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Author Litchfield, M. openurl 
  Title The innovation effort: ?Are you in or are you out?? Type Miscellaneous
  Year 2007 Publication Abbreviated Journal http://www.moh.govt.nz/moh.nsf/pagesmh/7696/$File/mlitchfield.pdf  
  Volume Issue (up) Pages  
  Keywords Nursing; Primary health care; Policy  
  Abstract A graphic presentation in PDF format (April 2007) of the findings and policy implications of the developmental evaluation research programme for the Turangi Primary Health Care Nursing Innovation.  
  Call Number NZNO @ research @ Serial 1327  
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Author Litchfield, M. openurl 
  Title The successful design and delivery of rural health services: The meaning of success Type Report
  Year 2002 Publication Abbreviated Journal Accessible from www.moh.govt.nz  
  Volume Issue (up) Pages  
  Keywords Rural health services; Management; Primary health care  
  Abstract A report on the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of ?successful design and delivery of rural health services? as a step towards a measurement tool. Participants were grouped as general practitioners (GPs), nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health.  
  Call Number NZNO @ research @ Serial 1328  
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Author Brinkman, A.; Wilson-Salt, R.; Walker, L. openurl 
  Title Education survey report: Implications for practice Type Report
  Year 2008 Publication Abbreviated Journal http://www.nzno.org.nz  
  Volume Issue (up) Pages  
  Keywords Professional development; Professional Competence; Nursing  
  Abstract Professional development is an ongoing requirement of nurses as a result of the Health Practitioners Competence Assurance Act. The Act?s principal purpose is to protect the health and safety of the public by ensuring health practitioners are fit and competent to practise. This survey was designed to explore the avenues nurses have taken, and would prefer to take, for their professional development. The questionnaire was sent to a random sample of the New Zealand Nurses Organisation's registered and enrolled nurse members. Nurses overwhelmingly favoured professional development in the workplace. More than half the respondents reported a conflict with other time commitments, while a number of respondents wrote of their desire for work-life balance. The cost of fees, ability to take time off work, and time and travelling distance were all hurdles to professional development. Nurses cited information technology, conflict resolution, managing challenging behaviour, and dealing with rostered & rotating shifts as aspects of their current work for which their nursing education (pre and post) had not adequately prepared them. Nurses also indicated that their pre-registration education in health systems and political processes was inadequate for their current work. As nurses aged, their interest in professional development increased, though many still preferred workplace options. The authors conclude that, in order for professional development opportunities to be accessible and relevant, resources and time must be made available. This is vital to achieve ongoing education of nurses and improved patient outcomes. Management support, combined with effective assessment of learning needs guiding professional development opportunities, are fundamental to ensuring nurse competence.  
  Call Number NZNO @ research @ Serial 1329  
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Author Brinkman, A. openurl 
  Title Collating for collaboration: Tertiary education funding structures Type Report
  Year 2008 Publication Abbreviated Journal Available from http://www.nzno.org.nz  
  Volume Issue (up) Pages  
  Keywords Nursing; Education; Policy  
  Abstract The nursing education environment is complex and varied, and is affected by both the education and health systems. This report backgrounds the funding systems that underwrite the Tertiary Education Commission (TEC) processes. The two primary objectives that have guided this collation are: to stimulate awareness and discussion of the issues around funding nursing education in New Zealand; and to promote understanding of the complex funding structures currently in place in New Zealand by students, nurses, nurse educators and nurse managers.  
  Call Number NZNO @ research @ Serial 1330  
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Author Walker, L. openurl 
  Title ?Holding up?: The first biennial NZNO Employment Survey Type Report
  Year 2009 Publication Abbreviated Journal Available from http://www.nzno.org.nz  
  Volume Issue (up) Pages  
  Keywords Nursing; New Zealand Nurses' Organisation; Workplace; Personnel staffing and scheduling; Industrial relations  
  Abstract In this report, the New Zealand Nurses Organisation (NZNO) releases the findings from its first-ever members' employment survey. The questionnaire, based on the United Kingdom?s Royal College of Nurse?s annual survey (which has been running for 21 years) covered core employment issues: employment agreements, hours, pay, job change, along with demographic details, as well as questions around plans for and perceptions of working life for over 800 NZNO members.  
  Call Number NZNO @ research @ Serial 1331  
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Author Lamb, Jillian openurl 
  Title The Effect of Cigarette Smoking On the Frequency of Colposcopy Visits, Treatments and Re-referrals Type
  Year 2009 Publication Abbreviated Journal  
  Volume Issue (up) Pages  
  Keywords  
  Abstract Current research has confirmed that cigarette smoking is a risk factor for cervical cancer. The objective of this pilot study was to observe if women who smoked and were referred to the colposcopy department at Christchurch Women?s Hospital, required more follow up visits, treatments and re-referrals compared to non-smokers. New patients (n=494) who attended at the Christchurch Women?s Hospital colposcopy department in 2001 had their data observed for a six year period. The results identified that women who smoked were three times more likely to need a third follow up visit and twice more likely to need further treatments to remove abnormalities when compared to non-smokers. This pilot study also identified that 71% of Maori women attending the clinic were smokers compared to 44% of non-Maori women. The results are being used to highlight to health professionals that treatment has a greater chance of success if patients cease smoking. The results have also supported the maintenance and development of the smoking cessation clinic for colposcopy patients at Christchurch Women's Hospital where the link to cervical abnormalities and smoking is explained and behaviour modification is offered. We also found that Maori women were poor attendees for colposcopy when compared to non-Maori and these results identified a need for further research and development of strategies to improve attendance.  
  Call Number NZNO @ research @ Serial 1333  
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Author Houliston, Sally openurl 
  Title Flight nurse perceptions of factors inflencing clinical decision making in their practice environment Type
  Year 2007 Publication Abbreviated Journal NZNO Library  
  Volume Issue (up) Pages 86 pp  
  Keywords  
  Abstract Flight nurse perceptions of factors inflencing clinical decision making in their practice environment: a thesis presented in partial fulfilment of the requirements for the Degree of Master of Nursing at the Eastern Institute of Technology, Taradale, New Zealand

The research project sought to describe the flight nurses perceptions about the factors that influence clinical decision making in their flight nursing practice, using a descriptive survey methodology. Themes emerged as factors which participants perceived influenced clinical decision making in their flight nursing role and in the aeromedical role. These themes included pre-flight preparation, patient status, experience and education of the nurse, and the challenges associated with the physical and atmospheric environments.
 
  Call Number NZNO @ research @ Serial 1334  
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Author Clendon, Dr. J url  openurl
  Title Motherhood and the 'Plunket Book': A social history Type
  Year 2009 Publication Abbreviated Journal  
  Volume Issue (up) Pages 306 pp  
  Keywords  
  Abstract The Well Child/Tamariki Ora Health Book (the Plunket book) is a small booklet given to New Zealand mothers on the birth of a child. Although use of the book has decreased since it?s inception in 1920, it is frequently kept within the family and handed on from mother to child. Utilising an oral history approach, this study has traced the development of the Plunket book over time and explored the experiences of a group of 34 women and one man who have reflected on their ownership of, or involvement with, Plunket books. The study found that the book remains an effective clinical tool for mothers and nurses. Nurses use the book as a tool to help develop a relationship with a mother and her family, and to identify and build on strengths. Mothers have used the book as a tool to link past with present, to maintain kinship ties across generations, to deal with change intergenerationally, and in a manner that contributes to their self-identity as woman and mother. The study recommends that nurses and other health professionals continue to use the Plunket book as a clinical tool mindful of the fact that the book remains in use beyond the health professional?s immediate involvement with the mother and child, playing an important role in the context of the New Zealand family across generations.  
  Call Number NZNO @ research @ Serial 1335  
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Author Hayward, S. url  openurl
  Title Evaluation of a change programme: model of nursing care delivery Type
  Year 2009 Publication Abbreviated Journal  
  Volume Issue (up) Pages 78 pp  
  Keywords  
  Abstract A dissertation submitted in partial fulfilment for the degree of Master of Health Sciences.

Primary nursing as a framework within which nurses deliver patient care has been a nursing care delivery system of choice in New Zealand for the last two decades. A number of studies have been carried out, with a review of the literature suggesting inconclusive support for this delivery system over other functional nursing care models. However, there is support for the philosophy underpinning this model, with documented evidence that this framework can help nurses achieve a degree of professional development and autonomous practice that other models cannot. Using documented information created during the move from one model of nursing care to another this work evaluates what were the drivers for the change, how it was managed and what the outcomes were.

Findings indicated that this change project was a success. Analysis of the data collected pre and post implementation indicated some positive shifts, but more importantly it was the information gathered from both patients and nurses that gave creditability to the new model of nursing care.
 
  Call Number NZNO @ research @ Serial 1336  
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Author Litchfield, M url  isbn
openurl 
  Title To advance health care: The origins of nursing research in New Zealand Type Book Whole
  Year 2009 Publication Abbreviated Journal  
  Volume Issue (up) Pages 129 pp  
  Keywords Nursing Research Section, New Zealand Nurses Organisation  
  Abstract This book examines in detail the confluence of personalities and professional and practice agendas, out of which emerged the research section, intent on placing research at the centre of the profession's evolution. It provides a fascinating look at how a group of women, utterly committed to nursing, drove their research agenda and it expands understandings of why nursing research is significant for the development of nursing. It also provides an insight into that web of relationships between the professional body, NZNA, the Department of Health, service delivery and education.

To order a copy:

Email: publications@nzno.org.nz

NZNO members: $25 (incl GST + p&p)

Non-NZNO members: $35 (incl GST + p&p)
 
  Call Number NZNO @ research @ Serial 1341  
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Author Gibbison, B. url  openurl
  Title Are we there yet?: Factors associated with, and experiences of, weight maintenance in the Adult Weight Management Programme in the Waikato Type
  Year 2010 Publication Abbreviated Journal NZNO Library  
  Volume Issue (up) Pages 132 pp  
  Keywords Weight loss; Obesity  
  Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, the University of Auckland, 2010.

Sustained weight loss maintenance is a constant challenge, especially for morbidly obese individuals who have tried and failed repeatedly. Why is it then, that some individuals are successful whilst others are not so successful? This two-phase sequential, mixed methods study sought to identify and gain insight into the factors associated with successful weight loss maintenance for participants in an adult weight management programme in the Waikato. Success appeared to be independent of age, gender, ethnicity, domicile, employment status and the presence of co-morbities.

Four major themes emerged:

- “Actions speak louder than words – just do it” (Following a lower energy diet, having higher levels of physical activity, regular self weighing, and vigilance in adjusting their behaviours based on the results)

- Routines were also important in supporting the changed behaviours

- What's it worth to me

- Valuing the achievements associated with lesser weight was seen as another important factor of success
 
  Call Number NZNO @ research @ Serial 1342  
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Author Irvine, HJ openurl 
  Title Professional supervision for nurses and midwives Type Report
  Year 1998 Publication Abbreviated Journal NZNO Library  
  Volume Issue (up) Pages 53 pp  
  Keywords Professional Supervision; Clinical supervision  
  Abstract Report to the Winston Churchill Memorial Trust on Professional Supervision for registered Nurses and Midwives, May 1998.

Objective of Project:

To explore the extent of the development of a model of clinical supervision for nurses in the United Kingdom.

Some of the key points that emerged:

- Clinical supervision is a strong and accepted part of nursing culture in Britain. While not mandatory and not available to, or accepted by, all nurses, it is nevertheless generally known about and discussed at main nursing forums

- The strong support and directives coming from nursing leadership is a major factor in the adoption of clinical supervision as a developmental, support and quality control

- The increasing availability of resource material, courses, and in particular the investment made by the Department of Health and the Scottish Home and Health Office in funding a 23 site evaluation project has stimulated implementation of clinical supervision
 
  Call Number NZNO @ research @ Serial 1343  
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Author Shih, Li-Chin openurl 
  Title Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau Type
  Year 2009 Publication Abbreviated Journal NZNO Library  
  Volume Issue (up) Pages 105 pp  
  Keywords renal disease; hemodialysis; maori  
  Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009

This paper is a report of a study seeking to understand the experience of New Zealand rural dwelling Mäori clients with end-stage renal disease who receive haemodialysis. End stage renal disease (ESRD) is related to lifestyle, genetic factors and environment, and Mäori are at higher risk of renal disease which results of need for renal replacement therapy to sustain their lives. Dialysis clients are a group of ?silent? clients under the care of the dominant health professionals. Adherence with therapeutic regimes has been a main issue for health care professionals and service delivery, as it directly contributes to the efficacy of the treatment and cost effectiveness. Mäori clients? experience of living with haemodialysis has not been explored. Although there are a number of studies describing the experience of patients living on dialysis so far, no studies have yet focused specifically on the experience of Mäori clients towards their renal replacement therapy. The continual demands of dialysis treatment are significant and given the high proportion of Mäori having dialysis. It is timely to explore the experience of Mäori clients and their family/whänau in order to understand the need for quality of care and to promote Mäori health outcomes in chronic kidney disease management
 
  Call Number NZNO @ research @ Serial 1348  
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Author Hooker, M. openurl 
  Title Implementing the rheumatic fever guidelines: Identifying the challenges and crossing the theory practice divide Type
  Year 2010 Publication Abbreviated Journal NZNO Library  
  Volume Issue (up) Pages 122 pp  
  Keywords Rheumatism; rheumatic fever  
  Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Health Sciences, The University of Auckland, 2010.

Background:

The 2006 New Zealand (NZ) Guidelines for Rheumatic Fever (RHF) (National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006) have an over-arching objective to support appropriate management of RHF to prevent recurrent attacks and reduce mortality and morbidity from RHF and Rheumatic Heart Disease (RHD) (Craig, Anderson, & Jackson, 2008; National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006).

Aims:

The aims of this study were to audit current practice and service provision associated with RHF programmes and initiatives in NZ District Health Boards (DHBs) against the 2006 NZ Guidelines for RHF and to identify the barriers and facilitators to clinicians meeting the guidelines.
 
  Call Number NZNO @ research @ Serial 1349  
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Author McClunie-Trust, P url  openurl
  Title Negotiating Boundaries: The Nurse Family Member Caring for Her Own Relative in Palliative Care Type
  Year 2010 Publication Abbreviated Journal Victoria University Library  
  Volume Issue (up) Pages  
  Keywords Palliative care; boundaries; patient-family relations  
  Abstract This research illuminates the challenges of living well within one's own family as a nurse caring for her own relative who is dying of a cancer-related illness. Developing a deeper awareness of the consequences of this caring work has been the central focus for inquiry in this research. Nursing requires epistemologies that encompass new ways of understanding how we live within our own families and communities and practice as nurses. The theoretical framework that guides this research interprets the French Philosopher Michel Foucault's (1926-1984) critical history of thought as an ethical project for nursing. It uses conceptual tools developed in his later writing and interviews to draw attention to how discursive knowledge and practices constitute subjectivity in relations of truth, power and the self's relation to the self. The first aspect of the analysis, landscapes of care examines the techniques of discourse as relations of power and knowledge that constitute nurse family members as subjects who have relationships with their own families and other health professionals. The second aspect analyses care of the self and others as self work undertaken to form the self as a particular kind of subject and achieve mastery over one's thoughts and actions.As an exploration of the complex and contradictory subjectivities of the nurse family member, this research illuminates the forms and limits of nursing practice knowledge. It shows how nursing is practised, and the identity of the nurse is created, through intellectual, political and relational work, undertaken on the self in relation to others, as modes of ethical engagement.  
  Call Number NZNO @ research @ Serial 1350  
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