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Author  |
Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.; O'Connor, S. |
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Title |
Implementation of a nursing initiative in primary care: A case report, cardiovascular disease risk reduction |
Type |
Journal Article |
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Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
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Volume |
35 |
Issue |
3 |
Pages |
183-186 |
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Keywords |
Multidisciplinary care teams; Cardiovascular diseases; Case studies; Primary health care |
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Abstract |
The aim was to report on implementation of a nursing initiative of cardiovascular disease (CVD) screening risk assessment at the Mornington Health Centre, Dunedin, with initial outcomes after six months. The practice aim was 80% of their eligible population assessed within three to four years, particularly targeting high-risk groups. The audit indicates that in their first six months, Mornington Health Centre had screened 42% of their eligible patients. This is described as very successful progress towards their goal of 80%. A number of key organisational factors are identified that are likely to have contributed to the development and success of the nurse CVD risk assessment programme at Mornington Health Centre. The authors suggest that this case study demonstrates how organisational change, where the practice nurse role in the multidisciplinary team is clear, can facilitate a practice to meet a population-based goal. |
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Call Number |
NRSNZNO @ research @ |
Serial |
514 |
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Author |
Horsburgh, M.; Goodyear-Smith, F.; Yallop, J. |
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Title |
Nursing initiatives in primary care: An approach to risk reduction for cardiovascular disease and diabetes |
Type |
Journal Article |
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Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
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Volume |
35 |
Issue |
3 |
Pages |
176-182 |
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Keywords |
Cardiovascular diseases; Diabetes Type 2; Risk factors; Nursing models |
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Abstract |
The authors evaluated a nurse-led cardiovascular disease and diabetes (CVD) management project. The Ministry of Health funded the project to implement models of nurse service delivery, with care pathways for risk reduction of CVD and diabetes based on national guidelines, with quality assurance, audit and nurse leadership. The paper presents the components required to implement and sustain a nurse CVD risk assessment and management service, which were identified and clarified through the action research process. |
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Call Number |
NRSNZNO @ research @ 527 |
Serial |
513 |
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Author |
Horsburgh, M. |
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Title |
Graduate nurses' adjustment to initial employment |
Type |
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Year |
1987 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
University of Auckland, Auckland Institute of Te |
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Volume |
14 |
Issue |
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Pages |
610-617 |
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Keywords |
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Abstract |
An ethnographic study which attempts to understand what initial employment means to graduates from a comprehensive nursing course. The researcher participated in the first 3-4 months of the nurses' employment in general hospital settings. Five major themes emerge from the study indicating that the rhetoric practice of the school of nursing is different from the rhetoric and practice within general hospital settings. The reality of initial employment for the new graduated conflicts with the values and ideals of nursing promulgated by the comprehensive nursing course. The educational program stressed patient centred nursing, where nurses accepted responsibility for the continuing care of individuals. In contrast the hospital settings stress nursing as management of tasks across different patients. This conflict was a major source of frustration for the 'beginning' nurses. Ultimately they accept the reality of nursing as the management of tasks, but not without some personal cost. Orientation programs and the early employment period focus on 'fitting in to the system'. A significant determinant of the practice of new graduates are context effects such the time of their shift and the availability of experienced nurses. A number of management practices foster and maintain a beginning level of practice and new graduates have no opportunity to practice as autonomous nurses within a multi disciplinary health care team. Beginning practice is identified in new graduates through their difficulties in coping with unplanned or unexpected events. The initial employment period is dominated by shift work, resulting tiredness and adjustment to social activities.It is argued that management practices which support the ideals of comprehensive nursing courses and totally qualified nursing workforce have yet to occur. There are implications in this study for nursing education and nursing practice |
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Call Number |
NRSNZNO @ research @ 59 |
Serial |
59 |
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Author |
Horsburgh, M. |
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Title |
Using videotape to determine the validity of the evaluation instrument of assessing clinical competence of nursing students and the reliability of the raters in assessing the clinical competence of nursing students |
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Year |
1982 |
Publication |
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Abbreviated Journal |
Auckland Institute of Technology |
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Issue |
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Pages |
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Keywords |
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Abstract |
A study to determine the content validity of an education instrument to assess the clinical competence of Comprehensive Nursing Students and the reliability of the Nursing Teachers using the evaluation instrument to assess student Nurses performance depicted on videotapes of simulated clinical situations. 24 of the Nursing Teachers in a school of Nursing rated student Nurses clinical performance in simulated videotaped clinical settings. One half of these Teachers assessed the students without a specific evaluation instrument and their assessments were compared with the Teachers using the existing evaluation for assessing Nursing students' clinical competence. The evaluation instrument was judged to be valid in terms of content by the Nursing Teachers taking part in the study. Rated reliability of observer agreement was not demonstrated with 24 Nursing Teachers rating 3 Nursing Students' clinical performance as videotaped in simulated clinical settings. The usefulness of videotapes for determining observer agreement and as a tool for use in staff training workshops, in relation to assessing clinical competence of Nursing Students is established |
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Call Number |
NRSNZNO @ research @ 237 |
Serial |
237 |
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Author |
Horsburgh, M. |
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Title |
Quality in undergraduate nursing programmes: The role of Nursing Council |
Type |
Journal Article |
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Year |
2000 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
15 |
Issue |
2 |
Pages |
25-37 |
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Keywords |
Nursing Council of New Zealand; Nursing; Education; Nursing; Quality assurance |
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Abstract |
This paper looks broadly at issues to do with quality monitoring in higher education and considers the role and focus of the Nursing Council of New Zealand in the approval of and ongoing monitoring of undergraduate nursing degree programmes. It is suggested that the approach taken by the Nursing Council is accountability led where minimal attention is given to teaching and learning and actual graduate outcomes. This may lead to a mistaken belief that Nursing Council's monitoring focuses on quality or that the outcomes of their monitoring might contribute to programme enhancement. A shift to emphasise learning processes, students and continual improvement in order to enhance programme quality is proposed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
634 |
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Author |
Horrocks, T. |
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Title |
Implementing change combining Maori and Western knowledge in health delivery |
Type |
Journal Article |
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Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
7 |
Issue |
13 |
Pages |
37-41 |
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Keywords |
Maori; Cross-cultural comparison; Organisational culture; Quality assurance |
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Abstract |
This article explores the incorporation of western knowledge with kaupapa Maori in the delivery of health care. It presents a fictional kaupapa Maori service, as a tool to explore the change process and influence that organisational culture and leadership styles have on a process of integrating a kaupapa Maori nursing service. The importance of continual evaluation through quality assurance measures was also conveyed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1280 |
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Author |
Horner, C. |
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Title |
Maintaining rural nurses' competency in emergency situations |
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Year |
2005 |
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 |
Emergency nursing; Nurse practitioners; Rural nursing; Education |
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Abstract |
On call emergency health services are becoming routinely provided by some rural nurses, predominantly within the South Island. Rural nurses have been advancing their practice to accommodate the limited availability of general practitioners in rural communities. Although this is becoming routine practice, the author has been providing a service such as this for the past 12 years. This dissertation describes this practice in relationship to the present social-political context, advancing nurse competencies and her experience of rural nursing in a rural town within the South Island. Particular significance for the rural nurse is the required independent practice and overall responsibility when remote from traditional medical oversight. Providing on call emergency care with the possibility of a broad spectrum of emergency situations while maintaining competence for the unpredictable frequency (or lack of frequency) of the rural emergency is the focus of this dissertation. The professional and personal risks are high for rural nurses when placed in situations they are not prepared for or unable to remain competent to manage. Implications resulting from the critique of the health service literature on this subject are identified. Firstly, rural nurses need to be insightful of their own emergency on call expertise and limitations. Secondly, rural nurses require ongoing education and thirdly that appropriate education is available and accessible to rural nurses. Lastly, rural nurses require maintenance of competency so these emergency skills are not lost. This dissertation and the resulting recommendations embrace Nursing Council of New Zealand Nurse Practitioner Competencies. The resulting outcomes fulfilling the rural nurse's need for maintenance of competency for emergency on call care, the community's need for safe appropriate emergency care and national legislation requirements. |
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Call Number |
NRSNZNO @ research @ |
Serial |
666 |
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Author |
Horner, C. |
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Title |
Emergency health provision and maintaining competency |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 125-136) |
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 |
Rural nursing; Professional competence; Emergency nursing |
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Abstract |
This chapter focuses on issues associated with rural nursing and the provision of emergency care for patient(s) located remotely from secondary hospital services. All emergencies have diverse characteristics, but the rural practitioner also contends with having sole practice, professional and geographical isolation, and the lack of regular experience. The chapter reviews the PRIME (Primary Response in Medical Emergency) recommendations and training, and looks in particular at the issues around the maintenance of competency for the rural nurse providing emergency on call health care that includes managing medical and accident emergencies in the absence of a medical practitioner. |
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Call Number |
NRSNZNO @ research @ |
Serial |
756 |
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Author |
Hopkins, C.J. |
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Title |
The presenting symptoms associated with arachnoiditis and the experience of living with them in everyday life |
Type |
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Year |
1998 |
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 |
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Call Number |
NRSNZNO @ research @ 396 |
Serial |
396 |
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Author |
Hooker, M. |
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Title |
Implementing the rheumatic fever guidelines: Identifying the challenges and crossing the theory practice divide |
Type |
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Year |
2010 |
Publication |
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Abbreviated Journal |
NZNO Library |
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Volume |
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Issue |
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Pages |
122 pp |
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Keywords |
Rheumatism; rheumatic fever |
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Abstract |
A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Health Sciences, The University of Auckland, 2010.
Background:
The 2006 New Zealand (NZ) Guidelines for Rheumatic Fever (RHF) (National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006) have an over-arching objective to support appropriate management of RHF to prevent recurrent attacks and reduce mortality and morbidity from RHF and Rheumatic Heart Disease (RHD) (Craig, Anderson, & Jackson, 2008; National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006).
Aims:
The aims of this study were to audit current practice and service provision associated with RHF programmes and initiatives in NZ District Health Boards (DHBs) against the 2006 NZ Guidelines for RHF and to identify the barriers and facilitators to clinicians meeting the guidelines. |
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Call Number |
NZNO @ research @ |
Serial |
1349 |
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Author |
Honeyfield, Margy |
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Title |
The necessity of effective nursing leadership for the retention of professional hospital nurses |
Type |
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Year |
2008 |
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 |
64 |
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Keywords |
Recruitment and retention; Leadership; Nursing; Policy |
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Abstract |
The author notes that it is widely accepted that there is a global shortage of nurses, and there are many studies in the health workforce literature about the negative aspects of nurse work environments, nursing workloads, decreased job satisfaction of nurses and the impact these have on patient health outcomes. In the past five years there has also been international and New Zealand-specific research into the effects of health restructuring on nursing leadership, retention of nurses, and on patient care. Much of this research has shown that countries with very different health care systems have similar problems, not only with retention of qualified nursing staff due to high levels of job dissatisfaction, but also with work design and the provision of good quality patient care in hospitals. This dissertation explores the many detrimental effects on nurses and nursing leadership, of extensive, and continuing, public health restructuring in New Zealand. The context of this dissertation is New Zealand public hospitals, with references pertaining to medical and surgical areas of nursing practice. Health reforms have negatively impacted on patient care delivery systems, patient health outcomes, and retention of educated nurses in the workforce. In order to resolve these issues, coordinated efforts are required in New Zealand district health boards to develop and sustain effective nursing leaders, who will promote and assist in the development of strong, healthy organisational cultures to retain and support professional nurses and the ways in which they wish to practise. |
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Call Number |
NRSNZNO @ research @ |
Serial |
868 |
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Author |
Honey, Michelle; Collins, Emma; and Britnell, Sally |
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Title |
Education into policy: Embedding health informatics to prepare future nurses -- New Zealand case study |
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Journal Article |
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Year |
2020 |
Publication |
Journal of Medical Internet Research Nursing |
Abbreviated Journal |
JMIR Nursing |
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Volume |
3 |
Issue |
1 |
Pages |
1-7 |
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Keywords |
Health informatics; Nursng education |
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Abstract |
Explores how health informatics can be included in undergraduate health professional education. Uses a case study approach to consideer health informatics within undergraduate nursing education in NZ, leading to the development of nursing informatics guidelines for nurses entering practice. |
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Call Number |
NZNO @ research @ |
Serial |
1772 |
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Author |
Honey, M.L.L. |
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Title |
Methodological issues with case study research |
Type |
Journal Article |
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Year |
2010 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
NZNO Library |
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Volume |
1 |
Issue |
1 |
Pages |
9-11 |
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Keywords |
Research, nursing; Research methodology; Study design; data analysis; Data collection methods |
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Abstract |
Case study research, as a qualitative methodology, attracts some criticism, especially related to rigour, reliability and validity. A New Zealand-based study that explored complex phenomena – flexible learning for postgraduate nurses – provides a practical example of how the case study design can address these criticisms. Through describing the mixed methods used, different sources and methods of data collection, and data analysis, the process of achieving data quality and trustworthiness are highlighted. |
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Call Number |
NZNO @ research @ |
Serial |
1338 |
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Author |
Honey, M.; Waterworth, S.; Baker, H.; Lenzie-Smith, K. |
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Title |
Reflection in the disability education of undergraduate nurses: An effective learning tool? |
Type |
Journal Article |
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Year |
2006 |
Publication |
Journal of Nursing Education |
Abbreviated Journal |
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Volume |
15 |
Issue |
11 |
Pages |
449-453 |
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Keywords |
Nursing; Education; People with disabilities; Teaching methods; Evaluation |
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Abstract |
The aim of this qualitative study was to evaluate the usefulness of formal reflection in the context of undergraduate nursing education during the teaching of a disability module. Reflection is defined as examination and exploration of an issue of concern to help create or clarify meaning.Twelve reflection assignments written by second-year nursing students were analysed. The analysis indicated that students' reflection focused less on their experience of working with people with disabilities and more on their overall learning experience and coping with clinical practice. A central theme, Coping with Clinical Practice, and four sub-themes were identified. Students acknowledged reflection as beneficial to their learning and linked to their clinical practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
839 |
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Author |
Honey, M.; North, N.; Gunn, C. |
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Title |
Improving library services for graduate nurse students in New Zealand |
Type |
Journal Article |
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Year |
2006 |
Publication |
Health Information & Libraries Journal |
Abbreviated Journal |
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Volume |
23 |
Issue |
2 |
Pages |
102-109 |
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Keywords |
Nursing; Education; Evidence-based medicine; Teaching methods |
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Abstract |
This paper describes a collaboration between library staff and nurse educators, where information literacy skills are strengthened and embedded in the curriculum. A case-study approach was used with both quantitative and qualitative data. An anonymous questionnaire was distributed to all nurses enrolled in graduate courses in the second semester of 2002. Interviews were then undertaken with library staff. It was found that the university library services were not used by 43% of graduate nursing students . The library staff responded by developing a number of initiatives which aimed to improve awareness of services, access and provide education in a bid to improve literacy skills. |
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Call Number |
NRSNZNO @ research @ |
Serial |
708 |
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