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Author (up) Lyall, C. openurl 
  Title Therapeutic relationships: What are inpatient registered nurses perceptions of the factors which influence therapeutic relationship development? Type
  Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Psychiatric Nursing; Registered nurses; Nurse-patient relations; Mental health  
  Abstract The question explored in this research project is: What are inpatient registered nurses' perceptions of the factors which influence therapeutic relationship development? The literature reviewed for this project includes the history of interpersonal relationships in nursing; therapeutic relationships; what constitutes these relationships. Also discussed is literature about phenomenology as the underlying theoretical and philosophical position that informs the research method. To answer the research question a single focus group was used to gather data from a group of registered nurses practising in inpatient mental health units. Focus groups as a data collection method produce data and insights that would not be accessible without the group interaction. The key themes to emerge from the data analysis were; time, environment, knowing / self-awareness, compassion and power imbalance / empowerment. These key themes are discussed in relation to the literature and the wider context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations to nurses, nurse leaders and managers who aim to provide therapeutic mental health unit environments.  
  Call Number NRSNZNO @ research @ Serial 1245  
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Author (up) Lyford, S.; Cook, P. openurl 
  Title The Whanaungatanga model of care Type Journal Article
  Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 21 Issue 2 Pages 26-36  
  Keywords Maori; Hospitals; Nursing models  
  Abstract The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme.  
  Call Number NRSNZNO @ research @ Serial 538  
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Author (up) Lynch, T.M. openurl 
  Title A qualitative descriptive study of youth with Crohn's disease Type
  Year 2005 Publication Abbreviated Journal NZNO Library  
  Volume Issue Pages  
  Keywords Diseases; Adolescents; Nursing  
  Abstract  
  Call Number NRSNZNO @ research @ 1143 Serial 1128  
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Author (up) Lynes, H. openurl 
  Title Partnership or collaboration? Exploring professional relationships between public health nurses and school staff in Otago, New Zealand Type
  Year 2004 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Public health; Nursing; Nurse-family relations; School nursing  
  Abstract School staff are a conduit by which children and families can access the public health nursing service and the public health nurses can access children and their families. The author notes that, to benefit children, public health nurses need more than knowledge of health issues; they need to understand how to work well with staff from the education sector. A good professional relationship between public health nurses and school staff will therefore ultimately result in a benefit to children's health. This thesis reviews the literature using an interpretive lens to examine the position of public health nurses and schools. It argues that public health nurses need to access expertise from other sources besides nursing in order to develop and sustain the skills of relating professionally to staff from the education sector. It proposes collaboration as a model of public health nursing practice with school staff but recognises that further research on inter-sectorial collaboration is necessary.  
  Call Number NRSNZNO @ research @ Serial 836  
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Author (up) MacDonald, L.M. url  openurl
  Title Nurse talk: Features of effective verbal communication used by expert district nurses Type
  Year 2003 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Communication; Nurse-patient relations; District nursing  
  Abstract This thesis represents an appreciative enquiry to identify features of effective verbal communication between nurses and patients. Using a method developed by the Language in the Workplace Project (Stubbe 1998) two nurse participants recorded a small sample of their conversations with patients as they occurred naturally in clinical practice. These six conversations constitute the main body of raw data for the study. The data was analysed using a combination of discourse and ethnographic analysis. Experience in nursing, particularly insider knowledge of the context of district nursing, helped me to uncover the richness of meaning in the conversations. The subtle interconnections and nuances could easily have been missed by an outside observer. The study has shown that in their interactions with patients, expert nurses follow a pattern in terms of the structure and content of the conversations and it is possible to identify specific features of effective nurse-patient communication within these conversations. The most significant of these are the repertoire of linguistic skills available to nurses, the importance of small talk and the attention paid by nurses to building a working relationship with patients, in part, through conversation. The findings have implications for nursing education and professional development.  
  Call Number NRSNZNO @ research @ 1180 Serial 1165  
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Author (up) Macfarlane, K. openurl 
  Title Communicating changes in a patient's condition: A critical incident approach Type
  Year 2006 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Communication; Clinical assessment; Physicians; Nursing; Relationships  
  Abstract This study explores how registered nurses working within the acute surgical ward environment of a New Zealand hospital communicate changes in a patient's condition. The purpose of this research study was to examine the processes, communication techniques and behaviours that nurses use, in order to determine the critical requirements for registered nurses to effectively communicate changes in patients' conditions to doctors. The critical incident technique developed by Flanagan (1954) was adapted and used to explore incidents that occurred when six registered nurses working in acute surgical wards communicated a change in a patient's condition to a doctor. Communication is an integral part of everyday activity. This study has shown an assessment process occurs before communication can take place. A nurse's concern for a patient's condition initiates the assessment process. A judgement is formed from the nurse's concern that a patient's condition has changed. Judgements take into account multiple ways of knowing including pattern recognition, empirical knowing and intuition. Institutional protocols also affect judgements and the ability of a nurse to ensure support is received for the patient's well being. The communication process is initiated for two reasons, to support the patient, and to support the nurse in providing care for the patient. Significant in determining the need for support is the action required that might be outside the nurse's scope of practice. The response should address the nurse's concern and take into account the importance of the relationship, trust between all parties, respect of each other's positions and knowing team members and their capabilities. Understanding these aspects of the communication process should enhance nurses and doctors abilities to effectively communicate regarding a change in a patient's condition.  
  Call Number NRSNZNO @ research @ Serial 724  
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Author (up) Macfie, Belinda openurl 
  Title The exploration of primary health care nursing for child and family health : Margaret May Blackwell Travel Study Fellowship, 2002 Type Report
  Year 2003 Publication Abbreviated Journal  
  Volume Issue Pages 103  
  Keywords Primary health care – nursing; Child health services; Family health; Reports  
  Abstract Reports the approach to child and family health nursing in Canada, the US, and the UK. Divides the report into health policy, primary health care services, nursing education and the development of primary health care nurse practitioners, and nursing leadership in primary health care. Part of the Margaret May Blackwell Scholarship Reports series.  
  Call Number NZNO @ research @ Serial 1424  
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Author (up) MacGeorge, J.M.; Nelson, K. openurl 
  Title The experience of the nurse at triage influences the timing of CPAP intervention Type Journal Article
  Year 2003 Publication Accident & Emergency Nursing Abbreviated Journal  
  Volume 11 Issue 4 Pages 234-238  
  Keywords Emergency nursing; Clinical decision making; Hospitals; Quality of health care  
  Abstract This study used a non-experimental correlational design to research the relationship between the experience of the nurse, with the application of continuous positive airway pressure therapy (CPAP) to patients presenting to a metropolitan emergency department with cardiogenic pulmonary oedema (CPO), and to establish what difference, if any, CPAP made to outcomes. A retrospective audit of records was used to extract data on all 54 patients that received CPAP over a 12-month period. The primary outcome measures were off CPAP within two hours, transfer to intensive care unit or cardiac care unit, and secondary outcome measures were length of hospital stay and death. There was a trend towards more experienced nurses attending patients who required immediate treatment or treatment within 10 minutes. These patients were more likely to be recognised at triage as requiring CPAP therapy. The early application of CPAP reduced hospital mortality, length of stay, and the need for intubation and ventilation. Attention needs to be given on how best to educate nurses so that more patients presenting with acute respiratory failure can benefit from nurses' decision-making regarding the commencement of CPAP.  
  Call Number NRSNZNO @ research @ Serial 847  
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Author (up) Mackay, B. url  openurl
  Title Using SMS mobile technology to M-Support nursing students in clinical placements Type Conference Article
  Year 2007 Publication NorthTec Nursing & Health Conference Papers Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector  
  Volume Paper presented at eFest Conference 27th-29th Sept Issue Pages  
  Keywords Technology; Nursing; Education  
  Abstract M-Learning compliments and supports E-Learning and incorporates technologies such as the use of mobile phones, PDAs and pod casting. A sub function of M-Learning is M-Support which is the provision of support for the mobile student. This paper describes a pilot project using short message service – mobile technology -to M-support nursing students in primary health care clinical placements. Forty one students took part in a mixed methods study to assess the project against a pre determined set of criteria. The results indicated that students did feel supported by the messages, cost was not prohibitive, flexibility in communication was appreciated, and the acceptance was high.  
  Call Number NRSNZNO @ research @ Serial 1218  
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Author (up) Mackay, B. openurl 
  Title An analysis of innovative roles in primary health care nursing Type
  Year 2004 Publication Abbreviated Journal Northland Polytechnic Library  
  Volume Issue Pages  
  Keywords Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing  
  Abstract An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process.  
  Call Number NRSNZNO @ research @ Serial 1124  
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Author (up) Mackay, B. openurl 
  Title Leadership development: Supporting nursing in a changing primary health care environment Type Journal Article
  Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue 2 Pages 24-32  
  Keywords Leadership; Professional development; Primary health care; Nursing  
  Abstract The author argues that the involvement of nurses in the decision-making of health organisations is essential to maximise the contribution of nurses and promote positive outcomes for patients. She suggests that development of leadership skills will make nurses aware of power structures in the health system and allow them to become interdependent health professionals in primary health organisations (PHO). The particular competencies discussed are those proposed by Van Maurik (1997), namely ability to understand and manage organisational politics, work facilitatively with people and circumstances, and build a feeling of purpose.  
  Call Number NRSNZNO @ research @ Serial 619  
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Author (up) Mackay, Bev (and others) openurl 
  Title Utilising the hand model to promote a culturally-safe environment for international nursing students Type Journal Article
  Year 2011 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 27 Issue 1 Pages 13-24  
  Keywords Cultural safety; Nursing education; International students; Hand model  
  Abstract Backgrounds and describes the Hand Model, developed by a nurse teacher to assist her in teaching cultural safety, and suggests its potential to provide a framework for creating a culturally-safe environment for international students in NZ, including those aspects of cultural safety specific to NZ.  
  Call Number NZNO @ research @ Serial 1461  
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Author (up) Macklin, Nicki url  openurl
  Title Hearing the patient voice: the importance of caring in care Type Book Whole
  Year 2018 Publication Abbreviated Journal  
  Volume Issue Pages n.p.  
  Keywords Patients; Transitional care nursing; Primary health care nursing; Integrated care; Person-centred care; Surveys  
  Abstract Backgrounds the primary health care initiative, the Transitional Care Nursing service, which aims to facilitate integrated care between primary, secondary and community health care services. Explores whether support in the form of the Transitional Care Nursing service influences the experience of patients who receive assistance during the transition between hospital and home. Conducts qualitative, semi-structured interviews with 12 patients whose responses are thematically analysed. Highlights the characteristics of care offered by Transitional Care nurses that describe the person-centred care patients received.  
  Call Number NZNO @ research @ Serial 1642  
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Author (up) Maddocks, W.A. openurl 
  Title Soft tissue massage in nursing practice: An analysis Type
  Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Alternative therapies; Nursing  
  Abstract The use of massage by nurses is a popular activity in many fields of nursing practice. The last ten to fifteen years have seen a rising popularity in the literature. Whilst the literature within nursing is plentiful it often does not present the empirical evidence necessary to support nursing actions. The objective of this analysis is to present the extant literature discussing soft tissue massage from a Western health perspective. Massage has first been contextualised as an ancient as well as modern healing activity. There is evidence of early modern medical interest in the therapeutic benefits of massage for a number of ailments. From this contextual perspective it is then possible to track the evolution of modern complementary health practices since 1980, and the professional and practical issues surrounding their use. Against the backdrop of twenty-first century health care there is increased evidence of the importance of maintaining the human aspect of caring, and massage is seen as an ideal way to provide this. The author argues that the discipline of modern nursing must increase its awareness of the empirical evidence around the use of massage, to provide safe and effective nursing care. This physiological and psychological evidence is presented and critiqued, based on the principles of evidence-based practice. This critique has enabled some sound research-based practical statements on the effects of massage to be made. These statements will enhance the practice of massage within a nursing context. The final part of the journey has been to explore the actual practice of massage within nursing, including the current use of massage by a sample of New Zealand nurses. The educational opportunities have also been presented, alongside some main professional issues. Massage can now be viewed as a legitimate nursing tool that has value in a range of nursing settings by enhancing the quality of patient care. The techniques are easy to learn, simple to perform and do not add undue workload to nurses. The author notes that there is a considerable amount of literature to support this, but the quest for further knowledge cannot be ignored.  
  Call Number NRSNZNO @ research @ Serial 902  
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Author (up) Maher, J.M. url  openurl
  Title An exploration of the experience of Critical Incident Stress Debriefing on firefighters within a region of the New Zealand Fire Service Type
  Year 1999 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Stress; Occupational health and safety; Nursing research; Nursing specialties  
  Abstract This study originates from the author's practice experience working for the New Zealand Fire Service back in the late 1980's and early 1990's as an Occupational Health Nurse where she piloted a Critical Incident Stress Peer Support programme in the No.4 Region. The author identified work-related stress and related it to Critical Incident Stress (CIS) from firefighters exposure to critical incidents. This study explores four firefighters experience of Critical Incident Stress Debriefing (CISD) within a Region of the New Zealand Fire Service. It explores the application of CISD as one component of Critical Incident Stress Management (CISM), and the Nurse Researcher's philosophy of Clinical Nurse practice in relation to the application of CISD. The knowledge gained from the analysis of the data has the potential to influence professionals understanding of their experience and affect future practice and that of others working in the field of CISM. Much of the literature that supported CISD appeared to offer a rather superficial understanding of the firefighters experience in relation to CISD. A narrative approache was chosed as the methodology, utilising four individual case studies as a method of social inquiry in order to explore the experience of CISD. The narratives were able to creatively capture the complexity and the dynamic practice of CISD. An overall pattern of the formalised process was uncovered through the participants' narratives. Eight dominant themes were highlighted from the narratives which included safe environment; ventilating the stress reaction; similar feelings; getting the whole picture; peer support; bonding and resolution. While these themes were common to all the participants, each participant had a particular theme/s which was unique to their experience.  
  Call Number NRSNZNO @ research @ 1206 Serial 1191  
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