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Author Eappen, Seena
Title Developing a clinical referral pathway for the management of difficult venous access for ward nurses at North Shore Hospital Type Book Whole
Year 2022 Publication Abbreviated Journal
Volume Issue Pages 83 p.
Keywords Cannulation; Difficult Venous Access (DVA); Clinical Referral Pathway; Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model
Abstract (up) Aims to streamline a clinical referral pathway (flow chart) for difficult venous access (DVA). Conducts a review of current literature to provide a theoretical basis to support the project. Uses the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model to develop the project, collecting a six-month sample of referral data to identify trends. Identifies four key themes during daa analysis: patient clinical condition; difficult access; staff education and training; and urgency for treatment
Call Number NZNO @ research @ Serial 1751
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Author Greenlees-Rae, Joanne
Title Being confident in practice: A study on the influences on confidence in new graduate nurses Type Book Whole
Year 2016 Publication Abbreviated Journal
Volume Issue Pages 151 p.
Keywords Professional confidence; New graduate nurses; Critical reflection; Surveys
Abstract (up) Aims to understand influences on new graduate nurses' confidence in their nursing practice. Confirms the value of self-confidence in newly-qualified nurses commencing practice. Utilises Appreciative Inquiry methodology to analyse the dialogue of nine new graduate nurses who share their stories of practice. Highlights five themes from their accounts. Identifies influences on the nurses' confidence, and the reflective practice pervading their nursing practice.
Call Number NZNO @ research @ Serial 1695
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Author Macdiarmid, Rachel; Neville, Stephen; Zambas, Shelaine
Title The experience of facilitating debriefing after simulation: a qualitative study Type Journal Article
Year 2020 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 36 Issue 3 Pages 51-60
Keywords Debriefing; Simulation education; Health professionals
Abstract (up) Aims to understand the experience of debriefing following a simulated episode in a tertiary health-care setting. Interviews 10 participants (nurses, doctors and a midwife) about facilitation of the debriefing process, confirming the role of the facilitator in debriefing.
Call Number NZNO @ research @ Serial 1682
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Author Corner, Kathy
Title Perceptions of Indian IQNs transitioning into a bachelor of nursing programme in New Zealand Type Journal Article
Year 2020 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 11 Issue 1 Pages 61-62
Keywords IQNs; Bachelor of Nursing; Nursing students; Cultural safety; Cross-cultural communication; Resilience
Abstract (up) Aims to understand the experiences of Indian internationally-qualified nurses (IQN) making the transition into a NZ bachelor of nursing (BN) programme. Conducts a focus group with four Indian IQN students enrolled in an 18-month bridging course. Identifies four themes: adaptation to a new way of learning; cultural differences in living and working in NZ; adaptation to a different clinical environment; and cultural safety.
Call Number NZNO @ research @ Serial 1663
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Author Lim, Anecita; Honey, Michelle; North, Nicola; Shaw, John
Title Learning to become a nurse prescriber in New Zealand using a constructivist approach: a narrative case study Type Journal Article
Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue 3 Pages 27-36
Keywords Nurse prescribing; Constructivism; Narrative case study; Narrative inquiry; Prescribing education
Abstract (up) Aims to understand the experiences of postgraduate nurses learning to become nurse practitioner prescribers when undertaking courses that employed a constructivist pedagogical approach. Uses narrative inquiry to explore the perceptions, views and experiences of 10 prospective nurse prescribers, and thematic analysis to identify two main themes of their experiences.
Call Number NZNO @ research @ Serial 1512
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Author Prentice, Jennifer Joan
Title “Tell someone who cares” -- participatory action research of motivation and workplace engagement among caregivers in aged residential care, New Zealand Type Book Whole
Year 2019 Publication Abbreviated Journal
Volume Issue Pages 180 p.
Keywords Aged residential care; Motivation; Action research; Caregivers
Abstract (up) Aims to understand the factors that encourage motivation and engagement of caregivers who are relatively poorly paid, with limited training, but who are required to provide personal care to an increasingly frail population. Undertakes an initial exploratory study, with participants from four rural aged-residential care (ARC) facilities, to identify three key themes that influence caregiver motivation. Subsequently develops these initial themes, within a 42-bed facility, to explore how to encourage caregiver motivation. Bases the four-step process on Lewin’s cycle: plan, act, observe, and reflect. Establishes an advisory group of caregivers who develop a nine-point action plan, accepted by management and implemented in the facility.
Call Number NZNO @ research @ Serial 1638
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Author Peters, B.C.
Title The image of nurses on television: a study looking at the image of nurses portrayed on television in New Zealand in 1983 programs Type Miscellaneous
Year Publication Abbreviated Journal
Volume Issue Pages
Keywords
Abstract (up) All Nurse/Doctor Television programs were observed and questionnaires completed over a period of two weeks, during August 1983, to study the image of Nurses as portrayed on Television, and to compare the findings with those of previous American studies in particular the studies done by Kalisch, B.J. and Kalisch, P.A. ( 1982). A total of 20 programs were viewed, divided into categories and analysed. The main categories were general and personal data, characteristics portrayed by nurses and activities performed as part of the professional role. Results indicated that overall the portrayed image of Nurses is a negative one which continues to enforce the traditional broad stereotypes held of Nurses. Namely the 'angel of mercy', sex object, Doctor's handmaiden or battle axe dragon. This study supports the previous American studies and indicates that the image has not changed a great deal since 1979
Call Number NRSNZNO @ research @ 113 Serial 113
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Author Strochnetter, K.T.
Title Influences on nurses' pain management practices within institutions: A constructivist approach Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Interprofessional relations; Pain management; Nursing
Abstract (up) Alleviating patient suffering, providing comfort and pain relief are all central to the philosophical caring position nurses have always espoused. Despite this, patients continue to suffer pain although we have the means to provide pain relief. The author notes that research has identified that nurses have a knowledge deficit regarding pain and its management, as well an erroneous attitudes, which combined are blamed for an inability to make significant progress in this area. This study was undertaken to uncover the contextual aspects of working within a New Zealand health care institution that affect nurses' ability to manage their patient' pain effectively. It highlights the difficulties and the complicated nature of working within an institution in the 1990's health care environment, where accountability for pain is absent and where pain is often under-assessed and under-treated. By using focus group of nurses, the author notes she was able to uncover constructions on nursing practice, which, she suggests, have been missing from the literature, but prevent nurses from implementing their knowledge. Using a constructivist research, she used nurse's stories and current literature to argue one way forward in, what she terms, the pain management debacle. This study revealed a diverse range of contextual factors that prevent nurses from using their knowledge. Many of the constraints on nursing practice are the results of complex organisational structures within health reform, which have significantly affected the nurse's ability to provide quality-nursing care. One of the most important factors limiting the management of the patient' pain is the inability of the nurse to autonomously initiate analgesia. While nurses are largely responsible for the assessment of pain, they are usually powerless to access necessary analgesia, without a medical prescription. The author argues that once an initial medical diagnosis has been made, nurses are usually left responsible for patient comfort and the management of pain. To do so effectively, nurses need to able to prescribe both pharmacological and non-pharmacological measures for the patient. Presently nurses are prescribing using a variety of illegitimate mechanisms, needing the endorsement of a doctor. To fulfil this role, nurses must be adequately prepared educationally and given the authority to either prescribe autonomously, of provided with extensive “standing orders”. While legislative changes in New Zealand in 1999 extended prescribing right to a few nurses within certain areas of care, the ward nurse is unlikely to gain prescribing rights in the near future. The author concludes that a way forward may be to encourage and further develop the use of protocols for managing pain via standing orders. Standing orders are common place within nursing practice today, have the support of the Nursing Council of New Zealand and are currently under-going legislative review. An institutional commitment to developing pain protocols for nurses would recognise the nurses active role and expertise in the management of pain and facilitate expedient relief for the patient.
Call Number NRSNZNO @ research @ Serial 909
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Author Howie, L.
Title Rural nursing practice in context Type
Year 2006 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Rural nursing
Abstract (up) Although it is accepted in rural nursing literature that the context shapes nursing practice there is limited opportunity to gain an understanding of how this occurs. This dissertation addresses this issue. Firstly, by employing a social geographical lens to define and examine the dynamic, evolving rural context and secondly, by considering the nursing concepts that arise from those contextual factors that relate directly to rural societal health needs. Defining 'rural' is essential when describing or debating rural nursing practice in context. However, there remains no universally accepted definition of 'rural'. Despite this and even though each location is individually specific, there are socio-cultural, occupational, ecological and health aspects that are common and bespeak rural society. These aspects have been developed into a Rural Framework Wheel as a visual reference to demonstrate the substantial influences which impact on nursing practice within the rural context. The framework encapsulates the distinctive dimensions that are hallmarks of rural nursing practice. Nurses can therefore use the framework to express concisely their individualised practice and competence by employing the two broad themes that have emerged from the literature; that of 'nursing per se' and 'partnership'. The Rural Framework Wheel is recommended as a paradigm to critique the practice of rural nurses from an educational, employment, research and political perspective. It is advocated that this framework be used by rural nurses to describe their practice and therefore to express the distinctiveness of the rural nursing identity.
Call Number NRSNZNO @ research @ Serial 744
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Author Kapoor, S.D.
Title Smoking and health: an analysis of policymaking structure and process within the Department of Health concerned with the issue of smoking and health Type
Year 1980 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords
Abstract (up) An analysis of policy making structure and process within the department of Health concerned with the issue of smoking and health. This paper deals with an important area of public policy both in terms of process and substance. It attempts to identify how policy is made in New Zealand. How policy is determined by the elected representative of the people and how far policy is made by the permanent state employees. The way political power is brought to bear in policy implementation is examined, as is the question: What level of policy research and analysis on smoking and health is affected in New Zealand? Attention is directed towards complex ideas of participation, representation and minority rights as well as to democratic theory in relation to cause and influence of conflict, public opinion formation, interest group influence and public policy making
Call Number NRSNZNO @ research @ 99 Serial 99
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Author Litchfield, M.
Title The nation's health and our response Type Conference Article
Year 1992 Publication Abbreviated Journal
Volume Keynote address at the 1992 NERF/NZNZ National Nur Issue Pages
Keywords Nursing; Health reforms; Nurse-family relations
Abstract (up) An analysis of the challenges for the nursing profession of the Government's health reforms. The findings of the 10-month Wellington Nurse Case Management Project 1991-1992, including the description of family nursing practice, what it achieved for health and the service delivery model that would position family nurses in the health reforms were used to provide an exemplar for the nuyrising contribution to health policy for the health reforms. The paper identified a vacum for the reorientating of health care provision to patients/clients and health need and the call to nursesw to take leadership in goving direction to the reorientation.
Call Number NZNO @ research @ Serial 1319
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Author Mackay, B.
Title An analysis of innovative roles in primary health care nursing Type
Year 2004 Publication Abbreviated Journal Northland Polytechnic Library
Volume Issue Pages
Keywords Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing
Abstract (up) An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process.
Call Number NRSNZNO @ research @ Serial 1124
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Author Mathias, L.; Burgess, J.
Title Exit site infection: survey of patients undergoing continuous peritoneal dialysis Type Miscellaneous
Year Publication Abbreviated Journal
Volume Issue Pages
Keywords
Abstract (up) An apparent increase in exit- site infections of intra peritoneal catheters during the initial post Op. period has been observed. The aim of the study was to ascertain a more appropriate method of exit site care and thus minimise infection. A total of 21 patients voluntarily participated in two randomly divided groups. Group 1. did not experience exit site infection during 1-7. This dressing method was particularly successful with high risk patients
Call Number NRSNZNO @ research @ 55 Serial 55
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Author Litchfield, M.
Title Priorities for research Type Journal Article
Year 1993 Publication kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 1 Issue 8 Pages 28-30
Keywords Nursing research
Abstract (up) An article adapted from the author's contribution as an invited member of the International Panel of Nurse Researchers leading the Special Research Seminar of the 1993 International Council of Nurses Quadrennial Congress, Madrid, Spain. The priorities of nursing research in New Zealand were derived from the findings of a semi-structured survey of the opinions of nurses in academic settings.
Call Number NZNO @ research @ Serial 1320
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Author Dixon, D.A.
Title Critical case studies as voice: the difference in practice between enrolled and registered nurses Type
Year 1996 Publication Abbreviated Journal Flinders University of South Australia
Volume Issue Pages
Keywords
Abstract (up) An emergent theoretical perspective in the nursing literature relates to nursing as a human science and the application of critical social science and feminist frameworks to nursing research. This research adds to the discipline's knowledge base in that it is at the leading edge of exploring how critical case study illuminates critical issues in the practice of nursing.My interest in the research question came from hearing colleagues espouse the view that other than a legal one, there were no differences in practice between enrolled and registered nurses. How accurate was this perception? Without answers to this question, members of the nursing profession in New Zealand were likely to make some major decisions about the future of enrolled nursing which history will show were ill founded. Since I “walk the talk” of both the world of practice and the corridors of nursing power relationships, I sought answers by incorporating the viewpoints of both groups into the research design.Five registered nurses who had previously been enrolled nurses were asked to consider what was different about their present practice compared to their experiences as an enrolled nurse.Through critically reflexive discourse and journalling, Liz, Emma, Kathy, Helen and myself came to reflect on our nursing worlds in order to transform them.Writing about these transformations in a way that kept our voices alive was more difficult. The cases were written as stories, using storytelling as a legitimate academic activity to link the methodology with the theoretical perspectives. This ensured our individual voices were heard rather than silenced by the research process. It also left a clear decision trail for the reader to follow related to issues of rigor. Paradoxically, the identification of patterns across the case studies was facilitated.Two main patterns emerged in answer to the question “what's different in your practice now from when you were an enrolled nurse?” The differences were explicated in the pattern “Becoming a registered nurse” while “She was one of us” exposed the underlying power and control issues. This study found that the enrolled nurse controls practice at the bedside.The nursing profession's stance on the future of enrolled nurses was also explored through case study. Key nursing stakeholders were interviewed using a proposed legislative change to the Nurses' Act, 1977, that would lead to the demise of the enrolled nurses as a category of nurse, as a focus point. These different perspectives expose for critique the socio-political forces that silence the voice of enrolled nurses in determining their own future. At a legislative level, the stakeholders' voices are dominant. The future of enrolled nurses looks increasingly bleak in New Zealand as the nursing profession positions itself legislatively for the 21st century
Call Number NRSNZNO @ research @ 167 Serial 167
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