Publications by authors named "Karen Hoare"

Background: Māori are over-represented in Aotearoa New Zealand morbidity and mortality statistics. Other populations with high health needs include Pacific peoples and those living with material deprivation. General practice has evolved into seven models of primary care: Traditional, Corporate, Health Care Home, Māori, Pacific, Trusts / Non-governmental organisations (Trust/NGOs) and District Health Board / Primary Care Organisations (DHB/PHO).

View Article and Find Full Text PDF

Objectives: To determine the prevalence of eczema among children in New Zealand.

Methods: Population-based retrospective observational study utilising national pharmaceutical dispensing records for topical corticosteroids and emollients for all New Zealand children aged 0-14 years from 1st January 2006 to 31st December 2019. Data are reported using descriptive statistics, with comparisons between ethnicities and socioeconomic quintiles undertaken with rate ratios.

View Article and Find Full Text PDF

Background: An embedded single case-study design was used to explore the experiences of men in rural New Zealand accessing mental health services. It is essential for researchers to acknowledge positionality in case study research and the lead author used reflexive practice to acknowledge his values and beliefs.

Aim: To explore and demonstrate the reflexive process of the lead author's position as an inside researcher.

View Article and Find Full Text PDF

Background: An estimated 20% of emergency department (ED) patients require respiratory support (RS). Evidence suggests that nasal high flow (NHF) reduces RS need.

Aims: This review compared NHF to conventional oxygen therapy (COT) or noninvasive ventilation (NIV) in adult ED patients.

View Article and Find Full Text PDF

Aim: To explain the process by which nurses' roles are negotiated in general practice.

Background: Primary care nurses do important work within a social model of health to meet the needs of the populations they serve. Latterly, in the face of increased demand and workforce shortages, they are also taking on more medical responsibilities through task-shifting.

View Article and Find Full Text PDF

Background And Aims: Providing respiratory support (RS) to patients may improve their oxygenation and ventilation, reducing the work of breathing. Emergency department (ED) patients often need RS; COVID-19 has heightened this need. Patients receiving RS may need escalation of their treatment; hence, studies considering the prevalence of escalation are warranted.

View Article and Find Full Text PDF

Background: Avoidable hospitalisation rates for Indian immigrant children with asthma is high in New Zealand and other Western countries. Understanding how children and their carers manage asthma may lead to a reduction in hospitalisation rates. The topic of asthma and Indian immigrant children's perspectives has not been investigated.

View Article and Find Full Text PDF

Aim: The following article reports an audit, conducted between July 2014 and July 2017, of adherence to best practice in medication administration and documentation by nurses.

Method: A sample of 47 registered nurses' (RNs') documentation relating to the administration of 939 medications using standing order directives were examined and scored by seven senior nurses and a medical practitioner against an audit tool. The scores were divided into four quartiles with the top two quartiles demonstrating best practice in adherence to safety standards for the administration of medication.

View Article and Find Full Text PDF

There has been a growing interest in giving voice to children in response to the introduction of the United Nations Convention on the Rights of the Child and evolving sociological discourses on childhood. Using child-sensitive methodologies such as constructivist grounded theory (CGT) enables children's voices to contribute authentic, meaningful, and eventually more actionable data, capable of informing policies and practices in children's best interests. In this article, we discuss how researchers using CGT can privilege children's voices through effective knowledge coconstruction by creating a child-sensitive research space and using methods that are appropriate to their abilities and interests.

View Article and Find Full Text PDF

Background: Literature on factors influencing medication adherence within paediatric clinical trials is sparse. The Paracetamol and Ibuprofen in the Primary Prevention of Asthma in Tamariki (PIPPA Tamariki) trial is an open-label, randomised controlled trial aiming to determine whether paracetamol treatment, compared with ibuprofen treatment, as required for fever and pain in the first year of life, increases the risk of asthma at age six years. To inform strategies for reducing trial medication crossovers, understanding factors influencing the observed ibuprofen-to-paracetamol crossovers (non-protocol adherence) is vital.

View Article and Find Full Text PDF

The review investigated the barriers and facilitators associated with assessing and engaging with mental health in a rural setting. The aim is to describe and synthesize the literature that examines the experiences of adults who access or attempt to access mental health services in rural settings. A systematic search from 2010 to 2020 was conducted using CINAHL, PsycINFO, Web of Science Core Collection, PubMed, Psychology and Behavioural Sciences Collection, Google Scholar, and Scopus.

View Article and Find Full Text PDF

Background: The literature has described researching people you know or being an 'insider' researcher in a variety of settings. However, the literature has largely focused on the challenges and risks associated with researching in your own community, and has neglected to articulate the benefits for research studies and participants.

Aim: To summarise the literature looking at the role of the insider researcher and explore reflections about insider research made by participants in a constructionist grounded theory study.

View Article and Find Full Text PDF

The purpose of this study is to explore staff experiences of working in a children's blood and cancer center in New Zealand, with a particular focus on how staff maintain resilience in their work and sustain working in this difficult area. Constructivist grounded theory (GT) methods were used to collect data using focus groups and individual interviews with all staff (nursing, medical, allied health, cleaning, and support staff) working in the area. Data were analyzed using constant comparative analysis, and data collection continued until theoretical saturation was achieved.

View Article and Find Full Text PDF

Limited knowledge about the nursing workforce in New Zealand general practice inhibits the optimal use of nurses in this increasingly complex setting. Using workforce survey data published biennially by the Nursing Council of New Zealand, this study describes the characteristics of nurses in general practice and contrasts them with the greater nursing workforce, including consideration of changes in the profiles between 2015 and 2019. The findings suggest the general practice nursing workforce is older, less diverse, more predominately New Zealand trained and very much more likely to work part-time than other nurses.

View Article and Find Full Text PDF

Introduction: Asthma is one of the most common diseases in the world and is a global public health burden. There is an urgent need for research that leads to evidenced-based primary prevention strategies to reduce the prevalence of asthma. One novel risk factor that might have a role in the pathogenesis of asthma is the use of paracetamol in early life.

View Article and Find Full Text PDF

This article discusses the three types of nurse prescriber currently registered in New Zealand (nurse practitioners, registered nurse prescribers (RNP) in primary health and specialty teams and registered nurse prescribers (RNPCH) in community health). It also provides an overview of the evolution of each group, as well as a summary of the current legislation, prescribing restrictions and models of supervision required for each type of prescriber.

View Article and Find Full Text PDF

Aim: To discuss and contrast different theoretical perspectives of resilience and explore the value these bring to understanding health professional well-being.

Background: Resilience has been used to describe one characteristic of health professionals who work in challenging areas, such as intensive care units, emergency departments and oncology settings. Studies have reported on how health professionals can become more resilient in these settings-with a focus on individuals-describing the conditions needed to become more resilient.

View Article and Find Full Text PDF

Migration is a key social determinant of health affecting children's life chances and health outcomes. Yet, relatively little is known about young migrants' own health experiences. This paper reports findings from a systematic review examining the health experiences of children who migrated in the Western Pacific region.

View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted on children under 2 years old who were hospitalized for severe lower respiratory tract infections (LRTI) to see if a community intervention program could reduce ongoing respiratory issues after discharge.
  • The intervention involved three monthly clinics providing antibiotics for wet cough and addressing other health concerns, while the control group received standard care without additional support.
  • After 24 months, results showed no significant differences in respiratory symptoms or health outcomes between the two groups, indicating the intervention might not have effectively improved conditions for these at-risk children.
View Article and Find Full Text PDF

Calls to enhance the health of migrant population sub-groups are strengthening, with increasing evidence documenting the relationship between migration and health outcomes. Despite the importance of migration to global health promotion, little research has focused on the health experiences of young migrants. As part of a Worldwide University Network project, we completed four systematic reviews examining the existing evidence base on the health experiences of children and young people who migrate.

View Article and Find Full Text PDF

AIM To examine national and international guidelines on sore throat management and subsequently, to explore the phenomenon of international medical graduates working in general and rural practice in New Zealand. METHOD Two separate systematic reviews were conducted that resulted in a contingent methodology. Contingent methodologies involve syntheses of data that are derived sequentially.

View Article and Find Full Text PDF

Following the summer holidays of 2011, twelve girls returned to school pregnant in one high school in Auckland New Zealand (NZ). A health promotion leaflet that folded into.a small square containing a condom and was dubbed the 'teabag' was distributed to 15-18 year olds prior to the summer holiday of 2012, in order to increase their sexual health knowledge.

View Article and Find Full Text PDF

Aim: To use systematic methods to examine how resilience is defined in empirical research.

Background: Resilience is a term that is increasingly being used to describe and explain the complexities of individual and group responses to traumatic and challenging situations. It is now frequently mentioned in relation to many areas of nursing practice, including research.

View Article and Find Full Text PDF

Objective: To develop a more concise, user-friendly edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM advisory board is probably already hard at work on the DSM-6, so this study is focused on the DSM-(00)7 edition.

Design: We conducted an observational study, using a mixed methods approach to analyse the 50th edition boxset of James Bond experiences.

View Article and Find Full Text PDF