| Records |
| 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 |
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| Author |
Nicol, M.J. |
| Title |
The teaching of genetics in New Zealand undergraduate nursing programmes |
Type |
Journal Article |
| Year |
2002 |
Publication |
Nurse Education Today |
Abbreviated Journal |
|
| Volume |
22 |
Issue |
5 |
Pages |
401-408 |
| Keywords |
Curriculum; Nursing; Education |
| Abstract |
This paper reports the results of a survey to determine how much genetics is taught in the bioscience component of the three-year Bachelor of Nursing degree offered by 16 tertiary education institutes in New Zealand. A questionnaire was mailed to the bioscience lecturers seeking information on the bioscience and genetics content of current programmes. They were also asked to indicate their perception of the impact and relevance of new genetic knowledge on health care and nursing education. Results indicated that on average 250-350 hours are devoted to the teaching of biosciences. Less than 10 hours are devoted to genetics at 66% of institutes, one institute did not teach any aspect of genetics. None of the institutes taught more than 20 hours of genetics in the programme, although 47% of lecturers said they would like to teach more genetics if there were more time available in the curriculum. Lecturers teaching bioscience to Bachelor of Nursing students are aware of the importance of genetics in health care and to nursing in particular, and the majority are of the opinion that more genetics should be included in undergraduate programmes, however 'curriculum crowding' is a problem. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1076 |
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| Author |
Crowe, M. |
| Title |
Reflexivity and detachment: A discursive approach to women's depression |
Type |
Journal Article |
| Year |
2002 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
| Volume |
9 |
Issue |
2 |
Pages |
126-132 |
| Keywords |
Gender; Mental health; Psychiatric Nursing; Culture |
| Abstract |
This paper explores a discursive approach to understanding women's depression by presenting the results of research into women's narratives of their experiences. The discursive approach taken acknowledges women's immersion in cultural practices that determine the subject positions available to them and places a value on attributes of reflexivity and detachment that are not usually associated with their performance. The social and cultural context of the individual's experience is significant because if the focus is simply on the individual this supposes that the problem lies solely with the individual. An understanding of cultural expectations and their relation to mental distress is important to mental health nursing practice. The psychotherapeutic relationship that is fundamental to mental health nursing practice requires an understanding of the meaning of individual's responses in their cultural context in order to provide facilitative and meaningful care for the women that they nurse. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1077 |
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| 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 |
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| Author |
Kyle, W. |
| Title |
Dementia specific nursing in New Zealand: History and practice today |
Type |
Journal Article |
| Year |
2002 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
8 |
Issue |
14 |
Pages |
3-9 |
| Keywords |
Dementia; Nursing specialties |
| Abstract |
The author examines influences on contemporary dementia specific nursing practice. She addresses the current situation and future developments in this area. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1079 |
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| 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 |
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| Author |
Garrod, A. |
| Title |
Cultural safety: Living with disability |
Type |
Journal Article |
| Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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| 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 |
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| Author |
Wilkinson, J.A. |
| Title |
A mantle of protection? A critical analysis of the personal safety of district nurses |
Type |
Journal Article |
| Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
Whitireia Community Polytechnic and Massey University libraries |
| Volume |
9 |
Issue |
30-6 |
Pages |
30-36 |
| Keywords |
Occupational health and safety; Workplace violence; District nursing |
| Abstract |
This qualitative inquiry, informed by Critical Social Theory, explored the personal safety experiences of district nurses in a New Zealand city. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1083 |
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| Author |
Milligan, K. |
| Title |
Aesthetic knowledge and the use of arts in nursing |
Type |
Journal Article |
| Year |
2002 |
Publication |
Beginning Journeys: A Collection of Work |
Abbreviated Journal |
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| 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 |
NRSNZNO @ research @ |
Serial |
1094 |
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| Author |
Gohns, A. |
| 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 |
NRSNZNO @ research @ |
Serial |
1099 |
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| Author |
Bickley, J. |
| Title |
A study of medical, nursing, and institutional not-for-resuscitation (NFR) discourses |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
317 pp |
| Keywords |
Clinical decision making; Attitude of health personnel; Hospitals; Terminal care |
| Abstract |
This study investigates the way that medical, nursing and institutional discourses construct knowledge in the specific context of Not-for-resuscitation (NFR)in a New Zealand general hospital where NFR guidelines are available in the wards and from the regional ethics committee. The thesis argues that there are ranges of techniques that staff use to construct NFR knowledge, enacted through various forms of speech and silence, which result in orderly and disorderly experiences for patients nearing death. The study was conducted through a critical analysis of the talk of health professionals and the Chairperson of the Regional Ethics Committee. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1117 |
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| Author |
Mason, B. |
| Title |
An analysis of the role of the practice nurse in primary health care, 2000/2001 |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
NZNO Library |
| Volume |
|
Issue |
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Pages |
|
| Keywords |
Primary health care; Practice nurses |
| Abstract |
In 1999 primary health care in New Zealand was in the process of change from the current personal health care model, which focuses on general practitioner based care, to a population and community based health care programme. Carryer, Dignam, Horsburgh, Hughes and Martin (1999) submitted a report to the National Health Commission entitled “Locating Nursing in Primary Health Care”. This report envisaged that nurses in primary health care would be part of interdisciplinary teams, act autonomously and undertake community consultation and education. The submission suggested that nurses, currently working in primary health care, were alraedy prepared and able to move across into the new form of primary health care, without further education or training. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1130 |
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| Author |
Matheson, S. |
| Title |
Psychiatric/mental health nursing: Positioning undergraduate education |
Type |
|
| Year |
2002 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Psychiatric Nursing; History of nursing; Nursing; Education |
| Abstract |
In this paper, the critique of the mental health component of comprehensive nursing education and the questions that it raises are explored from historical, structural and ideological perspectives. In order to locate the past and highlight its significance to where psychiatric/mental health nurses find themselves today some of the history of the asylum system and the development of psychiatric nursing in New Zealand within these structures are presented. Ideological changes to the way mental health was thought about, and responded to, have had considerable impact on where psychiatric nurses practiced, how they practised and what they were named. This created the need for a different kind of nurse and has led to changes in the education of nurses. The structural influences on the training and education of nurses are identified through relevant reports and their recommendations and significance in relation to psychiatric/mental health nursing are examined. Issues deriving from the critique of undergraduate psychiatric/mental health nursing education highlight the urgent nature of the crisis and draw out the multiple and competing discourses that inform the education of nurses. In acknowledging that the crisis can be viewed from multiple perspectives the need for responses from multiple levels involving the Nursing Council of New Zealand, the Ministry of Health, the Mental Health Commission and nurses in education and practice are recommended. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1146 |
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| Author |
Elbe, E. |
| Title |
The private world of nursing related to incident reporting |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Medical errors; Organisational culture; Risk management; Nursing |
| Abstract |
The purpose of this project was to explore the experience of nurses related to incident reporting. The reporting of incidents is important as it identifies professional risks for nurses. A descriptive qualitative approach was the methodology used and individual interviews of five senior nurses was the method of data collection. Attention was given to finding out about the supports for and barriers against nurses in reporting incidents; the outcomes for nurses of incident reporting; and the organisational culture and scope of 'professional' behaviour of nurses around incident reporting. The findings revealed that nurses identified themselves as the major reporters of incidents. They considered there was not 'a level playing field' for all professionals around who, how and why incidents were reported, investigated and within the post incident processes. The nurses reported that they made daily decisions about what was an incident, and whether to report events as incidents. They identified aids and supports to the decisions they made such as the medium for reporting and fear of what happened when the incident form left the nurse and went to management. A number of significant implications were identified for nursing, management and organisations in this research. Nurses need to feel they work in organisations which have a culture of safety around incident reporting. Management need to clearly communicate policies, processes and organisational expectations related to incident reporting. This should include how incidents will be reported, investigated and the purposes for which management use incident reporting information. It is also important that adequate structures are in place to support nurses when an incident occurs as thay can have stressful consequences for the nurses involved. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1147 |
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| Author |
Valette, D. |
| Title |
Nursing an adolescent in an adult inpatient mental health unit |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
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Pages |
|
| Keywords |
Psychiatric Nursing; Adolescents; Nurse-patient relations; Professional competence; Mental health |
| Abstract |
This research paper reports on an exploration of the key elements nurses need to be aware of to effectively nurse adolescents in an adult inpatient unit. It describes the developmental needs and significant influences that affect this age-group, that when incorporated into nursing care, nurses can gain a therapeutic relationship with the adolescent. By means of a literature review, sharing the author's experience in nursing adolescents, and through vignettes of practice, an illustration of some common situations that may occur during the adolescent's inpatient stay are described. These situations are explored and a perspective is offered on how nurses may be effective in their nursing of an adolescent patient from the point of admission through to discharge. More research is needed on adolescent mental health nursing, however the author anticipates that nurses will be able to use this report as a helpful resource in their current practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1148 |
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