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Background: Stroke has the highest global burden of any neurological disease. Many studies investigate secondary stroke prevention strategies, but the outcomes remain poor, and the rates of recurrent stroke stay high. Purpose: This review synthesizes the existing studies that focus on educational strategies for stroke survivors to reduce their risk of further stroke. Methods: A systematic search of the literature was undertaken across PubMed, CINAHL Plus, PsycINFO and ERIC, for articles published from 2010 to 2020. The selected articles were critically appraised using tools from the Joanna Briggs Institute (JBI), before being thematically analyzed. Results: A total of 20 studies were identified. Three main themes and sub-themes: 1) Focus (healthy behaviors, physical and psychological aspects, health literacy); 2) Types of intervention (program characteristics, structure and approach); 3) Future implications (positive values and challenges). Discussions: Current programs are feasible and can have significant benefits on physical, psychological, and health literacy but are inadequate for improving smoking cessation, alcohol consumption and weight control behaviors. Translation to Health Education Practice: How to reinforce healthy behaviors remains an issues to resolve. Understanding the stroke survivor's health literacy, the utilization of technology may offer the benefits of making education easily tailored to the individual's needs.

International collaboration is crucial in the field of nursing informatics research to enhance our ability to conduct globally relevant research that informs policy and practice. In this case study we describe how we have established an international research collaboration to evaluate nurses' experiences of technology use during the pandemic. We firstly describe how the collaboration was created and the successes associated with our work, before highlighting the facilitators to make an international collaboration work. We also discuss the challenges we have encountered during this collaborative enterprise, to enable other researchers who wish to establish international collaborations and learn from our experiences. [ABSTRACT FROM AUTHOR]

The World Health Organisation considers that digital health can play a vital role in strengthening health systems, including increasing equity in access to health services; however, to realise the benefits of digital health this subject needs to be included in nursing education. In New Zealand the recent establishment of the centralised Te Pukenga Institute of Skills and Technology allows for the creation of a common unified curriculum for entry to nursing programmes among the community-based tertiary education providers. Expertise to advise on the digital health component of the curriculum was sought from the New Zealand nursing and midwifery informatics group and this group's contribution is reported here. Delays in implementing the new curriculum means that by the end of 2023 no students had yet graduated, and evaluating their success, combined with research into the students' preparedness for working in a digital health environment is recommended. [ABSTRACT FROM AUTHOR]

The implementation of health informatics in pre-registration health professional degrees faces persistent challenges, including curriculum overload, educator workforce capability gaps, and financial constraints. Despite these barriers, reports of successful implementation of health informatics in pre-registration nursing programs exist. A virtual workshop was held during the 15th International Nursing Informatics Conference in 2021 with the aim to explore successful implementation strategies for incorporating health informatics into the nursing curriculum to meet the accreditation standards. This paper reports recommendations from the workshop emphasising the importance of academic-clinical partnerships to develop innovative approaches to enhance the capacity of academic teams and access to contemporary point of care digital technologies that reflect applications of health informatics in interdisciplinary clinical settings. [ABSTRACT FROM AUTHOR]

An intranet is a beneficial tool, most commonly utilised and researched in corporate settings, but can also be found within healthcare. An organisational intranet has many of the same functions as the internet while also having a security firewall associated with it, meaning that only those with security access to the site are able to gain access. An evaluation study, using a two-phase process, of a Nursing Intranet within a healthcare organisation in one urban hospital in New Zealand is presented. First a content audit was undertaken, before using a selected framework to evaluate the content, design and functionality of the Nursing Intranet. The results from this evaluation identified some strengths, but also areas to improve. Further research, including the development of tools to evaluate intranets in a healthcare setting are needed to ensure information is more readily accessible to health professional staff. [ABSTRACT FROM AUTHOR]

The use of technology in nursing has increased, most notably since the Covid-19 pandemic which highlighted benefits of digital health in nursing practice. Understanding the enablers and barriers associated with nurses' use of digital technology is important as these can impact adoption and engagement. To understand the factors that impacted New Zealand nurses' use of technology a national online survey was undertaken in August 2022. Participants (n=191) came from varied clinical settings across the country. Their responses to the open-ended questions were thematically analyzed and are reported here. Four themes were identified: 1) Knowledge of digital technology, 2) connectivity, 3) devices and systems, and 4) training and education. Understanding the factors that impact nurses use of technology can support actions to build the digital competency of nurses, enhance the nursing workforce and therefore benefit patient care. [ABSTRACT FROM AUTHOR]

Background: Determining an individual's medicines information preferences and needs could enable health professionals to deliver more effective medicines information and help build patients' health literacy and ability to self‐manage their health. Aim: This descriptive, cross‐sectional study aimed to test a new information needs assessment tool, the Medicine Information Needs for Individuals – Questionnaire (MINI‐Q), which elicits what individuals want to know about their medicines. This study aimed to explore the face validity, acceptability, and feasibility of using the tool in a hospital inpatient setting. Method: Ethical approval was obtained from Health and Disability Ethics Committees (Reference no: 18/NTA/137). Following ethical approval, adult hospital inpatients from two service divisions in one large urban hospital in New Zealand were invited to self‐assess their medicines information needs using the 23‐item MINI‐Q via a tablet or on paper. Descriptive statistics were generated from the quantitative data and responses to a free‐text question were inductively analysed. Results: The MINI‐Q was completed by 228 inpatients, 137 (60%) of whom used a tablet. Participants requested information on 80.6% of the possible topics. The most common topic that participants wanted information about was possible side effects (92%). No additional topics to include in the MINI‐Q were identified from the free‐text responses. The median completion time of the tablet version was 9.2 min (interquartile range 6.7–14.6). Conclusion: The MINI‐Q shows promise to efficiently identify an individual's medicines information needs in an inpatient setting. The findings reinforce that most people want to know all the basic information about their medicines, with side effects being particularly important. [ABSTRACT FROM AUTHOR]

Tertiary institutions aim to provide high quality teaching and learning that meet the academic needs for an increasingly diverse student body including indigenous students. "Tatou Tatou" is a qualitative research project utilising Kaupapa "Maori" research methodology and the Critical Incident Technique interview method to investigate the teaching and learning practices that help or hinder "Maori" student success in non-lecture settings within undergraduate health programmes at the University of Auckland. Forty-one interviews were completed from medicine, health sciences, nursing and pharmacy. A total of 1346 critical incidents were identified with 67% helping and 33% hindering "Maori" student success. Thirteen sub-themes were grouped into three overarching themes representing potential areas of focus for tertiary institutional undergraduate health programme development: "Maori student support services, undergraduate programme, and Maori student whanaungatanga". Academic success for indigenous students requires multi-faceted, inclusive, culturally responsive and engaging teaching and learning approaches delivered by educators and student support staff.

As the first stage of substantive theory building, this study explored the behavioral responses of people with long-term weight concerns using mHealth to increase their physical activity within a New Zealand context. A constructivist grounded theory method was adopted. Twenty-two participants with long-term weight concerns and personal experience using mobile health to increase physical activity participated in in-depth interviews. Four themes and eight categories were conceptualized: motivation, physical activity behavioral responses, mobile health evaluation, and social interaction. The role of mobile health in increasing physical activity and improving overall wellness is broadly acknowledged and facilitates, to some extent, the social interactions among family, friends and the wider community. [ABSTRACT FROM AUTHOR]

In New Zealand, the Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003 provides diversion for persons with an intellectual disability who have been charged with, or convicted of, a criminal offence. This unique Act moves the responsibility for such "care recipients" from the criminal justice system to a disability sector that values a social model of disability and philosophies of autonomy, choice and normalisation. This research identified dilemmas faced by care managers legally responsible for care recipients. Care managers experienced: tension between imperatives of risk management, rehabilitation and human rights; role ambiguity between"custodian" or "therapist"; philosophical incongruity within their services; and ethical dilemmas over decisions to lengthen care orders. The changing care recipient population has intensified these dilemmas: services must now adapt to the needs of young, street-wise people with alcohol and drug problems and histories of criminal behaviour. The article makes recommendations about how these dilemmas can be addressed. (Contains 14 notes.)