Evidence map›Paper›PMID 39467008›Full record

ArticleJournal of advanced nursing2025

Exploring the Challenges of Context in Accessing Mental Health Support in Rural New Zealand: A Case Study Approach.

Philip Ferris-Day, Clare Harvey, Claire Minton, Andrea Donaldson

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Philip Ferris-DaySchool of Nursing, College of Health, Massey University, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-0417-5364
Clare HarveySchool of Nursing, College of Health, Massey University, Auckland, New Zealand.
Claire MintonSchool of Nursing, College of Health, Massey University, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-0919-2646
Andrea DonaldsonSchool of Nursing, College of Health, Massey University, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-8548-4221

Funding

Massey University
6 · The paper itself

Abstract

objectiveThis paper explores the complexities that impact access to mental health services in rural New Zealand. Historical, cultural, social and political factors will be examined against the philosophical positioning of Foucault and Fairclough. STUDY

designThis research is a single-embedded case study design exploring participants' discourses in the context of a rural, bounded geographical area of New Zealand.

resultsThe results show that mental health support that addresses people's actual needs rather than the needs that governments map against ever-changing policy is required and that an awareness of context within case study research is important. DISCUSSION: The process of case study design is described, including building upon a rationale for selecting the case, collecting data and conducting case analysis and interpretation. This study examines factors influencing the real-life rural context of accessing mental health support. This article demonstrates that case-study research can be valuable for navigating context complexity and developing nuanced understandings of complex phenomena.

conclusionThe paper highlights how the multifaceted case study context is more than mapping discourses against a rural backdrop. It is necessary to consider the power dynamics that shape experiences and their impact on service creation and its consequent delivery. IMPLICATIONS FOR RESEARCH POLICY AND PRACTICE: Rather than services being created that are complex and not meeting people's needs, there is a need to listen to the people who have experienced mental health distress and provide services and support in locations other than clinical settings.

Indexed as

Health Services AccessibilityMental Health ServicesRural Health ServicesRural PopulationAdultFemaleHumansMaleMiddle AgedNew Zealandcase study researchcontextFaircloughFoucaultmenmental healthrurality

Identifiers

PMID39467008
PMCPMC12159373

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.