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Author Clendon, J.; Krothe, J.
Title The nurse-managed clinic: An evaluative study Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 2 Pages (up) 15-23
Keywords Evaluation research; Nurse managers; Primary health care; Cross-cultural comparison
Abstract Part of an international project, the aim of this study was to evaluate a nurse managed primary health care clinic (Mana Health Clinic) from the perspectives of users, funders, and providers of clinical services in order to identify factors which contribute to success. The method used was Fourth Generation Evaluation (FGE) whereby, consistent with the methodological precepts of the constructivist enquiry paradigm, there was active involvement of clients in the process and outcome of the evaluation. Open-ended interviews were conducted with 13 individuals and one focus group. The data yielded four main categories: factors that contribute to success; contrasting past experience of health care with that of nurse-managed care; the effectiveness of nurse-managed care; and suggestions for change in current practice. The authors note that the results to date support a tentative conclusion of success for the clinic. As the study is on-going, summaries of the four categories were fed back to the participants for further discussion and interpretation and eventual integration with data from the similar study being undertaken in the United States. The authors conclude that this paper demonstrates how the use of an appropriate method of evaluation can itself contribute to the success of the nurse managed clinic.
Call Number NRSNZNO @ research @ Serial 547
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Author Shaw, S.
Title Constructing media images of nursing: How does the media represent nurses when reporting on nurse prescribing? Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 1 Pages (up) 16-18
Keywords Drug administration; Interprofessional relations; Professional competence; Nursing; Eucation; Quality of health care
Abstract This research presents a discourse analysis of articles published in the New Zealand Herald between October 1999 and September 2005. The terms “nurse prescribing” and “prescribing fights” identified seven articles published which referred specifically to this issue. They were predominantly editorial comments and statements attributed to senior doctors. Examples of comments from these articles are presented and discussed in this article, and three inter-related themes are identified – competence, responsibility and competition. Discussion on competence centred on education, skill and experience level of nurses, as described by editorial comment and senior doctors. Positive international research and experience of nurse prescribing did not feature. A number of comments in the articles analysed could be seen to represent concerns about competition between medicine and nursing. One interpretation of the comments contained in these articles is to see medical practitioner groups defending their status and desire to define and control nursing practice. The media has the power to select the information conveyed and, in these instances, appears to have demonstrated a bias towards the medical community's perspective.
Call Number NRSNZNO @ research @ Serial 979
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Author Vernon, R.A.; Jacobs, S.; Papps, E.
Title An innovative initiative for advanced nursing practice roles Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue 2 Pages (up) 16-17
Keywords Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models
Abstract This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme.
Call Number NRSNZNO @ research @ Serial 1311
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Author Vick, Margaret; Dannenfeldt Gudrun; Shaw, Bill
Title Do students training to be health-care workers have compassionate attributes? Type Journal Article
Year 2017 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 8 Issue 1 Pages (up) 16-22
Keywords Compassion; Health care students; Surveys; Measurements
Abstract Measures the extent to which health-care students began their training with compassionate attributes. Defines compassion as an awareness of others and a desire to help, using a non-judgmental approach. Highlights the significance of compassion in health care. Provides a self-administered 'compassion to others' psychometric scale to measure compassionate attributes to 146 students enrolled in the first semester of nursing, midwifery and social work at the Waikato Institute of Technology (Wintec). Analyses data using the SPSS and ANOVA for descriptive statistics and predictive information.
Call Number NZNO @ research @ Serial 1538
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Author Robertson, Heather; Carryer, Jenny; Neville, Stephen
Title Diffusion of the Primary Health Care Strategy in a small District Health Board in New Zealand Type Journal Article
Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue 3 Pages (up) 17-26
Keywords Diffusion; innovation; primary health care (PHC); primary health care nursing
Abstract Reports the findings of a study examining aspects of the implementation of the Primary Health Care Strategy on primary health care nursing in a small district health board (DHB) in NZ. Conducts an instrumental case study informed by onstructionism and underpinned by a qualitative interpretive design. Collects data from policy documents and strategic plans and by means of interviews with managers at middle and senior levels at the local DHB and two PHOs.
Call Number NZNO @ research @ Serial 1511
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Author Clendon, Jill (and others)
Title Nurse perceptions of the diabetes Get Checked Programme Type Journal Article
Year 2013 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 29 Issue 3 Pages (up) 18-30
Keywords Diabetes; Primary health care
Abstract Ascertains the impact of the programme on the practice of nurses and identifies factors that contributed to the success or failure of the programme in their workplaces. Performs an observational study by means of an online survey and descriptively analyses the responses from the 748 respondents. Elicits nurses' suggestions for future improved management and outcomes for people with diabetes.
Call Number NZNO @ research @ Serial 1486
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Author Gibbons, V.; Rice, S.; Lawrenson, R
Title Routine and rigidity: Barriers to insulin initiation in patients with Type 2 Diabetes Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages (up) 19-22
Keywords Medication compliance; Diabetes Mellitus, Non-Insulin-Dependent; Primary health care
Abstract It has been shown that intensive management of diabetes with type 2 diabetes is effective and has led to wider use of insulin. The conversion of patients from oral medication to insulin is usually managed in primary care. The study discussed here aimed to explore how patients with type 2 diabetes mellitus (T2DM) perceived insulin. The study was conducted in 2009 in an urban general practice in a large town in New Zealand with more than 300 patients with type 2 diabetes. A qualitative study was conducted with face-to-face interviews with 13 participants. The question focused on insulin initiation, lifestyle and routine. The transcribed responses were subject to thematic anaylsis. Interviews showed participants felt restricted by the prospect and eventuality of the routine and restrictions of being on insulin. Results show there needs to be a greater emphasis on the disease being progressive. This study provides the ground work for developing resources that will benefit patients with T2DM.
Call Number NZNO @ research @ Serial 1339
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Author Floyd, S.; Meyer, A.
Title Intramuscular injections: What's best practice? Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 6 Pages (up) 20-22
Keywords Professional competence; Registered nurses; Quality of health care; Evidence-based medicine
Abstract The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent.
Call Number NRSNZNO @ research @ Serial 986
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Author Ryan, Timothy
Title Exploring the experiences of Maori men in a culturally-enriched well-being programme Type Journal Article
Year 2019 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 10 Issue 1 Pages (up) 22-27
Keywords Maori men; Kaupapa Maori; Health education; Primary health care
Abstract Explores the experiences of participants in a health education programme designed specifically for Maori males, called Tane Takitu Ake, delivered by community health workers and a nurse. Employs a qualitative descriptive methodology with thematic analysis of data from a focus group cohort of Maori males aged 38 to 55 years referred to the programme via social and/or health services. Gathers data from during a 10-week kaupapa Maori programme.
Call Number NZNO @ research @ Serial 1621
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Author Mackay, B.
Title Leadership development: Supporting nursing in a changing primary health care environment Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 2 Pages (up) 24-32
Keywords Leadership; Professional development; Primary health care; Nursing
Abstract The author argues that the involvement of nurses in the decision-making of health organisations is essential to maximise the contribution of nurses and promote positive outcomes for patients. She suggests that development of leadership skills will make nurses aware of power structures in the health system and allow them to become interdependent health professionals in primary health organisations (PHO). The particular competencies discussed are those proposed by Van Maurik (1997), namely ability to understand and manage organisational politics, work facilitatively with people and circumstances, and build a feeling of purpose.
Call Number NRSNZNO @ research @ Serial 619
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Author Fail, A.
Title Ageing in the 21st century Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 5 Issue 9 Pages (up) 24-31
Keywords Older people; Theory; Quality of life; Quality of health care; Age factors
Abstract The author looks at demographic and statistical information to extrapolate on trends that will affect the aged through into to the next century. She reviews policy approaches to the issues of a growing aged population combined with social and economic changes that could make this group vulnerable. Effective planning for the provision of quality care is placed in the context of social changes, advances in gerontology, and social theories of ageing.
Call Number NRSNZNO @ research @ Serial 1275
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Author Ha, I.; Huggard, P.; Huggard, J.
Title Staff support and quality of care provided by palliative care nurses: A systematic literature review Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages (up) 25-32
Keywords Hospice and palliative nursing; Systematic review; Staff support; Quality of health care
Abstract There is a considerable body of literature discussing the stressors experienced by nurses and other health professionals when caring for those who are terminally ill and dying. Also, a number of articles offer suggestions, including the views of staff, as to what type of professional and organisational support is required when working in this often demanding specialty. There are, however, very few reports of assessment of the effectiveness of such supportive interventions and in particular, the impact of such support on the quality of patient care. This literature review examines any reported relationships between the quality of nursing provided by palliative care nurses and the staff support received by those nurses.
Call Number NZNO @ research @ Serial 1391
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Author Finlayson, M.; Gower, S.E.
Title Hospital restructuring: Identifying the impact on patients and nurses Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 2 Pages (up) 27-35
Keywords Quality of health care; Hospitals; Organisational change
Abstract The authors report a survey of all nurses working in hospitals included in the International Hospital Outcomes Study of staffing and patient outcomes in New Zealand's secondary and tertiary hospitals from 1988-2001. The survey examines the way in which the hospitals have been restructured and analyses patient outcomes. Research has identified links between how nursing is organised in a hospital and that hospital's patient outcomes.
Call Number NRSNZNO @ research @ Serial 615
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Author Clear, G.M.; Carryer, J.B.
Title Shadow dancing in the wings: Lesbian women talk about health care Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 3 Pages (up) 27-39
Keywords Sexuality; Patient satisfaction; Nursing research; Quality of health care; Feminist critique
Abstract A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored factors which hindered or facilitated these women's sense of safety related to health care. The findings indicate that barriers to receiving health care exist for these women. As there is little local or international research on lesbians and healthcare, this work offers a starting place for future New Zealand nursing research involving lesbians. The authors encourage other nurses to explore previously ignored sections of our society in order to strive for safety for all those whom nursing serves.
Call Number NRSNZNO @ research @ Serial 843
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Author Nelson, Katherine M; Connor, Margaret; Alcorn, Gillian D
Title Innovative nursing leadership in youth health Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue 1 Pages (up) 27-37
Keywords Clinical leadership; Innovation; Youth health; Nurse practitioner; Primary health care
Abstract Looks one of the eleven health care nursing innovation projects funded by the Ministry of Health: Vibe Youth Transition Services, located in the Hutt Valley, formerly known as the Hutt Valley Youth Service. Highlights the leadership role provided by the nurse practitioner (NP) which led to youth health and development nationally.
Call Number NZNO @ research @ Serial 1441
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