S.TRUEMAN PhD THESIS 2016

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Chapter 2: Background..................................................................................................... 38 2.1 Introduction................................................................................................................ 38 2.2 Remote Population Health Profile in Australia ......................................................... 39 2.2.1 Remote illicit drug use and excessive alcohol use.............................................. 40 2.2.2 Alcohol use ......................................................................................................... 42 2.3 Summary of Remote Drugs and Alcohol Use............................................................ 43 2.3.1 Tobacco............................................................................................................... 44 2.4 Treatment Facilities for Drugs and Alcohol .............................................................. 46 2.5 Suicide........................................................................................................................ 48 2.6 Mortality Rate by Remoteness................................................................................... 50 2.7 Life Expectancy for Non-Indigenous Australians by Remoteness ............................ 52 2.8 Hospital Infrastructure by Remoteness ...................................................................... 52 2.9 Mental Health Hospital Separations by Remoteness ................................................. 53 2.10 Hospital-Based Mental Healthcare Service Provision By Remoteness ................... 56 2.11 Expenditure on Remote Mental Health Services by Remoteness............................ 58 2.12 The Mental Healthcare System................................................................................ 61 2.13 Profile of Mental Healthcare Delivery in Remote Australia ................................... 64 2.14 Drivers of Change in Delivery of Remote Healthcare............................................. 67 2.15 Primary Healthcare .................................................................................................. 69 2.16 Primary Healthcare Delivery Models in Remote Australia ..................................... 71 2.17 Formation of Remote Professional Representation ................................................. 75 2.18 Nature of Remote Nursing ....................................................................................... 76 2.19 Summary of Chapter ................................................................................................ 80 Chapter 3: Review of Literature ...................................................................................... 81 3.1 Introduction................................................................................................................ 81 3.1.1 Article ................................................................................................................. 81 3.1.2 Declaration by co-authors ................................................................................... 82 3.2 Article: Australian Rural And Remote Generalist Nurses Caring for Mental Health Clients: An Integrative Review ...................................................................... 84 3.2.1 Keywords ............................................................................................................ 84 3.2.2 Introduction......................................................................................................... 84 3.2.3 Aims.................................................................................................................... 85 3.2.4 Methods .............................................................................................................. 86 3.2.5 Search strategy .................................................................................................... 86 3.2.6 Findings .............................................................................................................. 90 3.2.7 Discussion ......................................................................................................... 101 3.2.8 Conclusion ........................................................................................................ 107 3.2.9 Disclosure ......................................................................................................... 108 Chapter 4: The Case and Methodology ......................................................................... 109 4.1 Introduction.............................................................................................................. 109 4.2 Philosophical Underpinnings ................................................................................... 109 4.2.1 Epistemology .................................................................................................... 109 4.2.2 Axiology ........................................................................................................... 110 4.2.3 Rhetoric............................................................................................................. 111 4.2.4 Ontology ........................................................................................................... 111 4.2.5 Methodology ..................................................................................................... 112