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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
Volume (up) 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
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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 (up) 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 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 (up) 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 (up) 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 (up) 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 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 (up) 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 Clendon, J.; White, G.E.
Title The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis Type Journal Article
Year 2001 Publication Journal of Advanced Nursing Abbreviated Journal
Volume (up) 34 Issue 2 Pages 171-178
Keywords Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing
Abstract The aim of this study was to determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a New Zealand primary school environment as a means of addressing the health needs of children and families. A secondary aim was to ascertain whether public health nurses were the most appropriate nurses to lead such a clinic. Utilising a community needs analysis method, data were collected from demographic data, 17 key informant interviews and two focus group interviews. Analysis was exploratory and descriptive. Findings included the identification of a wide range of health issues. These included asthma management and control issues, the need to address poor parenting, and specific problems of the refugee and migrant population. Findings also demonstrated that participant understanding of the role of the public health nurse was less than anticipated and that community expectations were such that for a public health nurse to lead a primary health care clinic it would be likely that further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed plan that would serve to address the health needs of children and families in the area the study was undertaken. Services that participants identified as being appropriate included health information, health education, health assessment and referral. The authors conclude that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment was feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required.
Call Number NRSNZNO @ research @ Serial 952
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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 (up) 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
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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 (up) 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 Hutchinson, Rosie; Adams, Sue; Cook, Catherine
Title From regulation to practice: Mapping the organisational readiness for registered nurse prescribers in a specialty outpatient clinic setting Type Journal Article
Year 2020 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume (up) 36 Issue 1 Pages 31-40
Keywords Registered nurses; Community nursing; Primary health care; Sexual health services; Nurse precsribing; Institutional ethnography
Abstract Asserts that registered-nurse (RN) prescribing could improve equitable access and care delivery for patients. Uses a mapping tool to reflect how one RN qualified to deliver prescribing services in a sexual health clinic. Emphasises the need for organisational readiness to employ RN prescribers.
Call Number NZNO @ research @ Serial 1674
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Author Adams, Sue; Cook, Catherine; Jones, Mark
Title Jocelyn Keith's prescient question about the human right to health and healthcare Type Journal Article
Year 2021 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (up) 37 Issue 1 Pages 14-18
Keywords Human rights; Health care; Health equity; Maori health
Abstract Reflects on a paper by Jocelyn Keith delivered at the conference of the Australian and New Zealand Association for the Advancement of Science, entitled 'The Right to Health or the Right to Health Care'. Places the article in the context of the UN Convention on the Rights of Persons with Disabilities, 2006, the UN Declaration of the Rights of Indigenous Peoples. 2007, and the WHO Sustainable Development Goals, 2015. Considers the need to redress disparities in health in relation to the Health and Disability Systems Review, 2020.
Call Number NZNO @ research @ Serial 1684
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Author McLelland, Hinemoa; Hindmarsh, Jennie H.; Akroyd, Shaun
Title Effective HPV vaccination with Maori male students: Evaluation of a Kaupapa Maori primary-health-care initiative Type Journal Article
Year 2021 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume (up) 37 Issue 2 Pages 45-52
Keywords Human Papillomavirus (HPV); HPV vaccine; Immunisation; Health literacy; Primary health care; Maori men; Maori students; Kaupapa Maori
Abstract Reports on a local multi-component initiative to improve local Human Papillomavirus (HPV) vaccination coverage among Maori male students aged 13-17 years in a rural location in Aotearoa New Zealand. Backgrounds the initiative co-designed by the rural health nurse from a community clinic of the Hauora (Maori health provider) and the principal of the local area school, in order to improve health literacy and provide an environment to support student consent to vaccination. Undertakes an evaluation of the initiative in 2018, comprising 10 key informant interviews and a group discussion with eight male students. Identifies the factors associated with the success of the initiative.
Call Number NZNO @ research @ Serial 1708
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Author Davis, J.; Wiapo, C.; Rehana-Tait, H.; Clark, T.C.; Adams, S.
Title Steadfast is the rock: Primary health care Maori nurse leaders discuss tensions, resistance, and their contributions to prioritise communities and whanau during COVID-19 Type Journal Article
Year 2021 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume (up) 37 Issue 3 Pages 84-93
Keywords COVID-19; Primary health care; Maori nursing leadership; Maori communities
Abstract Recounts the experiences of 3 Maori nurses in a primary health entity in Northland, NZ as they negotiated with health providers and organisations to protect the health of Maori communities during the first lockdown, in 2020. Emphasises the role of matauranga Maori (Maori knowledge and tradition) in ensuring local Maori were prioritised in the pandemic response in the region.
Call Number NZNO @ research @ Serial 1737
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Author Adams, Sue; Oster, Sandy; Davis, Josephine
Title The training and education of nurse practitioners in Aotearoa New Zealand: Time for nationwide refresh [editorial] Type Journal Article
Year 2022 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume (up) 38 Issue 1 Pages 1-4
Keywords Nurse practitioners; Nursing education; Primary health care
Abstract Argues that the following measures must be taken to ensure the ongoing development and establishment of nurse practitioners (NP) across the health sector: review of NP competencies; support for NPs to undertake the nurse practitioner training programme

(NPTP); formation of nationally-consistent and funded NPTPs; mentoring novice NPs; and a national workforce plan for NPs.
Call Number NZNO @ research @ Serial 1792
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Author Wiapo, Coral; Sami, Lisa; Komene, Ebony; Wilkinson, Sandra; Davis, Josephine; Cooper, Beth; Adams, Sue
Title From kaimahi to enrolled nurse: A successful workforce initiative to increase Maori nurses in primary health care Type Journal Article
Year 2023 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume (up) 39 Issue 1 Pages
Keywords Enrolled nurses; Kaimahi; Maori nurses; Kaupapa Maori; Primary health care
Abstract Describes a national initiative to increase the capacity and capability of the Maori health workforce by supporting kaimahi (unregulated health workers) to become enrolled nurses (EN) delivering care within their communities. Uses Kaupapa Maori principles to create a strengths-based framework, focusing on self-determination and validating Matauranga Maori (Maori knowledge). Outlines the key components of the Earn as you Learn model.
Call Number NZNO @ research @ Serial 1830
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