| Records |
Author  |
Chadwick, A.; Hope, A. |
| Title |
In pursuit of the named nurse |
Type |
Journal Article |
| Year |
2000 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
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| Volume |
13 |
Issue |
4 |
Pages |
6-9 |
| Keywords |
Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations |
| Abstract |
This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required. |
| Call Number |
NRSNZNO @ research @ |
Serial |
924 |
| Permanent link to this record |
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| Author |
Casey, H. |
| Title |
Empowerment: What can nurse leaders do to encourage an empowering environment for nurses working in the mental health area |
Type |
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| Year |
2000 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Policy; Leadership; Careers in nursing; Mental health; Psychiatric nursing |
| Abstract |
For nurses to have control over their practice they need to have input into policy development. Nurses having control over their practice has been linked to nursing empowerment. Therefore the question explored in this research project is: What can nurse leaders do to encourage an empowering environment for nurses working in the mental health area? The literature reviewed for this project includes empowerment, power, the history of nursing in relation to women's role in society, oppression and resistance, and literature on Critical Social Theory as the underlying theoretical and philosophical position which informs the research process. In order to answer the research question a single focus group was used to gather data from a group of registered nurses practising in mental health. Focus groups as a data collection method produce data and insights that would be less accessible without the interaction found in the group. The key themes to emerge from the data analysis were: power is an important component of empowerment and power relationships; and at a systems level, professional, organisational, and political influences impact on feelings of empowerment and/or disempowerment. These key themes are discussed in relation to the literature and the broader social and cultural context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations for nurse leaders who aim to provide an empowering environment for nurses practising in mental health. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1145 |
| Permanent link to this record |
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| Author |
Casey, G. |
| Title |
Conditional expertise in chronic illness |
Type |
|
| Year |
2000 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Chronically ill; Nurse-patient relations |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 808 |
Serial |
792 |
| Permanent link to this record |
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| Author |
Carter, T. |
| Title |
The places we will go |
Type |
|
| Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Nursing philosophy |
| Abstract |
The author examines how writing shapes her practice and how she nurses, her way of being and doing. She notes that “as human beings we cannot be broken into subsets, my personal and professional being inform each other, therefore you will find woven into the fabric of this paper my personal and professional becoming united by the dominant thread of nursing”. The paper is structured using the different phases of her career as a staff nurse, nurse practitioner and charge nurse. In each section she has linked the stories of children and young adults with reflections on her writing and how it has impacted her practice. She goes on to say that question and reflection are vital adjuncts to nurses' development as individual practitioners and to the profession. They facilitate journeying past the superficial into the deep of a relationship with patients and colleagues. She identifies a responsibility as nurses is to engage with the individual and help them find a space where they can regain a sense of hope and personal power. This paper follows the author's journey, leaving her with a clearer understanding of who she is and how she nurses. |
| Call Number |
NRSNZNO @ research @ 578 |
Serial |
564 |
| Permanent link to this record |
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| Author |
Carr, J. |
| Title |
Ensuring consent is informed |
Type |
Journal Article |
| Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
6 |
Issue |
7 |
Pages |
22-23 |
| Keywords |
Patient rights; Law and legislation |
| Abstract |
The author examines the concept of informed consent as it applies to patients and as it is obtained by nurses. The principles of autonomy, beneficence and non-maleficence are discussed. How these principles inform critical care nursing is explored and five inappropriate uses of technology in resuscitation are used as examples. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1018 |
| Permanent link to this record |
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| Author |
Brinkman, A. |
| Title |
A study into the causes and effects of occupational stress in a regional women's health service |
Type |
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| Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Stress; Midwifery; Nursing |
| Abstract |
Hospital-based health systems have the potential to be high stress environments, as staff work towards meetings the many and varied demands of the patients and their families / whanau in a situation of limited resources and unpredictable workloads. Dealing with physical and emotional trauma, and the 'normal' exigencies of daily life in what may be a far from normal workplace may compound the stresses facing health workers. Nurses, who are often at the interface between patients and other health professionals, may be caught in a cross-fire of transferred stress while also coping with stressors associated with their jobs. As well as being likely to have a negative effect on their well-being and job satisfaction, any such compounding impact of stress and stressors could have adverse impacts on patients and their supporters. The primary focus of this study has been to identify stress levels among nurses in a woman's health service, and to establish the causes of elevated stress. All staff were surveyed (with a 68% response rate). Midwives made up the largest portion, followed by nurses, doctors, therapies, support and clerical groups. The Job Stress Survey (JSS) and the General Health Questionnaire – 12 (GHQ-12) were used to help detect emergent stressors, and stress effects that staff were experiencing at the time. Aggregate data was used, focusing on the six occupational groupings and the nine areas within the health service. Findings from the JSS confirm that the staff had experienced a number of stressors, while indications of deleterious mental health effects in some staff emerged from the GHQ-12 scores. Occupational stress is a subset of general stress, making it difficult to separate one from the other as spheres of our lives overlap and interact. The stressors that were identified should contribute to the discussions and policies that might abet the reduction of stress. On the other hand, it is not possible to attribute the effects describes by the GHQ-12 as being derived primarily from occupational stress. A stressed staff member, no matter what the source of their stress might be, still needs support in order to cope. The author notes that the negative outcomes of occupational stress manifests themselves in many ways such as; mistakes, absenteeism, horizontal violence, burnout and turnover. These all affect the quality of the patient care delivered, leading to decreased patient satisfaction and and need to be addressed for these reasons. |
| Call Number |
NRSNZNO @ research @ |
Serial |
900 |
| Permanent link to this record |
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| Author |
Blockley, C.E. |
| Title |
The experience of hospitalization first time for an acute medical illness |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Hospitals; Patient satisfaction |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 811 |
Serial |
795 |
| Permanent link to this record |
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| Author |
Banks, J.; McArthur, J.; Gordon, G. |
| Title |
Flexible monitoring in the management of patient care process: A pilot study |
Type |
Journal Article |
| Year |
2000 |
Publication |
Lippincott's Case Management |
Abbreviated Journal |
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| Volume |
5 |
Issue |
3 |
Pages |
94-106 |
| Keywords |
Hospitals; Cardiovascular diseases; Nursing |
| Abstract |
This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the needs of hospital patients who require continuous non-invasive vital signs monitoring (including heart rate, non-invasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a three-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1091 |
| Permanent link to this record |
