Records |
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 |
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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 |
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Author |
Coleman, R.; Sim, G. |
Title |
The sacredness of the head: Cultural implications for neuroscience nurses |
Type |
Journal Article |
Year |
2003 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
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Volume |
16 |
Issue |
2 |
Pages |
20-22 |
Keywords |
Paediatric nursing; Transcultural nursing; Culture |
Abstract |
The aim of this paper is to increase neuroscience nurses' awareness of how the head is perceived as sacred by some cultures. This article will outline a definition of culture, discussion around the sanctity of the head for some cultures, the cultural significance of common neuroscience interventions, the use of traditional healing methods, and prayer. Examples will be provided of how nursing interactions and interventions affect some cultures, looking primarily at a Maori and Pacific Island perspective. The focus of this paper is within a New Zealand paediatric setting. |
Call Number |
NRSNZNO @ research @ 1083 |
Serial |
1068 |
Permanent link to this record |
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Author |
Mercer, C. |
Title |
Interpreting the phenomenology of out-of-town hospitalisation using a Heideggerian framework |
Type |
Journal Article |
Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
Volume |
11 |
Issue |
17 |
Pages |
20-25 |
Keywords |
Nursing research; Patient satisfaction |
Abstract |
This article is presented in two parts. In the first, an outline of Heidegger's approach to phenomenology is offered. A basic premise of hermeneutic phenomenology is that people make sense of the world through the narratives they tell to themselves and to others. When the researcher uses this philosophical approach, persons communicate their experiences; the researcher interprets the experience and communicates that understanding in writing. In the second part of the paper, the experiences of four people whose partners were hospitalised out of town is described. |
Call Number |
NRSNZNO @ research @ 1318 |
Serial |
1302 |
Permanent link to this record |
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Author |
Pearson, J.R. |
Title |
A discussion of the principles of health promotion and their application to nursing |
Type |
Journal Article |
Year |
2003 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
10 |
Issue |
|
Pages |
23-34 |
Keywords |
Health promotion; Nursing |
Abstract |
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Call Number |
NRSNZNO @ research @ 1088 |
Serial |
1073 |
Permanent link to this record |
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Author |
Milligan, K.; Neville, S.J. |
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 |
NRSNZNO @ research @ |
Serial |
1095 |
Permanent link to this record |
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Author |
Mears, A. |
Title |
The role of the clinical nurse co-ordinator |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of the Australasian Rehabilitation Nurses Association |
Abbreviated Journal |
|
Volume |
6 |
Issue |
3 |
Pages |
24-25 |
Keywords |
Nursing; Nursing specialties; Older people |
Abstract |
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Call Number |
NRSNZNO @ research @ 907 |
Serial |
891 |
Permanent link to this record |
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Author |
Burrell, B. |
Title |
Mixed-sex rooms: Invading patients' privacy? |
Type |
Journal Article |
Year |
2003 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
9 |
Issue |
4 |
Pages |
26-28 |
Keywords |
Cross-cultural comparison; Patient rights; Hospitals; Nursing; Gender |
Abstract |
The author considers the issue of mixed-sex rooming (MSR) in New Zealand hospitals. A review of the literature is presented, with a focus on the attitudes and experiences of patients in the UK, where the issue has been most practised and studied. Findings of a survey of a group of New Zealand female patients are presented. The patients feelings of embarrassment and loss of dignity and privacy are discussed. The legal issues are explored, with the practice evaluated against the patient's rights detailed in the Code of Health and Disability Services and the Privacy Act 1993. |
Call Number |
NRSNZNO @ research @ |
Serial |
1000 |
Permanent link to this record |
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Author |
Nicol, M.J. |
Title |
Genetics and nursing: Preparing for future health care development |
Type |
Journal Article |
Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
19 |
Issue |
2 |
Pages |
27-40 |
Keywords |
Nursing; Education |
Abstract |
The author discusses the impact of 'new genetic knowledge' on society and how molecular and clinical genetics are having an increasing influence on routine health care. Increasingly, nurses will be exposed to this new genetic knowledge and challenged to integrate it into their clinical practice in order to ensure that patients and families receive the best health care available. The paper reports the percentage of undergraduate nursing curricula devoted to teaching about genetics and considers how the fundamental principles of molecular genetics and the clinically relevant areas of genetics can be incorporated into pre- or post-registration education. |
Call Number |
NRSNZNO @ research @ |
Serial |
609 |
Permanent link to this record |
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Author |
Jacobs, S. |
Title |
Advanced nursing practice: Time and meaning |
Type |
Journal Article |
Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
19 |
Issue |
3 |
Pages |
29-39 |
Keywords |
Advanced nursing practice; Nurse practitioners; Professional development; History of nursing |
Abstract |
The particular, contemporary meanings ascribed to “advanced nursing practice” in New Zealand have been debated and delineated in the 1990s, culminating in the launch of the nurse practitioner role at a conference sponsored by the Ministry of Health and the Nursing Council of New Zealand in August, 2001. Drawing on archival materials, documents, other texts and voices, this article explores the evolution of connotations and meanings of the word “advanced” as applied to nursing in New Zealand. The focus is on clinical practice, research, teaching, consulting, higher education, and advancement of the profession. Historical aspects of advancement in New Zealand nursing are examined, including registration, unsupervised practice, technical specialisation, and career development. |
Call Number |
NRSNZNO @ research @ |
Serial |
552 |
Permanent link to this record |
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Author |
Palmer, S.G. |
Title |
Application of the cognitive therapy model to initial crisis assessment |
Type |
Journal Article |
Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
Volume |
12 |
Issue |
1 |
Pages |
30-38 |
Keywords |
Mental health; Clinical assessment; Psychiatric Nursing |
Abstract |
This article provides a background to the development of cognitive therapy and cognitive therapeutic skills with a specific focus on the treatment of a depressive episode. It discusses the utility of cognitive therapeutic strategies to the model of crisis theory and initial crisis assessment currently used by the Community Assessment & Treatment Team of Waitemata District Health Board. A brief background to cognitive therapy is provided, followed by a comprehensive example of the use of the Socratic questioning method in guiding collaborative assessment and treatment of suicidality by nurses during the initial crisis assessment. |
Call Number |
NRSNZNO @ research @ 1085 |
Serial |
1070 |
Permanent link to this record |
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Author |
Mortensen, A.; White, G.E. |
Title |
The process of destigmatisation: The work of sexual health nurses |
Type |
Journal Article |
Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
19 |
Issue |
1 |
Pages |
32-39 |
Keywords |
Nursing specialties; Sexual and reproductive health; Attitude to health |
Abstract |
The focus of this article is on the findings of a grounded theory study of sexual health nursing in New Zealand. Nurses' experiences of providing sexual health care are described and theoretical explanations generated. The emphasis in this article is on countering stigma which emerged as a recurrent problem for nurses in the study. A comparative analysis of the nurses' counter reactions with Gilmore and Somerville's (1994) model of stigmatised reactions towards people with sexually transmitted diseases was done. The model describes the processes of disidentification, depersonalisation, scapegoating, and discrimination, which characterise stigmatised reactions. Nurses' understandings of the impact of socioeconomic conditions and gender/power relations in society have an important role to play in how nurses manage care. The concept of destigmatisation, which seeks to counteract negative social attitudes, is discussed. The study showed that as a consequence of their work nurses in this study encountered professional stigma and marginalisation. |
Call Number |
NRSNZNO @ research @ 626 |
Serial |
612 |
Permanent link to this record |
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Author |
Kenny, Gerard |
Title |
Fellowship report. Nursing Education and Ressearch Foundation. Margaret May Blackwell Fellowship [Prevention of child abuse and family violence] |
Type |
Report |
Year |
2003 |
Publication |
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Abbreviated Journal |
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Volume |
|
Issue |
|
Pages |
34 p. |
Keywords |
Child abuse; Child health services; Domestic violence; Reports |
Abstract |
Travels to the US, Europe, Canada and Australia to study services in the area of child abuse/child protection and family violence. Part of the Margaret May Blackwell Scholarship Reports series. |
Call Number |
NZNO @ research @ |
Serial |
1419 |
Permanent link to this record |
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Author |
Vallance, E.; Scott, S. |
Title |
A critique of problem-based learning in nursing education and the contribution it can make toward beginning professional practice, part two |
Type |
Journal Article |
Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
19 |
Issue |
3 |
Pages |
40-49 |
Keywords |
Problem solving; Critical thinking; Nursing; Education |
Abstract |
In this article, the second of two, the literature is examined to determine the ability of problem-based learning to develop professional nursing practice. Professional practice depends on critical thinking for the development of both rational problem-solving skills and critical reflective thinking. This article proposes that problem-based learning has the potential to develop the critical thinking skills required for problem solving and decision-making. However problem-based learning is less likely to promote the critical reflective thinking without which the transformative practice needed to drive health gains in the 21st century is unlikely to emerge. |
Call Number |
NRSNZNO @ research @ |
Serial |
555 |
Permanent link to this record |
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Author |
Vallance, E.; Scott, S. |
Title |
A critique of problem-based learning in nursing education and the contribution it can make toward beginning professional practice, part one |
Type |
Journal Article |
Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
19 |
Issue |
2 |
Pages |
41-51 |
Keywords |
Nursing; Education; Critical thinking; Problem solving; Nursing; Teaching methods |
Abstract |
Within New Zealand nursing education there appears to be a widespread acceptance of problem-based learning and an assumption that the strategies it uses are unproblematic. A review of the literature however, reveals that problem-based learning has drawbacks that may inhibit the achievement of desired graduate outcomes. It seems timely for nurse educators to exercise caution in uncritically accepting problem-based learning approaches and using them as the predominant approach to teaching and learning. To this end, a two-part critique of this teaching and learning method is presented. Part one critiques the methods of problem-based learning, discussing self-directed learning, the group process, self-assessment, and content knowledge. Part two explores the philosophical underpinnings of problem-based learning, and the so-called 'fit' within nursing. |
Call Number |
NRSNZNO @ research @ |
Serial |
556 |
Permanent link to this record |
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Author |
Polaschek, N. |
Title |
Living on dialysis: Concerns of clients in a renal setting |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
41 |
Issue |
1 |
Pages |
44-52 |
Keywords |
Nurse-patient relations; Psychology; Attitude to health; Terminal care |
Abstract |
This article reports a study that sought to understand the experience of a group of Caucasian men with end stage renal failure managing their own haemodialysis therapy in their homes. The study used a critical interpretive methodology. The renal setting was critically viewed as a specialised health care context constituted by several interrelated discourses. Although established by the dominant professional discourse, it also includes a number of others, in particular an obscure client discourse that is a response to the dominant discourse. Initially, participants' own interpretations of their individual experiences were outlined. These were then collectively reinterpreted by contextualising them in terms of the critical view of the renal setting, in order to discern their own views as renal clients that were obscured by the language and ideas of the dominant discourse with which they had been enculturated. From an analysis of the set of accounts derived from interviews with six participants, four concerns of the renal client discourse were identified. These concerns were: (1) suffering from continuing symptoms of end stage renal failure and dialysis; (2) limitations resulting from negotiating dialysis into their lifestyle; (3) ongoingness and uncertainty of life on dialysis; and (4) altered relationship between autonomy and dependence inherent in living on dialysis. One specific implication of this study is that the distinctive potential of the nursing role in renal settings lies beyond the performance of a range of technical tasks, in addressing the experience of people living on dialysis, described here as the concerns of the renal client discourse. |
Call Number |
NRSNZNO @ research @ |
Serial |
1072 |
Permanent link to this record |