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Author Parton, Beverley May
Title Maori women, health care, and contemporary realities : a critical reflection Type Book Whole
Year 2015 Publication Abbreviated Journal
Volume Issue Pages 249 p.
Keywords Hauora; Maori health; Maori women -- health care; Surveys
Abstract (up) Aims to explore the influences on health and health care engagement from the experiences of urban Maori women using Kokiri Marae Health and Social Services (KMHSS), Lower Hutt, NZ. Conducts unstructured interviews which are analysed thematically. Employs the nursing theory of cultural safety, Kawa Whakaruruhau, to inform a qualitative approach to the examination of the historical, social, cultural, economic, political, racial and gendered factors contributing to Maori women's health and health-care engagement. Makes recommendations for nursing practice, research site and research.
Call Number NZNO @ research @ WA 300.KN4 PAR Serial 1429
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Author Mahoney, Laurie
Title Children living with a mentally ill parent : the role of public health nurses Type Journal Article
Year 2010 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 26 Issue 2 Pages 4-13
Keywords Public health nurses; Parental mental illness; Advocacy; Assessment; Focus group
Abstract (up) Aims to identify the public health nurses' role with regard to children who are living with a parent who is suffering from a mental illness. Uses a qualitative research design with 8 public health nurses working in rural and urban settings. Conducts focus groups from which data are gathered and analysed thematically using axial coding. Conducts further focus groups with 6 of the participants to evaluate the themes identified.
Call Number NZNO @ research @ Serial 1454
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Author Guy, Max Timothy
Title An exploration of the educational experiences of new nurses who are men within Aotearoa New Zealand Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 131 p.
Keywords Male nurses; Nursing students; Nursing workforce; Recruitment and retention; Surveys
Abstract (up) Aims to inform future curriculum design to support, retain, and attract more men to nursing. Uses a descriptive qualitative design to explore the experiences of male nurses prior, during and after the Bacelor of Nursing degree. Conducts semi-structured interviews with 9 male nurses resulting in two main themes: isolation during training; inaccurate public perception of the of the scope of the modern nurse.
Call Number NZNO @ research @ Serial 1759
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Author Weber, Heidi
Title Deciding on a safe site for intramuscular injections in an acute mental health setting Type Journal Article
Year 2023 Publication Kaitiaki Nursing Research Abbreviated Journal
Volume 14 Issue 1 Pages 58-61
Keywords Intramuscular injections; Mental health patients
Abstract (up) Aims to provide practical guidance for health-care providers to ensure the safe and effective administration of intramuscular injections, when there is the potential for violence and agitation, as well as during personal restraint. Undertakes a realist review of the evidence comparing the dorsogluteal and ventrogluteal sites.
Call Number NZNO @ research @ Serial 1852
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Author Strochnetter, K.T.
Title Influences on nurses' pain management practices within institutions: A constructivist approach Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Interprofessional relations; Pain management; Nursing
Abstract (up) Alleviating patient suffering, providing comfort and pain relief are all central to the philosophical caring position nurses have always espoused. Despite this, patients continue to suffer pain although we have the means to provide pain relief. The author notes that research has identified that nurses have a knowledge deficit regarding pain and its management, as well an erroneous attitudes, which combined are blamed for an inability to make significant progress in this area. This study was undertaken to uncover the contextual aspects of working within a New Zealand health care institution that affect nurses' ability to manage their patient' pain effectively. It highlights the difficulties and the complicated nature of working within an institution in the 1990's health care environment, where accountability for pain is absent and where pain is often under-assessed and under-treated. By using focus group of nurses, the author notes she was able to uncover constructions on nursing practice, which, she suggests, have been missing from the literature, but prevent nurses from implementing their knowledge. Using a constructivist research, she used nurse's stories and current literature to argue one way forward in, what she terms, the pain management debacle. This study revealed a diverse range of contextual factors that prevent nurses from using their knowledge. Many of the constraints on nursing practice are the results of complex organisational structures within health reform, which have significantly affected the nurse's ability to provide quality-nursing care. One of the most important factors limiting the management of the patient' pain is the inability of the nurse to autonomously initiate analgesia. While nurses are largely responsible for the assessment of pain, they are usually powerless to access necessary analgesia, without a medical prescription. The author argues that once an initial medical diagnosis has been made, nurses are usually left responsible for patient comfort and the management of pain. To do so effectively, nurses need to able to prescribe both pharmacological and non-pharmacological measures for the patient. Presently nurses are prescribing using a variety of illegitimate mechanisms, needing the endorsement of a doctor. To fulfil this role, nurses must be adequately prepared educationally and given the authority to either prescribe autonomously, of provided with extensive “standing orders”. While legislative changes in New Zealand in 1999 extended prescribing right to a few nurses within certain areas of care, the ward nurse is unlikely to gain prescribing rights in the near future. The author concludes that a way forward may be to encourage and further develop the use of protocols for managing pain via standing orders. Standing orders are common place within nursing practice today, have the support of the Nursing Council of New Zealand and are currently under-going legislative review. An institutional commitment to developing pain protocols for nurses would recognise the nurses active role and expertise in the management of pain and facilitate expedient relief for the patient.
Call Number NRSNZNO @ research @ Serial 909
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Author Gosnell, M.
Title Postoperative pain assessment: A retrospective review of nursing documentation Type
Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Pain management; Nursing
Abstract (up) An essential part of nursing practice for the nurse on the surgical floor is to relieve the discomfort of post operative pain for patients in their care. Post operative pain management encompasses a series of processes from assessing pain, providing relief, assessment of measures used to relieve pain through to documentation in the patient record. Yet literature, both internationally and from Australia and New Zealand, suggests that post operative pain continues to be poorly managed despite having the means to provide more than adequate relief. Events leading up to the commencement of this study indicated that locally, post operative pain assessment, including documentation in the patient record may be substandard. The objective of this study was to develop and test an audit tool; undertake a retrospective audit of nursing records, including nursing notes and the nursing care plan, in respect of what postoperative pain assessments nurses document in the patient record; evaluate data and make recommendations for practice. Methodology: A five part, 23 question Likert scale audit tool, designed specifically for this study was used to collect data over a period of two months. In total 40 patient records that met the inclusion criteria were audited.The results indicate that local practice reflects poor documentation standards found in other studies. The most complete recordings were those entered on specifically designed charts such as the Patient Controlled Analgesia and Epidural charts (N 28) but this did not carry over into the patient record. Despite that fact that the patient's self reports of pain is said to be the single most reliable indicator of pain, there was only four occasions when the patient's verbal response to pain was recorded. None of those responses were according to any type of pain rating scale. Evidence of evaluation following measures used to relieve pain was more likely to be recorded if pain was poorly controlled or when side effects such as nausea were experienced by the patient. The author concludes that overall the audit has highlighted many gaps in what is or is not recorded in the patient record in respect of post operative pain assessment and has highlighted the need to develop standards of practice that will improve post operative pain management practices.
Call Number NRSNZNO @ research @ Serial 915
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Author Quiding, Janine
Title Improving assessment inter-rater reliability of a nursing ePortfolio: An Integrative Review Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 66 p.
Keywords ePortfolios; Professional Development and Recognition Programmes (PDRP); Nursing assessment
Abstract (up) Analyses 13 articles using an integrative review methodology framework and thematic analysis to support the data analysis process, seeking to clarify the inter-rater reliability of nursing ePortfolio assessment. Identifies two themes emerging from the data: the subjective nature of the assessor, and external factors due to the nature of nursing portfolio requirements. Considers how to minimise assessment variability due to subjective factors.
Call Number NZNO @ research @ Serial 1749
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Author McKellar, Dianne; Rodrigues, Agustilia
Title Access to health care for people living in Aotearoa with a serious mental iullness: a social justice issue Type Journal Article
Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal
Volume Issue 24 Pages 53-57
Keywords Serious mental illness; Physical health; Disparity; Social justice; Person-centred care
Abstract (up) Argues for an integrated care model combining mental and primary health care while providing person-centred care that upholds the principles of the Treaty of Waitangi. Maintains that there is a need for national guidelines for the management and assessment of people with serious mental illness (SMI)to redress their health disparities. Suggests that nurses have the opportunity to become agents of change to address this issue of social justice.
Call Number NZNO @ research @ Serial 1551
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Author Crossan, Michael; Honey, Michelle; Wearn, Andy; Barrow, Mark
Title Fundamentals of care in pre-registration nursing curricula: Results of a national survey Type Journal Article
Year 2022 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 38 Issue 2 Pages 44-52
Keywords Nursing education; Nursing curricula; Fundamentals of Care; Nursing Council of New Zealand; Surveys
Abstract (up) Argues that the Fundamentals of Care (FOC) conceptual framework is essential for nursing schools to teach and on which to assess nursing students for clinical competency. Provides a national overview of undergraduate pre-registration nursing curricula in NZ, exploring what and how schools of nursing teach and assess FoC. Distributes a cross-sectional descriptive questionnaire to course coordinators between 2019 and 2020, revealing variations in how FOC is taught and the lack of standardisation in course design. Highlights the opportunity for the Nursing Council to develop a national, evidenced-based FOC educational strategy.
Call Number NZNO @ research @ Serial 1808
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Author Minton, Claire; Burrow, Marla; Manning, Camille; Van der Krogt, Shelley
Title Cultural safety and patient trust: the Hui Process to initiate the nurse-patient relationship Type Journal Article
Year 2022 Publication Contgemporary Nurse Abbreviated Journal
Volume Issue Pages 9 p.
Keywords Hui Process; Fundamentals of Care; Nursing education; Cultural safety; Maori patients
Abstract (up) Argues that the Hui Process, being a model informed by Maori values on connection, serves the aim of the Fundamentals of Care framework for nursing students, to learn relationship-based nursing through culturally-safe practice and communication. Explains the Hui Process which comprises four steps: mihi, whakawhanaungatanga, kaupapa and poroporoaki. Examines how the process leads to culturally-safe patient-centred care.
Call Number NZNO @ research @ Serial 1798
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Author Foster, Pamela; Payne, Deborah; Neville, Stephen
Title An exploration of how nurse education practices may influence nursing students' perception of working in aged care as a registered nurse: A Foucauldian discourse analysis Type Journal Article
Year 2022 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 38 Issue 2 Pages 23-31
Keywords Nursing education; Nursing students; Aged care; Employment
Abstract (up) Argues that undergraduate nurse education contributes to the problem of too few nurses choosing to work in aged care, by constructing working in aged care as a lower-status or less valuable area of work than other health-care areas. Examines the issue using Foucauldian discourse analysis to explore the dominant discourses being deployed in relation to clinical experience in aged care. Collects data through semi-structured interviews with 10 senior academic staff members from NZ tertiary institutions. Analyses interview data to reveal how a 'nurse education discourse' and a 'work-ready discourse' were shaping perceptions of aged care as a clinical experience in a variety of ways. Suggests that how and why aged care is utilised as a space to learn a range of nursing skills has the unintended effect of devaluing and discouraging employment in aged care settings.
Call Number NZNO @ research @ Serial 1806
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Author Chandler-Knight, Eden
Title Poster[sic]Bullying in mental health inpatient nursing Type Report
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 78 p.
Keywords Mental health nursing; Workplace bullying; Registered Nurses; Surveys
Abstract (up) Asserts that bullying is common in nursing, and particularly in mental health nursing. Conducts a literature review before administering a mixed-method online survey to registered nurse (RN) inpatient mental health nurses, of whom 38 responded.
Call Number NZNO @ research @ Serial 1668
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Author Sharma, Mona
Title An exploration of the experiences of registered nurses working in aged residential care facilities regarding interRAI: A qualitative research design Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 125 p.
Keywords InterRAI; International resident assessment instrument; Aged residential care; Registered nurses; Surveys
Abstract (up) Assesses the experiences of registered nurses (RNs)working in aged residential care facilities in Christchurch, in performing interRAI assessments using interRAI MOMENTUM software. Explores the positive and negative aspects of their experiences and the factors affecting performance of interRAI-based comprehensive health assessments. Identifies the aids and barriers faced by RNs in applying and using interRAI. Conducts focus-group interviews with 7 RNs. Highlights the need for a unified standard assessment system.
Call Number NZNO @ research @ Serial 1654
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Author Patel, Radhika
Title Patient safety of older adults with cognitive impairment: Evaluation of a service improvement initiative Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 76 p.
Keywords Patient safety; Cognitive impairment; Dementia; Older adults; Hospital ward design
Abstract (up) Assesses the impact of environmental changes on patient reportable events (falls and aggression) in older persons' wards, using the Kings Fund Healing the Healthy Environment tool to make small changes to a ward environment in order to create a more 'dementia-friendly' setting. Conducts a comparative analysis of incidents in the wards. Obtains staff perspectives on the changes, which included large-face clocks, identifiction of bed spaces, lavender oil diffusion, and viewing gardens.
Call Number NZNO @ research @ Serial 1761
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Author Lewer, D.
Title Analysing the Mental Health Act Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 5 Issue 8 Pages 14-16
Keywords Psychiatric Nursing; Mental health; Law and legislation; Ethics
Abstract (up) Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill.
Call Number NRSNZNO @ research @ 1039 Serial 1023
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