| Records |
| Author |
Paterson, J.E. |
Title  |
Nurses' clinical decision-making: The journey to advancing practice |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Clinical decision making; Mentoring; Nursing; Nurse practitioners |
| Abstract |
This dissertation reports on a scholarly journey to better understand the processes of clinical decision-making by nurses. It begins by identifying the various terms used to describe a clinical decision, its components and the contexts within which clinical decisions are made. Two philosophies of decision-making are summarised. Some insight into the history of the phenomenological and the rationalist theories of decision-making is offered. The author notes that it became evident that both of these theories are applicable to all nurses and their clinical decision making competencies. Four studies that were undertaken to analyse the decision-making methods of nurse practitioners are critiqued. Of the studies two are British, one is American and one is Australian. The author has summarised the combined findings that identified that the nurses were using a blend of decision-making processes that involved rational decision making as well as the use of intuition. The studies identified that sound clinical decision-making is determined by appropriate educational and clinical preparation and supported by a formal mentoring process and the use of critical reflective practice. In conclusion, the author reflects on her knowledge of decision making prior to embarking on the dissertation and states her intent to facilitate and support advanced decision-making by her colleagues. She goes on to say that uppermost is the need for an institutional and managerial environment that encourages advanced and independent decision-making by nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
681 |
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| Author |
Kell, Anne-Marie; Gilmour, Jean; Wissen, Kim van |
| Title |
Nurses' experiences caring for patients surgically treated for oral cavity cancer |
Type |
Journal Article |
| Year |
2018 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
34 |
Issue |
1 |
Pages |
p.7-19 |
| Keywords |
Oral cavity cancer; Surgery; Post-operative nursing; Emotional labour; Stress |
| Abstract |
Explores nurses' experiences of caring for patients who have had surgery for oral cavity cancer in one NZ hospital, involving wound care, tracheostomy management, oral care, ongoing patient education and the provision of emotional support to patients and families. Interviews three registered nurses about the challenges involved in caring for this patient group; their moral conflict over the effects of surgery on the patients; their professional uncertainty, and the emotional effort involved in nursing oral cavity cancer patients. Suggests the need for informal debriefing, grief counselling, clinical supervision, stress management training, and continuing education in this specialised role. |
| Call Number |
NZNO @ research @ |
Serial |
1590 |
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| Author |
Dobson, J. |
| Title |
Nurses' experiences of parental informed consent in the neonatal intensive care unit |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Neonatal nursing; Parents and caregivers |
| Abstract |
The Guthrie Test has become the standard screening test for early detection of congenital metabolic disorders for newborn babies in New Zealand and is an accepted part of neonatal care. In neonatal care, decisions are made on behalf of babies usually by their parents and, for the Guthrie Test there is a requirement that health professionals obtain informed consent. This qualitative research utilised focus group methodology to discover what neonatal nurses in clinical practice consider when obtaining informed consent from parents for newborn screening, the Guthrie Test. The convenience sample consisted of seven registered nurses who volunteered to participate in the study. They all practice in the Neonatal Intensive Care Unit at Dunedin Public Hospital that provides Level 3 intensive care to neonates in the Otago/Southland regions. There are proven benefits of the current newborn screening programme and in the experience of this focus group not many parents choose to refuse. These neonatal nurses identified the rights of parents to have that choice and to make an informed decision. The findings from this research indicate the importance neonatal nurses place on patients' rights and the information provided to ensure that their rights are respected. However, the results indicated that there is a need for clarification of the purpose and process of informed consent for the Guthrie Test in the Neonatal Intensive Care Unit. Therefore providing sufficient, relevant information at an appropriate time and manner is considered necessary. The findings will be used to inform discussion related to the provision of best practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
921 |
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| Author |
Miles, Aimee; Lesa, Raewyn; Ritchie, Lorraine |
| Title |
Nurses' experiences of providing care in an environment with decentralised nursing stations |
Type |
Journal Article |
| Year |
2021 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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| Volume |
12 |
Issue |
1 |
Pages |
25-31 |
| Keywords |
Decentralised nursing stations; Pod nursing; Hospital design; Collegiality |
| Abstract |
Evaluates nurses' experiences of working in decentralised work stations in NZ hospital wards, in order to explore the interesection between the physical environment and nursing care. Backgrounds the shift away from centralised nursing stations to satellite work stations within wards. Identifies the unintended challenges of the design for nurses. Conducts two focus groups of 7 nurses each about the benefits and disadvantages of such nursing stations. |
| Call Number |
NZNO @ research @ |
Serial |
1715 |
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| Author |
Hylton, April |
| Title |
Nurses' knowledge and attitudes regarding pain |
Type |
Book Whole |
| Year |
2019 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
176 p. |
| Keywords |
Pain; Nursing knowledge; Nursing attitudes; Registered nurses |
| Abstract |
Surveys the knowledge and attitudes of registered nurses (RNs) regarding pain management in the care of the post-operative patient, across five District Health Boards (DHBs). Collects data using a modified version of the Knowledge and Attitudes Survey Regarding Pain (KASRP) tool (Ferrell & McCaffery, 2014), in a cross-sectional descriptive non-experimental design. |
| Call Number |
NZNO @ research @ |
Serial |
1637 |
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| Author |
Bishop, D.; Ford-Bruins, I. |
| Title |
Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study |
Type |
Journal Article |
| Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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| Volume |
12 |
Issue |
3 |
Pages |
203-212 |
| Keywords |
Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models |
| Abstract |
This qualitative study explores the perceptions of mental health nurses regarding assessment in an acute adult inpatient setting in Central Auckland. Fourteen mental health nurses took part in semi-structured interviews answering five open-ended questions. The analysis of data involved a general inductive approach, with key themes drawn out and grouped into four categories (roles, attitudes, skills and knowledge) in order to explore the meaning of information gathered. The outcome of the study acknowledged the importance of contextual factors such as the physical environment and bureaucratic systems, as well as values and beliefs present within the unit. The participants expressed concern that their input to assessment processes was limited, despite belief that 24-hour care and the nature of mental health nursing generally suggested that a crucial role should exist for nurses. In order for nurses to be established as central in the assessment process on the unit the study concludes that a nursing theoretical framework appropriate for this acute inpatient setting needs to be developed. |
| Call Number |
NRSNZNO @ research @ 1082 |
Serial |
1067 |
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| Author |
Yarwood, Judy |
| Title |
Nurses' view of family nursing in community contexts: an exploratory study |
Type |
Journal Article |
| Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
24 |
Issue |
2 (Jul) |
Pages |
41-51 |
| Keywords |
Family; Family nursing; Community Nurses; Relationships |
| Abstract |
Explores, through the use of focus groups, ways in which community based nurses interact with family as a whole. Identifies Public health, Practice, District, Well child health and rural nurses as all having an integral role in building relationships with family to ensure child and family health. Suggests the findings point to a need for the establishment of a recognised family/family health nursing role. |
| Call Number |
NZNO @ research @ |
Serial |
1433 |
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| Author |
Buisman, B. |
| Title |
Nursing 2020: How will 'Magnet' hospitals fit in? |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
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| Volume |
10 |
Issue |
|
Pages |
33-41 |
| Keywords |
Nursing; Leadership; Hospitals |
| Abstract |
Nursing shortages, technology, advances in genetics and the knowledge explosion are trends that have an influence on the nursing profession in the future. This article will examine these trends and give an overview of what it may be like to nurse in an acute-care hospital in the year 2020. The impact of leadership, management and political influences will also be discussed. The American concept of 'Magnet' hospitals will be described as one possible solution to the issues that affect the nursing profession in New Zealand. |
| Call Number |
NRSNZNO @ research @ 1209 |
Serial |
1194 |
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| Author |
Valette, D. |
| Title |
Nursing an adolescent in an adult inpatient mental health unit |
Type |
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| Year |
2002 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Adolescents; Nurse-patient relations; Professional competence; Mental health |
| Abstract |
This research paper reports on an exploration of the key elements nurses need to be aware of to effectively nurse adolescents in an adult inpatient unit. It describes the developmental needs and significant influences that affect this age-group, that when incorporated into nursing care, nurses can gain a therapeutic relationship with the adolescent. By means of a literature review, sharing the author's experience in nursing adolescents, and through vignettes of practice, an illustration of some common situations that may occur during the adolescent's inpatient stay are described. These situations are explored and a perspective is offered on how nurses may be effective in their nursing of an adolescent patient from the point of admission through to discharge. More research is needed on adolescent mental health nursing, however the author anticipates that nurses will be able to use this report as a helpful resource in their current practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1148 |
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| Author |
Barber, M. |
| Title |
Nursing and living in rural New Zealand communities: An interpretive descriptive study |
Type |
|
| Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural nursing; Rural health services; Recruitment and retention |
| Abstract |
This study used an interpretive descriptive method to gain insight into and explore key issues for rural nurses working and living in the same community. Four Rural Nurse Specialists were recruited as participants. The nurses had lived and nursed in the same rural community for a minimum of 12 months. Participants were interviewed face to face and their transcribed interviews underwent thematic analysis. The meta-theme was: the distinctive nature of rural nursing. The themes identified were: interwoven professional and personal roles; complex role of rural nurses and relationships with the community. A conceptual model was developed to capture the relationship between the meta-theme and the themes. A definition for rural nursing was developed from the findings. This research identified some points of difference in this group of rural nurses from the available rural nursing literature. It also provides a better understanding of the supports Rural Nurse Specialists need to be successful in their roles, particularly around the recruitment and retention of the rural nursing workforce. |
| Call Number |
NRSNZNO @ research @ |
Serial |
820 |
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| Author |
Lui, D.M.K. |
| Title |
Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 1. Literature review |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Neonatal Nursing |
Abbreviated Journal |
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| Volume |
9 |
Issue |
2 |
Pages |
45-47 |
| Keywords |
Attitude of health personnel; Neonatal nursing; Ethics; Technology |
| Abstract |
This article seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Advanced technology results in the survival of increasingly premature babies with extremely low birthweights and this has inevitably led to an increase in the ethical dilemmas faced by neonatal staff as to whether continued treatment is actually in the best interests of these infants. Part 1 reviews the literature on this subject. Part 2 describes the results of a survey carried out in a New Zealand NICU. |
| Call Number |
NRSNZNO @ research @ 906 |
Serial |
890 |
| Permanent link to this record |
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| Author |
Lui, D.M.K. |
| Title |
Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 2. Survey results |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Neonatal Nursing |
Abbreviated Journal |
|
| Volume |
9 |
Issue |
3 |
Pages |
91-96 |
| Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Attitude of health personnel |
| Abstract |
Discontinuation of life support measures for an extremely low birthweight or very premature baby is controversial and difficult for both the parents and the healthcare professional involved in caring for the infant. This study seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Part 1 reviewed the literature on this subject. Part 2 reports the results of a survey carried out in a New Zealand NICU. |
| Call Number |
NRSNZNO @ research @ 966 |
Serial |
950 |
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| Author |
Tucakovic, M. |
| Title |
Nursing as an aesthetic praxis |
Type |
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| Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing; Nursing philosophy |
| Abstract |
This thesis focuses on the experience of being human as process in order to reveal being. Illness and health are seen as reflections of this process of revelation. This work argues that health and illness are physical expressions of consciousness and therefore an outcome of what a human being has thought. In this way, this work shows how thought/intent serves to create life in the moment. In this understanding lies the potential to change reality, to change life. The thesis identifies self-responsibility as the key to changing consciousness. Taking responsibility for the creation of one's reality eliminates the human tendency to blame another for what is experienced in life. To that end, this work argues, we are each free to choose what is felt in response to life. In so doing, we can become conscious that life is a choice, that is to be approached from either the position of perfection, or excellence. The author proposes that, in the understanding that human beings are the creators of their reality, it is possible to conceive of care in nursing that is directed at changing thinking/thought. Such change would be to focus on the excellence of life, and in that way enact care in nursing that is an enabling through a process of being that is an emotional allowance in response to life. To this end, this work is titled Nursing as an Aesthetic Praxis. The aesthetic is emotion and feeling. Praxis, is presented in its dialectical relationship of thought and action that is then bound to emotion and feeling in such a way that it illuminates the nature of thinking. This way of thinking, this work shows, is transformatory. Where transformation is a process of being that as a state of excellence is one of incremental human freedom accompanied by incremental responsibility. |
| Call Number |
NRSNZNO @ research @ 574 |
Serial |
560 |
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| Author |
Topliss, J. |
| Title |
Nursing by telephone in mental health emergency settings: What underpins and informs clinical practice? |
Type |
Miscellaneous |
| Year |
2005 |
Publication |
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Abbreviated Journal |
Bill Robertson Library, Otago Polytechnic |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Mental health; Emergency nursing |
| Abstract |
This dissertation is an exploration of what underpins and informs clinical nursing practice by telephone in mental health emergency settings. A critical review of the literature provides the foundation for discussion. Points of reflection explore links between the literature and the author's own experience and thoughts about clinical practice. Findings are presented within three main sections. 'Historical Context' considers the development and function of mental health emergency service telephone work. Practical aspects are discussed under `Service Provision Context.' 'Nursing Context' explores the fundamental skills involved in clinical reasoning and the preparation of staff for telephone work. Whilst 'Best practice' in the area of nursing by telephone is yet to be well defined, this work aims to provide a foundation for further inquiry, research and dialogue. |
| Call Number |
NRSNZNO @ research @ 676 |
Serial |
662 |
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| Author |
Phillips, B.N. |
| Title |
Nursing care and understanding the experiences of others: A Gadamerian perspective |
Type |
Journal Article |
| Year |
2007 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
1 |
Pages |
89-94 |
| Keywords |
Nursing philosophy; Nurse-patient relations |
| Abstract |
This article investigates the process where nurses attempt to understand the experience of patients. The author argues that this transcends particular models of ill-health. Gadamerian hermeneutics, which has been used in nursing research to articulate the process of understanding, is elaborated on. Gadamer's exposition of understanding shows that practitioners need to be aware that understanding of other people is developed through a fusion of one's own history, language and culture with that of the other person. This occurs through a hermeneutic question-answer dialogue in which practitioners put their ideas at risk of being modified or rejected in the process. Understanding then, is a perceptual and conceptual process. In this way, the experience of nurses seeking to understanding those they nurse increases self-awareness, as well as enhancing their ability to further understand others. |
| Call Number |
NRSNZNO @ research @ 797 |
Serial |
781 |
| Permanent link to this record |
