Psychosocial Knowledge for Future Nursing and Midwifery Practice in Community Placement in Vietnam and Australia. Parry, Yvonne Karen; Hill, Pauline

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1 The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based nursing materials. Take credit for all your work, not just books and journal articles. To learn more, visit Item type Format Title Authors Presentation Text-based Document Psychosocial Knowledge for Future Nursing and Midwifery Practice in Community Placement in Vietnam and Australia Parry, Yvonne Karen; Hill, Pauline Downloaded 13-Jul :06:43 Link to item

3 Psychosocial Knowledge for Future Nursing and Midwifery Practice in Community Placement in Vietnam and Australia Dr Yvonne Karen Parry, PhD, MHSM, GradCertEd, BA, RN; and Dr Pauline Hill, PhD, MEd (St), BN (Ed), Dip.App.Sc.(Nsg), RN,

4 As is the practice of Flinders University, I begin by acknowledging the Kaurna people of our country the Adelaide Plains. In particular I acknowledge the Kaurna people as the traditional owners of the lands and waters of the region on which I work and research. Welcome to Country I would like to acknowledge their land and express my respect for the custodians spiritual relationship with their country. I would also recognise that cultural and heritage beliefs are important to the living Aboriginal peoples of Australia today. I would also like to welcome all first nations peoples to this presentation.

5 This presentation will cover: The importance of the application of psychosocial theories to nursing and midwifery The research projects Settings Populations groups Results Conclusions

6 The importance of the application of psychosocial theories to nursing and midwifery practice: The two research projects illustrate the students learning gained from community placements in two different settings and the applications of the psychosocial knowledge gained for future nursing and midwifery practice. Both community based placements provided health care to vulnerable and disadvantaged population groups.

7 Topic expectations Ensuring appropriate academic rigour and professional standards are achieved is significant for all WIL placements. In the community context this is dependent upon high quality relationships with the community partner(s) and a truly integrated approach to learning through a combination of academic and work-related activities (Flinders University, 2014)

8 Psychosocial theories Reference: Bronfenbrenner's Social- Ecological Model of Development /Systemic perspective. Parry 2012 Thesis

9 Vietnam: Thirteen students from the SONM The research projects: Nursing (10), Midwifery (3), Paramedics (16) = 29 interdisciplinary students Completed a three week primary health care placement in Vietnam Visited: Thanh Nhan Hospital, 450-bedded district hospital, serving patients from low-income backgrounds in the labour quarter of Hanoi. The Mai Chau Valley in Northern Vietnam is home to many of Vietnam s ethnic hill tribe minorities and is one of the poorest regions in Vietnam. Homelessness Service: Inner Southern Homelessness Service provided placements for Nursing students (15), social work students (6) = 21 interdisciplinary students The nursing students completed a three week primary health care placement Visited: Home visits to impoverished and homeless individuals and families Little or no access to healthcare despite universal health coverage.

10 Vietnam trip Research was qualitative Pre-trip interviews Post-trip interviews Journals

11 Inner Southern Homelessness Service Mixed methods research Surveys of student experiences pre and post Post experience interviews

12 The population groups Hanoi Highlands Ethnic minority groups the White Thai, Hmong, Zao, Muong, Tay, Hoa a Viet, Black Thai, Kinh, and Dao The population is approximately 55,944 people: Thais people occupy 60.2%, Muong 15.07%, Kinh 15.56%, Hmong 6.91% and Dao 2.06%. ISHS - Urban Homelessness services has approximately 567 people per month using the service of these: 45% Aboriginal and Torres Strait Islander peoples 10% families homeless (overcrowding) but most families vulnerable due to poverty. 56% homeless families vulnerable families 46% children under 5 years 33% children under 5 years

13 Background - Homelessness children in Australia In Australia at around 1 in 30 children under the age of 5 years are homeless. Further 37% of attendees at homelessness services are children under 10 years accompanied by an adult, with 44% of these children under 5 years. 26% of homeless children are Aboriginal. Every day, 2 in every 3 homeless children who require immediate accommodation from homeless services are turned away unicef.org.au Homelessness is a time of great risk for children. Reference: AIHW, A picture of Australia s children 2012, in Cat. no. PHE 167, A.I.o.H. Welfare, Editor. 2012: Canberra Australian Early Development Census, Australian Early Development Census: Pilot Community Profile Western Adelaide, in Australian Early Development Census, A.E.D. Census, Editor. 2015, Telethon Kids Institute: Canberra.

Background Health in Vietnam (Hanoi) In Vietnam Infectious diseases remain a public health concern The emerging a double burden of noncommunicable diseases (cardiovascular diseases, cancer, diabetes,

), an ageing population, inadequate capacity of the health system, and problems of inequities in access to health and health care HRQoL at old age is at a high level, and varies substantially unicef.

14 Background Health in Vietnam (Hanoi) In Vietnam Infectious diseases remain a public health concern The emerging a double burden of noncommunicable diseases (cardiovascular diseases, cancer, diabetes, etc.) and infectious diseases (HIV/AIDS, H1A1, etc.), an ageing population, inadequate capacity of the health system, and problems of inequities in access to health and health care HRQoL at old age is at a high level, and varies substantially unicef.org.au according to socioeconomic factors. Its determinants should be addressed in social and health policies designed to improve health of older people, especially among the most vulnerable groups. Reference: WHO Viet Nam Statistical Profile Le V Hoi, Nguyen TK Chuc, and Lars Lindholm, 2010, Health-related quality of life, and its determinants, among older people in rural Vietnam, BMC Public Health 2010, 10:549 Nguyen Duc Hinh, and Hoang Van Minh, Public health in Vietnam: scientific evidence for policy changes and interventions

15 Vietnam The results: Homelessness service Reference: personal photo NICEF website:

Psychosocial aspects of care Vietnam Students developed greater cultural awareness Understood feelings of isolation, being foreign and vulnerable Different standards of health care and population

16 Psychosocial aspects of care Vietnam Students developed greater cultural awareness Understood feelings of isolation, being foreign and vulnerable Different standards of health care and population issues impacting on health Cultural difference between role of nurse and midwife in Australia and Vietnam Parents are the ones that do all the care for the children in the hospital including feeding (supply of food), bathing, etc. This to me is the role of the nurse because this is what we do in Australia although it does make sense to do it this way so the children are kept comforted by their parents (Student 2)

community Staff attitudes to vulnerable groups Importance

17 Psychosocial aspects of care Themes Bronfrenbrenner's model The importance of home Access to services Education about community Staff attitudes to vulnerable groups Importance of discharge planning Referrals group work Nursing assessments

surprised me and challenged my thinking (NS4). It has helped me thinking that when I m in the hospital and I discharge a patient I know I can do that better now. (NS 2).

18 Quotes It was great I didn t think it would be, you know, not enough acute care, BPs etc. but it really helped me connect Bronfrenbrenner and that stuff (NS1) I was shocked I thought homelessness was old men, but there are families, and they lost their job and that was it it really surprised me and challenged my thinking (NS4). It has helped me thinking that when I m in the hospital and I discharge a patient I know I can do that better now. (NS 2). I understood homelessness, but I m from India, and it is different there. I understand more about homelessness in Australia now (NS3). The staff are all SW, so I was able to talk to the woman about the impact of her illness on her life, and how the disease would progress. And she listened to me. It was fantastic, I didn t realize how much I knew! (NS 6). We are trusted the clients trust us and open up to us it was such a surprise to us, and the staff (NS5). I know more about discharge planning and how I can discharge appropriately. I know that other services are available and I can refer to when clients have problems (NS4)

19 Quotes The student nurses were fantastic the best placements we have ever had they're not afraid of working with difficult clients and the clients really opened up to them, trusted them one client asked about medications and the NS was able to go through each very professional and used language the client could understand it helped him and me to understand some of his issues and behaviours, and possible medication issues, and the possible interactions (staff 2). I've only ever supervised in the hospital setting before but the staff and organisation were great, so supportive and welcoming of our students, and worked with me to address the students needs, and the students did get to do full assessments, including peoples living conditions I think a few were a bit shocked at how people become homeless, the student nurses were fantastic, the best placements, from a supportive environment aspect (Clinical staff 3)

20 Conclusions: Implications for future practice Barriers Enablers

21 References: AIHW, A picture of Australia s children 2012, in Cat. no. PHE 167, A.I.o.H. Welfare, Editor. 2012: Canberra Anderson, E., E,, Learning pathways in contemporary primary care settings - student nurses's views. Nurse Education Today, (8): p Australian Early Development Census, Australian Early Development Census: Pilot Community Profile Western Adelaide, in Australian Early Development Census, A.E.D. Census, Editor. 2015, Telethon Kids Institute: Canberra. Baglin, M. and S. Rugg, Student nurses' experiences of community-based practice placement learning: a qualitative exploration. Nurse Education in Practice, (3): p Gerber, L., Bringing home effective nursing care for the homeless. Nursing, (3): p Gibson, C., K. Morphett, and T. Johnstone, Think Child, Think Family: Child and Family Sensitive Practice within Specialist Homelessness Services, S.M. Fund, Editor. 2010, Sidney Myer Fund & Australian Centre for Child Protection Adelaide. Le V Hoi, Nguyen TK Chuc, and Lars Lindholm, 2010, Health-related quality of life, and its determinants, among older people in rural Vietnam, BMC Public Health 2010, 10:549. Murphy, F., et al., Nursing students' experiences and preferences regarding hospital and community placements. Nurse Education in Practice, (3): p Nguyen Duc Hinh, and Hoang Van Minh, 2013, Public health in Vietnam: scientific evidence for policy changes and interventions Parry YK, 2012, Understanding the relationship between the social determinants of health (SDH), Paediatric Emergency Department use and the provision of primary care: a mixed methods analysis, Thesis: Flinders University. Parry YK, & Hill P, 2015, Applying psychosocial theories for nursing students, ANMJ Vol 23 Iss 6 Parry YK, Hill P, & Horsfall S, 2017, Assessing levels of student nurse psychosocial learning in community based health placement with vulnerable families: Knowledge development for future clinical practice, Nurse Education in Practice NEP_2016_88 (decision pending) WHO Viet Nam Statistical Profile Websites: Bronfenbrenner's Social-Ecological Model of Development /Systemic perspectivehttps:// Ecological+Model+of+Development+/Systemic+perspective&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjLnOSShqjUAhWBHZQKHfNBCkEQ_AUICigB&biw=1042&bih =852#imgrc=EOdlZnBM7Q_pwM NICEF website:

22 Questions

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Text-based Document. Trust Development Between Patient and Nurse: A Grounded Theory Study. Authors Jones, Sharon M. Downloaded 27-Jun :28:51 The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based