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Author Tritschler, E.; Yarwood, J.
Title Relating to families through their seasons of life: An indigenous practice model Type Journal Article
Year (up) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 5 Pages 18-3
Keywords Parents and caregivers; Nursing models; Nurse-family relations; Communication
Abstract In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective.
Call Number NRSNZNO @ research @ 1007 Serial 991
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Author Warren, B.L.
Title Using paracetamol before immunisation: Does it work? Type Journal Article
Year (up) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 5 Pages 24-26
Keywords Immunisation; Paediatric nursing; Evidence-based medicine
Abstract The author presents a review of evidence on the prophylactic use of paracetamol prior to infant and child immunisation. The research was prompted when the Otago District Health Board was planning its Meningococcal B strategy. The evidence suggests that it was appropriate when the whole cell pertussis vaccine was used, but it was not recommended since the introduction of better vaccines such as acellular pertussis with fewer antigens and fewer side effects. Paracetamol may still be given orally to treat pain and fever that occasionally follows vaccination. Paracetamol pharmacology is presented, along with alternatives to paracetamol.
Call Number NRSNZNO @ research @ Serial 998
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Author Lawless, J.; Moss, C.
Title Exploring the value of dignity in the work-life of nurses Type Journal Article
Year (up) 2007 Publication Contemporary Nurse Abbreviated Journal
Volume 23 Issue 2 Pages 225-236
Keywords Work; Nursing philosophy; Job satisfaction; Ethics
Abstract In this paper the authors draw attention to the value and understandings of nurse dignity in the work-life of nurses. A review of nursing literature and a theoretical lens on worker dignity derived from recent work by Hodson (2001) was used to explore these questions. In the context of current and international workforce issues associated with recruitment and retention, analysis of the construct of worker dignity within the profession takes on a strong imperative. Findings of this inquiry reveal that while there is a degree of coherence between the nursing research and elements of Hodson's (2001) research on worker dignity, the dignity of nurses, as a specific construct and as an intrinsic human and worker right has received little explicit attention. Reasons for this may lie partly in approaches that privilege patient dignity over nurse dignity and which rely on the altruism and self-sacrifice of nurses to sustain patient care in environments dominated by cost-control agendas. The value of dignity in the work-life of nurses has been under-explored and there is a critical need for further theoretical work and research. This agenda goes beyond acceptance of dignity in the workplace as a human right towards the recognition that worker dignity may be a critical factor in sustaining development of healthy workplaces and healthy workforces. Directing explicit attention to nurse dignity may benefit the attainment of both nurse and organisational goals. Hodson's (2001) framework offers a new perspective on dignity in the workplace.
Call Number NRSNZNO @ research @ Serial 1031
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Author Koorey, R.
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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Author Lapana, S.
Title Pa hi atu health model: A Tokelau perspective Type Journal Article
Year (up) 2007 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 14 Issue Pages 35-39
Keywords Health promotion; Nursing; Culture; Pacific peoples
Abstract In this article, the author describes a health model aimed at providing health practitioners with a better understanding of Tokelau health concepts and values.
Call Number NRSNZNO @ research @ Serial 1034
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Author Naidu, A.
Title Is scholarship an integral component of advanced nursing practice? Type Journal Article
Year (up) 2007 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 14 Issue Pages 50-53
Keywords Advanced nursing practice; Professional development
Abstract This article defines scholarship and how it links to nursing. It explores how nurses perceive scholarship and how it can enhance their practice. While agreeing that scholarship plays a vital role in the image of nursing as a professional practice, the article's main focus is on scholarship as an integral component of advanced nursing practice.
Call Number NRSNZNO @ research @ Serial 1035
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Author Francis, L.
Title Polio is history – isn't it Type Journal Article
Year (up) 2007 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 14 Issue Pages 24-31
Keywords Case studies; Diseases; Public health; Community health nursing; Poliomyelitis
Abstract Using the stories of four polio survivors who have since contracted post polio syndrome (PPS), this article discusses the theories regarding the cause of PPS as well as the varying symptoms and problems for those living with the disease.
Call Number NRSNZNO @ research @ Serial 1046
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Author Whittle, R.
Title Decisions, decisions: Factors that influence student selection of final year clinical placements Type
Year (up) 2007 Publication Abbreviated Journal
Volume Issue Pages
Keywords Clinical assessment; Nursing; Education; Students
Abstract Clinical practice is an essential and integral component of nursing education. The decision-making process involved in student selection of clinical placements is influenced by a range of factors which are internal or external to students. As there was little research that explored these factors and the influence they have on student decisions, the author sought to investigate this further. A mixed-method approach was used, using a questionnaire and focus group interview, to give breadth and depth to the research. This study found that students are particularly influenced by previous positive experiences, or an interest in a particular area of practice. Their personality will also influence their placement decisions. Nurse preceptors and clinical lecturers also provide a key support role to students in the clinical environment.
Call Number NRSNZNO @ research @ Serial 1103
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Author Wilson, S.C.
Title A qualitative exploration of emotional competence and its relevance to nursing relationships Type
Year (up) 2007 Publication Abbreviated Journal Massey Research Online
Volume Issue Pages
Keywords Nurse-patient relations; Nursing; Education; Students; Professional competence
Abstract This qualitative research project explored the experiences of nurse educators who sought to assess aspects, which could be related to facilitation of emotional competence, in nursing students. Focus groups were conducted in three different educational institutions, offering a Bachelor of nursing degree. Each of the participants had a teaching and assessment role within the school of nursing. The contributions of the nurse educators and their interactions were audio taped, transcribed and then later, analysed using thematic and focus group analysis practices. From the analysis of the experiences of the nurse educators, four predominant themes arose which capture the areas of importance to the participants. Student nurses can develop emotional competence by critically reflecting during classroom and clinical experiences. Continuous consideration must be made within each practicing area of nursing, of the environmental and relational challenges which inhibit or facilitate nurse's ability to practice with emotional competence. Educators and practicing nurses, who work alongside students, must uphold the expectation that emotional competence is a requisite ability and provide opportunities to foster emotional growth and skills to resolve conflict within the culture of nursing. A common view shared by the educators was that the profession of nursing needs to have a clear understanding of what constitutes emotional competence. Strategies to realistically incorporate emotional competence into the educational curriculum and competency based assessment opportunities within nursing education are required. Suggestions are presented from which undergraduate nursing education can facilitate development of emotional competence with those students working toward becoming a registered nurse. Emotional competence is suggested as an essential learning outcome in the movement toward transformative nursing education and a collaborative nursing profession.
Call Number NRSNZNO @ research @ Serial 1144
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Author Falleni, P.M.
Title The implications of stress and the effect it has on Maori who have type 2 diabetes in Aotearoa/New Zealand Type
Year (up) 2007 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Maori; Diabetes Type 2; Stress; Community health nursing
Abstract In this review, the author illustrates the connection between diabetes, stress and barriers to care, and the impact these have on Maori who have type 2 diabetes. A literature review, which focused mainly on indigenous peoples, and more specifically on Maori was undertaken. The connections between all the factors involved are explored, and combined with reflections from the author's own clinical practice experience. She argues that stress, diet, exercise and barriers to care place a heavy burden on the lives of Maori who live in Aotearoa/New Zealand, suffering from the disease of diabetes. By empowering them to face their situation and see this from a wellness rather than an illness perspective, they can take control of their diabetes and so will live a healthy, longer life, ensuring quality time with their mokopuna/grandchildren.
Call Number NRSNZNO @ research @ Serial 1155
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Author Whitehead, N.
Title Quality and staffing: Is there a relationship in aged residential care Type
Year (up) 2007 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Rest homes; Patient safety; Older people; Nursing specialties
Abstract This thesis reports a mixed methods study, longitudinal in nature, of consenting Age Related Residential Care (ARRC) hospitals in the upper half of the North Island, which was conducted to examine several factors, including AARC hospital efficiency at producing adverse event free days for residents. An interpretativist approach examined what best practice strategies were implemented by the ARRC hospitals that were identified to be most successful at producing adverse event free days for the residents.
Call Number NRSNZNO @ research @ Serial 1159
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Author Walsh, C.
Title Personal and professional choices, tensions, and boundaries in the lives of lesbian psychiatric mental health nurses Type
Year (up) 2007 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Sexuality; Psychiatric Nursing; Nurse-patient relations; Communication
Abstract This study aimed to articulate how sexual identity impacts on the therapeutic relationship between the client and the lesbian nurse in psychiatric mental health nursing. There is little consideration given in the literature or in research as to how sexuality of the nurse impacts on nursing practice. Most attitudes held by the public and nursing staff are based on the assumption that everyone is heterosexual, including nurses. Fifteen lesbian psychiatric mental health nurses from throughout New Zealand volunteered for two interviews and shared their experiences of becoming and being a lesbian psychiatric mental health nurse. The stories they told give new insights into how these nurses negotiate and position their lesbian identity in the therapeutic relationship. To work therapeutically with people in mental distress the nurse uses personal information about themselves to gain rapport with the client through appropriate self-disclosure. Being real, honest and authentic are also key concepts in this relationship so the negotiation of reveal/conceal of the nurse's identity is central to ongoing therapeutic engagement. One of the most significant things arising from the research is that participants are able to maintain their honesty and authenticity in the therapeutic relationship whether they self-disclose their lesbian identity or not. This is because the experiences in their personal lives have influenced how the participants 'know themselves' and therefore guide how they 'use self' in their therapeutic nursing. The concept of a 'licensed narrative' has also been developed during this research reflecting the negotiated understandings between the researcher and the participants. Further, the use of NVivo a qualitative software package helps to track and make transparent the research processes. These two aspects make a unique contribution to the field of narrative inquiry.
Call Number NRSNZNO @ research @ Serial 1164
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Author McLoughlin, N.
Title Dying to know: Advancing palliative care nursing competence with education in elderly health settings Type
Year (up) 2007 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Professional development; Nursing specialties; Palliative care; Nursing; Education
Abstract This paper explores the benefits of using education as one means to advance palliative care competence for nurses. A literature search was conducted revealing numerous educational initiatives and approaches have been developed to improve palliative care. Benefits include improved nursing knowledge, confidence and competence which directly correlate with improved patient outcomes. Accompanying the shift of palliative care from hospices to varied health care providers globally, are disparities in care provision. The literature suggests that reasons for such disparities include insufficient specialised palliative care knowledge and skills of nurses to effectively deliver this care within generalist health settings and lack of information for caregivers. In response, approaches aimed at improving palliative care include reviewing, redefining and implementing nursing roles, education courses, and theoretical frameworks to inform practice and improve outcomes. This paper focuses on the benefits of offering tailored palliative care education in work settings to improve patient care. One entrepreneurial education initiative aimed at advancing palliative nursing and which is currently being implemented in aged care contexts is shared. Careful strategic planning and working more collaboratively between all stakeholders, is strongly recommended in order to manage current and future challenges. Advancing palliative nursing care using appropriate education is achievable and beneficial but is fraught with complexities.
Call Number NRSNZNO @ research @ Serial 1190
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Author Barber, M.
Title Exploring the complex nature of rural nursing Type Journal Article
Year (up) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 10 Pages 22-23
Keywords Rural nursing; Scope of practice; Community health nursing
Abstract This article reports the results of a research study undertaken to examine how nurses manage their professional and personal selves while working in small rural communities. The participants were a small group of rural nurses on the West Coast. The rationale for the study was the long-term sustainability and viability of the service to this remote area. The research showed that the rural nurse specialists' role is a complex and challenging one, performed within the communities in which nurses live.
Call Number NRSNZNO @ research @ 1212 Serial 1197
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Author Raleigh, S.
Title The meaning and importance of service for health professionals Type
Year (up) 2007 Publication Abbreviated Journal ScholarlyCommons@AUT
Volume Issue Pages
Keywords Qualiltative research; Nursing; Education
Abstract The primary purpose of this study was to explore and identify the meaning and importance of service for health professionals. Those who participated in this study are all registered nurses who each have between 10 and 40 years of clinical nursing and nurse lecturing experience. The participants each wrote two stories, one about the meaning of service and the other about the importance of service. Definitions of service generally suggest organised labour involving an act of help or assistance. Our intent was to understand what constituted service for each of us in the healthcare – and specifically the nursing practice/education – context. A secondary purpose of this qualitative research was guided by participatory and critical theory paradigms. Seven participants and the initiating researcher formed a co-operative inquiry group to undertake the research using a collaborative process. Within this method the leader and the group became co-participants and co-researchers. Nurses and women are identified as marginalised people and by honouring the principles of co-operative inquiry we were empowered through this process. While the initial data was analysed thematically by the lead researcher, the original 19 sub-themes were refined by participants into five themes. The findings of the participants are consistent with overseas studies on emotional labour and sentimental work. The five themes that emerged as the meaning of service are helping, giving, elements of service, acts of doing, and pride in work. This study affirmed that service has much importance to those involved and deepened our understanding of the blend of meanings service expresses.
Call Number NRSNZNO @ research @ Serial 1204
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