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Biomedical subjects

C Rolls

Publications and source records attributed to C Rolls.

9 recordsLinked to original sources

From east to west: Nepalese women's experiences.

BACKGROUND: Nepal is a small mountainous South Asian country located between the nations of India and China. Forty-two per cent of the 22 million Nepalese people live in poverty. As a result, immigration to a developed country is the dream of many but available to few. Some immigrants from Nepal have arrived in Australia in recent years entering the 'Skill' stream of eligibility categories. Nepalese immigrants to Australia are predominantly young married couples with professional education qualifications. AIM: To generate knowledge of the childbirth and early experiences of Nepalese women in their mother country and in Australia. The aspect presented here is the immigration experiences of Nepalese women to Australia. METHOD: An ethnographic, grounded theory approach was used to observe and analyse the experiences of 11 Nepalese participants. FINDINGS: Analysis of data suggests that Nepalese female immigrants with the ability to comprehend and speak English and a level of education and skill required by Australia can successfully negotiate the change of culture and adapt to their new society. Major benefits of immigration for the women were the opportunities to work, become independent and to share in decision making for their family. CONCLUSION AND IMPLICATIONS FOR NURSING PRACTICE: Severance from the Nepalese joint family, a male dominant hierarchical society, and a new way of life allow a Nepalese woman to become an individual rather than a member of a collective. This study has produced transcultural information from the perspective of the educated professional Nepalese female immigrant that will assist in the provision of midwifery and nursing care.

Acculturation↗

How do early parenting centres support women with an infant who has a sleep problem?

Some women who have an infant experiencing sleep problems arc so sleep deprived themselves that admission to an early parenting centre is needed to help them better manage the situation. This paper reports on a qualitative sttudy that used focus group methods to interview families who were admitted to an early parenting centre for persistent infant sleep problems. Results showed that parents needed a variety of strategies such as instructional, emotional and physical supports to develop confidence to manage infant's sleep disturbance at home.

Female↗

The impact of participation in a study abroad programme on students' conceptual understanding of community health nursing in a developing country.

A pilot study was undertaken to ascertain the changes in conceptual understanding that resulted from participation in a study abroad programme in Chiang Mai in Thailand of a small group of Australian final year nursing students. Students' conceptual understandings were measured by means of open-ended interviews based on a case study scenario describing health conditions in a hypothetical Thai village. Students were asked to imagine that they had been appointed to work as a community health nurse in the village and describe how they would undertake the task. Shifts in understanding were detected by interviewing the participants before, during and after their participation in the programme and comparing their responses. The results of this limited study indicated that the impact of participation in the programme was less than expected. Furthermore, the factors of which students tended to show greatest awareness were those about which they had been briefed prior to departure. Nevertheless participants reported they had learnt much from their experiences. It is suggested that the discrepancy between the evidence provided by interview data and students' self-reports may be explained by participation having resulted primarily in the acquisition of the tacit rather than conceptual knowledge.

Adult↗

Study abroad programs: creating awareness of and changing attitudes to nursing, health and ways of living in other cultures.

Multicultural society requires nurses to care for individuals and families with different cultural and religious values to their own. Study abroad programs for nursing students enable the students to be exposed to nursing, health and ways of living in other cultures. Students undertook a program at Chiang Mai University, Thailand through an international university linkage arrangement during 1997. Student concerns, expectations and perceived benefits of study abroad experiences were investigated in this non-experimental descriptive study, which involved a serial interview process incorporating three interviews before, during and after the program. Students undertaking the program acknowledged that they gained increased confidence and an understanding of different cultures. It was concluded that students did develop an increased awareness of and experienced attitudinal changes towards the cultures and health care needs of the country visited.

Attitude to Health↗

Where there are no midwives.

Nepal is a country with immense health problems affecting women and their newborn infants. As a lecturer at the Nursing Campus, Maharjgunj, Kathmandu, I have been assisting with the midwifery education of student nurses. Student nurses in the second year of a three year certificate in nursing program are educated to care for antenatal women, conduct normal deliveries and provide postnatal care. On completion of their studies, the graduates are able to be employed in maternity hospitals and village health posts. This article outlines my experiences as a lecturer and clinical educator in Nepal, a country where there is no specialised educational program available in midwifery.

Australia↗

Teaching family nursing: strategies and experiences.

The traditional hospital-based approach to Australian nurse education curricula was primarily based on the medical model and directed towards the preparation of nurses who were able to give care to individual clients. The major focus was on the needs of the individual. A notable absence in curricula was any consideration of the role or importance of families to individual and family health. This was despite the continuing involvement that nurses have in their practice with the families of their clients. This paper describes the experiences of introducing a family nursing subject in an undergraduate, preregistration nursing programme which focuses on the family as a unit of care. Educational strategies, clinical experiences, and evaluation of the unit of study are discussed.

Clinical Competence↗

Evaluating clinical educators: an employer's perspective.

An Australian school of nursing's attempt to introduce an evaluation process required by management for clinical educators involved in undergraduate preregistration education is discussed. Reliance on student feedback and clinical agencies' perceptions of the quality of teaching were seen as inadequate mechanisms for evaluation. The evaluation process adopted incorporated observation of the educators together with self-reflection on their performance. We conclude that post-briefings were poorly used and generally not reflective. Educators relied heavily on their clinical skills and used a limited range of teaching strategies. Whilst evaluation of clinical educators was time consuming and therefore costly, it is argued that it is essential to the integrity of the course. The evaluation process has provided direction for support and development of clinical educators within the context of the curriculum.

Education, Nursing, Diploma Programs↗

The impact on attitudes towards cultural difference of participation in a health focused study abroad program.

The changes in attitudes towards cultural difference of seventeen participants in a three-week community health study abroad program to Nepal were compared with the changes in attitudes of a similar group who did not participate in the tour. Participants in the tour group were surveyed eight weeks prior to departure and in the last week of the tour using a twenty-six item questionnaire employing a six-point forced-choice response scale. The responses of participants in the tour group showed significant shifts in relation to eight items compared while the responses for the control group showed no significant shifts. Observed student advantages of participation in this study tour included the development of independent behaviour and positive cultural adjustment and adaptation.

Adaptation, Psychological↗