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  1. Article ; Online: Health Experiences of Nurses during the COVID-19 Pandemic: A Mixed Methods Study.

    Harris, Melissa L / McLeod, Anne / Titler, Marita G

    Western journal of nursing research

    2023  Volume 45, Issue 5, Page(s) 443–454

    Abstract: This study characterizes the impact of the COVID-19 pandemic on the mental and physical health of nurses. Qualitative data (collected using semi-structured interviews) were integrated with quantitative data (collected concurrently using the SF-12 Health ... ...

    Abstract This study characterizes the impact of the COVID-19 pandemic on the mental and physical health of nurses. Qualitative data (collected using semi-structured interviews) were integrated with quantitative data (collected concurrently using the SF-12 Health Survey). Nurses (
    MeSH term(s) Humans ; COVID-19 ; Pandemics ; Emotions ; Data Accuracy ; Nurses ; Qualitative Research
    Language English
    Publishing date 2023-01-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632788-6
    ISSN 1552-8456 ; 0193-9459
    ISSN (online) 1552-8456
    ISSN 0193-9459
    DOI 10.1177/01939459221148825
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evolving swabbing practices for COVID-19 in a New Zealand emergency department during the early stages of an emerging pandemic.

    Randle, Jennifer / Rogan, Alice / Lockett, Jessica / McLeod, Melissa / Balm, Michelle / Peckler, Brad

    Emergency medicine Australasia : EMA

    2023  Volume 35, Issue 5, Page(s) 812–820

    Abstract: Objective: To review if tests for suspected COVID-19 were performed according to the Ministry of Health (MoH) case definitions, identify patterns associated with testing outside of the case definition, and discuss the potential impacts on hospital ... ...

    Abstract Objective: To review if tests for suspected COVID-19 were performed according to the Ministry of Health (MoH) case definitions, identify patterns associated with testing outside of the case definition, and discuss the potential impacts on hospital services.
    Methods: This was a retrospective audit of patients presenting to the Wellington Hospital ED between 24 March 2020 and 27 April 2020 who were swabbed for COVID-19 in ED. Swabs were audited against the March 15th and April 8th MoH COVID-19 case definitions.
    Results: Five hundred and thirty-six COVID-19 swabs for 518 patients were taken during the study period. There was poor alignment of testing with the March 15th case definition, with only 11.6% of the 164 swabs taken during this period meeting the case definition. Of the 145 swabs that did not meet the case definition, the majority (n = 119, 82.1%) met symptom criteria only. Alignment of testing with the wider April 8th case definition was much higher with 88.2% meeting criteria. Factors associated with being swabbed despite not meeting the case definitions included fever >38°, a diagnosis of cancer, subsequent hospital admission, and for the March case definition only 'contact with a traveller'.
    Conclusion: There were associations found between testing outside of criteria and specific variables potentially perceived as high-risk. Poor alignment of testing with case definitions can impact hospital services through the (mis)use of limited laboratory testing capacity and implications for resource management. Improved communication and feedback between clinicians and policymakers may improve case definition implementation in a clinical setting.
    MeSH term(s) Humans ; COVID-19/diagnosis ; COVID-19/epidemiology ; Retrospective Studies ; Pandemics ; New Zealand/epidemiology ; Emergency Service, Hospital
    Language English
    Publishing date 2023-05-14
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2161824-0
    ISSN 1742-6723 ; 1742-6731 ; 1035-6851
    ISSN (online) 1742-6723
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.14237
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Ethnicity data audit in a secondary care gastroenterology service.

    Randle, Jennifer / Inns, Stephen / Harris, Ricci / McLeod, Melissa

    The New Zealand medical journal

    2022  Volume 135, Issue 1565, Page(s) 51–59

    Abstract: Aim: To audit the quality of ethnicity data stored under National Health Index (NHI) in the Hutt Hospital database against a fresh collection of self-identified ethnicity to identify the level of (mis)match present between the datasets.: Method: Self- ...

    Abstract Aim: To audit the quality of ethnicity data stored under National Health Index (NHI) in the Hutt Hospital database against a fresh collection of self-identified ethnicity to identify the level of (mis)match present between the datasets.
    Method: Self-identified ethnicity data was collected from 200 consecutive patients presenting to outpatient gastroenterology services and compared to National Health Index (NHI) in the Hutt Hospital database, using the process outlined in the Primary Care Ethnicity Data Audit Toolkit.
    Results: The overall level of match between the individual's self-identified ethnicity and that recorded in the hospital database was 89% (95% CI [83.8-93.0]). Eighteen patients (9%) self-identified as Māori, 16.7% (95% CI [3.6-41.4]) of whom were not recorded as Māori in the hospital database. Three patients were recorded as Māori in the hospital database but did not self-identify as Māori.
    Conclusion: Ethnicity data are fundamental to the monitoring and provision of equitable health and healthcare, with a range of applications in the health sector. Our findings of poor-quality ethnicity data for Māori in a hospital NHI database are consistent with previous studies. The assessment of ethnicity data quality must be done in multiple ways to reflect its multiple uses.
    MeSH term(s) Humans ; Ethnicity ; Secondary Care ; Gastroenterology ; New Zealand ; Native Hawaiian or Other Pacific Islander
    Language English
    Publishing date 2022-11-11
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Impact of Transport on Population Health and Health Equity for Māori in Aotearoa New Zealand: A Prospective Burden of Disease Study.

    Randal, Edward / Shaw, Caroline / McLeod, Melissa / Keall, Michael / Woodward, Alistair / Mizdrak, Anja

    International journal of environmental research and public health

    2022  Volume 19, Issue 4

    Abstract: Background: The land transport system influences health via a range of pathways. This study aimed to quantify the amount and distribution of health loss caused by the current land transport system in Aotearoa New Zealand (NZ) through the pathways of ... ...

    Abstract Background: The land transport system influences health via a range of pathways. This study aimed to quantify the amount and distribution of health loss caused by the current land transport system in Aotearoa New Zealand (NZ) through the pathways of road injury, air pollution and physical inactivity.
    Methods: We used an existing multi-state life table model to estimate the long-term health impacts (in health-adjusted life years (HALYs)) and changes in health system costs of removing road injury and transport related air pollution and increasing physical activity to recommended levels through active transport. Health equity implications were estimated using relative changes in HALYs and life expectancy for Māori and non-Māori.
    Results: If the NZ resident population alive in 2011 was exposed to no further air pollution from transport, had no road traffic injuries and achieved at least the recommended weekly amount of physical activity through walking and cycling from 2011 onwards, 1.28 (95% UI: 1.11-1.5) million HALYs would be gained and $7.7 (95% UI: 10.2 to 5.6) billion (2011 NZ Dollars) would be saved from the health system over the lifetime of this cohort. Māori would likely gain more healthy years per capita than non-Māori, which would translate to small but important reductions (2-3%) in the present gaps in life expectancy.
    Conclusion: The current transport system in NZ, like many other car-dominated transport systems, has substantial negative impacts on health, at a similar level to the effects of tobacco and obesity. Transport contributes to health inequity, as Māori bear greater shares of the negative health impacts. Creating a healthier transport system would bring substantial benefits for health, society and the economy.
    MeSH term(s) Cost of Illness ; Health Equity ; Humans ; Native Hawaiian or Other Pacific Islander ; New Zealand/epidemiology ; Population Health ; Prospective Studies
    Language English
    Publishing date 2022-02-11
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19042032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The Epidemiology of Domain-Specific Physical Activity in New Zealand Adults: A Nationally Representative Cross-Sectional Survey.

    Gage, Ryan / Mizdrak, Anja / Richards, Justin / Bauman, Adrian / Mcleod, Melissa / Jones, Rhys / Woodward, Alistair / Shaw, Caroline

    Journal of physical activity & health

    2023  Volume 20, Issue 10, Page(s) 909–920

    Abstract: Background: Surveillance of domain-specific physical activity (PA) helps to target interventions to promote PA. We examined the sociodemographic correlates of domain-specific PA in New Zealand adults.: Methods: A nationally representative sample of ... ...

    Abstract Background: Surveillance of domain-specific physical activity (PA) helps to target interventions to promote PA. We examined the sociodemographic correlates of domain-specific PA in New Zealand adults.
    Methods: A nationally representative sample of 13,887 adults completed the International PA Questionnaire-long form in 2019/20. Three measures of total and domain-specific (leisure, travel, home, and work) PA were calculated: (1) weekly participation, (2) mean weekly metabolic energy equivalent minutes (MET-min), and (3) median weekly MET-min among those who undertook PA. Results were weighted to the New Zealand adult population.
    Results: The average contribution of domain-specific activity to total PA was 37.5% for work activities (participation = 43.6%; median participating MET-min = 2790), 31.9% for home activities (participation = 82.2%; median participating MET-min = 1185), 19.4% for leisure activities (participation = 64.7%; median participating MET-min = 933), and 11.2% for travel activities (participation = 64.0%; median MET-min among participants = 495). Women accumulated more home PA and less work PA than men. Total PA was higher in middle-aged adults, with diverse patterns by age within domains. Māori accumulated less leisure PA than New Zealand Europeans but higher total PA. Asian groups reported lower PA across all domains. Higher area deprivation was negatively associated with leisure PA. Sociodemographic patterns varied by measure. For example, gender was not associated with total PA participation, but men accumulated higher MET-min when taking part in PA than women.
    Conclusions: Inequalities in PA varied by domain and sociodemographic group. These results should be used to inform interventions to improve PA.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Middle Aged ; Cross-Sectional Studies ; Exercise ; Leisure Activities ; New Zealand/epidemiology ; Surveys and Questionnaires
    Language English
    Publishing date 2023-06-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1543-5474
    ISSN (online) 1543-5474
    DOI 10.1123/jpah.2022-0156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Examining the impact of COVID-19 on Māori:non-Māori health inequities in Aotearoa, New Zealand: an observational study protocol.

    Curtis, Elana / Jaung, Rebekah / Paine, Sarah-Jane / McLeod, Melissa / Tamatea, Jade / Atkinson, June / Jiang, Yannan / Robson, Bridget / Reid, Papaarangi / Harris, Ricci B

    BMJ open

    2024  Volume 14, Issue 3, Page(s) e083564

    Abstract: Introduction: The COVID-19 pandemic has had both direct and indirect impacts on the health of populations worldwide. While racial/ethnic health inequities in COVID-19 infection are now well known (and ongoing), knowledge about the impact of COVID-19 ... ...

    Abstract Introduction: The COVID-19 pandemic has had both direct and indirect impacts on the health of populations worldwide. While racial/ethnic health inequities in COVID-19 infection are now well known (and ongoing), knowledge about the impact of COVID-19 pandemic management on non-COVID-19-related outcomes for Indigenous peoples is less well understood. This article presents the study protocol for the Health Research Council of New Zealand funded project 'Mā te Mōhio ka Mārama: Impact of COVID-19 on Māori:non-Māori inequities'. The study aims to explore changes in access to healthcare, quality of healthcare and health outcomes for Māori, the Indigenous peoples of Aotearoa New Zealand (NZ) and non-Māori during the COVID-19 outbreak period across NZ.
    Methods and analysis: This observational study is framed within a Kaupapa Māori research positioning that includes Kaupapa Māori epidemiology. National datasets will be used to report on access to healthcare, quality of healthcare and health outcomes between Māori and non-Māori during the COVID-19 pandemic in NZ. Study periods are defined as (a) prepandemic period (2015-2019), (b) first pandemic year without COVID-19 vaccines (2020) and (c) pandemic period with COVID-19 vaccines (2021 onwards). Regional and national differences between Māori and non-Māori will be explored in two phases focused on identified health priority areas for NZ including (1) mortality, cancer, long-term conditions, first 1000 days, mental health and (2) rheumatic fever.
    Ethics and dissemination: This study has ethical approval from the Auckland Health Research Ethics Committee (AHREC AH26253). An advisory group will work with the project team to disseminate the findings of this project via project-specific meetings, peer-reviewed publications and a project-specific website. The overall intention of the project is to highlight areas requiring health policy and practice interventions to address Indigenous inequities in health resulting from COVID-19 pandemic management (both historical and in the future).
    MeSH term(s) Humans ; Maori People ; New Zealand/epidemiology ; COVID-19 Vaccines ; Pandemics ; COVID-19/epidemiology ; Health Inequities ; Observational Studies as Topic
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2024-03-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-083564
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Variation in Neonatal Nutrition Practice and Implications: A Survey of Australia and New Zealand Neonatal Units.

    McLeod, Gemma / Farrent, Shelley / Gilroy, Melissa / Page, Denise / Oliver, Colleen J / Richmond, Fiona / Cormack, Barbara E

    Frontiers in nutrition

    2021  Volume 8, Page(s) 642474

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-08-02
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2776676-7
    ISSN 2296-861X
    ISSN 2296-861X
    DOI 10.3389/fnut.2021.642474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: ‘Never-ending beginnings’

    Paula Toko King / Donna Cormack / Ricci Harris / Sarah-Jane Paine / Melissa McLeod

    Kōtuitui, Pp 1-

    a qualitative literature review of Māori temporal ontologies

    2022  Volume 16

    Abstract: Our experiences of temporality are defined and shaped by our experiential reality. For Māori, our experiences of time have been marginalised by hegemonic western-centric temporal understandings that are privileged and embedded into structures and ... ...

    Abstract Our experiences of temporality are defined and shaped by our experiential reality. For Māori, our experiences of time have been marginalised by hegemonic western-centric temporal understandings that are privileged and embedded into structures and institutions. Modelling is a commonly-used tool for estimating the benefits of interventions to inform decision-making. In addition to taking little account of health equity, western-centric modelling methods generally omit Indigenous time concepts. This paper presents findings from a qualitative literature review of Māori temporal ontologies and considers implications for modelling within the context of addressing hauora Māori aspirations. Of the total of 5,677 potential records identified, 78 texts were included in the knowledge synthesis. We identified six overlapping themes: Tohu; Hurihanga; Te Taiao; Whakapapa; Pūtahi; and, Mana Motuhake. In contrast with colonial time (understood as flowing uniformly in one direction throughout the universe), Māori temporal concepts were interconnected, interdependent and complex, with multi-layered and multi-faceted dimensions. If modelling approaches are to have utility for hauora Māori, we need to be open to interrogating and critiquing how colonial time shapes statistical assumptions and assigns value to a broader range of epidemiological methods commonplace in health and disability research, including the reification of colonial time in modelling methods.Glossary of Māori words: āmua: hereafter; āmuri: hereafter; anamata: hereafter; ātea: be clear, free from obstruction; hau ora: healthy, well; hurihanga: changing, turning, cycle; kaitiaki: guardian; kaupapa Māori: Māori agenda, Māori principles, Māori ideology; a philosophical doctrine, incorporating the knowledge, skills, attitudes, and values of Māori society; koru: spiral motif; onamata: ancient times; mana: spiritual power; mana motuhake: authority and capacity to be autonomous; Māori: name for Indigenous peoples of New Zealand; mua: former; muri: after; pākehā: foreign; ...
    Keywords Māori ; Indigenous ; time ; temporality ; health ; modelling ; Social Sciences ; H
    Subject code 360
    Language English
    Publishing date 2022-11-01T00:00:00Z
    Publisher Taylor & Francis Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: The Impact of Transport on Population Health and Health Equity for Māori in Aotearoa New Zealand

    Edward Randal / Caroline Shaw / Melissa McLeod / Michael Keall / Alistair Woodward / Anja Mizdrak

    International Journal of Environmental Research and Public Health, Vol 19, Iss 2032, p

    A Prospective Burden of Disease Study

    2022  Volume 2032

    Abstract: Background: The land transport system influences health via a range of pathways. This study aimed to quantify the amount and distribution of health loss caused by the current land transport system in Aotearoa New Zealand (NZ) through the pathways of road ...

    Abstract Background: The land transport system influences health via a range of pathways. This study aimed to quantify the amount and distribution of health loss caused by the current land transport system in Aotearoa New Zealand (NZ) through the pathways of road injury, air pollution and physical inactivity. Methods: We used an existing multi-state life table model to estimate the long-term health impacts (in health-adjusted life years (HALYs)) and changes in health system costs of removing road injury and transport related air pollution and increasing physical activity to recommended levels through active transport. Health equity implications were estimated using relative changes in HALYs and life expectancy for Māori and non-Māori. Results: If the NZ resident population alive in 2011 was exposed to no further air pollution from transport, had no road traffic injuries and achieved at least the recommended weekly amount of physical activity through walking and cycling from 2011 onwards, 1.28 (95% UI: 1.11–1.5) million HALYs would be gained and $7.7 (95% UI: 10.2 to 5.6) billion (2011 NZ Dollars) would be saved from the health system over the lifetime of this cohort. Māori would likely gain more healthy years per capita than non-Māori, which would translate to small but important reductions (2–3%) in the present gaps in life expectancy. Conclusion: The current transport system in NZ, like many other car-dominated transport systems, has substantial negative impacts on health, at a similar level to the effects of tobacco and obesity. Transport contributes to health inequity, as Māori bear greater shares of the negative health impacts. Creating a healthier transport system would bring substantial benefits for health, society and the economy.
    Keywords transport ; health ; inequities ; Māori ; burden of disease ; Medicine ; R
    Subject code 380
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: "We are still doing some magic": Exploring the effectiveness of online therapeutic clowning.

    Holland, Melissa / Fiorito, Maria-Elena / Gravel, Maï-Li / McLeod, Sarah / Polson, Jenna / Incio-Serra, Natalia / Blain-Moraes, Stefanie

    Arts & health

    2022  Volume 15, Issue 2, Page(s) 169–184

    Abstract: Background: Therapeutic clowns use embodied practices to engage with clients, their families and healthcare staff to empower patients and create therapeutic relationships. This study explored the effectiveness of a virtual therapeutic clown initiative.!# ...

    Abstract Background: Therapeutic clowns use embodied practices to engage with clients, their families and healthcare staff to empower patients and create therapeutic relationships. This study explored the effectiveness of a virtual therapeutic clown initiative.
    Methods: Thirteen therapeutic clowns participated in a semi-structured interview to discuss their experiences with online clowning; additionally, four dyads consisting of a clown duo and a client explored multiple perspectives of a shared online clowning experience. Data were analyzed according to the six core competencies of therapeutic clowning.
    Results: Although all therapeutic clowns and caregivers reported challenges and limitations with the medium, virtual therapeutic clowning was effective for empowering clients and forming therapeutic relationships. Clowns successfully used many strategies to maintain their core clowning competencies in the virtual environment.
    Conclusions: Virtual clowning may be more beneficial for some clients than in-person clowning and has the potential to extend therapeutic clowning beyond its traditional domains of practice.
    MeSH term(s) Humans ; Laughter Therapy ; Delivery of Health Care ; Health Facilities
    Language English
    Publishing date 2022-03-09
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2487722-0
    ISSN 1753-3023 ; 1753-3015
    ISSN (online) 1753-3023
    ISSN 1753-3015
    DOI 10.1080/17533015.2022.2047745
    Database MEDical Literature Analysis and Retrieval System OnLINE

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