| Records |
| Author |
Finlayson, M.; Gower, S.E. |
| Title |
Hospital restructuring: Identifying the impact on patients and nurses |
Type |
Journal Article |
Year  |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
2 |
Pages |
27-35 |
| Keywords |
Quality of health care; Hospitals; Organisational change |
| Abstract |
The authors report a survey of all nurses working in hospitals included in the International Hospital Outcomes Study of staffing and patient outcomes in New Zealand's secondary and tertiary hospitals from 1988-2001. The survey examines the way in which the hospitals have been restructured and analyses patient outcomes. Research has identified links between how nursing is organised in a hospital and that hospital's patient outcomes. |
| Call Number |
NRSNZNO @ research @ |
Serial |
615 |
| Permanent link to this record |
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| Author |
Mackay, B. |
| Title |
Leadership development: Supporting nursing in a changing primary health care environment |
Type |
Journal Article |
| Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
2 |
Pages |
24-32 |
| Keywords |
Leadership; Professional development; Primary health care; Nursing |
| Abstract |
The author argues that the involvement of nurses in the decision-making of health organisations is essential to maximise the contribution of nurses and promote positive outcomes for patients. She suggests that development of leadership skills will make nurses aware of power structures in the health system and allow them to become interdependent health professionals in primary health organisations (PHO). The particular competencies discussed are those proposed by Van Maurik (1997), namely ability to understand and manage organisational politics, work facilitatively with people and circumstances, and build a feeling of purpose. |
| Call Number |
NRSNZNO @ research @ |
Serial |
619 |
| Permanent link to this record |
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| Author |
Gohns, A. |
| Title |
Management of opioid substitution treatment in the primary health care setting: A national training course for service providers |
Type |
Journal Article |
| Year |
2002 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
Full text online from the Royal New Zealand College of General Practitioners' website |
| Volume |
29 |
Issue |
3 |
Pages |
172-175 |
| Keywords |
Pharmacology; Evaluation; Primary health care |
| Abstract |
The aim of this research was to describe a national opioid treatment training programme that was introduced into primary health care, and evaluate its effectiveness following its first year of operation. The programme was introduced as a strategy to recruit, train and support a primary health care workforce in the provision of methadone treatment. For the evaluation a written questionnaire was sent to the general practitioner, practice nurse and pharmacist participants of training programmes held throughout New Zealand in 2000. One hundred and forty-five (98%) participants reported that the overall quality of the course was good or better, and that relevant issues were, in general, covered. However a recurring theme related to difficulties in designing a course relevant to the three different professional groups, with some material not equally applicable to all. Another prominent theme pertained to the issue of funding. general practitioners lamented the failure to address the issue of transferring patients from a free specialist clinic to their practice for care. The evaluation of this pilot programme indicates that this training in methadone maintenance treatment was well-received by primary health care providers. However, the author notes that there is no benchmark with which to compare it. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1099 |
| Permanent link to this record |
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| Author |
Mason, B. |
| Title |
An analysis of the role of the practice nurse in primary health care, 2000/2001 |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Primary health care; Practice nurses |
| Abstract |
In 1999 primary health care in New Zealand was in the process of change from the current personal health care model, which focuses on general practitioner based care, to a population and community based health care programme. Carryer, Dignam, Horsburgh, Hughes and Martin (1999) submitted a report to the National Health Commission entitled “Locating Nursing in Primary Health Care”. This report envisaged that nurses in primary health care would be part of interdisciplinary teams, act autonomously and undertake community consultation and education. The submission suggested that nurses, currently working in primary health care, were alraedy prepared and able to move across into the new form of primary health care, without further education or training. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1130 |
| Permanent link to this record |
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| 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 |
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| Author |
Adams-Smith, P.H. |
| Title |
An exploration of issues of primary health services for Taranaki Te Atiawa children based on the expectations and perceptions of their female caregivers |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
http://hdl.handle.net/10063/75 |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Parents and caregivers; Primary health care; Access; Maori; Children |
| Abstract |
The intention of this research is, through collaborative discussion and selective conversations, to explore female caregivers' expectations and perceptions of primary health services for some Te Atiawa Maori children. The research process was developed in a partnership between the Maori women participants and the researcher. In addition, two local kuia actively participated in and supported the process. Emancipatory critical social theory underpinned and informed the project. Power relationships between the researcher and the participants can be overtly explored within this theoretical framework. In terms of this particular exploratory study, participatory research appeared to be applicable. The participants are female caregivers of Te Atiawa children. Data collection was done using group interactions and semi-structured interviews in the winter of the year 2000. A thematic analysis of the data was used, in which common themes were identified, compared and discussed. From the analysis of the data of the participants' conversations, key ideas were identified. The major findings have been identified within two main themes. These are: a concept of health is not the same for Pakeha as for Maori, and access issues are still problematic for the participants in this study. Many quotes from the interview participants are included in order to keep the focus of the project on the voices of the women interviewed. In terms of the significant contribution of this research, this study aims to allow voices of female caregivers of Te Atiawa Maori children to be heard. Individual and collaborative interactions offer insights into what is important to them in terms of Maori child health. Clearly, the primary health initiatives promoted by the New Zealand government are not reaching at least some of the people for whom they are intended. The research participants offered their ideas as to how these deficits could be remedied in their community. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1216 |
| Permanent link to this record |
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| 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 |
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| Author |
Tautua, Pelei |
| Title |
Exploring primary health care nursing for child and family health (specifically targeting 0-5 year's age group). Margaret May Blackwell Travel Study Fellowship for Nurses of Young Children 2002 |
Type |
Report |
| Year |
2002 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
82 p. |
| Keywords |
Primary health care – Nursing; Pacific Islanders – Health; Child health services; Family health |
| Abstract |
Compares the delivery models used by primary health-care nurses in Auckland for follow-up services aimed at Pacific children discharged from hospital with preventable illnesses, with similar services and programmes in Tonga and Samoa. Also compares NZ and Pacific Island programmes to promote immunisation and breastfeeding. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1420 |
| Permanent link to this record |
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| Author |
Holdaway, Maureen Ann |
| Title |
A Maori model of primary health care nursing |
Type |
Book Whole |
| Year |
2002 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
192 p. |
| Keywords |
Primary health care nursing; Maori women's health; Maori model of health; Kaupapa Maori research; Health reforms; Health policy; Surveys |
| Abstract |
Identifies how traditional nursing practice in Maori communities may be enhanced. Highlights the need for nursing to broaden concepts of health, community, and public health nursing, to focus on issues of capacity-building, community needs, and a broader understanding of the social, political, cultural, and economic contexts of the communities primary health-care nurses serve. Explores how health is experienced by Maori women during in-depth interviews using critical ethnographic method, underpinned by a Maori-centred approach. Articulates a model of health that is a dynamic process based on the restoration and maintenance of cultural integrity, derived from the principle of self-determination. |
| Call Number |
NZNO @ research @ |
Serial |
1809 |
| Permanent link to this record |
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| Author |
Ross, J. |
| Title |
Role identification: An impediment to effective core primary health care teamwork |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Multidisciplinary care teams; Teamwork; Primary health care |
| Abstract |
This study, which is methodologically grounded in qualitative research and philosophically informed by critical social science, explores aspects of the socio-political context in which practice nurses and general practitioners (core primary health care team) work within a team environment. It is indicated in the literature that there are benefits for improved health care through the development of collaborative teamwork. However, there have been many barriers identified which prevent collaborative teamwork. Amongst the many barriers, is the lack of role clarity and attitudinal differences. This thesis explored and highlighted whether the lack of role clarity and attitudinal differences do indeed impede the team's success, and are barriers to teamwork. The views and opinions of practice nurses and general practitioners and the understanding of their own and each other's current roles within the general practice setting were explored. The participants had the opportunity to discuss together, in focus group meetings, their thoughts on the topic. This raised their awareness of their taken for granted ideas on role and teamwork. Focus groups offered the participants the added opportunity to question each other which allowed for a deeper and more fulfilling understanding of role. New understandings that emerged could lead to alternative models of health care and influence the future delivery and planning of general practice. The thesis concludes by offering a potentially suitable model/framework which has been developed to further the understanding of teamwork in the future. |
| Call Number |
NRSNZNO @ research @ |
Serial |
571 |
| Permanent link to this record |
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| Author |
Day, D.R.; Mills, B.; Fairburn, F. |
| Title |
Exercise prescription: Are practice nurses adequately prepared for this? |
Type |
Journal Article |
| Year |
2001 |
Publication |
New Zealand Journal of Sports Medicine |
Abbreviated Journal |
|
| Volume |
29 |
Issue |
2 |
Pages |
32-36 |
| Keywords |
Practice nurses; Health education; Primary health care |
| Abstract |
This study sought to examine whether practice nurses were prepared to provide exercise prescriptions to clients. It involved administering questionnaires to 53 practice nurses in Otago to examine their understanding of green prescriptions and their knowledge and participation in exercise prescription. |
| Call Number |
NRSNZNO @ research @ |
Serial |
628 |
| Permanent link to this record |
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| Author |
Clear, G.M.; Carryer, J.B. |
| Title |
Shadow dancing in the wings: Lesbian women talk about health care |
Type |
Journal Article |
| Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
17 |
Issue |
3 |
Pages |
27-39 |
| Keywords |
Sexuality; Patient satisfaction; Nursing research; Quality of health care; Feminist critique |
| Abstract |
A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored factors which hindered or facilitated these women's sense of safety related to health care. The findings indicate that barriers to receiving health care exist for these women. As there is little local or international research on lesbians and healthcare, this work offers a starting place for future New Zealand nursing research involving lesbians. The authors encourage other nurses to explore previously ignored sections of our society in order to strive for safety for all those whom nursing serves. |
| Call Number |
NRSNZNO @ research @ |
Serial |
843 |
| Permanent link to this record |
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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 |
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 |
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| Author |
O'Malley, J. |
| Title |
Critical social analysis of acute institutionally based mental health nursing following an action research project |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
NZNO Library, Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Hospitals; Quality of health care |
| Abstract |
This study using action research involving twelve registered nurses worked toward improving nursing care in an acute mental health in-patient service. Following focus groups with consumers, families, nurses, doctors, and allied health professionals, the action research group developed projects over eighteen months to improve continuity and consistency of nursing care. There was a subsequent restructuring of nursing service to better define leadership, accountability and to strengthen care delivery. The second half of the thesis involves a critical social analysis of the research data and produces a theory of mental health nursing which, the author suggests, has wide application in practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1133 |
| Permanent link to this record |
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| Author |
Alcorn, G. |
| Title |
Giving voice to school nursing as a primary health care specialty |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
School nursing; Primary health care; Cross-cultural comparison |
| Abstract |
The purpose of this thesis is to give voice to school nursing as a primary health care specialty, and to promote the development of school nursing in New Zealand. School nursing is an invisible practice specialty that is largely funded from within the education sector, to address the health needs of student clients. School nursing is a significant primary health care initiative that can positively influence student health outcomes. The author presents her own school nursing practice experience and philosophy, prior to reflecting upon the history of school nursing, and the health concerns present within the student population. The work then moves to review and critique school nursing literature from New Zealand, Australia, the United Kingdom, and the United States. This thesis highlights the need for collaborative policy and practice development initiatives including a legislative requirement for school nurses, school nursing competencies and standards, school nurse to student ratios, postgraduate training, professional liaison, practice funding, and research. A discourse on the reflective topical autobiographical method introduces autobiographical poetry from school nursing practice and reflective inquiry, as the central research endeavour of this thesis. Autobiographical poetry is offered as a window to this specialty practice, and accompanying reflections allow access to a further layer of practice knowledge. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1143 |
| Permanent link to this record |
