| Records |
| 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 |
| Permanent link to this record |
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| Author |
Ross, J. |
| Title |
Role identification: An impediment to effective core primary health care teamwork |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Multidisciplinary care teams; Teamwork; Primary health care |
| Abstract |
This study, which is methodologically grounded in qualitative research and philosophically informed by critical social science, explores aspects of the socio-political context in which practice nurses and general practitioners (core primary health care team) work within a team environment. It is indicated in the literature that there are benefits for improved health care through the development of collaborative teamwork. However, there have been many barriers identified which prevent collaborative teamwork. Amongst the many barriers, is the lack of role clarity and attitudinal differences. This thesis explored and highlighted whether the lack of role clarity and attitudinal differences do indeed impede the team's success, and are barriers to teamwork. The views and opinions of practice nurses and general practitioners and the understanding of their own and each other's current roles within the general practice setting were explored. The participants had the opportunity to discuss together, in focus group meetings, their thoughts on the topic. This raised their awareness of their taken for granted ideas on role and teamwork. Focus groups offered the participants the added opportunity to question each other which allowed for a deeper and more fulfilling understanding of role. New understandings that emerged could lead to alternative models of health care and influence the future delivery and planning of general practice. The thesis concludes by offering a potentially suitable model/framework which has been developed to further the understanding of teamwork in the future. |
| Call Number |
NRSNZNO @ research @ |
Serial |
571 |
| Permanent link to this record |
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| Author |
Heese, Norma |
| Title |
Report: Margaret May Blackwell Travel Fellowship 2004 |
Type |
Report |
| Year |
2004 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
45p. |
| Keywords |
Primary health care; Child health services; Reports |
| Abstract |
Covers the placements the author visited and the topics learned whilst undertaking travel in the UK after being awarded the 2003 Margaret May Blackwell Travel Study Fellowship. Of specific interest was Well Child Care in Primary Health. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1412 |
| Permanent link to this record |
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| Author |
Thompson, L.E. |
| Title |
Profession and place: Contesting professional boundaries at the margins |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
UC Research Repository |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural health services; Primary health care; Identity; Interprofessional relations |
| Abstract |
Based on qualitative research conducted in New Zealand and the Western Isles with rural primary care nurses and Family Health Nurses respectively, this thesis explores the ways that nurses construct flexible generalist professional identities that challenge traditional inter and intra-professional boundaries. Rhetoric of 'crisis' is often utilised to raise political awareness of the problematic, but in fact, rural general practitioner recruitment and retention has been documented for about a hundred years. For about the same length of time nurses have been providing primary health care services in rural and remote places, often working alone. In the New Zealand case, rural primary care nurses negotiate the boundaries between nursing and medicine, those within nursing itself, and also those between nursing a paramedic work. Nurses perform this boundary work by negotiating self-governing 'appropriate' and 'safe' professional identities. In the Western Isles case, the introduction of the newly developed role of Family Health Nurse serves to highlight the problematic nature of inserting an ostensibly generalist nursing role beyond the rural. |
| Call Number |
NRSNZNO @ research @ 1177 |
Serial |
1162 |
| Permanent link to this record |
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| Author |
Morgan, F.A. |
| Title |
Primary health care nurses supporting families parenting pre-term infants |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
NZNO Library, University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Primary health care; Community health nursing; Paediatric nursing; Premature infants |
| Abstract |
This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1132 |
| Permanent link to this record |
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| Author |
Davies, D.C. |
| Title |
Practice nurses' perceptions of their contribution to the care of individuals with chronic health conditions |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Primary health care; Chronic diseases; Patient satisfaction; Nursing |
| Abstract |
Table of Contents: 1. Background and overview; 2. Research design and method; 3. Literature review; 4. Preparation of the individual for an appointment at the general practice; 5. Care provided by the practice nurse at the general practice; 6. The giving of information; 7. A discussion of the dualities of the contribution of practice nurses to the care of individuals with chronic conditions; 8. Study summary and conclusions. |
| Call Number |
NRSNZNO @ research @ 492 |
Serial |
478 |
| Permanent link to this record |
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| 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 |
| Permanent link to this record |
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| Author |
Prior, Patsy; Wilkinson, Jill; Neville, Stephen |
| Title |
Practice nurse use of evidence in clinical practice : a descriptive survey |
Type |
Journal Article |
| Year |
2010 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
26 |
Issue |
2 |
Pages |
14-25 |
| Keywords |
Evidencxe-based practice; Primary health care; Nursing; Education |
| Abstract |
Describes nurses' perceptions of their use of evidence-based practice, attitudes toward evidence-based practice and perceptions of their knowledge/skills associated with evidence-based practice. Determines the effect of educational preparation on practice, attitudes, and knowledge/skills toward evidence-based practice. Utilises a descriptive survey design to poll 55 West Auckland practice nurses working the general practice setting. |
| Call Number |
NZNO @ research @ |
Serial |
1455 |
| Permanent link to this record |
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| Author |
Neville, S.J.; Henderson, H.M. |
| 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 |
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 |
| Permanent link to this record |
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| Author |
Williams, H. |
| Title |
One for the boys: An evaluative study of primary health care access by men in Tairawhiti |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Gender; Primary health care; Access; Male |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ |
Serial |
1138 |
| Permanent link to this record |
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| Author |
Strickland, A. |
| Title |
Nurse-initiated retinoblastoma service in New Zealand |
Type |
Journal Article |
| Year |
2006 |
Publication |
Insight: The Journal of the American Society of Ophthalmic Registered Nurses |
Abbreviated Journal |
|
| Volume |
31 |
Issue |
1 |
Pages |
8-10 |
| Keywords |
Case studies; Nursing specialties; Children; Quality of health care; Evaluation |
| Abstract |
This article describes the implementation of a nurse-led, dedicated support network and service for children with a diagnosis of retinoblastoma and their families. Nurses with an interest in retinoblastoma at an Auckland Ophthalmology Department realised that the service provided was not meeting the needs of patients and families, particularly since the numbers had increased over the past two years. This article outlines the development of a cost-effective approach that improved the service. |
| Call Number |
NRSNZNO @ research @ |
Serial |
884 |
| Permanent link to this record |
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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 |
NZNO @ research @ |
Serial |
1810 |
| Permanent link to this record |
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| Author |
Officer, Tara N. |
| Title |
Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience |
Type |
Book Whole |
| Year |
2018 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
301 p. |
| Keywords |
Nurse practitioners; Primary health care; Advanced nursing practice; Pharmacist prescribers |
| Abstract |
Investigates how nurse practitioner and pharmacist prescriber roles are developing in NZ primary health care, and what is needed to better support the future development of these roles. Employs a qualitative research design involving semi-structured interviews of (1) policy, training, and advocacy stakeholders; (2) primary health-care nurse practitioners, pharmacist prescribers, and general practitioners; and (3) patients of advanced practitioners and carers of patients using such services. |
| Call Number |
NZNO @ research @ |
Serial |
1693 |
| Permanent link to this record |
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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 |
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 |
| Permanent link to this record |
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| Author |
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 |
| Permanent link to this record |
