| Records |
| Author |
Findlay, W. |
Title  |
The effect of peer learning and review groups on practice nurses' clinical practice: A mixed method survey |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Primary health care; Nursing; Education; Clinical supervision |
| Abstract |
The aim of the study was to explore how practice nurses perceive engagement in Peer Learning and Review Groups impacts personally and professionally on their clinical practice. An anonymous self-administered postal questionnaire was completed by 55 practice nurses who attend Peer Learning and Review Groups in the South Island. A mixed method design was utilised to obtain both qualitative and quantitative data. Practice nurses considered group attendance was important for professional development with the majority perceiving that their attendance had a positive effect on their clinical practice. The nurses perceived clear linkages between the significant learning that occurred in the groups and changes in delivery of patient care. Additional benefits included improved collegial relationships, professional awareness and personal growth. The author concludes that, together, these findings underline the importance of Peer Learning and Review Groups as an effective tool for ongoing personal and professional development within nursing. |
| Call Number |
NRSNZNO @ research @ |
Serial |
490 |
| Permanent link to this record |
| |
|
| |
| Author |
Primary Health Care Nurse Innovation Evaluation Team, |
| Title |
The evaluation of the eleven primary health care nursing innovation projects: A report to the Ministry of Health |
Type |
Report |
| Year |
2007 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Primary health care; Evaluation; Nursing |
| Abstract |
In 2003, as part of implementing the Primary Health Care Strategy, the Ministry of Health announced contestable funding, available over three years, for the development of primary health care nursing innovation projects throughout Aotearoa/New Zealand. The Ministry looked for proposals that would: support the development of innovative models of primary health care nursing practice to deliver on the objectives of the Primary Health Care Strategy; allow new models of nursing practice to develop; reduce the current fragmentation and duplication of services; and assist in the transition of primary health care delivery to primary health organisations. This report describes the findings from the evaluation of the 11 primary health care nursing innovations selected for funding by the Ministry of Health. It provides an overview of the innovations' success and of the lessons learnt from this policy initiative. |
| Call Number |
NRSNZNO @ research @ |
Serial |
819 |
| Permanent link to this record |
| |
|
| |
| Author |
MacGeorge, J.M.; Nelson, K. |
| Title |
The experience of the nurse at triage influences the timing of CPAP intervention |
Type |
Journal Article |
| Year |
2003 |
Publication |
Accident & Emergency Nursing |
Abbreviated Journal |
|
| Volume |
11 |
Issue |
4 |
Pages |
234-238 |
| Keywords |
Emergency nursing; Clinical decision making; Hospitals; Quality of health care |
| Abstract |
This study used a non-experimental correlational design to research the relationship between the experience of the nurse, with the application of continuous positive airway pressure therapy (CPAP) to patients presenting to a metropolitan emergency department with cardiogenic pulmonary oedema (CPO), and to establish what difference, if any, CPAP made to outcomes. A retrospective audit of records was used to extract data on all 54 patients that received CPAP over a 12-month period. The primary outcome measures were off CPAP within two hours, transfer to intensive care unit or cardiac care unit, and secondary outcome measures were length of hospital stay and death. There was a trend towards more experienced nurses attending patients who required immediate treatment or treatment within 10 minutes. These patients were more likely to be recognised at triage as requiring CPAP therapy. The early application of CPAP reduced hospital mortality, length of stay, and the need for intubation and ventilation. Attention needs to be given on how best to educate nurses so that more patients presenting with acute respiratory failure can benefit from nurses' decision-making regarding the commencement of CPAP. |
| Call Number |
NRSNZNO @ research @ |
Serial |
847 |
| Permanent link to this record |
| |
|
| |
| Author |
Macfie, Belinda |
| Title |
The exploration of primary health care nursing for child and family health : Margaret May Blackwell Travel Study Fellowship, 2002 |
Type |
Report |
| Year |
2003 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
103 |
| Keywords |
Primary health care – nursing; Child health services; Family health; Reports |
| Abstract |
Reports the approach to child and family health nursing in Canada, the US, and the UK. Divides the report into health policy, primary health care services, nursing education and the development of primary health care nurse practitioners, and nursing leadership in primary health care. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1424 |
| Permanent link to this record |
| |
|
| |
| Author |
Clendon, J.; White, G.E. |
| Title |
The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis |
Type |
Journal Article |
| Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
34 |
Issue |
2 |
Pages |
171-178 |
| Keywords |
Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing |
| 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. |
| Call Number |
NRSNZNO @ research @ |
Serial |
952 |
| Permanent link to this record |
| |
|
| |
| Author |
Minto, R. |
| Title |
The future of practice nursing |
Type |
Journal Article |
| Year |
2006 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
| Volume |
33 |
Issue |
3 |
Pages |
169-172 |
| Keywords |
Primary health care; Interprofessional relations; Professional development; Physicians; Practice nurses |
| Abstract |
The author describes and discusses the main barriers to practice nurses achieving their potential as a profession. She identifies key obstacles as the funding model, GP attitudes and the current employment model. Shared governance, the development of a patient-centred services, and new employment models are proposed as the basis of a new model of primary care delivery. |
| Call Number |
NRSNZNO @ research @ 537 |
Serial |
523 |
| Permanent link to this record |
| |
|
| |
| 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 |
1327 |
| Permanent link to this record |
| |
|
| |
| Author |
Warren, Bronwen; Marugeesh, Carissa; Greaves, Kirsty |
| Title |
The management of immunisation decliners in Waikato general practices |
Type |
Journal Article |
| Year |
2017 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
| Volume |
8 |
Issue |
1 |
Pages |
37-42 |
| Keywords |
Immunisation; Decliners; Primary health care; Team approach; Practice nurses; Health targets; Resources; Internal processes |
| Abstract |
Identifies the processes used in those general practices that consistently reach the Ministry of Health 95 per cent immunisation target for eight-month-old infants. Considers how the practices manage parents and caregivers who are reluctant to immunise. Invites practices in a number of different community settings to participate in the study over a ten-week period, using a mixed-method approach. Analyses quantitative data from the National Immunisation Register using Excel, gathering qualitative date from face-to-face or phone interviews, and anysing these using both SSPS and NVivo 10. |
| Call Number |
NZNO @ research @ |
Serial |
1541 |
| Permanent link to this record |
| |
|
| |
| Author |
Bailey, A.M. |
| Title |
The New Zealand practice nurse in the primary health environment of the 21st century |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Policy; Practice nurses; Primary health care |
| 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. |
| Call Number |
NRSNZNO @ research @ |
Serial |
831 |
| Permanent link to this record |
| |
|
| |
| Author |
Clendon, J.; Krothe, J. |
| Title |
The nurse-managed clinic: An evaluative study |
Type |
Journal Article |
| Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
20 |
Issue |
2 |
Pages |
15-23 |
| Keywords |
Evaluation research; Nurse managers; Primary health care; Cross-cultural comparison |
| 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. |
| Call Number |
NRSNZNO @ research @ |
Serial |
547 |
| Permanent link to this record |
| |
|
| |
| Author |
Hansen, S. |
| Title |
The reality: Doctors and nurses in general practice in New Zealand |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
History; Nurse practitioners; Primary health care; Physicians |
| Abstract |
Provision of a primary health care system that delivers timely, appropriate, affordable and effective care is a challenge throughout the world. The purpose of this work is to discuss the realities of collaborative practice in primary health care, where care is delivered by doctors and nurses in general practice settings in New Zealand. The close relationship between the two professions has been historically marked by the dominance of medicine over nursing. Unclear articulation of nursing practice by the nursing profession along with historical gender issues has further hindered a more collegial relationship between medicine and nursing. The author suggests that historical gender inequalities have also contributed to a system which has disadvantaged nurses in the execution of their work. Collaboration occurs when mutual respect is present between two parties intent on furthering mutual goals. Collaboration is not supervision or co-operation. It is therefore, the author suggests, questionable that collaboration exists in the New Zealand system other than through the good will of individual practitioners. An examination of these issues using the work of Jurgen Habermas and Michel Foucault offers insight into how the current working situation between medicine and nursing came about. The author concludes that the emergence of the nurse practitioner role in New Zealand along with a change in the way that primary health care is being managed nationally provides opportunities for the nursing profession to move into emancipatory collaborative practice roles. |
| Call Number |
NRSNZNO @ research @ |
Serial |
676 |
| Permanent link to this record |
| |
|
| |
| 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 |
1175 |
| Permanent link to this record |
| |
|
| |
| 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 |
1177 |
| Permanent link to this record |
| |
|
| |
| 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 |
1328 |
| Permanent link to this record |
| |
|
| |
| Author |
Adams, Sue; Oster, Sandy; Davis, Josephine |
| Title |
The training and education of nurse practitioners in Aotearoa New Zealand: Time for nationwide refresh [editorial] |
Type |
Journal Article |
| Year |
2022 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
| Volume |
38 |
Issue |
1 |
Pages |
1-4 |
| Keywords |
Nurse practitioners; Nursing education; Primary health care |
| Abstract |
Argues that the following measures must be taken to ensure the ongoing development and establishment of nurse practitioners (NP) across the health sector: review of NP competencies; support for NPs to undertake the nurse practitioner training programme
(NPTP); formation of nationally-consistent and funded NPTPs; mentoring novice NPs; and a national workforce plan for NPs. |
| Call Number |
NZNO @ research @ |
Serial |
1792 |
| Permanent link to this record |
