| Records |
| Author |
Litchfield, M. |
| Title |
Towards a people-pivotal paradigm for healthcare: Report of the Turangi primary health care nursing innovation 2003-2006 |
Type |
Manuscript |
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Held by the Ministry of Health, publication pending |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Evaluation; Community health nursing; Nursing models; Interprofessional relations |
| Abstract |
This report presents the findings of the developmental evaluation programme for the three-year innovation project. It includes the model of the integrative nursing service scheme with mobile whanau/family nurses as the hub of healthcare provision for a new paradigm of service design and delivery spanning primary-secondary-tertiary sectors. The form of healthcare the local people received, the nature of the nursing practice and role, service delivery and employment parameters required to support the nurses in practice are presented. The service configuration model subsequently gave the structure to Lake Taupo Primary Health Organisation with the hub of family nurses with a mobile comprehensive practice. |
Call Number  |
NRSNZNO @ research @ |
Serial |
1178 |
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| Author |
Pearson, J.R. |
| Title |
Health promotion in one New Zealand primary school: A case study |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Health promotion; Evaluation; Students; Maori; Pacific peoples; Health education |
| Abstract |
The objectives of this study were to explore the concept of the 'health-promoting school' in a specific New Zealand context; to develop and use appropriate research methods to assess a single low decile school in relation to World Health Organization health-promoting school components and checkpoints; to work with the school community to identify health issues; and, to record external and internal changes that could impact on school health over a finite time period. Case study was selected as the most appropriate method to collect both quantitative and qualitative evidence with the aim of providing a clear understanding of the particular case. Results confirmed that the school was working appropriately within the scope of their educational practice to provide a health-promoting school environment for the school community. Gaps and issues identified included an element of talking past each other between the cultures of the education organisation and the nominated health service provider respectively that contributed to a lack of appropriate and accessible health service delivery for the school population. Teaching staff considered that they had insufficient access to health knowledge, and input from health service staff did not meet health education requirements for the school. Staff preference for increased school nurse involvement was not realised. The consequence was that two outside agencies (KiwiCan and Life Education Trust) delivered the bulk of the Health and Physical Education curriculum which resulted in a degree of fragmentation of health education for students. The issues that were identified demonstrated that health services in the area were not satisfactorily meeting the needs of the community and were not addressing the health inequities for the predominantly Pacific Island and Maori students and of their families that formed the school community. The researcher concluded that a full-service school approach should be considered by the school and the local district health board as one way to overcome the current lack of access to health services for the school community. Assertions included the potential integration of locally available services by a school-based nurse coordinator supported by health professionals (nurse practitioner and Pacific Island Community Health Worker) and social workers. The vision included professionals working within their professional scopes of practice as part of a Primary Health Organisation with the aim of appropriately addressing the health inequities experienced by the school population. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1184 |
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| Author |
Holloway, K. T.; Pearson, J.R. |
| Title |
Trailblazers: Primary health care programme evaluation |
Type |
Conference Article |
| Year |
2005 |
Publication |
|
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
| Volume |
Paper presented June 2004 at Royal New Zealand Plu |
Issue |
|
Pages |
|
| Keywords |
New graduate nurses; Primary health care; Evaluation research; Professional development |
| Abstract |
This report is an evaluation of the academic journey undertaken by a group of newly graduated nurses who were sponsored by a New Zealand district health board to work in a variety of primary health care nursing settings. The impetus for this pilot employment option was the Ministry of Health's focus on primary health care nursing and workforce development for this sector and the Expert Advisory Committee for primary health care nursing's recommendations to district health boards regarding employment of graduate nurses and support for them to engage in post graduate study. Evaluation participants were primarily the graduate nurses who were interviewed at the end of their first year of practice which was following programme completion then again nine to ten months later. Findings include the nurses reflections on what supported them and what acted to impede as barriers to their learning success and practice development. The report concludes with five recommendations that can be used to ensure that the travels of future newly graduated nurses taking this pathway are supported, safe and successful. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1200 |
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| Author |
Börner, Heidi.E |
| Title |
Evaluating safe patient handling systems: Is there a better way? |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Patient safety; Evaluation research; Occupational health and safety |
| Abstract |
This observational study analyses the responses of 38 nurses from two similar units that use different patient handling systems to test the reliability and validity of the Safe Patient Handling Survey (TM) SPH Survey(TM), a perception survey and improvement tool for employees and employers. Currently there is a lack of tools for evaluating patient handling systems. The survey contains 55 questions divided into 6 clusters, staff and patient injury and violence questions, and picture questions depicting unsafe techniques. The data were analysed to see how the SPH Survey(TM) scores correlate with incidents, and its ability to detect differences between the two units. The results of the Pearson and Cronbach(TM) alpha tests show strong reliability, validity and consistency of the SPH Survey(TM). ANOVA comparison of means and Spearman(TM) rho tests shows that higher (better) scores on the SPH Survey(TM) clusters correlate with lower numbers of patient injuries, lower reports of verbal and physical violence episodes, and lower staff injuries. Differences were detected between the units with Unit 2 scoring higher than Unit 1 in all SPH Survey(TM) clusters and scoring lower in staff and patient injuries and violence incidents. Although the analysis was limited by the small sample size, the study has created a sound basis for further investigation. The SPH Survey(TM) is shown to be an easy way to reliably evaluate patient handling systems and workplace culture, target improvement initiatives, and continually monitor the level of patient handling risk in the workplace. Low-risk patient handling gives health care providers the means to focus on delivering high quality patient care, without endangering their own health and well-being. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1224 |
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| Author |
Brinkman, A.; Caughley, B. |
| Title |
Measuring on-the-job stress accurately |
Type |
Journal Article |
| Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
8 |
Pages |
12-15 |
| Keywords |
Stress; Evaluation research; Workplace; Occupational health and safety |
| Abstract |
The authors discuss the usefulness of a generic tool to measure job stress in New Zealand workplaces, and report on a study using one such generic tool. The study involved sending questionnaires to all staff (193) who had worked at a regional women's health service for a minimum of six months. The mailed package contained the Job Stress Survey (JSS), the General Health Questionnaire (GHQ-12), demographic questions (including cultural safety), shift work questions, and a blank page for “qualitative comment”. Over 12,000 pieces of data were collected from the study but this article focuses only on the results of the JSS. The JSS can be used to determine a “job stress index” and can also be used to measure “job pressure” and “lack of organisational support”. For this study, job stress index scores were calculated and organised by occupational groupings. Midwives, nurses and doctors all cited inadequate or poor quality equipment, excessive paperwork, insufficient personal time, and frequent interruptions, as their top stressors. Three of these four stressors fall within the job pressure index. The results of the survey prompted organisational changes, including: extensive discussions; equipment being updated; management being made aware of the depth of concern felt by staff; the creation of a place for staff to have personal time; and coping intervention strategies were initiated. The authors suggest that no generic measure of job stress can fully evaluate stressors unique to a particular work setting. They support additional items being constructed and administered to assess stressors that are idiosyncratic to a particular occupational group. |
| Call Number |
NRSNZNO @ research @ 1003 |
Serial |
987 |
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| Author |
Peach, J. |
| Title |
The Professional Development Programme: Achievements and outcomes |
Type |
Journal Article |
| Year |
1999 |
Publication |
Professional Leader |
Abbreviated Journal |
|
| Volume |
5 |
Issue |
1 |
Pages |
6-9 |
| Keywords |
Professional development; Evaluation; Nursing |
| Abstract |
This article backgrounds the professional development programme instigated at Auckland Hospital in 1988, and reviews the achievements of the past 10 years. It describes PDP and distinguishes it from a clinical career pathway. Specific indicators were used to assess the achievement of the programme, and these are presented. Overall the programme achieved it's outcomes and at a reasonable cost. |
| Call Number |
NRSNZNO @ research @ 1289 |
Serial |
1274 |
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| Author |
Henty, C.; Dickinson, A.R. |
| Title |
Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study |
Type |
Journal Article |
| Year |
2007 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
| Volume |
34 |
Issue |
5 |
Pages |
335-338 |
| Keywords |
Primary health care; Chronic diseases; Nursing; Evaluation |
| Abstract |
The aim of this small qualitative descriptive pilot study was to describe the experiences of practice nurses delivering the Care Plus programme within the general practice setting. Care Plus was introduced into Primary Health Organisations (PHOs) in 2004. This programme encourages more involvement from practice nurses in chronic care management. For many New Zealand practice nurses this is a new role. This study, carried out prior to the larger Care Plus implementation review (2006), provides an insight into the nursing experience of implementing Care Plus and provides a basis for future studies with regard to the nurse's role within the Care Plus programme. |
| Call Number |
NRSNZNO @ research @ 468 |
Serial |
454 |
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| Author |
King, A.; Parsons, M. |
| Title |
An evaluation of two respite models for older people and their informal caregivers |
Type |
Journal Article |
| Year |
2005 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
| Volume |
118 |
Issue |
1214 |
Pages |
|
| Keywords |
Older people; Evaluation |
| Abstract |
The researchers evaluate two case-management models of respite relief care at Waitemata District Health Board. The evaluation consisted of semi-structured interviews and postal surveys for clients utilising respite care and staff members involved in both the North/West and Rodney models of respite care in Auckland. Across the two regions, a total of 2 older people and their informal caregivers, 2 respite coordinators, and the Needs Assessment Service Coordination (NASC) Manager were interviewed. In addition, postal surveys were received from 21 older people, 36 informal caregivers, 11 NASC workers, and 3 allied health professionals. Findings revealed there was generally high satisfaction with both the respite models. Caregivers believed the respite service did give them a break, although it was insufficient. Caregivers reported concerns regarding how respite facilities could improve and the older person's deterioration post respite. Staff identified improvements for each of the models. |
| Call Number |
NRSNZNO @ research @ 549 |
Serial |
535 |
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| Author |
Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. |
| Title |
Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori |
Type |
Journal Article |
| Year |
2003 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
| Volume |
116 |
Issue |
1176 |
Pages |
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| Keywords |
Advanced nursing practice; Hospitals; Clinical assessment; Evaluation |
| Abstract |
Reports the audit of a nurse-led dyspepsia clinic at Auckland Hospital. Referrals to the Gastroenterology Department for gastroscopy were assessed in a dyspepsia clinic. Initial evaluation included consultation and a urea breath test (UBT). Patients given eradication treatment prior to initial clinic assessment were excluded. Patients with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. Patients with a negative UBT were usually referred back to the GP. There were 173 patients with a mean age 38 years. The urea breath test was found to be useful as part of the initial assessment of selected patients who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in patients who have a relatively high chance of being H. pylori positive. |
| Call Number |
NRSNZNO @ research @ 625 |
Serial |
611 |
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| Author |
Tracy, C. |
| Title |
Comparison of catheter-securing devices |
Type |
Journal Article |
| Year |
2000 |
Publication |
Urologic Nursing |
Abbreviated Journal |
|
| Volume |
20 |
Issue |
1 |
Pages |
43-46 |
| Keywords |
Nursing specialties; Evaluation |
| Abstract |
This study evaluates methods of securing urethral urinary catheters, which are a major part of urologic nursing. Basic procedures such as these are poorly researched or reported in the literature. The question of how to secure a urinary catheter and with what device often relies on knowledge, availability of equipment, and on information supplied by manufacturers of commercial devices. This study finds that sometimes the cheaper option of adhesive tape and pin device can still be the best for patients. |
| Call Number |
NRSNZNO @ research @ 704 |
Serial |
690 |
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| Author |
Jamieson, I. |
| Title |
The mobile operating theatre project |
Type |
Book Chapter |
| Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp.81-97) |
Abbreviated Journal |
Ministry of Health publications page |
| Volume |
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Issue |
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Pages |
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| Keywords |
Rural nursing; Surgery; Training; Evaluation |
| Abstract |
This chapter firstly presents the development of a mobile operating theatre project, which was implemented in 2002 to provide rural day-stay surgery. Secondly, it discusses the process and findings of a research project undertaken with the purpose of evaluating a perioperative (theatre and recovery) reskilling programme offered to 42 rural nurses from nine secondary hospitals, conducted over nine months in 2001. The training was given to nurses prior to the introduction of a mobile operating theatre service, and was seen as a key part of the service contract. |
| Call Number |
NRSNZNO @ research @ 769 |
Serial |
753 |
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| Author |
Pedersen, C. |
| Title |
Nurse-led telephone triage service in a secondary rural hospital |
Type |
Book Chapter |
| Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 99-110) |
Abbreviated Journal |
Ministry of Health publications page |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Rural nursing; Telenursing; Evaluation |
| Abstract |
This chapter describes the development of a nurse-led after-hours telephone triage service in a rural secondary hospital in the Hawke's Bay District Health Board area. This service was a response to the health restructuring in the 1990s, which had led to the shift of secondary services out of the rural areas, and workforce recruitment issues. Secondly, it discusses the process and findings of a research project undertaken to identify and describe telephone callers' reported outcomes after using the service. The study found a high level of satisfaction amongst callers and a high level of compliance to advice. |
| Call Number |
NRSNZNO @ research @ 770 |
Serial |
754 |
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| Author |
Hale, R. |
| Title |
Older patient perceptions of transitional care |
Type |
Book Chapter |
| Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 147-152) |
Abbreviated Journal |
Ministry of Health publications page |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Older people; Rural health services; Community health nursing; Evaluation |
| Abstract |
The author describes transitional care as undertaken within the Waikato District Health Board health care environment. Transitional care supports people moving between acute health care (inpatient) and primary health care (home). It is a rehabilitative model based in smaller, predominantly rural communities to enable the older person to actively work towards recovery of functional ability within their own environment. Research indicates this rehabilitation model is applicable to the rural situation and satisfaction levels of the patients and caregivers tends to be positive. |
| Call Number |
NRSNZNO @ research @ 774 |
Serial |
758 |
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| Author |
Peri, K.; Kerse, N.; Kiata, L.; Wilkinson, T.; Robinson, E.; Parsons, J.; Willingale, J.; Parsons, M.; Brown, P.; Pearson, J.R.; von Randow, M.; Arroll, B. |
| Title |
Promoting independence in residential care: Successful recruitment for a randomized controlled trial |
Type |
Journal Article |
| Year |
2008 |
Publication |
Journal of the American Medical Directors Association |
Abbreviated Journal |
|
| Volume |
9 |
Issue |
4 |
Pages |
251-256 |
| Keywords |
Research; Geriatric nursing; Rest homes; Evaluation; Attitude of health personnel |
| Abstract |
The aim of this study was to describe the recruitment strategy and association between facility and staff characteristics and success of resident recruitment for the Promoting Independence in Residential Care (PIRC) trial. A global impression of staff willingness to facilitate research was gauged by research nurses, facility characteristics were measured by staff interview. Forty-one (85%) facilities and 682 (83%) residents participated, median age was 85 years (range 65-101), and 74% were women. Participants had complex health problems. Recruitment rates were associated (but did not increase linearly) with the perceived willingness of staff, and were not associated with facility size. Design effects from the cluster recruitment differed according to outcome. The recruitment strategy was successful in recruiting a large sample of people with complex comorbidities and high levels of functional disability despite perceptions of staff reluctance. Staff willingness was related to recruitment success. |
| Call Number |
NRSNZNO @ research @ 803 |
Serial |
787 |
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| Author |
Vernon, R.A. |
| Title |
Developing clinical skill competency of undergraduate nursing students utilising a simulated psychomotor skill laboratory and model of self-directed learning: An evaluation research study |
Type |
|
| Year |
2003 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Students; Evaluation |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 871 |
Serial |
855 |
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