| |
Records |
Links |
|
Author  |
O'Brien, A.J.; Hughes, F.; Kidd, J.D. |
|
| |
Title |
Mental health nursing in New Zealand primary health care |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
21 |
Issue |
1 |
Pages |
142-152 |
|
| |
Keywords |
Mental health; Primary health care; Nursing specialties; Community health nursing |
|
| |
Abstract |
This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care. |
|
| |
Call Number |
NRSNZNO @ research @ 730 |
Serial |
716 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Brien, A.J.; Kar, A. |
|
| |
Title |
The role of second health professionals under New Zealand mental health legislation |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
3 |
Pages |
356-363 |
|
| |
Keywords |
Scope of practice; Psychiatric Nursing; Nurse-patient relations |
|
| |
Abstract |
The development of generic statutory roles in mental health care has been the subject of discussion by New Zealand nurses for the past decade. One such role is that of second health professional in judicial reviews of civil commitment. Issues identified by New Zealand nurses have also been raised in England, where it seems that nurses are likely to assume the role of Approved Mental Health Worker under English mental health law. A survey of mental health nurses found that few had received any preparation for the role of second health professional and 45% did not feel adequately prepared for the role. Some of these issues are reflected in a New Zealand inquiry which resulted in the Ministry of Health developing a written report form for second health professionals. However, the form has the potential to reduce the mental health nursing role to a narrow legal role. Statutory roles such as that of second health professional challenge mental health nurses to critically reflect on the conceptual and ethical basis of their practice. While traditional concepts such as therapeutic relationships and advocacy need to be reviewed in light of these changes, nurses need to be vigilant in articulating the moral and clinical basis of their roles. The development of guidelines for the second health professional role is suggested as a way of supporting clinical practice in this area. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1045 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J. |
|
| |
Title |
Clinical indicators as measures of mental health nursing standards of practice in New Zealand |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
2 |
Pages |
778-788 |
|
| |
Keywords |
Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth |
|
| |
Abstract |
This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1059 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Brien, A.P.; O'Brien, A.J.; Hardy, D.J.; Morrison-Ngatai, E.; Gaskin, C.J.; Boddy, J.M.; McNulty, N.; Ryan, T.; Skews, G. |
|
| |
Title |
The New Zealand development and trial of mental health nursing clinical indicators: A bicultural study |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
International Journal of Nursing Studies |
Abbreviated Journal |
|
|
| |
Volume |
40 |
Issue |
8 |
Pages |
853-861 |
|
| |
Keywords |
Biculturalism; Psychiatric Nursing; Professional competence; Evaluation |
|
| |
Abstract |
This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5-89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
956 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Connell, M..P. |
|
| |
Title |
Perspectives on caring in the patient/nurse relationship |
Type |
|
| |
Year |
1994 |
Publication |
|
Abbreviated Journal |
Manawatu (UCOL) Library. |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
The caring experiences of patients and nurses, within the context of that relationship, within a mental health setting, were examined. A phenomenological approach was used to discover the meanings beyond the respondents descriptions and expressions of what it meant to be to be cared for, or to provide care |
|
| |
Call Number |
NRSNZNO @ research @ 165 |
Serial |
165 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Connor, M.P. |
|
| |
Title |
A survey for the detection of medication errors |
Type |
Miscellaneous |
| |
Year |
|
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 24 |
Serial |
24 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Connor, M.P.; Winitana, M.M. |
|
| |
Title |
A staffing experiment in nursing in a public hospital |
Type |
|
| |
Year |
1975 |
Publication |
New Zealand Nursing Journal |
Abbreviated Journal |
Southland Hospital Board |
|
| |
Volume |
69 |
Issue |
4 |
Pages |
8-11 |
|
| |
Keywords |
|
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 17 |
Serial |
17 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Malley, J. |
|
| |
Title |
Critical social analysis of acute institutionally based mental health nursing following an action research project |
Type |
|
| |
Year |
2001 |
Publication |
|
Abbreviated Journal |
NZNO Library, Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Hospitals; Quality of health care |
|
| |
Abstract |
This study using action research involving twelve registered nurses worked toward improving nursing care in an acute mental health in-patient service. Following focus groups with consumers, families, nurses, doctors, and allied health professionals, the action research group developed projects over eighteen months to improve continuity and consistency of nursing care. There was a subsequent restructuring of nursing service to better define leadership, accountability and to strengthen care delivery. The second half of the thesis involves a critical social analysis of the research data and produces a theory of mental health nursing which, the author suggests, has wide application in practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1133 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Reilly, A.F. |
|
| |
Title |
Relinquishing personhood in dementia: Discordant discourses: A nurse's inquiry |
Type |
|
| |
Year |
2002 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Dementia; Nursing; Nurse-patient relations; Relationships |
|
| |
Abstract |
This thesis traces the journey of the author's inquiry into family members' experience of the relinquishment of the personhood of a loved one with a dementia; a journey in which she reports that her own prior understandings were significantly challenged. The study was prompted by her experience of working in the area of dementia care and hearing, in the course of the working day, comments such as 'there's nobody there' made in relation to someone suffering from severe dementia. Such comments appear to imply that the person of the dementia sufferer in some way is no longer present. They are comments which relate to the very nature of personhood. The study takes impetus from the fact that the ways in which nurses view the personhood of dementia sufferers has significant consequences for the ways in which they respond to dementia sufferers and their families. This thesis, which retells the stories of four family members who each have a loved one with a dementia illness, reveals that rather than there being a unified concept of personhood in dementia, and in spite of the fact that particular understandings of dementia and personhood dominate our cultural conversations, in their day to day lives these four family members managed and made sense of their experience through particular and different ways of looking at the impact dementia has on the personhood of dementia sufferers. Not all did, in fact, relinquish the personhood of their family member. In their lived lives, the four research participants had recourse, each in different ways, to multiple discourses of personhood. For some, in addition to loss, there was also unexpected gain. This finding necessitated and shaped further inquiry into discourse and the role of discourse in shaping, constraining and opening up possibilities for meaning, and into the two substantive areas of dementia and personhood. Nurses work closely alongside the family of dementia sufferers who are daily faced with the challenge of managing and making meaning of that situation. It is critically important that they are able to recognise, validate and support the variety of needs that family members have. Nurses, whose education is traditionally based on a biomedical framework, are nevertheless often required to mediate between different understandings. Not only do they need currency of knowledge in the rapidly changing biomedical field of dementia, but they need also an understanding of the role and the power of discursive constructions of both dementia and personhood. Such understanding will provide insight into alternate ways of understanding these concepts. However, although such understanding is critical for nurses working in this area, the author suggests that nursing literature has not brought these discussions to the fore. |
|
| |
Call Number |
NRSNZNO @ research @ 792 |
Serial |
776 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Shea, M.; Reddy, L. |
|
| |
Title |
Action change in New Zealand mental health nursing: One team's perspective |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
2 |
Pages |
137-142 |
|
| |
Keywords |
Experiential learning; Psychiatric Nursing; Communication; Community health nursing |
|
| |
Abstract |
This paper describes an attempt at effecting change with specific relevance to the discharge planning of clients from a New Zealand inpatient mental health unit to a community setting. It explores how a team of community mental health nurses, practising in an urban/rural area, used the concepts of practice development to endeavour to bring about change while still retaining a client-centred focus. It describes how, in their enthusiasm, they embarked on the road to practice change without undertaking some of the essential ground work, Although they did not achieve all they set out to achieve, much was learnt in the process. In this paper, the authors outline their key learning points concerning the importance of engagement, communication, consistency and cooperation to the process and outcomes of practice change. |
|
| |
Call Number |
NRSNZNO @ research @ 897 |
Serial |
881 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Sullivan, C. |
|
| |
Title |
Cardiopulmonary resuscitation: Attitudes and knowledge of medical and nursing staff |
Type |
|
| |
Year |
2002 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Attitude of health personnel; Emergency nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 1262 |
Serial |
1247 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Sullivan, M. |
|
| |
Title |
Maximising, optimising, empowering: the work of the public health nurse in a college setting |
Type |
|
| |
Year |
1997 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 169 |
Serial |
169 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Oakley, J. |
|
| |
Title |
Nurses' attitudes towards night shifts |
Type |
Miscellaneous |
| |
Year |
|
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 77 |
Serial |
77 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
| |
|
| |
|
Author |
Officer, Tara N. |
|
| |
Title |
Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience |
Type |
Book Whole |
| |
Year |
2018 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
301 p. |
|
| |
Keywords |
Nurse practitioners; Primary health care; Advanced nursing practice; Pharmacist prescribers |
|
| |
Abstract |
Investigates how nurse practitioner and pharmacist prescriber roles are developing in NZ primary health care, and what is needed to better support the future development of these roles. Employs a qualitative research design involving semi-structured interviews of (1) policy, training, and advocacy stakeholders; (2) primary health-care nurse practitioners, pharmacist prescribers, and general practitioners; and (3) patients of advanced practitioners and carers of patients using such services. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1693 |
|
| Permanent link to this record |
