BACKGROUND AND CONTEXT: New Zealand is becoming more ethnically diverse, with limited English proficiency (LEP) people. Consequently there are primary care consultations where patients have insufficient to communicate adequately. Because effective communication essential for good care, interpreters needed in such cases. ASSESSMENT OF PROBLEM: The literature on the use of health includes benefits using both trained (accuracy, confidentiality, ethical behaviour) and untrained (continuity,...

This article explores the contributions that five different approaches to discourse analysis can make interpreting and understanding same piece of data. Conversation analysis, interactional sociolinguistics, politeness theory, critical discursive psychology are chosen for comparison. The data is a nine-minute audio recording spontaneous workplace interaction. analyses compared, theoretical methodological implications discussed.

Australia and New Zealand both have large populations of people with limited English proficiency (LEP). Australia's free telephone interpreter service, which is also used by through Language Line (LL) but at a cost to the practices, underused in countries. Interpreter guidelines warn against use family members, yet lack uptake services must mean that they are still often used. This paper reviews literature on medical reports results week-long audit interpreted consultations an urban primary...

ABSTRACT Background Mental distress is on the rise for young people, and there are high levels of unmet need support. Increasingly, people engaging with online mechanisms support to avoid cost wait times; however, does have its limitations. We surveyed 15–30 years age, in Aotearoa New Zealand explore their views digital mental health. The aim this study was find out from what they thought about various types perceived benefits drawbacks. Methods A cross‐sectional survey promoted through...

INTRODUCTION Obesity is overtaking tobacco smoking in New Zealand as the leading potentially modifiable risk to health. International obesity guidelines recommend that health professionals opportunistically encourage weight management with their patients. However, research shows consistently low rates of discussion, suggesting may not be realising full potential address obesity. AIM To identify communication strategies used by General Practitioners (GPs) open topic and routine consultations....

Family members continue to be used as interpreters in medical consultations despite the well-known risks. This paper examines participant perceptions of this practice three New Zealand clinics chosen for their frequent use and skill using them. It is based on a detailed study 17 video-recorded interpreted 48 post-consultation interviews with participants (5 doctors, 16 patients 12 interpreters, including 6 family members). All expressed satisfaction communication. Analysis explored what...

Objective: To establish the most effective approach and type of educational intervention for health professional students, to enable them maintain a professionally safe online presence.Method: This was qualitative, multinational, multi-institutional, multiprofessional study. Practical considerations (availability participants) led us use combination focus groups individual interviews, strengthening our findings by triangulating method data collection. The study gathered from 57 nursing,...

The recent growth of arts and humanities in medical education shows recognition that these disciplines can facilitate a breadth thinking result personal professional growth. However creative work be challenge to incorporate into busy curriculum. Offering the option media as way reflecting is an example how this occur. This study aimed examine student response being given explore visit patient hospice.This was mainly qualitative study. In 2012 academic programme, class 86 students were using...

Research ethics guidelines grew out of several infamous episodes where research subjects were exploited. There is significant international synchronization guidelines. However, indigenous groups in New Zealand, Canada and Australia have criticized these as being inadequate for involving people developed from their own cultural perspectives. Whilst traditional place a lot emphasis on informed consent, put much greater interdependence trust. This article argues that are premised relationships...

Abstract Background Effective communication is crucial to any doctor-patient consultation, not least in pregnancy where the outcome affects more than one person. While higher levels of patient participation and shared decision making are recognised as desirable, there little agreement on how best achieve this. Most previous research this area based reported data such interviews or surveys a need for fine-grained analysis authentic interaction. This study aimed identify discourse...

Background Using an innovative framework of complexity and implementation science, with underpinning core values appreciative inquiry (CIS-A), this paper describes the evaluation a pilot service in New Zealand aiming to deliver integrated psychological therapy services within primary care, young people (aged 18-24) experiencing mild moderate mental distress. Method mixed quantitative qualitative methods multiple data sources, there was strong focus on local innovation co-design users, care...

Introduction Prediabetes is the asymptomatic precursor to type two diabetes mellitus, a significant and growing public health problem in New Zealand (NZ). Little known about how general practitioners (GPs) nurses view prediabetes care, similarly little people with their condition care. Aim This study aimed investigate views of NZ GPs nurses, its management. Methods was mixed qualitative methods that part randomised control trial intervention. Results Three key themes emerged from...

Structured journal clubs are a widely used tool to promote evidence-based practice in health professionals, however some (JC) more effectively sustained than others. To date, little research has provided insights into factors which may influence sustainability of JCs within care settings. As part larger randomised controlled study, this aimed gain understanding clinicians' experiences sustaining structured JC format (TREAT- Tailoring Research Evidence and Theory) their clinical context. The...

Interprofessional education (IPE) programs for pre-registration health science students are largely offered within one institution including different schools or faculties. Sometimes in small regional institutions where there limited student numbers few professional training programs, larger do not offer particular it may be necessary to partner with other IPE. This study sought explore teacher perspectives of forming inter-institutional partnerships deliver IPE, particular, identify the...

Summary Background Cancer care is typically delivered by a range of health professionals, and frequently uniprofessional pre‐registration clinical placement. A workplace‐based, 6‐hour interprofessional education ( IPE ) pilot on cancer care, led tutors, was undertaken in New Zealand hospital, accompanied an external evaluation. The involved cohort 21 dietetic, medicine, pharmacy, physiotherapy radiation therapy students. aim the evaluation to determine student tutor reactions , any changes...

This paper reports on the reflections from members of evaluation team – both allies and service user academics about a co-produced approach to pilot youth-integrated therapies mental health intervention (co-evaluation). The co-evaluation is being facilitated particularly well through numerous involved in evaluation, commitment co-production active attendance responsibilities by allies. However, multiple challenges still exist with significant implications for allyship. These include need us...

The rates of pre-diabetes and type 2 diabetes mellitus are increasing worldwide, producing significant burdens for individuals, families, healthcare systems. In New Zealand, disproportionally affect Māori, Pacific, South Asian peoples. This research evaluates the efficacy, acceptability, economic impact a probiotic capsule prebiotic cereal intervention in adults with on metabolic mental health well-being outcomes.Eligible (n = 152) aged 18-80 years (glycated haemoglobin 41-49 mmol/mol) will...

Introduction
 Pacific people and other communities with culturally linguistically diverse backgrounds (CALD) face barriers to receiving good healthcare. Community health workers navigator roles have developed in recent years internationally New Zealand address these barriers. Interpreters are also increasingly used language The interface between interpreter is explored this study through the experiences views of navigators.
 Methods
 Qualitative interviews focus groups were...

W artykule omówiono wkład pięciu różnych podejść w ramach analizy dyskursu interpretację i zrozumienie tego samego materiału empirycznego. Podejścia wybrane do porównania to analiza konwersacyjna, interakcyjna socjolingwistyka, teoria grzeczności, krytyczna psychologia dyskursywna. Dane empiryczne stanowi dziewięciominutowe nagranie dźwiękowe nieformalnej interakcji miejscu pracy. zostaną ze sobą zestawione różne sposoby analizy, również omówione teoretyczne metodologiczne implikacje...

Primary health care has an important role to play in the management of weight and yet discussions healthy do not occur optimally, indicating a need for simple tools training brief counselling. The 'FABS' approach (focusing on four topic areas: Food, Activity, Behaviour Support) was developed address this.To explore feasibility within routine general practice consultations its effectiveness facilitating conversations.The FABS run trial period five New Zealand practices. entailed staff...

The objective of this qualitative study in New Zealand was to investigate how general practitioners and patients discuss chronic pain consultations. Chronic is a complex condition that defies many commonsense understandings. It challenging manage can come conclude there an empathy deficit. To our knowledge most, if not all, studies on topic have recruited participants whose main presenting complaint pain. Forms are relatively common the population we thought it likely at least some...