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Author Polaschek, N.
Title Negotiated care: A model for nursing work in the renal setting Type Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 42 Issue 4 Pages (down) 355-363
Keywords Chronically ill; Nursing models; Nurse-patient relations; Communication
Abstract This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy.
Call Number NRSNZNO @ research @ Serial 1186
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Author Wareham, P.; McCallin, A.; Diesfeld, K.
Title Advance directives: The New Zealand context Type Journal Article
Year 2005 Publication Nursing Ethics Abbreviated Journal
Volume 12 Issue 4 Pages (down) 349-359
Keywords Law and legislation; Patient rights; Nursing; Ethics
Abstract Advance directives convey consumers' wishes about accepting or refusing future treatment if they become incompetent. There are associated ethical issues for health practitioners and this article considers the features that are relevant to nurses. In New Zealand, consumers have a legal right to use an advance directive that is not limited to life-prolonging care and includes general health procedures. Concerns may arise regarding a consumer's competence and the document's validity. Nurses need to understand their legal and professional obligations to comply with an advance directive. What role does a nurse play and what questions arise for a nurse when advance directives are discussed with consumers? This article considers the cultural dimensions, legal boundaries, consumers' and providers' perspectives, and the medical and nursing positions in New Zealand.
Call Number NRSNZNO @ research @ 1069 Serial 1054
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Author Lim, A.G.; Honey, M.; Kilpatrick, J.
Title Framework for teaching pharmacology to prepare graduate nurse for prescribing in New Zealand Type Journal Article
Year 2007 Publication Nurse Education in Practice Abbreviated Journal
Volume 7 Issue 5 Pages (down) 348-353
Keywords Prescribing; Nursing; Education; Pharmacology
Abstract The educational framework used to teach pharmacology to nurses by one university in New Zealand is presented, along with early findings on the effectiveness of this approach. Nurse prescribing is relatively new in New Zealand and is related to the expanding roles and opportunities for nurses in health care. Opposition to nurse prescribing in New Zealand has been marked and often this has been linked to concerns over patient safety with the implication that nurses could not be adequately prepared for safe prescribing.
Call Number NRSNZNO @ research @ Serial 700
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Author Ross, Jean
Title 'Place' Matters to Rural Nurses: A Study Located in the Rural Otago Region of New Zealand Type Book Whole
Year 2017 Publication Abbreviated Journal
Volume Issue Pages (down) 346 p.
Keywords Rural nursing; Identity; Otago; Sense of place
Abstract Explores the social construction of the evolving professional identity, of rural nurses between the 1990z and early 2000s, a period of time was associated with two

significant national directives impacting on the professional practice of rural nurses and their contribution to the delivery of health care, from the rural Otago region of NZ. Engages with the concepts of place and governmentality. Demonstrates that rural nursing is a place–based practice governed both from within and beyond location, an analytical diagrammatic matrix.
Call Number NZNO @ research @ Serial 1555
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Author Wepa, D.
Title An exploration of the experiences of cultural safety educators in New Zealand: An action research approach Type Journal Article
Year 2003 Publication Journal of Transcultural Nursing Abbreviated Journal
Volume 14 Issue 4 Pages (down) 339-348
Keywords Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori
Abstract This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action, and reflecting. The findings of the research revealed that the participants not only coped with everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for educators to conduct and publish research so that a body of knowledge can be developed, and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burnout.
Call Number NRSNZNO @ research @ Serial 887
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Author Tweed, C.; Tweed, M.
Title Intensive care nurses' knowledge of pressure ulcers: Development of an assessment tool and effect of an educational program Type Journal Article
Year 2008 Publication American Journal of Critical Care Abbreviated Journal
Volume 17 Issue 4 Pages (down) 338-347
Keywords Intensive care nursing; Training; Evaluation
Abstract The aim of this study was to assess intensive care nurses' knowledge of pressure ulcers and the impact of an educational programme on knowledge levels. A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed three times: before an educational programme, within two weeks after the programme, and 20 weeks later. Completion of the educational programme resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational programme. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational programme, but soon returned to baseline.
Call Number NRSNZNO @ research @ Serial 958
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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 (down) 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 NRSNZNO @ research @ 468 Serial 454
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Author Papps, Elaine
Title Knowledge, power, and nursing education in New Zealand: a critical analysis of the construction of the nursing identity Type Book Whole
Year 1998 Publication Abbreviated Journal
Volume Issue Pages (down) 330 p.
Keywords Nursing education; Nursing identity; Michel Foucault; Curriculum; Governmentality
Abstract Describes and critically analyses the construction of the nursing identity through curriculum and social relations of power. Conducts a critical analysis using Foucault's power/knowledge problematic to unmask power relations positioning the nurse in the discourses of medicine and gender. Analyses the construction of the nursing identity through curriculum and the social relations of power, using the Foucauldian notion of governmentality.
Call Number NRSNZNO @ research @ Serial 330
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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 (down) 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 NRSNZNO @ research @ 946 Serial 930
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Author Bogossian, F.; Cooper, S.; Kelly, M.; Levett-Jones, T.; McKenna, L.; Slark, J.; Seaton, P.
Title Best practice in clinical simulation education -- are we there yet? A cross-sectional survey of simulation in Australian and New Zealand pre-registration nursing education Type Journal Article
Year 2018 Publication Collegian Abbreviated Journal
Volume 25 Issue 3 Pages (down) 327-334
Keywords Simulation education; Nursing students; Clinical simulation; Surveys
Abstract Describes the current use of simulation in tertiary nursing education programmes leading to nurse registration, in Australia and NZ. Determines whether investments in simulation have improved uptake, quality and diversity of simulation experiences. Conducts a cross-sectional electronic survey distributed to lead nursing academics in nursing registration programmes in both countries.
Call Number NZNO @ research @ Serial 1786
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Author McKinlay, E.M.
Title Thinking beyond Care Plus: The work of primary health care nurses in chronic conditions programmes Type Journal Article
Year 2007 Publication New Zealand Family Physician Abbreviated Journal
Volume 34 Issue 5 Pages (down) 322-327
Keywords Primary health care; Nursing models; Chronic diseases
Abstract This paper focuses on the work of primary health care nurses on chronic conditions, through both formal chronic care management (CCM) programmes and informal work. The author overviews the key components of CCM and describes Care Plus, a funding stream accessed via PHOs. The author gives examples of nurse led clinics and programmes in the general practice environment, and outlines the structures and processes necessary. A table summarises nurse involvement in several PHOs throughout the country. The author finds that the role of PHC nurses within a framework of inter-disciplinary chronic condition care is diverse and increasing.
Call Number NRSNZNO @ research @ Serial 455
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Author Honey, M.
Title Flexible learning for postgraduate nurses: A basis for planning Type Journal Article
Year 2004 Publication Nurse Education Today Abbreviated Journal
Volume 24 Issue 4 Pages (down) 319-325
Keywords Nursing; Education; Technology; Teaching methods
Abstract This paper describes a survey undertaken with postgraduate nursing students in a university-based school of nursing in 2002 to establish their access to and use of computers and information technology for study. Whilst there was minimal flexibility and use of technology to support student learning for postgraduate nurses in the school, the university proposed increasing flexibility across all courses. This is in part a response to the increased internationalisation of education and developments in technology affecting programme design, delivery and support that can benefit teachers and students. The author notes that the findings of this survey form a basis for planning the introduction of flexible learning. Results indicated that not all students have convenient access to technology for study purposes, nor are they at the same level in terms of using technology.
Call Number NRSNZNO @ research @ Serial 699
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Author Jamieson, Isabel
Title What are the views of Generation Y New Zealand Registered Nurses towards nursing, work and career?: a descriptive exploratory study Type Book Whole
Year 2012 Publication Abbreviated Journal
Volume Issue Pages (down) 313
Keywords Generation Y; Registered nurses; Workforce retention; Work-life balance; Careers in nursing
Abstract Undertakes a descriptive exploratory study to ascertain the views of Generation Y NZ Registered Nurses (Gen Y nurses) towards nursing, work and career. Little empirical data exists about why young New Zealanders choose to become nurses in the 21st century. Further, little is known about their future career plans or their intentions to remain in the nursing workforce. Conducts a nationwide on-line survey of 358 Gen Y nurses from late 2009 to early 2010. Reports key findings: young NZ nurses are driven by traditional values of altruism, the desire to care for others, the ability to work closely with people, as well as being able to make a strong contribution to society when deciding to become a nurse, while seeking interesting, challenging and exciting work. Job security, the ongoing demand for nurses, the ability to leave and return, as well as the ability to combine work and family, are also important factors that help them to choose to become nurses.
Call Number NZNO @ research @ Serial 1423
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Author Bowen-Withington, Julie
Title Emerging discourses shaping high-fidelity simulation as an education platform in Aotearoa New Zealand pre-registration nursing education: A Foucauldian discourse analysis Type Book Whole
Year 2022 Publication Abbreviated Journal
Volume Issue Pages (down) 311 p.
Keywords High-fidelity simulation (HFS); Nursing education; Discourse analysis; Michel Foucault
Abstract Asserts that nursing needs to think critically about High-fidelity simulation (HFS) use, and its dominance, in the educational preparation of nurses. Draws on the tenets of postmodernism and Foucauldian discourse analysis methodology to question the discourses and discursive practices that influence the use of HFS as an approach to intentional and unintentional teaching and learning in pre-registration nursing education in NZ. Explores how this shapes nursing students' subjectivity and, ultimately, nursing practice.
Call Number NZNO @ research @ Serial 1839
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Author Wilkinson, Jillian Ann
Title The New Zealand nurse practitioner polemic : a discourse analysis : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing, Massey University, Wellington, New Zealand Type Book Whole
Year 2007 Publication Abbreviated Journal
Volume Issue Pages (down) 308 pp.
Keywords Nurse practitioners; Nursing history; Advanced nursing practice; Nursing identity; Discourse analysis; Nursing regulation; Surveys
Abstract Traces the development of the nurse practitioner role in NZ since its establishment in 2001, using a discourse analytical approach to examine those discourses that have defined the role. Employs both textual and discursive analysis of texts from published literature and from nine interviews with individuals influential in the evolution of the role. Examines political perspectives and disciplinary practices dating back to the Nurses Registration Act of 1901. Considers the implications of an autonomous nursing profession in both practice and regulation.
Call Number NZNO @ research @ Serial 1614
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