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Author |
Pipi, Kataraina; Moss, Michelle; Were, Louise |
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Title |
Nga manukura o apopo: sustaining kaupapa Maori nurse and midwifery leadership |
Type |
Journal Article |
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Year |
2021 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
16-24 |
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Keywords |
Maori nursing leadership; Maori nurses; Kaupapa Maori; Workforce |
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Abstract |
Analyses and synthesises the evaluation reports of the clinical leadership training programmes of Nga Manukura o Apopo, the national Maori nursing and midwifery workforce development programme. Considers how the marae-based Kaupapa Maori training approach contributed to the outcomes. Examines clinical leadership, recruitment, professional development and governance. |
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Call Number |
NZNO @ research @ |
Serial |
1714 |
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Author |
Morton, J.; Williams, Y.; Philpott, M. |
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Title |
New Zealand's Christchurch Hospital at night: An audit of medical activity from 2230 to 0800 hours |
Type |
Journal Article |
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Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
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Volume |
119 |
Issue |
1231 |
Pages |
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Keywords |
Hospitals; Teamwork; Administration; Shiftwork; Organisational culture |
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Abstract |
The authors conduct an audit of medical activity at Christchurch Hospital, a 650 bed tertiary centre, between 2230 and 0800 hours. They measured the volumes of tasks requiring completion overnight and identified the competencies required for this as well as the level of teamwork that existed. They found several organisational areas of concern, that indicate new approaches are required to staff the “hospital at night,” and an Out of Hours Multidisciplinary Team is recommended. Specific issues included the lack of teamwork from the Resident Medical Officers (RMOs), with some overextended while others were inactive. House officer tasks were largely generic rather than specialty specific; there was no formal handover from the afternoon or day shifts and the level of hospital medical staffing did not reflect the activity levels over the time period studied. The researchers also recommend an urgent review of the beep policy. A third of the admissions were to General Medicine, and basic medical activities (including admitting, reviewing, and prescribing drugs and fluids) for patients admitted under all specialties represented the majority of the night workload. Medical registrars had reduced some of the traditional multiple clerking by admitting patients themselves. |
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Call Number |
NRSNZNO @ research @ |
Serial |
528 |
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Author |
Murrell-McMillan, K.A. |
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Title |
Why nurses in New Zealand stay working in rural areas |
Type |
Journal Article |
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Year |
2006 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
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Volume |
33 |
Issue |
3 |
Pages |
173-175 |
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Keywords |
Rural nursing; Recruitment and retention; Job satisfaction; Teamwork; Primary health care |
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Abstract |
The author investigates why nurses in New Zealand stay working in rural areas when their Australian counterparts and medical colleagues are leaving rural areas at alarming rates. She looks at international recruitment and retention issues, and particularly compares rural nursing in Australia with New Zealand. Local research shows that over 50% of rural nursing is in the practice environment. Practice nurses report high job satisfaction, specifically around working with diverse populations, autonomy, and working with GPs, the local community, and local iwi. The only perceived barrier identified in the New Zealand literature to job satisfaction and collaborative team behaviour has been the funding of nursing services in rural areas. This contrasts with many barriers to rural nursing in Australia, and the author suggests New Zealand policy makers may learn from Australia's retention issues. |
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Call Number |
NRSNZNO @ research @ |
Serial |
530 |
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Author |
McKenna, B. |
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Title |
Risk assessment of violence to others: Time for action |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
1 |
Pages |
36-43 |
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Keywords |
Mental health; Workplace violence; Risk management; Nursing; Nurse-patient relations; Psychiatric nursing |
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Abstract |
The author performs a literature search on the topics of risk assessment, dangerousness, aggression, and violence in order to determine an evidence-based approach to risk assessment of patient violence towards others. This is set in the context of possible expansion in the scope of practice of mental health nurses, and the prevalence of nurses being assaulted by patients. In the absence of reliable and valid nursing risk assessment measures, the approach suggested here focuses on the use of observation skills to detect behaviour antecedent to physical assault, and the ability to adapt evidence to specific clinical settings. |
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Call Number |
NRSNZNO @ research @ |
Serial |
621 |
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Author |
McKenna, B.; Poole, S.; Smith, N.A.; Coverdale, J.; Gale, C. |
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Title |
A survey of threats and violent behaviour by patients against registered nurses in their first year of practice |
Type |
Miscellaneous |
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Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
56-63 |
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Keywords |
New graduate nurses; Workplace violence; Occupational health and safety; Training; Mental health; Psychiatric nursing |
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Abstract |
For this study, an anonymous survey was sent to registered nurses in their first year of practice. From the 1169 survey instruments that were distributed, 551 were returned completed (a response rate of 47%). The most common inappropriate behaviour by patients involved verbal threats, verbal sexual harassment, and physical intimidation. There were 22 incidents of assault requiring medical intervention and 21 incidents of participants being stalked by patients. Male graduates and younger nurses were especially vulnerable. Mental health was the service area most at risk. A most distressing incident was described by 123 (22%) of respondents. The level of distress caused by the incident was rated by 68 of the 123 respondents (55%) as moderate or severe. Only half of those who described a most distressing event indicated they had some undergraduate training in protecting against assault or in managing potentially violent incidents. After registration, 45 (37%) indicated they had received such training. The findings of this study indicate priorities for effective prevention programmes. |
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Call Number |
NRSNZNO @ research @ |
Serial |
649 |
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Author |
Pepers, M.G. |
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Title |
A grey zone: The experience of violence in remote nursing practice |
Type |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Workplace violence; Rural health services; Rural nursing |
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Abstract |
This dissertation explores the issues affecting the exposure of isolated rural nurses working in New Zealand to violence from members of the local community, including the visiting public. Discussion on the collaborative role with the New Zealand Police is thematic in the issues presented. Challenges presented include the unique community dynamics of the Stewart Island nursing practice on the Island, with scope of practice, isolation and practice issues included. Role definition, present-day health-care delivery, the potential for violence including causation and reporting are presented. Incident management and risk strategies, including de-escalation are rationalised and described. Evidence for the nurse-police inter-service relationship along with issues including confidentiality and legislation are reviewed. Recommendations and conclusion are provided. The thread and theme of the dissertation is to encourage discussion within nursing circles on the provision of satisfactory safety standards for nurses working in remote isolated parts of New Zealand. |
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Call Number |
NRSNZNO @ research @ |
Serial |
688 |
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Author |
Rydon, S.E.; Rolleston, A.; Mackie, J. |
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Title |
Graduates and initial employment |
Type |
Journal Article |
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Year |
2008 |
Publication |
Nurse Education Today |
Abbreviated Journal |
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Volume |
28 |
Issue |
5 |
Pages |
610-619 |
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Keywords |
New graduate nurses; Curriculum; Work |
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Abstract |
This research project was undertaken to inform nurse educators in the Department of Nursing and Health Studies of Manukau Institute of Technology of the employment opportunities for new graduate nurses emerging from the three year degree and registration programme. Graduates from the programme for the previous three years were surveyed for their experiences in gaining employment. 89.8% of graduates were successful in gaining employment in the first three months post registration. The number of graduates employed within a district health board declined across the three years but there were no significant differences between cohorts. Overall, 73% of graduates were employed into new graduate positions. The majority of graduates felt that their nursing education prepared them well for their role as a registered nurse. The findings of the qualitative data identified a strong need for science throughout the degree; longer clinical blocks; increased hands on experience; more practice with skills and less theory in relation to practical experience. |
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Call Number |
NRSNZNO @ research @ |
Serial |
701 |
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Author |
Budge, C.; Carryer, J.B.; Wood, S. |
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Title |
Health correlates of autonomy, control and professional relationships in the nursing work environment |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
42 |
Issue |
3 |
Pages |
260-268 |
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Keywords |
Workplace; Occupational health and safety; Registered nurses |
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Abstract |
The aim of this study was to examine nursing in New Zealand and to see whether aspects of the work environment are associated with health status. A total of 225 registered nurses in a general hospital completed the Revised Nursing Work Index (NWI-R) and Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36). Ratings indicated that the New Zealand hospital environment was characterized by less autonomy and control and better nurse-physician relations than in USA hospitals. Results of correlations demonstrated that more positive ratings of the three workplace attributes were associated with better health status amongst the nurses. The results of regression analyses were indicative either of a confounding relationship or of a mediating relationship such that nurses' relations with physicians, administration and other departments mediate the associations between autonomy, control and health status. |
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Call Number |
NRSNZNO @ research @ |
Serial |
703 |
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Author |
McKenna, B.; Smith, N.A.; Poole, S.; Coverdale, J. |
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Title |
Horizontal violence: Experiences of registered nurses in their first year of practice |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
42 |
Issue |
1 |
Pages |
90-96 |
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Keywords |
New graduate nurses; Workplace violence; Occupational health and safety |
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Abstract |
The aims of this study were to determine the prevalence of horizontal violence, or bullying, experienced by nurses in their first year of practice; to describe the characteristics of the most distressing incidents experienced; to determine the consequences, and measure the psychological impact, of such events; and to determine the adequacy of training received to manage horizontal violence. An anonymous survey was mailed to 1169 nurses in New Zealand who had registered in the year prior to November 2000 with a response rate of 47%. Many new graduates experienced horizontal violence across all clinical settings. Absenteeism from work, the high number of respondents who considered leaving nursing, and scores on the Impact of Event Scale all indicated the serious impact of interpersonal conflict. Nearly half of the events described were not reported, only 12% of those who described a distressing incident received formal debriefing, and the majority of respondents had no training to manage the behaviour. |
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Call Number |
NRSNZNO @ research @ |
Serial |
706 |
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Author |
Giddings, D.L.S.; Smith, M.C. |
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Title |
Stories of lesbian in/visibility in nursing |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Outlook |
Abbreviated Journal |
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Volume |
49 |
Issue |
1 |
Pages |
14-19 |
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Keywords |
Sexuality; Nursing; Identity; Work |
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Abstract |
A study of the life histories of five self-identified lesbian women in nursing is reported. A metastory of “In/Visibility” captured the essence of lesbians being the focus of intense scrutiny while at the same time feeling the pressure to keep their lifestyle and identity hidden from others. Seven story themes were elaborated: closeting of lesbianism in nursing, isolating and hiding from self and others, living a double-life, self-loathing and shame, experiencing discrimination from others, keeping safe, and threatening others who are closeted. |
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Call Number |
NRSNZNO @ research @ |
Serial |
844 |
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Author |
Bresaz, D.M. |
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Title |
Environmental influences on inpatient assaultive behaviour |
Type |
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Year |
2003 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Workplace violence; Mental health; Psychiatric Nursing; Methodology; Administration |
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Abstract |
This retrospective quasi-experimental study reviewed assaults in two adult mental health inpatient rehabilitation units. The majority of clients in this area experience enduring mental health illnesses and have complex physical health issues. The service comprises of an intensive rehabilitation unit and a secure extended rehabilitation unit. Between May and August 2001 the service moved to purpose built facilities. The opportunity was taken to review clients' assaultive behaviour in the new environment and to compare the incidents with those in the old environment to see if there had been any significant changes. Data on assault incidents including time of assault, place of assault, who was involved and what preventative actions were suggested were collected from the Incident and Accident Hazard Reports (IAHR) dating from 1 April 2000 until 31 May 2002. Staff were expected to complete IAHR reports on all assault incidents. The research examined whether the change in environmental conditions impacted on clients' wellbeing in relation to assaultive behaviour. Trends within the IAHR reports were also examined in order to compare these to similar studies completed in other parts of the world. There were 141 IAHR reports of assault incidents. Fifty of these occurred in the pre move period, 38 in the transition phase and 53 in the post move. There was no significant difference in the rate of assaults in the pre-move to post move period. Completion of the IAHR forms was seen to be very problematic, especially in relation to legal status of perpetrators and documentation of prevention strategies. An urgent audit of existing practice is now required to establish if problems found with the quality and completion of the IAHR forms continues to be evident in the rehabilitation service and if present staff education is needed to improve the standard of documentation. Research is also needed to establish the extent to which staff implement strategies to prevent assaults, and to reduce recidivism. |
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Call Number |
NRSNZNO @ research @ |
Serial |
858 |
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Author |
Wilkinson, J.A. |
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Title |
Creating a culture of workplace safety |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
6 |
Pages |
14-15 |
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Keywords |
Occupational health and safety; Workplace violence; District nursing; Organisational culture |
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Abstract |
This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1002 |
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Author |
Lawless, J.; Moss, C. |
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Title |
Exploring the value of dignity in the work-life of nurses |
Type |
Journal Article |
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Year |
2007 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
23 |
Issue |
2 |
Pages |
225-236 |
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Keywords |
Work; Nursing philosophy; Job satisfaction; Ethics |
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Abstract |
In this paper the authors draw attention to the value and understandings of nurse dignity in the work-life of nurses. A review of nursing literature and a theoretical lens on worker dignity derived from recent work by Hodson (2001) was used to explore these questions. In the context of current and international workforce issues associated with recruitment and retention, analysis of the construct of worker dignity within the profession takes on a strong imperative. Findings of this inquiry reveal that while there is a degree of coherence between the nursing research and elements of Hodson's (2001) research on worker dignity, the dignity of nurses, as a specific construct and as an intrinsic human and worker right has received little explicit attention. Reasons for this may lie partly in approaches that privilege patient dignity over nurse dignity and which rely on the altruism and self-sacrifice of nurses to sustain patient care in environments dominated by cost-control agendas. The value of dignity in the work-life of nurses has been under-explored and there is a critical need for further theoretical work and research. This agenda goes beyond acceptance of dignity in the workplace as a human right towards the recognition that worker dignity may be a critical factor in sustaining development of healthy workplaces and healthy workforces. Directing explicit attention to nurse dignity may benefit the attainment of both nurse and organisational goals. Hodson's (2001) framework offers a new perspective on dignity in the workplace. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1031 |
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Author |
Wilkinson, J.A. |
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Title |
A mantle of protection? A critical analysis of the personal safety of district nurses |
Type |
Journal Article |
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Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
Whitireia Community Polytechnic and Massey University libraries |
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Volume |
9 |
Issue |
30-6 |
Pages |
30-36 |
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Keywords |
Occupational health and safety; Workplace violence; District nursing |
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Abstract |
This qualitative inquiry, informed by Critical Social Theory, explored the personal safety experiences of district nurses in a New Zealand city. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1083 |
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Author |
Litchfield, M.; Laws, M. |
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Title |
Achieving family health and cost-containment outcomes: Innovation in the New Zealand Health Sector Reforms |
Type |
Book Chapter |
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Year |
1999 |
Publication |
Cohen,E. & De Back,V. (Eds.), The outcomes mandate: New roles, rules and relationships. Case management in health care today (pp. 306-316) |
Abbreviated Journal |
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Volume |
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Issue |
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Pages |
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Keywords |
Advanced nursing practice; Nurse managers; Teamwork; Nurse-family relations; Leadership; Health reforms |
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Abstract |
The chapter presents the research findings of the 1992-1993 Wellington Nurse Case Management Scheme Project as a distinct model of nurse case management, which introduced a role and form of practice of a family nurse and a diagram of the service delivery structure required for support and relevant for the New Zealand health system reforms. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1169 |
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