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Records |
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Author |
Crowe, M.; Jones, V.; Stone, M.-A.; Coe, G. |
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Title |
The clinical effectiveness of nursing models of diabetes care: A synthesis of the evidence |
Type |
Journal Article |
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Year |
2019 |
Publication |
International Journal of Nursing Studies |
Abbreviated Journal |
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Volume |
93 |
Issue |
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Pages |
119-128 |
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Keywords |
Nurse-led care; Diabetes; Primary health care nurses; Clinical efficacy |
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Abstract |
Determines the clinical effectiveness, in terms of glycaemic control, other biological measures, cost-effectiveness and patient satisfaction, of nurse-led diabetes interventions led by primary health care nurses. Uses PRISMA guidelines for reporting the results of a systematic review of the literature. Compares quantitative studies of physician-led care and cost-effectiveness, with qualitative studies of patient experiences of nurse-led care. |
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Call Number |
NZNO @ research @ |
Serial |
1790 |
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Permanent link to this record |
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Author |
Connor, Margaret J; Nelson, Katherine M; Maisey, Jane |
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Title |
Impact of innovation funding on a rural health nursing service : the Reporoa experience |
Type |
Journal Article |
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Year |
2009 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
25 |
Issue |
2 |
Pages |
4-14 |
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Keywords |
Primary health care; Rural nursing; Innovation; Advancing practice |
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Abstract |
Examines the impact of innovation funding through the MOH primary health-care nursing innovation funding scheme on Health Reporoa Inc, which offers a first-contact rural nursing service to the village of Reporoa and surrounding districts. Looks at funding impact during the project period of 2003-2006, and in the two years that followed. |
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Call Number |
NZNO @ research @ |
Serial |
1443 |
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Permanent link to this record |
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Author |
Clissold, C. |
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Title |
How discourses stifle the Primary Health Care Strategy's intent to reduce health inequalities |
Type |
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Year |
2006 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Community health nursing; Policy; Primary health care |
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Abstract |
The Primary Health Care Strategy (PHCS) has a stated commitment to defined populations who suffer disproportionately from ill health. This thesis examines whether some prevailing discourses actually decrease the focus on health inequalities. A study of the nursing and medical media found that it focused predominantly on professional and industrial issues, leaving health workers focused mainly on their own professional interests, rather than considering the effects on health inequalities. She goes on to suggest that current Ministry of Health discourse values decentralised community health decision making. This may gloss over factors in community health which are affected by Government policy such as employment policy, and thus should be dealt with centrally by legislation. These factors have been found to be the most pertinent in health inequalities. So while models of community partnerships may seem to place communities as agents in their own health, this downplays the determinants of health which are beyond their control. Having shown that discourse can decrease the focus on health inequalities due to other professional and political drivers, the author then looked at health initiative concepts which are effective, efficient and equitable given the current set up of PHOs and nursing innovations. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1196 |
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Permanent link to this record |
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Author |
Clendon, Jill (and others) |
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Title |
Nurse perceptions of the diabetes Get Checked Programme |
Type |
Journal Article |
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Year |
2013 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
29 |
Issue |
3 |
Pages |
18-30 |
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Keywords |
Diabetes; Primary health care |
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Abstract |
Ascertains the impact of the programme on the practice of nurses and identifies factors that contributed to the success or failure of the programme in their workplaces. Performs an observational study by means of an online survey and descriptively analyses the responses from the 748 respondents. Elicits nurses' suggestions for future improved management and outcomes for people with diabetes. |
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Call Number |
NZNO @ research @ |
Serial |
1486 |
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Permanent link to this record |
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Author |
Clendon, J.; White, G.E. |
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Title |
The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis |
Type |
Journal Article |
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Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
34 |
Issue |
2 |
Pages |
171-178 |
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Keywords |
Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing |
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Abstract |
The aim of this study was to determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a New Zealand primary school environment as a means of addressing the health needs of children and families. A secondary aim was to ascertain whether public health nurses were the most appropriate nurses to lead such a clinic. Utilising a community needs analysis method, data were collected from demographic data, 17 key informant interviews and two focus group interviews. Analysis was exploratory and descriptive. Findings included the identification of a wide range of health issues. These included asthma management and control issues, the need to address poor parenting, and specific problems of the refugee and migrant population. Findings also demonstrated that participant understanding of the role of the public health nurse was less than anticipated and that community expectations were such that for a public health nurse to lead a primary health care clinic it would be likely that further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed plan that would serve to address the health needs of children and families in the area the study was undertaken. Services that participants identified as being appropriate included health information, health education, health assessment and referral. The authors conclude that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment was feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required. |
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Call Number |
NRSNZNO @ research @ |
Serial |
952 |
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Permanent link to this record |
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Author |
Clendon, J.; Krothe, J. |
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Title |
The nurse-managed clinic: An evaluative study |
Type |
Journal Article |
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Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
2 |
Pages |
15-23 |
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Keywords |
Evaluation research; Nurse managers; Primary health care; Cross-cultural comparison |
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Abstract |
Part of an international project, the aim of this study was to evaluate a nurse managed primary health care clinic (Mana Health Clinic) from the perspectives of users, funders, and providers of clinical services in order to identify factors which contribute to success. The method used was Fourth Generation Evaluation (FGE) whereby, consistent with the methodological precepts of the constructivist enquiry paradigm, there was active involvement of clients in the process and outcome of the evaluation. Open-ended interviews were conducted with 13 individuals and one focus group. The data yielded four main categories: factors that contribute to success; contrasting past experience of health care with that of nurse-managed care; the effectiveness of nurse-managed care; and suggestions for change in current practice. The authors note that the results to date support a tentative conclusion of success for the clinic. As the study is on-going, summaries of the four categories were fed back to the participants for further discussion and interpretation and eventual integration with data from the similar study being undertaken in the United States. The authors conclude that this paper demonstrates how the use of an appropriate method of evaluation can itself contribute to the success of the nurse managed clinic. |
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Call Number |
NRSNZNO @ research @ |
Serial |
547 |
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Permanent link to this record |
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Author |
Clendon, J. |
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Title |
Demonstrating outcomes in a nurse-led clinic: How primary health care nurses make a difference to children and their families |
Type |
Journal Article |
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Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
18 |
Issue |
1-2 |
Pages |
164-176 |
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Keywords |
Primary health care; School nursing; Nurse managers |
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Abstract |
The study outlined here explored outcomes from the provision of primary health care to children aged 5-13 years in a nurse-led clinic based in a primary school in Auckland. This multi-faceted study collected both qualitative and quantitative data, however it is the results of the quantitative arm of the study that are presented here. Data were collected from a variety of sources concerning conditions seen, age and ethnicity of users, types of services provided and impact on hospital usage. Findings demonstrate that the provision of comprehensive primary health care by the nurse at the clinic impacts positively on hospital visitation by children from the area where the clinic is located. |
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Call Number |
NRSNZNO @ research @ |
Serial |
947 |
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Permanent link to this record |
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Author |
Clear, G.M.; Carryer, J.B. |
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Title |
Shadow dancing in the wings: Lesbian women talk about health care |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
3 |
Pages |
27-39 |
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Keywords |
Sexuality; Patient satisfaction; Nursing research; Quality of health care; Feminist critique |
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Abstract |
A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored factors which hindered or facilitated these women's sense of safety related to health care. The findings indicate that barriers to receiving health care exist for these women. As there is little local or international research on lesbians and healthcare, this work offers a starting place for future New Zealand nursing research involving lesbians. The authors encourage other nurses to explore previously ignored sections of our society in order to strive for safety for all those whom nursing serves. |
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Call Number |
NRSNZNO @ research @ |
Serial |
843 |
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Permanent link to this record |
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Author |
Cavit, Larisa |
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Title |
Exploring factors that influence vaccination uptake for children with refugee backgrounds: An interpretive descriptive study of primary healthcare providers' perspectives |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
160 p. |
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Keywords |
Immunisation; Refugee children; Primary health care; Practice nurses |
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Abstract |
Examines those factors associated with access to, and uptake of immunisation services. Conducts semi-structured interviews with primary healthcare nurses and GPs across seven resettlement locations. Proposes strategies to improve age-appropriate vaccination among refugee children after resettlement in NZ, based on five themes from the data: resettlement priorities; knowledge about refugees; learning to use the health system; communication between caregivers and health providers; culturally and linguistically appropriate services. |
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Call Number |
NZNO @ research @ |
Serial |
1757 |
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Permanent link to this record |
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Author |
Cameron, Megan |
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Title |
Evaluation report of a postgraduate specialty programme: is a specialty nursing qualification delivering what it says it does? |
Type |
Journal Article |
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Year |
2017 |
Publication |
Whitireia Nursing and Health Journal |
Abbreviated Journal |
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Volume |
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Issue |
24 |
Pages |
37-45 |
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Keywords |
Evaluation; Primary health care; Nursing; Well Child/Tamariki Ora; Postgraduate study; Surveys |
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Abstract |
Examines whether a postgraduate programme for Well Child/Tamariki Ora (WCTO) nurses prepares nurses new to child health to understand primary health care, health promotion, community nursing and nursing theory. Uses on online survey devised by Plunket National Educators to evaluate the (WCTO) strand of the Postgraduate Certificate in Primary Health Care Specialty Nursing curriculum against the delivery of the programme. Assesses student experience and student perceptions of the impact of their learning on their nursing practice. Considers whether it enables nurses to consider the specific populations in their care, or to encourage individuals, families and communities to increase their skills in health-focused daily living. Seeks to ascertain whether the structure of the programme, based on the clinical integration approach, supports nursing practice and academic study. |
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Call Number |
NZNO @ research @ |
Serial |
1549 |
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Permanent link to this record |
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Author |
Bland, M.F. |
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Title |
Betwixt and between: A critical ethnography of comfort in New Zealand residential aged care |
Type |
Journal Article |
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Year |
2007 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
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Volume |
16 |
Issue |
5 |
Pages |
937-944 |
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Keywords |
Geriatric nursing; Rest homes; Patient satisfaction; Quality of health care |
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Abstract |
This research sought to explore the nature of comfort within the context of three New Zealand nursing homes and examine how nursing and other actions contribute to residents' comfort. A critical ethnographic approach was used and fieldwork included 90 days of participant observation, interviews with 27 residents and 28 staff and extensive document examination. Comfort was multidimensional, idiosyncratic, dynamic and context dependent, rather than merely the absence of discomfort. This multidimensional nature meant residents could be 'betwixt and between' comfort and discomfort simultaneously. The constraints of one-size-fits-all care delivery practices and the tensions inherent in communal living compounded residents' discomfort. The findings show that individualised care, based on comprehensive and accurate nursing assessment, is fundamental to the comfort of residents. |
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Call Number |
NRSNZNO @ research @ |
Serial |
657 |
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Permanent link to this record |
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Author |
Bailey, A.M. |
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Title |
The New Zealand practice nurse in the primary health environment of the 21st century |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Policy; Practice nurses; Primary health care |
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Abstract |
This paper is a culmination of the author's inquiry, reflection and critical thinking on the transitional phase that practice nursing is currently undergoing as part of the New Zealand Primary Health Strategy. The paper utilises both reflection-in-action and reflection-on-action as well as reflection-before-action, as a process. The author's starting point for this inquiry was attending the New Zealand Nurses Organisation Primary Health Conference in Wellington and reading a report from the Expert Advisory Group on Primary Health Care Nursing. Knowing that practice nurses are the majority of nurses working in primary health, she was concerned that changes to primary health were being driven with little reference or participation by them. The paper explores how practice nursing evolved in New Zealand and the developments that have occurred in the 30 plus years since its inception. It describes the role and current work of practice nursing in general practice, and highlights the constraints that have held back development and continue to do so. The 2002 New Zealand Primary Health Strategy is shown to provide an opportunity for development and enhancement, if some of the constraints are removed. As part of looking to the future the possibilities for practice nurses to lead the way in primary health development are explored. |
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Call Number |
NRSNZNO @ research @ |
Serial |
831 |
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Permanent link to this record |
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Author |
Armstrong, S.E. |
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Title |
Exploring the nursing reality of the sole on-call primary health care rural nurse interface with secondary care doctors |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 225-46) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Interprofessional relations; Rural nursing; Primary health care |
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Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors. This study is framed as investigating a specific component of rural nursing practice and as being representative of the primary-secondary care interface. The primary-secondary care interface is crucial for the delivery of patient-centered care, and there is an increased focus on preventive primary health care. The New Zealand government sees the repositioning of professional roles and increasing emphasis on collaboration as an opportunity to re-define and address the current constraints to nursing practice. This has resulted in tensions between the medical and nursing professions. These tensions are not new, with the relationship sometimes marred by conflict which has been attributed to historical medical dominance and nursing deference. This study explores some specific areas which affect collaboration and makes recommendations at the national, regional and individual level to address them. |
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Call Number |
NRSNZNO @ research @ 780 |
Serial |
764 |
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Permanent link to this record |
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Author |
Andrews, Leigh; Crawford, Ruth; Arcus, Kerri |
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Title |
Kia ora houora: guiding Maori secondary school students toward health careers |
Type |
Journal Article |
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Year |
2019 |
Publication |
Whitireia Journal of Nursing, Health and Social Services |
Abbreviated Journal |
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Volume |
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Issue |
26 |
Pages |
58-62 |
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Keywords |
Kia Ora Hauora; Maori students; Secondary school students; Health careers; Vocational guidance |
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Abstract |
Collates and analyses evaluations of Central Region Kia Ora Hauora programmes from 2010-2017 to discovers what interventions in the programme were most effective for increasing the recruitment of Maori into health careers. Identifies Work-choice Day and Work Experience Day as the most effective interventions, and that meeting health professionals and taking part in simulated practice experiences were influential. |
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Call Number |
NZNO @ research @ |
Serial |
1635 |
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Permanent link to this record |
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Author |
Alcorn, G. |
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Title |
The youth health specialty in New Zealand: Collaborative practice and future development |
Type |
Journal Article |
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Year |
2007 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
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Volume |
34 |
Issue |
3 |
Pages |
162-167 |
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Keywords |
Adolescents; Community health nursing; Primary health care; Nurse practitioners; School nursing |
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Abstract |
This paper details the workforce capacity of youth health nursing and medical staffing required for community-based and school-based youth health services. The author shows how youth health services seek to complement the care delivered by Primary Health Organisations (PHOs) and other allied health care services in the community. She outlines the development and operation at VIBE, a community-based youth health service in the Hutt Valley with school-based youth health services delivered at four low deciles secondary schools. She explains that developing workforce capacity for youth health services is a primary health care priority and an important means to address inequalities and to improve the health services of young people. |
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Call Number |
NRSNZNO @ research @ |
Serial |
518 |
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Permanent link to this record |