Records |
Author |
Barber, M. |
Title |
Nursing and living in rural New Zealand communities: An interpretive descriptive study |
Type |
|
Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Rural nursing; Rural health services; Recruitment and retention |
Abstract |
This study used an interpretive descriptive method to gain insight into and explore key issues for rural nurses working and living in the same community. Four Rural Nurse Specialists were recruited as participants. The nurses had lived and nursed in the same rural community for a minimum of 12 months. Participants were interviewed face to face and their transcribed interviews underwent thematic analysis. The meta-theme was: the distinctive nature of rural nursing. The themes identified were: interwoven professional and personal roles; complex role of rural nurses and relationships with the community. A conceptual model was developed to capture the relationship between the meta-theme and the themes. A definition for rural nursing was developed from the findings. This research identified some points of difference in this group of rural nurses from the available rural nursing literature. It also provides a better understanding of the supports Rural Nurse Specialists need to be successful in their roles, particularly around the recruitment and retention of the rural nursing workforce. |
Call Number |
NRSNZNO @ research @ |
Serial |
820 |
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Author |
Smith, P.A. |
Title |
Mad bad or sad: Caring for the mentally disordered offender in the court environment from a nurse's perspective |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Psychiatric Nursing |
Abstract |
This paper examines the difficulties health professionals face daily when providing care for the mentally disordered offender in the court environment. The role of the court nurse is to provide care for people with mental health needs in the court and health professionals can find this a restrictive environment to work in. This is mainly due to the court's legal processes which are designed to punish rather than offer therapeutic alternatives. By advocating for the mentally disordered offender, the court nurse ensures the court is aware of an individual's mental health needs, thus reducing the prospect of inappropriate sentencing, and the associated stigmatisation that may occur as a result of a criminal conviction. |
Call Number |
NRSNZNO @ research @ 843 |
Serial |
827 |
Permanent link to this record |
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Author |
Morrison-Ngatai, E. |
Title |
Mai i muri ka haere whakahaere: Maori woman in mental health nursing |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Massey University Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Maori; Female; Psychiatric Nursing |
Abstract |
Contents: Chapter 1 Kupu whakataki – introduction; Chapter 2 Raranga mohiotanga – literature review; Chapter 3 To te wahine mana tuku iho – theoretical framework; Chapter 4 Tahuri ki te rangahau – research methodology; Chapter 5 Whakaaturanga whakaoho – beginnings; Chapter 6 Kia pakari – positioning and contesting; Chapter 7 E ara ki runga wahine toa – standing and enduring; Chapter 8 Kua takoto te whariki. |
Call Number |
NRSNZNO @ research @ |
Serial |
828 |
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Author |
Codlin, K.C. |
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 |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Psychiatric Nursing; Clinical supervision; Stress; Job satisfaction; Mental health |
Abstract |
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Call Number |
NRSNZNO @ research @ 845 |
Serial |
829 |
Permanent link to this record |
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Author |
Beaton, T. |
Title |
Postnatal depression: Four women's experiences of care from a nurse |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Female; Mental health; Nurse-patient relations; Feminist critique |
Abstract |
Postnatal depression is a term used loosely to describe disorders of mood and distressing symptoms for women in the postpartum, yet it has its own distinct symptoms. It is thought to affect between 10 and 20 percent of new mothers in New Zealand. In order to deliver effective nursing care that has a positive impact on the health of women who experience postnatal depression, nurses need knowledge and theory to underpin practice. This study explores the experience of four women who experienced postnatal depression and the care they received from a nurse. A postmodern feminist position informed the research project. Women became actively involved in a focus group to explore their experiences. A thematic analysis of the focus group transcripts revealed the women's experiences of care from nurses and health professionals as not always helpful. The themes that arose from the analysis were knowledge, perception, care and self. Knowledge examined the women's and significant others' knowledge of postnatal depression as well as women's own knowledge of themselves. Perception identified the women's beliefs of and views on mental illness, as well as their expectations of motherhood. Care as a concept was examined as to how it was provided by nurses. This encompassed a lack of care and, in contrast, supportive care as impacting on the women's individual experiences. Self described the experiences of a loss of self as women experienced their distress in the postpartum, and that a regaining of self was identified by women as difficult, and this is where they required support. The themes are discussed and critiqued with literature that identifies the nursing role with women who experience postnatal depression. There are recommendations for ongoing research and development of the nursing role in order to promote the health and wellbeing of women in the postpartum. |
Call Number |
NRSNZNO @ research @ |
Serial |
850 |
Permanent link to this record |
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Author |
Hewson, J. |
Title |
Professional support for the nurse practitioner in New Zealand |
Type |
|
Year |
2004 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Nurse practitioners; Mentoring; Professional development |
Abstract |
The nurse practitioner role is an important addition to nursing workforce development in New Zealand. At present there are relatively few nurse practitioners, however the number of nurses seeking Nursing Council endorsement continues to grow. These nurses are in a unique situation as pioneers having achieved the highest level of autonomous advanced nursing practice. This position will bring with it many challenges for those nurses who are among the first in the profession. Traditionally, nurses have always had formal and informal methods of support such as preceptors, role models and the hierarchy of nursing to help and guide them in their work. This network has generally been comprised of nurses more senior and qualified than the nurse needing support. Yet the nurse practitioner, considered to be the leading clinical nurse in New Zealand, may have very limited resources available for the clinical support needed to sustain their professional practice while keeping them refreshed, curious, creative and committed. The intent of this dissertation is to provide a framework of supportive mechanisms on which the emerging nurse practitioner can draw in their new professional domain throughout their career. The author explores the meaning of support, why there is a need for support for the nurse practitioner, the various methods of support noted in current literature and how these various methods can enhance the nurse practitioner's professional growth and development, maintain clinical safety, and foster job satisfaction. |
Call Number |
NRSNZNO @ research @ |
Serial |
853 |
Permanent link to this record |
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Author |
Clayton, J.R. |
Title |
The recovery of hope: A personal journey through paradigms toward emancipatory practice |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Psychiatric Nursing; Mental health; Teaching methods; Nursing philosophy |
Abstract |
This study traces the author's transition from being a mental health nurse to becoming a facilitator of an education programme, the Health and Wellbeing course, for those in recovery from mental illnesses. Within this transition, she describes a journey from disease-focused paradigms toward emancipatory paradigms, evidenced by her application of the recovery approach to her teaching. The 'recovery approach' proposed by the Mental Health Commission in November 1998, and other models of health, are explored using the methodology of descriptive/interpretive philosophical inquiry, autobiographical narrative and a dialectical research design. The author draws from the philosophies of phenomenology and existentialism to present excerpts from her journals, exemplars, poetry and artwork which illuminate epiphanies occurring as she integrates health paradigms in the design of the Health and Wellbeing course. Within this process the recovery approach is revealed as being consistent with the teaching principles of the Health and Wellbeing course. The author goes on to say that the dialectical research design reveals paradoxes and transformations in nursing, medical, psychological, and humanistic paradigms within the New Zealand socio-political context from the 1970s to 2003. The way these are integrated into her practice as an educator, becomes evident in the dialectical research cycles of being, thinking, developing a project, the encounter of teaching, making sense and communication. These cycles reveal her being in the roles of nurse and educator and the thinking through of paradigms that lead to the design and philosophy of a Health and Wellbeing course, the encounter of teaching, and the communication of insights gained. The author's main objective is to show the importance of nurses and educators developing a reflective consciousness when working with sufferers of mental illness. This reflective consciousness involves three levels: The primary level, or raw experience; the social level, or our socio-political contexts and social values, and, the realised level, insights gained about knowledge and experience. |
Call Number |
NRSNZNO @ research @ |
Serial |
854 |
Permanent link to this record |
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Author |
Bresaz, D.M. |
Title |
Environmental influences on inpatient assaultive behaviour |
Type |
|
Year |
2003 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Workplace violence; Mental health; Psychiatric Nursing; Methodology; Administration |
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. |
Call Number |
NRSNZNO @ research @ |
Serial |
858 |
Permanent link to this record |
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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 |
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Abbreviated Journal |
Massey University Library |
Volume |
|
Issue |
|
Pages |
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Keywords |
Drug administration; Psychiatric Nursing; Administration; Mental health |
Abstract |
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Call Number |
NRSNZNO @ research @ 875 |
Serial |
859 |
Permanent link to this record |
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Author |
Nichols, J. |
Title |
An exploration of clinical supervision within mental health nursing |
Type |
Journal Article |
Year |
2004 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
|
Issue |
November |
Pages |
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Keywords |
Clinical supervision; Mental health; Psychiatric Nursing |
Abstract |
The purpose of this paper is to shed some light on the concept of clinical supervision specifically in relation to mental health nursing. The author talks briefly about the naming and history of clinical supervision and aims to provide some clarity around defining the concept. There is discussion around the role, value and objectives of clinical supervision before critical examination of two models of clinical supervision within two different contexts. Finally the strengths and weaknesses of each model are discussed, and the differences illustrate some of the contextual factors of clinical supervision. |
Call Number |
NRSNZNO @ research @ 876 |
Serial |
860 |
Permanent link to this record |
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Author |
Neville, S.J.; Gillon, D.; Milligan, K. |
Title |
New Zealand registered nurses' use of physical assessment skills: A pilot study |
Type |
Journal Article |
Year |
2006 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
Volume |
|
Issue |
14(1) |
Pages |
|
Keywords |
Clinical assessment; Nursing; Evaluation |
Abstract |
The objective of this project was to ascertain registered nurses' use of selected physical assessment skills before and after participation in a health assessment course. A pre- (also referred to as part I) and post- (part II) test design was used to investigate the research aim. Participants were obtained via a convenience sample. A questionnaire was completed at the beginning of the educational programme and then four to six weeks after completion of the assessment course. A two tailed t-test was used to identify any significant differences in the characteristics of participants from part I (N = 206) to part II (N = 145), with no differences identified. However, there was an overall mean percentage difference of 17.1% in the use of physical assessment skills after having completed the educational programme. In conclusion, the researchers found that four to six weeks after completion of a health assessment course, nurses were using the skills learned to improve their nursing practice more frequently than before the programme. |
Call Number |
NRSNZNO @ research @ 879 |
Serial |
863 |
Permanent link to this record |
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Author |
Laracy, K. |
Title |
Exploration of the self: The journey of one pakeha cultural safety nurse educator |
Type |
|
Year |
2003 |
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 |
Cultural safety; Teaching methods; Nursing; Education; Professional development; Transcultural nursing; Maori; Identity |
Abstract |
Cultural safety is taught in all undergraduate nursing programmes in Aotearoa/New Zealand. There is a predominance of Pakeha nurse educators in teaching this content. There is little explanation of what being Pakeha entails. This perpetuates a silence and continues the dominant hegemonic position of Pakeha in Aotearoa/New Zealand. This study suggests that as Pakeha cultural safety nurse educators we examine our dominance and critique the delivery of cultural safety education. This autobiographical study undertakes to explore the Pakeha identity of a cultural safety nurse educator. The author discusses identity in the context of a globalised world, and challenges the idea of a definitive Pakeha identity. There are multiple descriptions of Pakeha, all underdeveloped and inadequate for the purposes of cultural safety education. In this study, the author uses the heuristic process of Moustakas (1990) and Maalouf's (2000) ideas of vertical and horizontal heritage to locate and present the essence of the self. In keeping with the purpose of cultural safety education, the author considers her ethnic cultural self as described by Bloch (1983) and explores Helms' (1990) theory of White racial identity development. This thesis describes the position of one Pakeha in the context of teaching cultural safety in an undergraduate nursing degree programme in Aotearoa/New Zealand. For Pakeha cultural safety nurse educators the author argues that exploration of one's heritages and location of a personal Pakeha identity is pivotal to progressing the enactment of cultural safety in Aotearoa /New Zealand. |
Call Number |
NRSNZNO @ research @ |
Serial |
864 |
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Author |
Hamer, H.P.; Finlayson, M.; Thom, K.; Hughes, F.; Tomkins, S. |
Title |
Mental health nursing and its future: A discussion framework: Report from the Expert Reference Group to the Deputy Director-General Dr Janice Wilson |
Type |
Report |
Year |
2006 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
|
Pages |
|
Keywords |
Mental health; Psychiatric Nursing; Policy; Leadership; Nurse practitioners; Nursing; Education; Careers in nursing |
Abstract |
This project was initiated by the Ministry of Health to ensure a nationally coordinated approach to mental health nursing. The purpose of the project is to provide a national strategic framework for mental health nursing that will strengthen both nursing leadership and practice within the multi-disciplinary clinical environment. The framework reviews a range of key workforce issues identified by the Ministry of Health and provides strategies to move mental health nursing forward. The framework integrates directions from government mental health strategies, policies and directions, national and international literature as well as professional nursing requirements which aim to create a sustainable mental health nursing workforce using evidence based practice. The framework considers a range of key workforce issues identified by the Ministry of Health including: nursing leadership, nurse practitioners, standards, skill mix, clinical career pathways, professional supervision, education, research and recruitment and retention. |
Call Number |
NRSNZNO @ research @ |
Serial |
865 |
Permanent link to this record |
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Author |
Honeyfield, Margy |
Title |
The necessity of effective nursing leadership for the retention of professional hospital nurses |
Type |
|
Year |
2008 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
Volume |
|
Issue |
|
Pages |
64 |
Keywords |
Recruitment and retention; Leadership; Nursing; Policy |
Abstract |
The author notes that it is widely accepted that there is a global shortage of nurses, and there are many studies in the health workforce literature about the negative aspects of nurse work environments, nursing workloads, decreased job satisfaction of nurses and the impact these have on patient health outcomes. In the past five years there has also been international and New Zealand-specific research into the effects of health restructuring on nursing leadership, retention of nurses, and on patient care. Much of this research has shown that countries with very different health care systems have similar problems, not only with retention of qualified nursing staff due to high levels of job dissatisfaction, but also with work design and the provision of good quality patient care in hospitals. This dissertation explores the many detrimental effects on nurses and nursing leadership, of extensive, and continuing, public health restructuring in New Zealand. The context of this dissertation is New Zealand public hospitals, with references pertaining to medical and surgical areas of nursing practice. Health reforms have negatively impacted on patient care delivery systems, patient health outcomes, and retention of educated nurses in the workforce. In order to resolve these issues, coordinated efforts are required in New Zealand district health boards to develop and sustain effective nursing leaders, who will promote and assist in the development of strong, healthy organisational cultures to retain and support professional nurses and the ways in which they wish to practise. |
Call Number |
NRSNZNO @ research @ |
Serial |
868 |
Permanent link to this record |
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Author |
McClelland, B. |
Title |
Critical factors that influence staff retention in an acute perioperative environment |
Type |
|
Year |
2004 |
Publication |
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Abbreviated Journal |
AUT University Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Recruitment and retention; Nursing |
Abstract |
There are a number of factors recognised as significant for nursing staff retention. These include, a lack of organisational care, bullying (commonly referred to as horizontal violence), and high workload acuity. However, there does not appear to be any indication that these factors influence the retention of nurses within the speciality of acute perioperative nursing. A descriptive study using postpositivist methodology and triangulation of methods was designed to answer the question: What are the critical factors that influence staff retention in an acute perioperative environment? Forty-eight perioperative nurses answered a questionnaire in relation to individual needs, provision of nursing care and administration and management. Four nurses subsequently participated in a focus group interview that explored in more depth, the survey data related to the following characteristics: Educational opportunities; Level of workload acuity; Rostering flexibility; Management; Established policies/Quality assurance; Graduate orientation programs and Professional relationships in an acute perioperative setting. Data analysis revealed that > 90% of respondents agreed that these characteristics are important for job satisfaction and influence staff retention in an acute perioperative environment. A sense of belonging appears to be the most important theme that emerged from the qualitative data. Job satisfaction and staff retention are attained when nurses have a sense of belonging in the workplace. To achieve this nurses need to identify barriers, develop their communication and leadership skills and determine the ideal professional practice model. The author suggests that the themes “Finding time” and increased “sick leave”, in relation to workload acuity are new findings that provide a platform for future research. |
Call Number |
NRSNZNO @ research @ |
Serial |
894 |
Permanent link to this record |