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Author Andrews, E. openurl 
  Title The living power of words Type
  Year 1996 Publication Abbreviated Journal (down) E. I. T. Library, Gloucester Street, Taradale, Haw  
  Volume Issue Pages  
  Keywords  
  Abstract The experience of loneliness within a people-centered profession has supported nursings silencing and invisibility. A literature expedition through communication texts and journals led to an awareness of the paucity of literature which explores and acknowledges how we dialogue together, rather than the more fashionable focus on how we should communicate with others.  
  Call Number NRSNZNO @ research @ 158 Serial 158  
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Author Dr Jill Clendon and Dr Léonie Walker openurl 
  Title Young nurses in Aotearoa New Zealand Type
  Year 2011 Publication Abbreviated Journal (down) Download from: http://www.nzno.org.nz/services/resources/publications  
  Volume Issue Pages 54 pp  
  Keywords  
  Abstract The NZNO Younger Nurse survey examined the characteristics of younger nurse members of NZNO (aged under 30) in order to identify potential recruitment and retention strategies for these nurses, and provide information on how best to support younger members to become involved in NZNO activities.

The findings indicate that while most younger nurses enjoy their work and find it rewarding, they also face a range of challenges in the workplace due to their age ? including bullying and poor choice of shifts. Many younger nurses do not feel appropriately paid for the work they do and believe there are insufficient nurses to provide safe care. Over 10 percent of younger nurses are considering leaving the nursing profession. Many younger nurses feel the emotional challenge of nursing was more than they anticipated and that their education did not prepare them well to manage this.

A range of recommendations are made, including the need to improve undergraduate curriculum content on managing the emotional challenges of nursing, the need to implement clinical supervision for all nurses but particularly for those under 30, the need to develop and implement activities to address bullying in the workplace, and the need to improve pay progression scales in employment contracts.
 
  Call Number NZNO @ research @ Serial 1372  
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Author Dr Jill Clendon and Dr Léonie Walker openurl 
  Title Research Advisory Paper: Highlights of the 2011 Younger Nurse Study Type Report
  Year 2011 Publication Abbreviated Journal (down) Download from: http://www.nzno.org.nz/services/resources/publications  
  Volume Issue Pages 6 pp  
  Keywords  
  Abstract The NZNO Younger Nurse survey examined the characteristics of younger nurse members of NZNO (aged under 30) in order to identify potential recruitment and retention strategies for these nurses, and provide information on how best to support younger members to become involved in NZNO activities.

The findings indicate that while most younger nurses enjoy their work and find it rewarding, they also face a range of challenges in the workplace due to their age ?including bullying and poor choice of shifts. Many younger nurses do not feel appropriately paid for the work they do and believe there are insufficient nurses to provide safe care. Over 10% of younger nurses are considering leaving the nursing profession. Many younger nurses feel the emotional challenge of nursing was more than they anticipated and that their education did not prepare them well to manage this.

A range of recommendations are made including the need to improve undergraduate curriculum content on managing the emotional challenges of nursing, the need to implement clinical supervision for all nurses but particularly for those under 30, the need to develop and implement activities to address bullying in the workplace, and the need to improve pay progression scales in employment contracts.

Further research is required to explore why there is a discrepancy between female and male nurses?postgraduate qualifications by age, the particular needs of younger Indian and South East Asian nurses, the discrepancy between younger nurses and older nurses perceptions of insufficient nurses, and what type of emotional stress younger nurses find most challenging.
 
  Call Number NZNO @ research @ Serial 1373  
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Author Dr Léonie Walker openurl 
  Title Vital Signs: Research Advisory Paper: Highlights of the NZNO Employment Survey, 2011 Type Report
  Year 2011 Publication Abbreviated Journal (down) Download from: http://www.nzno.org.nz/services/resources/publications  
  Volume Issue Pages 6 pp  
  Keywords  
  Abstract This report documents the results of a survey of a random sample of NZNO members.

A 10% sample was drawn by computer from the 45,000 membership, representing nurses and care givers from across New Zealand. Midwives were excluded from the

sample on this occasion.

Issues related to age demographics, low pay, increasing workload, and significant

organisational restructuring continue to contribute to a considerable part of the nursing workforce who will be looking to leave nursing, to nurse overseas, or to retire within the next ten years. These appear to be balanced for now partly by other factors leading to nurses continuing to work long past the normal retirement age.

Changes to the Enrolled Nurse scope of practice (including a drop in employment

opportunities as Enrolled Nurses), difficulties experienced by some newly qualified New Zealand nurses finding suitable employment or supported Nurse Entry to Practice places, and evidence for a drop in the availability of paid access to continuing professional development particularly in the DHB sector, if not addressed urgently, may have longer term implications for the New Zealand nursing workforce and the health service.

Specific issues for nurses under 30 years of age, particularly related to shift work practices and family responsibilities, were explored in more detail in a separate report Young Nurses in Aotearoa New Zealand and specific recommendations made for the long term retention of these skilled and vital health workers.
 
  Call Number NZNO @ research @ Serial 1374  
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Author Bradley, F.V.; Blakey, V.M. openurl 
  Title Analysis of public health nurses' home visits Type
  Year 1978 Publication Abbreviated Journal (down) District Health Office, Dunedin A2 -  
  Volume Issue Pages  
  Keywords  
  Abstract  
  Call Number NRSNZNO @ research @ 32 Serial 32  
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Author Pearce, L.; Cuthbertson, S.; Streat, S.J.; Hay, D. openurl 
  Title Dental hygiene in the critically ill: a randomised controlled trial of three methods Type
  Year 1996 Publication Abbreviated Journal (down) DCCM, Auckland Hospital, Private Bag 92024, Auck  
  Volume Issue Pages  
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  Abstract Introduction Critically ill patients cannot clean their own teeth. A variety of methods are used but as the best method is unknown we performed a prospective randomised double-blind controlled trial of three methods.Method Of 359 consecutive admissions to the Department of Critical Care Medicine between 31/01/97 and 25/05/97, 222 were excluded (62 edentulous, 6 unexaminable, 142 transferred alive and 12 dead or dying at 24 hours). The remaining 137 patients had quantitative (picture-linked, ordinal score) assessment of caries, peridontal status and plaque (in 12 segments of teeth) before randomisation (to the use of either toothbrush, jumbo swab or sonic toothbrush) by pre-assigned sealed envelopes. All teeth were cleaned (prescribed four hourly) with 0.2% chlorhexidine solution. Daily plaque scores were obtained (by an assessor (SC) blind to treatment allocation) until withdrawal, death or transfer.Results Toothbrush Jumboswab SonicPatients assigned 50 48 39Withdrawn within 24hrs. 9 3 5Patients remaining 41 45 34Percentage of teeth segments thatare pristine: pre treatment 45 50 51 after 2 days 74 57 90 F(2.63) = 5.00 p = 0.0097 More withdrawals for patient noncompliance after randomisation occurred in the sonic group (5/34 versus 3/86). Conclusion. By the second day the sonic toothbrush was the most effective in plaque removal with the toothbrush the next most effective method  
  Call Number NRSNZNO @ research @ 203 Serial 203  
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Author Gage, J.; Everrett, K.D.; Bullock, L. url  openurl
  Title A review of research literature addressing male partners and smoking during pregnancy Type Journal Article
  Year 2007 Publication Journal of Obstetric, Gynecologic and Neonatal Nursing Abbreviated Journal (down) CPIT Repository  
  Volume 36 Issue 6 Pages 574-580  
  Keywords Pregnancy; Smoking; Male; Parents and caregivers  
  Abstract The aim of this research was to gain a more complete understanding of cigarette smoking and cessation during pregnancy by examining the men's role in supporting smoking cessation of their pregnant partners. A search of online databases was made for studies published in the last 10 years, in English, that included three phenomena; pregnancy, male partners, and cigarette smoking. Data were identified and organised according to theoretical, descriptive, and intervention methods of research. A growing body of literature indicates an interaction between pregnancy, male partners, and smoking behaviors. Explicating relationships between these phenomena is necessary for understanding and encouraging behaviours that promote maternal, child, and family health. The researchers conclude that current research highlights a need to further investigate the potential relationships, interactions, and health consequences of smoking behaviours of men and women during pregnancy.  
  Call Number NRSNZNO @ research @ Serial 1236  
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Author McDonald, S.; Willis, G.; Fourie, W.; Hedgecock, B. openurl 
  Title Graduate nurses and their experience of postgraduate education within a Graduate Nurse programme Type Report
  Year 2007 Publication Abbreviated Journal (down) 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  
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Author Harding, T.S. url  openurl
  Title Men's clinical career pathways: Widening the understanding Type Journal Article
  Year 2008 Publication Klinisk sygepleje Abbreviated Journal (down) 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  
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Author Harding, T.S. url  openurl
  Title The construction of men who are nurses as gay Type Journal Article
  Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal (down) 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  
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Author Dobbs, L. url  openurl
  Title Can evidence improve nursing practice? Type Journal Article
  Year 2006 Publication Nursing Journal Northland Polytechnic Abbreviated Journal (down) 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  
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Author Hendry, C. openurl 
  Title Comparison between consumers and providers perceptions of quality maternity hospital care Type
  Year 1997 Publication Abbreviated Journal (down) Christchurch Medical School Library , Christchurc  
  Volume Issue Pages  
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  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  
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Author Litchfield, M.; McCombie, M.-L. openurl 
  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 (down) Chief Nurse Advisor, Ministry of Health, PO Box 50  
  Volume Issue Pages  
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  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  
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Author Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCombie, M.-L.; Smith, S. openurl 
  Title Family nurse practice in a nurse management scheme: a pilot service study for the health reforms Type
  Year 1994 Publication Abbreviated Journal (down) Centre for Initiative in Nursing & Health Care, P.  
  Volume Issue Pages  
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  Abstract The independently funded 10 month pilot project demonstrated the autonomy of nursing practice for a new role family nurse. The findings were presented as the health experience of families in strife with complex health circumstances, a description of a beginning model for the nursing practice that addressed the needs of these families as their circumstances changed over time, and its cost-effectiveness. A caseload of nineteen families was found to be optimum. The evaluation research continued throughout as a form of praxis expressed as health patterning, a methodology developed in previous research (Litchfield, 1993). The family nurse'spractice demonstrated qualities common to all nurses: the caring relationship and fiscal responsibility. The unique practice was characterised by a professional partnership of limited duration: the families referred to the service in a predicament of strife, trapped in the immediate present, gained a view to a future, moved towards assuming control over health circumstances, seeking and using services with discernment, and increasing community as family/group members and citizens. Cost containment was achieved through: a) development of a co-operative approach amongst family members, between families and professionals, and amongst all health workers, and b) the families discerning use of services by anticipating a future. Through one family case, cost of saving over the 7 months with the family nurse was estimated as $4000, a possible saving of $16000 over 13 months if the family nurse had been involved earlier, and projected savings in the long term of over a million dollars. The satisfaction of clients, nurses and professionals was shown. The service was positioned within the new health system of health reforms  
  Call Number NRSNZNO @ research @ 389 Serial 389  
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Author Richardson, F openurl 
  Title Editorial: Cultural Safety 20 Years On Time to Celebrate or Commiserate? Type Journal Article
  Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal (down) Available through NZNO library  
  Volume Issue 19 Pages 5-8  
  Keywords Cultural Safety -- Education; Curriculum; Education- Nursing  
  Abstract There needs to be more practice-focused research about how cultural safety is experienced by the recipient of care and how it is applied in nursing and healthcare delivery. [...]sociology, science, and knowledge developed from within northern hemisphere societies. Because the ground is different for knowledge arising from the New Zealand experience, theorising cultural safety must be different too.  
  Call Number NZNO @ research @ Serial 1379  
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