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Author Phibbs, S.; Curtis, B.
Title Gender, nursing and the PBRF Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 22 Issue 2 Pages 4-11
Keywords Research; Sex discrimination; Administration; Education
Abstract The authors examine gender based disparities for academics with respect to remuneration, academic grading and Perfomance Based Research Fund (PBRF) scores, whereby women do less well than men in each of these areas. In this article individualised explanations for the failure of women to progress are set in the context of a critical exploration of the PBRF evaluation methodology. It is argued that both academia and the PBRF research assessment exercise embody a form of academic masculinity that systematically disadvantages women in general and nursing in particular.
Call Number NRSNZNO @ research @ 538 Serial 524
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Author Smillie, A.
Title Historical investigations: Risk management in a New Zealand hospital, 1888-1904 Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 22 Issue 2 Pages 33-38
Keywords Risk management; History; Patient safety
Abstract This article examines historical events within one hospital and compares them with contemporary risk management practices. The examples involve a nurse sustaining injury in the course of her work, a fire in the hospital and two instances of patient complaints – one concerning nursing care and the other relating to a time lag between admission to hospital and receiving medical attention. Analysis of the processes followed in investigating these occurrences reveals that these historic investigations were small in scale and less bureaucratic than contemporary practice, and were based on a culture of blame. This is contrasted with modern risk management practices which are more focused on understanding what can be learned from the incident with respect to preventing recurrence.
Call Number NRSNZNO @ research @ 539 Serial 525
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Author McKinlay, E.M.
Title New Zealand practice nursing in the third millennium: Key issues in 2006 Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal (down)
Volume 33 Issue 3 Pages 162-168
Keywords Primary health care; Practice nurses; Careers in nursing
Abstract The author looks at the accelerated change in the role of practice nurses, due to factors such as the effects of the Primary Health Care Strategy. She reviews the current role of practice nurses, which is influenced by a population approach and new funding streams that encourage preventative, maintenance and chronic illness management activities. She highlights the positive effects of increased visibility of nursing leaders in the sector, increasing interdisciplinary education, and new career pathways which include advanced roles. She addresses some of the professional and systemic structural barriers which impact on practice nurses' ability to work effectively and equally within a general practice team.
Call Number NRSNZNO @ research @ 541 Serial 527
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Author McEldowney, R.A.; Richardson, F.; Turia, D.; Laracy, K.; Scott, W.; MacDonald, S.
Title Opening our eyes, shifting our thinking: The process of teaching and learning about reflection in cultural safety education and practice: An evaluation study Type Report
Year 2006 Publication Abbreviated Journal (down)
Volume Issue Pages
Keywords Cultural safety; Nursing; Culture
Abstract The purpose of the research was an evaluation of practice exemplars as a reflective process in teaching and learning about cultural safety. Six Maori, two Pacific and five Pakeha students, ranging in age from 30 to 40, took part in the research. The research findings revealed five sub themes: personal safety, power/ powerlessness, reflection, teaching and learning and cultural safety. The presentation, while acknowledging that cultural safety shared some commonalities with culture care theory, highlighted differences between the two. These included that cultural safety was explicit in identifying the inherent power of the nurse in health care relationships; related to the experience of the recipient of nursing care, and extended beyond cultural awareness and sensitivity; provided consumers of nursing services with the power to comment on practices; and contributed to the achievement of positive outcomes and experiences for them. It outlined the characteristics of a culturally safe nurse as a nurse who had undertaken a process of reflection on her/his own cultural identity and who recognised the impact their personal culture had on client care.
Call Number NRSNZNO @ research @ 693 Serial 679
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Author O'Brien, A.J.; Hughes, F.; Kidd, J.D.
Title Mental health nursing in New Zealand primary health care Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal (down)
Volume 21 Issue 1 Pages 142-152
Keywords Mental health; Primary health care; Nursing specialties; Community health nursing
Abstract This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.
Call Number NRSNZNO @ research @ 730 Serial 716
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Author Hughes, F.
Title Nurses at the forefront of innovation Type Journal Article
Year 2006 Publication International Nursing Review Abbreviated Journal (down)
Volume 53 Issue 2 Pages 94-101
Keywords Organisational culture; Technology; Policy; Nursing
Abstract This paper explores the concept of innovation in nursing, the inherent set of characteristics that need to be present in order for innovations to succeed, and the barriers that impede innovation from occurring. Successful innovations developed and implemented by nurses are featured, and organisational factors necessary to support innovation are described. This paper is based on a presentation given by the author at the 23rd Quadrennial ICN Congress and 7th International Regulation Congress in Taipei in May 2005.
Call Number NRSNZNO @ research @ 796 Serial 780
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Author Neville, S.J.; Gillon, D.; Milligan, K.
Title New Zealand registered nurses' use of physical assessment skills: A pilot study Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal (down)
Volume Issue 14(1) Pages
Keywords Clinical assessment; Nursing; Evaluation
Abstract The objective of this project was to ascertain registered nurses' use of selected physical assessment skills before and after participation in a health assessment course. A pre- (also referred to as part I) and post- (part II) test design was used to investigate the research aim. Participants were obtained via a convenience sample. A questionnaire was completed at the beginning of the educational programme and then four to six weeks after completion of the assessment course. A two tailed t-test was used to identify any significant differences in the characteristics of participants from part I (N = 206) to part II (N = 145), with no differences identified. However, there was an overall mean percentage difference of 17.1% in the use of physical assessment skills after having completed the educational programme. In conclusion, the researchers found that four to six weeks after completion of a health assessment course, nurses were using the skills learned to improve their nursing practice more frequently than before the programme.
Call Number NRSNZNO @ research @ 879 Serial 863
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Author Hughes, F.; Duke, J.; Bamford-Wade, A.; Moss, C.
Title Enhancing nursing leadership through policy, politics, and strategic alliances Type Journal Article
Year 2006 Publication Nurse Leader Abbreviated Journal (down)
Volume 4 Issue 2 Pages 24-27
Keywords Policy; Nursing; Leadership
Abstract This paper looks at the links between nursing roles and health policy in New Zealand. Strategic alliances between key professional leaders in different nursing roles can help the profession by directly influencing policy development and implementation. This form of policy entrepreneurship is an important component of professional leadership.
Call Number NRSNZNO @ research @ 955 Serial 939
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Author Hunt, M.
Title Nurses can enhance the pre-operative assessment process Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (down)
Volume 12 Issue 10 Pages 20-22
Keywords Nursing specialties; Clinical assessment; Hospitals; Surgery
Abstract This reports on an initiative at Whakatane Hospital, where a Nurse-Led pre-assessment (NLPA) was delivered at an outpatients clinic. NLPA involves taking a comprehensive medical history, a nursing assessment, physical examination, airway assessment, ordering appropriate investigations and carefully documenting the process and results. More valuably, it provides an opportunity for the patient to participate in planning their care. The aim of this initative was to short circuit delays and congestion in existing pre-assessment clinics, streamline the pre-assessment process and reduce the number of patient visits to hospital. Reducing cancellations of surgery (often on the day of surgery) and “did not appear” (DNA) numbers were also objectives. After a small pilot, a six-month trial was funded by the Ministry of Health. Over the six-month trial, 373 patients attended NLPA; 178 patients required anaesthetist review before surgery, and 198 could proceed directly to surgery following NLPA. An anonymous postal survey was made of patients, who indicated satisfaction with the service. Other outcomes are discussed, and the trial was deemed successful. Follow up plans have been disrupted by restructuring at the hospital and the clinic has yet to be implemented.
Call Number NRSNZNO @ research @ 1005 Serial 989
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Author Polley, H.
Title Treating wounds with oxygen Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (down)
Volume 12 Issue 2 Pages 16-17
Keywords Technology; Evidence-based medicine
Abstract This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited.
Call Number NRSNZNO @ research @ 1012 Serial 996
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Author Trimmer, W.C.
Title The way things are done around here: Perceptions of clinical leadership in mental health nursing Type Journal Article
Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal (down)
Volume 13 Issue Pages 68-69
Keywords Psychiatric Nursing; Leadership; Clinical supervision
Abstract Based on the author's thesis, this research project explored nurses' perceptions of clinical leadership in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses.
Call Number NRSNZNO @ research @ 1057 Serial 1041
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Author Neville, S.J.; Henderson, H.M.
Title Perceptions of lesbian, gay and bisexual people of primary healthcare services Type Journal Article
Year 2006 Publication Journal of Advanced Nursing Abbreviated Journal (down)
Volume 55 Issue 4 Pages 407-415
Keywords Sexuality; Attitude of health personnel; Primary health care
Abstract This paper reports a study exploring people's perceptions of disclosure about lesbian, gay and bisexual identity to their primary healthcare providers. Disclosure of sexual identity to healthcare professionals is integral to attending to the health needs of lesbian, gay and bisexual populations, as non-disclosure has been shown to have a negative impact on the health of these people. From April to July 2004, a national survey of lesbian, gay and bisexual persons was carried out in New Zealand. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues, and 2269 people completed the questionnaire, either electronically or via hard copy. The 133-item instrument included a range of closed-response questions in a variety of domains of interest. In this paper, we report results from the health and well-being domain. More women than men identified that the practitioner's attitude toward their non-heterosexual identity was important when choosing a primary healthcare provider. Statistically significantly more women than men reported that their healthcare provider usually or always presumed that they were heterosexual and in addition more women had disclosed their sexual identity to their healthcare provider. The authors advise that nurses reconsider their approach to all users of healthcare services by not assuming everyone is heterosexual, integrating questions about sexual identity into health interviews and ensuring that all other aspects of the assessment process are appropriate and safe for lesbian, gay and bisexual people.
Call Number NRSNZNO @ research @ 1059 Serial 1043
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Author Crowe, M.; Ward, N.; Dunnachie, B.; Roberts, M.H.
Title Characteristics of adolescent depression Type Journal Article
Year 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal (down)
Volume 15 Issue 1 Pages 10-18
Keywords Psychiatric Nursing; Mental health; Adolescents
Abstract This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively.
Call Number NRSNZNO @ research @ 1065 Serial 1050
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Author Buisman, B.
Title Nursing 2020: How will 'Magnet' hospitals fit in? Type Journal Article
Year 2006 Publication Nursing Journal Northland Polytechnic Abbreviated Journal (down)
Volume 10 Issue Pages 33-41
Keywords Nursing; Leadership; Hospitals
Abstract Nursing shortages, technology, advances in genetics and the knowledge explosion are trends that have an influence on the nursing profession in the future. This article will examine these trends and give an overview of what it may be like to nurse in an acute-care hospital in the year 2020. The impact of leadership, management and political influences will also be discussed. The American concept of 'Magnet' hospitals will be described as one possible solution to the issues that affect the nursing profession in New Zealand.
Call Number NRSNZNO @ research @ 1209 Serial 1194
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