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Author Barton, Pipi; Wilson, Denise openurl 
  Title Te Kapunga Putohe (the restless hands) : a Maori centred nursing practice model Type Journal Article
  Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 24 Issue 2 (Jul) Pages 6-15  
  Keywords Maori-centred practice; Nursing model; Maori health; Indigenous; Kaupapa Maori; Maori health  
  Abstract Notes an absence of nursing practice models focussing on the traditional beliefs of Maori amongst nursing literature. Presents Te Kapunga Putohe (the restless hands) model of Maori centred nursing practice. Illustrates how Maori knowledge and nursing knowledge can be incorporated to deliver nursing care that is both culturally appropriate and can improve the nursing experience for Maori clients.  
  Call Number NZNO @ research @ Serial 1434  
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Author Spence, D.; Smythe, E. openurl 
  Title Courage as integral to advancing nursing practice Type Journal Article
  Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 23 Issue 2 Pages 43-55  
  Keywords Ethics; Advanced nursing practice  
  Abstract This paper focuses on the illumination of courage in nursing. The authors suggest it is a fundamental component of nursing, yet it is seldom mentioned or recognised in the literature, or supported in practice. Data from a hermeneutic analysis of nurses' practice stories is integrated with literature to assist deeper understanding of the meaning of courage in contemporary nursing practice. The purpose is to make visible a phenomenon that needs to be actively fostered if nursing is to effectively contribute to an improved health service.  
  Call Number NRSNZNO @ research @ 470 Serial 456  
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Author Spence, D.; Anderson, M. openurl 
  Title Implementing a prescribing practicum within a Master's degree in advanced nursing practice Type Journal Article
  Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 23 Issue 2 Pages 27-42  
  Keywords Advanced nursing practice; Education; Nurse practitioners; Prescribing; Teaching methods  
  Abstract This article reports the implementation of a collaborative project undertaken to monitor and improve the effectiveness of the prescribing practicum papers delivered within two Master's degree programmes in advanced nursing practice. The recent introduction of Nurse Practitioner registration in New Zealand has resulted in the development of a number of Master's degree programmes in which students can complete a Nursing Council of New Zealand approved programme for prescribing. For the study, a developmental action research approach was used. Data were collected through interviews with practicum students, their medical supervisors and academic staff. Formative findings were progressively used to refine delivery of the practicum papers and a thematic analysis of summative findings identified areas for further improvement. The findings suggest that the processes being implemented are developing well. The researchers recommend that further education is required to clearly differentiate medical and advanced nursing roles. They recommend that greater attention needs to be paid to the preparation of medical supervisors and, most significantly, revision of funding is required to more equitably support the ongoing development of nurses for advanced practice roles.  
  Call Number NRSNZNO @ research @ Serial 457  
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Author Rodgers, V.; Neville, S.J. openurl 
  Title Personal autonomy for older people living in residential care: An overview Type Journal Article
  Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 23 Issue 1 Pages 29-36  
  Keywords Geriatric nursing; Older people; Rest homes  
  Abstract This article looks at the concept of autonomy particularly in relation to the population of older persons living in residential care settings. It examines the values underpinning the exercise of personal autonomy and notes how individual autonomy may be enhanced or restricted. The implications for gerontological nursing practice are outlined and suggestions offered as to how personal autonomy for older persons living in residential care may be preserved and promoted.  
  Call Number NRSNZNO @ research @ 529 Serial 515  
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Author McBride-Henry, K.; Foureur, M. openurl 
  Title Medication administration errors: Understanding the issues Type Journal Article
  Year 2006 Publication Australian Journal of Advanced Nursing Abbreviated Journal  
  Volume (down) 23 Issue 3 Pages 33-41  
  Keywords Nursing; Patient safety; Medical errors; Drug administration; Quality assurance  
  Abstract This literature review focused on research that primarily addresses the issues related to medications that arise in tertiary care facilities. It finds that investigations into medication errors have primarily focused on the role of nurses, and tended to identify the nurse as deliverer of unsafe practice. Over the past few years a shift in how medication errors are understood has led to the identification of systems-related issues that contribute to medication errors. The author suggests that nurses should contribute to initiatives such as the 'Quality and Safe Use of Medicines' and develop nursing led research, to address some of the safety related issues with a view to enhancing patient safety.  
  Call Number NRSNZNO @ research @ Serial 715  
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Author Spence, D.; Wood, E.E. openurl 
  Title Registered nurse participation in performance appraisal interviews Type Journal Article
  Year 2007 Publication Journal of Professional Nursing Abbreviated Journal  
  Volume (down) 23 Issue 1 Pages 55-59  
  Keywords Registered nurses; Management; Professional development; Attitude of health personnel  
  Abstract This article presents the findings of an interpretive study that explored and documented the meaning and impact of nurse participation in performance appraisal interviews. Data gleaned from nine New Zealand registered nurses employed by a single district health board provide evidence that nurses are often disappointed by the process of performance appraisal. Although they believe in the potential value of performance appraisal interviews, they seldom experience the feedback, direction, and encouragement necessary for an effective appraisal process. It is suggested that changes to the current professional development program and its accompanying performance appraisal will require skilled commitment on the part of nurses, managers, and the employing organisation to improve and develop the assessment and promotion of nursing practice.  
  Call Number NRSNZNO @ research @ Serial 840  
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Author Marcinkowski, K.; McDonald, B. openurl 
  Title Changing blood transfusion practice in elective joint arthroplasty: A nursing initiative Type Journal Article
  Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 22 Issue 3 Pages 15-21  
  Keywords Surgery; Hospitals; Economics  
  Abstract This study analysed the use of re-infusion drains on 99 consecutive patients undergoing total knee arthroplasty surgery at a large hospital. The primary aim was to ascertain the cost effectiveness of the drains. Secondary aims were to assess safety of the drains, whether or not they reduced the need for allogeneic blood transfusion and whether they decreased the length of stay in hospital. As a control group the records of 99 patients treated without re-infusion were analysed retrospectively. The direct cost of consumables increased for the evaluation period. There was a smaller proportion of allogeneic blood transfusion (27% vs 38%) and a smaller mean number of units transfused (0.92 vs 0.54) in the re-infusion group compared to the control group. Patients benefited directly in that the mean length of stay was also significantly shorter in the re-infusion group. The researchers anticipate more direct cost saving with experience and best practice and conclude that the use of re-infusion drains is a cost effective blood saving method in total knee joint arthroplasty.  
  Call Number NRSNZNO @ research @ 533 Serial 519  
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Author Bolitho, S.; Huntington, A.D. openurl 
  Title Experiences of Maori families accessing health care for their unwell children: A pilot study Type Journal Article
  Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 22 Issue 1 Pages 23-32  
  Keywords Maori; Qualiltative research; Access; Children; Parents and caregivers  
  Abstract The aim of this study was to explore with a small number of Maori families their experiences of accessing health care when their children were unwell with a respiratory condition. A qualitative research methodology was used in the study. Participating families were among those experiencing an admission to a children's ward between July and December 2003. Four families were interviewed. They discussed in depth their experience of accessing health care for their unwell children. Data were analysed using thematic analysis, and three common themes were evident: family resources, choice of health service provider and parents' feelings of vulnerability. The findings highlight that while socio-economic status plays a large part in determining the ease with which families can access the needed health care, there are other barriers within the health system which also pose difficulties for Maori.  
  Call Number NRSNZNO @ research @ 535 Serial 521  
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Author Harding, T.S. url  openurl
  Title Men's clinical career pathways: Widening the understanding Type Journal Article
  Year 2008 Publication Klinisk sygepleje Abbreviated Journal Coda: An institutional repository for the New Zealand ITP sector  
  Volume (down) 22 Issue 3 Pages 48-57  
  Keywords Male nurses; Gender; Careers in nursing  
  Abstract This article, drawn from a larger study, reports on the factors that have influenced the choice of a group of New Zealand male nurses' clinical career pathways. Using discourse analysis, interview data from 18 participants were analysed and related to existing literature on male nurses. The analysis revealed that the predominance of men in selected areas of nursing can be attributed to multiple factors including: socialisation pressures that are grounded on gender stereotyping, a desire for challenge, homosocial tendencies, and the belief that multiple work experience equips them to be better nurses. The results challenge essentialist readings of masculinity within the context of nursing and identifies challenges for nursing education and the profession to enable men to contribute more widely to nursing.  
  Call Number NRSNZNO @ research @ Serial 646  
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Author Harding, T.S.; North, N.; Perkins, R. openurl 
  Title Sexualizing men's touch: Male nurses and the use of intimate touch in clinical practice Type Journal Article
  Year 2008 Publication Research & Theory for Nursing Practice Abbreviated Journal  
  Volume (down) 22 Issue 2 Pages 88-102  
  Keywords Male nurses; Nurse-patient relations; Gender  
  Abstract Drawn from a larger study, this article reports the experiences of a group of male nurses regarding the use of intimate physical touch. Using discourse analysis, interview data from 18 male nurses were analysed and related to existing text on men as nurses. The analysis reveals that although touch is important in nursing care, it is problematic for men because discourses have normalised women's use of touch as a caring behaviour and have sexualised men's touch. Participants described their vulnerability, how they protected themselves from risk, and the resulting stress. The complicity of nurses in sexualising men's touch and the neglect of educators in preparing men for providing intimate care are revealed. A paradox emerged whereby the very measures employed to protect both patients and men as nurses exacerbate the perceived risk posed by men carrying out intimate care. The authors suggest that deconstructing and reframing prevailing discourses around nursing, gender, and caring involving touch can help to legitimise men's involvement in physical caring.  
  Call Number NRSNZNO @ research @ Serial 960  
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Author Litchfield, M. openurl 
  Title Practice wisdom Type Journal Article
  Year 1999 Publication Advances in Nursing Science Abbreviated Journal  
  Volume (down) 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 Litchfield, M.; Noroian, E. openurl 
  Title Changes in selected pulmonary functions in patients diagnosed with myasthenia gravis Type Journal Article
  Year 1989 Publication Journal of Neuroscience – Nursing Abbreviated Journal  
  Volume (down) 21 Issue 6 Pages 375-381  
  Keywords  
  Abstract Patients with myisthenia gravis (MG) face major pulmary problems as a part of the disease process. In this descriptive study, changes in selected pulmonary functions (respiratory rate, negative inspiratory force, tidal volume and forced total capacity) in 14 patients diagnosed with mild or moderate MG were measured every two hours from 8.00 a.m. to 8.00 p.m. Females comprised 64% of the sample while 36% were males. All subjects received anticholnesterase medication, and some subjects received additional treatment modalities. Most of the subjects were non-smokers or previous smokers, but two subjects continued to smoke. Ninety-three recent of the sample had forced vital capacities less than 60% of their predicted values. Myasthenic forced vital capacities were significantly lower (p=.0000) than those predicted for normal subjects. The inspiratory force for the sample was low sat 8:00 a.m. as well as in females over 55 years of age. There was a wide variation in total volume to normal values derived from random tables and predicted equations ws not significant. Th major implications from this study are the need to assess pulmonary function in the hospitalized myasthenic every two hours, and the need for a program of coughing, deep breathing and sighing after medication administration when the muscles are strongest  
  Call Number NRSNZNO @ research @ 370 Serial 370  
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Author Richardson, S. openurl 
  Title Incorporation of research into clinical practice: The development of a clinical nurse researcher position Type Journal Article
  Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 21 Issue 1 Pages 33-42  
  Keywords Emergency nursing; Nursing research; Hospitals  
  Abstract The author backgrounds the development of the role of an innovative Nurse Researcher (Emergency Medicine) role at Christchurch Hospital. She describes the emergency department and the factors leading to the creation of the role. Specific nursing research projects are reviewed, and the nature of nursing in relation to research is discussed. The author argues that the nurse researcher is integral to the expansion of evidence-based nursing, and that the role of Clinical Nurse Researcher in the emergency department has resulted in a higher profile for research, and the gradual integration of research as a clinical skill with direct practical relevance.  
  Call Number NRSNZNO @ research @ Serial 536  
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Author Lyford, S.; Cook, P. openurl 
  Title The Whanaungatanga model of care Type Journal Article
  Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 21 Issue 2 Pages 26-36  
  Keywords Maori; Hospitals; Nursing models  
  Abstract The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme.  
  Call Number NRSNZNO @ research @ Serial 538  
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Author Roud, D.; Giddings, D.L.S.; Koziol-McLain, J. openurl 
  Title A longitudinal survey of nurses' self-reported performance during an entry-to-practice programme Type Journal Article
  Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume (down) 21 Issue 2 Pages 37-46  
  Keywords New graduate nurses; Methodology; Professional competence; Training  
  Abstract The researchers conducted a study to compare self-reported changes in both frequency and quality of performance of nursing behaviours in a cohort of recently graduated nurses undertaking a one year entry to practice programme. Thirty-three nurses were surveyed, seven weeks after beginning the programme and again seven months later, using a modified version of Schwirian's (1978) Six-Dimension Scale of Nursing Performance (6-DSNP). Over the study period participants reported significant increases in frequency of performance for the domains of leadership, critical care, teaching/collaboration, and planning/evaluation. Significant increases in the quality of nurse behaviours in the domains of critical care, planning/evaluation and interpersonal relations/communication were also reported. The modified Schwirian 6-DSNP was found to be a useful instrument for measuring nurses' self reporting of performance during periods of transition.  
  Call Number NRSNZNO @ research @ 553 Serial 539  
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