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Author Dobbs, L.
Title Can evidence improve nursing practice? Type Journal Article
Year 2006 Publication Nursing Journal Northland Polytechnic Abbreviated Journal (up) 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 Harding, T.S.
Title Men's clinical career pathways: Widening the understanding Type Journal Article
Year 2008 Publication Klinisk sygepleje Abbreviated Journal (up) 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.
Title The construction of men who are nurses as gay Type Journal Article
Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal (up) 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 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 (up) 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 Gage, J.; Everrett, K.D.; Bullock, L.
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 (up) 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 Pearce, L.; Cuthbertson, S.; Streat, S.J.; Hay, D.
Title Dental hygiene in the critically ill: a randomised controlled trial of three methods Type
Year 1996 Publication Abbreviated Journal (up) DCCM, Auckland Hospital, Private Bag 92024, Auck
Volume Issue Pages
Keywords
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 Bradley, F.V.; Blakey, V.M.
Title Analysis of public health nurses' home visits Type
Year 1978 Publication Abbreviated Journal (up) District Health Office, Dunedin A2 -
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 32 Serial 32
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Author Dr Jill Clendon and Dr Léonie Walker
Title Young nurses in Aotearoa New Zealand Type
Year 2011 Publication Abbreviated Journal (up) 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
Title Research Advisory Paper: Highlights of the 2011 Younger Nurse Study Type Report
Year 2011 Publication Abbreviated Journal (up) 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
Title Vital Signs: Research Advisory Paper: Highlights of the NZNO Employment Survey, 2011 Type Report
Year 2011 Publication Abbreviated Journal (up) 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 Andrews, E.
Title The living power of words Type
Year 1996 Publication Abbreviated Journal (up) 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 Kennedy, W.
Title How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? Type
Year 2008 Publication Abbreviated Journal (up) Eastern Institute of Technology Library
Volume Issue Pages
Keywords Professional development; Registered nurses
Abstract This thesis describes an exploratory study of registered nurses within a local district health board which pursued 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice. Self assessment and performance appraisal are identified as critical elements of professional development by the Nursing Council of New Zealand, and this became the focus of the author's research. A qualitative descriptive framework was utilised to explore the research question, where experiences of registered nurses employed within inpatient adult medical and surgical settings were collected through questionnaire. Analysis of the data was through general inductive thematic approach. Eight themes arose, of which, two have sub-themes. The first four themes relate to self assessment and performance appraisal and the second four themes relate to professional practice. The findings from the participant's perspective provide an understanding of how participants' utilised self assessment and performance appraisal to inform their professional practice. There are significant implications for professional practice within the findings of this study, which are presented along with recommendations for future practice, and future avenues for research.
Call Number NRSNZNO @ research @ Serial 1161
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Author Dixon, D.A.
Title Critical case studies as voice: the difference in practice between enrolled and registered nurses Type
Year 1996 Publication Abbreviated Journal (up) Flinders University of South Australia
Volume Issue Pages
Keywords
Abstract An emergent theoretical perspective in the nursing literature relates to nursing as a human science and the application of critical social science and feminist frameworks to nursing research. This research adds to the discipline's knowledge base in that it is at the leading edge of exploring how critical case study illuminates critical issues in the practice of nursing.My interest in the research question came from hearing colleagues espouse the view that other than a legal one, there were no differences in practice between enrolled and registered nurses. How accurate was this perception? Without answers to this question, members of the nursing profession in New Zealand were likely to make some major decisions about the future of enrolled nursing which history will show were ill founded. Since I “walk the talk” of both the world of practice and the corridors of nursing power relationships, I sought answers by incorporating the viewpoints of both groups into the research design.Five registered nurses who had previously been enrolled nurses were asked to consider what was different about their present practice compared to their experiences as an enrolled nurse.Through critically reflexive discourse and journalling, Liz, Emma, Kathy, Helen and myself came to reflect on our nursing worlds in order to transform them.Writing about these transformations in a way that kept our voices alive was more difficult. The cases were written as stories, using storytelling as a legitimate academic activity to link the methodology with the theoretical perspectives. This ensured our individual voices were heard rather than silenced by the research process. It also left a clear decision trail for the reader to follow related to issues of rigor. Paradoxically, the identification of patterns across the case studies was facilitated.Two main patterns emerged in answer to the question “what's different in your practice now from when you were an enrolled nurse?” The differences were explicated in the pattern “Becoming a registered nurse” while “She was one of us” exposed the underlying power and control issues. This study found that the enrolled nurse controls practice at the bedside.The nursing profession's stance on the future of enrolled nurses was also explored through case study. Key nursing stakeholders were interviewed using a proposed legislative change to the Nurses' Act, 1977, that would lead to the demise of the enrolled nurses as a category of nurse, as a focus point. These different perspectives expose for critique the socio-political forces that silence the voice of enrolled nurses in determining their own future. At a legislative level, the stakeholders' voices are dominant. The future of enrolled nurses looks increasingly bleak in New Zealand as the nursing profession positions itself legislatively for the 21st century
Call Number NRSNZNO @ research @ 167 Serial 167
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Author Wade, M.R.
Title Community based nurse case management: the experience of consumers Type
Year 1996 Publication Nursing Praxis in New Zealand Abbreviated Journal (up) Flinders University of South Australia
Volume 7 Issue 3 Pages 4-10
Keywords
Abstract
Call Number NRSNZNO @ research @ 332 Serial 332
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Author Vandergoot, A.
Title From ward nurse to proficient critical care nurse: a narrative inquiry study Type
Year 2005 Publication Abbreviated Journal (up) Held by Lakes DHB Library (ROM)
Volume Issue Pages
Keywords
Abstract A dissertation [thesis] presented in partial fulfillment of the degree of Master of Health Science.
Call Number NZNO @ research @ Serial 1367
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