Publications by authors named "Marcus Gardner"

Introduction: Clinical supervision supports patient care and health worker wellbeing. However, access to effective clinical supervision is not equitable. We aimed to explore the access and effectiveness of clinical supervision in allied health workers.

View Article and Find Full Text PDF

Objective: To explore and describe strategies to enhance the implementation of an organisational clinical supervision framework and subsequently inform the development of a model of implementation of clinical supervision for allied health professionals in a regional health care setting.

Setting: A large regional health service in Victoria, providing hospital, rehabilitation, community, mental health and aged care services.

Participants: Allied health managers employed at the health service were members of an action research group.

View Article and Find Full Text PDF

Objective: To describe how allied health professionals have used mentoring as a knowledge translation strategy to inform practice.

Introduction: Mentoring has been reported to be used by nursing and medicine as a knowledge translation strategy. It is not known if allied health professionals have also used mentoring to improve their use of research in practice, or what the key mentoring characteristics are that guide its application in allied health settings.

View Article and Find Full Text PDF

Background: Clinical supervision makes an important contribution to high quality patient care and professional wellbeing for the allied health workforce. However, there is limited research examining the longitudinal implementation of clinical supervision for allied health. The aim of this study was to determine the effectiveness of clinical supervision for allied health at a regional health service and clinicians' perceptions of the implementation of an organisational clinical supervision framework.

View Article and Find Full Text PDF

Victoria was the Australian state most significantly affected by the COVID-19 pandemic in 2020, which caused significant disruption to Victorian health services. The aim of this case study is to describe the experience of the Victorian public health system in adapting to support allied health student education during the pandemic. Factors that affected student education were complex and dynamic, and included a decrease in traditional face-to-face learning opportunities due to a transition to telehealth, social distancing requirements, furlough of staff and travel restrictions.

View Article and Find Full Text PDF

The aim of this study was to understand the research capacity and culture of a regional allied health workforce over time. A cross-sectional study design was used, with data collected using the validated Research Capacity and Culture (RCC) tool. The results were compared with an earlier administration of the RCC survey.

View Article and Find Full Text PDF

Objective: To evaluate a group clinical supervision program for allied health professionals in a regional health service.

Design: This study used a mixed-methods design including a cross-sectional, quantitative survey of group clinical supervision participants and a focus group of facilitators.

Setting: A large regional health service in Victoria, providing hospital, community and mental health services.

View Article and Find Full Text PDF

Neurorobotic augmentation (e.g., robotic assist) is now in regular use to support individuals suffering from impaired motor functions.

View Article and Find Full Text PDF

Objective: The primary objective of this review is to identify how allied health staff have used mentoring as a knowledge translation strategy to support practice change. Secondary objectives include identifying barriers and enablers to using mentoring as a knowledge translation strategy, and the methods used to evaluate the strategy.

Introduction: Mentoring provides professional support and guidance while attending to the learning needs of the individual.

View Article and Find Full Text PDF

Background: There is limited Australian epidemiological research that reports on the foot-health characteristics of people with diabetes, especially within rural and regional settings. The objective of this study was to explore the associations between demographic, socio-economic and diabetes-related variables with diabetes-related foot morbidity in people residing in regional and rural Australia.

Methods: Adults with diabetes were recruited from non-metropolitan Australian publicly-funded podiatry services.

View Article and Find Full Text PDF

Problem: Diabetes-related foot disease causes significant health system costs and is a leading cause of morbidity and disproportionately affects rural populations. Total contact casts or instant total contact casts are gold standard for management of foot ulcerations resulting from diabetes-related foot disease. The aim of this study was to evaluate the impact of a podiatrist-led casting service model within a rural and regional setting.

View Article and Find Full Text PDF

Objective: Clinical supervision (CS) is widely used by allied health (AH) professionals, although with limited supporting research evidence. The aim of this study was to evaluate the effectiveness of CS for AH professionals in a regional health setting and to investigate differences in CS perceptions between AH disciplines.

Methods: Within a participatory action research project, a quantitative cross-sectional survey was distributed to AH professionals at a regional Australian health service.

View Article and Find Full Text PDF

Objective: To ensure an efficient publicly funded podiatric service for people with diabetes in regional Victoria, a Podiatry Diabetes Model (PDM) of care was developed. The aim of this study was to determine if people with diabetes attended the most appropriate podiatric service as depicted by the model.

Methods: A 3-month prospective clinical audit of the PDM was undertaken.

View Article and Find Full Text PDF

Background: There is limited understanding of the foot-health of people with diabetes in Australian regional areas. The aim of this study was to document the foot-health of people with diabetes who attend publically funded podiatric services in a regional Australian population.

Methods: A three month prospective clinical audit was undertaken by the publically-funded podiatric services of a large regional area of Victoria, Australia.

View Article and Find Full Text PDF

Background: One of the most devastating complications of diabetes is Charcot osteoarthropathy. It can lead to gross structural deformities of the foot and ankle, and subsequent skin ulceration and lower limb amputation from soft tissue or bony infection. However, it is often unrecognised, with deleterious consequences.

View Article and Find Full Text PDF