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Author Tautua, Pelei
Title Exploring primary health care nursing for child and family health (specifically targeting 0-5 year's age group). Margaret May Blackwell Travel Study Fellowship for Nurses of Young Children 2002 Type Report
Year 2002 Publication Abbreviated Journal
Volume Issue Pages 82 p.
Keywords Primary health care – Nursing; Pacific Islanders – Health; Child health services; Family health
Abstract Compares the delivery models used by primary health-care nurses in Auckland for follow-up services aimed at Pacific children discharged from hospital with preventable illnesses, with similar services and programmes in Tonga and Samoa. Also compares NZ and Pacific Island programmes to promote immunisation and breastfeeding. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial (down) 1420
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Author Heese, Norma
Title Report: Margaret May Blackwell Travel Fellowship 2004 Type Report
Year 2004 Publication Abbreviated Journal
Volume Issue Pages 45p.
Keywords Primary health care; Child health services; Reports
Abstract Covers the placements the author visited and the topics learned whilst undertaking travel in the UK after being awarded the 2003 Margaret May Blackwell Travel Study Fellowship. Of specific interest was Well Child Care in Primary Health. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial (down) 1412
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Author Gibbons, V.; Rice, S.; Lawrenson, R
Title Routine and rigidity: Barriers to insulin initiation in patients with Type 2 Diabetes Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages 19-22
Keywords Medication compliance; Diabetes Mellitus, Non-Insulin-Dependent; Primary health care
Abstract It has been shown that intensive management of diabetes with type 2 diabetes is effective and has led to wider use of insulin. The conversion of patients from oral medication to insulin is usually managed in primary care. The study discussed here aimed to explore how patients with type 2 diabetes mellitus (T2DM) perceived insulin. The study was conducted in 2009 in an urban general practice in a large town in New Zealand with more than 300 patients with type 2 diabetes. A qualitative study was conducted with face-to-face interviews with 13 participants. The question focused on insulin initiation, lifestyle and routine. The transcribed responses were subject to thematic anaylsis. Interviews showed participants felt restricted by the prospect and eventuality of the routine and restrictions of being on insulin. Results show there needs to be a greater emphasis on the disease being progressive. This study provides the ground work for developing resources that will benefit patients with T2DM.
Call Number NZNO @ research @ Serial (down) 1339
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Author Litchfield, M.
Title The successful design and delivery of rural health services: The meaning of success Type Report
Year 2002 Publication Abbreviated Journal Accessible from www.moh.govt.nz
Volume Issue Pages
Keywords Rural health services; Management; Primary health care
Abstract A report on the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of ?successful design and delivery of rural health services? as a step towards a measurement tool. Participants were grouped as general practitioners (GPs), nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health.
Call Number NZNO @ research @ Serial (down) 1328
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Author Litchfield, M.
Title The innovation effort: ?Are you in or are you out?? Type Miscellaneous
Year 2007 Publication Abbreviated Journal http://www.moh.govt.nz/moh.nsf/pagesmh/7696/$File/mlitchfield.pdf
Volume Issue Pages
Keywords Nursing; Primary health care; Policy
Abstract A graphic presentation in PDF format (April 2007) of the findings and policy implications of the developmental evaluation research programme for the Turangi Primary Health Care Nursing Innovation.
Call Number NZNO @ research @ Serial (down) 1327
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Author Vernon, R.A.; Jacobs, S.; Papps, E.
Title An innovative initiative for advanced nursing practice roles Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue 2 Pages 16-17
Keywords Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models
Abstract This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme.
Call Number NRSNZNO @ research @ Serial (down) 1311
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Author Lindsay, N.M.
Title Family violence in New Zealand: A primary health care nursing perspective Type Journal Article
Year 2007 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 14 Issue 7 Pages 7-16
Keywords Domestic violence; Primary health care; Nursing specialties
Abstract This article explores the implications of clinical decision making by primary health care nurses in relation to identifying family abuse, particularly partner abuse. The historical and sociological background to family violence in New Zealand, and government-led strategies are considered, along with issues for Maori and Pacific peoples. The concept of health literacy in relation to family violence is also briefly discussed.
Call Number NRSNZNO @ research @ 1309 Serial (down) 1293
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Author Adams-Smith, P.H.
Title An exploration of issues of primary health services for Taranaki Te Atiawa children based on the expectations and perceptions of their female caregivers Type
Year 2002 Publication Abbreviated Journal http://hdl.handle.net/10063/75
Volume Issue Pages
Keywords Parents and caregivers; Primary health care; Access; Maori; Children
Abstract The intention of this research is, through collaborative discussion and selective conversations, to explore female caregivers' expectations and perceptions of primary health services for some Te Atiawa Maori children. The research process was developed in a partnership between the Maori women participants and the researcher. In addition, two local kuia actively participated in and supported the process. Emancipatory critical social theory underpinned and informed the project. Power relationships between the researcher and the participants can be overtly explored within this theoretical framework. In terms of this particular exploratory study, participatory research appeared to be applicable. The participants are female caregivers of Te Atiawa children. Data collection was done using group interactions and semi-structured interviews in the winter of the year 2000. A thematic analysis of the data was used, in which common themes were identified, compared and discussed. From the analysis of the data of the participants' conversations, key ideas were identified. The major findings have been identified within two main themes. These are: a concept of health is not the same for Pakeha as for Maori, and access issues are still problematic for the participants in this study. Many quotes from the interview participants are included in order to keep the focus of the project on the voices of the women interviewed. In terms of the significant contribution of this research, this study aims to allow voices of female caregivers of Te Atiawa Maori children to be heard. Individual and collaborative interactions offer insights into what is important to them in terms of Maori child health. Clearly, the primary health initiatives promoted by the New Zealand government are not reaching at least some of the people for whom they are intended. The research participants offered their ideas as to how these deficits could be remedied in their community.
Call Number NRSNZNO @ research @ Serial (down) 1216
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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 (down) 1200
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Author Clissold, C.
Title How discourses stifle the Primary Health Care Strategy's intent to reduce health inequalities Type
Year 2006 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
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 (down) 1196
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Author Litchfield, M.
Title The successful design and delivery of rural health services: The meaning of success Type Report
Year 2002 Publication Abbreviated Journal Online on the Ministry of Health's Centre for Rural Health pages
Volume Issue Pages
Keywords Evaluation; Rural health services; Primary health care
Abstract This is the report of the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of “successful design and delivery of rural health services” as a step towards a measurement tool. Participants were grouped as general practitioners, nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health.
Call Number NRSNZNO @ research @ Serial (down) 1177
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Author Litchfield, M.; Ross, J.
Title The role of rural nurses: National survey Type Report
Year 2000 Publication Abbreviated Journal Online on the Ministry of Health's Centre for Rural Health pages
Volume Issue Pages
Keywords Rural nursing; Personnel; Nursing specialties; Primary health care
Abstract A survey was used to reach as many nurses as possible involved with nursing in “rural” areas throughout New Zealand and to build a profile of nurses involved in the provision of healthcare beyond the urban centres. The contact also sought to inform nurses of the rural healthcare project and encourage them to contribute their experience to the development of health services in the new health service structure. Data is presented on the characteristics and employment conditions of nurses and access to resources including information technology. The inadequacy of information on the rural nurse workforce is identified: nurse roles are historically defined yet employment patterns are changing according to the workforce demands of new structures, and the existing definitions of rural health service design and delivery are only in terms of general medical practices and on-call coverage. Recommendations are made for definitions of “rurality” and “rural nurse” that will allow a more useful depiction of the nurse workforce.
Call Number NRSNZNO @ research @ Serial (down) 1175
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Author Thompson, L.E.
Title Profession and place: Contesting professional boundaries at the margins Type
Year 2006 Publication Abbreviated Journal UC Research Repository
Volume Issue Pages
Keywords Rural health services; Primary health care; Identity; Interprofessional relations
Abstract Based on qualitative research conducted in New Zealand and the Western Isles with rural primary care nurses and Family Health Nurses respectively, this thesis explores the ways that nurses construct flexible generalist professional identities that challenge traditional inter and intra-professional boundaries. Rhetoric of 'crisis' is often utilised to raise political awareness of the problematic, but in fact, rural general practitioner recruitment and retention has been documented for about a hundred years. For about the same length of time nurses have been providing primary health care services in rural and remote places, often working alone. In the New Zealand case, rural primary care nurses negotiate the boundaries between nursing and medicine, those within nursing itself, and also those between nursing a paramedic work. Nurses perform this boundary work by negotiating self-governing 'appropriate' and 'safe' professional identities. In the Western Isles case, the introduction of the newly developed role of Family Health Nurse serves to highlight the problematic nature of inserting an ostensibly generalist nursing role beyond the rural.
Call Number NRSNZNO @ research @ 1177 Serial (down) 1162
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Author Alcorn, G.
Title Giving voice to school nursing as a primary health care specialty Type
Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords School nursing; Primary health care; Cross-cultural comparison
Abstract The purpose of this thesis is to give voice to school nursing as a primary health care specialty, and to promote the development of school nursing in New Zealand. School nursing is an invisible practice specialty that is largely funded from within the education sector, to address the health needs of student clients. School nursing is a significant primary health care initiative that can positively influence student health outcomes. The author presents her own school nursing practice experience and philosophy, prior to reflecting upon the history of school nursing, and the health concerns present within the student population. The work then moves to review and critique school nursing literature from New Zealand, Australia, the United Kingdom, and the United States. This thesis highlights the need for collaborative policy and practice development initiatives including a legislative requirement for school nurses, school nursing competencies and standards, school nurse to student ratios, postgraduate training, professional liaison, practice funding, and research. A discourse on the reflective topical autobiographical method introduces autobiographical poetry from school nursing practice and reflective inquiry, as the central research endeavour of this thesis. Autobiographical poetry is offered as a window to this specialty practice, and accompanying reflections allow access to a further layer of practice knowledge.
Call Number NRSNZNO @ research @ Serial (down) 1143
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Author Williams, H.
Title One for the boys: An evaluative study of primary health care access by men in Tairawhiti Type
Year 2006 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Gender; Primary health care; Access; Male
Abstract
Call Number NRSNZNO @ research @ Serial (down) 1138
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