Introduction: The COVID-19 pandemic has necessitated the rapid transition of many face-to-face health services to alternate modes of service delivery. The objective of this study was to explore the benefits, challenges and perceived quality of a telehealth service delivery model from the perspective of clients and students. Further, students’ perceptions relating to the quality of the educational experience were also explored.
Methods: The study was set in a student-led interprofessional health and wellness clinic in rural Queensland, Australia. A qualitative case study design was used, including semi-structured student interviews and client open-response survey data. Participants were nursing and allied health students who completed a student-led interprofessional clinic placement and adults with low to rising risk of chronic disease who attended the clinic for telehealth delivered services.
Results: Themes identified following analysis included: new or adapted skills needed for success; challenges, limitations and the need for resources, training and support; quality interprofessional education experiences can be achieved in telehealth; coming away with a new set of skills; the important role of the client for success; and benefits and disadvantages of telehealth for clients.
Conclusions: The findings support that telehealth-based service-learning models are a feasible way to deliver health and wellness services from the perspective of students and clients and provide students with important skills for rural health service delivery.
Objective
To investigate coronavirus disease 2019 community transmission concerns and adherence to social distancing and hygiene practices across metropolitan, regional, rural and remote areas in Australia.
Design
Cross‐sectional online survey of Australian adults conducted between April and May 2020 through convenience snowball sampling.
Setting
A range of locations across all states and territories of Australia.
Participants
Six hundred and seventy‐seven Australian adults, of which 78.8% lived outside of a metropolitan area.
Main outcome measures
Perceived threat of coronavirus disease 2019; social distancing guidelines and adherence; infection concerns; hygiene practices; frequency of leaving the house; impact of coronavirus disease 2019 on day‐to‐day life.
Results
Almost all respondents perceived the threat of the coronavirus disease 2019 pandemic was serious. There were high levels of support for the Australian Government's social distancing guidelines, although the perception that social distancing guidelines in participants’ communities were ‘too strict’ increased with remoteness area classification. Most respondents reported adherence with Australian Government social distancing guidelines. There was an association between remoteness and risk perception, with non‐metropolitan respondents more likely to feel safe when leaving the house. However, there was no association between geographical remoteness and self‐reported adherence with Australian Government social distancing guidelines.
Conclusions
This study provides an important initial insight into Australian perceptions and behaviours relating to the coronavirus disease 2019 pandemic, and how perceptions and behaviours varied by geographical remoteness. The geographical remoteness of communities should be considered by policy makers to ensure effective communication with the Australian public regarding coronavirus disease 2019 and ongoing adherence with preventative health behaviours.
Background: Positive rural clinical experiences strongly correlate with future rural health career intention. It is therefore important to understand the factors which contribute to positive rural clinical placement experiences.Aims: To understand the benefits and challenges of rural nursing and midwifery placements for students, and to explore factors which influence positive clinical placement experiences.Methods: Semi-structured interviews were undertaken to explore the experiences and perspectives of nursing and midwifery students (n=17) and staff working at health services where students are placed (n=36). Data were subject to thematic analysis.Results: Five themes were identified: variety of experiences in a rural health context; supervision and support; engaging with a rural community; placement type and duration influence on rural placement experience; and inspiring, reaffirming or challenging future rural career intentions.
Conclusion:This study reiterates the importance of ensuring that students are actively engaged and supported during rural clinical placements to encourage students to consider future rural career pathways. The findings highlight the important role of education providers and health services in supporting student placement experiences to enable positive rural career intentions.
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