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Author O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J.
Title Clinical indicators as measures of mental health nursing standards of practice in New Zealand Type Journal Article
Year 2004 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 13 Issue (down) 2 Pages 778-788
Keywords Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth
Abstract This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings.
Call Number NRSNZNO @ research @ Serial 1059
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Author McLeland, A.; Williams, A.
Title An emancipatory praxis study of nursing students on clinical practicum in New Zealand: Pushed to the peripheries Type Journal Article
Year 2002 Publication Contemporary Nurse Abbreviated Journal
Volume 12 Issue (down) 2 Pages 185-193
Keywords Nursing; Education; Clinical supervision; Preceptorship
Abstract The purpose of this qualitative study was to analyse the learning experiences of nine nursing students on clinical placement in New Zealand. The students were in their third and final year of their baccalaureate nursing degree. The study specifically examined what impinged upon their learning experience in the clinical venue. Data was obtained from interviewing the students, initially individually and finally in a focus group. Themes emerged through words and concepts as the data was analysed. The themes included powerlessness; marginalisation; the move from a holistic to a reductionist approach in care; the exploitation of minority students and the myth of praxis. Clinical practice was a time for nursing students to apply their knowledge to their practice, and to gain experience and confidence. Their clinical practice was normally a positive experience, but, each student spoke of the occasional negative episode. These left them with feelings of powerlessness and marginalisation. The Maori students felt exploited. The students were concerned about the lack of time to debrief at the end of the day, and to share their experiences with their educator and colleagues. The students' negative experiences were often the result of a clinical practitioner's high workload, under resourcing and the nurse educator's unavailability.
Call Number NRSNZNO @ research @ Serial 1081
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Author Spence, D.
Title Prejudice, paradox, and possibility: Nursing people from cultures other than one's own Type Journal Article
Year 2001 Publication Journal of Transcultural Nursing Abbreviated Journal
Volume 12 Issue (down) 2 Pages 100-106
Keywords Cultural safety; Transcultural nursing; Nurse-patient relations
Abstract This article provides a brief overview of the findings of a hermeneutic study that explored the experience of nursing people from cultures other than one's own. The notions prejudice, paradox, and possibility are argued to describe this phenomenon. Nurses in New Zealand are being challenged to recognise and address racism in their practice. Yet, the implementation of cultural safety in nursing education has created tension within the profession and between nursing and the wider community. As nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox, and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. Nurses are challenged to continue their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities.
Call Number NRSNZNO @ research @ 1104 Serial 1089
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Author Litchfield, M.
Title Practice wisdom Type Journal Article
Year 1999 Publication Advances in Nursing Science Abbreviated Journal
Volume 22 Issue (down) 2 Pages 62-73
Keywords Nursing research; Nursing; Health knowledge
Abstract The paper is the report of two cumulative research projects studying the nature of nursing knowledge and methodology to develop it. They were undertaken as theses for masters and doctoral degrees at the University of Minnesota, USA. Nursing knowledge is depicted as relational: an evolving participatory process of research-as-if-practice of which 'health' (its meaning), dialogue, partnership and pattern recognition are threads inter-related around personal values of vision and community.
Call Number NRSNZNO @ research @ 1186 Serial 1171
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Author Kennedy, W.
Title Professional supervision to enhance nursing practice Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue (down) 2 Pages 3-6
Keywords Professional development; Clinical supervision; Nursing; Education
Abstract This article examines the concept of clinical supervision as “professional supervision”. Professional supervision contains many elements, is structured and not without effort. Fundamentally it is about being safe and professional. 'Reflective learning' and 'Live/tutorial' models are reviewed in different contexts for assisting nurses work through everyday issues, conflicts and problems of their role. The author concludes that regardless of which model is used there are benefits for safety and professionalism.
Call Number NRSNZNO @ research @ Serial 1310
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Author Litchfield, M.
Title Between the idea and reality Type Journal Article
Year 1986 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 1 Issue (down) 2 Pages 17-29
Keywords Nursing research; Nursing philosophy; Diagnosis; Evaluation
Abstract A paper presented as one of the four “Winter Lecture Series” hosted by the Nursing Studies unit of the Department of Education, Victoria University of Wellington. It is a critique of “ The Nursing Process” referred to commonly in nursing education programmes. It challenges the usefulness for nursing of the linear sequence of steps of assessment, diagnosis, planning, intervention and evaluation.
Call Number NZNO @ research @ Serial 1313
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Author Litchfield, M.
Title Case management and nurses Type Journal Article
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 13 Issue (down) 2 Pages 26-35
Keywords Nursing; Care plans
Abstract The report of an exploratory study of current approaches to case management by nurses as requested by the College of Nurses Aotearoa New Zealand. It revealed different interpretations of nurse case management around New Zealand and in the US, UK and Australia. They differed according to the conceptualisation of health service design and delivery in the respective country. Case management in New Zealand in general presented nurse care management roles as an interface between the mangement of health service delivery and the peculiarities of the healthcare people received, holding the potential for achieving tailored, patient-centred care outcomes.
Call Number NZNO @ research @ Serial 1323
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Author MacKay, Bev; Harding, Thomas
Title M-support : keeping in touch on placement in primary health care settings Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue (down) 2 Pages 30-40
Keywords Student support; Primary health-care; M-support
Abstract Introduces a project using eTXTTM and SMS (Short Message Service)to provide lecturer support for nursing students in clinical placements in primary health-care settings. Uses mixed-methodology to evaluate the project, including data from surveys, eTXTTM and mobile phone message history, and a lecturer's field notes.
Call Number NZNO @ research @ Serial 1445
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Author Roberts, Jennifer; Floyd, Sue; Thompson, Shona
Title The clinical nurse specialist in New Zealand : how is the role defined? Type Journal Article
Year 2011 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 27 Issue (down) 2 Pages 24-35
Keywords Clinical nurse specialist; Advanced nursing practice; Clinical expert
Abstract Reports the findings from research designed to investigate the role of the clinical nurse specialist (CNS) and how it is defined by New Zealand District Health Boards (DHBs). Identifies the current requirements and expectations of the CNS role and how it is defined in practice. Collects 15 CNS job descriptions from 8 DHBs, subjecting them to thematic analysis yielding 4 key areas of the CNS role.
Call Number NZNO @ research @ Serial 1465
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Author Spence, Deborah
Title Preparing registered nurses depends on 'us and us and all of us' Type Journal Article
Year 2012 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 28 Issue (down) 2 Pages 5-13
Keywords Undergraduate nursing; Clinical teaching/learning; Team work; Collaboration
Abstract Reports on the qualitative findings of a collaborative study undertaken to monitor implementation of a new model of clinical education for undergraduate nursing students. Describes the development of a clinical education model devised by 3 District Health Boards (DHBs) and 2 universities, based on the inclusion of student nurses in team nursing.
Call Number NZNO @ research @ Serial 1473
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Author Donovan, Donna; Diers, Donna; Carryer, Jenny
Title Perceptions of policy and political leadership in nursing in New Zealand Type Journal Article
Year 2012 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 28 Issue (down) 2 Pages 15-25
Keywords Nursing leadership; Policy and politics; Nursing organisations; Qualitative study; NZ nursing
Abstract Describes a qualitative study of 18 nurse leaders interviewed about issues affecting their will to participate in political action, leadership, and policy work. Asks the nurses to describe their personal stages of political development, how they view NZ nurses' and nursing organisations' political development, and their views on increasing the role of nursing in healthcare policy development. Analyses the interviews to identify major themes.
Call Number NZNO @ research @ Serial 1474
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Author Barnhill, Dianne; McKillop, Ann; Aspinall, Cathleen
Title The impact of postgraduate education on registered nurses working in acute care Type Journal Article
Year 2012 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 28 Issue (down) 2 Pages 27-36
Keywords Postgraduate education; Clinical practice; Nursing education; Surveys
Abstract Undertakes a quantitative descriptive study to investigate the impact of postgraduate education on the practice of nurses working in medical and surgical wards of a District Health Board (DHB) hospital. Distributes an anonymous postal survey to 57 registered nurses and 25 senior nurses in these clinical areas and discusses the findings.
Call Number NZNO @ research @ Serial 1475
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Author Beasley, Catherine; Dixon, Robyn
Title Phase II cardiac rehabilitation in rural Northland Type Journal Article
Year 2013 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 29 Issue (down) 2 Pages 4-14
Keywords Cardiac rehabilitation; Rural nursing
Abstract Reports a descriptive, exploratory, qualitative study of the perceptions and experiences of nurses who delivered cardiac rehabilitation in a rural health-care setting in Northland. Gathers data from two focus groups of 12 nurses in which five themes relating to cardiac rehabilitation are identified using a general inductive approach.
Call Number NZNO @ research @ Serial 1482
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Author Clendon, Jill; McBride-Henry, Karen
Title History of the Child Health and Development Book : part 2: 1945-2000 Type Journal Article
Year 2014 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 30 Issue (down) 2 Pages 5-17
Keywords Maternal and child health; History of nursing; Plunket, Child health and development record book
Abstract Highlights how women challenged the concept of 'medicalised mothering' during the period 1945-2000, and how these views affected the development of the Well Child/Tamariki Ora Health book, or Plunket book. Analyses how the language of the book reflects tensions between competing discourses and knowledge sources among mothers and health professionals.
Call Number NZNO @ research @ Serial 1492
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Author Tipa, Zoe; Wilson, Denise; Neville, Stephen; Adams, Jeffery
Title Cultural Responsiveness and the Family Partnership Model Type Journal Article
Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue (down) 2 Pages 35-47
Keywords Well-child care; Family partnership model; Child and family nursing; Maori; Biculturalism; Nurse-patient relationship
Abstract Investigates the bicultural nature of the Family Partnership Model for working with Maori whanau in the context of well-child care services. Reports a mixed-methods study in 2 phases: an online survey of 23 nurses trained in the Family Partnership Model and 23 not trained in the model; observation of nurses' practice and interviews with 10 matched nurse-Maori client pairs. Identifies 3 aspects of the findings: respectful relationships, allowing clients to lead, and lack of skills.
Call Number NZNO @ research @ Serial 1501
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