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Author (up) 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 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 (up) 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
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Author (up) Henty, C.; Dickinson, A.R.
Title Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study Type 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 (up) Hoare, K.; Fairhurst-Winstanley, W.; Horsburgh, M.; McCormack, R.
Title Nurse employment in primary care: UK and New Zealand Type 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 (up) Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.
Title Nursing initiatives in primary care: An approach to risk reduction for cardiovascular disease and diabetes Type Journal Article
Year 2008 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 35 Issue 3 Pages 176-182
Keywords Cardiovascular diseases; Diabetes Type 2; Risk factors; Nursing models
Abstract The authors evaluated a nurse-led cardiovascular disease and diabetes (CVD) management project. The Ministry of Health funded the project to implement models of nurse service delivery, with care pathways for risk reduction of CVD and diabetes based on national guidelines, with quality assurance, audit and nurse leadership. The paper presents the components required to implement and sustain a nurse CVD risk assessment and management service, which were identified and clarified through the action research process.
Call Number NRSNZNO @ research @ 527 Serial 513
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Author (up) 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 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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Author (up) McKinlay, E.M.
Title Thinking beyond Care Plus: The work of primary health care nurses in chronic conditions programmes Type 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 (up) McKinlay, E.M.
Title New Zealand practice nursing in the third millennium: Key issues in 2006 Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal
Volume 33 Issue 3 Pages 162-168
Keywords Primary health care; Practice nurses; Careers in nursing
Abstract The author looks at the accelerated change in the role of practice nurses, due to factors such as the effects of the Primary Health Care Strategy. She reviews the current role of practice nurses, which is influenced by a population approach and new funding streams that encourage preventative, maintenance and chronic illness management activities. She highlights the positive effects of increased visibility of nursing leaders in the sector, increasing interdisciplinary education, and new career pathways which include advanced roles. She addresses some of the professional and systemic structural barriers which impact on practice nurses' ability to work effectively and equally within a general practice team.
Call Number NRSNZNO @ research @ 541 Serial 527
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Author (up) Minto, R.
Title The future of practice nursing Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal
Volume 33 Issue 3 Pages 169-172
Keywords Primary health care; Interprofessional relations; Professional development; Physicians; Practice nurses
Abstract The author describes and discusses the main barriers to practice nurses achieving their potential as a profession. She identifies key obstacles as the funding model, GP attitudes and the current employment model. Shared governance, the development of a patient-centred services, and new employment models are proposed as the basis of a new model of primary care delivery.
Call Number NRSNZNO @ research @ 537 Serial 523
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Author (up) Murrell-McMillan, K.A.
Title Why nurses in New Zealand stay working in rural areas Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal
Volume 33 Issue 3 Pages 173-175
Keywords Rural nursing; Recruitment and retention; Job satisfaction; Teamwork; Primary health care
Abstract The author investigates why nurses in New Zealand stay working in rural areas when their Australian counterparts and medical colleagues are leaving rural areas at alarming rates. She looks at international recruitment and retention issues, and particularly compares rural nursing in Australia with New Zealand. Local research shows that over 50% of rural nursing is in the practice environment. Practice nurses report high job satisfaction, specifically around working with diverse populations, autonomy, and working with GPs, the local community, and local iwi. The only perceived barrier identified in the New Zealand literature to job satisfaction and collaborative team behaviour has been the funding of nursing services in rural areas. This contrasts with many barriers to rural nursing in Australia, and the author suggests New Zealand policy makers may learn from Australia's retention issues.
Call Number NRSNZNO @ research @ Serial 530
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Author (up) Pullon, S.; McKinlay, E.M.
Title Interprofessional learning: The solution to collaborative practice in primary care Type 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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