| Records |
| Author |
O'Brien, A.J.; Kar, A. |
| Title |
The role of second health professionals under New Zealand mental health legislation |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
3 |
Pages |
356-363 |
| Keywords |
Scope of practice; Psychiatric Nursing; Nurse-patient relations |
| Abstract |
The development of generic statutory roles in mental health care has been the subject of discussion by New Zealand nurses for the past decade. One such role is that of second health professional in judicial reviews of civil commitment. Issues identified by New Zealand nurses have also been raised in England, where it seems that nurses are likely to assume the role of Approved Mental Health Worker under English mental health law. A survey of mental health nurses found that few had received any preparation for the role of second health professional and 45% did not feel adequately prepared for the role. Some of these issues are reflected in a New Zealand inquiry which resulted in the Ministry of Health developing a written report form for second health professionals. However, the form has the potential to reduce the mental health nursing role to a narrow legal role. Statutory roles such as that of second health professional challenge mental health nurses to critically reflect on the conceptual and ethical basis of their practice. While traditional concepts such as therapeutic relationships and advocacy need to be reviewed in light of these changes, nurses need to be vigilant in articulating the moral and clinical basis of their roles. The development of guidelines for the second health professional role is suggested as a way of supporting clinical practice in this area. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1045 |
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| Author |
McKenna, B.; Simpson, A.I.F.; Coverdale, J. |
| Title |
Best practice management strategies for mental health nurses during the clinical application of civil commitment: An overview |
Type |
Journal Article |
| Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
21 |
Issue |
1 |
Pages |
62-70 |
| Keywords |
Psychiatric Nursing; Law and legislation; Nurse-patient relations; Patient satisfaction |
| Abstract |
The aim of this article is to outline best practice management strategies for nurses during the clinical application of civil commitment of mentally ill persons. A literature search on 'coercion' and 'civil commitment' was undertaken. Published and unpublished research undertaken by the authors in New Zealand on this topic was drawn upon. This research considered the use of civil commitment during admission to acute mental health services, acute forensic mental health services and community mental health services. The experience of coercion by service users coincides with the degree of restriction associated with the service they are involved in. Socio-demographic factors, clinical factors and the experience of coercive events have little bearing on the amount of coercion experienced. Rather, it is the pattern of communication and the use of 'procedural justice' that has the potential to ameliorate the amount of perceived coercion. The authors conclude that 'Procedural justice' aligns with the emphasis placed on the therapeutic relationship in mental health nursing and is an important consideration for nurses during the clinical application of civil commitment |
| Call Number |
NRSNZNO @ research @ |
Serial |
1051 |
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| Author |
Polaschek, N. |
| Title |
Living on dialysis: Concerns of clients in a renal setting |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
41 |
Issue |
1 |
Pages |
44-52 |
| Keywords |
Nurse-patient relations; Psychology; Attitude to health; Terminal care |
| Abstract |
This article reports a study that sought to understand the experience of a group of Caucasian men with end stage renal failure managing their own haemodialysis therapy in their homes. The study used a critical interpretive methodology. The renal setting was critically viewed as a specialised health care context constituted by several interrelated discourses. Although established by the dominant professional discourse, it also includes a number of others, in particular an obscure client discourse that is a response to the dominant discourse. Initially, participants' own interpretations of their individual experiences were outlined. These were then collectively reinterpreted by contextualising them in terms of the critical view of the renal setting, in order to discern their own views as renal clients that were obscured by the language and ideas of the dominant discourse with which they had been enculturated. From an analysis of the set of accounts derived from interviews with six participants, four concerns of the renal client discourse were identified. These concerns were: (1) suffering from continuing symptoms of end stage renal failure and dialysis; (2) limitations resulting from negotiating dialysis into their lifestyle; (3) ongoingness and uncertainty of life on dialysis; and (4) altered relationship between autonomy and dependence inherent in living on dialysis. One specific implication of this study is that the distinctive potential of the nursing role in renal settings lies beyond the performance of a range of technical tasks, in addressing the experience of people living on dialysis, described here as the concerns of the renal client discourse. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1072 |
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| 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 |
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| 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 |
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| Author |
Jonsdottir, H.; Litchfield, M.; Pharris, M. |
| Title |
Partnership in practice |
Type |
Journal Article |
| Year |
2003 |
Publication |
Research & Theory for Nursing Practice |
Abbreviated Journal |
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| Volume |
17 |
Issue |
1 |
Pages |
51-63 |
| Keywords |
Nurse-patient relations; Nursing philosophy; Nursing research |
| Abstract |
This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1172 |
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| Author |
Polaschek, N. |
| Title |
Negotiated care: A model for nursing work in the renal setting |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
42 |
Issue |
4 |
Pages |
355-363 |
| Keywords |
Chronically ill; Nursing models; Nurse-patient relations; Communication |
| Abstract |
This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1186 |
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| Author |
Lyall, C. |
| Title |
Therapeutic relationships: What are inpatient registered nurses perceptions of the factors which influence therapeutic relationship development? |
Type |
|
| Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Psychiatric Nursing; Registered nurses; Nurse-patient relations; Mental health |
| Abstract |
The question explored in this research project is: What are inpatient registered nurses' perceptions of the factors which influence therapeutic relationship development? The literature reviewed for this project includes the history of interpersonal relationships in nursing; therapeutic relationships; what constitutes these relationships. Also discussed is literature about phenomenology as the underlying theoretical and philosophical position that informs the research method. To answer the research question a single focus group was used to gather data from a group of registered nurses practising in inpatient mental health units. Focus groups as a data collection method produce data and insights that would not be accessible without the group interaction. The key themes to emerge from the data analysis were; time, environment, knowing / self-awareness, compassion and power imbalance / empowerment. These key themes are discussed in relation to the literature and the wider context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations to nurses, nurse leaders and managers who aim to provide therapeutic mental health unit environments. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1245 |
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| Author |
Vermeulen, J. |
| Title |
“And there's the likes of me”: A phenomenological study of the experience of four women inpatients at a mental health unit |
Type |
|
| Year |
2002 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Psychiatric Nursing; Patient satisfaction; Hospitals; Nurse-patient relations |
| Abstract |
This research draws on the experiences of four women whilst they were inpatients at the Mental Health Unit in Southland. The Husserlian path of phenomenology was followed and in-depth interviewing used to collect data. Colaizzi's method of analysis enabled accurate interpretation of transcripts. The overall goal of this research was to provide health professionals with an opportunity to inform their practice, based on what consumers were saying about their experience of hospitalisation. Themes emerged through participants relating their experience by using comparisons with either their outside world or previous episodes of hospitalisation. Through analysis, two fundamental structures became evident within the findings. These were 'the environment as containment' and 'the road to recovery'. The author concludes that this study raises significant issues surrounding the experience of hospitalisation at the Mental Health Unit that have implications for future research and for future service delivery. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1246 |
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| Author |
Martin, M. |
| Title |
A grain of salt ...: A contemplative study of natural form in nursing, developed in collaboration with people in life-threatening and life-challenging situations to reveal untold stories of healing |
Type |
|
| Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Terminal care; Nurse-patient relations |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1267 |
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| Author |
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| Title |
Dementia care: A literature review |
Type |
Journal Article |
| Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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| Volume |
7 |
Issue |
13 |
Pages |
33-36 |
| Keywords |
Dementia; Nurse-patient relations; Quality of health care; Nursing; Education |
| Abstract |
This article defines dementia, and explores recent trends in relation to why it is such a misunderstood condition in the health care setting. Within a theoretical framework of literature development, nurse client relationships, and quality of care and attitudes are analysed. Gaps, inconsistencies and consistencies are outlined, with the implications for nursing practice and education explored. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1279 |
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| Author |
Litchfield, M. |
| Title |
The language of nursing practice in hospitals |
Type |
Conference Article |
| Year |
1997 |
Publication |
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Abbreviated Journal |
held by NZNO Library and author |
| Volume |
Proceedings of the National Nursing Informatics Co |
Issue |
|
Pages |
|
| Keywords |
Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans |
| Abstract |
A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions. |
| Call Number |
NZNO @ research @ |
Serial |
1322 |
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| Author |
Blockley, Colette; Alterio, Maxine |
| Title |
Patients' experiences of interpersonal relationships during first time acute hospitalisation |
Type |
Journal Article |
| Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
24 |
Issue |
2 (Jul) |
Pages |
p16-26. |
| Keywords |
Acute hospitalisation; Vulnerability; Support; Nurse-patient relationships |
| Abstract |
Examines the role of interpersonal relationships on patients' experiences during first time acute hospitalisation. Involving 12 first time acute medical and surgical admission patients, it was developed from a wider study exploring patients' overall experiences. Using a qualitative methodology with data collected by means of personal stories and semi-structured interviews findings suggest that patient vulnerability is reduced through supportive interpersonal relationships and that it is nurses who play a key role in developing and maintaining these relationships with patients. |
| Call Number |
NZNO @ research @ |
Serial |
1432 |
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| Author |
Wilson, C. |
| Title |
Reflections on care: Older people speak about experiences of nursing care in acute medical and surgical wards |
Type |
|
| Year |
1998 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Older people; Nurse-patient relations |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 289 |
Serial |
289 |
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| Author |
Noble-Adams, R. |
| Title |
'Exemplary' nurses: An exploration of the phenomenon |
Type |
Journal Article |
| Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
17 |
Issue |
1 |
Pages |
24-33 |
| Keywords |
Nurse-patient relations; Nursing; Professional competence |
| Abstract |
This paper examines the phenomenon of exemplary nursing. It includes a literature review to identify the characteristics of good nurses. These include particular personality traits, altruism, caring, expert practice, vocation, commitment and attitude. Aspects of the nurse-patient relationship with such nurses is described. |
| Call Number |
NRSNZNO @ research @ 640 |
Serial |
626 |
| Permanent link to this record |
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| Author |
Hames, P.V.M. |
| Title |
Patient advocacy: A concept analysis |
Type |
|
| Year |
2006 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Patient rights; Nursing; Nurse-patient relations |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 689 |
Serial |
675 |
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