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Author Haggerty, C. url  openurl
  Title (down) Critical case study: Supporting the new graduate entering specialist psychiatric mental health nursing practice Type
  Year 2000 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Psychiatric Nursing; Clinical supervision; Students; Preceptorship  
  Abstract This critical case study was undertaken for the purposes of illuminating information relating to new graduate nurses' experiences in their first clinical placement, in order to consider ways an established entry to practice programme can better support and enhance the students' transition from student nurse to staff nurse within psychiatric mental health nursing practice. Seven current students of the programme participated in the research. This provided the researcher with a variety of challenges related to her dual role as researcher and programme coordinator. Data was collected through the use of discussion groups, with participants and researcher jointly identifying the themes that were explored. These themes related to preceptorship and support, socialisation of the new graduate and risk management. The research has provided rich data that has already, and will continue to be used to inform future developments within both the educational and clinical components of the programme. The research has also provided opportunities for personal and professional growth through the sharing of experiences, and working together to identify emancipatory action which has in turn lead to transformation.  
  Call Number NRSNZNO @ research @ Serial 450  
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Author Narbey, N. url  openurl
  Title (down) Cognitive Behaviour Therapy in psychosis: Relevance to mental health nurses Type
  Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Psychiatric Nursing; Psychology; Evidence-based medicine  
  Abstract The author uses his personal and professional experience to explore the application of Cognitive Behavioural Therapy in caring for people who experience psychosis. Psychosis can be a life-threatening illness; about one in ten young men with psychosis will take their own lives. Much of the progress in treatment has been predicated on a biological explanation of psychosis. The late 1990s have seen increasing interest in psychological approaches in the treatment of psychosis; not withstanding that this treatment does not work for all people. The first aim of this research report is to develop understanding about Cognitive Behavioural Therapy, through exploration of its origins and examining the theoretical basis and reviewing the evidence that may support its use. The second aim is to explore the evidence around mental health nurses' training and use of Cognitive Behavioural Therapy, by critically examining some of the major UK and Australian reports. The author considers that Cognitive Behavioural Therapy is theoretically and pragmatically compatible with contemporary nursing practice, and will have increasing prominence for New Zealand mental health nurses.  
  Call Number NRSNZNO @ research @ Serial 1187  
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Author O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J. openurl 
  Title (down) Clinical indicators as measures of mental health nursing standards of practice in New Zealand Type Journal Article
  Year 2004 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 13 Issue 2 Pages 778-788  
  Keywords Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth  
  Abstract This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings.  
  Call Number NRSNZNO @ research @ Serial 1059  
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Author Crowe, M.; Ward, N.; Dunnachie, B.; Roberts, M.H. openurl 
  Title (down) Characteristics of adolescent depression Type Journal Article
  Year 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 15 Issue 1 Pages 10-18  
  Keywords Psychiatric Nursing; Mental health; Adolescents  
  Abstract This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively.  
  Call Number NRSNZNO @ research @ 1065 Serial 1050  
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Author Moko Business Associates, url  openurl
  Title (down) Career pathways and core competencies in Maori mental health nursing Type Report
  Year 2003 Publication Abbreviated Journal  
  Volume Trm/03/04 Issue Pages  
  Keywords Maori; Mental health; Nursing; Careers in nursing; psychiatric nursing  
  Abstract This report reviews relevant literature pertaining to clinical career pathways and associated core competencies for nursing in New Zealand. The review identifies and analyses existing clinical career pathways for nurses and mental health workers in New Zealand, paying particular attention to the content, structure, strengths, criticisms and applicability to the development of a clinical career pathway for Maori registered nurses to work in Maori mental health (NGO organisations). This report is part of Te Rau Matatini's current work on the development of a career pathway for Maori registered nurses with mental health work experience to work in NGO, community settings. It is a preliminary report, based on existing literature. A subsequent report was planned detailing the career pathway developed by Te Rau Matatini, with strong guidance and input from Maori mental health nurses and the wider Maori mental health sector.  
  Call Number NRSNZNO @ research @ Serial 823  
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Author McKenna, B. openurl 
  Title (down) Bridging the theory-practice gap Type Journal Article
  Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 5 Issue 2 Pages 14-16  
  Keywords Psychiatric nursing; Nursing; Education; Teaching methods  
  Abstract The author presents a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. He explores the advantages, disadvantages and reasons for success in relation to the findings of a survey of the literature on joint appointments. This technique is seen as a means of narrowing the gap between theory and practice which resulted when nurse training was transferred from hospitals to polytechnics. He highlights the need to develop research methodology to clarify potential benefits of this approach.  
  Call Number NRSNZNO @ research @ Serial 1024  
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Author McKenna, B.; Simpson, A.I.F.; Coverdale, J. openurl 
  Title (down) Best practice management strategies for mental health nurses during the clinical application of civil commitment: An overview Type Journal Article
  Year 2006 Publication Contemporary Nurse Abbreviated Journal  
  Volume 21 Issue 1 Pages 62-70  
  Keywords Psychiatric Nursing; Law and legislation; Nurse-patient relations; Patient satisfaction  
  Abstract The aim of this article is to outline best practice management strategies for nurses during the clinical application of civil commitment of mentally ill persons. A literature search on 'coercion' and 'civil commitment' was undertaken. Published and unpublished research undertaken by the authors in New Zealand on this topic was drawn upon. This research considered the use of civil commitment during admission to acute mental health services, acute forensic mental health services and community mental health services. The experience of coercion by service users coincides with the degree of restriction associated with the service they are involved in. Socio-demographic factors, clinical factors and the experience of coercive events have little bearing on the amount of coercion experienced. Rather, it is the pattern of communication and the use of 'procedural justice' that has the potential to ameliorate the amount of perceived coercion. The authors conclude that 'Procedural justice' aligns with the emphasis placed on the therapeutic relationship in mental health nursing and is an important consideration for nurses during the clinical application of civil commitment  
  Call Number NRSNZNO @ research @ Serial 1051  
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Author Rydon, S.E. openurl 
  Title (down) Attitudes, skills and knowledge of mental health nurses: The perception of users of mental health services Type
  Year 2001 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords Mental health; Psychiatric Nursing; Patient satisfaction; Attitude of health personnel  
  Abstract  
  Call Number NRSNZNO @ research @ 819 Serial 803  
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Author Palmer, S.G. openurl 
  Title (down) Application of the cognitive therapy model to initial crisis assessment Type Journal Article
  Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 12 Issue 1 Pages 30-38  
  Keywords Mental health; Clinical assessment; Psychiatric Nursing  
  Abstract This article provides a background to the development of cognitive therapy and cognitive therapeutic skills with a specific focus on the treatment of a depressive episode. It discusses the utility of cognitive therapeutic strategies to the model of crisis theory and initial crisis assessment currently used by the Community Assessment & Treatment Team of Waitemata District Health Board. A brief background to cognitive therapy is provided, followed by a comprehensive example of the use of the Socratic questioning method in guiding collaborative assessment and treatment of suicidality by nurses during the initial crisis assessment.  
  Call Number NRSNZNO @ research @ 1085 Serial 1070  
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Author Lewer, D. openurl 
  Title (down) Analysing the Mental Health Act Type Journal Article
  Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 5 Issue 8 Pages 14-16  
  Keywords Psychiatric Nursing; Mental health; Law and legislation; Ethics  
  Abstract Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill.  
  Call Number NRSNZNO @ research @ 1039 Serial 1023  
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Author Phillips, B.N. url  openurl
  Title (down) An interpretation of four men's experiences of suicidality Type
  Year 2004 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Mental health; Psychiatric Nursing; Gender; Qualiltative research  
  Abstract This study draws upon Gadamer's philosophical hermeneutics to explore the understandings that four men have had of their past suicidal experiences. The interpretations developed in this study, as far as possible, make explicit use of the author's own particular horizon of meaning as researcher and mental health nurse. In addition, by consciously bringing an anti-essentialist perspective of masculinity to this process, he explores the way in which gender impacts on men's suicidality. The primary source of information for this study is in-depth, open-ended conversations with four men of European descent in their middle adult years who were asked to talk about their past experiences of suicidality. The interpretations developed here show that for these men, the hermeneutic fusion of history, language, and sociocultural context, provided limited possibilities with which they were able to construe themselves as 'fitting in' with normative standards. These constraints, that are otherwise taken-for-granted and invisible, became explicit through their experience of ongoing victimisation. Furthermore, early understandings of these experiences became a potent horizon of meaning from which they then came to understand later difficult experiences. Victimisation became constitutive of an understanding of self as fundamentally different and (hierarchically)'less-than' other men. Ultimately, suicidality emerged out of a background of ever-present psychological pain accompanying a construction of self as being unable to see themselves as ever 'fitting in'. These men did not regard themselves as having recovered from suicidality, but remain in a process of recovering. This process did not mean figuring out how to 'fit in', or become 'normal' men, but rather, to live meaningfully as men in spite of not 'fitting in' with the sociocultural ideal. Recovering was a continual and idiosyncratic process, rather than an outcome of a specific technique or knowledge. The position taken in this study is that mental health nursing seeks to engage with people and work with them in collaborative, respectful, human relationships. It is argued that mental health nurses work with an individual's situated understandings rather than delivering prescribed treatment determined by diagnosis. Hence, viewing suicidality as socioculturally situated and historically emergent suggests mental health nurses must closely attend to the way in which we bring ourselves into relationships with our clients so that we are then able to create opportunities for change.  
  Call Number NRSNZNO @ research @ 1214 Serial 1199  
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Author Nichols, J. url  openurl
  Title (down) An exploration of clinical supervision within mental health nursing Type Journal Article
  Year 2004 Publication Vision: A Journal of Nursing Abbreviated Journal  
  Volume Issue November Pages  
  Keywords Clinical supervision; Mental health; Psychiatric Nursing  
  Abstract The purpose of this paper is to shed some light on the concept of clinical supervision specifically in relation to mental health nursing. The author talks briefly about the naming and history of clinical supervision and aims to provide some clarity around defining the concept. There is discussion around the role, value and objectives of clinical supervision before critical examination of two models of clinical supervision within two different contexts. Finally the strengths and weaknesses of each model are discussed, and the differences illustrate some of the contextual factors of clinical supervision.  
  Call Number NRSNZNO @ research @ 876 Serial 860  
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Author Jenkinson, F.H. openurl 
  Title (down) An evaluation of nursing documentation as it relates to pro re nata (prn) medication administration Type
  Year 2003 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords Drug administration; Psychiatric Nursing; Administration; Mental health  
  Abstract  
  Call Number NRSNZNO @ research @ 875 Serial 859  
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Author Cowan, L.M.; Deering, D.; Crowe, M.; Sellman, D.; Futterman-Collier, A.; Adamson, S. openurl 
  Title (down) Alcohol and drug treatment for women: Clinicians' beliefs and practice Type Journal Article
  Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 12 Issue 1 Pages 48-55  
  Keywords Psychiatric Nursing; Substance abuse; Gender; Attitude of health personnel; Alcoholism; Drug abuse  
  Abstract The present paper reports on the results of a telephone survey of 217 alcohol and drug treatment clinicians on their beliefs and practice, in relation to service provision for women. Nurses comprised the second largest professional group surveyed. Seventy-eight percent of clinicians believed that women's treatment needs differed from men's and 74% reported a range of approaches and interventions, such as assisting with parenting issues and referral to women-only programmes. Several differences emerged in relation to approaches and interventions used, depending on clinician gender, work setting and proportion of women on clinicians' caseload. Implications for mental health nursing include the need to more systematically incorporate gender-based treatment needs into practice and undergraduate and postgraduate education and training programmes.  
  Call Number NRSNZNO @ research @ Serial 652  
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Author Farrow, T.; McKenna, B.; O'Brien, A.J. openurl 
  Title (down) Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation Type Journal Article
  Year 2002 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 11 Issue 3 Pages 164-169  
  Keywords Mental health; Law and legislation; Psychiatric Nursing; Scope of practice  
  Abstract A new approach to mental health legislation has seen the involvement of a range of health professionals in legislated mental health roles, including the power of registered nurses to detain patients in hospital under Section 111 of the New Zealand Mental Health (Compulsory Assessment and Treatment) Act (1992). Under this Section, a nurse who believes that a voluntary patient meets the legal criteria of the Act can independently detain the patient for a period of up to six hours, pending further assessment by a medical practitioner. However, anecdotal evidence and a clinical audit undertaken by the authors suggest some doctors 'prescribe' Section 111 at the time of admission. This practice instructs nurses to initiate Section 111 if particular voluntary patients choose to leave hospital. This study outlines practice issues resulting from 'prescribing' Section 111; provides a legal critique of medical practitioners' involvement in this practice; and makes recommendations for guidelines toward a more constructive use of Section 111.  
  Call Number NRSNZNO @ research @ Serial 651  
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