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Author |
Crowe, M.; Luty, S. |
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Title |
Recovery from depression: A discourse analysis of interpersonal psychotherapy |
Type |
Journal Article |
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Year |
2005 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
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Volume  |
12 |
Issue |
1 |
Pages |
43-50 |
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Keywords |
Psychiatric Nursing; Mental health; Nurse-patient relations |
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Abstract |
This paper describes a discourse analysis of the process of interpersonal psychotherapy (IPT) in the recovery from depression. It demonstrates how IPT is an effective treatment strategy for mental health nurses to utilise in the treatment of depression. The discourse analysis highlights how the development of more meaningful subject positions enables one woman to recover from her depression. The process of recovery is underpinned by an understanding of women's depression as promoted by contemporary social and cultural expectations for detachment and reflexivity. This paper shows how IPT provides an opportunity for recovery from depression for one woman by facilitating a reconstruction of her subject positions in relation to others. The discourse analysis revealed that the therapist facilitated this through the use of a range of techniques: seeking information, exploring beliefs/values/assumptions, exploring communication patterns, exploring affective responses and exploring alternative subject positions. |
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Call Number |
NRSNZNO @ research @ 1070 |
Serial |
1055 |
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Author |
Bishop, D.; Ford-Bruins, I. |
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Title |
Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study |
Type |
Journal Article |
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Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
12 |
Issue |
3 |
Pages |
203-212 |
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Keywords |
Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models |
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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. |
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Call Number |
NRSNZNO @ research @ 1082 |
Serial |
1067 |
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Author |
Palmer, S.G. |
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Title |
Application of the cognitive therapy model to initial crisis assessment |
Type |
Journal Article |
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Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
30-38 |
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Keywords |
Mental health; Clinical assessment; Psychiatric Nursing |
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Abstract |
This article provides a background to the development of cognitive therapy and cognitive therapeutic skills with a specific focus on the treatment of a depressive episode. It discusses the utility of cognitive therapeutic strategies to the model of crisis theory and initial crisis assessment currently used by the Community Assessment & Treatment Team of Waitemata District Health Board. A brief background to cognitive therapy is provided, followed by a comprehensive example of the use of the Socratic questioning method in guiding collaborative assessment and treatment of suicidality by nurses during the initial crisis assessment. |
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Call Number |
NRSNZNO @ research @ 1085 |
Serial |
1070 |
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Author |
Nadeem, Arshi; Healee, David |
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Title |
Utility of the Waterlow scale in acute care settings: a literature review |
Type |
Journal Article |
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Year |
2021 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
44-48 |
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Keywords |
Pressure injury; Waterlow scale; Clinical judgement |
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Abstract |
Explains the implications of pressure injuries as an indicator of quality of care and how the Waterlow scale is used in international guidelines for prevention of such injuries. Explores the effectiveness and validity of the Waterlow scale in acute care settings for the prevention of pressure injuries by means of a synthesis of the information from 11 studies examining the validity, reliability, feasibility and cost implications of using the Waterlow scale. Recommends its use in conjunction with clinical judgement. |
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Call Number |
NZNO @ research @ |
Serial |
1717 |
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Author |
Chiyesu, William; Rasmussen, Shayne |
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Title |
Influence of a pulmonary rehabilitation education programme on health outcimes for chronic obstructive pulmonary disease (COPD) |
Type |
Journal Article |
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Year |
2021 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
49-59 |
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Keywords |
Chronic obstructive pulmonary disease (COPD); Rehabilitation; Self-management; Patient education |
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Abstract |
Considers whether the education component in a pulmonary rehabilitation programme (PRP) influences health outcomes for patients with chronic obstructive pulmonary disease (COPD) patients. Performs an integrative review of literature to integrate results from qualitative, quantitative and mixed-methods articles. Highlights the following concepts: disease knowledge, knowledge in relation to self-management, and the relationship between knowledge and education. |
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Call Number |
NZNO @ research @ |
Serial |
1718 |
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Author |
King, S.L.J.; Walsh, K. |
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Title |
'I think PCA is great, but . . .'- Surgical nurses' perceptions of patient-controlled analgesia |
Type |
Journal Article |
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Year |
2007 |
Publication |
International Journal of Nursing Practice |
Abbreviated Journal |
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Volume |
13 |
Issue |
5 |
Pages |
276-283 |
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Keywords |
Nurse-patient relations; Drug administration; Pain management |
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Abstract |
This qualitative study investigated surgical nurses' perceptions of patient-controlled analgesia as a strategy for managing acute pain in a tertiary care hospital. Patient-controlled analgesia is commonly used and nurses play an essential role in caring for patients prescribed it. The study was divided into two parts. First, audiotaped semi-structured interviews were conducted with 10 nurses. The interviews were followed by a postal questionnaire to 336 nurses with 171 returned. Thematic analysis was the chosen methodology. The audiotaped transcripts and questionnaires surfaced five themes, with the dominant one being `I think PCA is great, but . . .'. The paper outlines and explores these themes and addresses the implications arising from the research for both clinical practice and education. |
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Call Number |
NRSNZNO @ research @ |
Serial |
972 |
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Author |
Dellagiacoma, T. |
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Title |
Contracting as a career option for nurses |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
1 |
Pages |
20-22 |
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Keywords |
Professional development; Nursing; Work |
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Abstract |
A nurse presents research and her own experiences of contracting. Contracting, as defined in this article, refers to a nurse not employed permanently on a wage. It covers agency nursing, short and long fixed-term contracts and secondments. The author identifies the need to continue to develop professionally, which is now a mandatory requirement under the Health Practitioners Competence Assurance (HPCA) Act. Contractors have little, if any financial support to develop professionally, and time taken to do courses is not paid. Taking study leave within a contract may also not be an option. Options for managing professional development in these conditions are offered, including goal setting, investing in education or training, and considering some longer contracts. Practical financial advice and examples are given, including managing accounts and consideration of employment law. The author recommends that skilled nurses looking for interesting ways to develop their careers and to branch out in an entrepreneurial way should seriously consider taking up contract work. |
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Call Number |
NRSNZNO @ research @ 996 |
Serial |
980 |
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Author |
Neville, S.J.; Gilmour, J.A. |
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Title |
Differentiating between delirium and dementia |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
9 |
Pages |
22-25 |
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Keywords |
Dementia; Psychiatric Nursing; Clinical assessment; Older people |
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Abstract |
Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources. |
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Call Number |
NRSNZNO @ research @ |
Serial |
983 |
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Author |
O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J. |
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Title |
Clinical indicators as measures of mental health nursing standards of practice in New Zealand |
Type |
Journal Article |
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Year |
2004 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
13 |
Issue |
2 |
Pages |
778-788 |
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Keywords |
Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth |
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Abstract |
This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1059 |
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Author |
Scrymgeour, G. |
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Title |
Using diagnostic reasoning in nursing practice: Ectopic pregnancy: A case study approach |
Type |
Journal Article |
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Year |
2005 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online at Eastern Institute of Technology |
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Volume |
13 |
Issue |
1 |
Pages |
13-17 |
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Keywords |
Nursing; Pregnancy; Clinical assessment |
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Abstract |
This paper explores, through the use of a case study, an evidence-based diagnostic reasoning process utilising the framework followed by Dains, Baumann and Scheibel (1998). This framework, as described by these authors, involves an inductive process of reasoning, which leads to formulation of a hypothesis that is then analysed using an evidence-based approach. From this analysis, a likely diagnosis can be made and appropriate therapeutic intervention initiated. This research demonstrates that although an evidence-based approach is the ideal, sometimes clinical intuition is equally important to the clinical outcome. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1305 |
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Author |
Bingham, Helen; Malone, Tara |
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Title |
Developing compassion in nursing students through engaging with a lived experience |
Type |
Journal Article |
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Year |
2022 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
13 |
Issue |
1 |
Pages |
19-25 |
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Keywords |
Compassion; Personal narratives; Mental illness; Addiction; Nursing education |
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Abstract |
Considers whether an educational intervention in which mental illness and addiction sufferers share their personal experience with nursing students results in the development of empathy and compassion among nursing students. Incorporates five workshops into the bachelor of nursing curriculum, in which students listen to the stories told by mental health/addiction patients. Gathers accounts from students of their reactions afterwards. |
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Call Number |
NZNO @ research @ |
Serial |
1817 |
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Author |
Donkin, Alana; Lesa, Raewyn; Seaton, Philippa |
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Title |
Nurse perceptions of implementing stroke guidelines in an acute stroke unit |
Type |
Journal Article |
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Year |
2022 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
13 |
Issue |
1 |
Pages |
32-37 |
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Keywords |
Clinical practice guidelines; Stroke; Documentation; Acute stroke unit; Surveys |
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Abstract |
Identifies nurse perspectives on the barriers and facilitators to implementing the nationally-endorsed stroke guidelines. Conducts a focus group with four nurses working in an acute stroke unit at a single hospital in 2021. Considers that nursing experience can act as both a barrier and a facilitator of guideline use. |
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Call Number |
NZNO @ research @ |
Serial |
1819 |
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Author |
Thompson, R.; Farrow, T. |
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Title |
The Workbook Portfolio: Facilitating undergraduate student learning in the mental health clinical area |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
2 |
Pages |
21-30 |
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Keywords |
Mental health; Teaching methods; Critical thinking |
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Abstract |
This article describes the use of a model that has been developed to assist students in tackling the complex issues surrounding mental health nursing. The Workbook Portfolio has identifiable components that encourage the development of reflective and analytical skills, which allow nurses to practice within an environment that is influenced and determined by a complex, and sometimes contradictory, range of external influences. The article explains the workings of this model so it can be used by educators to for students in the mental health setting. |
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Call Number |
NRSNZNO @ research @ |
Serial |
637 |
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Author |
Farrow, T.; O'Brien, A.J. |
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Title |
Discourse analysis of newspaper coverage of the 2001/2002 Canterbury, New Zealand mental health nurses' strike |
Type |
Journal Article |
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Year |
2005 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
14 |
Issue |
3 |
Pages |
187-195 |
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Keywords |
Mental health; Nursing specialties; Industrial relations |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
692 |
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Author |
Huntington, A.D.; Gilmour, J.A. |
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Title |
A life shaped by pain: Women and endometriosis |
Type |
Journal Article |
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Year |
2005 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
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Volume |
14 |
Issue |
9 |
Pages |
1124-1132 |
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Keywords |
Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique |
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Abstract |
The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition. |
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Call Number |
NRSNZNO @ research @ |
Serial |
940 |
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