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Author Henty, C.; Dickinson, A.R.
Title Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study Type Journal Article
Year 2007 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 34 Issue 5 Pages 335-338
Keywords Primary health care; Chronic diseases; Nursing; Evaluation
Abstract The aim of this small qualitative descriptive pilot study was to describe the experiences of practice nurses delivering the Care Plus programme within the general practice setting. Care Plus was introduced into Primary Health Organisations (PHOs) in 2004. This programme encourages more involvement from practice nurses in chronic care management. For many New Zealand practice nurses this is a new role. This study, carried out prior to the larger Care Plus implementation review (2006), provides an insight into the nursing experience of implementing Care Plus and provides a basis for future studies with regard to the nurse's role within the Care Plus programme.
Call Number (up) NRSNZNO @ research @ 468 Serial 454
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Author Spence, D.; Smythe, E.
Title Courage as integral to advancing nursing practice Type Journal Article
Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 23 Issue 2 Pages 43-55
Keywords Ethics; Advanced nursing practice
Abstract This paper focuses on the illumination of courage in nursing. The authors suggest it is a fundamental component of nursing, yet it is seldom mentioned or recognised in the literature, or supported in practice. Data from a hermeneutic analysis of nurses' practice stories is integrated with literature to assist deeper understanding of the meaning of courage in contemporary nursing practice. The purpose is to make visible a phenomenon that needs to be actively fostered if nursing is to effectively contribute to an improved health service.
Call Number (up) NRSNZNO @ research @ 470 Serial 456
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Author Robinson, T.
Title Advancing nursing practice and deep vein thrombosis prevention Type
Year 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Cardiovascular diseases; Nursing; Prevention
Abstract
Call Number (up) NRSNZNO @ research @ 477 Serial 464
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Author Kidd, J.D.
Title Aroha mai: Nurses, nursing and mental illness Type
Year 2008 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Mental health; Nursing; Culture
Abstract This research takes an autoethnographical approach to exploring the connections between being a nurse, doing nursing work, and experiencing a mental illness. Data is comprised of autoethnographical stories from 18 nurses. Drawing on Lyotard's (1988) postmodern philosophy of 'regimes of phrases' and 'genres of discourse,' the nurses' stories yielded three motifs: Nursing, Tangata Whaiora (people seeking wellness) and Bullying. Interpretation of the motifs was undertaken by identifying and exploring connected or dissenting aspects within and between the motifs.
Call Number (up) NRSNZNO @ research @ 478 Serial 465
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Author Blake-Palmer, E.
Title Seeing the world through orthopaedic eyes: The experience of being an orthopaedic nurse: A hermeneutic study Type
Year 2007 Publication Abbreviated Journal
Volume Issue Pages
Keywords Nursing specialties
Abstract This study explores the experience of being an orthopaedic nurse. As an orthopaedic nurse the author had concerns that the validity of orthopaedic nursing as a unique scope of practice was being questioned. In this thesis, the case for orthopaedic nursing is argued, by showing it as a specialty in its own right. A qualitative approach informed by the author's interpretation of philosophical hermeneutics as articulated by Heidegger (1927/1962) and Gadamer (1976; 1989) was undertaken. Phenomenology seeks to uncover 'taken-for granted' meanings in everyday experience and hermeneutic research recognises that the historical and cultural horizons of participants and researcher influence the interpretation. Eight nurses working in various orthopaedic settings were interviewed. Data was analysed using the interpretive thematic approach described by van Manen (1990). The nurses' stories from practice yielded two essential themes, 'being part', and 'gaining and maintaining integrity'. The author concludes that these themes interrelate and together reveal meanings and insights about being an orthopaedic nurse. 'Being part', shows the essential nature of relationships between orthopaedic nurses and others. 'Gaining and maintaining integrity' describes the embodied nature of the phenomenon. The overall thematic finding 'seeing the world through orthopaedic eyes' reveals the nature of orthopaedic nursing as a unique scope of practice.
Call Number (up) NRSNZNO @ research @ 479 Serial 466
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Author Gabolinscy, B.
Title Triage codes: A predictor of nursing care time in the emergency department Type
Year 2005 Publication Abbreviated Journal
Volume Issue Pages
Keywords Emergency nursing; Time factors
Abstract This thesis explores triage code as a predictor of direct nursing care time, thus its potential usefulness in a model for calculating and allocating nurse requirements in emergency departments. A framework for nursing work is proposed. This framework is based on the works of O'Brien-Pallas, Irvine, Peereboom, and Murray (1997) and Houser (2003). It suggests that the structures of environmental complexity, nursing characteristics, patient nursing complexity, and patient medical condition and severity, impact on the processes of direct and indirect nursing care to affect patient outcomes. A prospective, non-experimental study was undertaken to examine the relationship between direct nursing care time and triage code. Six potential confounding variables were selected for this study: length of stay, age, ethnicity, sex, complaint type, and discharge category. Data were collected for 261 visits over a three day period in one New Zealand emergency department. Patient visits averaged 200 minutes. The mean direct nursing care time per visit was 49 minutes. On average, patients with more urgent triage codes, longer length of stay, or who were not discharged, received more direct nursing care. The model developed predicted 49% of variation in direct nursing care time (p < .05) related to triage code (16%), length of stay (31%) and disposition category (2%). The author suggests that further exploration of the proposed framework has potential to develop a model allowing managers to identify nurse staffing required for optimal nursing care in emergency departments.
Call Number (up) NRSNZNO @ research @ 481 Serial 468
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Author Neugebauer, A.F.
Title The adult congenital heart disease service: An evidence-based development of a nurse specialist position Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Cardiovascular diseases; Nursing specialties; Nursing
Abstract
Call Number (up) NRSNZNO @ research @ 482 Serial 469
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Author Woodward, J.
Title Nurse case management: A review of the literature Type
Year 1999 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Nursing; Nursing specialties; Surgery; Care plans
Abstract This literature review is an exploration of nurse case management and it will provide the background for the introduction of a nursing case management model in the acute surgical environment at Western Bay Health. Case management is a collaborative process which assesses, plans, implements, co-ordinates, monitors and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes (Newell, 1996:.3). In undertaking this review it was the author's intention to include the findings as background to a business case seeking the introduction of a surgical nurse case management model within the surgical service.
Call Number (up) NRSNZNO @ research @ 483 Serial 470
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Author McKelvie, R.
Title Partnership in paediatric nursing: A descriptive exploration of the concept and its practice Type
Year 2001 Publication Abbreviated Journal
Volume Issue Pages
Keywords Paediatric nursing; Parents and caregivers; Children; Relationships
Abstract A 50 point research project presented in partial fulfilment of the requirements for the degree of Master of Nursing at Massey University.
Call Number (up) NRSNZNO @ research @ 484 Serial 471
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Author Hetaraka, B.
Title A study of nurses working in a community development model Type
Year 2006 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Community health nursing; Health promotion; Nursing
Abstract
Call Number (up) NRSNZNO @ research @ 486 Serial 472
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Author Taiaroa, H.
Title Weaving the contemporary position of maatauranga Maaori within nursing practice Type
Year 2007 Publication Abbreviated Journal
Volume Issue Pages
Keywords Maori; Culture; Nursing models; Nursing; Health status
Abstract This thesis explores the customary kaupapa of Matauranga Maori or Maori knowledge, which the author identifies as the appropriate technique to determine how health care should be maintained by and for Maori. The research highlights the need to meld these kaupapa with that of a contemporary Maori viewpoint, to focus more on a deeper enhancement of these kaupapa, and develop an understanding of the social, cultural, educational, political and economic contexts these concepts have on Maori as a people. This research identified six Maori registered women nurses, who shared their experiences regarding Matauranga Maori and its importance to their nursing practice. Over a period of one year, in-depth conversations unfolded and produced data on what Matauranga Maori involves and how the six participants in the study believe it influences their nursing practices. All were currently practicing nurses within various health settings such as psychiatric and comprehensive nursing. From the inception of this study, the focus was to introduce Matauranga Maori as the epistemological framework of choice. The author notes that the findings of this research indicate that a collection of key kaupapa, namely whakapapa, whanaungatanga, te reo Maori, wairuatanga, tuurangawaewae, manaakitanga and rangatiratanga are crucial to the health and wellbeing of Maori as a people. These kaupapa enable Maori to determine and strengthen their worldview, which in turn reflects the concept of being Maori thereby contributing to the health and status of their whanau, hapu and iwi. She goes on to say that the findings support the view that there is a substantial collection of kaupapa, which are inherent in Matauranga Maori as being able to provide a framework for theoretical research. These kaupapa will provide a framework for nursing practice and educational curricula that will develop and maintain nursing standards to meet the needs of Maori.
Call Number (up) NRSNZNO @ research @ 489 Serial 475
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Author Davies, D.C.
Title Practice nurses' perceptions of their contribution to the care of individuals with chronic health conditions Type
Year 2006 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Primary health care; Chronic diseases; Patient satisfaction; Nursing
Abstract Table of Contents: 1. Background and overview; 2. Research design and method; 3. Literature review; 4. Preparation of the individual for an appointment at the general practice; 5. Care provided by the practice nurse at the general practice; 6. The giving of information; 7. A discussion of the dualities of the contribution of practice nurses to the care of individuals with chronic conditions; 8. Study summary and conclusions.
Call Number (up) NRSNZNO @ research @ 492 Serial 478
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Author Keene, J.M.
Title The role of the nurse in the outpatient setting Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Nursing; Nursing specialties
Abstract Outpatient nurses are often seen as nurses who are less important or skilled and can no longer physically cope with working in busy wards. This report is aimed to challenge this presumption and show that there are many educated and highly skilled nurses working in these departments. The diversity of the role of the nurse within the continued advancement of nursing practice in the outpatient department is evidence to disprove the perceptions other nurses have of the outpatient nurse. The purpose of this report was to discuss the changing role of the outpatient nurse from 'handmaiden' to 'autonomous practitioner', and secondly, to discuss nurse-led services and what experience and/or skills these nurses are expected to have to fulfill these roles. Literature was gathered to inform this report from the academic circles, policy from the Ministry of Health, the District Health Board website, and in relation to the author's own role with the outpatient department.
Call Number (up) NRSNZNO @ research @ 493 Serial 479
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Author Blanchard, D.L.
Title Developing the place and role of family within the culture of critical care nursing: An action research approach Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Relationships; Nurse-family relations; Intensive care nursing; Nursing research
Abstract This research examines how nurses negotiate the context of the Intensive Care Unit (ICU) while working with families. The action research described in this thesis developed through a series of meetings and conversations where the conversations supported the reflexive intent of the research. In commissioning the research, the design of the meetings and conversations were as a series of overlapping actions. Data collection and data analysis occurred in the action research by meetings, reflective conversations, ad libitum observations, and in a research journal. Conceptual maps explain the progress and findings of the research in this thesis while categories distilled from the conversations also support the findings in the research. The Family Action Research Group that was established within this project proposed a Family Assessment Form for the family to provide an assessment of themselves and the patient. Implementing this assessment tool demonstrated that clear information was needed for the family in the ICU. Findings in this research focus on developing action research and family care in ICU. Findings also focused on the role of the researcher being of and not being of the context where action research is undertaken. Recommendations include staff examining relationships for potential asymmetries and seeking ways to address these to support families and staff. Suggested strategies for developing action research in a clinical context include detailed planning, clear focusing, transparency of data, and working to explain change initiatives through the research are also included.
Call Number (up) NRSNZNO @ research @ 494 Serial 480
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Author Connor, M.
Title Sharing the burden of strife in chronic illness: A praxiological study of nursing practice in a community context Type
Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Chronically ill; Nursing; Nurse-patient relations; Nursing research; Methodology
Abstract This inquiry is an in-depth exploration of one middle aged woman's experience of strife in chronic illness and her nursing care involving four nurses (including the author) in a community context over a three-year period. The study is praxiological in that the understanding achieved is derived from practice within a 'research as praxis' methodology positioned in the disciplinary perspective of nursing as a practical human science. Five methodological premises inform the research processes: reflexivity, dialogue, moral comportment, re-presentation in narrative and critique. They emanate from an eclectic ontological praxiology based on the research framework constructed from Gadamerian philosophical hermeneutics, components of other philosophical praxiologies evolved from an exploration of the practical discourse in philosophy and my preferred health and nursing assumptions. The research processes include researcher journalling, a summary of Sarah's nursing record and dialogical meetings with Sarah and the nurse co-participants. Using the research material a narrative is then co-constructed. The narrative is structured around what Sarah viewed as the overall nursing contribution to her care; the 'sharing of her burden of illness'. This, she maintained, enabled her to live safely in the community. Finally there occurs a critique of the narrative within a discursive framework. Three themes, embedded in particular discourses, emerged from the narrative both in Sarah's and the nurses' experience; paradox, moral meaning and metaphor. Sarah's experience is interpreted as taking place in the 'in-between space' of the disease and health-illness discourses. Two main concepts which depict the tension experienced in this space are the 'the ontological assault of illness' and 'entrapment in the disease discourse'. The nurses, in this instance, 'pushed the boundaries' to create a space for the nursing as a caring practice discourse on the margins of nursing as a functional service discourse. The author notes that, within the nursing as a caring practice space, many 'fine lines' were walked with Sarah. Walking the 'fine line' of an 'intense relationship' was seen as advanced nursing practice. The research highlights important implications for a person and/or families who live with chronic illness and practice and educational issues for advanced nurse practitioners. Further, it promotes praxiological methodologies as advantageous for expanding nursing knowledge.
Call Number (up) NRSNZNO @ research @ 495 Serial 481
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