| Records |
| 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  |
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 |
Spence, D. |
| Title |
Nursing people from cultures other than one's own: A perspective from New Zealand |
Type |
Journal Article |
| Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
15 |
Issue |
3 |
Pages |
222-231 |
| Keywords |
Transcultural nursing; Maori; Psychiatric Nursing |
| Abstract |
This paper provides an overview of the evolving meaning of 'culture' in New Zealand nursing. Then, drawing upon the findings of research that used hermeneutic phenomenology to explore the experience of nursing people from cultures other than one's own, a description of the constituent parts is of this phenomenon is briefly outlined and followed by an exemplar that describes the coalescent and contradictory nature of the phenomenon as a whole. As New Zealand nurses negotiate the conflicts essential for ongoing development of their practice, interplay of the notions of prejudice, paradox and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. |
| Call Number |
NRSNZNO @ research @ 798 |
Serial |
782 |
| Permanent link to this record |
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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 |
Smoking; Psychiatric Nursing; Stress; Mental health |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 701 |
Serial |
687 |
| Permanent link to this record |
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| |
| Author |
Walsh, C. |
| Title |
Personal and professional choices, tensions, and boundaries in the lives of lesbian psychiatric mental health nurses |
Type |
|
| Year |
2007 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Sexuality; Psychiatric Nursing; Nurse-patient relations; Communication |
| Abstract |
This study aimed to articulate how sexual identity impacts on the therapeutic relationship between the client and the lesbian nurse in psychiatric mental health nursing. There is little consideration given in the literature or in research as to how sexuality of the nurse impacts on nursing practice. Most attitudes held by the public and nursing staff are based on the assumption that everyone is heterosexual, including nurses. Fifteen lesbian psychiatric mental health nurses from throughout New Zealand volunteered for two interviews and shared their experiences of becoming and being a lesbian psychiatric mental health nurse. The stories they told give new insights into how these nurses negotiate and position their lesbian identity in the therapeutic relationship. To work therapeutically with people in mental distress the nurse uses personal information about themselves to gain rapport with the client through appropriate self-disclosure. Being real, honest and authentic are also key concepts in this relationship so the negotiation of reveal/conceal of the nurse's identity is central to ongoing therapeutic engagement. One of the most significant things arising from the research is that participants are able to maintain their honesty and authenticity in the therapeutic relationship whether they self-disclose their lesbian identity or not. This is because the experiences in their personal lives have influenced how the participants 'know themselves' and therefore guide how they 'use self' in their therapeutic nursing. The concept of a 'licensed narrative' has also been developed during this research reflecting the negotiated understandings between the researcher and the participants. Further, the use of NVivo a qualitative software package helps to track and make transparent the research processes. These two aspects make a unique contribution to the field of narrative inquiry. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1164 |
| Permanent link to this record |
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| Author |
O'Brien, A.J.; Kar, A. |
| Title |
The role of second health professionals under New Zealand mental health legislation |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
3 |
Pages |
356-363 |
| Keywords |
Scope of practice; Psychiatric Nursing; Nurse-patient relations |
| Abstract |
The development of generic statutory roles in mental health care has been the subject of discussion by New Zealand nurses for the past decade. One such role is that of second health professional in judicial reviews of civil commitment. Issues identified by New Zealand nurses have also been raised in England, where it seems that nurses are likely to assume the role of Approved Mental Health Worker under English mental health law. A survey of mental health nurses found that few had received any preparation for the role of second health professional and 45% did not feel adequately prepared for the role. Some of these issues are reflected in a New Zealand inquiry which resulted in the Ministry of Health developing a written report form for second health professionals. However, the form has the potential to reduce the mental health nursing role to a narrow legal role. Statutory roles such as that of second health professional challenge mental health nurses to critically reflect on the conceptual and ethical basis of their practice. While traditional concepts such as therapeutic relationships and advocacy need to be reviewed in light of these changes, nurses need to be vigilant in articulating the moral and clinical basis of their roles. The development of guidelines for the second health professional role is suggested as a way of supporting clinical practice in this area. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1045 |
| Permanent link to this record |
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| Author |
McDonald, S. |
| Title |
A study to investigate the role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality |
Type |
Report |
| Year |
2000 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Registered nurses; Hospitals; Psychiatric Nursing |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 1283 |
Serial |
1268 |
| Permanent link to this record |
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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 |
Psychiatric Nursing; Workplace violence; Mental health; Stress |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 829 |
Serial |
813 |
| Permanent link to this record |
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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 |
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 |
| Permanent link to this record |
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| Author |
McKenna, B.; Thom, K.; O'Brien, A.J. |
| Title |
Return to nursing programmes: Justifications for a mental health specific course |
Type |
Journal Article |
| Year |
2008 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
|
| Volume |
5 |
Issue |
1 |
Pages |
1-16 |
| Keywords |
Psychiatric Nursing; Training; Recruitment and retention; Curriculum |
| Abstract |
This paper presents the findings from research that investigated the feasibility of developing a specialty return to mental health nursing programme in New Zealand. This was achieved through a scoping of existing return to nursing programmes; a survey of non-active nurses; and stakeholder consultation via interviews or focus groups. Existing generic programmes fail to attract non-active nurses wishing to focus on mental health nursing. The non-active nurses survey found 142 nurses who presently would or might possibly return to mental health nursing and participate in a programme. Most stakeholders supported the idea of implementing such a programme. The findings from this research indicate both feasibility and enthusiasm for the introduction of return to mental health nursing programmes. It is recommended that all aspects of this course mirror the service user focused 'recovery paradigm' that is a central tenet in contemporary mental health service delivery. |
| Call Number |
NRSNZNO @ research @ 984 |
Serial |
968 |
| Permanent link to this record |
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| Author |
Cowan, L.M.; Deering, D.; Crowe, M.; Sellman, D.; Futterman-Collier, A.; Adamson, S. |
| Title |
Alcohol and drug treatment for women: Clinicians' beliefs and practice |
Type |
Journal Article |
| Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
1 |
Pages |
48-55 |
| Keywords |
Psychiatric Nursing; Substance abuse; Gender; Attitude of health personnel; Alcoholism; Drug abuse |
| Abstract |
The present paper reports on the results of a telephone survey of 217 alcohol and drug treatment clinicians on their beliefs and practice, in relation to service provision for women. Nurses comprised the second largest professional group surveyed. Seventy-eight percent of clinicians believed that women's treatment needs differed from men's and 74% reported a range of approaches and interventions, such as assisting with parenting issues and referral to women-only programmes. Several differences emerged in relation to approaches and interventions used, depending on clinician gender, work setting and proportion of women on clinicians' caseload. Implications for mental health nursing include the need to more systematically incorporate gender-based treatment needs into practice and undergraduate and postgraduate education and training programmes. |
| Call Number |
NRSNZNO @ research @ |
Serial |
652 |
| Permanent link to this record |
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| Author |
Crowe, M.; Carlyle, D. |
| Title |
Deconstructing risk assessment and management in mental health nursing |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
43 |
Issue |
1 |
Pages |
19-27 |
| Keywords |
Psychiatric Nursing; Risk management; Policy; Culture |
| Abstract |
The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1069 |
| Permanent link to this record |
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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 |
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 |
| Permanent link to this record |
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| Author |
Narbey, N. |
| Title |
Cognitive Behaviour Therapy in psychosis: Relevance to mental health nurses |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Psychology; Evidence-based medicine |
| Abstract |
The author uses his personal and professional experience to explore the application of Cognitive Behavioural Therapy in caring for people who experience psychosis. Psychosis can be a life-threatening illness; about one in ten young men with psychosis will take their own lives. Much of the progress in treatment has been predicated on a biological explanation of psychosis. The late 1990s have seen increasing interest in psychological approaches in the treatment of psychosis; not withstanding that this treatment does not work for all people. The first aim of this research report is to develop understanding about Cognitive Behavioural Therapy, through exploration of its origins and examining the theoretical basis and reviewing the evidence that may support its use. The second aim is to explore the evidence around mental health nurses' training and use of Cognitive Behavioural Therapy, by critically examining some of the major UK and Australian reports. The author considers that Cognitive Behavioural Therapy is theoretically and pragmatically compatible with contemporary nursing practice, and will have increasing prominence for New Zealand mental health nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1187 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
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| Author |
Vermeulen, J. |
| Title |
“And there's the likes of me”: A phenomenological study of the experience of four women inpatients at a mental health unit |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Patient satisfaction; Hospitals; Nurse-patient relations |
| Abstract |
This research draws on the experiences of four women whilst they were inpatients at the Mental Health Unit in Southland. The Husserlian path of phenomenology was followed and in-depth interviewing used to collect data. Colaizzi's method of analysis enabled accurate interpretation of transcripts. The overall goal of this research was to provide health professionals with an opportunity to inform their practice, based on what consumers were saying about their experience of hospitalisation. Themes emerged through participants relating their experience by using comparisons with either their outside world or previous episodes of hospitalisation. Through analysis, two fundamental structures became evident within the findings. These were 'the environment as containment' and 'the road to recovery'. The author concludes that this study raises significant issues surrounding the experience of hospitalisation at the Mental Health Unit that have implications for future research and for future service delivery. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1246 |
| Permanent link to this record |
