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Author McKenzie-Green, B.
Title Shifting focus: How registered nurses in residential aged care organise their work: A grounded theory study Type
Year 2003 Publication Abbreviated Journal AUT University Library
Volume Issue (down) Pages
Keywords Rest homes; Older people; Registered nurses; Nurse-patient relations
Abstract Registered nurses in residential aged care work with older people who have complex care needs. Besides providing direct care, these nurses have a wide range of responsibilities which include supervising staff and attending to the smooth running of the care facility. This grounded theory study using dimensional analysis was aimed at answering the question: How do registered nurses organise their work? Indepth interviews were conducted with 10 registered nurses who worked in a range of positions in aged care facilities. Theoretical sampling and constant comparative analysis was used to guide both ongoing data collectiona and data analysis. Categories were examined for their relationships and dimensions to arrive at a substantive grounded theory which the author has named 'shifting focus'. Individual and institutional philosophies of care were core elements in the registered nurses' focus of work. There was a relationship between staffing adequacy, individual and institutional philosophies of care, and the focus of registered nurse work. These relationships created conditions where the registered nurse would focus on ensuring the delivery of individualised resident care or focus on getting through the routine of care. The relationship between staffing adequacy, philosophies of care and the registered nurses' focus of work remained consistent when staffing adequacy changed. In instances of decreased staffing adequacy, the participants' focus shifted to either maintaining individualised care or focusing on safety. When the registered nurse aimed to change the philosophy of care, an increase in staffing adequacy enabled some aspects of cultural change to commence. The relationships between residents, family and staff were significant contrasting elements within an individualised philosophy of care, and an institutional philosophy of care. In the former, relationships were valued and developed. In the latter, they were benevolent, functional or conflicted. The significance of this study is that it reveals how registered nurses and management personnel in aged care facilities, can create conditions where the relationships between residents, their families and staff, are valued and developed to result in positive care outcomes. It is recommended that future research be conducted to examine the resources required to maintain an individualised approach to the nursing care of residents in aged care facilities.
Call Number NRSNZNO @ research @ 912 Serial 896
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Author Mossop, M.D.
Title Older patients' perspectives of being cared for by first year nursing students Type
Year 2000 Publication Abbreviated Journal University of Otago Library
Volume Issue (down) Pages
Keywords Older people; Nurse-patient relations; New graduate nurses; Hospitals
Abstract
Call Number NRSNZNO @ research @ 1135 Serial 1120
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Author Roberts, F.
Title The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme Type
Year 1999 Publication Abbreviated Journal NZNO Library, Victoria University of Wellington Library
Volume Issue (down) Pages
Keywords Careers in nursing; Professional development; Registered nurses
Abstract This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place.
Call Number NRSNZNO @ research @ 1150 Serial 1135
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Author Herd, C.M.F.
Title Is it a dangerous game? Registered nurses' experiences of working with care assistants in a public hospital setting Type
Year 2001 Publication Abbreviated Journal Massey University, Palmerston North, Library
Volume Issue (down) Pages
Keywords Registered nurses; Personnel; Interprofessional relations
Abstract
Call Number NRSNZNO @ research @ 1274 Serial 1259
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Author McDonald, S.
Title A study to investigate the role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality Type Report
Year 2000 Publication Abbreviated Journal
Volume Issue (down) Pages
Keywords Registered nurses; Hospitals; Psychiatric Nursing
Abstract
Call Number NRSNZNO @ research @ 1283 Serial 1268
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Author Lindsay, L.
Title Atrocity tales: The language of terrorism in nursing Type
Year 2004 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 11 Issue (down) Pages 27-35
Keywords Gender; Male nurses; Culture
Abstract In this paper, the author explores the concept of 'professional terrorism'. He exposes discrimination against male nurses as being a form of professional terrorism, primarily as it is enacted through use of language. He presents the concept of horizontal violence as a way to understand why nurses, as a marginalised group, perform oppressive acts towards male nurses, who are similarly oppressed. He outlines the cost of such a culture on nursing practice and presents strategies for change.
Call Number NRSNZNO @ research @ 1310 Serial 1294
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