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Author Ritchie, M.S.
Title Process evaluation of an emergency department family violence intervention programme Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Emergency nursing; Evaluation
Abstract (down) Family violence is common and there are significant long-term negative health effects from victimisation. Health professionals are now recognised as key providers of family violence intervention. The Hawke's Bay District Health Board HBDHB) launched a Family Violence Intervention Programme in the emergency department in 2002, in accordance with national directives. The Family Violence Intervention Programme includes routine questioning for partner abuse within social history assessments for all women 16 years and over who seek healthcare services. Nurses assumed responsibility for implementing this programme into emergency department practice. Establishing partner abuse screening in practice requires an organisational and attitudinal change. Achieving and sustaining this change can be difficult. Evaluation was considered an essential aspect of the systems approach adopted within the HBDHB Family Violence Intervention Programme to support change. The aim of this study was to identify the enablers and barriers to routine questioning in the emergency department one year after the programme was launched and the strategies to address these barriers. The staff who have responsibility for routinely questioning women were considered well placed to provide this information. The methodology selected was evaluation research using semi-structured interviews. The design included member checking and triangulation of the findings. Eleven emergency department staff members participated in five (two group and three single) interviews. The interviews revealed that routine questioning for partner abuse is difficult in the emergency department setting. Barriers to questioning exist and enablers can eliminate or minimise these. Enablers such as policy and training support routine questioning. Barriers identified included the lack of privacy and time. Participants suggested strategies to overcome these. These barriers, enablers and solutions were either personal or organisational in origin and all had a common theme of safety. An outcome of the study was the development of a model of barriers and enablers to ensure safety when routinely questioning women for partner abuse. This evaluation has utility within the HBDHB as it informs programme progression. However, the evaluation has wider implications. The experiences of the emergency department staff led to the emergence of key themes that may inform the development of comparable programmes. Introducing routine questioning requires a practice change; a multifaceted approach focusing on safety can assist staff to achieve that change.
Call Number NRSNZNO @ research @ Serial 851
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Author Heese, Norma
Title Report: Margaret May Blackwell Travel Fellowship 2004 Type Report
Year 2004 Publication Abbreviated Journal
Volume Issue Pages 45p.
Keywords Primary health care; Child health services; Reports
Abstract (down) Covers the placements the author visited and the topics learned whilst undertaking travel in the UK after being awarded the 2003 Margaret May Blackwell Travel Study Fellowship. Of specific interest was Well Child Care in Primary Health. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1412
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Author Morrison-Ngatai, E.
Title Mai i muri ka haere whakahaere: Maori woman in mental health nursing Type
Year 2004 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Mental health; Maori; Female; Psychiatric Nursing
Abstract (down) Contents: Chapter 1 Kupu whakataki – introduction; Chapter 2 Raranga mohiotanga – literature review; Chapter 3 To te wahine mana tuku iho – theoretical framework; Chapter 4 Tahuri ki te rangahau – research methodology; Chapter 5 Whakaaturanga whakaoho – beginnings; Chapter 6 Kia pakari – positioning and contesting; Chapter 7 E ara ki runga wahine toa – standing and enduring; Chapter 8 Kua takoto te whariki.
Call Number NRSNZNO @ research @ Serial 828
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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 (down) 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 Coupe, D.
Title How accountable is accountable for mental health nurses? Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Accountability; Nursing; Mental health
Abstract (down) Accountability has been described by nurses as an elusive concept or myth. The author suggests that this elusive concept or myth can partly be attributed to accountability becoming visible usually following a critical incident. The overall goal of this project is to provide nurses working within mental health with the incentive to raise their awareness and explore what their roles and responsibilities are within the accountability process in a more positive scenario. This research paper reports on an exploration of the key components of accountability within the New Zealand mental health environment. It describes significant influences that affect accountability. This is achieved by the means of a literature review, sharing of the author's experience of being involved in a national inquiry, and the adaptation of a who what and how framework, in conjunction with a diagram displaying accountability levels and lines for mental health nurses. The author points out that the domains of accountability for nurses will continue to evolve and expand but what remains important is that consumers have access to good quality mental health care.
Call Number NRSNZNO @ research @ 604 Serial 590
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Author Wilkinson, J.A.; Huntington, A.D.
Title The personal safety of district nurses: A critical analysis Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 3 Pages 31-44
Keywords District nursing; Occupational health and safety; Organisational culture; Risk factors
Abstract (down) A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses.
Call Number NRSNZNO @ research @ Serial 549
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Author Ihimaera, L.V.
Title He ara ki te ao marama : a pathway to understanding the facilitation of taha wairua in mental health services Type Journal Article
Year 2004 Publication Abbreviated Journal Held by Lakes DHB Library (ROM)
Volume Issue Pages
Keywords
Abstract (down) A thesis submitted in partial fulfilment of the requirements for a Masters of Arts, Massey University, Palmerston North, New Zealand.
Call Number NZNO @ research @ Serial 1366
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Author Best, G.A.
Title Being pruned: Student nurses experience of being shaped in clinical practice by lecturers Type
Year 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Students; Nursing; Education
Abstract (down)
Call Number NRSNZNO @ research @ Serial 599
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Author Murray, D.J.
Title The roles of nurses working with adolescents in Auckland secondary schools Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Adolescents; Nurse-patient relations
Abstract (down)
Call Number NRSNZNO @ research @ Serial 605
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Author Seccombe, J.
Title Nursing students and people with disabilities: Changing curriculum, changing attitudes? Type
Year 2004 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Nursing; Education; Students; People with disabilities
Abstract (down)
Call Number NRSNZNO @ research @ Serial 832
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Author Baur, P.
Title Patients who present to the emergency department but do not wait: An exploratory study Type
Year 2004 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Emergency nursing; Hospitals
Abstract (down)
Call Number NRSNZNO @ research @ Serial 849
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Author Seton, K.M.
Title Diversity in action: Overseas nurses' perspectives on transition to nursing practice in New Zealand Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Nursing; Cross-cultural comparison; Education
Abstract (down)
Call Number NRSNZNO @ research @ Serial 1110
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Author Davenport, F.A.
Title Dying to know: A qualitative study exploring nurses' education in caring for the dying Type
Year 2004 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Nursing; Education; Terminal care
Abstract (down)
Call Number NRSNZNO @ research @ Serial 1111
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Author Doughty, L.
Title Evaluation of the 2002 Auckland District Health Board: First year of clinical practice programme Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Clinical supervision; Nursing; Education
Abstract (down)
Call Number NRSNZNO @ research @ Serial 1113
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Author Neugebauer, A.F.
Title The adult congenital heart disease service: An evidence-based development of a nurse specialist position Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Cardiovascular diseases; Nursing specialties; Nursing
Abstract (down)
Call Number NRSNZNO @ research @ 482 Serial 469
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