| Records |
| Author |
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 |
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 |
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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| 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 |
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 |
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 |
Minto, R. |
| Title |
The future of practice nursing |
Type |
Journal Article |
| Year |
2006 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
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| 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 |
| Permanent link to this record |
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| Author |
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 |
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| 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 |
| Permanent link to this record |
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| Author |
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 |
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 |
| Permanent link to this record |
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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 |
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| Volume |
13 |
Issue |
1 |
Pages |
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 |
Floyd, S.; Meyer, A. |
| Title |
Intramuscular injections: What's best practice? |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
13 |
Issue |
6 |
Pages |
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 |
| Permanent link to this record |
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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 |
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 |
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 |
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 |
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 |
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| Volume |
8 |
Issue |
1 |
Pages |
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 |
| Permanent link to this record |
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| Author |
Warren, Bronwen; Marugeesh, Carissa; Greaves, Kirsty |
| Title |
The management of immunisation decliners in Waikato general practices |
Type |
Journal Article |
| Year |
2017 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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| Volume |
8 |
Issue |
1 |
Pages |
37-42 |
| Keywords |
Immunisation; Decliners; Primary health care; Team approach; Practice nurses; Health targets; Resources; Internal processes |
| Abstract |
Identifies the processes used in those general practices that consistently reach the Ministry of Health 95 per cent immunisation target for eight-month-old infants. Considers how the practices manage parents and caregivers who are reluctant to immunise. Invites practices in a number of different community settings to participate in the study over a ten-week period, using a mixed-method approach. Analyses quantitative data from the National Immunisation Register using Excel, gathering qualitative date from face-to-face or phone interviews, and anysing these using both SSPS and NVivo 10. |
| Call Number |
NZNO @ research @ |
Serial |
1541 |
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