|
McKenna, B., O'Brien, A. J., Dal Din, T., & Thom, K. (2006). Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992. International Journal of Mental Health Nursing, 15(2), 128–134.
Abstract: The objectives of this research were to determine how many registered nurses are working as 'responsible clinicians', under what phases of the legislation they are functioning, and to describe the enabling processes and barriers to nurses undertaking this statutory role. An anonymous descriptive survey was distributed to the 11 nurses who were currently responsible clinicians as well as five senior nurses selected from each of the 21 district health boards and the Auckland Regional Forensic Psychiatry Services (n=121). The response rate was 88.4% (n=107). The survey questioned respondents on statutory roles currently undertaken. Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain it. They were also asked which competencies of the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. Of the approximately 395 responsible clinicians nationally, 11 (2.8%) are nurses. Most nurses viewed the role as legitimate. However, many were unaware of competencies for the role and credentialing processes, and were somewhat ambivalent about achieving the role due to current workload, role conflict and lack of remuneration. Competency deficits were highlighted. The authors conclude that there are grounds to encourage nurses as responsible clinicians given the intent of the legislation. This will require the promulgation of appropriate mental health policy, and a concerted effort by major stakeholders in mental health service delivery.
|
|
|
O'Bery, S. S. (2020). Registered Nurses experiences, knowledge and practice of kangaroo care for preterm babies in two Neonatal Intensive care units in South Island of New Zealand. Master's thesis, University of Otago, Dunedin. Retrieved July 7, 2024, from http://hdl.handle.net/10523/10752
Abstract: Explores registered nurses' (RN) experiences, knowledge and practice of kangaroo care (KC) for preterm infants. Highlights factors promoting or hindering the uptake of the practice in two neonatal intensive care units in both the Canterbury and Southland DHBs. Undertakes a qualitative, semi-structured interview-based study with 14 RNs highlighting the use of KC in everyday clinical practice.
|
|
|
Ainge, N. (1993). Registered nurses participation in a professional recognition program. Their responses to nine job related factors. Ph.D. thesis, , .
Abstract: A simple descriptive longitudinal survey monitoring self- reported incidence of satisfaction/ dissatisfaction to nine job related factors. The two hundred RN's participating in the pilot implementation of the Clinical Career Pathway (Canterbury Area Health Board) were surveyed in June 1992 and February 1993. This was a time of change in New Zealand's Health service
|
|
|
Marshall, B., Craig, A., & Meyer, A. (2017). Registered nurses' attitudes towards, and experiences of, aggression and violence in the acute hospital setting. Kai Tiaki Nursing Research, 8(1), 31–36.
Abstract: Examines NZ registered nurses' experiences of aggression and violence and the impact of aggression management training (AMT) on their experiences. Collects data using an internet survey incorporating Collins' Attitudes Towards Aggressive Behaviours Questionnaire. Rates the effect of participation in AMT on exposure to aggression or violence and its impact on attitudes towards aggression and violence.
|
|
|
Hughes, M. E., Rose, G. M., & Trip, H. (2021). Registered nurses' experiences and perceptions of practising with a disability. Kai Tiaki Nursing Research, 12(1), 7–15.
Abstract: Explores and describes the experiences of RNs who have a disability or impairment, in their interactions with colleagues and managers in clinical practice. Discovers strategies used by them to ensure safe practice. Conducts 60-90-minute interviews with 10 RNs who identified as living with a disability or impairment.
|
|
|
Washbourne, G. A. (2017). Registered Nurses' Experiences of How in Situ Simulation Contributes to Ongoing Clinical Skill Development: A Qualitative Descriptive Study. Master's thesis, University of Canterbury, .
Abstract: Recruits Emergency Department (ED) nurses to participate in three semi-structured interviews. Conducts thematic analysis of interview transcripts to identify the effects on clinical skills, and what facilitated participants' learning.
|
|
|
Vuorinen, M. (2017). Registered nurses' experiences with, and feelings and attitudes towards, interRAI-LTCF in New Zealand in 2017. Master's thesis, Massey University, Albany. Retrieved July 7, 2024, from http://hdl.handle.net/10179/13380
Abstract: Conducts 12 interviews with Registered Nurses (RN) 18 months after the International Resident Assessment Instrument for Long-Term Care Facilities (interRAI-LTCF) became mandatory in NZ. Bases the interviews on a United Theory of Acceptance and Use of Technology (UTAUT) model. Analyses the benefits and drawbacks of InterRAI-LTCF according to RN experience, and what they feel would improve the system.
|
|
|
Hollins, J. (2014). Registered nurses' perceptions and experiences of nursing adolescents in an adult mental health unit. Master's thesis, University of Otago, .
Abstract: Conducts a qualitative study to explore Registered Nurses' (RN) attitudes towards caring for adolescents in adult mental health (MH) in-patient services. Uncovers the reasons adolescents access such services and considers the training and knowledge RNs have in relation to the assessment and management of adolescents with MH problems. Identifies areas that may be improved or developed.
|
|
|
McDonald, S. (2004). Registered nurses' perceptions of their role in acute inpatient care in New Zealand: A qualitative descriptive study. Ph.D. thesis, , .
|
|
|
Tritschler, E., & Yarwood, J. (2007). Relating to families through their seasons of life: An indigenous practice model. Kai Tiaki: Nursing New Zealand, 13(5), 18–3.
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.
|
|
|
Te Huia, M., & Mercer, C. (2019). Relationships and implications for complementary and alternative medicine in Aotearoa New Zealand: a discussion paper. Nursing Praxis in Aotearoa New Zealand, 35(3). Retrieved July 7, 2024, from http://dx.doi.org/10.36951/NgPxNZ.2019.012
Abstract: Considers the relationship between nursing and complementary and alternative medicine(CAM), and how this could be incorporated into health care, citing its use internationally. Highlights areas of development and future research for CAM in nursing in NZ.
|
|
|
Day, W. (2000). Relaxation: A nursing therapy to help relieve cardiac chest pain. Australian Journal of Advanced Nursing, 18(1), 40–44.
Abstract: This article discusses ways in which relaxation, when used as an adjunct to medical therapies, can be a useful nursing management tool for effectively relieving cardiac pain. The available literature suggests that although nurses place a lot of importance on cardiac patients being pain free, it is apparent this is often not achieved. Research and documented case studies suggest that relaxation can play an important role in the treatment and prevention of this distressing symptom. The author advocates for nurses to challenge nursing practice and help patients deal effectively with chest pain in a way that meets each individual's needs.
|
|
|
Hylton, J. A. (2005). Relearning how to learn: Enrolled nurse transition to degree at a New Zealand rural satellite campus. Nurse Education Today, 25(7), 519–526.
Abstract: This paper reports a study that examined the factors that assisted or hindered the transition of a group of enrolled nurses to registration/degree programmes, via a flexible course developed by a North Island tertiary institution. The study follows ten enrolled nurses, primarily Maori and working in rural settings, as they continued to work while studying at a small satellite campus. The study was exploratory and descriptive, and utilised focus group interviews. Two major categories emerged from comparative analysis of the data. One category entitled 'relearning how to learn', demonstrated the cognitive and behavioural adaptations made and is the focus of this paper. The other category 'barriers and catapults', demonstrated the physical and environmental factors that influenced the students' transition but is outside the scope of this paper. Recent changes in New Zealand nursing education have witnessed the clarification of scopes of nursing practice and the controversial development of a new Certificate in Health Science (Nurse Assistant). Currently enrolled nurses are again facing threats to employment and it is envisaged that many will be seeking to undertake transition to registered nurse in the near future.
|
|
|
Jarvis, B. M., & Mortimer, E. C. (1983). Relevance of physical nursing assessment as seen by nurses and patients in the New Zealand setting. Ph.D. thesis, , .
Abstract: A study to identify the relevance of the Nursing assessment phase of the Nursing process to Nurses and Patients in the New Zealand setting
|
|
|
Ryder-Lewis, M. (2004). Reliability study of the Sedation-Agitation Scale in an intensive care unit. Ph.D. thesis, , .
Abstract: This study is an extension of a previous study by Riker, Picard and Fraser (1999) to determine whether doctors and nurses rate patients similarly using the Sedation-Agitation Scale (SAS) in a natural Intensive Care Units (ICU) setting. The author notes that it is essential to establish whether these different professionals provide consistent scores and have a mutual understanding of the SAS and its constituent levels. This will help ensure that clinical decisions relating to sedation-needs can be made appropriately and consistently. This quasi-experimental reliability study was set in a 12-bed tertiary general ICU in New Zealand. The SAS had recently been introduced into this unit and a convenience sample of 42 nursing and medical staff performed paired ratings on 69 randomly selected adult ICU patients over an eight week time frame. The mean patient age was 58 years, and 79% of patients were on continuous infusions of Propofol. Intubated patients made up 91% of the sample. 74% of patients were given the same SAS score by the doctor-nurse pair. The weighted kappa score for inter-rater agreement was 0.82 indicating very good agreement. Of the 26% of scores where there was a difference, the two readings were only one score apart. Most of the difference occurred around SAS scores of 1-2 and 3-4. Further analysis found no staff or patient variables to be statistically significant in impacting on the ratings. The SAS was found to be a reliable sedation-scoring tool in a general ICU when used by nurses and doctors of varying experience.
|
|