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Author Neville, S.J.; Henderson, H.M.
Title Perceptions of lesbian, gay and bisexual people of primary healthcare services Type Journal Article
Year 2006 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 55 Issue 4 Pages 407-415
Keywords Sexuality; Attitude of health personnel; Primary health care
Abstract This paper reports a study exploring people's perceptions of disclosure about lesbian, gay and bisexual identity to their primary healthcare providers. Disclosure of sexual identity to healthcare professionals is integral to attending to the health needs of lesbian, gay and bisexual populations, as non-disclosure has been shown to have a negative impact on the health of these people. From April to July 2004, a national survey of lesbian, gay and bisexual persons was carried out in New Zealand. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues, and 2269 people completed the questionnaire, either electronically or via hard copy. The 133-item instrument included a range of closed-response questions in a variety of domains of interest. In this paper, we report results from the health and well-being domain. More women than men identified that the practitioner's attitude toward their non-heterosexual identity was important when choosing a primary healthcare provider. Statistically significantly more women than men reported that their healthcare provider usually or always presumed that they were heterosexual and in addition more women had disclosed their sexual identity to their healthcare provider. The authors advise that nurses reconsider their approach to all users of healthcare services by not assuming everyone is heterosexual, integrating questions about sexual identity into health interviews and ensuring that all other aspects of the assessment process are appropriate and safe for lesbian, gay and bisexual people.
Call Number NRSNZNO @ research @ 1059 Serial 1043
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Author Crowe, M.; Ward, N.; Dunnachie, B.; Roberts, M.H.
Title Characteristics of adolescent depression Type Journal Article
Year 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 15 Issue 1 Pages 10-18
Keywords Psychiatric Nursing; Mental health; Adolescents
Abstract This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively.
Call Number NRSNZNO @ research @ 1065 Serial 1050
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Author Wareham, P.; McCallin, A.; Diesfeld, K.
Title Advance directives: The New Zealand context Type Journal Article
Year 2005 Publication Nursing Ethics Abbreviated Journal
Volume 12 Issue 4 Pages 349-359
Keywords Law and legislation; Patient rights; Nursing; Ethics
Abstract Advance directives convey consumers' wishes about accepting or refusing future treatment if they become incompetent. There are associated ethical issues for health practitioners and this article considers the features that are relevant to nurses. In New Zealand, consumers have a legal right to use an advance directive that is not limited to life-prolonging care and includes general health procedures. Concerns may arise regarding a consumer's competence and the document's validity. Nurses need to understand their legal and professional obligations to comply with an advance directive. What role does a nurse play and what questions arise for a nurse when advance directives are discussed with consumers? This article considers the cultural dimensions, legal boundaries, consumers' and providers' perspectives, and the medical and nursing positions in New Zealand.
Call Number NRSNZNO @ research @ 1069 Serial 1054
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Author Bishop, D.; Ford-Bruins, I.
Title Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study Type Journal Article
Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 12 Issue 3 Pages 203-212
Keywords Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models
Abstract This qualitative study explores the perceptions of mental health nurses regarding assessment in an acute adult inpatient setting in Central Auckland. Fourteen mental health nurses took part in semi-structured interviews answering five open-ended questions. The analysis of data involved a general inductive approach, with key themes drawn out and grouped into four categories (roles, attitudes, skills and knowledge) in order to explore the meaning of information gathered. The outcome of the study acknowledged the importance of contextual factors such as the physical environment and bureaucratic systems, as well as values and beliefs present within the unit. The participants expressed concern that their input to assessment processes was limited, despite belief that 24-hour care and the nature of mental health nursing generally suggested that a crucial role should exist for nurses. In order for nurses to be established as central in the assessment process on the unit the study concludes that a nursing theoretical framework appropriate for this acute inpatient setting needs to be developed.
Call Number NRSNZNO @ research @ 1082 Serial 1067
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Author Spence, D.
Title Prejudice, paradox, and possibility: Nursing people from cultures other than one's own Type Journal Article
Year 2001 Publication Journal of Transcultural Nursing Abbreviated Journal
Volume 12 Issue 2 Pages 100-106
Keywords Cultural safety; Transcultural nursing; Nurse-patient relations
Abstract This article provides a brief overview of the findings of a hermeneutic study that explored the experience of nursing people from cultures other than one's own. The notions prejudice, paradox, and possibility are argued to describe this phenomenon. Nurses in New Zealand are being challenged to recognise and address racism in their practice. Yet, the implementation of cultural safety in nursing education has created tension within the profession and between nursing and the wider community. As nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox, and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. Nurses are challenged to continue their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities.
Call Number NRSNZNO @ research @ 1104 Serial 1089
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Author Richardson, S.
Title Increasing patient numbers: The implications for New Zealand emergency departments Type Journal Article
Year 1999 Publication Accident & Emergency Nursing Abbreviated Journal
Volume 7 Issue 3 Pages 158-163
Keywords Emergency nursing; Organisational change
Abstract This article examines influences that impact on the work of the Emergency Departments (EDs). EDs are noticing increased attendance of patients with minor or non-urgent conditions. This increase in patient volume, together with on-going fiscal constraints and restructuring, has placed an added strain on the functioning of EDs. New Zealand nurses need to question the role currently given to EDs and identify the issues surrounding the increased use of these departments for primary health care.
Call Number NRSNZNO @ research @ 1108 Serial 1093
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Author Roddick, J.A.
Title When the flag flew at half mast: Nursing and the 1918 influenza epidemic in Dunedin Type
Year 2005 Publication Abbreviated Journal
Volume Issue Pages
Keywords History of nursing; Public health
Abstract
Call Number NRSNZNO @ research @ 1120 Serial 1105
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Author Mossop, M.D.
Title Older patients' perspectives of being cared for by first year nursing students Type
Year 2000 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Older people; Nurse-patient relations; New graduate nurses; Hospitals
Abstract
Call Number NRSNZNO @ research @ 1135 Serial 1120
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Author Bland, M.F.
Title All the comforts of home? A critical ethnography of residential aged care in New Zealand Type
Year 2004 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Rest homes; Older people; Patient satisfaction
Abstract
Call Number NRSNZNO @ research @ 1141 Serial 1126
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Author Litchfield, M.
Title Achieving health in a rural community: A case study of nurse – community partnership Type Book Whole
Year 2004 Publication Abbreviated Journal University and Polytechnic Libraries, NZNO Library
Volume Issue Pages
Keywords Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change
Abstract This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy.
Call Number NRSNZNO @ research @ 1183 Serial 1168
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Author Litchfield, M.
Title The nursing praxis of family health Type Book Chapter
Year 2005 Publication Picard, C & Jones, D., Giving voice to what we know (pp.73-82) Abbreviated Journal
Volume Issue Pages
Keywords Nursing research; Nursing philosophy; Nurse-family relations
Abstract The chapter explores the process of nursing practice and how it contributes to health, derived from research undertaken in New Zealand. It presents the nature of nursing research as if practice – the researcher as if practitioner – establishing a foundation for the development of nursing knowledge that would make a distinct contribution to health and health care. It includes the philosophy and practicalities of nursing through the use of a case study of nursing a family with complex health circumstances.
Call Number NRSNZNO @ research @ 1185 Serial 1170
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Author Litchfield, M.
Title Practice wisdom Type Journal Article
Year 1999 Publication Advances in Nursing Science Abbreviated Journal
Volume 22 Issue 2 Pages 62-73
Keywords Nursing research; Nursing; Health knowledge
Abstract The paper is the report of two cumulative research projects studying the nature of nursing knowledge and methodology to develop it. They were undertaken as theses for masters and doctoral degrees at the University of Minnesota, USA. Nursing knowledge is depicted as relational: an evolving participatory process of research-as-if-practice of which 'health' (its meaning), dialogue, partnership and pattern recognition are threads inter-related around personal values of vision and community.
Call Number NRSNZNO @ research @ 1186 Serial 1171
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title The relational core of nursing practice as partnership Type Journal Article
Year Publication Journal of Advanced Nursing Abbreviated Journal
Volume 47 Issue 3 Pages 241-250
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract This article elaborates the meaning of partnership in practice for nurses practising in different and complementary way to nurses in specialist roles and medical practitioners. It positions partnership as the relational core of nursing practice. Partnership is presented as an evolving dialogue between nurse and patient, which is characterised by open, caring, mutually responsive and non-directive approaches. This partnership occurs within a health system that is dominated by technologically-driven, prescriptive, and outcome-oriented approaches. It is the second of a series of articles written as a partnership between nurse scholars from Iceland, NZ and USA.
Call Number NRSNZNO @ research @ 1188 Serial 1173
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Author Adams, K.
Title A postmodern/poststructural exploration of the discursive formation of professional nursing in New Zealand 1840 – 2000 Type
Year 2003 Publication Abbreviated Journal Victoria University Library
Volume Issue Pages
Keywords History of nursing; Careers in nursing; Nursing philosophy
Abstract This study examines the discursive formation of professional nursing in one country, as revealed by the history of nursing in New Zealand. Michel Foucault's approach to historical research signifies a different level of analysis from conventional approaches, focusing not on the history of ideas but on an understanding of the present, a history of the present. A genealogical method derived from Foucauldian poststructuralism reveals how different understandings of nursing have occurred and have governed nursing practices and scholarship in different historical contexts. The archaeological investigation in this study reveals two moments of epistemic transformation, that is, two intervals of mutation and discontinuity. The Nightingale era in the 1880s precipitated the first epistemic shift – premodernism to modernism. The transfer of nursing education from hospital based training to the tertiary education sector, followed by the introduction of the baccalaureate degree, precipitated the second epistemic shift in the 1990s, the advent of postmodernism. Encompassing these two epistemes, six historical contexts are identified, where significant disruptions to the nursing discourses overturned previously held assumptions about what constituted a nurse. Each historical context is identified by specific discursive constructs. The first is colonial caring, the second the Nightingale ethos and the third heroic, disciplined obedience. In the fourth context, nursing is framed by, and within, discourses of skilled, humanistic caring, in the fifth, scientific, task focused managerialism, and in the 1990s, the sixth context, by multiple realities in an age of uncertainty.
Call Number NRSNZNO @ research @ 1258 Serial 1243
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Author Chick, D.N.P.
Title Rural district nurses as rehabilitationists Type
Year 2003 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Rural nursing
Abstract
Call Number NRSNZNO @ research @ 1259 Serial 1244
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