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Author Gallaher, L.
Title Expert public health nursing practice: A complex tapestry Type Journal Article
Year (up) 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 3 Pages 16-27
Keywords Public health; Community health nursing; Communication
Abstract The research outlined in this paper used Heideggerian phenomenology to examine the phenomenon of expert public health nursing practice within a New Zealand community health setting. Narrative interviews were conducted with eight identified expert practitioners who are currently practising in this speciality area. Data analysis led to the identification and description of themes which were supported by paradigm cases and exemplars. Four key themes were identified which describe the finely tuned recognition and assessment skills demonstrated by these nurses; their ability to form, sustain and close relationships with clients over time; the skilful coaching undertaken with clients; and the way in which they coped with the dark side of their work with integrity and courage.
Call Number NRSNZNO @ research @ 656 Serial 642
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Author Russell, D.
Title Changing public health nursing practice Type Journal Article
Year (up) 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 5 Issue 11 Pages 18-19
Keywords Public health; Community health nursing; Nursing models; Teamwork
Abstract A new approach to public health nursing in the Otago region is described, which comprises of 3 distinct groups of nurses working in early childhood centres, primary schools and high schools. A family nursing assessment approach is used. The philosophical underpinnings of this approach are examined, which seeks to empower patients and engage them in their health care. Two public health nurses are interviewed about the new partnership model of nursing.
Call Number NRSNZNO @ research @ 1041 Serial 1025
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Author Trout, F.
Title Health needs assessment within the ecology of caring Type
Year (up) 1999 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Community health nursing
Abstract
Call Number NRSNZNO @ research @ 1137 Serial 1122
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Author Rickard, Debbie
Title Parents as experts: partnership in the care of the chronically ill children : Margaret May Blackwell Travel Study, Fellowship for Nurses of Young Children, 1999 Type Report
Year (up) 1999 Publication Abbreviated Journal
Volume Issue Pages 65p.
Keywords Chronically ill children – home care; Child health services; Paediatric nursing; Community health nursing; Reports
Abstract Visits paediatric community nursing services in the UK and Australia to report on how specialist and children's community nurses work with parents to deliver health care to children with asthma, diabetes and other endocrine disorders, cystic fibrosis, eczema, cardiac diseases, and liver transplants. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1414
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Author Wilson, H.V.
Title Surveillance or support: Divergent discourses in Plunket nursing practice Type
Year (up) 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
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Author Grayson, S.
Title Nursing management of the rheumatic fever secondary prophylaxis programme Type
Year (up) 2001 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Community health nursing; Management; Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 576 Serial 562
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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 (up) 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
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Author Crowe, M.; O'Malley, J.; Gordon, S.
Title Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand Type Journal Article
Year (up) 2001 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 35 Issue 1 Pages 88-96
Keywords Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health
Abstract The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services.
Call Number NRSNZNO @ research @ Serial 1087
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Author Crawford, R.
Title Nutrition: Is there a need for nurses working with children and families to offer nutrition advice? Type Journal Article
Year (up) 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 7 Issue 13 Pages 10-15
Keywords Paediatric nursing; Community health nursing; Nurse-family relations; Socioeconomic factors; Diet
Abstract Using nursing and associated literature, the relevance of nutrition in the care of children and families is highlighted in this article. The role of a nurse in providing nutrition advice and interventions is examined, in the context of social and economic pressures on the provision of a healthy diet. Relevant examples of the provision of such advice is provided, along with competencies required to achieve this in practice.
Call Number NRSNZNO @ research @ Serial 1276
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Author Horsburgh, M.; Smith, V.A.; Kivell, D.
Title South Auckland community paediatric nursing service: A framework for evaluation Type Journal Article
Year (up) 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 3 Pages 40-49
Keywords Paediatric nursing; Community health nursing; Evaluation research
Abstract This paper describes the Kidz First paediatric community homecare nursing team in South Auckland. While the service was not initially planned as an integrated approach to child health, its evolution reflects the move to more community based care delivery and the expansion of nurse-led initiatives in New Zealand. The components of a community paediatric home nursing team as described by Eaton (2000) are used to provide the framework with which to describe the service. A focus group held with the Kidz First paediatric community homecare nurses has enabled definition of the key nursing components provided to children and their families living in South Auckland.
Call Number NRSNZNO @ research @ Serial 622
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Author Farrow, T.
Title Owning their expertise: Why nurses use 'no suicide contracts' rather than their own assessments Type Journal Article
Year (up) 2002 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 11 Issue 4 Pages 214-219
Keywords Interprofessional relations; Psychiatric Nursing; Community health nursing; Qualiltative research; Suicide
Abstract 'No suicide contracts' are a tool commonly used by nurses in community crisis situations. At times this tool is utilised because the clinician believes that it is beneficial. However, there are other occasions when 'No suicide contracts' are introduced in a manner that runs counter to the clinical judgement of the crisis nurse. This paper discusses the results of a qualitative study that addressed the question of why nurses use 'No suicide contracts' in such situations, rather than relying on their own expertise. This analysis suggests that underlying concerns of clinicians can determentally affect decision-making in such circumstances, and recommends that rather than subjugating nursing expertise, underlying issues be addressed directly.
Call Number NRSNZNO @ research @ Serial 785
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Author Crowe, M.; O'Malley, J.; Bigwood, S.
Title Nursing mental health consumers in the community Type Journal Article
Year (up) 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 8 Pages 14-15
Keywords Community health nursing; Psychiatric Nursing
Abstract The purpose of this research was to describe the characteristics of community mental health nursing care in the community. Twenty six nurses were enrolled in a study consisting of semi-structured interviews about the nature of their care. Responses were analysed to identify categories of skills. These were characterised as: establishing connectedness; promoting individual and family resilience, promoting citizenship; and addressing structural issues. Responses from the nurses are used to illustrate these categories.
Call Number NRSNZNO @ research @ 1024 Serial 1008
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Author Southgate, D.
Title Advocating practice: The role of the community oncology nurse Type
Year (up) 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
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Author Woodbridge, M.
Title From child savers to child activists: A participatory action research project with community child health nurses Type
Year (up) 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
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Author Farrow, T.
Title 'No suicide contracts' in community crisis situations: A conceptual analysis Type Journal Article
Year (up) 2003 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal
Volume 10 Issue 2 Pages 199-202
Keywords Mental health; Community health nursing; Psychology; Suicide
Abstract 'No suicide contracts' take the form of a 'guarantee of safety', along with a 'promise' to call specified persons if the suicidal ideation becomes unmanageable for the person concerned. They are commonly used in community crisis situations with suicidal people in New Zealand. This article describes and analyses the use of 'no suicide contracts' in these settings. It is argued that the theoretical base (transactional analysis) of the 'no suicide contract' is likely to be deleterious in the community crisis situation.
Call Number NRSNZNO @ research @ Serial 779
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