefit of participation in sport for the South Sudanese people from refugee backgrounds who are settling in Melbourne, Australia. For people with social isolation and other social issues, participation in sport can be a tool that assists those young people by providing physical benefits, a social network (thus breaking social isolation) and sometimes a form of income as a result of being noticed as a good player. Participating in sport can thus be a rewarding experience, particularly for young people, in overcoming settlement challenges. This research was conducted through an in-depth interview of 20 participants from the South Sudanese community. Major findings confirmed that social benefits of sport in relation to network, physical capital, psychological capital, cultural capital, economic capital
Our Voices Understanding Critical Challenges of Settlement when Resettled in Country Different to Your Own Country
(LAP Lambert Academic Publishing, 2014-01)
This book describes the common challenges which many refugees faced when resettled in country that is different to their own country. "This book has touched my heart as it is discussed critical challenges of settlement". John Smith.