Reports, Working and Technical Papers

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Faculty of Health Sciences Research Profile
(Flinders University, 2008) Flinders University. Faculty of Health Sciences
Provides a snapshot of the Faculty's recent research. Lists all researchers, describes their focus areas and provides contact details.
Metrics, Measures and Meanings: Evaluating the CareSearch Website. RePaDD White Paper.
(2011) Tieman, Jennifer; Martin, Peter
Evaluation plays a critical role in the design, development, management and improvement of online resources. In addition to enabling developers to assess the success of a given project, the collection and review of data can help to inform decision-making about online products, activities and services. The CareSearch palliative care knowledge network is an online resource consolidating evidence and quality information for palliative care health professionals, patients and their families. This White Paper reports on the development and implementation of an evaluation framework to assess the use and usefulness of the CareSearch website. The evaluation framework comprised four focus areas - Access, Use, Usefulness and Process – and a series of activities and projects were undertaken to assess the effectiveness of the project and resource in each of these areas. Usability testing led to iterative improvements in the graphic design and site architecture, and feedback surveys helped to identify potential users who were unaware of the site and determine levels of satisfaction of existing users. Site metrics established patterns of use and areas of interest, and correspondence analysis and resource requests provided measures of quality and use. Further evaluation studies will be undertaken against this framework to show whether online delivery of information can result in changes to clinical practice. Ultimately, it is hoped that the simple conceptual framework for the evaluation of online resources described in this White Paper will contribute to a much-needed reorientation of focus - from the assessment of the content and structure of online resources to an evaluation of their purpose and utility.
Managing the Knowledge Base for Primary Health Care: Report on the Development of a Primary Health Care Search Filter, PubMed topic Searches, and Web Guidance for Retrieving the Primary Health Care Literature
(Flinders University Research Centre for Palliative Care, Death and Dying, 2012) Damarell, Raechel; Tieman, Jennifer; Lawrence, Mikaela
As the literature and evidence base on which health care professionals depend continues to grow, identifying what works in relation to primary health care (PHC) becomes more and more challenging. The publication and storage of materials in different repositories, different indexing and description methods along with multiple concepts and associated terminologies, all mean that the efficient and timely retrieval of vital information can be difficult. This White Paper/Research Report details the development of a high-performance PHC search filter and associated topic searches that provide health care professionals with a more efficient, reliable, and timely means of retrieving relevant PHC information.
Report on the development of a glaucoma search filter: a white paper
(Flinders Research Centre for Palliative Care, Death and Dying, 2014) Tieman, Jennifer; Craig, Jamie; Shaheem, Yasmine
Glaucoma is second only to cataracts as the leading cause of blindness worldwide. Despite its prevalence, clinicians and researchers may not have the skills or time required to locate the timely, high-quality evidence needed to provide the best care for patients with this condition. To facilitate access to high-quality information and evidence on glaucoma, Flinders Filters partnered with the Flinders Centre for Ophthalmology, Eye and Vision Research to create a functional, evidence-based search filter that provides clinicians and others with ‘one click’ access to a high performing literature search. This White Paper outlines the general methodology used to develop and validate a glaucoma search filter in OvidSP Medline, and translate it for PubMed. It also details the creation of a sample set of expert topic searches for glaucoma. Ultimately, it is hoped that the search filter will help clinicians and others treat those with - or at risk of – glaucoma more effectively by enabling access to high level, focused evidence simply by clicking a link.
Report on the development of two search filters for retrieving the sarcoma literature: a white paper
(Flinders Research Centre for Palliative Care, Death and Dying, 2015) Lawrence, Mikaela; Tieman, Jennifer
The literature related to sarcoma is published in a diffuse range of specialist journals and is growing steadily. To expedite access to high-quality information and evidence on sarcoma, Flinders Filters partnered with Cancer Council Australia (CCA) to create a high-quality search filter that provides clinicians and others with quick and easy access to the existing sarcoma research evidence base. Both of the Sarcoma Search Filters that were developed achieved a high recall of the gold standard set, with 94.6% for the Specific Filter, and 99.8% for the Sensitive Filter. The Filters permit clinicians, researchers and others to perform a standardised, systematic search of the sarcoma literature with a known level of performance, enabling them to locate and use the best available evidence quickly and easily. Ultimately, it is hoped that the search filter described in this White Paper will help clinicians and others treat those with sarcoma more effectively by enabling access to high level, focused evidence simply by clicking a link.
Paternal Postnatal Attachment Scale [Measurement instrument]
(2015-04-14) Condon, John Terence
Maternal Antenatal Attachment Scale [Measurement instrument]
(2015-04-14) Condon, John Terence
Maternal Postnatal Attachment Scale [Measurement Instrument]
(2015-04-14) Condon, John Terence
Paternal Antenatal Attachment Scale [Measurement instrument]
(2015-04-14) Condon, John Terence
Finding what works: a resource for discovering interdisciplinary evidence-based information about stroke
(Flinders University Research Centre for Palliative Care, Death and Dying, 2016) Hayman, Sarah; Tieman, Jennifer; Kortman, Brenton; Lennon, Sheila; Laver, Kate; Crotty, Maria
This White Paper/Research Report outlines a reliable and effective means by which stroke practitioners in all fields (including stroke rehabilitation) can gain access to evidence that is useable, timely and relevant. By providing single-click access to comprehensive, reliable, and effective topic searches, this resource enables clinicians and researchers to find the latest available interdisciplinary evidence about stroke. This has the potential to improve patient outcomes by equipping researchers and clinicians with high quality information that can be used to better inform research and more effectively guide treatment decisions. Guided by an Expert Advisory Group (EAG), our research team developed a Stroke Search Filter. The Filter is a high-performance search that retrieves references for literature relevant to all topics on stroke. To ensure that the most recent references are retrieved, we translated the search filter for the PubMed database (from Ovid Medline) in order to ensure that non-indexed literature is also harvested. While the Filter itself can be used across all areas related to stroke, the focus of the Stroke Topic Searches resource is on topics post diagnosis of stroke, emphasising rehabilitation, physiotherapy, and occupational therapy. A search sensitivity rating of 93.8% in the Filter Validation Set and a precision of 83.06% were achieved.
‘My Learning’: Results of pre-test, post-test evaluation Evaluation Program: Report No. 21
(Flinders University, 2017) Tieman, Jennifer; Rawlings, Deb; Moores, Carly J
For professionals who are seeking to implement Evidence Based Practice (EBP), understanding how to use evidence in clinical practice can be difficult. While research evidence can be important in highlighting the efficacy of various treatments and therapies, translating available evidence into practice can be challenging for clinicians and act as an obstacle to the provision of high-quality care.
Determining the Effect of Advance Care Planning in Palliative and End-of-Life Care: A Systematic Review of Reviews
(Flinders University, 2017) Tieman, Jennifer; Bradley, Sandra L
Advance care planning (ACP) plays a critical role in determining a person’s values, preferences, and beliefs prior to the point at which that individual may not be able to make or communicate his or her decisions. While ACP has become increasingly important in both policy and practice, a clear, shared understanding of what is meant by advance care planning remains elusive. The consequent variability in meaning and definitional ambiguity in relation to ACP can result in confusion around end-of-life practices and constrain the ability of policy makers, practitioners and others to determine the quality and effectiveness of ACP at different points and in different settings.
The South Australian Mental Health Registry: Timely Actionable Insights though Big Data for Better Mental Health Outcomes
(Flinders University, 2017) Musiat, Peter; Winsall, Megan; Bidargaddi, Niranjan
In order to deliver good and cost-effective health services to the community, there is a need for tools at clinical level that assist in selecting the optimal personalised care pathways according to the individual patient’s characteristics (e.g., clinical co-morbidities, past treatments, biomarkers outcomes), as opposed to guidelines derived from population- based studies and clinical trials. Similarly at a planning level, tools that can make better sense of linked longitudinal data sets with pattern recognition capabilities can provide novel insights and dynamically result in responsive services and policies. Finally, there is a need for decision support solutions that can not only exploit the potential of information within health data sets, but can also be easily implemented to address the clinical and strategy needs of Mental Health services in South Australia. This is a proposal to develop an SA Mental Health Registry for improving outcomes of SA Mental Health Care sector through better use of data.
The potential impact of irrigated agriculture on groundwater quality in the Rocky Hill Region, Northern Territory
(National Centre for Groundwater Research and Training, Flinders University, 2017-02) Cook, Peter; Knapton, A; White, N
Alice Springs’ public water supply is currently largely sourced from the Roe Creek borefield, located approximately 15 km south‐southwest of the town, in the north‐eastern section of the Amadeus Basin. However, at current extraction rates, water levels at Roe Creek are expected to decline beyond economical pumping depths by approximately 2050. By this time, it is expected that much of Alice Springs’ public water supply will be derived from a borefield within the Rocky Hill region. NT Portion 4704 was acquired by the Power and Water Corporation (PWC) for this purpose in 1996. Undoolya Rocky Hill Agricultural Block (NT Portion 1476) is located immediately northeast of NT Portion 4704, and the two blocks share a common boundary. Fodder crops have been grown intermittently on the agricultural block under centre pivot irrigation since the 1970s, with intensification of irrigation since 2002 when grapes were planted in the southeast of the block. Currently, there are about 60 ha of irrigated vineyards at this site. Proposals have been developed for expansion of onions onto areas of Undoolya Pastoral Lease, immediately south of the current vineyard development, and a water licence to facilitate this development has been granted.
Pilot Social Health History Screening Tool Research Project Questionnaire
(Flinders University, 2018-09-25) Browne-Yung, Kathryn; Freeman, Toby; Battersby, Malcolm Wayne; McEvoy, Ronald Douglas; Baum, Fran
Multimodal Childhoods (pilot) Project: Emerging literacies and digital technologies for achievement in remote communities
(Flinders University, 2019) Mackey-Smith, Kerrie; Jovanovic, Jessie
In recent years, an increasing body of research has focused on the impact of new and emerging digital technologies on children’s play in early childhood education. To date, much of this work has been conducted in locations that could be described as urban. Some of these studies have focused on the increasing amount of time that children spend in ‘virtual’ rather than ‘real’ worlds (Edwards 2013; Marsh 2017), others have established that, from an increasingly young age, children are using and interacting with a broad range of digital technologies. This has resulted in the understanding that many young children come to preschool already experienced in using a variety of technologies including computers, gaming consoles, digital cameras and mobile telephones (Kengwe & Onchwari 2009). Many of these studies have also highlighted that digital technologies are simply not present in early childhood settings (Burnett & Daniels 2015; Yelland 2015; and Formby 2014), an issue that is often attributed to educator uncertainty about how best to use digital technologies in such settings (Plowman, McPake & Stephen 2010). Further, choices to use technology in early learning settings are negatively impacted by debates about the age appropriateness of using digital devices (Burnett & Daniels 2005; Flewitt, Messer & Kucirkova 2015). What is evident is that the growth in children’s use of, and access to digital technologies reflects the changing social realities of their lives in the home (Erstad & Sefton-Green 2015). The realities of children’s lives in remote contexts differ greatly from their urban counterparts (Halsey 2018). Studies have noted the presence of a digital divide that affects not only who has access to various digital technologies, but differences in the quality of the experiences that are available to children depending on the type of technology available (Kucirkova, Rowsell & Falloon 2019). Research confirms this is especially true of remotely living children in South Australia, where poverty and distance combine to impact on the quality of home technology and therefore children’s experiences of it.
Groundwater Modelling Uncertainty : implications for decision-making : summary of the Groundwater Modelling Uncertainty Workshop - Australasian Groundwater Conference 10th July 2017, University of NSW, Sydney, Australia
(Flinders University - The National Centre for Groundwater Research and Training; in collaboration with the International Association of Hydrogeologists, 2019-04-01) Middlemis, Hugh; Walker, Glen; Peeters, Luk; Richardson, Stuart; Hayes, Phil; Moore, Catherine
This report provides a summary of the outcomes from the 2017 national groundwater modelling uncertainty workshop convened by the National Centre for Groundwater Research and Training (NCGRT), and the subsequent modelling outlook panel session held at the Australasian Groundwater Conference (AGC) on 10 and 13 July 2017, respectively. The purpose of this report is to provide simple documentation of the workshop proceedings (inputs, outputs and discussions). It has been reviewed (refer to Acknowledgements) and has been subject to basic editorial procedures.
Position Paper by Concerned Scientists: Deficiencies in the scientific assessment of the Carmichael Mine impacts to the Doongmabulla Springs
(Flinders University, 2019-06-06) Werner, Adrian D; Love, Andrew James; Irvine, Dylan; Banks, Edward Wallace; Cartwright, Ian; Webb, John; Currell, Matthew
Key points: (1) Adani appears likely to have significantly under-estimated future impacts to the Doongmabulla Springs Complex (DSC) arising from the Carmichael Mine. (2) Should the Carmichael Mine cause springs within the DSC to cease flowing, this impact may be irreversible. (3) The safeguard against DSC impacts proposed by Adani, namely Adaptive Management, is unsuitable and unlikely to protect the DSC from severe degradation or cessation of flow. (4) Possible cumulative impacts to the DSC from other mining activities in the Galilee Basin have not been adequately considered. We conclude that the DSC face a legitimate threat of extinction due to the Carmichael Mine project.
Murray-Darling Basin Authority/National Centre for Groundwater Research and Training : Strategic Groundwater Research Partnership Final Report 2015-2018
(Flinders University / National Centre for Groundwater Research and Training, 2019-06-20) Simmons, Craig Trevor; Batelaan, Okke; Cook, Peter G; Crosbie, Russell S; Curtis, Allan; Jakeman, Anthony; Croke, Barry; Partington, Dan J; Xie, Yueqing; Noorduijn, Saskia; Ticehurst, Jenifer; Fu, Baihua; Merritt, Wendy; Mendham, Emily; Bouchez, Camille; Zhu, Ruirui; Zare, Fateme; Asher, Michael; Hasnain, Sunail; Iwanaga, Takuya; Wales, Melissa; Sample, Royce; White, Nicholas James
The MDBA-NCGRT Strategic Groundwater Research Partnership was a three year, $2 million research program funded by the Murray-Darling Basin Authority between 2015 and 2018. Its overarching goal was to undertake strategic research in support of enhanced groundwater knowledge and management in the Murray-Darling Basin (MDB). It has examined critical science issues in three thematic priority areas, namely: • SW-GW Connectivity: improving knowledge and predictive capacity at the regional scale in the MDB; • Groundwater Recharge: increasing our understanding of MDB recharge processes with a strong emphasis on improving recharge estimation and predictions techniques, and quantifying and managing uncertainty in recharge estimation; • Socioeconomics and Integration: identifying the socioeconomic factors that will improve water management in the MDB, including factors such as conjunctive use; building tools and approaches in a participatory relationship that facilitates the integration of important biophysical and social models, knowledge and data. Research on these issues was advanced through a range of modelling and field-based projects. A focus case study was chosen to be in the Campaspe in north-central Victoria. Some activities were also undertaken in the Murrumbidgee catchment. Many of the approaches and findings presented in this report, and associated papers and reports, are based on work in the Campaspe region. We anticipate that many of the approaches developed here will be applicable in and transferable to many parts of the Murray-Darling Basin. However, they should be evaluated and tested on a case by case basis to ensure applicability and transferability. The Partnership has considerably enhanced the MDBA and NCGRT’s scientific and socioeconomic knowledge base; delivered state-of-the-art modelling processes and integrated assessment tools for managing groundwater in the Basin with a particular focus on understanding and managing surface water and groundwater interaction in the future; leveraged the NCGRT’s extensive national and international network of groundwater scientists and field research sites and equipment; trained postgraduate students to build relevant capacity for the future; delivered innovative new scientific and management tools and practises to support integrated catchment scale socio-hydrology; and produced transferable outcomes that will assist in the management of major Basin groundwater systems in the MDB. The approaches and findings from this Partnership will allow government and industry to better understand, conceptualise, measure, model, predict and manage groundwater behaviour in the Basin – both biophysically and socially. These underpin important policy and management frameworks and state / national strategic planning for water, environmental and agricultural security in the Basin. The Murray-Darling Basin Authority – NCGRT Strategic Groundwater Research Partnership has led to a number of key findings that form the basis for key recommendations in each of the above priority areas, as well as for groundwater modelling and groundwater management. These key findings and recommendations given are presented in this report. They are not prioritised or presented in any order of importance.
Slavery and Slavery-like Practices in South Australia: a Report
(Flinders University, 2019-10-28) Marmo, Marinella
Slavery and slavery-like practices are a reality in South Australia (SA). These situations include cases of forced marriage; forced labour; and domestic, labour and sexual servitude in intimate partner violence cases linked to partner visas. These slavery practices are a gross violation of human rights as they reduce a person to a commodity to be exploited, and they are criminalised in the Commonwealth Criminal Code 1995 (divisions 270 and 271).

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