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Author Ellis, T. url  openurl
  Title A multidimensional approach to caring for a patient with breast cancer: A case study Type Journal Article
  Year (down) 2003 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology  
  Volume 11 Issue 17 Pages 15-19  
  Keywords Case studies; Breast cancer; Nursing; Cancer; Oncology  
  Abstract This story follows the nursing care of a woman in her mid forties, diagnosed with breast cancer. The case study follows her from the diagnosis and decision to undergo a mastectomy, and the requirements of nursing care through that process. It discusses the emotional and physical preparation necessary for surgery, perioperative care, multidisciplinary care, and issues around body image post-mastectomy.  
  Call Number NRSNZNO @ research @ Serial 1301  
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Author Mercer, C. url  openurl
  Title Interpreting the phenomenology of out-of-town hospitalisation using a Heideggerian framework Type Journal Article
  Year (down) 2003 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology  
  Volume 11 Issue 17 Pages 20-25  
  Keywords Nursing research; Patient satisfaction  
  Abstract This article is presented in two parts. In the first, an outline of Heidegger's approach to phenomenology is offered. A basic premise of hermeneutic phenomenology is that people make sense of the world through the narratives they tell to themselves and to others. When the researcher uses this philosophical approach, persons communicate their experiences; the researcher interprets the experience and communicates that understanding in writing. In the second part of the paper, the experiences of four people whose partners were hospitalised out of town is described.  
  Call Number NRSNZNO @ research @ 1318 Serial 1302  
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Author McClintock,C. openurl 
  Title Te mauri kōhatu Type
  Year (down) 2003 Publication Abbreviated Journal Held by Lakes DHB Library (ROM)  
  Volume Issue Pages  
  Keywords  
  Abstract A thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy, The University of Massey.  
  Call Number NZNO @ research @ Serial 1365  
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Author Surtees, R. url  openurl
  Title Midwifery as Feminist Praxis in Aotearoa/New Zealand Type
  Year (down) 2003 Publication Abbreviated Journal NZNO Library  
  Volume Issue Pages 323 pp  
  Keywords  
  Abstract A thesis submitted in fulfilment of the requirements for the Degree

of DOCTOR OF PHILOSOPHY IN EDUCATION, UNIVERSITY OF CANTERBURY 2003.

This thesis highlights the ways in which the practices of contemporary midwives in

Aotearoa/New Zealand are caught within the intersection of an array of competing discourses. The context for this is the reconstruction of midwifery in Aotearoa/New Zealand as an autonomous feminist profession founded on partnership with women. Interviews and participant observation with midwives, based mainly in one New Zealand city, are the basis of an analysis of the complexity of midwives? praxis as professionals. The analysis draws on insights from critical and feminist approaches to Foucault?s theories of discourse, power and the subject. It includes discussion of the conditions which came to produce and authorise the concept of ?partnership?. Which subjects can speak about partnership, and when? What claims

are made about it? What challenges it?
 
  Call Number NZNO @ research @ Serial 1403  
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Author Kenny, Gerard openurl 
  Title Fellowship report. Nursing Education and Ressearch Foundation. Margaret May Blackwell Fellowship [Prevention of child abuse and family violence] Type Report
  Year (down) 2003 Publication Abbreviated Journal  
  Volume Issue Pages 34 p.  
  Keywords Child abuse; Child health services; Domestic violence; Reports  
  Abstract Travels to the US, Europe, Canada and Australia to study services in the area of child abuse/child protection and family violence. Part of the Margaret May Blackwell Scholarship Reports series.  
  Call Number NZNO @ research @ Serial 1419  
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Author Macfie, Belinda openurl 
  Title The exploration of primary health care nursing for child and family health : Margaret May Blackwell Travel Study Fellowship, 2002 Type Report
  Year (down) 2003 Publication Abbreviated Journal  
  Volume Issue Pages 103  
  Keywords Primary health care – nursing; Child health services; Family health; Reports  
  Abstract Reports the approach to child and family health nursing in Canada, the US, and the UK. Divides the report into health policy, primary health care services, nursing education and the development of primary health care nurse practitioners, and nursing leadership in primary health care. Part of the Margaret May Blackwell Scholarship Reports series.  
  Call Number NZNO @ research @ Serial 1424  
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Author Connor, M. url  openurl
  Title Sharing the burden of strife in chronic illness: A praxiological study of nursing practice in a community context Type
  Year (down) 2002 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Chronically ill; Nursing; Nurse-patient relations; Nursing research; Methodology  
  Abstract This inquiry is an in-depth exploration of one middle aged woman's experience of strife in chronic illness and her nursing care involving four nurses (including the author) in a community context over a three-year period. The study is praxiological in that the understanding achieved is derived from practice within a 'research as praxis' methodology positioned in the disciplinary perspective of nursing as a practical human science. Five methodological premises inform the research processes: reflexivity, dialogue, moral comportment, re-presentation in narrative and critique. They emanate from an eclectic ontological praxiology based on the research framework constructed from Gadamerian philosophical hermeneutics, components of other philosophical praxiologies evolved from an exploration of the practical discourse in philosophy and my preferred health and nursing assumptions. The research processes include researcher journalling, a summary of Sarah's nursing record and dialogical meetings with Sarah and the nurse co-participants. Using the research material a narrative is then co-constructed. The narrative is structured around what Sarah viewed as the overall nursing contribution to her care; the 'sharing of her burden of illness'. This, she maintained, enabled her to live safely in the community. Finally there occurs a critique of the narrative within a discursive framework. Three themes, embedded in particular discourses, emerged from the narrative both in Sarah's and the nurses' experience; paradox, moral meaning and metaphor. Sarah's experience is interpreted as taking place in the 'in-between space' of the disease and health-illness discourses. Two main concepts which depict the tension experienced in this space are the 'the ontological assault of illness' and 'entrapment in the disease discourse'. The nurses, in this instance, 'pushed the boundaries' to create a space for the nursing as a caring practice discourse on the margins of nursing as a functional service discourse. The author notes that, within the nursing as a caring practice space, many 'fine lines' were walked with Sarah. Walking the 'fine line' of an 'intense relationship' was seen as advanced nursing practice. The research highlights important implications for a person and/or families who live with chronic illness and practice and educational issues for advanced nurse practitioners. Further, it promotes praxiological methodologies as advantageous for expanding nursing knowledge.  
  Call Number NRSNZNO @ research @ 495 Serial 481  
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Author Ramsden, I. url  openurl
  Title Cultural safety and nursing education in Aotearoa and Te Waipounamu Type
  Year (down) 2002 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Cultural safety; Maori; Nursing; Education  
  Abstract The research on which this thesis is based involves both a private narrative and a public narrative, with the story of cultural safety, and the history, theory and the future direction gathered into one qualitative work. The work is divided into three sections. The first is entitled, Ko Wai Matou? The Private Narrative. This section seeks to explore the historical, social, educational, physical, emotional, political and moral influences and ephiphanies which brought about the personality which introduced cultural safety ideas into nursing and midwifery. Early nursing practice is investigated and examples from practice are used to illustrate learning and consolidation of the ideas which led to Cultural Safety Theory. The second section is entitled He Huarahi Hou: A New Pathway. This section explains the progress of the theory and its relationship to education pedagogy and to nursing practice. Comparison between the work of Madeline Leininger and the Transcultural Theory of Nursing and the New Zealand concept of cultural safety is undertaken. The role and application of the Treaty of Waitangi to the theory of cultural safety is explored in this section. The third section, entitled He Whakawhanuitanga: The Public Narrative, looks at the introduction of cultural safety into the nursing education system and its implementation. The public and media reaction to the inclusion of cultural safety in the national examination for nursing registration and the subsequent parliamentary response are noted. The interviews with nursing and midwifery leadership, Maori and pakeha key players in the process and consumer views of the ideas are documented and pertinent excerpts have been included. The work concludes with a discussion on the likely future of cultural safety as a theory and in practice and outlines several issues which represent a challenge to the viability of the concept in nursing and midwifery education. The author notes that the story of cultural safety is a personal story, but also a very public one. It is set in neo-colonial New Zealand, but has implications for indigenous people throughout the world. It is about human samenesses and human differences, but is also a story about all interactions between nurses and patients because all are power laden. Finally, she points out that, although it is about nursing, it is also relevant to all encounters, all exchanges between health care workers and patients.  
  Call Number NRSNZNO @ research @ Serial 486  
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Author Brasell-Brian, R.; Vallance, E. openurl 
  Title Clinical practice/education exchange: Bridging the theory-practice gap Type Journal Article
  Year (down) 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue 1 Pages 17-26  
  Keywords Education; Interprofessional relations  
  Abstract This article positions clinical practice/education exchange (CPEE) within nursing literature and presents narrative accounts from a nurse educator and clinician who exchanged jobs for one year. This type of exchange, between education institutes and service areas where students are placed, is a new concept. The aim is to enhance student learning and facilitating meaningful links between theory and practice for them.  
  Call Number NRSNZNO @ research @ Serial 613  
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Author Fourie, W.; Oliver, J.D. openurl 
  Title Defining currency of practice for nurse educators Type Journal Article
  Year (down) 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue 3 Pages 30-39  
  Keywords Quality assurance; Professional competence; Education  
  Abstract Recent Nursing Council of New Zealand guidelines for competence-based practising certificates and the fact that all nurse educators must have a current practising certificate prompted the Nursing Schools within the Tertiary Accord of New Zealand (TANZ) to explore issues surrounding current competency in practice and how this can be maintained by nurse educators. The authors note that discussions related to competence-based practising certificates generally refer to competence only in terms of direct patient care. They set out to clarify the issue with specific reference to nurse educators who, by the nature of their scope of practice, often do not carry a patient caseload. They review the literature relating to currency of practice and draw on the findings of a survey of TANZ Nursing Schools and provide a position on how currency of practice applies to nurses working in an educational setting. They present strategies to maintain clinical, teaching and scholarly currency and make some suggestions for providing evidence that currency of practice is maintained.  
  Call Number NRSNZNO @ research @ Serial 614  
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Author Finlayson, M.; Gower, S.E. openurl 
  Title Hospital restructuring: Identifying the impact on patients and nurses Type Journal Article
  Year (down) 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue 2 Pages 27-35  
  Keywords Quality of health care; Hospitals; Organisational change  
  Abstract The authors report a survey of all nurses working in hospitals included in the International Hospital Outcomes Study of staffing and patient outcomes in New Zealand's secondary and tertiary hospitals from 1988-2001. The survey examines the way in which the hospitals have been restructured and analyses patient outcomes. Research has identified links between how nursing is organised in a hospital and that hospital's patient outcomes.  
  Call Number NRSNZNO @ research @ Serial 615  
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Author Warren, B.L. openurl 
  Title Intramuscular injection angle: Evidence for practice? Type Miscellaneous
  Year (down) 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue 2 Pages 42-51  
  Keywords Patient safety; Immunisation  
  Abstract This article presents the findings of a search for evidence to support the 45-60 degree angle of insertion for intramuscular injection of vaccine which is recommended in New Zealand. With the objective of discovering the evidence base for an intramuscular injection angle which differs from that recommended by the World Health Organisation and the accepted practice experienced by the author in the UK, Canada, Malawi and the USA, a comprehensive library and internet literature search was undertaken. Information was also sought by personal correspondence and contact with a range of immunisation specialists. Both the literature specifically on needle angle and that which includes needle angle within a wider investigation of technique is included. Overwhelmingly the evidence supports a 90 degree angle of needle insertion for intramuscular injection as being most effective in terms of patient comfort, safety and efficacy of vaccine.  
  Call Number NRSNZNO @ research @ Serial 616  
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Author Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P. url  openurl
  Title Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: A controlled prospective trial Type Journal Article
  Year (down) 2002 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 115 Issue 1157 Pages  
  Keywords Emergency nursing; Time factors; Clinical assessment; Clinical decision making  
  Abstract The aim of this study was to test the hypothesis that triaging certain emergency department patients through a rapid assessment clinic (RAC) improves the waiting times, and times in the department, for all patients presenting to the emergency department. For ten weeks an additional nurse and doctor were rostered. On the odd weeks, these two staff ran a RAC and on even weeks, they did not, but simply joined the other medical and nursing staff, managing patients in the traditional way. During the five weeks of the RAC clinic a total of 2263 patients attended the emergency department, and 361 of these were referred to the RAC clinic. During the five control weeks a total of 2204 patients attended the emergency department. There was no significant difference in the distribution across triage categories between the RAC and non-RAC periods. The researchers found that the rapid management of patients with problems which do not require prolonged assessment or decision making, is beneficial not only to those patients, but also to other patients sharing the same, limited resources.  
  Call Number NRSNZNO @ research @ Serial 617  
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Author Farrow, T.; McKenna, B.; O'Brien, A.J. openurl 
  Title Initiating committal proceedings 'just in case' with voluntary patients: A critique of nursing practice Type Journal Article
  Year (down) 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue 2 Pages 15-23  
  Keywords Patient rights; Law and legislation; Mental health; Nurse-patient relations  
  Abstract The authors report a clinical audit that, combined with anecdotal evidence, verifies the practice of putting section 8B medical certificates on the files of voluntary mental health patients at the time of admission. This is seen as a strategy to balance the requirement to support and promote the autonomy of voluntary patients with the need to protect those patients or other people. A conceptual analysis of these issues indicates that such a practice is both legally questionable and ethically inappropriate. The authors suggest an alternative framework for practice that is legally and ethically preferable for both nurses and patients.  
  Call Number NRSNZNO @ research @ Serial 618  
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Author Mackay, B. openurl 
  Title Leadership development: Supporting nursing in a changing primary health care environment Type Journal Article
  Year (down) 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue 2 Pages 24-32  
  Keywords Leadership; Professional development; Primary health care; Nursing  
  Abstract The author argues that the involvement of nurses in the decision-making of health organisations is essential to maximise the contribution of nurses and promote positive outcomes for patients. She suggests that development of leadership skills will make nurses aware of power structures in the health system and allow them to become interdependent health professionals in primary health organisations (PHO). The particular competencies discussed are those proposed by Van Maurik (1997), namely ability to understand and manage organisational politics, work facilitatively with people and circumstances, and build a feeling of purpose.  
  Call Number NRSNZNO @ research @ Serial 619  
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