General practice Nursing & the New Zealand Primary healthcare strategy…
General practice Nursing & the New Zealand Primary healthcare strategy
Practice Nurse Role :<3:
Remaining within scope of practice applying a patient centred approach, culturally appropriate and individualised care to all patients.
Working closely alongside doctors and other health care providers to ensure care if efficient, professional and fits with the practices "go the extra mile" philosophy.
Primary nursing care/support, patient interventions and treatment within the medical centre.
Primary care Nursing services include :star:
Urgent triage, resuscitation, stabilisation, assessments
Critical thinking applied to assess urgency and severity of presentation - history taking, examination, appropriate referrals. Assessments undertaken via phone or consultation with patients.
Communicating results, and providing follow up monitoring/care for patients
Provision of treatment options, clear explanations, adequate information and non judgemental care
Minor surgery setup and assistance, liquid nitrogen applications, wound dressings, removal of sutures
Health screening and reviews - Cardiovascular risk screening, annual diabetic reviews, employment medicals
Compliance with all health and safety policies, current NZ legislation, Privacy Act 2003, HIPC 2004, HDC Code of rights
Providing planned nursing care which enhances patient engagement with PHO and identified health outcomes :explode:
Providing timely clinical services which are culturally appropriate. Practising in a way which respects patients values and is culturally appropriate which may include age, gender, sexual orientation, ethnicity, disability and beliefs.
Develops and provides evidence based nursing care. Ongoing well health education and advice given to improve health and prevent disease.
Utilizing recall and reminder systems along with appropriate referrals to national screening programs. Delivering immunisation program education and imms.
Health promotion to enrolled population linked to puplic health programs at national, regional and local levels to target specific populations.
Family planning services and advice. Provision of contraceptives and education, sexual health services.
Education and health promotion to assist individuals in reducing or changing risky or potentially harmful lifestyle behaviours
Develop Collaborative working relationships with community health services such as local DHB, non government public health providers, ACC and other relevant agencies.
New Zealand Health Strategy 2016 "All New Zealanders live well, stay well, get well " :!!:
Acknowledges the relationship between Maori and the Crown under the Treaty of Waitangi
Promote the best health and wellbeing possible for all New Zealanders across the lifespan
Improving health status of those disadvantaged
Collaboration in health promotion, rehabilitation, disease and injury prevention from all sectors
Provide timely and equitable access to a wide range of services which are affordable and reduce financial limitations
Regain New Zealanders confidence in the health care system
Build active partnerships with individuals within communities
5 Strategic themes: People powered, Closer to home, Value and high performance, One team, Smart system
Primary health care strategy 2001
Central to improving health of New Zealanders and in particular tackling inequalities in health
Focusing on better health for the population and actively working to reduce existing inequalities
Six key directions:
Work with local communities and existing enrolled populations. Identify and reduce health inequalities, enhance access to comprehensive services which improve, maintain and restore people's health, coordinate care across service areas, develop the primary health workforce and continuously improve care quality using up to date information.
Reducing and removing barriers to healthcare i.e. financial, for groups with greatest health needs. Via additional services and improved first contact access
Population health objectives
Nutrition improvement and education
Increased physical activity
Reducing harm from alcohol, illicit substance and drugs to individuals and wider community
Improve oral health
Reduction of incidence and impact of cardiovascular diesease, cancer and diabetes
Child healthcare access improvements, well child, family health and immunisation
Improve health of population living with severe mental illness
King, A. (2001). The primary health care strategy. Ministry of Health.
Minister of Health. (2016). New Zealand health strategy: Future direction. Ministry of Health.