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Author Prebble, K.
Title Ordinary men and uncommon women: A history of psychiatric nursing in New Zealand public mental hospitals, 1939-1972 Type
Year 2007 Publication Abbreviated Journal University of Auckland Library
Volume (up) Issue Pages
Keywords Psychiatric Nursing; Mental health; History; Gender
Abstract This social-cultural history explores the changing context, culture, and identity of psychiatric nurses working in New Zealand public mental hospitals between 1939 and 1972. Primary documentary sources and oral history interviews provided the data for analysis. The thesis is divided into two periods: 1939 to 1959 when asylum-type conditions shaped the culture of the institutional workforce, and 1960 to 1972 when mental health reform and nursing professionalisation challenged the isolation and distinct identity of mental hospital nurses. Between 1939 and 1959 the introduction of somatic treatments did not substantially change nursing practice in mental hospitals. Overcrowding, understaffing and poor resources necessitated the continuance of custodial care. The asylum-type institutions were dependent on a male attendant workforce to ensure the safety of disturbed male patients, and the maintenance of hospital farms, gardens, and buildings. Although female nurses provided all the care and domestic work on the female side, the belief that psychiatric nursing was physically demanding, potentially dangerous, and morally questionable, characterised the work as generally unsuitable for women. Introduction of psychiatric nursing registration which was a move toward professionalisation did little to change the dominance of a male, working-class culture. From 1960 to 1972 psychiatric nurses' identity was contested. New therapeutic roles created the possibility of the nurses becoming health professionals. Their economic security and occupational power, however, was tied to an identity as unionised, male workers. As psychiatric nurses were drawn closer to the female-dominated nursing profession through health service changes and nursing education reform, both men and women acted to protect both their working conditions and their patients' welfare. To achieve these ends, they employed working-class means of industrial action. By accepting the notion that psychiatric nurses' identity was socially constructed, this thesis provides an interpretation that goes beyond the assumption that nursing is a woman's profession. Instead, it presents psychiatric nursing as a changing phenomenon shaped by contested discourses of gender, class and professionalisation. Nursing in public mental hospitals attracted ordinary men and uncommon women whose collective identity was forged from the experience of working in a stigmatised role.
Call Number NRSNZNO @ research @ 763 Serial 749
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Author Sadler, D.
Title Stigma, discrimination and a model for psychiatric mental health nursing practice Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume (up) Issue Pages
Keywords Mental health; Psychiatric Nursing; Psychology
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.
Call Number NRSNZNO @ research @ 815 Serial 799
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Author Saba, W.
Title Walking in two worlds: A Kaupapa Maori research project examining the experiences of Maori nurses working in district health boards, Maori mental health services Type
Year 2007 Publication Abbreviated Journal Victoria University of Wellington Library
Volume (up) Issue Pages
Keywords Mental health; Psychiatric Nursing; District Health Boards; Maori
Abstract
Call Number NRSNZNO @ research @ 817 Serial 801
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Author Rydon, S.E.
Title Attitudes, skills and knowledge of mental health nurses: The perception of users of mental health services Type
Year 2001 Publication Abbreviated Journal Massey University Library
Volume (up) Issue Pages
Keywords Mental health; Psychiatric Nursing; Patient satisfaction; Attitude of health personnel
Abstract
Call Number NRSNZNO @ research @ 819 Serial 803
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Author Bigwood, S.
Title Got to be a soldier: Mental health nurses experiences of physically restraining patients Type
Year 2007 Publication Abbreviated Journal University of Otago Library
Volume (up) Issue Pages
Keywords Psychiatric Nursing; Workplace violence; Mental health; Stress
Abstract
Call Number NRSNZNO @ research @ 829 Serial 813
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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 (up) 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
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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 (up) 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 (up) Issue Pages
Keywords Psychiatric Nursing; Clinical supervision; Stress; Job satisfaction; Mental health
Abstract
Call Number NRSNZNO @ research @ 845 Serial 829
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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 (up) 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
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Author Bresaz, D.M.
Title Environmental influences on inpatient assaultive behaviour Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume (up) 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
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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 (up) Issue Pages
Keywords Drug administration; Psychiatric Nursing; Administration; Mental health
Abstract
Call Number NRSNZNO @ research @ 875 Serial 859
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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
Volume (up) Issue November Pages
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
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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 Abbreviated Journal
Volume (up) 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
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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 (up) Issue Pages
Keywords Psychiatric Nursing; Mental health; Nurse-patient relations
Abstract
Call Number NRSNZNO @ research @ 914 Serial 898
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Author Gillard, D.
Title When I am nursing Type
Year 2002 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume (up) Issue Pages
Keywords Nursing models; Mental health; Adolescents; Psychiatric nursing
Abstract Over the last century the nursing profession has drawn from numerous theories and disciplines to construct its own theoretical foundations. While this diversity and flexibility may be one of the nursing profession's strengths it may have contributed to nurses' difficulty in explaining the complexities of their every day clinical work. This is a particular challenge for the domain of mental health nursing. This dissertation discusses how nursing models that have credibility at a clinical level can contribute to informing and advancing nursing practice. Models can achieve this by assisting nurses to conceptualise and articulate what it is they do that makes a difference to patient outcomes. Through this process nurses can maintain a distinct professional identity and establish themselves as effective members of multidisciplinary health team. Specifically, the application and limitations of Godkin's (2001) proposed model of a 'healing presence' to the author's own practice in a one-to-one nurse-adolescent client relationship in the mental health nursing is examined. It is claimed that a 'healing presence' provides a meaningful way to understanding the author's own practice. The proposed model of a 'healing presence' embraces the diversity of her background, and allows the author to maintain a nursing identity by providing a nursing framework to critique her practice, furthering her understanding of what it is that 'expert' nurses do and how this impacts on patient outcomes. Also suggested is that a 'healing presence' can contribute to the author's own and other nurses advanced nursing practice by making nursing visible to the multidisciplinary health team and to articulate “what it is that I do 'when I am nursing'”. Through presenting this dissertation, the author wishes to inspire other nurses to examine and understand their own practice.
Call Number NRSNZNO @ research @ Serial 914
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