| |
Records |
Links |
|
Author |
Speed, G. |
|
| |
Title |
Advanced nurse practice |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Nursing dialogue: A Professional Journal for nurses |
Abbreviated Journal |
|
|
| |
Volume |
10 |
Issue |
|
Pages |
6-12 |
|
| |
Keywords |
Nurse practitioners; Cross-cultural comparison; Law and legislation; Advanced nursing practice |
|
| |
Abstract  |
The concept and characteristics of advanced nursing practice in New Zealand and overseas is compared with the nurse practitioner role. There is an international debate over definitions of advanced nursing and the range of roles that have developed. The rationale for the nurse practitioner role in New Zealand is examined, along with the associated legislation currently before Parliament. Job titles and roles of nurses within the Waikato Hospital intensive care unit are discussed and ways of developing the role of nurse practitioner are presented. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1096 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S. |
|
| |
Title |
Aoteaoroa/New Zealand nursing: From eugenics to cultural safety |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
1 |
Pages |
35-42 |
|
| |
Keywords |
Cultural safety; History of nursing; Nursing philosophy |
|
| |
Abstract |
The concept of cultural safety offers a unique approach to nursing practice, based on recognition of the power differentials inherent in any interaction. Clarification of the concept is offered, together with a review of the historical shift in nursing attitudes that has led to the emergence of “cultural safety” as a viable and valued component of nursing practice. The argument is made that cultural safety has allowed for a more reflective, critical understanding of the actions of nursing to develop. This includes recognition that nurses' attitudes and values have inevitably been influenced by social and political forces, and as such are in part reflective of those within the wider community. Comparison between the support given by nurses in the early 1900s to the theory of eugenics and the current acceptance of cultural safety is used to highlight this point. An examination of the literature identifies that ideological and conceptual changes have occurred in the approach of Aoteaoroa/New Zealand nurses to issues with cultural implications for practice. A review of background factors relating to Maori health status and the Treaty of Waitangi is presented as a necessary context to the overall discussion. The discussion concludes with an acknowledgement that while the rhetoric of cultural safety is now part of nursing culture in New Zealand, there is no firm evidence to evaluate its impact in practice. Issues identified as impacting on the ability to assess/research a concept, such as cultural safety, are discussed. For cultural safety to become recognised as a credible (and indispensable) tool, it is necessary to further examine the “end-point” or “outcomes” of the process. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1062 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Nevatt, E.A. |
|
| |
Title |
A study of individual health beliefs and practices in relation to propensity for self care |
Type |
|
| |
Year |
1981 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
The concepts of self care of health (the goal of self care) are explored in relation to the self care nursing model. It is a basic premise of this model that the client be involved to the fullest possible extent in regarding or developing self care skills. It is proposed that individuals differ in respect to their readiness of such involvement and effort in their own health work and, hence, inability to benefit from the application of the self care nursing model. The study aimed at developing a means of identifying and predicting these differences. It was hypothesised that the individuals perceptions and beliefs about heath, his attribution about the location of blame for illness and the extent to which he perceives himself as having control over the contingencies of his behaviour, would all systematically influence his readiness to engage in self care. A health questionnaire designed to obtain data on individual health related beliefs and practices was constructed. This was mailed to a random sample of non-academic staff from one of the universities. A combination of univariate and multivariate analyses of the 86 completed questionnaires showed four major variables to be significantly interrelated. The pattern of relationships which emerge between responses to other items in the questionnaire cast further light on the complex determinants of health behaviour. Of particular interest is the suggestion that the way health is defined is a crucial factor. Use of the principal axes method of factor allowed a shortened version of the original questionnaire to be produced. The profile yielded by scores on this instrument, not only describes the client in terms of four major health related variables, but can also be used to predict readiness to benefit from a self care nursing approach |
|
| |
Call Number |
NRSNZNO @ research @ 19 |
Serial |
19 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wenn, J. |
|
| |
Title |
Decision making in senior nurses |
Type |
Miscellaneous |
| |
Year |
|
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
The decision making behavior of senior nursing staff would alter as a result of participation in a planned in service education program which focused on the decision making process |
|
| |
Call Number |
NRSNZNO @ research @ 44 |
Serial |
44 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hammond, S. |
|
| |
Title |
Parallel journeys: Perceptions of palliative care |
Type |
|
| |
Year |
2001 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Palliative care; Policy; Geriatric nursing |
|
| |
Abstract |
The delivery of palliative care within contemporary New Zealand society is discussed, in the light of the recent publication of The New Zealand Palliative Care Strategy (2001). The viewpoint taken is largely descriptive rather than prescriptive, being based on a literature survey of international research and academic theory, which is also informed by the author's professionally gained knowledge. Four different perspectives, comprising a mix of providers and recipients of care are investigated: those of central government planning; specialist palliative care units; aged-care complexes; and patients, family and whanau. As an area of healthcare which current demographic projections indicate will become increasingly significant, the provision of palliative care to residents of and patients within aged-care complexes receives special attention. A metaphor of “parallel travellers” on “parallel journeys” is used to provide a thematic basis to the paper. The lived experiences and perceptions of each group of “parallel travellers” are explored. Difficulties in defining and evaluating palliative care, the implications of main-streaming, the scope of palliative care provision, the educative role of specialist palliative care providers and the current focus on mechanistic outcome measures are discussed. It is contended that the values and goals, both explicit and implicit, of the four specified groups may not at present be sufficiently congruent to optimise the effective provision of palliative care from the point of view of all concerned. While adequate resourcing and a genuinely collaborative approach among healthcare providers are both acknowledged to be critical, the potential for palliative care nurse practitioners to be appointed to the role of “care co-ordinator” alluded to within The New Zealand Palliative Care Strategy (2001), is also seen as pivotal. Insights from a postmodern perspective are offered as one possible way of achieving greater congruence. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1215 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Isles, V. |
|
| |
Title |
The development and role of the clinical nurse specialist in New Zealand: A comparison of the role with that in the United States of America, United Kingdom, and Australia |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing specialties |
|
| |
Abstract |
The development and role of the clinical nurse specialist in New Zealand is the focus of this dissertation. It is an area that has not clearly been documented previously and the author hoped that by articulating this role to nurses, educators, and administrators that the role of the clinical nurse specialist will be more clearly defined and perhaps recognised for the contribution it provides to health care in New Zealand. At present, it is difficult to justify the clinical nurse specialist position in New Zealand, when individuals have been left to define and develop their own positions. This has led to widely differing practice modes and role confusion, and therefore a varying degree of success in achieving improved nursing practice. Without title protection and some form of accreditation process to ensure standard of practice throughout the country it is not possible for post-holders to move from position to position throughout the country. The role and definition of the clinical nurse specialist must be clarified in order to reduce confusion. Restriction of the title to those who meet the defining characteristics will strengthen the role, improve collaboration with other members of the team as well as making it easier for the public to understand the role. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
586 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Brien, A.J.; Kar, A. |
|
| |
Title |
The role of second health professionals under New Zealand mental health legislation |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
3 |
Pages |
356-363 |
|
| |
Keywords |
Scope of practice; Psychiatric Nursing; Nurse-patient relations |
|
| |
Abstract |
The development of generic statutory roles in mental health care has been the subject of discussion by New Zealand nurses for the past decade. One such role is that of second health professional in judicial reviews of civil commitment. Issues identified by New Zealand nurses have also been raised in England, where it seems that nurses are likely to assume the role of Approved Mental Health Worker under English mental health law. A survey of mental health nurses found that few had received any preparation for the role of second health professional and 45% did not feel adequately prepared for the role. Some of these issues are reflected in a New Zealand inquiry which resulted in the Ministry of Health developing a written report form for second health professionals. However, the form has the potential to reduce the mental health nursing role to a narrow legal role. Statutory roles such as that of second health professional challenge mental health nurses to critically reflect on the conceptual and ethical basis of their practice. While traditional concepts such as therapeutic relationships and advocacy need to be reviewed in light of these changes, nurses need to be vigilant in articulating the moral and clinical basis of their roles. The development of guidelines for the second health professional role is suggested as a way of supporting clinical practice in this area. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1045 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Watson, P.B. |
|
| |
Title |
An understanding of family in the context of families facing the diagnosis of childhood cancer |
Type |
|
| |
Year |
1998 |
Publication |
|
Abbreviated Journal |
Massey University Library, Manawatu Polytechnic Li |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
The diagnosis of childhood cancer has a profound impact on the family. How nurses understand family affects their practice with families facing the diagnosis of childhood cancerShaped by Heideggerian phenomenology, van Manens methodology for hermeneutic phenomenology was used to construct an understanding of family from the experiences of family members facing the diagnosis of childhood cancer. Seven family members from two families, one mother, two fathers, two siblings, and two grandparents were interviewed about their experience of facing the diagnosis of childhood cancer.From the participants experience the meaning of family was interpreted as being-with-others, for-the-sake-of-others, who one might not distinguish from oneself. This understanding of family is recognisable, yet different from traditional definitions of family and may help nurses and family members to act more thoughtfully and tactfully with each other |
|
| |
Call Number |
NRSNZNO @ research @ 153 |
Serial |
153 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lim, A.G.; Honey, M.; Kilpatrick, J. |
|
| |
Title |
Framework for teaching pharmacology to prepare graduate nurse for prescribing in New Zealand |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Nurse Education in Practice |
Abbreviated Journal |
|
|
| |
Volume |
7 |
Issue |
5 |
Pages |
348-353 |
|
| |
Keywords |
Prescribing; Nursing; Education; Pharmacology |
|
| |
Abstract |
The educational framework used to teach pharmacology to nurses by one university in New Zealand is presented, along with early findings on the effectiveness of this approach. Nurse prescribing is relatively new in New Zealand and is related to the expanding roles and opportunities for nurses in health care. Opposition to nurse prescribing in New Zealand has been marked and often this has been linked to concerns over patient safety with the implication that nurses could not be adequately prepared for safe prescribing. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
700 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Fahey, M. |
|
| |
Title |
Family centred care in the newborn intensive care unit: Creating a supportive environment |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Infants; Nurse-family relations |
|
| |
Abstract |
The environment of the Newborn Intensive Care Unit (NICU) is a stressful one for families and is often designed to provide technical care for the infant rather than facilities that would enable and support parental and family participation in infant care. Furthermore, the author notes that the environment of the NICU emerged in literature as an obstacle to meaningful family involvement in care. However, she goes on to say that a philosophy of Family Centred Care in the NICU can offer a framework of care that supports family involvement in the infant's care and family presence in the NICU. It also promotes parental participation in decision-making for the infant and gives recognition to the importance of perspectives provided by the family. This dissertation explores the difficulties associated with the practice of Family Centred Care in the environment of the NICU. It offers recommendations for features of unit design that can promote Family Centred Care by supporting and sustaining the presence of families in the NICU and therefore facilitating their involvement in the care of their infant. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
592 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Andrews, E. |
|
| |
Title |
The living power of words |
Type |
|
| |
Year |
1996 |
Publication |
|
Abbreviated Journal |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Batten, L. |
|
| |
Title |
The casual nurse: an enigma? |
Type |
|
| |
Year |
1995 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
The experiences of nurses employed on casual contracts were explored using grounded theory methodology. Data analysis showed that the experience of casual nursing is constituted by interwoven processes of discontinuity and marginality with an overall theme and processes of compromise to obtain a sense of balance by the casual nurse. Implications for permanent staff, casual nurses and organizations are developed |
|
| |
Call Number |
NRSNZNO @ research @ 159 |
Serial |
159 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
|
| |
Title |
Critical care survivors follow-up service |
Type |
|
| |
Year |
1995 |
Publication |
|
Abbreviated Journal |
Private Bag, 92024, Auckland |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
The extent of early remediable morbidity after critical illness is unclear. We began a follow-up service to determine outcomes, facilitate rehabilitation and remedy service deficiencies. A critical care nurse identified hospital survivors (DCCM and hospital databases), completed a structured telephone interview with the patient and intervened according to predetermined guidelines. Of 261 admission 1/1/95 29/3/95 50 died in hospital (39in DCCM). Of 211 hospital survivors (M115, age 15-84 median40) 31 could not be contacted, one died at home and 179 contacts were made 21- 120 (median 51) days after DCCM. One refused interview, 178 interviews took 8-60, (median 15) minutes. Only 68/178 had resumed normal activities and 26/78 workers had returned to work. Seventy patients had contacted general practitioners because of critical illness sequelae. One hundred patients gad 191 problems (including unhealed wounds29, pain 28, impaired mobility26, neurological deficit 178, infection 10 weight loss 9, tiredness 6 depression 5, sleep disturbance 3, others 57). Sixty-five described DCCM staff as helpful, 37 had complaints (hallucinations 6, staff behaviour5, restraints5 sedation/analgesia inadequate5 or excessive 2, poor communication3, fear3, noise 2 other 4) and 5 raised serious non-DCCM issues. Forty-four patients were called again 6-84, median 42 days later when 69/112 health problems had resolved but 29/44 patients had not resumed normal activity. Four attended a clinic and were referred to other services. A follow-up service is well received. Morbidity is common but improves within three months after critical care. We are addressing service issues |
|
| |
Call Number |
NRSNZNO @ research @ 202 |
Serial |
202 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carter, H.; McKinlay, E.M.; Scott, I.; Wise, D.; MacLeod, R. |
|
| |
Title |
Impact of a hospital palliative care service: Perspective of the hospital staff |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
JBI Reports |
Abbreviated Journal |
|
|
| |
Volume |
18 |
Issue |
3 |
Pages |
160-167 |
|
| |
Keywords |
Palliative care; Hospitals; Attitude of health personnel; Cancer |
|
| |
Abstract |
The first New Zealand hospital palliative care support service was established in 1985. Different service models have now been adopted by various major hospitals. In 1998, a palliative care service, funded by Mary Potter Hospice, was piloted at Wellington Public Hospital. Twelve months post-implementation, the hospital staff's views of the service were evaluated. It was found that referrals to palliative care from hospital specialities outside the Cancer Centre increased. While most doctors, nurses and social workers strongly agreed or agreed that the service positively influenced patients' care and effectively addressed their symptom management needs, spiritual needs were less often met. Over 90 percent of each discipline strongly agreed or agreed that the service had assisted them in caring for patients, but, only about a half agreed that useful discharge planning advice and staff support was provided. Significant differences in responses were found between different disciplines and specialities. One fifth of the staff identified palliative care education needs. Recommendations are made concerning the development of a future hospital palliative care service. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1075 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Farr, A.M. |
|
| |
Title |
Satisfaction in nursing: Reality in a secondary hospital in New Zealand |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Job satisfaction; Nursing; Hospitals |
|
| |
Abstract |
The focus for this research was nursing culture satisfaction and intent to remain working within a secondary hospital in the New Zealand public healthcare system. A specific group of 117 registered and enrolled nurses were surveyed to identify what issues would encourage them to remain working within the organisation. Descriptive data derived from the Nursing Culture Satisfaction Questionnaire found higher levels of job satisfaction and intention to stay from the staff in operating theatre, compared to other surveyed areas. Factors reported as contributing to job satisfaction included supportive, friendly staff, teamwork, and organisation size. Important issues regarding recruitment and retention include pay parity, personal satisfaction, conditions of employment, the valuing of staff and poor nurse patient ratios. Findings suggest that hospital management should foster positive work environments and respect, to promote job satisfaction and discourage nurses leaving the organisation. While pay parity was a large issue at the time of the questionnaire, the inclusion of the district health board in the nurse Multi Employer Collective Agreement may have reduced this as a contributing factor. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
743 |
|
| Permanent link to this record |
