Work and Wellness Hand-in-Hand: The Role of the New Zealand PATHS Program Nurse in Improving Health and Employment Outcomes
Article first published online: 26 JUN 2012
© 2012 Association of Rehabilitation Nurses
Volume 37, Issue 4, pages 185–194, July/August 2012
How to Cite
McKinlay, E., Mackie, S., Arcus, K. and Nelson, K. (2012), Work and Wellness Hand-in-Hand: The Role of the New Zealand PATHS Program Nurse in Improving Health and Employment Outcomes. Rehabilitation Nursing, 37: 185–194. doi: 10.1002/rnj.31
- Issue published online: 28 JUN 2012
- Article first published online: 26 JUN 2012
- evidence-based practice;
- healthcare policy issues;
- health literacy;
- long-term care;
Providing Access to Health Solutions (PATHS) is a New Zealand primary care based interdisciplinary, intersectoral vocational rehabilitation program working with clients who are unemployed and have health challenges inhibiting employment. This study examined the contribution of the nurse working in the PATHS program.
A case study approach included in-depth interviews of PATHs program clients, stakeholders, and a documentation review.
Five themes emerged from the triangulated data: assessment and planning, personal and systems advocacy, persevering to the goal, the nursing approach, and respecting timing.
Program stakeholders valued the nurse's role in client assessment, risk analysis, ongoing client monitoring, and client coaching. Clients valued the nurse's work in supporting health literacy, joint health planning, advocating for timely provision of health and lifestyle behavior services as well as supporting, coaching, and prompting.
These roles together with those of other PATHS team members have led to many clients successfully entering or re-entering employment.