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Author Davis, J.; Wiapo, C.; Rehana-Tait, H.; Clark, T.C.; Adams, S.
Title Steadfast is the rock: Primary health care Maori nurse leaders discuss tensions, resistance, and their contributions to prioritise communities and whanau during COVID-19 Type Journal Article
Year 2021 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 37 Issue 3 Pages 84-93
Keywords COVID-19; Primary health care; Maori nursing leadership; Maori communities
Abstract Recounts the experiences of 3 Maori nurses in a primary health entity in Northland, NZ as they negotiated with health providers and organisations to protect the health of Maori communities during the first lockdown, in 2020. Emphasises the role of matauranga Maori (Maori knowledge and tradition) in ensuring local Maori were prioritised in the pandemic response in the region.
Call Number (down) NZNO @ research @ Serial 1737
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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 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 (down) NZNO @ research @ Serial 1757
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Author Ferguson, Katelyn Maye
Title The appropriation of cultural safety: A mixed methods analysis Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 250 p.
Keywords Cultural safety; Nursing practice; Cross-cultural communication; Maori health care; Internationally Qualified Nurses (IQN)
Abstract Argues that the concept of cultural safety (CS) has been appropriated from an indigenous-led bicutural context to an inclusive cross-cultural framework for working with diverse patient populations. Investigates nurses' understanding of the 'Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice' published in 2011 by the Nursing Council of NZ. Conducts a mixed-methods survey using both closed and open-ended questions to gauge nurses' confidence in applying the guidelines and their view of their relevance. Describes differences between NZ Registered Nurses (RN) and Internationally Qualified Nurses (IQN) in their understanding of CS. Argues that the CS model should be by Maori, for Maori.
Call Number (down) NZNO @ research @ Serial 1763
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Author Mustafa, Maher; Adams, Sue; Bareham, Corinne; Carryer, Jenny
Title Employing nurse practitioners in general practice: an exploratory survey of the perspectives of managers Type Journal Article
Year 2021 Publication Journal of Primary Health Care Abbreviated Journal
Volume 13 Issue 3 Pages 274-282
Keywords Nurse practitioners; Primary health care; Models of care; Surveys
Abstract Explores the perspectives of practice managers on employing nurse practitioners (NP) in general practice. Uses an electronic survey to collect demographic and numerical data, which were analysed descriptively and analytically using SPSS (version 26). Written answers to open-ended questions were analysed qualitatively.
Call Number (down) NZNO @ research @ Serial 1779
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Author Adams, Sue; Boyd, Michal; Carryer, Jenny; Bareham, Corinne; Tenbensel, Tim
Title A survey of the NP workforce in primary healthcare settings in New Zealand. Type Journal Article
Year 2020 Publication New Zealand Medical Journal Abbreviated Journal
Volume 133 Issue 1523 Pages 29-40
Keywords Nurse practitioners; Primary health care; Surveys
Abstract Describes the demographics, distribution, clinical settings and employment arrangements of the NZ nurse practitioner (NP) workforce in primary healthcare settings, and organisational factors limiting their practice. Surveys 160 NPs and finds that general practice and aged residential care were the most common clinical settings.
Call Number (down) NZNO @ research @ Serial 1780
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Author Crowe, M.; Jones, V.; Stone, M.-A.; Coe, G.
Title The clinical effectiveness of nursing models of diabetes care: A synthesis of the evidence Type Journal Article
Year 2019 Publication International Journal of Nursing Studies Abbreviated Journal
Volume 93 Issue Pages 119-128
Keywords Nurse-led care; Diabetes; Primary health care nurses; Clinical efficacy
Abstract Determines the clinical effectiveness, in terms of glycaemic control, other biological measures, cost-effectiveness and patient satisfaction, of nurse-led diabetes interventions led by primary health care nurses. Uses PRISMA guidelines for reporting the results of a systematic review of the literature. Compares quantitative studies of physician-led care and cost-effectiveness, with qualitative studies of patient experiences of nurse-led care.
Call Number (down) NZNO @ research @ Serial 1790
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Author Adams, Sue; Oster, Sandy; Davis, Josephine
Title The training and education of nurse practitioners in Aotearoa New Zealand: Time for nationwide refresh [editorial] Type Journal Article
Year 2022 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 38 Issue 1 Pages 1-4
Keywords Nurse practitioners; Nursing education; Primary health care
Abstract Argues that the following measures must be taken to ensure the ongoing development and establishment of nurse practitioners (NP) across the health sector: review of NP competencies; support for NPs to undertake the nurse practitioner training programme

(NPTP); formation of nationally-consistent and funded NPTPs; mentoring novice NPs; and a national workforce plan for NPs.
Call Number (down) NZNO @ research @ Serial 1792
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Author Fletcher, Stephanie
Title “It's one less thing I have to do” : does referring patients to a co-located psychology service impact on the well-being of primary care health providers? Type Journal Article
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 88 p.
Keywords Psychology service; Primary health care nurses; Well-being; Mental health services; Focused Acceptance and Commitment Therapy (FACT)
Abstract Investigates wheether the impact of a co-located psychological service to which Primary Care Providers cn refer patients with mild to moderate mental health needs, would impact on the well-being of the providers at work. Describes Focused Acceptance and Commitment Therapy (FACT) services delivered by psychologists working in a a large primary care practice in the lower North Island. Conducts interviews with GPs, nurse practitioners (NP) and registered nurses (RN), analysing the data using thematic analysis. Finds an inverse relationship between the FACT service and the well-being of staff.
Call Number (down) NZNO @ research @ Serial 1801
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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
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 (down) 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 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 (down) NZNO @ research @ Serial 1810
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Author Wiapo, Coral; Sami, Lisa; Komene, Ebony; Wilkinson, Sandra; Davis, Josephine; Cooper, Beth; Adams, Sue
Title From kaimahi to enrolled nurse: A successful workforce initiative to increase Maori nurses in primary health care Type Journal Article
Year 2023 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 39 Issue 1 Pages
Keywords Enrolled nurses; Kaimahi; Maori nurses; Kaupapa Maori; Primary health care
Abstract Describes a national initiative to increase the capacity and capability of the Maori health workforce by supporting kaimahi (unregulated health workers) to become enrolled nurses (EN) delivering care within their communities. Uses Kaupapa Maori principles to create a strengths-based framework, focusing on self-determination and validating Matauranga Maori (Maori knowledge). Outlines the key components of the Earn as you Learn model.
Call Number (down) NZNO @ research @ Serial 1830
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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 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 (down) NZNO @ research @ Serial 1842
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Author Pirret, A.M.
Title A preoperative scoring system to identify patients requiring postoperative high dependency care Type Journal Article
Year 2003 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 19 Issue 5 Pages 267-275
Keywords Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment
Abstract The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions.
Call Number (down) NRSNZNO @ research @ 904 Serial 888
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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 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 (down) NRSNZNO @ research @ 780 Serial 764
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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 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 (down) NRSNZNO @ research @ 730 Serial 716
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