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| Author | Coupe, D. | ||||
| Title | How accountable is accountable for mental health nurses? | Type | |||
| Year | 2004 | Publication | Abbreviated Journal | Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Accountability; Nursing; Mental health | ||||
Abstract  |
Accountability has been described by nurses as an elusive concept or myth. The author suggests that this elusive concept or myth can partly be attributed to accountability becoming visible usually following a critical incident. The overall goal of this project is to provide nurses working within mental health with the incentive to raise their awareness and explore what their roles and responsibilities are within the accountability process in a more positive scenario. This research paper reports on an exploration of the key components of accountability within the New Zealand mental health environment. It describes significant influences that affect accountability. This is achieved by the means of a literature review, sharing of the author's experience of being involved in a national inquiry, and the adaptation of a who what and how framework, in conjunction with a diagram displaying accountability levels and lines for mental health nurses. The author points out that the domains of accountability for nurses will continue to evolve and expand but what remains important is that consumers have access to good quality mental health care. | ||||
| Call Number | NRSNZNO @ research @ 604 | Serial | 590 | ||
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| Author | Bennison, C. | ||||
| Title | Emergency nurses' perceptions of the impact of postgraduate education on their practice in New Zealand | Type | |||
| Year | 2008 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Nursing; Education | ||||
| Abstract |
ABSTRACT BACKGROUND: Emergency nursing is a specialty concerned with the care of people of all ages, with either perceived or actual unwellness presenting to the emergency department(ED) for assessment, resuscitation, investigation, treatment and review of their illness or injury. Emergency nurses apply specialty knowledge and expertise in the provision, delivery and evaluation of emergency nursing care. Over recent decades social, political and professional changes have affected nursing care delivery and nursing education. In particular the 21st century has witnessed the development of state funded postgraduate nursing education programmes, developing nurses specialty or advanced nursing knowledge, quality patient/client care and nursing practice within the tertiary education system. AIM: The aim of this study is to investigate emergency nurses? perceptions of the impact of postgraduate education on their practice in New Zealand (NZ). METHODS: This study utilises critical social theory as the overarching framework, informed by the writing of Jürgen Habermas (b.1929- ). It is the three phases of Habermas?s practical intent of critical social theory; namely enlightenment, empowerment and emancipation, that this study is concerned with. This descriptive research study employs both quantitative and qualitative methods and is therefore known as mixed-methods research. Data collection took place over 12 weeks, from August to November 2006, using a survey questionnaire obtained with permission from Ms Dianne Pelletier, Sydney, Australia. The sample included 105 emergency nurses from District Health Board (DHB) emergency departments in NZ, 10 respondents from this sample self-selected to be interviewed by telephone. Ethical approval for this study was obtained from the University of Otago Ethics Committee for research involving human participants. Data was analysed using the Statistical Package for Social Sciences (SPSS). RESULTS: Two main themes arose from the thematic analysis; these being positive and negative, these themes were further divided into 10 sub-themes. The results indicate that postgraduate study (PGS) has increased nurses? perception of their knowledge; leadership and understanding on the quality of patient care delivered, increased their academic and research skills and increased their confidence/self-esteem and recognition by their colleagues and team. Therefore the majority of respondents perceive postgraduate education has been an instrument of liberation and a process of empowerment and emancipation. A smaller percentage of respondents perceived that PGS had no effect on various aspects of patient care and another significantly smaller percentage of respondents reported negative results from PGS. This research identified similarities between this study and that of Pelletier and colleagues? (2003; , 2005; , 1998a; , 1998b) Australian study. CONCLUSION: This study adds to the existing literature on postgraduate studies undertaken by nurses. No known study has previously investigated solely emergency nurses?perceptions of the effects of PGS, either nationally or internationally. The results of this study offer enlightening information regarding emergency nurses? perceptions of their PGS within NZ and offers a platform from which other studies may be undertaken. It also has the potential to inform nurses contemplating PGS and educators facilitating these programmes,as well as provide implications for policy development by the Nursing Council of NZ, NZ Universities, DHBs and the Ministry of Health. |
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| Call Number | NRSNZNO @ research @ | Serial | 1291 | ||
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| Author | Therkleson,T. | ||||
| Title | Ginger compress therapy for adults with osteoarthritis | Type | Journal Article | ||
| Year | 2010 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
| Volume | 66 | Issue | 10 | Pages | 2225?2233 |
| Keywords | Ginger compress therapy; Giorgi?s method; nursing; osteoarthritis | ||||
| Abstract |
Abstract Aim. This paper is a report of a study to explicate the phenomenon of ginger compresses for people with osteoarthritis. Background. Osteoarthritis is claimed to be the leading cause of musculoskeletal pain and disability in Western society. Management ideally combines non-pharmacological strategies, including complementary therapies and pain-relieving medication. Ginger has been applied externally for over a thousand years in China to manage arthritis symptoms. Method. Husserlian phenomenological methodology was used and the data were collected in 2007. Ten purposively selected adults who had suffered osteoarthritis for at least a year kept daily diaries and made drawings, and follow-up interviews and telephone conversations were conducted. Findings. Seven themes were identified in the data: (1) Meditative-like stillness and relaxation of thoughts; (2) Constant penetrating warmth throughout the body; (3) Positive change in outlook; (4) Increased energy and interest in the world; (5) Deeply relaxed state that progressed to a gradual shift in pain and increased interest in others; (6) Increased suppleness within the body and (7) More comfortable, flexible joint mobility. The essential experience of ginger compresses exposed the unique qualities of heat, stimulation, anti-inflammation and analgesia. Conclusion. Nurses could consider this therapy as part of a holistic treatment for people with osteoarthritis symptoms. Controlled research is needed with larger numbers of older people to explore further the effects of the ginger compress therapy. |
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| Call Number | NZNO @ research @ | Serial | 1346 | ||
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| Author | Wilkinson, J.A.; Huntington, A.D. | ||||
| Title | The personal safety of district nurses: A critical analysis | Type | Journal Article | ||
| Year | 2004 | Publication | Nursing Praxis in New Zealand | Abbreviated Journal | |
| Volume | 20 | Issue | 3 | Pages | 31-44 |
| Keywords | District nursing; Occupational health and safety; Organisational culture; Risk factors | ||||
| Abstract |
A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 549 | ||
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| Author | Litchfield, M.; Ross, J. | ||||
| Title | The role of rural nurses: National survey | Type | Report | ||
| Year | 2000 | Publication | Abbreviated Journal | Online on the Ministry of Health's Centre for Rural Health pages | |
| Volume | Issue | Pages | |||
| Keywords | Rural nursing; Personnel; Nursing specialties; Primary health care | ||||
| Abstract |
A survey was used to reach as many nurses as possible involved with nursing in “rural” areas throughout New Zealand and to build a profile of nurses involved in the provision of healthcare beyond the urban centres. The contact also sought to inform nurses of the rural healthcare project and encourage them to contribute their experience to the development of health services in the new health service structure. Data is presented on the characteristics and employment conditions of nurses and access to resources including information technology. The inadequacy of information on the rural nurse workforce is identified: nurse roles are historically defined yet employment patterns are changing according to the workforce demands of new structures, and the existing definitions of rural health service design and delivery are only in terms of general medical practices and on-call coverage. Recommendations are made for definitions of “rurality” and “rural nurse” that will allow a more useful depiction of the nurse workforce. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1175 | ||
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| Author | Giddings, D.L.S.; Smith, M.C. | ||||
| Title | Stories of lesbian in/visibility in nursing | Type | Journal Article | ||
| Year | 2001 | Publication | Nursing Outlook | Abbreviated Journal | |
| Volume | 49 | Issue | 1 | Pages | 14-19 |
| Keywords | Sexuality; Nursing; Identity; Work | ||||
| Abstract |
A study of the life histories of five self-identified lesbian women in nursing is reported. A metastory of “In/Visibility” captured the essence of lesbians being the focus of intense scrutiny while at the same time feeling the pressure to keep their lifestyle and identity hidden from others. Seven story themes were elaborated: closeting of lesbianism in nursing, isolating and hiding from self and others, living a double-life, self-loathing and shame, experiencing discrimination from others, keeping safe, and threatening others who are closeted. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 844 | ||
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| Author | Litchfield, M. | ||||
| Title | Knowledge embedded in practice | Type | Journal Article | ||
| Year | 1989 | Publication | Kai Tiaki: Nursing New Zealand | Abbreviated Journal | |
| Volume | 82 | Issue | 10 | Pages | 24-25 |
| Keywords | Nursing research; diagnosis; Education; Nursing philosophy | ||||
| Abstract |
A statement of the nature of research needed to distinguish the knowledge of nursing practice from knowledge developed by other disciplines. It orients to the interrelationship of practice and research as the foundation of the discipline of nursing. | ||||
| Call Number | NZNO @ research @ | Serial | 1315 | ||
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| Author | Webby, A. | ||||
| Title | Developing safe nursing practice for Maori | Type | Journal Article | ||
| Year | 2001 | Publication | Kai Tiaki: Nursing New Zealand | Abbreviated Journal | |
| Volume | 7 | Issue | 1 | Pages | 16-17 |
| Keywords | Maori; Psychiatric Nursing; Nursing models | ||||
| Abstract |
A safe mental health nursing practice for Maori is defined as one that includes Maori ways of knowing. The author also notes that Maori mental health nurses must be given the ability to create their own practice to best meet their clients' needs. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1028 | ||
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| Author | Turnwald, A.B. | ||||
| Title | Acute Hypercarbia in Chronic Obstructive Pulmonary Disease (COPD): Presentations to a New Zealand emergency department | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | ResearchArchive@Victoria | |
| Volume | Issue | Pages | |||
| Keywords | Chronically ill; Clinical assessment; Emergency nursing | ||||
| Abstract |
A retrospective descriptive design was used to examine the records of all presentations to the emergency department of patients with COPD over a 3-month period to determine whether there is a subset group of people who present with hypercarbia. There were 114 presentations, amongst those there were 71 individuals, a number presenting more than once within the three months. 80% of the 71 individuals had a smoking history of which 53% were female. Of the 114 presentations, 76 had arterial blood gases taken during their emergency department presentation. Of these 76 presentations 30 had hypercarbia and 46 were non-hypercarbia. These 76 presentations involved 58 individuals, with some individuals presenting five times over the three-month period. Three groups emerged, some who were only hypercarbia (n= 18), some in the non-hypercarbia group (n=35) and 5 individuals who had presentations in both the hypercarbia and non-hypercarbia groups. Data showed that there was no definable subset group of hypercarbia patients within acute exacerbations of COPD presenting to the emergency department according to the variables. However the sample of presentations (with a blood gas) found within the study suffering hypercarbia was much higher (31.1%) than anticipated. Further analysis showed that the hypercarbia group had a significant lower forced expiratory volume in one second (FEV1) and a combination diagnosis of emphysema or asthma and congestive heart failure. An implication to the clinician is that identification of hypercarbia within COPD exacerbation is problematically difficult until the late signs are shown with the individual. By that time effective treatment patterns may have changed from the initial presenting problem. The author concludes that future areas of research within this field needs to lie within the community, and look at when these people start the exacerbation, what leads them to progression presentation to the emergency department, and whether these people are chronic sufferers of hypercarbia or presenting after a period of days exacerbation within their own home. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1210 | ||
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| Author | Armstrong, S.E. | ||||
| Title | Exploring the nursing reality of the sole on-call primary health care rural nurse interface with secondary care doctors | Type | Book Chapter | ||
| Year | 2008 | Publication | Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 225-46) | Abbreviated Journal | Ministry of Health publications page |
| Volume | Issue | Pages | |||
| Keywords | Interprofessional relations; Rural nursing; Primary health care | ||||
| Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors. This study is framed as investigating a specific component of rural nursing practice and as being representative of the primary-secondary care interface. The primary-secondary care interface is crucial for the delivery of patient-centered care, and there is an increased focus on preventive primary health care. The New Zealand government sees the repositioning of professional roles and increasing emphasis on collaboration as an opportunity to re-define and address the current constraints to nursing practice. This has resulted in tensions between the medical and nursing professions. These tensions are not new, with the relationship sometimes marred by conflict which has been attributed to historical medical dominance and nursing deference. This study explores some specific areas which affect collaboration and makes recommendations at the national, regional and individual level to address them. | ||||
| Call Number | NRSNZNO @ research @ 780 | Serial | 764 | ||
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| Author | Armstrong, S.E. | ||||
| Title | Exploring the nursing reality of the sole on-call primary health care rural nurse (PHCRN) interface with secondary care doctors | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | University of Otago Library | |
| Volume | Issue | Pages | |||
| Keywords | Rural nursing; Rural health services; Relationships | ||||
| Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors as a component of rural nursing practice and representative of the primary-secondary care interface. Crucial to patient centred care, the premise was that the quality of this interface would be variable due to multiple influences such as: the historical nurse/doctor relationship that has perpetuated medical dominance and nursing subordination; current policy direction encouraging greater inter-professional collaboration; and changing role boundaries threatening traditional professional positioning. A total of 11 nurses representing 10 separate rural areas participated in semi-structured interviews. Rural nurses typically interact with secondary care doctors for acute clinical presentations with two tiers of interaction identified. The first tier was presented as a default to secondary care doctors for assistance with managing primary care level clinical presentations in the absence of access to a general practitioner or an appropriate Standing Order enabling appropriate management. The second tier presented itself as situations where, in the professional judgement of the nurse, the client status indicated a need for secondary level expertise and/or referral to secondary care. The needs of the rural nurse in these interactions were identified as access to expertise in diagnosis, therapy and management, authorisation to act when intervention would exceed the nurse's scope of practice; the need to refer clients to secondary care; and the need for reassurance, encompassing emotional and professional issues. The quality of the interactions was found to be variable but predominantly positive. Professional outcomes of positive interactions included professional acknowledgement, support and continuing professional development. For the patient, the outcomes included appropriate, timely, safe intervention and patient centred care. The infrequent but less than ideal interactions between the participants and secondary care doctors led to professional outcomes of intraprofessional discord, a sense of invisibility for the nurse, increased professional risk and professional dissatisfaction; and for the client an increased potential for deleterious outcome and suffering. Instead of the proposition of variability arising from interprofessional discord and the current policy direction, the data suggested that variability arose from three interlinking factors; appropriate or inappropriate utilisation of secondary care doctors; familiarity among individuals with professional roles and issues of rurality; and acceptance by the primary care doctor of the sole on-call primary health care rural nurse role and the responsibility to assist with the provision of primary health care. Recommendations for improving interactions at the interface include national, regional and individual professional actions. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 493 | ||
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| Author | Isaac, D. | ||||
| Title | Passionate dedication: A qualitative descriptive study of nurses' and hospital play specialists' experiences on a children's burn ward | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | Auckland University of Technology Library | |
| Volume | Issue | Pages | |||
| Keywords | Children; Nursing specialties; Mentoring; Job satisfaction | ||||
| Abstract |
A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through. The author suggests that this study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The author identifies that the implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place. | ||||
| Call Number | NRSNZNO @ research @ 577 | Serial | 563 | ||
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| Author | Kaviani, N.; Stillwell, Y. | ||||
| Title | An evaluative study of clinical preceptorship | Type | Journal Article | ||
| Year | 2000 | Publication | Nurse Education Today | Abbreviated Journal | |
| Volume | 20 | Issue | 3 | Pages | 218-226 |
| Keywords | Preceptorship; Nursing; Education; Evaluation research | ||||
| Abstract |
A preceptorship programme of 100 hours duration was developed and delivered by a nurse education institute, in consultation with a health care organisation. The purpose of the study was to examine preceptors, preceptees, and nurse managers' preceptions of the preceptor role and factors which influenced the performance of preceptors. Using focus groups, participants were each asked to identify the outcomes of the programme in practice. Study findings highlighted the importance of formal preceptor preparation, personal and professional development of the preceptors, and the promotion of positive partnerships between nurse educators and nurse practitioners. The need for formal recognition of the preceptor role in practice, particularly in relation to the provision of adequate time and resources, emerged from the study. The research findings enabled the development of an evaluative model of preceptorship, which highlights the intrinsic and extrinsic factors impacting on the preceptor role | ||||
| Call Number | NRSNZNO @ research @ | Serial | 654 | ||
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| Author | Clear, G.M.; Carryer, J.B. | ||||
| Title | Shadow dancing in the wings: Lesbian women talk about health care | Type | Journal Article | ||
| Year | 2001 | Publication | Nursing Praxis in New Zealand | Abbreviated Journal | |
| Volume | 17 | Issue | 3 | Pages | 27-39 |
| Keywords | Sexuality; Patient satisfaction; Nursing research; Quality of health care; Feminist critique | ||||
| Abstract |
A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored factors which hindered or facilitated these women's sense of safety related to health care. The findings indicate that barriers to receiving health care exist for these women. As there is little local or international research on lesbians and healthcare, this work offers a starting place for future New Zealand nursing research involving lesbians. The authors encourage other nurses to explore previously ignored sections of our society in order to strive for safety for all those whom nursing serves. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 843 | ||
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| Author | Litchfield, M. | ||||
| Title | The language of nursing practice in hospitals | Type | Conference Article | ||
| Year | 1997 | Publication | Abbreviated Journal | held by NZNO Library and author | |
| Volume | Proceedings of the National Nursing Informatics Co | Issue | Pages | ||
| Keywords | Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans | ||||
| Abstract |
A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions. | ||||
| Call Number | NZNO @ research @ | Serial | 1322 | ||
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