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Author Doughty, L.
Title Evaluation of the 2002 Auckland District Health Board: First year of clinical practice programme Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (up) Clinical supervision; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 1113
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Author Sims, D.A.
Title The benefits and challenges of one New Zealand nursing undergraduate clinical education model: A case study Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (up) Clinical supervision; Preceptorship; Education; Students; Nursing
Abstract This research project utilised a case study approach to give ward managers a voice in the literature, by exploring and describing from their perspective the benefits and challenges of one particular nursing undergraduate clinical education model. The tertiary education provider contracts the health provider to provide Clinical Nurse Educators (CNEs) to support second and third year undergraduate nursing students during their clinical experiences. The CNEs are seconded from their respective wards to meet the organisation's contractual obligations. Data were gathered from two ward managers using semi-structured interviews. The findings elucidate the role of the undergraduate CNE, highlighting benefits such as the CNE being supernumerary to ward rosters and having time to teach, not only supervise students. CNEs are student-focused and easily accessible as they are based on site. The CNE was the one person who was 'there' for a student as a student's preceptor can change shift-by-shift and day-by-day. One significant challenge which emerged was the replacement of ward staff, not only of senior nurses who can leave their wards for up to 12 weeks to undertake the CNE role but also that of the student's preceptor if the student's preceptor was on annual, sick or study leave. Other challenges such as the inability of ward managers to pre-book casual staff; preceptor work-loads; skill-mix issues and fluctuating fulltime equivalents are also discussed.
Call Number NRSNZNO @ research @ Serial 598
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Author Golding, Cherie
Title Clinical supervision for general nurses in NZ: the imperative of finding a way forward -- nurses perceptions of professional/clinical supervision Type Book Whole
Year 2012 Publication Abbreviated Journal
Volume Issue Pages 63 p.
Keywords (up) Clinical supervision; Professional supervision; Documentation
Abstract Focuses on two broad themes: perceptions and attitudes of general nurses in in-patient hospital settings towards clinical supervision and how they have found such support to be of benefit to themselves or their practice; organisational documentation policies and procedures available to nurses in order to understand their contribution to, and valuing of, clinical supervision. Seeks to discover whether there is evidence of other factors influencing the provision of, or access to, clinical supervision by general nurses, which influences attitudes and perceptions.
Call Number NZNO @ research @ Serial 1582
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Author Jull, Andrew
Title Becoming a clinical triallist: challenges and opportunities for nursing research Type Journal Article
Year 2023 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 39 Issue 2 Pages
Keywords (up) Clinical trials; Nursing research; Systematic reviews; Evidence-based practice
Abstract Asks what is the value of randomised ccontrolled trials (RCT), and argues that different trial designs are appropriate for different types of question, e.g. intervention, aetiology, diagnosis, prognosis, therapy, and experience. Backgrounds the formation of the Cochrane Collaboration. Relates the author's own experience in becoming a clinical triallist and considers the barriers to nurses running RCTs. Explains the need and intent of the Australasian Nursing and Midwifery Clinical Trials Network (ANMCTN)
Call Number NZNO @ research @ Serial 1855
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Author Marshall, Dianne; Finlayson, Mary
Title Applied cognitive task analysis methodology: Fundamental cognitive skills surgical nurses require to manage patient deterioration Type Journal Article
Year 2022 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 38 Issue 1 Pages 25-37
Keywords (up) Cognitive task methodology; Surgical nursing; Patient deterioration; Decision-making
Abstract Aims to identify the cognitive skills required of surgical nurses to rescue the deteriorating patient, and to elicit insight into the potential errors in decision-making inexperienced nurses commonly make in the same situation. Conducts three sequential in-depth interviews with six experienced surgical nurses to identify five cognitive demands required of nurses to ascertain deterioration and the cognitive skills necessary to respond to these cognitive demands: the task diagram interview, the knowledge audit interview and the simulation interview.
Call Number NZNO @ research @ Serial 1795
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Author Stewart, J.; Floyd, S.; Thompson, S.
Title The way we were : collegiality in nursing in the '70s and '80s Type Journal Article
Year 2015 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 6 Issue 1 Pages 4-8
Keywords (up) Collegiality; Oral history; Focus Groups; History of Nursing; Nursing Training
Abstract Reports the findings of oral history research into nurses' experiences of training and working in hospitals in NZ during the 1970s and 1980s and their accounts of early collegiality forged as a result of residential living and training in hierarchical hospitals. Conducts two focus group discussions among 10 long-serving nurses from two district health boards (DHBs).
Call Number NZNO @ research @ Serial 1405
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Author Brunton, Margaret; Cook, Catherine; Walker, Leonie; Clendon, Jill
Title Where are we?: workplace communication between RNs in culturally-diverse healthcare organisations; Analysis of a 2-phase, mixed-method study: a report prepared for the New Zealand Nursing Education and Research Foundation Type Report
Year 2017 Publication Abbreviated Journal
Volume Issue Pages 82 p.
Keywords (up) Communication in nursing; Registered nurses; Surveys
Abstract Examines cultural influences on perceptions and practices of cross-cultural communication among registered nursing staff from diverse ethnicities in NZ. Employs an exploratory approach to obtain qualitative feedback by means of semi-structured interviews with 36 Internationally Qualified Nurses (IQN) and 17 NZ Registered Nurses (NZRN). Uses data from the interviews to construct a questionnaire survey to seek responses from a random national sample of RNs.
Call Number NZNO @ research @ Serial 1543
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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
Volume 36 Issue 2 Pages 20-30
Keywords (up) 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 MacDonald, L.M.
Title Nurse talk: Features of effective verbal communication used by expert district nurses Type
Year 2003 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords (up) 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 Radka, I.M.
Title Handover and the consumer voice: The importance of knowing the whole, full story Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (up) 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
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Author Southgate, D.
Title Advocating practice: The role of the community oncology nurse Type
Year 2002 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords (up) Community health nursing; Cancer; Nurse-patient relations; Oncology
Abstract The primary aim of this research was to advocate for, and make known, the role of the community oncology nurse, and to bring alive the hidden issues of nursing people in the community who have active cancer treatment. This study is also about the author's journey from novice to expert in developing the role as a community oncology nurse. The research also aimed to identify and understand practice that community oncology nurses do and often take for granted. To capture the essence of this study the method of reflective topical autobiography was utilised, which gave the opportunity to gather advanced nursing inquiry, and generate new nursing knowledge. To obtain insight into the highs and lows in everyday interaction with patients, reflective practice stories are presented. The thesis generated by this research is that care required by cancer patients at home goes beyond the scope of traditional community health. It requires nurses to be competent in technological skills as well as bringing in-depth expertise to the practical and human needs of people experiencing cancer. The role involves holistic, family-centered care; anticipating patient and family needs; educating; managing symptoms; advocating; confronting ethical issues; coordinating complex care; and monitoring progress.
Call Number NRSNZNO @ research @ Serial 1163
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Author Woodbridge, M.
Title From child savers to child activists: A participatory action research project with community child health nurses Type
Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (up) Community health nursing; Paediatric nursing
Abstract
Call Number NRSNZNO @ research @ 1266 Serial 1251
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Author Grayson, S.; Horsburgh, M.; Lesa, R.; Lennon, D.
Title An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme Type Journal Article
Year 2006 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.
Volume 119 Issue 1243 Pages
Keywords (up) Community health nursing; Patient compliance
Abstract The researchers assessed the compliance rates with the rheumatic fever secondary prophylaxis programme established through the Auckland Rheumatic Fever Register and managed by community nursing services in Auckland. They undertook an audit of the 1998 and 2000 Auckland Rheumatic Fever Register data to establish the compliance rates of patients with the rheumatic fever secondary prophylaxis programme. The sample included all patients on the Auckland Rheumatic Fever Register during this time. Results showed compliance rates across the three Auckland DHBs ranging from 79.9% to 100% for individual community nursing offices. They found that a community-based nurse-led secondary prophylaxis programme for rheumatic fever heart disease is able to deliver excellent patient compliance levels. Secondary prophylaxis is the WHO-recommended cost effective first step to rheumatic fever/rheumatic heart disease control. Community health workers have a key role to play in facilitating this compliance.
Call Number NRSNZNO @ research @ Serial 520
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Author Clissold, C.
Title How discourses stifle the Primary Health Care Strategy's intent to reduce health inequalities Type
Year 2006 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords (up) Community health nursing; Policy; Primary health care
Abstract The Primary Health Care Strategy (PHCS) has a stated commitment to defined populations who suffer disproportionately from ill health. This thesis examines whether some prevailing discourses actually decrease the focus on health inequalities. A study of the nursing and medical media found that it focused predominantly on professional and industrial issues, leaving health workers focused mainly on their own professional interests, rather than considering the effects on health inequalities. She goes on to suggest that current Ministry of Health discourse values decentralised community health decision making. This may gloss over factors in community health which are affected by Government policy such as employment policy, and thus should be dealt with centrally by legislation. These factors have been found to be the most pertinent in health inequalities. So while models of community partnerships may seem to place communities as agents in their own health, this downplays the determinants of health which are beyond their control. Having shown that discourse can decrease the focus on health inequalities due to other professional and political drivers, the author then looked at health initiative concepts which are effective, efficient and equitable given the current set up of PHOs and nursing innovations.
Call Number NRSNZNO @ research @ Serial 1196
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Author Crowe, M.; O'Malley, J.; Bigwood, S.
Title Nursing mental health consumers in the community Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 8 Pages 14-15
Keywords (up) Community health nursing; Psychiatric Nursing
Abstract The purpose of this research was to describe the characteristics of community mental health nursing care in the community. Twenty six nurses were enrolled in a study consisting of semi-structured interviews about the nature of their care. Responses were analysed to identify categories of skills. These were characterised as: establishing connectedness; promoting individual and family resilience, promoting citizenship; and addressing structural issues. Responses from the nurses are used to illustrate these categories.
Call Number NRSNZNO @ research @ 1024 Serial 1008
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