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Aim: This paper describes an initiative facilitating comprehensive assessment and delivery of brief interventions for Māori youth in Northland, New Zealand. Background: The population in Northland is predominantly Māori and is one of New Zealand's most deprived populations. Māori youth have the highest youth suicide rate in the developed world and elevated numbers of youth displaying mental health issues and/or risk behaviours are of grave national concern. Like Indigenous peoples worldwide, inequities persist for Māori youth accessing and engaging with healthcare services. Description: Taking services out to Māori youth in remote and isolated areas, Northland's youth specialist nurses are reducing some barriers to accessing health care. The youth version of the Case‐finding and Help Assessment Tool is a New Zealand‐developed, e‐screening tool for youth psychosocial issues, facilitating comprehensive assessment and brief intervention delivery. Discussion: Early detection of, and timely intervention for, mental health and risk behaviours can significantly improve health outcomes in youth. However, for this to happen barriers preventing youth from accessing appropriate care need to be overcome. Conclusion: Youth specialist nurses could improve access to care for youth from ethnic minorities, rural and isolated regions, and areas of high deprivation without overwhelming the medical profession. Implications for nursing policy: Specialist nurses are trained and empowered to practice at the top of their scope. With general practitioner oversight and standing order sign off specialist nurses can work autonomously to improve access to health services, without increasing the workload of doctors. Implications for nursing practice: Encouraging continuous self‐reflection of the nurse's effectiveness in meeting patient needs, holistically and culturally, facilitates the provision of accessible care that is patient‐centred and culturally safe. [ABSTRACT FROM AUTHOR]

Aim. This paper is a report of a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies. Background. Little has been written on nurses' experiences of assisted reproductive technologies. Such interventions are emotionally fraught for clients, and working in areas of high emotional intensity can also be emotionally difficult for staff. Nurses are in a potentially unique position in the assisted reproductive technology environment in that, unlike other professionals who move in and out during the treatment cycle, they maintain a more constant contact with the client. Method. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. Findings. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. Conclusion. Assisted reproductive technologies nurses require recognition of their role and how it may positively contribute to clients' experiences, as well as adequate preparation and ongoing support. Nurses need to be educated in both the emotional and medical aspects involved in caring for clients being treated with these technologies. [ABSTRACT FROM AUTHOR]

Looks into the role of nurses in the health care delivery in New Zealand. Description of the role of nurses; Importance of the identification of elements of the role cluster of nurses; Misperception of people on the role of nurses; Investigation of the nursing component of the health care system.