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Author Jenkinson, F.H.
Title An evaluation of nursing documentation as it relates to pro re nata (prn) medication administration Type
Year 2003 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Drug administration; Psychiatric Nursing; Administration; Mental health
Abstract
Call Number NRSNZNO @ research @ 875 Serial 859
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Author Radka, I.M.
Title Handover and the consumer voice: The importance of knowing the whole, full story Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Communication; Patient satisfaction; Nurse-patient relations
Abstract In the acute hospital setting, nurses provide care twenty-four hours a day, seven days a week. Due to the ever-changing nature of the patient's situation, nurses need quality information at the beginning of each eight-hour shift to plan and implement patient care effectively. It is claimed that handover is central for maintaining the continuity and the quality of patient care. This qualitative descriptive study was undertaken to identify what core information needs to be exchanged at nursing handover to ensure quality and continuity of patient care. Five consumers who had experience of recurrent hospital admissions shared their perceptions of handover practice through individual interviews. Three focus group meetings of seven nurses from a secondary care setting discussed handover practice from their professional perspectives. Both nursing and consumer voices are integral to the overall understanding of this study but the consumer voice is the privileged and dominant voice. Through the process of thematic content analysis the central themes of communication, continuity and competence emerged for the consumers. Consumers expect to be kept informed and involved in their healthcare. They want continuity of nurse, information and care and expect that nurses involved in the delivery of healthcare are competent to manage their situation. The 'importance of knowing' is the overarching construct generated in this research. Knowing is identified as the foundation on which quality and continuity of care is built and is discussed under the subheadings of: not knowing, knowing the patient as a person, knowing takes time, hidden knowing, knowing consumers' rights, oral knowing, knowing involves more than handing over patient care and knowing the economics. Recommendations have been developed for future research, nursing practice, education and management. These centre on ways to develop a more consumer-focused approach to contemporary healthcare.
Call Number NRSNZNO @ research @ 883 Serial 867
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Author Farrell, E.
Title A lamp to light the way: Public health nurses' perceptions and experiences of professional/clinical supervision Type
Year 2003 Publication Abbreviated Journal Auckland University of Technology
Volume Issue Pages
Keywords Public health; Nursing; Clinical supervision; Professional competence
Abstract
Call Number NRSNZNO @ research @ 887 Serial 871
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Author Connor, M.
Title The practical discourse in philosophy and nursing: An exploration of linkages and shifts in the evolution of praxis Type Journal Article
Year 2004 Publication Nursing Philosophy Abbreviated Journal
Volume 5 Issue 1 Pages 54-66
Keywords Nursing philosophy; Ethics; Nursing
Abstract This paper, firstly, examines the linkages and shifts in the evolution of of praxis. The concept of praxis, also known as the practical discourse in philosophy, has been expressed in different ways in different eras. However, the linkages from one era to another and from one paradigm to another are not well explicated in the nursing literature. Blurring of the linkages occurred from the popular association of praxis within the emancipatory paradigm. Integral to the concept of praxis, since the time of Aristotle, is the notion of phronesis: a process of moral reasoning enacted to establish the 'good' of a particular situation, often referred to as practical wisdom. Secondly, the paper, promotes and affirms the importance of praxiological knowledge development in the discipline. Furthermore, increased appreciation of the concept of praxis provides an important vehicle for the advancement of nursing as a moral endeavour and the nurse as moral agent.
Call Number NRSNZNO @ research @ 890 Serial 874
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Author O'Shea, M.; Reddy, L.
Title Action change in New Zealand mental health nursing: One team's perspective Type Journal Article
Year 2007 Publication Practice Development in Health Care Abbreviated Journal
Volume 6 Issue 2 Pages 137-142
Keywords Experiential learning; Psychiatric Nursing; Communication; Community health nursing
Abstract This paper describes an attempt at effecting change with specific relevance to the discharge planning of clients from a New Zealand inpatient mental health unit to a community setting. It explores how a team of community mental health nurses, practising in an urban/rural area, used the concepts of practice development to endeavour to bring about change while still retaining a client-centred focus. It describes how, in their enthusiasm, they embarked on the road to practice change without undertaking some of the essential ground work, Although they did not achieve all they set out to achieve, much was learnt in the process. In this paper, the authors outline their key learning points concerning the importance of engagement, communication, consistency and cooperation to the process and outcomes of practice change.
Call Number NRSNZNO @ research @ 897 Serial 881
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Author Pirret, A.M.
Title A preoperative scoring system to identify patients requiring postoperative high dependency care Type Journal Article
Year 2003 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 19 Issue 5 Pages 267-275
Keywords Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment
Abstract The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions.
Call Number NRSNZNO @ research @ 904 Serial 888
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Author Lui, D.M.K.
Title Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 1. Literature review Type Journal Article
Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal
Volume 9 Issue 2 Pages 45-47
Keywords Attitude of health personnel; Neonatal nursing; Ethics; Technology
Abstract This article seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Advanced technology results in the survival of increasingly premature babies with extremely low birthweights and this has inevitably led to an increase in the ethical dilemmas faced by neonatal staff as to whether continued treatment is actually in the best interests of these infants. Part 1 reviews the literature on this subject. Part 2 describes the results of a survey carried out in a New Zealand NICU.
Call Number NRSNZNO @ research @ 906 Serial 890
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Author Mears, A.
Title The role of the clinical nurse co-ordinator Type Journal Article
Year 2003 Publication Journal of the Australasian Rehabilitation Nurses Association Abbreviated Journal
Volume 6 Issue 3 Pages 24-25
Keywords Nursing; Nursing specialties; Older people
Abstract
Call Number NRSNZNO @ research @ 907 Serial 891
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Author Richardson, S.; Allen, J.
Title Casualization of the nursing workforce: A New Zealand perspective on an international phenomenon Type Journal Article
Year 2001 Publication International Journal of Nursing Practice Abbreviated Journal
Volume 7 Issue 2 Pages 104-108
Keywords Industrial relations; Organisational change; Nursing; Personnel staffing and scheduling
Abstract A discussion of the increased use of 'casual' nursing staff (those nurses employed on a casual or 'per diem' basis) is presented. Reference is made to related literature, together with consideration of the implications associated with this trend. This issue has international significance, with the increased use of casual staff being widely recognised. A New Zealand perspective is included, with the provision of nursing care at Christchurch Hospital presented to illustrate certain aspects of the discussion. The impact of changing health-care systems and increased emphasis on efficiency and accountability are identified. This change to workplace practice will inevitably affect nursing; possible future developments are considered.
Call Number NRSNZNO @ research @ 909 Serial 893
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Author O'Brien, A.J.
Title The therapeutic relationship: Perceptions of mental health nurses Type
Year 2000 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Psychiatric Nursing; Mental health; Nurse-patient relations
Abstract
Call Number NRSNZNO @ research @ 914 Serial 898
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Author Jones, B.
Title Saving lives and changing dirty nappies: Illuminating nursing in the neonatal nurse practitioner role: The New Zealand experience Type
Year 2000 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Neonatal nursing; Nurse practitioners
Abstract
Call Number NRSNZNO @ research @ 919 Serial 903
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Author Connor, M.
Title Courage and complexity in chronic illness: Reflective practice in nursing Type Book Whole
Year 2004 Publication Abbreviated Journal
Volume Issue Pages
Keywords Asthma; Nurse-patient relations; Nurse-family relations; Community health nursing; District nursing; Chronically ill
Abstract This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution.
Call Number NRSNZNO @ research @ 926 Serial 910
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Author Carryer, J.B.
Title Embodied largeness: A significant women's health issue Type Journal Article
Year 2001 Publication Nursing Inquiry Abbreviated Journal
Volume 8 Issue 2 Pages 90-97
Keywords Nurse-patient relations; Attitude of health personnel; Feminist critique
Abstract This paper describes a three-year long research project in which nine large-bodied women have engaged in a prolonged dialogue with the researcher about the experience of being 'obese'. The study involved an extensive review of the multidisciplinary literature that informs our understandings of body size. The literature review was shared with participants in order to support their critical understanding of their experience. The experience of participants raised questions as to how nursing could best provide health-care for large women. An examination of a wide range of literature pertinent to the area of study reveals widespread acceptance of the notion that to be thin is to be healthy and virtuous, and to be fat is to be unhealthy and morally deficient. According to the literature review, nurses have perpetuated an unhelpful and reductionist approach to their care of large women, in direct contradiction to nursing's supposed allegiance to a holistic approach to health-care. This paper suggests strategies for an improved response to women who are concerned about their large body size.
Call Number NRSNZNO @ research @ 941 Serial 925
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Author DeSouza, R.
Title Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand Type Journal Article
Year 2008 Publication Journal of Research in Nursing Abbreviated Journal
Volume 13 Issue 2 Pages 125-135
Keywords Cultural safety; Nursing models; Cross-cultural comparison; Maori
Abstract The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process.
Call Number NRSNZNO @ research @ 943 Serial 927
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Author Gage, J.; Hornblow, A.R.
Title Development of the New Zealand nursing workforce: Historical themes and current challenges Type Journal Article
Year 2007 Publication Nursing Inquiry Abbreviated Journal
Volume 14 Issue 4 Pages 330-334
Keywords History of nursing; Nursing research; Personnel; Interprofessional relations
Abstract This article reviews the development of the New Zealand nursing workforce, which has been shaped by social, political, scientific and interprofessional forces. The unregulated, independent and often untrained nurses of the early colonial period were succeeded in the early 1900s by registered nurses, with hospital-based training, working in a subordinate role to medical practitioners. In the mid/late 1900s, greater specialisation within an expanding workforce, restructuring of nursing education, health sector reform, and changing social and political expectations again reshaped nursing practice. Nursing now has areas of increasing autonomy, expanding opportunities for postgraduate education and leadership roles, and a relationship with medicine, which is more collaborative than in the past. Three current challenges are identified for nursing in New Zealand's rapidly evolving health sector; development of a nursing-focused knowledge culture, strengthening of research capacity, and dissemination of new nursing knowledge.
Call Number NRSNZNO @ research @ 946 Serial 930
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