| |
Records |
Links |
|
Author |
Vernon, R.A. |
|
| |
Title |
Developing clinical skill competency of undergraduate nursing students utilising a simulated psychomotor skill laboratory and model of self-directed learning: An evaluation research study |
Type |
|
| |
Year  |
2003 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Students; Evaluation |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 871 |
Serial |
855 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Shelah, G.E. |
|
| |
Title |
Enabling pedagogy: An enquiry into New Zealand students' experience of bioscience in pre-registration nursing education |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Teaching methods; Nursing; Education |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
856 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Smillie, A. |
|
| |
Title |
The end of tranquillity? An exploration of some organisational and societal factors that generated discord upon the introduction of trained nurses into New Zealand hospitals, 1885-1914 |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
History; Nursing |
|
| |
Abstract |
This historical research study examines some of the factors that caused problems for early New Zealand trained nurses upon their introduction into New Zealand hospitals, between 1885 and 1914. Eight incidents in the professional lives of nurses of the period are used as illustrations of the strains and discord that were apparent in this time of change. Analysis of these incidents attempts to answer the question as to whether the introduction of trained nurses into the New Zealand hospital system did add new considerations to problems encountered by nurses in their professional life. The conclusion is that there was a new dimension of difference added to the system with the introduction of the trained nurse. This developed from the evidence that these nurses, particularly if they were also matrons, had to fit into the existing power structures, which were not really ready to accept them, either through choice or lack of foresight. Enmeshed within these considerations is the influence of Florence Nightingale; her effect on nursing itself, and the consequent public and official perception, or misperception, of who nurses should be. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
857 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Bresaz, D.M. |
|
| |
Title |
Environmental influences on inpatient assaultive behaviour |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
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 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Drug administration; Psychiatric Nursing; Administration; Mental health |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 875 |
Serial |
859 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Booher, J. |
|
| |
Title |
Professional practice models: Shared governance and magnet hospitals |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
June |
Pages |
|
|
| |
Keywords |
Nursing models; Intensive care nursing; Clinical governance |
|
| |
Abstract |
This article explores the application of professional practice models in nursing. Particular reference is made to the magnet hospital model and the concept of shared governance. Key principles from these models are explored in relation to the implementation of a professional practice model in an intensive care environment. Historical, cultural and professional factors that may be seen as barriers to the implementation of this professional practice model are also explored. In conclusion, the article identifies recommendations that may contribute to a successful implementation and duration of a model in practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
861 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Laracy, K. |
|
| |
Title |
Exploration of the self: The journey of one pakeha cultural safety nurse educator |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Cultural safety; Teaching methods; Nursing; Education; Professional development; Transcultural nursing; Maori; Identity |
|
| |
Abstract |
Cultural safety is taught in all undergraduate nursing programmes in Aotearoa/New Zealand. There is a predominance of Pakeha nurse educators in teaching this content. There is little explanation of what being Pakeha entails. This perpetuates a silence and continues the dominant hegemonic position of Pakeha in Aotearoa/New Zealand. This study suggests that as Pakeha cultural safety nurse educators we examine our dominance and critique the delivery of cultural safety education. This autobiographical study undertakes to explore the Pakeha identity of a cultural safety nurse educator. The author discusses identity in the context of a globalised world, and challenges the idea of a definitive Pakeha identity. There are multiple descriptions of Pakeha, all underdeveloped and inadequate for the purposes of cultural safety education. In this study, the author uses the heuristic process of Moustakas (1990) and Maalouf's (2000) ideas of vertical and horizontal heritage to locate and present the essence of the self. In keeping with the purpose of cultural safety education, the author considers her ethnic cultural self as described by Bloch (1983) and explores Helms' (1990) theory of White racial identity development. This thesis describes the position of one Pakeha in the context of teaching cultural safety in an undergraduate nursing degree programme in Aotearoa/New Zealand. For Pakeha cultural safety nurse educators the author argues that exploration of one's heritages and location of a personal Pakeha identity is pivotal to progressing the enactment of cultural safety in Aotearoa /New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
864 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Radka, I.M. |
|
| |
Title |
Handover and the consumer voice: The importance of knowing the whole, full story |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Communication; Patient satisfaction; Nurse-patient relations |
|
| |
Abstract |
In the acute hospital setting, nurses provide care twenty-four hours a day, seven days a week. Due to the ever-changing nature of the patient's situation, nurses need quality information at the beginning of each eight-hour shift to plan and implement patient care effectively. It is claimed that handover is central for maintaining the continuity and the quality of patient care. This qualitative descriptive study was undertaken to identify what core information needs to be exchanged at nursing handover to ensure quality and continuity of patient care. Five consumers who had experience of recurrent hospital admissions shared their perceptions of handover practice through individual interviews. Three focus group meetings of seven nurses from a secondary care setting discussed handover practice from their professional perspectives. Both nursing and consumer voices are integral to the overall understanding of this study but the consumer voice is the privileged and dominant voice. Through the process of thematic content analysis the central themes of communication, continuity and competence emerged for the consumers. Consumers expect to be kept informed and involved in their healthcare. They want continuity of nurse, information and care and expect that nurses involved in the delivery of healthcare are competent to manage their situation. The 'importance of knowing' is the overarching construct generated in this research. Knowing is identified as the foundation on which quality and continuity of care is built and is discussed under the subheadings of: not knowing, knowing the patient as a person, knowing takes time, hidden knowing, knowing consumers' rights, oral knowing, knowing involves more than handing over patient care and knowing the economics. Recommendations have been developed for future research, nursing practice, education and management. These centre on ways to develop a more consumer-focused approach to contemporary healthcare. |
|
| |
Call Number |
NRSNZNO @ research @ 883 |
Serial |
867 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Stuart, J. |
|
| |
Title |
How can nurses address generalist/specialist/nursing requirements of the urban/rural population of Southland |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing specialties; Policy; Technology; Scope of practice; Community health nursing |
|
| |
Abstract |
This study, which is undertaken in the Southland area, explores the effect of the increasing specialisation of nursing services in what is a rural/urban environment. It is indicated in the literature that systemic changes in health, such as the health reforms, and the increase in the use of technology have meant that nurses are required to function in disease oriented roles rather than according to their more traditional generalist roots. A significant event, which also affected nursing scope of practice, was the transfer of nurse education to the tertiary education institutions environment from the hospitals in the mid 1970s. The traditional nursing hierarchy and its nurse leadership role disappeared and the adoption of specialist nurse titles increased, and identified with a disease or disorder, for example 'diabetes' nurse. The increase in specialist categories for patients contributed to the nurse shortage by reducing the available numbers of nurses in the generalist nursing pool. The nurses in this rural/urban environment require generalist nurse skills to deliver their nursing services because of the geographical vastness of the area being a barrier to specialist nurses. Workforce planning for nurses in the rural/urban then must focus on how to reshape the nursing scope of practice to utilise the existing resources. This study explores how key areas of health services could be enhanced by reclaiming the nurse role in its holistic approach, in mental health, public health, geriatric services and psychiatric services. |
|
| |
Call Number |
NRSNZNO @ research @ 885 |
Serial |
869 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Van der Harst, J. |
|
| |
Title |
Inside knowledge: A qualitative descriptive study of prison nursing in New Zealand |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing specialties |
|
| |
Abstract |
Analysis of the research literature on prison nursing revealed a paucity of research, both in New Zealand and internationally. The aim of this research was to describe the working life of the nurse in a New Zealand prison and provide an understanding of and documentation on prison nursing in New Zealand. A qualitative descriptive study was undertaken to determine what it is like to nurse in a New Zealand prison. Ten nurses working at two public prisons and one private prison took part in the study. Data was collected by the use of semi-structured interviews and analysed thematically into four main themes. The participants' descriptions of their working lives as prison nurses expose the multifaceted nature of this work and the inherent relational dynamics. These dynamics determine the nurse's ability to practise effectively in the prison setting. Findings highlighted many paradoxical situations for nurses when working in this environment. The very aspects of the work that participants described as negative were also identified, in some instances, as challenging and satisfying. |
|
| |
Call Number |
NRSNZNO @ research @ 886 |
Serial |
870 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Farrell, E. |
|
| |
Title |
A lamp to light the way: Public health nurses' perceptions and experiences of professional/clinical supervision |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Auckland University of Technology |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Public health; Nursing; Clinical supervision; Professional competence |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 887 |
Serial |
871 |
|
| 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 |
Day, W. |
|
| |
Title |
Women and cardiac rehabilitation: A review of the literature |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
16 |
Issue |
1-2 |
Pages |
92-101 |
|
| |
Keywords |
Cardiovascular diseases; Gender; Nursing; Research |
|
| |
Abstract |
This literature review explores some of the issues related to women's experience of cardiac rehabilitation and demonstrates that women's experience may be different to that of men. Much of the research related to coronary heart disease (CHD) has been performed using either exclusively male populations or such small numbers of women that the results from the women studied were unable to be analysed independently. The author advocates that nurses working within this area of practice require an understanding of women's experience of recovery from a heart attack in order to better meet their needs. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
879 |
|
| 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 |
Pirret, A.M. |
|
| |
Title |
A preoperative scoring system to identify patients requiring postoperative high dependency care |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
|
|
| |
Volume |
19 |
Issue |
5 |
Pages |
267-275 |
|
| |
Keywords |
Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment |
|
| |
Abstract |
The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions. |
|
| |
Call Number |
NRSNZNO @ research @ 904 |
Serial |
888 |
|
| Permanent link to this record |
