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Gibbons, V., Rice, S., & Lawrenson, R. (2010). Routine and rigidity: Barriers to insulin initiation in patients with Type 2 Diabetes. NZNO Library, 1(1), 19–22.
Abstract: It has been shown that intensive management of diabetes with type 2 diabetes is effective and has led to wider use of insulin. The conversion of patients from oral medication to insulin is usually managed in primary care. The study discussed here aimed to explore how patients with type 2 diabetes mellitus (T2DM) perceived insulin. The study was conducted in 2009 in an urban general practice in a large town in New Zealand with more than 300 patients with type 2 diabetes. A qualitative study was conducted with face-to-face interviews with 13 participants. The question focused on insulin initiation, lifestyle and routine. The transcribed responses were subject to thematic anaylsis. Interviews showed participants felt restricted by the prospect and eventuality of the routine and restrictions of being on insulin. Results show there needs to be a greater emphasis on the disease being progressive. This study provides the ground work for developing resources that will benefit patients with T2DM.
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Grayson, S., Horsburgh, M., Lesa, R., & Lennon, D. (2006). An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme. Access is free to articles older than 6 months, and abstracts., 119(1243).
Abstract: The researchers assessed the compliance rates with the rheumatic fever secondary prophylaxis programme established through the Auckland Rheumatic Fever Register and managed by community nursing services in Auckland. They undertook an audit of the 1998 and 2000 Auckland Rheumatic Fever Register data to establish the compliance rates of patients with the rheumatic fever secondary prophylaxis programme. The sample included all patients on the Auckland Rheumatic Fever Register during this time. Results showed compliance rates across the three Auckland DHBs ranging from 79.9% to 100% for individual community nursing offices. They found that a community-based nurse-led secondary prophylaxis programme for rheumatic fever heart disease is able to deliver excellent patient compliance levels. Secondary prophylaxis is the WHO-recommended cost effective first step to rheumatic fever/rheumatic heart disease control. Community health workers have a key role to play in facilitating this compliance.
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Rees, L. (2016). Exploring the barriers and levers to hand hygiene of nursing and medical staff in Emergency Departments: a mixed-methods study. Master's thesis, Victoria University of Wellington, Wellington. Retrieved December 23, 2024, from http://hdl.handle.net/10063/6120
Abstract: Undertakes an explanatory, sequential, mixed-methods study to identify barriers and levers to hand-hygiene (HH) practice in two Emergency Departments (ED) in NZ. Distributes a survey to ED nurses and doctors to identify perceived facilitators and hindrances to HH. Follows up with nurse focus groups to explore specific aspects of the survey results.
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Westrate, J., Cummings, C., Boamponsem, L., & Towers, A. (2019). What factors influence compliance with health and disability service standards for aged residential care in New Zealand? Kai Tiaki Nursing Research, 10(1), 47–53.
Abstract: Compares compliance with health and disability services standards (HDSS) in aged residential care (ARC) in 2016 with previous years, and relates the findings to the increase in complaints among the public. Quantifies the degree to which 185 ARC facilities complied with HDSS, and reports their level of compliance.
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Winship, S., & McClunie-Trust, P. (2016). Factors influencing hand hygiene compliance among nurses: an integrative review. Kai Tiaki Nursing Research, 7(1), 19–26.
Abstract: Appraises primary research to identify factors influencing qualified nurses' hand-hygiene compliance during patient care, using an integrative review approach to evaluate research on compliance. Utilises the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) model as the structure for the review. Reveals five key themes affecting hygiene compliance.
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