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Author Ellis, T.
Title A multidimensional approach to caring for a patient with breast cancer: A case study Type Journal Article
Year (up) 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.
Title Interpreting the phenomenology of out-of-town hospitalisation using a Heideggerian framework Type Journal Article
Year (up) 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 Macfie, Belinda
Title The exploration of primary health care nursing for child and family health : Margaret May Blackwell Travel Study Fellowship, 2002 Type Report
Year (up) 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 Neugebauer, A.F.
Title The adult congenital heart disease service: An evidence-based development of a nurse specialist position Type
Year (up) 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Cardiovascular diseases; Nursing specialties; Nursing
Abstract
Call Number NRSNZNO @ research @ 482 Serial 469
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Author Spence, D.
Title Advanced nursing practice through postgraduate education, part one Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 2 Pages 46-55
Keywords Advanced nursing practice; Education; Professional development; Research
Abstract In New Zealand the clinically focused postgraduate papers and programmes, available through universities and polytechnics, are evaluated from an educational perspective but little evaluation of the implications for practice has been undertaken. This paper is Part One of a report on a study that sought to illuminate the impact of clinically focused postgraduate education on advancing nursing practice. Hermeneutic methodology provided a framework for analysing both the perspectives of nurses who had undergone such education and those who had directly employed and worked alongside these nurses. Emerging themes are described here. In a second article the findings will be discussed in relation to literature. Constraining factors will be identified and strategies designed to maximise the benefits of education for advancing nursing practice will be recommended.
Call Number NRSNZNO @ research @ 555 Serial 541
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Author Spence, D.
Title Advancing nursing practice through postgraduate education, part two Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 3 Pages 21-30
Keywords Advanced nursing practice; Professional development; Education; Research
Abstract This paper continues presentation of the findings of a North Island based research project that explored the impact of clinically focused postgraduate education on advancing nursing practice. Like their international counterparts, increasing numbers of New Zealand nurses are enrolling in advanced practice programmes. Yet, despite international evidence supporting the usefulness of Masters level preparation for advancing clinical practice, questions about the need for such development persist. This paper argues that postgraduate education contributes to the development of courage and that this, in turn, is essential to overcoming the barriers that currently constrain the advancement of nursing practice.
Call Number NRSNZNO @ research @ Serial 542
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Author Mortensen, A.; Young, N.
Title Caring for refugees in emergency departments in New Zealand Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 2 Pages 24-35
Keywords Emergency nursing; Culture; Mental health; Health status
Abstract This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours.
Call Number NRSNZNO @ research @ 557 Serial 543
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Author Barber, A.; Charleston, A.; Anderson, N.; Spriggs, D.; Bennett, D.; Bennett, P.; Thomas, K.; Baker, Y.
Title Changes in stroke care at Auckland Hospital between 1996 and 2001 Type Journal Article
Year (up) 2004 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months
Volume 117 Issue 1190 Pages
Keywords Multidisciplinary care teams; Nursing specialties; Hospitals
Abstract The researchers repeat the 1996 audit of stroke care in Auckland Hospital to assess changes in stroke management since the introduction of a mobile stroke team. The audit prospectively recorded information for all patients with stroke from 1 June to 30 September 2001. They describe the work of the stroke team physician and the specialist stroke nurse and allied health staff who coordinate the multidisciplinary care of patients. Variables examined include time to arrival and medical assessment, investigations, acute management, inpatient rehabilitation, and stroke outcome. The researchers then describe recent developments in stroke care and the impact of the stroke service on patient management.
Call Number NRSNZNO @ research @ Serial 544
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Author Schroyen, B.; Finlayson, M.
Title Clinical teaching and learning: An action research study Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 2 Pages 36-45
Keywords Education; Nursing; Hospitals
Abstract Using an educational action research model, a nursing lecturer based in a polytechnic and ten students formed a research group to address one issue that was important to them. The research group chose to plan, implement and evaluate a practical change strategy aimed at improving the teaching and learning relationship between students and staff nurses in clinical settings. A sample of five staff nurses working closely with five students in the group was invited to join the study in order to gain their perspectives on the issues. The findings were that contract learning provides a strategy which, under certain conditions, offers both students and staff nurses an opportunity to improve the effectiveness of their interactions.
Call Number NRSNZNO @ research @ Serial 545
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Author Drake, M.; Stokes, G.
Title Managing pre-registration student risk: A professional and legislative minefield Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 1 Pages 15-27
Keywords Risk management; Education; Law and legislation; Nursing
Abstract This article reports data from 15 schools of nursing, surveyed to identify difficulties experienced by nurse educators with respect to entry, progression and programme completion of undergraduate nursing students. Risk assessment, along with a lack of clear policy and procedures were found to be the main problem areas. Difficulties were exacerbated for educators when there were challenges to their professional judgement, either from the Nursing Council of New Zealand or from within their own institution. The authors argue for more recognition of the dual role of nurse educators, and greater clarification of the Nursing Council of New Zealand role in regulating the student's programme entry and progression, and ultimate admission to the Register. It is suggested that the recently passed Health Practitioners Competence Assurance Act (2003) provides nursing with an opportunity to address some of these issues.
Call Number NRSNZNO @ research @ Serial 546
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Author Malcolm, H.
Title Patient privacy in a shared hospital room: Right or luxury? Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 1 Pages 28-35
Keywords Patient rights; Law and legislation; Nursing; Hospitals
Abstract In this article the author discusses the New Zealand legislation aimed at protecting the individual's right to privacy and concludes that practice may place healthcare consumers' rights at risk. While patient privacy should be of concern to all health professionals, the focus here is on the nurse's role in relation to recently formulated competencies published by the Nursing Council of New Zealand, which includes the recommendation that care be seen to exhibit an awareness of healthcare consumers' rights to privacy alongside the expectation that nurses question practices that compromise patient privacy.
Call Number NRSNZNO @ research @ 562 Serial 548
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Author Wilkinson, J.A.; Huntington, A.D.
Title The personal safety of district nurses: A critical analysis Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 3 Pages 31-44
Keywords District nursing; Occupational health and safety; Organisational culture; Risk factors
Abstract A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses.
Call Number NRSNZNO @ research @ Serial 549
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Author Wong, G.; Sakulneya, A.
Title Promoting EAL nursing students' mastery of informal language Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 1 Pages 45-52
Keywords Communication; Asian peoples; Education; Nursing
Abstract This article describes the development, delivery and evaluation of a pilot programme designed to help nursing and midwifery students from Asian and non-English speaking backgrounds improve their conversational skills in practice settings. Many such students, although previously assessed as competent in English, find that communication with patients and their families, and other health professionals is difficult. The study was conducted in a large tertiary educational institution in a major metropolitan centre. Each week for a period of 11 weeks students participated in an interactive session. Content for these was based on areas highlighted by a needs assessment involving interviews with both students and lecturers, and was subject to ongoing modification in response to feedback from participants. Evaluation questionnaires completed at the conclusion of the series indicated that students perceived the impact as positive. Students who attended regularly and were actively involved in the practice activities described gains in communication skills. From this it was concluded that further development of the pilot scheme was warranted in order to benefit English as an additional language (EAL) students enrolled in nursing and midwifery courses
Call Number NRSNZNO @ research @ 564 Serial 550
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Author Wilkinson, J.A.
Title Using adult learning theory to enhance clinical teaching Type Journal Article
Year (up) 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 1 Pages 36-44
Keywords Critical thinking; Nursing; Education; Motivation; Theory
Abstract In this article four theories of adult learning theory are presented: self directed learning; experiential learning; constructivist theory; and critical thinking. These are discussed alongside theories about motivation to learn. Suggestions for how the theory may be applied to the clinical learning environment are offered.
Call Number NRSNZNO @ research @ 565 Serial 551
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Author Coupe, D.
Title How accountable is accountable for mental health nurses? Type
Year (up) 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Accountability; Nursing; Mental health
Abstract Accountability has been described by nurses as an elusive concept or myth. The author suggests that this elusive concept or myth can partly be attributed to accountability becoming visible usually following a critical incident. The overall goal of this project is to provide nurses working within mental health with the incentive to raise their awareness and explore what their roles and responsibilities are within the accountability process in a more positive scenario. This research paper reports on an exploration of the key components of accountability within the New Zealand mental health environment. It describes significant influences that affect accountability. This is achieved by the means of a literature review, sharing of the author's experience of being involved in a national inquiry, and the adaptation of a who what and how framework, in conjunction with a diagram displaying accountability levels and lines for mental health nurses. The author points out that the domains of accountability for nurses will continue to evolve and expand but what remains important is that consumers have access to good quality mental health care.
Call Number NRSNZNO @ research @ 604 Serial 590
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