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Author Grayson, S.; Horsburgh, M.; Lesa, R.; Lennon, D.
Title An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme Type Journal Article
Year 2006 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.
Volume (down) 119 Issue 1243 Pages
Keywords Community health nursing; Patient compliance
Abstract The researchers assessed the compliance rates with the rheumatic fever secondary prophylaxis programme established through the Auckland Rheumatic Fever Register and managed by community nursing services in Auckland. They undertook an audit of the 1998 and 2000 Auckland Rheumatic Fever Register data to establish the compliance rates of patients with the rheumatic fever secondary prophylaxis programme. The sample included all patients on the Auckland Rheumatic Fever Register during this time. Results showed compliance rates across the three Auckland DHBs ranging from 79.9% to 100% for individual community nursing offices. They found that a community-based nurse-led secondary prophylaxis programme for rheumatic fever heart disease is able to deliver excellent patient compliance levels. Secondary prophylaxis is the WHO-recommended cost effective first step to rheumatic fever/rheumatic heart disease control. Community health workers have a key role to play in facilitating this compliance.
Call Number NRSNZNO @ research @ Serial 520
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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 2001 Publication Journal of Advanced Nursing Abbreviated Journal
Volume (down) 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 Alcorn, G.
Title The youth health specialty in New Zealand: Collaborative practice and future development Type Journal Article
Year 2007 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume (down) 34 Issue 3 Pages 162-167
Keywords Adolescents; Community health nursing; Primary health care; Nurse practitioners; School nursing
Abstract This paper details the workforce capacity of youth health nursing and medical staffing required for community-based and school-based youth health services. The author shows how youth health services seek to complement the care delivered by Primary Health Organisations (PHOs) and other allied health care services in the community. She outlines the development and operation at VIBE, a community-based youth health service in the Hutt Valley with school-based youth health services delivered at four low deciles secondary schools. She explains that developing workforce capacity for youth health services is a primary health care priority and an important means to address inequalities and to improve the health services of young people.
Call Number NRSNZNO @ research @ Serial 518
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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 (down) 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 O'Brien, A.J.; Hughes, F.; Kidd, J.D.
Title Mental health nursing in New Zealand primary health care Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume (down) 21 Issue 1 Pages 142-152
Keywords Mental health; Primary health care; Nursing specialties; Community health nursing
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.
Call Number NRSNZNO @ research @ 730 Serial 716
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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 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 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 McKey, A.; Huntington, A.D.
Title Obesity in pre-school children: Issues and challenges for community based child health nurses Type Journal Article
Year 2004 Publication Contemporary Nurse Abbreviated Journal
Volume (down) 18 Issue 1-2 Pages 145-151
Keywords Obesity; Children; Community health nursing; Parents and caregivers
Abstract In this paper, literature related to childhood obesity in New Zealand and internationally is explored to identify current issues, and the implications for nurses in community based child health practice are discussed. Themes that emerged from the literature relate to the measurement of obesity, links between childhood and adult obesity and issues for families. Studies that investigated maternal perceptions of childhood obesity found that mothers identified their child as being overweight or obese only when it imposed limitations on physical activity or when the children were teased rather than by referring to individual growth graphs. The implications for nursing in the area of child health practice are discussed. Understanding of the complex and emotive issues surrounding childhood obesity is required when devising health promotion strategies.
Call Number NRSNZNO @ research @ Serial 946
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Author Gallaher, L.
Title Expert public health nursing practice: A complex tapestry Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 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 Francis, L.
Title Polio is history – isn't it Type Journal Article
Year 2007 Publication Whitireia Nursing Journal Abbreviated Journal
Volume (down) 14 Issue Pages 24-31
Keywords Case studies; Diseases; Public health; Community health nursing; Poliomyelitis
Abstract Using the stories of four polio survivors who have since contracted post polio syndrome (PPS), this article discusses the theories regarding the cause of PPS as well as the varying symptoms and problems for those living with the disease.
Call Number NRSNZNO @ research @ Serial 1046
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Author Barber, M.
Title Exploring the complex nature of rural nursing Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (down) 13 Issue 10 Pages 22-23
Keywords Rural nursing; Scope of practice; Community health nursing
Abstract This article reports the results of a research study undertaken to examine how nurses manage their professional and personal selves while working in small rural communities. The participants were a small group of rural nurses on the West Coast. The rationale for the study was the long-term sustainability and viability of the service to this remote area. The research showed that the rural nurse specialists' role is a complex and challenging one, performed within the communities in which nurses live.
Call Number NRSNZNO @ research @ 1212 Serial 1197
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Author Challis-Morrison, S.
Title Caring for a community wanderer Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (down) 12 Issue 11 Pages 20-22
Keywords Case studies; Older people; Community health nursing; Dementia
Abstract A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity.
Call Number NRSNZNO @ research @ Serial 977
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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 2002 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume (down) 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 Farrow, T.
Title 'No suicide contracts' in community crisis situations: A conceptual analysis Type Journal Article
Year 2003 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal
Volume (down) 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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Author Crowe, M.; O'Malley, J.; Bigwood, S.
Title Nursing mental health consumers in the community Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (down) 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 Crawford, R.
Title Nutrition: Is there a need for nurses working with children and families to offer nutrition advice? Type Journal Article
Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume (down) 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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