Records |
Author |
Lee, S.V. |
Title |
The advanced practitioners' guide to integrating physical and mental health: Introducing the role of the mental health consultation liaison nurse |
Type |
|
Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Advanced nursing practice; Mental health; Nursing specialties |
Abstract |
Evidence within the literature highlights that staff within the general hospital wards are not necessarily equipped to assess and meet the needs of patients with mental health or behavioural problems. The author notes that this is cause for concern as a number of people requiring admission to the general wards often have a complex, interrelated combination of physical and mental health problems. Within New Zealand there have also been a number of changes to health care policies that have increased general nurses contact with mental health patients over the last decade. The Mental Health Consultation Liaison Nurse is an advanced nurse specialist who can meet this need. Having reviewed the literature and communicated with Mental Health Consultation Liaison Nurses in New Zealand and Australia, the author says it is clear that the availability of a mental health nurse within the district health board general wards would be advantageous to all. The role has been shown to positively influence the care of patients and benefit other health care professionals. It provides an improved system of care that is co-ordinated, integrated and responsive to the needs of patients and health care staff. The implementation of the Mental Health Consultation Liaison Nurse role has the potential to cut costs in relation to decreasing length of stay with untreated mental health issues, and reduce the cost of continued use of 'specialling' unnecessarily. Also of importance is the fact that such a position would assist the district health board to comply with the standards of health care provision as directed by the Mental Health Commission and the Ministry of Health. The author suggests that the introduction of the Mental Health Consultation Liaison Nurse role represents a change in traditional ways of providing general nursing and consequently there are a number of issues that may hinder its success. This dissertation aims to increase the visibility of mental health nursing and provide a resource for others debating the development and implementation of the Mental Health Consultation Liaison Nurse role. |
Call Number |
NRSNZNO @ research @ |
Serial |
771 |
Permanent link to this record |
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Author |
Kupa, S. |
Title |
Psychogeriatric nursing: A review of the literature |
Type |
|
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Older people; Geriatric nursing; Age factors |
Abstract |
This paper is a literature review of the psychogeriatric specialty and describes the clinical role, practice and knowledge of the psychogeriatric nurse. Literature reviews provide a useful means for evaluating what is currently known and understood in a particular area of interest to help nurses' build current opinion into practice. Psychogeriatric nursing is a specialised field of practice that focuses on the mental health needs of people over the age of 65 (including younger people who have acquired needs that are similar in 'like' and age and 'interest'). The literature asserts the urgent need to develop the role and practice of the psychogeriatric nurse in order to address the complex needs of our ageing population in areas such as home care, hospitals, primary health, and long term care institutions. The findings highlight aspects of nursing care that are essential to the role and practice of the psychogeriatric nurse. Knowledge that is necessary for best practice in psychogeriatric nursing care is drawn mainly from the field of general psychiatry and gerontology but also from general medicine, psychology, neurology, and disability. Nurses' working with older adults affected by psychogeriatric conditions must possess a broad knowledge of physical and mental health issues that affect the elderly, including also knowledge and understanding of psychosocial risk factors that can also have an impact on the health and behaviour of older people and their carers. Despite these literal assertions however there appears to be a dearth of literature available to support the requirements for developing the psychogeriatric nursing specialty in clinical practice, research, and education. The author notes that authorities in this specialised field of practice generally agree that with an increasing aging population looming in the future more research in the field of “old age psychiatry” will be critical. |
Call Number |
NRSNZNO @ research @ |
Serial |
775 |
Permanent link to this record |
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Author |
Farrow, T. |
Title |
'No suicide contracts' in community crisis situations: A conceptual analysis |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
Volume |
10 |
Issue |
2 |
Pages |
199-202 |
Keywords |
Mental health; Community health nursing; Psychology; Suicide |
Abstract |
'No suicide contracts' take the form of a 'guarantee of safety', along with a 'promise' to call specified persons if the suicidal ideation becomes unmanageable for the person concerned. They are commonly used in community crisis situations with suicidal people in New Zealand. This article describes and analyses the use of 'no suicide contracts' in these settings. It is argued that the theoretical base (transactional analysis) of the 'no suicide contract' is likely to be deleterious in the community crisis situation. |
Call Number |
NRSNZNO @ research @ |
Serial |
779 |
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Author |
Sadler, D. |
Title |
Stigma, discrimination and a model for psychiatric mental health nursing practice |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Psychiatric Nursing; Psychology |
Abstract |
This paper seeks to understand the aetiology of stigma. The word stigma comes from the Greek language and refers to a brand, a mark of shame. Society has used this phenomenon to mark those who do not fit with the stereotypical virtual identity expected by a group. Stigma has persisted throughout the ages to enforce norms and sanction rules. Stigma is a term used to broadly define an attitude to negative attributes. It is a way of treating people that indicates to the individual, they are different from the norm. Research indicates the general population has discriminatory attitudes to those who have experienced mental illness. This discrimination impacts on the lives of those people. Their stories tell of shame, sadness and anguish. Families too, feel the ongoing effects of stigma. Psychiatric mental health professionals are said to perpetuate the discrimination arising from the stigma of mental illness. This is shown in the literature to persist through labelling and disempowering practices. The attitude of nurses in particular is critical to promoting healing environments. It is thought that a humanistic altruistic approach to nursing practice will help to eliminate discriminatory practice by nurses. It is hoped that this approach will create collaborative care that gives the individual the respect, response, choice and support they need to assist in recovering from mental illness. |
Call Number |
NRSNZNO @ research @ 815 |
Serial |
799 |
Permanent link to this record |
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Author |
Saba, W. |
Title |
Walking in two worlds: A Kaupapa Maori research project examining the experiences of Maori nurses working in district health boards, Maori mental health services |
Type |
|
Year |
2007 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Psychiatric Nursing; District Health Boards; Maori |
Abstract |
|
Call Number |
NRSNZNO @ research @ 817 |
Serial |
801 |
Permanent link to this record |
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Author |
Rydon, S.E. |
Title |
Attitudes, skills and knowledge of mental health nurses: The perception of users of mental health services |
Type |
|
Year |
2001 |
Publication |
|
Abbreviated Journal |
Massey University Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Psychiatric Nursing; Patient satisfaction; Attitude of health personnel |
Abstract |
|
Call Number |
NRSNZNO @ research @ 819 |
Serial |
803 |
Permanent link to this record |
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Author |
Bigwood, S. |
Title |
Got to be a soldier: Mental health nurses experiences of physically restraining patients |
Type |
|
Year |
2007 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Psychiatric Nursing; Workplace violence; Mental health; Stress |
Abstract |
|
Call Number |
NRSNZNO @ research @ 829 |
Serial |
813 |
Permanent link to this record |
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Author |
Moko Business Associates, |
Title |
Career pathways and core competencies in Maori mental health nursing |
Type |
Report |
Year |
2003 |
Publication |
|
Abbreviated Journal |
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Volume |
Trm/03/04 |
Issue |
|
Pages |
|
Keywords |
Maori; Mental health; Nursing; Careers in nursing; psychiatric nursing |
Abstract |
This report reviews relevant literature pertaining to clinical career pathways and associated core competencies for nursing in New Zealand. The review identifies and analyses existing clinical career pathways for nurses and mental health workers in New Zealand, paying particular attention to the content, structure, strengths, criticisms and applicability to the development of a clinical career pathway for Maori registered nurses to work in Maori mental health (NGO organisations). This report is part of Te Rau Matatini's current work on the development of a career pathway for Maori registered nurses with mental health work experience to work in NGO, community settings. It is a preliminary report, based on existing literature. A subsequent report was planned detailing the career pathway developed by Te Rau Matatini, with strong guidance and input from Maori mental health nurses and the wider Maori mental health sector. |
Call Number |
NRSNZNO @ research @ |
Serial |
823 |
Permanent link to this record |
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Author |
Maxwell-Crawford, K. |
Title |
Huarahi whakatu: Maori mental health nursing career pathway |
Type |
Report |
Year |
2004 |
Publication |
|
Abbreviated Journal |
|
Volume |
(Trm/04/15) |
Issue |
|
Pages |
|
Keywords |
Professional development; Careers in nursing; Maori; Psychiatric nursing; Mental Health |
Abstract |
Huarahi whakatu describes a pathway for recognising the expertise of nurses working in kaupapa Maori mental health services and recommends a professional development programme that can lead to advancement along the pathway. An emphasis on dual competencies – cultural and clinical – underlies the rationale for regarding kaupapa Maori mental health nursing as a sub-specialty. Eight levels of cultural competencies and twelve levels of clinical competencies are used to differentiate career stages and it is recommended that movement from one level to another should be matched by increased remuneration. The report also contains a recommended professional development programme to support the operationalisation of the career pathway. |
Call Number |
NRSNZNO @ research @ |
Serial |
824 |
Permanent link to this record |
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Author |
Smith, P.A. |
Title |
Mad bad or sad: Caring for the mentally disordered offender in the court environment from a nurse's perspective |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Psychiatric Nursing |
Abstract |
This paper examines the difficulties health professionals face daily when providing care for the mentally disordered offender in the court environment. The role of the court nurse is to provide care for people with mental health needs in the court and health professionals can find this a restrictive environment to work in. This is mainly due to the court's legal processes which are designed to punish rather than offer therapeutic alternatives. By advocating for the mentally disordered offender, the court nurse ensures the court is aware of an individual's mental health needs, thus reducing the prospect of inappropriate sentencing, and the associated stigmatisation that may occur as a result of a criminal conviction. |
Call Number |
NRSNZNO @ research @ 843 |
Serial |
827 |
Permanent link to this record |
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Author |
Morrison-Ngatai, E. |
Title |
Mai i muri ka haere whakahaere: Maori woman in mental health nursing |
Type |
|
Year |
2004 |
Publication |
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Abbreviated Journal |
Massey University Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Maori; Female; Psychiatric Nursing |
Abstract |
Contents: Chapter 1 Kupu whakataki – introduction; Chapter 2 Raranga mohiotanga – literature review; Chapter 3 To te wahine mana tuku iho – theoretical framework; Chapter 4 Tahuri ki te rangahau – research methodology; Chapter 5 Whakaaturanga whakaoho – beginnings; Chapter 6 Kia pakari – positioning and contesting; Chapter 7 E ara ki runga wahine toa – standing and enduring; Chapter 8 Kua takoto te whariki. |
Call Number |
NRSNZNO @ research @ |
Serial |
828 |
Permanent link to this record |
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Author |
Codlin, K.C. |
Title |
Mental health nurses and clinical supervision: A naturalistic comparison study into the effect of group clinical supervision on minor psychological disturbance, job satisfaction and work-related stress |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Psychiatric Nursing; Clinical supervision; Stress; Job satisfaction; Mental health |
Abstract |
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Call Number |
NRSNZNO @ research @ 845 |
Serial |
829 |
Permanent link to this record |
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Author |
Beaton, T. |
Title |
Postnatal depression: Four women's experiences of care from a nurse |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Female; Mental health; Nurse-patient relations; Feminist critique |
Abstract |
Postnatal depression is a term used loosely to describe disorders of mood and distressing symptoms for women in the postpartum, yet it has its own distinct symptoms. It is thought to affect between 10 and 20 percent of new mothers in New Zealand. In order to deliver effective nursing care that has a positive impact on the health of women who experience postnatal depression, nurses need knowledge and theory to underpin practice. This study explores the experience of four women who experienced postnatal depression and the care they received from a nurse. A postmodern feminist position informed the research project. Women became actively involved in a focus group to explore their experiences. A thematic analysis of the focus group transcripts revealed the women's experiences of care from nurses and health professionals as not always helpful. The themes that arose from the analysis were knowledge, perception, care and self. Knowledge examined the women's and significant others' knowledge of postnatal depression as well as women's own knowledge of themselves. Perception identified the women's beliefs of and views on mental illness, as well as their expectations of motherhood. Care as a concept was examined as to how it was provided by nurses. This encompassed a lack of care and, in contrast, supportive care as impacting on the women's individual experiences. Self described the experiences of a loss of self as women experienced their distress in the postpartum, and that a regaining of self was identified by women as difficult, and this is where they required support. The themes are discussed and critiqued with literature that identifies the nursing role with women who experience postnatal depression. There are recommendations for ongoing research and development of the nursing role in order to promote the health and wellbeing of women in the postpartum. |
Call Number |
NRSNZNO @ research @ |
Serial |
850 |
Permanent link to this record |
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Author |
Clayton, J.R. |
Title |
The recovery of hope: A personal journey through paradigms toward emancipatory practice |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Psychiatric Nursing; Mental health; Teaching methods; Nursing philosophy |
Abstract |
This study traces the author's transition from being a mental health nurse to becoming a facilitator of an education programme, the Health and Wellbeing course, for those in recovery from mental illnesses. Within this transition, she describes a journey from disease-focused paradigms toward emancipatory paradigms, evidenced by her application of the recovery approach to her teaching. The 'recovery approach' proposed by the Mental Health Commission in November 1998, and other models of health, are explored using the methodology of descriptive/interpretive philosophical inquiry, autobiographical narrative and a dialectical research design. The author draws from the philosophies of phenomenology and existentialism to present excerpts from her journals, exemplars, poetry and artwork which illuminate epiphanies occurring as she integrates health paradigms in the design of the Health and Wellbeing course. Within this process the recovery approach is revealed as being consistent with the teaching principles of the Health and Wellbeing course. The author goes on to say that the dialectical research design reveals paradoxes and transformations in nursing, medical, psychological, and humanistic paradigms within the New Zealand socio-political context from the 1970s to 2003. The way these are integrated into her practice as an educator, becomes evident in the dialectical research cycles of being, thinking, developing a project, the encounter of teaching, making sense and communication. These cycles reveal her being in the roles of nurse and educator and the thinking through of paradigms that lead to the design and philosophy of a Health and Wellbeing course, the encounter of teaching, and the communication of insights gained. The author's main objective is to show the importance of nurses and educators developing a reflective consciousness when working with sufferers of mental illness. This reflective consciousness involves three levels: The primary level, or raw experience; the social level, or our socio-political contexts and social values, and, the realised level, insights gained about knowledge and experience. |
Call Number |
NRSNZNO @ research @ |
Serial |
854 |
Permanent link to this record |
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Author |
Bresaz, D.M. |
Title |
Environmental influences on inpatient assaultive behaviour |
Type |
|
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Workplace violence; Mental health; Psychiatric Nursing; Methodology; Administration |
Abstract |
This retrospective quasi-experimental study reviewed assaults in two adult mental health inpatient rehabilitation units. The majority of clients in this area experience enduring mental health illnesses and have complex physical health issues. The service comprises of an intensive rehabilitation unit and a secure extended rehabilitation unit. Between May and August 2001 the service moved to purpose built facilities. The opportunity was taken to review clients' assaultive behaviour in the new environment and to compare the incidents with those in the old environment to see if there had been any significant changes. Data on assault incidents including time of assault, place of assault, who was involved and what preventative actions were suggested were collected from the Incident and Accident Hazard Reports (IAHR) dating from 1 April 2000 until 31 May 2002. Staff were expected to complete IAHR reports on all assault incidents. The research examined whether the change in environmental conditions impacted on clients' wellbeing in relation to assaultive behaviour. Trends within the IAHR reports were also examined in order to compare these to similar studies completed in other parts of the world. There were 141 IAHR reports of assault incidents. Fifty of these occurred in the pre move period, 38 in the transition phase and 53 in the post move. There was no significant difference in the rate of assaults in the pre-move to post move period. Completion of the IAHR forms was seen to be very problematic, especially in relation to legal status of perpetrators and documentation of prevention strategies. An urgent audit of existing practice is now required to establish if problems found with the quality and completion of the IAHR forms continues to be evident in the rehabilitation service and if present staff education is needed to improve the standard of documentation. Research is also needed to establish the extent to which staff implement strategies to prevent assaults, and to reduce recidivism. |
Call Number |
NRSNZNO @ research @ |
Serial |
858 |
Permanent link to this record |