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Article: Big Wave Surfing aus der Sicht eines betreuenden Arztes

Farrell, T.

2018 Volume 34, Issue 3, Page(s) 253

Language	German ; English
Document type	Article
ZDB-ID	1233784-5
ISSN	0177-0438 ; 0949-328X
Database	Current Contents Medicine

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Article ; Online: Sustainability of rural Victorian maternity services: 'We can work together'.

Brundell, Kath / Vasilevski, Vidanka / Farrell, Tanya / Sweet, Linda

Women and birth : journal of the Australian College of Midwives

2024 Volume 37, Issue 3, Page(s) 101596

Abstract: Background: Rural maternity service closures and service level reductions are continually increasing across Victoria. There is limited understanding of how rural board members and executives make decisions about their maternity service's operations and ... ...

Abstract	Background: Rural maternity service closures and service level reductions are continually increasing across Victoria. There is limited understanding of how rural board members and executives make decisions about their maternity service's operations and sustainability. Aim: To examine perspectives of rural Victorian board members and executives on the sustainability of rural maternity services. Methods: This was a qualitative study. Interviews were conducted via Zoom™ with 16 rural Victorian hospital board members and executives. Data were thematically analysed. Findings: Severe shortages in the rural maternity workforce, primarily midwives, have contributed to service sustainability decisions. Challenges in offering midwifery workforce incentives cause difficulty in overcoming workforce shortages. A rural maternity workforce strategy harnessing connection with regional services was called for. Innovative models of maternity care were often actioned at the point of service suspension or closure. Participants requested a government policy position and funding for innovative, safe, and sustainable models of care in rural settings. Discussion: There is an opportunity for workforce planning to occur between regional and rural services to ensure the development of sustainable maternity models such as midwifery group practice and incentivise the workforce to address current deficits and sustain service provision. Conclusion: Models of care developed with rural communities, in collaboration with regional services, have the potential to strengthen the delivery of safe, sustainable maternity services. Workforce modelling and centralised government policies aimed at arresting workforce deficits are suggested to provide rural health service leaders with strategic and operational directions to support the delivery of safe, sustainable maternity services.
MeSH term(s)	Pregnancy ; Female ; Humans ; Rural Population ; Maternal Health Services ; Midwifery ; Obstetrics ; Health Personnel ; Rural Health Services
Language	English
Publishing date	2024-03-15
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2235085-8
ISSN	1878-1799 ; 1871-5192
ISSN (online)	1878-1799
ISSN	1871-5192
DOI	10.1016/j.wombi.2024.101596
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The good, the bad, but not the ugly.

Farrell, Tony

Journal of fish biology

2018 Volume 93, Issue 2, Page(s) 169

Language	English
Publishing date	2018-09-18
Publishing country	England
Document type	Editorial
ZDB-ID	410564-3
ISSN	1095-8649 ; 0022-1112
ISSN (online)	1095-8649
ISSN	0022-1112
DOI	10.1111/jfb.13797
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Making a difference in the real world. User-centred impact evaluation of an eight-country, community-based early childhood programme.

Lake, G / Urban, M / Giblin, F / French, G / Farrell, T

Evaluation and program planning

2022 Volume 92, Page(s) 102062

Abstract: This paper presents a unique approach to the Impact Evaluation of a project that focused on low-threshold intergenerational play-based interactions in order to support young children from marginalised communities in eight European countries. The approach ...

Abstract	This paper presents a unique approach to the Impact Evaluation of a project that focused on low-threshold intergenerational play-based interactions in order to support young children from marginalised communities in eight European countries. The approach builds upon the work of Fetterman's Empowerment Evaluation and Patton's Utilization Focused Evaluation and brings them together to form an adapted model of evaluation. We outline in this paper how these two well developed methods of evaluation have been applied to a real world context, that is, the impact evaluation of a complex international project. Our approach highlights the complexities of differing contexts and allows for surprising and unintended consequences to emerge. It results, through double loop learning, a type of feedback loop with the internal stakeholders and implementers that is useful to the project coordination team, with a view to further upscaling of the initiative. Recommendations for policy at local, national and European Union levels were provided to the project and potential external users. However, the predominant feedback was provided at two crucial points along the way; during a stakeholder mapping exercise and during the further development of monitoring data tools.
MeSH term(s)	Child ; Child, Preschool ; Europe ; European Union ; Humans ; Program Evaluation
Language	English
Publishing date	2022-02-23
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2013444-7
ISSN	1873-7870 ; 0149-7189
ISSN (online)	1873-7870
ISSN	0149-7189
DOI	10.1016/j.evalprogplan.2022.102062
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Time-resolved fluorescence and diffuse reflectance for lung squamous carcinoma margin detection.

Costa, Sarah / Fang, Qiyin / Farrell, Thomas / Dao, Erica / Farquharson, Michael

Lasers in surgery and medicine

2024 Volume 56, Issue 3, Page(s) 279–287

Abstract: Objectives: A major challenge in non-small cell lung cancer surgery is the occurrence of positive tumor margins. This may lead to the need for additional surgeries and has been linked to poor patient prognosis. This study aims to develop an in vivo ... ...

Abstract	Objectives: A major challenge in non-small cell lung cancer surgery is the occurrence of positive tumor margins. This may lead to the need for additional surgeries and has been linked to poor patient prognosis. This study aims to develop an in vivo surgical tool that can differentiate cancerous from noncancerous lung tissue at the margin. Methods: A time-resolved fluorescence and diffuse reflectance bimodal device was used to measure the lifetime, spectra, and intensities of endogenous fluorophores as well as optical properties of lung tissue. The tumor and fibrotic tissue data, each containing 36 samples, was obtained from patients who underwent surgical removal of lung tissue after being diagnosed with squamous carcinoma but before any other treatment was administered. The normal lung tissue data were obtained from nine normal tissue samples. Results: The results show a statistically significant difference between cancerous and noncancerous tissue. The results also show a difference in metabolic related optical properties between fibrotic and normal lung tissue samples. Conclusions: This work demonstrates the feasibility of a device that can differentiate cancerous and noncancerous lung tissue for patients diagnosed with squamous cell carcinoma.
MeSH term(s)	Humans ; Carcinoma, Non-Small-Cell Lung ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/surgery ; Carcinoma, Squamous Cell/diagnostic imaging ; Carcinoma, Squamous Cell/surgery ; Spectrometry, Fluorescence ; Lung
Language	English
Publishing date	2024-02-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	604493-1
ISSN	1096-9101 ; 0196-8092
ISSN (online)	1096-9101
ISSN	0196-8092
DOI	10.1002/lsm.23761
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Rural maternity and media discourse analysis: Framing new narratives.

Brundell, Kath / Vasilevski, Vidanka / Farrell, Tanya / Sweet, Linda

The Australian journal of rural health

2023 Volume 31, Issue 3, Page(s) 395–407

Abstract: Introduction: Continued rural maternity closure across Australia has seen impacts on women and families such as financial pressures, quality and safety concerns, and emotional pressure. This review aimed at understanding how media coverage of rural ... ...

Abstract	Introduction: Continued rural maternity closure across Australia has seen impacts on women and families such as financial pressures, quality and safety concerns, and emotional pressure. This review aimed at understanding how media coverage of rural maternity and closure are presented and what impact this may have on maternity service sustainability. Objective: This research seeks to examine media discourse and characteristics of online newspaper articles related to rural maternity services. Design: A narrative review was conducted using thematic discourse analysis to examine online newspaper content published in Victoria, Australia from 2010 to June 2021. Findings: Local maternity services were a source of community interest for rural people. Coverage of negative outcomes for mothers and babies was highlighted by rural newspapers; however, increased content over the last 12-month period focused on community support for the sustainability of rural maternity services. Recent community support in newspaper articles coincided with maternity services reviews and retaining some of these rural services. Discussion: Community support in media may provide a protective social pressure, leading rural health services to consider this when reviewing the sustainability or closure of rural maternity services. Conclusion: Media attention about sustaining local maternity services by highlighting issues and representing community voices may influence health executive to consider opportunities to remodel and sustain high-quality and safe maternity care in rural settings. Knowing how rural health executives consider media, community pressure, and how it impacts expediency of maternity service closure decisions is unknown and an important gap in knowledge to explore and understand.
MeSH term(s)	Female ; Pregnancy ; Humans ; Health Services Accessibility ; Maternal Health Services ; Obstetrics ; Interpersonal Relations ; Victoria
Language	English
Publishing date	2023-03-15
Publishing country	Australia
Document type	Journal Article ; Review
ZDB-ID	2069573-1
ISSN	1440-1584 ; 1038-5282
ISSN (online)	1440-1584
ISSN	1038-5282
DOI	10.1111/ajr.12978
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Experience of Health Professionals With Misinformation and Its Impact on Their Job Practice: Qualitative Interview Study.

Ismail, Nashwa / Kbaier, Dhouha / Farrell, Tracie / Kane, Annemarie

JMIR formative research

2022 Volume 6, Issue 11, Page(s) e38794

Abstract: Background: Misinformation is often disseminated through social media, where information is spread rapidly and easily. Misinformation affects many patients' decisions to follow a treatment prescribed by health professionals (HPs). For example, chronic ... ...

Abstract	Background: Misinformation is often disseminated through social media, where information is spread rapidly and easily. Misinformation affects many patients' decisions to follow a treatment prescribed by health professionals (HPs). For example, chronic patients (eg, those with diabetes) may not follow their prescribed treatment plans. During the recent pandemic, misinformed people rejected COVID-19 vaccines and public health measures, such as masking and physical distancing, and used unproven treatments. Objective: This study investigated the impact of health-threatening misinformation on the practices of health care professionals in the United Kingdom, especially during the outbreaks of diseases where a great amount of health-threatening misinformation is produced and released. The study examined the misinformation surrounding the COVID-19 outbreak to determine how it may have impacted practitioners' perceptions of misinformation and how that may have influenced their practice. In particular, this study explored the answers to the following questions: How do HPs react when they learn that a patient has been misinformed? What misinformation do they believe has the greatest impact on medical practice? What aspects of change and intervention in HPs' practice are in response to misinformation? Methods: This research followed a qualitative approach to collect rich data from a smaller subset of health care practitioners working in the United Kingdom. Data were collected through 1-to-1 online interviews with 13 health practitioners, including junior and senior physicians and nurses in the United Kingdom. Results: Research findings indicated that HPs view misinformation in different ways according to the scenario in which it occurs. Some HPs consider it to be an acute incident exacerbated by the pandemic, while others see it as an ongoing phenomenon (always present) and address it as part of their daily work. HPs are developing pathways for dealing with misinformation. Two main pathways were identified: first, to educate the patient through coaching, advising, or patronizing and, second, to devote resources, such as time and effort, to facilitate 2-way communication between the patient and the health care provider through listening and talking to them. Conclusions: HPs do not receive the confidence they deserve from patients. The lack of trust in health care practitioners has been attributed to several factors, including (1) trusting alternative sources of information (eg, social media) (2) patients' doubts about HPs' experience (eg, a junior doctor with limited experience), and (3) limited time and availability for patients, especially during the pandemic. There are 2 dimensions of trust: patient-HP trust and patient-information trust. There are 2 necessary actions to address the issue of lack of trust in these dimensions: (1) building trust and (2) maintaining trust. The main recommendations of the HPs are to listen to patients, give them more time, and seek evidence-based resources.
Language	English
Publishing date	2022-11-02
Publishing country	Canada
Document type	Journal Article
ISSN	2561-326X
ISSN (online)	2561-326X
DOI	10.2196/38794
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Australian maternity service provision: a comparative analysis of state and territory maternity care frameworks.

Brundell, Kath / Vasilevski, Vidanka / Farrell, Tanya / Sweet, Linda

Australian health review : a publication of the Australian Hospital Association

2022 Volume 46, Issue 5, Page(s) 559–566

Abstract: Objective Healthcare delivery in Australia is managed at state and territory levels. This paper aims to compare the content and structure of publicly accessible Australian maternity service state and territory frameworks which guide the delivery of ... ...

Abstract	Objective Healthcare delivery in Australia is managed at state and territory levels. This paper aims to compare the content and structure of publicly accessible Australian maternity service state and territory frameworks which guide the delivery of maternity care. Methods A scoping review was conducted to identify publicly accessible Australian state and territory maternity service frameworks. A comparative content analysis was undertaken. Results Six of the potential eight states and territories had locatable frameworks. Differences in both structure and content were found between frameworks. Variation exists between standalone maternity service frameworks and comprehensive clinical frameworks. Several jurisdictions align policy and ministerial directives in their frameworks outlining service delivery and guidance relating to maternal and/or neonatal transfer. Language referring to the assessment of maternity services and service risk varied. Conclusion Consistency in structure, language, and a clear communication strategy embedded into each maternity service framework may improve the functioning and consistency of Australian maternity services at each level of the healthcare system.
MeSH term(s)	Australia ; Communication ; Delivery of Health Care ; Female ; Humans ; Infant, Newborn ; Language ; Maternal Health Services ; Pregnancy
Language	English
Publishing date	2022-08-03
Publishing country	Australia
Document type	Journal Article ; Review
ZDB-ID	639155-2
ISSN	1449-8944 ; 0159-5709 ; 0156-5788
ISSN (online)	1449-8944
ISSN	0159-5709 ; 0156-5788
DOI	10.1071/AH22059
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Language used to describe the Australian midwifery workforce: A change opportunity to improve professional identity.

Brundell, Kath / Vasilevski, Vidanka / Farrell, Tanya / Sweet, Linda

Women and birth : journal of the Australian College of Midwives

2022 Volume 36, Issue 4, Page(s) 393–395

Abstract: Background: Tertiary level midwifery educational pathways to achieve registration as a midwife vary in Australia, with a shift from the hospital to the university sector more than 20 years ago. These pathways are often referred to in the workforce ... ...

Abstract	Background: Tertiary level midwifery educational pathways to achieve registration as a midwife vary in Australia, with a shift from the hospital to the university sector more than 20 years ago. These pathways are often referred to in the workforce setting to distinguish midwives with different academic backgrounds. Aim: To discuss the genesis of midwifery education in the Australian setting and explore the impact of the language used to describe the educational backgrounds on the professional identity of midwives. Discussion: Strong tertiary and regulatory governance exists to support the robust development of midwifery educational programmes and to ensure a high-quality, woman-centred workforce. Once registered, all midwives have the same skill set to provide care to women and families. However, separatist language is often used to describe midwives according to their educational background which has a propensity to reduce positive midwifery identity and influence continuing workforce attrition rates. Conclusion: Positive expression of midwifery identity, using a strength discourse and an inclusive workforce have the ability to strengthen job satisfaction and intention to remain in the profession. Midwifery education can occur through several pathways; however once registered, all midwives are equal.
MeSH term(s)	Female ; Humans ; Pregnancy ; Attitude of Health Personnel ; Australia ; Midwifery ; Nurse Midwives/education ; Workforce
Language	English
Publishing date	2022-12-10
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2235085-8
ISSN	1878-1799 ; 1871-5192
ISSN (online)	1878-1799
ISSN	1871-5192
DOI	10.1016/j.wombi.2022.11.013
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Article: An Unusual Case of a Facial Guard Causing Penetrating Soft Tissue Injury in the Game of Hurling

Farrell, T / McDonald, C / Sheehan, E

Irish medical journal

2019 Volume 112, Issue 2, Page(s) 875

MeSH term(s)	Athletic Injuries/etiology ; Athletic Injuries/pathology ; Athletic Injuries/surgery ; Finger Injuries/etiology ; Finger Injuries/pathology ; Finger Injuries/surgery ; Head Protective Devices/adverse effects ; Humans ; Male ; Soft Tissue Injuries/etiology ; Soft Tissue Injuries/pathology ; Soft Tissue Injuries/surgery ; Treatment Outcome ; Wounds, Penetrating/etiology ; Wounds, Penetrating/pathology ; Wounds, Penetrating/surgery ; Young Adult
Language	English
Publishing date	2019-02-14
Publishing country	Ireland
Document type	Case Reports
ZDB-ID	193134-9
ISSN	0332-3102 ; 0021-129X
ISSN	0332-3102 ; 0021-129X
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