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Author Maw, H.
Title The challenge of developing primary health care nurse practitioner roles in rural New Zealand Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 201-214) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Nurse practitioners; Rural health services; Interprofessional relations; Policy
Abstract (up) The author traces the development of the nurse practitioner role in New Zealand, which was finally introduced in 2001. It traces the key events, from early debates on the issue, the influence of the Centre for Rural Health, and a series of government investigations into nursing which noted the untapped potential of the nursing workforce and the lack of ongoing clinical career pathways. Barriers to rural nurses becoming endorsed as primary health care nurse practitioners are examined, and some of the solutions to this issue are explored. Relationships between nurse practitioners and the local general practitioners, and community resistance are areas that need management. Education is seen as a key response to many of these issues.
Call Number NRSNZNO @ research @ Serial 762
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Author Spence, D.
Title The evolving meaning of 'culture' in New Zealand nursing Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 3 Pages 51-61
Keywords Cultural safety; Biculturalism; History of nursing; Maori
Abstract (up) The author traces the nursing definition of biculturalism as it has evolved from the colonial period to the present. An examination of nursing literature demonstrates that local understandings of culture have matured beyond anthropological interpretations to a sociopolitical definition of Maori culture. The author suggests that, in nursing, culture has come to mean cultural safety.
Call Number NRSNZNO @ research @ Serial 625
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Author Narbey, N.
Title Cognitive Behaviour Therapy in psychosis: Relevance to mental health nurses Type
Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Psychiatric Nursing; Psychology; Evidence-based medicine
Abstract (up) The author uses his personal and professional experience to explore the application of Cognitive Behavioural Therapy in caring for people who experience psychosis. Psychosis can be a life-threatening illness; about one in ten young men with psychosis will take their own lives. Much of the progress in treatment has been predicated on a biological explanation of psychosis. The late 1990s have seen increasing interest in psychological approaches in the treatment of psychosis; not withstanding that this treatment does not work for all people. The first aim of this research report is to develop understanding about Cognitive Behavioural Therapy, through exploration of its origins and examining the theoretical basis and reviewing the evidence that may support its use. The second aim is to explore the evidence around mental health nurses' training and use of Cognitive Behavioural Therapy, by critically examining some of the major UK and Australian reports. The author considers that Cognitive Behavioural Therapy is theoretically and pragmatically compatible with contemporary nursing practice, and will have increasing prominence for New Zealand mental health nurses.
Call Number NRSNZNO @ research @ Serial 1187
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Author Morrison, M.
Title Posthuman pathology: A postmodern art project located in critical care Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Intensive care nursing; Nursing philosophy; Culture; Technology
Abstract (up) The author's art project “Posthuman Pathology” is a postmodern examination of the resolutely modernist culture of critical care medicine. She uses conceptual art practices in conjunction with the techniques of anti-aesthetics in order to dismantle, open out and critique ideas which are foundational to the culture of critical care.
Call Number NRSNZNO @ research @ 580 Serial 566
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Author Allan, J.
Title What is it like for older women to live with depression? Type
Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Mental health; Older people
Abstract (up) The author's interest in this study came from working as a mental health nurse with mainly older women with depression and developed from her concern that depression for older people is frequently misdiagnosed, not recognised or is under-treated. To date, research has rarely paid attention to the voices of people who have actually experienced depression and even less is known from the perspective of older women. This hermeneutic phenomenological study, informed by Martin Heidegger and Max van Manen, describes what it is like for four older women to live with depression. Multiple interviews were conducted with the participants. Heidegger's philosophical concepts of Being-in-the-world and Being-with-others structured the analysis. Depression was found to have a significant effect on the participants' Being-in-the-world. The themes that emerged were: something is wrong; the search for reasons; self-loathing; being overwhelmed by the feelings; hiding from the world; loss of self; loss of meaning; the struggle of everyday life; and living circumspectly. Being-with-others was difficult for the participants and the themes that emerged were: maintaining relationships when well; Being-alone; misinterpreting self and other people; the stigma of mental illness – society and self; and seeking understanding from other people. The author suggests that the findings have implications for nurses and other health professionals.
Call Number NRSNZNO @ research @ Serial 917
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Author Johnstone, C.
Title Linking diet and respiratory distress Type Journal Article
Year 2001 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 5 Pages 22-23
Keywords Diet; Chronic diseases; District nursing
Abstract (up) The author, a district nurse, describes the experiences of a patient with chronic obstructive pulmonary disease requiring long-term oxygen therapy and characterised as a carbon dioxide retainer whose overall health was improved by a carbohydrate restricted diet. The literature on carbohydrate intake and respiratory disease is briefly reviewed.
Call Number NRSNZNO @ research @ Serial 1011
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Author Haywood, B.
Title Pre-employment health screening: Is it useful? Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from the Eastern Institute of Technology
Volume 11 Issue 17 Pages 10-14
Keywords Occupational health and safety; Nursing specialties
Abstract (up) The author, an occupational health nurse, examines rationale for and effectiveness of the pre-employment assessment, which has become an accepted practice. Reasons for doing assessments include the reduction of risk to the employer from lower accident rates and absenteeism, compliance with legislative requirements and the provision of baseline health measures for general health surveillance. The costs of the screening process, along with the benefits are weighed up, in conjunction with international research in the area. The author found little research on the process in New Zealand. The opportunity for primary health care and health promotion practice as an aspect of this screening is highlighted as an important, though underestimated, benefit. Regular auditing is recommended to ensure that the outcomes of the process meet the criteria required.
Call Number NRSNZNO @ research @ Serial 1299
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Author Morton, J.; Williams, Y.; Philpott, M.
Title New Zealand's Christchurch Hospital at night: An audit of medical activity from 2230 to 0800 hours Type Journal Article
Year 2006 Publication New Zealand Medical Journal Abbreviated Journal
Volume 119 Issue 1231 Pages
Keywords Hospitals; Teamwork; Administration; Shiftwork; Organisational culture
Abstract (up) The authors conduct an audit of medical activity at Christchurch Hospital, a 650 bed tertiary centre, between 2230 and 0800 hours. They measured the volumes of tasks requiring completion overnight and identified the competencies required for this as well as the level of teamwork that existed. They found several organisational areas of concern, that indicate new approaches are required to staff the “hospital at night,” and an Out of Hours Multidisciplinary Team is recommended. Specific issues included the lack of teamwork from the Resident Medical Officers (RMOs), with some overextended while others were inactive. House officer tasks were largely generic rather than specialty specific; there was no formal handover from the afternoon or day shifts and the level of hospital medical staffing did not reflect the activity levels over the time period studied. The researchers also recommend an urgent review of the beep policy. A third of the admissions were to General Medicine, and basic medical activities (including admitting, reviewing, and prescribing drugs and fluids) for patients admitted under all specialties represented the majority of the night workload. Medical registrars had reduced some of the traditional multiple clerking by admitting patients themselves.
Call Number NRSNZNO @ research @ Serial 528
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Author Milligan, K.; Neville, S.J.
Title The contextualisation of health assessment Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 1 Pages 23-31
Keywords Cross-cultural comparison; Evaluation; Nursing
Abstract (up) The authors defines health assessment and argue that it is a tool nurses should be using as a means of improving health outcomes for clients. The skills involved in health assessments are analysed, and four levels of data gathering are identified. The authors present an historical perspective, tracing the development of these skills as they have been incorporated in nursing practice in North America and Australia.
Call Number NRSNZNO @ research @ Serial 1095
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Author Brinkman, A.; Caughley, B.
Title Measuring on-the-job stress accurately Type Journal Article
Year 2004 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 18 Issue 8 Pages 12-15
Keywords Stress; Evaluation research; Workplace; Occupational health and safety
Abstract (up) The authors discuss the usefulness of a generic tool to measure job stress in New Zealand workplaces, and report on a study using one such generic tool. The study involved sending questionnaires to all staff (193) who had worked at a regional women's health service for a minimum of six months. The mailed package contained the Job Stress Survey (JSS), the General Health Questionnaire (GHQ-12), demographic questions (including cultural safety), shift work questions, and a blank page for “qualitative comment”. Over 12,000 pieces of data were collected from the study but this article focuses only on the results of the JSS. The JSS can be used to determine a “job stress index” and can also be used to measure “job pressure” and “lack of organisational support”. For this study, job stress index scores were calculated and organised by occupational groupings. Midwives, nurses and doctors all cited inadequate or poor quality equipment, excessive paperwork, insufficient personal time, and frequent interruptions, as their top stressors. Three of these four stressors fall within the job pressure index. The results of the survey prompted organisational changes, including: extensive discussions; equipment being updated; management being made aware of the depth of concern felt by staff; the creation of a place for staff to have personal time; and coping intervention strategies were initiated. The authors suggest that no generic measure of job stress can fully evaluate stressors unique to a particular work setting. They support additional items being constructed and administered to assess stressors that are idiosyncratic to a particular occupational group.
Call Number NRSNZNO @ research @ 1003 Serial 987
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Author Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.
Title Nursing initiatives in primary care: An approach to risk reduction for cardiovascular disease and diabetes Type Journal Article
Year 2008 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 35 Issue 3 Pages 176-182
Keywords Cardiovascular diseases; Diabetes Type 2; Risk factors; Nursing models
Abstract (up) The authors evaluated a nurse-led cardiovascular disease and diabetes (CVD) management project. The Ministry of Health funded the project to implement models of nurse service delivery, with care pathways for risk reduction of CVD and diabetes based on national guidelines, with quality assurance, audit and nurse leadership. The paper presents the components required to implement and sustain a nurse CVD risk assessment and management service, which were identified and clarified through the action research process.
Call Number NRSNZNO @ research @ 527 Serial 513
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Author Phibbs, S.; Curtis, B.
Title Gender, nursing and the PBRF Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue 2 Pages 4-11
Keywords Research; Sex discrimination; Administration; Education
Abstract (up) The authors examine gender based disparities for academics with respect to remuneration, academic grading and Perfomance Based Research Fund (PBRF) scores, whereby women do less well than men in each of these areas. In this article individualised explanations for the failure of women to progress are set in the context of a critical exploration of the PBRF evaluation methodology. It is argued that both academia and the PBRF research assessment exercise embody a form of academic masculinity that systematically disadvantages women in general and nursing in particular.
Call Number NRSNZNO @ research @ 538 Serial 524
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Author Lyford, S.; Cook, P.
Title The Whanaungatanga model of care Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 2 Pages 26-36
Keywords Maori; Hospitals; Nursing models
Abstract (up) The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme.
Call Number NRSNZNO @ research @ Serial 538
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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 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 (up) 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 Carryer, J.B.; Budge, C.; Russell, A.
Title Measuring perceptions of the Clinical Career Pathway in a New Zealand hospital Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 3 Pages 18-29
Keywords Professional development; Careers in nursing; Nursing; Hospitals
Abstract (up) The authors outline the Clinical Career Pathways (CCPs) for nurses, which were first established in New Zealand during the late 1980s. This paper introduces a new instrument, the Clinical Career Pathway Evaluation Tool (CCPET) designed to assess nurses' and midwives' knowledge of and attitudes towards their Clinical Career Pathway. The 51 item instrument takes the form of a self-report questionnaire. The development of the CCPET is described and results from an initial application of the instrument with 239 nurses and midwives in a New Zealand hospital are presented. Results indicate that knowledge levels were moderate in this sample and were correlated with both positive and negative attitudes. Results of t-test comparisons indicated that, on average, the group who had already completed a CCP portfolio had greater knowledge and more positive attitudes than the group who had not.
Call Number NRSNZNO @ research @ 634 Serial 620
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