130 results for Kenealy, Timothy, Journal article

  • Contribution by primary health nurses and general practitioners to the Diabetes Annual Review (Get Checked) programme in Auckland, New Zealand

    Daly, B; Kenealy, Timothy; Arroll, Bruce; Sheridan, Nicolette; Scragg, Robert (2013-08-16)

    Journal article
    The University of Auckland Library

    The 'Get Checked' annual diabetes review programme was successful in engaging practice and community-based specialist nurses in the community management of diabetes and has revealed positive relationships between nurses and doctors, extended roles for nurses and the importance of engaging nurses in the design of health care programmes. Nurses involved in the programme undertake a large proportion of all patient annual reviews at their practice and major nursing roles include measuring blood pressure, weighing patients, undertaking foot examinations and giving health promotional advice. DHBs need to continue to acknowledge the valuable contribution made by the largest health professional workforce and ensure primary health care nurses are involved in developing an effective replacement ‘Get Checked’ programme.

    View record details
  • Characteristics of nurses providing diabetes community and outpatient care in Auckland

    Daly, B; Arroll, B; Sheridan, N; Kenealy, Timothy; Scragg, R (2013-03)

    Journal article
    The University of Auckland Library

    INTRODUCTION: There is a worldwide trend for diabetes care to be undertaken in primary care. Nurses are expected to take a leading role in diabetes management, but their roles in primary care are unclear in New Zealand, as are the systems of care they work in as well as their training. AIM: To describe and compare demographic details, education and diabetes experience, practice setting and facilities available for the three main groups of primary health care nurses working in the largest urban area in New Zealand. METHOD: Of the total number of practice nurses, district nurses and specialist nurses working in Auckland (n=1091), 31% were randomly selected to undertake a self-administered questionnaire and telephone interview in 2006-2008. RESULTS: Overall response was 86% (n=284 self-administered questionnaires, n=287 telephone interviews). Almost half (43%) of primary care nurses were aged over 50 years. A greater proportion of specialist nurses (89%) and practice nurses (84%) had post-registration diabetes education compared with district nurses (65%, p=0.005), from a range of educational settings including workshops, workplaces, conferences and tertiary institutions. More district nurses (35%) and practice nurses (32%) had worked in their current workplace for >10 years compared with specialist nurses (14%, p=0.004). Over 20% of practice nurses and district nurses lacked access to the internet, and the latter group had the least administrative facilities and felt least valued. DISCUSSION: These findings highlight an ageing primary health care nursing workforce, lack of a national primary health care post-registration qualification and a lack of internet access.

    View record details
  • Characteristics of nurses providing diabetes community and outpatient care in Auckland

    Daly, Barbara; Arroll, Bruce; Sheridan, Nicolette; Kenealy, Timothy; Scragg, Robert (2013)

    Journal article
    The University of Auckland Library

    INTRODUCTION: There is a worldwide trend for diabetes care to be undertaken in primary care. Nurses are expected to take a leading role in diabetes management, but their roles in primary care are unclear in New Zealand, as are the systems of care they work in as well as their training. AIM: To describe and compare demographic details, education and diabetes experience, practice setting and facilities available for the three main groups of primary health care nurses working in the largest urban area in New Zealand. METHOD: Of the total number of practice nurses, district nurses and specialist nurses working in Auckland (n=1091), 31% were randomly selected to undertake a self-administered questionnaire and telephone interview in 2006-2008. RESULTS: Overall response was 86% (n=284 self-administered questionnaires, n=287 telephone interviews). Almost half (43%) of primary care nurses were aged over 50 years. A greater proportion of specialist nurses (89%) and practice nurses (84%) had post-registration diabetes education compared with district nurses (65%, p=0.005), from a range of educational settings including workshops, workplaces, conferences and tertiary institutions. More district nurses (35%) and practice nurses (32%) had worked in their current workplace for >10 years compared with specialist nurses (14%, p=0.004). Over 20% of practice nurses and district nurses lacked access to the internet, and the latter group had the least administrative facilities and felt least valued. DISCUSSION: These findings highlight an ageing primary health care nursing workforce, lack of a national primary health care post-registration qualification and a lack of internet access.

    View record details
  • Cochrane reviews: relevant more than ever.

    Fahey, T; Smith, SM; van de Laar, F; Kenealy, Timothy; Arroll, Bruce (2013-01)

    Journal article
    The University of Auckland Library

    View record details
  • General practice changes in South Auckland from 1990 to 1999: a threat to continuity of care?

    Kenealy, Timothy; Arroll, Bruce; Kenealy, H; Scott, DJ; Scragg, Robert; Simmons, David (2002)

    Journal article
    The University of Auckland Library

    Aims To compare composition and organisation of general practices in South Auckland between 1990 and 1999 and consider implications for continuity of care. Methods Mail questionnaires were sent to all general practitioners in South Auckland in 1990 and in 1999. Results The response rates were 88% in 1990 and 76% in 1999 (p 0.3). The mean practice size increased from 2.8 to 3.7 doctors (p 0.003), the number of GPs in solo practice halved from 31.9% to 16.7% (p 0.009), and the mean number of part-time GPs per practice doubled from 0.7 to 1.3 (p 0.0004). There was no statistically significant difference in the country of origin of the doctors between 1990 and 1999. Women in 1999, compared with the men practitioners, were more likely to work fewer than eight ???tenths??? (53.3% vs 8.1%, p 0.001), were fewer years since graduation (16.1 vs 20.4, p 0.004), had worked fewer years in South Auckland (7.9 vs 12.7, p<0.0001). Conclusion Through the 1990s there have been changes in the organisation of general practice, some of which may help and others hinder provision of continuity of care. Given that patients, practitioners and politicians value continuity of care, it is an important topic that warrants New Zealand research.

    View record details
  • Antibiotics not first-line treatment for acute purulent rhinitis

    Arroll, Bruce; Kenealy, Timothy (2009)

    Journal article
    The University of Auckland Library

    View record details
  • Review: Mixed signals from trials concerning pharmacologic prevention of type 2 diabetes mellitus

    Kenealy, Timothy; Arroll, Bruce (2005-09)

    Journal article
    The University of Auckland Library

    The article focuses on a study by researcher R. Padwal and colleagues, which reports on the pharmacologic prevention of type 2 diabetes mellitus. The study found that in patients with type 2 diabetes mellitus, some oral hypoglycemic agents and antiobesity drugs reduce the incidence of diabetes, but the findings are inconsistent and many studies have low patient follow-up or show high drug-related gastrointestinal adverse effects. It is concluded that no single agent is a clear choice for preventing diabetes in patients with impaired glucose tolerance..

    View record details
  • Being right or being happy: pilot study

    Arroll, Bruce; Goodyear-Smith, Felicity; Moyes, Simon; Kenealy, Timothy (2013-12-17)

    Journal article
    The University of Auckland Library

    View record details
  • Antibiotics for the common cold and acute purulent rhinitis

    Arroll, Bruce; Kenealy, Timothy (2002)

    Journal article
    The University of Auckland Library

    Synopsis: Antibiotics are not effective against the common cold, but cause adverse effects The common cold is an infection of the upper respiratory tract (breathing system). It can cause a sore throat, blocked and/or runny nose, and sometimes a cough or fever. Colds are usually caused by viruses, which do not respond to antibiotics. However, antibiotics cause adverse effects, especially diarrhoea, and overuse can increase levels of antibiotic resistance in the community. The review found that trials do not show any benefit from taking antibiotics for the common cold, and adverse gastrointestinal effects are common.

    View record details
  • Higher risk of a first CVD event in Maori with diabetes quantified

    Kenealy, Timothy; Elley, C; Robinson, E; Bramley, D; Drury, P; Kerse, Ngaire (2009)

    Journal article
    The University of Auckland Library

    View record details
  • Intensive primary care treatment reduced cardiovascular risk factors at 1 year in screen-detected type 2 diabetes.

    Elley, Carolyn; Kenealy, Timothy (2009-05)

    Journal article
    The University of Auckland Library

    The article presents a study which found that an intensive, multifactorial primary care treatment strategy reduces cardiovascular (CV) risk factors more than routine care in patients with screen-detected type 2 diabetes. The study included 498 patients of 50-70 years of age who were newly diagnosed with type 2 diabetes by a 2-stage screening process. The study concluded that in patients with type 2 diabetes, intensive, multifactorial, primary care treatment strategy reduced CV risk factors..

    View record details
  • Gems of New Zealand Primary Health Care Research: Including type 2 diabetes in cardiovascular risk equations

    Elley, C; Robinson, E; Kenealy, Timothy; Bramley, D; Drury, L (2010-06)

    Journal article
    The University of Auckland Library

    View record details
  • Intensive primary care treatment reduced cardiovascular risk factors at 1 year in screen-detected type 2 diabetes

    Elley, CR; Kenealy, Timothy (2009)

    Journal article
    The University of Auckland Library

    View record details
  • Thiazide diuretics 'justifiable' for hypertension in patients with pre-diabetes

    Arroll, Bruce; Kenealy, Timothy; Elley, Carolyn (2009)

    Journal article
    The University of Auckland Library

    View record details
  • Audit of health data captured routinely in primary healthcare for the clinical decision support system PREDICT (PREDICT CVD-4)

    Riddell, Tania; Kenealy, Timothy; Wells, Linda; Jackson, Rodney; Broad, Joanna (2008)

    Journal article
    The University of Auckland Library

    Computerised clinical decision support systems require health data to be captured in an explicit, structured way. However, traditional patient medical records contain data that is recorded in multiple ways using coding systems, free text, medical jargon and idiosyncratic abbreviations. To be meaningful, data transferred either automatically or manually from medical records to a clinical decision support program must accurately reflect data held in the patient medical record. Aims To assess the accuracy of health data captured routinely in primary care practice by PREDICT-CVD, a clinical decision support program for supporting the assessment and management of cardiovascular disease risk. Methods Data saved in the PREDICT clinical decision support system were audited against the same patients??? data held within an electronic patient management system. The audit was conducted in three general practices in Auckland, New Zealand. Within each practice the sample included all Maori patient records and a random sample of non-Maori patient records that made the total up to 100 per practice (n=300). Results We found good agreement between the data stored within PREDICT and that held within the patient management system. For 12 of the 27 variables examined there was perfect agreement. The most common disagreements, in order of frequency, were for smoking, diabetes and ethnicity recordings. Overall, there were 70 observations where data were recorded in PREDICT (but not in the patient management system), compared to 21 occurrences where data were recorded in the patient management system (but not in PREDICT). Conclusions Health data captured routinely in general practice by the clinical decision support system PREDICT were found to be highly consistent with data held in electronic patient records. However, the use of PREDICT-CVD improved the completeness of cardiovascular risk factor documentation.

    View record details
  • GPs ??? do we need to change our name?

    Kenealy, Timothy (2006-04)

    Journal article
    The University of Auckland Library

    View record details
  • Cardiac risk assessment--10 year or lifelong?

    Kenealy, Timothy (1995)

    Journal article
    The University of Auckland Library

    View record details
  • Learning to see in the clinician-patient relationship

    Buetow, Stephen; Kenealy, Timothy (2009-06)

    Journal article
    The University of Auckland Library

    Medical education tends to praise or pay lip-service to the art of observation, while systematically teaching the science of technology. To the extent you were taught observation skills as clinicians, you may have learned how to listen and touch but not usually how to ???see??? your patients and yourself. This paper considers how to see in the clinician???patient relationship, not merely in an optical sense but also to increase your perceptiveness. We suggest 10 strategies to enhance your ability to see.

    View record details
  • Removal of a foreign body

    Kenealy, Timothy; Murtagh, J (1996-03-01)

    Journal article
    The University of Auckland Library

    View record details
  • Analysis of Medication Possession Ratio for Improved Blood Pressure Control - Towards a Semantic Web Technology Enabled Workbench

    Mabotuwana, Thusitha; Warren, James; Gaikwad, RK; Kennelly, John; Kenealy, Timothy (2008)

    Journal article
    The University of Auckland Library

    Using a patient management ontology developed on Semantic Web technologies, we have provided a framework and workbench to identify hypertensive patients with inadequate systolic blood pressure (SBP) control. We have populated our ontology with production electronic medical record data from a general medical practice in New Zealand. Medication Possession Ratio (MPR) is used as a key concept in grouping patients whose SBP control can be improved. We also provide a prescription timeline visualisation scheme to aid a clinician in understanding a patient???s antihypertensive prescribing patterns. Both to validate our workbench and to enable immediate care improvement and research, we have utilised our framework to model the association of prescribing-based MPR to SBP. While the aggregate observed improvement in SBP is 18.55 mmHg from full as compared to nil MPR, there are poorly controlled patients among both high and low MPR groups, indicating distinct cohorts for quality improvement follow-up.

    View record details