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Author |
O'Brien, A.J.; Hughes, F.; Kidd, J.D. |
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Title |
Mental health nursing in New Zealand primary health care |
Type |
Journal Article |
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Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
21 |
Issue |
1 |
Pages |
142-152 |
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Keywords |
Mental health; Primary health care; Nursing specialties; Community health nursing |
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Abstract |
This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care. |
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Call Number |
NRSNZNO @ research @ 730 |
Serial |
716 |
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Author |
Dal Din, A. |
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Title |
Accepting the challenge: Registered nurses' experiences of undertaking the statutory role of Responsible Clinician in New Zealand |
Type |
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Year |
2006 |
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 |
Mental health; Registered nurses; Nursing specialties; Scope of practice |
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Abstract |
This aim of this thesis was to explore and describe registered nurses' experiences of undertaking the statutory role of Responsible Clinician under the Mental Health (Compulsory Assessment and Treatment) Act 1992. The role of Responsible Clinician has been available to nurses since 1992 yet to date there has been little research into nurses' experiences of undertaking this role. An exploratory descriptive approach was therefore used in this study. A convenience sample of four nurses who had been undertaking the role of Responsible Clinician was recruited. Their experiences were elicited through in-depth interviews. Analysis of the interview material revealed the themes of legitimacy, relationships, expanding practice, responsibility and accountability, approaches to care, nurses' responsiveness to the role and support of the role. The author points to this research being important to nurses who are working in the psychiatric mental health area so that they can understand the role more fully. In this way, more nurses may choose to undertake the role of Responsible Clinician. |
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Call Number |
NRSNZNO @ research @ 745 |
Serial |
731 |
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Author |
Spence, D. |
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Title |
Nursing people from cultures other than one's own: A perspective from New Zealand |
Type |
Journal Article |
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Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
15 |
Issue |
3 |
Pages |
222-231 |
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Keywords |
Transcultural nursing; Maori; Psychiatric Nursing |
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Abstract |
This paper provides an overview of the evolving meaning of 'culture' in New Zealand nursing. Then, drawing upon the findings of research that used hermeneutic phenomenology to explore the experience of nursing people from cultures other than one's own, a description of the constituent parts is of this phenomenon is briefly outlined and followed by an exemplar that describes the coalescent and contradictory nature of the phenomenon as a whole. As New Zealand nurses negotiate the conflicts essential for ongoing development of their practice, interplay of the notions of prejudice, paradox and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. |
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Call Number |
NRSNZNO @ research @ 798 |
Serial |
782 |
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Author |
Wilson, D.; Neville, S.J. |
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Title |
Nursing their way not our way: Working with vulnerable and marginalised populations |
Type |
Journal Article |
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Year |
2008 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
27 |
Issue |
2 |
Pages |
165-176 |
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Keywords |
Maori; Geriatric nursing; Nurse-patient relations |
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Abstract |
This paper uses the findings of two studies to explore the nature of nurses' practice when working with vulnerable and marginalised populations, particularly with regard to the attributes of holism and individualised care. The first study was with the elderly with delirium and used a critical gerontological methodology informed by postmodernism and Foucault's understanding of discourse. The other study with indigenous Maori women utilised Glaserian grounded theory informed by a Maori-centred methodology. The findings show that a problem focussed approach to health care is offered to patients that does not incorporate individual health experiences. In addition, the social context integral to people's lives outside of the health care environment is ignored. Consequently, the foundations of nursing practice, that of holism, is found to be merely a rhetorical construct. |
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Call Number |
NRSNZNO @ research @ 799 |
Serial |
783 |
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Author |
Peri, K.; Kerse, N.; Kiata, L.; Wilkinson, T.; Robinson, E.; Parsons, J.; Willingale, J.; Parsons, M.; Brown, P.; Pearson, J.R.; von Randow, M.; Arroll, B. |
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Title |
Promoting independence in residential care: Successful recruitment for a randomized controlled trial |
Type |
Journal Article |
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Year |
2008 |
Publication |
Journal of the American Medical Directors Association |
Abbreviated Journal |
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Volume |
9 |
Issue |
4 |
Pages |
251-256 |
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Keywords |
Research; Geriatric nursing; Rest homes; Evaluation; Attitude of health personnel |
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Abstract |
The aim of this study was to describe the recruitment strategy and association between facility and staff characteristics and success of resident recruitment for the Promoting Independence in Residential Care (PIRC) trial. A global impression of staff willingness to facilitate research was gauged by research nurses, facility characteristics were measured by staff interview. Forty-one (85%) facilities and 682 (83%) residents participated, median age was 85 years (range 65-101), and 74% were women. Participants had complex health problems. Recruitment rates were associated (but did not increase linearly) with the perceived willingness of staff, and were not associated with facility size. Design effects from the cluster recruitment differed according to outcome. The recruitment strategy was successful in recruiting a large sample of people with complex comorbidities and high levels of functional disability despite perceptions of staff reluctance. Staff willingness was related to recruitment success. |
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Call Number |
NRSNZNO @ research @ 803 |
Serial |
787 |
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Author |
Crawford, R. |
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Title |
An exploration of nurses' understanding of parenting in hospital |
Type |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse-family relations; Children; Hospitals; Parents and caregivers |
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Abstract |
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Call Number |
NRSNZNO @ research @ 812 |
Serial |
796 |
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Author |
Sadler, D. |
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Title |
Stigma, discrimination and a model for psychiatric mental health nursing practice |
Type |
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Year |
2000 |
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 |
Mental health; Psychiatric Nursing; Psychology |
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Abstract |
This paper seeks to understand the aetiology of stigma. The word stigma comes from the Greek language and refers to a brand, a mark of shame. Society has used this phenomenon to mark those who do not fit with the stereotypical virtual identity expected by a group. Stigma has persisted throughout the ages to enforce norms and sanction rules. Stigma is a term used to broadly define an attitude to negative attributes. It is a way of treating people that indicates to the individual, they are different from the norm. Research indicates the general population has discriminatory attitudes to those who have experienced mental illness. This discrimination impacts on the lives of those people. Their stories tell of shame, sadness and anguish. Families too, feel the ongoing effects of stigma. Psychiatric mental health professionals are said to perpetuate the discrimination arising from the stigma of mental illness. This is shown in the literature to persist through labelling and disempowering practices. The attitude of nurses in particular is critical to promoting healing environments. It is thought that a humanistic altruistic approach to nursing practice will help to eliminate discriminatory practice by nurses. It is hoped that this approach will create collaborative care that gives the individual the respect, response, choice and support they need to assist in recovering from mental illness. |
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Call Number |
NRSNZNO @ research @ 815 |
Serial |
799 |
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Author |
Rydon, S.E. |
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Title |
Attitudes, skills and knowledge of mental health nurses: The perception of users of mental health services |
Type |
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Year |
2001 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Mental health; Psychiatric Nursing; Patient satisfaction; Attitude of health personnel |
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Abstract |
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Call Number |
NRSNZNO @ research @ 819 |
Serial |
803 |
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Author |
Sutton, D.M. |
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Title |
An analysis of the application of Christensen's Nursing Partnership Model in vascular nursing: A case study approach |
Type |
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Year |
2007 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nursing specialties; Nursing models; Cardiovascular diseases |
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Abstract |
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Call Number |
NRSNZNO @ research @ 822 |
Serial |
806 |
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Author |
Bigwood, S. |
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Title |
Got to be a soldier: Mental health nurses experiences of physically restraining patients |
Type |
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Year |
2007 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Psychiatric Nursing; Workplace violence; Mental health; Stress |
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Abstract |
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Call Number |
NRSNZNO @ research @ 829 |
Serial |
813 |
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Author |
Codlin, K.C. |
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Title |
Mental health nurses and clinical supervision: A naturalistic comparison study into the effect of group clinical supervision on minor psychological disturbance, job satisfaction and work-related stress |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Psychiatric Nursing; Clinical supervision; Stress; Job satisfaction; Mental health |
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Abstract |
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Call Number |
NRSNZNO @ research @ 845 |
Serial |
829 |
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Author |
Bland, M.F. |
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Title |
The challenge of feeling 'at home' in residential aged care in New Zealand |
Type |
Journal Article |
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Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
21 |
Issue |
3 |
Pages |
4-12 |
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Keywords |
Rest homes; Older people; Patient satisfaction; Nursing; Identity |
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Abstract |
In this research report, a resident reveals the challenges associated with firstly becoming a nursing home resident, and then trying to establish a new sense of 'home'. The story supports a conclusion that nurses' knowledge of the unique 'admission story' of each resident, and their individual understandings of home, is essential in promoting their ongoing comfort. Although approximately 30,000 older adults live in residential aged care, little research has been done on their experience. |
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Call Number |
NRSNZNO @ research @ 862 |
Serial |
846 |
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Author |
Radka, I.M. |
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Title |
Handover and the consumer voice: The importance of knowing the whole, full story |
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 |
Communication; Patient satisfaction; Nurse-patient relations |
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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. |
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Call Number |
NRSNZNO @ research @ 883 |
Serial |
867 |
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Author |
O'Shea, M.; Reddy, L. |
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Title |
Action change in New Zealand mental health nursing: One team's perspective |
Type |
Journal Article |
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Year |
2007 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
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Volume |
6 |
Issue |
2 |
Pages |
137-142 |
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Keywords |
Experiential learning; Psychiatric Nursing; Communication; Community health nursing |
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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. |
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Call Number |
NRSNZNO @ research @ 897 |
Serial |
881 |
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Author |
Lui, D.M.K. |
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Title |
Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 1. Literature review |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Neonatal Nursing |
Abbreviated Journal |
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Volume |
9 |
Issue |
2 |
Pages |
45-47 |
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Keywords |
Attitude of health personnel; Neonatal nursing; Ethics; Technology |
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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. |
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Call Number |
NRSNZNO @ research @ 906 |
Serial |
890 |
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