cruising

OK, after yesterday’s explosion, I thought I’d best let anybody who read it know that I’m OK.  I find writing therapeutic, and have had blogs in the past… I knew I’d have at least 1 melt-down over the blogosphere when I saw blogging was a requirement for this course!

Anyway, I’ve finally finished that damn report, come what may, and I’m ready to pack my bags.

I hope you continue to enjoy your placements.  I’ll be normal next time I write, I promise!

Cheers

Annette

Thinking the things I’m supposed to think (part 2)

Well, it seems that I haven’t yet completed the tasks for weeks 3 and 4 yet.  So now I will!

Provide a brief overview of your project

I think I’ve described the project before, but I’ll give a broad description here:

As a part of Munch & Move – a NSW Health program that aims to improve the health and wellbeing of children through providing resources and professional development to early childhood educators – my project focuses on increasing the rates of breastfeeding for infants who attend early childhood services.

Resources were developed in the initial phase of the project (2014-2015) and they were delivered to relevant early childhood services in the area of the Southern NSW Local Health District. However, there was no follow-up with these services to determine whether the resources were distributed to the appropriate area / educators (ie babies rooms and room leaders of these rooms) or whether the resources were helpful. My part of the project is to survey these educators to find out this information.  I will also develop additional resources to help educators of young infants encourage mothers to continue breastfeeding when they start using childcare.  This is likely to be a demonstration kit of equipment required to transport breastmilk to the children’s service.

Additionally, the initial phase of the project created some links to the Australian Breastfeeding Association (ABA), which I hope to reinforce locally.  We also aim to build links between ABA and local community health nurses with early childhood services, so that there can be communication and support for staff who are working with breastfed infants. And we will be completing a needs assessment of local mothers to find out whether returning to work has indeed been an influence on their decisions to continue breastfeeding their infants, as suggested in the research in this area (Australian Institute of Health and Welfare [AIHW] 2011).  Fortuitously, a local Baby and Toddler Expo is running on 20 April which will enable us to gather information from mothers that we may potentially not have been able to access otherwise.

easter breastfeeding
Easter Breastfeeding – image from Pinterest

 

3 Individuals / Positions who could serve on a planning committee for the project:

  1. Local breastfeeding support representatives
    • ie Australian Breastfeeding Association representative/s and community health nurses whose focus is on mothers and babies (ie child and family nurses)
    • These people have the knowledge and skills to support educators with their skills in settling and feeding breastfed infants.  They are also very passionate about the value of breastfeeding and could prove to be inspirational to educators who have not experienced breastfeeding themselves.  They can also ensure that the information being shared with educators is appropriate and current.
    • Many women in the community are being supported by these representatives, so they could be very helpful in ensuring that the resources / surveys are disseminated with the relevant people, and they have their ears to the ground with new mums, knowing what local issues are affecting them.
  2. Playsession / playgroup leader/s
    • Like the local breastfeeding support representatives, playsession / playgroup leaders have contact with many local mothers / parents and are a social support for them.  They therefore have a current understanding of the needs of these mothers in our local community.
  3.  Coordinator of children’s services at the local council
    • This role oversees the running of Out of School Hours Care (OSHC) services in the local area and the coordination of the local Family Day Care (FDC) scheme. They therefore have personal relationships with many educators who could potentially provide home based care for infants.  The person who is employed in the role has also worked as an educator (of infants and toddlers) in the local area, so also has an understanding of the skills and attributes of those who work in the sector.

 

References:

Australian Institute of Health and Welfare (AIHW) 2011, 2010 National infant feeding survey: indicator results, viewed 23 March 2016, http://www.aihw.gov.au

Last week before holidays

Gosh, first term (my TAFE term, not CQU term) has gone by so quickly!  It’s been so full-on and quite stressful, so I’m really looking forward to the next couple of weeks away from both work and placement.  I’m going on a cruise next Thursday for 9 nights to the South Pacific Islands of Noumea, Isle of Pines and Mare, that I’m starting to get excited about.  I’m going with my BFF – we’ve been friends since we were 12 (we’re 50 this year!) – and some of my extended family.  I’ve never considered going on a cruise before, but when my cousin asked if I wanted to go and support her 11 year old daughter who’s dancing a couple of times with her dance troupe, I figured it was a no-brainer.  And then we looked at the cost, at $750 it’s almost cheaper than staying at home!!  Woohoo!!

CarnivalSpirit02

CarnivalSpirit01

Anyways, I’d best talk about placement as that’s the point of this blog!  My last 2 weeks have been focused on getting bits and pieces ready for the project to roll out.  I’ve created a couple of surveys to use with different stakeholders.  One of these surveys was just to be used for telephone surveys, so initially I didn’t bother with adding the logo of the health promotion unit, but M said that these resources are shared with other local health districts, so it’s important to claim ownership.  I hadn’t considered that they might be used by other users, so I became a little intimidated.  I suppose it’s common for health promotion resources  to be re-used by other programs, so its something to get used to.   Us TAFE teachers share resources among our discipline areas too, but I suppose I’m more confident with this as I’ve been doing it for so long.

The other survey is focused on gaining information from mothers, and I realised that I needed to ensure it was usable by various levels of literacy.  I’m really grateful to Ivanka for talking about the reading level assessment that can be added on Microsoft Word.  I found her blog on this and adjusted the settings on my Word program at placement.  I discovered from this that the literacy level was likely to be too high for some of the potential users (eg teen mums, Aboriginal / Torres Strait Islander mums etc) and as I really don’t want to ostracise anybody, I adjusted it.  I also created a table that could be used by a playgroup leader to gather the responses of a group of mums.  Hopefully this is helpful!

survey

All of this focus on surveys actually influenced my work in my TAFE job.  I’ve been booked to run a Child Protection workshop for the local FDC educators, and had a brainstorm to send a ‘survey monkey’ survey out to them to determine their existing knowledge and experience.  This workshop is something that is supposed to be updated regularly, so I expected that most of them would have attended workshops on this topic previously.  My survey monkey taught me that 95% of the educators have completed this training before. But I noticed a gap in their knowledge relating to privacy / sharing information for a few of them.  This means I’ll adapt the workshop to review the basics, and focus on more practical aspects, such as providing trauma informed care and who they are legally expected to share information with.  How’s that for a crossover between worlds!

CHCPRT001 survey

Well, that’s enough for this blog.  I now need to look at my older blogs to see whether I’ve actually completed the blog activity for weeks 3 & 4.  I forget!

Ciao for now (I’m the kisser, not the kissee!)

me and libby

Thinking the things I’m supposed to think…

OK, so now’s the time to ponder the questions that are required by this blogging assessment task.

  1. How do you define health promotion?
    • In thinking about health promotion, I will start with looking at the reasons I started this course back in 2013.  I’d been working in TAFE as a teacher of the early childhood qualifications since 2001, and had been complaining about the organisation and the role for years.  I was tired of myself and my whingeing.  So I told myself to do something about it.  After looking around at jobs and organisations, I discovered I couldn’t find a direction with the qualifications I already had, so I googled different things that interested me.  I came down to a few criteria:
      • I was interested in “health”.  I’d recently lost lots of weight with Weight Watchers and was feeling really good.  I wanted to help others feel this way too.  Back when I was doing the HSC; when dinosaurs ruled the earth; I’d wanted to do dietetics, but it was too science-y and I didn’t get into it.  It was kinda like I went full-circle!
      • I didn’t want to touch anybody.  I realised (in hindsight) that the emotional and physical side of actually working with children in childcare wasn’t my strength.  It was a weird direction I took back in the late 80’s (after some time spent unemployed and a short stint working in childcare for an employment scheme) that provided the train tracks to where I found myself in 2013.  I considered speech therapy, but then it would be 1:1 work, and I didn’t want that (or dealing with parents who wouldn’t follow the instructions, or old people who have trouble eating / talking after strokes etc).  Also, there was too much blood and mucous in early childhood for me, so nursing wouldn’t be my thing either!
      • I was pretty good at administrative tasksand quite like doing them.
    • So google lead to my discovery of the work of a health promotion officer and through reading about this, I explored the information provided by the Australian Health Promotion Association.  They had a list of universities that delivered Health Promotion degrees, and in searching these, I found that CQU offered a distance course that included units that I could probably get credit for from my other qualifications… And here I am!
    • At the time, I would have considered health promotion was about:
      • promoting – ie marketing, advocating for, raising awareness of, encouraging, educating about etc…
      • health – ie feeling good, being well, not being sick (or fat)
    • Now, I’ve had 3 years of part-time study around the concept of ‘health promotion’ and my definition is broader and deeper and probably more airy-fairy for somebody outside the profession!
    • Of course, it’s important to refer to the Ottawa Charter and its definition that, ‘Health promotion is the process of enabling people to increase control over, and to improve, their health’ (World Health Organization [WHO], 1986, p.1). I really like that this definition does not focus on a passive recipient, but is empowering of the individual / community for whom health is being promoted.  It’s about providing support or scaffolding that can be removed, and so is not about creating dependency.   And as I said before, it is far broader and deeper than my concept of health promotion prior to commencing this course.
    • The Ottawa Charter supports an incredibly broad concept of health, as defined in the Preamble to the Constitution for the World Health Organization, of ‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ (WHO 1948) that goes far beyond my earlier thoughts of health as noted above. Interestingly, and in contrast to many ‘fitspo’ bloggers and Instagrammers out there, body size is not a part of this definition of health.
    • Another thing that I consider interesting, is that I am currently working in health promotion as a TAFE teacher. One of the social determinants of health is education, and that’s what I do!  I educate people about the education of children… I’m a triple super-dooper edumacator!
  2. What do you think are some of the challenges associated with working in the field of health promotion?
    • A really large challenge that I can see for those working in health promotion is the political environment in which we are currently living and working. Our major political parties hold incredibly individualistic philosophies, whereby the individual is held responsible for their every action and reaction.  Those who ‘have’ feel entitled to condemn those who ‘have not’.  The capitalistic world encourages and reinforces this approach as it enables corporations to thrive when the individual is blamed for their health and social problems.
    • As somebody who can be somewhat melancholic at times, I think that maintaining hope for the future (or even the present) could be a challenge for those working in the field of health promotion. I imagine that it could feel as though you’re paddling in the ocean in a raft made of tin cans, trying to help those drowning by pulling buoyancy cans off your own raft.  Hmmm, maybe today isn’t a good day for me to be answering this question?!  But to guide my poor old brain into a more hopeful place, I think it would be important to keep an eye on those projects that successfully help improve health outcomes, and for positive changes in perceptions throughout the world.
    • Practical challenges could be in honing the focus of projects or programs to things that are achievable and quantifiable. And making decisions on how to spend budgets wisely, so that benefits of one project become the base for other benefits.

 

 

References

World Health Organization [WHO] 1948, WHO Definition of Health, viewed 20th March 2016, http://www.who.int/about/definition/en/print.html

WHO, 1986, Ottawa Charter for Health Promotion, 1986, viewed 20th March 2016, http://www.euro.who.int/__data/assets/pdf_file/0004/129532/Ottawa_Charter.pdf

Life catches up

Hey there

I haven’t blogged for a couple of weeks.  I caught up to week 5, I think, and it’s now  officially my 7th week of  placement.  I feel the need to confess that a mental health day was taken for the 6th week…  I’ve had quite a stressful start of the year at TAFE (my regular work) and I’m currently writing this whilst on the phone to the Child Protection line.  This is my second child protection related incident this year (and while I’ve taught the unit on risk of harm for about 5 years, this is the first time I’ve actually had to log a call myself).  It’s not fun!  It’s interesting how issues like this affect my ability to cope with the additional requirements of the placement and study.

I woke up on the morning of 9/3/16 with the fogginess of head and feeling of dread that I relate to burn-out or depression and knew I needed some me-time.  I dragged myself through breakfast and dressed myself in gay pride shoes

my gay-pride joggers, trying to life my spirits a bit.  I decided to go in to placement for a little while as I haven’t yet worked out how to read the placement emails from home and wanted to touch base with M.  Luckily I did go in as the ABA representative I’d been trying to connect with had emailed me, saying that her car had broken down… Apparently she thought I’d confirmed a meeting, when I’d just suggested it, to be confirmed later, so all worked out well there!  Phew, I’d hate to put off a supporter!

Anyway, after reading over my emails (mostly hospital related stuff I have no interest in or understanding of!), M dropped into the office I work from and I told her of my mental state.  She was fine with me going home, and said that I’d made speedy progress with the project.  We didn’t have any appointments, so I headed back home for time on the couch.  It was great.  I couldn’t even concentrate on Lifestyle channel (which isn’t taxing in the least!) and nodded off for a while with the air con making the temperature somewhat bearable.

(Meanwhile – OMG – the phone was just answered by the Child Protection line… That took 1 hour of waiting!!!  My ear is hot and I’m so glad I started this or I’d be going nuts with boredom!)

Anyway, that’s my reflection for week 6 of placement.  I’ll write another blog entry for this week’s placement day, and then consider the questions that are required for the assessment task.

Fair thee well!

Annette 🙂

Starting placement

breastfeeding

image is from little mochi blog, sourced 5/3/16.

I’ve now been attending my placement for 5 weeks, without blogging about the experience.  To start the ball rolling, I’ll review my notes from these weeks and just summarise my observations and reflections below.  Then I won’t have anything hanging over my head to catch up on and will be free to focus on the here and now…

3rd Feb 2016, Week 1

This was a pretty overwhelming day, where I focused on getting to know my supervisor a little better and was introduced to the hospital community.  On arrival to the community health building, I was kidnapped by the child and family health nurses who had heard about me and the project I will be working on.  They knew more about it than I did!  Obviously the gossip mill in the hospital had worked well in this regard.  I ended the day back in a meeting with my supervisor (I’ll call her “M” from now on) and these community nurses, sharing a little bit about the project.  We made a follow-up appointment for a month away to share how the ideas had progressed.

10th Feb 2016, Week 2

M and I reviewed the Industry Placement document that M had received from Cathy.  M  introduced me to the Core Competencies for Health Promotion Practitioners to help me to determine my goals and objectives for my placement.  This was a great idea, and really helped me to hone in on what I want to achieve from the placement.  If you’re reading this and are in the early stages of your placement, I’d recommend clicking on the link to help with this part of the Industry Placement document.

I was also introduced to the Breastfeeding Kit, which is a core aspect of the project I will work on.  Basically, the project entails working with the early childhood community, and other stakeholders, to improve the rates of breastfeeding in mothers who return to work at the 3 month stage.   The resources to support this have been developed, and children’s services in my area have received a copy of the kit, however M hasn’t had the resources (time) to support its introduction and implementation.  I’ll also help to determine the barriers to breastfeeding beyond 3 months in my local area.

17th Feb 2016, Week 3

Much of today was spent wandering around the hospital, finding the colour photocopier and preparing the hard copy versions of the Breastfeeding Kit to share with the child and family nurses in a few weeks.  I had one prepared example of it, and discovered that I couldn’t find some of the documents that were included in it anywhere.  Along the way, I ran into an early childhood director from my local area in the hospital, so I chatted to her about the project.  She discussed the facilities her early childhood service offers breastfeeding Mums, and she gave me a few ideas about some difficulties mothers have with continuing breastfeeding once they return to work.  This then helped me as I started to brainstorm where to go with the project, what I could use as methods to gain information and build community partnerships.  I emailed the local Australian Breastfeeding Association group to introduce myself and ask for some help finding resources that were included in the hard-copy of the Breastfeeding Kit I was copying to share with the community health nurses.

images sourced from ABA, 5/3/16

It’s mind-boggling how much time just copying and putting together folders of paper resources takes!  I was expecting to have this finished in about an hour – hahahaha!

24th Feb 2016, Week 4

This morning, M was booked in to present a session on “Eat it to Beat it” at a primary school in the region, so I tagged along to watch / help.  This is a standardised presentation developed by the Cancer Council that targets parents and aims to improve the dietary habits of the community.  A very strong focus of the presentation was the 2 & 5 message about fruit and vegetables.  There were only a handful of parents (mothers) turn up to the session, apparently this is normal in our area.  Apparently another Health Promotion Officer further south had 40 attendees at her session, which M was a little envious about.  I wonder what the differences in the community dynamics is?

eat-it-to-beat-it2

images sourced from cancer council, 5/3/16

One pearler of a comment from M stuck in my mind.  On the drive back to the area, she mentioned that people can only attend to and retain so many health messages.  She said that 2 & 5 is so effective because it is so simple.  If people remember this, and strive to reach it, they have less room in their diet for the sometimes foods and will improve their nutritional intake because of this (and as a flow-on effect, their health markers).  We also discussed the focus on obesity at a policy level, and how she doesn’t like having to mention this as people tend to freeze up and expect to be chastised or told to eat less.  The word or concept acts as a road block to the health message as people feel shame about being overweight.

I had a reply email from the ABA representative and gave her a call.  She lives in the next beach around from my place, so I dropped in to her home to collect brochures and other resources after placement.  She sounded really excited about the project and has offered to help in any way she can.  It felt great to make some inroads into the community networks.  And I got to eat yummy frozen blueberries with her wild nudist kids!!

2nd March 2016, Week 5

Yay, I’m finally up to date!

This week I was busy pulling together the last missing pieces of the resources to share with the child and family nurses whilst finalising the project goals and outcomes.  It was really helpful to locate the documents from when the project was proposed to the manager of the public health team.  They shone a strong light onto the breastfeeding statistics for the region and the reasons the project was funded.  They also help to guide the direction of my project for the upcoming year.

M and I ended the day meeting with the child and family nurses to discuss the project and gain some insight from them.  I proposed developing a resource pack to share with breastfeeding mothers who are about to return to work, and asked them whether they could store the pack and give it to the relevant mothers.  I wondered if the nurses could do this as I’m aware of the difficulties the early childhood (EC) services have with storage.  It turns out that this is a problem for the nurses as well!  So, rather than have a collection of packs (which will require substantial funding and storage), it may be better to have example packs for both the nurses and the EC services to share with families.  There are many other aspects to the project, and gaining local information about the barriers to breastfeeding is important.  I now have to hone my ideas and “just do it” – organise the focus meetings, contact the EC services, reach out to the other breastfeeding and maternal support groups in the area…

 

Career Change 101 (aka PBHL13003/4)

placement begins

Way way back in mid-2015, I started trying to coordinate this placement.  I work in TAFE NSW in a small rural campus, and I didn’t have anybody to relieve me from my role.  So I had to find somebody.  This required a few posts on Facebook boards (that focus on my teaching area).  It took some work, but I managed to find someone!  Yay!  Step 1 achieved.  There is no way I would have been given time off if I didn’t have a replacement teacher.  I haven’t been able to be sick for years – lucky I’m pretty solid and healthy (touch wood).

Step 2, find somewhere… I approached 2 local organisations that I’ve had contact with – NSW Health Population Health / Health Promotion (who run  training in Fundamental Movement Skills for my students and children’s services in my area) and Medicare Local (who are now called Grand Pacific somethingorother).  Both were happy to have me, but the Medicare Local mob only have a secure contract til the middle of 2016 and I want security for the placement.  So, NSW Health it is!  Which meant working through not only the TAFE bureaucratic BS, but also NSW Health’s BS… There were SOOOO many forms to fill, health checks to take, phone calls to make, but finally it came together.  And the week before I was due to start, I had the official OK from TAFE to take one day off a week for the year.  Phew.

Step 3, placement begins.  But that will be a new blog…