|
Records |
Links |
|
Author |
Crowe, M. |
|
|
Title |
Psychiatric diagnosis: Some implications for mental health nursing care |
Type |
Journal Article |
|
Year |
2006 |
Publication |
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 |
|
Permanent link to this record |
|
|
|
|
Author |
Booher, J. |
|
|
Title |
Professional practice models: Shared governance and magnet hospitals |
Type |
Journal Article |
|
Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
|
|
Volume |
|
Issue |
June |
Pages |
|
|
|
Keywords |
Nursing models; Intensive care nursing; Clinical governance |
|
|
Abstract |
This article explores the application of professional practice models in nursing. Particular reference is made to the magnet hospital model and the concept of shared governance. Key principles from these models are explored in relation to the implementation of a professional practice model in an intensive care environment. Historical, cultural and professional factors that may be seen as barriers to the implementation of this professional practice model are also explored. In conclusion, the article identifies recommendations that may contribute to a successful implementation and duration of a model in practice. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
861 |
|
Permanent link to this record |
|
|
|
|
Author |
Gillard, D. |
|
|
Title |
When I am nursing |
Type |
|
|
Year |
2002 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
|
Volume |
|
Issue |
|
Pages |
|
|
|
Keywords |
Nursing models; Mental health; Adolescents; Psychiatric nursing |
|
|
Abstract |
Over the last century the nursing profession has drawn from numerous theories and disciplines to construct its own theoretical foundations. While this diversity and flexibility may be one of the nursing profession's strengths it may have contributed to nurses' difficulty in explaining the complexities of their every day clinical work. This is a particular challenge for the domain of mental health nursing. This dissertation discusses how nursing models that have credibility at a clinical level can contribute to informing and advancing nursing practice. Models can achieve this by assisting nurses to conceptualise and articulate what it is they do that makes a difference to patient outcomes. Through this process nurses can maintain a distinct professional identity and establish themselves as effective members of multidisciplinary health team. Specifically, the application and limitations of Godkin's (2001) proposed model of a 'healing presence' to the author's own practice in a one-to-one nurse-adolescent client relationship in the mental health nursing is examined. It is claimed that a 'healing presence' provides a meaningful way to understanding the author's own practice. The proposed model of a 'healing presence' embraces the diversity of her background, and allows the author to maintain a nursing identity by providing a nursing framework to critique her practice, furthering her understanding of what it is that 'expert' nurses do and how this impacts on patient outcomes. Also suggested is that a 'healing presence' can contribute to the author's own and other nurses advanced nursing practice by making nursing visible to the multidisciplinary health team and to articulate “what it is that I do 'when I am nursing'”. Through presenting this dissertation, the author wishes to inspire other nurses to examine and understand their own practice. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
914 |
|
Permanent link to this record |
|
|
|
|
Author |
DeSouza, R. |
|
|
Title |
Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand |
Type |
Journal Article |
|
Year |
2008 |
Publication |
Journal of Research in Nursing |
Abbreviated Journal |
|
|
|
Volume |
13 |
Issue |
2 |
Pages |
125-135 |
|
|
Keywords |
Cultural safety; Nursing models; Cross-cultural comparison; Maori |
|
|
Abstract |
The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process. |
|
|
Call Number |
NRSNZNO @ research @ 943 |
Serial |
927 |
|
Permanent link to this record |
|
|
|
|
Author |
Koorey, R. |
|
|
Title |
Is there a place for clinical supervision in perioperative nursing? |
Type |
Journal Article |
|
Year |
2008 |
Publication |
Dissector |
Abbreviated Journal |
|
|
|
Volume |
35 |
Issue |
4 |
Pages |
15-17 |
|
|
Keywords |
Nursing models; Clinical supervision; Nursing specialties |
|
|
Abstract |
This article explores the concept of clinical supervision and outlines a brief history of implications for nursing practice. Models of clinical supervision are outlined and examples of how they may be applicable to the clinical setting of perioperative nursing are provided. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
928 |
|
Permanent link to this record |
|
|
|
|
Author |
Simon, V.N. |
|
|
Title |
Characterising Maori nursing practice |
Type |
Journal Article |
|
Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
|
Volume |
22 |
Issue |
2 |
Pages |
203-213 |
|
|
Keywords |
Registered nurses; Maori; Nursing models; Culture |
|
|
Abstract |
This paper summarises research which addresses the question What might constitute Maori nursing practice? The research design adopted was influenced by kaupapa Maori methodology and used a semi-structured, qualitative, in-depth interview process. It was found that by understanding the current experiences of Maori registered nurses, their reflections on their preparation for practice, and their current practice, it is possible to identify the present and future training and practice needs of Maori nurses. Maori nursing practice can be characterised as having five features: the promotion of cultural affirmation including cultural awareness and identity; the support of, and access to Maori networks; the adoption of Maori models of health; the enabling of visibility and pro-activity as Maori nurses; and, the validation of Maori nurses as effective health professionals. Three recommendations for promoting Maori nursing practice are made in relation to staff in the workplace and in nurse education programmes: all nursing staff need to be alert to: 1. the impact of western scientific models on Maori healthcare; 2. the (often passive) non-acceptance of Maori within mainstream institutions; and iii) the benefits of valuing indigenous nursing programmes. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
936 |
|
Permanent link to this record |
|
|
|
|
Author |
Cook, N.; Phillips, B.N.; Sadler, D. |
|
|
Title |
The Tidal Model as experienced by patients and nurses in a regional forensic unit |
Type |
Journal Article |
|
Year |
2005 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
|
|
Volume |
15 |
Issue |
5 |
Pages |
536-540 |
|
|
Keywords |
Psychiatric Nursing; Nursing models; Evaluation; Nurse-patient relations |
|
|
Abstract |
This study looks at the effect of implementing the Tidal Model at Rangipapa, a regional secure mental health forensic unit. A phenomenological study was undertaken to obtain reflective description of the nursing care experience from the perspective's of four registered nurses and four “special patients”. Five major themes were identified that appeared to capture the experiences of the participants. The themes show changes to the unit's unique culture and values following implementation of the model. These changes engendered a sense of hope, where nurses felt they were making a difference and patients were able to communicate in their own words their feelings of hope and optimism. Levelling was experienced as an effect emerging from individual and group processes whereby a shift in power enhanced a sense of self and connectedness in their relationships. These interpersonal transactions were noted by the special patients as being positive for their recovery. This enabled effective nurse-patient collaboration expressed simply as working together. The participants reported a feeling of humanity, so that there was a human face to a potentially objectifying forensic setting. Implications arising from this study are that the use of the model enables a synergistic interpersonal process wherein nurses are professionally satisfied and patients are validated in their experience supporting their recovery. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
941 |
|
Permanent link to this record |
|
|
|
|
Author |
Giddings, D.L.S. |
|
|
Title |
A theoretical model of social consciousness |
Type |
Journal Article |
|
Year |
2005 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
|
|
|
Volume |
28 |
Issue |
3 |
Pages |
224-239 |
|
|
Keywords |
Attitude of health personnel; Feminist critique; Nursing models |
|
|
Abstract |
The article presents a theoretical model of social consciousness developed from nurses' life histories. A 3-position dialectical framework (acquired, awakened, and expanded social consciousness) makes visible the way people respond to social injustice in their lives and in the lives of others. The positions coexist, are not hierarchical, and are contextually situated. A person's location influences her or his availability for social action. Nurses who could most contribute to challenging social injustices that underpin health disparities are relegated to the margins of mainstream nursing by internal processes of discrimination. The author suggests that more inclusive definitions of “a nurse” would open up possibilities for social change. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
944 |
|
Permanent link to this record |
|
|
|
|
Author |
Hughes, F.; Farrow, T. |
|
|
Title |
Caring for obese patients in a culturally safe way |
Type |
Journal Article |
|
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
|
Volume |
13 |
Issue |
4 |
Pages |
14-16 |
|
|
Keywords |
Nursing models; Obesity; Cultural safety |
|
|
Abstract |
The authors review the contemporary notion of obesity and suggest that the nursing approach, with an emphasis on treatment, are shaped by a culture located within “western” views of ideal body shape. The biomedical framework regards obesity as disease and obese people as the cause of their own health problems. The authors note varying cultural interpretations of obesity, and suggest that by viewing obesity as a disease, the cultural, social or economic determinants of obesity are not acknowledged. Nursing needs to broaden the concept of the categories of difference to respond in a culturally safe way to obesity. Cultural safety asks that nurses care for people “regardful” of difference. This means nurses must reflect on the care given, so that the biomedical model is not just replicated. Nurse-led clinics offer an opportunity for practices based on nursing values of care and cultural safety. Such clinics are based on nursing's social model of health, rather than a biomedical, disease-focused model. |
|
|
Call Number |
NRSNZNO @ research @ 994 |
Serial |
978 |
|
Permanent link to this record |
|
|
|
|
Author |
Tritschler, E.; Yarwood, J. |
|
|
Title |
Relating to families through their seasons of life: An indigenous practice model |
Type |
Journal Article |
|
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
|
Volume |
13 |
Issue |
5 |
Pages |
18-3 |
|
|
Keywords |
Parents and caregivers; Nursing models; Nurse-family relations; Communication |
|
|
Abstract |
In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective. |
|
|
Call Number |
NRSNZNO @ research @ 1007 |
Serial |
991 |
|
Permanent link to this record |
|
|
|
|
Author |
Wright, R. |
|
|
Title |
Linking theory with practice |
Type |
Journal Article |
|
Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
|
Volume |
7 |
Issue |
2 |
Pages |
14-15 |
|
|
Keywords |
Intensive care nursing; Nurse-family relations; Nursing models |
|
|
Abstract |
This article describes the care of a brain-dead intensive care unit patient. The human caring theory of Jean Watson is used to interpret the interactions between family, patient and nurse in this case study. Watson's concepts of care are examined as they relate to each stage of caring for the patient and his family. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
1012 |
|
Permanent link to this record |
|
|
|
|
Author |
Russell, D. |
|
|
Title |
Changing public health nursing practice |
Type |
Journal Article |
|
Year |
1999 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
|
Volume |
5 |
Issue |
11 |
Pages |
18-19 |
|
|
Keywords |
Public health; Community health nursing; Nursing models; Teamwork |
|
|
Abstract |
A new approach to public health nursing in the Otago region is described, which comprises of 3 distinct groups of nurses working in early childhood centres, primary schools and high schools. A family nursing assessment approach is used. The philosophical underpinnings of this approach are examined, which seeks to empower patients and engage them in their health care. Two public health nurses are interviewed about the new partnership model of nursing. |
|
|
Call Number |
NRSNZNO @ research @ 1041 |
Serial |
1025 |
|
Permanent link to this record |
|
|
|
|
Author |
Webby, A. |
|
|
Title |
Developing safe nursing practice for Maori |
Type |
Journal Article |
|
Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
|
Volume |
7 |
Issue |
1 |
Pages |
16-17 |
|
|
Keywords |
Maori; Psychiatric Nursing; Nursing models |
|
|
Abstract |
A safe mental health nursing practice for Maori is defined as one that includes Maori ways of knowing. The author also notes that Maori mental health nurses must be given the ability to create their own practice to best meet their clients' needs. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
1028 |
|
Permanent link to this record |
|
|
|
|
Author |
Carter, H.; MacLeod, R.; Brander, P.; McPherson, K. |
|
|
Title |
Living with a terminal illness: Patients' priorities |
Type |
Journal Article |
|
Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
|
Volume |
45 |
Issue |
6 |
Pages |
611-620 |
|
|
Keywords |
Terminal care; Quality of life; Nursing models; Cancer |
|
|
Abstract |
The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented. |
|
|
Call Number |
NRSNZNO @ research @ |
Serial |
1061 |
|
Permanent link to this record |
|
|
|
|
Author |
Bishop, D.; Ford-Bruins, I. |
|
|
Title |
Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study |
Type |
Journal Article |
|
Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
|
|
Volume |
12 |
Issue |
3 |
Pages |
203-212 |
|
|
Keywords |
Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models |
|
|
Abstract |
This qualitative study explores the perceptions of mental health nurses regarding assessment in an acute adult inpatient setting in Central Auckland. Fourteen mental health nurses took part in semi-structured interviews answering five open-ended questions. The analysis of data involved a general inductive approach, with key themes drawn out and grouped into four categories (roles, attitudes, skills and knowledge) in order to explore the meaning of information gathered. The outcome of the study acknowledged the importance of contextual factors such as the physical environment and bureaucratic systems, as well as values and beliefs present within the unit. The participants expressed concern that their input to assessment processes was limited, despite belief that 24-hour care and the nature of mental health nursing generally suggested that a crucial role should exist for nurses. In order for nurses to be established as central in the assessment process on the unit the study concludes that a nursing theoretical framework appropriate for this acute inpatient setting needs to be developed. |
|
|
Call Number |
NRSNZNO @ research @ 1082 |
Serial |
1067 |
|
Permanent link to this record |