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Author McKenna, B.; Thom, K.; O'Brien, A.J. openurl 
  Title Return to nursing programmes: Justifications for a mental health specific course Type Journal Article
  Year 2008 Publication Intensive & Critical Care Nursing Abbreviated Journal  
  Volume 5 Issue (down) 1 Pages 1-16  
  Keywords Psychiatric Nursing; Training; Recruitment and retention; Curriculum  
  Abstract This paper presents the findings from research that investigated the feasibility of developing a specialty return to mental health nursing programme in New Zealand. This was achieved through a scoping of existing return to nursing programmes; a survey of non-active nurses; and stakeholder consultation via interviews or focus groups. Existing generic programmes fail to attract non-active nurses wishing to focus on mental health nursing. The non-active nurses survey found 142 nurses who presently would or might possibly return to mental health nursing and participate in a programme. Most stakeholders supported the idea of implementing such a programme. The findings from this research indicate both feasibility and enthusiasm for the introduction of return to mental health nursing programmes. It is recommended that all aspects of this course mirror the service user focused 'recovery paradigm' that is a central tenet in contemporary mental health service delivery.  
  Call Number NRSNZNO @ research @ 984 Serial 968  
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Author Dellagiacoma, T. openurl 
  Title Contracting as a career option for nurses Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue (down) 1 Pages 20-22  
  Keywords Professional development; Nursing; Work  
  Abstract A nurse presents research and her own experiences of contracting. Contracting, as defined in this article, refers to a nurse not employed permanently on a wage. It covers agency nursing, short and long fixed-term contracts and secondments. The author identifies the need to continue to develop professionally, which is now a mandatory requirement under the Health Practitioners Competence Assurance (HPCA) Act. Contractors have little, if any financial support to develop professionally, and time taken to do courses is not paid. Taking study leave within a contract may also not be an option. Options for managing professional development in these conditions are offered, including goal setting, investing in education or training, and considering some longer contracts. Practical financial advice and examples are given, including managing accounts and consideration of employment law. The author recommends that skilled nurses looking for interesting ways to develop their careers and to branch out in an entrepreneurial way should seriously consider taking up contract work.  
  Call Number NRSNZNO @ research @ 996 Serial 980  
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Author Crowe, M.; Ward, N.; Dunnachie, B.; Roberts, M.H. openurl 
  Title Characteristics of adolescent depression Type Journal Article
  Year 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 15 Issue (down) 1 Pages 10-18  
  Keywords Psychiatric Nursing; Mental health; Adolescents  
  Abstract This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively.  
  Call Number NRSNZNO @ research @ 1065 Serial 1050  
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Author Crowe, M.; Luty, S. openurl 
  Title Recovery from depression: A discourse analysis of interpersonal psychotherapy Type Journal Article
  Year 2005 Publication Nursing Inquiry Abbreviated Journal  
  Volume 12 Issue (down) 1 Pages 43-50  
  Keywords Psychiatric Nursing; Mental health; Nurse-patient relations  
  Abstract This paper describes a discourse analysis of the process of interpersonal psychotherapy (IPT) in the recovery from depression. It demonstrates how IPT is an effective treatment strategy for mental health nurses to utilise in the treatment of depression. The discourse analysis highlights how the development of more meaningful subject positions enables one woman to recover from her depression. The process of recovery is underpinned by an understanding of women's depression as promoted by contemporary social and cultural expectations for detachment and reflexivity. This paper shows how IPT provides an opportunity for recovery from depression for one woman by facilitating a reconstruction of her subject positions in relation to others. The discourse analysis revealed that the therapist facilitated this through the use of a range of techniques: seeking information, exploring beliefs/values/assumptions, exploring communication patterns, exploring affective responses and exploring alternative subject positions.  
  Call Number NRSNZNO @ research @ 1070 Serial 1055  
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Author Hardy, D.J.; O'Brien, A.P.; Gaskin, C.J.; O'Brien, A.J.; Morrison-Ngatai, E.; Skews, G.; Ryan, T.; McNulty, N. openurl 
  Title Practical application of the Delphi technique in a bicultural mental health nursing study in New Zealand Type Journal Article
  Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 46 Issue (down) 1 Pages 95-109  
  Keywords Clinical assessment; Biculturalism; Professional competence; Psychiatric Nursing; Maori  
  Abstract The aim of this paper is to detail the practical application of the Delphi technique as a culturally and clinically valid means of accessing expert opinion on the importance of clinical criteria. Reference is made to a bicultural New Zealand mental health nursing clinical indicator study that employed a three-round reactive Delphi survey. Equal proportions of Maori and non-Maori nurses (n = 20) and consumers (n = 10) rated the importance of 91 clinical indicator statements for the achievement of professional practice standards. Additional statements (n = 21) suggested by Delphi participants in round 1 were included in subsequent rounds. In round 2, participants explained the rating they applied to statements that had not reached consensus in round 1, and summarised responses were provided to participants in round 3. Consensus was considered to have been achieved if 85% of round 3 ratings lay within a 2-point bracket on the 5-point Likert-scale overall, or in one of the Maori nurse, non-Maori nurse, or consumer groups. A mean rating of 4.5 after round 3 was set as the importance threshold. Consensus occurred overall on 75 statements, and within groups on another 24. Most statements (n = 86) reached the importance benchmark. The authors conclude that when rigorous methods of participant selection, group composition, participant feedback, and determination of consensus and importance are employed, the Delphi technique is a reliable, cost-effective means of obtaining and prioritising experts' judgements.  
  Call Number NRSNZNO @ research @ Serial 1060  
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Author Crowe, M.; Carlyle, D. openurl 
  Title Deconstructing risk assessment and management in mental health nursing Type Journal Article
  Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 43 Issue (down) 1 Pages 19-27  
  Keywords Psychiatric Nursing; Risk management; Policy; Culture  
  Abstract The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities.  
  Call Number NRSNZNO @ research @ Serial 1069  
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Author Palmer, S.G. openurl 
  Title Application of the cognitive therapy model to initial crisis assessment Type Journal Article
  Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 12 Issue (down) 1 Pages 30-38  
  Keywords Mental health; Clinical assessment; Psychiatric Nursing  
  Abstract This article provides a background to the development of cognitive therapy and cognitive therapeutic skills with a specific focus on the treatment of a depressive episode. It discusses the utility of cognitive therapeutic strategies to the model of crisis theory and initial crisis assessment currently used by the Community Assessment & Treatment Team of Waitemata District Health Board. A brief background to cognitive therapy is provided, followed by a comprehensive example of the use of the Socratic questioning method in guiding collaborative assessment and treatment of suicidality by nurses during the initial crisis assessment.  
  Call Number NRSNZNO @ research @ 1085 Serial 1070  
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Author Crowe, M.; O'Malley, J.; Gordon, S. openurl 
  Title Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand Type Journal Article
  Year 2001 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 35 Issue (down) 1 Pages 88-96  
  Keywords Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health  
  Abstract The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services.  
  Call Number NRSNZNO @ research @ Serial 1087  
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Author Peach, J. openurl 
  Title The Professional Development Programme: Achievements and outcomes Type Journal Article
  Year 1999 Publication Professional Leader Abbreviated Journal  
  Volume 5 Issue (down) 1 Pages 6-9  
  Keywords Professional development; Evaluation; Nursing  
  Abstract This article backgrounds the professional development programme instigated at Auckland Hospital in 1988, and reviews the achievements of the past 10 years. It describes PDP and distinguishes it from a clinical career pathway. Specific indicators were used to assess the achievement of the programme, and these are presented. Overall the programme achieved it's outcomes and at a reasonable cost.  
  Call Number NRSNZNO @ research @ 1289 Serial 1274  
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Author Scrymgeour, G. openurl 
  Title Using diagnostic reasoning in nursing practice: Ectopic pregnancy: A case study approach Type Journal Article
  Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal Available online at Eastern Institute of Technology  
  Volume 13 Issue (down) 1 Pages 13-17  
  Keywords Nursing; Pregnancy; Clinical assessment  
  Abstract This paper explores, through the use of a case study, an evidence-based diagnostic reasoning process utilising the framework followed by Dains, Baumann and Scheibel (1998). This framework, as described by these authors, involves an inductive process of reasoning, which leads to formulation of a hypothesis that is then analysed using an evidence-based approach. From this analysis, a likely diagnosis can be made and appropriate therapeutic intervention initiated. This research demonstrates that although an evidence-based approach is the ideal, sometimes clinical intuition is equally important to the clinical outcome.  
  Call Number NRSNZNO @ research @ Serial 1305  
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Author Wiffin, L. url  openurl
  Title Treating depression during pregnancy: Cognitive behavioural therapy as a treatment option Type Journal Article
  Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology  
  Volume 14 Issue (down) 1 Pages 8-12  
  Keywords Pregnancy; Mental health; Stress  
  Abstract This article reviews the use of cognitive behavioural therapy (CBT) for pregnant women suffering from depressive symptoms. CBT provides a structured, short-term, collaborative process between clinician and client, using strategies and techniques to identify dysfunctional thinking and beliefs, challenge and change these beliefs, then implement new rational beliefs and behaviours. A process of engagement, assessment and conceptualisation is followed by treatment planning and implementation, and modification of dysfunctional thinking and behaviours. Use of CBT to treat depression in women during pregnancy is supported by the literature, especially where pharmacological intervention is declined or contraindicated. Pregnancy can bring stressors that combine with biological factors and core beliefs to contribute to depressive symptoms.  
  Call Number NRSNZNO @ research @ Serial 1308  
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Author Walker, Leonie openurl 
  Title Hardships and hurdles: The experiences of migrant nurses in New Zealand Type Journal Article
  Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library  
  Volume 1 Issue (down) 1 Pages 4-8  
  Keywords Recruitment and retention; Personnel recruitment; Foreign nurses; English as a second language; Emigration and immigration; Bullying  
  Abstract The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin.  
  Call Number NZNO @ research @ Serial 1337  
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Author Fischer, R; Roy, D E; Niven, E. openurl 
  Title Different folks, different strokes: becoming and being a sroke family Type Journal Article
  Year 2014 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 5 Issue (down) 1 Pages 5-11  
  Keywords Stroke; Lived experience; Phenomenology; Family; Caregivers; Life change  
  Abstract Reports a study exploring family experiences of stroke during the first six months following a stroke. Performs a hermeneutic phenomenological study in which four participants from two Auckland families are interviewed in 2011 and 2012, at three time-intervals within the first six months post-stroke. Identifies three themes of the families' experiences: loss of a life once lived; navigation of an unfamiliar path; re-creation of a sense of normality. Stresses the importance of contact with the health-care team in facilitating the transition to post-stroke life.  
  Call Number NZNO @ research @ Serial 1398  
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Author Norton, V. openurl 
  Title Don't wait until we are struggling: what patients and family caregivers tell us about using a syringe driver Type Journal Article
  Year 2014 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 5 Issue (down) 1 Pages 12-16  
  Keywords Patients and family caregiver; Syringe driver; Palliative care; Symptom management  
  Abstract Undertakes a study to ascertain the experiences, perceptions and assumptions of patients and their family caregiver(s) about the use of a syringe driver in palliative care. Enrols hospice cancer patients who use syringe drivers to provide continuous delivery of drugs. Conducts interviews with 27 individuals: 12 patient/family caregiver pairs, and 3 caregivers. Uses thematic analysis to apply codes to data to reveal shared versus unique experiences.  
  Call Number NZNO @ research @ Serial 1399  
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Author Slight, Carol; Marsden, Janet; Raynel, Susanne openurl 
  Title The impact of a glaucoma nurse specialist role on glaucoma waiting lists Type Journal Article
  Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 25 Issue (down) 1 Pages 38-47  
  Keywords Glaucoma; Nurse specialist; Nurse-led clinics; Chronic care management  
  Abstract Reports on the effect of a 'nurse-led' glaucoma clinic at a large metropolitan hospital, in which patients were recruited from specific categories of glaucoma patients on the waiting list. Audits the impact on the waiting list over a two-year period.  
  Call Number NZNO @ research @ Serial 1442  
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