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Author Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P. url  openurl
  Title Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: A controlled prospective trial Type Journal Article
  Year 2002 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 115 Issue (down) 1157 Pages  
  Keywords Emergency nursing; Time factors; Clinical assessment; Clinical decision making  
  Abstract The aim of this study was to test the hypothesis that triaging certain emergency department patients through a rapid assessment clinic (RAC) improves the waiting times, and times in the department, for all patients presenting to the emergency department. For ten weeks an additional nurse and doctor were rostered. On the odd weeks, these two staff ran a RAC and on even weeks, they did not, but simply joined the other medical and nursing staff, managing patients in the traditional way. During the five weeks of the RAC clinic a total of 2263 patients attended the emergency department, and 361 of these were referred to the RAC clinic. During the five control weeks a total of 2204 patients attended the emergency department. There was no significant difference in the distribution across triage categories between the RAC and non-RAC periods. The researchers found that the rapid management of patients with problems which do not require prolonged assessment or decision making, is beneficial not only to those patients, but also to other patients sharing the same, limited resources.  
  Call Number NRSNZNO @ research @ Serial 617  
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Author Woods, M. openurl 
  Title Dissecting a brave new nursing world Type Journal Article
  Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 8 Issue (down) 10 Pages 20-22, 36  
  Keywords Nursing; Education; Nursing Council of New Zealand; Policy  
  Abstract This article critiques the 'Strategic Review of Undergraduate Education' commissioned by the Nursing Council. The premise of the review is examined, along with the foundations of nursing practice and the role of nursing education.  
  Call Number NRSNZNO @ research @ Serial 1003  
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Author Hales, A.; Dignam, D. openurl 
  Title Nurse prescribing lessons from the US Type Journal Article
  Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 8 Issue (down) 10 Pages 12-15  
  Keywords Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education  
  Abstract The researchers present a survey of a sample population of 32 advanced practice nurses (APN) in the US about their experiences of acquiring and implementing prescriptive authority. The issues relevant to nurse practitioners in New Zealand are discussed, around acquiring knowledge and education, relationships with other professionals, establishing the role, and retaining the nursing role. The intent and scope of APN prescribing in the US is also discussed.  
  Call Number NRSNZNO @ research @ Serial 1007  
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Author Brasell-Brian, R.; Vallance, E. openurl 
  Title Clinical practice/education exchange: Bridging the theory-practice gap Type Journal Article
  Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue (down) 1 Pages 17-26  
  Keywords Education; Interprofessional relations  
  Abstract This article positions clinical practice/education exchange (CPEE) within nursing literature and presents narrative accounts from a nurse educator and clinician who exchanged jobs for one year. This type of exchange, between education institutes and service areas where students are placed, is a new concept. The aim is to enhance student learning and facilitating meaningful links between theory and practice for them.  
  Call Number NRSNZNO @ research @ Serial 613  
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Author McKenna, B. openurl 
  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 (down) 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  
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Author Dickinson, A.R.; Dignam, D. openurl 
  Title Managing it: A mother's perspective of managing a pre-school child's acute asthma episode Type Journal Article
  Year 2002 Publication Journal of Child Health Care Abbreviated Journal  
  Volume 6 Issue (down) 1 Pages 7-18  
  Keywords Asthma; Parents and caregivers; Children; Nurse-patient relations  
  Abstract This exploratory descriptive study informed by grounded theory examines the experience of mothers in managing their pre-school child's acute asthma attack at home. The study reveals that mothers perceive that they are responsible for the management of their pre-school child during an acute asthma episode, a process they described as 'managing it'. This process involves mother in 'working on treatment', 'making the call', 'watching' and 'calming', while the husband/partner, family, friends and health professionals are 'supporting treatment'. This study suggests that nurses and doctors need to move away from the current paternalistic view of health care delivery in acute settings and embrace the concepts of support and partnership in the care of the pre-school child with asthma and their family.  
  Call Number NRSNZNO @ research @ 728 Serial 714  
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Author Bland, M.F. openurl 
  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 (down) 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  
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Author Sadlier, C. openurl 
  Title Gaining insight into the experience of diabetes Type Journal Article
  Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 8 Issue (down) 1 Pages 14-16  
  Keywords Diabetes Type 2; Maori; Nursing  
  Abstract This article reports a research project that investigated the experience and expectations of Maori who were newly-diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Four people diagnosed with NIDDM were interviewed over 12 months. Participant recommendations are incorporated into suggested improvements for managing the condition.  
  Call Number NRSNZNO @ research @ 1020 Serial 1004  
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Author Ramsden, I. url  openurl
  Title Cultural safety and nursing education in Aotearoa and Te Waipounamu Type
  Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue (down) Pages  
  Keywords Cultural safety; Maori; Nursing; Education  
  Abstract The research on which this thesis is based involves both a private narrative and a public narrative, with the story of cultural safety, and the history, theory and the future direction gathered into one qualitative work. The work is divided into three sections. The first is entitled, Ko Wai Matou? The Private Narrative. This section seeks to explore the historical, social, educational, physical, emotional, political and moral influences and ephiphanies which brought about the personality which introduced cultural safety ideas into nursing and midwifery. Early nursing practice is investigated and examples from practice are used to illustrate learning and consolidation of the ideas which led to Cultural Safety Theory. The second section is entitled He Huarahi Hou: A New Pathway. This section explains the progress of the theory and its relationship to education pedagogy and to nursing practice. Comparison between the work of Madeline Leininger and the Transcultural Theory of Nursing and the New Zealand concept of cultural safety is undertaken. The role and application of the Treaty of Waitangi to the theory of cultural safety is explored in this section. The third section, entitled He Whakawhanuitanga: The Public Narrative, looks at the introduction of cultural safety into the nursing education system and its implementation. The public and media reaction to the inclusion of cultural safety in the national examination for nursing registration and the subsequent parliamentary response are noted. The interviews with nursing and midwifery leadership, Maori and pakeha key players in the process and consumer views of the ideas are documented and pertinent excerpts have been included. The work concludes with a discussion on the likely future of cultural safety as a theory and in practice and outlines several issues which represent a challenge to the viability of the concept in nursing and midwifery education. The author notes that the story of cultural safety is a personal story, but also a very public one. It is set in neo-colonial New Zealand, but has implications for indigenous people throughout the world. It is about human samenesses and human differences, but is also a story about all interactions between nurses and patients because all are power laden. Finally, she points out that, although it is about nursing, it is also relevant to all encounters, all exchanges between health care workers and patients.  
  Call Number NRSNZNO @ research @ Serial 486  
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Author McKergow, C.R.W. openurl 
  Title Preparing to care in the 21st century: A personal search for the meaning of ontological competency through an embodied journey of the soul Type
  Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue (down) Pages  
  Keywords Nursing; Professional development; Breast cancer; Cancer  
  Abstract This thesis is a philosophical inquiry that reflects a personal search for the meaning of ontological competency undertaken by the author after developing breast cancer. The text weaves together in creative synthesis, a collection of academic and personal writing undertaken during an MA (Applied) in Nursing degree process. Using the work of Dowling Singe (1999), Watson (1999), and Wilber (1985, 1990, 1991 & 2000), the thesis seeks, through the use of reflective autobiographical inquiry (Johnstone 1999a), to explore the personal meaning-making activities engaged in during this time to throw light upon the nature of nurse / nursing being. Exploring developmental schemata drawn from personal experience and illuminated by theory, nurses and nursing are challenged to become more self-reflective and self-aware. To facilitate the personal and professional growth that underpins notions of ontological competency, various aids in the form of maps and models are provided to support a transformative journey into awareness. From this position of expanding consciousness, the nurse / nursing is encouraged to reach beyond current paradigms, metaparadigms, epistemologies, and restrictive philosophies and to yield to the evolutionary imperative that seeks to prepare for a 21st century clinical practice where caring / healing becomes embodied enactment from “the Ground of All Being”.  
  Call Number NRSNZNO @ research @ Serial 774  
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Author Gillard, D. openurl 
  Title When I am nursing Type
  Year 2002 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue (down) Pages  
  Keywords Nursing models; Mental health; Adolescents; Psychiatric nursing  
  Abstract Over the last century the nursing profession has drawn from numerous theories and disciplines to construct its own theoretical foundations. While this diversity and flexibility may be one of the nursing profession's strengths it may have contributed to nurses' difficulty in explaining the complexities of their every day clinical work. This is a particular challenge for the domain of mental health nursing. This dissertation discusses how nursing models that have credibility at a clinical level can contribute to informing and advancing nursing practice. Models can achieve this by assisting nurses to conceptualise and articulate what it is they do that makes a difference to patient outcomes. Through this process nurses can maintain a distinct professional identity and establish themselves as effective members of multidisciplinary health team. Specifically, the application and limitations of Godkin's (2001) proposed model of a 'healing presence' to the author's own practice in a one-to-one nurse-adolescent client relationship in the mental health nursing is examined. It is claimed that a 'healing presence' provides a meaningful way to understanding the author's own practice. The proposed model of a 'healing presence' embraces the diversity of her background, and allows the author to maintain a nursing identity by providing a nursing framework to critique her practice, furthering her understanding of what it is that 'expert' nurses do and how this impacts on patient outcomes. Also suggested is that a 'healing presence' can contribute to the author's own and other nurses advanced nursing practice by making nursing visible to the multidisciplinary health team and to articulate “what it is that I do 'when I am nursing'”. Through presenting this dissertation, the author wishes to inspire other nurses to examine and understand their own practice.  
  Call Number NRSNZNO @ research @ Serial 914  
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Author Garrod, A. openurl 
  Title Cultural safety: Living with disability Type Journal Article
  Year 2002 Publication Whitireia Nursing Journal Abbreviated Journal  
  Volume 9 Issue (down) 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 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 (down) 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 Bickley, J. openurl 
  Title A study of medical, nursing, and institutional not-for-resuscitation (NFR) discourses Type
  Year 2002 Publication Abbreviated Journal  
  Volume Issue (down) 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. openurl 
  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 (down) 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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