Papers by Letitia Del Fabbro
Feasibility of supporting newly qualified nurses: Nominal group technique of the perspectives of nursing stakeholders
Collegian
Indigenous-led First Peoples health interprofessional and simulation-based learning innovations: mixed methods study of nursing academics’ experience of working in partnership
Contemporary Nurse, 2022
BACKGROUND Collaborative, Indigenous-led pedagogical and research approaches in nursing education... more BACKGROUND Collaborative, Indigenous-led pedagogical and research approaches in nursing education are fundamental to ensuring culturally safe curriculum innovations that address institutional racism. These approaches privilege, or make central, Indigenous worldviews in the ways healthcare practices are valued and assessed. With the aim of informing excellence in cultural safety teaching and learning, and research approaches, this study draws on the experiences and key learnings of non-Indigenous nursing academics in the collaborative implementation of First Peoples Health interprofessional and simulation-based learning (IPSBL) innovations in an Australian Bachelor of Nursing (BN) program. METHODS An Indigenous-led sequential mixed method design was used to investigate non-Indigenous nursing academics' experiences in the design, development and delivery of two IPSBL innovations. A validated survey (Milne, Creedy & West, 2016) was administered to nursing academics before and after the innovations were delivered. Phenomenological interviews were also conducted following implementation of the innovations. RESULTS Of the 27 staff involved in delivery of the innovations, six nursing academics completed both pre-and post-surveys (22%). Nine (33%) participated in phenomenological interviews. There was a non-significant trend towards improved scores on the awareness of cultural safety scale (ACSS) following the delivery of the innovations. Nursing academics' perceptions of the innovations' relevance to their practice were enhanced. An increased awareness of culturally safe academic practices was reported among those actively involved in innovations. IMPACT STATEMENT Indigenous-led approaches in teaching and research promote excellence within mandatory cultural safety education for nurses and midwives. CONCLUSIONS This study confirms the importance of educating the educators about cultural safety in teaching and learning, and research approaches. It also provides important insights into how non-Indigenous nursing academics can work within Indigenous-led pedagogical and research approaches to design culturally safe curriculum innovations.
Supporting clinical facilitators who work with CALD students on clinical placement: An evaluation of a learning and teaching resource
Understanding the challenges for international undergraduate nursing students when undertaking work integrated learning
Nurse education today, Jan 7, 2017
International or foreign students are those who enrol in universities outside their country of ci... more International or foreign students are those who enrol in universities outside their country of citizenship. They face many challenges acculturating to and learning in a new country and education system, particularly if they study in an additional language. This qualitative inquiry aimed to explore the learning and acculturating experiences of international nursing students to identify opportunities for teaching innovation to optimise the experiences and learning of international nursing students. Undergraduate and postgraduate international nursing students were recruited from one campus of an Australian university to take part in semi-structured interviews. A purposive and theoretically saturated sample of 17 students was obtained. Interviews were audio-recorded and field notes and interview data were thematically analysed. Expressing myself and Finding my place were the two major themes identified from the international student data. International nursing students identified that ...
Participatory Action Research (PAR) as a method of engaging nursing academic staff as participants in a research project about international nursing student learners and their teachers at one Australian University
Evolving beyond antiracism: Reflections on the experience of developing a cultural safety curriculum in a tertiary education setting
Nursing Inquiry, Sep 9, 2022
International quarterly of community health education, 2016
Settings-based health promotion involving multiple strategies and partners is complex, especially... more Settings-based health promotion involving multiple strategies and partners is complex, especially in disadvantaged areas. Partnership development and organizational integration are examined in the literature; however, there is more to learn from the examination of practice stakeholders' experience of intersectoral partnership processes. This case study examines stakeholder experiences of challenges in new partnership work in the context of a culturally diverse and socioeconomically disadvantaged region in Queensland, Australia. Health promotion staff and community representatives participated in interviews and focus groups, and the thematic analysis included observations and documentary analyses. Our findings highlight the retrogressive influence of broader system dynamics, including policy reform and funding changes, upon partnership working. Partnership enablers are disrupted by external political influences and the internal politics (individual and organizational) of health p...
Commentary: Rebuilding community - considerations for policy makers in the wake of the 2011 Queensland floods
Spaces of knowing: an Australian case study of capacity building across boundaries in a health promotion learning network
Global health promotion, Jan 27, 2016
This article explores the potential for health promotion capacity building across boundaries in a... more This article explores the potential for health promotion capacity building across boundaries in a place-based health promotion learning network generated as part of a recent Australian Research Council-funded project in Queensland, Australia. We emphasise in particular the potential of creating new 'at the boundary' spaces of knowing that encourage and enable health promotion workers to work in interdisciplinary and intersectoral ways. The article discusses the way that diverse health promotion workers from different disciplines and government and non-government organisations came together to learn 'how to do' in new or re-invigorated ways. For many network participants, this cross-boundary space of knowing and capacity building provided a welcome respite from their daily contexts of practice which may be limited by institutional, disciplinary or other boundaries.
Communicable Diseases Intelligence, Feb 1, 2004
An outbreak of Salmonella Typhimurium phage type 4 linked to cold set cheesecake
Communicable Diseases Intelligence, Feb 1, 2003
Hypothesis generating interviews identified con-sum ption of cheesecake in four of the five cases... more Hypothesis generating interviews identified con-sum ption of cheesecake in four of the five cases. Cheese cakes were consumed in three differ ent commercial food outlets in metropolitan Adelaide. A trace back investigation revealed that they were supplied by a common ...
Opportunities for capacity building and integration in community based health promotion
International Journal of Integrated Care, 2014
Flipped classroom experiences: student preferences and flip strategy in a higher education context
Higher Education, 2016
Despite the popularity of the flipped classroom, its effectiveness in achieving greater engagemen... more Despite the popularity of the flipped classroom, its effectiveness in achieving greater engagement and learning outcomes is currently lacking substantial empirical evidence. This study surveyed 563 undergraduate and postgraduate students (61% female) participating in flipped teaching environments and 10 convenors of the flipped courses in which the student sample was enrolled. Results suggest that higher education students can be differentiated based on their preferences for elements of a flipped classroom, resulting in two clusters of students: those who embrace most aspects of a flipped classroom environment as well as prefer it (labelled ''Flip endorsers'') and those who are close to neutral on some elements of a flipped classroom environment but who especially do not endorse the pre-learning aspects (labelled ''Flip resisters "). Flip endorsers were found to have more positive attitudes towards the course activities (both pre-class and in-class) and to have felt more involved and engaged in the content. These findings shed some light on the types of students who might prefer flipped classrooms, but more importantly identify those who are likely to resist a change to a flipped classroom environment. The findings also suggest that although students may find the flipped classroom more difficult, student outcomes and active participation in class activities do improve when course convenors: a) use a theoretical perspective to inform their flipped teaching strategy, b) integrate assessment into the design of their flipped classroom, and c) flip the entire course.
Group work: Facilitating the learning of international and domestic undergraduate nursing students
Education for health (Abingdon, England)
Devising innovative strategies to address internationalization is a contemporary challenge for un... more Devising innovative strategies to address internationalization is a contemporary challenge for universities. A Participatory Action Research (PAR) project was undertaken to identify issues for international nursing students and their teachers. The findings identified group work as a teaching strategy potentially useful to facilitate international student learning. The educational intervention of structured group work was planned and implemented in one subject of a Nursing degree. Groups of four to five students were formed with one or two international students per group. Structural support was provided by the teacher until the student was learning independently, the traditional view of scaffolding. The group work also encouraged students to learn from one another, a contemporary understanding of scaffolding. Evaluation of the group work teaching strategy occurred via anonymous, self-completed student surveys. The student experience data were analysed using descriptive statistical t...
Learning from and adapting teaching for International students
Communicable diseases intelligence quarterly report, 2008
Enhanced surveillance for invasive pneumococcal disease (IPD) was carried out in all Australian s... more Enhanced surveillance for invasive pneumococcal disease (IPD) was carried out in all Australian states and territories in 2006 with comprehensive comparative data available since 2002. There were 1,445 cases of IPD notified to the National Notifiable Diseases Surveillance System in Australia in 2006; a notification rate of 7 cases per 100,000 population. The rates varied between states and territories and by geographical region with the highest rates in the Northern Territory, the jurisdiction with the largest proportion of Indigenous people. Invasive pneumococcal disease was reported most frequently in those aged 85 years or over (30.8 cases per 100,000 population) and in children aged one year (26.5 cases per 100,000 population). There were 130 deaths attributed to IPD resulting in an overall case fatality rate of 9%. The overall rate of IPD in Indigenous Australians was 4.3 times the rate in non-indigenous Australians. The rate of IPD in the under two years population continued t...
Participatory Action Research (PAR) as a method to reveal assumptions, values and understandings of teachers regarding international nursing student learners
Exploring health promotion practitioners' experiences of moral distress in Canada and Australia
Global health promotion, Jan 22, 2014
This article introduces moral distress - the experience of painful feelings due to institutional ... more This article introduces moral distress - the experience of painful feelings due to institutional constraints on personal moral action - as a significant issue for the international health promotion workforce. Our exploratory study of practitioners' experiences of health promotion in Australia and Canada during 2009-2010 indicated that practitioners who work in upstream policy- and systems-level health promotion are affected by experiences of moral distress. Health promotion practitioners at all levels of the health promotion continuum also described themselves as being engaged in a minority practice within a larger dominant system that does not always value health promotion. We argue that health promotion practitioners are vulnerable to moral distress due to the values-driven and political nature of the practice, the emphasis on systems change and the inherent complexity and diversity of the practice. This vulnerability to moral distress poses significant challenges to both work...
Australian Health Review, 2011
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Papers by Letitia Del Fabbro