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Author Paton, B.I.
Title Unready-to-hand as adventure: Knowing within the practice wisdom of clinical nurse educators Type
Year 2003 Publication Abbreviated Journal (down) NZNO Library, Victoria University of Wellington Library
Volume Issue Pages
Keywords Nursing; Education
Abstract This research aims to clarify the knowing and wisdom that inform clinical nurse educators' responses through unpredictable situations. The author referred to philosophical literature on the notions of tacit knowledge, practical wisdom, smooth activity and the Unready-to-Hand experience. She created an explanatory framework and utilised this in a thought experiment by reflecting on personal experiences. To add clarity to these reflections, two layers of interviewing with nurse educators teaching in practice were carried out. The first layer was an interview with eight clinical nurse educators who in their role experienced Unready-to-Hand situations. The second layer consisted of four clinical nurse educators who volunteered to be involved in more in-depth interviews. An interpretive analysis of these clinical nurse educators stories illuminated the “Unready-to Hand as Adventure”, highlighting the uncertainty and energy associated with opening in the adventure, not knowing what will unfold, yet committed to remaining engaged and doing the best they can. Through the process of attuning to difference, accessing and deciphering knowing, nurse educators create meanings of situational complexities. By preserving the ideals of good practice and engaged caring, nurse educators salvage learning by creating opportunities for learning and teaching.
Call Number NRSNZNO @ research @ Serial 1134
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Author Roberts, F.
Title The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme Type
Year 1999 Publication Abbreviated Journal (down) NZNO Library, Victoria University of Wellington Library
Volume Issue Pages
Keywords Careers in nursing; Professional development; Registered nurses
Abstract This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place.
Call Number NRSNZNO @ research @ 1150 Serial 1135
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Author Morgan, F.A.
Title Primary health care nurses supporting families parenting pre-term infants Type
Year 2006 Publication Abbreviated Journal (down) NZNO Library, University of Otago Library
Volume Issue Pages
Keywords Primary health care; Community health nursing; Paediatric nursing; Premature infants
Abstract This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face.
Call Number NRSNZNO @ research @ Serial 1132
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Author Barton, J.
Title Pain knowledge and attitudes of nurses and midwives in a New Zealand context Type
Year 2001 Publication Abbreviated Journal (down) NZNO Library
Volume Issue Pages
Keywords Nursing; Pain management; Attitude of health personnel
Abstract
Call Number NRSNZNO @ research @ 1140 Serial 1125
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Author Boyd, L.
Title “It could have just as easily been me”: Nurses working in mental health services who have experienced mental illness Type
Year 2001 Publication Abbreviated Journal (down) NZNO Library
Volume Issue Pages
Keywords Nursing; Mental health; Occupational health and safety
Abstract This research explores the issues and experiences of mental health nurses who experience or have experienced mental illness. This project was prompted by the author's concern for colleagues and friends in this situation. The research topic was approached using a mix of critical ethnography and action research principles. Five mental health nurses who all work for the same district health board were interviewed about their experiences of being mental health professionals with mental illness and the issues that arose from this. The themes that emerged from this research are: the reactions of nurse colleagues, the effects on participants' own mental health treatment, employer responses, professional experiences and issues and strategies for coping. Discussion and recommendations focus on the need for improvements to the responses that mental health nurses with experience of mental illness encounter in their workplace. Recommendations from this research encompass suggestions for both individual and organisational education, action and change.
Call Number NRSNZNO @ research @ Serial 1127
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Author Lynch, T.M.
Title A qualitative descriptive study of youth with Crohn's disease Type
Year 2005 Publication Abbreviated Journal (down) NZNO Library
Volume Issue Pages
Keywords Diseases; Adolescents; Nursing
Abstract
Call Number NRSNZNO @ research @ 1143 Serial 1128
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Author Water, T.
Title The meaning of being in dilemma in paediatric practice: A phenomenological study Type
Year 2008 Publication Abbreviated Journal (down) NZNO Library
Volume Issue Pages 259 pp
Keywords Psychology; Paediatric nursing; Paedetric practice; Problem solving
Abstract This study explores the phenomenon of dilemma in paediatric practice. Using a hermeneutic phenomenological method informed by the writings of Heidegger [1889-1976] and Gadamer [1900-2002] this study provides an understanding of the meaning of 'being in dilemma' from the perspective of predominantly paediatric health care professionals but also families in New Zealand. Study participants include four families who had a child requiring health care and fifteen health care practitioners from the disciplines of medicine, nursing, physiotherapy, play specialist and occupational therapy who work with families and children requiring health care. Participants' narratives of their experiences of 'being in dilemma' were captured via audio taped interviewing. These stories uncover the everyday realities facing health professionals and families and provide an ontological understanding for the notion of dilemma. The findings of this study suggest that experience of dilemma for health professionals reveals a world that is uncertain and questionable where they are thrown into having to make uncomfortable choices and must live with the painful consequences of their actions. The consequences of being in such dilemma are having to find ways of living with the angst, or risk becoming too sensitive or desensitizing. For families the experience of dilemma reveals a similar phenomenon most evident in circumstances where they feel totalized by the impact of heath care encounters. This study has uncovered that the perspectives that health professionals and families bring to the experience of dilemma reveal different concerns and commitments and may be hidden from each other. This thesis proposes that health professionals and families need support in living with their own personal encounters of enduring experiences of dilemma.
Call Number NRSNZNO @ research @ Serial 1234
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Author Mahoney, L.
Title Making the invisible visible: Public health nurses role with children who live with a parent with a mental illness Type
Year 2008 Publication Abbreviated Journal (down) NZNO Library
Volume Issue Pages
Keywords Public health; Children; Community health nursing; Scope of practice
Abstract This research uses focus group methodology to examine the public health nursing practice with children living with a mentally ill parent. These children are often neglected, yet are at increased risk of developing mental illnesses themselves. The research data identified the burgeoning impact on public health nurses of such care, and found their role to be primarily assessment and advocacy.
Call Number NRSNZNO @ research @ 1304 Serial 1289
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Author Bennison, C.
Title Emergency nurses' perceptions of the impact of postgraduate education on their practice in New Zealand Type
Year 2008 Publication Abbreviated Journal (down) NZNO Library
Volume Issue Pages
Keywords Emergency nursing; Nursing; Education
Abstract ABSTRACT

BACKGROUND: Emergency nursing is a specialty concerned with the care of people of all ages, with either perceived or actual unwellness presenting to the emergency department(ED) for assessment, resuscitation, investigation, treatment and review of their illness or injury. Emergency nurses apply specialty knowledge and expertise in the provision, delivery and evaluation of emergency nursing care. Over recent decades social, political and professional changes have affected nursing care delivery and nursing education. In particular the 21st century has witnessed the development of state funded postgraduate nursing education programmes, developing nurses specialty or advanced nursing knowledge, quality patient/client care and nursing practice within the tertiary education system.

AIM: The aim of this study is to investigate emergency nurses? perceptions of the impact of postgraduate education on their practice in New Zealand (NZ).

METHODS: This study utilises critical social theory as the overarching framework, informed by the writing of Jürgen Habermas (b.1929- ). It is the three phases of

Habermas?s practical intent of critical social theory; namely enlightenment, empowerment and emancipation, that this study is concerned with. This descriptive research study employs both quantitative and qualitative methods and is therefore known as mixed-methods research. Data collection took place over 12 weeks, from August to November 2006, using a survey questionnaire obtained with permission from Ms Dianne Pelletier, Sydney, Australia. The sample included 105 emergency nurses from District Health Board (DHB) emergency departments in NZ, 10 respondents from this sample self-selected to be interviewed by telephone. Ethical approval for this study was obtained from the University of Otago Ethics Committee for research involving human participants. Data was analysed using the Statistical Package for Social Sciences (SPSS).

RESULTS: Two main themes arose from the thematic analysis; these being positive and negative, these themes were further divided into 10 sub-themes. The results indicate that postgraduate study (PGS) has increased nurses? perception of their knowledge; leadership and understanding on the quality of patient care delivered, increased their academic and research skills and increased their confidence/self-esteem and recognition by their colleagues and team. Therefore the majority of respondents perceive postgraduate education has been an instrument of liberation and a process of empowerment and emancipation. A smaller percentage of respondents perceived that PGS had no effect on various aspects of patient care and another significantly smaller percentage of respondents reported negative results from PGS. This research identified similarities between this study and that of Pelletier and colleagues? (2003; , 2005; , 1998a; , 1998b) Australian study.

CONCLUSION: This study adds to the existing literature on postgraduate studies undertaken by nurses. No known study has previously investigated solely emergency nurses?perceptions of the effects of PGS, either nationally or internationally. The results of this study offer enlightening information regarding emergency nurses? perceptions of their PGS within NZ and offers a platform from which other studies may be undertaken. It also has the potential to inform nurses contemplating PGS and educators facilitating these programmes,as well as provide implications for policy development by the Nursing Council of NZ, NZ Universities, DHBs and the Ministry of Health.
Call Number NRSNZNO @ research @ Serial 1291
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Author McNamara, N.
Title The meaning of the experience for ICU nurses when a family member is critically ill: A hermeneutic phenomenologcial study Type
Year 2007 Publication Abbreviated Journal (down) NZNO Library
Volume Issue Pages
Keywords Intensive care nursing; Nurse-family relations
Abstract This study provides insight into the experience of being an ICU nurse and relative of a critically ill patient. Analysis of data from interviews of four ICU nurses who had experienced having a family member admitted to ICU brought up several themes. These included: a nurses' nightmare, knowing and not knowing, feeling torn, and gaining deeper insight and new meaning. Recommendations for organisational support for ICU nurse/relatives, and education for staff are made, based on the findings.
Call Number NRSNZNO @ research @ 1312 Serial 1296
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Author Honey, M.L.L.
Title Methodological issues with case study research Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal (down) NZNO Library
Volume 1 Issue 1 Pages 9-11
Keywords Research, nursing; Research methodology; Study design; data analysis; Data collection methods
Abstract Case study research, as a qualitative methodology, attracts some criticism, especially related to rigour, reliability and validity. A New Zealand-based study that explored complex phenomena – flexible learning for postgraduate nurses – provides a practical example of how the case study design can address these criticisms. Through describing the mixed methods used, different sources and methods of data collection, and data analysis, the process of achieving data quality and trustworthiness are highlighted.
Call Number NZNO @ research @ Serial 1338
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Author Rosieur, J.
Title An exploration of family partnership approaches to enhance care delivery and improve healthcare outcomes to young families within their communities Type Report
Year 2010 Publication Abbreviated Journal (down) NZNO Library
Volume Issue Pages 127 pp
Keywords Professional-family relations; family health; family nursing
Abstract Margaret May Blackwell Trust Travel Study Fellowship 2009/2010.

This report is an exploration of some current international trends and tools in the delivery of services supporting families with young children that aim to utilise a partnership approach between health providers, families and their communities. The MMB scholarhsip for 2009/2010 included six weeks of international travel in order to consult with a range of people in realtion to services provided to parents with young children in their various communities. My proposal was to explore current policies supporting Family Partnership (FP)approaches in health services; trends relating to FP approaches in practice; tools supporting FP practice for clinicians; as well as recent FP training and initiatives.
Call Number NZNO @ research @ Serial 1353
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Author Truscott, J.M.; Townsend, J.M.; Arnold, E.P.
Title A successful nurse-led model in the elective orthopaedic admissions process Type Journal Article
Year 2007 Publication New Zealand Medical Journal Abbreviated Journal (down) NZ Medical Association website. Access free to articles older than 6 months.
Volume 120 Issue 1265 Pages
Keywords Surgery; Hospitals; Nursing; Administration
Abstract This paper documents a successful nurse-led admissions process for same day orthopaedic surgery, on relatively fit patients under 70 years of age. During the 6-month study, 31 patients with a median age of 38 years were categorised into 3 streams. 252 patients (76%) underwent a nursing-admission process without the need for further consultation with a junior medical officer or an anaesthetist. The remaining patients not included in the study were admitted and clerked by a house officer. No safety issues arose and the surgeons and anaesthetists were satisfied with the process. The junior medical officers described improved job satisfaction by being able to attend theatre, other educational opportunities, and working more closely with the consultant. The process has now been incorporated into elective orthopaedic admissions at Burwood Hospital.
Call Number NRSNZNO @ research @ Serial 516
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Author Mackay, B.
Title An analysis of innovative roles in primary health care nursing Type
Year 2004 Publication Abbreviated Journal (down) Northland Polytechnic Library
Volume Issue Pages
Keywords Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing
Abstract An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process.
Call Number NRSNZNO @ research @ Serial 1124
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Author Isles, P.
Title An exploration of the difference that academic study makes to Registered General Nurses and Registered General and Obstetric Nurses Type Report
Year 2003 Publication Abbreviated Journal (down) National Library
Volume Issue Pages
Keywords Registered nurses; Training; Nursing; Education
Abstract This paper reports the findings of a three-year longitudinal study of registered nurses studying on a part-time basis towards their Bachelor of Nursing degree. Registered General Nurses and Registered General and Obstetric Nurses have been subject to a good deal of pressure to upgrade their qualifications – from their workplaces, but also from a recognition amongst themselves and their peers that to advance in their careers they need to have equivalent qualifications to new graduates. This study looks at what difference academic study makes to registered nursing practice.
Call Number NRSNZNO @ research @ Serial 1158
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