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Author Rameka, M. openurl 
  Title Perioperative nursing practice & cultural safety Type Journal Article
  Year 2001 Publication Dissector Abbreviated Journal  
  Volume 29 Issue 3 Pages 21-23  
  Keywords Nursing specialties; Surgery; Cultural safety  
  Abstract This article is from a conference paper presented to the 12th World Conference on Surgical Patient Care. It presents cultural safety, as differentiated from transcultural nursing, and investigates how it relates to perioperative nursing. Examples are presented of how nurses can adhere to medical requirements, and address the cultural needs of Maori patients.  
  Call Number (up) NRSNZNO @ research @ Serial 1084  
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Author Wilson, H.V. openurl 
  Title Power and partnership: A critical analysis of the surveillance discourses of child health nurses Type Journal Article
  Year 2001 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 36 Issue 2 Pages 294-301  
  Keywords Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket  
  Abstract The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work.  
  Call Number (up) NRSNZNO @ research @ Serial 1085  
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Author Woods, M. openurl 
  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 (up) NRSNZNO @ research @ Serial 1086  
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Author Crowe, M.; O'Malley, J.; Gordon, S. openurl 
  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 (up) NRSNZNO @ research @ Serial 1087  
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Author O'Brien, A.J. openurl 
  Title The therapeutic relationship: Historical development and contemporary significance Type Journal Article
  Year 2001 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal  
  Volume 8 Issue 2 Pages 129-137  
  Keywords Psychiatric Nursing; Nursing models; History of nursing; Nurse-patient relations  
  Abstract This article examines the therapeutic relationship, a concept held by many to be fundamental to the identity of mental health nurses. While the therapeutic relationship was given formal expression in nursing theory in the middle of the last century, its origins can be traced to attendants' interpersonal practices in the asylum era. The dominance of medical understandings of mental distress, and the working-class status of asylum attendants, prevented the development of an account of mental health nursing based on attendants' relationships with asylum inmates. It was left to Peplau and other nursing theorists to describe mental health nursing as a therapeutic relationship in the 1940s and later. Some distinctive features of colonial life in New Zealand suggest that the ideal of the attendant as the embodiment of bourgeoisie values seems particularly unlikely to have been realised in the New Zealand context. However, New Zealand literature from the 20th century shows that the therapeutic relationship, as part of a general development of a therapeutic discourse, came to assume a central place in conceptualisations of mental health nursing. While the therapeutic relationship is not by itself a sufficient basis for professional continuity, it continues to play a fundamental role in mental health nurses' professional identity. The way in which the therapeutic relationship is articulated in the future will determine the meaning of the therapeutic relationship for future generations of mental health nurses.  
  Call Number (up) NRSNZNO @ research @ Serial 1088  
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Author Milligan, K.; Neville, S.J. openurl 
  Title Health assessment and its relationship to nursing practice in New Zealand Type Journal Article
  Year 2001 Publication Contemporary Nurse Abbreviated Journal  
  Volume 10 Issue 1/2 Pages 7-11  
  Keywords Nursing; Education; Professional competence; Nurse practitioners; Cross-cultural comparison  
  Abstract This article draws on Australian experience to gain insight to three specific areas of health assessment that are topical in New Zealand, which has recently introduced the concept into nursing training. The issues are annual registration based on evidence of competence to practice, a review of undergraduate curricula, and the development of nurse practitioner/advanced nurse practitioner roles. The meaning of the concept 'health assessment' is also clarified in order to provide consistency as new initiatives in nursing are currently being developed.  
  Call Number (up) NRSNZNO @ research @ Serial 1090  
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Author Banks, J.; McArthur, J.; Gordon, G. openurl 
  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 (up) NRSNZNO @ research @ Serial 1091  
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Author Woods, M. openurl 
  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 (up) NRSNZNO @ research @ Serial 1092  
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Author Milligan, K. openurl 
  Title Aesthetic knowledge and the use of arts in nursing Type Journal Article
  Year 2002 Publication Beginning Journeys: A Collection of Work Abbreviated Journal  
  Volume 7 Issue Pages 9-14  
  Keywords Nursing philosophy; Nursing; Education; Teaching methods  
  Abstract The author considers aesthetic knowing and the use of the arts in nursing. She identifies concepts that pertain to the art of nursing. The interrelationship of the moral sense and the art of nursing is explored. The author concludes that the mediums of non-fiction, fiction and poetry can provide valuable contributions to the aesthetic way of knowing in nursing education, practice and research.  
  Call Number (up) NRSNZNO @ research @ Serial 1094  
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Author Milligan, K.; Neville, S.J. openurl 
  Title The contextualisation of health assessment Type Journal Article
  Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 19 Issue 1 Pages 23-31  
  Keywords Cross-cultural comparison; Evaluation; Nursing  
  Abstract The authors defines health assessment and argue that it is a tool nurses should be using as a means of improving health outcomes for clients. The skills involved in health assessments are analysed, and four levels of data gathering are identified. The authors present an historical perspective, tracing the development of these skills as they have been incorporated in nursing practice in North America and Australia.  
  Call Number (up) NRSNZNO @ research @ Serial 1095  
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Author Speed, G. openurl 
  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 (up) NRSNZNO @ research @ Serial 1096  
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Author Gohns, A. url  openurl
  Title Management of opioid substitution treatment in the primary health care setting: A national training course for service providers Type Journal Article
  Year 2002 Publication New Zealand Family Physician Abbreviated Journal Full text online from the Royal New Zealand College of General Practitioners' website  
  Volume 29 Issue 3 Pages 172-175  
  Keywords Pharmacology; Evaluation; Primary health care  
  Abstract The aim of this research was to describe a national opioid treatment training programme that was introduced into primary health care, and evaluate its effectiveness following its first year of operation. The programme was introduced as a strategy to recruit, train and support a primary health care workforce in the provision of methadone treatment. For the evaluation a written questionnaire was sent to the general practitioner, practice nurse and pharmacist participants of training programmes held throughout New Zealand in 2000. One hundred and forty-five (98%) participants reported that the overall quality of the course was good or better, and that relevant issues were, in general, covered. However a recurring theme related to difficulties in designing a course relevant to the three different professional groups, with some material not equally applicable to all. Another prominent theme pertained to the issue of funding. general practitioners lamented the failure to address the issue of transferring patients from a free specialist clinic to their practice for care. The evaluation of this pilot programme indicates that this training in methadone maintenance treatment was well-received by primary health care providers. However, the author notes that there is no benchmark with which to compare it.  
  Call Number (up) NRSNZNO @ research @ Serial 1099  
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Author Kinealy, T.; Arroll, B.; Kenealy, H.; Docherty, B.; Scott, D.; Scragg, R.; Simmons, D. openurl 
  Title Diabetes care: Practice nurse roles, attitudes and concerns Type Journal Article
  Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 48 Issue 11 Pages 68-75  
  Keywords Diabetes Type 2; Practice nurses; Attitude of health personnel; Primary health care  
  Abstract The aim of this paper is to report a study to compare the diabetes-related work roles, training and attitudes of practice nurses in New Zealand surveyed in 1990 and 1999, to consider whether barriers to practice nurse diabetes care changed through that decade, and whether ongoing barriers will be addressed by current changes in primary care. Questionnaires were mailed to all 146 practice nurses in South Auckland in 1990 and to all 180 in 1999, asking about personal and practice descriptions, practice organisation, time spent with patients with diabetes, screening practices, components of care undertaken by practice nurses, difficulties and barriers to good practice, training in diabetes and need for further education. The 1999 questionnaire also asked about nurse prescribing and influence on patient quality of life. More nurses surveyed in 1999 had post-registration diabetes training than those in 1990, although most of those surveyed in both years wanted further training. In 1999, nurses looked after more patients with diabetes, without spending more time on diabetes care than nurses in 1990. Nevertheless, they reported increased involvement in the more complex areas of diabetes care. Respondents in 1999 were no more likely than those in 1990 to adjust treatment, and gave a full range of opinion for and against proposals to allow nurse prescribing. The relatively low response rate to the 1990 survey may lead to an underestimate of changes between 1990 and 1999. Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients.  
  Call Number (up) NRSNZNO @ research @ Serial 1100  
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Author Whittle, R. url  openurl
  Title Decisions, decisions: Factors that influence student selection of final year clinical placements Type
  Year 2007 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords Clinical assessment; Nursing; Education; Students  
  Abstract Clinical practice is an essential and integral component of nursing education. The decision-making process involved in student selection of clinical placements is influenced by a range of factors which are internal or external to students. As there was little research that explored these factors and the influence they have on student decisions, the author sought to investigate this further. A mixed-method approach was used, using a questionnaire and focus group interview, to give breadth and depth to the research. This study found that students are particularly influenced by previous positive experiences, or an interest in a particular area of practice. Their personality will also influence their placement decisions. Nurse preceptors and clinical lecturers also provide a key support role to students in the clinical environment.  
  Call Number (up) NRSNZNO @ research @ Serial 1103  
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Author Gallagher, P. url  openurl
  Title Rethinking the gap: Investigating the theory-practice relationship in nursing Type
  Year 2005 Publication Abbreviated Journal Coda  
  Volume Issue Pages  
  Keywords Nursing; Education; Nursing models; Nursing philosophy  
  Abstract A Grounded Theory approach was taken to explore the concept of the gap between theory and practice, whereby they are seen to be discrete entitites. For this study, the first phase of data collection was a series of computer mediated group discussions, and the second a number of individual interviews. In both sets of interviews participants were asked to describe how they experienced and managed differences they perceived between theory and practice in nursing. The participants referred to different types of theory relevant and central to effective nursing practice. The first was private theory; the second was formal theory and third was situational theory. For the students it was a conflict that produced uncomfortable emotions, distrust of others and personal self doubt. In an effort to reduce this discomfort the students sought an explanation for the differences between theory and practice, some of which challenged their key personal values. However, the most emotionally neutral explanation that also preserved the integrity of their key values was that there was a gap between the theory and the practice of nursing. The theory Negotiating Different Experiences has implications for the education of nurses in that personal knowledge and experiences must be incorporated in a programme of study and the feelings evoked by learning must be acknowledged as a catalyst to enhance learning. Further, the different forms of theory to which students will be exposed must be made explicit and nursing educators who must involve the individual student as an active partner in the mapping of a personalised programme, which includes the creation of individual assessment methods.  
  Call Number (up) NRSNZNO @ research @ Serial 1104  
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