| |
Records |
Links |
|
Author |
Smith, M.C. |
|
| |
Title |
Reviewing the role of a mental health nurse practitioner |
Type |
Journal Article |
| |
Year  |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
20-22 |
|
| |
Keywords |
Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence |
|
| |
Abstract |
The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
993 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Dent, G.W. |
|
| |
Title |
Mental health nurses' knowledge and views on talking therapies in clinical practice |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria http://hdl.handle.net/10063/675 |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Attitude of health personnel; Evidence-based medicine; Professional development |
|
| |
Abstract |
Using a qualitative descriptive research design, this study explored nurses' knowledge and views on their talking therapy training and skills in practice. The study examined the use of talking therapies, or specialised interpersonal processes, embodied within the Te Ao Maramatanga: New Zealand College of Mental Health Nurses Inc (2004) Standards of Practice for Mental Health Nurses in New Zealand. A survey questionnaire was sent to 227 registered nurses from a district health hoard mental health service and a sample of eight nurses participated in a semi-structured interview. Content analysis based on the headings “knowledge views, skill acquisition and skill transfer” established the major themes from the data collection processes. The findings confirmed that nurses believe their knowledge and skills in evidence-based talking therapies to be vitally important in mental health nursing practice. Nurses identified that talking therapy training courses needed to be clinically relevant and that some learning strategies were advantageous. The identification of some knowledge gaps for, nurses with limited post graduate experience, and for nurses who currently work in inpatient areas suggests that further consideration must be given to ensure that a cohesive, sustainable approach is ensured for progression of workforce development projects relevant to training in talking therapies for mental health nurses in New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1151 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Apelu, J. |
|
| |
Title |
Pacific community mental health nurses' experiences of working for a district health board in New Zealand |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria http://hdl.handle.net/10063/684 |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Pacific peoples; Community health nursing; District Health Boards; Culture |
|
| |
Abstract |
This study explored the perspectives of Pacific nurses on what it is like for them to work in a Pacific community mental health (PCMH) service within a district health board. Five Pacific Island nurses who worked in the three Pacific community mental health services based in the Auckland region participated in the project. The study employed narrative inquiry to gather data through focused storytelling method. The results of the study have indicated that PCMH nursing is a unique nursing field as well as highlighting significant practice issues for nurses. Complex service infrastructure and language have been found to be the major contributing practice constraints. The findings suggest the need for district health board authorities, Pacific mental health service management, professional nursing education and development programs to consider addressing these practice issues to prevent further increase in the problem of PCMH nurses shortage and enhance recruitment and retention of these nurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1153 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Barrington, J. |
|
| |
Title |
Shapeshifting: Prostitution and the problem of harm: A discourse analysis of media reportage of prostitution law reform in New Zealand in 2003 |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ScholarlyCommons@AUT |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Feminist critique; Psychiatric Nursing; Domestic violence |
|
| |
Abstract |
The purpose of this research is to examine the cultural context which makes violence and abuse against women and children possible. In 2003, the public debate on prostitution law reform promised to open a space in which discourses on sexuality and violence, practices usually private or hidden, would publicly emerge. Everyday discourses relating to prostitution law reform reported in the New Zealand Herald newspaper in the year 2003 were analysed using Foucauldian and feminist post-structural methodological approaches. Foucauldian discourse analysis emphasises the ways in which power is enmeshed in discourse, enabling power relations and hegemonic practices to be made visible. The research aims were to develop a complex, comprehensive analysis of the media discourses, to examine the construction of harm in the media debate, to examine the ways in which the cultural hegemony of dominant groups was secured and contested and to consider the role of mental health nurses as agents of emancipatory political change. Mental health promotion is mainly a socio-political practice and the findings suggest that mental health nurses could reconsider their professional role, to participate politically as social activists, challenging the social order thereby reducing the human suffering which interpersonal violence and abuse carries in its wake. |
|
| |
Call Number |
NRSNZNO @ research @ 1228 |
Serial |
1213 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kuehl, S. |
|
| |
Title |
Emergency Department re-presentations following intentional self-harm |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Emergency nursing; Psychiatric Nursing; Mental health; Clinical assessment |
|
| |
Abstract |
The aim of this research was to describe what factors contribute to people re-presenting to the emergency department (ED) within one week of a previous visit for intentional self-harm. Objectives identified were to describe the people using demographic and clinical features; describe and evaluate ED management; and identify possible personal or system reasons as to why people re-present to ED within one week. A retrospective observational design was selected for a period of one year. The data was collected from electronic clinical case notes. The sample consisted of 48 people with 73 presentations and re-presentations. Missing data limited the number of inferential analyses. Outcome measures were divided into information regarding the person and the presentation. This study made several discoveries: many representations (55%) occurred within one day; the exact number of people who represented many times to ED is unknown, but is far higher than reported in other studies; fewer support people were present for the second presentation; the documentation of triage and assessments by ED staff was often minimal, though frequently portrayed immense distress of this population; cultural input for Maori was missing; physical health complaints and psychosis were found with some intentional self-harm presentations; challenging behaviours occurred in at least a quarter of presentations; and the medical and mental health inpatient admission rates were approximately 50% higher for second presentations. Recommendations in regard to the use of a triage assessment tool, the practice of reviewing peoples' past presentations and the need for a mental health consultation liaison nurse in ED are made. Staff education, collaboration between services with consumer involvement and further research of this group are required. This study supports the need for holistic and expert care for people who present at emergency departments with intentional self-harm. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1214 |
|
| Permanent link to this record |
