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Author Wilson, H.V.
Title Surveillance or support: Divergent discourses in Plunket nursing practice Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume (up) Issue Pages
Keywords Public health; Children; Community health nursing; Plunket
Abstract Plunket nurses are New Zealand child health nurses who work in the community with the families of new babies and preschool children. Their work is called child health surveillance and this is considered to involve routine and unproblematic practices which are generally carried out in homes and clinics in the context of a relationship with the child's mother (Ministry of Health 1996; Royal New Zealand Plunket Society 1997). However, evidence in the literature that surveillance can have implications for power relations throws doubts on official claims that the relationship between the mother and nurse operates as a partnership (Trout and Polaschek 1996). The purpose of this thesis was to explore the way in which surveillance is constituted within the discourses of Plunket nurses and to examine these discourses for any implications of unequal power relations. Foucauldian discourse theory and poststructuralism, which informed this thesis, provided the opportunity to challenge assumptions about power and knowledge in the child health context. Analysis of the discourses generated by interviews with five Plunket nurses revealed that, contrary to the claims in the official literature, the relationship between the Plunket nurse and the mother is not that of an equal partnership but is constituted in various and unexpected ways. It was through the nurses' discourses of surveillance that the power relations underpinning this relationship were surfaced. While these discourses suggested that many mothers who use the nursing service are actively involved on their own terms, there are a number of women for whom the surveillance activities of the nurse have been shown to be particularly intrusive (Mayall 1986; Clinton 1988; Bloor and McIntosh 1990; Knott and Latter 1999). It may be primarily this unwelcome surveillance which accounts for the considerable number of women who, the statistics show, cease using Plunket services particularly in the early months. It is perhaps for this reason that the nurses in this study locate themselves as being caught between divergent discourses of support and surveillance. Findings indicate that the resolution of this dilemma by abandoning surveillance practices might improve maternal satisfaction with the Plunket nursing service. The author concludes that a child health service responsive to mothers' stated needs rather than institutional requirements or the nurse's own agenda could lead to a more open and equal relationship between mother and nurse. This relationship would be likely to benefit mothers and babies and, at the same time, enhance both nursing practice and nurses' satisfaction with their work.
Call Number NRSNZNO @ research @ Serial 899
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Author Connor, M.
Title Courage and complexity in chronic illness: Reflective practice in nursing Type Book Whole
Year 2004 Publication Abbreviated Journal
Volume (up) Issue Pages
Keywords Asthma; Nurse-patient relations; Nurse-family relations; Community health nursing; District nursing; Chronically ill
Abstract This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution.
Call Number NRSNZNO @ research @ 926 Serial 910
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Author Trout, F.
Title Health needs assessment within the ecology of caring Type
Year 1999 Publication Abbreviated Journal Massey University Library
Volume (up) Issue Pages
Keywords Community health nursing
Abstract
Call Number NRSNZNO @ research @ 1137 Serial 1122
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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 (up) 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
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Author Apelu, J.
Title Pacific community mental health nurses' experiences of working for a district health board in New Zealand Type
Year 2008 Publication Abbreviated Journal ResearchArchive@Victoria http://hdl.handle.net/10063/684
Volume (up) Issue Pages
Keywords Psychiatric Nursing; Pacific peoples; Community health nursing; District Health Boards; Culture
Abstract This study explored the perspectives of Pacific nurses on what it is like for them to work in a Pacific community mental health (PCMH) service within a district health board. Five Pacific Island nurses who worked in the three Pacific community mental health services based in the Auckland region participated in the project. The study employed narrative inquiry to gather data through focused storytelling method. The results of the study have indicated that PCMH nursing is a unique nursing field as well as highlighting significant practice issues for nurses. Complex service infrastructure and language have been found to be the major contributing practice constraints. The findings suggest the need for district health board authorities, Pacific mental health service management, professional nursing education and development programs to consider addressing these practice issues to prevent further increase in the problem of PCMH nurses shortage and enhance recruitment and retention of these nurses.
Call Number NRSNZNO @ research @ Serial 1153
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Author Falleni, P.M.
Title The implications of stress and the effect it has on Maori who have type 2 diabetes in Aotearoa/New Zealand Type
Year 2007 Publication Abbreviated Journal ResearchArchive@Victoria
Volume (up) Issue Pages
Keywords Maori; Diabetes Type 2; Stress; Community health nursing
Abstract In this review, the author illustrates the connection between diabetes, stress and barriers to care, and the impact these have on Maori who have type 2 diabetes. A literature review, which focused mainly on indigenous peoples, and more specifically on Maori was undertaken. The connections between all the factors involved are explored, and combined with reflections from the author's own clinical practice experience. She argues that stress, diet, exercise and barriers to care place a heavy burden on the lives of Maori who live in Aotearoa/New Zealand, suffering from the disease of diabetes. By empowering them to face their situation and see this from a wellness rather than an illness perspective, they can take control of their diabetes and so will live a healthy, longer life, ensuring quality time with their mokopuna/grandchildren.
Call Number NRSNZNO @ research @ Serial 1155
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Author Southgate, D.
Title Advocating practice: The role of the community oncology nurse Type
Year 2002 Publication Abbreviated Journal ResearchArchive@Victoria
Volume (up) Issue Pages
Keywords Community health nursing; Cancer; Nurse-patient relations; Oncology
Abstract The primary aim of this research was to advocate for, and make known, the role of the community oncology nurse, and to bring alive the hidden issues of nursing people in the community who have active cancer treatment. This study is also about the author's journey from novice to expert in developing the role as a community oncology nurse. The research also aimed to identify and understand practice that community oncology nurses do and often take for granted. To capture the essence of this study the method of reflective topical autobiography was utilised, which gave the opportunity to gather advanced nursing inquiry, and generate new nursing knowledge. To obtain insight into the highs and lows in everyday interaction with patients, reflective practice stories are presented. The thesis generated by this research is that care required by cancer patients at home goes beyond the scope of traditional community health. It requires nurses to be competent in technological skills as well as bringing in-depth expertise to the practical and human needs of people experiencing cancer. The role involves holistic, family-centered care; anticipating patient and family needs; educating; managing symptoms; advocating; confronting ethical issues; coordinating complex care; and monitoring progress.
Call Number NRSNZNO @ research @ Serial 1163
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Author Litchfield, M.
Title Towards a people-pivotal paradigm for healthcare: Report of the Turangi primary health care nursing innovation 2003-2006 Type Manuscript
Year 2006 Publication Abbreviated Journal Held by the Ministry of Health, publication pending
Volume (up) Issue Pages
Keywords Evaluation; Community health nursing; Nursing models; Interprofessional relations
Abstract This report presents the findings of the developmental evaluation programme for the three-year innovation project. It includes the model of the integrative nursing service scheme with mobile whanau/family nurses as the hub of healthcare provision for a new paradigm of service design and delivery spanning primary-secondary-tertiary sectors. The form of healthcare the local people received, the nature of the nursing practice and role, service delivery and employment parameters required to support the nurses in practice are presented. The service configuration model subsequently gave the structure to Lake Taupo Primary Health Organisation with the hub of family nurses with a mobile comprehensive practice.
Call Number NRSNZNO @ research @ Serial 1178
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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 (up) 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 Pearce, K.
Title Orientation: Reading the nurses map; what new Plunket Nurses need in an orientation programme Type
Year 2003 Publication Abbreviated Journal Victoria University Library
Volume (up) Issue Pages
Keywords Plunket; Training; New graduate nurses; Curriculum; Community health nursing
Abstract The Plunket orientation programme, first implemented in 1994, aims to prepare new Plunket Nurses for autonomous practice within the complexity of community based nursing. This study seeks to identify what new Plunket Nurses feel are their orientation needs. An evaluation research approach was used. An examination of the literature explored how orientation is conducted and the needs of nurses in orientation. Key aspects in relation to orientation were identified as including socialisation, job change, new graduates, preceptorship, orientation frameworks and retention. A focus group followed by a postal survey were utilised to collect data from new Plunket Nurses nationwide to ascertain what they thought their orientation needs were. Data analysis was completed using descriptive statistics and thematic analysis. The results of the study identified key orientation needs for new Plunket Nurses. These were an orientation programme, preceptorship, clinical skills teaching, time in own area and beginning autonomous practice, administration needs and support needs. The participants recommended quality preceptorship and early clinical teaching from the Clinical Educator. There was a general dissatisfaction with orientation as it stands in preparing them for their role as a Plunket Nurse. Recommendations to the Plunket Management Team were made based on the results of this study.
Call Number NRSNZNO @ research @ Serial 1240
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Author Woodbridge, M.
Title From child savers to child activists: A participatory action research project with community child health nurses Type
Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume (up) Issue Pages
Keywords Community health nursing; Paediatric nursing
Abstract
Call Number NRSNZNO @ research @ 1266 Serial 1251
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Author Mahoney, L.
Title Making the invisible visible: Public health nurses role with children who live with a parent with a mental illness Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume (up) Issue Pages
Keywords Public health; Children; Community health nursing; Scope of practice
Abstract This research uses focus group methodology to examine the public health nursing practice with children living with a mentally ill parent. These children are often neglected, yet are at increased risk of developing mental illnesses themselves. The research data identified the burgeoning impact on public health nurses of such care, and found their role to be primarily assessment and advocacy.
Call Number NRSNZNO @ research @ 1304 Serial 1289
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Author Rickard, Debbie
Title Parents as experts: partnership in the care of the chronically ill children : Margaret May Blackwell Travel Study, Fellowship for Nurses of Young Children, 1999 Type Report
Year 1999 Publication Abbreviated Journal
Volume (up) Issue Pages 65p.
Keywords Chronically ill children – home care; Child health services; Paediatric nursing; Community health nursing; Reports
Abstract Visits paediatric community nursing services in the UK and Australia to report on how specialist and children's community nurses work with parents to deliver health care to children with asthma, diabetes and other endocrine disorders, cystic fibrosis, eczema, cardiac diseases, and liver transplants. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1414
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Author Hart, Maria
Title Reducing poverty by addressing equity with a focus on prenatal alcohol exposure and inter-generational trauma: Identify, address and remove systemic barriers Type Report
Year 2018 Publication Margaret May Blackwell Travel Study Fellowship Report Abbreviated Journal
Volume (up) Issue Pages 53 p.
Keywords Fetal Alcohol Spectrum Disorder; Alcoholism; Pregnancy; Inter-generational trauma; Child health nursing; Community health nursing; Health education; Women's health; Maori health
Abstract Travels to Australia and Canada to examine public health efforts in those countries to inform pregnant women about the risks of fetal alcohol spectrum disorder (FASD), particularly among indigenous populations. Studies regional initiatives around NZ to inform the establishment of a preventive and assessment programme in the Bay of Plenty DHB.
Call Number NZNO @ research @ Serial 1664
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Author Russell, D.
Title Changing public health nursing practice Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 5 Issue 11 Pages 18-19
Keywords Public health; Community health nursing; Nursing models; Teamwork
Abstract A new approach to public health nursing in the Otago region is described, which comprises of 3 distinct groups of nurses working in early childhood centres, primary schools and high schools. A family nursing assessment approach is used. The philosophical underpinnings of this approach are examined, which seeks to empower patients and engage them in their health care. Two public health nurses are interviewed about the new partnership model of nursing.
Call Number NRSNZNO @ research @ 1041 Serial 1025
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