Academic literature on the topic 'Stout Research Centre for New Zealand Studies'

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Journal articles on the topic "Stout Research Centre for New Zealand Studies"

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de Bres, Julia. "Language in the Workplace Project and Workplace Communication for Skilled Migrants course at Victoria University of Wellington, New Zealand." Language Teaching 42, no. 4 (October 2009): 519–24. http://dx.doi.org/10.1017/s0261444809990061.

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The School of Linguistics and Applied Language Studies (LALS) at Victoria University of Wellington conducts research and teaching in Linguistics, Applied Linguistics, Writing and Deaf Studies. It incorporates a Deaf Studies Research Unit, which undertakes research on topics relating to deaf people and their language in New Zealand, and the New Zealand Dictionary Centre, set up in partnership with Oxford University Press, which provides a base for research into New Zealand lexicography and aspects of language in New Zealand. It also incorporates an English Language Institute, which specialises in teaching English language courses and teacher education programmes. A particular strength of the School's makeup is the opportunity to engage in research which benefits and is benefited by both theoretical and practical approaches to issues in linguistics and applied linguistics. This report describes one of a number of examples of the productive integration of language teaching and language research at LALS. We describe an ongoing research project that has developed organically over the past twelve years. The research involved first collecting and analysing authentic workplace interaction between native speakers, and then making use of it in explicit instruction aimed at developing socio-pragmatic proficiency in the workplace among skilled migrants with English as an Additional Language (EAL). We are now engaged in evaluating the results of the instruction, not only in the classroom, but also in workplaces where the migrants have been placed as interns.
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Perkins, Chris. "Promoting spiritual care for older people in New Zealand: the Selwyn Centre for Ageing and Spirituality." Working with Older People 19, no. 3 (September 14, 2015): 107–13. http://dx.doi.org/10.1108/wwop-01-2015-0003.

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Purpose – The purpose of this paper is to describe the development of a centre to promote the spiritual care of older people in New Zealand. Design/methodology/approach – The spiritual scene in New Zealand is described and “spirituality” defined. The history of the Selwyn Centre for Ageing and Spirituality (SCAS) is illustrated by case studies in three areas: research, education and advocacy, noting challenges in providing spiritual care to older people. Findings – The number of New Zealanders claiming a religious affiliation is dropping but spirituality is of interest and relevance to many people. The acknowledgement of Maori spirituality has affected government policy. The SCAS has supported research and provided education throughout the country. Advocacy is difficult where care focuses on the physical and funding for frail older people is limited. Research limitations/implications – While the importance of good spiritual care for older people is clear, this is not easy to achieve. However, an organisation like SCAS has brought the issue to national awareness and made some contribution to increased understanding and improved practice. Practical implications – As the population ages and expressions of spirituality diversify, a deeper understanding of spirituality beyond Christian religion is required. Social implications – While the SCAS focuses on older people, it has formed a nexus of people more widely interested in spirituality at all ages, in different cultures and throughout the country. Originality/value – This is the first description of a New Zealand organisation specifically addressing the spiritual care of older people.
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White, Jonathan. "Report on ACIS Conference, ‘The Importance of Italy’, Humanities Research Centre, Australian National University, September 2001." Modern Italy 7, no. 2 (November 2002): 201–3. http://dx.doi.org/10.1080/1353294022000012989.

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Italian programmes can now be taken in fteen of Australia's thirty-nine universities-a contraction from their offer in twenty-six universities in 1990. In order to promote collaboration among Italianists and Italian scholars in both Australia and New Zealand, the Australasian Centre for Italian Studies (ACIS) was established in 2000, under a management representing seven universities. ACIS’ work includes the organization of conferences (the next to be held at the University of Western Australia in July 2003), sponsorship of collaborative research projects and the award of annual scholarships for Honours and postgraduate students to work in Italy.
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Hammond, Chad, Wendy Gifford, Roanne Thomas, Seham Rabaa, Ovini Thomas, and Marie-Cécile Domecq. "Arts-based research methods with indigenous peoples: an international scoping review." AlterNative: An International Journal of Indigenous Peoples 14, no. 3 (September 2018): 260–76. http://dx.doi.org/10.1177/1177180118796870.

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Research with indigenous peoples worldwide carries long histories of exploitation, distorted representation, and theft. New “indigenizing” methodologies centre the production of knowledge around the processes and knowledges of indigenous communities. Creative research methods involving artistic practices—such as photovoice, journaling, digital storytelling, dance, and theatre—may have a place within these new approaches, but their applications have yet to be systematically explored. We conducted a scoping review of 36 international research studies literature on arts-based research with indigenous peoples. The majority of studies used photovoice and were conducted in Canada, USA, Australia, or New Zealand. We identify five primary fields in which arts-based methods may offer benefit to an indigenous research agenda: (a) participant engagement, (b) relationship building, (c) indigenous knowledge creation, (d) capacity building, and (e) community action. We propose several opportunities to further explore arts-based methods with indigenous peoples.
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Thomsen, Patrick, Sarah Mclean-Osborn, Hollyanna Ainea, and Allyssa Verner-Pula. "Examining the State of Health Research on Pacific Rainbow Communities in New Zealand; Literatrure Review." Pacific Health Dialog 21, no. 7 (June 22, 2021): 449–57. http://dx.doi.org/10.26635/phd.2021.111.

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Introduction: Pacific Rainbow/Queer Communities (PRCs) in New Zealand (NZ) have had scant attention paid to the specificities of their health and wellbeing needs in research. Recently, the Health Research Council of NZ funded its first Pacific-specific PRC project (The Manalagi Project) executed through the University of Auckland’s Centre for Pacific Studies. This paper reports a literature review conducted to ascertain the current state of health research on PRCs, Rainbow/Queer and Pacific communities’ health in NZ. Methods: A scoping review was conducted where relevant public health database search engines were accessed, which included PubMed and Medline to explore both national and international health research pertaining to PRCs, Pacific communities and Rainbow/Queer communities. Additional Google searches were undertaken to identify more ‘grey’ material such as reports, websites, other relevant government sources, as well as non-profit organisation and educational resources not visible via scientific databases. Findings/Outcome: The review identified published journal articles (n=20), books (n=1), reports (n=25) and theses (n=3) as well as other documents relevant to the study, such as websites and news articles pertaining to PRCs in NZ and abroad. It reveals a severe paucity of health research focused on PRCs domestically and internationally. Although more research is being conducted into the space of Pacific communities, as well as Rainbow/Queer communities, research that is PRC-focused is urgent and critical at this time. Conclusion: Both Pacific and Rainbow/Queer communities in NZ are socially marginalised, thus experience a raft of health challenges represented by a racist and cisnormative heterosexist health system. This literature review reveals a lack of understanding around the nuances that exist when these experiences intersect and coalesce in the body and experience of PRC members. It has identified a significant gap in Pacific health research that exists in NZ and abroad that urge us to frame future research to also be intersectionally-informed to capture the unique needs and context of PRCs.
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Robie, David. "Asia Pacific Report: A New Zealand Nonprofit Journalism Model for Campus-Based Social Justice Media." IKAT : The Indonesian Journal of Southeast Asian Studies 2, no. 1 (July 24, 2018): 119. http://dx.doi.org/10.22146/ikat.v2i1.37395.

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For nine years, the Pacific Media Centre research and publication unit at Auckland University of Technology has published journalism with an ‘activist’ edge to its style of reportage raising issues of social justice in New Zealand’s regional backyard. It has achieved this through partnerships with progressive sections of news media and a non-profit model of critical and challenging assignments for postgraduate students in the context of coups, civil war, climate change, human rights, sustainable development and neo-colonialism. An earlier Pacific Scoop venture (2009-2015) has morphed into an innovative venture for the digital era, Asia Pacific Report (APR) (http://asiapacificreport.nz/), launched in January 2016. Amid the current global climate of controversy over ‘fake news’ and a ‘war on truth’ and declining credibility among some mainstream media, the APR project has demonstrated on many occasions the value of independent niche media questioning and challenging mainstream agendas. In this article, a series of case studies examines how the collective experience of citizen journalism, digital engagement and an innovative public empowerment journalism course can develop a unique online publication. The article traverses some of the region’s thorny political and social issues—including the controversial police shootings of students in Papua New Guinea in June 2016.
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Che Mustafa, Mazlina, Nor Mashitah Md. Radzi, Abdul Halim Masnan, Juppri Bacotang, Zainiah Mohamed Isa, Zaharah Osman, and Azila Alias. "Teachers’ Practices in the Acquisition of English by Asian Immigrant English Language Learners." Malaysian Journal of Learning and Instruction 16, Number 1 (June 2, 2019): 207–32. http://dx.doi.org/10.32890/mjli2019.16.1.9.

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Purpose - The increase in the enrolments of immigrant children in New Zealand seems to have posed great challenges to early childhood education services when it comes to developing the children’s English language acquisition. This qualitative case study explored how New Zealand early childhood teachers develop the English language acquisition of Asian immigrant English language learners (ELLs). The theoretical framework of this research drew on a range of sociocultural perspectives, including sociocultural adaptation and acculturation strategies. Methodology - The main participants of this study were seven early childhood teachers and six Asian immigrant ELLs from two early childhood centres. Data on the teachers were collected through observations and semi-structured interviews. For each centre, observations were carried out over a six week period which enabled a series of snapshots of how the teachers developed the English language acquisition of the ELLs. Findings - Making interactions comprehensible for the ELLs is one of the main strategies used by the teachers in developing the acquisition of English language by the ELLs. In the process of teaching the English language to the ELLs, most of the teachers were observed to use certain strategies in making interactions comprehensible for them. The teachers highlighted the strategies and modifications they made in order to make their interactions comprehensible for the ELLs. During the interview, it was clearly seen that with better proficiency in the English language, the communication between the ELLs and their teachers improved. Therefore, the sociocultural adaptation process takes place in a smooth manner for both the ELLs and the teachers. Significance - The central significance of the finding is that through the exploration of New Zealand early childhood teachers’ beliefs and practices, important insights are offered which lead to the improvement of educational practices in early childhood settings for immigrant children in relation to English acquisition. While some of the teachers’ beliefs and practices may have facilitative or positive effects on English acquisition, others may bring debilitative or harmful effects. The findings also add to the existing body of knowledge on teachers’ beliefs and practices in developing English acquisition among the ELLs, particularly Asian children. In the New Zealand early childhood education context, the study provides a platform on how early childhood teachers in New Zealand could develop English acquisition among Asian immigrant ELLs, while valuing and understanding children’s cultural backgrounds.
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Mileshkin, Linda R., Kailash Narayan, Kathleen N. Moore, Danny Rischin, Edward Lloyd Trimble, Martin R. Stockler, Madeleine King, et al. "A phase III trial of adjuvant chemotherapy following chemoradiation as primary treatment for locally advanced cervical cancer compared to chemoradiation alone: The OUTBACK TRIAL." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): TPS5116. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.tps5116.

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TPS5116 Background: Cervical cancer is a global health problem and the most common cause of cancer-related death among women in developing nations. Despite the recently developed cervical cancer vaccine, many women will continue to die from cervical cancer for many decades unless existing treatments can be improved. Unscreened women often present with locally-advanced disease that has a 5 year overall survival (OS) rate of 60% or less following standard chemo-radiation. Although some evidence suggests that adjuvant chemotherapy following chemo-radiation may be of value, its role remains controversial. Methods: OUTBACK is a randomized phase III Gynecologic Cancer InterGroup (GCIG) trial designed and led by the Australia New Zealand Gynaecological Oncology Group (ANZGOG) in collaboration with the NHMRC Clinical Trials Centre. Participating countries (groups) include Australia and New Zealand (ANZGOG), India, the USA and Canada (GOG, RTOG). OUTBACK is suitable for women with locally advanced cervical cancer (FIGO stage IB1 and node positive, IB2, II, IIIB or IVA). The primary objective is to determine if the addition of adjuvant chemotherapy to standard cisplatin-based chemo-radiation improves OS. Women are randomized to either A) standard cisplatin-based chemo-radiation or B) standard cisplatin-based chemo-radiation followed by 4 cycles of carboplatin and paclitaxel chemotherapy. Secondary objectives are to compare progression-free survival, treatment-related toxicity, patterns of disease recurrence, quality of life and psycho-sexual health, and the association between radiation protocol compliance and outcomes. Blood and tumour samples are collected from consenting patients for future translational studies. 780 women will be enrolled to determine if the addition of adjuvant chemotherapy can improve the 5-year OS rate by ≥ 10%. OUTBACK opened in Australia and New Zealand in 2011. In early 2012 the trial opened in the USA and activation of GOG sites is ongoing. 15 patients have been randomized. It is expected that RTOG and India will open the trial later this year with recruitment increasing substantially once all sites are activated.
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Hond-Flavell, Erana, Aroaro Tamati, Gareth J. Treharne, Reremoana Theodore, Jesse Kokaua, Will Edwards, Ruakere Hond, Richie Poulton, and Mihi Ratima. "Facilitators of, and barriers to, whānau engagement in Kaupapa Māori early years provision: A retrospective survey at a Taranaki-based centre." MAI Journal: A New Zealand Journal of Indigenous Scholarship 11, no. 1 (November 23, 2022): 18–33. http://dx.doi.org/10.20507/maijournal.2022.11.1.2.

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Kaupapa Māori early years provision (KM-EYP) has underpinned efforts to revitalise Māori language and culture throughout Aotearoa New Zealand. Although many tamariki and whānau have benefited from engagement in KM-EYP, less than 20% of tamariki Māori currently participate. Kaupapa Māori psychological research is needed to better understand what facilitates participation among whānau who attend KM-EYP. This article describes findings from a study that aimed to understand whānau engagement in KM-EYP. An online survey was developed to test findings of an earlier qualitative phase of an overall study. The survey was completed by 121 parents/grandparents whose tamariki had attended one KM-EYP centre in Taranaki, at some stage, since it opened in 1994. This article reports on the top ranked motivations of whānau to enrol their tamariki in KM-EYP and the top ranked facilitators of, and barriers to, their engagement. The findings provide novel evidence about what impacts whānau participation and engagement in KM-EYP.
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Heads, Michael. "Biogeography by revelation: investigating a world shaped by miracles." Australian Systematic Botany 27, no. 4 (2014): 282. http://dx.doi.org/10.1071/sb14038.

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This article reviews the methods of biogeographic analysis in current use, as summarised by Alan de Queiroz, 2014 (The Monkey’s Voyage, Basic Books, New York). The methods rely on molecular clock dates (the weakest part of molecular research) rather than analysis of the distributions of clades defined in phylogenies (the strongest part of the research). One of the main findings of the molecular work is the unexpected, high levels of geographic structure in clades, especially allopatry. The modern synthesis and many molecular clock studies suggest that allopatric speciation is caused by founder dispersal, whereas panbiogeography attributes it to vicariance. De Queiroz and many modern studies have accepted that panbiogeography ignores critical evidence, and that vicariance theory was dominant in the 1970s–1990s, but has since declined. Closer examination shows that these claims are incorrect. Other popular misconceptions include the ideas that fossils and fossil-calibrated molecular clocks provide maximum possible ages of clades, that vicariance theory rejects the fossil record and molecular clock dates, that DNA sequences ‘reveal’ long-distance dispersal, that distribution is chaotic, and that chance dispersal can generate repeated patterns. The conclusions of modern island biogeography, as discussed in detail by de Queiroz, are reviewed here for the following islands: São Tomé and Príncipe in the Gulf of Guinea, Madagascar, the Seychelles, New Zealand, the Chatham Islands off mainland New Zealand, New Caledonia, Norfolk Island, the Hawaiian Islands, the Falkland Islands and Fernando de Noronha off Brazil. Biogeographic analyses of particular groups are illustrated here with respect to ratite birds and primates. Finally, modern methods of ancestral-area analysis are reviewed. These make the unjustified assumption that the location of a basal paraphyletic grade represents a centre of origin.
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Dissertations / Theses on the topic "Stout Research Centre for New Zealand Studies"

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Wenn, Janice. "Kaupapa hauora Māori : ngā whakaaro whakahirahira o ngā kaumātua : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Māori Studies at Te Pumanawa Hauora Research Centre for Māori Health and Development, Massey University, Wellington, Aotearoa/New Zealand." Massey University, 2006. http://hdl.handle.net/10179/995.

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There is a requirement for all services within the New Zealand health system to be accredited with an established quality organisation and to demonstrate an ability to provide a measurable quality service to consumers. For Māori these requirements must make sense in Māori terms. This thesis is based on the view that, for Māori, the concept of health is more effectively expressed as hauora - optimal health and wellbeing for Māori. This thesis makes five contributions to Māori health and Māori health research. First, it identifies a responsive approach to engaging kaumātua effectively in the process of qualitative research. Second, it identifies a fundamental underlying conceptual framework – kaupapa hauora Māori as a means of understanding hauora – expressed in terms derived from kaumātua in Taranaki and Kahungunu. Third, it adapts this conceptual framework into an analytical research framework and then applies it to allow kaupapa hauora Māori (described in terms of worldview, values and ethics) to be identified from a range of data. Fourth, it critically analyses popular models of Māori health – Te Whare Tapa Whā, Te Wheke and Ngā Pou Mana. Finally, it proposes and details post-doctoral research that will translate kaupapa hauora Māori into a quality services framework/tool. “Kaupapa Hauora Māori” is a conceptual framework articulated by kaumātua, and has its origins in te ao Māori, from which the aronga or worldview is developed. The aronga is composed of the kaupapa or values and tikanga or ethics that provide kaumātua with the values base of hauora. These components have been identified by kaumātua and not only inform the concept of KHM but also inform the analytical research framework that is applied to the data. The values have been identified as a core set of values comprising whakapapa, wairua, whenua, whānau, tikanga te reo Māori, tinana, and hinengaro, and the associated tikanga is expressed as behaviour or ethics. These, together, influence the perception and understanding individuals have of their world and of hauora.
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Shieff, Sarah. "Magpies: negotiations of centre and periphery in settings of New Zealand poems by New Zealand composers, 1896 to 1993." 1994. http://hdl.handle.net/2292/2413.

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The thesis will show that a distinctive New Zealand voice in the arts may be found not in an "essence", as has sometimes been suggested, but at chronologically specific intersections of discourses. Each of the six works I examine has been made in New Zealand and is a mixture of music and language. As generic hybrids, combinations of music and language make appropriate objects of study for a thesis that explores a specific local dialogue between the 'mixture' and the 'essence', the 'hybrid' and the 'authentic', the 'indigenous' and the 'exotic', the 'local' and the 'imported', the 'centre' and the 'periphery.' Like acquisitive magpies, New Zealand artists constantly collect and select their material. They sift, save, reject and synthesise, and in so doing they create new combinations out of old ingredients. One of the characteristics of New Zealand poetry is that it has often been combined with music. There have been many collaborations between poets and musicians since colonial times. These collaborative texts occupy a complex space between art forms, just as New Zealand artists negotiate between orientations, positioning themselves between different cultural traditions. In its own process of selection, the thesis selects six works for close analysis which represent not only different periods but also different forms of synthesis. Each work represents 'New Zealand', yet what this means in practice is different in each case.
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Bowler, Susan Mary. "Managing the shopping centre as a consumption site : creating appealing environments for visitors : some Australian and New Zealand examples : a thesis in presented [sic] in partial fulfilment for the requirements for the degree of Doctor of Philosophy in Geography at Massey University." 1995. http://hdl.handle.net/10179/1383.

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The position occupied by retailing within the production - consumption debate is the subject of dispute. As neither sphere can be fully analysed in isolation such argument may be somewhat irrelevant. The need to conceptualise the two spheres together, therefore, has informed this research on the created environments of shopping centres. Planned and managed shopping centres are a ubiquitous part of the built environment in 'advanced capitalist' nations. There has been a tendency, however, for researchers to focus upon exceptional centres rather than everyday examples of this particular consumption site. They have concentrated upon how shopping centre environments appear to be created and the appeal researchers assume they may have for an observer. My research for this thesis, however, has been concerned with how managers create shopping centre environments and how they are designed so as to appeal to their centres' perceived markets. This was done by conducting semi - structured interviews with a number of centre managers in Australia and New Zealand . The unified ownership and management structure of shopping centres makes it easier for their created environ ments to be controlled. Shopping centre researchers and those who have attempted to read the built environment as if it were a text have tended to assume that the architectural styles used will reflect dominant ideologies and that they are powerless to interpret or alter them in any other than the manner intended by the designers, developers and owners. Many of the managers recognised, however, that shoppers cannot be forced to visit nor can they be made to purchase. Research was therefore commissioned by management as a way of gaining socio - economic information on the individuals in their catchments , their 'needs' and desires. Selecting tenants which would appeal to their markets and arranging them in a manner which reflected the way people liked to shop was thought to be paramount to the success or otherwise of a centre. Some managers, for example, claimed that there was a difference between 'doing' the shopping (which is a chore) and 'going' shopping (which is enjoyable ) and that this needed to be kept in mind when they positioned retailers within their centres. Consumption does not only involve the purchase of commodities for their use and/or sign value but is also concerned with experience. Managers attempted to provide their shoppers with an enjoyable experience when they visited their centres by, for example, the creation of an appealing ambience and by either suggesting or insisting, respectively, that the common areas and leased spaces be regularly refurbished.
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Books on the topic "Stout Research Centre for New Zealand Studies"

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Wellington), Stout Research Centre Conference (8th 1991 Victoria University of. Australia-New Zealand: Aspects of a relationship : proceedings of the Stout Research Centre Eighth Annual Conference, Victoria University of Wellington, 6-8 September 1991. [Wellington, N.Z.]: Stout Research Centre, 1991.

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Australia-New Zealand: Aspects of a relationship : Proceedings of the Stout Research Centre Eighth Annual Conference, Victoria University of Wellington, 6-8 September 1991. Stout Research Centre, 1991.

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Book chapters on the topic "Stout Research Centre for New Zealand Studies"

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Hayward, Bronwyn, and Sara Tolbert. "Conversations on Citizenship, Critical Hope, and Climate Change: An Interview with Bronwyn Hayward." In Palgrave Studies in Education and the Environment, 349–63. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-79622-8_22.

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AbstractBronwyn Hayward is a professor of political science at the University of Canterbury in Christchurch, New Zealand. Bronwyn’s scholarship focuses on the intersections of youth, sustainability, and climate change. She is director of the University of Canterbury Hei Puāwaitanga Sustainable Citizenship and Civic Imagination research group and co-principal investigator for the University of Surrey’s Centre for Understanding Sustainable Prosperity (CUSP). She is lead author on two reports for the Intergovernmental Panel on Climate Change (IPCC). Her most recent publication is Children, Citizenship, and Environment #SchoolStrikeEdition. In this interview, Bronwyn and Sara discuss the complexities of educating for uncertain futures, specifically around climate change. We explore Bronwyn’s work with the IPCC, the Children and Youth Sustainable Lifestyles in Cities (CYCLES) project, and her foundational scholarship on ecological citizenship. This interview took place via Zoom in September 2020, in Ōtautahi Christchurch, Aotearoa New Zealand.
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Ray, Paula, and Sangeeta Karmokar. "Facilitating Ethnic Women Entrepreneurship in Aotearoa." In Advances in Religious and Cultural Studies, 217–31. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-6684-3799-5.ch012.

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Research shows that educated ethnic minority women are often not valued as much for their employable skills as their local counterparts. They are often marginalised because of their visual profile and the most common recourse for these migrant women to avoid this situation is to enter entrepreneurship. This chapter aims to provide a multi-level framework for exploring women's entrepreneurship in New Zealand. The authors examine the Women Entrepreneurship Centre (WEC) as a platform to advance women entrepreneurs from diverse backgrounds. This chapter seeks to formulate an incubation pathway that could help migrant women in NZ become independent business owners. The theoretical framework of this chapter is designed to establish that in the post-COVID-19 economy, entrepreneurial skills will be the most sought after.
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Reports on the topic "Stout Research Centre for New Zealand Studies"

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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.

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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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