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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 (up) 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 (up) 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 Shaw, S.
Title Constructing media images of nursing: How does the media represent nurses when reporting on nurse prescribing? Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 13 Issue 1 Pages 16-18
Keywords Drug administration; Interprofessional relations; Professional competence; Nursing; Eucation; Quality of health care
Abstract This research presents a discourse analysis of articles published in the New Zealand Herald between October 1999 and September 2005. The terms “nurse prescribing” and “prescribing fights” identified seven articles published which referred specifically to this issue. They were predominantly editorial comments and statements attributed to senior doctors. Examples of comments from these articles are presented and discussed in this article, and three inter-related themes are identified – competence, responsibility and competition. Discussion on competence centred on education, skill and experience level of nurses, as described by editorial comment and senior doctors. Positive international research and experience of nurse prescribing did not feature. A number of comments in the articles analysed could be seen to represent concerns about competition between medicine and nursing. One interpretation of the comments contained in these articles is to see medical practitioner groups defending their status and desire to define and control nursing practice. The media has the power to select the information conveyed and, in these instances, appears to have demonstrated a bias towards the medical community's perspective.
Call Number NRSNZNO @ research @ Serial 979
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Author Floyd, S.; Meyer, A.
Title Intramuscular injections: What's best practice? Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 13 Issue 6 Pages 20-22
Keywords Professional competence; Registered nurses; Quality of health care; Evidence-based medicine
Abstract The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent.
Call Number NRSNZNO @ research @ Serial 986
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Author Pearson, J.R.; Holloway, K. T.
Title A postgraduate primary health care programme for experienced registered nurses and newly graduated nurses Type Journal Article
Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal
Volume (up) 13 Issue Pages 44-52
Keywords Primary health care; New graduate nurses; Registered nurses; Nursing; Education
Abstract This paper outlines the historical development of the Postgraduate Certificate in Primary Health Care Specialty Nursing programme. The paper discusses the multiple contextual considerations for the programme in terms of New Zealand health policy direction, academic level, and appropriate level of competency development for nurses new to primary health care and newly graduated nurses.
Call Number NRSNZNO @ research @ Serial 1040
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Author O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J.
Title Clinical indicators as measures of mental health nursing standards of practice in New Zealand Type Journal Article
Year 2004 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume (up) 13 Issue 2 Pages 778-788
Keywords Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth
Abstract This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings.
Call Number NRSNZNO @ research @ Serial 1059
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Author Mustafa, Maher; Adams, Sue; Bareham, Corinne; Carryer, Jenny
Title Employing nurse practitioners in general practice: an exploratory survey of the perspectives of managers Type Journal Article
Year 2021 Publication Journal of Primary Health Care Abbreviated Journal
Volume (up) 13 Issue 3 Pages 274-282
Keywords Nurse practitioners; Primary health care; Models of care; Surveys
Abstract Explores the perspectives of practice managers on employing nurse practitioners (NP) in general practice. Uses an electronic survey to collect demographic and numerical data, which were analysed descriptively and analytically using SPSS (version 26). Written answers to open-ended questions were analysed qualitatively.
Call Number NZNO @ research @ Serial 1779
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Author Richardson, S.
Title Emergency departments and the inappropriate attender: Is it time for a reconceptualisation of the role of primary care in emergency facilities? Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (up) 14 Issue 2 Pages 13-20
Keywords Emergency nursing; Primary health care
Abstract This paper reviews currently identified issues concerning emergency department attendance, and examines the core question of the role of primary care in the emergency department. Asks whether this is an appropriate use of emergency department resources, and if so, what the implications are for the role of the emergency nurse. Suggests the establishment of Minor Injury Units in New Zealand like those in the UK.
Call Number NRSNZNO @ research @ Serial 641
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Author Lindsay, N.M.
Title Family violence in New Zealand: A primary health care nursing perspective Type Journal Article
Year 2007 Publication Whitireia Nursing Journal Abbreviated Journal
Volume (up) 14 Issue 7 Pages 7-16
Keywords Domestic violence; Primary health care; Nursing specialties
Abstract This article explores the implications of clinical decision making by primary health care nurses in relation to identifying family abuse, particularly partner abuse. The historical and sociological background to family violence in New Zealand, and government-led strategies are considered, along with issues for Maori and Pacific peoples. The concept of health literacy in relation to family violence is also briefly discussed.
Call Number NRSNZNO @ research @ 1309 Serial 1293
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Author Vernon, R.A.; Jacobs, S.; Papps, E.
Title An innovative initiative for advanced nursing practice roles Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume (up) 14 Issue 2 Pages 16-17
Keywords Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models
Abstract This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme.
Call Number NRSNZNO @ research @ Serial 1311
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Author Bland, M.F.
Title Betwixt and between: A critical ethnography of comfort in New Zealand residential aged care Type Journal Article
Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal
Volume (up) 16 Issue 5 Pages 937-944
Keywords Geriatric nursing; Rest homes; Patient satisfaction; Quality of health care
Abstract This research sought to explore the nature of comfort within the context of three New Zealand nursing homes and examine how nursing and other actions contribute to residents' comfort. A critical ethnographic approach was used and fieldwork included 90 days of participant observation, interviews with 27 residents and 28 staff and extensive document examination. Comfort was multidimensional, idiosyncratic, dynamic and context dependent, rather than merely the absence of discomfort. This multidimensional nature meant residents could be 'betwixt and between' comfort and discomfort simultaneously. The constraints of one-size-fits-all care delivery practices and the tensions inherent in communal living compounded residents' discomfort. The findings show that individualised care, based on comprehensive and accurate nursing assessment, is fundamental to the comfort of residents.
Call Number NRSNZNO @ research @ Serial 657
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Author Goodyear-Smith, F.; Janes, R.
Title New Zealand rural primary health care workforce in 2005: More than just a doctor shortage Type Journal Article
Year 2008 Publication Australian Journal of Rural Health Abbreviated Journal
Volume (up) 16 Issue 1 Pages 40-46
Keywords Personnel; Physicians; Rural health services; Nursing; Primary health care; Pharmacists
Abstract The aim of this study was to obtain a 2005 snapshot of the New Zealand rural primary health care workforce, specifically GPs, general practice nurses and community pharmacists. A postal questionnaire was distributed to rural general practice managers, GPs, nurses, community pharmacy managers and pharmacists in November 2005. The self-reported data included information on demographics, country of training, years in practice, business ownership, hours worked including on-call, and intention to leave rural practice.
Call Number NRSNZNO @ research @ Serial 966
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Author Clear, G.M.; Carryer, J.B.
Title Shadow dancing in the wings: Lesbian women talk about health care Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (up) 17 Issue 3 Pages 27-39
Keywords Sexuality; Patient satisfaction; Nursing research; Quality of health care; Feminist critique
Abstract A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored factors which hindered or facilitated these women's sense of safety related to health care. The findings indicate that barriers to receiving health care exist for these women. As there is little local or international research on lesbians and healthcare, this work offers a starting place for future New Zealand nursing research involving lesbians. The authors encourage other nurses to explore previously ignored sections of our society in order to strive for safety for all those whom nursing serves.
Call Number NRSNZNO @ research @ Serial 843
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Author Finlayson, M.; Gower, S.E.
Title Hospital restructuring: Identifying the impact on patients and nurses Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (up) 18 Issue 2 Pages 27-35
Keywords Quality of health care; Hospitals; Organisational change
Abstract The authors report a survey of all nurses working in hospitals included in the International Hospital Outcomes Study of staffing and patient outcomes in New Zealand's secondary and tertiary hospitals from 1988-2001. The survey examines the way in which the hospitals have been restructured and analyses patient outcomes. Research has identified links between how nursing is organised in a hospital and that hospital's patient outcomes.
Call Number NRSNZNO @ research @ Serial 615
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Author Mackay, B.
Title Leadership development: Supporting nursing in a changing primary health care environment Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (up) 18 Issue 2 Pages 24-32
Keywords Leadership; Professional development; Primary health care; Nursing
Abstract The author argues that the involvement of nurses in the decision-making of health organisations is essential to maximise the contribution of nurses and promote positive outcomes for patients. She suggests that development of leadership skills will make nurses aware of power structures in the health system and allow them to become interdependent health professionals in primary health organisations (PHO). The particular competencies discussed are those proposed by Van Maurik (1997), namely ability to understand and manage organisational politics, work facilitatively with people and circumstances, and build a feeling of purpose.
Call Number NRSNZNO @ research @ Serial 619
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