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Author |
Cook, D. |
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Title |
Open visiting: Does this benefit adult patients in intensive care units? |
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 |
Hospitals; Intensive care nursing |
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Abstract |
As the healthcare system moves toward a consumer-driven paradigm, visiting hours for family and significant others of the intensive care unit patient have become a topic of interest and discussion. Research since the 1970s has generated controversy and speculation over the ideal visiting practices in the adult intensive care unit. The aim of this dissertation was to examine the benefits for the patient, family members and nurses of appropriate visiting practices within intensive care areas in order to establish if open visiting is the best regime for patients in the adult intensive care unit (ICU). This dissertation explores visiting practices in adult critical care unit settings. Specifically, the benefits of visiting for patients, and the factors that may impede or facilitate visiting practices within the ICU were critically discussed. These factors included the benefits and disadvantages of open visiting, and the nurse as an influential factor in visiting. These areas linked together to form the basis for consideration of visiting in the ICU. Review of existing literature pertaining to visiting in the ICU indicated that patients wanted open visiting hours yet also indicated that they would like some visiting restrictions. Nurses appeared to value family input into care and were aware of patient and family needs, even though they may restrict visiting to suit their own work practices. Family members can provide the patient with psychological support, provide important historical data, assist the nurse with selected aspects of physical care, and actively encourage the patient's efforts to recover. The outcome of this exploration is the recommendation of an open visiting policy tailored to individual patients, as, the author suggests, this would foster nursing practice and ultimately benefit patients and their families. |
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Call Number  |
NRSNZNO @ research @ |
Serial |
680 |
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Author |
Meldrum, L.B.B. |
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Title |
Navigating the final journey: Dying in residential aged care in Aotearoa New Zealand |
Type |
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Year |
2006 |
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 |
Palliative care; Older people; Rest homes |
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Abstract |
New Zealand statistics project that the aging population of people aged 65 years and over will more than double in the next decade. This has implications for palliative care providers including hospices and hospitals because long-term inpatient care is not generally provided by hospitals and hospices. When dying patients need long-term care, residential settings become an option. The level of palliative care in these facilities is dependent on staff training and numbers. In general, staff are not trained in palliative care, neither do they provide the multidisciplinary facets that define palliative care as undertaken by hospices. This paper describes a practice development initiative using storytelling as the vehicle for introducing the concept of the Liverpool Care Pathway (LCP) for the dying patient into residential aged care settings. With the emergence of a reflective paradigm in nursing the concept of storytelling as a teaching/learning tool has grown. Many staff in residential care settings come from diverse ethnic backgrounds where for some, English is their second language. Storytelling therefore can be a useful approach for learning because it can increase their communication skills. The author suggests that the Liverpool Care Pathway for the dying patient is a model that can be translated across care settings, hospice, hospital, and community. It can demonstrate a framework that facilitates multiprofessional communication and documentation and embraces local needs, culture and language to empower health care workers to deliver high quality care to dying patients and their family/whanau and carers. This paper also explores the role of a facilitator as an agent of change and discusses how the interplay of evidence, context and facilitation can result in the successful implementation of the LCP into residential aged care settings. |
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Call Number |
NRSNZNO @ research @ |
Serial |
683 |
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Author |
van Rooyen, P.; Dixon, D.A.; Dixon, G.; Wells, C.C. |
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Title |
Entry criteria as predictor of performance in an undergraduate nursing degree programme |
Type |
Journal Article |
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Year |
2006 |
Publication |
Nurse Education Today |
Abbreviated Journal |
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Volume |
27 |
Issue |
7 |
Pages |
593-600 |
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Keywords |
Nursing; Education; Curriculum; Evaluation |
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Abstract |
This research explored the relationship between entry criteria and academic performance in the first and second year bioscience papers at Otago Polytechnic School of Nursing. The School's inclusion of a bioscience requirement varies from the Nursing Council criteria for acceptance into undergraduate nursing programmes. Six hundred and nineteen academic records of 1994-2002 graduates were sampled. Chi-square and correlational analyses found a relationship between entry qualifications and students' academic performance in the two papers. The entry criteria had a stronger relationship with the students' performance in the first year bioscience paper than the second year paper. Performance in the first year was predicative of second year performance. Age was also found to be a useful predictor of grades. These findings support the School's Bioscience entry criteria and provide important information for admission committees. |
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Call Number |
NRSNZNO @ research @ |
Serial |
693 |
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Author |
Walker, J.; Bailey, S.; Brasell-Brian, R.; Gould, S. |
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Title |
Evaluating a problem based learning course: An action research study |
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Journal Article |
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Year |
2001 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
10 |
Issue |
1/2 |
Pages |
30-38 |
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Keywords |
Nursing; Education; Teaching methods |
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Abstract |
The purpose of this study was to evaluate how the New Zealand style of problem based learning was developing students' understanding and integration of knowledge. The 'pure' problem based learning process has been adapted to move students gradually from teacher direction to taking responsibility for their learning. Two cycles of an action research method were used, involving 4 lecturers and 17 students. Data was collected both quantitatively and qualitatively over a 16-week period. Findings indicated the importance of: explaining the purpose and process of problem based learning; communicating in detail the role of both students and lecturers; keeping communication lines open; addressing timetabling issues and valuing this method of learning for nursing practice. Implications for nursing education are addressed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
695 |
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Author |
Wilson, D.; McBride-Henry, K.; Huntington, A.D. |
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Title |
Family violence: Walking the tight rope between maternal alienation and child safety |
Type |
Journal Article |
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Year |
2005 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
18 |
Issue |
1-2 |
Pages |
85-96 |
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Keywords |
Nursing; Domestic violence; Nurse-patient relations; Children |
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Abstract |
This paper discusses the complexity of family violence for nurses negotiating the 'tight rope' between the prime concern for the safety of children and further contributing to maternal alienation, within a New Zealand context. The premise that restoration of the mother-child relationship is paramount for the long-term wellbeing of both the children and the mother provides the basis for discussing implications for nursing practice. Evidence shows that when mothers are supported and have the necessary resources there is a reduction in the violence and abuse she and her children experience; this occurs even in situations where the mother is the primary abuser of her children. The family-centred care philosophy, which is widely accepted as the best approach to nursing care for children and their families, creates tension for nurses caring for children who are the victims of abuse as this care generally occurs away from the context of the family. |
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Call Number |
NRSNZNO @ research @ |
Serial |
698 |
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Author |
Rydon, S.E.; Rolleston, A.; Mackie, J. |
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Title |
Graduates and initial employment |
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Journal Article |
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Year |
2008 |
Publication |
Nurse Education Today |
Abbreviated Journal |
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Volume |
28 |
Issue |
5 |
Pages |
610-619 |
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Keywords |
New graduate nurses; Curriculum; Work |
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Abstract |
This research project was undertaken to inform nurse educators in the Department of Nursing and Health Studies of Manukau Institute of Technology of the employment opportunities for new graduate nurses emerging from the three year degree and registration programme. Graduates from the programme for the previous three years were surveyed for their experiences in gaining employment. 89.8% of graduates were successful in gaining employment in the first three months post registration. The number of graduates employed within a district health board declined across the three years but there were no significant differences between cohorts. Overall, 73% of graduates were employed into new graduate positions. The majority of graduates felt that their nursing education prepared them well for their role as a registered nurse. The findings of the qualitative data identified a strong need for science throughout the degree; longer clinical blocks; increased hands on experience; more practice with skills and less theory in relation to practical experience. |
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Call Number |
NRSNZNO @ research @ |
Serial |
701 |
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Author |
Fielden, J. |
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Title |
Grief as a transformative experience: Weaving through different lifeworlds after a loved one has completed suicide |
Type |
Journal Article |
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Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
74-85 |
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Keywords |
Grief; Psychology; Nursing specialties; Suicide |
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Abstract |
This research is an exploration and interpretation of the lived experiences of family members since they lost a close family member to suicidal death. The findings have implications for nurses and counsellors working in the area of suicide bereavement. Heidegger's hermeneutic phenomenology was utilised and informed by van Manen's and Benner's work. Data from in-depth interviews with six participants, the researcher's journal entries and published literature were analysed. Findings gave rise to a grief model where suicide survivors moved through four modes of being-in-the-world characterized by 13 lifeworlds or themes. Surviving suicide was a transformative process that in time enabled survivors to discover new ways of understanding and relating to the world. |
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Call Number |
NRSNZNO @ research @ |
Serial |
702 |
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Author |
Budge, C.; Carryer, J.B.; Wood, S. |
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Title |
Health correlates of autonomy, control and professional relationships in the nursing work environment |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
42 |
Issue |
3 |
Pages |
260-268 |
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Keywords |
Workplace; Occupational health and safety; Registered nurses |
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Abstract |
The aim of this study was to examine nursing in New Zealand and to see whether aspects of the work environment are associated with health status. A total of 225 registered nurses in a general hospital completed the Revised Nursing Work Index (NWI-R) and Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36). Ratings indicated that the New Zealand hospital environment was characterized by less autonomy and control and better nurse-physician relations than in USA hospitals. Results of correlations demonstrated that more positive ratings of the three workplace attributes were associated with better health status amongst the nurses. The results of regression analyses were indicative either of a confounding relationship or of a mediating relationship such that nurses' relations with physicians, administration and other departments mediate the associations between autonomy, control and health status. |
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Call Number |
NRSNZNO @ research @ |
Serial |
703 |
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Author |
Spence, D. |
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Title |
Hermeneutic notions augment cultural safety education |
Type |
Journal Article |
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Year |
2005 |
Publication |
Journal of Nursing Education |
Abbreviated Journal |
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Volume |
44 |
Issue |
9 |
Pages |
409-414 |
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Keywords |
Cultural safety; Nursing; Education; Transcultural nursing |
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Abstract |
In this article, the author integrates literature pertaining to the implementation of kawa whakaruruhau, or cultural safety, with the findings of a hermeneutic project that described the experience of nursing people from cultures other than one's own. It is argued that the Gadamerian notions of “horizon,” “prejudice,” and “play” can be used to facilitate understanding of the tensions and contradictions inherent in cross-cultural practice. Strategies are recommended that enable students to explore the prejudices, paradoxes, and possibilities experienced personally and professionally. |
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Call Number |
NRSNZNO @ research @ |
Serial |
704 |
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Author |
Spence, D. |
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Title |
Hermeneutic notions illuminate cross-cultural nursing experiences |
Type |
Journal Article |
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Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
35 |
Issue |
4 |
Pages |
624-630 |
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Keywords |
Transcultural nursing; Nursing |
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Abstract |
The aim of this paper was to articulate selected hermeneutic notions for the purpose of extending current understanding of cross-cultural nursing practice, and build on the author's work in this area. The project asserted that the notions of prejudice, paradox and possibility portray a nursing view of this phenomenon. The emphasis in this paper, rather than being methodological, is on showing how specific hermeneutic notions contribute to deeper understanding of the nature of cross-cultural practice. It is argued that contact with, and the capacity to explore, the play of conflicting prejudices and possibilities enhances understanding of the complex and paradoxical nature of cross-cultural nursing. |
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Call Number |
NRSNZNO @ research @ |
Serial |
705 |
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Author |
McKenna, B.; Smith, N.A.; Poole, S.; Coverdale, J. |
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Title |
Horizontal violence: Experiences of registered nurses in their first year of practice |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
42 |
Issue |
1 |
Pages |
90-96 |
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Keywords |
New graduate nurses; Workplace violence; Occupational health and safety |
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Abstract |
The aims of this study were to determine the prevalence of horizontal violence, or bullying, experienced by nurses in their first year of practice; to describe the characteristics of the most distressing incidents experienced; to determine the consequences, and measure the psychological impact, of such events; and to determine the adequacy of training received to manage horizontal violence. An anonymous survey was mailed to 1169 nurses in New Zealand who had registered in the year prior to November 2000 with a response rate of 47%. Many new graduates experienced horizontal violence across all clinical settings. Absenteeism from work, the high number of respondents who considered leaving nursing, and scores on the Impact of Event Scale all indicated the serious impact of interpersonal conflict. Nearly half of the events described were not reported, only 12% of those who described a distressing incident received formal debriefing, and the majority of respondents had no training to manage the behaviour. |
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Call Number |
NRSNZNO @ research @ |
Serial |
706 |
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Author |
Gage, J.; Everrett, K.D.; Bullock, L. |
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Title |
Integrative review of parenting in nursing research |
Type |
Journal Article |
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Year |
2006 |
Publication |
Journal of Nursing Scholarship |
Abbreviated Journal |
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Volume |
38 |
Issue |
1 |
Pages |
56-62 |
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Keywords |
Parents and caregivers; Nursing research; Evaluation |
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Abstract |
The authors synthesise and critically analyse parenting research in nursing. They focused on studies published between 1993 and 2004 by nurse researchers in peer-reviewed journals. Data were organised and analysed with a sample of 17 nursing research studies from core nursing journals. The majority of parenting research has been focused on mothers, primarily about parenting children with physical or developmental disabilities. Research about fathers as parents is sparse. Parenting across cultures, parenting in the context of family, and theoretical frameworks for parenting research are not well developed. The authors conclude that the scope of nursing research on parenting is limited. |
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Call Number |
NRSNZNO @ research @ |
Serial |
709 |
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Author |
Nicol, M.J.; Manoharan, H.; Marfell-Jones, M.; Meha-Hoerara, K.; Milne, R.; O'Connell, M.; Oliver, J.D.; Teekman, B. |
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Title |
Issues in adolescent health: A challenge for nursing |
Type |
Journal Article |
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Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
12 |
Issue |
2 |
Pages |
155-163 |
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Keywords |
Adolescents; Health education; Health promotion; Nursing; Risk factors; Suicide; Sexual health; Smoking; Mental health |
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Abstract |
This review provides an overview of the health issues for adolescents, and the implications for nursing practice, particularly around health promotion. It looks at the social context of adolescents including peer pressure, along with health issues such as suicide, mental health, sexual health, and smoking. |
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Call Number |
NRSNZNO @ research @ |
Serial |
712 |
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Author |
Friedel, J.; Treagust, D.F. |
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Title |
Learning bioscience in nursing education: Perceptions of the intended and the prescribed curriculum |
Type |
Journal Article |
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Year |
2005 |
Publication |
Learning in Health & Social Care |
Abbreviated Journal |
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Volume |
4 |
Issue |
4 |
Pages |
203-216 |
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Keywords |
Nursing; Education; Teaching methods |
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Abstract |
This study used a curriculum inquiry framework to investigate the perceptions of 184 nursing students and nurse educators in relation to bioscience in the nursing curriculum. Nursing students were found to have significantly more positive attitudes to bioscience in nursing education than nurse educators, and nurse educators were not found to have significantly better self-efficacy in bioscience than the students, although this might have been expected. The results of focus group discussions, used to investigate this in more depth, suggested that some nurse educators and clinical preceptors may not have sufficient science background or bioscience knowledge, to help nursing students apply bioscience knowledge to practice. As a result of this, it is suggested that the aims of the intended and prescribed nursing curricula are not being fulfilled in the implemented curriculum. |
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Call Number |
NRSNZNO @ research @ |
Serial |
713 |
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Author |
McBride-Henry, K.; Foureur, M. |
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Title |
Medication administration errors: Understanding the issues |
Type |
Journal Article |
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Year |
2006 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
23 |
Issue |
3 |
Pages |
33-41 |
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Keywords |
Nursing; Patient safety; Medical errors; Drug administration; Quality assurance |
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Abstract |
This literature review focused on research that primarily addresses the issues related to medications that arise in tertiary care facilities. It finds that investigations into medication errors have primarily focused on the role of nurses, and tended to identify the nurse as deliverer of unsafe practice. Over the past few years a shift in how medication errors are understood has led to the identification of systems-related issues that contribute to medication errors. The author suggests that nurses should contribute to initiatives such as the 'Quality and Safe Use of Medicines' and develop nursing led research, to address some of the safety related issues with a view to enhancing patient safety. |
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Call Number |
NRSNZNO @ research @ |
Serial |
715 |
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