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Author  |
Hughes, F. |
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Title |
Reconnecting with policy: Requirements for survival as a mental health nurse |
Type |
Journal Article |
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Year |
2006 |
Publication |
Journal of Psychosocial Nursing & Mental Health Services |
Abbreviated Journal |
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Volume |
44 |
Issue |
8 |
Pages |
30-39 |
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Keywords |
Policy; Mental health; Nursing specialties |
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Abstract |
This article discusses the disconnection between mental health nurses and policy, and the importance of reconnecting such relationships. It is suggested this will benefit consumers, provide influence in health care policies and, ultimately, contribute to strategies to improve the health of our nation. In this article, the author draws on her own experiences and applies these to a discussion of how mental health nurses can influence and strengthen their relationships with nursing policy. |
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Call Number |
NRSNZNO @ research @ |
Serial |
938 |
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Author |
Hughes, C. |
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Title |
Perioperative nurses in NZ & evidence-based practice |
Type |
Journal Article |
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Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
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Volume |
31 |
Issue |
4 |
Pages |
8, 10-1 |
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Keywords |
Evidence-based medicine; Nursing specialties; Access |
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Abstract |
This project is a study of the barriers perceived by perioperative nurses to accessing and using research-based information. A survey questionnaire was distributed to 184 perioperative nurses working in five public and two private hospitals in the Auckland area. The number of completed questionnaires was 106 (57.6%). The results showed that the lack of time during work hours was ranked as the highest barrier. The results also showed that many nurses feel they do not have the skills to find and appraise research articles. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1063 |
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Author |
Howie, L. |
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Title |
Rural society and culture |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 3-18 ) |
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; Culture |
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Abstract |
The author takes a multidisciplinary approach to examine how the location and concept rural is defined and provides a critique of the disparate definitions available. Definitions encompass different disciplines such as sociology and anthropology, and there are national distinctions based on historical factors. The chapter also investigates the way researchers speak about rural people, particularly as the human aspect of health is a primary concern to nursing. The focus is on the socio-cultural, occupational, ecological, and health aspects of rurality. The Rural Framework Wheel is introduced, which is a method to categorise rural contextual definitions. Rurality is presented as a variable and evolving concept that provides particular challenges to nursing practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
460 |
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Author |
Howie, L. |
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Title |
Rural nursing practice in context |
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 |
Rural nursing |
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Abstract |
Although it is accepted in rural nursing literature that the context shapes nursing practice there is limited opportunity to gain an understanding of how this occurs. This dissertation addresses this issue. Firstly, by employing a social geographical lens to define and examine the dynamic, evolving rural context and secondly, by considering the nursing concepts that arise from those contextual factors that relate directly to rural societal health needs. Defining 'rural' is essential when describing or debating rural nursing practice in context. However, there remains no universally accepted definition of 'rural'. Despite this and even though each location is individually specific, there are socio-cultural, occupational, ecological and health aspects that are common and bespeak rural society. These aspects have been developed into a Rural Framework Wheel as a visual reference to demonstrate the substantial influences which impact on nursing practice within the rural context. The framework encapsulates the distinctive dimensions that are hallmarks of rural nursing practice. Nurses can therefore use the framework to express concisely their individualised practice and competence by employing the two broad themes that have emerged from the literature; that of 'nursing per se' and 'partnership'. The Rural Framework Wheel is recommended as a paradigm to critique the practice of rural nurses from an educational, employment, research and political perspective. It is advocated that this framework be used by rural nurses to describe their practice and therefore to express the distinctiveness of the rural nursing identity. |
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Call Number |
NRSNZNO @ research @ |
Serial |
744 |
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Author |
Howie, L. |
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Title |
Contextualised nursing practice |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 33-49) |
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; Nursing models; Nursing research |
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Abstract |
This is the first of three chapters that describe nursing practice. The author presents the Rural Framework Wheel to elaborate aspects of the rural context. The Framework comprises four systems which describe aspects of rurality; being are socio-cultural, occupational, ecological, and health. These systems each comprise of subsystems, which provide a detailed analysis of the way nursing practice is particular in diverse rural settings. The Framework is presented as a work in progress, and is grounded in international nursing literature. It highlights rural nursing as a unique and challenging field, with the dominant themes of partnership and nursing emerging as underpinning the practice when nurses live and work in small, sometimes isolated communities. |
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Call Number |
NRSNZNO @ research @ 766 |
Serial |
750 |
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Author |
Houston, Gail |
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Title |
The impacts for the registered nurses of the New Entry to Specialty Practice Mental Health and Addiction Nursing Programme, of the programme, on their personal and professional development |
Type |
Book Whole |
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Year |
2018 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
123 p. |
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Keywords |
Mental health nursing; Addicition nursing; Nursing education; Registered nurses; Professional development; Nurse Entry to Specialty Practice (NESP) |
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Abstract |
Explores the impact on nurses three to six years after completion of the New Entry to Specialty Practice (NESP) Programme. Thematically analyses in-depth, semi-structured interviews to identify the aspects of personal and professional development affected by the programme, using a qualitative descriptive approach. Focuses on four key themes: well set up; thinking differently; inter-connectedness; and reciprocation. |
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Call Number |
NZNO @ research @ |
Serial |
1641 |
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Author |
Horsburgh, M.; Smith, V.A.; Kivell, D. |
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Title |
South Auckland community paediatric nursing service: A framework for evaluation |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
3 |
Pages |
40-49 |
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Keywords |
Paediatric nursing; Community health nursing; Evaluation research |
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Abstract |
This paper describes the Kidz First paediatric community homecare nursing team in South Auckland. While the service was not initially planned as an integrated approach to child health, its evolution reflects the move to more community based care delivery and the expansion of nurse-led initiatives in New Zealand. The components of a community paediatric home nursing team as described by Eaton (2000) are used to provide the framework with which to describe the service. A focus group held with the Kidz First paediatric community homecare nurses has enabled definition of the key nursing components provided to children and their families living in South Auckland. |
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Call Number |
NRSNZNO @ research @ |
Serial |
622 |
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Author |
Horsburgh, M.; Perkins, R.; Coyle, B.; Degeling, P. |
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Title |
The professional subcultures of students entering medicine, nursing and pharmacy programmes |
Type |
Journal Article |
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Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
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Volume |
20 |
Issue |
4 |
Pages |
425-431 |
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Keywords |
Interprofessional relations; Attitude of health personnel; Nurse managers; Nursing; Education; Organisational culture |
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Abstract |
This study sought to determine the attitudes, beliefs and values towards clinical work organisation of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organised. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemised. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemised work and team based approaches. These include issues of professional socialisation which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education. |
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Call Number |
NRSNZNO @ research @ |
Serial |
937 |
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Author |
Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J. |
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Title |
Educating for healthcare quality improvement in an interprofessional learning environment: A New Zealand initiative |
Type |
Journal Article |
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Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
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Volume |
20 |
Issue |
5 |
Pages |
555-557 |
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Keywords |
Quality of health care; Multidisciplinary care teams; Nursing; Education; Maori; Patient safety |
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Abstract |
This article describes two interprofessional learning modules offered by the Faculty of Medical and Health Sciences at the University of Auckland to undergraduate medicine, nursing and pharmacy students. The modules, 'Maori Health“ and ”Patient Safety", have a focus on quality improvement in healthcare and are used to bring together students for a shared learning programme.The specific dimensions of healthcare quality covered in the programme are: patient safety, equity, access, effectiveness, efficacy and patient-centeredness. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1042 |
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Author |
Horsburgh, M.; Lamdin, R.; Williamson, E. |
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Title |
Multiprofessional learning: The attitudes of medical, nursing and pharmacy students to shared learning |
Type |
Journal Article |
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Year |
2001 |
Publication |
Medical Education |
Abbreviated Journal |
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Volume |
35 |
Issue |
9 |
Pages |
876-883 |
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Keywords |
Nursing; Education; Students; Interprofessional relations |
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Abstract |
This study has sought to quantify the attitudes of first-year medical, nursing and pharmacy students' towards interprofessional learning, at course commencement. The Readiness for Interprofessional Learning Scale (RIPLS) (University of Liverpool, Department of Health Care Education), was administered to first-year medical, nursing and pharmacy students at the University of Auckland. Differences between the three groups were analysed. The majority of students reported positive attitudes towards shared learning. The benefits of shared learning, including the acquisition of teamworking skills, were seen to be beneficial to patient care and likely to enhance professional working relationships. However professional groups differed: nursing and pharmacy students indicated more strongly that an outcome of learning together would be more effective teamworking. Medical students were the least sure of their professional role, and considered that they required the acquisition of more knowledge and skills than nursing or pharmacy students. |
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Call Number |
NRSNZNO @ research @ |
Serial |
719 |
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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 |
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 |
Horner, C. |
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Title |
Maintaining rural nurses' competency in emergency situations |
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 |
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 |
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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