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Nutr Diet ; 76(1): 28-37, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30585376


AIM: The aim was to support rich collaborative practice between two professions who frequently work together across both ordered and organic modes of collaboration. METHODS: This study uses a qualitative research approach of collaborative dialogical inquiry to explore the question 'From the perspective of dietitians and speech pathologists, "what works well" for developing and maintaining collaborative practice?' We deliberately chose a context where collaborative practice is evident, University Department of Rural Health (UONDRH). Participants in the research were academics and clinicians from dietetics and speech pathology. Data were sourced from our research reflections and focus group transcriptions. Analysis was dialogical and iterative. RESULTS: Beyond shared purpose, knowledge of roles and good communication, the notions of curiosity, willingness and momentum were at the core of 'what works well' for collaborative practice between dietitians and speech pathologists. Participant perspectives related to collaborative practice between these professions and beyond to other professions, and involved collaborative practice within and across healthcare organisations and a university setting. CONCLUSIONS: Our interpreted themes of curiosity, willingness and momentum for developing and maintaining collaborative practice highlight the importance of paying attention to the less visible and difficult to measure aspects of patient-centred care. Questions for reflection are suggested to inform the ongoing process of developing and maintaining our and others' collaborative practice.

PLoS One ; 13(9): e0203683, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30208081


Despite the prevalent use of nest-site selection studies to define habitat quality for birds, many studies relying on use-availability analysis have found poor correlations between selected vegetation and reproductive success. Using 3 years of data from northeastern British Columbia (2007-2009), we determined timing of breeding from hatching dates and contrasted the nest-site selection of earlier (n = 22) with later-nesting pairs (n = 36) of yellow-bellied sapsuckers (Sphyrapicus varius), because early breeders were expected to be more reproductively successful. We then compared these choices with those identified from use-availability analysis, and determined whether reproductive performance (fledgling production) was related to selected vegetation. None of the vegetation characteristics selected for nest sites from available vegetation predicted reproductive performance. Earlier-nesting pairs fledged more young on average than later breeders (4.41, SE = 0.18 versus 3.92, SE = 0.16), and chose less decayed aspen trees for nesting, that were surrounded on average by 3 times the number of food trees (paper birch, Betula papyrifera). Potential preference for birch trees was masked in the use-availability analysis, because the selection rate was dominated by the choices of the larger number of later-nesting pairs. Similarly, the majority (69%) of nest cavity entrances faced south, but earlier breeding pairs excavated northward-oriented cavities more frequently than did later breeding pairs, which strongly predicted their higher fledgling production. To our knowledge, our study is the first to compare the choices of early versus later breeders to test the efficacy of use-availability studies in defining habitat quality. We found that use-availability analysis was inadequate for determining vegetation characteristics related to reproductive performance. In contrast, measuring the distinct preferences of earlier breeders resulted in an improved ability to measure habitat quality and explain the spatial distribution of yellow-bellied sapsuckers, a keystone species of the mixedwood boreal forest.

Aves/fisiología , Ecosistema , Comportamiento de Nidificación/fisiología , Animales , Aves/crecimiento & desarrollo , Modelos Biológicos , Taiga
J Allied Health ; 44(2): 117-22, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26046121


Over the past 10 years, the University of Newcastle Department of Rural Health, based in Tamworth, New South Wales, has supported increased opportunities for short- and long-term rural dietetic placements through an ongoing collaboration between Hunter New England Local Health District dietitians and University of Newcastle academic staff, using an innovative student placement model. A recent strategy has been the implementation of year-long student attachments to a rural area in an attempt to improve long-term recruitment and retention of staff to rural and remote areas. This paper describes the dietetic student placement model and outcomes to date. There has been an increase in the number and diversity of student placements in Tamworth, from 2 student placements in 2002 to 33 in 2013 and a maximum increase of 317 student weeks. Students have rated the short- and long-term options highly. Intention to work rurally after graduation was reported at 49% for the 2011/2012 cohort of students. Seventy-three percent of all year-long students have obtained work in a rural setting after graduation. An increased exposure to a rural location has the potential to increase the recruitment of staff in rural areas.

Dietética , Ubicación de la Práctica Profesional , Servicios de Salud Rural , Estudiantes del Área de la Salud , Australia , Humanos , Nueva Gales del Sur , Selección de Personal , Reorganización del Personal , Recursos Humanos