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Author Crawford, Ruth openurl 
  Title Using focused ethnography in nursing research Type Journal Article
  Year 2019 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal  
  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 Corner, Kathy openurl 
  Title Perceptions of Indian IQNs transitioning into a bachelor of nursing programme in New Zealand Type Journal Article
  Year 2020 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 11 Issue 1 Pages 61-62  
  Keywords IQNs; Bachelor of Nursing; Nursing students; Cultural safety; Cross-cultural communication; Resilience  
  Abstract Aims to understand the experiences of Indian internationally-qualified nurses (IQN) making the transition into a NZ bachelor of nursing (BN) programme. Conducts a focus group with four Indian IQN students enrolled in an 18-month bridging course. Identifies four themes: adaptation to a new way of learning; cultural differences in living and working in NZ; adaptation to a different clinical environment; and cultural safety.  
  Call Number NZNO @ research @ Serial 1663  
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Author Moir, Chris; Baby, Maria openurl 
  Title Managing violence and aggression: graduate-entry nursing students' responses to pre-emptive communication skills education Type Journal Article
  Year 2022 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 13 Issue 1 Pages 9-18  
  Keywords Communication skills; Workplace violence; Nursing students; Nursing curriculum  
  Abstract Argues that teaching de-escalation skills early in the nursing programme is vital for student safety and later retention in the nursing workforce. Sets out to determine the efficacy of communication training to teach nursing students agression-management skills while on clinical placement. Designs a quasi-experimental design using pre- and post-tests of communication competence following an education module delivered as part of the curriculum.  
  Call Number NZNO @ research @ Serial 1816  
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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 (down) 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 (down) 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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Author Polaschek, N. openurl 
  Title Negotiated care: A model for nursing work in the renal setting Type Journal Article
  Year 2003 Publication (down) Journal of Advanced Nursing Abbreviated Journal  
  Volume 42 Issue 4 Pages 355-363  
  Keywords Chronically ill; Nursing models; Nurse-patient relations; Communication  
  Abstract This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy.  
  Call Number NRSNZNO @ research @ Serial 1186  
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Author Major, G.; Holmes, J. openurl 
  Title How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward Type Journal Article
  Year 2008 Publication (down) Australian Journal of Advanced Nursing Abbreviated Journal  
  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 Macfarlane, K. openurl 
  Title Communicating changes in a patient's condition: A critical incident approach Type
  Year 2006 Publication (down) Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Communication; Clinical assessment; Physicians; Nursing; Relationships  
  Abstract This study explores how registered nurses working within the acute surgical ward environment of a New Zealand hospital communicate changes in a patient's condition. The purpose of this research study was to examine the processes, communication techniques and behaviours that nurses use, in order to determine the critical requirements for registered nurses to effectively communicate changes in patients' conditions to doctors. The critical incident technique developed by Flanagan (1954) was adapted and used to explore incidents that occurred when six registered nurses working in acute surgical wards communicated a change in a patient's condition to a doctor. Communication is an integral part of everyday activity. This study has shown an assessment process occurs before communication can take place. A nurse's concern for a patient's condition initiates the assessment process. A judgement is formed from the nurse's concern that a patient's condition has changed. Judgements take into account multiple ways of knowing including pattern recognition, empirical knowing and intuition. Institutional protocols also affect judgements and the ability of a nurse to ensure support is received for the patient's well being. The communication process is initiated for two reasons, to support the patient, and to support the nurse in providing care for the patient. Significant in determining the need for support is the action required that might be outside the nurse's scope of practice. The response should address the nurse's concern and take into account the importance of the relationship, trust between all parties, respect of each other's positions and knowing team members and their capabilities. Understanding these aspects of the communication process should enhance nurses and doctors abilities to effectively communicate regarding a change in a patient's condition.  
  Call Number NRSNZNO @ research @ Serial 724  
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Author Evans, S. openurl 
  Title Silence kills: Communication around adverse events in ICU Type
  Year 2006 Publication (down) Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  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 Sheward, K.A. openurl 
  Title Exploring the juxtaposition of end of life care in the acute setting and the integrated care pathway for the care of the dying Type
  Year 2005 Publication (down) Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Palliative care; Hospitals; Communication; Nurse-patient relations  
  Abstract The primary aim of this research paper is to draw on the literature to offer some insight into end of life care in the acute hospital setting. The secondary purpose is to provide an understanding of the integrated clinical pathway (ICP) for the care of the dying, consider its influence related to some of the challenges shaping end of life care and the positive effect it can generate on the quality of care experienced. There are significant challenges that impact on both the delivery and receipt of care for dying patients and their families. Six key influential barriers are considered within the context of the acute setting. Communication and the acute environment are two areas that significantly impact on the quality of care delivered, and are explored in more depth. Narratives from nursing and medical staff convey the realities encountered and difficulties experienced when they are unable to provide the care to which they aspire. Stories are shared by patients and families, which reflect on their experience of end of life care in the acute setting, and offer heath professionals some insight into the lives of the people nurses care for. The literature in relation to the development and implementation of the Liverpool Care of the Dying Pathway, and an overview of the Pathway document is presented. The strengths and limitations of its use are considered, alongside its influence beyond the documentation of clinical care. It is not possible to transfer the hospice service into the hospital setting, however the author suggests that through the implementation of the clinical pathway there is an opportunity to transfer best practice guidelines and positively influence the palliative culture in the acute setting.  
  Call Number NRSNZNO @ research @ Serial 772  
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Author Woods, M. url  openurl
  Title Parental resistance. Mobile and transitory discourses: A discursive analysis of parental resistance towards medical treatment for a seriously ill child Type
  Year 2008 Publication (down) Abbreviated Journal NZNO Library  
  Volume Issue Pages  
  Keywords Nurse-family relations; Parents and caregivers; Pacific peoples; Communication; Children; Chronically ill  
  Abstract This qualitative thesis uses discourse analysis to examine parental resistance towards medical treatment of critically ill children. It is an investigation of the 'mobile and transitory' discourses at play in instances of resistance between parents, physicians and nurses within health care institutions, and an examination of the consequences of resistance through providing alternative ways of perceiving and therefore understanding these disagreements. The philosophical perspectives, methodology and methods used in this thesis are underpinned by selected ideas taken from the works of Michel Foucault and Pierre Bourdieu and supported by relevant literature in the fields of media, law, children, parenting, caring, serious childhood illness, medicine and nursing. It is argued that from an examination of interview based texts, parental resistance is an omnipresent but transitory occurrence that affects many of the interactions between the parents of seriously ill children and clinical staff. It is maintained that within these interactions, the seeds of this resistance are sown in both critical decision making situations and in everyday occurrences between doctors, nurses and parents within healthcare institutions. Contributing factors to parental resistance include the use of power games by staff, the language of medicine, forms of symbolic violence, the presence or absence of trust between parents and medical staff, the effects of medical habitus, and challenges to the parental role and identity. Overall, it is proposed in this thesis that parents who resist treatment for their seriously ill child are not exceptions to the normative patient-physician relationship.  
  Call Number NRSNZNO @ research @ Serial 1140  
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Author Walsh, C. url  openurl
  Title Personal and professional choices, tensions, and boundaries in the lives of lesbian psychiatric mental health nurses Type
  Year 2007 Publication (down) Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Sexuality; Psychiatric Nursing; Nurse-patient relations; Communication  
  Abstract This study aimed to articulate how sexual identity impacts on the therapeutic relationship between the client and the lesbian nurse in psychiatric mental health nursing. There is little consideration given in the literature or in research as to how sexuality of the nurse impacts on nursing practice. Most attitudes held by the public and nursing staff are based on the assumption that everyone is heterosexual, including nurses. Fifteen lesbian psychiatric mental health nurses from throughout New Zealand volunteered for two interviews and shared their experiences of becoming and being a lesbian psychiatric mental health nurse. The stories they told give new insights into how these nurses negotiate and position their lesbian identity in the therapeutic relationship. To work therapeutically with people in mental distress the nurse uses personal information about themselves to gain rapport with the client through appropriate self-disclosure. Being real, honest and authentic are also key concepts in this relationship so the negotiation of reveal/conceal of the nurse's identity is central to ongoing therapeutic engagement. One of the most significant things arising from the research is that participants are able to maintain their honesty and authenticity in the therapeutic relationship whether they self-disclose their lesbian identity or not. This is because the experiences in their personal lives have influenced how the participants 'know themselves' and therefore guide how they 'use self' in their therapeutic nursing. The concept of a 'licensed narrative' has also been developed during this research reflecting the negotiated understandings between the researcher and the participants. Further, the use of NVivo a qualitative software package helps to track and make transparent the research processes. These two aspects make a unique contribution to the field of narrative inquiry.  
  Call Number NRSNZNO @ research @ Serial 1164  
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Author Lally, E.J. url  openurl
  Title An exploration of language and nursing practice to improve communication in the context of ear syringing Type
  Year 2002 Publication (down) Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  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 Brunton, Margaret; Cook, Catherine; Walker, Leonie; Clendon, Jill openurl 
  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 (down) Abbreviated Journal  
  Volume Issue Pages 82 p.  
  Keywords 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 Jarden, Amanda J url  openurl
  Title Before-school check nurses' experiences of motivational interviewing during the weight-related referral process : an interpretive phenomenological study Type Book Whole
  Year 2018 Publication (down) Abbreviated Journal  
  Volume Issue Pages 240 p.  
  Keywords School nurses; Childhood obesity; Before School Check programme; Motivational interviewing; Communication; Surveys  
  Abstract Investigates nurses' experiences of weight-related conversations with whanau, and their level of understanding and application of motivational interviewing, during the Before-School Check programme to identify 95% of high-weight children. Uses a questionnaire focussed on competencies in conjunction with recorded interviews concentrated on process-oriented accounts of the referral process.  
  Call Number NZNO @ research @ Serial 1645  
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