Records |
Author |
Lui, D.M.K. |
Title |
Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 2. Survey results |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Journal of Neonatal Nursing |
Abbreviated Journal |
|
Volume |
9 |
Issue |
3 |
Pages |
91-96 |
Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Attitude of health personnel |
Abstract |
Discontinuation of life support measures for an extremely low birthweight or very premature baby is controversial and difficult for both the parents and the healthcare professional involved in caring for the infant. This study seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Part 1 reviewed the literature on this subject. Part 2 reports the results of a survey carried out in a New Zealand NICU. |
Call Number |
NRSNZNO @ research @ 966 |
Serial |
950 |
Permanent link to this record |
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Author |
Stone, P.W.; Tourangeau, A.E.; Duffield, C.M.; Hughes, F.; Jones, C.A.; O'Brien-Pallas, L.; Shamian, J. |
Title |
Evidence of nurse working conditions: A global perspective |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Policy, Politics, & Nursing Practice |
Abbreviated Journal |
|
Volume |
4 |
Issue |
2 |
Pages |
120-130 |
Keywords |
Nursing; Recruitment and retention; Policy; Cross-cultural comparison; Nursing research |
Abstract |
The purpose of this article is to review evidence about nurse workload, staffing, skill mix, turnover, and organisational characteristics' effect on outcomes; discuss methodological considerations in this research; discuss research initiatives currently under way; review policy initiatives in different countries; and make recommendations where more research is needed. Overall, an understanding of the relationships among nurse staffing and organisational climate to patient safety and health outcomes is beginning to emerge in the literature. Little is known about nursing turnover and more evidence is needed with consistent definitions and control of underlying patient characteristics. Research and policy initiatives in Australia, Canada, New Zealand, and the United States are summarised. |
Call Number |
NRSNZNO @ research @ |
Serial |
951 |
Permanent link to this record |
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Author |
O'Brien, A.P.; O'Brien, A.J.; Hardy, D.J.; Morrison-Ngatai, E.; Gaskin, C.J.; Boddy, J.M.; McNulty, N.; Ryan, T.; Skews, G. |
Title |
The New Zealand development and trial of mental health nursing clinical indicators: A bicultural study |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
International Journal of Nursing Studies |
Abbreviated Journal |
|
Volume |
40 |
Issue |
8 |
Pages |
853-861 |
Keywords |
Biculturalism; Psychiatric Nursing; Professional competence; Evaluation |
Abstract |
This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5-89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice. |
Call Number |
NRSNZNO @ research @ |
Serial |
956 |
Permanent link to this record |
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Author |
Burrell, B. |
Title |
Mixed-sex rooms: Invading patients' privacy? |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
9 |
Issue |
4 |
Pages |
26-28 |
Keywords |
Cross-cultural comparison; Patient rights; Hospitals; Nursing; Gender |
Abstract |
The author considers the issue of mixed-sex rooming (MSR) in New Zealand hospitals. A review of the literature is presented, with a focus on the attitudes and experiences of patients in the UK, where the issue has been most practised and studied. Findings of a survey of a group of New Zealand female patients are presented. The patients feelings of embarrassment and loss of dignity and privacy are discussed. The legal issues are explored, with the practice evaluated against the patient's rights detailed in the Code of Health and Disability Services and the Privacy Act 1993. |
Call Number |
NRSNZNO @ research @ |
Serial |
1000 |
Permanent link to this record |
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Author |
Gaskin, C.J.; O'Brien, A.P.; Hardy, D.J. |
Title |
The development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
Volume |
12 |
Issue |
4 |
Pages |
259-270 |
Keywords |
Professional competence; Psychiatric Nursing; Clinical decision making; Nursing research |
Abstract |
This paper reports the three-stage development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand. In Study 1, clinical indicator statements (n = 99) generated from focus group data, which were considered to be unobservable in the nursing documentation in consumer case notes, were included in a three-round Delphi process. Consensus of ratings occurred for the mental health nurse and academic participants (n = 7) on 83 clinical indicator statements. In Study 2, the clinical indicator statements (n = 67) that met importance and consensus criteria were incorporated into a questionnaire, which was piloted at a New Zealand mental health service. The questionnaire was then modified for use in a national field study. In Study 3, the national field study, registered mental health nurses (n = 422) from 11 New Zealand district health board mental health services completed the questionnaire. Five categories of nursing practice were identified: professional and evidence-based practice; consumer focus and reflective practice; professional development and integration; ethically and legally safe practice; and culturally safe practice. Analyses revealed little difference in the perceptions of nurses from different backgrounds regarding the regularity of the nursing practices. Further research is needed to calibrate the scores on each clinical indicator statement with behaviour in clinical practice. |
Call Number |
NRSNZNO @ research @ |
Serial |
1064 |
Permanent link to this record |
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Author |
Wilson, D. |
Title |
The nurse's role in improving indigenous health |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
Volume |
15 |
Issue |
3 |
Pages |
232-240 |
Keywords |
Transcultural nursing; Maori; Health status |
Abstract |
The health status of indigenous peoples is a global concern with mortality and hospitalisation data indicating that the health of indigenous groups falls below that of other ethnic groups within their countries. The preliminary findings of grounded theory research project undertaken with a group of 23 New Zealand Maori women about their health priorities and 'mainstream' health service needs provide the foundation for an exploration of issues impacting on the health status of indigenous people. The role that nursing and nurses have in improving access and use of health services by indigenous people is discussed. Strategies are suggested that nurses can utilise within their practice when working with local indigenous groups. |
Call Number |
NRSNZNO @ research @ |
Serial |
1065 |
Permanent link to this record |
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Author |
Bishop, D.; Ford-Bruins, I. |
Title |
Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
12 |
Issue |
3 |
Pages |
203-212 |
Keywords |
Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models |
Abstract |
This qualitative study explores the perceptions of mental health nurses regarding assessment in an acute adult inpatient setting in Central Auckland. Fourteen mental health nurses took part in semi-structured interviews answering five open-ended questions. The analysis of data involved a general inductive approach, with key themes drawn out and grouped into four categories (roles, attitudes, skills and knowledge) in order to explore the meaning of information gathered. The outcome of the study acknowledged the importance of contextual factors such as the physical environment and bureaucratic systems, as well as values and beliefs present within the unit. The participants expressed concern that their input to assessment processes was limited, despite belief that 24-hour care and the nature of mental health nursing generally suggested that a crucial role should exist for nurses. In order for nurses to be established as central in the assessment process on the unit the study concludes that a nursing theoretical framework appropriate for this acute inpatient setting needs to be developed. |
Call Number |
NRSNZNO @ research @ 1082 |
Serial |
1067 |
Permanent link to this record |
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Author |
Coleman, R.; Sim, G. |
Title |
The sacredness of the head: Cultural implications for neuroscience nurses |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
|
Volume |
16 |
Issue |
2 |
Pages |
20-22 |
Keywords |
Paediatric nursing; Transcultural nursing; Culture |
Abstract |
The aim of this paper is to increase neuroscience nurses' awareness of how the head is perceived as sacred by some cultures. This article will outline a definition of culture, discussion around the sanctity of the head for some cultures, the cultural significance of common neuroscience interventions, the use of traditional healing methods, and prayer. Examples will be provided of how nursing interactions and interventions affect some cultures, looking primarily at a Maori and Pacific Island perspective. The focus of this paper is within a New Zealand paediatric setting. |
Call Number |
NRSNZNO @ research @ 1083 |
Serial |
1068 |
Permanent link to this record |
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Author |
Crowe, M.; Carlyle, D. |
Title |
Deconstructing risk assessment and management in mental health nursing |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
Volume |
43 |
Issue |
1 |
Pages |
19-27 |
Keywords |
Psychiatric Nursing; Risk management; Policy; Culture |
Abstract |
The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities. |
Call Number |
NRSNZNO @ research @ |
Serial |
1069 |
Permanent link to this record |
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Author |
Palmer, S.G. |
Title |
Application of the cognitive therapy model to initial crisis assessment |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
30-38 |
Keywords |
Mental health; Clinical assessment; Psychiatric Nursing |
Abstract |
This article provides a background to the development of cognitive therapy and cognitive therapeutic skills with a specific focus on the treatment of a depressive episode. It discusses the utility of cognitive therapeutic strategies to the model of crisis theory and initial crisis assessment currently used by the Community Assessment & Treatment Team of Waitemata District Health Board. A brief background to cognitive therapy is provided, followed by a comprehensive example of the use of the Socratic questioning method in guiding collaborative assessment and treatment of suicidality by nurses during the initial crisis assessment. |
Call Number |
NRSNZNO @ research @ 1085 |
Serial |
1070 |
Permanent link to this record |
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Author |
White, G.E.; Mortensen, A. |
Title |
Counteracting stigma in sexual health care settings |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Insight: The Journal of the American Society of Ophthalmic Registered Nurses |
Abbreviated Journal |
|
Volume |
6 |
Issue |
1 |
Pages |
|
Keywords |
Sexual and reproductive health; Nursing specialties; Attitude to health |
Abstract |
Sexual health clinics and the people who visit them commonly face stigma. Sexually transmitted infections have historically been used to divide people into “clean” and “dirty”. A grounded theory study of the work of sixteen nurses in six sexual health services in New Zealand was undertaken to explore the management of sexual health care. The study uncovered the psychological impact of negative social attitudes towards the people who visit sexual health services and to the staff who work there. Sexual health nurses manage the results of stigma daily and reveal in their interactions with clients a process of destigmatisation. |
Call Number |
NRSNZNO @ research @ |
Serial |
1071 |
Permanent link to this record |
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Author |
Pearson, J.R. |
Title |
A discussion of the principles of health promotion and their application to nursing |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
10 |
Issue |
|
Pages |
23-34 |
Keywords |
Health promotion; Nursing |
Abstract |
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Call Number |
NRSNZNO @ research @ 1088 |
Serial |
1073 |
Permanent link to this record |
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Author |
Milligan, K.; Neville, S.J. |
Title |
The contextualisation of health assessment |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
19 |
Issue |
1 |
Pages |
23-31 |
Keywords |
Cross-cultural comparison; Evaluation; Nursing |
Abstract |
The authors defines health assessment and argue that it is a tool nurses should be using as a means of improving health outcomes for clients. The skills involved in health assessments are analysed, and four levels of data gathering are identified. The authors present an historical perspective, tracing the development of these skills as they have been incorporated in nursing practice in North America and Australia. |
Call Number |
NRSNZNO @ research @ |
Serial |
1095 |
Permanent link to this record |
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Author |
Speed, G. |
Title |
Advanced nurse practice |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Nursing dialogue: A Professional Journal for nurses |
Abbreviated Journal |
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Volume |
10 |
Issue |
|
Pages |
6-12 |
Keywords |
Nurse practitioners; Cross-cultural comparison; Law and legislation; Advanced nursing practice |
Abstract |
The concept and characteristics of advanced nursing practice in New Zealand and overseas is compared with the nurse practitioner role. There is an international debate over definitions of advanced nursing and the range of roles that have developed. The rationale for the nurse practitioner role in New Zealand is examined, along with the associated legislation currently before Parliament. Job titles and roles of nurses within the Waikato Hospital intensive care unit are discussed and ways of developing the role of nurse practitioner are presented. |
Call Number |
NRSNZNO @ research @ |
Serial |
1096 |
Permanent link to this record |
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Author |
Wilson, H.V. |
Title |
Paradoxical pursuits in child health nursing practice: Discourses of scientific mothercraft |
Type |
Journal Article |
Year ![sorted by Year field, descending order (down)](img/sort_desc.gif) |
2003 |
Publication |
Critical Public Health |
Abbreviated Journal |
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Volume |
13 |
Issue |
3 |
Pages |
281-293 |
Keywords |
Plunket; Nurse-family relations; Paediatric nursing; Nursing philosophy |
Abstract |
The purpose of this paper is to examine the discourses of scientific mothercraft and their implications for the nurse-mother relationship, drawing on the author's recent research into surveillance and the exercise of power in the child health nursing context. The application of Foucauldian discourse analysis to the texts generated by interviews with five New Zealand child health nurses confirms that this paradoxical role has never been fully resolved. Plunket nurses primarily work in the community with the parents of new babies and preschool children. Their work, child health surveillance, is considered to involve routine and unproblematic practices generally carried out in the context of a relationship between the nurse and the mother. However, there are suggestions in the literature that historically the nurse's surveillance role has conflicting objectives, as she is at the same time an inspector and family friend. |
Call Number |
NRSNZNO @ research @ 1116 |
Serial |
1101 |
Permanent link to this record |