| |
Records |
Links |
|
Author |
Sheridan, N.F. |
|
| |
Title |
Mapping a new future: Primary health care nursing in New Zealand |
Type  |
|
| |
Year |
2005 |
Publication |
|
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 |
| |
|
| |
|
Author |
Wilson, B. |
|
| |
Title |
Maintaining equilibrium: The community mental health nurse and job satisfaction |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Community health nursing; Mental health; Job satisfaction; Stress |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 681 |
Serial |
667 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Betts, J.A. |
|
| |
Title |
Establishing and evaluating a nurse practitioner leg ulcer clinic: The journey |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nurse practitioners; Community health nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 684 |
Serial |
670 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gray, L.-M. |
|
| |
Title |
Should I stay or should I go? An examination into the Plunket Nurses' perception of the employment environment |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Unitec Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Recruitment and retention; Community health nursing; Plunket |
|
| |
Abstract |
Participants for this study consisted of six Plunket Nurses from three Plunket operations areas within the North Island, varying in experiences from two to twenty three years, working with both urban and rural communities. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
742 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Medlin, E. |
|
| |
Title |
Practice nursing: An autoethnography: Changes, developments and influences |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Practice nurses; Community health nursing |
|
| |
Abstract |
Practice nurses work in general practice providing an increasingly autonomous service to consumers of primary health care. Autoethnography is a biographical method of research that describes personal experience in terms of society and culture and is the theoretical foundation of personal narratives and storytelling. Throughout history, stories have been used as a means of communicating and learning which with reflection, allows new meanings to develop for all participants. This autoethnography is the author's story of practice nursing and it discusses her experience of being a practice nurse over the past 12 years. It is autobiographical and reflexive and charts the changes that she has found in her practice during this time. Some of these changes have arisen from influences personal to her practice, others because of influences on practice nursing in general, but all are intertwined. Education and professional development, leadership and government policies are identified as the major influences on her practice. A discussion of these influences enables recognition of the changes, advancement and expansion of services thereby allowing others to share the experience and find meaning within it. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
745 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sye, J. |
|
| |
Title |
A fine balance |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
AUT University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wilson, H.V. |
|
| |
Title |
Surveillance or support: Divergent discourses in Plunket nursing practice |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Public health; Children; Community health nursing; Plunket |
|
| |
Abstract |
Plunket nurses are New Zealand child health nurses who work in the community with the families of new babies and preschool children. Their work is called child health surveillance and this is considered to involve routine and unproblematic practices which are generally carried out in homes and clinics in the context of a relationship with the child's mother (Ministry of Health 1996; Royal New Zealand Plunket Society 1997). However, evidence in the literature that surveillance can have implications for power relations throws doubts on official claims that the relationship between the mother and nurse operates as a partnership (Trout and Polaschek 1996). The purpose of this thesis was to explore the way in which surveillance is constituted within the discourses of Plunket nurses and to examine these discourses for any implications of unequal power relations. Foucauldian discourse theory and poststructuralism, which informed this thesis, provided the opportunity to challenge assumptions about power and knowledge in the child health context. Analysis of the discourses generated by interviews with five Plunket nurses revealed that, contrary to the claims in the official literature, the relationship between the Plunket nurse and the mother is not that of an equal partnership but is constituted in various and unexpected ways. It was through the nurses' discourses of surveillance that the power relations underpinning this relationship were surfaced. While these discourses suggested that many mothers who use the nursing service are actively involved on their own terms, there are a number of women for whom the surveillance activities of the nurse have been shown to be particularly intrusive (Mayall 1986; Clinton 1988; Bloor and McIntosh 1990; Knott and Latter 1999). It may be primarily this unwelcome surveillance which accounts for the considerable number of women who, the statistics show, cease using Plunket services particularly in the early months. It is perhaps for this reason that the nurses in this study locate themselves as being caught between divergent discourses of support and surveillance. Findings indicate that the resolution of this dilemma by abandoning surveillance practices might improve maternal satisfaction with the Plunket nursing service. The author concludes that a child health service responsive to mothers' stated needs rather than institutional requirements or the nurse's own agenda could lead to a more open and equal relationship between mother and nurse. This relationship would be likely to benefit mothers and babies and, at the same time, enhance both nursing practice and nurses' satisfaction with their work. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
899 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Trout, F. |
|
| |
Title |
Health needs assessment within the ecology of caring |
Type |
|
| |
Year |
1999 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Community health nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 1137 |
Serial |
1122 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Morgan, F.A. |
|
| |
Title |
Primary health care nurses supporting families parenting pre-term infants |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
NZNO Library, University of Otago Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Primary health care; Community health nursing; Paediatric nursing; Premature infants |
|
| |
Abstract |
This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1132 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Apelu, J. |
|
| |
Title |
Pacific community mental health nurses' experiences of working for a district health board in New Zealand |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria http://hdl.handle.net/10063/684 |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Pacific peoples; Community health nursing; District Health Boards; Culture |
|
| |
Abstract |
This study explored the perspectives of Pacific nurses on what it is like for them to work in a Pacific community mental health (PCMH) service within a district health board. Five Pacific Island nurses who worked in the three Pacific community mental health services based in the Auckland region participated in the project. The study employed narrative inquiry to gather data through focused storytelling method. The results of the study have indicated that PCMH nursing is a unique nursing field as well as highlighting significant practice issues for nurses. Complex service infrastructure and language have been found to be the major contributing practice constraints. The findings suggest the need for district health board authorities, Pacific mental health service management, professional nursing education and development programs to consider addressing these practice issues to prevent further increase in the problem of PCMH nurses shortage and enhance recruitment and retention of these nurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1153 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Falleni, P.M. |
|
| |
Title |
The implications of stress and the effect it has on Maori who have type 2 diabetes in Aotearoa/New Zealand |
Type |
|
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Maori; Diabetes Type 2; Stress; Community health nursing |
|
| |
Abstract |
In this review, the author illustrates the connection between diabetes, stress and barriers to care, and the impact these have on Maori who have type 2 diabetes. A literature review, which focused mainly on indigenous peoples, and more specifically on Maori was undertaken. The connections between all the factors involved are explored, and combined with reflections from the author's own clinical practice experience. She argues that stress, diet, exercise and barriers to care place a heavy burden on the lives of Maori who live in Aotearoa/New Zealand, suffering from the disease of diabetes. By empowering them to face their situation and see this from a wellness rather than an illness perspective, they can take control of their diabetes and so will live a healthy, longer life, ensuring quality time with their mokopuna/grandchildren. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1155 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Southgate, D. |
|
| |
Title |
Advocating practice: The role of the community oncology nurse |
Type |
|
| |
Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Community health nursing; Cancer; Nurse-patient relations; Oncology |
|
| |
Abstract |
The primary aim of this research was to advocate for, and make known, the role of the community oncology nurse, and to bring alive the hidden issues of nursing people in the community who have active cancer treatment. This study is also about the author's journey from novice to expert in developing the role as a community oncology nurse. The research also aimed to identify and understand practice that community oncology nurses do and often take for granted. To capture the essence of this study the method of reflective topical autobiography was utilised, which gave the opportunity to gather advanced nursing inquiry, and generate new nursing knowledge. To obtain insight into the highs and lows in everyday interaction with patients, reflective practice stories are presented. The thesis generated by this research is that care required by cancer patients at home goes beyond the scope of traditional community health. It requires nurses to be competent in technological skills as well as bringing in-depth expertise to the practical and human needs of people experiencing cancer. The role involves holistic, family-centered care; anticipating patient and family needs; educating; managing symptoms; advocating; confronting ethical issues; coordinating complex care; and monitoring progress. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1163 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
1196 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Pearce, K. |
|
| |
Title |
Orientation: Reading the nurses map; what new Plunket Nurses need in an orientation programme |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Woodbridge, M. |
|
| |
Title |
From child savers to child activists: A participatory action research project with community child health nurses |
Type |
|
| |
Year |
2002 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Community health nursing; Paediatric nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 1266 |
Serial |
1251 |
|
| Permanent link to this record |
