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Records |
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Author |
Rudd, J. |
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Title  |
From triage to treatment: An exploration of patient flow systems in emergency departments |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Emergency nursing; Hospitals; Risk management; Patient safety |
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Abstract |
To find an effective approach to managing or reducing waiting times for lower triage category patients processed through one particular metropolitan emergency department, an extensive search of the literature revealed several different patient flow processes. These approaches are discussed, in relation to suitability for the particular emergency department. The history of triage, including how and why it evolved, plus the realities of triage today are explored. Included are case examples of two patients on a journey through the department the way it is presently, and how it could be if particular approaches are introduced. Extending nursing practice by introducing nurse-initiated x-rays at triage and the introduction of a separate stream for minor category patients in a dedicated ambulatory care area is one approach that could improve waiting times for these patients. There would be the added advantage of improving triage compliance figures for category three patients. The additional costs involved in such a process could be offset by improved efficiency in terms of waiting times, improved triage compliance figures, happier patients and clinical staff, and an emptier waiting room. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1209 |
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Author |
Crossan, Michael; Honey, Michelle; Wearn, Andy; Barrow, Mark |
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Title |
Fundamentals of care in pre-registration nursing curricula: Results of a national survey |
Type |
Journal Article |
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Year |
2022 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
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Volume |
38 |
Issue |
2 |
Pages |
44-52 |
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Keywords |
Nursing education; Nursing curricula; Fundamentals of Care; Nursing Council of New Zealand; Surveys |
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Abstract |
Argues that the Fundamentals of Care (FOC) conceptual framework is essential for nursing schools to teach and on which to assess nursing students for clinical competency. Provides a national overview of undergraduate pre-registration nursing curricula in NZ, exploring what and how schools of nursing teach and assess FoC. Distributes a cross-sectional descriptive questionnaire to course coordinators between 2019 and 2020, revealing variations in how FOC is taught and the lack of standardisation in course design. Highlights the opportunity for the Nursing Council to develop a national, evidenced-based FOC educational strategy. |
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Call Number |
NZNO @ research @ |
Serial |
1808 |
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Author |
Wilson, L.J. |
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Title |
Futurist planning, not a shortage stopgap: Recruitment and retention of registered nurses in New Zealand |
Type |
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Year |
2001 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Recruitment and retention; Registered nurses; Policy; Careers in nursing |
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Abstract |
This literature review critically examines contributing factors to the current nursing shortage in New Zealand, centering on recruitment and retention of registered nurses. There is a dramatic widening between the supply of registered nurses and the demand for their services. All regions in New Zealand are reporting difficulty in hiring experienced and specialty nurses, and recruiting time is lengthening. This report suggests that the shortage is closely linked to factors in the nursing care environment. As a result of multiple factors during the centralising, cost-containing, acuity-increasing decade of the 1990s, the care environment has driven practising nurses out of acute care settings and discouraged new students from entering the profession. The availability of numerous alternative career opportunities has heightened the effect. Continuing causes to the non-selection of nursing as a profession are the influences of wage compression and limited career progression over the lifetime of the nurse, and insufficient orientation and mentoring of new nurses. Recent changes in the health care system have gone unevaluated and without oversight by nursing regulatory agencies – a situation not in the best interests of patients or nurses. A number of both literature-supported and resourceful approaches, including recommendations towards addressing the nursing shortage are proposed in this review. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1258 |
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Author |
Bigwood, S. |
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Title |
Got to be a soldier: Mental health nurses experiences of physically restraining patients |
Type |
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Year |
2007 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Psychiatric Nursing; Workplace violence; Mental health; Stress |
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Abstract |
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Call Number |
NRSNZNO @ research @ 829 |
Serial |
813 |
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Author |
Walker, Leonie |
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Title |
Hardships and hurdles: The experiences of migrant nurses in New Zealand |
Type |
Journal Article |
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Year |
2010 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
NZNO Library |
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Volume |
1 |
Issue |
1 |
Pages |
4-8 |
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Keywords |
Recruitment and retention; Personnel recruitment; Foreign nurses; English as a second language; Emigration and immigration; Bullying |
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Abstract |
The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin. |
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Call Number |
NZNO @ research @ |
Serial |
1337 |
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Author |
Dallas, Janette; Neville, Stephen |
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Title |
Health education and health screening in a sample of older men : a descriptive survey |
Type |
Journal Article |
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Year |
2012 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
28 |
Issue |
1 |
Pages |
6-16 |
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Keywords |
Older men; Health education; Health screening; Gerontological nursing; Surveys |
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Abstract |
Describes the health education and health screening received by community-dwelling men aged 65 or older. Undertakes a survey of 59 men in Wanganui via a self-administered questionnaire. Investigates the barriers/benefits to healthy living choices. |
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Call Number |
NZNO @ research @ |
Serial |
1470 |
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Author |
Smillie, A. |
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Title |
Historical investigations: Risk management in a New Zealand hospital, 1888-1904 |
Type |
Journal Article |
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Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
22 |
Issue |
2 |
Pages |
33-38 |
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Keywords |
Risk management; History; Patient safety |
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Abstract |
This article examines historical events within one hospital and compares them with contemporary risk management practices. The examples involve a nurse sustaining injury in the course of her work, a fire in the hospital and two instances of patient complaints – one concerning nursing care and the other relating to a time lag between admission to hospital and receiving medical attention. Analysis of the processes followed in investigating these occurrences reveals that these historic investigations were small in scale and less bureaucratic than contemporary practice, and were based on a culture of blame. This is contrasted with modern risk management practices which are more focused on understanding what can be learned from the incident with respect to preventing recurrence. |
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Call Number |
NRSNZNO @ research @ 539 |
Serial |
525 |
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Author |
Clendon, Jill; McBride-Henry, Karen |
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Title |
History of the Child Health and Development Book : part 1, 1920 to 1945 |
Type |
Journal Article |
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Year |
2014 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
30 |
Issue |
1 |
Pages |
29-41 |
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Keywords |
Maternal and child health; History of nursing; Plunket; Child health and development record book |
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Abstract |
Traces the history of the Plunket Book, or Well Child/Tamariki Ora Health Book, during the years 1920-1945, chronicling the development of a medicalised relationship between mothers and health professionals during this era. |
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Call Number |
NZNO @ research @ |
Serial |
1490 |
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Author |
Clendon, Jill; McBride-Henry, Karen |
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Title |
History of the Child Health and Development Book : part 2: 1945-2000 |
Type |
Journal Article |
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Year |
2014 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
30 |
Issue |
2 |
Pages |
5-17 |
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Keywords |
Maternal and child health; History of nursing; Plunket, Child health and development record book |
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Abstract |
Highlights how women challenged the concept of 'medicalised mothering' during the period 1945-2000, and how these views affected the development of the Well Child/Tamariki Ora Health book, or Plunket book. Analyses how the language of the book reflects tensions between competing discourses and knowledge sources among mothers and health professionals. |
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Call Number |
NZNO @ research @ |
Serial |
1492 |
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Author |
Gingell, M.E. |
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Title |
Home based treatment nursing in Aotearoa New Zealand: Factors influencing the successful delivery of care |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Mental health; Home care; Psychiatric Nursing |
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Abstract |
Home Based Treatment in acute mental health care is a relatively new phenomenon in New Zealand, although it has been utilised successfully overseas for many years. This paper considers factors that are integral elements of its successful implementation, specifically considering the relationship of nursing care to crisis intervention methodology. It describes how Home Based Treatment fits with contemporary crisis services and how the adherence to crisis intervention models can enable nurses to create a clearly defined recovery perspective in their practice. The author notes that service users in New Zealand and overseas have openly voiced their concerns around the discrepancies between how services have traditionally been delivered and how they wish services to be. He suggests that, as an alternative to inpatient care, Home Based Treatment is an option that promotes recovery and self determination. It is also an arena in which nurses can deconstruct the traditional power relationships between themselves and clients to create a new and invigorating way of practicing. |
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Call Number |
NRSNZNO @ research @ |
Serial |
589 |
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Author |
Coupe, D. |
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Title |
How accountable is accountable for mental health nurses? |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Accountability; Nursing; Mental health |
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Abstract |
Accountability has been described by nurses as an elusive concept or myth. The author suggests that this elusive concept or myth can partly be attributed to accountability becoming visible usually following a critical incident. The overall goal of this project is to provide nurses working within mental health with the incentive to raise their awareness and explore what their roles and responsibilities are within the accountability process in a more positive scenario. This research paper reports on an exploration of the key components of accountability within the New Zealand mental health environment. It describes significant influences that affect accountability. This is achieved by the means of a literature review, sharing of the author's experience of being involved in a national inquiry, and the adaptation of a who what and how framework, in conjunction with a diagram displaying accountability levels and lines for mental health nurses. The author points out that the domains of accountability for nurses will continue to evolve and expand but what remains important is that consumers have access to good quality mental health care. |
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Call Number |
NRSNZNO @ research @ 604 |
Serial |
590 |
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Author |
Pool, L. |
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Title |
How Culture Influences Choosing Nursing as a Career |
Type |
Journal Article |
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Year |
2012 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
Available through NZNO library |
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Volume |
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Issue |
19 |
Pages |
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Keywords |
Careers in Nursing; Minority Groups; Nursing Shortage; Personnel Recruitment |
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Abstract |
The purpose of this study was to explore how young people make career choices and why young people choose or reject nursing as a career choice. This study has highlighted the complexity of this decision-making process, and the importance of making positive connections and offering appropriate support during this process. It seems that many young people are well equipped to make career decisions when given support.
The need to recruit people from minority cultures into nursing is a global issue. This study also highlights the need for an inter-sectoral approach to raise the profile of nursing and make a career that is attractive to young people. |
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Call Number |
NZNO @ research @ |
Serial |
1382 |
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Author |
Kennedy, W. |
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Title |
How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? |
Type |
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Year |
2008 |
Publication |
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Abbreviated Journal |
Eastern Institute of Technology Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Professional development; Registered nurses |
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Abstract |
This thesis describes an exploratory study of registered nurses within a local district health board which pursued 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice. Self assessment and performance appraisal are identified as critical elements of professional development by the Nursing Council of New Zealand, and this became the focus of the author's research. A qualitative descriptive framework was utilised to explore the research question, where experiences of registered nurses employed within inpatient adult medical and surgical settings were collected through questionnaire. Analysis of the data was through general inductive thematic approach. Eight themes arose, of which, two have sub-themes. The first four themes relate to self assessment and performance appraisal and the second four themes relate to professional practice. The findings from the participant's perspective provide an understanding of how participants' utilised self assessment and performance appraisal to inform their professional practice. There are significant implications for professional practice within the findings of this study, which are presented along with recommendations for future practice, and future avenues for research. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1161 |
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Author |
Kennedy, Wendy Lynette |
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Title |
How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? |
Type |
Book Whole |
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Year |
2008 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
97 p. |
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Keywords |
Registered Nurses; Self-assessment; Performance appraisal; Surveys |
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Abstract |
Describes an exploratory study of Registered Nurses (RNs) within a local District Health Board which pursued the question of 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice, specifically self-assessment and performance appraisal. Utilises a qualitative descriptive framework to explore the experiences of RNs in inpatient settings, via questionnaire. Identifies 8 themes related to self-assessment, performance appraisal, and professional practice. |
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Call Number |
NZNO @ research @ |
Serial |
1703 |
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Author |
Maxwell-Crawford, K. |
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Title |
Huarahi whakatu: Maori mental health nursing career pathway |
Type |
Report |
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Year |
2004 |
Publication |
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Abbreviated Journal |
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Volume |
(Trm/04/15) |
Issue |
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Pages |
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Keywords |
Professional development; Careers in nursing; Maori; Psychiatric nursing; Mental Health |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
824 |
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