Academic literature on the topic 'Terminal care facilities Australia'

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Journal articles on the topic "Terminal care facilities Australia"

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Reymond, Liz, Fiona J. Israel, and Margaret A. Charles. "A residential aged care end-of-life care pathway (RAC EoLCP) for Australian aged care facilities." Australian Health Review 35, no. 3 (2011): 350. http://dx.doi.org/10.1071/ah10899.

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The objective of this study was to develop, implement and evaluate an end-of-life (terminal) care pathway and associated infrastructure suitable for Australian residential aged care facilities that improves resident and health system outcomes. The residential aged care end-of-life care pathway was developed by a multidisciplinary collaboration of government and non-government professionals and incorporated best clinical management for dying residents to guide care and increase palliative care capacity of generalist staff. Implementation included identifying and up-skilling Link Nurses to champion the pathway, networking facilities with specialist palliative care services, delivering education to generalists and commencing a Palliative Care Medication Imprest System in each facility. The primary outcome measure for evaluation was transfer to hospital; secondary measures included staff perceived changes in quality of palliative care provided and family satisfaction with care. Results indicated that the pathway, delivered within a care framework that guides provision of palliative care, resulted in improved resident outcomes and decreased inappropriate transfers to acute care settings. What is known about the topic? Residential aged care facilities (RACFs) are the hospices of today. Many RACF staff are not confident in the delivery of high quality palliative care, resulting in inappropriate transfers of dying residents to acute care facilities. Needs-based palliative care pathways are being used increasingly to direct care in a variety of healthcare environments. What does this paper add? Provides the first evidence in Australia that a residential aged care end-of-life care pathway (RAC EoLCP) improves outcomes of care for dying residents and results in fewer residents being inappropriately transferred to acute care facilities. What are the implications for practitioners? Use of the RAC EoLCP will improve resident and health system outcomes by guiding the delivery of high quality palliative care and improving the palliative care capacity of generalist health providers.
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Mitchell, Geoffrey, Caroline Nicholson, Keith McDonald, and Anne Bucetti. "Enhancing palliative care in rural Australia: the residential aged care setting." Australian Journal of Primary Health 17, no. 1 (2011): 95. http://dx.doi.org/10.1071/py10054.

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The delivery of palliative care in residential aged care communities is challenging, even more so in rural areas due to workforce ageing and shortages. The objectives of the present study were to: (i) assess the needs of, and quality of palliative care delivered to residents of 16 residential aged care facilities in rural southern Australia; and (ii) identify the needs of care staff to facilitate the delivery of quality palliative care. A cross-sectional survey of all residents, assessing the degree of functional limitation, stage of palliative care, and the presence of several quality indicators was conducted. Separate focus groups of care staff and relatives of residents sought information on the quality of care delivered, perceived strengths and weaknesses of the care delivered, and education and training needs. Quality palliative care in residential aged care facilities (RACFs) is hampered by workforce shortages, with low ratios of registered nurses, limited access to general practitioners after hours, and some communication difficulties. Some staff reported low confidence in technical and psychosocial aspects of care, especially for relatives. Relatives described mostly appropriate care, while acknowledging workload constraints. Most residents whose condition was unstable, deteriorating or terminal received advance care planning, though family expectations and unwillingness to discuss end-of-life care did tend to delay planning. Unstable residents with a reasonable prognosis were more likely to be transferred to hospital than terminally ill residents. Palliative care in participating RACFs appears to be adequate. Provision of targeted education for health care providers and implementation of protocols for advance care planning and end-of life care pathways will enhance this care.
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Tait, Paul, Chris Horwood, Paul Hakendorf, and Timothy To. "Improving community access to terminal phase medicines through the implementation of a ‘Core Medicines List’ in South Australian community pharmacies." BMJ Supportive & Palliative Care 10, no. 1 (February 6, 2017): e4-e4. http://dx.doi.org/10.1136/bmjspcare-2016-001191.

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ObjectivesDifficulties accessing medicines in the terminal phase hamper the ability of patients to die at home. The aim of this study was to identify changes in community access to medicines for managing symptoms in the terminal phase throughout South Australia (SA), following the development of a ‘Core Medicines List’ (the List) while exploring factors predictive of pharmacies carrying a broad range of useful medicines.MethodsIn 2015, SA community pharmacies were invited to participate in a repeat survey exploring the availability of specific medicines. Comparisons were made between 2012 and 2015. A ‘preparedness score’ was calculated for each pharmacy, scoring 1 point for each medicine held from the following 5 classes: opioid, benzodiazepine, antiemetic, anticholinergic and antipsychotic.ResultsThe proportion of pharmacies carrying all items from the List rose from 7% in 2012 to 18% in 2015 (p=0.01). Multiple linear regression demonstrated that a monthly online newsletter subscription (p=0.04) and provision of a clinical service to aged care facilities (p=0.02) were predictors of pharmacies carrying all items on the List. Furthermore, multiple linear regression demonstrated that the provision of an afterhours service (p=0.02) and clinical services to aged care facilities (p=0.04) were predictors of pharmacies with a high ‘preparedness score’. In responding to issues with supply of medicines at end of life, respondents were more likely to contact the prescriber if aware of palliative patients (p=0.03).ConclusionsThese results suggest that there is value in developing and promoting a standardised list of medicines, ensuring that community palliative patients have timely access to medicines in the terminal phase.
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Hughes, Rachel Elizabeth, and Kate Thompson. "Integration of specialist palliative care services into a multidisciplinary adolescent and young adult (AYA) oncology team." Journal of Clinical Oncology 32, no. 31_suppl (November 1, 2014): 64. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.64.

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64 Background: Palliative care is recommended alongside standard oncological care for patients with advanced cancer or high symptom burden (Smith TJ, Temin S, et al. American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. Journal of Clinical Oncology. 2012;30(8)880-7.). AYA oncology patients are distinguished by several age-specific developmental and biopsychosocial factors, resulting in a unique impact profile (Wein S, Pery S, Zer A. Role of palliative care in adolescent and young adult oncology. J Clin Oncol. 2010;28:4819-4824). Methods: To examine the benefits of multidisciplinary AYA care, a palliative care fellow was incorporated into an existing AYA oncology team in Australia, for a 12 month period. This role facilitated assessment/management of symptoms, general health issues, treatment toxicity, end of life care and bereavement support. Results: Between 2012 and 2013, of 83 new patients were referred to the AYA oncology service, 27 (32.5%) were referred the palliative care fellow. Notably, 37% of patients referred were receiving curative intent treatment. 10 patients (37%) were referred at diagnosis for symptom management. Pain was the most frequent reason for referral (n=17 63%). A total of 7 patients (26%) were referred for advanced disease/terminal care. Conclusions: Evaluation demonstrates that onsite availability of palliative care services is acceptable, facilitates early referral and has encouraged collaborative, AYA multidisciplinary care. A significant additional finding has been recognition of the demand for symptom management of patients early in their cancer experience. Further development and evaluation of AYA specific palliative care is warranted.
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Harris, Ross. "Terminal Care in Australia." Hospice Journal, The 3, no. 1 (April 15, 1987): 77–90. http://dx.doi.org/10.1300/j011v03n01_07.

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Harris, Ross D., and Lyn M. Finlay-Jones. "Terminal Care in Australia." Hospice Journal 3, no. 1 (March 1987): 77–90. http://dx.doi.org/10.1080/0742-969x.1987.11882583.

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Fleming, Richard, Roger Fay, and Andrew Robinson. "Evidence-based facilities design in health care: a study of aged care facilities in Australia." Health Services Management Research 25, no. 3 (August 2012): 121–28. http://dx.doi.org/10.1258/hsmr.2012.012003.

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Quigley, Ashley, Haley Stone, Phi Yen Nguyen, Abrar Ahmad Chughtai, and C. Raina MacIntyre. "COVID‐19 outbreaks in aged‐care facilities in Australia." Influenza and Other Respiratory Viruses 16, no. 3 (December 5, 2021): 429–37. http://dx.doi.org/10.1111/irv.12942.

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Wakefield, Melanie, and Michael Ashby. "Attitudes of surviving relatives to terminal care in South Australia." Journal of Pain and Symptom Management 8, no. 8 (November 1993): 529–38. http://dx.doi.org/10.1016/0885-3924(93)90082-7.

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Roughead, Elizabeth E., Susan J. Semple, and Andrew L. Gilbert. "Quality Use of Medicines in Aged-Care Facilities in Australia." Drugs & Aging 20, no. 9 (2003): 643–53. http://dx.doi.org/10.2165/00002512-200320090-00002.

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Dissertations / Theses on the topic "Terminal care facilities Australia"

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Walker, Helen M. "The experience of care assistants who care for residents in the final stage of life in residential aged care facilities." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/278.

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This thesis presents the results of a study that explores the experience of care assistants who care for residents in the final stages of life in residential aged care facilities in metropolitan Perth. Care assistants, with little formal training and no regulation, play a pivotal role in the direct care of dying residents in these facilities. Yet little was known about the palliative care role and the impact that caring for residents in the final stage of life has on this health care group. The literature relating to end of life care in residential aged care facilities revealed limited research in this area. In particular, there is a lack of studies that relate specifically to the care assistants' role and their experiences of end of life care. Research to date has focused on the context of palliative care in residential aged care facilities, the workplace environment, how to provide a dignified death, relationships and the central role of the care assistant. This study used a qualitative narrative inquiry research design.
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Ho, Man-chuen Anthony. "A hospice in Sandy Bay." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25946043.

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Swenson, Denise Lyn Parker-Oliver Debra. "Designated hospice rooms in nursing homes a new model of end-of-life care /." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6157.

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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb 16, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Debra Oliver. Vita. Includes bibliographical references.
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Mak, Kiu-yan Wayne. "Towards nirvanna : a Buddhist hospice /." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25955585.

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Leung, Hiu-sum. "Healing environment in hospitals : improving and redesigning the outdoor areas in the Haven of Hope Hospital /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B34609702.

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McConigley, Ruth. "Rural palliative care nursing: A modified grounded theory study." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/986.

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This paper presents the findings of a study of rural palliative care nurses in Western Australia. The numbers of rural centres in Western Australia offering palliative care services are increasing; however at present there is little empirical data available about the roles of the nurses involved. This study was undertaken to begin to correct this deficit. The study examines basic social processes associated with the role of rural palliative care nurses and identities issues that affect the nurses’ professional practice. A modified grounded theory approach was used to form a conceptual framework that describes rural palliative care nursing. Theoretical sampling techniques were used to identify the six palliative care nurses working in rural Western Australia who participated in this study. Data was generated using in depth interview and participant observation techniques. Constant comparative analysis of the data was employed to allow concepts to emerge from the data. The central theme that developed from the data Living Palliative Care describes the all-consuming nature of the rural palliative care nurses’ role. Three related categories, Wearing Many Huts, Being the Expert and Surviving in Palliative Care are also discussed. This research has explored issues that rural palliative care nurses feel are relevant to their professional practice and it describes the basic social processes inherent in the rural palliative care nurse’s role. Recommendations for nursing research, education, administration and clinical practice are presented.
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何敏泉 and Man-chuen Anthony Ho. "A hospice in Sandy Bay." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31982414.

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Pappne, Demecs Ilona. "The use of creative activities in dementia in residential aged care facilities in Australia : a cross-sectional study." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/82146/1/Ilona_Pappne%20Demecs_Thesis.pdf.

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This thesis provides the first inquiry into the use of creative activities in dementia care in residential aged care facilities in Australia. The study used descriptive method design, incorporating a mix of quantitative and qualitative approaches to explore the incidence and the characteristics of these activities from the carers' perspective. Information about the use of creative activities and the appreciation of these activities by residents and carers is essential to the provision of dementia care and treatment to improve the quality of life of people with dementia.
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Movahed, Arezu. "Physical and Environmental Features that Contribute to Satisfaction with Hospice Facilities." PDXScholar, 1995. https://pdxscholar.library.pdx.edu/open_access_etds/1283.

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Improving the quality of remaining life for individuals who are terminally ill and their families is an issue that has become increasingly important in recent years. This issue has evolved from perceived deficiencies of conventional health care institutions in meeting the needs of people who are in the final stages of their life, when curative measures are no longer deemed appropriate. In response to deficiencies in care of the terminally ill and their families, there has been a movement toward humanizing conventional health care and making it more holistic. Hospice care, which is consistent with this movement, has evolved as an alternative to hospitals and nursing homes. The purpose (of this study was to investigate the physical environment (building and grounds) of a free-standing hospice facility to identify the features that would contribute to the design and renovation of other hospices and health care facilities that plan to adopt a hospice program of care. In this study, an attempt was made to examine how architectural factors combine in a hospice setting to meet the needs of the dying and their families and those who work in hospices. Specifically, this study used a qualitative, case study approach to describe and develop an understanding of the feelings and experiences of the users of a particular hospice facility concerning the physical environment of that facility. Post Occupancy Evaluation Methodology, which is a process to assess the performance of the built environment after it has been occupied for some time, was employed. Qualitative analysis of the data revealed three distinct environments within the facility to be of major importance to the users when discussing the physical surroundings. The three separate areas of importance were the grounds, the administrative offices, and the patient care unit. The findings of the study will be of use to designers, architects, and planners, as well as hospice advocates, as they will assist them in conceptualizing essential components of hospice design and in creating better hospice facilities in the future.
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Badrick, Tony Cecil. "Implementing total quality management in Australian health care organizations." Thesis, Queensland University of Technology, 1997.

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Books on the topic "Terminal care facilities Australia"

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Western Australia. State Planning Committee on Palliative Care. Planning for palliative care in Western Australia. [Western Australia]: The Committee, 1993.

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Central Health Services Council. Standing Medical Advisory Committee. The principles and provision of palliative care. London: H.M.S.O., 1993.

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Ikui, Kumiko. Ningenrashii shi o motomete: Hosupisu "anrakushi" zaitakushi. Tōkyō: Iwanami Shoten, 1999.

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Guidelines, Federal-Provincial Advisory Committee on Institutional and Medical Services (Canada) Subcommittee on Institutional Program. Palliative-care services: guidelines for establishing standards: Report of the Subcommittee on Institutional Program Guidelines. Ottawa, ON: Health Services Directorate, 1989.

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Dying for care: Hospice care or euthanasia. Toronto: NC Press, 1992.

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Force, Palliative Care Task. A palliative care service network for Niagara: A discussion paper. Fonthill, Ont: The Council, 1985.

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Kilburn, Linda H. Hospice operations: A comprehensive guide to organizational development, management, care planning, regulatory compliance and financial services. Arlington, Va: National Hospice Organization, 1988.

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Hospice design manual: For in-patient facilities. Machiasport, Me: Hospice Education Institute, 2006.

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E, Blank Arthur, O'Mahony Sean, and Selwyn Amy, eds. Choices in palliative care: Issues in health care delivery. New York: Springer, 2007.

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Nebraska Health & Human Services System. Dept. of Regulation & Licensure. Title 175, chapter 16: Regulations governing licensure of hospice services. Lincoln, NE: The Division, 1998.

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Book chapters on the topic "Terminal care facilities Australia"

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Yu, Jia. "Challenges and Futures of Long-Term Care Industry after COVID-19 Pandemic." In Psychosocial, Educational, and Economic Impacts of COVID-19 [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.104316.

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COVID-19 pandemic has affected people’s daily life dramatically since December 2019. More than 211 million cases and 4.42 million deaths have been reported and confirmed all over the world. Long-term care facilities are taking the biggest hit during this pandemic, even after the spread-out of the vaccines. Globally, residents in long-term care facilities have experienced disproportionately high morbidity and mortality from COVID-19. Elderlies residing in long-term care facilities have the greatest susceptibility to COVID-19 and the poorest outcomes from infections. This chapter overviewed the insight, impact, and challenges of COVID-19 on the residential care homes in UK, US, and Australia and provided possible implications for the long-term care market post-pandemic.
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Compton, Michael T., and Beth Broussard. "Finding Specialized Programs for Early Psychosis." In The First Episode of Psychosis. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195372496.003.0024.

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Most of the time, people of all different ages and with all sorts of mental illnesses go to the same place to see a doctor, get medicines, or participate in counseling. That is, they go to mental health clinics or the office of a mental health professional that provides treatments for a number of different illnesses. Most young people who have psychosis get their medical care and treatment in a hospital, clinic, or doctor’s office. In these places, the doctors and other mental health professionals may have taken special classes about how to help young people with psychosis, but that may not be their only focus. They may see people with other illnesses too. However, in some places around the world, there are special clinics that are for people in the early stages of psychosis. These types of specialized programs have been developed recently, since the 1990s. These programs have a number of different types of mental health professionals, including psychiatrists, psychologists, nurses, social workers, counselors, and others. In some programs, mental health professionals and doctors in training may rotate through the clinic spending several months at a time training in the clinic. Some programs, like the Early Psychosis Prevention and Intervention Centre (EPPIC) in Melbourne, Victoria, Australia, operate within the framework of a youth health service. Such youth services treat all sorts of mental health issues in young people. Other programs are located primarily in adult mental health facilities. Such programs may offer classes or group meetings just for people who recently developed psychosis and other classes or group meetings especially for the families of these young people. Typically, these programs provide someone with 2–3 years of treatment. They usually do a full evaluation of the patient every few months and keep track of how he or she is doing. If the patient needs more care afterwards, they help him or her find another program for longer-term care. In this chapter, we list some of these clinics located in various parts of the world and describe what these specialized early psychosis programs provide.
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Conference papers on the topic "Terminal care facilities Australia"

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Langford, Aili, Garzee Tracey Ngo, Timothy Chen, Chris Roberts, and Carl Schneider. "51 General practitioners’, nurses’ and pharmacists’ perceptions of psychotropic monitoring in australian aged care facilities." In Preventing Overdiagnosis Abstracts, December 2019, Sydney, Australia. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjebm-2019-pod.64.

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Rosen, Jordan, Andrew Kilner, Jonathan Gumley, Kanishka Jayasinghe, and Hemant Thurumella. "The Impact of Climate Change on Offshore Operations and Design Considerations for Offshore Vessels and Installations." In ASME 2022 41st International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2022. http://dx.doi.org/10.1115/omae2022-79274.

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Abstract This paper investigates the impact on the availability, uptime, and design conditions of offshore facilities and operations due to climate change. As the physical processes that generate ocean waves are intrinsically linked to atmospheric conditions, the ocean wave climate will change as global temperatures increase and global winds change. The impacts on offshore facilities have been investigated by studying and comparing wave climate predictions for a range of climate change scenarios, considering both the magnitude of temperature increase and the time horizon of the scenario. This paper relies on the scenarios generated in multiple revisions of the Coupled Model Intercomparison Project (CMIP). This paper presents the impacts of climate change in a series of case studies: • Changing design wave conditions for several potential offshore wind farm developments around Australia. • The predicted change in the availability and uptime of five Single Point Mooring (SPM) terminals around South America. • The predicted change in durations of offshore platform decommissioning activities and the duration of operations to install new floating facilities.
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Penman, Joy, and Kerre A Willsher. "New Horizons for Immigrant Nurses Through a Mental Health Self-Management Program: A Pre- and Post-Test Mixed-Method Approach." In InSITE 2021: Informing Science + IT Education Conferences. Informing Science Institute, 2021. http://dx.doi.org/10.28945/4759.

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Aim/Purpose: This research paper reports on the evaluation of a mental health self-management program provided to immigrant nurses working at various rural South Australian aged care services. Background: The residential aged care staffing crisis is severe in rural areas. To improve immigrant nurses’ employment experiences, a mental health self-management program was developed and conducted in rural and regional health care services in South Australia. Methodology: A mixed approach of pre- and post-surveys and post workshop focus groups was utilized with the objectives of exploring the experiences of 25 immigrant nurses and the impact of the mental health program. Feminist standpoint theory was used to interpret the qualitative data. Contribution: A new learning environment was created for immigrant nurses to learn about the theory and practice of maintaining and promoting mental health. Findings: Statistical tests showed a marked difference in responses before and after the intervention, especially regarding knowledge of mental health. The results of this study indicated that a change in thinking was triggered, followed by a change in behaviour enabling participants to undertake self-management strategies. Recommendations for Practitioners: Include expanding the workshops to cover more health care practitioners. Recommendations for Researchers: Feminist researchers must actively listen and examine their own beliefs and those of others to create knowledge. Extending the program to metropolitan areas and examining differences in data. E technology such as zoom, skype or virtual classrooms could be used. Impact on Society: The new awareness and knowledge would be beneficial in the family and community because issues at work can impact on the ability to care for the family, and there are often problems around family separation. Future Research: Extending the research to include men and staff of metropolitan aged care facilities.
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de Almeida, Ma´rcio Manha˜es Gomes, Valter Librais Junior, and Nilson Vieira. "Management of OSBRA Project Portfolio: Learned Lessons After Several Cases and Many Years of Experience." In 2010 8th International Pipeline Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/ipc2010-31088.

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OSBRA is a 20″ multiproduct pipeline operated by TRANSPETRO that supplies Diesel oil, gasoline and liquefied petroleum gas (LPG) from REPLAN, the Brazilian major refinery, to five Tank Farms located along the country Midwestern region. In 2001, five years after OSBRA first commissioning, TRANSPETRO initiated several projects to improve the pipeline and Tank Farms operational performance on quality, measurement, safety and environmental care. A project portfolio management system was established in order to keep control of projects conducted along the 964 kilometers of pipeline, its Tank Farms and two unmanned pump stations. Learned lessons and good practices were adopted from typical project management cases on the pipeline industry, such as: tank drainage, effluents and fire protection systems; improvements on pipeline measurement and control systems; improvements on pipeline leak detection system; tank construction; short length pipelines construction; truck loading and unloading terminal facilities; jet fuel receiving, storage and delivering system; technology developing projects and so on. Some of these projects were conducted based on PETROBRAS traditional experience on project management, some were conducted according to the Independent Project Analysis Institute - IPA and the best recommended practices from the PMI’s PMBOK® Guide, and others were conducted considering a mix of both practices. During the project, the members of the project team and its stakeholders were geographically spread out through several sites. This paper presents how the OSBRA project portfolio has been managed by a reduced multi-disciplinary team, including safety and environmental professionals, in order to keep each project aligned to meet its essential operational and business objectives.
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