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Towards quality Pacific services: the development of a service self-evaluation tool for Pacific addiction services in New Zealand

Authors

  • Kathleen S. Samu BA PGDipArts MA,

    1. Pacific Researcher, Clinical Research and Resource Centre, Waitemata District Health Board, Auckland, New Zealand
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  • Amanda Wheeler BSc BPharm PGDipPsychPharm PGCertPH PhD,

    Corresponding author
    1. Director, Clinical Research and Resource Centre, Waitemata District Health Board, Auckland, New Zealand and Clinical Associate Professor, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
      Dr Amanda Wheeler, Clinical Research & Resource Centre, Snelgar Building, Waitakere Hospital, Waitakere, Auckland 0610, New Zealand, E-mail: amanda.wheeler@waitematadhb.govt.nz
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  • Lanuola Asiasiga BA MA PhD,

    1. Senior Researcher, Centre for Social Health Outcomes Research and Evaluation, Massey University, Auckland, New Zealand
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  • Synthia M. Dash BA,

    1. Pacific Researcher, Clinical Research and Resource Centre, Waitemata District Health Board, Auckland, New Zealand
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  • Gail Robinson MBBCh FC(Psych)SA FRANZCP FAChAM,

    1. Senior Clinical Researcher, Waitemata District Health Board, Auckland, New Zealand
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  • Lucy Dunbar BSc,

    1. Senior Research Officer, Clinical Research and Resource Centre, Waitemata District Health Board, Auckland, New Zealand
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  • Tamasailau Suaalii-Sauni BA/LLB MA PhD

    1. Senior Research Fellow, Centre for International Health, Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
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Dr Amanda Wheeler, Clinical Research & Resource Centre, Snelgar Building, Waitakere Hospital, Waitakere, Auckland 0610, New Zealand, E-mail: amanda.wheeler@waitematadhb.govt.nz

Abstract

Objectives  To describe the development and use of a quality improvement service self-evaluation tool within Pacific addiction services in New Zealand.

Methods  The study involved two phases: (i) a development phase; and (ii) a testing phase. In Phase I, a preliminary tool was developed and piloted with two Pacific addiction drugs services. It was modified to reduce the number of statements, aligning the statements with the National Sector Standards and incorporating Pacific concepts, themes and motifs that underlie the practices of Pacific providers. In Phase II the resulting tool, named Potalanoa, was then tested in four Pacific addiction treatment services. All services provided feedback on the user acceptability and feasibility of the tool, usefulness and adaptability of the tool to specific service settings.

Results  The participating services generally found the evaluation tool to be understandable, acceptable and useful. Each service provider demonstrated varied use or implementation strategies for Potalanoa with a general consensus that incorporating the evaluation process within existing team meetings would be ideal. The involvement of all staff within a group setting was also found to be an essential part of the process and a trained facilitator helped with the flow of discussion.

Conclusions  The study found that there is a need for an evaluation tool for the provision of quality services. For Pacific services it was important that the tool recognize and capture the Pacific approaches utilized in their service delivery. Overall the tool was found to be acceptable and feasible to use, assisted services to identify areas of achievement and to prioritize areas requiring improvement and was adaptable to ‘real world’ Pacific addiction treatment settings in New Zealand.

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