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Author Herd, C.M.F.
Title (down) Is it a dangerous game? Registered nurses' experiences of working with care assistants in a public hospital setting Type
Year 2001 Publication Abbreviated Journal Massey University, Palmerston North, Library
Volume Issue Pages
Keywords Registered nurses; Personnel; Interprofessional relations
Abstract
Call Number NRSNZNO @ research @ 1274 Serial 1259
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Author Floyd, S.; Meyer, A.
Title (down) Intramuscular injections: What's best practice? Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 6 Pages 20-22
Keywords Professional competence; Registered nurses; Quality of health care; Evidence-based medicine
Abstract The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent.
Call Number NRSNZNO @ research @ Serial 986
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Author North, N.
Title (down) International nurse migration: Impacts on New Zealand Type Journal Article
Year 2007 Publication Policy, Politics, & Nursing Practice Abbreviated Journal
Volume 8 Issue 3 Pages 220-228
Keywords Recruitment and retention; Registered nurses
Abstract Nurse migration flows in and out of New Zealand are examined to determine impacts and regional contexts. A descriptive statistics method was used to analyse secondary data on nurses added to the register, New Zealand nurse qualifications verified by overseas authorities, nursing workforce data, and census data. It found that international movement of nurses was minimal during the 1990s, but from 2001 a sharp jump in the verification of locally registered nurses by overseas authorities coincided with an equivalent increase in international registered nurses added to the local nursing register. This pattern has been sustained to the present. Movement of local registered nurses to Australia is expedited by the Trans-Tasman Agreement, whereas entry of international registered nurses to New Zealand is facilitated by nursing being an identified “priority occupation”. The author concludes that future research needs to consider health system and nurse workforce contexts and take a regional perspective on migration patterns.
Call Number NRSNZNO @ research @ Serial 711
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Author Kennedy, W.
Title (down) How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? Type
Year 2008 Publication Abbreviated Journal Eastern Institute of Technology Library
Volume Issue Pages
Keywords Professional development; Registered nurses
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.
Call Number NRSNZNO @ research @ Serial 1161
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Author Kennedy, Wendy Lynette
Title (down) How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? Type Book Whole
Year 2008 Publication Abbreviated Journal
Volume Issue Pages 97 p.
Keywords Registered Nurses; Self-assessment; Performance appraisal; Surveys
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.
Call Number NZNO @ research @ Serial 1703
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Author Burrow, Maria; Gilmour, Jean; Cook, Catherine
Title (down) Healthcare assistants and aged residential care: A challenging policy and contractual environment Type Journal Article
Year 2017 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 33 Issue 2 Pages 7-19
Keywords Healthcare assistants; Aged care; Registered nurses; Supervision; Retention; Nursing education
Abstract Examines NZ policy and care demands in aged residential care. Maintains that registered nurses need to understand the socio-political, economic and educational factors that influence care delivery in aged residential care. Presents an overview of the current role of healthcare assistants (HCAs)in aged residential care, based on a review of the existing grey literature, current national policy, DHB contract agreements and NZNO collective agreements.
Call Number NZNO @ research @ Serial 1533
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Author Budge, C.; Carryer, J.B.; Wood, S.
Title (down) Health correlates of autonomy, control and professional relationships in the nursing work environment Type Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 42 Issue 3 Pages 260-268
Keywords Workplace; Occupational health and safety; Registered nurses
Abstract The aim of this study was to examine nursing in New Zealand and to see whether aspects of the work environment are associated with health status. A total of 225 registered nurses in a general hospital completed the Revised Nursing Work Index (NWI-R) and Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36). Ratings indicated that the New Zealand hospital environment was characterized by less autonomy and control and better nurse-physician relations than in USA hospitals. Results of correlations demonstrated that more positive ratings of the three workplace attributes were associated with better health status amongst the nurses. The results of regression analyses were indicative either of a confounding relationship or of a mediating relationship such that nurses' relations with physicians, administration and other departments mediate the associations between autonomy, control and health status.
Call Number NRSNZNO @ research @ Serial 703
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Author Wilson, L.J.
Title (down) Futurist planning, not a shortage stopgap: Recruitment and retention of registered nurses in New Zealand Type
Year 2001 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Recruitment and retention; Registered nurses; Policy; Careers in nursing
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.
Call Number NRSNZNO @ research @ Serial 1258
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Author Hutchinson, Rosie; Adams, Sue; Cook, Catherine
Title (down) From regulation to practice: Mapping the organisational readiness for registered nurse prescribers in a specialty outpatient clinic setting Type Journal Article
Year 2020 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 36 Issue 1 Pages 31-40
Keywords Registered nurses; Community nursing; Primary health care; Sexual health services; Nurse precsribing; Institutional ethnography
Abstract Asserts that registered-nurse (RN) prescribing could improve equitable access and care delivery for patients. Uses a mapping tool to reflect how one RN qualified to deliver prescribing services in a sexual health clinic. Emphasises the need for organisational readiness to employ RN prescribers.
Call Number NZNO @ research @ Serial 1674
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Author Lim, Gigi; Roberts, Kenzie; Marshall, Dianne; Honey, Michelle
Title (down) Factors that influence registered nurse prescribers' antibiotic prescribing practices Type Journal Article
Year 2020 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 36 Issue 1 Pages 42-50
Keywords Registered nurses; Nurse prescribing; Antibiotics; Antimicrobial resistance
Abstract Investigates the attitudes of RN prescribers towards prescribing antibiotics, in the context of increasing antimicrobial resistance (AMR). Focuses on six nurse prescribers in primary health and specialty teams, who are permitted to prescribe antibiotics, asking about their clinical assessments of patients and safety considerations of prescribed antibiotics.
Call Number NZNO @ research @ Serial 1675
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Author Lilley, S.
Title (down) Experiences of mentoring in primary health care settings: Registered nurses' and students' perspectives Type
Year 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Mentoring; Students; Registered nurses; Primary health care
Abstract
Call Number NRSNZNO @ research @ 505 Serial 491
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Author Hughes, Margaret; Kirk, Ray; Dixon, Alison
Title (down) Direction and delegation for New Zealand nurses Type Journal Article
Year 2018 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 9 Issue 1 Pages 36-37
Keywords Direction; Delegation; Enrolled nurses; Registered nurses
Abstract Investigates how enrolled nurses (EN) and registered nurses (RN) perceive their experiences of direction and delegation. Employs narrative enquiry to describe communication during direction and delegation interactions.
Call Number NZNO @ research @ Serial 1598
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Author Mearns, G.
Title (down) Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice Type
Year 2005 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Nurse practitioners; Geriatric nursing; Older people; Registered nurses
Abstract The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner.
Call Number NRSNZNO @ research @ Serial 585
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Author Hunter, Kiri; Cook, Catherine
Title (down) Cultural and clinical practice realities of Maori nurses in Aotearoa New Zealand: The emotional labour of Indigenous nurses Type Journal Article
Year 2020 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 36 Issue 3 Pages 7-23
Keywords Cultural safety; Maori nurses; Registered nurses, Tikanga Maori
Abstract Examines the tensions for Maori nurses that are involved in the integration of cultural priorities into clinical practice. Conducts semi-structured interviews with 12 Maori RNs and nurse practitioners to determine their professional practice experiences of delivering culturally-responsive care to iwi, hapu and whanau across health-care settings.
Call Number NZNO @ research @ Serial 1679
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Author Connolly, Megan J
Title (down) Clinical leadership of Registered Nurses working in an Emergency Department Type Book Whole
Year 2015 Publication Abbreviated Journal
Volume Issue Pages 109 p.
Keywords Registered nurses; Clinical leadership; Empowerment; Emergency Departments; Surveys
Abstract Employs a non-experimental survey design to examine the psychological and structural empowerment, and clinical leadership of Registered Nurses (RNs) working in an adult emergency department (ED) in a large tertiary hospital in Auckland City. Includes qualitative questions relating to those factors that support or inhibit their clinical leadership at point of care.
Call Number NZNO @ research @ Serial 1579
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