Demonstrating outcomes in a nurse-led clinic: How primary health care nurses make a difference to children and their families
Jill Clendon
School of Health and Social Sciences, Nelson Marlborough Institute of Technology, Nelson, New Zealand
PP: 164 - 176
Abstract
The provision of primary health care to children and families is complex. The study outlined here explored outcomes from the provision of primary health care to children aged 5-13 years in a nurse-led clinic based in a primary school in Auckland, New Zealand.
This multi-faceted study collected both qualitative and quantitative data, however it is the results of the quantitative arm of the study that are presented here. Data were collected from a variety of sources concerning conditions seen, age and ethnicity of users, types of services provided and impact on hospital usage.
Findings demonstrate that the provision of comprehensive primary health care by the nurse at the clinic impacts positively on hospital visitation by children from the area where the clinic is located.
Keywords
nurse-led clinic; child and family; primary health care; outcomes; evaluation
References
Anderson, E.T., & McFarlane, J. 2000. Community as Partner: Theory and practice in nursing (3rd Ed.). Philadelphia: Lippincott.
Bear, M., & Bowers, C. 1998. Using a nursing framework to measure client satisfaction at a nurse-managed clinic. Public Health Nursing, 15(1): 50-9.
Clendon, J. 1997. Should public health nurses prescribe? Kai Tiaki: Nursing New Zealand, 3(7): 13-15.
Clendon, J. 1999. Making a Difference: Enhancing Public Health Nursing Practice. A Service Development Initiative. Unpublished manuscript. Auckland Healthcare Services Ltd.
Clendon, J. 2003. Nurse managed clinics: issues in evaluation. Journal of Advanced Nursing, 44(6): 558-565.
Clendon, J. & Krothe, J. 2004.The nurse-managed clinic: An evaluative study. Nursing Praxis in New Zealand, 20(2): 15-23.
Denny, S.J., Clark, T.C. & Watson, P.D. 2003. Comparison of health-risk behaviours among students in alternative high schools from New Zealand and the USA. Journal of Paediatrics and Child Health, 39: 33-39.
Expert Advisory Group on Primary Health Care Nursing. 2003. Investing in Health Whakatohutia te Oranga Tangata:A Framework for Activating Primary Health Care Nursing in New Zealand. Wellington: Ministry of Health.
Hagan, L., Morin, D., & Lepine, R. 2000. Evaluation of telenursing outcomes: satisfaction, self-care practices, and cost savings. Public Health Nursing, 17 (4): 305-13.
Helvie, C. 1999. Efficacy of primary care in a nursing center. Nursing Case Management, 4(4): 201-15.
Hilton, B. A., Budgen, C., Molzahn, A. E., & Attridge, C. B. 2001. Developing and testing instruments to measure client outcomes at the Comox Valley Nursing Center. Public Health Nursing, 18(5): 327-339.
Jones, M. E. & Clark, D. 1997. Increasing access to health care: A study of pediatric nurse practitioner outcomes in a school based clinic. Journal of Nursing Care Quality, 11(4): 53-59.
Intrahealth 1999. Health Care Community. [Computer Software] developed specifically for the Auckland District Health Board.
King, A. 2001. The Primary Health Care Strategy. Wellington: Ministry of Health.
King, A. 2002. The Pacific Health and Disability Action Plan. Wellington: Ministry of Health.
King, A., & Turia, T. 2002. He Korowai Oranga: Maori Health Strategy. Wellington: Ministry of Health.
Leversha, A, & Aho, G. 2001. Paediatric cellulitis. New Ethicals Journal, 4(7): 47-52.
Macnee, C. 1999. Integrating teaching, research, and practice in a nurse-managed clinic: a non-recursive model. Nurse Educator, 24(3): 25-8.
McClowry, S.G., Galehouse, P., Hartnagle, W., Kaufman, H., Just, B., Moed, R., & Patterson-Dehn, C. 1996.A comprehensive school-based clinic: University and community partnership. Journal of the Society of Pediatric Nurses, 1(1): 19-26.
Ministerial Taskforce on Nursing. 1998. Report of the Ministerial Taskforce on Nursing: Releasing the Potential of Nursing. Wellington: Ministry of Health.
Ministry of Health. 2000. The New Zealand Health Strategy. Wellington: Author.
Ministry of Health. 2001. Children in New Zealand: Report on Cross-Sectoral Outcome Measures and Targets. Wellington: Author.
Minitab Inc. 2003. MINITAB Software (Release 13) [Computer software]. State College, PA: Minitab Inc.
Nicol, M.J., Manoharan, H., Marfell-Jones, M.J., Meha-Hoerara, K., Milne, R., O'Connell, M., Olliver, J., & Teekman, B. 2002. Issues in adolescent health: A challenge for nursing. Contemporary Nurse, 12(2): 155-163.
Novak, J. 2000. Community Health Nurse in the Schools. In Stanhope, M. & Lancaster, J. Community and Public Health Nursing (5th Ed.), pp. 908-40. Mosby: St Louis.
Pastore, D.R., Murray, P.J., & Jusczak, L. 2001. School-based health center: position paper of the Society for Adolescent Medicine. Journal of Adolescent Health. 29(6): 448-50.
Project CHAMP. 2001. Community Child Health and Disability Service Business Rules. Auckland District Health Board: Auckland.
Richardson, F. 2003. Realising nurses' full potential. Kai Tiaki: Nursing New Zealand, 9(2): 1.
Starship Clinical Information Unit. 2003. [Summary of Starship, Walmsley & Wesley Data]. Unpublished raw data.
Statistics New Zealand. 2003 Area Unit 2003. Accessed from the World Wide Web on December 18th, 2003.Available from: http://www.stats.govt.nz/domino/external/web/carsweb.nsf/94772cd5918085044c2567e6007eec2c/85c1afb8b9309f4dcc256cac00689ad3?OpenDocument
Zachariah, R., & Lundeen, S. 1997. Research and practice in an academic community nursing center. Image: Journal of Nursing Scholarship, 29(3): 255-60.
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