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Author Henty, C.; Dickinson, A.R. url  openurl
  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 (up) 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 Adams, Sue url  openurl
  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 (up) 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 Pullon, S.; McKinlay, E.M. url  openurl
  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 (up) 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 Neville, S.J.; Henderson, H.M. openurl 
  Title Perceptions of lesbian, gay and bisexual people of primary healthcare services Type Journal Article
  Year 2006 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 55 Issue 4 Pages (up) 407-415  
  Keywords Sexuality; Attitude of health personnel; Primary health care  
  Abstract This paper reports a study exploring people's perceptions of disclosure about lesbian, gay and bisexual identity to their primary healthcare providers. Disclosure of sexual identity to healthcare professionals is integral to attending to the health needs of lesbian, gay and bisexual populations, as non-disclosure has been shown to have a negative impact on the health of these people. From April to July 2004, a national survey of lesbian, gay and bisexual persons was carried out in New Zealand. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues, and 2269 people completed the questionnaire, either electronically or via hard copy. The 133-item instrument included a range of closed-response questions in a variety of domains of interest. In this paper, we report results from the health and well-being domain. More women than men identified that the practitioner's attitude toward their non-heterosexual identity was important when choosing a primary healthcare provider. Statistically significantly more women than men reported that their healthcare provider usually or always presumed that they were heterosexual and in addition more women had disclosed their sexual identity to their healthcare provider. The authors advise that nurses reconsider their approach to all users of healthcare services by not assuming everyone is heterosexual, integrating questions about sexual identity into health interviews and ensuring that all other aspects of the assessment process are appropriate and safe for lesbian, gay and bisexual people.  
  Call Number NRSNZNO @ research @ 1059 Serial 1043  
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Author Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J. openurl 
  Title Educating for healthcare quality improvement in an interprofessional learning environment: A New Zealand initiative Type Journal Article
  Year 2006 Publication Journal of Interprofessional Care Abbreviated Journal  
  Volume 20 Issue 5 Pages (up) 555-557  
  Keywords Quality of health care; Multidisciplinary care teams; Nursing; Education; Maori; Patient safety  
  Abstract This article describes two interprofessional learning modules offered by the Faculty of Medical and Health Sciences at the University of Auckland to undergraduate medicine, nursing and pharmacy students. The modules, 'Maori Health“ and ”Patient Safety", have a focus on quality improvement in healthcare and are used to bring together students for a shared learning programme.The specific dimensions of healthcare quality covered in the programme are: patient safety, equity, access, effectiveness, efficacy and patient-centeredness.  
  Call Number NRSNZNO @ research @ Serial 1042  
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Author O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J. openurl 
  Title Clinical indicators as measures of mental health nursing standards of practice in New Zealand Type Journal Article
  Year 2004 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 13 Issue 2 Pages (up) 778-788  
  Keywords Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth  
  Abstract This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings.  
  Call Number NRSNZNO @ research @ Serial 1059  
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Author Bland, M.F. openurl 
  Title Betwixt and between: A critical ethnography of comfort in New Zealand residential aged care Type Journal Article
  Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 16 Issue 5 Pages (up) 937-944  
  Keywords Geriatric nursing; Rest homes; Patient satisfaction; Quality of health care  
  Abstract This research sought to explore the nature of comfort within the context of three New Zealand nursing homes and examine how nursing and other actions contribute to residents' comfort. A critical ethnographic approach was used and fieldwork included 90 days of participant observation, interviews with 27 residents and 28 staff and extensive document examination. Comfort was multidimensional, idiosyncratic, dynamic and context dependent, rather than merely the absence of discomfort. This multidimensional nature meant residents could be 'betwixt and between' comfort and discomfort simultaneously. The constraints of one-size-fits-all care delivery practices and the tensions inherent in communal living compounded residents' discomfort. The findings show that individualised care, based on comprehensive and accurate nursing assessment, is fundamental to the comfort of residents.  
  Call Number NRSNZNO @ research @ Serial 657  
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