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Author |
Polaschek, N. |
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Title  |
Negotiated care: A model for nursing work in the renal setting |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
42 |
Issue |
4 |
Pages |
355-363 |
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Keywords |
Chronically ill; Nursing models; Nurse-patient relations; Communication |
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Abstract |
This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1186 |
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Author |
McClunie-Trust, P |
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Title |
Negotiating Boundaries: The Nurse Family Member Caring for Her Own Relative in Palliative Care |
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Year |
2010 |
Publication |
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Abbreviated Journal |
Victoria University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Palliative care; boundaries; patient-family relations |
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Abstract |
This research illuminates the challenges of living well within one's own family as a nurse caring for her own relative who is dying of a cancer-related illness. Developing a deeper awareness of the consequences of this caring work has been the central focus for inquiry in this research. Nursing requires epistemologies that encompass new ways of understanding how we live within our own families and communities and practice as nurses. The theoretical framework that guides this research interprets the French Philosopher Michel Foucault's (1926-1984) critical history of thought as an ethical project for nursing. It uses conceptual tools developed in his later writing and interviews to draw attention to how discursive knowledge and practices constitute subjectivity in relations of truth, power and the self's relation to the self. The first aspect of the analysis, landscapes of care examines the techniques of discourse as relations of power and knowledge that constitute nurse family members as subjects who have relationships with their own families and other health professionals. The second aspect analyses care of the self and others as self work undertaken to form the self as a particular kind of subject and achieve mastery over one's thoughts and actions.As an exploration of the complex and contradictory subjectivities of the nurse family member, this research illuminates the forms and limits of nursing practice knowledge. It shows how nursing is practised, and the identity of the nurse is created, through intellectual, political and relational work, undertaken on the self in relation to others, as modes of ethical engagement. |
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Call Number |
NZNO @ research @ |
Serial |
1350 |
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Author |
O'Brien, A.J. |
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Title |
Negotiating the relationship: mental health nurses' perception of their practice |
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Year |
1998 |
Publication |
Australian & New Zealand Journal of Mental Health Nursing |
Abbreviated Journal |
Author |
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Issue |
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Pages |
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Abstract |
This exploratory descriptive study used focus groups to investigate experienced mental health nurses' perceptions of expertise in relation to their practice. Two focus group discussions were conducted, one compiling 4 nurses working in in-patient care, and the other with 5 nurses working in community care. The nurse-patient relationship was the central theme for both groups. Three sub-themes were identified and are discussed. They are: involvement, individualising care & minimising visibility. The significance of these themes for the articulation of mental health nursing practice is discussed |
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Call Number |
NRSNZNO @ research @ 362 |
Serial |
362 |
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Author |
Jones, B. |
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Title |
Neonatal nurse practitioners: A model for expanding the boundaries of nursing culture in New Zealand |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
3 |
Pages |
28-35 |
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Keywords |
Advanced nursing practice; Neonatal nursing; Interprofessional relations |
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Abstract |
This article outlines the development of the neonatal nurse practitioner role in New Zealand as an example of one advanced practice nursing role. A model of how nursing culture changes to include roles that incorporate components that historically have been considered the domain of other health professionals is proposed. This article outlines some of the issues surrounding the neonatal nurse practitioner role, including the educational requirements for this role in New Zealand. |
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Call Number |
NRSNZNO @ research @ 659 |
Serial |
645 |
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Author |
McLaughlin, K. |
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Title |
Nephrology nursing: Early intervention in chronic kidney disease |
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Year |
2004 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Nursing specialties; Diseases; Advanced nursing practice; Kidney disease |
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Abstract |
This study explored the potential for extending the contribution nurses make in managing patients with chronic kidney disease as they progress to end stage kidney failure. In the context of a shortage of nephrologists and an escalating patient population suffering from kidney disease, the potential to include advanced nephrology nursing in early disease management was postulated. The literature was reviewed with regard to initiatives to reduce the progression of kidney failure and the prevention of associated complications. Local and international literature on advanced nursing practice and the nurse practitioner role was examined in relation to the management of chronic kidney disease. The introduction of the nurse practitioner in New Zealand could provide an ideal framework for independent nephrology nursing. Well-established nursing practice in dialysis, transplantation and pre-dialysis provide distinct scopes of practice in these areas for independent nursing in the future. It seems likely that these sub-specialties in nephrology nursing will be the first to experience the value of the nurse practitioner. The creation of early interventionalist nurse practitioners in nephrology health care would allow nurses to step outside these well-established sub-specialties, and provide new resources to help manage chronic kidney disease. A model of care was proposed that outlines how a nephrology nurse practitioner could work collaboratively with community health providers and the local nephrology health care team to manage the early stages of kidney disease. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1150 |
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Author |
Wilkinson, A. |
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Title |
New age informatics & the management of perioperative nursing documentation |
Type |
Journal Article |
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Year |
2007 |
Publication |
Dissector |
Abbreviated Journal |
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Volume |
35 |
Issue |
1 |
Pages |
20-23 |
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Keywords |
Nursing; Administration |
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Abstract |
Investigates the requirements for documentation by nurses. Research by Millar & Araquiza (1999) suggests that nurses spend an estimated 30% of their time documenting patient care. |
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Call Number |
NRSNZNO @ research @ 950 |
Serial |
934 |
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Author |
Clarke, R. |
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Title |
New graduate nurse experiences of using health assessment skills in practice: A descriptive qualitative study |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
New graduate nurses; Clinical assessment |
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Abstract |
Use of health assessment skills is undeniably part of everyday nursing practice, guiding nursing decisions and a part of facilitating patient outcomes. Undergraduate nursing education in New Zealand includes the use of health assessment skills within the context of nursing practice. The registered nurse working in their first year of practice is required to use effective assessment skills to identify potential risks to a patient's health, while learning to adjust to the many other demands of practice, but little research has explored these experiences. The purpose of this research study was to describe the experience of using health assessment skills within the first year of practice as a registered nurse. Using a qualitative descriptive method, informed by phenomenology, interviews were conducted with six newly graduated registered nurses working within a New Zealand setting. Findings of this study revealed that graduates endeavour to incorporate the skills of health assessment taught at undergraduate level into their practice. Six main themes of health assessment philosophy; tuning in; mobilising health assessment skills; recognition; anxiety; and identification and facilitation of outcomes can be aligned with Benner's (1984) model of skill acquisition. The author suggests that these research findings are useful to inform nursing education, clinical practice and further research. An awareness of these graduate experiences provides opportunities for nurses in both clinical practice and education to facilitate and support graduate nurses' of health assessment within their nursing practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
682 |
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Author |
McGirr, S. |
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Title |
New graduate nurses clinical decision making: A methodological challenge |
Type |
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Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
New graduate nurses; Clinical decision making; Methodology |
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Abstract |
New graduate nurses, particularly in the first year of clinical practice, face challenges with making clinical decisions about patient care. A review of the literature revealed no studies that reported using fundamental qualitative descriptive methodology to investigate new graduate nurses' clinical decision making. Aspects of decision making by new graduates have been studied using observational and interview methods, the findings from which have been interpreted using various theoretical decision making models. There has been little research outside of the context of critical care or intensive care units, but anecdotal reports in 2006 from the New Zealand Nursing Entry to Practice Programme (NetP) coordinators network suggest that new graduates are seldom employed in critical care or intensive care units in New Zealand. Nursing educators involved in undergraduate nurse training and NetP programmes need to understand how new graduates perceive, experience and manage decision making in clinical practice, in order to assist them to develop and refine those skills. There is a need for studies utilising fundamental qualitative descriptive methodology in order to explore the experiences of new graduates' decision making in clinical practice. The author notes that the topic is particularly relevant in light of the introduction of the national NetP programmes framework in New Zealand, and to her role as a NetP programme coordinator. This dissertation examines the relevant literature about decision making by new graduates and the research methods that were used, and concludes that fundamental qualitative descriptive method is a highly appropriate method by which to study new graduates' decision making. |
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Call Number |
NRSNZNO @ research @ |
Serial |
818 |
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Author |
Harding, T.S. |
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Title |
New strategies in evidence based practice |
Type |
Journal Article |
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Year |
2006 |
Publication |
Klinisk sygepleje |
Abbreviated Journal |
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Volume |
20 |
Issue |
3 |
Pages |
4-11 |
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Keywords |
Evidence-based medicine; Nursing; Education; Curriculum |
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Abstract |
This article considers wider organisational issues that impact on the implementation of evidence based practice. It describes the strategies adopted by the Auckland Area Health Board and Unitec New Zealand to implement the principles of evidence based practice in New Zealand. This has resulted in a collaboration with Auckland University and the Joanna Briggs Institute for Evidence Based Nursing and Midwifery to form the Centre for Evidence Based Nursing – Aotearoa. Evidence based nursing is a vital part of nursing education. Unitec New Zealand has developed and incorporated evidence based nursing into all courses in their undergraduate programme. Central to this is the use of evidence based practice in patient care and the integration of technology with evidence based nursing in clinical practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
778 |
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Author |
Trenberth, D. |
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Title |
New Zealand families' beliefs about what constitutes successful management of unsupervised childcare |
Type |
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Year |
2008 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Children; Parents and caregivers |
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Abstract |
This study explored what some New Zealand families believe constitutes the successful management of unsupervised childcare. It was designed to increase social understanding and practitioner knowledge of the issue by exploring families' beliefs, practices and perspectives. The researcher was concerned with the professional role nurses may play with this group of children. A qualitative descriptive approach was used to obtain a straight description of successful unsupervised childcare, using the everyday language of the participating families. Data was collected in semi structured interviews with five family groups, and subjected to content and thematic analysis. Findings suggest unsupervised childcare is both choice and solution, though parents are fearful of the legal and social consequences of using it. Context of the care is important, with the child's preference, community context and availability of adults through distal supervision critical components of its success. Trust between parent and child, the use of rules and boundaries to regulate child behaviour, the teaching of skills and strategies to build child competency, and parental support of children while unsupervised are identified by parents as factors linked to success. Parents identify increasing child independence and self responsibility as positive outcomes from the successful use of unsupervised childcare. This study has helped to identify positive factors resulting in good outcomes from which successful interventions could be developed, provides information that will be of particular interest to practitioners and policy makers, and provides a platform to launch larger studies into the issue of unsupervised children. |
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Call Number |
NRSNZNO @ research @ 1252 |
Serial |
1237 |
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Author |
Richardson, S.; Ardagh, M.; Hider, P. |
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Title |
New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department |
Type |
Journal Article |
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Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
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Volume |
119 |
Issue |
1232 |
Pages |
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Keywords |
Hospitals; Clinical assessment; Interprofessional relations |
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Abstract |
This study aims to examine the concept of 'inappropriate' emergency department attendances in relation to the emergency department at Christchurch Hospital. It specifically seeks to determine whether there is a consensus opinion among healthcare providers regarding a definition of 'inappropriate'. An exploratory survey of health professionals involved with the referral, assessment, transport, and treatment of emergency department patients in Christchurch was carried out. A range of health professionals, including ambulance personnel, general practitioners, emergency department physicians, emergency nurses, and hospital managers were approached. A series of questions relating to definition and response to 'inappropriate' patients was asked, with an additional open-ended question relating to the definition of 'appropriateness'. The researchers found significant differences in the attitudes and perceptions of key health professionals involved in the referral, treatment, and admission of patients to the emergency department. This has implications for any interventions aimed at addressing emergency department 'overcrowding' that assume the presence of a consensus understanding of this concept. |
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Call Number |
NRSNZNO @ research @ |
Serial |
526 |
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Author |
Wright, Jane; Honey, Michelle |
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Title |
New Zealand nurses' experience of tele-consultation within secondary and tertiary services to provide care at a distance |
Type |
Journal Article |
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Year |
2016 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
32 |
Issue |
2 |
Pages |
30-38 |
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Keywords |
Telemedicine; Advanced nursing practice; Remote consultation; Telenursing; Telehealth |
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Abstract |
Aims to explore NZ registered nurses' experience of using tele-consultation to provide care at a distance. Using a general inductive approach, single semi-structured interviews were undertaken with nine experienced nurses who provide secondary and tertiary services to patients and healthcare teams. Identifies five themes relating to nurses' role in tele-consultation. |
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Call Number |
NZNO @ research @ |
Serial |
1518 |
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Author |
Finlayson, M.; Aitken, L.H. |
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Title |
New Zealand nurses' reports on hospital care: An international comparison |
Type |
Journal Article |
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Year |
2007 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
23 |
Issue |
1 |
Pages |
17-28 |
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Keywords |
Job satisfaction; Cross-cultural comparison; Workplace |
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Abstract |
The authors present the results of a 2001 New Zealand survey on nurses' perception of staffing, work organisation and outcomes, comparing this with the 2001 International Hospital Outcomes Study (US, Canada, England, Scotland and Germany). The report describes the findings for job dissatisfaction, burnout and the intent to leave, the work climate in hospitals, workforce management, the structure of nurses' work, and quality of care. The authors discuss these findings and their implications for nursing in New Zealand. |
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Call Number |
NRSNZNO @ research @ |
Serial |
462 |
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Author |
Hughes, Margaret; Kirk, Ray; Dixon, Alison |
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Title |
New Zealand nurses' storied experiences of direction and delegation |
Type |
Journal Article |
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Year |
2018 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
34 |
Issue |
3 |
Pages |
32-45 |
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Keywords |
Direction; Delegation; Teamwork; Enrolled Nurses; Registered Nurses |
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Abstract |
Explores nurses' perceptions about their everyday direction and delegation interactions using a narrative inquiry approach. Invites Registered Nurses (RN)and Enrolled Nurses (EN) who hold a practising certificate, are employed in Canterbury, and registered with the Nursing Council, to participate in this research. Presents 8 narratives that highlight the nature of teamwork, the importance of communication, and the need for a delegation relationship. |
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Call Number |
NZNO @ research @ |
Serial |
1607 |
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Author |
Honey, M. |
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Title |
New Zealand practice nurses' use of and attitude toward computers |
Type |
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Year |
1997 |
Publication |
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Abbreviated Journal |
Massey University |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
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Call Number |
NRSNZNO @ research @ 433 |
Serial |
433 |
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