Grey Nomad’ Travellers’ Use of Remote Health Services in Australia: A Qualitative Enquiry of Hospital Managers’ Perspectives

Background For more than the last two decades, older Australians travelling domestically in self-sufficient accommodation and recreational vehicles for extended periods of time have been referred to as ‘Grey Nomads’. By 2021 more than 750,000 such recreational vehicles were registered in Australia. Tourism data for the year to September 2017 show 11.8 million domestic camping and caravanning trips in Australia, 29% of which were people aged 55 and over. As the ‘baby boomer’ generation increasingly comes to retirement, the size of this travelling population is growing. This growing group of domestic travellers are potential healthcare consumers in remote areas but relatively little is known about their travel, healthcare needs or care seeking practices. Grey nomads have been described as reflective of the age-comparable sector of the Australian population in that many live with chronic illness. Early concerns were raised that they may “burden” already stretched rural and remote healthcare services but relatively little is known about the impact of these travellers.Methods The aim of this study was to explore the utilisation of healthcare services in rural and remote locations in Australia by grey nomads, from the perspective of healthcare professionals working in these settings. The study objective was to interview healthcare professionals to seek their experience and details of service delivery to grey nomads. In March 2020 [prior to state border closures due to the COVID-19 pandemic] a field study was conducted to identify the impact of grey nomads on healthcare services in remote New South Wales and Queensland. A qualitative approach was taken to explore the perspectives of nursing healthcare managers working in remote towns along a popular travel route. With appropriate Research Ethics Committee approval, managers were purposively sampled and sample size was determined by data saturation. Thirteen managers were contacted and twelve interviews were scheduled to take place face to face in the healthcare facilities at mutually convenient times. A semi-structured interview schedule was developed in line with the research aim. The interviews were audio-recorded, transcribed and thematic analysis was undertaken concurrently with data collection for ongoing refinement of questions and to address emerging issues. Results These nursing managers described a strong service and community ethos. They regarded travellers’ healthcare needs no differently to those of local people and described their strong commitment to the provision of healthcare services for their local communities, applying an inclusive definition of community. Traveller presentations were described as predominantly exacerbations of chronic illness such as chest pain, medication-related attendances, and accidents and injuries. No hospital activity data for traveller presentations were available as no reports were routinely generated. Travellers were reported as not always having realistic expectations about what healthcare is available in rural and remote areas and arriving with mixed levels of preparedness. Most travellers were said to be well-prepared for their travel and self-management of their health. However, the healthcare services that can be provided in rural and remote areas needed to be better understood by travellers from metropolitan areas and their urban healthcare providers.Conclusion Participants did not perceive travellers as a burden on health services but recommendations were made regarding their expectations and preparedness. Australia’s national transition to electronic health records including a patient - held record was identified as a future support for continuity of care for travellers and to facilitate treatment planning. With no current information to characterise traveller presentations, routinely collected hospital data could be extracted to characterise this patient population, their presentations and the resources required to meet their care needs.

Strategi Pengembangan Obyek Wisata Negeri Dongeng Sebagai Destinasi Wisata Unggulan Berbasis Taman Wisata Miniatur Tempoe Doeloe

Tourism is one of the major assets that can generate a fairly high source of foreign exchange for the country. Therefore, every area that has certain tourism objects requires regular and sustainable tourism development so that people can take advantage of the existence of tourist destinations in the area. As with the tourism object of the Land of Fairy tales in the area of Kawedusan Ponggok Village, Blitar Regency. The design of this tour is entitled the miniature garden of the wonders of the world which is interesting to visit as a vehicle for education for children. The community can use this as a learning medium and it will have a broad impact on the people around this location to revive the economic sector. This research aims to; (1) Identifying the actual conditions of the current development aspects of the Land of Fairy Tales Tourism. (2) Identifying the influence of the tourism object of the Land of Tales as a vehicle for recreation on tourist visitors and the community around Kawedusan Ponggok Village. (3) Formulating a strategy to develop tourism objects in the Land of Tales as recreational vehicles based on the Tempoe Doeloe tourism park. The research method used by the author in this study is qualitative research and uses a descriptive analysis approach. The results of this study using SWOT analysis techniques can be concluded that the fairy tale tourism development strategy shows that the process of identifying relevant indicators is expected to be able to provide benefits in formulating a tourism development strategy for the Land of Tales in Blitar Regency. Through the formulation of a tourism strategy in a fairy tale country, it is hoped that it will be able to provide benefits to strengthening the competitive bidding position of the concepts offered. It is hoped that this will also be able to provide benefits to strengthening the economic and social aspects of the community at large.

One-Way Fluid Structure Interaction of a Go-Kart Spoiler Using CFD Analysis

The spoiler on a go-kart is required to prevent the vehicle becoming airborne at speeds of 80 km/h or more. An optimal spoiler design balances this safety aspect with speed and fuel economy. This paper reports the results of a project to improve the aerodynamic aspects of a go-kart spoiler design using CFD Analysis. We investigated the design of a rear spoiler with three proposed angles (θ1 = 9.5°, θ2 = 19.5°, θ3 = 29.5°). The drag force produced by each of the three designs is compared. Different computational results are discussed such as the air flow velocity, pressure and the applied forces in terms of CFD analysis using one-way fluid structure interaction (one-way FSI) to determine the spoiler stress, strain and drag coefficient. The findings of this paper have implications for the leisure and tourism industries, and may be applicable to other recreational vehicles’ spoilers.

A Gadamerian perspective on financial crimes

Purpose The purpose of this paper is to see to what extent Hans-Georg Gadamer’s hermeneutic philosophy could be used to unveil how corporate discourse about financial crimes (in codes of ethics) is closely linked to the process of understanding. Design/methodology/approach Corporate ethical discourse of 20 business corporations will be analyzed, as it is conveyed within their codes of ethics. The companies came from five countries (USA, Canada, France, Switzerland and Brazil). In the explanatory study, the following industries were represented (two companies by industry): aircrafts/trains, military, airlines, recreational vehicles, soft drinks, cigarettes, pharmaceuticals, beauty products, telecommunications and banks. Findings Historically-based prejudices in three basic narrative strategies (silence, chosen items and detailed discussion) about financial crimes are related to the mindset, to the basic outlook on corporate self-interest or to an absolutizing attitude. Research limitations/implications The historically-based prejudices that have been identified in this explanatory study should be analyzed in longitudinal studies. Practical implications The historically-based prejudices that have been identified in this explanatory study should be analyzed in longitudinal studies. Historically-based prejudices could be strengthened by the way corporate codes of ethics deal with financial crimes. They could, thus, have a deep impact on the organizational culture in the long-run. Originality/value The paper analyzes the way corporate codes of ethics use given narrative strategies to address financial crimes issues. It also unveils historically-based prejudices that follow from the choice of one or the other narrative strategy.

Design of Recreational Vehicles for Young and Adult People as an Alternative to Physical Activation in Open Spaces

Physical activity is an outstanding factor for daily life since it helps to maintain the physiological functions of the body, granting the possibility of increasing physical and mental health. Recreational vehicles of human propulsion are an alternative for skeletal muscle and cardiovascular system activation with the particularity of improving the system while enjoying the activity. This chapter presents an analysis of the problems of sedentary lifestyle to propose a user-focused alternative that meets the necessary requirements for healthy energy consumption. A prototype was designed and built to verify the metabolic expenditure through a telemetry equipment and another survey was applied to validate functional and user acceptance aspects. The results of the tests showed an average energy consumption of 50.2 kcal/min (Almost 6 METS) placing the prototype in a suitable range to perform physical activation. Finally, the resulting vehicle was cataloged by users as creative and attractive to be used in the future.

When less is more: From kitchen space assessments to food security for mobile and stationary recreational vehicle dwellers

This study examined full-time recreational vehicle dwellers in the USA and revealed that mobile and stationary recreational vehicle dwellers were mainly the ‘young-old’ and those entering retirement ages, at an average of 60 years of age. Many recreational vehicle dwellers on limited incomes were found to occupy their recreational vehicles on a permanent basis. Because food security definitions require adequate space for food security, it was assumed that food strategies and food security in limited spaces such as the recreational vehicle might differ among mobile and stationary recreational vehicle dwellers based on their income levels and ability to comply with expected social and cultural standards for housing and recreational vehicle populations. By comparing mobile and stationary recreational vehicle dwellers and further grouping recreational vehicle dwellers as those over and under 65 years of age, this study examined how personal assessments varied in terms of kitchen space, food security and related household food strategies. This study focused on kitchen space assessments and their relation to food security. The stationary full-time occupancy of the recreational vehicles as primary housing is not regulated by law or housing codes. Thus, this study's results will be valuable to understanding aged individuals' housing perceptions and needs in order to provide foundational information for policy and regulation development for alternative housing, such as recreational vehicles and smaller dwellings.