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Author Turner, C.L.E.
Title A process evaluation of a shared leadership model in an intensive care unit Type (down)
Year Publication Abbreviated Journal Massey University, Palmerston North, Library
Volume Issue Pages
Keywords Leadership; Intensive care nursing; Nursing models
Abstract
Call Number NRSNZNO @ research @ 1277 Serial 1262
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Author Rummel, L.
Title Safeguarding the practices of nursing: The lived experience of being-as preceptor to undergraduate student nurses in acute care settings Type (down)
Year 2001 Publication Abbreviated Journal Massey University, Albany, Library
Volume Issue Pages
Keywords Preceptorship; Nursing; Education; Identity; Intensive care nursing
Abstract This thesis used a Heideggerian Hermeneutic approach to explore the experiences of registered nurses who act as preceptors to undergraduate student nurses. The researcher interviewed fifteen volunteer registered nurses twice as preceptors to investigate their experience. The data generated was audio-taped and analysed. Four dominant themes emerged. The first, 'Becoming attuned – the call', related to registered nurses responding to the call to be preceptors to students in their clinical placement. The second, “The emerging identity of being-as preceptor: keeping the student in mind”, related to preceptors cultivating their own identity as preceptors as they worked with students in the world of nursing practice. The third, 'Assessing where the student is at: the preceptor and preceptee working and growing together', related to a constant evaluation by preceptors of students' knowledge, readiness to learn, and the provision of learning opportunities. The fourth, 'Preceptors as builders of nursing practice through teaching reality nursing', facilitated the preceptee's experience of the real world of nursing practice. An overall constitutive theme: 'Preceptors as the safeguarders of the practices of nursing', emerged as the essence of the experience.
Call Number NRSNZNO @ research @ Serial 1263
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Author Hinder, G.
Title Challenging the boundaries: An initiative to extend public health nursing practice Type (down)
Year 2000 Publication Abbreviated Journal Massey University, Palmerston North, Library
Volume Issue Pages
Keywords Public health; Scope of practice; Nursing
Abstract
Call Number NRSNZNO @ research @ Serial 1264
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Author McArthur, J.
Title Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation Type (down)
Year Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Advanced nursing practice; Organisational culture
Abstract
Call Number NRSNZNO @ research @ 1280 Serial 1265
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Author Burtenshaw, M.K.
Title Characteristics and expectations of beginning Bachelor of Nursing students Type (down)
Year 1999 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Students; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 1269
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Author Neehoff, S.M.
Title Pedagogical possibilities for nursing Type (down)
Year 1999 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing; Nursing philosophy; Feminist critique
Abstract This thesis is about what the author terms the 'invisible bodies of nursing'. The physical body of the nurse, the body of practice, and the body of knowledge. The physical body of the nurse is absent in most nursing literature, it is sometimes inferred but seldom discussed. The contention is that the physical body of the nurse is invisible because it is tacit. Much nursing practice is invisible because it is perceived by many nurses to be inarticulable and is carried out within a private discourse of nursing, silently and secretly. Nursing knowledge is invisible because it is not seen as being valid or authoritative or sanctioned as a legitimate discourse by the dominant discourse. These issues are approach through an evolving 'specular' lens. Luce Irigaray's philosophy of the feminine and her deconstructing and reconstructing of psychoanalytic structures for women inform this work. Michel Foucault's genealogical approach to analysing discourses is utilized, along with Maurice Merleau-Ponty's phenomenology. Nursing's struggle for recognition is ongoing. The author discusses strategies that nurses could use to make themselves more 'visible' in healthcare structures. The exploration of the embodied self of the nurse and through this the embodied knowledge of nursing is nascent.
Call Number NRSNZNO @ research @ 1287 Serial 1272
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Author Mahoney, L.
Title Making the invisible visible: Public health nurses role with children who live with a parent with a mental illness Type (down)
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Public health; Children; Community health nursing; Scope of practice
Abstract This research uses focus group methodology to examine the public health nursing practice with children living with a mentally ill parent. These children are often neglected, yet are at increased risk of developing mental illnesses themselves. The research data identified the burgeoning impact on public health nurses of such care, and found their role to be primarily assessment and advocacy.
Call Number NRSNZNO @ research @ 1304 Serial 1289
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Author Bennison, C.
Title Emergency nurses' perceptions of the impact of postgraduate education on their practice in New Zealand Type (down)
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Emergency nursing; Nursing; Education
Abstract ABSTRACT

BACKGROUND: Emergency nursing is a specialty concerned with the care of people of all ages, with either perceived or actual unwellness presenting to the emergency department(ED) for assessment, resuscitation, investigation, treatment and review of their illness or injury. Emergency nurses apply specialty knowledge and expertise in the provision, delivery and evaluation of emergency nursing care. Over recent decades social, political and professional changes have affected nursing care delivery and nursing education. In particular the 21st century has witnessed the development of state funded postgraduate nursing education programmes, developing nurses specialty or advanced nursing knowledge, quality patient/client care and nursing practice within the tertiary education system.

AIM: The aim of this study is to investigate emergency nurses? perceptions of the impact of postgraduate education on their practice in New Zealand (NZ).

METHODS: This study utilises critical social theory as the overarching framework, informed by the writing of Jürgen Habermas (b.1929- ). It is the three phases of

Habermas?s practical intent of critical social theory; namely enlightenment, empowerment and emancipation, that this study is concerned with. This descriptive research study employs both quantitative and qualitative methods and is therefore known as mixed-methods research. Data collection took place over 12 weeks, from August to November 2006, using a survey questionnaire obtained with permission from Ms Dianne Pelletier, Sydney, Australia. The sample included 105 emergency nurses from District Health Board (DHB) emergency departments in NZ, 10 respondents from this sample self-selected to be interviewed by telephone. Ethical approval for this study was obtained from the University of Otago Ethics Committee for research involving human participants. Data was analysed using the Statistical Package for Social Sciences (SPSS).

RESULTS: Two main themes arose from the thematic analysis; these being positive and negative, these themes were further divided into 10 sub-themes. The results indicate that postgraduate study (PGS) has increased nurses? perception of their knowledge; leadership and understanding on the quality of patient care delivered, increased their academic and research skills and increased their confidence/self-esteem and recognition by their colleagues and team. Therefore the majority of respondents perceive postgraduate education has been an instrument of liberation and a process of empowerment and emancipation. A smaller percentage of respondents perceived that PGS had no effect on various aspects of patient care and another significantly smaller percentage of respondents reported negative results from PGS. This research identified similarities between this study and that of Pelletier and colleagues? (2003; , 2005; , 1998a; , 1998b) Australian study.

CONCLUSION: This study adds to the existing literature on postgraduate studies undertaken by nurses. No known study has previously investigated solely emergency nurses?perceptions of the effects of PGS, either nationally or internationally. The results of this study offer enlightening information regarding emergency nurses? perceptions of their PGS within NZ and offers a platform from which other studies may be undertaken. It also has the potential to inform nurses contemplating PGS and educators facilitating these programmes,as well as provide implications for policy development by the Nursing Council of NZ, NZ Universities, DHBs and the Ministry of Health.
Call Number NRSNZNO @ research @ Serial 1291
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Author McNamara, N.
Title The meaning of the experience for ICU nurses when a family member is critically ill: A hermeneutic phenomenologcial study Type (down)
Year 2007 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Intensive care nursing; Nurse-family relations
Abstract This study provides insight into the experience of being an ICU nurse and relative of a critically ill patient. Analysis of data from interviews of four ICU nurses who had experienced having a family member admitted to ICU brought up several themes. These included: a nurses' nightmare, knowing and not knowing, feeling torn, and gaining deeper insight and new meaning. Recommendations for organisational support for ICU nurse/relatives, and education for staff are made, based on the findings.
Call Number NRSNZNO @ research @ 1312 Serial 1296
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Author Blair, K.M.
Title Recognising the sick patient: An emergency nurses view: A research paper Type (down)
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Emergency nursing; Patient safety; Diagnosis; Training; Clinical decision making
Abstract This paper reports on a literature review that examines how health professionals (mainly nurses) recognise the signs of physical deterioration in their patients. It includes discussion of how nurses' clinical decision making skills influence how physical deterioration is identified and determines what changes in the delivery of care could have an impact on emergency department patients at risk of life threatening deterioration.
Call Number NRSNZNO @ research @ Serial 467
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Author McKelvie, R.
Title Partnership in paediatric nursing: A descriptive exploration of the concept and its practice Type (down)
Year 2001 Publication Abbreviated Journal
Volume Issue Pages
Keywords Paediatric nursing; Parents and caregivers; Children; Relationships
Abstract A 50 point research project presented in partial fulfilment of the requirements for the degree of Master of Nursing at Massey University.
Call Number NRSNZNO @ research @ 484 Serial 471
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Author Keene, J.M.
Title The role of the nurse in the outpatient setting Type (down)
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Nursing; Nursing specialties
Abstract Outpatient nurses are often seen as nurses who are less important or skilled and can no longer physically cope with working in busy wards. This report is aimed to challenge this presumption and show that there are many educated and highly skilled nurses working in these departments. The diversity of the role of the nurse within the continued advancement of nursing practice in the outpatient department is evidence to disprove the perceptions other nurses have of the outpatient nurse. The purpose of this report was to discuss the changing role of the outpatient nurse from 'handmaiden' to 'autonomous practitioner', and secondly, to discuss nurse-led services and what experience and/or skills these nurses are expected to have to fulfill these roles. Literature was gathered to inform this report from the academic circles, policy from the Ministry of Health, the District Health Board website, and in relation to the author's own role with the outpatient department.
Call Number NRSNZNO @ research @ 493 Serial 479
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Author Kerr, R.C.
Title Is the graduate nurse work-ready for emergency nursing? Type (down)
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Mentoring; Preceptorship; Training; Emergency nursing
Abstract In this research paper for a Master of Nursing (Clinical), the author suggests that graduate nurses can successfully adapt to emergency nursing when supported with intensive domain-specific transition programmes to complement the national nursing entry to practice (NETP) programme in New Zealand. This outcome conflicts with the present traditional emergency department recruitment strategy that nurses must have two years acute care experience. The graduate believes they are prepared for practice for any healthcare setting but do need time to resolve the rift between theory and practice. This research project confirms the perpetuation of experienced nurses' perceptions that graduates are not work-ready but are unrealistically expected to hit the floor running following ad hoc orientation ranging from three days to four weeks. By creating domain-specific programmes with a minimum twelve-week staged rotation orientation package, graduate nurses can be nurtured as emergency nurses. The influential role of the organisation and experienced nurses is vital to limit reality shock and complement NETP. Preceptorship and mentorship programmes promote the graduates' confidence in themselves to become competent team members. Limits to this research are the non-differentiation between nurses new to emergency nursing and the graduate nurse in the published studies. Assumptions have therefore been made regarding successful transition in regard to newly qualified registered nurses in the emergency department. Further study and evaluation applicable in the New Zealand context is also recommended by the author where anecdotally only a few emergency departments are involved in socialising graduate nurses into the workforce regardless of the urgent need for more first-year-of-practice clinical placements.
Call Number NRSNZNO @ research @ Serial 494
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Author Bryson, L.W.
Title Nurse-led heart failure services: A review of the literature Type (down)
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Nursing specialties; Management; Nurse practitioners; Cardiovascular diseases
Abstract This research paper reports on the findings of a literature review conducted to establish and analyse the international magnitude, context and effectiveness of nurse-led heart failure initiatives. The research revealed that the underlying philosophy in establishing nurse-led disease management programmes of care is that, by treating chronic heart failure as a continuum, it is possible to decrease exacerbations and improve patient outcomes. Regardless of the type of heart failure management programme, critical components of care include a collaborative supportive approach that educates and empowers the patient (including family/whanau) to recognise the early indicators of exacerbation, access expedient care, and to adhere to evidence based treatments. The author points to significant evidence to support the establishment of nurse-led heart failure programmes. The positive outcomes associated with this model of care delivery include decreased readmissions, reduction in mortality, and cost efficiencies. However, the organisational model of care, or programme components that are the most effective in optimising patient outcomes, need to be selected on the basis of local healthcare infrastructure, services and resources. The author suggests that New Zealand has a unique opportunity to encompass the recent emergence of the Nurse Practitioner role in facilitating, coordinating and monitoring of heart failure programmes across the continuum of care. The delivery of evidence-based, cost effective, heart failure programmes is a prerequisite to improving the delivery of optimal treatment and ensuring that heart failure patients have the opportunity to attain quality care outcomes.
Call Number NRSNZNO @ research @ Serial 558
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Author Uren, M.
Title Nursing: A model for management: Why nurses are well equipped to be leaders of the future? Type (down)
Year 2001 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Nurse managers; Nursing; Leadership
Abstract The subject of nursing leadership is approached by reviewing the literature of two prominent nursing theorists, Patricia Benner and Jean Watson, and the literature of transformational leadership. Common themes are identified. An exhortation is offered to nurses to consider that the caring characteristics of nurses are what is required in the corporate world of management. Chapter 1, questions whether nursing and management are different worlds or shared realities. It outlines the author's experience of practising as a manager in a complex organisation and the seeming barriers that exist between managers and nurses and management and nursing. A questioning of those barriers became the impetus for the review. Chapter 2, outlines the work of Patricia Benner and Jean Watson. Caring is identified as a core concept which is said to differ significantly from a conventional understanding of helping and is inextricably linked to a profound understanding of what it means to be human. Chapter 3, reviews the literature of contemporary managers who are exploring a transformed approach to leadership and management. Six themes are identified that are common to nursing theory and transformational leadership theory. Chapter 4, acknowledges that despite the similarities between nursing and contemporary management thought, there remains a gap between nurses and management. Rather than feeling optimistic about the future, and confident in assuming leadership roles, many nurses feel defeated and fearful about the future. It is suggested that this may be a consequence of bad experience of leadership, of loss of joy of caring and of failure to value the strength residing in the collective community of nurses. Nurses are encouraged to recognise that their knowledge and experience of caring and wholeness, healing, sharing and enabling, are the attributes that equip them to be leaders of the future health and corporate world.
Call Number NRSNZNO @ research @ 573 Serial 559
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