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Author |
Meldrum, L.B.B. |
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Title |
Navigating the final journey: Dying in residential aged care in Aotearoa New Zealand |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Palliative care; Older people; Rest homes |
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Abstract |
New Zealand statistics project that the aging population of people aged 65 years and over will more than double in the next decade. This has implications for palliative care providers including hospices and hospitals because long-term inpatient care is not generally provided by hospitals and hospices. When dying patients need long-term care, residential settings become an option. The level of palliative care in these facilities is dependent on staff training and numbers. In general, staff are not trained in palliative care, neither do they provide the multidisciplinary facets that define palliative care as undertaken by hospices. This paper describes a practice development initiative using storytelling as the vehicle for introducing the concept of the Liverpool Care Pathway (LCP) for the dying patient into residential aged care settings. With the emergence of a reflective paradigm in nursing the concept of storytelling as a teaching/learning tool has grown. Many staff in residential care settings come from diverse ethnic backgrounds where for some, English is their second language. Storytelling therefore can be a useful approach for learning because it can increase their communication skills. The author suggests that the Liverpool Care Pathway for the dying patient is a model that can be translated across care settings, hospice, hospital, and community. It can demonstrate a framework that facilitates multiprofessional communication and documentation and embraces local needs, culture and language to empower health care workers to deliver high quality care to dying patients and their family/whanau and carers. This paper also explores the role of a facilitator as an agent of change and discusses how the interplay of evidence, context and facilitation can result in the successful implementation of the LCP into residential aged care settings. |
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Call Number |
NRSNZNO @ research @ |
Serial |
683 |
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Author |
Walsh, K.; McAllister, M.; Morgan, A.; Thornhill, J. |
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Title |
Motivating change: Using motivational interviewing in practice development |
Type |
Journal Article |
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Year |
2004 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
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Volume |
3 |
Issue |
2 |
Pages |
92-100 |
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Keywords |
Psychiatric Nursing; Hospitals; Motivation; Older people |
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Abstract |
The present paper draws on experiences and insights gained by a group of psychiatric nurse practice development facilitators whilst working with consumers, carers, clinicians and managers in the context of a practice development programme in a large metropolitan psychiatric hospital. The paper describes how the practice development facilitators were able to adapt techniques of motivational interviewing, commonly used in drug and alcohol treatment services, to help motivate change in an aged care setting. The lessons embedded within this experience are that people do want change, and that sustained change requires ownership and support. Practice development facilitators can assist in this process though the use of principles and strategies of motivational interviewing, which include increasing awareness of the need for change, supporting self-efficacy and managing resistance to change. |
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Call Number |
NRSNZNO @ research @ |
Serial |
718 |
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Author |
Kupa, S. |
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Title |
Psychogeriatric nursing: A review of the literature |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Mental health; Older people; Geriatric nursing; Age factors |
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Abstract |
This paper is a literature review of the psychogeriatric specialty and describes the clinical role, practice and knowledge of the psychogeriatric nurse. Literature reviews provide a useful means for evaluating what is currently known and understood in a particular area of interest to help nurses' build current opinion into practice. Psychogeriatric nursing is a specialised field of practice that focuses on the mental health needs of people over the age of 65 (including younger people who have acquired needs that are similar in 'like' and age and 'interest'). The literature asserts the urgent need to develop the role and practice of the psychogeriatric nurse in order to address the complex needs of our ageing population in areas such as home care, hospitals, primary health, and long term care institutions. The findings highlight aspects of nursing care that are essential to the role and practice of the psychogeriatric nurse. Knowledge that is necessary for best practice in psychogeriatric nursing care is drawn mainly from the field of general psychiatry and gerontology but also from general medicine, psychology, neurology, and disability. Nurses' working with older adults affected by psychogeriatric conditions must possess a broad knowledge of physical and mental health issues that affect the elderly, including also knowledge and understanding of psychosocial risk factors that can also have an impact on the health and behaviour of older people and their carers. Despite these literal assertions however there appears to be a dearth of literature available to support the requirements for developing the psychogeriatric nursing specialty in clinical practice, research, and education. The author notes that authorities in this specialised field of practice generally agree that with an increasing aging population looming in the future more research in the field of “old age psychiatry” will be critical. |
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Call Number |
NRSNZNO @ research @ |
Serial |
775 |
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Author |
Latta, L. |
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Title |
Exploring the impact of palliative care education for care assistants employed in residential aged care facilities in Otago, New Zealand |
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Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Palliative care; Rest homes; Training; Older people |
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Abstract |
Palliative care is a growing specialty in New Zealand with many well-established hospices and palliative care services around the country. However palliative care is not confined to specialist units and is in fact an element of all health services. The aged care sector is one of those services where patients with palliative care needs are prevalent and this is now beginning to be recognised. In these settings care assistants, most of whom have no training, make up a large component of the workforce providing care for residents with increasingly complex needs. In 2005, Hospice New Zealand responded to the recommendations made by the New Zealand Palliative Care Strategy (Ministry of Health, 2001) by developing an eight-hour palliative care course for care assistants employed in residential aged care facilities. The main objective of the course was to increase care assistants' ability to deliver a high standard of palliative care to their residents within their scope of practice.This qualitative study uses descriptive, semi-structured interviews to explore the impact that attending the course had on care assistants and their practice by inviting them to share stories of their experiences caring for dying residents. Factors influencing the implementation of learning in the workplace were identified. The results showed that while attending the course had a positive impact on participants, they were restricted in the extent to which they were able to apply new learning in the workplace, which was largely due to factors that were out of their control. As a result, recommendations are made to enhance workforce development in the aged care sector and to minimise the barriers to the implementation of learning. |
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Call Number |
NRSNZNO @ research @ |
Serial |
812 |
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Author |
Allan, J. |
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Title |
What is it like for older women to live with depression? |
Type |
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Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Mental health; Older people |
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Abstract |
The author's interest in this study came from working as a mental health nurse with mainly older women with depression and developed from her concern that depression for older people is frequently misdiagnosed, not recognised or is under-treated. To date, research has rarely paid attention to the voices of people who have actually experienced depression and even less is known from the perspective of older women. This hermeneutic phenomenological study, informed by Martin Heidegger and Max van Manen, describes what it is like for four older women to live with depression. Multiple interviews were conducted with the participants. Heidegger's philosophical concepts of Being-in-the-world and Being-with-others structured the analysis. Depression was found to have a significant effect on the participants' Being-in-the-world. The themes that emerged were: something is wrong; the search for reasons; self-loathing; being overwhelmed by the feelings; hiding from the world; loss of self; loss of meaning; the struggle of everyday life; and living circumspectly. Being-with-others was difficult for the participants and the themes that emerged were: maintaining relationships when well; Being-alone; misinterpreting self and other people; the stigma of mental illness – society and self; and seeking understanding from other people. The author suggests that the findings have implications for nurses and other health professionals. |
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Call Number |
NRSNZNO @ research @ |
Serial |
917 |
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Author |
Neville, S.J.; Gilmour, J.A. |
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Title |
Differentiating between delirium and dementia |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
9 |
Pages |
22-25 |
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Keywords |
Dementia; Psychiatric Nursing; Clinical assessment; Older people |
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Abstract |
Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources. |
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Call Number |
NRSNZNO @ research @ |
Serial |
983 |
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Author |
Whitehead, N. |
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Title |
Quality and staffing: Is there a relationship in aged residential care |
Type |
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Year |
2007 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Rest homes; Patient safety; Older people; Nursing specialties |
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Abstract |
This thesis reports a mixed methods study, longitudinal in nature, of consenting Age Related Residential Care (ARRC) hospitals in the upper half of the North Island, which was conducted to examine several factors, including AARC hospital efficiency at producing adverse event free days for residents. An interpretativist approach examined what best practice strategies were implemented by the ARRC hospitals that were identified to be most successful at producing adverse event free days for the residents. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1159 |
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Author |
Fail, A. |
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Title |
Ageing in the 21st century |
Type |
Journal Article |
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Year |
1999 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
5 |
Issue |
9 |
Pages |
24-31 |
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Keywords |
Older people; Theory; Quality of life; Quality of health care; Age factors |
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Abstract |
The author looks at demographic and statistical information to extrapolate on trends that will affect the aged through into to the next century. She reviews policy approaches to the issues of a growing aged population combined with social and economic changes that could make this group vulnerable. Effective planning for the provision of quality care is placed in the context of social changes, advances in gerontology, and social theories of ageing. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1275 |
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Author |
Foster, S. |
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Title |
The relationship of physical activity to health in elder adulthood |
Type |
Journal Article |
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Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
7 |
Issue |
12 |
Pages |
24-27 |
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Keywords |
Older people; Geriatric nursing; Health behaviour; Age factors |
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Abstract |
This article discusses the importance of physical activity in the health of older people, in the context of holistic perspectives of elder adulthood and theories of ageing and recent research. The wide ranging role of the gerontologic nurse specialist is explored. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1285 |
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Author |
Hendry, C.; East, S. |
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Title |
Impact of the Christchurch earthquakes on clients receiving health care in their homes |
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Journal Article |
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Year |
2013 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
Available through NZNO library |
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Volume |
4 |
Issue |
1 |
Pages |
4-10 |
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Keywords |
Stress Disorders, Post-traumatic; older people; disaster response |
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Abstract |
Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment. |
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Call Number |
NZNO @ research @ |
Serial |
1388 |
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Author |
Wilson, C. |
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Title |
Reflections on care: Older people speak about experiences of nursing care in acute medical and surgical wards |
Type |
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Year |
1998 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Older people; Nurse-patient relations |
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Abstract |
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Call Number |
NRSNZNO @ research @ 289 |
Serial |
289 |
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Author |
Rodgers, V.; Neville, S.J. |
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Title |
Personal autonomy for older people living in residential care: An overview |
Type |
Journal Article |
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Year |
2007 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
23 |
Issue |
1 |
Pages |
29-36 |
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Keywords |
Geriatric nursing; Older people; Rest homes |
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Abstract |
This article looks at the concept of autonomy particularly in relation to the population of older persons living in residential care settings. It examines the values underpinning the exercise of personal autonomy and notes how individual autonomy may be enhanced or restricted. The implications for gerontological nursing practice are outlined and suggestions offered as to how personal autonomy for older persons living in residential care may be preserved and promoted. |
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Call Number |
NRSNZNO @ research @ 529 |
Serial |
515 |
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Author |
Weidenbohm, K. |
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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 |
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Volume |
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Issue |
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Pages |
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Keywords |
Community health nursing; Rural health services; Older people; Home care; Preventive health services |
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Abstract |
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Call Number |
NRSNZNO @ research @ 579 |
Serial |
565 |
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Author |
Davy, R. |
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Title |
Strategy to increase smear testing of older women |
Type |
Journal Article |
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Year |
2002 |
Publication |
Practice nurse: Official Journal of the New Zealand College of Practice Nurses |
Abbreviated Journal |
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Volume |
2 |
Issue |
3 |
Pages |
13-14 |
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Keywords |
Health promotion; Older people; Screening |
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Abstract |
The author presents a project to increase enrolments of women aged 60-69 years in the cervical screening programme. The programme included provision of packages comprising fliers, counter signs, stickers, postcards and pens to 1387 women's groups or locations where women gather. The author collates and analyses calls to the advertised 0800 telephone number, smear tests at the Well Women's Nursing Trust, and enrolment rates on the Cervical Screening Register from June to August 2001. |
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Call Number |
NRSNZNO @ research @ 637 |
Serial |
623 |
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Author |
Neville, S.J.; Alpass, F. |
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Title |
Factors influencing health and well-being in the older adult |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
3 |
Pages |
36-45 |
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Keywords |
Older people; Male; Geriatric nursing |
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Abstract |
This article offers a literature review of selected factors influencing the health and well-being of older people, with a particular emphasis on the older male. Implications for nursing practice in New Zealand are discussed. |
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Call Number |
NRSNZNO @ research @ 657 |
Serial |
643 |
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