| |
Records |
Links |
|
Author |
Major, G.; Holmes, J. |
|
| |
Title |
How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
25 |
Issue |
4 |
Pages  |
58-70 |
|
| |
Keywords |
Communication; Nursing; Nurse-patient relations |
|
| |
Abstract |
This study examines the communication strategies used by nurses on the ward in one aspect of the job, namely the ways that they describe health procedures to patients. The data used in this project was collected by nurses on a busy hospital ward as part of Victoria University's Language in the Workplace Project. Three nurses carried minidisc recorders as they went about their normal working day, recording their conversations with patients, visitors, and other staff. The data was collected in a women's hospital ward. All patients, nurses, cleaners and ward clerks were female; two doctors were female and two were male. Twenty three instances where nurses described procedures to patients were identified in the data set. The analysis identified several typical components; indicated there was no fixed order of components; and demonstrated that all except the core component of describing the procedure were optional rather than obligatory elements. The researchers note this is qualitative and exploratory research. The findings demonstrate the benefit of discourse analysis within a sociolinguistic framework for the analysis of nurse-patient interaction. The results indicate that health discourse is not one-sided, nor is it as straightforward as many nursing textbooks suggest. |
|
| |
Call Number |
NRSNZNO @ research @ 975 |
Serial |
959 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Jonsdottir, H.; Litchfield, M.; Pharris, M. |
|
| |
Title |
Partnership in practice |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Research & Theory for Nursing Practice |
Abbreviated Journal |
|
|
| |
Volume |
17 |
Issue |
1 |
Pages |
51-63 |
|
| |
Keywords |
Nurse-patient relations; Nursing philosophy; Nursing research |
|
| |
Abstract |
This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1172 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
|
|
| |
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 |
| |
|
| |
|
Author |
Crowe, M.; Luty, S. |
|
| |
Title |
Recovery from depression: A discourse analysis of interpersonal psychotherapy |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
1 |
Pages |
43-50 |
|
| |
Keywords |
Psychiatric Nursing; Mental health; Nurse-patient relations |
|
| |
Abstract |
This paper describes a discourse analysis of the process of interpersonal psychotherapy (IPT) in the recovery from depression. It demonstrates how IPT is an effective treatment strategy for mental health nurses to utilise in the treatment of depression. The discourse analysis highlights how the development of more meaningful subject positions enables one woman to recover from her depression. The process of recovery is underpinned by an understanding of women's depression as promoted by contemporary social and cultural expectations for detachment and reflexivity. This paper shows how IPT provides an opportunity for recovery from depression for one woman by facilitating a reconstruction of her subject positions in relation to others. The discourse analysis revealed that the therapist facilitated this through the use of a range of techniques: seeking information, exploring beliefs/values/assumptions, exploring communication patterns, exploring affective responses and exploring alternative subject positions. |
|
| |
Call Number |
NRSNZNO @ research @ 1070 |
Serial |
1055 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Bland, M.F. |
|
| |
Title |
Patient observation in nursing home research: Who was that masked woman? [corrected] [published erratum appears in Contemporary Nurse 2002 Apr; 12(2): 135] |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
1 |
Pages |
42-48 |
|
| |
Keywords |
Nursing research; Ethics; Rest homes; Nurse-patient relations |
|
| |
Abstract |
This article discusses the issues that one nurse researcher faced during participant observation in three New Zealand nursing homes. These include the complexity of the nurse researcher role, the blurring of role boundaries, and various ethical concerns that arose, including the difficulties of ensuring that all those who were involved in the study were kept informed as to the researcher's role and purpose. Strategies used to maintain ethical and role integrity are outlined, with further debate and discussion around fieldwork issues and experiences for nurse researchers called for. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
892 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKenna, B. |
|
| |
Title |
Risk assessment of violence to others: Time for action |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
18 |
Issue |
1 |
Pages |
36-43 |
|
| |
Keywords |
Mental health; Workplace violence; Risk management; Nursing; Nurse-patient relations; Psychiatric nursing |
|
| |
Abstract |
The author performs a literature search on the topics of risk assessment, dangerousness, aggression, and violence in order to determine an evidence-based approach to risk assessment of patient violence towards others. This is set in the context of possible expansion in the scope of practice of mental health nurses, and the prevalence of nurses being assaulted by patients. In the absence of reliable and valid nursing risk assessment measures, the approach suggested here focuses on the use of observation skills to detect behaviour antecedent to physical assault, and the ability to adapt evidence to specific clinical settings. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
621 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Tipa, Zoe; Wilson, Denise; Neville, Stephen; Adams, Jeffery |
|
| |
Title |
Cultural Responsiveness and the Family Partnership Model |
Type |
Journal Article |
| |
Year |
2015 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
31 |
Issue |
2 |
Pages |
35-47 |
|
| |
Keywords |
Well-child care; Family partnership model; Child and family nursing; Maori; Biculturalism; Nurse-patient relationship |
|
| |
Abstract |
Investigates the bicultural nature of the Family Partnership Model for working with Maori whanau in the context of well-child care services. Reports a mixed-methods study in 2 phases: an online survey of 23 nurses trained in the Family Partnership Model and 23 not trained in the model; observation of nurses' practice and interviews with 10 matched nurse-Maori client pairs. Identifies 3 aspects of the findings: respectful relationships, allowing clients to lead, and lack of skills. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1501 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
|
|
| |
Title |
Dementia care: A literature review |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
|
| |
Volume |
7 |
Issue |
13 |
Pages |
33-36 |
|
| |
Keywords |
Dementia; Nurse-patient relations; Quality of health care; Nursing; Education |
|
| |
Abstract |
This article defines dementia, and explores recent trends in relation to why it is such a misunderstood condition in the health care setting. Within a theoretical framework of literature development, nurse client relationships, and quality of care and attitudes are analysed. Gaps, inconsistencies and consistencies are outlined, with the implications for nursing practice and education explored. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1279 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Noble-Adams, R. |
|
| |
Title |
'Exemplary' nurses: An exploration of the phenomenon |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
17 |
Issue |
1 |
Pages |
24-33 |
|
| |
Keywords |
Nurse-patient relations; Nursing; Professional competence |
|
| |
Abstract |
This paper examines the phenomenon of exemplary nursing. It includes a literature review to identify the characteristics of good nurses. These include particular personality traits, altruism, caring, expert practice, vocation, commitment and attitude. Aspects of the nurse-patient relationship with such nurses is described. |
|
| |
Call Number |
NRSNZNO @ research @ 640 |
Serial |
626 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Powell, J. |
|
| |
Title |
Caring for patients after an ICU admission |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
7 |
Pages |
24-25 |
|
| |
Keywords |
Intensive care nursing; Nurse-patient relations; Trauma; Communication |
|
| |
Abstract |
The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
954 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McCallum, C. |
|
| |
Title |
Balancing technology with the art of caring |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
7 |
Pages |
21-23 |
|
| |
Keywords |
Technology; Nursing; Nurse-patient relations; Ethics |
|
| |
Abstract |
The author examines the role of technology in high dependency units, which can alienate nurses from patients. The ethical issues raised by technology are reviewed, particularly the allocation of expensive interventions, and the implications of life-sustaining technology on the application of informed consent. The author highlights the challenge facing nurses to bridge the gap between medical technology and humane caring. |
|
| |
Call Number |
NRSNZNO @ research @ 1017 |
Serial |
1001 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Peach, J.; Hall, B. |
|
| |
Title |
Professional boundaries: Being in relationship 'with' yet remaining separate |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Professional Leader |
Abbreviated Journal |
|
|
| |
Volume |
5 |
Issue |
1 |
Pages |
16-18 |
|
| |
Keywords |
Nurse-patient relations; Professional competence |
|
| |
Abstract |
This article describes the management of the therapeutic relationship, that is set up between nurses or midwives and those in their care. It reviews the responsibilities of the health practitioner, and looks at issues around boundaries, confidentiality and accountability. It also looks at the role senior colleagues can play in ensuring this intentional relationship is managed professionally. |
|
| |
Call Number |
NRSNZNO @ research @ 1288 |
Serial |
1273 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Blockley, Colette; Alterio, Maxine |
|
| |
Title |
Patients' experiences of interpersonal relationships during first time acute hospitalisation |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
24 |
Issue |
2 (Jul) |
Pages |
p16-26. |
|
| |
Keywords |
Acute hospitalisation; Vulnerability; Support; Nurse-patient relationships |
|
| |
Abstract |
Examines the role of interpersonal relationships on patients' experiences during first time acute hospitalisation. Involving 12 first time acute medical and surgical admission patients, it was developed from a wider study exploring patients' overall experiences. Using a qualitative methodology with data collected by means of personal stories and semi-structured interviews findings suggest that patient vulnerability is reduced through supportive interpersonal relationships and that it is nurses who play a key role in developing and maintaining these relationships with patients. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1432 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Farrow, T.; McKenna, B.; O'Brien, A.J. |
|
| |
Title |
Initiating committal proceedings 'just in case' with voluntary patients: A critique of nursing practice |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
18 |
Issue |
2 |
Pages |
15-23 |
|
| |
Keywords |
Patient rights; Law and legislation; Mental health; Nurse-patient relations |
|
| |
Abstract |
The authors report a clinical audit that, combined with anecdotal evidence, verifies the practice of putting section 8B medical certificates on the files of voluntary mental health patients at the time of admission. This is seen as a strategy to balance the requirement to support and promote the autonomy of voluntary patients with the need to protect those patients or other people. A conceptual analysis of these issues indicates that such a practice is both legally questionable and ethically inappropriate. The authors suggest an alternative framework for practice that is legally and ethically preferable for both nurses and patients. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
618 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Surtees, R. |
|
| |
Title |
Developing a therapeutic alliance in an eating disorders unit |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
10 |
Pages |
14-16 |
|
| |
Keywords |
Nursing specialties; Multidisciplinary care teams; Psychiatric Nursing; Nurse-patient relations; Anorexia nervosa |
|
| |
Abstract |
The author presents the approach of a nursing team at Christchurch's Princess Margaret Hospital, in the regional specialist service for people with anorexia nervosa. This unit provides the only specialist inpatient unit in the country, consisting of a six or seven-bed facility that shares a unit with a mother and baby unit. A multidisciplinary team of psychiatric nurses, dietitians, occupational therapists, psychiatrists, psychologists and social workers all make significant contributions. The Christchurch unit uses a cognitive-behavioural therapy model (CBT) across the disciplines, a multidimensional approach incorporating psychotherapeutic, psychoeducational, biomedical and behaviourist paradigms. This occurs within a “lenient flexible approach”. Within the Unit, the eight nurses constitute what could be seen as an “intra”-disciplinary team within the wider “inter”-disciplinary or MDT team. They apply an evidence-based nursing approach with a commitment to partnership and advocacy with their patients. They use collaborative techniques for defining shared goals, and the careful management of the introduction of food. As one of the team members, the author envisages that the job of specialised nurses is to form a therapeutic alliance with patients, which takes account of the dynamic ways that patients may negotiate their own complex understandings of health, care, and recovery. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
982 |
|
| Permanent link to this record |
