| Records |
| Author |
Trimmer, W.C. |
Title  |
The way things are done around here: Perceptions of clinical leadership in mental health nursing |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Leadership; Psychiatric Nursing; Clinical supervision: Mental health |
| Abstract |
This research project explored nurses' perceptions of clinical leadership in mental health nursing practice. Within New Zealand no research exists that evaluates the role and impact the clinical leadership has in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses. The prime objective of this study was to increase knowledge about clinical leadership in mental health nursing practice. This research used a quantitative descriptive methodology, utilising survey design. A questionnaire was used to rank the attributes of the person the respondents identified as a clinical leader. The data was collected from 30 registered nurses working in mental health settings within the central region of New Zealand. Findings indicate that there is room for improvement with regard to clinical leadership in mental health nursing practice. Clinical leadership is perceived to be more effective by nurses in their second year of practice and in community settings. A statistically significant difference was indicated between nurses in their second year of practice and nurses in their third year of practice in terms of their ranking of clinical leadership abilities. Overall the respondents perceived poor communication and poor attitude as the biggest barriers to effective leadership. Support and good role models were said to influence nursing practice positively and the skills that were identified as being helpful in assisting and retaining nurses were mentorship and good communication. The results of the study are discussed in relation to the literature on transformational leadership skills. Finally, the general limitations of the study are outlined and implications for future research are discussed. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1149 |
| Permanent link to this record |
| |
|
| |
| Author |
Kwai, K. |
| Title |
The value of a programme of clinical supervision for graduate nurses: An evaluative study |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Clinical supervision; New graduate nurses; Mentoring |
| Abstract |
The function and implementation of clinical supervision in the practice setting presents a number of challenges for new graduate programmes for registered comprehensive nurses. There have been numerous reports and papers promoting its benefits as important and providing the impetus for change. Clinical supervision has been well established as part of social work, counselling, psychotherapy and psychoanalytic practice, and in mental health nursing and midwifery. Its utilisation for graduate nurses is clearly important and should be seen as integral to professional practice. This study evaluated a programme of clinical supervision as a component of a new graduate nurse programme in a secondary health care practice environment. The clinical supervision component aimed to support graduate registered nurses' transition from the role of student nurse to staff nurse in the context of professional clinical practice. This report is also intended to inform the ongoing provision of clinical supervision at Hutt Valley District Health Board. The evaluation process was guided by the work of Owen (1990) and used utilisation focussed evaluation as the framework on which to undertake the evaluation. A mix of quantitative and qualitative methodology was used to collect and analyse the data. Data were collected from nurse graduates of the new graduate programme using a postal questionnaire that covered three areas; clinical supervision, the Hutt Valley District Health Board new graduate programme and an evaluation of stakeholder roles. Twelve of the new graduates responded to the survey. Findings suggest clinical supervision provided professional support and assisted the new graduate in the identification of education needs. Difficulties associated with accessing the structured component of the new graduate programme and clinical supervision were highlighted. The recommendations made to Hutt Valley District Health Board to improve the programme include considering accessibility, consumer rights, acceptability, a comprehensive approach, the Treaty of Waitangi, efficiency and a coordinated approach. |
| Call Number |
NRSNZNO @ research @ |
Serial |
603 |
| Permanent link to this record |
| |
|
| |
| Author |
O'Brien, A.J. |
| Title |
The therapeutic relationship: Perceptions of mental health nurses |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Mental health; Nurse-patient relations |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 914 |
Serial |
898 |
| Permanent link to this record |
| |
|
| |
| Author |
Litchfield, M. |
| Title |
The successful design and delivery of rural health services: The meaning of success |
Type |
Report |
| Year |
2002 |
Publication |
|
Abbreviated Journal |
Accessible from www.moh.govt.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural health services; Management; Primary health care |
| Abstract |
A report on the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of ?successful design and delivery of rural health services? as a step towards a measurement tool. Participants were grouped as general practitioners (GPs), nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health. |
| Call Number |
NZNO @ research @ |
Serial |
1328 |
| Permanent link to this record |
| |
|
| |
| Author |
Rayat, P. |
| Title |
The relationship between job satisfaction and professional development in nursing: A socio critical outlook |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Job satisfaction; Professional development; Nursing |
| Abstract |
Health reforms, reviews and restructuring are not new to New Zealand nursing. The author notes that changes in the environment have created many pressures on nursing as a profession. The profession is trying to deal with this turmoil in a responsible fashion. It is also trying to grow and develop at the same time. This research is focused on finding the relationship between job and professional development. It also highlights the factors that affect job satisfaction and professional development. |
| Call Number |
NRSNZNO @ research @ |
Serial |
570 |
| Permanent link to this record |
| |
|
| |
| Author |
Clayton, J.R. |
| Title |
The recovery of hope: A personal journey through paradigms toward emancipatory practice |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Mental health; Teaching methods; Nursing philosophy |
| Abstract |
This study traces the author's transition from being a mental health nurse to becoming a facilitator of an education programme, the Health and Wellbeing course, for those in recovery from mental illnesses. Within this transition, she describes a journey from disease-focused paradigms toward emancipatory paradigms, evidenced by her application of the recovery approach to her teaching. The 'recovery approach' proposed by the Mental Health Commission in November 1998, and other models of health, are explored using the methodology of descriptive/interpretive philosophical inquiry, autobiographical narrative and a dialectical research design. The author draws from the philosophies of phenomenology and existentialism to present excerpts from her journals, exemplars, poetry and artwork which illuminate epiphanies occurring as she integrates health paradigms in the design of the Health and Wellbeing course. Within this process the recovery approach is revealed as being consistent with the teaching principles of the Health and Wellbeing course. The author goes on to say that the dialectical research design reveals paradoxes and transformations in nursing, medical, psychological, and humanistic paradigms within the New Zealand socio-political context from the 1970s to 2003. The way these are integrated into her practice as an educator, becomes evident in the dialectical research cycles of being, thinking, developing a project, the encounter of teaching, making sense and communication. These cycles reveal her being in the roles of nurse and educator and the thinking through of paradigms that lead to the design and philosophy of a Health and Wellbeing course, the encounter of teaching, and the communication of insights gained. The author's main objective is to show the importance of nurses and educators developing a reflective consciousness when working with sufferers of mental illness. This reflective consciousness involves three levels: The primary level, or raw experience; the social level, or our socio-political contexts and social values, and, the realised level, insights gained about knowledge and experience. |
| Call Number |
NRSNZNO @ research @ |
Serial |
854 |
| Permanent link to this record |
| |
|
| |
| Author |
Peach, J. |
| Title |
The Professional Development Programme: Achievements and outcomes |
Type |
Journal Article |
| Year |
1999 |
Publication |
Professional Leader |
Abbreviated Journal |
|
| Volume |
5 |
Issue |
1 |
Pages |
6-9 |
| Keywords |
Professional development; Evaluation; Nursing |
| Abstract |
This article backgrounds the professional development programme instigated at Auckland Hospital in 1988, and reviews the achievements of the past 10 years. It describes PDP and distinguishes it from a clinical career pathway. Specific indicators were used to assess the achievement of the programme, and these are presented. Overall the programme achieved it's outcomes and at a reasonable cost. |
| Call Number |
NRSNZNO @ research @ 1289 |
Serial |
1274 |
| Permanent link to this record |
| |
|
| |
| Author |
Elbe, E. |
| Title |
The private world of nursing related to incident reporting |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Medical errors; Organisational culture; Risk management; Nursing |
| Abstract |
The purpose of this project was to explore the experience of nurses related to incident reporting. The reporting of incidents is important as it identifies professional risks for nurses. A descriptive qualitative approach was the methodology used and individual interviews of five senior nurses was the method of data collection. Attention was given to finding out about the supports for and barriers against nurses in reporting incidents; the outcomes for nurses of incident reporting; and the organisational culture and scope of 'professional' behaviour of nurses around incident reporting. The findings revealed that nurses identified themselves as the major reporters of incidents. They considered there was not 'a level playing field' for all professionals around who, how and why incidents were reported, investigated and within the post incident processes. The nurses reported that they made daily decisions about what was an incident, and whether to report events as incidents. They identified aids and supports to the decisions they made such as the medium for reporting and fear of what happened when the incident form left the nurse and went to management. A number of significant implications were identified for nursing, management and organisations in this research. Nurses need to feel they work in organisations which have a culture of safety around incident reporting. Management need to clearly communicate policies, processes and organisational expectations related to incident reporting. This should include how incidents will be reported, investigated and the purposes for which management use incident reporting information. It is also important that adequate structures are in place to support nurses when an incident occurs as thay can have stressful consequences for the nurses involved. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1147 |
| Permanent link to this record |
| |
|
| |
| Author |
Thomson, Patricia; Hudson, Dianne; Richardson, Anna; Campbell, Ada; Guihen, Avril |
| Title |
The placement experience of nursing students in managed isolation and quarantine facilities |
Type |
Journal Article |
| Year |
2023 |
Publication |
Kaitiaki Nursing Research |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
1 |
Pages |
12-18 |
| Keywords |
COVID-19; Nursing students; Clinical placement; Managed Isolation and Quarantine Facilities (MIQF) |
| Abstract |
Conducts focus group interviews with seven nursing students whose third-year clinical placements occurred in Managed Isolation and Quarantine Facilities (MIQF) during level 3 lockdown in 2020. Describes the experiences of the students in terms of clinical skills, communication, support, safety and NCNZ competencies. |
| Call Number |
NZNO @ research @ |
Serial |
1847 |
| Permanent link to this record |
| |
|
| |
| Author |
Flint, V. |
| Title |
The place of ECT in mental health care |
Type |
Journal Article |
| Year |
2005 |
Publication |
|
Abbreviated Journal |
|
| Volume |
11 |
Issue |
9 |
Pages |
18-20 |
| Keywords |
Psychiatric Nursing; Trauma; Mental health |
| Abstract |
The author reviews the controversial treatment of electroconvulsive therapy (ECT) which has re-emerged as a safe and effective treatment for major depressive disorders. She first addresses the popular conceptions of ECT, which are based on early misuse of the treatment when it was delivered unmodified, or forcefully and without anaesthetic. She then uses a case study to illustrate the benefits of ECT for catatonia and catatonic states. Diagnostic criteria for catatonia include motoric immobility, excessive motor activity, extreme negativism or mutism, peculiarities of voluntary movement, and echolalia or echopraxia. The treatment of a patient is detailed, and the role of the ECT nurse is outlined. The ECT nurse is a co-ordinator, an educator, liaises with other services and families, and is a point of contact about ECT within the mental health service generally and in the ECT unit in particular. The case study showed successful use of ECT. A series of eight ECT treatments were administered to the catatonic patient, after which he was discharged home with minor depression and showing signs of enjoying life once again. |
| Call Number |
NRSNZNO @ research @ 1011 |
Serial |
995 |
| Permanent link to this record |
| |
|
| |
| Author |
Roberts, F. |
| Title |
The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme |
Type |
|
| Year |
1999 |
Publication |
|
Abbreviated Journal |
NZNO Library, Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Careers in nursing; Professional development; Registered nurses |
| Abstract |
This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place. |
| Call Number |
NRSNZNO @ research @ 1150 |
Serial |
1135 |
| Permanent link to this record |
| |
|
| |
| Author |
Powell, Samantha |
| Title |
The older nurse in the workplace: retention or retirement |
Type |
Book Whole |
| Year |
2010 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
79 p. |
| Keywords |
Retention; Retirement; Older nurses; Aging workforce |
| Abstract |
Examines the issues facing the older nurse in NZ. Recruits two groups of Clinical/Charge Nurse Managers (CNM) in two District Health Boards (DHB) to interview about the issues confronting older nurses and the strategies they use to retain them. |
| Call Number |
NZNO @ research @ |
Serial |
1700 |
| Permanent link to this record |
| |
|
| |
| Author |
Egan, M. |
| Title |
The nursing and midwifery practice structure at Healthcare Hawkes Bay: An evaluation and improvement process |
Type |
Journal Article |
| Year |
1999 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
5 |
Issue |
8 |
Pages |
27-29 |
| Keywords |
Professional development; Nursing; Midwifery |
| Abstract |
This article describes the Nursing and Midwifery Practice Structure, which has been in place at Healthcare Hawkes Bay since 1996. It was developed to provide nurses and midwives in clinical positions with a professional development structure, and uses a framework to recognise and reward competence. It encourages clinical progression and was developed to link nursing competence with remuneration. The Practice Structure, based on the work of Patricia Benner (Benner, 1984), is made up of 4 levels: Beginner/Advance Beginner Practitioner, Competent Practitioner, Proficient Practitioner, Expert Practitioner. The Structure was reviewed in 1998, and a Steering Group was formed to collect feedback from nurses and midwives, identify areas of concern, and make recommendations for improvements. At the time of writing, these recommendations are being implemented and systems are being developed to ensure the Nursing and Midwifery Practice Structure continues to develop. |
| Call Number |
NRSNZNO @ research @ 971 |
Serial |
955 |
| Permanent link to this record |
| |
|
| |
| Author |
Honeyfield, Margy |
| Title |
The necessity of effective nursing leadership for the retention of professional hospital nurses |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
64 |
| Keywords |
Recruitment and retention; Leadership; Nursing; Policy |
| Abstract |
The author notes that it is widely accepted that there is a global shortage of nurses, and there are many studies in the health workforce literature about the negative aspects of nurse work environments, nursing workloads, decreased job satisfaction of nurses and the impact these have on patient health outcomes. In the past five years there has also been international and New Zealand-specific research into the effects of health restructuring on nursing leadership, retention of nurses, and on patient care. Much of this research has shown that countries with very different health care systems have similar problems, not only with retention of qualified nursing staff due to high levels of job dissatisfaction, but also with work design and the provision of good quality patient care in hospitals. This dissertation explores the many detrimental effects on nurses and nursing leadership, of extensive, and continuing, public health restructuring in New Zealand. The context of this dissertation is New Zealand public hospitals, with references pertaining to medical and surgical areas of nursing practice. Health reforms have negatively impacted on patient care delivery systems, patient health outcomes, and retention of educated nurses in the workforce. In order to resolve these issues, coordinated efforts are required in New Zealand district health boards to develop and sustain effective nursing leaders, who will promote and assist in the development of strong, healthy organisational cultures to retain and support professional nurses and the ways in which they wish to practise. |
| Call Number |
NRSNZNO @ research @ |
Serial |
868 |
| Permanent link to this record |
| |
|
| |
| Author |
Hinvest, Kate |
| Title |
The meaning of nurses' caring for clinically-deteriorating patients |
Type |
Book Whole |
| Year |
2020 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
166 p. |
| Keywords |
Deterioration; Patients; Acute Assessment Unit; Phenomenology; Registered Nurses |
| Abstract |
Reveals and explores the stories of ten Registered Nurses working in Acute Assessment Units caring for clinically-deteriorating patients. Uses the perspectives of hermeneutic phenomenology to explore the meaning of nurses caring for such patients. Conducts semi-structured interviews with the RNs identifying three main themes. |
| Call Number |
NZNO @ research @ |
Serial |
1746 |
| Permanent link to this record |
