| |
Records |
Links |
|
Author |
Gallaher, L. |
|
| |
Title |
Expert public health nursing practice: A complex tapestry |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume  |
14 |
Issue |
3 |
Pages |
16-27 |
|
| |
Keywords |
Public health; Community health nursing; Communication |
|
| |
Abstract |
The research outlined in this paper used Heideggerian phenomenology to examine the phenomenon of expert public health nursing practice within a New Zealand community health setting. Narrative interviews were conducted with eight identified expert practitioners who are currently practising in this speciality area. Data analysis led to the identification and description of themes which were supported by paradigm cases and exemplars. Four key themes were identified which describe the finely tuned recognition and assessment skills demonstrated by these nurses; their ability to form, sustain and close relationships with clients over time; the skilful coaching undertaken with clients; and the way in which they coped with the dark side of their work with integrity and courage. |
|
| |
Call Number |
NRSNZNO @ research @ 656 |
Serial |
642 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Neville, S.J.; Alpass, F. |
|
| |
Title |
Factors influencing health and well-being in the older adult |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
36-45 |
|
| |
Keywords |
Older people; Male; Geriatric nursing |
|
| |
Abstract |
This article offers a literature review of selected factors influencing the health and well-being of older people, with a particular emphasis on the older male. Implications for nursing practice in New Zealand are discussed. |
|
| |
Call Number |
NRSNZNO @ research @ 657 |
Serial |
643 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Christensen, D.J.C. |
|
| |
Title |
Integrating the terminology and titles of nursing practice roles: Quality, particularity and levelling |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
1 |
Pages |
4-11 |
|
| |
Keywords |
Advanced nursing practice; Nursing specialties; Nursing models |
|
| |
Abstract |
The author reconsiders the meaning of expert, specialist and advanced practice. She proposes that they are distinctive and complementary aspects of every nursing role and suggests a set of attributes for each. Expertise is discussed in terms of the quality of performance, speciality in relation to particularity of performance, and advanced practice with regard to the level of performance. |
|
| |
Call Number |
NRSNZNO @ research @ 658 |
Serial |
644 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Jones, B. |
|
| |
Title |
Neonatal nurse practitioners: A model for expanding the boundaries of nursing culture in New Zealand |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
28-35 |
|
| |
Keywords |
Advanced nursing practice; Neonatal nursing; Interprofessional relations |
|
| |
Abstract |
This article outlines the development of the neonatal nurse practitioner role in New Zealand as an example of one advanced practice nursing role. A model of how nursing culture changes to include roles that incorporate components that historically have been considered the domain of other health professionals is proposed. This article outlines some of the issues surrounding the neonatal nurse practitioner role, including the educational requirements for this role in New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ 659 |
Serial |
645 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Farrow, T.; O'Brien, A.J. |
|
| |
Title |
Discourse analysis of newspaper coverage of the 2001/2002 Canterbury, New Zealand mental health nurses' strike |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
187-195 |
|
| |
Keywords |
Mental health; Nursing specialties; Industrial relations |
|
| |
Abstract |
This paper reports on research into print media representations of industrial disputes in Canterbury in 2001, when mental health nurses undertook a variety of strike actions after stalled negotiations with the local district health board. One response to these actions was the temporary reduction of many of the regions' mental health services. The researchers identified themes of juxtaposed but largely deprecatory images of both mental health nursing and of consumers of services. Some professional nursing voices were given print space during the strike; however, these were largely incorporated into existing discourses rather than offering a nursing viewpoint on the strike. The researchers suggest organisational efforts to focus on ways of ensuring that mental health nurses are seen as a legitimate authority by the media. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
692 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Phillips, B.N. |
|
| |
Title |
Nursing care and understanding the experiences of others: A Gadamerian perspective |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
1 |
Pages |
89-94 |
|
| |
Keywords |
Nursing philosophy; Nurse-patient relations |
|
| |
Abstract |
This article investigates the process where nurses attempt to understand the experience of patients. The author argues that this transcends particular models of ill-health. Gadamerian hermeneutics, which has been used in nursing research to articulate the process of understanding, is elaborated on. Gadamer's exposition of understanding shows that practitioners need to be aware that understanding of other people is developed through a fusion of one's own history, language and culture with that of the other person. This occurs through a hermeneutic question-answer dialogue in which practitioners put their ideas at risk of being modified or rejected in the process. Understanding then, is a perceptual and conceptual process. In this way, the experience of nurses seeking to understanding those they nurse increases self-awareness, as well as enhancing their ability to further understand others. |
|
| |
Call Number |
NRSNZNO @ research @ 797 |
Serial |
781 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Walsh, K.; Moss, C.; Lawless, J.; McKelvie, R.; Duncan, L. |
|
| |
Title |
Puzzling practice: A strategy for working with clinical practice issues |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
International Journal of Law and Psychiatry |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
2 |
Pages |
94-100 |
|
| |
Keywords |
Nursing philosophy; Clinical decision making; Problem solving |
|
| |
Abstract |
The authors share the evolution of innovative ways to explore, 'unpack' and re-frame clinical issues that exist in everyday practice. The elements of these processes, which they call 'puzzling practice', and the techniques associated with them, were delineated over a two year period by the authors using action theory based processes. The authors have evolved several different frameworks for 'puzzling practice' which they draw on and use in their practice development work and in research practice. This paper pays attention to a particular form of puzzling practice that they found to be useful in assisting individual clinicians and teams to explore and find workable solutions to practice issues. In this example 'puzzling practice' uses seven different elements; naming the issue; puzzling the issue; testing the puzzle; exploring the heart of out practice; formulating the puzzle question; visualising the future; and generating new strategies for action. Each of the elements is illustrated by the story and the key foundations and ideas behind each element is explored. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
838 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Fourie, W.; McDonald, S.; Connor, J.; Bartlett, S. |
|
| |
Title |
The role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
Available online from Coda: An institutional repository for the ITP sector |
|
| |
Volume |
14 |
Issue |
2 |
Pages |
134-141 |
|
| |
Keywords |
Psychiatric Nursing; Nurse-patient relations; Organisational change |
|
| |
Abstract |
This study compared the perceptions that registered psychiatric nurses have of their roles with their actual practice. Following the closure of large scale psychiatric institutions in New Zealand, there was was an increased demand for limited beds in acute inpatient facilities for acutely mentally ill patients. This change in location and downsizing of acute inpatient beds challenged traditional roles of mental health nursing, resulting in confusion over what roles mental health nurses should now perform in the new context of care. This qualitative descriptive exploratory study observed nursing practice on three selected wards and used focus group interviews to establish from registered nurses what they perceived their roles to be. A key finding of this study was that many of the nursing roles related to delivering care from a crisis management perspective, which covers aspects such as assessment, stabilisation of symptoms and discharge planning. Participants also believed that the therapeutic relationship was a fundamental role in inpatient care. Nurses used any opportunity to make it a reality such as kitchen organisation, medications, or dealing with a challenging patient. This study highlighted the complexity of the roles that nurses performed and went some way to give voice to what at times seems an invisible practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
875 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Smythe, E. |
|
| |
Title |
Uncovering the meaning of 'being safe' in practice |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
2 |
Pages |
196-204 |
|
| |
Keywords |
Childbirth; Patient safety; Advanced nursing practice; Midwifery |
|
| |
Abstract |
This paper moves away from the prevalent discourse of competence to consider the meaning of the experience of 'being safe' within the context of childbirth. It offers findings from a doctoral study, informed by the philosophies of Heidegger and Gadamer. Following ethical approval, the data was collected in New Zealand by tape-recorded interviews of 5 midwives, 4 obstetricians, 1 general practitioner and 10 women. The method was informed by van Manen. The findings reveal that in seeking the meaning of being safe one needs to be aware that the unsafety may already be present in the situation. Practitioners may be able to do little to rectify the unsafeness. There is, however, a spirit of safe practice, explicated in this paper, that is likely to make practice as safe as it can possibly be. Wise practitioners are ever mindful that a situation may be or become unsafe, and are always aware of their own limitations. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
877 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wepa, D. |
|
| |
Title |
An exploration of the experiences of cultural safety educators in New Zealand: An action research approach |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Journal of Transcultural Nursing |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
4 |
Pages |
339-348 |
|
| |
Keywords |
Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori |
|
| |
Abstract |
This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action, and reflecting. The findings of the research revealed that the participants not only coped with everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for educators to conduct and publish research so that a body of knowledge can be developed, and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burnout. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
887 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Rydon, S.E. |
|
| |
Title |
The attitudes, knowledge and skills needed in mental health nurses: The perspective of users of mental health services |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
2 |
Pages |
78-87 |
|
| |
Keywords |
Patient satisfaction; Psychiatric Nursing; Attitude of health personnel |
|
| |
Abstract |
In this study a qualitative descriptive methodology with focus group interviews was used to explore with users of mental health services, the attitudes, knowledge and skills that they need in mental health nurses. Users of mental health services valued the therapeutic work of mental health nurses, and identified positive attitudes towards users of mental health services as essential in mental health nurses. However, they did not consistently experience a therapeutic approach in their interactions with mental health nurses. In a sociopolitical climate where the views of users of mental health services are increasingly incorporated into education and the planning and delivery of services, there is a need for more research that reflects the perspective of users. |
|
| |
Call Number |
NRSNZNO @ research @ 961 |
Serial |
945 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Tielemans, W. |
|
| |
Title |
Encouraging young women to have regular smear tests |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
7 |
Pages |
16-18 |
|
| |
Keywords |
Nursing research; Sexual and reproductive health; Screening; Attitude to health; Cancer |
|
| |
Abstract |
The author presents the results of a study carried out as part of a research project with two nurse researchers from Maastricht University in the Netherlands. The aim of this study was to examine awareness among female students aged 18 to 25 about cervical cancer and to identify factors associated with their decision or intention to enter the cervical screening programme. Students aged 18-25 were recruited from four tertiary institutions in the Wellington region. A questionnaire was available online and distributed by student health centres and the researchers. Questions covered the following areas: intentions, attitude, knowledge, awareness, modelling, and support systems and efficacy. Data was analysed using descriptive statistics, multiple regression and independent t-tests. The findings are presented, and factors associated with intention and participation in cervical screening are discussed. The results indicate that the information concerning the national screening programme needs to be adjusted for the different age groups. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
984 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sutton, D.M. |
|
| |
Title |
Nurses have an important role in managing intermittent claudication |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
4 |
Pages |
20-22 |
|
| |
Keywords |
Diseases; Nursing; Quality of life |
|
| |
Abstract |
The author reviews the diagnosis, treatment, and management of intermittent claudation. She uses a case study to illustrate successful management of the condition. |
|
| |
Call Number |
NRSNZNO @ research @ 1006 |
Serial |
990 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Smith, M.C. |
|
| |
Title |
Reviewing the role of a mental health nurse practitioner |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
20-22 |
|
| |
Keywords |
Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence |
|
| |
Abstract |
The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
993 |
|
| Permanent link to this record |
