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Author O'Brien, A.J.; Hughes, F.; Kidd, J.D.
Title (up) Mental health nursing in New Zealand primary health care Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume 21 Issue 1 Pages 142-152
Keywords Mental health; Primary health care; Nursing specialties; Community health nursing
Abstract This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.
Call Number NRSNZNO @ research @ 730 Serial 716
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Author Honey, M.L.L.
Title (up) Methodological issues with case study research Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages 9-11
Keywords Research, nursing; Research methodology; Study design; data analysis; Data collection methods
Abstract Case study research, as a qualitative methodology, attracts some criticism, especially related to rigour, reliability and validity. A New Zealand-based study that explored complex phenomena – flexible learning for postgraduate nurses – provides a practical example of how the case study design can address these criticisms. Through describing the mixed methods used, different sources and methods of data collection, and data analysis, the process of achieving data quality and trustworthiness are highlighted.
Call Number NZNO @ research @ Serial 1338
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Author Grainger, J.
Title (up) Mind shift: Creating change through narrative learning cycles: A qualitative interpretive study of clinical conversation as an appraisal process for sexual and reproductive health nurses Type
Year 2007 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Sexual and reproductive health; Nursing; Professional development
Abstract This thesis explores the process of an annual appraisal strategy, 'clinical conversation', from the perspective of seven nurses who were assessed using this technique. The findings demonstrate that clinical conversation is a strategy which facilitates reflection, both as a solitary exercise and with others, to ensure that learning from experience is optimised. The research used a qualitative interpretive approach informed by the model of Grounded Theory espoused by Strauss and Corbin. All eight nurses who were assessed using the clinical conversation strategy were advanced practitioners working within the scope of sexual and reproductive health. Two of the actual appraisals were observed and seven of the nurses were interviewed within eight weeks of being assessed. The outcome of the clinical conversation was primarily one of learning; the acquisition of new insights into self as practitioner. The learning was facilitated through the process of narration; telling the story of clinical practice. Three distinct narrative cycles were identified, each an experiential learning episode. The experience of undertaking a variety of assessment activities created a narrative with self and triggered an internal reflective thinking process; the experience of working with a peer created an additional narrative, a mutual dialogue reflecting back on practice; the experience of sharing practice with an assessor created a further and final narrative, a learning conversation. Each narrative can be seen as a catalyst for change. Primarily, the nurses felt differently about themselves in practice, the way they saw themselves had shifted. Such a change can be described as an alteration in perspective. These alterations in perspective led all nurses to identify ways in which they would change their actual clinical practice. In this way the nurses attempted to align their espoused beliefs about practice with their actual practice. The author notes that the study shows that each nurse responded differently to each narrative learning cycle: for some the conversation with the assessor was more of a catalyst for change than for others. In this way clinical conversation may be flexible enough to respond to a variety of differing learning styles. Learning was person specific which is an imperative for the continued professional development of already highly skilled clinicians. The implication of the research is that whilst clinical conversation was designed as a tool for appraising clinical competence, its intrinsic value lies in supporting the professional development of nurses.
Call Number NRSNZNO @ research @ 833 Serial 817
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Author Giddings, D.L.S.
Title (up) Mixed-methods research: Positivism dressed in drag Type Journal Article
Year 2006 Publication Journal of Research in Nursing Abbreviated Journal
Volume 11 Issue 3 Pages 195-203
Keywords Methodology; Nursing research
Abstract The author critiques the claim that mixed method research is a third methodology, and the implied belief that the mixing of qualitative and quantitative methods will produce the 'best of both worlds'. The author suggests that this assumption, combined with inherent promises of inclusiveness, takes on a reality and certainty in research findings that serves well the powerful nexus of economic restraint and evidence-based practice. The author argues that the use of the terms 'qualitative' and 'quantitative' as normative descriptors reinforces their binary positioning, effectively marginalising the methodological diversity within them. Ideologically, mixed methods covers for the continuing hegemony of positivism, albeit in its more moderate, postpositivist form. If naively interpreted, mixed methods could become the preferred approach in the teaching and doing of research. The author concludes that rather than the promotion of more co-operative and complex designs for increasingly complex social and health issues, economic and administrative pressures may lead to demands for the 'quick fix' that mixed methods appears to offer.
Call Number NRSNZNO @ research @ Serial 717
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Author Burrell, B.
Title (up) Mixed-sex rooms: Invading patients' privacy? Type Journal Article
Year 2003 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 9 Issue 4 Pages 26-28
Keywords Cross-cultural comparison; Patient rights; Hospitals; Nursing; Gender
Abstract The author considers the issue of mixed-sex rooming (MSR) in New Zealand hospitals. A review of the literature is presented, with a focus on the attitudes and experiences of patients in the UK, where the issue has been most practised and studied. Findings of a survey of a group of New Zealand female patients are presented. The patients feelings of embarrassment and loss of dignity and privacy are discussed. The legal issues are explored, with the practice evaluated against the patient's rights detailed in the Code of Health and Disability Services and the Privacy Act 1993.
Call Number NRSNZNO @ research @ Serial 1000
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Author McLauchlan, M.F.
Title (up) Mobile computing in a New Zealand Bachelor of nursing programme Type Book Chapter
Year 2006 Publication Consumer-Centered Computer-Supported Care for Healthy People. Studies in health technology and informatics, 122 (pp. 605-608) Abbreviated Journal
Volume Issue Pages
Keywords Technology; Curriculum; Nursing; Education; Professional competence
Abstract Mobile computing is rapidly becoming a reality in New Zealand health care settings. Personal Digital Assistants (PDAs) are the most frequently used of these mobile technologies, giving nurses access to clinical learning resources, including drug references, medical encyclopaedias and diagnostic information. The implementation of mobile computing at Waikato Institute of Technology (Wintec) will ensure graduates of our Bachelor of Nursing Programme are able to meet health care service demands for knowledge in contemporary information technologies as well as the information technology requirements defined by the Nursing Council of New Zealand and the Health Practitioners Competency Assurance Act 2003 for registration as a nurse in New Zealand. This paper presents strategies for the implementation of mobile computing as a core element of the curriculum for the Bachelor of Nursing Programme at Wintec in Hamilton.
Call Number NRSNZNO @ research @ Serial 1192
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Author Elliott, M.M.
Title (up) Model of care development: Moving between liaison and complex care coordination in the community health setting Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Community health nursing; Nursing models
Abstract Healthcare systems in New Zealand and the western world are grappling with changes with an aging population; increased use of technology resulting in shorter inpatient stays, increasing chronic illness rates and people with complex health needs. Supporting people through the health system and meeting their needs is an aim of all services. Trying to support seamless transition and manage complex care requirements has become important for community health services. In the district health board, where the author works, the role of Liaison Nurse/Complex Coordinator was established to support this. This role has become important in reviewing what the best model of care for Community Health Services is and how to describe the current practices in this context in an appropriate way. The first section of the report reviews the literature and current practice in relation to liaison nursing. This section explores how to make the role clear and identify its clinical and organisational effectiveness, drawing out the key elements and aspects for this role that will contribute to a model of care. The second section progresses onto the clinical work related to managing patients with chronic illness and complex needs. Utilising literature to inform current practice when supporting patients through health transitions to achieve seamless care and identifying key aspects required to manage this and adding these aspects to the model of care. Following this, a review of current care models available and in use in the health care systems is undertaken. There are some elements and aspects similar in these models and those explicated in the previous sections. Finally a model of care is developed bringing all the key aspects and elements together. This model describes the practice of Liaison/Complex Coordination role in community health service in New Zealand and identifies the need for care, provision of care, outcomes of care provided and impact for the service and organisation. The author suggests that this model is relevant for any liaison or complex coordination role and could be a basis for other models of care to expand upon the specific needs for their services.
Call Number NRSNZNO @ research @ Serial 684
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Author Schumacher, A.T.
Title (up) More than meets the eye: Explicating the essence of gerontology nursing Type
Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Geriatric nursing; Nursing philosophy; Nursing specialties
Abstract The purpose of this hermeneutic phenomenological was to unveil a deeper meaning and understanding of gerontology nursing, thus contributing to its value and worth as a speciality area of nursing. Conversations with four gerontology nurses were taped, transcribed and then analysed using van Manen's (1990) approach to researching lived experience. From the analysis, four cardinal elements emerged: true acceptance, personal knowing, being present, and being alive. Those four cardinal elements were reworked and further analysed to reveal three central aspects or essences of gerontology nursing. These essences were the centrality of temporality, the interconnectedness of human relationships, and the significance of the lived body. Temporality is demonstrated by nursing application of objective, or clock time, as well as subjectively in regards to the lived time of the clients. Interconnectedness is the lived human relationship between nurse and client and is represented by commitment, presencing/giving of self, connecting, and knowing the client holistically. The third essence is corporeality, which is portrayed by the gerontology nurses' distinguishing characteristics and their perception of the lived body of the nursed. The final analysis unveiled caring for the body, the act of seeing, and the joy of care as emergent essences of gerontology nursing. Language of nursing in relationship to 'basic nursing care' is critiqued for its potential to devalue gerontology nursing and, by association, old people.
Call Number NRSNZNO @ research @ 1157 Serial 1142
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Author Gasquoine, S.E.
Title (up) Mothering a hospitalized child: It's the 'little things' that matter Type Journal Article
Year 2005 Publication Journal of Child Health Care Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector
Volume 9 Issue 3 Pages 186-195
Keywords Nurse-family relations; Parents and caregivers; Paediatric nursing; Children
Abstract This article reports one aspect of a phenomenological study that described the lived experience of mothering a child hospitalised with acute illness or injury. The significance for mothers that nurses do the 'little things' emerged in considering the implications of this study's findings for nurses in practice. Seven mothers whose child had been hospitalised in the 12 months prior to the first interview agreed to share their stories. The resulting data were analysed and interpreted using van Manen's interpretation of phenomenology. This description of mothering in a context of crisis is useful in the potential contribution it makes to nurses' understanding of mothers' experience of the hospitalisation of their children. It supports the philosophy of family-centred care and highlights the ability of individual nurses to make a positive difference to a very stressful experience by acknowledging and doing 'little things', because it is the little things that matter to the mothers of children in hospital.
Call Number NRSNZNO @ research @ Serial 1053
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Author Walsh, K.; McAllister, M.; Morgan, A.; Thornhill, J.
Title (up) Motivating change: Using motivational interviewing in practice development Type Journal Article
Year 2004 Publication Practice Development in Health Care Abbreviated Journal
Volume 3 Issue 2 Pages 92-100
Keywords Psychiatric Nursing; Hospitals; Motivation; Older people
Abstract The present paper draws on experiences and insights gained by a group of psychiatric nurse practice development facilitators whilst working with consumers, carers, clinicians and managers in the context of a practice development programme in a large metropolitan psychiatric hospital. The paper describes how the practice development facilitators were able to adapt techniques of motivational interviewing, commonly used in drug and alcohol treatment services, to help motivate change in an aged care setting. The lessons embedded within this experience are that people do want change, and that sustained change requires ownership and support. Practice development facilitators can assist in this process though the use of principles and strategies of motivational interviewing, which include increasing awareness of the need for change, supporting self-efficacy and managing resistance to change.
Call Number NRSNZNO @ research @ Serial 718
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Author Seccombe, J.; Stewart, C.
Title (up) Motivation or self-directed learning: student perspectives Type Journal Article
Year 2014 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 5 Issue 1 Pages 21-24
Keywords Self-directed learning; Nursing education; Student motivation; Online learning
Abstract Conducts a study of 90 undergraduate Bachelor of Nursing (BN) students in order to identify factors that motivate student nurses to undertake self-directed learning (SDL). Adapts an overseas rating scale questionnaire to survey third-year BN students to identify intrinsic or extrinsic factors that influence students' SDL behaviour. Categorises survey results in relation to content and navigation of the learning package; monitoring and management of personal learning; and relevance to topic and link to paper assessment.
Call Number NZNO @ research @ Serial 1401
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Author Bishop, J.
Title (up) Motivation: An essential element of learning Type Book Chapter
Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 83-100) Abbreviated Journal
Volume Issue Pages
Keywords Motivation; Nursing models; Nursing; Education
Abstract The author defines extrinsic and intrinsic motivators, describes motivational theories, and introduces Wlodkowski's Motivational Framework, which is specifically developed for adult learners. She goes on to explore the implementation of this model within a nursing education context. At the end of the chapter, discussion questions are provided by Janice McDrury.
Call Number NRSNZNO @ research @ Serial 768
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Author Pool, Leanne; Day, Liz; Ridley, Susan
Title (up) Mountain climbing: the journey for students with English as an additional language in a concept-based nursing curriculum Type Journal Article
Year 2019 Publication Whitireia Journal of Nursing, Health and Social Services Abbreviated Journal
Volume Issue 26 Pages 28-36
Keywords English as an additional language (EAL); Student support; Nursing education; Communication
Abstract Identifies the communication and learning needs of EAL students in undergraduate nursing education. Presents strategies for EAL students and others with diverse learning needs to comprehend the underlying concepts of cultural safety, praxis, professional nursing and leadership in Whitireia's BN integrated nursing curriculum. Reports findings from focus group discussions with 13 students involved in the three-way partnership comprising lecturers, learning support services and EAL students.
Call Number NZNO @ research @ Serial 1633
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Author Brookes, K.
Title (up) Moving stories from nurses in flight Type
Year 2001 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Nursing specialties; Advanced nursing practice; Intensive care nursing; Feminist critique
Abstract This thesis contains a collection of stories gifted by four New Zealand Retrieval Team nurses who are experienced in the transport of patients. These nurses are commonly called flight nurses and they assist in the transport of patients via helicopter, fixed-wing aeroplane, large commercial aeroplanes and ambulances. While their practice is not exclusively in the helicopter there is an emphasis on this mode of transport in this thesis. Flight nursing is a scope of nursing practice where the use, and visibility, of nurses' stories is rare. The specific context of this research is positioned in one tertiary intensive care unit in New Zealand but it is anticipated that the stories from four flight nurses and the author's subsequent thoughts on them will resonate with flight nurses in other regions. The stories were collected using a storytelling methodology that has been informed by qualitative and feminist perspectives. The stories were either gathered and shaped using interview and transcription techniques with the storyteller and the researcher, or written by the storyteller. The thesis has been written as a narrative and chronicles the journey to the point of receiving the stories and the lines of inquiry in which they subsequently directed the author. The stories are central to this research and appear in their entirety. The reader is encouraged to create their own meaning from the stories. The stories themselves have several common threads, which are planning, communication, teamwork and the unexpected. The threads underpinning the stories are not unique to flight nursing practice and have been discussed in other scopes of practice. One area the author has chosen to explore in more depth is the impacts of technology, privacy, narrative pedagogy and disenfranchisement on the visibility of flight nurses' stories. The other area she has chosen for discussion is advanced and specialty nursing practice as it relates to flight nurses. As a result of this discussion she proposes her own view for advanced and specialty practice in flight nursing.
Call Number NRSNZNO @ research @ Serial 918
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Author Horsburgh, M.; Lamdin, R.; Williamson, E.
Title (up) Multiprofessional learning: The attitudes of medical, nursing and pharmacy students to shared learning Type Journal Article
Year 2001 Publication Medical Education Abbreviated Journal
Volume 35 Issue 9 Pages 876-883
Keywords Nursing; Education; Students; Interprofessional relations
Abstract This study has sought to quantify the attitudes of first-year medical, nursing and pharmacy students' towards interprofessional learning, at course commencement. The Readiness for Interprofessional Learning Scale (RIPLS) (University of Liverpool, Department of Health Care Education), was administered to first-year medical, nursing and pharmacy students at the University of Auckland. Differences between the three groups were analysed. The majority of students reported positive attitudes towards shared learning. The benefits of shared learning, including the acquisition of teamworking skills, were seen to be beneficial to patient care and likely to enhance professional working relationships. However professional groups differed: nursing and pharmacy students indicated more strongly that an outcome of learning together would be more effective teamworking. Medical students were the least sure of their professional role, and considered that they required the acquisition of more knowledge and skills than nursing or pharmacy students.
Call Number NRSNZNO @ research @ Serial 719
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