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Author Weidenbohm, K.
Title Pioneering rural nursing practice: An impact evaluation of a preventive home visiting service for older people Type
Year 2006 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Community health nursing; Rural health services; Older people; Home care; Preventive health services
Abstract
Call Number NRSNZNO @ research @ 579 Serial 565
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Author Morrison, M.
Title Posthuman pathology: A postmodern art project located in critical care Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Intensive care nursing; Nursing philosophy; Culture; Technology
Abstract The author's art project “Posthuman Pathology” is a postmodern examination of the resolutely modernist culture of critical care medicine. She uses conceptual art practices in conjunction with the techniques of anti-aesthetics in order to dismantle, open out and critique ideas which are foundational to the culture of critical care.
Call Number NRSNZNO @ research @ 580 Serial 566
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Author Mitchell, M.H.
Title Clinical decision-making processes in emergency nursing Type
Year 2005 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Emergency nursing; Education; Clinical decision making
Abstract The aim of this research paper is to explore the processes of clinical decision-making in relation to emergency nurses and to examine the educational requirements for the development of clinical decision-making skills. Clinical decision-making is foundational to professional nursing practice. It is the expectation of the profession and the organisations in which nurses work that appropriate clinical decision-making will occur. Patients also rightly expect, when being cared for by nurses, that the clinical decisions pertaining to their care will be optimal.
Call Number NRSNZNO @ research @ 592 Serial 578
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Author Yarker-Hitchcock, V.
Title Clinical supervision in a home care context Type
Year 2005 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Clinical supervision; Home care; Rural nursing; Rural health services
Abstract Despite the widespread acceptance of the value of supervision among practitioners and the large quantity of literature on the topic, there is very little empirical evidence in relation to its effect on clinical practice. It is not clear whether supervision actually produces a change in clinician behaviour, or whether it produces benefits in terms of client outcomes. This thesis evaluates the impact of clinical supervision on five co-ordinators in a rural home care setting. It looks at the impact clinical supervision has on their practice and professional growth. The nurses all belong to one organisation, Access Homehealth Ltd. The study builds on the findings of a clinical supervision pilot, which was trialed within the organisation in 2002. The pilot examined which model of supervision was most beneficial for Access Homehealth staff. Clinical Supervision is defined as a designated interaction between two or more practitioners within a supportive environment, that enhances reflective practice and professionalism, which in turn contributes to improved practice and client outcomes. The methodology of this research was qualitative evaluation. The themes which emerged related to personal support, managing stress and alleviating feelings of isolation, reflection, enhancing practice, improved communication skills and the concept of clinical supervision as a safety net. Participants also revealed that one-on-one supervision appeared more helpful than group supervision, and that phone supervision facilitated in-depth dialogue. These findings are important, as they demonstrate it is feasible to simultaneously offer a number of formats of clinical supervision within one organisation, allowing for the organisation to provide what works best for different workers. They also show that clinical supervision is a valuable and useful support tool for home care co-ordinators in order to facilitate empowerment, reflection and growth in practice. Further research is needed to provide evidence of the benefits of supervision on improving client outcomes.
Call Number NRSNZNO @ research @ 593 Serial 579
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Author Miles, M.A.P.
Title A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001 Type
Year 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Policy; Nursing
Abstract This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory. The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture. The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions. The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries. Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators. The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing's perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine. The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions.
Call Number NRSNZNO @ research @ 596 Serial 582
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Author Carter, G.E.
Title Critical thinking abilities: Evidence from students' clinical self-evaluation responses: A pilot study Type
Year 2005 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Clinical assessment; Critical thinking
Abstract
Call Number NRSNZNO @ research @ 597 Serial 583
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Author Vandergoot, A.
Title From ward nurse to proficient critical care nurse: A narrative inquiry study Type
Year 2005 Publication Abbreviated Journal Akoranga Theses Collection, Auckland University of Technology
Volume Issue Pages
Keywords Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 602 Serial 588
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Author Coupe, D.
Title How accountable is accountable for mental health nurses? Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Accountability; Nursing; Mental health
Abstract Accountability has been described by nurses as an elusive concept or myth. The author suggests that this elusive concept or myth can partly be attributed to accountability becoming visible usually following a critical incident. The overall goal of this project is to provide nurses working within mental health with the incentive to raise their awareness and explore what their roles and responsibilities are within the accountability process in a more positive scenario. This research paper reports on an exploration of the key components of accountability within the New Zealand mental health environment. It describes significant influences that affect accountability. This is achieved by the means of a literature review, sharing of the author's experience of being involved in a national inquiry, and the adaptation of a who what and how framework, in conjunction with a diagram displaying accountability levels and lines for mental health nurses. The author points out that the domains of accountability for nurses will continue to evolve and expand but what remains important is that consumers have access to good quality mental health care.
Call Number NRSNZNO @ research @ 604 Serial 590
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Author Lauder, G.C.
Title Health in the workplace: An exploration of healthy options for an aged care setting Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Geriatric nursing; Health behaviour; Workplace
Abstract People working in aged care settings in New Zealand spend approximately 30% of their lives in their workplace. There is a challenge for workplaces to support people to maintain and improve their health status. This project investigated the question: How can workplaces support staff to maintain health in an aged care environment? The project concerned two considerations: primarily what people can do for themselves and how the organisation can assist their interest and maintain their investment in health based activities and secondly what workplaces can do to make the organisations more healthy. The philosophy and the realities of the workplace were reviewed and the project addressed the strategies that could be adopted by the workplace. The study identifies a series of practical activities and outcomes that aged care facilities can undertake for nurses/caregivers or other members of staff working in the workplace. The findings lead to recommendations about healthy outcomes and managing health and creating a positive climate for health within the workplace.
Call Number NRSNZNO @ research @ 605 Serial 591
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Author Williams, P.
Title The experience of being new in the role of Charge Nurse Type
Year 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Nursing
Abstract
Call Number NRSNZNO @ research @ 608 Serial 594
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Author Vallant, S.R.
Title Dialogue and monologue: The relationship between student nurse and nurse clinician: The impact on student learning Type
Year 2004 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Students; Nursing; Mentoring
Abstract
Call Number NRSNZNO @ research @ 610 Serial 596
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Author Stewart, L.
Title Stories from Pacific Island nurses: Why do Pacific Island Bachelor of Nursing students not return to their own countries after being scholarship recipients? Type
Year 2004 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Pacific peoples; New graduate nurses; Students
Abstract
Call Number NRSNZNO @ research @ 618 Serial 604
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Author McDonald, S.
Title Registered nurses' perceptions of their role in acute inpatient care in New Zealand: A qualitative descriptive study Type
Year 2004 Publication Abbreviated Journal University of Auckland
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing
Abstract
Call Number NRSNZNO @ research @ 620 Serial 606
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Author Carryer, J.B.; Boyd, M.
Title The myth of medical liability for nursing practice Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 4-12 Pages 4-12
Keywords Interprofessional relations; Law and legislation; Nurse practitioners; Advanced nursing practice
Abstract This article explores the complex nature of liability in the case of standing orders and vicarious liability by employers, and also when nurses and doctors are in management roles. The authors address misconceptions about medico-legal responsibility for nursing practice with the advent of nurse prescribers and nurse practitioners. They refer to the submission made by the College of Nurses Aotearoa (NZ) on the Health Practitioners Competence Assurance Act (2003), and discuss practice liability and nurse-physician collaboration.
Call Number NRSNZNO @ research @ 624 Serial 610
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Author Mortensen, A.; White, G.E.
Title The process of destigmatisation: The work of sexual health nurses Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 1 Pages 32-39
Keywords Nursing specialties; Sexual and reproductive health; Attitude to health
Abstract The focus of this article is on the findings of a grounded theory study of sexual health nursing in New Zealand. Nurses' experiences of providing sexual health care are described and theoretical explanations generated. The emphasis in this article is on countering stigma which emerged as a recurrent problem for nurses in the study. A comparative analysis of the nurses' counter reactions with Gilmore and Somerville's (1994) model of stigmatised reactions towards people with sexually transmitted diseases was done. The model describes the processes of disidentification, depersonalisation, scapegoating, and discrimination, which characterise stigmatised reactions. Nurses' understandings of the impact of socioeconomic conditions and gender/power relations in society have an important role to play in how nurses manage care. The concept of destigmatisation, which seeks to counteract negative social attitudes, is discussed. The study showed that as a consequence of their work nurses in this study encountered professional stigma and marginalisation.
Call Number NRSNZNO @ research @ 626 Serial 612
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