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Author Wilkinson, J.A.; Huntington, A.D.
Title The personal safety of district nurses: A critical analysis Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue (down) 3 Pages 31-44
Keywords District nursing; Occupational health and safety; Organisational culture; Risk factors
Abstract A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses.
Call Number NRSNZNO @ research @ Serial 549
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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 (down) 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
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Author Connor, M.
Title Advancing nursing practice in New Zealand: A place for caring as a moral imperative Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue (down) 3 Pages 13-21
Keywords Advanced nursing practice; Ethics; Professional competence; Nurse-patient relations
Abstract The author argues that the framework of competencies required for advanced nursing practice should include a moral dimension in order to take account of relational as well as functional competencies. There is no recognition of the relational competencies required to practice caring as a moral imperative. The Nursing Council of New Zealand expects that nurses will practise 'in accord with values and moral principles'. The paper explores the history of two nursing discourses, that which sees nursing as a functional occupation and that which emphasises the relationship between nurse and patient. A practice exemplar is used to demonstrate positive outcomes from advanced relational competencies.
Call Number NRSNZNO @ research @ Serial 553
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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 (down) 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
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Author Fourie, W.; Oliver, J.D.
Title Defining currency of practice for nurse educators Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue (down) 3 Pages 30-39
Keywords Quality assurance; Professional competence; Education
Abstract Recent Nursing Council of New Zealand guidelines for competence-based practising certificates and the fact that all nurse educators must have a current practising certificate prompted the Nursing Schools within the Tertiary Accord of New Zealand (TANZ) to explore issues surrounding current competency in practice and how this can be maintained by nurse educators. The authors note that discussions related to competence-based practising certificates generally refer to competence only in terms of direct patient care. They set out to clarify the issue with specific reference to nurse educators who, by the nature of their scope of practice, often do not carry a patient caseload. They review the literature relating to currency of practice and draw on the findings of a survey of TANZ Nursing Schools and provide a position on how currency of practice applies to nurses working in an educational setting. They present strategies to maintain clinical, teaching and scholarly currency and make some suggestions for providing evidence that currency of practice is maintained.
Call Number NRSNZNO @ research @ Serial 614
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Author Carryer, J.B.; Budge, C.; Russell, A.
Title Measuring perceptions of the Clinical Career Pathway in a New Zealand hospital Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue (down) 3 Pages 18-29
Keywords Professional development; Careers in nursing; Nursing; Hospitals
Abstract The authors outline the Clinical Career Pathways (CCPs) for nurses, which were first established in New Zealand during the late 1980s. This paper introduces a new instrument, the Clinical Career Pathway Evaluation Tool (CCPET) designed to assess nurses' and midwives' knowledge of and attitudes towards their Clinical Career Pathway. The 51 item instrument takes the form of a self-report questionnaire. The development of the CCPET is described and results from an initial application of the instrument with 239 nurses and midwives in a New Zealand hospital are presented. Results indicate that knowledge levels were moderate in this sample and were correlated with both positive and negative attitudes. Results of t-test comparisons indicated that, on average, the group who had already completed a CCP portfolio had greater knowledge and more positive attitudes than the group who had not.
Call Number NRSNZNO @ research @ 634 Serial 620
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Author Horsburgh, M.; Smith, V.A.; Kivell, D.
Title South Auckland community paediatric nursing service: A framework for evaluation Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue (down) 3 Pages 40-49
Keywords Paediatric nursing; Community health nursing; Evaluation research
Abstract This paper describes the Kidz First paediatric community homecare nursing team in South Auckland. While the service was not initially planned as an integrated approach to child health, its evolution reflects the move to more community based care delivery and the expansion of nurse-led initiatives in New Zealand. The components of a community paediatric home nursing team as described by Eaton (2000) are used to provide the framework with which to describe the service. A focus group held with the Kidz First paediatric community homecare nurses has enabled definition of the key nursing components provided to children and their families living in South Auckland.
Call Number NRSNZNO @ research @ Serial 622
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Author Spence, D.
Title The evolving meaning of 'culture' in New Zealand nursing Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue (down) 3 Pages 51-61
Keywords Cultural safety; Biculturalism; History of nursing; Maori
Abstract The author traces the nursing definition of biculturalism as it has evolved from the colonial period to the present. An examination of nursing literature demonstrates that local understandings of culture have matured beyond anthropological interpretations to a sociopolitical definition of Maori culture. The author suggests that, in nursing, culture has come to mean cultural safety.
Call Number NRSNZNO @ research @ Serial 625
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Author Hughes, F.
Title Locating health policy and nursing: Time for a closer relationship Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue (down) 3 Pages 5-14
Keywords Policy; Nursing
Abstract This paper outlines the role that policy and nursing have in a demanding and changing health care environment. It shows the basic tenets of policy, and provides strategies to enable nurses to increase their involvement in policy-making.
Call Number NRSNZNO @ research @ 641 Serial 627
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Author Dyson, L.
Title The role of the lecturer in the preceptor model of clinical teaching Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 16 Issue (down) 3 Pages 16-24
Keywords Teaching methods; Nursing; Education; Preceptorship
Abstract This article reports on a descriptive study undertaken within a school of nursing where the author was formerly employed. The study explored the role of the lecturer within the preceptorship model of clinical teaching. It uses an exploratory/descriptive, qualitative approach to interviewing 12 lecturers. The findings demonstrate the educational orientation of the lecturer role and also highlight the tension that continues to exist between the world of education and the world of practice.
Call Number NRSNZNO @ research @ Serial 635
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Author Gallaher, L.
Title Expert public health nursing practice: A complex tapestry Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue (down) 3 Pages 16-27
Keywords Public health; Community health nursing; Communication
Abstract The research outlined in this paper used Heideggerian phenomenology to examine the phenomenon of expert public health nursing practice within a New Zealand community health setting. Narrative interviews were conducted with eight identified expert practitioners who are currently practising in this speciality area. Data analysis led to the identification and description of themes which were supported by paradigm cases and exemplars. Four key themes were identified which describe the finely tuned recognition and assessment skills demonstrated by these nurses; their ability to form, sustain and close relationships with clients over time; the skilful coaching undertaken with clients; and the way in which they coped with the dark side of their work with integrity and courage.
Call Number NRSNZNO @ research @ 656 Serial 642
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Author Neville, S.J.; Alpass, F.
Title Factors influencing health and well-being in the older adult Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue (down) 3 Pages 36-45
Keywords Older people; Male; Geriatric nursing
Abstract This article offers a literature review of selected factors influencing the health and well-being of older people, with a particular emphasis on the older male. Implications for nursing practice in New Zealand are discussed.
Call Number NRSNZNO @ research @ 657 Serial 643
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Author Jones, B.
Title Neonatal nurse practitioners: A model for expanding the boundaries of nursing culture in New Zealand Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue (down) 3 Pages 28-35
Keywords Advanced nursing practice; Neonatal nursing; Interprofessional relations
Abstract This article outlines the development of the neonatal nurse practitioner role in New Zealand as an example of one advanced practice nursing role. A model of how nursing culture changes to include roles that incorporate components that historically have been considered the domain of other health professionals is proposed. This article outlines some of the issues surrounding the neonatal nurse practitioner role, including the educational requirements for this role in New Zealand.
Call Number NRSNZNO @ research @ 659 Serial 645
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Author Clear, G.M.; Carryer, J.B.
Title Shadow dancing in the wings: Lesbian women talk about health care Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue (down) 3 Pages 27-39
Keywords Sexuality; Patient satisfaction; Nursing research; Quality of health care; Feminist critique
Abstract A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored factors which hindered or facilitated these women's sense of safety related to health care. The findings indicate that barriers to receiving health care exist for these women. As there is little local or international research on lesbians and healthcare, this work offers a starting place for future New Zealand nursing research involving lesbians. The authors encourage other nurses to explore previously ignored sections of our society in order to strive for safety for all those whom nursing serves.
Call Number NRSNZNO @ research @ Serial 843
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Author Bland, M.F.
Title The challenge of feeling 'at home' in residential aged care in New Zealand Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue (down) 3 Pages 4-12
Keywords Rest homes; Older people; Patient satisfaction; Nursing; Identity
Abstract In this research report, a resident reveals the challenges associated with firstly becoming a nursing home resident, and then trying to establish a new sense of 'home'. The story supports a conclusion that nurses' knowledge of the unique 'admission story' of each resident, and their individual understandings of home, is essential in promoting their ongoing comfort. Although approximately 30,000 older adults live in residential aged care, little research has been done on their experience.
Call Number NRSNZNO @ research @ 862 Serial 846
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