| Autor: |
Jessica Haydon-Clarke, Eileen McKinlay, Helen Moriarty |
| Jazyk: |
angličtina |
| Rok vydání: |
2011 |
| Předmět: |
|
| Zdroj: |
Online Journal of Rural Nursing and Health Care, Vol 11, Iss 1, Pp 80-89 (2011) |
| Druh dokumentu: |
article |
| ISSN: |
1539-3399 |
| DOI: |
10.14574/ojrnhc.v11i1.11 |
| Popis: |
Context: Provision of health care needs to small remote communities is a challenge requiring careful consideration. Stewart Island is a small island located at the far south of New Zealand. First-line primary health care services are provided by two rural nurse specialists supported on the mainland by a general practitioner and regional hospital 72 kms away. Geographical and professional isolation factors and maintaining personal privacy were key aspects in the design of the study. Purpose: To undertake a health needs assessment of a small isolated community considering both resident and health professional perspectives. Methods: A mixed methodology was employed to undertake the health needs assessment: self administered resident survey and semi-structured interviews with four health professional stakeholders (two on the island and two on the mainland). Findings: The survey attracted 106 returns (approx. 30% of adult residents). Stewart Islanders reported similar rates of established chronic conditions compared to New Zealanders as a whole, indicating the need for access to a full range of primary health care services: acute and chronic care; health promotion and illness prevention. Residents and health professional stakeholders supported the current model of nurse-led health service provision with remote interdisciplinary support. Reported gaps included visiting allied health services, and issues of professional isolation and professional development for the rural nurses. Conclusion: Researching health needs of a confined community raises particular issues in confidential data collection and reporting. Remote health service provision brings unique challenges but Stewart Islanders believe the current model of nurse-led service provision largely meets their needs. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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