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Author (up) Pipi, Kataraina; Moss, Michelle; Were, Louise openurl 
  Title Nga manukura o apopo: sustaining kaupapa Maori nurse and midwifery leadership Type Journal Article
  Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 12 Issue 1 Pages 16-24  
  Keywords Maori nursing leadership; Maori nurses; Kaupapa Maori; Workforce  
  Abstract Analyses and synthesises the evaluation reports of the clinical leadership training programmes of Nga Manukura o Apopo, the national Maori nursing and midwifery workforce development programme. Considers how the marae-based Kaupapa Maori training approach contributed to the outcomes. Examines clinical leadership, recruitment, professional development and governance.  
  Call Number NZNO @ research @ Serial 1714  
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Author (up) Pirret, A M url  openurl
  Title Nurse practitioner diagnostic reasoning Type
  Year 2013 Publication Abbreviated Journal Available from the NZNO Library  
  Volume Issue Pages 280 pp  
  Keywords Nurse practitioners; Diagnostic reasoning; Diagnostic accuracy; Surveys; Decision-making theory  
  Abstract Uses a post-positivist mixed-methods convergent-parallel design to explore nurse practitioner diagnostic reasoning and compare it to that of registrars. Includes 30 nurse practitioners and 16 registrars in a case scenario. Outlines nurse practitioner practice in NZ and how the NZ title of nurse practitioner differs from that used internationally.  
  Call Number NZNO @ research @ Reference only Serial 1394  
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Author (up) Pirret, A.M. openurl 
  Title The level of knowledge of respiratory physiology articulated by intensive care nurses to provide rationale for their clinical decision-making Type Journal Article
  Year 2007 Publication Intensive & Critical Care Nursing Abbreviated Journal  
  Volume 23 Issue 3 Pages 145-155  
  Keywords Evaluation; Intensive care nursing; Clinical decision making; Nursing; Education  
  Abstract The objective of this paper is to outline a study firstly, assessing ICU nurses' ability in articulating respiratory physiology to provide rationale for their clinical decision-making and secondly, the barriers that limit the articulation of this knowledge. Using an evaluation methodology, multiple methods were employed to collect data from 27 ICU nurses who had completed an ICU education programme and were working in one of two tertiary ICUs in New Zealand. Quantitative analysis showed that nurses articulated a low to medium level of knowledge of respiratory physiology. Thematic analysis identified the barriers limiting this use of respiratory physiology as being inadequate coverage of concepts in some ICU programmes; limited discussion of concepts in clinical practice; lack of clinical support; lack of individual professional responsibility; nurses' high reliance on intuitive knowledge; lack of collaborative practice; availability of medical expertise; and the limitations of clinical guidelines and protocols. These issues need to be addressed if nurses' articulation of respiratory physiology to provide rationale for their clinical decision-making is to be improved.  
  Call Number NRSNZNO @ research @ Serial 933  
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Author (up) Pirret, A.M. openurl 
  Title The use of knowledge of respiratory physiology in critical care nurses' clinical decision-making Type
  Year 2005 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords Intensive care nursing; Clinical decision making  
  Abstract  
  Call Number NRSNZNO @ research @ 686 Serial 672  
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Author (up) Pirret, A.M. openurl 
  Title A preoperative scoring system to identify patients requiring postoperative high dependency care Type Journal Article
  Year 2003 Publication Intensive & Critical Care Nursing Abbreviated Journal  
  Volume 19 Issue 5 Pages 267-275  
  Keywords Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment  
  Abstract The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions.  
  Call Number NRSNZNO @ research @ 904 Serial 888  
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Author (up) Pitama, S.; Robertson, P.; Cram, F.; Gillies, M.; Huria, T.; Dalla-Katoa, W. openurl 
  Title Meihana model: A clinical assessment framework Type Journal Article
  Year 2007 Publication New Zealand Journal of Psychology Abbreviated Journal  
  Volume 36 Issue 3 Pages 118-125  
  Keywords Nursing models; Clinical assessment; Maori; Mental health  
  Abstract In 1984 Mason Durie documented a framework for understanding Maori health, Te Whare Tapa Wha, which has subsequently become embedded in Maori health policy. This article presents a specific assessment framework, the Meihana Model, which encompasses the four original cornerstones of Te Whare Tapa Wha, and inserts two additional elements. These form a practice model (alongside Maori beliefs, values and experiences) to guide clinical assessment and intervention with Maori clients and whanau accessing mental health services. This paper outlines the rationale for and background of the Meihana Model and then describes each dimension: whanau, wairua, tinana, hinengaro, taiao and iwi katoa. The model provides a basis for a more comprehensive assessment of clients/whanau to underpin appropriate treatment decisions.  
  Call Number NRSNZNO @ research @ Serial 459  
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Author (up) Plenty, J.; Seers, R. openurl 
  Title Incidence of backstrain in nurses and orderlies working in a geriatric unit (138 beds) Type
  Year 1984 Publication Abbreviated Journal North Shore Hospital (now Waitemata Health)  
  Volume Issue Pages  
  Keywords  
  Abstract In this study a questionnaire was designed to survey the incidence of back strain amongst staff members of a geriatric unit. This was completed by 71 staff members of a total of 99 forms issued. It would appear that back strain occurs in 70% of cases, but it is reported in only 8%. The causes of back strain in nursing are discussed and preventative measures outlined  
  Call Number NRSNZNO @ research @ 66 Serial 66  
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Author (up) Poffley, Cara url  openurl
  Title Everything matters: Exposing the complexity of stakeholder collaboration in clinical education for undergraduate nursing students Type Book Whole
  Year 2022 Publication Abbreviated Journal  
  Volume Issue Pages 221 p.  
  Keywords Nursing education; Acute care; Clinical competence; Clinical supervision; Surveys  
  Abstract Explores the complexity of values and beliefs along with contextual factors that enable and constrain stakeholder collaboration between student nurses, registered nurses in clinical practice, and academic clinical educators. Gathers data through focus groups and individual interviews to identify how and when collaboration among the stakeholders occurs.  
  Call Number NZNO @ research @ Serial 1840  
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Author (up) Polaschek, L.; Polaschek, N. openurl 
  Title Solution-focused conversations: A new therapeutic strategy in Well Child health nursing telephone consultations Type Journal Article
  Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 59 Issue 2 Pages 111-119  
  Keywords Telenursing; Communication; Evaluation  
  Abstract This paper reports a study to explore Well Child nurses' perceptions of outcomes resulting from the use of solution-focused conversations in their telephone consultations with clients. The standard problem-solving approach used to address physical issues is less effective for various non-physical concerns, where different communication strategies may be helpful. In this qualitative, action-oriented study, a small group of Well Child telenurses in New Zealand was introduced to a specific communication strategy, called 'solution-focused conversations', during 2005. They applied this approach in their practice and then reflected together on their experiences in focus groups. The nurses considered that the solution-focused conversations enabled clients to: recognise the nature of the parenting issue of concern that had motivated their call; identify more effective parenting practices to address specific issues with their child; increase their confidence in their own parenting capabilities. This study suggested the value of learning a specific communication strategy for the practice of a group of Well Child telenurses.  
  Call Number NRSNZNO @ research @ Serial 973  
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Author (up) Polaschek, N. openurl 
  Title Living on dialysis: Concerns of clients in a renal setting Type Journal Article
  Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 41 Issue 1 Pages 44-52  
  Keywords Nurse-patient relations; Psychology; Attitude to health; Terminal care  
  Abstract This article reports a study that sought to understand the experience of a group of Caucasian men with end stage renal failure managing their own haemodialysis therapy in their homes. The study used a critical interpretive methodology. The renal setting was critically viewed as a specialised health care context constituted by several interrelated discourses. Although established by the dominant professional discourse, it also includes a number of others, in particular an obscure client discourse that is a response to the dominant discourse. Initially, participants' own interpretations of their individual experiences were outlined. These were then collectively reinterpreted by contextualising them in terms of the critical view of the renal setting, in order to discern their own views as renal clients that were obscured by the language and ideas of the dominant discourse with which they had been enculturated. From an analysis of the set of accounts derived from interviews with six participants, four concerns of the renal client discourse were identified. These concerns were: (1) suffering from continuing symptoms of end stage renal failure and dialysis; (2) limitations resulting from negotiating dialysis into their lifestyle; (3) ongoingness and uncertainty of life on dialysis; and (4) altered relationship between autonomy and dependence inherent in living on dialysis. One specific implication of this study is that the distinctive potential of the nursing role in renal settings lies beyond the performance of a range of technical tasks, in addressing the experience of people living on dialysis, described here as the concerns of the renal client discourse.  
  Call Number NRSNZNO @ research @ Serial 1072  
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Author (up) Polaschek, N. openurl 
  Title Negotiated care: A model for nursing work in the renal setting Type Journal Article
  Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 42 Issue 4 Pages 355-363  
  Keywords Chronically ill; Nursing models; Nurse-patient relations; Communication  
  Abstract This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy.  
  Call Number NRSNZNO @ research @ Serial 1186  
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Author (up) Polaschek, N. url  openurl
  Title The concerns of Pakeha men living on home haemodialysis: A critical interpretive study Type
  Year 2000 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Gender; Chronically ill; Nursing  
  Abstract This nursing study seeks to understand the experience of one group of people with chronic renal failure using renal replacement therapy, Pakeha men living on home haemodialysis. It is based on the assumptions that people living on dialysis have distinctive experiences that are characterised by common concerns reflecting their shared position as subjects of renal illness and therapy. In order to understand the experience of people living on dialysis, this study develops a critical interpretive approach, seeking the participant's own interpretation of their individual experiences. The experiences are then reinterpreted them from a critical standpoint, recognising that they can only be adequately understood by contextualising them. This enables the researcher to discern the common perspective underlying them in contrast to the dominant professional viewpoint in the renal setting. The concerns identified include symptoms from chronic renal failure and dialysis, limitations resulting from the negotiation of the therapeutic regime into their lifestyle, their sense of ongoingness and uncertainty of living on dialysis, and the altered interrelationship between autonomy and dependence inherent in living on dialysis. The study suggests that the individual accounts can be understood as resulting from the interaction of the various dimensions of their own personal social locations, including their gender and ethnicity, with the concerns of client discourse, reflecting their common position as people living on dialysis. The author concludes that one implication of this understanding is that the role of nursing in the renal setting can be articulated as a response to the experience of the person living on dialysis. The nurse can support the renal client in seeking to integrate the requirements of the therapeutic regime into their personal situation.  
  Call Number NRSNZNO @ research @ Serial 1195  
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Author (up) Polley, H. openurl 
  Title Treating wounds with oxygen Type Journal Article
  Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue 2 Pages 16-17  
  Keywords Technology; Evidence-based medicine  
  Abstract This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited.  
  Call Number NRSNZNO @ research @ 1012 Serial 996  
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Author (up) Pool, L. openurl 
  Title How Culture Influences Choosing Nursing as a Career Type Journal Article
  Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library  
  Volume Issue 19 Pages  
  Keywords Careers in Nursing; Minority Groups; Nursing Shortage; Personnel Recruitment  
  Abstract The purpose of this study was to explore how young people make career choices and why young people choose or reject nursing as a career choice. This study has highlighted the complexity of this decision-making process, and the importance of making positive connections and offering appropriate support during this process. It seems that many young people are well equipped to make career decisions when given support.

The need to recruit people from minority cultures into nursing is a global issue. This study also highlights the need for an inter-sectoral approach to raise the profile of nursing and make a career that is attractive to young people.
 
  Call Number NZNO @ research @ Serial 1382  
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Author (up) Pool, L. openurl 
  Title Why do young people choose nursing as a career? Type Journal Article
  Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal  
  Volume 13 Issue Pages 25-33  
  Keywords Careers in nursing; Nursing; Education  
  Abstract  
  Call Number NRSNZNO @ research @ Serial 1039  
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