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Klepac B, Branch S, McVey L, Mowle A, Riley T, Craike M. Scoping review of practice-focused resources to support the implementation of place-based approaches. Health Promot J Austr 2024; 35:596-608. [PMID: 37705138 DOI: 10.1002/hpja.809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 09/01/2023] [Accepted: 09/04/2023] [Indexed: 09/15/2023] Open
Abstract
ISSUE ADDRESSED There is increasing interest across public health research, policy, and practice in place-based approaches to improve health outcomes. Practice-focused resources, such as grey literature, courses and websites, are utilised by practitioners to support the implementation of place-based approaches. METHODS A detailed search of two search engines: Google and DuckDuckGo to identify free practice-focused resources was conducted. RESULTS Forty-one resources met inclusion criteria, including 26 publications, 13 web-based resources and two courses. They were mainly focused on collaboration, developed by not-for-profit organisations, focused on a broad target audience, and supported people living with disadvantage. The publications we reviewed generally: clearly stated important information, such as the author of the publication; used their own evaluations, professional experience and other grey literature as supporting evidence; included specific, practical implementation strategies; and were easy to read. CONCLUSIONS Based on findings, we recommend that: (1) the development of resources to support evidence-informed practice and governance be prioritised; (2) resources clearly state their target audience and tailor communication to this audience; (3) resources draw on evidence from a range of sources; (4) resources continue to include practical implementation strategies supported by examples and (5) resource content be adaptable to different contexts (e.g., different settings and/or target populations). SO WHAT?: This is the first review of practice-focused resources to support the implementation of place-based approaches and the findings can be used to reduce duplication of efforts and inform future research, policy, and practice, particularly the refinement of existing resources and the development of future resources.
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Affiliation(s)
- Bojana Klepac
- Mitchell Institute for Education and Health Policy, Victoria University, Melbourne, Victoria, Australia
| | - Sara Branch
- Griffith University, Nathan, Queensland, Australia
| | - Laura McVey
- Mitchell Institute for Education and Health Policy, Victoria University, Melbourne, Victoria, Australia
| | - Amy Mowle
- Mitchell Institute for Education and Health Policy, Victoria University, Melbourne, Victoria, Australia
| | - Therese Riley
- Mitchell Institute for Education and Health Policy, Victoria University, Melbourne, Victoria, Australia
| | - Melinda Craike
- Mitchell Institute for Education and Health Policy, Victoria University, Melbourne, Victoria, Australia
- Institute for Health and Sport, Melbourne, Victoria, Australia
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Klepac B, Mowle A, Riley T, Craike M. Government, governance, and place-based approaches: lessons from and for public policy. Health Res Policy Syst 2023; 21:126. [PMID: 38031069 PMCID: PMC10685506 DOI: 10.1186/s12961-023-01074-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 11/10/2023] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND Place-based approaches are increasingly applied to address the determinants of health, many of which are complex problems, to ultimately improve population health outcomes. Through public policy, government actions can affect the effectiveness of place-based approaches by influencing the conceptualisation, development, implementation, governance, and/or evaluation of place-based approaches. Despite the important role of public policy, there has been limited examination of public policy related to place-based approaches. We add to the limited knowledge base by analysing Australian national public policy, to explore: (1) the definitions, conceptualisations, and characteristics of place-based approaches in public policy; (2) the government's perception and communication of its role in place-based approaches; and (3) the extent to which government policy reflects the necessary conditions for successful place-based governance developed by Marsh and colleagues, namely localised context, embedded learning, and reciprocal accountability. METHODS This research was underpinned by the Theory of Systems Change and methodologically informed by the READ approach to document analysis. Ritchie and Spencer's framework method was utilised to analyse the data. RESULTS We identified and reviewed 67 policy documents. In terms of conceptualisation, common characteristics of place-based approaches related to collaboration, including community in decision-making, responsiveness to community needs, and suitability of place-based approaches to address complex problems and socio-economic determinants of health. Three roles of government were identified: funder, partner, and creator of a supportive policy environment. From the three criteria for successful place-based governance, localised context was the most dominant across the documents and reciprocal accountability the least. CONCLUSIONS Based on our findings, we drew key implications for public policy and research. There was a disproportionate emphasis on the bottom-up approach across the documents, which presents the risk of diminishing government interest in place-based approaches, potentially burdening communities experiencing disadvantage beyond their capacities. Governments engaged in place-based approaches should work towards a more balanced hybrid approach to place-based approaches that maintain the central functions of government while allowing for successful place-based governance. This could be achieved by promoting consistency in conceptualisations of 'place-based', employing an active role in trust building, advancing the creation of a supportive policy environment, and embedding 'learning' across place-based approaches.
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Affiliation(s)
- Bojana Klepac
- Mitchell Institute for Education and Health Policy, Victoria University, Footscray Park Campus, Pathways in Place, Melbourne, VIC, Australia.
| | - Amy Mowle
- Mitchell Institute for Education and Health Policy, Victoria University, Footscray Park Campus, Pathways in Place, Melbourne, VIC, Australia
| | - Therese Riley
- Mitchell Institute for Education and Health Policy, Victoria University, Footscray Park Campus, Pathways in Place, Melbourne, VIC, Australia
| | - Melinda Craike
- Mitchell Institute for Education and Health Policy, Victoria University, Footscray Park Campus, Pathways in Place, Melbourne, VIC, Australia
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
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3
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Rushton C. Positionality. Nurs Philos 2023; 24:e12415. [PMID: 36567518 DOI: 10.1111/nup.12415] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 07/20/2022] [Accepted: 09/29/2022] [Indexed: 12/27/2022]
Affiliation(s)
- Carole Rushton
- School of Nursing and Midwifery, College of Science, Health and Engineering, LaTrobe University, Melbourne, Victoria, Australia
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Couper I, Jaques K, Reid A, Harris P. Placemaking and infrastructure through the lens of levelling up for health equity: A scoping review. Health Place 2023; 80:102975. [PMID: 36774810 DOI: 10.1016/j.healthplace.2023.102975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 01/12/2023] [Accepted: 01/24/2023] [Indexed: 02/12/2023]
Abstract
The planning and delivery of infrastructure influences how places create health equity. The scholarship on place and health has recently been developed into 'levelling up' principles for equity focussed policy and planning. We conducted a scoping review of the literature on infrastructure through urban regeneration and placemaking interventions. We interrogated the 15 final selected articles for their use of one or more of the five 'levelling' up principles. No article encompassed all five principles. It was most common to find two or three principles in action. Reviewing the articles against the principles allows a deeper explanation of how infrastructure planning practice can positively impact on health equity. We conclude that applying all the principles in standard infrastructure planning practice has great potential for creating places that are positive for health equity.
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Affiliation(s)
- Ines Couper
- Centre for Health Equity, Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health, Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool, BC NSW, 1871, Australia
| | - Karla Jaques
- Centre for Health Equity, Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health, Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool, BC NSW, 1871, Australia
| | - Andrew Reid
- Centre for Health Equity, Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health, Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool, BC NSW, 1871, Australia
| | - Patrick Harris
- Centre for Health Equity, Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health, Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool, BC NSW, 1871, Australia.
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Apps K, Sunderland N. Live music in hospital oncology settings: environmental, interpersonal, and personal outcomes for staff, patients, and carers. Arts Health 2023; 15:1-17. [PMID: 34180368 DOI: 10.1080/17533015.2021.1946110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND This paper explores the environmental, interpersonal, and personal outcomes of music performance in a hospital oncology setting. An original, qualitative research study examined the impact of live music for staff, patients, and carers. METHODS Data were collected using a multi-method approach of observations and semi-structured interviews and were analysed using inductive and theory-driven theming that was shaped by a determinants of health framework. RESULTS The research found that live music promoted stronger relationships and calmer environments, among other environmental, social and individual outcomes. Improved communication between staff through the creation of a more supportive environment was a pertinent finding of the research. No negative effects were reported. CONCLUSIONS We discuss research findings in the context of relevant literature and suggest recommendations for future hospital-based live music programs. Results of this study indicate that live music interventions impacted individual, interpersonal, social and environment factors that led to health and wellbeing outcomes for participants.
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Affiliation(s)
- Kristy Apps
- B Social Work (Honours), Accredited Social Worker AASW, Griffith University, Meadowbrook, Australia
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Harris P, Fisher M, Friel S, Sainsbury P, Harris E, De Leeuw E, Baum F. City deals and health equity in Sydney, Australia. Health Place 2021; 73:102711. [PMID: 34814070 DOI: 10.1016/j.healthplace.2021.102711] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 11/03/2021] [Accepted: 11/08/2021] [Indexed: 11/15/2022]
Abstract
'City Deals' are new governance instruments for urban development. Vast evidence exists on the relationship between urban factors and health equity, but little research applies a health equity lens to urban policy-making. This paper does precisely that for the Western Sydney City Deal (WSCD) in Australia. We conducted a critical discourse analysis of publicly available documents and interviews with the WSCD's main architects, applying insights from relevant theories. We find 'pro-growth' discourse to encourage economic investment dominates any references to disadvantage. Interviewees maintained the WSCDs fundamental purpose is to rebalance urban investment toward the historically disadvantaged West. However, the WSCD makes limited reference to health and none to equity. Institutionalised governance practices that favour private investments in infrastructure remain the dominant force behind the WSCD. We document how a shift to 'place-based' infrastructure has promise for equity but struggles to overcome institutionalised approaches to urban investments.
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Affiliation(s)
- Patrick Harris
- Centre for Health Equity Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health A Member of the Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.
| | - Matt Fisher
- Southgate Institute for Health, Society and Equity, Flinders University, Australia
| | - Sharon Friel
- REGNET, Australian National University Sydney University, School of Public Health, Australia
| | - Peter Sainsbury
- Centre for Health Equity Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health A Member of the Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool BC, NSW, 1871, Australia
| | - Elizabeth Harris
- Health and Equity Research and Development Unit, Sydney Local Health District and Centre for Primary Health Care and Equity, UNSW, Australia
| | - Evelyne De Leeuw
- Centre for Health Equity Training, Research & Evaluation (CHETRE), Part of the UNSW Australia Research Centre for Primary Health Care & Equity, A Unit of Population Health, South Western Sydney Local Health District, NSW Health A Member of the Ingham Institute, Liverpool Hospital Locked Bag 7103, Liverpool BC, NSW, 1871, Australia
| | - Fran Baum
- Southgate Institute for Health, Society and Equity, Flinders University, Australia
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Rushton C, Edvardsson D. A genealogy of what nurses know about 'the good death': A socio-materialist perspective. Nurs Philos 2021; 22:e12365. [PMID: 34428347 DOI: 10.1111/nup.12365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 06/30/2021] [Accepted: 07/06/2021] [Indexed: 11/29/2022]
Abstract
In this article, we report the outcome of a sociological inquiry into nursing knowledge of death and dying, specifically 'the good death'. A genealogical approach informed by actor-network theory and appreciative inquiry were used to compose a broad socio-material account of how nurses concern themselves with the care of the dying and end-of-life care. Our enquiry revealed similarly to other studies, that there was no shared or overarching model of care. Key themes derived from nurses' translations of 'the good death' were re-presented pictorially as six pillars and two processes to comprise a new diagram of The Personalised Ideal Death.
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Affiliation(s)
- Carole Rushton
- School of Nursing and Midwifery, College of Science, Health and Engineering, Latrobe University, Melbourne, Victoria, Australia
| | - David Edvardsson
- School of Nursing and Midwifery, College of Science, Health and Engineering, Latrobe University, Melbourne, Victoria, Australia
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Bilodeau A, Potvin L. Unpacking complexity in public health interventions with the Actor-Network Theory. Health Promot Int 2018; 33:173-181. [PMID: 27492825 DOI: 10.1093/heapro/daw062] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Accepted: 07/03/2016] [Indexed: 11/14/2022] Open
Abstract
This article proposes a sociologically informed theoretical and methodological framework to address the complexity of public health interventions (PHI). It first proposes three arguments in favour of using the Actor-Network Theory (ANT) for the framework. ANT: (1) deals with systems made of human and non-human entities and proposes a relational view of action; (2) provides an understanding of the intervention-context interactions and (3) is a tool for opening the intervention's black box. Three principles derived from ANT addressing theoretical problems with conceptualisation of PHI as complex systems are proposed: (1) to focus on the process of connecting the network entities instead of their stabilised form; (2) both human and non-human entities composing networks have performative capacities and (3) network and intervention shape one another. Three methodological guidelines are further derived: (1) the researcher's task consists in documenting the events that transform the network and intervention; (2) events must be ordered chronologically to represent the intervention's evolution and (3) a broad range of data is needed to capture complex interventions' evolution. Using ANT as a guide, this paper helps reconcile technicist and social views of PHI and provides a mean to integrate process and effect studies of interventions.
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Affiliation(s)
- Angèle Bilodeau
- École de Santé Publique, Université de Montréal, 7101 avenue du Parc, Montréal (Québec), Canada, H3C3J7.,Institut de Recherche en Santé Publique de l'Université de Montréal.,Centre de Recherche Léa-Roback sur les Inégalités Sociales de Santé de Montréal
| | - Louise Potvin
- École de Santé Publique, Université de Montréal, 7101 avenue du Parc, Montréal (Québec), Canada, H3C3J7.,Institut de Recherche en Santé Publique de l'Université de Montréal.,Centre de Recherche Léa-Roback sur les Inégalités Sociales de Santé de Montréal
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Global health from the outside: The promise of place-based research. Health Place 2017; 45:55-63. [DOI: 10.1016/j.healthplace.2017.03.001] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Revised: 02/28/2017] [Accepted: 03/05/2017] [Indexed: 11/19/2022]
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Rushton C, Crilly J, Adeleye A, Grealish L, Beylacq M, Forbes M. Scoping review of medical assessment units and older people with complex health needs. Australas J Ageing 2016; 36:19-25. [DOI: 10.1111/ajag.12353] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Carole Rushton
- Subacute and Aged Nursing; Gold Coast Hospital and Health Services; Gold Coast Queensland Australia
- School of Nursing and Midwifery; Griffith University; Menzies Health Institute; Gold Coast Queensland Australia
| | - Julia Crilly
- Emergency Care; School of Nursing and Midwifery; Menzies Health Institute; Griffith University; Gold Coast Queensland Australia
- Gold Coast Hospital and Health Services; Gold Coast Queensland Australia
| | - Adeniyi Adeleye
- School of Nursing and Midwifery; Central Queensland University; Mackay Queensland Australia
| | - Laurie Grealish
- Subacute and Aged Nursing; Gold Coast Hospital and Health Services; Gold Coast Queensland Australia
- School of Nursing and Midwifery; Griffith University; Menzies Health Institute; Gold Coast Queensland Australia
- The Education for Practice Institute; Charles Stuart University; Sydney New South Wales Australia
| | - Mandy Beylacq
- Aged Services; Gold Coast Hospital and Health Services; Robina Health Precinct; Gold Coast Queensland Australia
| | - Mark Forbes
- Diagnostics, Emergency and Medical Services; Gold Coast Hospital and Health Services; Gold Coast Queensland Australia
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Rushton C. Problematising the problem: a critical interpretive review of the literature pertaining to older people with cognitive impairment who fall while hospitalised. Nurs Inq 2016; 23:148-57. [PMID: 26833849 DOI: 10.1111/nin.12126] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2015] [Indexed: 11/29/2022]
Abstract
This article presents a reflexive account by way of a critical interpretive review of the literature pertaining to falls of older people with cognitive impairment who have been hospitalised in an acute care setting. A key aim of this review was to use thematic analysis and problematisation to challenge assumptions underpinning the current falls literature and to bring into consideration alternate foci of research and new approaches to falls research. An innovative approach is used to generate descriptive and interpretive summaries of the literature which are presented graphically to reveal the prevailing themes and assumptions within. It is argued that currently, falls research in the context of cognitive impairment is constrained by scientism. Meta-paradigmatic approaches, which have the potential to provide a better understanding of why falls may or may not occur among this particular subgroup of older people, are proposed as an alternative.
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Affiliation(s)
- Carole Rushton
- School of Nursing and Midwifery, Menzies Health Institute, Brisbane, Queensland, Australia
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