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Author Horrocks, T. openurl 
  Title (down) Implementing change combining Maori and Western knowledge in health delivery Type Journal Article
  Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal  
  Volume 7 Issue 13 Pages 37-41  
  Keywords Maori; Cross-cultural comparison; Organisational culture; Quality assurance  
  Abstract This article explores the incorporation of western knowledge with kaupapa Maori in the delivery of health care. It presents a fictional kaupapa Maori service, as a tool to explore the change process and influence that organisational culture and leadership styles have on a process of integrating a kaupapa Maori nursing service. The importance of continual evaluation through quality assurance measures was also conveyed.  
  Call Number NRSNZNO @ research @ Serial 1280  
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Author Spence, D.; Anderson, M. url  openurl
  Title (down) Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study Type Report
  Year 2006 Publication Abbreviated Journal NZNO theses and research material webpage  
  Volume Issue Pages  
  Keywords Prescription authority; Nursing; Education; Students; Advanced nursing practice  
  Abstract This report presents the findings and recommendations derived from a collaborative action research pilot project undertaken alongside the implementation of two nurse prescribing practicum courses. The students, teachers and supervisors participating in year long Masters' level prescribing practica at Auckland University of Technology (AUT) and Eastern Institute of Technology (EIT) were interviewed about their perceptions, concerns and actions relating the first time implementation of their respective practicum papers. Research findings suggest that the practicum implementation has been successful overall, however there is a need to refine delivery, and to review current funding arrangements.  
  Call Number NRSNZNO @ research @ Serial 1136  
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Author Spence, D.; Anderson, M. openurl 
  Title (down) Implementing a prescribing practicum within a Master's degree in advanced nursing practice Type Journal Article
  Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 23 Issue 2 Pages 27-42  
  Keywords Advanced nursing practice; Education; Nurse practitioners; Prescribing; Teaching methods  
  Abstract This article reports the implementation of a collaborative project undertaken to monitor and improve the effectiveness of the prescribing practicum papers delivered within two Master's degree programmes in advanced nursing practice. The recent introduction of Nurse Practitioner registration in New Zealand has resulted in the development of a number of Master's degree programmes in which students can complete a Nursing Council of New Zealand approved programme for prescribing. For the study, a developmental action research approach was used. Data were collected through interviews with practicum students, their medical supervisors and academic staff. Formative findings were progressively used to refine delivery of the practicum papers and a thematic analysis of summative findings identified areas for further improvement. The findings suggest that the processes being implemented are developing well. The researchers recommend that further education is required to clearly differentiate medical and advanced nursing roles. They recommend that greater attention needs to be paid to the preparation of medical supervisors and, most significantly, revision of funding is required to more equitably support the ongoing development of nurses for advanced practice roles.  
  Call Number NRSNZNO @ research @ Serial 457  
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Author Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.; O'Connor, S. url  openurl
  Title (down) Implementation of a nursing initiative in primary care: A case report, cardiovascular disease risk reduction Type Journal Article
  Year 2008 Publication New Zealand Family Physician Abbreviated Journal  
  Volume 35 Issue 3 Pages 183-186  
  Keywords Multidisciplinary care teams; Cardiovascular diseases; Case studies; Primary health care  
  Abstract The aim was to report on implementation of a nursing initiative of cardiovascular disease (CVD) screening risk assessment at the Mornington Health Centre, Dunedin, with initial outcomes after six months. The practice aim was 80% of their eligible population assessed within three to four years, particularly targeting high-risk groups. The audit indicates that in their first six months, Mornington Health Centre had screened 42% of their eligible patients. This is described as very successful progress towards their goal of 80%. A number of key organisational factors are identified that are likely to have contributed to the development and success of the nurse CVD risk assessment programme at Mornington Health Centre. The authors suggest that this case study demonstrates how organisational change, where the practice nurse role in the multidisciplinary team is clear, can facilitate a practice to meet a population-based goal.  
  Call Number NRSNZNO @ research @ Serial 514  
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Author Hendry, C.; East, S. openurl 
  Title (down) Impact of the Christchurch earthquakes on clients receiving health care in their homes Type Journal Article
  Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library  
  Volume 4 Issue 1 Pages 4-10  
  Keywords Stress Disorders, Post-traumatic; older people; disaster response  
  Abstract Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment.  
  Call Number NZNO @ research @ Serial 1388  
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Author Connor, Margaret J; Nelson, Katherine M; Maisey, Jane openurl 
  Title (down) Impact of innovation funding on a rural health nursing service : the Reporoa experience Type Journal Article
  Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 25 Issue 2 Pages 4-14  
  Keywords Primary health care; Rural nursing; Innovation; Advancing practice  
  Abstract Examines the impact of innovation funding through the MOH primary health-care nursing innovation funding scheme on Health Reporoa Inc, which offers a first-contact rural nursing service to the village of Reporoa and surrounding districts. Looks at funding impact during the project period of 2003-2006, and in the two years that followed.  
  Call Number NZNO @ research @ Serial 1443  
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Author Shih, Li-Chin openurl 
  Title (down) Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau Type
  Year 2009 Publication Abbreviated Journal NZNO Library  
  Volume Issue Pages 105 pp  
  Keywords renal disease; hemodialysis; maori  
  Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009

This paper is a report of a study seeking to understand the experience of New Zealand rural dwelling Mäori clients with end-stage renal disease who receive haemodialysis. End stage renal disease (ESRD) is related to lifestyle, genetic factors and environment, and Mäori are at higher risk of renal disease which results of need for renal replacement therapy to sustain their lives. Dialysis clients are a group of ?silent? clients under the care of the dominant health professionals. Adherence with therapeutic regimes has been a main issue for health care professionals and service delivery, as it directly contributes to the efficacy of the treatment and cost effectiveness. Mäori clients? experience of living with haemodialysis has not been explored. Although there are a number of studies describing the experience of patients living on dialysis so far, no studies have yet focused specifically on the experience of Mäori clients towards their renal replacement therapy. The continual demands of dialysis treatment are significant and given the high proportion of Mäori having dialysis. It is timely to explore the experience of Mäori clients and their family/whänau in order to understand the need for quality of care and to promote Mäori health outcomes in chronic kidney disease management
 
  Call Number NZNO @ research @ Serial 1348  
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Author Carter, H.; McKinlay, E.M.; Scott, I.; Wise, D.; MacLeod, R. openurl 
  Title (down) Impact of a hospital palliative care service: Perspective of the hospital staff Type Journal Article
  Year 2002 Publication JBI Reports Abbreviated Journal  
  Volume 18 Issue 3 Pages 160-167  
  Keywords Palliative care; Hospitals; Attitude of health personnel; Cancer  
  Abstract The first New Zealand hospital palliative care support service was established in 1985. Different service models have now been adopted by various major hospitals. In 1998, a palliative care service, funded by Mary Potter Hospice, was piloted at Wellington Public Hospital. Twelve months post-implementation, the hospital staff's views of the service were evaluated. It was found that referrals to palliative care from hospital specialities outside the Cancer Centre increased. While most doctors, nurses and social workers strongly agreed or agreed that the service positively influenced patients' care and effectively addressed their symptom management needs, spiritual needs were less often met. Over 90 percent of each discipline strongly agreed or agreed that the service had assisted them in caring for patients, but, only about a half agreed that useful discharge planning advice and staff support was provided. Significant differences in responses were found between different disciplines and specialities. One fifth of the staff identified palliative care education needs. Recommendations are made concerning the development of a future hospital palliative care service.  
  Call Number NRSNZNO @ research @ Serial 1075  
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Author Esera, F.I. url  openurl
  Title (down) If a client is operating from a Samoan world view how can s/he be holistically and appropriately treated under the western medical model? Type
  Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Mental health; Psychiatric Nursing; Cultural safety; Cross-cultural comparison; Pacific peoples  
  Abstract This paper is an analysis of the cultural and traditional factors that the author presents as essential considerations in the treatment of Samoan people who have been diagnosed with a mental illness. Just as important to any clinical diagnosis, is the spiritual nature of Samoan culture and traditions, which inform belief systems. A full understanding of these will explain how the traditional beliefs and cultural values of Samoan people have an impact on their perception of mental illness, its causes and cures. The thesis places emphasis on 'ma'i -aitu', the Samoan term for most ailments pertaining to the mind or psyche. The focus is on defining 'ma'i -aitu' as part of a Samoan world view and likewise a description of a similar type of manifestation in the Papalagi (western) context of a psychiatric disorder and how treatment and management is usually undertaken. The issues addressed in this paper aim to highlight the Samoan client's world view from a Samoan perspective of mental illness which then poses the question of how they can be managed holistically and appropriately under the Papalagi medical system. Furthermore, it questions if the traditional belief system of Samoans run deeper than originally thought and can the replacement thereof by a foreign culture be responsible for the increased mental problems in Samoans living in New Zealand? This paper emphasises the importance of integrating the western medical model and Samoan health models, for appropriate mental health service delivery to Samoan people.  
  Call Number NRSNZNO @ research @ Serial 1231  
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Author Perry, I. openurl 
  Title (down) Identifying the 'norms' of nursing culture Type Journal Article
  Year 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 6 Issue 9 Pages 20-22  
  Keywords Nursing; Nursing philosophy  
  Abstract The author investigates the premises that form the basis of nursing practice in acute care. Assumptions about patients and caregiving are often at odds with each other. The origins of these tenets are mapped from Florence Nightingale through to present nursing theorists. Overlapping areas of nursing and medical care in the acute care setting are examined, and the conflict that can arise between traditional nursing care and the expected medical nursing role is examined. He argues that the challenge for acute care nurses is to find a balance between normative nursing and the medical model.  
  Call Number NRSNZNO @ research @ 1036 Serial 1020  
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Author Harun, Inayah; Trimmer, Wendy; Thompson, Sean R. openurl 
  Title (down) Identifying and managing the pre-hospital presentation of psychogenic non-epileptic seizures: a literature review Type Journal Article
  Year 2019 Publication Whitireia Journal of Nursing, Health and Social Services Abbreviated Journal  
  Volume Issue 26 Pages 73-80  
  Keywords Pseudo-seizure; Psychogenic non-epileptic serzure; Paramedic; Diagnosis; Somatic; Psychological distress  
  Abstract Performs a review of the literature on the topic to assist paramedics to identify and manage patients with psychogenic, non-epileptic seizures (PNES). Explores current pre-hospital practice in NZ and makes recommendations to improve health-care and outcomes in such patients.  
  Call Number NZNO @ research @ Serial 1636  
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Author Hendry, Chris; Ogden, Emma openurl 
  Title (down) Hydration in aged residential care: a practical audit process Type Journal Article
  Year 2016 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 7 Issue 1 Pages 41-45  
  Keywords Hydration; Aged residential care; Dehydration in the elderly  
  Abstract Presents the findings of an audit of 34 hospital-level aged-residential-care clients' hydration over a 24-hour period. Describes the audit, undertaken by health-care assistants, and the strategies implemented to meet daily fluid requirements.  
  Call Number NZNO @ research @ Serial 1530  
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Author Van der Krogt, Shelley; Coombs, Maureen; Rook, Helen url  doi
openurl 
  Title (down) Humour: a purposeful and therapeutic tool in surgical nursing practice Type Journal Article
  Year 2020 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 36 Issue 2 Pages 20-30  
  Keywords Communication; Humour; Surgical nursing; Person-centred care  
  Abstract Notes the lack of evidence-based guidance for use of humour by nurses. Uses a qualitative descriptive methodology to explore how surgical nurses determine when and how to employ humour with patients. Enrols 9 RNs working in a surgical ward within a tertiary hospital in semi-strutured interviews to discuss how they assess patient receptiveness, build connections with patients and protect their vulnerability.  
  Call Number NZNO @ research @ Serial 1677  
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Author Watson, S. url  openurl
  Title (down) Humane caring: Quality of life issues for those elderly people wanting to remain in their own environment Type
  Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Geriatric nursing; Older people; Home care  
  Abstract This thesis explores the issues surrounding the elderly remaining in their own environment and why remaining 'at home' becomes so essential for them. There are many elderly people who have moved to residential care settings on the advice of others. The author explores the implications of such moves through the stories of several elderly persons, and her own experiences as a nurse working with the elderly in institutional care.  
  Call Number NRSNZNO @ research @ Serial 1217  
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Author Maxwell-Crawford, K. url  openurl
  Title (down) 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  
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