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Author Ramsden, I. url  openurl
  Title Cultural safety and nursing education in Aotearoa and Te Waipounamu Type
  Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Cultural safety; Maori; Nursing; Education  
  Abstract (up) The research on which this thesis is based involves both a private narrative and a public narrative, with the story of cultural safety, and the history, theory and the future direction gathered into one qualitative work. The work is divided into three sections. The first is entitled, Ko Wai Matou? The Private Narrative. This section seeks to explore the historical, social, educational, physical, emotional, political and moral influences and ephiphanies which brought about the personality which introduced cultural safety ideas into nursing and midwifery. Early nursing practice is investigated and examples from practice are used to illustrate learning and consolidation of the ideas which led to Cultural Safety Theory. The second section is entitled He Huarahi Hou: A New Pathway. This section explains the progress of the theory and its relationship to education pedagogy and to nursing practice. Comparison between the work of Madeline Leininger and the Transcultural Theory of Nursing and the New Zealand concept of cultural safety is undertaken. The role and application of the Treaty of Waitangi to the theory of cultural safety is explored in this section. The third section, entitled He Whakawhanuitanga: The Public Narrative, looks at the introduction of cultural safety into the nursing education system and its implementation. The public and media reaction to the inclusion of cultural safety in the national examination for nursing registration and the subsequent parliamentary response are noted. The interviews with nursing and midwifery leadership, Maori and pakeha key players in the process and consumer views of the ideas are documented and pertinent excerpts have been included. The work concludes with a discussion on the likely future of cultural safety as a theory and in practice and outlines several issues which represent a challenge to the viability of the concept in nursing and midwifery education. The author notes that the story of cultural safety is a personal story, but also a very public one. It is set in neo-colonial New Zealand, but has implications for indigenous people throughout the world. It is about human samenesses and human differences, but is also a story about all interactions between nurses and patients because all are power laden. Finally, she points out that, although it is about nursing, it is also relevant to all encounters, all exchanges between health care workers and patients.  
  Call Number NRSNZNO @ research @ Serial 486  
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Author Gallaher, L. openurl 
  Title Expert public health nursing practice: A complex tapestry Type Journal Article
  Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 14 Issue 3 Pages 16-27  
  Keywords Public health; Community health nursing; Communication  
  Abstract (up) The research outlined in this paper used Heideggerian phenomenology to examine the phenomenon of expert public health nursing practice within a New Zealand community health setting. Narrative interviews were conducted with eight identified expert practitioners who are currently practising in this speciality area. Data analysis led to the identification and description of themes which were supported by paradigm cases and exemplars. Four key themes were identified which describe the finely tuned recognition and assessment skills demonstrated by these nurses; their ability to form, sustain and close relationships with clients over time; the skilful coaching undertaken with clients; and the way in which they coped with the dark side of their work with integrity and courage.  
  Call Number NRSNZNO @ research @ 656 Serial 642  
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Author Grayson, S.; Horsburgh, M.; Lesa, R.; Lennon, D. url  openurl
  Title An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme Type Journal Article
  Year 2006 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 119 Issue 1243 Pages  
  Keywords Community health nursing; Patient compliance  
  Abstract (up) The researchers assessed the compliance rates with the rheumatic fever secondary prophylaxis programme established through the Auckland Rheumatic Fever Register and managed by community nursing services in Auckland. They undertook an audit of the 1998 and 2000 Auckland Rheumatic Fever Register data to establish the compliance rates of patients with the rheumatic fever secondary prophylaxis programme. The sample included all patients on the Auckland Rheumatic Fever Register during this time. Results showed compliance rates across the three Auckland DHBs ranging from 79.9% to 100% for individual community nursing offices. They found that a community-based nurse-led secondary prophylaxis programme for rheumatic fever heart disease is able to deliver excellent patient compliance levels. Secondary prophylaxis is the WHO-recommended cost effective first step to rheumatic fever/rheumatic heart disease control. Community health workers have a key role to play in facilitating this compliance.  
  Call Number NRSNZNO @ research @ Serial 520  
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Author Roud, D.; Giddings, D.L.S.; Koziol-McLain, J. openurl 
  Title A longitudinal survey of nurses' self-reported performance during an entry-to-practice programme Type Journal Article
  Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 21 Issue 2 Pages 37-46  
  Keywords New graduate nurses; Methodology; Professional competence; Training  
  Abstract (up) The researchers conducted a study to compare self-reported changes in both frequency and quality of performance of nursing behaviours in a cohort of recently graduated nurses undertaking a one year entry to practice programme. Thirty-three nurses were surveyed, seven weeks after beginning the programme and again seven months later, using a modified version of Schwirian's (1978) Six-Dimension Scale of Nursing Performance (6-DSNP). Over the study period participants reported significant increases in frequency of performance for the domains of leadership, critical care, teaching/collaboration, and planning/evaluation. Significant increases in the quality of nurse behaviours in the domains of critical care, planning/evaluation and interpersonal relations/communication were also reported. The modified Schwirian 6-DSNP was found to be a useful instrument for measuring nurses' self reporting of performance during periods of transition.  
  Call Number NRSNZNO @ research @ 553 Serial 539  
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Author Hoare, K.; Fairhurst-Winstanley, W.; Horsburgh, M.; McCormack, R. url  openurl
  Title Nurse employment in primary care: UK and New Zealand Type Journal Article
  Year 2008 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website  
  Volume 35 Issue 1 Pages 4-10  
  Keywords Primary health care; Scope of practice; Nursing models  
  Abstract (up) The researchers evaluate and compare the organisation of general practice in the UK and New Zealand. A key aim of the Primary Health Care Strategy is a reduction in health inequalities. Locally, some nurse leaders suggest that changing nurse practice employment from general practitioners to Primary Health Organisations will achieve this aim. The authors take lessons from the UK and suggest that nurses organising themselves into peer groups, remuneration of general practices for the attainment of positive patient outcomes, and a statutory duty of clinical governance, all contributed to the development of practice nurses' roles and expansion of numbers of nurse practitioners in general practice. Nurses have become partners with general practitioners in general practice in the UK, which the authors suggest is a much preferable alternative for some than employment by a Primary Health Organisation.  
  Call Number NRSNZNO @ research @ Serial 453  
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Author King, A.; Parsons, M. url  openurl
  Title An evaluation of two respite models for older people and their informal caregivers Type Journal Article
  Year 2005 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 118 Issue 1214 Pages  
  Keywords Older people; Evaluation  
  Abstract (up) The researchers evaluate two case-management models of respite relief care at Waitemata District Health Board. The evaluation consisted of semi-structured interviews and postal surveys for clients utilising respite care and staff members involved in both the North/West and Rodney models of respite care in Auckland. Across the two regions, a total of 2 older people and their informal caregivers, 2 respite coordinators, and the Needs Assessment Service Coordination (NASC) Manager were interviewed. In addition, postal surveys were received from 21 older people, 36 informal caregivers, 11 NASC workers, and 3 allied health professionals. Findings revealed there was generally high satisfaction with both the respite models. Caregivers believed the respite service did give them a break, although it was insufficient. Caregivers reported concerns regarding how respite facilities could improve and the older person's deterioration post respite. Staff identified improvements for each of the models.  
  Call Number NRSNZNO @ research @ 549 Serial 535  
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Author Hales, A.; Dignam, D. openurl 
  Title Nurse prescribing lessons from the US Type Journal Article
  Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 8 Issue 10 Pages 12-15  
  Keywords Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education  
  Abstract (up) The researchers present a survey of a sample population of 32 advanced practice nurses (APN) in the US about their experiences of acquiring and implementing prescriptive authority. The issues relevant to nurse practitioners in New Zealand are discussed, around acquiring knowledge and education, relationships with other professionals, establishing the role, and retaining the nursing role. The intent and scope of APN prescribing in the US is also discussed.  
  Call Number NRSNZNO @ research @ Serial 1007  
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Author Barber, A.; Charleston, A.; Anderson, N.; Spriggs, D.; Bennett, D.; Bennett, P.; Thomas, K.; Baker, Y. url  openurl
  Title Changes in stroke care at Auckland Hospital between 1996 and 2001 Type Journal Article
  Year 2004 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months  
  Volume 117 Issue 1190 Pages  
  Keywords Multidisciplinary care teams; Nursing specialties; Hospitals  
  Abstract (up) The researchers repeat the 1996 audit of stroke care in Auckland Hospital to assess changes in stroke management since the introduction of a mobile stroke team. The audit prospectively recorded information for all patients with stroke from 1 June to 30 September 2001. They describe the work of the stroke team physician and the specialist stroke nurse and allied health staff who coordinate the multidisciplinary care of patients. Variables examined include time to arrival and medical assessment, investigations, acute management, inpatient rehabilitation, and stroke outcome. The researchers then describe recent developments in stroke care and the impact of the stroke service on patient management.  
  Call Number NRSNZNO @ research @ Serial 544  
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Author Bennett, J.; Cooney, C.; Jackson, S. openurl 
  Title The Ringa Atawhai Model Type
  Year 1991 Publication Abbreviated Journal Whangerei Base Hospital Library, Private Bag, Whan  
  Volume Issue Pages  
  Keywords  
  Abstract (up) The Ringa Atawhai Model is based on the principles of Whanau and partnership and founded on the Ottawa Charter and Treaty of Waitangi documents. The research looks at the work carried out by Ringa Atawhai members with both individuals and groups throughout Northland  
  Call Number NRSNZNO @ research @ 124 Serial 124  
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Author Archer, L.K. openurl 
  Title We talk what we do: An exploration of the value, role and function of storytelling in nursing from one nurse's practice perspective Type
  Year 2001 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Nursing; Palliative care; Professional development  
  Abstract (up) The role of storytelling in any society fulfils multiple functions such as maintaining culture, holding history, teaching genealogical lessons, imparting wisdom, entertaining, passing on knowledge. The author suggests that nursing, historically described as a craft with an oral tradition, could be seen to be quietly moving away from the practice of storytelling. Or has it? She asked this question and began to realise that her practice and relationships with colleagues had always been based on stories and storying. To explore this phenomenon, she began to describe her day to day practice in story form, and began to position stories she had previously written. In her work of oncology palliative care nursing within a community setting in New Zealand, the stories proved crucial to her role as an educator, and companion of patients and their families. In this paper she examines how she uses story for her benefit, the patients' benefit, but mainly for the benefit of nursing. She examines from her own perspective, some underlying themes that reinforce the need to continue this ancient tradition and explore the role, value and function of storytelling within nursing.  
  Call Number NRSNZNO @ research @ Serial 788  
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Author Vital Signs: The NZNO Employment Survey 2011 isbn  openurl
  Title By Dr Léonie Walker Type
  Year 2011 Publication Abbreviated Journal Download from; http://www.nzno.org.nz/activities/research#vital  
  Volume Issue Pages 70pp  
  Keywords  
  Abstract (up) The second, biennial survey of NZNO members based on the RCN longitudinal survey. A snapshot of the employment, views and morale of the New Zealand Nursing workforce.

Comparisons with the 2009 survey show an increase in job insecurity, experience of restructuring, and continuing differences in wages and turnover in the different sectors of the workforce.

The Enrolled Nurse membership in particular is in the midst of change, opportunity and disquiet. While the profession continues to be in good heart, there are some concerns about loss of senior nursing positions, and lack of suitable posts for new graduates.
 
  Call Number NZNO @ research @ Serial 1371  
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Author Campbell, K. url  openurl
  Title Intertwining the role of partner and caregiver: A phenomenological study of the experiences of four New Zealand rural women who have cared for their terminally ill partners Type
  Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Rural nursing; Terminal care; Palliative care; Home care; Nurse-family relations  
  Abstract (up) The stories of the women who live and work in rural settings in New Zealand have begun to reveal unique contributions that they have made to their families and community. This research study evolved from a trend the researcher observed as a district nurse providing community palliative care in rural New Zealand; that the majority of carers of those who are terminally in home-settings are in fact women. This qualitative study aimed to explore through guided conversational interviews the experiences of four women who have cared for their terminally ill partners who have subsequently died. The study investigated if these women's experiences were comparable to that of other women in existing palliative care literature. This research project focused particularly on elucidating the women's experience of intertwining the role of partner and caregiver. Heidegger's hermeneutic philosophy informed the methodology because he focused on what it meant to 'be' rather than 'how we know what we know'. The project focused on the meanings the women made of this dual role in their lives. Women already in the role of partner were now faced with the added responsibility of caregiver to meet the complex needs of their loved one. Usually they had no training to prepare them for this experience. The study reveals ways in which the visiting palliative care nurse becomes very important to them. The women's own voices reveal the high level of respect for their partners and address the harsh realities, revealing poignant and striking concerns in their lives. These stories are shared with the intent of enriching nurses' and other health professionals' understanding of the women's experiences. The author notes that understanding these women's experience is not only a way of honouring these remarkable women but more widely it will inform and possibly transform practice through guideline and policy refinement.  
  Call Number NRSNZNO @ research @ Serial 822  
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Author Page, A.E. openurl 
  Title Paradoxes in women's health protection practices Type
  Year 1987 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords  
  Abstract (up) The study explored the basis of the relatively low uptake of cervical screening and practice of breast self-examination among New Zealand women. Consistent with an interpretive approach to social phenomena it was anticipated that part of the explanation would lie in the meanings which women attach in general and to these specific health-protection practices.Theoretical sampling was effected by semi-structured interviews with 45 women. Transcripts of these interviews provided the substance data which were then analysed by the process of constant comparative analysis and other grounded theory strategies for analysis.The concept of a health-protective paradox centered around the core-variable 'vigilance-harmonizing which was generated to reconcile the seeming inconsistencies within, and between, individual women and their health practices. This conceptualisation was developed from the substantive date in order to provide a model designed to increase the effectiveness of nursing interventions for this area. The model, by illuminating processes from the client's perspective then can indicate those processes most suitable for incorporation in effective health education measures designed to promote the uptake of cervical screening and breast self-examination by women.As an adjunct to the study, a breast cancer case history is presented which shows the theory-in-use. The use of this case-history lies in the fact that it shares the substantive area of inquiry which serves to accentuate the viability, relevance and applicability of the grounded theory  
  Call Number NRSNZNO @ research @ 170 Serial 170  
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Author Shadbolt, Y.T. openurl 
  Title Curriculum innovation in a school of nursing – a case study Type
  Year 1984 Publication Abbreviated Journal University of Auckland Library  
  Volume Issue Pages  
  Keywords  
  Abstract (up) The study gives an account of curriculum development and innovation in a New Zealand school of nursing and focuses on some aspects of the basic diploma course. The study attempts, through the medium of case study, to illuminate the way in which significant curriculum decisions are made and ideas translated into institutional and technical form. Evidence is derived from the recorded perceptions of the participants, observations, and analyses of documented material. The findings confirm that the field of study is complex, multivariable and dynamic, and that translation of the curriculum on paper involves a multitude of deliberative and factual decisions by practicing teachers  
  Call Number NRSNZNO @ research @ 43 Serial 43  
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Author Clendon, J. openurl 
  Title Demonstrating outcomes in a nurse-led clinic: How primary health care nurses make a difference to children and their families Type Journal Article
  Year 2004 Publication Contemporary Nurse Abbreviated Journal  
  Volume 18 Issue 1-2 Pages 164-176  
  Keywords Primary health care; School nursing; Nurse managers  
  Abstract (up) The study outlined here explored outcomes from the provision of primary health care to children aged 5-13 years in a nurse-led clinic based in a primary school in Auckland. This multi-faceted study collected both qualitative and quantitative data, however it is the results of the quantitative arm of the study that are presented here. Data were collected from a variety of sources concerning conditions seen, age and ethnicity of users, types of services provided and impact on hospital usage. Findings demonstrate that the provision of comprehensive primary health care by the nurse at the clinic impacts positively on hospital visitation by children from the area where the clinic is located.  
  Call Number NRSNZNO @ research @ Serial 947  
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