How nurses address the burden of disease in remote or isolated areas in Queensland

Al‐Motlaq, Mohammad; Mills, Jane; Birks, Melanie; Francis, Karen

doi:10.1111/j.1440-172x.2010.001871.x

Cited by 9 publications

(17 citation statements)

References 21 publications

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“…For rural nurses, lack of access to alternate health services and time constraints result in the prioritisation of emergency secondary and tertiary care over PHC within community settings (Al‐Motlaq et al . , Birks et al . ).…”

Section: Resultsmentioning

confidence: 94%

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How is Primary Health Care conceptualised in nursing in Australia? A review of the literature

Henderson

Koehne

Verrall

et al. 2013

Health Soc Care Community

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Australia, in common with many other countries, is expanding the role of Primary Health Care (PHC) to manage the growing burden of chronic disease and prevent hospitalisation. Australia's First National Primary Health Care Strategy released in 2010 places general practice at the centre of care delivery, reflecting a constitutional division of labour in which the Commonwealth government's primary means of affecting care delivery in this sector is through rebates for services delivered from the universal healthcare system Medicare. A review of Australian nursing literature was undertaken for 2006–2011. This review explores three issues in relation to these changes: How PHC is conceptualised within Australian nursing literature; who is viewed as providing PHC; and barriers and enablers to the provision of comprehensive PHC. A review of the literature suggests that the terms ‘PHC’ and ‘primary care’ are used interchangeably and that PHC is now commonly associated with services provided by practice nurses. Four structural factors are identified for a shift away from comprehensive PHC, namely fiscal barriers, educational preparation for primary care practice, poor role definition and interprofessional relationships. The paper concludes that while moves towards increasing capacity in general practice have enhanced nursing roles, current policy and the nature of private business funding alongside some medical opposition limit opportunities for Australian nurses working in general practice.

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Section: Resultsmentioning

confidence: 94%

“…); working with indigenous communities (Al‐Motlaq et al . ); and partnerships between services and professions (McMurray ). Interestingly, the role of nurse practitioners is largely absent in this literature.…”

Section: Resultsmentioning

confidence: 99%

How is Primary Health Care conceptualised in nursing in Australia? A review of the literature

Henderson

Koehne

Verrall

et al. 2013

Health Soc Care Community

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“…Unlike in previous reports where providers did not plan client education due to their heavy workload (23), the midwives in this study did not prepare their health talks because they felt they were experienced; whereas, preparation makes messages client-centred (24). The only element of the service oriented BCC strategy in the facilities was the routine health talks to pregnant women in groups and the occasional individual counselling.…”

Section: Discussionmentioning

confidence: 63%

“…Development of midwives’ capacity to provide appropriate information and support their clients through with the latter’s behaviour change process (23) depends on relevant and sustainable capacity building programme involving midwives in the need identification.…”

Section: Discussionmentioning

confidence: 99%

Appraisal of Observance of Behaviour Change Communication Programme for Maternal and Child Health at First Level of Midwifery Practice in Kaduna State Nigeria

Akin-Otiko

Bhengu

2013

Nurs Midwifery Stud

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Background:Behaviour Change Communication (BCC) is a key component of the roadmap adopted by the Nigerian government to address the high maternal and child mortality in the country.Objectives:The purpose of the study was to appraise the participation of midwives in BCC at the first level of health care in Kaduna State, Nigeria before planning a context specific and sustainable BCC capacity building programme.Materials and Methods:In-depth interviews were conducted with nine midwives selected by maximum variation technique across Kaduna State. Content analysis of the interviews was performed using a priory codes derived from the integrative framework.Results:The integrative framework provided a comprehensive appraisal of BCC in the facilities. Health talks were unplanned, difficult and more task-oriented than being behaviour change focused. The required skills, integrated services to enhance behaviour change by clients, and enabling environment, were missing. The findings were used, in collaboration with the midwives to develop and implement a context specific and efficient capacity building programme.Conclusions:The framework was adequate in identifying the gaps in the BCC activities of midwives at the facilities. There is a need to understand and support midwives with their BCC activities. Government policies should be brought closer to frontline staff who would implement them, by engaging such staff all through the process of developing the policies.

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“…It may reflect the increase time pressure on rural GPs coping with increased workloads [49]. It reinforces the case for greater availability of other health professionals including nursing and allied professionals to provide preventive interventions as well new models of primary health in rural Australia [50,51]. …”

Section: Discussionmentioning

confidence: 99%

Preventive care in general practice among healthy older New South Wales residents

et al. 2013

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BackgroundDespite being at high risk, disadvantaged patients may be less likely to receive preventive care in general practice. This study aimed to explore self-reported preventive care received from general practitioners and the factors associated with this by healthy New South Wales (NSW) residents aged 45–74 years.MethodsA self-completed questionnaire was sent to 100,000 NSW residents in the 45 and Up cohort study. There was a 60% response rate. After exclusions there were 39,964 participants aged 45–74 years who did not report cardiovascular disease or diabetes. Dichotomised outcome variables were participant report of having had a clinical assessment of their blood pressure (BP), blood cholesterol (BC) or blood glucose (BG), or received advice to eat less high fat food, eat more fruit and vegetables or be more physically active from their GP in the last 12 months. Independent variables included socio-demographic, lifestyle risk factors, health status, access to health care and confidence in self-management.ResultsMost respondents reported having had their BP (90.6%), BC (73.9%) or BG (69.4%) assessed. Fewer reported being given health advice to (a)eat less high fat food (26.6%), (b) eat more fruit and vegetables (15.5%) or (c) do more physical activity (19.9%). The patterns of association were consistent with recognised need: participants who were older, less well educated or overweight were more likely to report clinical assessments; participants who were overseas born, of lower educational attainment, less confident in their own self-management, reported insufficient physical activity or were overweight were more likely to report receiving advice. However current smokers were less likely to report clinical assessments; and rural and older participants were less likely to receive diet or physical activity advice.ConclusionsThis study demonstrated a gap between reported clinical assessments and preventive advice. There was evidence for inverse care for rural participants and smokers, who despite being at higher risk of health problems, were less likely to report receiving preventive care. This suggests the need for greater effort to promote preventive care for these groups in Australian general practice.

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How nurses address the burden of disease in remote or isolated areas in Queensland

Cited by 9 publications

References 21 publications

How is Primary Health Care conceptualised in nursing in Australia? A review of the literature

How is Primary Health Care conceptualised in nursing in Australia? A review of the literature

Appraisal of Observance of Behaviour Change Communication Programme for Maternal and Child Health at First Level of Midwifery Practice in Kaduna State Nigeria

Preventive care in general practice among healthy older New South Wales residents

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