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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 Johnson, H.
Title Clinical trials in the intensive care setting: A nursing perspective Type
Year 2008 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Evaluation; Intensive care nursing
Abstract (up) As carers of patients who are clinical research participants, nurses' contribution to the success of clinical trials is acknowledged in the literature. Ethical dilemmas and challenges that clinical trials may present for nurses are also recognised. Although there is some discussion regarding these issues, few studies explore and identify the perceptions of intensive care nurses regarding clinical trials and how they may impact on nursing practice. This thesis explores and describes the viewpoints and experiences of sixty intensive care nurses from a tertiary level referral centre in New Zealand engaged in clinical research activities. The descriptive study utilised a self-administered questionnaire to gather information regarding nurses' roles in clinical trials, associated issues encountered and contributory factors, and the impact of issues on nursing practice, stress and satisfaction levels. Suggestions for potential strategies to minimise the impact of issues on nurses' practice were also sought. Descriptive statistical and content data analyses identified three key areas in which nurses' encounter issues associated with clinical trials and their practice: nurses' workload; ethical concerns; educational preparation and support. The findings indicate that, when issues exist in these areas, routine patient care can be delayed, the enactment of nurses' patient advocacy role can be affected, and nurses' stress and satisfaction levels can be negatively impacted upon. The perceptions of a group of intensive care nurses who are enveloped in the daily balance of patient care, the need for clinical research, and their professional obligations are discussed in this thesis. While the study's findings are reflective of one group of nurses in a distinct practice setting, their experiences can prompt other nurses, research teams and clinical leaders to reflect upon their own clinical research environment.
Call Number NRSNZNO @ research @ Serial 923
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Author Taua, C.
Title Revisiting the past: A focused ethnography of contemporary dual diagnosis nursing practice Type
Year 2005 Publication Abbreviated Journal Copy downloadable from the NZNO Library
Volume Issue Pages
Keywords Psychiatric Nursing
Abstract (up) As has been the case internationally, deinstitutionalisation of dual diagnosis (intellectual disability and mental illness) services has also occurred in New Zealand. Inpatient services have been redefined to respond to the more acute focus that has arisen out of this deinstitutionalisation process and nurses are having to redefine their roles in response. This study was undertaken to explore and describe the culture of nursing practice in a dual diagnosis inpatient unit in one psychiatric hospital. A focused ethnographic approach was used to triangulate data gathered from fieldwork observations, review of documents and semi-structured interviews. Schein's (1985) levels of culture model, was used to identify and explore the artifacts, values and assumptions evident in this nursing practice. Analysis presents three key themes categorised as 'communication', 'assessment' and 'safety'. While these key themes are shown to be evident in the everyday practice of the nurses, how these relate to the notion of 'dual diagnosis nursing' is not clear. Therefore, the author describes the major finding of this study as revealing a nursing culture holding tight to traditional psychiatric and psychopaedic nursing practices and struggling to develop a distinctive culture in the absence of a defined dual diagnosis knowledge base. The author concludes that these findings suggest an urgent need to provide nurses with support in gaining contemporary knowledge regarding dual diagnosis nursing. Support for nurses in advancing these areas then impacts on support for the patients. It is suggested that additional research is undertaken to assess the learning needs of the nurses in order to develop clinical practice guidelines for this area. Further recommendations are made to address system issues which are contributing to the gap in knowledge.
Call Number NRSNZNO @ research @ Serial 674
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Author Renor, C
Title Blogging about 'It' Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages 59-62
Keywords Blogs; Education, Non-Traditional; Education, Nursing, Continuing; Learning Styles
Abstract (up) As nurses and students we all have our own 'its', which get out of perspective and cause us anxiety. By sharing this blog with you, I hope I help you with your 'it'. When all else fails try blogging about your 'it', and use reflection as a tool to grow yourself, instigate change and promote yourself as the evidence-based, caring nurse that you are.
Call Number NZNO @ research @ Serial 1385
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Author McManus, L.M.; Cuthbertson, S.; Streat, S.J.
Title When the lights went out in Auckland Type
Year 1998 Publication Abbreviated Journal DCCM, Private Bag 92024 Auckland
Volume Issue Pages
Keywords
Abstract (up) As the clinical consequences of power failure in intensive care are seldom documented we reviewed the effects of a power failure on patient care, outcomes and the adequacy of our disaster plan. We reviewed clinical records of all ten patients in our department during a 20-minute total hospital power failure, determined the impact of the failure on the therapies being given, and the costs of failed equipment. We assessed the departments disaster plan and identified the causes of the power failure.Nine patients were intubated; six ventilated (one receiving nitric oxide) and three receiving continuous positive airway pressure. Two patients were ventilated by Servo 300,? which continued on batteries, the other four patients were ventilated manually. Six patients were receiving nine inotrope infusions through IMED Gemini,? (battery life 30 minutes). One patient was receiving high volume ultrafiltration using a Gambro? haemodialysis system, which failed. Blood flow to prevent clotting was maintained by turning the roller pump manually. All networked monitoring (SpaceLabs?) failed and three haemodynamically unstable patients were monitored by transport monitors (SpaceLabs Scout?). No patient suffered any ill effect. Failed electronic circuits cost $NZ11,724. The disaster plan was implemented and functioned well. The aged cables supplying Auckland Central failed during an El Nino summer. The hospital generators, supplying power to the city grid, failed to switch over to the hospital. During power failure infusion pumps should be only for inotropes. We now have external 12-volt battery backup. With good pre-planning, safe intensive care continued during a short power failure
Call Number NRSNZNO @ research @ 206 Serial 206
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Author Cook, D.
Title Open visiting: Does this benefit adult patients in intensive care units? Type
Year 2006 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Hospitals; Intensive care nursing
Abstract (up) As the healthcare system moves toward a consumer-driven paradigm, visiting hours for family and significant others of the intensive care unit patient have become a topic of interest and discussion. Research since the 1970s has generated controversy and speculation over the ideal visiting practices in the adult intensive care unit. The aim of this dissertation was to examine the benefits for the patient, family members and nurses of appropriate visiting practices within intensive care areas in order to establish if open visiting is the best regime for patients in the adult intensive care unit (ICU). This dissertation explores visiting practices in adult critical care unit settings. Specifically, the benefits of visiting for patients, and the factors that may impede or facilitate visiting practices within the ICU were critically discussed. These factors included the benefits and disadvantages of open visiting, and the nurse as an influential factor in visiting. These areas linked together to form the basis for consideration of visiting in the ICU. Review of existing literature pertaining to visiting in the ICU indicated that patients wanted open visiting hours yet also indicated that they would like some visiting restrictions. Nurses appeared to value family input into care and were aware of patient and family needs, even though they may restrict visiting to suit their own work practices. Family members can provide the patient with psychological support, provide important historical data, assist the nurse with selected aspects of physical care, and actively encourage the patient's efforts to recover. The outcome of this exploration is the recommendation of an open visiting policy tailored to individual patients, as, the author suggests, this would foster nursing practice and ultimately benefit patients and their families.
Call Number NRSNZNO @ research @ Serial 680
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Author Rogers, Luenda
Title Report on Margaret May Blackwell Travel Study undertaken March/April 1997 [Management of babies born to mothers with dependencies -- drug and alcohol; Health care of young children whose families are homeless] Type Report
Year 1997 Publication Abbreviated Journal
Volume Issue Pages 79p.
Keywords Infants; Drug dependency; Alcohol dependency; Homelessness; Child health services; Reports
Abstract (up) As the recipient of the Margaret May Blackwell Travel Fellowship two topics were studied: management of babies born to mothers with drug and alcohol dependencies, and the health-care of young children whose families are homeless. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1411
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Author Clendon, Jill (and others)
Title Nurse perceptions of the diabetes Get Checked Programme Type Journal Article
Year 2013 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 29 Issue 3 Pages 18-30
Keywords Diabetes; Primary health care
Abstract (up) Ascertains the impact of the programme on the practice of nurses and identifies factors that contributed to the success or failure of the programme in their workplaces. Performs an observational study by means of an online survey and descriptively analyses the responses from the 748 respondents. Elicits nurses' suggestions for future improved management and outcomes for people with diabetes.
Call Number NZNO @ research @ Serial 1486
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Author Jull, Andrew
Title Becoming a clinical triallist: challenges and opportunities for nursing research Type Journal Article
Year 2023 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 39 Issue 2 Pages
Keywords Clinical trials; Nursing research; Systematic reviews; Evidence-based practice
Abstract (up) Asks what is the value of randomised ccontrolled trials (RCT), and argues that different trial designs are appropriate for different types of question, e.g. intervention, aetiology, diagnosis, prognosis, therapy, and experience. Backgrounds the formation of the Cochrane Collaboration. Relates the author's own experience in becoming a clinical triallist and considers the barriers to nurses running RCTs. Explains the need and intent of the Australasian Nursing and Midwifery Clinical Trials Network (ANMCTN)
Call Number NZNO @ research @ Serial 1855
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Author Cook, Catherine
Title A 'Toolkit' for Clinical Educators to Foster Learners' Clinical Reasoning and Skills Acquisition Type Journal Article
Year 2016 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 32 Issue 1 Pages 28-37
Keywords Novice to expert; Clinical teaching; Teaching models; Clinical reasoning
Abstract (up) Asserting that little research into the novice-to-expert continuum has been applied to the development of novice educators, synthesises three teaching and learning models -- the Model of Practical Skill Performance; the 4A Model; and Five Minute Preceptor -- and three specific skills -- 'think aloud', questioning, and feedback -- which together comprise a 'toolkit' of skills-teaching to assist educators in planning learners' skills acquisition.
Call Number NZNO @ research @ Serial 1515
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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 Bowen-Withington, Julie
Title Emerging discourses shaping high-fidelity simulation as an education platform in Aotearoa New Zealand pre-registration nursing education: A Foucauldian discourse analysis Type Book Whole
Year 2022 Publication Abbreviated Journal
Volume Issue Pages 311 p.
Keywords High-fidelity simulation (HFS); Nursing education; Discourse analysis; Michel Foucault
Abstract (up) Asserts that nursing needs to think critically about High-fidelity simulation (HFS) use, and its dominance, in the educational preparation of nurses. Draws on the tenets of postmodernism and Foucauldian discourse analysis methodology to question the discourses and discursive practices that influence the use of HFS as an approach to intentional and unintentional teaching and learning in pre-registration nursing education in NZ. Explores how this shapes nursing students' subjectivity and, ultimately, nursing practice.
Call Number NZNO @ research @ Serial 1839
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Author Hutchinson, Rosie; Adams, Sue; Cook, Catherine
Title From regulation to practice: Mapping the organisational readiness for registered nurse prescribers in a specialty outpatient clinic setting Type Journal Article
Year 2020 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 36 Issue 1 Pages 31-40
Keywords Registered nurses; Community nursing; Primary health care; Sexual health services; Nurse precsribing; Institutional ethnography
Abstract (up) Asserts that registered-nurse (RN) prescribing could improve equitable access and care delivery for patients. Uses a mapping tool to reflect how one RN qualified to deliver prescribing services in a sexual health clinic. Emphasises the need for organisational readiness to employ RN prescribers.
Call Number NZNO @ research @ Serial 1674
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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 Wynne-Jones, Jacqui; Martin-Babin, Margot; Hayward, Brooke; Villa, Luis
Title Patient safety leadership walk-rounds: lessons learrned from a mixed-methods evaluaion Type Journal Article
Year 2020 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 11 Issue 1 Pages 24-33
Keywords Patient safety; Nurse leaders; Walk-round; Evaluation
Abstract (up) Assesses the impact of a patient safety leadership walk-rounds (PSLWR) programme in an Auckland hospital to provide recommendations for programme improvement. Involves senior leaders and other departmental representatives visiting wards to conduct staff and patient interviews to capture their experiences, and to assess the environment. Proposes recommendations for organisations intending to or currently implementing a PSLWR programme.
Call Number NZNO @ research @ Serial 1658
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