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dc.contributor.authorHorsburgh, Margaret
dc.contributor.authorBycroft, Janine
dc.contributor.authorGoodyear-Smith, Felicity
dc.contributor.authorRoy, Dianne
dc.contributor.authorMahony, Faith
dc.contributor.authorDonnell, Erin
dc.contributor.authorMiller, Denise
dc.description.abstractIntroduction: The Flinders Program(TM) of Chronic Condition Self-Management in New Zealand (NZ) has been given focus as a useful and appropriate approach for self-management support and improvement of long-term condition management. Aim: To determine the use of the Flinders Program(TM) in NZ and identify barriers and enablers to its use. Method: A web-based survey was undertaken in June 2009 with 355 eligible participants of the 500 who had completed ‘Flinders’ training in NZ since 2005. Results: 152 (43%) respondents completed the survey over a one-month time frame. Of those who responded, the majority were primary care nurses (80%; 118). Fifty-five percent (82) of survey respondents reported using some or all of the Flinders tools. Of these, 11% (16) reported using all of the tools or processes with 77% (104) of respondents having completed six or fewer client assessments utilising the Flinders tools. This indicates that respondents were relatively inexperienced with use of the Flinders Program(TM). Barriers to implementation were identified as the time needed for structured appointments (up to one hour), funding, resistance from colleagues, lack of space and insufficient ongoing support. Discussion: Despite the extent of training in the use of the Flinders Program(TM), there is limited use in clinical practice of the tools and processes associated with the model. Without structured support for quality improvement initiatives and self-management programmes, the ability to implement learned skills and complex interventions is limited.en_NZ
dc.publisherRoyal New Zealand College of General Practitionersen_NZ
dc.subjectLong-term conditionsen_NZ
dc.subjectChronic conditionsen_NZ
dc.subjectChronic illnessen_NZ
dc.subjectPrimary careen_NZ
dc.titleThe Flinders Program(TM) of chronic condition self-Management in New Zealand: Survey findingsen_NZ
dc.typeJournal Articleen_NZ
dc.rights.holderRoyal New Zealand College of General Practitionersen_NZ
dc.subject.marsden111002 Clinical Nursing: Primary (Preventative)en_NZ
dc.identifier.bibliographicCitationHorsburgh, M., Bycroft, J., Goodyear-Smith, F., Roy, D., Mahony, F., Donnell, E., & Miller, D. (2010). Journal of Primary Health Care, 2(4), 288-293. Retrieved from
unitec.institutionUnitec Institute of Technologyen_NZ
unitec.institutionUniversity of Aucklanden_NZ
unitec.publication.titleJournal of Primary Health Careen_NZ

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