COVID-19 Pandemic In Australia Research Articles

Mental health impacts of COVID-19: A retrospective analysis of dynamic modelling projections for Australia

BackgroundIn early 2020, we developed a dynamic model to support policy responses aimed at mitigating the adverse mental health effects of the COVID-19 pandemic in Australia. As the pandemic has progressed, it has become clear that our initial model forecasts overestimated the impacts of infection control measures (lockdowns, physical distancing, etc.) on suicide, intentional self-harm hospitalisation, and mental health-related emergency department (ED) presentation rates. MethodsPotential explanations for the divergence of our model predictions from observed outcomes were assessed by comparing simulation results for a set of progressively more refined models with data on the prevalence of moderate to very high psychological distress and numbers of suicides, intentional self-harm hospitalisations, and mental health-related ED presentations published after our modelling was released in July 2020. ResultsAllowing per capita rates of spontaneous recovery and intentional self-harm to differ between people experiencing moderate to very high psychological distress prior to the pandemic and those developing comparable levels of psychological distress only as a consequence of infection control measures substantially improves the fit of our model to empirical estimates of the prevalence of psychological distress and leads to significantly lower predicted effects of COVID-19 on suicide, intentional self-harm hospitalisation, and mental health-related ED presentation rates. ConclusionAccommodating the influence of prior mental health on the psychological effects of population-wide social and economic disruption is likely to be critical for accurately forecasting the mental health impacts of future public health crises as they inevitably arise.

The third age interrupted: experiences of living in a retirement village during the first year of COVID-19 in Victoria, Australia

Abstract The COVID-19 pandemic in Australia has profoundly affected older adults, particularly in the state of Victoria, which experienced strict lockdown restrictions six times since the pandemic began in 2020; totalling 245 days over three years. This study explored the experiences of older adults living in retirement villages during the first three lockdowns in Victoria from March 2020 to February 2021. We draw on the concept of the ‘third age’ to explore how residents’ post-retirement social and lifestyle aspirations were disrupted by the pandemic and associated lockdowns. In-depth qualitative interviews were conducted with 14 residents during January and February 2021. All data were analysed using thematic mapping. Five key themes were identified: (1) benefits and frustrations of retirement village living during a pandemic; (2) the loss of amenities and activities; (3) heightened loneliness and social isolation; (4) reaching out to others; and (5) variable experiences of operators’ response. Although the COVID-19 pandemic has highlighted short-term and long-term issues around social isolation and the management of retirement villages, it has also demonstrated the resilience of residents and the strength of community ties and relationships. Retirement villages are promoted as age-friendly environments that enable an active and healthy post-retirement lifestyle. Yet our findings reveal heterogeneity within village populations. When services closed during lockdowns, this revealed a tension between the policy assumption that retirement villages are a housing consumption choice, and the unmet needs of those residents who depend on village services for day-to-day functioning.

Hardened hearts and cries for freedom: interpreting biblical narratives in a pandemic

ABSTRACT The impact of the COVID-19 pandemic in Australia has exposed social fault-lines and inequities not often recognised in such an affluent country. This study explores the relevance of Bible stories about plagues and disasters for the work of preachers, teachers, and pastoral practitioners who were independent voluntary contributors to this study. Each of them was serving with the Uniting Church in Australia (UCA) in settings where worship and learning take place. From within the activities of a particular Christian tradition, this article offers examples of practice and interpretive processes used in approaching the questions raised as an unfolding narrative. How did the use of Christian and Jewish Scriptures by these practitioners during the pandemic inform their worship, teaching, learning and social interactions? Examples were brought into dialogue with the work of biblical commentators on texts such as Exodus, Psalms, Prophets, and Gospels. The narrative hermeneutics of Paul Ricoeur and the biblical scholarship of Walter Brueggemann provided helpful conceptual anchorage for the task and assisted in broadening the perception of how local perspectives may or may not connect with global concerns.

Pandemic impacts and experiences after disaster in Australia: qualitative study of compound impacts following the Black Summer bushfires.

The first cases of the COVID-19 pandemic in Australia were recorded in January 2020, which was during the 'Black Summer' bushfires of 2019-20 and prior to additional disasters in some regions. Few studies have considered the compound impact of disasters and the pandemic. To improve understanding of the impact on mental health and well-being of the pandemic in disaster-affected communities. We conducted semi-structured interviews (n = 18) with community members and online focus groups (n = 31) with help providers from three regions of rural Australia affected by bushfires and the pandemic. Six themes were produced: (a) 'Pulling together, pulling apart', describing experiences after bushfires and prior to impacts of the pandemic; (b) 'Disruption of the 'normal response', encompassing changes to post-disaster recovery processes attributed to the pandemic; (c) 'Escalating tensions and division in the community', describing impacts on relationships; (d) 'Everywhere you turn you get a slap in the face', acknowledging impacts of bureaucratic 'red tape'; (e) 'There are layers of trauma', highlighting intersecting traumas and pre-existing vulnerabilities; and (f) 'Where does the help come from when we can't do it?', encompassing difficulties accessing services and impacts on the helping workforce. This study furthers our understanding of compound disasters and situates pandemic impacts in relation to processes of adjustment and recovery from bushfires. It highlights the need for long-term approaches to resilience and recovery, investment in social infrastructure, multi-component approaches to workforce issues, and strategies to increase mental health support and pathways across services.

Gaining further insights into the COVID-19 pandemic in Australia: Evidence using capture-recapture methods

ObjectiveWe re-examined the reported number of COVID-19 cases in Australia and across its states during the first wave of the pandemic. We provided estimates of the total number of cases, adjusted for under-reporting. MethodsPublicly available data sourced from Australian governments at federal, state and territory levels included records on cumulative confirmed COVID-19 cases and cumulative deaths occurring in Australia and across its states on a daily basis. Lower bound and upper bound estimates of the total number of COVID-19 cases in Australia and across its states, that included the undetected cases that have not been recorded, were estimated. ResultsOn January 25, 2020, Australia recorded its first 4 cases of COVID-19 and the first death occurred on March 3, 2020. On April 1, 2020, 4864 cases had been reported with 21 deaths. Our estimation showed that on April 1, 2020, the minimum and maximum number of COVID-19 cases in Australia were in fact 10,160 (95 % CI: 9781–10,538) and 21,748 (95 % CI: 21,607–22,014) respectively. We estimated that the total number of cases were at least twice and at most four times the observed cases recorded. These differences were also found at the state level where in New South Wales there was a minimum and maximum of 207 and 447 cases in total for every 100 reported cases, while in Victoria these figures were much lower at 157 and 265 respectively for every 100 reported cases. ConclusionCase ascertainment during the pandemic is known to have been underestimated due to difficulties in testing and contact tracing, amongst others. Capture-recapture methods provided a measure of the gap between the official number of cases recorded and the actual number during the first wave of the pandemic.

Adolescents’ Experiences of Remote Schooling and Family Life during the COVID-19 Pandemic in Australia

Adolescents’ Experiences of Remote Schooling and Family Life during the COVID-19 Pandemic in Australia

The impact of monetary and fiscal stimulus on stock returns during the COVID-19 Pandemic

We contribute to the literature by investigating the impact of monetary and fiscal stimulus and exchange rate on stock returns during the COVID-19 Pandemic in Australia, China, India, and Indonesia. By employing the machine learning approach, We find that monetary stimulus positively boosts the stock return of Indonesia. Contrary, fiscal stimulus adversely affected stock return in Australia. The exchange rate positively impacts stock return for both India and Indonesia during the COVID-19 Pandemic. However, the findings from this study reveal that both monetary and fiscal stimulus have no effect on the stock market return in the case of China and India. Policymakers needs better strategy to counter the extreme events like pandemic. Our model is robust to the alternative model specification.

A qualitative approach to exploring nurse practitioners’ provision of telehealth services during the COVID-19 pandemic in Australia

BackgroundIn adapting to provide socially distanced healthcare during the COVID-19 pandemic, the Australian government encouraged the use of telehealth consultations in circumstances where face-to-face consultations could be avoided. For nurse practitioners, four telephone and four telehealth Medicare Benefit Schedule items were established. AimTo explore nurse practitioners' perspectives on their provision of telehealth services during the COVID-19 pandemic in Australia. MethodsSemi-structured interviews were conducted with nurse practitioners (n = 16) recruited through snowball sampling. Interview data were analysed inductively (Phase 1) and deductively (Phase 2). Reported here in accordance with the Consolidated Criteria for Reporting Qualitative Research guideline. FindingsTelehealth provided a viable alternative to in-person consultations during the pandemic, the most common reasons for presentations were medication prescriptions, provision of medical certificates, and management of chronic conditions. The priorities to include in programs to educationally prepare nurse practitioners to provide telehealth were knowledge of telehealth technology, systems and processes, patient assessment via telephone or video telehealth, limitations of scope of practice, and ensuring cultural safety. DiscussionWhile the rapid transition to telehealth during COVID-19 was perceived to improve patient access to care, it was challenging to provide without having already established the systems and processes required, and without prior telehealth experience or education. ConclusionsSince the height of the COVID-19 pandemic, telehealth has become an accepted means of operating for many healthcare services, including those provided by nurse practitioners. The findings suggest that the educational preparation of nurse practitioners to provide care via telephone or telehealth services is important and should be considered as part of the design of tertiary education leading to nurse practitioner endorsement in Australia.

Impact of the COVID-19 pandemic on emergency department team dynamics and workforce sustainability in Australia. A qualitative study

IntroductionThe COVID-19 pandemic has challenged health care professionals and changed our approach to care delivery. The aim in this study was to explore nurses’ experiences providing care in the ED during the COVID-19 pandemic in Australia and the impact of this on ED team functioning. MethodsA qualitative explorative descriptive study was conducted using thematic analysis strategies. Participants comprised: Registered Nurses (n = 18) working in clinical roles in the Emergency Department and Leadership Registered Nurses (n = 6) within the organisation. One on one interviews (n = 21) and one focus group interview were conducted utilising semi-structured, conversational style, in-depth interviews between January 2022 and April 2022. ResultsTwo major themes were identified that described the impact on ED team dynamics and longer-term impacts on the ED nursing workforce. The first major theme was: ‘Changed Emergency Department team identity and dynamics’ and included four sub-themes: i) PPE is a barrier to team camaraderie; ii) outsiders versus insiders – ambivalence to PPE spotter role; iii) personal safety comes first in a pandemic; and iv) using PPE depersonalises the whole patient experience. The second major theme was: ‘This pandemic caught everyone off guard’ and had three sub-themes. The associated sub-themes were: i) People outside ED have no understanding of what it has been like; ii) COVID-19 is here to stay - Permanent changes to care delivery and nursing practice; and iii) tenacity of a true profession. ConclusionsStudy findings illuminated the dynamics and functionality of ED nursing, encompassing the unique qualities of camaraderie, autonomy, resilience and tenacity.

Insights into parents’ perceived worry before and during the COVID-19 pandemic in Australia: inequality and heterogeneity of influences

BackgroundExcessive worry is an invisible disruptive force that has adverse health outcomes and may advance to other forms of disorder, such as anxiety or depression. Addressing worry and its influences is challenging yet crucial for informing public health policy.MethodsWe examined parents’ worries, influences, and variability before and during COVID-19 pandemic and across geography. Parents (n = 340) and their primary school-aged children from five Australian states completed an anonymous online survey in mid-2020. After literature review, we conceptualised the influences and performed a series of regression analyses.ResultsWorry levels and the variables contributing to parents’ worry varied before to during the pandemic. The proportion of parents who were "very worried all the time" increased by 14.6% in the early days of the pandemic. During the pandemic, ethnic background modified parents’ worry and parents’ history of daily distress symptoms was a significant contributor (p < 0.05). Excessive exposure to news remained significant both before and during the pandemic. The primary predictor of parents’ worry before COVID-19 was perceived neighbourhood safety, while the main predictor during COVID-19 was financial risk due to income change. Some variable such as neighbourhood safety and financial risk varied in their contribution to worry across geographical regions. The proportion of worried children was higher among distraught parents.ConclusionParents’ worry during the health pandemic was not triggered by the health risks factors but by the financial risk due to income change. The study depicts inequality in the impact of COVID-19 by ethnic background. Different policies and reported virus case numbers across states may have modified the behaviour of variables contributing to the geography of parents’ worry. Exposure to stressors before the COVID-19 pandemic may have helped parents develop coping strategies during stressful events. Parents are encouraged to limit their exposure to stressful news. We advocate for parents-specific tailored policies and emphasise the need for access to appropriate mental health resources for those in need. Advancing research in geographical modelling for mental health may aid in devising much-needed location-targeted interventions and prioritising resources in future events.

An Independent Art Library for Naarm/Melbourne

Melbourne Art Library was established in 2020, during the early days of the COVID-19 pandemic in Australia, as a uniquely independent art library in Australia. The library's development – which may be equated to a kind of practice-lead-research exploring what a library is – has not been without its difficulties. Yet, despite this, the library is three years strong and provides a specialised lending collection of over 3000 books, a reading room, and an active program of public events.

Development and validation of the COVID-19 Impact Scale in Australia

Objective The COVID-19 pandemic significantly impacted and continues to impact the health and well-being of Australian adults. However, there has been no instrument validated to comprehensively measure how the COVID-19 pandemic impacted adults in Australia across several domains (e.g. fear of COVID-19, attitudes towards vaccination, psychosocial impact of lockdowns). The current study conducted a rigorous psychometric process to develop and validate an instrument to measure the impact of the COVID-19 pandemic in Australia, the COVID-19 Impact Scale (CIS). Method Data was obtained from the Australian population. Participants (N = 563) aged between 19 and 91 years (M = 54.50, SD = 16.16) provided online responses between June, 2021 and May, 2022. The majority of participants were female (60.9%), employed either full-time (37.7%) or part-time (22.0%), and had completed an undergraduate degree or higher (70.1%). An initial pool of 30 items was developed based on a review of the literature and input from a panel of experts including psychologists, epidemiologists, and public health experts, among others. The study used network psychometrics to examine the psychometric properties of: (1) item score distributions; (2) item redundancy; (3) dimensionality; (4) model fit; (5) measurement invariance; (6) reliability; and (7) criterion validity. Results Following an evaluation of items for ceiling/floor effects and redundancy, the final CIS network model included eighteen nodes and displayed a three-dimensional structure. The three communities of “Fear” (consisting of three nodes; ω = 0.82), “Attitudes” (consisting of ten nodes; ω = 0.89), and “Ill-being” (consisting of five nodes; ω = 0.79) displayed adequate reliability. The evaluation of model fit indicated a good fit of the network model (RMSEA = 0.047; CFI =0.98). Conclusion The instrument is available to be used by Australian researchers and implemented to evaluate public policies, adapted for future pandemics, or used internationally.

Australian emergency nurses' experiences of working with personal protective equipment during the COVID-19 pandemic. A qualitative study

IntroductionThe COVID-19 pandemic has exposed a need to understand the challenges associated with wearing Personal protective Equipment (PPE). The aim in this study was to explore emergency nurses’ experiences early in the COVID-19 pandemic in Australia and the impact of PPE use on their practice. MethodsAn explorative descriptive qualitative study was conducted between January 2022 and April 2022. Eighteen emergency nurses and six leaders participated. Semi-structured interviews (n = 21) and one focus group were conducted. Interview transcripts were analysed using Braun and Clarke’s framework. ResultsTwo major themes were identified. The first theme was: (1) The shifting ground of the COVID-19 pandemic response. Associated sub-themes were: i) What’s the go with PPE today? ii) In the beginning we were scrambling for masks; iii) Emergency is the true frontline. The second theme was: (2) Physical and emotional impacts of emergency nursing work. Sub-themes were: (i) Facing the fear of exposure; (ii) By the end of the shift I am just absolutely spent; iii) Discomfort of wearing PPE impacts on compliance. ConclusionsHealthcare leaders need to secure PPE supply chains and evaluate the effectiveness and side-effects of different PPE designs to minimise occupational harms associated with prolonged PPE use.

Staff experiences, perceptions of care and communication in ICU during the COVID-19 pandemic in Australia

Staff experiences, perceptions of care and communication in ICU during the COVID-19 pandemic in Australia

Many leveled ordinal models for frequency of alcohol and drug use

ABSTRACT Background: The numbers of days people consume alcohol and other drugs over a fixed interval, such as 28 days, are often collected in surveys of substance use. The presence of an upper bound on these variables can result in response distributions with “ceiling effects.” Also, if some peoples’ substance use behaviors are characterized by weekly patterns of use, summaries of substance days-of-use over longer periods can exhibit multiple modes. Objective: To highlight advantages of ordinal models with a separate level for each distinct survey response, for bounded, and potentially multimodal, count data. Methods: We fitted a Bayesian proportional odds ordinal model to longitudinal cannabis days-of-use reported by 443 individuals who used illicit drugs (206 female, 214 male, 23 non-binary). We specified an ordinal level for each unique response to allow the exact numeric distribution implied by the predicted ordinal response to be inferred. We then compared the fit of the proportional odds model with binomial, negative binomial, hurdle negative binomial and beta-binomial models. Results: Posterior predictive checks and the leave one out information criterion both suggested that the proportional odds model gave a better fit to the cannabis days-of-use data than the other models. Cannabis use among the target population declined during the COVID-19 pandemic in Australia, with the odds of a member of the population exceeding any specified frequency of cannabis use in Wave 4 estimated to be 73% lower than in Wave 1 (median odds ratio 0.27, 90% credible interval 0.19, 0.38). Conclusion: Ordinal models can be suitable for complex count data.

“I do not consent”: political legitimacy, misinformation, and the compliance challenge in Australia’s Covid-19 policy response

Abstract This paper examines the relationship between policy compliance, the emergence of alternate epistemes and authorities in online spaces, and the decline of trust and legitimacy in democratic institutions. Drawing on insights from public policy, regulation theory, and political theory, the paper critically engages with scholarship on “policy-takers” to illuminate the tensions of compliance and legitimacy in liberal states. It proposes a compliance–legitimacy matrix that identifies the features of policy compliance—including consent, legitimacy, expertise, and trust—and their relationship to the disaggregation of policy knowledge. The article applies this framework to a case study of social media posts that respond to policy information during the management of the Covid-19 pandemic in Australia. Through analysis of these posts, the study reveals the distrust in “the science” and experts advocated by government and the calls from skeptic groups for noncompliance with public health measures. The paper argues that public policy faces an epistemic crisis of public confidence, with significant downstream consequences for compliance with public policy initiatives that has been brought on both by the failures of states to cultivate trust in science and the government. The compliance–legitimacy matrix offers a useful tool for policymakers to anticipate and address objections from policy-takers and to preempt and diffuse their fears.

Perspectives of telehealth access and implementation in people recovering from serious transport injury, health care providers and compensation system staff during the COVID-19 pandemic in Australia

IntroductionBefore the COVID-19 pandemic, few injury compensation schemes supported access to service-delivery via telehealth. The aim of this qualitative study was to explore the perspectives of people recovering from serious transport injury, health care providers, and senior staff of a transport injury compensation scheme, in relation to the uptake and implementation of telehealth during the COVID-19 pandemic, and its ongoing use. MethodsSemi-structured interviews were undertaken with 35 participants, including 15 seriously injured patients, 16 health care providers and 4 compensation scheme staff. A thematic analysis was performed using a framework approach. ResultsThemes identified included the need to provide continuity of care via telehealth during the pandemic for patients recovering from injury, and the associated organisational and technical support needs. It was noted that some types of services worked well via telehealth, including psychology, while others did not, including physical assessments. The convenience of telehealth was highlighted, in relation to reduced travel. However, there were often safety fears relating to falls, and communication issues with injured people. ConclusionsThis research found that the majority of injured patients and health care providers had benefitted from the introduction of service delivery via telehealth during the pandemic for some types of services. Participants saw opportunities for continued benefit post-pandemic, particularly for improving equity of access to health care for people with barriers to mobility and travel.

Patterns of participation in early childhood education before and during the COVID-19 pandemic in Australia

The COVID-19 pandemic has profoundly affected children’s care and education worldwide. This article reports on patterns of participation in early childhood education and care (ECEC) across Australia as influenced by the COVID-19 pandemic and national policies. Using ECEC data from Xplor – a software platform used across Australian childcare centres (2019: n = 229,349; 2020: n = 229,468), patterns of attendance rates were examined nationally in 2019 and 2020 by service-level and family-level characteristics. The average attended hours per week of ECEC nationally in 2020 (18.32 hours) was less than that in 2019 (21.26 hours). Attendance rates at ECEC in 2020 declined rapidly from 66% to 26.2% at the onset of the COVID-19 outbreak. Fee-free subsidy from Australian governments did not substantially increase attendance or reduce disparities in attendance for vulnerable families. Low ECEC attendance rates for prolonged periods could have significant implications for child development, particularly for children from vulnerable backgrounds.

Circulation of influenza and other respiratory viruses during the COVID-19 pandemic in Australia and New Zealand, 2020–2021

Circulation of influenza and other respiratory viruses during the COVID-19 pandemic in Australia and New Zealand, 2020–2021

Navigating a public health crisis: Governance and sensemaking during the COVID-19 pandemic in Australia

The COVID-19 pandemic required people to navigate complex information landscape situated in changing and uncertain environments. In places like Australia, where rigid restrictions were in place for over a year, most did so from their homes. Although expert advice cautions that inflexible government measures undermine compliance, research indicates that many Australians demonstrated both willingness and intention to follow these preventative measures. We examine the conditions underpinning this seeming anomaly by studying how Australian residents made sense of the COVID-19 health crisis and its governance. Semi-structured interviews with 40 participants evince how they sought out various forms of information and knowledge to produce meaning in actionable ways—in short, their sensemaking. Building on insights from information science and regulatory governance research, we trace individuals’ sensemaking practices, capturing how government-backed messaging became interconnected with diverse forms of information and knowledge drawn on by participants. Findings illustrate how sensemaking practices shifted over the first two years of the pandemic and how active information-seeking often reinforced trust in government responses during that time. This analysis demonstrates how sensemaking can inform the development of bottom-up pathways for encouraging compliance with public health interventions and promoting health literacy, especially in times of crisis.