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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.
Call Number (down) NRSNZNO @ research @ 971 Serial 955
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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.
Call Number (down) NRSNZNO @ research @ 966 Serial 950
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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.
Call Number (down) NRSNZNO @ research @ 964 Serial 948
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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.
Call Number (down) NRSNZNO @ research @ 961 Serial 945
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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.
Call Number (down) NRSNZNO @ research @ 955 Serial 939
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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
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.
Call Number (down) NRSNZNO @ research @ 950 Serial 934
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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.
Call Number (down) NRSNZNO @ research @ 946 Serial 930
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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.
Call Number (down) NRSNZNO @ research @ 945 Serial 929
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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
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.
Call Number (down) NRSNZNO @ research @ 943 Serial 927
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Author Connor, M.
Title Courage and complexity in chronic illness: Reflective practice in nursing Type Book Whole
Year 2004 Publication Abbreviated Journal
Volume Issue Pages
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.
Call Number (down) NRSNZNO @ research @ 926 Serial 910
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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
Year 2000 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Neonatal nursing; Nurse practitioners
Abstract
Call Number (down) NRSNZNO @ research @ 919 Serial 903
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Author O'Brien, A.J.
Title The therapeutic relationship: Perceptions of mental health nurses Type
Year 2000 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Psychiatric Nursing; Mental health; Nurse-patient relations
Abstract
Call Number (down) NRSNZNO @ research @ 914 Serial 898
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Author Sye, J.
Title A fine balance Type
Year 2008 Publication Abbreviated Journal AUT University Library
Volume Issue Pages
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.
Call Number (down) NRSNZNO @ research @ 911 Serial 895
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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
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.
Call Number (down) NRSNZNO @ research @ 909 Serial 893
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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
Volume 6 Issue 3 Pages 24-25
Keywords Nursing; Nursing specialties; Older people
Abstract
Call Number (down) NRSNZNO @ research @ 907 Serial 891
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