Records |
Author |
Egan, M. |
Title |
The nursing and midwifery practice structure at Healthcare Hawkes Bay: An evaluation and improvement process |
Type |
Journal Article |
Year |
1999 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
Volume |
5 |
Issue |
8 |
Pages |
27-29 |
Keywords |
Professional development; Nursing; Midwifery |
Abstract |
This article describes the Nursing and Midwifery Practice Structure, which has been in place at Healthcare Hawkes Bay since 1996. It was developed to provide nurses and midwives in clinical positions with a professional development structure, and uses a framework to recognise and reward competence. It encourages clinical progression and was developed to link nursing competence with remuneration. The Practice Structure, based on the work of Patricia Benner (Benner, 1984), is made up of 4 levels: Beginner/Advance Beginner Practitioner, Competent Practitioner, Proficient Practitioner, Expert Practitioner. The Structure was reviewed in 1998, and a Steering Group was formed to collect feedback from nurses and midwives, identify areas of concern, and make recommendations for improvements. At the time of writing, these recommendations are being implemented and systems are being developed to ensure the Nursing and Midwifery Practice Structure continues to develop. |
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NRSNZNO @ research @ 971 |
Serial |
955 |
Permanent link to this record |
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Author |
Lui, D.M.K. |
Title |
Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 2. Survey results |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of Neonatal Nursing |
Abbreviated Journal |
|
Volume |
9 |
Issue |
3 |
Pages |
91-96 |
Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Attitude of health personnel |
Abstract |
Discontinuation of life support measures for an extremely low birthweight or very premature baby is controversial and difficult for both the parents and the healthcare professional involved in caring for the infant. This study seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Part 1 reviewed the literature on this subject. Part 2 reports the results of a survey carried out in a New Zealand NICU. |
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NRSNZNO @ research @ 966 |
Serial |
950 |
Permanent link to this record |
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Author |
Corbett, A. |
Title |
Cultural safety: A New Zealand experience |
Type |
Journal Article |
Year |
2004 |
Publication |
Journal of the Australasian Rehabilitation Nurses Association |
Abbreviated Journal |
|
Volume |
7 |
Issue |
1 |
Pages |
14-17 |
Keywords |
Cross-cultural comparison; Cultural safety; Transcultural nursing |
Abstract |
The Indigenous Nursing Education Working Group report “Gettin em n keepin em”, was presented at the Australasian Nurse Educators Conference held in Rotorua, New Zealand. The practicalities of the implementation of this report were challenged in light of the experiences of New Zealand nurse educators in implementing the concepts of cultural safety into undergraduate nurse education in New Zealand. The experiences of one Maori family with the Australian health system is given to illustrate the points made. |
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NRSNZNO @ research @ 964 |
Serial |
948 |
Permanent link to this record |
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Author |
Rydon, S.E. |
Title |
The attitudes, knowledge and skills needed in mental health nurses: The perspective of users of mental health services |
Type |
Journal Article |
Year |
2005 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
Volume |
14 |
Issue |
2 |
Pages |
78-87 |
Keywords |
Patient satisfaction; Psychiatric Nursing; Attitude of health personnel |
Abstract |
In this study a qualitative descriptive methodology with focus group interviews was used to explore with users of mental health services, the attitudes, knowledge and skills that they need in mental health nurses. Users of mental health services valued the therapeutic work of mental health nurses, and identified positive attitudes towards users of mental health services as essential in mental health nurses. However, they did not consistently experience a therapeutic approach in their interactions with mental health nurses. In a sociopolitical climate where the views of users of mental health services are increasingly incorporated into education and the planning and delivery of services, there is a need for more research that reflects the perspective of users. |
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NRSNZNO @ research @ 961 |
Serial |
945 |
Permanent link to this record |
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Author |
Hughes, F.; Duke, J.; Bamford-Wade, A.; Moss, C. |
Title |
Enhancing nursing leadership through policy, politics, and strategic alliances |
Type |
Journal Article |
Year |
2006 |
Publication |
Nurse Leader |
Abbreviated Journal |
|
Volume |
4 |
Issue |
2 |
Pages |
24-27 |
Keywords |
Policy; Nursing; Leadership |
Abstract |
This paper looks at the links between nursing roles and health policy in New Zealand. Strategic alliances between key professional leaders in different nursing roles can help the profession by directly influencing policy development and implementation. This form of policy entrepreneurship is an important component of professional leadership. |
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NRSNZNO @ research @ 955 |
Serial |
939 |
Permanent link to this record |
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Author |
Wilkinson, A. |
Title |
New age informatics & the management of perioperative nursing documentation |
Type |
Journal Article |
Year |
2007 |
Publication |
Dissector |
Abbreviated Journal |
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Volume |
35 |
Issue |
1 |
Pages |
20-23 |
Keywords |
Nursing; Administration |
Abstract |
Investigates the requirements for documentation by nurses. Research by Millar & Araquiza (1999) suggests that nurses spend an estimated 30% of their time documenting patient care. |
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NRSNZNO @ research @ 950 |
Serial |
934 |
Permanent link to this record |
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Author |
Gage, J.; Hornblow, A.R. |
Title |
Development of the New Zealand nursing workforce: Historical themes and current challenges |
Type |
Journal Article |
Year |
2007 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
Volume |
14 |
Issue |
4 |
Pages |
330-334 |
Keywords |
History of nursing; Nursing research; Personnel; Interprofessional relations |
Abstract |
This article reviews the development of the New Zealand nursing workforce, which has been shaped by social, political, scientific and interprofessional forces. The unregulated, independent and often untrained nurses of the early colonial period were succeeded in the early 1900s by registered nurses, with hospital-based training, working in a subordinate role to medical practitioners. In the mid/late 1900s, greater specialisation within an expanding workforce, restructuring of nursing education, health sector reform, and changing social and political expectations again reshaped nursing practice. Nursing now has areas of increasing autonomy, expanding opportunities for postgraduate education and leadership roles, and a relationship with medicine, which is more collaborative than in the past. Three current challenges are identified for nursing in New Zealand's rapidly evolving health sector; development of a nursing-focused knowledge culture, strengthening of research capacity, and dissemination of new nursing knowledge. |
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NRSNZNO @ research @ 946 |
Serial |
930 |
Permanent link to this record |
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Author |
Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B. |
Title |
From competence to capability: A study of nurse practitioners in clinical practice |
Type |
Journal Article |
Year |
2008 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
Author copy available 12 months after publication from QUT ePrints |
Volume |
17 |
Issue |
2 |
Pages |
250-258 |
Keywords |
Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation |
Abstract |
This research aimed to understand the level and scope of practice of the nurse practitioner in Australia and New Zealand further using a capability framework. The original study, from which the present paper was developed, sought to identify competency standards for the extended role of the nurse practitioner in Australia and New Zealand. In doing so the researchers became aware that while competencies described many of the characteristics of the nurse practitioner they did not manage to tell the whole story. In a search of the literature, the concept of capability appeared to provide a potentially useful construct to describe the attributes of the nurse practitioner that went beyond competence. A secondary analysis of data obtained from the interviews with 15 nurse practitioners working in Australia and New Zealand was undertaken. The analysis showed that capability and its dimensions is a useful model for describing the advanced level attributes of nurse practitioners. Thus, nurse practitioners described elements of their practice that involved: using their competences in novel and complex situations as well as the familiar; being creative and innovative; knowing how to learn; having a high level of self-efficacy; and working well in teams. This study suggests dimensions of capability need to be considered in the education and evaluation of nurse practitioners. |
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NRSNZNO @ research @ 945 |
Serial |
929 |
Permanent link to this record |
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Author |
DeSouza, R. |
Title |
Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand |
Type |
Journal Article |
Year |
2008 |
Publication |
Journal of Research in Nursing |
Abbreviated Journal |
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Volume |
13 |
Issue |
2 |
Pages |
125-135 |
Keywords |
Cultural safety; Nursing models; Cross-cultural comparison; Maori |
Abstract |
The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process. |
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NRSNZNO @ research @ 943 |
Serial |
927 |
Permanent link to this record |
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Author |
Connor, M. |
Title |
Courage and complexity in chronic illness: Reflective practice in nursing |
Type |
Book Whole |
Year |
2004 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
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Keywords |
Asthma; Nurse-patient relations; Nurse-family relations; Community health nursing; District nursing; Chronically ill |
Abstract |
This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution. |
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NRSNZNO @ research @ 926 |
Serial |
910 |
Permanent link to this record |
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Author |
Jones, B. |
Title |
Saving lives and changing dirty nappies: Illuminating nursing in the neonatal nurse practitioner role: The New Zealand experience |
Type |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Massey University Library |
Volume |
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Issue |
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Pages |
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Keywords |
Neonatal nursing; Nurse practitioners |
Abstract |
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NRSNZNO @ research @ 919 |
Serial |
903 |
Permanent link to this record |
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Author |
O'Brien, A.J. |
Title |
The therapeutic relationship: Perceptions of mental health nurses |
Type |
|
Year |
2000 |
Publication |
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Abbreviated Journal |
Massey University Library |
Volume |
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Issue |
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Pages |
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Keywords |
Psychiatric Nursing; Mental health; Nurse-patient relations |
Abstract |
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NRSNZNO @ research @ 914 |
Serial |
898 |
Permanent link to this record |
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Author |
Sye, J. |
Title |
A fine balance |
Type |
|
Year |
2008 |
Publication |
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Abbreviated Journal |
AUT University Library |
Volume |
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Issue |
|
Pages |
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Keywords |
Paediatric nursing; Community health nursing; Nurse-patient relations; Children; Patient rights |
Abstract |
The aim of this study is to analyse the discourses drawn upon by community paediatric nurses in relation to children's rights to health. The philosophy of Michel Foucault has been used to underpin the analysis of the interviews and exemplars of five experienced community nurses, revealing conflicting power relationships and discourses. Rights are formalised morality and so from a children's rights perspective, discourses reflect both the moral and ethical positions of the nurses. Children are constructed as developing human beings whose moral status gradually changes and who, through a lack of developmental autonomy, entrust their decision-making to their representatives (parents and caregivers) as their trustees. Rights are correlative with the obligations and duties toward children by both families and society. Society constructs legislative and politically organised structures to govern raising children because children are an intrinsic social concern. Whilst representing society's interest in children's rights to health, nurses in the home act as a conduit for multiple governing structures. The nurses in this study construct their “truths” and knowledge about children's health rights from nursing, medicine, law, education, and social policy. However, the values of individual parents can conflict with universal values for children's health and wellbeing. Therefore representing society positions nurses as “agents of the state”, a role that potentially holds power over parents and children and leads to the epithet of “the health police”. Within the institution of the family, and in the privacy of the home, there are also mechanisms of power that can resist the mechanisms of the state and its representatives. Therefore the discourse “it takes a village to raise a child” competes with the “my home is my castle” discourse. Nurses negotiate a fine balance between these power relations. Nurses are challenged with using power productively to promote children's rights whilst respecting the role of parents and families. The author argues that children's rights are central to the moral and ethical work of nurses but that such work is often obscured and invisible. She proposes that children's community nurses are excellent at negotiating networking and connecting at a micro level, but need to create a more sophisticated and cohesive entity at a macro level to become fully political children's rights advocates. |
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NRSNZNO @ research @ 911 |
Serial |
895 |
Permanent link to this record |
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Author |
Richardson, S.; Allen, J. |
Title |
Casualization of the nursing workforce: A New Zealand perspective on an international phenomenon |
Type |
Journal Article |
Year |
2001 |
Publication |
International Journal of Nursing Practice |
Abbreviated Journal |
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Volume |
7 |
Issue |
2 |
Pages |
104-108 |
Keywords |
Industrial relations; Organisational change; Nursing; Personnel staffing and scheduling |
Abstract |
A discussion of the increased use of 'casual' nursing staff (those nurses employed on a casual or 'per diem' basis) is presented. Reference is made to related literature, together with consideration of the implications associated with this trend. This issue has international significance, with the increased use of casual staff being widely recognised. A New Zealand perspective is included, with the provision of nursing care at Christchurch Hospital presented to illustrate certain aspects of the discussion. The impact of changing health-care systems and increased emphasis on efficiency and accountability are identified. This change to workplace practice will inevitably affect nursing; possible future developments are considered. |
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NRSNZNO @ research @ 909 |
Serial |
893 |
Permanent link to this record |
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Author |
Mears, A. |
Title |
The role of the clinical nurse co-ordinator |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of the Australasian Rehabilitation Nurses Association |
Abbreviated Journal |
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Volume |
6 |
Issue |
3 |
Pages |
24-25 |
Keywords |
Nursing; Nursing specialties; Older people |
Abstract |
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NRSNZNO @ research @ 907 |
Serial |
891 |
Permanent link to this record |