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Author Cameron, Megan
Title Evaluation report of a postgraduate specialty programme: is a specialty nursing qualification delivering what it says it does? Type Journal Article
Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal
Volume Issue 24 Pages 37-45
Keywords Evaluation; Primary health care; Nursing; Well Child/Tamariki Ora; Postgraduate study; Surveys
Abstract Examines whether a postgraduate programme for Well Child/Tamariki Ora (WCTO) nurses prepares nurses new to child health to understand primary health care, health promotion, community nursing and nursing theory. Uses on online survey devised by Plunket National Educators to evaluate the (WCTO) strand of the Postgraduate Certificate in Primary Health Care Specialty Nursing curriculum against the delivery of the programme. Assesses student experience and student perceptions of the impact of their learning on their nursing practice. Considers whether it enables nurses to consider the specific populations in their care, or to encourage individuals, families and communities to increase their skills in health-focused daily living. Seeks to ascertain whether the structure of the programme, based on the clinical integration approach, supports nursing practice and academic study.
Call Number NZNO @ research @ Serial 1549
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Author Moana, Brenda; Crawford, Ruth; Isaac, Dorothy
Title Discussing sexual health with older clients: are primary health care nurses sufficiently prepared? Type Journal Article
Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal
Volume Issue 24 Pages 63-67
Keywords Sexual health; Assessment; Primary health care; Older adults; Surveys
Abstract Reports some findings of a study which examined primary health care (PHC) nurses' preparedness for engaging older adults in conversation about sexual health research. Examines the experiences and beliefs of PHC nurses working with older clients. Conducts three focus groups with 16 participants who discussed their experiences, values and perceptions of conversations on sexual health with older clients.
Call Number NZNO @ research @ Serial 1553
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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 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 Taylor, Melanie; Budge, Claire; Hansen, Chiquita; Mar, Materoa; Fai, Folole
Title Written care plans and support for health goals: important components of long-term conditions care Type Journal Article
Year 2019 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 10 Issue 1 Pages 29-38
Keywords Long-term conditions; Care plans; Health goals; Primary health care; General practice; Surveys
Abstract Measures the extent of care planning and support for health goals within a sample of Maori/non-Maori people with long-term conditions (LTC). Compares those with and without care plans, and those with and without support for health goals, with respect to health, and experiences with general practice. Patients enrolled in a MidCentral District Health Board regional LTC programme were recruited into the region's 'Talking about Health' study to explore LTC care from patient and provider perspectives by means of a questionnaire.
Call Number NZNO @ research @ Serial 1622
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Author Field, Jenny; McClunie-Trust, Patricia; Kearney, Celine; Jeffcoat, Jane
Title Language and communication: a vital component of health for people with refugee backgrounds Type Journal Article
Year 2020 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 11 Issue 1 Pages 42-49
Keywords Refugees; Language development; Well-being; Primary health care; Surveys
Abstract Reports on a collaborative project that explores trans-disciplinary understanding of the implications of learning English for the health and well-being of refugees. Argues that English literacy is a significant factor in health literacy and access to health care. Uses secondary analysis to analyse primary research with 60 predominantly female adult refugees aged 18 to 64 years. Highlights the experiences of these English language learners and reflects on their relevance for primary health care and nursing practice.
Call Number NZNO @ research @ Serial 1660
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Author Ryan, Timothy
Title Comparing health outcomes of rural and urban diabetes patients: an audit of a Maori health provider Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 12 Issue 1 Pages 60-62
Keywords Maori health care; Primary health care; Diabetes; Rural health services; Kaupapa Maori
Abstract Examines whether diabetes management is influenced by proximity to health-care providers for rural and urban patients with type 1 or type 2 diabetes. Includes patients living beyond a 5km radius from their health-care provider. Compares a Maori health provider, with a contract to support diabetes patients, and which employs a practice nurse who organises support under a kaupapa Maori framework, with an urban Maori health practice.
Call Number NZNO @ research @ Serial 1719
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Author Clissold, C.
Title How discourses stifle the Primary Health Care Strategy's intent to reduce health inequalities Type
Year 2006 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Community health nursing; Policy; Primary health care
Abstract The Primary Health Care Strategy (PHCS) has a stated commitment to defined populations who suffer disproportionately from ill health. This thesis examines whether some prevailing discourses actually decrease the focus on health inequalities. A study of the nursing and medical media found that it focused predominantly on professional and industrial issues, leaving health workers focused mainly on their own professional interests, rather than considering the effects on health inequalities. She goes on to suggest that current Ministry of Health discourse values decentralised community health decision making. This may gloss over factors in community health which are affected by Government policy such as employment policy, and thus should be dealt with centrally by legislation. These factors have been found to be the most pertinent in health inequalities. So while models of community partnerships may seem to place communities as agents in their own health, this downplays the determinants of health which are beyond their control. Having shown that discourse can decrease the focus on health inequalities due to other professional and political drivers, the author then looked at health initiative concepts which are effective, efficient and equitable given the current set up of PHOs and nursing innovations.
Call Number NRSNZNO @ research @ Serial 1196
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Author Lally, Elsa
Title Symbiotic relationships in patients' engagements with practice nurses Type Book Whole
Year 2014 Publication Abbreviated Journal
Volume Issue Pages 262 p.
Keywords Practice nurses; Patients; Symbiotic relationships; Primary health care; Surveys
Abstract Records from patient perspectives the nature of the engagements patients have with practice nurses which influence patients' health and well-being. Posits this mutually-beneficial close association as a form of symbiosis. Surveys 15 patients from seven rural and urban general practices in NZ about aspects of the participants' relationships and engagements with nurses, analysing the results using Narrative Inquiry methodology.
Call Number NZNO @ research @ Serial 1699
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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
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Author Adams-Smith, P.H.
Title An exploration of issues of primary health services for Taranaki Te Atiawa children based on the expectations and perceptions of their female caregivers Type
Year 2002 Publication Abbreviated Journal http://hdl.handle.net/10063/75
Volume Issue Pages
Keywords Parents and caregivers; Primary health care; Access; Maori; Children
Abstract The intention of this research is, through collaborative discussion and selective conversations, to explore female caregivers' expectations and perceptions of primary health services for some Te Atiawa Maori children. The research process was developed in a partnership between the Maori women participants and the researcher. In addition, two local kuia actively participated in and supported the process. Emancipatory critical social theory underpinned and informed the project. Power relationships between the researcher and the participants can be overtly explored within this theoretical framework. In terms of this particular exploratory study, participatory research appeared to be applicable. The participants are female caregivers of Te Atiawa children. Data collection was done using group interactions and semi-structured interviews in the winter of the year 2000. A thematic analysis of the data was used, in which common themes were identified, compared and discussed. From the analysis of the data of the participants' conversations, key ideas were identified. The major findings have been identified within two main themes. These are: a concept of health is not the same for Pakeha as for Maori, and access issues are still problematic for the participants in this study. Many quotes from the interview participants are included in order to keep the focus of the project on the voices of the women interviewed. In terms of the significant contribution of this research, this study aims to allow voices of female caregivers of Te Atiawa Maori children to be heard. Individual and collaborative interactions offer insights into what is important to them in terms of Maori child health. Clearly, the primary health initiatives promoted by the New Zealand government are not reaching at least some of the people for whom they are intended. The research participants offered their ideas as to how these deficits could be remedied in their community.
Call Number NRSNZNO @ research @ Serial 1216
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Author Alcorn, G.
Title Giving voice to school nursing as a primary health care specialty Type
Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords School nursing; Primary health care; Cross-cultural comparison
Abstract The purpose of this thesis is to give voice to school nursing as a primary health care specialty, and to promote the development of school nursing in New Zealand. School nursing is an invisible practice specialty that is largely funded from within the education sector, to address the health needs of student clients. School nursing is a significant primary health care initiative that can positively influence student health outcomes. The author presents her own school nursing practice experience and philosophy, prior to reflecting upon the history of school nursing, and the health concerns present within the student population. The work then moves to review and critique school nursing literature from New Zealand, Australia, the United Kingdom, and the United States. This thesis highlights the need for collaborative policy and practice development initiatives including a legislative requirement for school nurses, school nursing competencies and standards, school nurse to student ratios, postgraduate training, professional liaison, practice funding, and research. A discourse on the reflective topical autobiographical method introduces autobiographical poetry from school nursing practice and reflective inquiry, as the central research endeavour of this thesis. Autobiographical poetry is offered as a window to this specialty practice, and accompanying reflections allow access to a further layer of practice knowledge.
Call Number NRSNZNO @ research @ Serial 1143
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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
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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
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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
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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 NZNO @ research @ Serial 1801
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