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Author McKenna, B.; O'Brien, A.J.; Dal Din, T.; Thom, K. openurl 
  Title Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 Type Journal Article
  Year (up) 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 15 Issue 2 Pages 128-134  
  Keywords Advanced nursing practice; Psychiatric Nursing; Law and legislation  
  Abstract The objectives of this research were to determine how many registered nurses are working as 'responsible clinicians', under what phases of the legislation they are functioning, and to describe the enabling processes and barriers to nurses undertaking this statutory role. An anonymous descriptive survey was distributed to the 11 nurses who were currently responsible clinicians as well as five senior nurses selected from each of the 21 district health boards and the Auckland Regional Forensic Psychiatry Services (n=121). The response rate was 88.4% (n=107). The survey questioned respondents on statutory roles currently undertaken. Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain it. They were also asked which competencies of the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. Of the approximately 395 responsible clinicians nationally, 11 (2.8%) are nurses. Most nurses viewed the role as legitimate. However, many were unaware of competencies for the role and credentialing processes, and were somewhat ambivalent about achieving the role due to current workload, role conflict and lack of remuneration. Competency deficits were highlighted. The authors conclude that there are grounds to encourage nurses as responsible clinicians given the intent of the legislation. This will require the promulgation of appropriate mental health policy, and a concerted effort by major stakeholders in mental health service delivery.  
  Call Number NRSNZNO @ research @ Serial 1044  
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Author McKenna, B.; Simpson, A.I.F.; Coverdale, J. openurl 
  Title Best practice management strategies for mental health nurses during the clinical application of civil commitment: An overview Type Journal Article
  Year (up) 2006 Publication Contemporary Nurse Abbreviated Journal  
  Volume 21 Issue 1 Pages 62-70  
  Keywords Psychiatric Nursing; Law and legislation; Nurse-patient relations; Patient satisfaction  
  Abstract The aim of this article is to outline best practice management strategies for nurses during the clinical application of civil commitment of mentally ill persons. A literature search on 'coercion' and 'civil commitment' was undertaken. Published and unpublished research undertaken by the authors in New Zealand on this topic was drawn upon. This research considered the use of civil commitment during admission to acute mental health services, acute forensic mental health services and community mental health services. The experience of coercion by service users coincides with the degree of restriction associated with the service they are involved in. Socio-demographic factors, clinical factors and the experience of coercive events have little bearing on the amount of coercion experienced. Rather, it is the pattern of communication and the use of 'procedural justice' that has the potential to ameliorate the amount of perceived coercion. The authors conclude that 'Procedural justice' aligns with the emphasis placed on the therapeutic relationship in mental health nursing and is an important consideration for nurses during the clinical application of civil commitment  
  Call Number NRSNZNO @ research @ Serial 1051  
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Author Koorey, R. openurl 
  Title Documentation of the surgical count Type Journal Article
  Year (up) 2007 Publication Dissector Abbreviated Journal  
  Volume 34 Issue 4 Pages 23-6,28,30  
  Keywords Law and legislation; Patient safety; Surgery; Nursing specialties  
  Abstract The author examines the current practices around the surgical counts of sponges, sharps and instruments, which is an integral component of safe perioperative nursing practice. Current practice, legislative requirements are reviewed, and the guidelines from the Perioperative Nurses College of New Zealand are reproduced. Case studies of errors in counts are used to illustrate the legal standards of practice.  
  Call Number NRSNZNO @ research @ 1048 Serial 1032  
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