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Author Bresaz, D.M.
Title Environmental influences on inpatient assaultive behaviour Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Workplace violence; Mental health; Psychiatric Nursing; Methodology; Administration
Abstract This retrospective quasi-experimental study reviewed assaults in two adult mental health inpatient rehabilitation units. The majority of clients in this area experience enduring mental health illnesses and have complex physical health issues. The service comprises of an intensive rehabilitation unit and a secure extended rehabilitation unit. Between May and August 2001 the service moved to purpose built facilities. The opportunity was taken to review clients' assaultive behaviour in the new environment and to compare the incidents with those in the old environment to see if there had been any significant changes. Data on assault incidents including time of assault, place of assault, who was involved and what preventative actions were suggested were collected from the Incident and Accident Hazard Reports (IAHR) dating from 1 April 2000 until 31 May 2002. Staff were expected to complete IAHR reports on all assault incidents. The research examined whether the change in environmental conditions impacted on clients' wellbeing in relation to assaultive behaviour. Trends within the IAHR reports were also examined in order to compare these to similar studies completed in other parts of the world. There were 141 IAHR reports of assault incidents. Fifty of these occurred in the pre move period, 38 in the transition phase and 53 in the post move. There was no significant difference in the rate of assaults in the pre-move to post move period. Completion of the IAHR forms was seen to be very problematic, especially in relation to legal status of perpetrators and documentation of prevention strategies. An urgent audit of existing practice is now required to establish if problems found with the quality and completion of the IAHR forms continues to be evident in the rehabilitation service and if present staff education is needed to improve the standard of documentation. Research is also needed to establish the extent to which staff implement strategies to prevent assaults, and to reduce recidivism.
Call Number NRSNZNO @ research @ Serial 858
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Author Lienert-Brown, Melanie Faye
Title Exploring undergraduate nursing students' experiences of their first clinical placement in an acute adult mental health inpatient service Type Book Whole
Year 2013 Publication Abbreviated Journal
Volume Issue Pages 124 p.
Keywords (down) Undergraduate nursing students; Clinical learning; Mental health nursing
Abstract Seeks to develop a better understanding of the undergraduate nursing students' experience of their clinical placement in mental health, and to identify the influences on student learning in an acute adult mental health service. Enrols a cohort of 13 nursing students to analyse their lived experiences through their written reflections on practice, which offered important insights into the students' experience of their first mental health clinical placement. Identifies six themes by means of thematic analysis.
Call Number NZNO @ research @ Serial 1567
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Author Robertson, Sheree; Thompson, Shona
Title Nursing services in student health clinics in New Zealand tertiary education institutes Type Journal Article
Year 2019 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 35 Issue 2 Pages 7-17
Keywords (down) Student health clinics; Tertiary students; Sexual health; Mental health; International students
Abstract Discovers which nursing services are available to students in health clinics in NZ tertiary education institutes and how the clinics are structured. Surveys nurses practising in 16 of 22 institutes with student health services, about the types of services offered. Identifies sexual health, mental health and health education as the primary services, with sexual health and mental health the most utilised. Notes the increasing use of student health services by international students.
Call Number NZNO @ research @ Serial 1615
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Author Goulding, M.T.
Title The influence of work-related stress on nurses' smoking: A comparison of perceived stress levels in smokers and non-smokers in a sample of mental health nurses Type
Year 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords (down) Smoking; Psychiatric Nursing; Stress; Mental health
Abstract
Call Number NRSNZNO @ research @ 701 Serial 687
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Author Hollins, Joanne
Title Registered nurses' perceptions and experiences of nursing adolescents in an adult mental health unit. Type Book Whole
Year 2014 Publication Abbreviated Journal
Volume Issue Pages 111 p.
Keywords (down) Registered nurses; Adolescents; Mental health units
Abstract Conducts a qualitative study to explore Registered Nurses' (RN) attitudes towards caring for adolescents in adult mental health (MH) in-patient services. Uncovers the reasons adolescents access such services and considers the training and knowledge RNs have in relation to the assessment and management of adolescents with MH problems. Identifies areas that may be improved or developed.
Call Number NZNO @ research @ Serial 1572
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Author Fletcher, Stephanie
Title “It's one less thing I have to do” : does referring patients to a co-located psychology service impact on the well-being of primary care health providers? Type Journal Article
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 88 p.
Keywords (down) Psychology service; Primary health care nurses; Well-being; Mental health services; Focused Acceptance and Commitment Therapy (FACT)
Abstract Investigates wheether the impact of a co-located psychological service to which Primary Care Providers cn refer patients with mild to moderate mental health needs, would impact on the well-being of the providers at work. Describes Focused Acceptance and Commitment Therapy (FACT) services delivered by psychologists working in a a large primary care practice in the lower North Island. Conducts interviews with GPs, nurse practitioners (NP) and registered nurses (RN), analysing the data using thematic analysis. Finds an inverse relationship between the FACT service and the well-being of staff.
Call Number NZNO @ research @ Serial 1801
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Author Bigwood, S.
Title Got to be a soldier: Mental health nurses experiences of physically restraining patients Type
Year 2007 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords (down) Psychiatric Nursing; Workplace violence; Mental health; Stress
Abstract
Call Number NRSNZNO @ research @ 829 Serial 813
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Author Flint, V.
Title The place of ECT in mental health care Type Journal Article
Year 2005 Publication Abbreviated Journal
Volume 11 Issue 9 Pages 18-20
Keywords (down) Psychiatric Nursing; Trauma; Mental health
Abstract The author reviews the controversial treatment of electroconvulsive therapy (ECT) which has re-emerged as a safe and effective treatment for major depressive disorders. She first addresses the popular conceptions of ECT, which are based on early misuse of the treatment when it was delivered unmodified, or forcefully and without anaesthetic. She then uses a case study to illustrate the benefits of ECT for catatonia and catatonic states. Diagnostic criteria for catatonia include motoric immobility, excessive motor activity, extreme negativism or mutism, peculiarities of voluntary movement, and echolalia or echopraxia. The treatment of a patient is detailed, and the role of the ECT nurse is outlined. The ECT nurse is a co-ordinator, an educator, liaises with other services and families, and is a point of contact about ECT within the mental health service generally and in the ECT unit in particular. The case study showed successful use of ECT. A series of eight ECT treatments were administered to the catatonic patient, after which he was discharged home with minor depression and showing signs of enjoying life once again.
Call Number NRSNZNO @ research @ 1011 Serial 995
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Author Lyall, C.
Title Therapeutic relationships: What are inpatient registered nurses perceptions of the factors which influence therapeutic relationship development? Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Psychiatric Nursing; Registered nurses; Nurse-patient relations; Mental health
Abstract The question explored in this research project is: What are inpatient registered nurses' perceptions of the factors which influence therapeutic relationship development? The literature reviewed for this project includes the history of interpersonal relationships in nursing; therapeutic relationships; what constitutes these relationships. Also discussed is literature about phenomenology as the underlying theoretical and philosophical position that informs the research method. To answer the research question a single focus group was used to gather data from a group of registered nurses practising in inpatient mental health units. Focus groups as a data collection method produce data and insights that would not be accessible without the group interaction. The key themes to emerge from the data analysis were; time, environment, knowing / self-awareness, compassion and power imbalance / empowerment. These key themes are discussed in relation to the literature and the wider context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations to nurses, nurse leaders and managers who aim to provide therapeutic mental health unit environments.
Call Number NRSNZNO @ research @ Serial 1245
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Author Clayton, J.R.
Title The recovery of hope: A personal journey through paradigms toward emancipatory practice Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Psychiatric Nursing; Mental health; Teaching methods; Nursing philosophy
Abstract This study traces the author's transition from being a mental health nurse to becoming a facilitator of an education programme, the Health and Wellbeing course, for those in recovery from mental illnesses. Within this transition, she describes a journey from disease-focused paradigms toward emancipatory paradigms, evidenced by her application of the recovery approach to her teaching. The 'recovery approach' proposed by the Mental Health Commission in November 1998, and other models of health, are explored using the methodology of descriptive/interpretive philosophical inquiry, autobiographical narrative and a dialectical research design. The author draws from the philosophies of phenomenology and existentialism to present excerpts from her journals, exemplars, poetry and artwork which illuminate epiphanies occurring as she integrates health paradigms in the design of the Health and Wellbeing course. Within this process the recovery approach is revealed as being consistent with the teaching principles of the Health and Wellbeing course. The author goes on to say that the dialectical research design reveals paradoxes and transformations in nursing, medical, psychological, and humanistic paradigms within the New Zealand socio-political context from the 1970s to 2003. The way these are integrated into her practice as an educator, becomes evident in the dialectical research cycles of being, thinking, developing a project, the encounter of teaching, making sense and communication. These cycles reveal her being in the roles of nurse and educator and the thinking through of paradigms that lead to the design and philosophy of a Health and Wellbeing course, the encounter of teaching, and the communication of insights gained. The author's main objective is to show the importance of nurses and educators developing a reflective consciousness when working with sufferers of mental illness. This reflective consciousness involves three levels: The primary level, or raw experience; the social level, or our socio-political contexts and social values, and, the realised level, insights gained about knowledge and experience.
Call Number NRSNZNO @ research @ Serial 854
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Author Martin, H.E.
Title Marking space: A literary psychogeography of the practice of a nurse artist Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Psychiatric Nursing; Mental health; Nurse-patient relations
Abstract The author suggests that the thesis as a production of disciplined work presented in a creative style is congruent with performance and presentation best practice in community arts. As a practising nurse artist the author describes creating spaces of alternate ordering within the mental health field environment. “I also inhabit the marginal space of the artist working in hospital environments. This Other Place neither condones nor denies the existence of the mental health field environment as it is revealed. Yet, it seeks to find an alternative to the power and subjectivity of the [social] control of people with an experience of mental illness that inhabit this place both voluntarily and involuntarily. I have used a variety of texts to explore the experience and concept of Otherness. The poems are intended to take you, as a reader where you could not perhaps emotionally and physically go, or might have never envisaged going. They also allow me as the author to more fully describe the Otherness of place that is neither the consumer story nor the nurse's notation, but somewhere alternately ordered to these two spaces. Drawing on the heuristic research approaches of Moustakas and literary psychogeography , particularly the work of Guy Debord, this thesis creates the space to explore the possibilities of resistance and change and the emergence of the identity of the nurse artist within the mental health field environment”.
Call Number NRSNZNO @ research @ Serial 685
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Author O'Brien, A.J.
Title The therapeutic relationship: Perceptions of mental health nurses Type
Year 2000 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords (down) Psychiatric Nursing; Mental health; Nurse-patient relations
Abstract
Call Number NRSNZNO @ research @ 914 Serial 898
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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 (down) 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
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Author Lewer, D.
Title Analysing the Mental Health Act Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 5 Issue 8 Pages 14-16
Keywords (down) Psychiatric Nursing; Mental health; Law and legislation; Ethics
Abstract Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill.
Call Number NRSNZNO @ research @ 1039 Serial 1023
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Author Prebble, K.
Title Ordinary men and uncommon women: A history of psychiatric nursing in New Zealand public mental hospitals, 1939-1972 Type
Year 2007 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Psychiatric Nursing; Mental health; History; Gender
Abstract This social-cultural history explores the changing context, culture, and identity of psychiatric nurses working in New Zealand public mental hospitals between 1939 and 1972. Primary documentary sources and oral history interviews provided the data for analysis. The thesis is divided into two periods: 1939 to 1959 when asylum-type conditions shaped the culture of the institutional workforce, and 1960 to 1972 when mental health reform and nursing professionalisation challenged the isolation and distinct identity of mental hospital nurses. Between 1939 and 1959 the introduction of somatic treatments did not substantially change nursing practice in mental hospitals. Overcrowding, understaffing and poor resources necessitated the continuance of custodial care. The asylum-type institutions were dependent on a male attendant workforce to ensure the safety of disturbed male patients, and the maintenance of hospital farms, gardens, and buildings. Although female nurses provided all the care and domestic work on the female side, the belief that psychiatric nursing was physically demanding, potentially dangerous, and morally questionable, characterised the work as generally unsuitable for women. Introduction of psychiatric nursing registration which was a move toward professionalisation did little to change the dominance of a male, working-class culture. From 1960 to 1972 psychiatric nurses' identity was contested. New therapeutic roles created the possibility of the nurses becoming health professionals. Their economic security and occupational power, however, was tied to an identity as unionised, male workers. As psychiatric nurses were drawn closer to the female-dominated nursing profession through health service changes and nursing education reform, both men and women acted to protect both their working conditions and their patients' welfare. To achieve these ends, they employed working-class means of industrial action. By accepting the notion that psychiatric nurses' identity was socially constructed, this thesis provides an interpretation that goes beyond the assumption that nursing is a woman's profession. Instead, it presents psychiatric nursing as a changing phenomenon shaped by contested discourses of gender, class and professionalisation. Nursing in public mental hospitals attracted ordinary men and uncommon women whose collective identity was forged from the experience of working in a stigmatised role.
Call Number NRSNZNO @ research @ 763 Serial 749
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