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Author Milligan, K.; Neville, S.J.
Title The contextualisation of health assessment Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 1 Pages 23-31
Keywords Cross-cultural comparison; Evaluation; Nursing
Abstract The authors defines health assessment and argue that it is a tool nurses should be using as a means of improving health outcomes for clients. The skills involved in health assessments are analysed, and four levels of data gathering are identified. The authors present an historical perspective, tracing the development of these skills as they have been incorporated in nursing practice in North America and Australia.
Call Number NRSNZNO @ research @ Serial (down) 1095
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Author Milligan, K.
Title Aesthetic knowledge and the use of arts in nursing Type Journal Article
Year 2002 Publication Beginning Journeys: A Collection of Work Abbreviated Journal
Volume 7 Issue Pages 9-14
Keywords Nursing philosophy; Nursing; Education; Teaching methods
Abstract The author considers aesthetic knowing and the use of the arts in nursing. She identifies concepts that pertain to the art of nursing. The interrelationship of the moral sense and the art of nursing is explored. The author concludes that the mediums of non-fiction, fiction and poetry can provide valuable contributions to the aesthetic way of knowing in nursing education, practice and research.
Call Number NRSNZNO @ research @ Serial (down) 1094
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Author Richardson, S.
Title Increasing patient numbers: The implications for New Zealand emergency departments Type Journal Article
Year 1999 Publication Accident & Emergency Nursing Abbreviated Journal
Volume 7 Issue 3 Pages 158-163
Keywords Emergency nursing; Organisational change
Abstract This article examines influences that impact on the work of the Emergency Departments (EDs). EDs are noticing increased attendance of patients with minor or non-urgent conditions. This increase in patient volume, together with on-going fiscal constraints and restructuring, has placed an added strain on the functioning of EDs. New Zealand nurses need to question the role currently given to EDs and identify the issues surrounding the increased use of these departments for primary health care.
Call Number NRSNZNO @ research @ 1108 Serial (down) 1093
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Author Woods, M.
Title A nursing ethic: The moral voice of experienced nurses Type Journal Article
Year 1999 Publication Nursing Ethics Abbreviated Journal
Volume 6 Issue 5 Pages 423-433
Keywords Ethics; Nursing; Education
Abstract This article presents discussion on some of the main findings of a recently completed study on nursing ethics in New Zealand. An interpretation of a nurse's story taken from the study is offered and suggestions are made for nursing ethics education.
Call Number NRSNZNO @ research @ Serial (down) 1092
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Author Banks, J.; McArthur, J.; Gordon, G.
Title Flexible monitoring in the management of patient care process: A pilot study Type Journal Article
Year 2000 Publication Lippincott's Case Management Abbreviated Journal
Volume 5 Issue 3 Pages 94-106
Keywords Hospitals; Cardiovascular diseases; Nursing
Abstract This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the needs of hospital patients who require continuous non-invasive vital signs monitoring (including heart rate, non-invasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a three-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas.
Call Number NRSNZNO @ research @ Serial (down) 1091
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Author Milligan, K.; Neville, S.J.
Title Health assessment and its relationship to nursing practice in New Zealand Type Journal Article
Year 2001 Publication Contemporary Nurse Abbreviated Journal
Volume 10 Issue 1/2 Pages 7-11
Keywords Nursing; Education; Professional competence; Nurse practitioners; Cross-cultural comparison
Abstract This article draws on Australian experience to gain insight to three specific areas of health assessment that are topical in New Zealand, which has recently introduced the concept into nursing training. The issues are annual registration based on evidence of competence to practice, a review of undergraduate curricula, and the development of nurse practitioner/advanced nurse practitioner roles. The meaning of the concept 'health assessment' is also clarified in order to provide consistency as new initiatives in nursing are currently being developed.
Call Number NRSNZNO @ research @ Serial (down) 1090
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Author Spence, D.
Title Prejudice, paradox, and possibility: Nursing people from cultures other than one's own Type Journal Article
Year 2001 Publication Journal of Transcultural Nursing Abbreviated Journal
Volume 12 Issue 2 Pages 100-106
Keywords Cultural safety; Transcultural nursing; Nurse-patient relations
Abstract This article provides a brief overview of the findings of a hermeneutic study that explored the experience of nursing people from cultures other than one's own. The notions prejudice, paradox, and possibility are argued to describe this phenomenon. Nurses in New Zealand are being challenged to recognise and address racism in their practice. Yet, the implementation of cultural safety in nursing education has created tension within the profession and between nursing and the wider community. As nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox, and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. Nurses are challenged to continue their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities.
Call Number NRSNZNO @ research @ 1104 Serial (down) 1089
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Author O'Brien, A.J.
Title The therapeutic relationship: Historical development and contemporary significance Type Journal Article
Year 2001 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal
Volume 8 Issue 2 Pages 129-137
Keywords Psychiatric Nursing; Nursing models; History of nursing; Nurse-patient relations
Abstract This article examines the therapeutic relationship, a concept held by many to be fundamental to the identity of mental health nurses. While the therapeutic relationship was given formal expression in nursing theory in the middle of the last century, its origins can be traced to attendants' interpersonal practices in the asylum era. The dominance of medical understandings of mental distress, and the working-class status of asylum attendants, prevented the development of an account of mental health nursing based on attendants' relationships with asylum inmates. It was left to Peplau and other nursing theorists to describe mental health nursing as a therapeutic relationship in the 1940s and later. Some distinctive features of colonial life in New Zealand suggest that the ideal of the attendant as the embodiment of bourgeoisie values seems particularly unlikely to have been realised in the New Zealand context. However, New Zealand literature from the 20th century shows that the therapeutic relationship, as part of a general development of a therapeutic discourse, came to assume a central place in conceptualisations of mental health nursing. While the therapeutic relationship is not by itself a sufficient basis for professional continuity, it continues to play a fundamental role in mental health nurses' professional identity. The way in which the therapeutic relationship is articulated in the future will determine the meaning of the therapeutic relationship for future generations of mental health nurses.
Call Number NRSNZNO @ research @ Serial (down) 1088
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Author Crowe, M.; O'Malley, J.; Gordon, S.
Title Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand Type Journal Article
Year 2001 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 35 Issue 1 Pages 88-96
Keywords Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health
Abstract The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services.
Call Number NRSNZNO @ research @ Serial (down) 1087
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Author Wilson, H.V.
Title Power and partnership: A critical analysis of the surveillance discourses of child health nurses Type Journal Article
Year 2001 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 36 Issue 2 Pages 294-301
Keywords Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket
Abstract The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work.
Call Number NRSNZNO @ research @ Serial (down) 1085
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Author Rameka, M.
Title Perioperative nursing practice & cultural safety Type Journal Article
Year 2001 Publication Dissector Abbreviated Journal
Volume 29 Issue 3 Pages 21-23
Keywords Nursing specialties; Surgery; Cultural safety
Abstract This article is from a conference paper presented to the 12th World Conference on Surgical Patient Care. It presents cultural safety, as differentiated from transcultural nursing, and investigates how it relates to perioperative nursing. Examples are presented of how nurses can adhere to medical requirements, and address the cultural needs of Maori patients.
Call Number NRSNZNO @ research @ Serial (down) 1084
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Author Wilkinson, J.A.
Title A mantle of protection? A critical analysis of the personal safety of district nurses Type Journal Article
Year 2002 Publication Whitireia Nursing Journal Abbreviated Journal Whitireia Community Polytechnic and Massey University libraries
Volume 9 Issue 30-6 Pages 30-36
Keywords Occupational health and safety; Workplace violence; District nursing
Abstract This qualitative inquiry, informed by Critical Social Theory, explored the personal safety experiences of district nurses in a New Zealand city.
Call Number NRSNZNO @ research @ Serial (down) 1083
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Author Garrod, A.
Title Cultural safety: Living with disability Type Journal Article
Year 2002 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 9 Issue Pages 14-19
Keywords Cultural safety; People with disabilities; Nursing models
Abstract This article outlines some of the health experiences and concerns of people with physical and/or mental disabilities. These experiences and concerns are explored within the context of the practice of cultural safety. In 1996, the Nursing Council of New Zealand adopted its definition of cultural safety and defines 'culture', in the context of 'cultural safety', as involving all people who are not part of the culture of nursing. Each person with a disability is unique, and they may also be part of a larger disability culture, which has its own shared experiences, values, beliefs and lifestyles. People with disabilities are also a minority within the population. Therefore, any power they might have within their own culture is minimal, compared to the advantages enjoyed by the rest of the population.
Call Number NRSNZNO @ research @ Serial (down) 1082
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Author McLeland, A.; Williams, A.
Title An emancipatory praxis study of nursing students on clinical practicum in New Zealand: Pushed to the peripheries Type Journal Article
Year 2002 Publication Contemporary Nurse Abbreviated Journal
Volume 12 Issue 2 Pages 185-193
Keywords Nursing; Education; Clinical supervision; Preceptorship
Abstract The purpose of this qualitative study was to analyse the learning experiences of nine nursing students on clinical placement in New Zealand. The students were in their third and final year of their baccalaureate nursing degree. The study specifically examined what impinged upon their learning experience in the clinical venue. Data was obtained from interviewing the students, initially individually and finally in a focus group. Themes emerged through words and concepts as the data was analysed. The themes included powerlessness; marginalisation; the move from a holistic to a reductionist approach in care; the exploitation of minority students and the myth of praxis. Clinical practice was a time for nursing students to apply their knowledge to their practice, and to gain experience and confidence. Their clinical practice was normally a positive experience, but, each student spoke of the occasional negative episode. These left them with feelings of powerlessness and marginalisation. The Maori students felt exploited. The students were concerned about the lack of time to debrief at the end of the day, and to share their experiences with their educator and colleagues. The students' negative experiences were often the result of a clinical practitioner's high workload, under resourcing and the nurse educator's unavailability.
Call Number NRSNZNO @ research @ Serial (down) 1081
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Author Warren, S.
Title Cultural safety, where does it fit? A literature review Type Journal Article
Year 2002 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 8 Issue 14 Pages 27-30
Keywords Cultural safety; Cross-cultural comparison; History of nursing
Abstract This literature review discusses the history of the inclusion of culture into nursing studies. There is a small sample of overseas literature for critique with a focus on the inclusion of cultural safety in New Zealand. The concept of cultural safety was first introduced into New Zealand in the late 1980s. It was adopted by the New Zealand Nursing Council for nurses and midwives in 1992 and became part of the basic curriculum for nursing and midwifery education.
Call Number NRSNZNO @ research @ 1095 Serial (down) 1080
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