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Author Armstrong, S.E.
Title Exploring the nursing reality of the sole on-call primary health care rural nurse interface with secondary care doctors Type (up) Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 225-46) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Interprofessional relations; Rural nursing; Primary health care
Abstract A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors. This study is framed as investigating a specific component of rural nursing practice and as being representative of the primary-secondary care interface. The primary-secondary care interface is crucial for the delivery of patient-centered care, and there is an increased focus on preventive primary health care. The New Zealand government sees the repositioning of professional roles and increasing emphasis on collaboration as an opportunity to re-define and address the current constraints to nursing practice. This has resulted in tensions between the medical and nursing professions. These tensions are not new, with the relationship sometimes marred by conflict which has been attributed to historical medical dominance and nursing deference. This study explores some specific areas which affect collaboration and makes recommendations at the national, regional and individual level to address them.
Call Number NRSNZNO @ research @ 780 Serial 764
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Author McElroy, Jennifer
Title Maternity outcomes and access following regulatory changes for Isotretinoin prescribing in New Zealand Type (up) Book Whole
Year Publication Abbreviated Journal
Volume 2017 Issue Pages 108 p.
Keywords Isotretinoin; Primary health care providers; Nurse practitioners; Nurse prescribing; Special Authority; Decision Support Tools; Funded Access
Abstract Analyses retrospective prescription data for the years 2007-2015 to determine how access to isotretinoin altered before and after funded access was extended from dermatologists to include GPs and nurse practitioners who obtained a Special Authority. Assesses maternity outcomes for females dispensed the drug with regard to pregnancy terminations and isotretinoin-exposed live births. Examines outcomes based on type of prescriber and use or otherwise of the Best Practice Advocacy Centre (BPAC) electronic isotretinoin decision-support tool.
Call Number NZNO @ research @ Serial 1586
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Author Macklin, Nicki
Title Hearing the patient voice: the importance of caring in care Type (up) Book Whole
Year 2018 Publication Abbreviated Journal
Volume Issue Pages n.p.
Keywords Patients; Transitional care nursing; Primary health care nursing; Integrated care; Person-centred care; Surveys
Abstract Backgrounds the primary health care initiative, the Transitional Care Nursing service, which aims to facilitate integrated care between primary, secondary and community health care services. Explores whether support in the form of the Transitional Care Nursing service influences the experience of patients who receive assistance during the transition between hospital and home. Conducts qualitative, semi-structured interviews with 12 patients whose responses are thematically analysed. Highlights the characteristics of care offered by Transitional Care nurses that describe the person-centred care patients received.
Call Number NZNO @ research @ Serial 1642
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Author Officer, Tara N.
Title Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience Type (up) Book Whole
Year 2018 Publication Abbreviated Journal
Volume Issue Pages 301 p.
Keywords Nurse practitioners; Primary health care; Advanced nursing practice; Pharmacist prescribers
Abstract Investigates how nurse practitioner and pharmacist prescriber roles are developing in NZ primary health care, and what is needed to better support the future development of these roles. Employs a qualitative research design involving semi-structured interviews of (1) policy, training, and advocacy stakeholders; (2) primary health-care nurse practitioners, pharmacist prescribers, and general practitioners; and (3) patients of advanced practitioners and carers of patients using such services.
Call Number NZNO @ research @ Serial 1693
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Author Lally, Elsa
Title Symbiotic relationships in patients' engagements with practice nurses Type (up) Book Whole
Year 2014 Publication Abbreviated Journal
Volume Issue Pages 262 p.
Keywords Practice nurses; Patients; Symbiotic relationships; Primary health care; Surveys
Abstract Records from patient perspectives the nature of the engagements patients have with practice nurses which influence patients' health and well-being. Posits this mutually-beneficial close association as a form of symbiosis. Surveys 15 patients from seven rural and urban general practices in NZ about aspects of the participants' relationships and engagements with nurses, analysing the results using Narrative Inquiry methodology.
Call Number NZNO @ research @ Serial 1699
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Author Cavit, Larisa
Title Exploring factors that influence vaccination uptake for children with refugee backgrounds: An interpretive descriptive study of primary healthcare providers' perspectives Type (up) Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 160 p.
Keywords Immunisation; Refugee children; Primary health care; Practice nurses
Abstract Examines those factors associated with access to, and uptake of immunisation services. Conducts semi-structured interviews with primary healthcare nurses and GPs across seven resettlement locations. Proposes strategies to improve age-appropriate vaccination among refugee children after resettlement in NZ, based on five themes from the data: resettlement priorities; knowledge about refugees; learning to use the health system; communication between caregivers and health providers; culturally and linguistically appropriate services.
Call Number NZNO @ research @ Serial 1757
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Author Holdaway, Maureen Ann
Title A Maori model of primary health care nursing Type (up) Book Whole
Year 2002 Publication Abbreviated Journal
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
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Author Adams, Sue
Title Nurse practitioners in rural primary health care in New Zealand : an institutional ethnography Type (up) Book Whole
Year 2017 Publication Abbreviated Journal
Volume Issue Pages 372 p.
Keywords Nurse practitioners; Rural primary health care; Rural health; Institutional ethnography; Surveys
Abstract Critically examines the work required to establish nurse practitioner (NP) services in rural primary health care in NZ, using the institutional ethnography approach to the inquiry. Explores the work and experiences that nurses undertook to become NPs delivering rural primary health care services. Considers how these were institutionally-shaped and coordinated. Conducts interviews with a total of 13 NPs and four NP candidates.
Call Number NZNO @ research @ Serial 1810
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Author Norris, Katrina A.
Title A position in the making: A Bourdieusian analysis of how RN prescribing influences collaborative team practice in New Zealand Type (up) Book Whole
Year 2022 Publication Abbreviated Journal
Volume Issue Pages 174 p.
Keywords Bourdieusian analysis; RN prescribing; Primary health care nursing; Collaborative interprofessional practice
Abstract Examines designated registered nurse (RN) prescribing among community health nurses. Aims to understand how RN prescribers interact with other members of the health care team and to identify the social processes at play. Employs Bourdieu's 'Theory of Practice' to explore health care teams as competitive social spaces where health professionals vie to establish social position and authority. Recruits three health care teams representing primary health and specialty practice for interviews and observation. Highlights three themes from the data: social topography, working with an RN prescriber; and patterns of communication.
Call Number NZNO @ research @ Serial 1842
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Author Holloway, K. T.; Pearson, J.R.
Title Trailblazers: Primary health care programme evaluation Type (up) Conference Article
Year 2005 Publication Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector
Volume Paper presented June 2004 at Royal New Zealand Plu Issue Pages
Keywords New graduate nurses; Primary health care; Evaluation research; Professional development
Abstract This report is an evaluation of the academic journey undertaken by a group of newly graduated nurses who were sponsored by a New Zealand district health board to work in a variety of primary health care nursing settings. The impetus for this pilot employment option was the Ministry of Health's focus on primary health care nursing and workforce development for this sector and the Expert Advisory Committee for primary health care nursing's recommendations to district health boards regarding employment of graduate nurses and support for them to engage in post graduate study. Evaluation participants were primarily the graduate nurses who were interviewed at the end of their first year of practice which was following programme completion then again nine to ten months later. Findings include the nurses reflections on what supported them and what acted to impede as barriers to their learning success and practice development. The report concludes with five recommendations that can be used to ensure that the travels of future newly graduated nurses taking this pathway are supported, safe and successful.
Call Number NRSNZNO @ research @ Serial 1200
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Author Hoare, K.; Fairhurst-Winstanley, W.; Horsburgh, M.; McCormack, R.
Title Nurse employment in primary care: UK and New Zealand Type (up) Journal Article
Year 2008 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 35 Issue 1 Pages 4-10
Keywords Primary health care; Scope of practice; Nursing models
Abstract The researchers evaluate and compare the organisation of general practice in the UK and New Zealand. A key aim of the Primary Health Care Strategy is a reduction in health inequalities. Locally, some nurse leaders suggest that changing nurse practice employment from general practitioners to Primary Health Organisations will achieve this aim. The authors take lessons from the UK and suggest that nurses organising themselves into peer groups, remuneration of general practices for the attainment of positive patient outcomes, and a statutory duty of clinical governance, all contributed to the development of practice nurses' roles and expansion of numbers of nurse practitioners in general practice. Nurses have become partners with general practitioners in general practice in the UK, which the authors suggest is a much preferable alternative for some than employment by a Primary Health Organisation.
Call Number NRSNZNO @ research @ Serial 453
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Author Henty, C.; Dickinson, A.R.
Title Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study Type (up) Journal Article
Year 2007 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 34 Issue 5 Pages 335-338
Keywords Primary health care; Chronic diseases; Nursing; Evaluation
Abstract The aim of this small qualitative descriptive pilot study was to describe the experiences of practice nurses delivering the Care Plus programme within the general practice setting. Care Plus was introduced into Primary Health Organisations (PHOs) in 2004. This programme encourages more involvement from practice nurses in chronic care management. For many New Zealand practice nurses this is a new role. This study, carried out prior to the larger Care Plus implementation review (2006), provides an insight into the nursing experience of implementing Care Plus and provides a basis for future studies with regard to the nurse's role within the Care Plus programme.
Call Number NRSNZNO @ research @ 468 Serial 454
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Author McKinlay, E.M.
Title Thinking beyond Care Plus: The work of primary health care nurses in chronic conditions programmes Type (up) Journal Article
Year 2007 Publication New Zealand Family Physician Abbreviated Journal
Volume 34 Issue 5 Pages 322-327
Keywords Primary health care; Nursing models; Chronic diseases
Abstract This paper focuses on the work of primary health care nurses on chronic conditions, through both formal chronic care management (CCM) programmes and informal work. The author overviews the key components of CCM and describes Care Plus, a funding stream accessed via PHOs. The author gives examples of nurse led clinics and programmes in the general practice environment, and outlines the structures and processes necessary. A table summarises nurse involvement in several PHOs throughout the country. The author finds that the role of PHC nurses within a framework of inter-disciplinary chronic condition care is diverse and increasing.
Call Number NRSNZNO @ research @ Serial 455
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Author Pullon, S.; McKinlay, E.M.
Title Interprofessional learning: The solution to collaborative practice in primary care Type (up) Journal Article
Year 2007 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 34 Issue 6 Pages 404-408
Keywords Interprofessional relations; Education; Primary health care; Communication
Abstract In this paper the authors outline the basis of interprofessional education, which occurs when members of two or more professions are engaged in learning together. They describe its relationship to primary care clinical practice, where it can lead to collaborative problem-solving approaches, mutual decision making and interdisciplinary teamwork. A New Zealand model of postgraduate interprofessional education is presented. Barriers to the implementation of interprofessional education in New Zealand are identified along with possible solutions.
Call Number NRSNZNO @ research @ Serial 458
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Author Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.; O'Connor, S.
Title Implementation of a nursing initiative in primary care: A case report, cardiovascular disease risk reduction Type (up) Journal Article
Year 2008 Publication New Zealand Family Physician Abbreviated Journal
Volume 35 Issue 3 Pages 183-186
Keywords Multidisciplinary care teams; Cardiovascular diseases; Case studies; Primary health care
Abstract The aim was to report on implementation of a nursing initiative of cardiovascular disease (CVD) screening risk assessment at the Mornington Health Centre, Dunedin, with initial outcomes after six months. The practice aim was 80% of their eligible population assessed within three to four years, particularly targeting high-risk groups. The audit indicates that in their first six months, Mornington Health Centre had screened 42% of their eligible patients. This is described as very successful progress towards their goal of 80%. A number of key organisational factors are identified that are likely to have contributed to the development and success of the nurse CVD risk assessment programme at Mornington Health Centre. The authors suggest that this case study demonstrates how organisational change, where the practice nurse role in the multidisciplinary team is clear, can facilitate a practice to meet a population-based goal.
Call Number NRSNZNO @ research @ Serial 514
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