| Records |
| Author |
Polaschek, L.; Polaschek, N. |
| Title |
Solution-focused conversations: A new therapeutic strategy in Well Child health nursing telephone consultations |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
59 |
Issue  |
2 |
Pages |
111-119 |
| Keywords |
Telenursing; Communication; Evaluation |
| Abstract |
This paper reports a study to explore Well Child nurses' perceptions of outcomes resulting from the use of solution-focused conversations in their telephone consultations with clients. The standard problem-solving approach used to address physical issues is less effective for various non-physical concerns, where different communication strategies may be helpful. In this qualitative, action-oriented study, a small group of Well Child telenurses in New Zealand was introduced to a specific communication strategy, called 'solution-focused conversations', during 2005. They applied this approach in their practice and then reflected together on their experiences in focus groups. The nurses considered that the solution-focused conversations enabled clients to: recognise the nature of the parenting issue of concern that had motivated their call; identify more effective parenting practices to address specific issues with their child; increase their confidence in their own parenting capabilities. This study suggested the value of learning a specific communication strategy for the practice of a group of Well Child telenurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
973 |
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| Author |
Polley, H. |
| Title |
Treating wounds with oxygen |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
2 |
Pages |
16-17 |
| Keywords |
Technology; Evidence-based medicine |
| Abstract |
This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited. |
| Call Number |
NRSNZNO @ research @ 1012 |
Serial |
996 |
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| Author |
Wright, R. |
| Title |
Linking theory with practice |
Type |
Journal Article |
| Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
7 |
Issue |
2 |
Pages |
14-15 |
| Keywords |
Intensive care nursing; Nurse-family relations; Nursing models |
| Abstract |
This article describes the care of a brain-dead intensive care unit patient. The human caring theory of Jean Watson is used to interpret the interactions between family, patient and nurse in this case study. Watson's concepts of care are examined as they relate to each stage of caring for the patient and his family. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1012 |
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| Author |
McKenna, B. |
| Title |
Bridging the theory-practice gap |
Type |
Journal Article |
| Year |
1999 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
5 |
Issue |
2 |
Pages |
14-16 |
| Keywords |
Psychiatric nursing; Nursing; Education; Teaching methods |
| Abstract |
The author presents a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. He explores the advantages, disadvantages and reasons for success in relation to the findings of a survey of the literature on joint appointments. This technique is seen as a means of narrowing the gap between theory and practice which resulted when nurse training was transferred from hospitals to polytechnics. He highlights the need to develop research methodology to clarify potential benefits of this approach. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1024 |
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| Author |
Lawless, J.; Moss, C. |
| Title |
Exploring the value of dignity in the work-life of nurses |
Type |
Journal Article |
| Year |
2007 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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| Volume |
23 |
Issue |
2 |
Pages |
225-236 |
| Keywords |
Work; Nursing philosophy; Job satisfaction; Ethics |
| Abstract |
In this paper the authors draw attention to the value and understandings of nurse dignity in the work-life of nurses. A review of nursing literature and a theoretical lens on worker dignity derived from recent work by Hodson (2001) was used to explore these questions. In the context of current and international workforce issues associated with recruitment and retention, analysis of the construct of worker dignity within the profession takes on a strong imperative. Findings of this inquiry reveal that while there is a degree of coherence between the nursing research and elements of Hodson's (2001) research on worker dignity, the dignity of nurses, as a specific construct and as an intrinsic human and worker right has received little explicit attention. Reasons for this may lie partly in approaches that privilege patient dignity over nurse dignity and which rely on the altruism and self-sacrifice of nurses to sustain patient care in environments dominated by cost-control agendas. The value of dignity in the work-life of nurses has been under-explored and there is a critical need for further theoretical work and research. This agenda goes beyond acceptance of dignity in the workplace as a human right towards the recognition that worker dignity may be a critical factor in sustaining development of healthy workplaces and healthy workforces. Directing explicit attention to nurse dignity may benefit the attainment of both nurse and organisational goals. Hodson's (2001) framework offers a new perspective on dignity in the workplace. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1031 |
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| Author |
Smye, V.; Rameka, M.; Willis, E. |
| Title |
Indigenous health care: Advances in nursing practice |
Type |
Journal Article |
| Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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| Volume |
22 |
Issue |
2 |
Pages |
142-154 |
| Keywords |
Cultural safety; Transcultural nursing; Cross-cultural comparison; Nursing; Education |
| Abstract |
In this introduction to a special issue on nursing with indigenous peoples, the authors affirm the need for continued application of tools and strategies for thinking critically about issues of culture, history and race. Without these things, evidence of discriminatory policies and practices in the health system remain hidden to many health professionals. Attention to socio-political structures is as essential to promoting health and preventing illness as are nurses' activities with the individual clients. To develop critical consciousness in nursing requires educational strategies and frameworks that focus on the responsibilities and implications of practicing nursing in a postcolonial context where race and power continue to create patterns of inclusion and exclusion in health care settings. The authors suggest that many contemporary nursing programmes fail to provide such strategies and frameworks, and argue that nursing must view critical analyses of these issues as central aspects of nursing education, research, theory and practice. They go on to engage with the notion of cultural safety as a means of fostering a critical political and social consciousness in nursing to create an opportunity for social transformation. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1037 |
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| Author |
McKenna, B.; O'Brien, A.J.; Dal Din, T.; Thom, K. |
| Title |
Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 |
Type |
Journal Article |
| Year |
2006 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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| Volume |
15 |
Issue |
2 |
Pages |
128-134 |
| Keywords |
Advanced nursing practice; Psychiatric Nursing; Law and legislation |
| Abstract |
The objectives of this research were to determine how many registered nurses are working as 'responsible clinicians', under what phases of the legislation they are functioning, and to describe the enabling processes and barriers to nurses undertaking this statutory role. An anonymous descriptive survey was distributed to the 11 nurses who were currently responsible clinicians as well as five senior nurses selected from each of the 21 district health boards and the Auckland Regional Forensic Psychiatry Services (n=121). The response rate was 88.4% (n=107). The survey questioned respondents on statutory roles currently undertaken. Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain it. They were also asked which competencies of the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. Of the approximately 395 responsible clinicians nationally, 11 (2.8%) are nurses. Most nurses viewed the role as legitimate. However, many were unaware of competencies for the role and credentialing processes, and were somewhat ambivalent about achieving the role due to current workload, role conflict and lack of remuneration. Competency deficits were highlighted. The authors conclude that there are grounds to encourage nurses as responsible clinicians given the intent of the legislation. This will require the promulgation of appropriate mental health policy, and a concerted effort by major stakeholders in mental health service delivery. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1044 |
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| Author |
Minchin, I. |
| Title |
Advanced nursing in the operating theatre: The New Zealand perspective |
Type |
Journal Article |
| Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
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| Volume |
32 |
Issue |
2 |
Pages |
30-35 |
| Keywords |
Operating theatre; Nursing specialties |
| Abstract |
This article presents a literature review of current research on perioperative nursing. Research studies are summarised. Overall findings include that there is a lack of exposure to perioperative nursing in undergraduate level, that expert nurses in the operating theatre make a positive economic and social contribution to patient outcomes, and there are barriers to registered nurses expanding their role in operating theatres. |
| Call Number |
NRSNZNO @ research @ 1072 |
Serial |
1057 |
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| Author |
O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J. |
| Title |
Clinical indicators as measures of mental health nursing standards of practice in New Zealand |
Type |
Journal Article |
| Year |
2004 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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| Volume |
13 |
Issue |
2 |
Pages |
778-788 |
| Keywords |
Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth |
| Abstract |
This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1059 |
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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 |
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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 |
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| 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 |
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 |
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| 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 |
Wilson, H.V. |
| Title |
Power and partnership: A critical analysis of the surveillance discourses of child health nurses |
Type |
Journal Article |
| Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
36 |
Issue |
2 |
Pages |
294-301 |
| Keywords |
Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket |
| Abstract |
The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1085 |
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| Author |
O'Brien, A.J. |
| Title |
The therapeutic relationship: Historical development and contemporary significance |
Type |
Journal Article |
| Year |
2001 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
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| Volume |
8 |
Issue |
2 |
Pages |
129-137 |
| Keywords |
Psychiatric Nursing; Nursing models; History of nursing; Nurse-patient relations |
| Abstract |
This article examines the therapeutic relationship, a concept held by many to be fundamental to the identity of mental health nurses. While the therapeutic relationship was given formal expression in nursing theory in the middle of the last century, its origins can be traced to attendants' interpersonal practices in the asylum era. The dominance of medical understandings of mental distress, and the working-class status of asylum attendants, prevented the development of an account of mental health nursing based on attendants' relationships with asylum inmates. It was left to Peplau and other nursing theorists to describe mental health nursing as a therapeutic relationship in the 1940s and later. Some distinctive features of colonial life in New Zealand suggest that the ideal of the attendant as the embodiment of bourgeoisie values seems particularly unlikely to have been realised in the New Zealand context. However, New Zealand literature from the 20th century shows that the therapeutic relationship, as part of a general development of a therapeutic discourse, came to assume a central place in conceptualisations of mental health nursing. While the therapeutic relationship is not by itself a sufficient basis for professional continuity, it continues to play a fundamental role in mental health nurses' professional identity. The way in which the therapeutic relationship is articulated in the future will determine the meaning of the therapeutic relationship for future generations of mental health nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1088 |
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| Author |
Spence, D. |
| Title |
Prejudice, paradox, and possibility: Nursing people from cultures other than one's own |
Type |
Journal Article |
| Year |
2001 |
Publication |
Journal of Transcultural Nursing |
Abbreviated Journal |
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| Volume |
12 |
Issue |
2 |
Pages |
100-106 |
| Keywords |
Cultural safety; Transcultural nursing; Nurse-patient relations |
| Abstract |
This article provides a brief overview of the findings of a hermeneutic study that explored the experience of nursing people from cultures other than one's own. The notions prejudice, paradox, and possibility are argued to describe this phenomenon. Nurses in New Zealand are being challenged to recognise and address racism in their practice. Yet, the implementation of cultural safety in nursing education has created tension within the profession and between nursing and the wider community. As nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox, and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. Nurses are challenged to continue their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities. |
| Call Number |
NRSNZNO @ research @ 1104 |
Serial |
1089 |
| Permanent link to this record |
