| Records |
| Author |
Mackay, B. |
| Title |
An analysis of innovative roles in primary health care nursing |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Northland Polytechnic Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing |
Abstract  |
An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1124 |
| Permanent link to this record |
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| Author |
Litchfield, M. |
| Title |
The nation's health and our response |
Type |
Conference Article |
| Year |
1992 |
Publication |
|
Abbreviated Journal |
|
| Volume |
Keynote address at the 1992 NERF/NZNZ National Nur |
Issue |
|
Pages |
|
| Keywords |
Nursing; Health reforms; Nurse-family relations |
| Abstract |
An analysis of the challenges for the nursing profession of the Government's health reforms. The findings of the 10-month Wellington Nurse Case Management Project 1991-1992, including the description of family nursing practice, what it achieved for health and the service delivery model that would position family nurses in the health reforms were used to provide an exemplar for the nuyrising contribution to health policy for the health reforms. The paper identified a vacum for the reorientating of health care provision to patients/clients and health need and the call to nursesw to take leadership in goving direction to the reorientation. |
| Call Number |
NZNO @ research @ |
Serial |
1319 |
| Permanent link to this record |
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| Author |
Howie, L. |
| Title |
Rural nursing practice in context |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural nursing |
| Abstract |
Although it is accepted in rural nursing literature that the context shapes nursing practice there is limited opportunity to gain an understanding of how this occurs. This dissertation addresses this issue. Firstly, by employing a social geographical lens to define and examine the dynamic, evolving rural context and secondly, by considering the nursing concepts that arise from those contextual factors that relate directly to rural societal health needs. Defining 'rural' is essential when describing or debating rural nursing practice in context. However, there remains no universally accepted definition of 'rural'. Despite this and even though each location is individually specific, there are socio-cultural, occupational, ecological and health aspects that are common and bespeak rural society. These aspects have been developed into a Rural Framework Wheel as a visual reference to demonstrate the substantial influences which impact on nursing practice within the rural context. The framework encapsulates the distinctive dimensions that are hallmarks of rural nursing practice. Nurses can therefore use the framework to express concisely their individualised practice and competence by employing the two broad themes that have emerged from the literature; that of 'nursing per se' and 'partnership'. The Rural Framework Wheel is recommended as a paradigm to critique the practice of rural nurses from an educational, employment, research and political perspective. It is advocated that this framework be used by rural nurses to describe their practice and therefore to express the distinctiveness of the rural nursing identity. |
| Call Number |
NRSNZNO @ research @ |
Serial |
744 |
| Permanent link to this record |
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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 |
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 |
| Permanent link to this record |
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| Author |
Corner, Kathy |
| Title |
Perceptions of Indian IQNs transitioning into a bachelor of nursing programme in New Zealand |
Type |
Journal Article |
| Year |
2020 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
| Volume |
11 |
Issue |
1 |
Pages |
61-62 |
| Keywords |
IQNs; Bachelor of Nursing; Nursing students; Cultural safety; Cross-cultural communication; Resilience |
| Abstract |
Aims to understand the experiences of Indian internationally-qualified nurses (IQN) making the transition into a NZ bachelor of nursing (BN) programme. Conducts a focus group with four Indian IQN students enrolled in an 18-month bridging course. Identifies four themes: adaptation to a new way of learning; cultural differences in living and working in NZ; adaptation to a different clinical environment; and cultural safety. |
| Call Number |
NZNO @ research @ |
Serial |
1663 |
| Permanent link to this record |
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| Author |
Eappen, Seena |
| Title |
Developing a clinical referral pathway for the management of difficult venous access for ward nurses at North Shore Hospital |
Type |
Book Whole |
| Year |
2022 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
83 p. |
| Keywords |
Cannulation; Difficult Venous Access (DVA); Clinical Referral Pathway; Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model |
| Abstract |
Aims to streamline a clinical referral pathway (flow chart) for difficult venous access (DVA). Conducts a review of current literature to provide a theoretical basis to support the project. Uses the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model to develop the project, collecting a six-month sample of referral data to identify trends. Identifies four key themes during daa analysis: patient clinical condition; difficult access; staff education and training; and urgency for treatment |
| Call Number |
NZNO @ research @ |
Serial |
1751 |
| Permanent link to this record |
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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 |
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 |
| Permanent link to this record |
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| Author |
Marshall, Dianne; Finlayson, Mary |
| Title |
Applied cognitive task analysis methodology: Fundamental cognitive skills surgical nurses require to manage patient deterioration |
Type |
Journal Article |
| Year |
2022 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
| Volume |
38 |
Issue |
1 |
Pages |
25-37 |
| Keywords |
Cognitive task methodology; Surgical nursing; Patient deterioration; Decision-making |
| Abstract |
Aims to identify the cognitive skills required of surgical nurses to rescue the deteriorating patient, and to elicit insight into the potential errors in decision-making inexperienced nurses commonly make in the same situation. Conducts three sequential in-depth interviews with six experienced surgical nurses to identify five cognitive demands required of nurses to ascertain deterioration and the cognitive skills necessary to respond to these cognitive demands: the task diagram interview, the knowledge audit interview and the simulation interview. |
| Call Number |
NZNO @ research @ |
Serial |
1795 |
| Permanent link to this record |
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| Author |
Pijpker, Rina; Wilkinson, Jill |
| Title |
Experiences of district nurses working with people with spinal cord injury: a descriptive account |
Type |
Journal Article |
| Year |
2019 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
35 |
Issue |
2 |
Pages |
30-40 |
| Keywords |
District nursing; Spinal cord injury; Complex health needs; Community health nurse; Nursing role |
| Abstract |
Aims to generate a descriptive account of the experiences of district nurses working with people with spinal cord injury (SCI). Conducts a qualitative descriptive study using semi-structured interviews with three district nurses about their role. Reveals three themes related to the district nurses' role: tasks; complexity; barriers/enablers affecting performance. Suggests that the role of district health nurses meeting the needs of people with SCI requires review. |
| Call Number |
NZNO @ research @ |
Serial |
1617 |
| Permanent link to this record |
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| Author |
Jauny, Ray; Montayre, Jed; Winnington, Rhona; Adams, Jeffery; Neville, Stephen |
| Title |
Nursing students' perceptions of assisted dying: a qualitative study |
Type |
Journal Article |
| Year |
2024 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
1-8 |
| Keywords |
Nursing students; Assisted dying; Surveys |
| Abstract |
Aims to gain insight into nursing students' views about assisted dying, given the questions surrounding nursing practices and responsibilities in relation to the service. Conducts a qualitative descriptive study using a paper-based questionnaire, among nursing students enrolled in a BN programme at a single tertiary institution in 2019. Identifies three categories of responses: approval of personal choice, disapproval due to personal beliefs, maintaining a professional stand. |
| Call Number |
NZNO @ research @ |
Serial |
1863 |
| Permanent link to this record |
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| Author |
Wright, Jane; Honey, Michelle |
| Title |
New Zealand nurses' experience of tele-consultation within secondary and tertiary services to provide care at a distance |
Type |
Journal Article |
| Year |
2016 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
32 |
Issue |
2 |
Pages |
30-38 |
| Keywords |
Telemedicine; Advanced nursing practice; Remote consultation; Telenursing; Telehealth |
| Abstract |
Aims to explore NZ registered nurses' experience of using tele-consultation to provide care at a distance. Using a general inductive approach, single semi-structured interviews were undertaken with nine experienced nurses who provide secondary and tertiary services to patients and healthcare teams. Identifies five themes relating to nurses' role in tele-consultation. |
| Call Number |
NZNO @ research @ |
Serial |
1518 |
| Permanent link to this record |
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| Author |
Oda, Keiko; Bakri, Noor; Majeed, Sarah; Ferguson, Catherine; Bartlett, Shennae; Holden, Rachel; Thomson, W Murray; Parsons, John; Boyd, Michal; Smith, Moira |
| Title |
Improving nursing oral care practice for care-dependent older adults though inter-professional collaboration: a study protocol |
Type |
Journal Article |
| Year |
2023 |
Publication |
Kaitiaki Nursing Research |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
1 |
Pages |
50-57 |
| Keywords |
Oral care; Dependent older adults; Inter-professional collaboration; Geriatric nursing; Oral care protocols |
| Abstract |
Aims to establish evidence-based oral care guidelines for nurses, in order to improve oral care for dependent adults. Considers how interprofessional collaboration and education (IPC/IPE) might improve nursing oral care practice. Intends to use guidelines in a pilot programme with community nurses caring for older adults living at home or in aged residential care. |
| Call Number |
NZNO @ research @ |
Serial |
1851 |
| Permanent link to this record |
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| Author |
Pool, Leanne Gay |
| Title |
The Nurse Educator in Aotearoa New Zealand |
Type |
Book Whole |
| Year |
2021 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
202 p. |
| Keywords |
Nurse educators; Nursing education; Nursing workforce; Kaiako Tapuhi |
| Abstract |
Aims to contribute to an understanding of the work of nurse educators by illustrating the effect that changing health care and nursing workforce demands have had on the nurse educator role. Employs both academic and narrative writing in order to traverse the complexity of being a nurse educator. Argues that the educator needs to position the role between education and nursing practice, fulfilling the role of Kaiako Tapuhi. |
| Call Number |
NZNO @ research @ |
Serial |
1743 |
| Permanent link to this record |
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| Author |
Wareham, P.; McCallin, A.; Diesfeld, K. |
| Title |
Advance directives: The New Zealand context |
Type |
Journal Article |
| Year |
2005 |
Publication |
Nursing Ethics |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
4 |
Pages |
349-359 |
| Keywords |
Law and legislation; Patient rights; Nursing; Ethics |
| Abstract |
Advance directives convey consumers' wishes about accepting or refusing future treatment if they become incompetent. There are associated ethical issues for health practitioners and this article considers the features that are relevant to nurses. In New Zealand, consumers have a legal right to use an advance directive that is not limited to life-prolonging care and includes general health procedures. Concerns may arise regarding a consumer's competence and the document's validity. Nurses need to understand their legal and professional obligations to comply with an advance directive. What role does a nurse play and what questions arise for a nurse when advance directives are discussed with consumers? This article considers the cultural dimensions, legal boundaries, consumers' and providers' perspectives, and the medical and nursing positions in New Zealand. |
| Call Number |
NRSNZNO @ research @ 1069 |
Serial |
1054 |
| Permanent link to this record |
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| Author |
Neville, S.J.; Gilmour, J.A. |
| Title |
Differentiating between delirium and dementia |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
9 |
Pages |
22-25 |
| Keywords |
Dementia; Psychiatric Nursing; Clinical assessment; Older people |
| Abstract |
Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources. |
| Call Number |
NRSNZNO @ research @ |
Serial |
983 |
| Permanent link to this record |
