| Records |
| Author |
Powell, J. |
| Title |
Caring for patients after an ICU admission |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
8 |
Issue |
7 |
Pages |
24-25 |
Keywords  |
Intensive care nursing; Nurse-patient relations; Trauma; Communication |
| Abstract |
The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education. |
| Call Number |
NRSNZNO @ research @ |
Serial |
954 |
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| Author |
Evans-Murray, A. |
| Title |
Meeting the needs of grieving relatives |
Type |
Journal Article |
| Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
10 |
Issue |
9 |
Pages |
18-20 |
| Keywords |
Intensive care nursing; Grief; Communication |
| Abstract |
This article examines the role of nurses working in intensive care units who may need to work with families as they face the death of a loved one. How the nurse communicates with relatives during these crucial hours prior to the death can have profound implications on their grief recovery. Universal needs for families in this situation have been identified in the literature, and include: hope; knowing that staff care about their loved one; and having honest information about their loved one's condition. A case study is used to illustrate key skills and techniques nurses can employ to help meet these universal needs. In the first stage of grief the bereaved is in shock and may feel a sense of numbness and denial. The bereaved may feel confused and will have difficulty concentrating and remembering instructions, and they may express strong emotions. Studies on families' needs show that honest answers to questions and information about their loved one are extremely important. It is often very difficult for the nurse to give honest information when the prognosis is poor. Good communication skills and techniques are discussed, in which hope is not offered at the expense of truthfulness, and the nurse facilitates the process of saying goodbye and expressing emotions. Practical techniques, such as including the family in basic care such as foot massaging and simple hygiene routines, may also be used to move the family from being bystanders to the impending death, to comforters. |
| Call Number |
NRSNZNO @ research @ 1004 |
Serial |
988 |
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| Author |
Evans, S. |
| Title |
Silence kills: Communication around adverse events in ICU |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Intensive care nursing; Communication; Interprofessional relations |
| Abstract |
The aim of this dissertation is to assess the preventability or reduction of adverse events in the intensive care unit (ICU) through a literature review. Research shows the ICU is at high risk for errors, nevertheless there is a huge gap between knowing something should be done and applying this knowledge to practice. That being the case, this dissertation identifies and discusses several proven and transferable quality improvement proposals. These include: instituting anonymous error reporting; documentation of a daily goal-of-care; a nurse as ICU team co-ordinator; conflict resolution processes and communication training for all ICU staff. NThe author concludes that nurse-doctor collaboration requires the support of medicine, with recognition of the unique contribution nurses make to patient safety. |
| Call Number |
NRSNZNO @ research @ |
Serial |
741 |
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| Author |
Crawford, Ruth |
| Title |
Using focused ethnography in nursing research |
Type |
Journal Article |
| Year |
2019 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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| Volume |
10 |
Issue |
1 |
Pages |
63-67 |
| Keywords |
Focused ethnography; Communication; Nursing research; Research methodology |
| Abstract |
Details how the author employed focused ethnography in her doctoral research to investigate nurses' and parents' experience of emotional communication in the context of a children's unit of a regional hospital in NZ. Interviews 10 parents and 10 nurses after the children were discharged. Validates the ethnographic method as a means of inspecting the hidden as well as observable aspects of nurse-parent interaction. |
| Call Number |
NZNO @ research @ |
Serial |
1628 |
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| Author |
Tipa, Zoe Kristen |
| Title |
Family Partnership as a model for cultural responsiveness in a well child context |
Type |
Book Whole |
| Year |
2013 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
149 p. |
| Keywords |
Family partnership model; Communication; Cultural competence; Plunket nurses; Community nursing; Maori children |
| Abstract |
Examines whether the Family Partnership model could be considered a model for cultural responsiveness while simultaneously providing a platform for more accurate assessment of the cultural competence of Plunket nurse practice. Determines the relationship between Family Partnership training for Plunket nurses and Maori child health outcomes. Distributes an online survey to Plunket nurses who had completed the training and to a group who had not. Conducts 10 observations and interviews with Plunket nurses and Maori clients. Presents the findings in three areas: Plunket nurse practice, client experience, and the impact of Family Partnership training on Plunket as an organisation. |
| Call Number |
NZNO @ research @ |
Serial |
1782 |
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| Author |
O'Shea, M.; Reddy, L. |
| Title |
Action change in New Zealand mental health nursing: One team's perspective |
Type |
Journal Article |
| Year |
2007 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
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| Volume |
6 |
Issue |
2 |
Pages |
137-142 |
| Keywords |
Experiential learning; Psychiatric Nursing; Communication; Community health nursing |
| Abstract |
This paper describes an attempt at effecting change with specific relevance to the discharge planning of clients from a New Zealand inpatient mental health unit to a community setting. It explores how a team of community mental health nurses, practising in an urban/rural area, used the concepts of practice development to endeavour to bring about change while still retaining a client-centred focus. It describes how, in their enthusiasm, they embarked on the road to practice change without undertaking some of the essential ground work, Although they did not achieve all they set out to achieve, much was learnt in the process. In this paper, the authors outline their key learning points concerning the importance of engagement, communication, consistency and cooperation to the process and outcomes of practice change. |
| Call Number |
NRSNZNO @ research @ 897 |
Serial |
881 |
| Permanent link to this record |
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| Author |
Pool, Leanne; Day, Liz; Ridley, Susan |
| Title |
Mountain climbing: the journey for students with English as an additional language in a concept-based nursing curriculum |
Type |
Journal Article |
| Year |
2019 |
Publication |
Whitireia Journal of Nursing, Health and Social Services |
Abbreviated Journal |
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| Volume |
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Issue |
26 |
Pages |
28-36 |
| Keywords |
English as an additional language (EAL); Student support; Nursing education; Communication |
| Abstract |
Identifies the communication and learning needs of EAL students in undergraduate nursing education. Presents strategies for EAL students and others with diverse learning needs to comprehend the underlying concepts of cultural safety, praxis, professional nursing and leadership in Whitireia's BN integrated nursing curriculum. Reports findings from focus group discussions with 13 students involved in the three-way partnership comprising lecturers, learning support services and EAL students. |
| Call Number |
NZNO @ research @ |
Serial |
1633 |
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| Author |
Ferguson, Katelyn Maye |
| Title |
The appropriation of cultural safety: A mixed methods analysis |
Type |
Book Whole |
| Year |
2021 |
Publication |
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Abbreviated Journal |
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| Volume |
|
Issue |
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Pages |
250 p. |
| Keywords |
Cultural safety; Nursing practice; Cross-cultural communication; Maori health care; Internationally Qualified Nurses (IQN) |
| Abstract |
Argues that the concept of cultural safety (CS) has been appropriated from an indigenous-led bicutural context to an inclusive cross-cultural framework for working with diverse patient populations. Investigates nurses' understanding of the 'Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice' published in 2011 by the Nursing Council of NZ. Conducts a mixed-methods survey using both closed and open-ended questions to gauge nurses' confidence in applying the guidelines and their view of their relevance. Describes differences between NZ Registered Nurses (RN) and Internationally Qualified Nurses (IQN) in their understanding of CS. Argues that the CS model should be by Maori, for Maori. |
| Call Number |
NZNO @ research @ |
Serial |
1763 |
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| Author |
Lally, E.J. |
| Title |
An exploration of language and nursing practice to improve communication in the context of ear syringing |
Type |
|
| Year |
2002 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Communication; Practice nurses; Economics |
| Abstract |
This action research inquiry explores communication and nursing practice in an effort to improve practice and enhance patient care. Action research is a critical reflective process that involves spirals or cycles of planning, acting, reflecting/evaluating and replanning the next cycle. Using ear syringing as a procedure, in the general practice setting and at two separate surgeries, the author and another practice nurse co-researched this study during working hours. Twelve people consented to participate in the research that involved the audiotaping of each ear syringing interaction. Following each transcription of the recording, the researchers read their own and then each other's transcripts, and listened to the recordings. They discussed and reflected on their findings and planned the next cycle. Throughout the process, the researchers found a number of areas of practice to change or enhance. Changes included the use of technical language such as “contraindications” and “auditory meatus”, the side effects of syringing, improvements in communicating situations where ear syringing is not recommended and the options available, and post procedure information. These changes became a significant challenge, for example when both researchers forgot the changes, thus repeating previous errors and omissions. This factor highlighted the need to practise any changes prior to interactions, and to have a cue card on hand to facilitate recollection and to cement improvements into practice. Although time constraints limited this inquiry to three cycles, at the final meeting the researchers agreed to continue the reflective process they had begun to explore their practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1189 |
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| Author |
Radka, I.M. |
| Title |
Handover and the consumer voice: The importance of knowing the whole, full story |
Type |
|
| Year |
2003 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Communication; Patient satisfaction; Nurse-patient relations |
| Abstract |
In the acute hospital setting, nurses provide care twenty-four hours a day, seven days a week. Due to the ever-changing nature of the patient's situation, nurses need quality information at the beginning of each eight-hour shift to plan and implement patient care effectively. It is claimed that handover is central for maintaining the continuity and the quality of patient care. This qualitative descriptive study was undertaken to identify what core information needs to be exchanged at nursing handover to ensure quality and continuity of patient care. Five consumers who had experience of recurrent hospital admissions shared their perceptions of handover practice through individual interviews. Three focus group meetings of seven nurses from a secondary care setting discussed handover practice from their professional perspectives. Both nursing and consumer voices are integral to the overall understanding of this study but the consumer voice is the privileged and dominant voice. Through the process of thematic content analysis the central themes of communication, continuity and competence emerged for the consumers. Consumers expect to be kept informed and involved in their healthcare. They want continuity of nurse, information and care and expect that nurses involved in the delivery of healthcare are competent to manage their situation. The 'importance of knowing' is the overarching construct generated in this research. Knowing is identified as the foundation on which quality and continuity of care is built and is discussed under the subheadings of: not knowing, knowing the patient as a person, knowing takes time, hidden knowing, knowing consumers' rights, oral knowing, knowing involves more than handing over patient care and knowing the economics. Recommendations have been developed for future research, nursing practice, education and management. These centre on ways to develop a more consumer-focused approach to contemporary healthcare. |
| Call Number |
NRSNZNO @ research @ 883 |
Serial |
867 |
| Permanent link to this record |
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| Author |
Major, G.; Holmes, J. |
| Title |
How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward |
Type |
Journal Article |
| Year |
2008 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
25 |
Issue |
4 |
Pages |
58-70 |
| Keywords |
Communication; Nursing; Nurse-patient relations |
| Abstract |
This study examines the communication strategies used by nurses on the ward in one aspect of the job, namely the ways that they describe health procedures to patients. The data used in this project was collected by nurses on a busy hospital ward as part of Victoria University's Language in the Workplace Project. Three nurses carried minidisc recorders as they went about their normal working day, recording their conversations with patients, visitors, and other staff. The data was collected in a women's hospital ward. All patients, nurses, cleaners and ward clerks were female; two doctors were female and two were male. Twenty three instances where nurses described procedures to patients were identified in the data set. The analysis identified several typical components; indicated there was no fixed order of components; and demonstrated that all except the core component of describing the procedure were optional rather than obligatory elements. The researchers note this is qualitative and exploratory research. The findings demonstrate the benefit of discourse analysis within a sociolinguistic framework for the analysis of nurse-patient interaction. The results indicate that health discourse is not one-sided, nor is it as straightforward as many nursing textbooks suggest. |
| Call Number |
NRSNZNO @ research @ 975 |
Serial |
959 |
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| Author |
MacDonald, L.M. |
| Title |
Nurse talk: Features of effective verbal communication used by expert district nurses |
Type |
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| Year |
2003 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Communication; Nurse-patient relations; District nursing |
| Abstract |
This thesis represents an appreciative enquiry to identify features of effective verbal communication between nurses and patients. Using a method developed by the Language in the Workplace Project (Stubbe 1998) two nurse participants recorded a small sample of their conversations with patients as they occurred naturally in clinical practice. These six conversations constitute the main body of raw data for the study. The data was analysed using a combination of discourse and ethnographic analysis. Experience in nursing, particularly insider knowledge of the context of district nursing, helped me to uncover the richness of meaning in the conversations. The subtle interconnections and nuances could easily have been missed by an outside observer. The study has shown that in their interactions with patients, expert nurses follow a pattern in terms of the structure and content of the conversations and it is possible to identify specific features of effective nurse-patient communication within these conversations. The most significant of these are the repertoire of linguistic skills available to nurses, the importance of small talk and the attention paid by nurses to building a working relationship with patients, in part, through conversation. The findings have implications for nursing education and professional development. |
| Call Number |
NRSNZNO @ research @ 1180 |
Serial |
1165 |
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| Author |
Clayton, J.R. |
| Title |
Exploring transitions: Working in “the space between the no longer and the not yet” |
Type |
|
| Year |
2008 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Communication; Nurse-patient relations; Case studies |
| Abstract |
This thesis uncovers a personal journey of reflective practice, focusing on the author's emerging role as a nurse facilitating transitions using a dialectical approach in the context of a private nursing practice. Transitions encompass: life changes, loss, and adjustment to changes in function. Dialectical nurse facilitation of transition (DNFT) is a way of exploring self in the transitional space between “the no longer and the not yet”. In this facilitated process people potentially discover paradoxes, tensions, and creative energy, as they search for a way forward. The research design details a dialectical heuristic quest through journaling and reflecting on practice supervision and peer review, over a two year period. Exemplars written after reflecting on case notes reveal the lived experiences of participants. These case reviews show the complexity of patterns for people undergoing transitions and nurse facilitation. A relational pattern for DNFT encompasses compassionate engagement, catalytic mirroring, and interconnectedness. An exploration of literature encompasses nursing theories, facilitation, dialogue, loss, grief, spirituality and transition. This thesis provides a basis for evaluative research on the effectiveness of DNFT in health care settings in the future. Discussions regarding the expansion of these reflective and praxis genres are included which may be of interest to nursing education and practice contexts. |
| Call Number |
NRSNZNO @ research @ 1203 |
Serial |
1188 |
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| Author |
Van der Krogt, Shelley; Coombs, Maureen; Rook, Helen |
| Title |
Humour: a purposeful and therapeutic tool in surgical nursing practice |
Type |
Journal Article |
| Year |
2020 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
36 |
Issue |
2 |
Pages |
20-30 |
| Keywords |
Communication; Humour; Surgical nursing; Person-centred care |
| Abstract |
Notes the lack of evidence-based guidance for use of humour by nurses. Uses a qualitative descriptive methodology to explore how surgical nurses determine when and how to employ humour with patients. Enrols 9 RNs working in a surgical ward within a tertiary hospital in semi-strutured interviews to discuss how they assess patient receptiveness, build connections with patients and protect their vulnerability. |
| Call Number |
NZNO @ research @ |
Serial |
1677 |
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| Author |
White, G.E.; Su, H.-R. |
| Title |
Am I dying, nurse? |
Type |
Journal Article |
| Year |
2000 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
15 |
Issue |
1 |
Pages |
33-40 |
| Keywords |
Communication; Ethics; Nursing; Palliative care |
| Abstract |
This paper addresses the concept of truth, and debates who should tell it and how it should be told. It explores the cultural aspects of knowing the truth about dying. The question of whether nurses have a moral obligation to tell the truth is explored, and suggests the lack of New Zealand research in this area should be addressed. |
| Call Number |
NRSNZNO @ research @ |
Serial |
631 |
| Permanent link to this record |
