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Author Clendon, J.
Title Demonstrating outcomes in a nurse-led clinic: How primary health care nurses make a difference to children and their families Type Journal Article
Year 2004 Publication Contemporary Nurse Abbreviated Journal
Volume (up) 18 Issue 1-2 Pages 164-176
Keywords Primary health care; School nursing; Nurse managers
Abstract The study outlined here explored outcomes from the provision of primary health care to children aged 5-13 years in a nurse-led clinic based in a primary school in Auckland. This multi-faceted study collected both qualitative and quantitative data, however it is the results of the quantitative arm of the study that are presented here. Data were collected from a variety of sources concerning conditions seen, age and ethnicity of users, types of services provided and impact on hospital usage. Findings demonstrate that the provision of comprehensive primary health care by the nurse at the clinic impacts positively on hospital visitation by children from the area where the clinic is located.
Call Number NRSNZNO @ research @ Serial 947
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Author Pirret, A.M.
Title A preoperative scoring system to identify patients requiring postoperative high dependency care Type Journal Article
Year 2003 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume (up) 19 Issue 5 Pages 267-275
Keywords Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment
Abstract The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions.
Call Number NRSNZNO @ research @ 904 Serial 888
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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 (up) 20 Issue 2 Pages 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 DeSouza, R.
Title Transforming possibilities of care: Goan migrant motherhood in New Zealand Type Journal Article
Year 2005 Publication Contemporary Nurse Abbreviated Journal
Volume (up) 20 Issue 1 Pages 87-101
Keywords Pregnancy; Transcultural nursing; Quality of health care; Attitude to health
Abstract This paper reports on a study of the maternity care experiences of women from Goa (India) in Auckland. Multiple research strategies were incorporated into the process to prevent reproduction of deficiency discourses. Interviews were carried out with Goan women who had experiences of migration and motherhood. The findings revealed that as a consequence of motherhood and migration, migrant mothers were able to reclaim and re-invent innovative solutions. Nurses and other health professionals can have a significant role in supporting women and their families undergoing the transition to parenthood in a new country and develop their knowledge and understanding of this dual transition.
Call Number NRSNZNO @ research @ Serial 942
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Author Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J.
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 (up) 20 Issue 5 Pages 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.J.; Hughes, F.; Kidd, J.D.
Title Mental health nursing in New Zealand primary health care Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume (up) 21 Issue 1 Pages 142-152
Keywords Mental health; Primary health care; Nursing specialties; Community health nursing
Abstract This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.
Call Number NRSNZNO @ research @ 730 Serial 716
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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 (up) 25 Issue 1 Pages 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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Author Connor, Margaret J; Nelson, Katherine M; Maisey, Jane
Title Impact of innovation funding on a rural health nursing service : the Reporoa experience Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (up) 25 Issue 2 Pages 4-14
Keywords Primary health care; Rural nursing; Innovation; Advancing practice
Abstract Examines the impact of innovation funding through the MOH primary health-care nursing innovation funding scheme on Health Reporoa Inc, which offers a first-contact rural nursing service to the village of Reporoa and surrounding districts. Looks at funding impact during the project period of 2003-2006, and in the two years that followed.
Call Number NZNO @ research @ Serial 1443
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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 (up) 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
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Author Day, D.R.; Mills, B.; Fairburn, F.
Title Exercise prescription: Are practice nurses adequately prepared for this? Type Journal Article
Year 2001 Publication New Zealand Journal of Sports Medicine Abbreviated Journal
Volume (up) 29 Issue 2 Pages 32-36
Keywords Practice nurses; Health education; Primary health care
Abstract This study sought to examine whether practice nurses were prepared to provide exercise prescriptions to clients. It involved administering questionnaires to 53 practice nurses in Otago to examine their understanding of green prescriptions and their knowledge and participation in exercise prescription.
Call Number NRSNZNO @ research @ Serial 628
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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 (up) 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
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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 (up) 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
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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 (up) 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
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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 (up) 31 Issue 3 Pages 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 Minto, R.
Title The future of practice nursing Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal
Volume (up) 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
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