Dissertations / Theses on the topic 'Amata – New South Wales'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Amata – New South Wales.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
Rowling, Jill. "Cave Aragonites of New South Wales." University of Sydney. Geosciences, 2004. http://hdl.handle.net/2123/694.
Full textKeogh, Andrew James, of Western Sydney Hawkesbury University, Faculty of Science and Technology, and School of Applied and Environmental Sciences. "Systems management of Glenbrook Lagoon, New South Wales." THESIS_FST_AES_Keogh_A.xml, 1996. http://handle.uws.edu.au:8081/1959.7/423.
Full textMaster of Science (Hons)
Elliott, Malcolm Gordon, of Western Sydney Hawkesbury University, and Faculty of Environmental Management and Agriculture. "Grass tetany of cattle in New South Wales." THESIS_FEMA_xxx_Elliott_M.xml, 2000. http://handle.uws.edu.au:8081/1959.7/7.
Full textMaster of Science (Hons)
Wood, Susan, and s2000093@student rmit edu au. "Creative embroidery in New South Wales, 1960 - 1975." RMIT University. Architecture and Design, 2006. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20070206.160246.
Full textFranklin, Richard Charles. "Epidemiology of Farm Injuries in New South Wales." University of Sydney, 2007. http://hdl.handle.net/2123/1930.
Full textInjuries to people living and working on farms in New South Wales continue to be a significant burden on the health system, Workers’ Compensation system, agricultural industries and farming families. Strategies to reduce the number and severity of injuries suffered by farmers and people working on farms rely on accurate information. Unfortunately there is no one dataset available to describe the circumstances surrounding farm injuries and the size of this burden in Australia. Hence, a number of different data sources are required to provide a picture of farm injuries. To date, there has been very little critical examination of what value each of these datasets provides to describing farm injuries. This Thesis aimed to: • Undertake surveillance of injuries occurring to people on farms or during agricultural production in NSW using data from an Emergency Department, NSW Hospital Separations information, NSW Workers’ Compensation Claims, and ABS Deaths data. • Critically examine the utility of Emergency Department, Hospital, Workers’ Compensation, and ABS Deaths Data for the surveillance of farm injuries in NSW. • Critically examine data classification systems used in Emergency Department, Hospital, Workers’ Compensation, and ABS Deaths data collections to describe the breadth of farm injuries in NSW. • Define the priority areas for farm injury prevention initiatives in NSW based on the information obtained from the examination of the data from Emergency Department, Hospital, Workers’ Compensation, and ABS Deaths. • Evaluate the effectiveness of the NSW Rollover Protective Structure (ROPS) rebate scheme and examine the utility of the data currently available in NSW to measure the performance of the program. Four datasets, Tamworth Emergency Department, Hospital Separations, Workers’ Compensation and the Australian Bureau of Statistics (ABS) Deaths data were used to provide information on the surveillance of farm injuries, describe the breadth of classifications used to describe farm injuries, and define priorities for the prevention of farm injuries. There were 384 farm-related injuries which presented to the Emergency Department at the Tamworth Base Hospital between 1 September 1997 and 31 August 1998. Emergency Department data collected in this study used the Farm Injury Optimal Dataset (FIOD) for classification, which allowed for a comprehensive picture of the circumstances surrounding the injury event. The three most common external causes of injury were related to horses, motorcycles, and animals. Commonly people were working at the time of injury. Children represented 21% of the people injured. The average number of injuries per 100 farms per annum was 34.7. An examination of hospital discharge data for NSW was undertaken for the period 1 July 1992 to 30 June 2000 where the location of the injury was a farm. Classification of cases in this dataset conformed to the International Classification of Disease (ICD) versions 9 and 10. There were 14,490 people who were injured on a farm during the study period. The three most common external causes of injury were motorcycles, animals being ridden and agricultural machinery. Children represented 17% of all farm injury cases. The rate per 1,000 farms ranged from 19 to 42 per annum. An examination of Workers’ Compensation claims for agricultural industries in NSW between 1 July 1992 and 30 June 2001 was undertaken. The ‘Type of Occurrence’ classification system was used to code the claims. There were 24,332 claims of which the majority were males (82%). The incidence of injury / disease in agriculture per annum varied from 37 per 1,000 workers to 73 per 1,000 workers. The rate per 1,000 agricultural establishments varied from 54 to 76. The average cost of a claim was $10,880 and the average time lost per claims was 9.2 weeks. There were 81 deaths and 3,158 permanent disabilities. The three most common agents were sheep / goats (5%), ferrous and non-ferrous metals (5%), crates / cartons / boxes / etc (5%). Using ABS deaths data to examine the deaths of people working and living on farms was limited to males whose occupation was recorded as ‘farmer and farm manager’ and ‘agricultural labourer and related worker’. There were 952 deaths over the period 1 January 1991 and 31 December 2000. The information provided a consistent series of cases over time. Areas where prevention should be directed included motor vehicle accidents; falls; agricultural machinery; other machinery; firearms; poisoning; and drowning. Using any one of the datasets alone to examine people injured on farms not only underestimates the number of people injured, but also misses particular types of agents involved in farm injuries. Each of the datasets used in this Thesis provides a different perspective of farm injury in NSW. By examining the information together, there are a number of areas which are consistently represented in each dataset such as falls and agricultural machinery. While no one dataset provided all the information that would be useful for the prevention of injuries, the available information does provide direction for the development of prevention strategies. The overall weakness of the information provided is that it misses a number of risk factors that contribute to farm injuries such as fatigue and training. The lack of appropriate denominator information also makes it difficult to directly compare the datasets and estimate the size of the problem. There are a number of additional coding categories that could be included in each dataset that would provide a better understanding of the different groups at risk of sustaining an injury on a farm or during agricultural work. These coding categories include activity at time of injury, admission to hospital, and occupation. An example of the use of data to determine the effectiveness of a farm injury prevention program is the ‘NSW Rollover Protective Structure (ROPS) Rebate Scheme’ evaluation. Tractor rollover deaths have been identified as an issue for prevention by Farmsafe Australia; however, such deaths were not identified in any of the datasets used in this Thesis due to coding limitations in the ABS data. In this Thesis information about the evaluation of the ‘NSW ROPS Rebate Scheme’ is presented. The scheme was successful in fitting 10,449 ROPS to tractors and the following lessons were learnt: when providing a rebate, the administration (i.e. sending the cheque) needs to be done well; advertising is important and should be co-ordinated, increase the awareness of the risk(s) the intervention is aiming to prevent and effectiveness of subsequent solution (s); the program should ensure there is an increased awareness of the outcome the intervention is aiming to prevent; if regulation is part of the program, enforcement needs to undertaken; and should address any barriers to uptake. The information provided in this Thesis highlights the substantial burden that farm injury places on the agricultural and rural sector of NSW. While there is no one data source that can describe the circumstances and the burden of farm injuries, the currently available datasets do provide an insight into the circumstances of farm injuries and the burden these injuries place on health, Workers’ Compensation, agricultural industries and farming families.
Keogh, Andrew James. "Systems management of Glenbrook Lagoon, New South Wales /." View thesis View thesis, 1996. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030519.153643/index.html.
Full textElliott, Malcolm Gordon. "Grass tetany of cattle in New South Wales /." View thesis View thesis, 2000. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030424.150628/index.html.
Full textDecker, Frank. "The emergence of money in convict New South Wales." Marburg Metropolis-Verl, 2009. http://d-nb.info/1001248597/04.
Full textSmith, Anthony Russell. "Gender in the Fifty-first New South Wales Parliament." University of Sydney, 2002. http://hdl.handle.net/2123/2562.
Full textResponsible Government began in New South Wales in 1856. Direct participation by women began 70 years later in 1925 with the election of Millicent Preston-Stanley. Her first speech questioned whether Parliament was a fit place for women. Another significant milestone was reached after another 70 years when female MLAs in the Fifty-first Parliament constituted 15% of the Legislative Assembly and female MLCs made up 33% of the Legislative Council. In the 1990s there was no formal barrier to the participation of persons on the basis of their sex but no scholarly study had addressed the question of whether the Parliament’s culture was open to all gender orientations. This study examines the hypothesis that the Parliament informally favoured some types of gender behaviour over others. It identifies ‘gender’ as behaviour rather than a characteristic of persons and avoids the conflation of gender with sex, and particularly with women exclusively. The research used interviews, observation and document study for triangulation. The thesis describes the specific context of New South Wales parliamentary politics 1995-1999 with an emphasis on factors that affect an understanding of gender. It explores notions of representation held by MPs, analyses their personal backgrounds and reports on gender-rich behaviours in the chambers. The study concludes that gender was a significant factor in the behaviour of Members of the Parliament. There were important differences between the ways that male and female MPs approached their roles. Analysis of the concept of gender in the Parliament shows that some behaviours are more likely to bring political success than are others. The methodology developed here by adapting literature from other systems has important strengths. The data suggest that there is a need for many more detailed studies of aspects of gender in parliaments.
Rutland, Suzanne D. "The Jewish Community In New South Wales 1914-1939." University of Sydney, 1990. http://hdl.handle.net/2123/6536.
Full textSmith, A. R. "Gender in the Fifty-first New South Wales Parliament." Connect to full text, 2002. http://hdl.handle.net/2123/2562.
Full textTitle from title screen (viewed Apr. 8, 2009) Degree awarded 2003; thesis submitted 2002. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept. of Government and International Relations, Faculty of Arts. Includes bibliographical references. Also available in print form.
Kariminia, Azar Public Health & Community Medicine Faculty of Medicine UNSW. "Death among a cohort of prisoners in New South Wales Australia ??? a data linkage study." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2007. http://handle.unsw.edu.au/1959.4/32476.
Full textSotiri, Melinda Social Sciences & International Studies Faculty of Arts & Social Sciences UNSW. "Punishment and imprisonment in New South Wales: towards a conceptual analysis of purpose." Awarded by:University of New South Wales, 2003. http://handle.unsw.edu.au/1959.4/38574.
Full textFanning, Patricia C. "Beyond the divide: a new geoarchaeology of Aboriginal stone artefact scatters in Western NSW, Australia." Australia : Macquarie University, 2002. http://hdl.handle.net/1959.14/45010.
Full textIncludes bibliographical references: p. 228-232.
Geomorphology, archaeology and geoarchaeology: introduction and background -- Surface stone artefact scatters: why can we see them? -- Geomorphic controls on spatial patterning of the surface stone artefact record -- A temporal framework for interpreting surface artefact scatters in Western NSW -- Synthesis: stone artefact scatters in a dynamic landscape.
Surface scatters of stone artefacts are the most ubiquitous feature of the Australian Aboriginal archaeological record, yet the most underutilized by archaeologists in developing models of Aboriginal prehistory. Among the many reasons for this are the lack of understanding of geomorphic processes that have exposed them, and the lack of a suitable chronological framework for investigating Aboriginal 'use of place'. This thesis addresses both of these issues. -- In arid western NSW, erosion and deposition accelerated as a result of the introduction of sheep grazing in the mid 1800s has resulted in exposure of artefact scatters in some areas, burial in others, and complete removal in those parts of the landscape subject to concentrated flood flows. The result is a patchwork of artefact scatters exhibiting various degrees of preservation, exposure and visibility. My research at Stud Creek, in Sturt National Park in far western NSW, develops artefact and landscape survey protocols to accommodate this dynamic geomorphic setting. A sampling strategy stratified on the basis of landscape morphodynamics is presented that allows archaeologists to target areas of maximum artefact exposure and minimum post-discard disturbance. Differential artefact visibility at the time of the survey is accommodated by incorporating measures of surface cover which quantify the effects of various ephemeral environmental processes, such as deposition of sediments, vegetation growth, and bioturbation, on artefact count. -- While surface stone artefact scatters lack the stratigraphy usually considered necessary for establishing the timing of Aboriginal occupation, a combination of radiocarbon determinations on associated heat-retainer ovens, and stratigraphic analysis and dating of the valley fills which underlie the scatters, allows a two-stage chronology for huntergatherer activity to be developed. In the Stud Creek study area, dating of the valley fill by OSL established a maximum age of 2,040±100 y for surface artefact scatters. The heatretainer ovens ranged in age from 1630±30 y BP to 220±55 y BP. Bayesian statistical analysis of the sample of 28 radiocarbon determinations supported the notion, already established from analysis of the artefacts, that the Stud Creek valley was occupied intermittently for short durations over a relatively long period of time, rather than intensively occupied at any one time. Furthermore, a gap in oven building between about 800 and 1100 years ago was evident. Environmental explanations for this gap are explored, but the paiaeoenvironmental record for this part of the Australian arid zone is too sparse and too coarse to provide explanations of human behaviour on time scales of just a few hundred years. -- Having established a model for Stud Creek of episodic landscape change throughout the late Pleistocene and Holocene, right up to European contact, its veracity was evaluated in a pilot study at another location within the region. The length of the archaeological record preserved in three geomorphically distinct locations at Fowlers Gap, 250 km south of Stud Creek, is a function of geomorphic dynamics, with a record of a few hundred years from sites located on channel margins and low terraces, and the longest record thus far of around 5,000 years from high terrace surfaces more remote from active channel incision. But even here, the record is not continuous, and like Stud Creek, the gaps are interpreted to indicate that Aboriginal people moved into and out of these places intermittently throughout the mid to late Holocene. -- I conclude that episodic nonequilibrium characterizes the geomorphic history of these arid landscapes, with impacts on the preservation of the archaeological record. Dating of both archaeological and landform features shows that the landscape, and the archaeological record it preserves, are both spatially and temporally disjointed. Models of Aboriginal hunter-gatherer behaviour and settlement patterns must take account of these discontinuities in an archaeological record that is controlled by geomorphic activity. -- I propose a new geoarchaeological framework for landscape-based studies of surface artefact scatters that incorporates geomorphic analysis and dating of landscapes, as well as tool typology, into the interpretation of spatial and temporal patterns of Aboriginal huntergatherer 'use of place'.
Mode of access: World Wide Web.
vii, 232 p. ill., maps
Millar, Nance Marie School of Sociology & Anthropology UNSW. "???Through the looking glass ?????? from comfort and conformity to challenge and collaboration: changing parent involvement in the catholic education of their children through the twentieth century." Awarded by:University of New South Wales. School of Sociology and Anthropology, 2006. http://handle.unsw.edu.au/1959.4/32262.
Full textAmin, Janaki Public Health & Community Medicine Faculty of Medicine UNSW. "Hepatitis B and C associated cancer and mortality: New South Wales, 1990-2002." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/27338.
Full textWilton, Kylee Margaret, and res cand@acu edu au. "Coastal Wetland Habitat Dynamics in Selected New South Wales Estuaries." Australian Catholic University. School of Arts and Sciences, 2002. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp29.29082005.
Full textMildren, Suzanne. "Exploring sustainability management systems for landfills in New South Wales." Thesis, Mildren, Suzanne (2013) Exploring sustainability management systems for landfills in New South Wales. Masters by Coursework thesis, Murdoch University, 2013. https://researchrepository.murdoch.edu.au/id/eprint/21291/.
Full textCockrell, Deborah Jane. "Rural clinical placements for dental students : an action research study." University of Sydney, 2005. http://hdl.handle.net/2123/4662.
Full textThis work was digitised and made available on open access by the University of Sydney, Faculty of Dentistry and Sydney eScholarship . It may only be used for the purposes of research and study. Where possible, the Faculty will try to notify the author of this work. If you have any inquiries or issues regarding this work being made available please contact the Sydney eScholarship Repository Coordinator - ses@library.usyd.edu.au
Webb, Garry Anthony. "The effects of logging on populations of small ground-dwelling vertebrates in montane eucalypt forest in South-Eastern New South Wales." Thesis, Canberra, ACT : The Australian National University, 1991. http://hdl.handle.net/1885/140692.
Full textHunter, David, and n/a. "Conservation Management of Two Threatened Frog Species in South-Eastern New South Wales, Australia." University of Canberra. Applied Science, 2007. http://erl.canberra.edu.au./public/adt-AUC20081020.142239.
Full textHunter, David. "Conservation management of two threatened frog species in South-Eastern New South Wales, Australia /." full text via ADT, 2007. http://erl.canberra.edu.au/public/adt-AUC20081020.142239/index.html.
Full textNicholls, David John School of Biological Science UNSW. "Eutrophication and excessive Macroalgal growth in Lake Macquarie, New South Wales." Awarded by:University of New South Wales. School of Biological Science, 1999. http://handle.unsw.edu.au/1959.4/17219.
Full textWahl, Douglas E., and n/a. "The management of flying foxes (Pteropus spp.) in New South Wales." University of Canberra. Resource, Environmental & Heritage Sciences, 1994. http://erl.canberra.edu.au./public/adt-AUC20061113.152804.
Full textTaylor, Peter John Medical Sciences Faculty of Medicine UNSW. "Molecular genetic analysis of a New South Wales muscular dystrophy cohort." Publisher:University of New South Wales. Medical Sciences, 2008. http://handle.unsw.edu.au/1959.4/43309.
Full textAshton, Clare. "KARITANE’S CONTRIBUTION TO PUBLIC HEALTH IN NEW SOUTH WALES 1923-2000." University of Sydney, 2010. http://hdl.handle.net/2123/6101.
Full textThis thesis is about the substantial service Karitane provided in the teaching of mothercraft to guide parents in the care of their young children in New South Wales. At first called the Australian Mothercraft Society, it emerged in New South Wales as a voluntary organisation in 1923, closely allied to New Zealand’s Plunket Society founded in 1907 by Sir Truby King. Karitane was at its most active in the 1940s when it provided over a quarter of Sydney’s residential mothercraft services. Its beginnings were overshadowed by conflict and the New South Wales Department of Public Health did not acknowledge Karitane until the 1960s. Until then Karitane was absent from the public record of services for mother and baby in NSW. Sydney’s Eastern Suburbs community and the Karitane Products Society in New Zealand supported Karitane before it integrated into New South Wales’ government supported health services. Throughout it delivered on its aims of teaching mothers ways of caring for infants, disseminating knowledge about the care of young children and preparing specialist nurses. The main theme of this thesis is the ‘moving frontier’ that is the boundary between the voluntary providers of health services and governmental provision of health services. Karitane’s development has depended on the politics of health care at Commonwealth, State and local levels. The secondary themes derive from the competition for scarce resources amongst the professional groups involved; doctors, nurses and health service administrators. Karitane’s experience has not been unique; it has followed a trajectory common to voluntary organizations providing personal care services through the twentieth century and it has conformed to trends in public health. Sometimes Karitane led the trends and sometimes it trailed; it adapted to circumstances but it retains a degree of independence. Shining through all the problems with resources are the human experiences of appreciative mothers who used Karitane’s services and the dedicated staff and supporters who provided mothercentred help with the care of infants. The mother/infant relationship continues to be a central concern for public health. This study of Karitane gives a longitudinal perspective on the contribution of a small band of skilled people with a clear mission to provide services to assist mothers with their babies and young children.
Bell, Jane Caroline. "The epidemiology of colorectal cancers in New South Wales, 1972-1991 /." Title page, abstract and contents only, 1996. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmb433.pdf.
Full textGordon, Raymond Daniel. "The constitution of power in the New South Wales Police Service /." Electronic version, 2003. http://adt.lib.uts.edu.au/public/adt-NTSM20040825.173438/index.html.
Full textAckerman, Benjamin R. "Regolith geochemical exploration in the Girilambone District of New South Wales." Access electronically, 2005. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20051027.095334/index.html.
Full textPicton, Phillipps Christina J. V. "Convicts, communication and authority : Britain and New South Wales, 1810-1830." Thesis, University of Edinburgh, 2002. http://hdl.handle.net/1842/1568.
Full textBurston, Joanna. "Stochastic model of extreme coastal water levels, New South Wales, Australia." Connect to full text, 2008. http://ses.library.usyd.edu.au/handle/2123/4033.
Full textTitle from title screen (viewed February 12, 2009). Includes graphs and tables. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Geosciences, Faculty of Science. Includes bibliographical references. Also available in print form.
McGovern, Alyce M. "Policing media controlling representations of the New South Wales Police Force /." View thesis, 2008. http://handle.uws.edu.au:8081/1959.7/43816.
Full textA thesis presented to the University of Western Sydney, College of Arts, School of Social Sciences, in fulfilment of the requirements for the degree of Doctor of Philosphy. Includes bibliographies.
Smith, Euan. "Chemistry of arsenic in soils of north-east New South Wales /." Adelaide, 1998. http://web4.library.adelaide.edu.au/theses/09ASOP/09asops646.pdf.
Full textO???Shea, Bethany Megan School of Biological Earth & Environmental Science UNSW. "Delineating the source, geochemical sinks and aqueous mobilisation processes of naturally occurring arsenic in a coastal sandy aquifer." Awarded by:University of New South Wales. School of Biological, Earth and Environmental Science, 2006. http://handle.unsw.edu.au/1959.4/25179.
Full textGillies, Donald Robert. "Perception of change in education, training and development in the NSW Royal Police Service, post the Wood Royal Commission /." Electronic version, 2005. http://adt.lib.uts.edu.au/public/adt-NTSM20060822.160739/index.html.
Full textWagner, Rex. "Dryland salinity in the south-east region, New South Wales." Master's thesis, 2001. http://hdl.handle.net/1885/9985.
Full textEvans, Robert George. "Paediatrics in New South Wales, 1945 TO 1965." Thesis, 2000. http://hdl.handle.net/1959.13/24901.
Full textPhD Doctorate
Evans, Robert George. "Paediatrics in New South Wales, 1945 TO 1965." 2000. http://hdl.handle.net/1959.13/24901.
Full textPhD Doctorate
Taylor, Louise Westall. "Recovering lives : 15 convicts in New South Wales." Phd thesis, 2015. http://hdl.handle.net/1885/110682.
Full textBesold, Jutta. "Language recovery of the New South Wales South Coast Aboriginal languages." Phd thesis, 2012. http://hdl.handle.net/1885/10133.
Full textRobinson, Kristine. "Midwifery in New South Wales : a contemporary case study." 1994. http://hdl.handle.net/1993/18440.
Full textYapa, Chaturangi Maheshi. "Communicable Disease Control in New South Wales and globally." Master's thesis, 2015. http://hdl.handle.net/1885/101021.
Full textBuetow, Stephen A. "Risk factors for perinatal death in New South Wales." Phd thesis, 1990. http://hdl.handle.net/1885/142489.
Full textRotem, Tai Public Health & Community Medicine Faculty of Medicine UNSW. "Epidemiology of catastrophic rugby football injuries in New South Wales." 2007. http://handle.unsw.edu.au/1959.4/44282.
Full textWilton, Kylee Margaret. "Coastal wetland habitat dynamics in selected New South Wales estuaries /." 2002. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp29.29082005.
Full textA thesis submitted in total fulfillment of the requirements for the degree of Doctor of Philosophy. Includes bibliographical references (305-329). Also available in an electronic version via the internet.
Bullock, Paul. "Seepage scald : a case study in southeastern New South Wales." Phd thesis, 1989. http://hdl.handle.net/1885/8557.
Full textTroy, Jakelin Fleur. "Melaleuka : a history and description of New South Wales pidgin." Phd thesis, Australian National University, 1994. http://hdl.handle.net/1885/112648.
Full textFrazer, Andrew Duncan. "Law and industrial arbitration in New South Wales, 1890-1912." Phd thesis, 1990. http://hdl.handle.net/1885/120819.
Full textBroadbent, James. "Aspects of domestic architecture in New South Wales 1788-1843." Phd thesis, 1985. http://hdl.handle.net/1885/138535.
Full textElvidge, Elissa. "An Aboriginal cultural safety framework for New South Wales hospitals." Thesis, 2021. http://hdl.handle.net/1959.13/1446532.
Full textGlobally, there is a wide range of culture-based frameworks used to reduce health disparities. While this has resulted in a diverse research environment, empirical measures of the effectiveness of many of these approaches are scarce. Increasingly, public health policies are incorporating cultural safety approaches to reorientate health systems towards providing more equitable care to people from marginalised communities. However, the conceptual ambiguity of the term ‘cultural safety’ requires a more systematic examination of its meaning. Further, the complexity and lack of empirical measures of cultural safety necessitate the development of valid and reliable measures based on patient perspectives. The study presented in this thesis involved a mixed-methods approach using semi-structured interviews and a survey subject to exploratory factor analysis to inform the development of a cultural safety framework. Interviews were conducted at two Australian hospitals located in New South Wales (NSW). A total of 50 staff were interviewed over a two-month period. Participants included health workers from a diverse range of roles, including chief executive officers, executive board members, specialist physicians, nurses, medical students, social workers and administrative and service support staff. During the interviews, participants were asked to describe their understanding and practice of cultural safety. Transcripts were analysed using applied thematic analysis in which several key themes were identified. Overall, interviewees had a modest understanding of cultural safety and provided a range of examples of how they incorporated cultural safety in practice. Some staff appeared unwilling to be culturally responsive or had observed practices resulting in the provision of culturally unsafe care. Aboriginal workers experienced distinct challenges with respect to their own and their patients’ cultural safety, with many interviewees reporting experiencing racism in the workplace. The implementation of cultural safety appeared to be compromised by what clinicians could do within the structural restrictions of the system. The conflict between governance structures and the agency of individual staff members was identified as a significant barrier impeding the implementation of health policies that seek to enhance patient cultural safety. For the quantitative arm of the study, Aboriginal and/or Torres Strait Islander patients attending NSW hospitals were invited to participate in a survey designed to measure cultural safety from the patient perspective. Using targeted recruitment strategies, participants were selected from two tertiary hospitals. Opportunistic recruitment was also undertaken to enlist patients attending NSW hospitals outside of the target sites. In total, 316 surveys were analysed using exploratory factor analysis, which showed adequate internal and external consistency of domains. Overall, it was found that the survey provides a robust measurement of cultural safety. In addition to exploratory analysis, a cultural safety score was produced for each hospital site. Results from the qualitative survey questions reveal that the support of family and Aboriginal staff is important in determining culturally safe experiences. Both the qualitative and quantitative findings were used in the development of a cultural safety framework for NSW hospitals. This framework may be a valuable tool for measuring and guiding cultural safety initiatives in Australian hospitals.