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Author  |
McClelland, B. |
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Title |
Critical factors that influence staff retention in an acute perioperative environment |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
AUT University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Recruitment and retention; Nursing |
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Abstract |
There are a number of factors recognised as significant for nursing staff retention. These include, a lack of organisational care, bullying (commonly referred to as horizontal violence), and high workload acuity. However, there does not appear to be any indication that these factors influence the retention of nurses within the speciality of acute perioperative nursing. A descriptive study using postpositivist methodology and triangulation of methods was designed to answer the question: What are the critical factors that influence staff retention in an acute perioperative environment? Forty-eight perioperative nurses answered a questionnaire in relation to individual needs, provision of nursing care and administration and management. Four nurses subsequently participated in a focus group interview that explored in more depth, the survey data related to the following characteristics: Educational opportunities; Level of workload acuity; Rostering flexibility; Management; Established policies/Quality assurance; Graduate orientation programs and Professional relationships in an acute perioperative setting. Data analysis revealed that > 90% of respondents agreed that these characteristics are important for job satisfaction and influence staff retention in an acute perioperative environment. A sense of belonging appears to be the most important theme that emerged from the qualitative data. Job satisfaction and staff retention are attained when nurses have a sense of belonging in the workplace. To achieve this nurses need to identify barriers, develop their communication and leadership skills and determine the ideal professional practice model. The author suggests that the themes “Finding time” and increased “sick leave”, in relation to workload acuity are new findings that provide a platform for future research. |
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Call Number |
NRSNZNO @ research @ |
Serial |
894 |
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Author |
McArtney, M. |
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Title |
Nursing development units: Between a rock and a hard place |
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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 |
Professional development; Nursing |
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Abstract |
Practice development, situated at the nurse-patient interface, is a crucial aspect of professional development as a whole. The Nursing Development Unit (NDU) is one model of structured clinical practice development. NDU have their origin in a desire to provide the best possible care for patient through the support and development of autonomous therapeutic nurses. All possible sources of NDU-related literature from 1983-1999 were reviewed to determine the effectiveness of the NDU model. The purpose of the research was to establish the role of the parent organisation in supporting the ongoing viability of NDU; to describe the key processes and activities of NDU that are instrumental in the development of nursing practice; to clarify the role of the NDU in contributing to improved patient outcome; and finally to identify the critical indicator of successful NDUs for their application in the New Zealand context. The study found that British nursing journals have played a large part in promoting the NDU model. The pioneering units were given positive coverage and this has by and large continued. Accreditation systems have been important in maintaining standards and providing a generic framework for implementation. The trend is now towards internal funding from the parent organisation. The review identified a number of key features for the successful establishment of NDUs. NDUs appear to have under emphasised the development of socio-political acumen in the nursing staff. However, the NDU does offer a model for the development of confident, assertive, autonomous professionals. The NDU model values nursing as professional practice. The author concludes that the NDU model has stood the test of time, and demonstrated the ability to be at the vanguard of contemporary practice development. The model is flexible and its potential is maximised when it is tailored to meet the need of the parent organisation. The model has been successfully established in Australia, and has the potential to be adapted and refined for the New Zealand context. |
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Call Number |
NRSNZNO @ research @ |
Serial |
561 |
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Author |
Maxwell-Crawford, K. |
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Title |
Huarahi whakatu: Maori mental health nursing career pathway |
Type |
Report |
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Year |
2004 |
Publication |
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Abbreviated Journal |
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Volume |
(Trm/04/15) |
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Pages |
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Keywords |
Professional development; Careers in nursing; Maori; Psychiatric nursing; Mental Health |
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Abstract |
Huarahi whakatu describes a pathway for recognising the expertise of nurses working in kaupapa Maori mental health services and recommends a professional development programme that can lead to advancement along the pathway. An emphasis on dual competencies – cultural and clinical – underlies the rationale for regarding kaupapa Maori mental health nursing as a sub-specialty. Eight levels of cultural competencies and twelve levels of clinical competencies are used to differentiate career stages and it is recommended that movement from one level to another should be matched by increased remuneration. The report also contains a recommended professional development programme to support the operationalisation of the career pathway. |
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Call Number |
NRSNZNO @ research @ |
Serial |
824 |
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Author |
Martin, H.E. |
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Title |
Marking space: A literary psychogeography of the practice of a nurse artist |
Type |
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Year |
2006 |
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 |
Psychiatric Nursing; Mental health; Nurse-patient relations |
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Abstract |
The author suggests that the thesis as a production of disciplined work presented in a creative style is congruent with performance and presentation best practice in community arts. As a practising nurse artist the author describes creating spaces of alternate ordering within the mental health field environment. “I also inhabit the marginal space of the artist working in hospital environments. This Other Place neither condones nor denies the existence of the mental health field environment as it is revealed. Yet, it seeks to find an alternative to the power and subjectivity of the [social] control of people with an experience of mental illness that inhabit this place both voluntarily and involuntarily. I have used a variety of texts to explore the experience and concept of Otherness. The poems are intended to take you, as a reader where you could not perhaps emotionally and physically go, or might have never envisaged going. They also allow me as the author to more fully describe the Otherness of place that is neither the consumer story nor the nurse's notation, but somewhere alternately ordered to these two spaces. Drawing on the heuristic research approaches of Moustakas and literary psychogeography , particularly the work of Guy Debord, this thesis creates the space to explore the possibilities of resistance and change and the emergence of the identity of the nurse artist within the mental health field environment”. |
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Call Number |
NRSNZNO @ research @ |
Serial |
685 |
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Author |
Marshall, Diane; Honey, Michelle |
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Title |
Simulated actor patients support clinical skill development in undergraduate nurses: a qualitative study |
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Journal Article |
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Year |
2021 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
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Volume |
37 |
Issue |
2 |
Pages |
35-44 |
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Keywords |
Simulation education; Actor patients; Clinical skill development; Nursing students; Child health nursing |
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Abstract |
Explores volunteer actor patients' contribution to developing nursing students' clinical skills from the patient actors' perspective within a simulation learning environment. Describes how actor patients work with nursing students during simulation, providing feedback following each simulation. Conducts focus group interviews with four of these actor patients about their interactions with students, communication, the provision of realism, student engagement, and feedback to students. |
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Call Number |
NZNO @ research @ |
Serial |
1707 |
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Author |
Manning, Liz; Neville, Stephen |
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Title |
Work-role transition : from staff nurse to clinical nurse educator |
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Journal Article |
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Year |
2009 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
25 |
Issue |
2 |
Pages |
41-53 |
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Keywords |
Transition; Leadership; Clinical nurse educator; Mentorship |
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Abstract |
Presents the findings of a study describing Clinical Nurse Educators' experiences, as they recall their transition from staff nurse to the Clinical Nurse Educator role, within a New Zealand District Health Board (DHB). Employs a qualitative descriptive methodology utilising transition theory as a conceptual framework. Interviews a sample of eight Clinical Nurse Educators about their transition from experienced staff nurse to inexperienced senior nurse. Analyses data using a general inductive approach. |
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Call Number |
NZNO @ research @ |
Serial |
1446 |
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Author |
Mahoney, Laurie |
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Title |
Children living with a mentally ill parent : the role of public health nurses |
Type |
Journal Article |
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Year |
2010 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
26 |
Issue |
2 |
Pages |
4-13 |
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Keywords |
Public health nurses; Parental mental illness; Advocacy; Assessment; Focus group |
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Abstract |
Aims to identify the public health nurses' role with regard to children who are living with a parent who is suffering from a mental illness. Uses a qualitative research design with 8 public health nurses working in rural and urban settings. Conducts focus groups from which data are gathered and analysed thematically using axial coding. Conducts further focus groups with 6 of the participants to evaluate the themes identified. |
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Call Number |
NZNO @ research @ |
Serial |
1454 |
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Author |
Magrath, K.L. |
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Title |
From chrysalis to butterfly: Transition experiences of new graduates in primary health care nursing practice in New Zealand |
Type |
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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 |
Primary health care; New graduate nurses; Mentoring |
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Abstract |
Primary health care is a dynamic and ever-changing area of practice which has undergone many changes in the last ten years. Traditionally, primary health care was not a routine choice for new graduate nurses as they were encouraged to work in a hospital setting before seeking a position in the community. Bachelor of Nursing programmes emphasise primary health care practice and increasingly nurses and their employers are moving away from the traditional belief of 'doing your time in the hospital' before contemplating the move to primary health care. Currently in New Zealand increasing numbers of graduates from Bachelor of Nursing programmes want to begin their working life as registered nurses in this area. A constructivist approach was taken to explore the experience of five nurses who entered primary health care practice as new graduates. Participants were interviewed using a semi-structured format. They constructed their experience as role transition and identified a number of significant factors which had impacted on their practice. These factors included both the personal and practice challenges they experienced and the strategies they used to address them. Further research findings were a transition time of one year, the importance of both formal and informal support, planned orientation and opportunities for reflection. A number of mediating factors including new graduate programmes, peer support and mentorship were also discussed. Key implications for practice, education, employers and future research regarding transition to primary health care for new graduates are discussed. This research emphasised the importance of appropriate resources and support for new graduates from Bachelor of Nursing programmes. These factors are suggested as integral to the development of new graduates' practice in primary health care and reduction of the challenges inherent in this transition. |
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Call Number |
NRSNZNO @ research @ |
Serial |
587 |
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Author |
Mackay, B. |
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Title |
Leadership development: Supporting nursing in a changing primary health care environment |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
2 |
Pages |
24-32 |
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Keywords |
Leadership; Professional development; Primary health care; Nursing |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
619 |
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Author |
Mackay, B. |
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Title |
Leadership strategies for role development in primary health care nursing |
Type |
Journal Article |
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Year |
2007 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
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Volume |
11 |
Issue |
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Pages |
31-39 |
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Keywords |
Primary health care; Leadership; Professional development |
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Abstract |
This paper has been developed from part of the writer's doctoral thesis on forces influencing the development of innovative roles in primary health care nursing. The focus of this paper is leadership strategies designed to reduce the issue of poor professional identity and support. |
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Call Number |
NRSNZNO @ research @ 1049 |
Serial |
1033 |
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Author |
Macfie, B. |
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Title |
Assessing health needs and identifying risk factors |
Type |
Journal Article |
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Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
12 |
Issue |
6 |
Pages |
16-18 |
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Keywords |
Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket |
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Abstract |
In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas. |
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Call Number |
NRSNZNO @ research @ |
Serial |
974 |
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Author |
Macfarlane, K. |
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Title |
Communicating changes in a patient's condition: A critical incident approach |
Type |
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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 |
Communication; Clinical assessment; Physicians; Nursing; Relationships |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
724 |
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Author |
MacDonald, R. |
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Title |
Mammography screening for breast cancer: Does it reduce the mortality rate? |
Type |
Journal Article |
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Year |
2005 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
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Volume |
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Issue |
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Pages |
8-12 |
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Keywords |
Breast cancer; Screening; Risk management; Health education; Cancer |
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Abstract |
This paper critically examines the literature on mammography as a breast cancer screening modality. It looks at what the New Zealand consumer is being told about the scientific uncertainties about the effectiveness of mammography and the substantial risks involved with it. This literature review raises concerns about the lack of information available for healthy women to make a fully informed decision about mammography screening. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1304 |
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Author |
Lyall, C. |
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Title |
Therapeutic relationships: What are inpatient registered nurses perceptions of the factors which influence therapeutic relationship development? |
Type |
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Year |
2003 |
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 |
Psychiatric Nursing; Registered nurses; Nurse-patient relations; Mental health |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1245 |
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Author |
Lockett, Jessica |
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Title |
Strategies and processes emergency department nurses consider important to safely manage during an influenza pandemic: a qualitative descriptive study |
Type |
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 |
132 p. |
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Keywords |
Emergency departments; Emergency nursing; Infectious diseases; Epidemics; Strategic planning; Surveys |
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Abstract |
Explores what NZ Emergency Department (ED) nurses perceive as the biggest challenges to nursing care and staff safety during an influenza pandemic, in order to provide information on how to ensure the engagement of these nurses at the frontline of the pandemic response. Uses a qualitative descriptive design to allow an examination of the first-hand perspectives of ED nurses, gaining meaningful insights into a phenomenon little explored. Interviews 16 ED nurses about future pandemic planning at ED, DHB and government level. |
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Call Number |
NZNO @ research @ |
Serial |
1691 |
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