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Moana, B., Crawford, R., & Isaac, D. (2017). Discussing sexual health with older clients: are primary health care nurses sufficiently prepared? Whitireia Nursing and Health Journal, (24), 63–67.
Abstract: Reports some findings of a study which examined primary health care (PHC) nurses' preparedness for engaging older adults in conversation about sexual health research. Examines the experiences and beliefs of PHC nurses working with older clients. Conducts three focus groups with 16 participants who discussed their experiences, values and perceptions of conversations on sexual health with older clients.
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Ryan, T. (2019). Exploring the experiences of Maori men in a culturally-enriched well-being programme. Kai Tiaki Nursing Research, 10(1), 22–27.
Abstract: Explores the experiences of participants in a health education programme designed specifically for Maori males, called Tane Takitu Ake, delivered by community health workers and a nurse. Employs a qualitative descriptive methodology with thematic analysis of data from a focus group cohort of Maori males aged 38 to 55 years referred to the programme via social and/or health services. Gathers data from during a 10-week kaupapa Maori programme.
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Taylor, M., Budge, C., Hansen, C., Mar, M., & Fai, F. (2019). Written care plans and support for health goals: important components of long-term conditions care. Kai Tiaki Nursing Research, 10(1), 29–38.
Abstract: Measures the extent of care planning and support for health goals within a sample of Maori/non-Maori people with long-term conditions (LTC). Compares those with and without care plans, and those with and without support for health goals, with respect to health, and experiences with general practice. Patients enrolled in a MidCentral District Health Board regional LTC programme were recruited into the region's 'Talking about Health' study to explore LTC care from patient and provider perspectives by means of a questionnaire.
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Field, J., McClunie-Trust, P., Kearney, C., & Jeffcoat, J. (2020). Language and communication: a vital component of health for people with refugee backgrounds. Kai Tiaki Nursing Research, 11(1), 42–49.
Abstract: Reports on a collaborative project that explores trans-disciplinary understanding of the implications of learning English for the health and well-being of refugees. Argues that English literacy is a significant factor in health literacy and access to health care. Uses secondary analysis to analyse primary research with 60 predominantly female adult refugees aged 18 to 64 years. Highlights the experiences of these English language learners and reflects on their relevance for primary health care and nursing practice.
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Ryan, T. (2021). Comparing health outcomes of rural and urban diabetes patients: an audit of a Maori health provider. Kai Tiaki Nursing Research, 12(1), 60–62.
Abstract: Examines whether diabetes management is influenced by proximity to health-care providers for rural and urban patients with type 1 or type 2 diabetes. Includes patients living beyond a 5km radius from their health-care provider. Compares a Maori health provider, with a contract to support diabetes patients, and which employs a practice nurse who organises support under a kaupapa Maori framework, with an urban Maori health practice.
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Davies, D. C. (2006). Practice nurses' perceptions of their contribution to the care of individuals with chronic health conditions. Ph.D. thesis, , .
Abstract: Table of Contents: 1. Background and overview; 2. Research design and method; 3. Literature review; 4. Preparation of the individual for an appointment at the general practice; 5. Care provided by the practice nurse at the general practice; 6. The giving of information; 7. A discussion of the dualities of the contribution of practice nurses to the care of individuals with chronic conditions; 8. Study summary and conclusions.
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Lilley, S. (2006). Experiences of mentoring in primary health care settings: Registered nurses' and students' perspectives. Ph.D. thesis, , .
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Desmond, N. (2007). Aspects of nursing in the general practice setting and the impact on immunisation coverage. Ph.D. thesis, , .
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Minto, R. (2006). The future of practice nursing. New Zealand Family Physician, 33(3), 169–172.
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.
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McKinlay, E. M. (2006). New Zealand practice nursing in the third millennium: Key issues in 2006. New Zealand Family Physician, 33(3), 162–168.
Abstract: The author looks at the accelerated change in the role of practice nurses, due to factors such as the effects of the Primary Health Care Strategy. She reviews the current role of practice nurses, which is influenced by a population approach and new funding streams that encourage preventative, maintenance and chronic illness management activities. She highlights the positive effects of increased visibility of nursing leaders in the sector, increasing interdisciplinary education, and new career pathways which include advanced roles. She addresses some of the professional and systemic structural barriers which impact on practice nurses' ability to work effectively and equally within a general practice team.
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O'Brien, A. J., Hughes, F., & Kidd, J. D. (2006). Mental health nursing in New Zealand primary health care. Contemporary Nurse, 21(1), 142–152.
Abstract: This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.
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Neville, S. J., & Henderson, H. M. (2006). Perceptions of lesbian, gay and bisexual people of primary healthcare services. Journal of Advanced Nursing, 55(4), 407–415.
Abstract: This paper reports a study exploring people's perceptions of disclosure about lesbian, gay and bisexual identity to their primary healthcare providers. Disclosure of sexual identity to healthcare professionals is integral to attending to the health needs of lesbian, gay and bisexual populations, as non-disclosure has been shown to have a negative impact on the health of these people. From April to July 2004, a national survey of lesbian, gay and bisexual persons was carried out in New Zealand. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues, and 2269 people completed the questionnaire, either electronically or via hard copy. The 133-item instrument included a range of closed-response questions in a variety of domains of interest. In this paper, we report results from the health and well-being domain. More women than men identified that the practitioner's attitude toward their non-heterosexual identity was important when choosing a primary healthcare provider. Statistically significantly more women than men reported that their healthcare provider usually or always presumed that they were heterosexual and in addition more women had disclosed their sexual identity to their healthcare provider. The authors advise that nurses reconsider their approach to all users of healthcare services by not assuming everyone is heterosexual, integrating questions about sexual identity into health interviews and ensuring that all other aspects of the assessment process are appropriate and safe for lesbian, gay and bisexual people.
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Miles, M. A. P. (2005). A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001. Ph.D. thesis, , .
Abstract: This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory. The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture. The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions. The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries. Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators. The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing's perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine. The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions.
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Lindsay, N. M. (2007). Family violence in New Zealand: A primary health care nursing perspective. Whitireia Nursing Journal, 14(7), 7–16.
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.
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