Records |
Author |
Gaskin, C.J.; O'Brien, A.P.; Hardy, D.J. |
Title |
The development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand |
Type |
Journal Article |
Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
12 |
Issue |
4 |
Pages |
259-270 |
Keywords |
Professional competence; Psychiatric Nursing; Clinical decision making; Nursing research |
Abstract |
This paper reports the three-stage development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand. In Study 1, clinical indicator statements (n = 99) generated from focus group data, which were considered to be unobservable in the nursing documentation in consumer case notes, were included in a three-round Delphi process. Consensus of ratings occurred for the mental health nurse and academic participants (n = 7) on 83 clinical indicator statements. In Study 2, the clinical indicator statements (n = 67) that met importance and consensus criteria were incorporated into a questionnaire, which was piloted at a New Zealand mental health service. The questionnaire was then modified for use in a national field study. In Study 3, the national field study, registered mental health nurses (n = 422) from 11 New Zealand district health board mental health services completed the questionnaire. Five categories of nursing practice were identified: professional and evidence-based practice; consumer focus and reflective practice; professional development and integration; ethically and legally safe practice; and culturally safe practice. Analyses revealed little difference in the perceptions of nurses from different backgrounds regarding the regularity of the nursing practices. Further research is needed to calibrate the scores on each clinical indicator statement with behaviour in clinical practice. |
Call Number |
NRSNZNO @ research @ |
Serial |
1064 |
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Author |
Wilson, D. |
Title |
The nurse's role in improving indigenous health |
Type |
Journal Article |
Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
15 |
Issue |
3 |
Pages |
232-240 |
Keywords |
Transcultural nursing; Maori; Health status |
Abstract |
The health status of indigenous peoples is a global concern with mortality and hospitalisation data indicating that the health of indigenous groups falls below that of other ethnic groups within their countries. The preliminary findings of grounded theory research project undertaken with a group of 23 New Zealand Maori women about their health priorities and 'mainstream' health service needs provide the foundation for an exploration of issues impacting on the health status of indigenous people. The role that nursing and nurses have in improving access and use of health services by indigenous people is discussed. Strategies are suggested that nurses can utilise within their practice when working with local indigenous groups. |
Call Number |
NRSNZNO @ research @ |
Serial |
1065 |
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Author |
Bishop, D.; Ford-Bruins, I. |
Title |
Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study |
Type |
Journal Article |
Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
Volume |
12 |
Issue |
3 |
Pages |
203-212 |
Keywords |
Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models |
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. |
Call Number |
NRSNZNO @ research @ 1082 |
Serial |
1067 |
Permanent link to this record |
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Author |
Coleman, R.; Sim, G. |
Title |
The sacredness of the head: Cultural implications for neuroscience nurses |
Type |
Journal Article |
Year |
2003 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
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Volume |
16 |
Issue |
2 |
Pages |
20-22 |
Keywords |
Paediatric nursing; Transcultural nursing; Culture |
Abstract |
The aim of this paper is to increase neuroscience nurses' awareness of how the head is perceived as sacred by some cultures. This article will outline a definition of culture, discussion around the sanctity of the head for some cultures, the cultural significance of common neuroscience interventions, the use of traditional healing methods, and prayer. Examples will be provided of how nursing interactions and interventions affect some cultures, looking primarily at a Maori and Pacific Island perspective. The focus of this paper is within a New Zealand paediatric setting. |
Call Number |
NRSNZNO @ research @ 1083 |
Serial |
1068 |
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Author |
Crowe, M.; Carlyle, D. |
Title |
Deconstructing risk assessment and management in mental health nursing |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
43 |
Issue |
1 |
Pages |
19-27 |
Keywords |
Psychiatric Nursing; Risk management; Policy; Culture |
Abstract |
The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities. |
Call Number |
NRSNZNO @ research @ |
Serial |
1069 |
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Author |
Palmer, S.G. |
Title |
Application of the cognitive therapy model to initial crisis assessment |
Type |
Journal Article |
Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
30-38 |
Keywords |
Mental health; Clinical assessment; Psychiatric Nursing |
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. |
Call Number |
NRSNZNO @ research @ 1085 |
Serial |
1070 |
Permanent link to this record |
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Author |
White, G.E.; Mortensen, A. |
Title |
Counteracting stigma in sexual health care settings |
Type |
Journal Article |
Year |
2003 |
Publication |
Insight: The Journal of the American Society of Ophthalmic Registered Nurses |
Abbreviated Journal |
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Volume |
6 |
Issue |
1 |
Pages |
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Keywords |
Sexual and reproductive health; Nursing specialties; Attitude to health |
Abstract |
Sexual health clinics and the people who visit them commonly face stigma. Sexually transmitted infections have historically been used to divide people into “clean” and “dirty”. A grounded theory study of the work of sixteen nurses in six sexual health services in New Zealand was undertaken to explore the management of sexual health care. The study uncovered the psychological impact of negative social attitudes towards the people who visit sexual health services and to the staff who work there. Sexual health nurses manage the results of stigma daily and reveal in their interactions with clients a process of destigmatisation. |
Call Number |
NRSNZNO @ research @ |
Serial |
1071 |
Permanent link to this record |
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Author |
Pearson, J.R. |
Title |
A discussion of the principles of health promotion and their application to nursing |
Type |
Journal Article |
Year |
2003 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
10 |
Issue |
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Pages |
23-34 |
Keywords |
Health promotion; Nursing |
Abstract |
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Call Number |
NRSNZNO @ research @ 1088 |
Serial |
1073 |
Permanent link to this record |
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Author |
Milligan, K.; Neville, S.J. |
Title |
The contextualisation of health assessment |
Type |
Journal Article |
Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
19 |
Issue |
1 |
Pages |
23-31 |
Keywords |
Cross-cultural comparison; Evaluation; Nursing |
Abstract |
The authors defines health assessment and argue that it is a tool nurses should be using as a means of improving health outcomes for clients. The skills involved in health assessments are analysed, and four levels of data gathering are identified. The authors present an historical perspective, tracing the development of these skills as they have been incorporated in nursing practice in North America and Australia. |
Call Number |
NRSNZNO @ research @ |
Serial |
1095 |
Permanent link to this record |
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Author |
Speed, G. |
Title |
Advanced nurse practice |
Type |
Journal Article |
Year |
2003 |
Publication |
Nursing dialogue: A Professional Journal for nurses |
Abbreviated Journal |
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Volume |
10 |
Issue |
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Pages |
6-12 |
Keywords |
Nurse practitioners; Cross-cultural comparison; Law and legislation; Advanced nursing practice |
Abstract |
The concept and characteristics of advanced nursing practice in New Zealand and overseas is compared with the nurse practitioner role. There is an international debate over definitions of advanced nursing and the range of roles that have developed. The rationale for the nurse practitioner role in New Zealand is examined, along with the associated legislation currently before Parliament. Job titles and roles of nurses within the Waikato Hospital intensive care unit are discussed and ways of developing the role of nurse practitioner are presented. |
Call Number |
NRSNZNO @ research @ |
Serial |
1096 |
Permanent link to this record |
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Author |
Wilson, H.V. |
Title |
Paradoxical pursuits in child health nursing practice: Discourses of scientific mothercraft |
Type |
Journal Article |
Year |
2003 |
Publication |
Critical Public Health |
Abbreviated Journal |
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Volume |
13 |
Issue |
3 |
Pages |
281-293 |
Keywords |
Plunket; Nurse-family relations; Paediatric nursing; Nursing philosophy |
Abstract |
The purpose of this paper is to examine the discourses of scientific mothercraft and their implications for the nurse-mother relationship, drawing on the author's recent research into surveillance and the exercise of power in the child health nursing context. The application of Foucauldian discourse analysis to the texts generated by interviews with five New Zealand child health nurses confirms that this paradoxical role has never been fully resolved. Plunket nurses primarily work in the community with the parents of new babies and preschool children. Their work, child health surveillance, is considered to involve routine and unproblematic practices generally carried out in the context of a relationship between the nurse and the mother. However, there are suggestions in the literature that historically the nurse's surveillance role has conflicting objectives, as she is at the same time an inspector and family friend. |
Call Number |
NRSNZNO @ research @ 1116 |
Serial |
1101 |
Permanent link to this record |
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Author |
Williams, J.L. |
Title |
The Cummins model: An adaption to assist foreign nursing students in New Zealand |
Type |
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Year |
2003 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
Volume |
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Issue |
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Pages |
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Keywords |
Nursing; Education; Students |
Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1114 |
Permanent link to this record |
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Author |
Beveridge, S. |
Title |
The development of critical thinking: A roller coaster ride for student and teacher in nursing education |
Type |
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Year |
2003 |
Publication |
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Abbreviated Journal |
University of Waikato Library |
Volume |
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Issue |
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Pages |
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Keywords |
Nursing; Education; Critical thinking |
Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1115 |
Permanent link to this record |
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Author |
Hardcastle, J. |
Title |
What is the potential of distance education for learning and practice development in critical care nursing in the South Island of New Zealand? |
Type |
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Year |
2003 |
Publication |
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Abbreviated Journal |
Massey University Library |
Volume |
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Issue |
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Pages |
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Keywords |
Intensive care nursing; Nursing; Education |
Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1116 |
Permanent link to this record |
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Author |
Paton, B.I. |
Title |
Unready-to-hand as adventure: Knowing within the practice wisdom of clinical nurse educators |
Type |
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Year |
2003 |
Publication |
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Abbreviated Journal |
NZNO Library, Victoria University of Wellington Library |
Volume |
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Issue |
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Pages |
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Keywords |
Nursing; Education |
Abstract |
This research aims to clarify the knowing and wisdom that inform clinical nurse educators' responses through unpredictable situations. The author referred to philosophical literature on the notions of tacit knowledge, practical wisdom, smooth activity and the Unready-to-Hand experience. She created an explanatory framework and utilised this in a thought experiment by reflecting on personal experiences. To add clarity to these reflections, two layers of interviewing with nurse educators teaching in practice were carried out. The first layer was an interview with eight clinical nurse educators who in their role experienced Unready-to-Hand situations. The second layer consisted of four clinical nurse educators who volunteered to be involved in more in-depth interviews. An interpretive analysis of these clinical nurse educators stories illuminated the “Unready-to Hand as Adventure”, highlighting the uncertainty and energy associated with opening in the adventure, not knowing what will unfold, yet committed to remaining engaged and doing the best they can. Through the process of attuning to difference, accessing and deciphering knowing, nurse educators create meanings of situational complexities. By preserving the ideals of good practice and engaged caring, nurse educators salvage learning by creating opportunities for learning and teaching. |
Call Number |
NRSNZNO @ research @ |
Serial |
1134 |
Permanent link to this record |