| |
Records |
Links |
|
Author |
Litchfield, M.; McCombie, M.-L. |
|
| |
Title |
The introduction of an advanced nurse practitioner role in mental health: report of the evaluation research undertaken for the Mental Health Service of Capital Coast Health Ltd |
Type |
|
| |
Year |
1994 |
Publication |
|
Abbreviated Journal  |
Chief Nurse Advisor, Ministry of Health, PO Box 50 |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
The study was commissioned to define the role of Advanced Nurses Practitioner to inform the establishment of a clinical career pathway. Four new, loosely defined ANP positions were created and the role evolution over three months was described. The impact on the multidisciplinary team functioning was to be given particular attention. The research design was developed in collaboration with the ANP Project Team of the service. Data were derived from surveys of nurses in the units and other staff before and at the end of the 3 months period; interviews with the ANPs and official client advocates; daily journals and weekly logs kept by the ANPs; statistical records of patient loads and staffing. The findings presented the role as the interface of unit management and direct client care, with the ANPs orchestrating the activities of the unit. The ANPs developed the role differently according to quite distinct conceptualisations of nursing which influenced whether direct client care was pivotal or peripheral to the role. This had an effect on whether the strains of the service were seen as inhibitory of focal to the development of the ANP practice. There was little change in unit staff satisfaction. Attempts to incorporate client advocacy to determine change in client satisfaction were unsuccessful. The ANPs used the research as a process of role development |
|
| |
Call Number |
NRSNZNO @ research @ 386 |
Serial |
386 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hendry, C. |
|
| |
Title |
Comparison between consumers and providers perceptions of quality maternity hospital care |
Type |
|
| |
Year |
1997 |
Publication |
|
Abbreviated Journal |
Christchurch Medical School Library , Christchurc |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
Maternity services in New Zealand have undergone some fundamental and unique changes over the last few years. The promotion of competition among providers for clients have had repercussions on the way that maternity hospitals offers services to women. In adapting to this change, it is important that 'the baby is not thrown out with the bathwater'. Unfortunately the most commonly used indicators, and the standard “Patient Satisfaction Survey”, neither of which contain many valuable clues for maternity facility providers to determine the quality of their service from the consumer's perspective. The need was identified for the development of quality indicators to evaluate maternity hospital care. Closely related to this was the need to determine of how dependable providers are at determining what consumers would describe as an optimal maternity hospital service |
|
| |
Call Number |
NRSNZNO @ research @ 336 |
Serial |
336 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Brown, E.F. |
|
| |
Title |
Work-related back pain among nurses: nurses perceptions of the causative factors |
Type |
|
| |
Year |
1999 |
Publication |
|
Abbreviated Journal |
Christchurch School of Medicine – University of Ot |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
Work-related back pain among nurses is a problem of significant proportion. Nurses have a high rate of back pain compared to the general population and other occupational groups. There has been little reduction in the rates of nurses back pain and solutions to this complex problem continue to be elusive. Many quantitative studies have been undertaken examining and identifying the risk factors contributing to a high risk of back pain among nurses. Few of these studies focus on the complexities and context of the nurses physical and social environment. An exploration of these factors may assist to explain why interventions have not been successful and why the risk of back pain among nurses remains high.This study, using a qualitative methodology, explores nurses views and perceptions of the factors that they believe contribute to nurses having a high risk for work-related back pain. In-depth interviews were conducted with nurses working in previously identified high risk areas asking them about their perceptions of the risk factors and the activities that lead to risk situations for back pain. The strongest theme to emerge from the participant interviews was that it is the work demands from nursing that create and expose nurses to high levels of risk. Other risk factors identified were environmental hazards, equipment management and the physical work environment. The interview responses were analysed using two theoretical models of risk. The Health Belief Model examines risk behaviour using a cognitive psychological approach and the Social Model of Risk views all behaviour as influenced by the social environment. Both models offer explanations as to why nurses take actions that place them at risk for back pain. This study highlights the main ideas and concerns raised by the participants. It makes recommendations for managing the problem of work-related back pain in the nursing profession, and suggests areas where more research is needed |
|
| |
Call Number |
NRSNZNO @ research @ 415 |
Serial |
415 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gallagher, P. |
|
| |
Title |
Rethinking the gap: Investigating the theory-practice relationship in nursing |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Coda |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing; Education; Nursing models; Nursing philosophy |
|
| |
Abstract |
A Grounded Theory approach was taken to explore the concept of the gap between theory and practice, whereby they are seen to be discrete entitites. For this study, the first phase of data collection was a series of computer mediated group discussions, and the second a number of individual interviews. In both sets of interviews participants were asked to describe how they experienced and managed differences they perceived between theory and practice in nursing. The participants referred to different types of theory relevant and central to effective nursing practice. The first was private theory; the second was formal theory and third was situational theory. For the students it was a conflict that produced uncomfortable emotions, distrust of others and personal self doubt. In an effort to reduce this discomfort the students sought an explanation for the differences between theory and practice, some of which challenged their key personal values. However, the most emotionally neutral explanation that also preserved the integrity of their key values was that there was a gap between the theory and the practice of nursing. The theory Negotiating Different Experiences has implications for the education of nurses in that personal knowledge and experiences must be incorporated in a programme of study and the feelings evoked by learning must be acknowledged as a catalyst to enhance learning. Further, the different forms of theory to which students will be exposed must be made explicit and nursing educators who must involve the individual student as an active partner in the mapping of a personalised programme, which includes the creation of individual assessment methods. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1104 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mackay, B. |
|
| |
Title |
Leadership strategies for role development in primary health care nursing |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
11 |
Issue |
|
Pages |
31-39 |
|
| |
Keywords |
Primary health care; Leadership; Professional development |
|
| |
Abstract |
This paper has been developed from part of the writer's doctoral thesis on forces influencing the development of innovative roles in primary health care nursing. The focus of this paper is leadership strategies designed to reduce the issue of poor professional identity and support. |
|
| |
Call Number |
NRSNZNO @ research @ 1049 |
Serial |
1033 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gasquoine, S.E. |
|
| |
Title |
Mothering a hospitalized child: It's the 'little things' that matter |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Journal of Child Health Care |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
9 |
Issue |
3 |
Pages |
186-195 |
|
| |
Keywords |
Nurse-family relations; Parents and caregivers; Paediatric nursing; Children |
|
| |
Abstract |
This article reports one aspect of a phenomenological study that described the lived experience of mothering a child hospitalised with acute illness or injury. The significance for mothers that nurses do the 'little things' emerged in considering the implications of this study's findings for nurses in practice. Seven mothers whose child had been hospitalised in the 12 months prior to the first interview agreed to share their stories. The resulting data were analysed and interpreted using van Manen's interpretation of phenomenology. This description of mothering in a context of crisis is useful in the potential contribution it makes to nurses' understanding of mothers' experience of the hospitalisation of their children. It supports the philosophy of family-centred care and highlights the ability of individual nurses to make a positive difference to a very stressful experience by acknowledging and doing 'little things', because it is the little things that matter to the mothers of children in hospital. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1053 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Trimmer, W.C. |
|
| |
Title |
The way things are done around here: Perceptions of clinical leadership in mental health nursing |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Leadership; Psychiatric Nursing; Clinical supervision: Mental health |
|
| |
Abstract |
This research project explored nurses' perceptions of clinical leadership in mental health nursing practice. Within New Zealand no research exists that evaluates the role and impact the clinical leadership has in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses. The prime objective of this study was to increase knowledge about clinical leadership in mental health nursing practice. This research used a quantitative descriptive methodology, utilising survey design. A questionnaire was used to rank the attributes of the person the respondents identified as a clinical leader. The data was collected from 30 registered nurses working in mental health settings within the central region of New Zealand. Findings indicate that there is room for improvement with regard to clinical leadership in mental health nursing practice. Clinical leadership is perceived to be more effective by nurses in their second year of practice and in community settings. A statistically significant difference was indicated between nurses in their second year of practice and nurses in their third year of practice in terms of their ranking of clinical leadership abilities. Overall the respondents perceived poor communication and poor attitude as the biggest barriers to effective leadership. Support and good role models were said to influence nursing practice positively and the skills that were identified as being helpful in assisting and retaining nurses were mentorship and good communication. The results of the study are discussed in relation to the literature on transformational leadership skills. Finally, the general limitations of the study are outlined and implications for future research are discussed. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1149 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Holloway, K. T.; Pearson, J.R. |
|
| |
Title |
Trailblazers: Primary health care programme evaluation |
Type |
Conference Article |
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
Paper presented June 2004 at Royal New Zealand Plu |
Issue |
|
Pages |
|
|
| |
Keywords |
New graduate nurses; Primary health care; Evaluation research; Professional development |
|
| |
Abstract |
This report is an evaluation of the academic journey undertaken by a group of newly graduated nurses who were sponsored by a New Zealand district health board to work in a variety of primary health care nursing settings. The impetus for this pilot employment option was the Ministry of Health's focus on primary health care nursing and workforce development for this sector and the Expert Advisory Committee for primary health care nursing's recommendations to district health boards regarding employment of graduate nurses and support for them to engage in post graduate study. Evaluation participants were primarily the graduate nurses who were interviewed at the end of their first year of practice which was following programme completion then again nine to ten months later. Findings include the nurses reflections on what supported them and what acted to impede as barriers to their learning success and practice development. The report concludes with five recommendations that can be used to ensure that the travels of future newly graduated nurses taking this pathway are supported, safe and successful. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1200 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Clunie, S. |
|
| |
Title |
The current trend and importance of postgraduate education for nurses |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
10 |
Issue |
|
Pages |
18-23 |
|
| |
Keywords |
Nursing; Education; Professional development; Leadership; Policy |
|
| |
Abstract |
The purpose of this essay is to examine why postgraduate education has become so important, to examine some of the issues around mandatory continuing education and the practical effect of this on a nursing career. Four strategies from the Ministry of Health, designed to facilitate changing nurse education, are discussed. The importance of Professional Development Recognition programmes is discussed along with the need for strong nursing leadership. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1207 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Dobbs, L. |
|
| |
Title |
Can evidence improve nursing practice? |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
10 |
Issue |
|
Pages |
27-32 |
|
| |
Keywords |
Evidence-based medicine; Nursing; Professional development |
|
| |
Abstract |
Evidenced Based Practice is aimed at providing safe, effective and cost-appropriate health care. The utilisation of EBP in nursing has proved to be valuable not only for patients and nurses, but also for other health professionals and the wider community. However, despite the recognised benefits of EBP, a significant gap between theory and practice exists. This paper explores some of the issues behind not implementing EBP, such as comfort with traditional practices, lack of engagement with EBP, and time constraints. |
|
| |
Call Number |
NRSNZNO @ research @ 1226 |
Serial |
1211 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mackay, B. |
|
| |
Title |
Using SMS mobile technology to M-Support nursing students in clinical placements |
Type |
Conference Article |
| |
Year |
2007 |
Publication |
NorthTec Nursing & Health Conference Papers |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
Paper presented at eFest Conference 27th-29th Sept |
Issue |
|
Pages |
|
|
| |
Keywords |
Technology; Nursing; Education |
|
| |
Abstract |
M-Learning compliments and supports E-Learning and incorporates technologies such as the use of mobile phones, PDAs and pod casting. A sub function of M-Learning is M-Support which is the provision of support for the mobile student. This paper describes a pilot project using short message service – mobile technology -to M-support nursing students in primary health care clinical placements. Forty one students took part in a mixed methods study to assess the project against a pre determined set of criteria. The results indicated that students did feel supported by the messages, cost was not prohibitive, flexibility in communication was appreciated, and the acceptance was high. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1218 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Harding, T.S. |
|
| |
Title |
Men's clinical career pathways: Widening the understanding |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Klinisk sygepleje |
Abbreviated Journal |
Coda: An institutional repository for the New Zealand ITP sector |
|
| |
Volume |
22 |
Issue |
3 |
Pages |
48-57 |
|
| |
Keywords |
Male nurses; Gender; Careers in nursing |
|
| |
Abstract |
This article, drawn from a larger study, reports on the factors that have influenced the choice of a group of New Zealand male nurses' clinical career pathways. Using discourse analysis, interview data from 18 participants were analysed and related to existing literature on male nurses. The analysis revealed that the predominance of men in selected areas of nursing can be attributed to multiple factors including: socialisation pressures that are grounded on gender stereotyping, a desire for challenge, homosocial tendencies, and the belief that multiple work experience equips them to be better nurses. The results challenge essentialist readings of masculinity within the context of nursing and identifies challenges for nursing education and the profession to enable men to contribute more widely to nursing. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
646 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Harding, T.S. |
|
| |
Title |
The construction of men who are nurses as gay |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
Coda: An institutional repository for the New Zealand ITP sector |
|
| |
Volume |
60 |
Issue |
6 |
Pages |
636-644 |
|
| |
Keywords |
Male nurses; Prejudice; Sexuality |
|
| |
Abstract |
This paper is a report of a study to determine the construction of male nurses as gay, and to describe how this discourse impacts on a group of New Zealand male nurses. This social constructionist study drew on data collected from existing texts on men, nursing and masculinity and interviews with 18 New Zealand men conducted in 2003-2004. Discourse analysis, informed by masculinity theory and queer theory, was used to analyse the data. Despite the participants' beliefs that the majority of male nurses are heterosexual, the stereotype persists. A paradox emerged between the 'homosexual' general nurse and the 'heterosexual' pyschiatric nurse. The stigma associated with homosexuality exposes male nurses to homophobia in the workplace. The heterosexual men employed strategies to avoid the presumption of homosexuality; these included: avoiding contact with gay colleagues and overt expression of their heterosexuality. These stigmatising discourses create a barrier to caring and, aligned with the presence of homophobia in the workplace, deter men's entry into the profession and may be important issues with respect to their retention. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
647 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McDonald, S.; Willis, G.; Fourie, W.; Hedgecock, B. |
|
| |
Title |
Graduate nurses and their experience of postgraduate education within a Graduate Nurse programme |
Type |
Report |
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
Copies can be obtained from The Department of Nursing and Health Studies, Manukau Institute of Techn |
|
| |
Volume |
(Monograph Series 2/2007) |
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing; Education; New graduate nurses; Teaching methods; Students |
|
| |
Abstract |
The authors note that the literature identifies that the transition from tertiary based training to the realities of industry expectations can be a stressful period for graduates. Various District Health Boards offer postgraduate papers within their graduate nursing programmes, resulting in graduates being expected to perform the role of a beginning practitioner as well as embark on postgraduate education during this first year. As yet, the authors note, there is little evidence available to substantiate the efficacy and impact of such papers. The purpose of this study was to explore graduate nurse's experience of postgraduate education within the Graduate Nurse Programme. The report contains the results of a survey of nurses within the Programme. This report details the results of that survey and make recommendations for consideration. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
911 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Taua, C. |
|
| |
Title |
Revisiting the past: A focused ethnography of contemporary dual diagnosis nursing practice |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Copy downloadable from the NZNO Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing |
|
| |
Abstract |
As has been the case internationally, deinstitutionalisation of dual diagnosis (intellectual disability and mental illness) services has also occurred in New Zealand. Inpatient services have been redefined to respond to the more acute focus that has arisen out of this deinstitutionalisation process and nurses are having to redefine their roles in response. This study was undertaken to explore and describe the culture of nursing practice in a dual diagnosis inpatient unit in one psychiatric hospital. A focused ethnographic approach was used to triangulate data gathered from fieldwork observations, review of documents and semi-structured interviews. Schein's (1985) levels of culture model, was used to identify and explore the artifacts, values and assumptions evident in this nursing practice. Analysis presents three key themes categorised as 'communication', 'assessment' and 'safety'. While these key themes are shown to be evident in the everyday practice of the nurses, how these relate to the notion of 'dual diagnosis nursing' is not clear. Therefore, the author describes the major finding of this study as revealing a nursing culture holding tight to traditional psychiatric and psychopaedic nursing practices and struggling to develop a distinctive culture in the absence of a defined dual diagnosis knowledge base. The author concludes that these findings suggest an urgent need to provide nurses with support in gaining contemporary knowledge regarding dual diagnosis nursing. Support for nurses in advancing these areas then impacts on support for the patients. It is suggested that additional research is undertaken to assess the learning needs of the nurses in order to develop clinical practice guidelines for this area. Further recommendations are made to address system issues which are contributing to the gap in knowledge. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
674 |
|
| Permanent link to this record |
