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Author Howie, L. url  openurl
  Title Rural society and culture Type Book Chapter
  Year 2008 Publication (up) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 3-18 ) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Culture  
  Abstract The author takes a multidisciplinary approach to examine how the location and concept rural is defined and provides a critique of the disparate definitions available. Definitions encompass different disciplines such as sociology and anthropology, and there are national distinctions based on historical factors. The chapter also investigates the way researchers speak about rural people, particularly as the human aspect of health is a primary concern to nursing. The focus is on the socio-cultural, occupational, ecological, and health aspects of rurality. The Rural Framework Wheel is introduced, which is a method to categorise rural contextual definitions. Rurality is presented as a variable and evolving concept that provides particular challenges to nursing practice.  
  Call Number NRSNZNO @ research @ Serial 460  
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Author Howie, L. url  openurl
  Title Contextualised nursing practice Type Book Chapter
  Year 2008 Publication (up) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 33-49) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Nursing models; Nursing research  
  Abstract This is the first of three chapters that describe nursing practice. The author presents the Rural Framework Wheel to elaborate aspects of the rural context. The Framework comprises four systems which describe aspects of rurality; being are socio-cultural, occupational, ecological, and health. These systems each comprise of subsystems, which provide a detailed analysis of the way nursing practice is particular in diverse rural settings. The Framework is presented as a work in progress, and is grounded in international nursing literature. It highlights rural nursing as a unique and challenging field, with the dominant themes of partnership and nursing emerging as underpinning the practice when nurses live and work in small, sometimes isolated communities.  
  Call Number NRSNZNO @ research @ 766 Serial 750  
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Author Roulston, E. openurl 
  Title Storytelling: The story of my advancing rural nursing journey Type Book Chapter
  Year 2008 Publication (up) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 57-65) Abbreviated Journal  
  Volume Issue Pages  
  Keywords Rural nursing; Nursing philosophy; Scope of practice  
  Abstract The author takes a storytelling approach to describe her advancing practice as a registered nurse in a rural context. She adapted a theoretical 'reflective learning through storytelling' framework, from McDrury and Alterio (2002). The framework includes the concepts of reflection, learning, knowledge and experience which is related to professional practice and one's self.  
  Call Number NRSNZNO @ research @ Serial 751  
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Author Thompson, R. url  openurl
  Title On call but not rostered Type Book Chapter
  Year 2008 Publication (up) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 67-78) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Ethics; Registered nurses  
  Abstract In this chapter the author uses storytelling to explore the legal and ethical issues she experiences as a rural volunteer registered nurse. She describes the relationship between the nurse and community embodied in areas such as the public perception of nurses, and discusses aspects of her practice in the light of the particular legal and ethical context of rural areas.  
  Call Number NRSNZNO @ research @ 768 Serial 752  
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Author Pedersen, C. url  openurl
  Title Nurse-led telephone triage service in a secondary rural hospital Type Book Chapter
  Year 2008 Publication (up) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 99-110) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Telenursing; Evaluation  
  Abstract This chapter describes the development of a nurse-led after-hours telephone triage service in a rural secondary hospital in the Hawke's Bay District Health Board area. This service was a response to the health restructuring in the 1990s, which had led to the shift of secondary services out of the rural areas, and workforce recruitment issues. Secondly, it discusses the process and findings of a research project undertaken to identify and describe telephone callers' reported outcomes after using the service. The study found a high level of satisfaction amongst callers and a high level of compliance to advice.  
  Call Number NRSNZNO @ research @ 770 Serial 754  
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Author Jamieson, I. url  openurl
  Title The mobile operating theatre project Type Book Chapter
  Year 2008 Publication (up) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp.81-97) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Surgery; Training; Evaluation  
  Abstract This chapter firstly presents the development of a mobile operating theatre project, which was implemented in 2002 to provide rural day-stay surgery. Secondly, it discusses the process and findings of a research project undertaken with the purpose of evaluating a perioperative (theatre and recovery) reskilling programme offered to 42 rural nurses from nine secondary hospitals, conducted over nine months in 2001. The training was given to nurses prior to the introduction of a mobile operating theatre service, and was seen as a key part of the service contract.  
  Call Number NRSNZNO @ research @ 769 Serial 753  
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Author Gagan, M.J.; Boyd, M.; Wysocki, K.; and Williams, D.J. url  doi
openurl 
  Title The first decade of nurse practitioners in New Zealand: A survey of an evolving practice Type Journal Article
  Year 2014 Publication (up) Journal of the American Association of Nurse Practitioners Abbreviated Journal JAANP  
  Volume 26 Issue 11 Pages 612-619  
  Keywords Nurse practitioners; Nursing history  
  Abstract Provides an overview of the practices and outcomes of nurse practitioners (NP) across a variety of healthcare specialties since NPs were first registered in 2002. Uses the PEPPA model as a guide for the organisation of data, the discussion of findings, and recommendations for the future.  
  Call Number NZNO @ research @ Serial 1845  
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Author McBride-Henry, K.; Foureur, M. openurl 
  Title A secondary care nursing perspective on medication administration safety Type Journal Article
  Year 2007 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 60 Issue 1 Pages 58-66  
  Keywords Patient safety; Drug administration; Organisational culture; Nursing  
  Abstract This paper reports on a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. Data were collected in 2005 using three focus groups of nurses that formed part of a larger study examining organisational safety and medication administration from a nursing perspective. A narrative approach was employed to analyse the transcripts. Participants had good understandings of organisational culture in relation to medication safety and recognised the importance of effective multi-disciplinary teams in maintaining a safe environment for patients. Despite this, they acknowledged that not all systems work well, and offered a variety of ways to improve current medication practices. These findings highlight the meaningful contribution nurses can make to patient safety and emphasise the importance of including the nursing voice in any quality improvement initiatives.  
  Call Number NRSNZNO @ research @ Serial 648  
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Author Teekman, B.; Stillwell, Y. openurl 
  Title Exploring reflective thinking in nursing practice Type Journal Article
  Year 2000 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 31 Issue 5 Pages 1125-1135  
  Keywords Nursing; Problem solving; Experiential learning  
  Abstract Sense-Making, a qualitative research method, was used to obtain and analyse data from interviews with 10 registered nurses, in order to study reflective thinking in actual nursing practice. Ten non-routine nursing situations were analysed for the presence of reflective thinking. Reflective thinking was extensively manifest, especially in moments of doubt and perplexity, and consisted of such cognitive activities as comparing and contrasting phenomena, recognising patterns, categorising perceptions, framing, and self-questioning in order to create meaning and understanding. Self-questioning was identified as a significant process within reflective thinking. By exploring and analysing the type of questions respondents were asking themselves, the study uncovered three hierarchical levels of reflective thinking, focussed on action, evaluation and critical enquiry. The findings of this study resulted in the development of a model of reflective thinking, which is discussed in terms of the implications for learning in nursing practice.  
  Call Number NRSNZNO @ research @ Serial 655  
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Author Spence, D. openurl 
  Title Hermeneutic notions illuminate cross-cultural nursing experiences Type Journal Article
  Year 2001 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 35 Issue 4 Pages 624-630  
  Keywords Transcultural nursing; Nursing  
  Abstract The aim of this paper was to articulate selected hermeneutic notions for the purpose of extending current understanding of cross-cultural nursing practice, and build on the author's work in this area. The project asserted that the notions of prejudice, paradox and possibility portray a nursing view of this phenomenon. The emphasis in this paper, rather than being methodological, is on showing how specific hermeneutic notions contribute to deeper understanding of the nature of cross-cultural practice. It is argued that contact with, and the capacity to explore, the play of conflicting prejudices and possibilities enhances understanding of the complex and paradoxical nature of cross-cultural nursing.  
  Call Number NRSNZNO @ research @ Serial 705  
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Author Crowe, M. openurl 
  Title Psychiatric diagnosis: Some implications for mental health nursing care Type Journal Article
  Year 2006 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 53 Issue 1 Pages 125-131  
  Keywords Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models  
  Abstract This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9.  
  Call Number NRSNZNO @ research @ Serial 837  
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Author Giddings, D.L.S.; Roy, D.E.; Predeger, E. openurl 
  Title Women's experience of ageing with a chronic condition Type Journal Article
  Year 2007 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 58 Issue 6 Pages 557-565  
  Keywords Chronic diseases; Age factors; Gender; Nursing  
  Abstract This paper is a report of a study to explore the experiences of 'almost old' women as they grow older while living with a chronic condition. Little is known about the contextual effects of ageing and how it shapes and is shaped by a woman's chronic illness experience. Seven women aged between 50 and 58 years participated in this interpretive descriptive study that explored the issues of ageing with a chronic condition. Three focus groups were held between March 2003 and March 2004. Transcriptions were analysed after each focus group. Participants were given the opportunity to respond to the findings as the analysis progressed. The experience of living with a chronic illness foreshadowed what was to come with ageing and embodied the ageing process: it was just part of their lives. Alongside this, the women now felt less out of place. Their peers were catching up and beginning to experience aspects of participants' everyday reality. The women, however, experienced double jeopardy because ageing amplified the ongoing vulnerabilities of living with a chronic condition. The authors conclude that nurses who recognise the resourcefulness and expertise of women who live with a chronic condition can effectively be co-strategists in helping them to age well.  
  Call Number NRSNZNO @ research @ Serial 880  
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Author Clendon, J.; White, G.E. openurl 
  Title The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis Type Journal Article
  Year 2001 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 34 Issue 2 Pages 171-178  
  Keywords Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing  
  Abstract The aim of this study was to determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a New Zealand primary school environment as a means of addressing the health needs of children and families. A secondary aim was to ascertain whether public health nurses were the most appropriate nurses to lead such a clinic. Utilising a community needs analysis method, data were collected from demographic data, 17 key informant interviews and two focus group interviews. Analysis was exploratory and descriptive. Findings included the identification of a wide range of health issues. These included asthma management and control issues, the need to address poor parenting, and specific problems of the refugee and migrant population. Findings also demonstrated that participant understanding of the role of the public health nurse was less than anticipated and that community expectations were such that for a public health nurse to lead a primary health care clinic it would be likely that further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed plan that would serve to address the health needs of children and families in the area the study was undertaken. Services that participants identified as being appropriate included health information, health education, health assessment and referral. The authors conclude that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment was feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required.  
  Call Number NRSNZNO @ research @ Serial 952  
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Author Payne, D.; Goedeke, S. openurl 
  Title Holding together: Caring for clients undergoing assisted reproductive technologies Type Journal Article
  Year 2007 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 60 Issue 6 Pages 645-653  
  Keywords Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams  
  Abstract This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences.  
  Call Number NRSNZNO @ research @ 985 Serial 969  
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Author Polaschek, L.; Polaschek, N. openurl 
  Title Solution-focused conversations: A new therapeutic strategy in Well Child health nursing telephone consultations Type Journal Article
  Year 2007 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 59 Issue 2 Pages 111-119  
  Keywords Telenursing; Communication; Evaluation  
  Abstract This paper reports a study to explore Well Child nurses' perceptions of outcomes resulting from the use of solution-focused conversations in their telephone consultations with clients. The standard problem-solving approach used to address physical issues is less effective for various non-physical concerns, where different communication strategies may be helpful. In this qualitative, action-oriented study, a small group of Well Child telenurses in New Zealand was introduced to a specific communication strategy, called 'solution-focused conversations', during 2005. They applied this approach in their practice and then reflected together on their experiences in focus groups. The nurses considered that the solution-focused conversations enabled clients to: recognise the nature of the parenting issue of concern that had motivated their call; identify more effective parenting practices to address specific issues with their child; increase their confidence in their own parenting capabilities. This study suggested the value of learning a specific communication strategy for the practice of a group of Well Child telenurses.  
  Call Number NRSNZNO @ research @ Serial 973  
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