| |
Records |
Links |
|
Author |
Hardy, D.J.; O'Brien, A.P.; Gaskin, C.J.; O'Brien, A.J.; Morrison-Ngatai, E.; Skews, G.; Ryan, T.; McNulty, N. |
|
| |
Title |
Practical application of the Delphi technique in a bicultural mental health nursing study in New Zealand |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
46 |
Issue |
1 |
Pages |
95-109 |
|
| |
Keywords |
Clinical assessment; Biculturalism; Professional competence; Psychiatric Nursing; Maori |
|
| |
Abstract |
The aim of this paper is to detail the practical application of the Delphi technique as a culturally and clinically valid means of accessing expert opinion on the importance of clinical criteria. Reference is made to a bicultural New Zealand mental health nursing clinical indicator study that employed a three-round reactive Delphi survey. Equal proportions of Maori and non-Maori nurses (n = 20) and consumers (n = 10) rated the importance of 91 clinical indicator statements for the achievement of professional practice standards. Additional statements (n = 21) suggested by Delphi participants in round 1 were included in subsequent rounds. In round 2, participants explained the rating they applied to statements that had not reached consensus in round 1, and summarised responses were provided to participants in round 3. Consensus was considered to have been achieved if 85% of round 3 ratings lay within a 2-point bracket on the 5-point Likert-scale overall, or in one of the Maori nurse, non-Maori nurse, or consumer groups. A mean rating of 4.5 after round 3 was set as the importance threshold. Consensus occurred overall on 75 statements, and within groups on another 24. Most statements (n = 86) reached the importance benchmark. The authors conclude that when rigorous methods of participant selection, group composition, participant feedback, and determination of consensus and importance are employed, the Delphi technique is a reliable, cost-effective means of obtaining and prioritising experts' judgements. |
|
| |
Call Number  |
NRSNZNO @ research @ |
Serial |
1060 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carter, H.; MacLeod, R.; Brander, P.; McPherson, K. |
|
| |
Title |
Living with a terminal illness: Patients' priorities |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
45 |
Issue |
6 |
Pages |
611-620 |
|
| |
Keywords |
Terminal care; Quality of life; Nursing models; Cancer |
|
| |
Abstract |
The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1061 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S. |
|
| |
Title |
Aoteaoroa/New Zealand nursing: From eugenics to cultural safety |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
1 |
Pages |
35-42 |
|
| |
Keywords |
Cultural safety; History of nursing; Nursing philosophy |
|
| |
Abstract |
The concept of cultural safety offers a unique approach to nursing practice, based on recognition of the power differentials inherent in any interaction. Clarification of the concept is offered, together with a review of the historical shift in nursing attitudes that has led to the emergence of “cultural safety” as a viable and valued component of nursing practice. The argument is made that cultural safety has allowed for a more reflective, critical understanding of the actions of nursing to develop. This includes recognition that nurses' attitudes and values have inevitably been influenced by social and political forces, and as such are in part reflective of those within the wider community. Comparison between the support given by nurses in the early 1900s to the theory of eugenics and the current acceptance of cultural safety is used to highlight this point. An examination of the literature identifies that ideological and conceptual changes have occurred in the approach of Aoteaoroa/New Zealand nurses to issues with cultural implications for practice. A review of background factors relating to Maori health status and the Treaty of Waitangi is presented as a necessary context to the overall discussion. The discussion concludes with an acknowledgement that while the rhetoric of cultural safety is now part of nursing culture in New Zealand, there is no firm evidence to evaluate its impact in practice. Issues identified as impacting on the ability to assess/research a concept, such as cultural safety, are discussed. For cultural safety to become recognised as a credible (and indispensable) tool, it is necessary to further examine the “end-point” or “outcomes” of the process. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1062 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gaskin, C.J.; O'Brien, A.P.; Hardy, D.J. |
|
| |
Title |
The development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
4 |
Pages |
259-270 |
|
| |
Keywords |
Professional competence; Psychiatric Nursing; Clinical decision making; Nursing research |
|
| |
Abstract |
This paper reports the three-stage development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand. In Study 1, clinical indicator statements (n = 99) generated from focus group data, which were considered to be unobservable in the nursing documentation in consumer case notes, were included in a three-round Delphi process. Consensus of ratings occurred for the mental health nurse and academic participants (n = 7) on 83 clinical indicator statements. In Study 2, the clinical indicator statements (n = 67) that met importance and consensus criteria were incorporated into a questionnaire, which was piloted at a New Zealand mental health service. The questionnaire was then modified for use in a national field study. In Study 3, the national field study, registered mental health nurses (n = 422) from 11 New Zealand district health board mental health services completed the questionnaire. Five categories of nursing practice were identified: professional and evidence-based practice; consumer focus and reflective practice; professional development and integration; ethically and legally safe practice; and culturally safe practice. Analyses revealed little difference in the perceptions of nurses from different backgrounds regarding the regularity of the nursing practices. Further research is needed to calibrate the scores on each clinical indicator statement with behaviour in clinical practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1064 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wilson, D. |
|
| |
Title |
The nurse's role in improving indigenous health |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
3 |
Pages |
232-240 |
|
| |
Keywords |
Transcultural nursing; Maori; Health status |
|
| |
Abstract |
The health status of indigenous peoples is a global concern with mortality and hospitalisation data indicating that the health of indigenous groups falls below that of other ethnic groups within their countries. The preliminary findings of grounded theory research project undertaken with a group of 23 New Zealand Maori women about their health priorities and 'mainstream' health service needs provide the foundation for an exploration of issues impacting on the health status of indigenous people. The role that nursing and nurses have in improving access and use of health services by indigenous people is discussed. Strategies are suggested that nurses can utilise within their practice when working with local indigenous groups. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1065 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Crowe, M.; Carlyle, D. |
|
| |
Title |
Deconstructing risk assessment and management in mental health nursing |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
43 |
Issue |
1 |
Pages |
19-27 |
|
| |
Keywords |
Psychiatric Nursing; Risk management; Policy; Culture |
|
| |
Abstract |
The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1069 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carter, H.; McKinlay, E.M.; Scott, I.; Wise, D.; MacLeod, R. |
|
| |
Title |
Impact of a hospital palliative care service: Perspective of the hospital staff |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
JBI Reports |
Abbreviated Journal |
|
|
| |
Volume |
18 |
Issue |
3 |
Pages |
160-167 |
|
| |
Keywords |
Palliative care; Hospitals; Attitude of health personnel; Cancer |
|
| |
Abstract |
The first New Zealand hospital palliative care support service was established in 1985. Different service models have now been adopted by various major hospitals. In 1998, a palliative care service, funded by Mary Potter Hospice, was piloted at Wellington Public Hospital. Twelve months post-implementation, the hospital staff's views of the service were evaluated. It was found that referrals to palliative care from hospital specialities outside the Cancer Centre increased. While most doctors, nurses and social workers strongly agreed or agreed that the service positively influenced patients' care and effectively addressed their symptom management needs, spiritual needs were less often met. Over 90 percent of each discipline strongly agreed or agreed that the service had assisted them in caring for patients, but, only about a half agreed that useful discharge planning advice and staff support was provided. Significant differences in responses were found between different disciplines and specialities. One fifth of the staff identified palliative care education needs. Recommendations are made concerning the development of a future hospital palliative care service. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1075 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kirkham, S.; Smye, V.; Tang, S.; Anderson, J.; Blue, C.; Browne, A.; Coles, R.; Dyck, I.; Henderson, A.; Lynam, M.J.; Perry, J.(see also C.); Semeniuk, P.; Shapera, L. |
|
| |
Title |
Rethinking cultural safety while waiting to do fieldwork: Methodological implications for nursing research |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Research in Nursing & Health |
Abbreviated Journal |
|
|
| |
Volume |
25 |
Issue |
3 |
Pages |
222-232 |
|
| |
Keywords |
Cultural safety; Hospitals; Health behaviour; Culture; Nursing research |
|
| |
Abstract |
The authors trace a series of theoretical explorations, centered on the concept of cultural safety, with corresponding methodological implications, engaged in during preparation for an intensive period of fieldwork to study the hospitalisation and help-seeking experiences of diverse ethnocultural populations. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1078 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McLeland, A.; Williams, A. |
|
| |
Title |
An emancipatory praxis study of nursing students on clinical practicum in New Zealand: Pushed to the peripheries |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
2 |
Pages |
185-193 |
|
| |
Keywords |
Nursing; Education; Clinical supervision; Preceptorship |
|
| |
Abstract |
The purpose of this qualitative study was to analyse the learning experiences of nine nursing students on clinical placement in New Zealand. The students were in their third and final year of their baccalaureate nursing degree. The study specifically examined what impinged upon their learning experience in the clinical venue. Data was obtained from interviewing the students, initially individually and finally in a focus group. Themes emerged through words and concepts as the data was analysed. The themes included powerlessness; marginalisation; the move from a holistic to a reductionist approach in care; the exploitation of minority students and the myth of praxis. Clinical practice was a time for nursing students to apply their knowledge to their practice, and to gain experience and confidence. Their clinical practice was normally a positive experience, but, each student spoke of the occasional negative episode. These left them with feelings of powerlessness and marginalisation. The Maori students felt exploited. The students were concerned about the lack of time to debrief at the end of the day, and to share their experiences with their educator and colleagues. The students' negative experiences were often the result of a clinical practitioner's high workload, under resourcing and the nurse educator's unavailability. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1081 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Garrod, A. |
|
| |
Title |
Cultural safety: Living with disability |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
|
|
| |
Volume |
9 |
Issue |
|
Pages |
14-19 |
|
| |
Keywords |
Cultural safety; People with disabilities; Nursing models |
|
| |
Abstract |
This article outlines some of the health experiences and concerns of people with physical and/or mental disabilities. These experiences and concerns are explored within the context of the practice of cultural safety. In 1996, the Nursing Council of New Zealand adopted its definition of cultural safety and defines 'culture', in the context of 'cultural safety', as involving all people who are not part of the culture of nursing. Each person with a disability is unique, and they may also be part of a larger disability culture, which has its own shared experiences, values, beliefs and lifestyles. People with disabilities are also a minority within the population. Therefore, any power they might have within their own culture is minimal, compared to the advantages enjoyed by the rest of the population. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1082 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Woods, M. |
|
| |
Title |
Balancing rights and duties in 'life and death' decision making involving children: A role for nurses? |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Nursing Ethics |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
5 |
Pages |
397-408 |
|
| |
Keywords |
Parents and caregivers; Children; Ethics; Clinical decision making; Nurse-family relations; Chronically ill |
|
| |
Abstract |
This article examines a growing number of cases in New Zealand in which parents and guardians are required to make life and death ethical decisions on behalf of their seriously ill child. Increasingly, nurses and other practitioners are expected to more closely inform, involve and support the rights of parents or guardians in such situations. Differing moral and ethical values between the medical team and parents or guardians can lead to difficult decision making situations. The article analyses the moral parameters, processes, outcomes and ethical responses that must be considered when life and death ethical decisions involving children are made. It concludes with a recommendation that nurses should be recognised as perhaps the most suitable of all health care personnel when careful mediation is needed to produce an acceptable moral outcome in difficult ethical situations. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1086 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Crowe, M.; O'Malley, J.; Gordon, S. |
|
| |
Title |
Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
35 |
Issue |
1 |
Pages |
88-96 |
|
| |
Keywords |
Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health |
|
| |
Abstract |
The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1087 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
|
|
| |
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 |
| |
|
| |
|
Author |
Woods, M. |
|
| |
Title |
A nursing ethic: The moral voice of experienced nurses |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Nursing Ethics |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
5 |
Pages |
423-433 |
|
| |
Keywords |
Ethics; Nursing; Education |
|
| |
Abstract |
This article presents discussion on some of the main findings of a recently completed study on nursing ethics in New Zealand. An interpretation of a nurse's story taken from the study is offered and suggestions are made for nursing ethics education. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1092 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Speed, G. |
|
| |
Title |
Advanced nurse practice |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Nursing dialogue: A Professional Journal for nurses |
Abbreviated Journal |
|
|
| |
Volume |
10 |
Issue |
|
Pages |
6-12 |
|
| |
Keywords |
Nurse practitioners; Cross-cultural comparison; Law and legislation; Advanced nursing practice |
|
| |
Abstract |
The concept and characteristics of advanced nursing practice in New Zealand and overseas is compared with the nurse practitioner role. There is an international debate over definitions of advanced nursing and the range of roles that have developed. The rationale for the nurse practitioner role in New Zealand is examined, along with the associated legislation currently before Parliament. Job titles and roles of nurses within the Waikato Hospital intensive care unit are discussed and ways of developing the role of nurse practitioner are presented. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1096 |
|
| Permanent link to this record |
