| Records |
| Author |
Clissold, C. |
| Title |
How discourses stifle the Primary Health Care Strategy's intent to reduce health inequalities |
Type |
|
| Year |
2006 |
Publication  |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Community health nursing; Policy; Primary health care |
| 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. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1196 |
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| Author |
Pearce, K. |
| Title |
Orientation: Reading the nurses map; what new Plunket Nurses need in an orientation programme |
Type |
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| Year |
2003 |
Publication |
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Abbreviated Journal |
Victoria University Library |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Plunket; Training; New graduate nurses; Curriculum; Community health nursing |
| Abstract |
The Plunket orientation programme, first implemented in 1994, aims to prepare new Plunket Nurses for autonomous practice within the complexity of community based nursing. This study seeks to identify what new Plunket Nurses feel are their orientation needs. An evaluation research approach was used. An examination of the literature explored how orientation is conducted and the needs of nurses in orientation. Key aspects in relation to orientation were identified as including socialisation, job change, new graduates, preceptorship, orientation frameworks and retention. A focus group followed by a postal survey were utilised to collect data from new Plunket Nurses nationwide to ascertain what they thought their orientation needs were. Data analysis was completed using descriptive statistics and thematic analysis. The results of the study identified key orientation needs for new Plunket Nurses. These were an orientation programme, preceptorship, clinical skills teaching, time in own area and beginning autonomous practice, administration needs and support needs. The participants recommended quality preceptorship and early clinical teaching from the Clinical Educator. There was a general dissatisfaction with orientation as it stands in preparing them for their role as a Plunket Nurse. Recommendations to the Plunket Management Team were made based on the results of this study. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1240 |
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| Author |
Rickard, Debbie |
| Title |
Parents as experts: partnership in the care of the chronically ill children : Margaret May Blackwell Travel Study, Fellowship for Nurses of Young Children, 1999 |
Type |
Report |
| Year |
1999 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
65p. |
| Keywords |
Chronically ill children – home care; Child health services; Paediatric nursing; Community health nursing; Reports |
| Abstract |
Visits paediatric community nursing services in the UK and Australia to report on how specialist and children's community nurses work with parents to deliver health care to children with asthma, diabetes and other endocrine disorders, cystic fibrosis, eczema, cardiac diseases, and liver transplants. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1414 |
| Permanent link to this record |
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| Author |
Hetaraka, B. |
| Title |
A study of nurses working in a community development model |
Type |
|
| Year |
2006 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Community health nursing; Health promotion; Nursing |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 486 |
Serial |
472 |
| Permanent link to this record |
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| Author |
Voice, D.M. |
| Title |
Everyday district nurses' experiences revealed through distillation: Palliative care in the community |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
|
| Keywords |
District nursing; Palliative care; Community health nursing; Nursing |
| Abstract |
This modified action research inquiry focused on the everyday, palliative care practice experiences of a group of district nurses. The intent was to develop an understanding of common issues of concern for this group of district nurses when providing palliative home care in a specific community context and to implement practical, achievable strategies in response to these local issues. Five district nurses identified four broad areas for action through four praxis group meetings and comprising one full cycle. These four areas have been named as methods of enhancing support for people and families, possibilities for creatively managing workloads, mechanisms to enrich working partnership with other palliative care providers and possible vehicles for supporting nurses' self care. Implementation of action from this action research project focused on enhancing care and outcomes for people and family served by this group of district nurses in their local community. This study illuminates everyday essences of the district nurse role and the elements articulated by this group in supporting their practice in one New Zealand community. This study also reveals some of the tensions and messiness when employing an action research methodology with nurses in the workplace. The author notes that this research focused on a little known area (palliative care delivered by district nurses in New Zealand) in a local community (a culturally vibrant and ethnically diverse yet with poor health and socioeconomic statistics). She goes on to say that it has resonance with other nurses, particularly those working in community settings who may experience similar issues and concerns. This research also offers important insights for nurses working in any practice setting. |
| Call Number |
NRSNZNO @ research @ 520 |
Serial |
506 |
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| Author |
Grayson, S. |
| Title |
Nursing management of the rheumatic fever secondary prophylaxis programme |
Type |
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| Year |
2001 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Community health nursing; Management; Nursing specialties |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 576 |
Serial |
562 |
| Permanent link to this record |
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| Author |
Weidenbohm, K. |
| Title |
Pioneering rural nursing practice: An impact evaluation of a preventive home visiting service for older people |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Community health nursing; Rural health services; Older people; Home care; Preventive health services |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 579 |
Serial |
565 |
| Permanent link to this record |
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| Author |
Sheridan, N.F. |
| Title |
Mapping a new future: Primary health care nursing in New Zealand |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Primary health care; Chronic diseases; Community health nursing; Nursing models |
| Abstract |
The aim of the study was to determine the practice of nurses employed in integrated care projects in New Zealand from late 1999 to early 2001. Integrated care was a major health reform strategy that emphasised primary health care as a means to improve service provision between the health sectors. An investigation of nurses' practice sought to determine the extent to which primary health care principles had been adopted in practice, as a comprehensive primary health care approach has been advocated globally in the management of chronic conditions; the leading cause of disability throughout the world and the most expensive problems faced by health care systems. The philosophical basis of the research was postpositivism. The study employed a quantitative non-experimental survey design because it allowed numeric descriptions of the characteristics of integrated care projects to be gained for the purpose of identifying nurses' practice. The unit of inquiry was the integrated care project, and 80 comprised the study population. Data were obtained on projects from expert informants (n=27) by telephone survey using a structured interview questionnaire developed by the researcher. Data obtained from interviews were statistically analysed in two stages. First, data were produced to comprehensively describe the characteristics of integrated care projects and nurses practice. The 'Public health interventions model' was used as a framework to analyses the interventions (activities) and levels of population-based practice of nurses. Following this, the social values embedded in nurses' practice were determined using 'Beattie's model of health promotion' as a framework for analysis. A strong association was found between nurses' practice in projects and strategies used in integrated care, such as information sharing, guideline development and promotion, and case management, and projects with an ethnic focus, low income focus, chronic condition focus, and well-health focus. Whilst nurses undertook interventions most frequently at the individual practice level they were also strongly associated with the small proportion of interventions that were undertaken at the community level. The majority of interventions by nurses reflected the health promotion value of health persuasion, indicating a paternalist and individual-oriented philosophy. Nurses were engaged in two interventions that indicated a collective-oriented philosophy – coalition building and community development, the latter reflecting health promotion values of negotiation, partnership and empowerment. The study demonstrated that nurses' practice in projects was predominantly centred on individual-focused population-based practice suggesting the need for a framework to assist nurses to transition their practice to include more activity at the community and systems levels. Without a reorientation of practice, nurses will remain limited in their ability to achieve health gains for populations. In response to this conclusion, and drawing on research results and reviewed literature, a new model, The 'Primary Health Care interventions model' was constructed. Recommendations include advocacy for the acceptance of the model by the health funder, professional nursing bodies, health organisations, educational institutions, nurses, communities, and individuals. |
| Call Number |
NRSNZNO @ research @ 679 |
Serial |
665 |
| Permanent link to this record |
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| Author |
Wilson, B. |
| Title |
Maintaining equilibrium: The community mental health nurse and job satisfaction |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Community health nursing; Mental health; Job satisfaction; Stress |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 681 |
Serial |
667 |
| Permanent link to this record |
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| Author |
Betts, J.A. |
| Title |
Establishing and evaluating a nurse practitioner leg ulcer clinic: The journey |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Nurse practitioners; Community health nursing |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 684 |
Serial |
670 |
| Permanent link to this record |
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| Author |
Stuart, J. |
| Title |
How can nurses address generalist/specialist/nursing requirements of the urban/rural population of Southland |
Type |
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| Year |
2003 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing specialties; Policy; Technology; Scope of practice; Community health nursing |
| Abstract |
This study, which is undertaken in the Southland area, explores the effect of the increasing specialisation of nursing services in what is a rural/urban environment. It is indicated in the literature that systemic changes in health, such as the health reforms, and the increase in the use of technology have meant that nurses are required to function in disease oriented roles rather than according to their more traditional generalist roots. A significant event, which also affected nursing scope of practice, was the transfer of nurse education to the tertiary education institutions environment from the hospitals in the mid 1970s. The traditional nursing hierarchy and its nurse leadership role disappeared and the adoption of specialist nurse titles increased, and identified with a disease or disorder, for example 'diabetes' nurse. The increase in specialist categories for patients contributed to the nurse shortage by reducing the available numbers of nurses in the generalist nursing pool. The nurses in this rural/urban environment require generalist nurse skills to deliver their nursing services because of the geographical vastness of the area being a barrier to specialist nurses. Workforce planning for nurses in the rural/urban then must focus on how to reshape the nursing scope of practice to utilise the existing resources. This study explores how key areas of health services could be enhanced by reclaiming the nurse role in its holistic approach, in mental health, public health, geriatric services and psychiatric services. |
| Call Number |
NRSNZNO @ research @ 885 |
Serial |
869 |
| Permanent link to this record |
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| Author |
Sye, J. |
| Title |
A fine balance |
Type |
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| Year |
2008 |
Publication |
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Abbreviated Journal |
AUT University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Paediatric nursing; Community health nursing; Nurse-patient relations; Children; Patient rights |
| Abstract |
The aim of this study is to analyse the discourses drawn upon by community paediatric nurses in relation to children's rights to health. The philosophy of Michel Foucault has been used to underpin the analysis of the interviews and exemplars of five experienced community nurses, revealing conflicting power relationships and discourses. Rights are formalised morality and so from a children's rights perspective, discourses reflect both the moral and ethical positions of the nurses. Children are constructed as developing human beings whose moral status gradually changes and who, through a lack of developmental autonomy, entrust their decision-making to their representatives (parents and caregivers) as their trustees. Rights are correlative with the obligations and duties toward children by both families and society. Society constructs legislative and politically organised structures to govern raising children because children are an intrinsic social concern. Whilst representing society's interest in children's rights to health, nurses in the home act as a conduit for multiple governing structures. The nurses in this study construct their “truths” and knowledge about children's health rights from nursing, medicine, law, education, and social policy. However, the values of individual parents can conflict with universal values for children's health and wellbeing. Therefore representing society positions nurses as “agents of the state”, a role that potentially holds power over parents and children and leads to the epithet of “the health police”. Within the institution of the family, and in the privacy of the home, there are also mechanisms of power that can resist the mechanisms of the state and its representatives. Therefore the discourse “it takes a village to raise a child” competes with the “my home is my castle” discourse. Nurses negotiate a fine balance between these power relations. Nurses are challenged with using power productively to promote children's rights whilst respecting the role of parents and families. The author argues that children's rights are central to the moral and ethical work of nurses but that such work is often obscured and invisible. She proposes that children's community nurses are excellent at negotiating networking and connecting at a micro level, but need to create a more sophisticated and cohesive entity at a macro level to become fully political children's rights advocates. |
| Call Number |
NRSNZNO @ research @ 911 |
Serial |
895 |
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| Author |
Connor, M. |
| Title |
Courage and complexity in chronic illness: Reflective practice in nursing |
Type |
Book Whole |
| Year |
2004 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Asthma; Nurse-patient relations; Nurse-family relations; Community health nursing; District nursing; Chronically ill |
| Abstract |
This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution. |
| Call Number |
NRSNZNO @ research @ 926 |
Serial |
910 |
| Permanent link to this record |
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| Author |
Trout, F. |
| Title |
Health needs assessment within the ecology of caring |
Type |
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| Year |
1999 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Community health nursing |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1137 |
Serial |
1122 |
| Permanent link to this record |
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| Author |
Woodbridge, M. |
| Title |
From child savers to child activists: A participatory action research project with community child health nurses |
Type |
|
| Year |
2002 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Community health nursing; Paediatric nursing |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1266 |
Serial |
1251 |
| Permanent link to this record |
