scholarly journals Pacific Community Mental Health Nurses'   Experiences of Working for a District Health  Board in New Zealand

2021 ◽  
Author(s):  
◽  
Jacinta Apelu
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Community Mental Health ◽  
Service Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Health Board ◽  
District Health ◽  
The Pacific ◽  
Pacific Community

<p>As meeting the mental health needs of the Pacific people living in New Zealand has become a major focus for providers and District Health Boards since deinstitulisation, so is the significance of mental health care delivery for the Pacific minority. Pacific community mental health (PCMH) nursing as a means of healthcare delivery is a fairly new and unknown practice domain. The fact that no studies have been carried out to explore nursing in this field makes this an area that requires an understanding. This understanding will, in turn, enhance knowledge embedded in PCMH nursing and helps reduce practice constraints. This study explored the perspectives of Pacific nurses on what it is like for them to work in a 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 highlight 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.</p>

scholarly journals Pacific Community Mental Health Nurses'   Experiences of Working for a District Health  Board in New Zealand

2021 ◽  
Author(s):  
◽  
Jacinta Apelu
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Community Mental Health ◽  
Service Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Health Board ◽  
District Health ◽  
The Pacific ◽  
Pacific Community

<p>As meeting the mental health needs of the Pacific people living in New Zealand has become a major focus for providers and District Health Boards since deinstitulisation, so is the significance of mental health care delivery for the Pacific minority. Pacific community mental health (PCMH) nursing as a means of healthcare delivery is a fairly new and unknown practice domain. The fact that no studies have been carried out to explore nursing in this field makes this an area that requires an understanding. This understanding will, in turn, enhance knowledge embedded in PCMH nursing and helps reduce practice constraints. This study explored the perspectives of Pacific nurses on what it is like for them to work in a 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 highlight 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.</p>

scholarly journals Clinicians’ experiences of inquiries following mental health related homicide: a qualitative study

2021 ◽  
pp. 103985622110092
Author(s):  
Lillian Ng ◽  
Alan F. Merry ◽  
Ron Paterson ◽  
Sally N. Merry
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
New Zealand ◽  
Qualitative Study ◽  
Organisational Culture ◽  
Multidisciplinary Teams ◽  
Team Dynamics ◽  
Health Board ◽  
District Health ◽  
Inquiry Process

Objectives: This aim of this qualitative study was to explore the experiences of clinicians involved with inquiries into the mental health care of patients who were perpetrators of homicide in New Zealand. Methods: Our purposive sample comprised ten clinicians working in New Zealand district health board mental health services. These clinicians were individually interviewed. Interviews were audio-recorded, transcribed and thematically analysed. The coding framework was checked and peer reviewed by an independent researcher. Results: Five themes were identified: the inquiry process; emotional burden; impact on team dynamics; changes to individual clinical practice; and perceptions of inquiries being influenced by organisational culture. Clinicians involved with inquiries reported significant anxiety and disrupted multidisciplinary team dynamics. Some participants found inquiries led to changes to their clinical practice and perceived that a punitive organisational culture limited learning. Conclusions: Clinicians perceived inquiries as threatening, anxiety provoking and primarily concerned with protecting organisational interests. Communication of the inquiry process and ensuring inquiry findings are disseminated may enhance clinicians’ experiences of inquiries and facilitate their participation and their reflection on changes to clinical practice that could contribute to improving services. Support for clinicians and multidisciplinary teams should be emphasised by the commissioning agency.

Performance of Routine Outcome Measures in Adult Mental Health Care

2005 ◽  
Vol 39 (8) ◽  
pp. 713-718 ◽  
Author(s):  
Kathy Eagar ◽  
Tom Trauer ◽  
Graham Mellsop
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Outcome Measures ◽  
Legal Status ◽  
Health Board ◽  
Strongly Correlated ◽  
District Health ◽  
Adult Mental Health ◽  
Episodes Of Care ◽  
The Relationship

Objective: To examine the performance of two widely used outcome measures in public adult mental health services. Method: As part of a larger study, clinical staff in eight New Zealand District Health Board areas collected consumer outcomes data for a period of 6 months. Among other measures, the Health of the Nation Outcome Scales (HoNOS) and Life Skills Profile (LSP-16) were completed at the start and end of episodes of care, as well as at 90-day reviews. Results: The performance of these twomeasures was examined in relation to compliance with the data collection protocol, item completion rates, certain psychometric properties, the relationship between them and the relationship of each instrument to the age, sex, principal psychiatric diagnosis and legal status of the consumer. Compliance with the HoNOS was superior to the LSP-16, but the reverse was true for completion. The two instruments were strongly correlated, but not enough to suggest that one may substitute for the other. A five-subscale structure for the HoNOS was supported. Certain HoNOS subscales were associated with age, but the total score was not, and differences between the sexes were small. Some large diagnostic differences were observed on both instruments. All LSP-16 summary scores and all HoNOS summary scores apart from Depression were higher (worse) in involuntary episodes. Only one LSP-16 item, relating to work potential, was related to age and men generally scored higher (worse) than women. Conclusion: From a technical perspective, the HoNOS and LSP-16 appear suitable for routine collection. New Zealand has adopted the HoNOS for routine use but not the LSP-16 because of local concerns about its appropriateness and acceptability. The clinician-rated measures reported here need to be complemented by both consumer-rated and family/carer measures.

scholarly journals Professional leadership for social work in state mental health services in Aotearoa New Zealand

2009 ◽  
Vol 21 (4) ◽  
pp. 103-108
Author(s):  
David McNabb
Keyword(s):  
Mental Health ◽  
Social Work ◽  
New Zealand ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Governance ◽  
Health Board ◽  
District Health ◽  
The Future ◽  
Professional Leadership

This paper recounts the changes in the New Zealand government-run health services over the past 15 years and the subsequent changes to social work leadership in mental health services. Drawing on two pieces of local research, the article will explore social work mental health leadership in New Zealand. The first piece of research investigates the views of social work professional leaders (PL) about their roles and the prospects for social work in mental health in the future. The second piece of research investigates a new type of professional leadership role in the mental health services of the Auckland District Health Board. Clinical governance is an emerging phenomenon in health services internationally that is aimed at advancing quality improvement. This paper links developments in social work professional leadership with the activities of clinical governance in mental health services. It concludes that there is evidence of an improvement to the leadership infrastructure and of the contribution of leaders to clinical governance in district health boards (DHBs). However, many challenges remain for social work leaders into the future.

scholarly journals Does a clinical guideline change chlamydia testing? Report from the Waikato Chlamydia Project

2012 ◽  
Vol 4 (1) ◽  
pp. 45 ◽  
Author(s):  
Jane Morgan ◽  
Andre Donnell ◽  
Anita Bell
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Sexual Health ◽  
Care Delivery ◽  
Guideline Implementation ◽  
Contact Tracing ◽  
Health Board ◽  
Local Data ◽  
District Health ◽  
Chlamydia Testing

BACKGROUND AND CONTEXT: Waikato District Health Board was one of three districts chosen to implement a national chlamydia management guideline, with the aim of optimising testing and treatment. Previous New Zealand studies suggest any test increases associated with such an intervention may be short-lived. ASSESSMENT OF PROBLEM: District-wide chlamydia test volumes were compared for three periods, before (June–Nov 2008), during (June–Nov 2009) and after (June–Nov 2010) guideline implementation by age, gender and ethnicity. Crude estimates of population test uptake were calculated. Azithromycin pharmacy claim volumes were assessed as a measure of treatment. RESULTS: Chlamydia test uptake for women was already high, with 23% of 15- to 24-year-old women tested during the period from June to November 2008. Although tests from under-25-year-olds increased during implementation in 2009, the change was not significant and was not sustained in 2010, p=0.06. Similarly, there were no significant sustained changes by gender or ethnicity following implementation. STRATEGIES FOR IMPROVEMENT: This includes a continued emphasis on optimal chlamydia case finding and treatment by focusing on those at greater risk of infection. Efforts to improve partner notification should be instigated which may in turn better engage men around sexual health. LESSONS: Local data should be used to identify local issues. There is a need to determine whether <25 years is the optimal age threshold for targeted chlamydia testing in New Zealand and to ensure appropriate resources, training and support are in place for primary care nurses who play a pivotal role in sexual health care delivery. Keywords: Chlamydia trachomatis; mass screening; practice guidelines; primary health care; contact tracing

Registered nurse prescribing: A descriptive survey of prescribing practices in a single district health board in Aotearoa New Zealand

2020 ◽  
Vol 36 (3) ◽  
pp. 61-72
Author(s):  
Melinda McGinty ◽  
◽  
Betty Poot ◽  
Jane Clarke ◽  
◽  
...  
Keyword(s):  
Primary Care ◽  
New Zealand ◽  
Registered Nurse ◽  
Health Conditions ◽  
Health Board ◽  
Prescribing Practices ◽  
District Health ◽  
Survey Tool ◽  
Aotearoa New Zealand ◽  
Descriptive Survey

The expansion of prescribing rights in Aotearoa New Zealand has enabled registered nurse prescribers (RN prescribers) working in primary care and specialty teams, to enhance nursing care, by prescribing medicines to their patient population. This widening of prescribing rights was to improve the population’s access to medicines and health care; however, little is known about the medications prescribed by RN prescribers. This paper reports on a descriptive survey of self-reported RN prescribers prescribing in a single district health board. The survey tool used was a Microsoft Excel spreadsheet to record nurse’s area of practice, patient demographic details, health conditions seen, and medicines prescribed and deprescribed. Simple data descriptions and tabulations were used to report the data. Eleven RN prescribers consented to take part in the survey and these nurses worked in speciality areas of cardiology, respiratory, diabetes, and primary care. Findings from the survey demonstrated that RN prescribers prescribe medicines within their area of practice and within the limits of the list of medicines for RN prescribers. Those working in primary care saw a wider range of health conditions and therefore prescribed a broader range of medications. This survey revealed that the list of medications available for RN prescribers needs to be updated regularly to align with the release of evidence-based medications on the New Zealand Pharmaceutical Schedule. It is also a useful record for both educational and clinical settings of the types of medications prescribed by RN prescribers.

scholarly journals Modeling the Costs of Hospital-Acquired Infections in New Zealand

2003 ◽  
Vol 24 (3) ◽  
pp. 214-223 ◽  
Author(s):  
Nicholas Graves ◽  
Tanya M. Nicholls ◽  
Arthur J. Morris
Keyword(s):  
New Zealand ◽  
Economic Cost ◽  
Cost Effective ◽  
Sensitivity Analyses ◽  
Primary Data ◽  
Health Board ◽  
District Health ◽  
Hospital Acquired Infections ◽  
Input Variables ◽  
Hospital Acquired

AbstractObjective:To model the economic costs of hospital-acquired infections (HAIs) in New Zealand, by type of HAI.Design:Monte Carlo simulation model.Setting:Auckland District Health Board Hospitals (DHBH), the largest publicly funded hospital group in New Zealand supplying secondary and tertiary services. Costs are also estimated for predicted HAIs in admissions to all hospitals in New Zealand.Patients:All adults admitted to general medical and general surgical services.Method:Data on the number of cases of HAI were combined with data on the estimated prolongation of hospital stay due to HAI to produce an estimate of the number of bed days attributable to HAI. A cost per bed day value was applied to provide an estimate of the economic cost. Costs were estimated for predicted infections of the urinary tract, surgical wounds, the lower and upper respiratory tracts, the bloodstream, and other sites, and for cases of multiple sites of infection. Sensitivity analyses were undertaken for input variables.Results:The estimated costs of predicted HAIs in medical and surgical admissions to Auckland DHBH were $10.12 (US $4.56) million and $8.64 (US $3.90) million, respectively. They were $51.35 (US $23.16) million and $85.26 (US $38.47) million, respectively, for medical and surgical admissions to all hospitals in New Zealand.Conclusions:The method used produces results that are less precise than those of a specifically designed study using primary data collection, but has been applied at a lower cost. The estimated cost of HAIs is substantial, but only a proportion of infections can be avoided. Further work is required to identify the most cost-effective strategies for the prevention of HAI.

The Legal and Social Significance of Aftercare Systems: A Review and Analysis

1977 ◽  
Vol 5 (2) ◽  
pp. 229-291 ◽  
Author(s):  
John J. Ensminger ◽  
Patrick Reilly
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Community Mental Health Care ◽  
Mental Health Systems ◽  
Social Significance ◽  
Mental Health Care Delivery

There have been a number of findings in the research on aftercare which have significance for courts and legislatures faced with choices involving planning and implementation of mental health systems. Both the older and newer methods of community mental health care delivery are analyzed. There appear to be cogent reasons for emphasizing the provision of aftercare facilities to poverty communities. Certain reasons for failures in aftercare treatment are identified. An analysis of the literature on aftercare indicates that there are certain elements important for the effective functioning of an aftercare system.

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