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Author  |
Paton, B.I. |
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Title |
Unready-to-hand as adventure: Knowing within the practice wisdom of clinical nurse educators |
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Year |
2003 |
Publication |
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Abbreviated Journal |
NZNO Library, Victoria University of Wellington Library |
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Issue |
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Pages |
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Keywords |
Nursing; Education |
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Abstract |
This research aims to clarify the knowing and wisdom that inform clinical nurse educators' responses through unpredictable situations. The author referred to philosophical literature on the notions of tacit knowledge, practical wisdom, smooth activity and the Unready-to-Hand experience. She created an explanatory framework and utilised this in a thought experiment by reflecting on personal experiences. To add clarity to these reflections, two layers of interviewing with nurse educators teaching in practice were carried out. The first layer was an interview with eight clinical nurse educators who in their role experienced Unready-to-Hand situations. The second layer consisted of four clinical nurse educators who volunteered to be involved in more in-depth interviews. An interpretive analysis of these clinical nurse educators stories illuminated the “Unready-to Hand as Adventure”, highlighting the uncertainty and energy associated with opening in the adventure, not knowing what will unfold, yet committed to remaining engaged and doing the best they can. Through the process of attuning to difference, accessing and deciphering knowing, nurse educators create meanings of situational complexities. By preserving the ideals of good practice and engaged caring, nurse educators salvage learning by creating opportunities for learning and teaching. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1134 |
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Author |
Paton, B.; Martin, S.; McClunie-Trust, P.; Weir, N. |
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Title |
Doing phenomenological research collaboratively |
Type |
Journal Article |
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Year |
2004 |
Publication |
Journal of Continuing Education in Nursing |
Abbreviated Journal |
Wintec Research Archive |
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Volume |
35 |
Issue |
4 |
Pages |
176-181 |
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Keywords |
Qualiltative research; Nursing research; New graduate nurses |
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Abstract |
The purpose of this article is twofold. The first is to clarify some of the challenges experienced while conducting collaborative research and describe the steps taken to ensure consistency between the purpose of the research and the phenomenological research design used to explore the learning that nursing students acquire in their final clinical practicum. Second, it was thought that by illuminating this learning, registered nurses working as preceptors and those supporting new graduates could gain insight into the complexities of learning the skills of safe and competent practice from the student's perspective. This insight is essential in creating a strategy between education and practice to minimise the duplication of learning opportunities and lessen the cost of supporting newly registered nurses, which may be at the expense of investment in the professional development of experienced registered nurses. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1202 |
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Author |
Paterson, M. |
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Title |
Dealing with life and death decisions |
Type |
Journal Article |
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Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
7 |
Pages |
14-16 |
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Keywords |
Ethics; Nursing; Patient rights; Clinical decision making; Euthanasia |
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Abstract |
This article examines the implications for nurses of not-for-resuscitation orders and orders to withdraw treatment. The rights of patients and correct procedure in the case of not-for-resuscitation or do-not-resuscitate orders are considered, as well as the ethical dilemma facing nurses in cases of the withdrawal of treatment. Guidelines are offered to assist nurses in reaching an ethical decision to withdraw treatment. Euthanasia is defined and case law decisions on not-for-resuscitation and treatment withdrawal are cited. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1017 |
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Author |
Paterson, J.E. |
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Title |
Nurses' clinical decision-making: The journey to advancing practice |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Clinical decision making; Mentoring; Nursing; Nurse practitioners |
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Abstract |
This dissertation reports on a scholarly journey to better understand the processes of clinical decision-making by nurses. It begins by identifying the various terms used to describe a clinical decision, its components and the contexts within which clinical decisions are made. Two philosophies of decision-making are summarised. Some insight into the history of the phenomenological and the rationalist theories of decision-making is offered. The author notes that it became evident that both of these theories are applicable to all nurses and their clinical decision making competencies. Four studies that were undertaken to analyse the decision-making methods of nurse practitioners are critiqued. Of the studies two are British, one is American and one is Australian. The author has summarised the combined findings that identified that the nurses were using a blend of decision-making processes that involved rational decision making as well as the use of intuition. The studies identified that sound clinical decision-making is determined by appropriate educational and clinical preparation and supported by a formal mentoring process and the use of critical reflective practice. In conclusion, the author reflects on her knowledge of decision making prior to embarking on the dissertation and states her intent to facilitate and support advanced decision-making by her colleagues. She goes on to say that uppermost is the need for an institutional and managerial environment that encourages advanced and independent decision-making by nurses. |
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Call Number |
NRSNZNO @ research @ |
Serial |
681 |
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Author |
Paterson(now Fleming), B.L. |
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Title |
The types of information nurses pass on to other nurses verbally regarding their patients, which is not discussed in the legal nursing record |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Dunedin Hospital Staff Library |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
This study was undertaken in a combined medical/surgical unit in an acute general hospital in New Zealand using the grounded theory research methodology. It aimed at identifying the types of information nurses pass on verbally regarding their patients, but which they do not document in the legal nursing record. |
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Call Number |
NRSNZNO @ research @ |
Serial |
129 |
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Author |
Paterson(now Fleming), B.L. |
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Title |
Making a difference: the lived world of nursing practice in an acute care setting |
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Year |
1989 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
This study examines the practice world of twenty two registered nurses working in medical and surgical wards of an acute general hospital in New Zealand. It is argued that nursing practice is a complex, context-specific, activity and needs to be studied using methods that do not assume an objective, context-free reality.The work of Patricia Benner (1984) guided this study which utilized a qualitative research approach to enter the lived world of nursing practice. Through descriptions of work days and a sharing of clinical exemplars, an understanding of the broader context of nursing practice was gained, areas of skilled performance in nursing emerged, and the meaning of making a difference for the nurses in the study examined. The central role of mutual advice and support in facilitating significant incidents in practice was apparent.An examination of the types of experiences which challenge current practice and change it in some way provided insight into the importance of experience in developing clinical expertise and the vital role of local knowledge in facilitating practice. Nursing practice emerged as crucial to patient welfare and safety in the acute care setting |
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Call Number |
NRSNZNO @ research @ 252 |
Serial |
252 |
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Author |
Patel, Reena |
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Title |
Nurse expertise saves lives through early recognition of patient deterioration |
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Book Whole |
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Year |
2022 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
183 p. |
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Keywords |
Patient deterioration; Nurse concern; Early warning scoring (EWS); Physiologically unstable patient (PUP) tool |
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Abstract |
Explores and identifies factors associated with nurse concern when patient deterioration is recognised in the absence of an emergency activation score such as early warning scoring (EWS) or the physiologically-unstable patient (PUP) tool. Describes the two phases of the multi-site and mixed-methods study: retrospective chart review of 19,326 referrals for emergency assistance; and seven focus group discussions with 29 nurses about what they do when concerned about patient deterioration in the absence of an EWS. Highlights the role of nurse expertise, knowledge and skill in identifying patient deterioration prior to the activation score on an EWS. |
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Call Number |
NZNO @ research @ |
Serial |
1843 |
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Author |
Patel, Radhika |
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Title |
Patient safety of older adults with cognitive impairment: Evaluation of a service improvement initiative |
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Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
76 p. |
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Keywords |
Patient safety; Cognitive impairment; Dementia; Older adults; Hospital ward design |
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Abstract |
Assesses the impact of environmental changes on patient reportable events (falls and aggression) in older persons' wards, using the Kings Fund Healing the Healthy Environment tool to make small changes to a ward environment in order to create a more 'dementia-friendly' setting. Conducts a comparative analysis of incidents in the wards. Obtains staff perspectives on the changes, which included large-face clocks, identifiction of bed spaces, lavender oil diffusion, and viewing gardens. |
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Call Number |
NZNO @ research @ |
Serial |
1761 |
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Author |
Patel, R. |
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Title |
Evaluation and assessment of the online postgraduate intensive care nursing course |
Type |
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Year |
2006 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Education; Intensive care nursing; Nursing specialties |
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Abstract |
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Call Number |
NRSNZNO @ research @ 519 |
Serial |
505 |
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Author |
Parton, Beverley May |
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Title |
Maori women, health care, and contemporary realities : a critical reflection |
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Book Whole |
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Year |
2015 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
249 p. |
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Keywords |
Hauora; Maori health; Maori women -- health care; Surveys |
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Abstract |
Aims to explore the influences on health and health care engagement from the experiences of urban Maori women using Kokiri Marae Health and Social Services (KMHSS), Lower Hutt, NZ. Conducts unstructured interviews which are analysed thematically. Employs the nursing theory of cultural safety, Kawa Whakaruruhau, to inform a qualitative approach to the examination of the historical, social, cultural, economic, political, racial and gendered factors contributing to Maori women's health and health-care engagement. Makes recommendations for nursing practice, research site and research. |
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Call Number |
NZNO @ research @ WA 300.KN4 PAR |
Serial |
1429 |
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Author |
Parsons, C.D.F. |
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Title |
Reflexive accounts of the related symbols 'communication', 'self-reflection' and 'emancipation' |
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Year |
1978 |
Publication |
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Abbreviated Journal |
University of Waikato 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 @ 372 |
Serial |
372 |
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Author |
Parsons, C.D.F. |
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Title |
Sickness experience and language: aspects of Tongan and Western accounting |
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Year |
1981 |
Publication |
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Abbreviated Journal |
University of Waikato 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 @ 373 |
Serial |
373 |
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Author |
Parr, J.E. |
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Title |
The stories of colleagues, patients and their partners reflecting on the impact a life threatening cancer has on intimacy and sexual needs |
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Year |
1998 |
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 |
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Abstract |
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Call Number |
NRSNZNO @ research @ 349 |
Serial |
349 |
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Author |
Parmee, R.-A. |
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Title |
Living and working with asthma: a dynamic interplay |
Type |
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Year |
1997 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library, Otago P |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
This action research study explores the experiences of 'patient education' from the perspective of a group comprising two nurses, two people with asthma, and the researcher who is a nurse who has asthma. The method used is emancipatory action research (Grundy, 1990) with critical social theory and feminism as theoretical underpinnings.The focus moves from patient education to a broader view of living and working with asthma. The story of the group is presented in the format of a play. A play within the play tells of living and working with asthma.An action research spiral is formed which reflects the way the group moves through the three modes of action research described by Grundy (1990). The acts of the play represent each of the stages of the action research process. The emphasis moves from power and control through to practice wisdom.The main issues explored are: the nature of patient education by nurses; the implications this has for relationships with patients and nursing education; power and control in the secondary setting; the lived experience of chronic illness and the practice wisdom of nurses and people with asthma. The work concludes with recommendations for change in each of these areas based on the work of the group |
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Call Number |
NRSNZNO @ research @ 183 |
Serial |
183 |
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Author |
Parkinson, M.H. |
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Title |
Learning the characteristics of a helping relationship: nurse – teacher genuineness and student nurse self disclosure |
Type |
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Year |
1976 |
Publication |
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Abbreviated Journal |
University of Washington Library, Seattle, United |
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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 @ 72 |
Serial |
72 |
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