Browsing by Author "Hunter I"
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- ItemReality vs expectations: An exploratory study of New Zealand nurses' perceptions of HR measures(2018-03-13) Tretiakov A; Hunter I; Tootell B; Wilson S; Toulson PWhen nurses believe that human resources (HR) measures used to record data describing their work are inappropriate, it may result in low engagement in the measurement process and in higher on-the-job stress, and it may be indicative of problems in the HR system. The purpose of the present study is to explore nurses' views on which HR measures are most appropriate for use in the healthcare sector and their perceptions of the current practice at their organisations. A cross-sectional survey of registered nurses in New Zealand was conducted, resulting in N=916. The respondents rated commonly used HR measures for importance and indicated whether they are used in their organisations. The data were analysed by using graphical representations of descriptive statistics to identify patterns in the relationship between perceived importance and perceived use of HR measures. Patient satisfaction and nurses' competencies measures were seen as both highly important and in use. However, a group of measures related to nurses' job satisfaction and empowerment stood out as, from nurses' perspectives, highly important but relatively unused. The results suggest that in healthcare organisations in New Zealand there is a divergence between nurses' ideas about the best HR measurement practice and their perceptions of the current practice. We argue that to address the underlying causes of the divergence and to mitigate its negative effects, healthcare organisations should involve nurses in making decisions regarding the use of HR measures.
- ItemTelehealth at Home: Co-Designing a Smart Home Telehealth System(IOP Press BV, 2021-04-19) Hunter I; Elers P; Lockhart C; Guesgen H; Whiddett D; Singh A; Maeder AJ; Higa C; van den Berg MEL; Gough CIncreasing life expectancy and rates of chronic conditions place increasing demands on aged care health and support services. One response preferred by older adults and seen as cost effective is aging in place, whereby older people remain in their own homes and avoid aged residential care. For this to take place, it is crucial that older people maintain effective relationships with support networks and that older adults and these networks have adequate information to support patient centred health and wellness care at home. This study explored how smart home telehealth, a form of telehealth where health care is provided at a distance using smart home digital technology (sensors), could assist older people to age in place and enhance their health and wellbeing. It was a two-phase project, preceded by a workshop with experts:1) 41 interviews with older adults and their informal support networks, seven focus groups with 44 health providers working with older adults, which informed 2) a pilot implementation of a co-designed telehealth system, addressing key barriers identified in Phase 1. The system used low cost, easily accessible, and commercially available sensors, transferring information via email and/or text messaging. It was successfully piloted with five older adults and twelve of their respective support networks for six months, who reported an increased feeling of security and improved interpersonal communication. The findings indicate that smart home telehealth could assist aging in place, and the study provides insights into successful co-design of smart home telehealth services at scale that could be implemented and deployed in contexts wider than aged care.