| Records |
| Author |
Muir-Cochrane, E.; Holmes, C.; Walton, J.A. |
| Title |
Law and policy in relation to the use of seclusion in psychiatric hospitals in Australia and New Zealand |
Type |
Journal Article |
| Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
2/3 |
Pages |
136-145 |
| Keywords |
Psychiatric Nursing; Law and legislation; Policy; Patient rights; Cross-cultural comparison |
| Abstract |
This paper discusses legal issues associated with the seclusion of acutely disturbed patients in psychiatric hospitals in Australia and New Zealand. There continues to be great variation in opinion and operational definition as to whether seclusion is a medical treatment, nursing intervention and management tool, or merely a form of situational restraint. Reflecting this lack of clarity, mental health acts and policies concerning the regulation and practice of seclusion lack consistency and focus across geographical boundaries and jurisdictions. Australian and New Zealand legislation and institutional policy is discussed in order to shed light on the contemporary issues highlighted by this controversial nursing practice. The authors note that mental health professionals must continue to review the practice of seclusion and to actively promote the use of acceptable alternatives. In addition nurses and other mental health professionals have a responsibility to understand current legislation and policy frameworks and to influence change where this is necessary to ensure the best practice possible in their clinical area. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1074 |
| Permanent link to this record |
| |
|
| |
| Author |
Mackay, B. |
| Title |
An analysis of innovative roles in primary health care nursing |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Northland Polytechnic Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing |
| Abstract |
An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1124 |
| Permanent link to this record |
| |
|
| |
| Author |
Litchfield, M.; Jonsdottir, H. |
| Title |
A practice discipline that's here and now |
Type |
Journal Article |
| Year |
2008 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
|
| Volume |
31 |
Issue |
1 |
Pages |
79-92 |
| Keywords |
Nursing research; Policy; Nursing philosophy |
| Abstract |
The article is a collaborative writing venture drawing on research findings from New Zealand and Iceland to contribute to the international scholarship on the status and future direction of the nursing discipline. It takes an overview of the international historical trends in nursing knowledge development and proposes a framework for contemporary nursing research that accommodates the past efforts and paradigms of nurse scholars and reflects the changing thinking around the humanness of the health circumstance as the focus of the nursing discipline. It addresses contemporary challenges facing nurses as practitioners and researchers for advancement of practice and delivery of health services, and for influencing health policy. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1174 |
| Permanent link to this record |
| |
|
| |
| Author |
Wilson, L.J. |
| Title |
Futurist planning, not a shortage stopgap: Recruitment and retention of registered nurses in New Zealand |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Recruitment and retention; Registered nurses; Policy; Careers in nursing |
| Abstract |
This literature review critically examines contributing factors to the current nursing shortage in New Zealand, centering on recruitment and retention of registered nurses. There is a dramatic widening between the supply of registered nurses and the demand for their services. All regions in New Zealand are reporting difficulty in hiring experienced and specialty nurses, and recruiting time is lengthening. This report suggests that the shortage is closely linked to factors in the nursing care environment. As a result of multiple factors during the centralising, cost-containing, acuity-increasing decade of the 1990s, the care environment has driven practising nurses out of acute care settings and discouraged new students from entering the profession. The availability of numerous alternative career opportunities has heightened the effect. Continuing causes to the non-selection of nursing as a profession are the influences of wage compression and limited career progression over the lifetime of the nurse, and insufficient orientation and mentoring of new nurses. Recent changes in the health care system have gone unevaluated and without oversight by nursing regulatory agencies – a situation not in the best interests of patients or nurses. A number of both literature-supported and resourceful approaches, including recommendations towards addressing the nursing shortage are proposed in this review. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1258 |
| Permanent link to this record |
| |
|
| |
| Author |
Litchfield, M. |
| Title |
Professional development: Developing a new model of integrated care |
Type |
Journal Article |
| Year |
1998 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
4 |
Issue |
9 |
Pages |
23-25 |
| Keywords |
Nursing models; Nurse practitioners; Policy; Nurse-family relations |
| Abstract |
An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the policy and strategies directing developments in the New Zealand health system. The emphsis was on the health service configuration model presented diagrammatically to show the position of a new role of family nurse with a distinct form of practice forming the hub. |
| Call Number |
NZNO @ research @ |
Serial |
1324 |
| Permanent link to this record |
| |
|
| |
| Author |
Litchfield, M. |
| Title |
The innovation effort: ?Are you in or are you out?? |
Type |
Miscellaneous |
| Year |
2007 |
Publication |
|
Abbreviated Journal |
http://www.moh.govt.nz/moh.nsf/pagesmh/7696/$File/mlitchfield.pdf |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing; Primary health care; Policy |
| Abstract |
A graphic presentation in PDF format (April 2007) of the findings and policy implications of the developmental evaluation research programme for the Turangi Primary Health Care Nursing Innovation. |
| Call Number |
NZNO @ research @ |
Serial |
1327 |
| Permanent link to this record |
| |
|
| |
| Author |
Brinkman, A. |
| Title |
Collating for collaboration: Tertiary education funding structures |
Type |
Report |
| Year |
2008 |
Publication |
|
Abbreviated Journal |
Available from http://www.nzno.org.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing; Education; Policy |
| Abstract |
The nursing education environment is complex and varied, and is affected by both the education and health systems. This report backgrounds the funding systems that underwrite the Tertiary Education Commission (TEC) processes. The two primary objectives that have guided this collation are: to stimulate awareness and discussion of the issues around funding nursing education in New Zealand; and to promote understanding of the complex funding structures currently in place in New Zealand by students, nurses, nurse educators and nurse managers. |
| Call Number |
NZNO @ research @ |
Serial |
1330 |
| Permanent link to this record |
| |
|
| |
| Author |
Donovan, Donna; Diers, Donna; Carryer, Jenny |
| Title |
Perceptions of policy and political leadership in nursing in New Zealand |
Type |
Journal Article |
| Year |
2012 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
28 |
Issue |
2 |
Pages |
15-25 |
| Keywords |
Nursing leadership; Policy and politics; Nursing organisations; Qualitative study; NZ nursing |
| Abstract |
Describes a qualitative study of 18 nurse leaders interviewed about issues affecting their will to participate in political action, leadership, and policy work. Asks the nurses to describe their personal stages of political development, how they view NZ nurses' and nursing organisations' political development, and their views on increasing the role of nursing in healthcare policy development. Analyses the interviews to identify major themes. |
| Call Number |
NZNO @ research @ |
Serial |
1474 |
| Permanent link to this record |
| |
|
| |
| Author |
Mulcahy, D.M. |
| Title |
Journeys cross divides: Nurses and midwives' experiences of choosing a path following separation of the professions |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Midwifery; Nursing; Policy; Careers in nursing |
| Abstract |
In 2003 the Health Practitioners Competence Assurance Act was introduced and established separate regulatory authorities for nursing and midwifery. This study is designed to explore the experiences of dually registered practitioners affected by this divide, as now there are two separate and possible paths, and two corresponding sets of competencies to fulfil. The design for this qualitative descriptive study utilised the written and oral narratives of three practitioners affected by this professional regulation and demonstrated its impact on their career development. Individual storytelling, as narrative, provided a theoretical lens aiding insight into their experience and pattern of decision making. In addition, symbolic consideration of the study data was provided by collective storytelling via the perennial myth of the hero journey. Shifting professional ground following the Health Practitioners Competence Act 2003 generated a focus for the inquiry into practitioners' modes of adjustment. For the practitioners in the study, transition between the occupational roles of nursing and midwifery comprised the possible career trajectories. A status passage, as the process of change from one social status to another, is described and includes the transitional experience of anticipation, expectation, contrast, and change. The author suggests that the findings from this research provide illumination of the nuances of professional decision making as a lived experience, and highlight how these practitioners dealt with shifting meaning, values, awareness, choices, and relationships. Aspects of group agency and identity, change management, and professional role transition were revealed. Life pattern, revealed through narrative, was an important research construct for exposing the ways in which the participants negotiated change, and displayed the function of their thinking and reasoning through dilemmas. Perception of individual and group identity revealed attitudes of esteem to the dominant discourse, and exposed dynamic tension between work patterns and life stage. Renegotiating arrangements of personal and professional commitment resulted from this dynamic interplay, and the relationship to stress and burnout was explored. |
| Call Number |
NRSNZNO @ research @ 700 |
Serial |
686 |
| Permanent link to this record |
| |
|
| |
| Author |
Clissold, C. |
| Title |
How discourses stifle the Primary Health Care Strategy's intent to reduce health inequalities |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Community health nursing; Policy; Primary health care |
| Abstract |
The Primary Health Care Strategy (PHCS) has a stated commitment to defined populations who suffer disproportionately from ill health. This thesis examines whether some prevailing discourses actually decrease the focus on health inequalities. A study of the nursing and medical media found that it focused predominantly on professional and industrial issues, leaving health workers focused mainly on their own professional interests, rather than considering the effects on health inequalities. She goes on to suggest that current Ministry of Health discourse values decentralised community health decision making. This may gloss over factors in community health which are affected by Government policy such as employment policy, and thus should be dealt with centrally by legislation. These factors have been found to be the most pertinent in health inequalities. So while models of community partnerships may seem to place communities as agents in their own health, this downplays the determinants of health which are beyond their control. Having shown that discourse can decrease the focus on health inequalities due to other professional and political drivers, the author then looked at health initiative concepts which are effective, efficient and equitable given the current set up of PHOs and nursing innovations. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1196 |
| Permanent link to this record |
| |
|
| |
| Author |
Chenery, K. |
| Title |
'Can mummy come too?' Rhetoric and realities of 'family-centred care' in one New Zealand hospital, 1960-1990 |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse-family relations; Policy; Hospitals; History of nursing; Paediatric nursing |
| Abstract |
This study explores the development of 'family-centred care' in New Zealand as part of an international movement advanced by 'experts' in the 1950s concerned with the psychological effects of mother-child separation. It positions the development of 'family-centred care' within the broader context of ideas and beliefs about mothering and children that emerged in New Zealand society between 1960 and 1980 as a response to these new concerns for children's emotional health. It examines New Zealand nursing, medical and related literature between 1960 and 1990 and considers both professional and public response to these concerns. The experiences of some mothers and nurses caring for children in one New Zealand hospital between 1960 and 1990 illustrate the significance of these responses in the context of one hospital children's ward and the subsequent implications for the practice of 'family-centred care'. This study demonstrates the difference between the professional rhetoric and the parental reality of 'family-centred care' in the context of one hospital children's ward between 1960 and 1990. The practice of 'family-centred care' placed mothers and nurses in contradictory positions within the ward environment. These contradictory positions were historically enduring, although they varied in their enactment. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1206 |
| Permanent link to this record |
| |
|
| |
| Author |
Hammond, S. |
| Title |
Parallel journeys: Perceptions of palliative care |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Palliative care; Policy; Geriatric nursing |
| Abstract |
The delivery of palliative care within contemporary New Zealand society is discussed, in the light of the recent publication of The New Zealand Palliative Care Strategy (2001). The viewpoint taken is largely descriptive rather than prescriptive, being based on a literature survey of international research and academic theory, which is also informed by the author's professionally gained knowledge. Four different perspectives, comprising a mix of providers and recipients of care are investigated: those of central government planning; specialist palliative care units; aged-care complexes; and patients, family and whanau. As an area of healthcare which current demographic projections indicate will become increasingly significant, the provision of palliative care to residents of and patients within aged-care complexes receives special attention. A metaphor of “parallel travellers” on “parallel journeys” is used to provide a thematic basis to the paper. The lived experiences and perceptions of each group of “parallel travellers” are explored. Difficulties in defining and evaluating palliative care, the implications of main-streaming, the scope of palliative care provision, the educative role of specialist palliative care providers and the current focus on mechanistic outcome measures are discussed. It is contended that the values and goals, both explicit and implicit, of the four specified groups may not at present be sufficiently congruent to optimise the effective provision of palliative care from the point of view of all concerned. While adequate resourcing and a genuinely collaborative approach among healthcare providers are both acknowledged to be critical, the potential for palliative care nurse practitioners to be appointed to the role of “care co-ordinator” alluded to within The New Zealand Palliative Care Strategy (2001), is also seen as pivotal. Insights from a postmodern perspective are offered as one possible way of achieving greater congruence. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1215 |
| Permanent link to this record |
| |
|
| |
| Author |
Casey, H. |
| Title |
Empowerment: What can nurse leaders do to encourage an empowering environment for nurses working in the mental health area |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Policy; Leadership; Careers in nursing; Mental health; Psychiatric nursing |
| Abstract |
For nurses to have control over their practice they need to have input into policy development. Nurses having control over their practice has been linked to nursing empowerment. Therefore the question explored in this research project is: What can nurse leaders do to encourage an empowering environment for nurses working in the mental health area? The literature reviewed for this project includes empowerment, power, the history of nursing in relation to women's role in society, oppression and resistance, and literature on Critical Social Theory as the underlying theoretical and philosophical position which informs the research process. In order to answer the research question a single focus group was used to gather data from a group of registered nurses practising in mental health. Focus groups as a data collection method produce data and insights that would be less accessible without the interaction found in the group. The key themes to emerge from the data analysis were: power is an important component of empowerment and power relationships; and at a systems level, professional, organisational, and political influences impact on feelings of empowerment and/or disempowerment. These key themes are discussed in relation to the literature and the broader social and cultural context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations for nurse leaders who aim to provide an empowering environment for nurses practising in mental health. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1145 |
| Permanent link to this record |
| |
|
| |
| Author |
Stuart, J. |
| Title |
How can nurses address generalist/specialist/nursing requirements of the urban/rural population of Southland |
Type |
|
| Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing specialties; Policy; Technology; Scope of practice; Community health nursing |
| Abstract |
This study, which is undertaken in the Southland area, explores the effect of the increasing specialisation of nursing services in what is a rural/urban environment. It is indicated in the literature that systemic changes in health, such as the health reforms, and the increase in the use of technology have meant that nurses are required to function in disease oriented roles rather than according to their more traditional generalist roots. A significant event, which also affected nursing scope of practice, was the transfer of nurse education to the tertiary education institutions environment from the hospitals in the mid 1970s. The traditional nursing hierarchy and its nurse leadership role disappeared and the adoption of specialist nurse titles increased, and identified with a disease or disorder, for example 'diabetes' nurse. The increase in specialist categories for patients contributed to the nurse shortage by reducing the available numbers of nurses in the generalist nursing pool. The nurses in this rural/urban environment require generalist nurse skills to deliver their nursing services because of the geographical vastness of the area being a barrier to specialist nurses. Workforce planning for nurses in the rural/urban then must focus on how to reshape the nursing scope of practice to utilise the existing resources. This study explores how key areas of health services could be enhanced by reclaiming the nurse role in its holistic approach, in mental health, public health, geriatric services and psychiatric services. |
| Call Number |
NRSNZNO @ research @ 885 |
Serial |
869 |
| Permanent link to this record |
| |
|
| |
| Author |
Holdaway, Maureen Ann |
| Title |
A Maori model of primary health care nursing |
Type |
Book Whole |
| Year |
2002 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
192 p. |
| Keywords |
Primary health care nursing; Maori women's health; Maori model of health; Kaupapa Maori research; Health reforms; Health policy; Surveys |
| Abstract |
Identifies how traditional nursing practice in Maori communities may be enhanced. Highlights the need for nursing to broaden concepts of health, community, and public health nursing, to focus on issues of capacity-building, community needs, and a broader understanding of the social, political, cultural, and economic contexts of the communities primary health-care nurses serve. Explores how health is experienced by Maori women during in-depth interviews using critical ethnographic method, underpinned by a Maori-centred approach. Articulates a model of health that is a dynamic process based on the restoration and maintenance of cultural integrity, derived from the principle of self-determination. |
| Call Number |
NZNO @ research @ |
Serial |
1809 |
| Permanent link to this record |
