AAARRRGGHH! Can't do Primary Health Care

Paper


Yuginovich, Trudy E. and Hinspeter, Lyn. 2005. "AAARRRGGHH! Can't do Primary Health Care." 25th National CRANA Conference 2005. Broken Hill, Australia Sep 2005 Australia.
Paper/Presentation Title

AAARRRGGHH! Can't do Primary Health Care

Presentation TypePaper
AuthorsYuginovich, Trudy E. (Author) and Hinspeter, Lyn (Author)
Journal or Proceedings TitleConference Proceedings of the 25th National CRANA Conference 2005
Year2005
Place of PublicationAustralia
Web Address (URL) of Paperhttps://crana.org.au/conference/more-info/past-conferences/
Conference/Event25th National CRANA Conference 2005
Event Details
25th National CRANA Conference 2005
Event Date
Sep 2005
Event Location
Broken Hill, Australia
Abstract

Social Justice demands all people have a health service they can trust, provided in the best possible manner by the health team. In remote communities it is no secret that it is difficult to maintain a stable, qualified workforce. Nurses in these areas are so overworked and under-supported that they are unable to provide the level of primary health care required by people dwelling in these isolated communities. This study has identified major concerns of RANs endeavouring to provide such care with limited ability due to their location in single nurse clinics in remote Australia. RANs identified that they provide acute care in response to need without time for recall, follow up or initiating any primary health or preventative care in their communities which are surely the most disadvantaged. Reasons impacting on lack of ability to provide adequate/any primary health care included lack of management support, lack of staff, lack of support, lack of time and lack of safety. This study has identified continuance of two levels of exclusion, the remote communities from equity in health care provision and RANs exclusion from the support of their own profession-despite National Health Strategies and Specific Indigenous Health Strategies. Within health services the tension remains between ideology (the dominant view about how things should be done) and the way things are done in reality.

Design: A descriptive study involving a two stage process of data collection with typical case sampling within a constructivist framework was utilized for the study including;
i) a mail-out to all CRANA nurses,
ii) in depth interviews with RANs

Participants: Remote area nurses throughout Australia (nurses working in small isolated (often Indigenous) communities throughout Australia.

Results: respondents indicated that in single nurse clinics they are unable to provide the level of care that is required.

Conclusions: Staffing current single nurse clinics with two or more nurses will improve RAN’s ability to provide appropriate Primary Health Care.

What this study adds; Provides documentary evidence that social justice is not being served in remote communities of Australia. Adds to the paucity of formal literature about the reality of RANs’ ability to meet to expectations of Governments and consumers in relation to primary health care provision.

ANZSRC Field of Research 2020420503. Community and primary care
Byline AffiliationsSchool of Nursing and Midwifery
Council of Remote Area Nurses of Australia (CRANAplus), Australia
Permalink -

https://research.usq.edu.au/item/9z357/aaarrrgghh-can-t-do-primary-health-care

Download files


Submitted Version
can't_do_primary_health_care.pdf
File access level: Anyone

  • 416
    total views
  • 80
    total downloads
  • 1
    views this month
  • 1
    downloads this month

Export as

Related outputs

Unfinished business: the impact of single nurse clinics on the delivery of Primary Health Care in remote communities
Yuginovich, Trudy and Hinspeter, Lyn. 2007. Unfinished business: the impact of single nurse clinics on the delivery of Primary Health Care in remote communities. Toowoomba, QLD. University of Southern Queensland.
Nursing assessment: visual and auditory systems
Yuginovich, Trudy and Chong, Sarah. 2005. "Nursing assessment: visual and auditory systems." Brown, Dianne and Edwards, Helen (ed.) Lewis's medical surgical nursing: assessment and management of clinical problems. Sydney, Australia. Elsevier. pp. 418-479
We said what? The silence of the RANS
Yuginovich, Trudy E.. 2004. "We said what? The silence of the RANS." CRANA 21st National Conference. Alice Springs, Australia Sep 2004 Alice Springs.
When the dust settles: a comparative history of remote area nursing in Queensland
Yuginovich, Trudy E.. 2000. "When the dust settles: a comparative history of remote area nursing in Queensland." Infront outback: Second International Congress of Rural Nurses (2000). Toowoomba, Australia 24 - 26 Feb 2000 Toowoomba.
Impact of Red Apple Healthy Lifestyles Program on healthy eating behaviour of low socio-economic participants in rural and regional communities in Australia
Hossain, Delwar, Yuginovich, Trudy, Lambden, Joanne, Gibson, Maurine and Allen, Rowena. 2015. "Impact of Red Apple Healthy Lifestyles Program on healthy eating behaviour of low socio-economic participants in rural and regional communities in Australia." International Journal of Health Promotion and Education. 53 (3), pp. 136-146. https://doi.org/10.1080/14635240.2014.971189
Evaluation of the Red Apple Program: a healthy lifestyle program for disadvantaged families & young people piloted in the Wide Bay Burnett Queensland, 2011-2012
Yuginovich, Trudy, Hossain, Delwar, Lambden, Joanne, Gibson, Maurine and Allen, Rowena. 2013. Evaluation of the Red Apple Program: a healthy lifestyle program for disadvantaged families & young people piloted in the Wide Bay Burnett Queensland, 2011-2012 . Towoomba, Australia. University of Southern Queensland.
Impact of healthy lifestyle program: an intervention study among rural and regional communities in Australia
Hossain, D., Allen, R., Gibson, M., Lambden, J. and Yuginovich, T.. 2014. "Impact of healthy lifestyle program: an intervention study among rural and regional communities in Australia." International Public Health Forum. 1 (1), pp. 8-14.
Lean thinking in dementia care through smart assistive technology: an evaluation
Yuginovich, Trudy and Soar, Jeffrey. 2014. "Lean thinking in dementia care through smart assistive technology: an evaluation." Wickramasinghe, N., Al-Hakim, L., Gonzalez, C. and Tan, J. (ed.) Lean thinking for healthcare. New York, NY. United States. Springer. pp. 143-167
Evaluation of the red apple program: a healthy lifestyle program for disadvantaged families and young people piloted in the Wide Bay Burnett Queensland, 2011-2012
Yuginovich, Trudy, Hossain, Delwar, Lambden, Joanne, Gibson, Maurine and Allen, Rowena. 2013. Evaluation of the red apple program: a healthy lifestyle program for disadvantaged families and young people piloted in the Wide Bay Burnett Queensland, 2011-2012 . Toowoomba, Australia. University of Southern Queensland.
Distance and devices: potential barriers to use of wireless handheld devices
Martyn, Julie, Larkin, Kevin, Sander, Teresa, Yuginovich, Trudy and Jamieson-Proctor, Romina. 2014. "Distance and devices: potential barriers to use of wireless handheld devices." Nurse Education Today. 34 (3), pp. 457-461. https://doi.org/10.1016/j.nedt.2013.04.021
Impact analysis of smart assistive technologies for people with dementia
Yuginovich, Trudy, Soar, Jeffrey and Su, Ying. 2012. "Impact analysis of smart assistive technologies for people with dementia." Su, Ying (ed.) 7th International Conference on Cooperation and Promotion of Information Resources in Science and Technology (COINFO 2012): Information Sharing in the Cloud. Nanjing, China 23 - 25 Nov 2012 Beijing, China.
Learning at times and places chosen by the learner: adapting to study with mobile digital devices
Jamieson-Proctor, Romina, Albion, Peter, Larkin, Kevin, Redmond, Petrea, Harris, Julie, Fasso, Wendy, Sander, Teresa, Yuginovich, Trudy and Maxwell, Andrew. 2012. "Learning at times and places chosen by the learner: adapting to study with mobile digital devices." Newhouse, Paul and Pagram, Jeremy (ed.) 2012 Australian Computers in Education Conference: ITs Time: Information Technology in Schools Time (ACEC 2012). Perth, Australia 02 - 05 Oct 2012 Perth, Western Australia.
Supporting indigenous sexual and reproductive health via the internet
Soar, Jeffrey and Yuginovich, Trudy. 2006. "Supporting indigenous sexual and reproductive health via the internet." IPSI Bgd Transactions on Advanced Research. 2 (2), pp. 10-14.
A stocktake of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy and Boyes, Joanne. 2008. "A stocktake of existing aged care clinical placements for undergraduate nursing students in Australia." Australian Journal of Advanced Nursing. 26 (2), pp. 17-26.
A potted history of nineteenth century remote area nursing in Australia and, in particular, Queensland
Yuginovich, Trudy. 2000. "A potted history of nineteenth century remote area nursing in Australia and, in particular, Queensland." Australian Journal of Rural Health. 8 (2), pp. 63-67. https://doi.org/10.1046/j.1440-1584.2000.00223.x
More than time and place: using historical comparative research as a research tool for nursing
Yuginovich, Trudy. 2000. "More than time and place: using historical comparative research as a research tool for nursing." International Journal of Nursing Practice. 6 (2), pp. 70-75. https://doi.org/10.1046/j.1440-172x.2000.00183.x
An unusual occupation
Yuginovich, Trudy and Hinspeter, Lyn. 2008. "An unusual occupation." 24th National CRANA Conference. Hobart, Australia
Voices in the dust
Yuginovich, Trudy. 2009. Voices in the dust. Alice Springs, Australia. CRANAplus.
Staff perceptions of an alternative educational model for at risk adolescents in Queensland
Yuginovich, Trudy and O'Brien, Patrick. 2009. "Staff perceptions of an alternative educational model for at risk adolescents in Queensland." International Journal of Interdisciplinary Social Sciences. 3 (12), pp. 15-26.
Reducing avoidable hospital admissions of the frail elderly using intelligent referrals
Soar, Jeffrey, Yuginovich, Trudy and Whittaker, Frank. 2007. "Reducing avoidable hospital admissions of the frail elderly using intelligent referrals." Electronic Journal of Health Informatics. 2 (1).
The Glendyne Model: an evidence based evaluation (an evaluation of Glendyne Education & Training Centre Hervey Bay 2006)
Yuginovich, Trudy, O'Brien, Patrick and Miles, Ian. 2006. The Glendyne Model: an evidence based evaluation (an evaluation of Glendyne Education & Training Centre Hervey Bay 2006) . Toowoomba, Australia. University of Southern Queensland.
A model for Internet-based training to support rural and remote Practice Nurses in providing sexual and reproductive health education
Soar, Jeffrey and Yuginovich, Trudy. 2006. "A model for Internet-based training to support rural and remote Practice Nurses in providing sexual and reproductive health education." Milutinovic, V. (ed.) IPSI Conference (2006). Marbella, Spain 10 - 12 Feb 2006 Belgrade.
A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy, Fallon, Anthony Bruce, Soar, Jeffrey, Boyes, Joanne and Grasby, David. 2006. A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia. Toowoomba, Australia. University of Southern Queensland.