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Author  |
Ritchie, M.S. |
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Title |
Process evaluation of an emergency department family violence intervention programme |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Issue |
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Pages |
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Keywords |
Emergency nursing; Evaluation |
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Abstract |
Family violence is common and there are significant long-term negative health effects from victimisation. Health professionals are now recognised as key providers of family violence intervention. The Hawke's Bay District Health Board HBDHB) launched a Family Violence Intervention Programme in the emergency department in 2002, in accordance with national directives. The Family Violence Intervention Programme includes routine questioning for partner abuse within social history assessments for all women 16 years and over who seek healthcare services. Nurses assumed responsibility for implementing this programme into emergency department practice. Establishing partner abuse screening in practice requires an organisational and attitudinal change. Achieving and sustaining this change can be difficult. Evaluation was considered an essential aspect of the systems approach adopted within the HBDHB Family Violence Intervention Programme to support change. The aim of this study was to identify the enablers and barriers to routine questioning in the emergency department one year after the programme was launched and the strategies to address these barriers. The staff who have responsibility for routinely questioning women were considered well placed to provide this information. The methodology selected was evaluation research using semi-structured interviews. The design included member checking and triangulation of the findings. Eleven emergency department staff members participated in five (two group and three single) interviews. The interviews revealed that routine questioning for partner abuse is difficult in the emergency department setting. Barriers to questioning exist and enablers can eliminate or minimise these. Enablers such as policy and training support routine questioning. Barriers identified included the lack of privacy and time. Participants suggested strategies to overcome these. These barriers, enablers and solutions were either personal or organisational in origin and all had a common theme of safety. An outcome of the study was the development of a model of barriers and enablers to ensure safety when routinely questioning women for partner abuse. This evaluation has utility within the HBDHB as it informs programme progression. However, the evaluation has wider implications. The experiences of the emergency department staff led to the emergence of key themes that may inform the development of comparable programmes. Introducing routine questioning requires a practice change; a multifaceted approach focusing on safety can assist staff to achieve that change. |
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Call Number |
NRSNZNO @ research @ |
Serial |
851 |
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Author |
Roberts, C. |
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Title |
The influence of nursing culture on family visiting in adult intensive care units |
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Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Issue |
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Pages |
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Keywords |
Intensive care nursing; Nurse-family relations; Culture; Nursing |
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Abstract |
This dissertation considers the implications of the relationship between nurses and the patient's family, when family members visit intensive care units (ICUs) following the acute admission of a relative there. In particular it explores the issues of power and control, nurses might have in this setting, the culture that supports that, and the implications this has for practice in the New Zealand context. A comprehensive literature review on the perspective of nurses in relation to relatives visiting adult intensive care units was conducted. The author concludes that nurses modify policies related to visiting access for family members to suit themselves, and the needs of their patient. Nurses use a variety of tactics to maintain a position of power and control by looking out for themselves first, their patient second, and relatives third. The need of the patient and their families is not well understood by nurses, and nurses feel they have inadequate skills to cope with the needs and stresses of visiting relatives. The author suggests that for nurses to provide family focused care in ICU they must develop a therapeutic relationship with all concerned. ICU nursing culture affects nurses ability to focus on caring for their patients and their families. Nurses in ICU appear to need to maintain power and control over their environment but further research is needed to identify the current situation in New Zealand ICUs. |
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Call Number |
NRSNZNO @ research @ |
Serial |
502 |
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Author |
Roberts, F. |
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Title |
The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme |
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Year |
1999 |
Publication |
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Abbreviated Journal |
NZNO Library, Victoria University of Wellington Library |
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Issue |
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Pages |
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Keywords |
Careers in nursing; Professional development; Registered nurses |
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Abstract |
This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place. |
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Call Number |
NRSNZNO @ research @ 1150 |
Serial |
1135 |
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Author |
Roberts, Jennifer |
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Title |
An investigation into the preparedness for and experiences in working with Maori nursing students among New Zealand tertiary institutes, schools and nurse educators |
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Book Whole |
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Year |
2020 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
222 p. |
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Keywords |
Maori students; Nursing students; Nursing education; Nurse educators; Te Ao Maori; Cultural safety |
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Abstract |
Performs an explanatory sequential mixed-methods study comprising a questionnaire followed by interviews, to understand the experiences and preparedness of nurse educators in working with Maori nursing students. Demonstrates that throughout NZ, nursing schools and the educational institutes in which they are situated are informed by a range of strategies aimed at supporting Maori learners. Finds from interviews that environments encompassing te ao Maori (the Maori world) and staff practises that aligned with this were enabling for Maori nursing students. |
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Call Number |
NZNO @ research @ |
Serial |
1758 |
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Author |
Roberts, Jennifer; Floyd, Sue; Thompson, Shona |
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Title |
The clinical nurse specialist in New Zealand : how is the role defined? |
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Journal Article |
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Year |
2011 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
27 |
Issue |
2 |
Pages |
24-35 |
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Keywords |
Clinical nurse specialist; Advanced nursing practice; Clinical expert |
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Abstract |
Reports the findings from research designed to investigate the role of the clinical nurse specialist (CNS) and how it is defined by New Zealand District Health Boards (DHBs). Identifies the current requirements and expectations of the CNS role and how it is defined in practice. Collects 15 CNS job descriptions from 8 DHBs, subjecting them to thematic analysis yielding 4 key areas of the CNS role. |
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Call Number |
NZNO @ research @ |
Serial |
1465 |
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Author |
Roberts, M.H. |
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Title |
An exploration of the experiences of Maori nurses in Aotearoa/New Zealand |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Maori; Nursing; Cultural safety; History |
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Abstract |
The author describes the purpose of her writing as exploring the journeys that Maori have experienced within the nursing profession of Aotearoa/New Zealand. It presents the reader with insight into these journeys by examining a broad range of events and experiences from pre European contact up to contemporary times. The intention of providing these insights is for the reader to be made aware of not only the “uniqueness” that Maori nurses bring to the profession in New Zealand but to give voice to the many untold experiences of Maori nurses. The Nursing Council of New Zealand (NCNZ), numerous Maori and non- Maori academics have long acknowledged the uniqueness of Maori health perspectives and needs. However, the author notes there is limited literature which specifically discusses experiences of Maori consumers of health services and until recently, exploration of the experiences of Maori nurses has been limited. The Ministerial Taskforce of Nursing (1998) identified the paucity of research related to Maori nursing and acknowledges the need for Maori nurses to develop a body of knowledge specifically focused in this area. To this end, the author intended that this work would contribute to the increasing body of knowledge regarding this unique group within the nursing profession of Aotearoa/New Zealand.The discussion includes revisiting the history of nursing in Aotearoa/New Zealand and critiquing the participation of Maori nurses. The experiences of Maori nurses and students from within the education sector is detailed with a particular focus on their experiences of Kawa Whakaruruhau / Cultural safety. Contemporary issues for Maori nurses are critiqued and possible solutions offered along with details of the writer's vision for the future direction of Maori within the wider nursing profession in Aotearoa/New Zealand. |
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Call Number |
NRSNZNO @ research @ |
Serial |
593 |
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Author |
Robertson, A.M. |
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Title |
Rural women and maternity services |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 179-97) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Midwifery; Rural nursing; Professional competence; History of nursing |
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Abstract |
The author discusses the roles that nurses undertake in response to rural communities' health needs, focusing on the provision of maternity service. The author reviews structural changes such as the 1990 Amendment to the Nurses Act 1977 which, the author suggests, introduced a climate of professional rivalry, changes in funding that cut back general practitioners in the field, and the development of Lead Maternity Carers. Despite controversial developments, New Zealand maternity services have evolved to include a unique and internationally respected model of midwifery care. However, the author highlights several areas that limit the positive contribution of rural nurses and midwives. These include workforce recruitment and retention, equity of access, and issues around maintaining competency and education. |
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Call Number |
NRSNZNO @ research @ |
Serial |
761 |
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Author |
Robertson, A.M. |
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Title |
Meeting the maternity needs of rural women: Negotiating the reality of remote rural nursing and midwifery practice |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Rural nursing; Midwifery |
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Abstract |
Recent changes to the way that health services are provided and issues related to the rural health workforce are creating an international crisis in the availability of rural maternity care. International trends show a workforce decline in rural general practitioner obstetric specialists and rural midwives, as well as a decline in rural births. The aim of this study is to highlight the maternity needs of rural New Zealand women. Further, it discusses how the changes to maternity services in New Zealand, over the last sixteen years, have impacted on the rural nurse and midwife role and therefore on service provision. This information is intended to identify issues that could be used as the basis for development of a uniquely rural model of maternity care. |
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Call Number |
NRSNZNO @ research @ |
Serial |
510 |
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Author |
Robertson, G. |
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Title |
Disquiet in the development of clinical supervision for professional development in nursing practice: A literature review |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Clinical supervision; Professional development; Nursing |
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Abstract |
Nursing literature reflects that nurses have been exploring and experiencing the process of clinical supervision for well over a decade. Nurses in the United States, United Kingdom, Scandinavia, and Australasia have written much over the past fifteen years. However, the author notes that nurses grapple with what clinical supervision is within nursing development and disquiet continues to emerge in the literature. This literature review expands on themes that surround this disquiet. These centre on continued confusion and lack of clear definition; whether psychotherapy is implemented under the guise of clinical supervision, who uses it, and the dearth of empirical evaluation of its effectiveness. The lack of significant empirical evidence of its ability to assist practitioners to deliver improved patient/client care continues despite claims of improved professional and personal development, therapeutic relationship, and occupational stress management. These claims come from both supervisees and supervisors. The manner in which clinical supervision is portrayed in nursing in that it is frequently referred to as a support system, rather than one of learning a complex set of communication skills is also highlighted. The continued debate on what model(s) best suit nurses, or whether line management should provide clinical supervision as a means to ensure quality standards and control over nursing practice and optimal patient care is discussed. Whether nursing should stop borrowing from other fields and develop their own model(s) is also raised. Two emerging stances focus on a process that is practice-based as identified by senior staff and management, or one that continues along the lines of what psychotherapy has developed with practitioner-identified developmental needs. These issues raise many questions for further development in nursing, one being are nurses developed enough in their self-awareness to understand what they are to adopt into their practice? Authentic voices from those nurses experienced in the practice of providing and receiving clinical supervision, are shaping therapeutic practice for nurses in the future, and continue to sharpen the debate. Some reference to unpublished data and local practice in the Wellington area have been included as a stimulus for further incorporation of clinical supervision in local practice development. |
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Call Number |
NRSNZNO @ research @ |
Serial |
794 |
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Author |
Robertson, Heather R; Neville, Stephen |
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Title |
Health promotion impact evaluation : 'healthy messages calendar (Te maramataka korero hauora)' |
Type |
Journal Article |
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Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
24 |
Issue |
1 (Mar) |
Pages |
p.24-35 |
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Keywords |
Health promotion; Inequalities; Impact evaluation; Maori health |
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Abstract |
Evaluates the project to determine if it was an effective health promotion tool for the dissemination of health information. Obtains qualitative data from 5 focus groups and analyses data using a general inductive approach. Concludes that there are positive links between health promotion practices and the health needs of a local community. |
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Call Number |
NZNO @ research @ |
Serial |
1430 |
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Author |
Robertson, Heather; Carryer, Jenny; Neville, Stephen |
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Title |
Diffusion of the Primary Health Care Strategy in a small District Health Board in New Zealand |
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Journal Article |
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Year |
2015 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
31 |
Issue |
3 |
Pages |
17-26 |
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Keywords |
Diffusion; innovation; primary health care (PHC); primary health care nursing |
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Abstract |
Reports the findings of a study examining aspects of the implementation of the Primary Health Care Strategy on primary health care nursing in a small district health board (DHB) in NZ. Conducts an instrumental case study informed by onstructionism and underpinned by a qualitative interpretive design. Collects data from policy documents and strategic plans and by means of interviews with managers at middle and senior levels at the local DHB and two PHOs. |
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Call Number |
NZNO @ research @ |
Serial |
1511 |
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Author |
Robertson, Sheree; Thompson, Shona |
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Title |
Nursing services in student health clinics in New Zealand tertiary education institutes |
Type |
Journal Article |
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Year |
2019 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
35 |
Issue |
2 |
Pages |
7-17 |
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Keywords |
Student health clinics; Tertiary students; Sexual health; Mental health; International students |
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Abstract |
Discovers which nursing services are available to students in health clinics in NZ tertiary education institutes and how the clinics are structured. Surveys nurses practising in 16 of 22 institutes with student health services, about the types of services offered. Identifies sexual health, mental health and health education as the primary services, with sexual health and mental health the most utilised. Notes the increasing use of student health services by international students. |
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Call Number |
NZNO @ research @ |
Serial |
1615 |
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Author |
Robertson-Green, B. |
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Title |
Enabling choice, public health nurses' perceptions of their work with children and their families |
Type |
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Year |
1993 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
This is a grounded theory study which looked at the perceptions of public health nurses regarding their work. This study focuses on their work with children within the context of their families and their communities |
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Call Number |
NRSNZNO @ research @ 189 |
Serial |
189 |
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Author |
Robinson, T. |
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Title |
Advancing nursing practice and deep vein thrombosis prevention |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Cardiovascular diseases; Nursing; Prevention |
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Abstract |
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Call Number |
NRSNZNO @ research @ 477 |
Serial |
464 |
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Author |
Rochford, N.M. |
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Title |
As a nurse in the family: Three women's stories of what it means for a female nurse to be caregiver to a family member who is ill, elderly or with an enduring illness |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse-family relations |
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Abstract |
In this research, three female registered nurses relived their experiences of being caregiver to a family member who was ill, elderly or had an enduring illness and explored whether they chose, or felt obligated, to assume the role of caregiver because they were nurses. This research was an exploratory descriptive study utilising narrative as inquiry and the method of story-telling. It is women-centered, taking into account the unpaid role of caregiving within families most often fulfilled by women. Four main themes were identified and renamed to highlight research findings – these were the culture of nursing, silence of the nurses, emotional cloudiness, and the natural role of the nurse. Through this study it is hoped that nurses will be more aware of the impact their caregiving roles have had on their lives. The importance in acknowledging the effects of caregiving, relevance of informing employers to promote supportiveness, implications for workforce development and recognising the loss of objectivity in caring when emotions are involved, are identified in this research. The author suggests that further indepth research about these concepts would be a valuable contribution to the nursing profession and ideas for future research have been identified. |
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Call Number |
NRSNZNO @ research @ |
Serial |
802 |
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