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Author McBride-Henry, K.; Foureur, M.
Title A secondary care nursing perspective on medication administration safety Type Journal Article
Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 60 Issue (down) 1 Pages 58-66
Keywords Patient safety; Drug administration; Organisational culture; Nursing
Abstract This paper reports on a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. Data were collected in 2005 using three focus groups of nurses that formed part of a larger study examining organisational safety and medication administration from a nursing perspective. A narrative approach was employed to analyse the transcripts. Participants had good understandings of organisational culture in relation to medication safety and recognised the importance of effective multi-disciplinary teams in maintaining a safe environment for patients. Despite this, they acknowledged that not all systems work well, and offered a variety of ways to improve current medication practices. These findings highlight the meaningful contribution nurses can make to patient safety and emphasise the importance of including the nursing voice in any quality improvement initiatives.
Call Number NRSNZNO @ research @ Serial 648
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Author McKenna, B.; Poole, S.; Smith, N.A.; Coverdale, J.; Gale, C.
Title A survey of threats and violent behaviour by patients against registered nurses in their first year of practice Type Miscellaneous
Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 12 Issue (down) 1 Pages 56-63
Keywords New graduate nurses; Workplace violence; Occupational health and safety; Training; Mental health; Psychiatric nursing
Abstract For this study, an anonymous survey was sent to registered nurses in their first year of practice. From the 1169 survey instruments that were distributed, 551 were returned completed (a response rate of 47%). The most common inappropriate behaviour by patients involved verbal threats, verbal sexual harassment, and physical intimidation. There were 22 incidents of assault requiring medical intervention and 21 incidents of participants being stalked by patients. Male graduates and younger nurses were especially vulnerable. Mental health was the service area most at risk. A most distressing incident was described by 123 (22%) of respondents. The level of distress caused by the incident was rated by 68 of the 123 respondents (55%) as moderate or severe. Only half of those who described a most distressing event indicated they had some undergraduate training in protecting against assault or in managing potentially violent incidents. After registration, 45 (37%) indicated they had received such training. The findings of this study indicate priorities for effective prevention programmes.
Call Number NRSNZNO @ research @ Serial 649
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Author Giddings, D.L.S.; Grant, B.M.
Title A Trojan Horse for positivism? A critique of mixed methods research Type Journal Article
Year 2007 Publication Advances in Nursing Science Abbreviated Journal
Volume 30 Issue (down) 1 Pages 52-60
Keywords Nursing research; Methodology; Evaluation
Abstract This paper presents an analysis of mixed methods research, which the authors suggest is captured by a pragmatically inflected form of post-positivism. Although it passes for an alternative methodological movement that purports to breach the divide between qualitative and quantitative research, most mixed methods studies favour the forms of analysis and truth finding associated with positivism. The authors anticipate a move away from exploring more philosophical questions or undertaking modes of enquiry that challenge the status quo. At the same time, they recognise that mixed methods research offers particular strengths and that, although it serves as a Trojan Horse for positivism, it may productively carry other paradigmatic passengers.
Call Number NRSNZNO @ research @ Serial 650
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Author Cowan, L.M.; Deering, D.; Crowe, M.; Sellman, D.; Futterman-Collier, A.; Adamson, S.
Title Alcohol and drug treatment for women: Clinicians' beliefs and practice Type Journal Article
Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 12 Issue (down) 1 Pages 48-55
Keywords Psychiatric Nursing; Substance abuse; Gender; Attitude of health personnel; Alcoholism; Drug abuse
Abstract The present paper reports on the results of a telephone survey of 217 alcohol and drug treatment clinicians on their beliefs and practice, in relation to service provision for women. Nurses comprised the second largest professional group surveyed. Seventy-eight percent of clinicians believed that women's treatment needs differed from men's and 74% reported a range of approaches and interventions, such as assisting with parenting issues and referral to women-only programmes. Several differences emerged in relation to approaches and interventions used, depending on clinician gender, work setting and proportion of women on clinicians' caseload. Implications for mental health nursing include the need to more systematically incorporate gender-based treatment needs into practice and undergraduate and postgraduate education and training programmes.
Call Number NRSNZNO @ research @ Serial 652
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Author Hardcastle, J.
Title 'Back to the bedside': Graduate level education in critical care Type Journal Article
Year 2008 Publication Nurse Education in Practice Abbreviated Journal
Volume 8 Issue (down) 1 Pages 46-53
Keywords Nursing specialties; Nursing; Education; Curriculum
Abstract This paper explores the relationships within teaching, learning and practice development in critical care nursing and questions the popular assumption that 'post graduate (Master's level) education fits all'. The need for critical care nurses to apply advanced knowledge and technical skills to complex and dynamic practice situations necessitates the development of critical thinking and a problem-solving approach to clinical practice that can be fostered through education and experience. Discussion focuses on the successful development and implementation of graduate level education for critical care nurses in the South Island of New Zealand and how this development is challenging existing approaches to the provision and evaluation of formal critical care education in New Zealand.
Call Number NRSNZNO @ research @ Serial 656
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Author Tracy, C.
Title Comparison of catheter-securing devices Type Journal Article
Year 2000 Publication Urologic Nursing Abbreviated Journal
Volume 20 Issue (down) 1 Pages 43-46
Keywords Nursing specialties; Evaluation
Abstract This study evaluates methods of securing urethral urinary catheters, which are a major part of urologic nursing. Basic procedures such as these are poorly researched or reported in the literature. The question of how to secure a urinary catheter and with what device often relies on knowledge, availability of equipment, and on information supplied by manufacturers of commercial devices. This study finds that sometimes the cheaper option of adhesive tape and pin device can still be the best for patients.
Call Number NRSNZNO @ research @ 704 Serial 690
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Author Fielden, J.
Title Grief as a transformative experience: Weaving through different lifeworlds after a loved one has completed suicide Type Journal Article
Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 12 Issue (down) 1 Pages 74-85
Keywords Grief; Psychology; Nursing specialties; Suicide
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.
Call Number NRSNZNO @ research @ Serial 702
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Author McKenna, B.; Smith, N.A.; Poole, S.; Coverdale, J.
Title Horizontal violence: Experiences of registered nurses in their first year of practice Type Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 42 Issue (down) 1 Pages 90-96
Keywords New graduate nurses; Workplace violence; Occupational health and safety
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.
Call Number NRSNZNO @ research @ Serial 706
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Author Gage, J.; Everrett, K.D.; Bullock, L.
Title Integrative review of parenting in nursing research Type Journal Article
Year 2006 Publication Journal of Nursing Scholarship Abbreviated Journal
Volume 38 Issue (down) 1 Pages 56-62
Keywords Parents and caregivers; Nursing research; Evaluation
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.
Call Number NRSNZNO @ research @ Serial 709
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Author Dickinson, A.R.; Dignam, D.
Title Managing it: A mother's perspective of managing a pre-school child's acute asthma episode Type Journal Article
Year 2002 Publication Journal of Child Health Care Abbreviated Journal
Volume 6 Issue (down) 1 Pages 7-18
Keywords Asthma; Parents and caregivers; Children; Nurse-patient relations
Abstract This exploratory descriptive study informed by grounded theory examines the experience of mothers in managing their pre-school child's acute asthma attack at home. The study reveals that mothers perceive that they are responsible for the management of their pre-school child during an acute asthma episode, a process they described as 'managing it'. This process involves mother in 'working on treatment', 'making the call', 'watching' and 'calming', while the husband/partner, family, friends and health professionals are 'supporting treatment'. This study suggests that nurses and doctors need to move away from the current paternalistic view of health care delivery in acute settings and embrace the concepts of support and partnership in the care of the pre-school child with asthma and their family.
Call Number NRSNZNO @ research @ 728 Serial 714
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Author O'Brien, A.J.; Hughes, F.; Kidd, J.D.
Title Mental health nursing in New Zealand primary health care Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume 21 Issue (down) 1 Pages 142-152
Keywords Mental health; Primary health care; Nursing specialties; Community health nursing
Abstract This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.
Call Number NRSNZNO @ research @ 730 Serial 716
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Author Litchfield, M.
Title Computers and the form of nursing to come Type Journal Article
Year 1992 Publication International Journal of Health Informatics Abbreviated Journal
Volume 1 Issue (down) 1 Pages 7-10
Keywords Computers; Nursing; Technology
Abstract An invited paper for the initial issue of the IJHI. Adapted from a paper presented at the annual conference of Nursing Informatics New Zealand, 1991 (subsequently incorporated into the collective organisation, Health Informatics, NZ.
Call Number NZNO @ research @ Serial 1318
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Author Phillips, B.N.
Title Nursing care and understanding the experiences of others: A Gadamerian perspective Type Journal Article
Year 2007 Publication Nursing Inquiry Abbreviated Journal
Volume 14 Issue (down) 1 Pages 89-94
Keywords Nursing philosophy; Nurse-patient relations
Abstract This article investigates the process where nurses attempt to understand the experience of patients. The author argues that this transcends particular models of ill-health. Gadamerian hermeneutics, which has been used in nursing research to articulate the process of understanding, is elaborated on. Gadamer's exposition of understanding shows that practitioners need to be aware that understanding of other people is developed through a fusion of one's own history, language and culture with that of the other person. This occurs through a hermeneutic question-answer dialogue in which practitioners put their ideas at risk of being modified or rejected in the process. Understanding then, is a perceptual and conceptual process. In this way, the experience of nurses seeking to understanding those they nurse increases self-awareness, as well as enhancing their ability to further understand others.
Call Number NRSNZNO @ research @ 797 Serial 781
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Author Crowe, M.
Title Psychiatric diagnosis: Some implications for mental health nursing care Type Journal Article
Year 2006 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 53 Issue (down) 1 Pages 125-131
Keywords Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models
Abstract This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9.
Call Number NRSNZNO @ research @ Serial 837
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Author Spence, D.; Wood, E.E.
Title Registered nurse participation in performance appraisal interviews Type Journal Article
Year 2007 Publication Journal of Professional Nursing Abbreviated Journal
Volume 23 Issue (down) 1 Pages 55-59
Keywords Registered nurses; Management; Professional development; Attitude of health personnel
Abstract This article presents the findings of an interpretive study that explored and documented the meaning and impact of nurse participation in performance appraisal interviews. Data gleaned from nine New Zealand registered nurses employed by a single district health board provide evidence that nurses are often disappointed by the process of performance appraisal. Although they believe in the potential value of performance appraisal interviews, they seldom experience the feedback, direction, and encouragement necessary for an effective appraisal process. It is suggested that changes to the current professional development program and its accompanying performance appraisal will require skilled commitment on the part of nurses, managers, and the employing organisation to improve and develop the assessment and promotion of nursing practice.
Call Number NRSNZNO @ research @ Serial 840
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