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Author Walker, J.; Bailey, S.
Title The clinical performance of new degree graduates Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 2 Pages 31-42
Keywords (up) New graduate nurses; Professional competence; Nursing; Education; Teaching methods
Abstract This study aimed to identify how graduates perceived their clinical performance during their first year of practice. A convenience sample of 30 graduates was surveyed after 3 months and 7 months in practice, using an adapted form of a questionnaire devised by Ryan and Hodson (1992). The results showed that over time, graduates generally required less direction in all areas of clinical competence. After 7 months in practice, the majority of the graduates rated their performance in nursing skills, communication skills, and professionalism at the expected level or above. However, some still required direction with using theory and research in practice, with meeting client's psychosocial needs and with teaching clients. In the leadership competency, after 7 months, most graduates saw themselves functioning at the expected level related to client care and needed less direction in unit management skills. However, many of the unit management skills were rated as 'not applicable' indicating that new graduates are not initially placed in a management role. Implications for nursing education and limitations of the research are discussed.
Call Number NRSNZNO @ research @ Serial 638
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Author Spackman, N. E.
Title Nurses' early experiences with patient death Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages 156 pp
Keywords (up) New graduate nurses; Terminal care
Abstract Chronic stress and 'burnout' have been extensively researched in nursing populations, but very little is known about the impact of specific acutely stressful or significant events. A novice nurse's first encounter with patient death may pose considerable cognitive, emotional and clinical challenges. Using a mixed methods design, this study explored the clinical circumstances, impact and challenges and rewards of nurses' early experiences with patient death.
Call Number NRSNZNO @ research @ Serial 1292
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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 1 Pages 90-96
Keywords (up) 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 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 1 Pages 56-63
Keywords (up) 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 Butters, Katheryn Janine
Title A qualitative study of the ethical practice of newly-graduated nurses working in mental health Type Book Whole
Year 2008 Publication Abbreviated Journal
Volume Issue Pages 184 p.
Keywords (up) Newly-graduated nurses; Nursing ethics; Mental health nurses; Surveys
Abstract Presents a qualitative exploration of factors that influence eight newly-graduated nurses as they endeavour to practice ethical mental health nursing. Gathers data from in-depth interviews with the participants, analysed using a thematic analysis method. Considers aspects of the social and political context within which the participants are situated.
Call Number NZNO @ research @ Serial 1861
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Author Seldon, Lucy A
Title Non-pharmacological Methods in Relieving Children's Pain in Hospital: a pilot study Type Book Whole
Year 2017 Publication Abbreviated Journal
Volume Issue Pages 72 p.
Keywords (up) Non-pharmacological; Pain relief; Pain; Hospitals; Paediatric nurses; Children
Abstract Adapts the questionnaire used in three international studies of the utilisation of non-pharmacological methods of post-operative pain management for paediatric surgical patients, and distributes it to registered nurses working in a paediatric surgical ward in one district health board (DHB) hospital. Discusses the non-pharmacological methods used and how they correlate with international literature.
Call Number NZNO @ research @ Serial 1559
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Author Ingram, Lisette
Title There is more than one way of nursing : new graduate nurses' experiences of their first year of practice Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 133 p.
Keywords (up) Nurse entry-to-practice programme (NETP); New Graduate Registered Nurses (NGRN); Biculturalism; Patient safety
Abstract Undertakes to explain the experiences of new graduate registered nurses (NGRN) undertaking a nurse entry-to-practice programme (NETP). Uses focus group data to construct a theory of NGRN experience, utilising constructivist grounded theory method. Interviews NGRNs in the Waikato DHB NETP, which uses a bicultural model. Concludes that NGRNs value culture in assessing patient need. Identifies barriers to valuing patients' culture from short staffing, stress and fear, work pressuress, and lack of insight into the cultural needs of patients from team members.
Call Number NZNO @ research @ Serial 1800
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Author Gultiano, Juan Paulo
Title The experiences of internationally-qualified nurses working in a publicly-funded tertiary hospital in New Zealand: A qualitative descriptive study Type Book Whole
Year 2022 Publication Abbreviated Journal
Volume Issue Pages 162 p.
Keywords (up) Nurse Migration; Migrant Nurses; Nursing Workforce, Internationally Qualified Nurses, Workplace Bullying
Abstract Explores and describes the experiences of Internationally Qualified Nurses (IQN) working in a public hospital in NZ. Uses qualitative descriptive methodology to illuminate their experiences. Employs purposive sampling using maximum variation and snowball sampling methods to recruit 12 IQNs employed in the tertiary hospital. Conducts 12 one-to-one, semi-structured face-to-face interviews, which were analysed using Braun and Clarke's method of thematic analysis. Derives the following three themes: hospital navigation, ambivalence and being an outsider.
Call Number NZNO @ research @ Serial 1740
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Author Mearns, G.
Title Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice Type
Year 2005 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords (up) Nurse practitioners; Geriatric nursing; Older people; Registered nurses
Abstract The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner.
Call Number NRSNZNO @ research @ Serial 585
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Author McGinty, Melinda; Poot, Betty; Clarke, Jane
Title Registered nurse prescribing: A descriptive survey of prescribing practices in a single district health board in Aotearoa New Zealand Type Journal Article
Year 2020 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 36 Issue 3 Pages 61-72
Keywords (up) Nurse prescribing; District health boards (DHB); Registered nurses (RN); Prescription medicines
Abstract Surveys 11 RN prescribers working in cardiology, respiratory health, diabetes and primary care working in one DHB, about the medicines they prescribe for their areas of practice. Reveals the importance of regular updates to the list of medications available for RN prescribers.
Call Number NZNO @ research @ Serial 1683
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Author Crowe, M.; Jones, V.; Stone, M.-A.; Coe, G.
Title The clinical effectiveness of nursing models of diabetes care: A synthesis of the evidence Type Journal Article
Year 2019 Publication International Journal of Nursing Studies Abbreviated Journal
Volume 93 Issue Pages 119-128
Keywords (up) Nurse-led care; Diabetes; Primary health care nurses; Clinical efficacy
Abstract Determines the clinical effectiveness, in terms of glycaemic control, other biological measures, cost-effectiveness and patient satisfaction, of nurse-led diabetes interventions led by primary health care nurses. Uses PRISMA guidelines for reporting the results of a systematic review of the literature. Compares quantitative studies of physician-led care and cost-effectiveness, with qualitative studies of patient experiences of nurse-led care.
Call Number NZNO @ research @ Serial 1790
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Author Kaur, Harpreet
Title What are the factors affecting patients with diabetes in regards to their attendance and non-attendance with Diabetes Nurse-Led Clinics in Counties Manukau Health? Type Book Whole
Year 2018 Publication Abbreviated Journal
Volume Issue Pages 196 p.
Keywords (up) Nurse-led clinics; Diabetes nurses; Patients; Non-attendance; Attendance; Surveys
Abstract Performs a retrospective audit of eight Diabetes Nurse-Led Clinics (DNLC) in two regions of DNLC provision in Auckland over a 12-month period from 2016-2017, at which 707 patients were booked for appointments. Undertakes a nested sampling of two randomly-selected DNLCs, in which 71 participants were invited to participate. Explores patients' perspectives of attendance or non-attendance at their booked appointments. Examines whether patients perceive any benefits of attendance at the clinics, and identifies factors that might improve their experiences with DNLCs.
Call Number NZNO @ research @ Serial 1650
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Author Foster, Pamela Margaret
Title What undergraduate nurse education actually teaches student nurses about people named as older: A Foucauldian discourse analysis Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 198 p.
Keywords (up) Nursing education; Aged care; Nurses' perceptions; Stereotypes
Abstract Traces the origins of gerontology knowledge among student nurses while considering how people designated as older are perceived by the student nurse, and the effects of functional decline and biomedical discourses on their views of older people when on clinical placement in aged residential care (ARC) facilities. Hghlights the contested domain of gerontology knowledge to generate dialogue about how older age is actually represented in student nurse education, as the current iteration perpetuates stereotypical assumptions about older age.
Call Number NZNO @ research @ Serial 1745
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Author Wong, Grace; Stokes, Gillian
Title Preparing undergraduate nurses to provide smoking cessation advice and help Type Journal Article
Year 2011 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 27 Issue 3 Pages 21-30
Keywords (up) Nursing education; Smoking cessation; Nursing curricula; Student nurses
Abstract Conducts an online survey of NZ's 17 schools of nursing to investigate the extent that smoking cessation education content is included in undergraduate nursing curricula. Reports which schools teach the recommended ABC approach and which teach approaches not recommended by the Ministry of Health.
Call Number NZNO @ research @ Serial 1468
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Author Jamieson, Isabel; Harding, Thomas; Withington, John; Hudson, Dianne
Title Men entering nursing: has anything changed? Type Journal Article
Year 2019 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 35 Issue 2 Pages 18-29
Keywords (up) Nursing education; Stereotypes; Qualitative research; Male nurses; Surveys
Abstract Conducts thematic analysis to identify two predominant gender scripts: of nursing as women's work, and that men who nurse are homosexual. Notes the associated themes of the effect of negative stereotyping on male nurses' career choice, and their resistance to the stereotype of normative masculinity. Considers that the same barriers to men becoming nurses have remained unchanged since first identified and discussed in the 1960s.
Call Number NZNO @ research @ Serial 1616
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