| |
Records |
Links  |
|
Author |
Lyford, S.; Cook, P. |
|
| |
Title |
The Whanaungatanga model of care |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
21 |
Issue |
2 |
Pages |
26-36 |
|
| |
Keywords |
Maori; Hospitals; Nursing models |
|
| |
Abstract |
The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
538 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Green, M. |
|
| |
Title |
Psychiatric consultation liaison nurse: A model for practice |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing models; Psychiatric Nursing |
|
| |
Abstract |
Psychiatric consultation liaison (PCL) nursing is an evolving specialist area of mental health nursing in the USA, UK, Australia and New Zealand. The aim of this dissertation is to explore models of PCL nursing practice in order to develop and discuss a PCL nursing model applicable to the New Zealand context. The role of the PCL nurse was of particular interest to the author as a new practitioner in this specialist area. While there have been PCL nurses in practice for over 50 years, the literature does not offer much clarity about models of PCL nursing. From a review of the literature, four themes were recurrent in the work of PCL nurses. These themes represent four functions which are vital to the role of the PCL nurse: partnership, expertise of the PCL nurse, therapeutic relationship and organisational consultation. The needs of the patient are the core of this model and the primary objective is to improve the quality of care of patients in the general hospital with co-existing physical and psychological problems. It is imperative that PCL nurses evaluate their practice and embark on research to investigate clinical outcomes, cost effectiveness and the impact of PCL nurse practice on patients and staff. This PCL nursing model provides a beginning for this process. It also clarifies and articulates the role of the PCL nurse which enables the service to be promoted to colleagues. This PCL nursing model represents a critique of the author's understanding of the role of the PCL nurse. As expertise develops, the model will continue to be tested and refined. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
608 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Elliott, M.M. |
|
| |
Title |
Model of care development: Moving between liaison and complex care coordination in the community health setting |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Community health nursing; Nursing models |
|
| |
Abstract |
Healthcare systems in New Zealand and the western world are grappling with changes with an aging population; increased use of technology resulting in shorter inpatient stays, increasing chronic illness rates and people with complex health needs. Supporting people through the health system and meeting their needs is an aim of all services. Trying to support seamless transition and manage complex care requirements has become important for community health services. In the district health board, where the author works, the role of Liaison Nurse/Complex Coordinator was established to support this. This role has become important in reviewing what the best model of care for Community Health Services is and how to describe the current practices in this context in an appropriate way. The first section of the report reviews the literature and current practice in relation to liaison nursing. This section explores how to make the role clear and identify its clinical and organisational effectiveness, drawing out the key elements and aspects for this role that will contribute to a model of care. The second section progresses onto the clinical work related to managing patients with chronic illness and complex needs. Utilising literature to inform current practice when supporting patients through health transitions to achieve seamless care and identifying key aspects required to manage this and adding these aspects to the model of care. Following this, a review of current care models available and in use in the health care systems is undertaken. There are some elements and aspects similar in these models and those explicated in the previous sections. Finally a model of care is developed bringing all the key aspects and elements together. This model describes the practice of Liaison/Complex Coordination role in community health service in New Zealand and identifies the need for care, provision of care, outcomes of care provided and impact for the service and organisation. The author suggests that this model is relevant for any liaison or complex coordination role and could be a basis for other models of care to expand upon the specific needs for their services. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
684 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Bishop, J. |
|
| |
Title |
Motivation: An essential element of learning |
Type |
Book Chapter |
| |
Year |
2005 |
Publication |
J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 83-100) |
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Motivation; Nursing models; Nursing; Education |
|
| |
Abstract |
The author defines extrinsic and intrinsic motivators, describes motivational theories, and introduces Wlodkowski's Motivational Framework, which is specifically developed for adult learners. She goes on to explore the implementation of this model within a nursing education context. At the end of the chapter, discussion questions are provided by Janice McDrury. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
768 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Crowe, M. |
|
| |
Title |
Psychiatric diagnosis: Some implications for mental health nursing care |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
53 |
Issue |
1 |
Pages |
125-131 |
|
| |
Keywords |
Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models |
|
| |
Abstract |
This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
837 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gillard, D. |
|
| |
Title |
When I am nursing |
Type |
|
| |
Year |
2002 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing models; Mental health; Adolescents; Psychiatric nursing |
|
| |
Abstract |
Over the last century the nursing profession has drawn from numerous theories and disciplines to construct its own theoretical foundations. While this diversity and flexibility may be one of the nursing profession's strengths it may have contributed to nurses' difficulty in explaining the complexities of their every day clinical work. This is a particular challenge for the domain of mental health nursing. This dissertation discusses how nursing models that have credibility at a clinical level can contribute to informing and advancing nursing practice. Models can achieve this by assisting nurses to conceptualise and articulate what it is they do that makes a difference to patient outcomes. Through this process nurses can maintain a distinct professional identity and establish themselves as effective members of multidisciplinary health team. Specifically, the application and limitations of Godkin's (2001) proposed model of a 'healing presence' to the author's own practice in a one-to-one nurse-adolescent client relationship in the mental health nursing is examined. It is claimed that a 'healing presence' provides a meaningful way to understanding the author's own practice. The proposed model of a 'healing presence' embraces the diversity of her background, and allows the author to maintain a nursing identity by providing a nursing framework to critique her practice, furthering her understanding of what it is that 'expert' nurses do and how this impacts on patient outcomes. Also suggested is that a 'healing presence' can contribute to the author's own and other nurses advanced nursing practice by making nursing visible to the multidisciplinary health team and to articulate “what it is that I do 'when I am nursing'”. Through presenting this dissertation, the author wishes to inspire other nurses to examine and understand their own practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
914 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Koorey, R. |
|
| |
Title |
Is there a place for clinical supervision in perioperative nursing? |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Dissector |
Abbreviated Journal |
|
|
| |
Volume |
35 |
Issue |
4 |
Pages |
15-17 |
|
| |
Keywords |
Nursing models; Clinical supervision; Nursing specialties |
|
| |
Abstract |
This article explores the concept of clinical supervision and outlines a brief history of implications for nursing practice. Models of clinical supervision are outlined and examples of how they may be applicable to the clinical setting of perioperative nursing are provided. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
928 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Simon, V.N. |
|
| |
Title |
Characterising Maori nursing practice |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
22 |
Issue |
2 |
Pages |
203-213 |
|
| |
Keywords |
Registered nurses; Maori; Nursing models; Culture |
|
| |
Abstract |
This paper summarises research which addresses the question What might constitute Maori nursing practice? The research design adopted was influenced by kaupapa Maori methodology and used a semi-structured, qualitative, in-depth interview process. It was found that by understanding the current experiences of Maori registered nurses, their reflections on their preparation for practice, and their current practice, it is possible to identify the present and future training and practice needs of Maori nurses. Maori nursing practice can be characterised as having five features: the promotion of cultural affirmation including cultural awareness and identity; the support of, and access to Maori networks; the adoption of Maori models of health; the enabling of visibility and pro-activity as Maori nurses; and, the validation of Maori nurses as effective health professionals. Three recommendations for promoting Maori nursing practice are made in relation to staff in the workplace and in nurse education programmes: all nursing staff need to be alert to: 1. the impact of western scientific models on Maori healthcare; 2. the (often passive) non-acceptance of Maori within mainstream institutions; and iii) the benefits of valuing indigenous nursing programmes. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
936 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Cook, N.; Phillips, B.N.; Sadler, D. |
|
| |
Title |
The Tidal Model as experienced by patients and nurses in a regional forensic unit |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
5 |
Pages |
536-540 |
|
| |
Keywords |
Psychiatric Nursing; Nursing models; Evaluation; Nurse-patient relations |
|
| |
Abstract |
This study looks at the effect of implementing the Tidal Model at Rangipapa, a regional secure mental health forensic unit. A phenomenological study was undertaken to obtain reflective description of the nursing care experience from the perspective's of four registered nurses and four “special patients”. Five major themes were identified that appeared to capture the experiences of the participants. The themes show changes to the unit's unique culture and values following implementation of the model. These changes engendered a sense of hope, where nurses felt they were making a difference and patients were able to communicate in their own words their feelings of hope and optimism. Levelling was experienced as an effect emerging from individual and group processes whereby a shift in power enhanced a sense of self and connectedness in their relationships. These interpersonal transactions were noted by the special patients as being positive for their recovery. This enabled effective nurse-patient collaboration expressed simply as working together. The participants reported a feeling of humanity, so that there was a human face to a potentially objectifying forensic setting. Implications arising from this study are that the use of the model enables a synergistic interpersonal process wherein nurses are professionally satisfied and patients are validated in their experience supporting their recovery. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
941 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Giddings, D.L.S. |
|
| |
Title |
A theoretical model of social consciousness |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
|
|
| |
Volume |
28 |
Issue |
3 |
Pages |
224-239 |
|
| |
Keywords |
Attitude of health personnel; Feminist critique; Nursing models |
|
| |
Abstract |
The article presents a theoretical model of social consciousness developed from nurses' life histories. A 3-position dialectical framework (acquired, awakened, and expanded social consciousness) makes visible the way people respond to social injustice in their lives and in the lives of others. The positions coexist, are not hierarchical, and are contextually situated. A person's location influences her or his availability for social action. Nurses who could most contribute to challenging social injustices that underpin health disparities are relegated to the margins of mainstream nursing by internal processes of discrimination. The author suggests that more inclusive definitions of “a nurse” would open up possibilities for social change. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
944 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wright, R. |
|
| |
Title |
Linking theory with practice |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
7 |
Issue |
2 |
Pages |
14-15 |
|
| |
Keywords |
Intensive care nursing; Nurse-family relations; Nursing models |
|
| |
Abstract |
This article describes the care of a brain-dead intensive care unit patient. The human caring theory of Jean Watson is used to interpret the interactions between family, patient and nurse in this case study. Watson's concepts of care are examined as they relate to each stage of caring for the patient and his family. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1012 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Webby, A. |
|
| |
Title |
Developing safe nursing practice for Maori |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
7 |
Issue |
1 |
Pages |
16-17 |
|
| |
Keywords |
Maori; Psychiatric Nursing; Nursing models |
|
| |
Abstract |
A safe mental health nursing practice for Maori is defined as one that includes Maori ways of knowing. The author also notes that Maori mental health nurses must be given the ability to create their own practice to best meet their clients' needs. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1028 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carter, H.; MacLeod, R.; Brander, P.; McPherson, K. |
|
| |
Title |
Living with a terminal illness: Patients' priorities |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
45 |
Issue |
6 |
Pages |
611-620 |
|
| |
Keywords |
Terminal care; Quality of life; Nursing models; Cancer |
|
| |
Abstract |
The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1061 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Garrod, A. |
|
| |
Title |
Cultural safety: Living with disability |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
|
|
| |
Volume |
9 |
Issue |
|
Pages |
14-19 |
|
| |
Keywords |
Cultural safety; People with disabilities; Nursing models |
|
| |
Abstract |
This article outlines some of the health experiences and concerns of people with physical and/or mental disabilities. These experiences and concerns are explored within the context of the practice of cultural safety. In 1996, the Nursing Council of New Zealand adopted its definition of cultural safety and defines 'culture', in the context of 'cultural safety', as involving all people who are not part of the culture of nursing. Each person with a disability is unique, and they may also be part of a larger disability culture, which has its own shared experiences, values, beliefs and lifestyles. People with disabilities are also a minority within the population. Therefore, any power they might have within their own culture is minimal, compared to the advantages enjoyed by the rest of the population. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1082 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Brien, A.J. |
|
| |
Title |
The therapeutic relationship: Historical development and contemporary significance |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
2 |
Pages |
129-137 |
|
| |
Keywords |
Psychiatric Nursing; Nursing models; History of nursing; Nurse-patient relations |
|
| |
Abstract |
This article examines the therapeutic relationship, a concept held by many to be fundamental to the identity of mental health nurses. While the therapeutic relationship was given formal expression in nursing theory in the middle of the last century, its origins can be traced to attendants' interpersonal practices in the asylum era. The dominance of medical understandings of mental distress, and the working-class status of asylum attendants, prevented the development of an account of mental health nursing based on attendants' relationships with asylum inmates. It was left to Peplau and other nursing theorists to describe mental health nursing as a therapeutic relationship in the 1940s and later. Some distinctive features of colonial life in New Zealand suggest that the ideal of the attendant as the embodiment of bourgeoisie values seems particularly unlikely to have been realised in the New Zealand context. However, New Zealand literature from the 20th century shows that the therapeutic relationship, as part of a general development of a therapeutic discourse, came to assume a central place in conceptualisations of mental health nursing. While the therapeutic relationship is not by itself a sufficient basis for professional continuity, it continues to play a fundamental role in mental health nurses' professional identity. The way in which the therapeutic relationship is articulated in the future will determine the meaning of the therapeutic relationship for future generations of mental health nurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1088 |
|
| Permanent link to this record |
