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Author Hetaraka, B.
Title A study of nurses working in a community development model Type
Year 2006 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue (up) Pages
Keywords Community health nursing; Health promotion; Nursing
Abstract
Call Number NRSNZNO @ research @ 486 Serial 472
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Author Voice, D.M.
Title Everyday district nurses' experiences revealed through distillation: Palliative care in the community Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (up) Pages
Keywords District nursing; Palliative care; Community health nursing; Nursing
Abstract This modified action research inquiry focused on the everyday, palliative care practice experiences of a group of district nurses. The intent was to develop an understanding of common issues of concern for this group of district nurses when providing palliative home care in a specific community context and to implement practical, achievable strategies in response to these local issues. Five district nurses identified four broad areas for action through four praxis group meetings and comprising one full cycle. These four areas have been named as methods of enhancing support for people and families, possibilities for creatively managing workloads, mechanisms to enrich working partnership with other palliative care providers and possible vehicles for supporting nurses' self care. Implementation of action from this action research project focused on enhancing care and outcomes for people and family served by this group of district nurses in their local community. This study illuminates everyday essences of the district nurse role and the elements articulated by this group in supporting their practice in one New Zealand community. This study also reveals some of the tensions and messiness when employing an action research methodology with nurses in the workplace. The author notes that this research focused on a little known area (palliative care delivered by district nurses in New Zealand) in a local community (a culturally vibrant and ethnically diverse yet with poor health and socioeconomic statistics). She goes on to say that it has resonance with other nurses, particularly those working in community settings who may experience similar issues and concerns. This research also offers important insights for nurses working in any practice setting.
Call Number NRSNZNO @ research @ 520 Serial 506
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Author Grayson, S.
Title Nursing management of the rheumatic fever secondary prophylaxis programme Type
Year 2001 Publication Abbreviated Journal University of Auckland Library
Volume Issue (up) Pages
Keywords Community health nursing; Management; Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 576 Serial 562
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Author Weidenbohm, K.
Title Pioneering rural nursing practice: An impact evaluation of a preventive home visiting service for older people Type
Year 2006 Publication Abbreviated Journal University of Auckland Library
Volume Issue (up) Pages
Keywords Community health nursing; Rural health services; Older people; Home care; Preventive health services
Abstract
Call Number NRSNZNO @ research @ 579 Serial 565
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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 (up) 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
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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 (up) Pages
Keywords Community health nursing; Mental health; Job satisfaction; Stress
Abstract
Call Number NRSNZNO @ research @ 681 Serial 667
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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 (up) Pages
Keywords Nurse practitioners; Community health nursing
Abstract
Call Number NRSNZNO @ research @ 684 Serial 670
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Author Hale, R.
Title Older patient perceptions of transitional care Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 147-152) Abbreviated Journal Ministry of Health publications page
Volume Issue (up) Pages
Keywords Older people; Rural health services; Community health nursing; Evaluation
Abstract The author describes transitional care as undertaken within the Waikato District Health Board health care environment. Transitional care supports people moving between acute health care (inpatient) and primary health care (home). It is a rehabilitative model based in smaller, predominantly rural communities to enable the older person to actively work towards recovery of functional ability within their own environment. Research indicates this rehabilitation model is applicable to the rural situation and satisfaction levels of the patients and caregivers tends to be positive.
Call Number NRSNZNO @ research @ 774 Serial 758
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Author Campbell, K.
Title Experiences of rural women who have cared for their terminally ill partners Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 166-178) Abbreviated Journal Ministry of Health publications page
Volume Issue (up) Pages
Keywords Palliative care; Parents and caregivers; Nurse-family relations; Gender; Community health nursing
Abstract This chapter firstly offers background information in relation to palliative care and the role of women as providers of care in the home setting. Secondly, it discusses a study that evolved from a trend the author observed as a district nurse providing community palliative care in rural New Zealand and from New Zealand literature; that the majority of carers of the terminally ill in home-settings are women. The aim of this research study was to offer insights into the requirements of caring for a dying person at home and provide information to assist nurses working in the community and other women who take on the caregiver's role.
Call Number NRSNZNO @ research @ 776 Serial 760
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Author Stuart, J.
Title How can nurses address generalist/specialist/nursing requirements of the urban/rural population of Southland Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (up) Pages
Keywords Nursing specialties; Policy; Technology; Scope of practice; Community health nursing
Abstract This study, which is undertaken in the Southland area, explores the effect of the increasing specialisation of nursing services in what is a rural/urban environment. It is indicated in the literature that systemic changes in health, such as the health reforms, and the increase in the use of technology have meant that nurses are required to function in disease oriented roles rather than according to their more traditional generalist roots. A significant event, which also affected nursing scope of practice, was the transfer of nurse education to the tertiary education institutions environment from the hospitals in the mid 1970s. The traditional nursing hierarchy and its nurse leadership role disappeared and the adoption of specialist nurse titles increased, and identified with a disease or disorder, for example 'diabetes' nurse. The increase in specialist categories for patients contributed to the nurse shortage by reducing the available numbers of nurses in the generalist nursing pool. The nurses in this rural/urban environment require generalist nurse skills to deliver their nursing services because of the geographical vastness of the area being a barrier to specialist nurses. Workforce planning for nurses in the rural/urban then must focus on how to reshape the nursing scope of practice to utilise the existing resources. This study explores how key areas of health services could be enhanced by reclaiming the nurse role in its holistic approach, in mental health, public health, geriatric services and psychiatric services.
Call Number NRSNZNO @ research @ 885 Serial 869
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Author Sye, J.
Title A fine balance Type
Year 2008 Publication Abbreviated Journal AUT University Library
Volume Issue (up) 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
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Author Connor, M.
Title Courage and complexity in chronic illness: Reflective practice in nursing Type Book Whole
Year 2004 Publication Abbreviated Journal
Volume Issue (up) Pages
Keywords Asthma; Nurse-patient relations; Nurse-family relations; Community health nursing; District nursing; Chronically ill
Abstract This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution.
Call Number NRSNZNO @ research @ 926 Serial 910
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Author Trout, F.
Title Health needs assessment within the ecology of caring Type
Year 1999 Publication Abbreviated Journal Massey University Library
Volume Issue (up) Pages
Keywords Community health nursing
Abstract
Call Number NRSNZNO @ research @ 1137 Serial 1122
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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 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (up) Pages
Keywords Community health nursing; Paediatric nursing
Abstract
Call Number NRSNZNO @ research @ 1266 Serial 1251
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Author Mahoney, L.
Title Making the invisible visible: Public health nurses role with children who live with a parent with a mental illness Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue (up) Pages
Keywords Public health; Children; Community health nursing; Scope of practice
Abstract This research uses focus group methodology to examine the public health nursing practice with children living with a mentally ill parent. These children are often neglected, yet are at increased risk of developing mental illnesses themselves. The research data identified the burgeoning impact on public health nurses of such care, and found their role to be primarily assessment and advocacy.
Call Number NRSNZNO @ research @ 1304 Serial 1289
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