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Research papers, University of Canterbury Library

Worldwide, the numbers of people living with chronic conditions are rapidly on the rise. Chronic illnesses are enduring and often cannot be cured, requiring a strategy for long term management and intervention to prevent further exacerbation. Globally, there has been an increase in interventions using telecommunications technologies to aid patients in their home setting to manage chronic illnesses. Such interventions have often been delivered by nurses. The purpose of this research was to assess whether a particular intervention that had been successfully implemented in the United Kingdom could also be implemented in Canterbury. In particular, this research assessed the perspectives of Canterbury based practice nurses and district nurses. The findings suggest that a majority of both district and practice nurses did not view the service as compatible with their current work situation. Existing workload and concerns over funding of the proposed service were identified as potential barriers. However, the service was perceived as potentially beneficial for some, with the elderly based in rural areas, or patients with chronic mental health needs identified as more likely to benefit than others. Practice nurses expressed strong views on who should deliver such services. Given that it was identified that practice nurses already have in-depth knowledge of their patients’ health, while valuing the strong relationships established with their communities, it was suggested that patients would most benefit from locally based nurses to deliver any community based health services in the future. It was also found that teletriaging is currently widely used by practice nurses across Canterbury to meet a range of health needs, including chronic mental health needs. This suggests that the scope of teletriaging in community health and its potential and full implications are currently not well understood in New Zealand. Significant events, such as the Christchurch earthquakes indicate the potential role of teletriaging in addressing mental health issues, thereby reducing the chronic health burden in the community.

Research papers, University of Canterbury Library

Six months after the 4 September 2010 Mw 7.1 Darfield (Canterbury) earthquake, a Mw 6.2 Christchurch (Lyttelton) aftershock struck Christchurch on the 22 February 2011. This earthquake was centred approximately 10km south-east of the Christchurch CBD at a shallow depth of 5km, resulting in intense seismic shaking within the Christchurch central business district (CBD). Unlike the 4 Sept earthquake when limited-to-moderate damage was observed in engineered reinforced concrete (RC) buildings [35], in the 22 February event a high number of RC Buildings in the Christchurch CBD (16.2 % out of 833) were severely damaged. There were 182 fatalities, 135 of which were the unfortunate consequences of the complete collapse of two mid-rise RC buildings. This paper describes immediate observations of damage to RC buildings in the 22 February 2011 Christchurch earthquake. Some preliminary lessons are highlighted and discussed in light of the observed performance of the RC building stock. Damage statistics and typical damage patterns are presented for various configurations and lateral resisting systems. Data was collated predominantly from first-hand post-earthquake reconnaissance observations by the authors, complemented with detailed assessment of the structural drawings of critical buildings and the observed behaviour. Overall, the 22 February 2011 Mw 6.2 Christchurch earthquake was a particularly severe test for both modern seismically-designed and existing non-ductile RC buildings. The sequence of earthquakes since the 4 Sept 2010, particularly the 22 Feb event has confirmed old lessons and brought to life new critical ones, highlighting some urgent action required to remedy structural deficiencies in both existing and “modern” buildings. Given the major social and economic impact of the earthquakes to a country with strong seismic engineering tradition, no doubt some aspects of the seismic design will be improved based on the lessons from Christchurch. The bar needs to and can be raised, starting with a strong endorsement of new damage-resisting, whilst cost-efficient, technologies as well as the strict enforcement, including financial incentives, of active policies for the seismic retrofit of existing buildings at a national scale.