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Author |
Curtis, K.; Donoghue, J. |
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Title |
The trauma nurse coordinator in Australia and New Zealand: A progress survey of demographics, role function, and resources |
Type |
Journal Article |
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Year |
2008 |
Publication |
Journal of Trauma Nursing |
Abbreviated Journal |
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Volume |
15 |
Issue |
2 |
Pages |
34-42 |
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Keywords  |
Emergency nursing; Personnel; Nurse managers; Economics |
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Abstract |
An initial profile of the demographics and current practice of Australian trauma nurse coordinators (TNCs) was conducted in 2003. The study identified common and differing role components, provided information to assist with establishing national parameters for the role, and identified the resources perceived necessary to enable the role to be performed effectively. This article compares the findings of the 2003 study with a 2007 survey, expanded to include New Zealand trauma coordinators. Forty-nine people, identified as working in a TNC capacity in Australia and New Zealand, were invited to participate in February 2007. Participation in the research enabled an update of the previously compiled Australia/New Zealand trauma network list. Thirty-six surveys (71.5% response rate) were returned. Descriptive statistics were undertaken for each item, and comparisons were made among states, territories, and countries. Participants reported that most of their time was spent fulfilling the trauma registry component of the role (27% of total hours), followed by quality and clinical activities (19% of total hours), education, and administration. The component associated with the least amount of time was outreach (3% of total hours). Although the proportion of time has almost halved since 2003, TNCs still spend the most time maintaining trauma registries. Compared to the 2003 survey, Australian and New Zealand TNCs are working more unpaid overtime, spending more time performing quality and clinical activities and less time doing data entry. Despite where one works, the role components identified are fulfilled to a certain extent. However, the authors conclude that trauma centres need to provide the TNC with adequate resources if trauma care systems are to be optimally effective |
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Call Number |
NRSNZNO @ research @ |
Serial |
964 |
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Author |
Richardson, S. |
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Title |
Emergency departments and the inappropriate attender: Is it time for a reconceptualisation of the role of primary care in emergency facilities? |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
2 |
Pages |
13-20 |
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Keywords |
Emergency nursing; Primary health care |
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Abstract |
This paper reviews currently identified issues concerning emergency department attendance, and examines the core question of the role of primary care in the emergency department. Asks whether this is an appropriate use of emergency department resources, and if so, what the implications are for the role of the emergency nurse. Suggests the establishment of Minor Injury Units in New Zealand like those in the UK. |
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Call Number |
NRSNZNO @ research @ |
Serial |
641 |
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Author |
Kuehl, S. |
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Title |
Emergency Department re-presentations following intentional self-harm |
Type |
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Year |
2008 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Emergency nursing; Psychiatric Nursing; Mental health; Clinical assessment |
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Abstract |
The aim of this research was to describe what factors contribute to people re-presenting to the emergency department (ED) within one week of a previous visit for intentional self-harm. Objectives identified were to describe the people using demographic and clinical features; describe and evaluate ED management; and identify possible personal or system reasons as to why people re-present to ED within one week. A retrospective observational design was selected for a period of one year. The data was collected from electronic clinical case notes. The sample consisted of 48 people with 73 presentations and re-presentations. Missing data limited the number of inferential analyses. Outcome measures were divided into information regarding the person and the presentation. This study made several discoveries: many representations (55%) occurred within one day; the exact number of people who represented many times to ED is unknown, but is far higher than reported in other studies; fewer support people were present for the second presentation; the documentation of triage and assessments by ED staff was often minimal, though frequently portrayed immense distress of this population; cultural input for Maori was missing; physical health complaints and psychosis were found with some intentional self-harm presentations; challenging behaviours occurred in at least a quarter of presentations; and the medical and mental health inpatient admission rates were approximately 50% higher for second presentations. Recommendations in regard to the use of a triage assessment tool, the practice of reviewing peoples' past presentations and the need for a mental health consultation liaison nurse in ED are made. Staff education, collaboration between services with consumer involvement and further research of this group are required. This study supports the need for holistic and expert care for people who present at emergency departments with intentional self-harm. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1214 |
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Author |
Gabolinscy, B. |
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Title |
Triage codes: A predictor of nursing care time in the emergency department |
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Year |
2005 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
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Keywords |
Emergency nursing; Time factors |
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Abstract |
This thesis explores triage code as a predictor of direct nursing care time, thus its potential usefulness in a model for calculating and allocating nurse requirements in emergency departments. A framework for nursing work is proposed. This framework is based on the works of O'Brien-Pallas, Irvine, Peereboom, and Murray (1997) and Houser (2003). It suggests that the structures of environmental complexity, nursing characteristics, patient nursing complexity, and patient medical condition and severity, impact on the processes of direct and indirect nursing care to affect patient outcomes. A prospective, non-experimental study was undertaken to examine the relationship between direct nursing care time and triage code. Six potential confounding variables were selected for this study: length of stay, age, ethnicity, sex, complaint type, and discharge category. Data were collected for 261 visits over a three day period in one New Zealand emergency department. Patient visits averaged 200 minutes. The mean direct nursing care time per visit was 49 minutes. On average, patients with more urgent triage codes, longer length of stay, or who were not discharged, received more direct nursing care. The model developed predicted 49% of variation in direct nursing care time (p < .05) related to triage code (16%), length of stay (31%) and disposition category (2%). The author suggests that further exploration of the proposed framework has potential to develop a model allowing managers to identify nurse staffing required for optimal nursing care in emergency departments. |
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Call Number |
NRSNZNO @ research @ 481 |
Serial |
468 |
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Author |
Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P. |
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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 |
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Year |
2002 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
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Volume |
115 |
Issue |
1157 |
Pages |
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Keywords |
Emergency nursing; Time factors; Clinical assessment; Clinical decision making |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
617 |
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Author |
Kennedy, Barry |
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Title |
The Relationships between empathy and burnout in nurses |
Type |
Book Whole |
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Year |
2013 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
1v |
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Keywords |
Empathy; Burnout; Earthquakes; Acute nursing; Surveys |
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Abstract |
Surveys nurses at two hospitals during April and May of 2012. Uses bivariate correlations, group comparisons, analysis of variance and multiple regression to analyse the results. Notes that nurses were still experiencing negative emotional effects of the earthquakes and aftershocks of the preceding 18 months. Finds empathy levels and burnout levels were lower than the normative mean, and that empathy and burnout were negatively correlated with age and experience. |
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Call Number |
NZNO @ research @ |
Serial |
1565 |
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Author |
Gilder, Eileen |
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Title |
To suction or not to suction; that is the question: Studies of endotracheal suction in post-operative cardiac patients |
Type |
Book Whole |
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Year |
2020 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
261 p. |
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Keywords |
Endotracheal suction; Post-operative cardiac patients; Post-operative nursing; Patient safety |
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Abstract |
Assesses the safety of actively avoiding endotracheal suction in post-operative cardiac surgical patients ventilated for less than 12 hours. Describes local endotracheal suction practice, and elucidates patient experience of the endotracheal tube and endotracheal suction. Conducts an observational audit describing endotracheal sucion practice within the cardiothoracic and vascular intensive care unit in Auckland City Hospital. Undertakes a prospective, non-inferiority, randomised controlled trial investigating the safety of avoiding endotracheal suction. |
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Call Number |
NZNO @ research @ |
Serial |
1769 |
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Author |
Pool, Leanne; Day, Liz; Ridley, Susan |
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Title |
Mountain climbing: the journey for students with English as an additional language in a concept-based nursing curriculum |
Type |
Journal Article |
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Year |
2019 |
Publication |
Whitireia Journal of Nursing, Health and Social Services |
Abbreviated Journal |
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Volume |
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Issue |
26 |
Pages |
28-36 |
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Keywords |
English as an additional language (EAL); Student support; Nursing education; Communication |
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Abstract |
Identifies the communication and learning needs of EAL students in undergraduate nursing education. Presents strategies for EAL students and others with diverse learning needs to comprehend the underlying concepts of cultural safety, praxis, professional nursing and leadership in Whitireia's BN integrated nursing curriculum. Reports findings from focus group discussions with 13 students involved in the three-way partnership comprising lecturers, learning support services and EAL students. |
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Call Number |
NZNO @ research @ |
Serial |
1633 |
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Author |
Meek, Gillian |
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Title |
Second-level nurses: a critical examination of their evolving role in New Zealand healthcare |
Type |
Report |
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Year |
2009 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
55 p. |
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Keywords |
Enrolled nurses; Maori nurses; Nursing history |
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Abstract |
Examines the evolution of the enrolled nurse in NZ from the perspective of a registered nurse who has worked with enrolled nurses in both Britain and NZ. Analyses key documents from a critical perspective to consider the positioning of enrolled nurses in NZ, particularly from the point of view of the large number of Maori enrolled nurses. Makes recommendations for a more equitable future for those who undertake enrolled nursing. |
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Call Number |
NZNO @ research @ |
Serial |
1602 |
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Author |
Quiding, Janine |
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Title |
Improving assessment inter-rater reliability of a nursing ePortfolio: An Integrative Review |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
66 p. |
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Keywords |
ePortfolios; Professional Development and Recognition Programmes (PDRP); Nursing assessment |
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Abstract |
Analyses 13 articles using an integrative review methodology framework and thematic analysis to support the data analysis process, seeking to clarify the inter-rater reliability of nursing ePortfolio assessment. Identifies two themes emerging from the data: the subjective nature of the assessor, and external factors due to the nature of nursing portfolio requirements. Considers how to minimise assessment variability due to subjective factors. |
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Call Number |
NZNO @ research @ |
Serial |
1749 |
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Author |
Rhodes, Johanna |
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Title |
Students' perceptions of participating in educational escape rooms in undergraduate nursing eduction |
Type |
Journal Article |
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Year |
2020 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
11 |
Issue |
1 |
Pages |
34-41 |
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Keywords |
Escape rooms; Nursing students; Critical thinking; Teamwork; Nursing education |
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Abstract |
Captures undergraduate nursing students' perceptions after participation in an educational escape room. Describes the concept of the escape room for undergraduate nursing students, in which students collaboratively solved problems during a specified time before returning to the classroom. Reports the findings of a survey conducted with 181 students on the utility of the experience for teaching teamwork, collaboration, and critical thinking while under pressure. |
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Call Number |
NZNO @ research @ |
Serial |
1659 |
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Author |
Spence, D.; Smythe, E. |
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Title |
Courage as integral to advancing nursing practice |
Type |
Journal Article |
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Year |
2007 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
23 |
Issue |
2 |
Pages |
43-55 |
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Keywords |
Ethics; Advanced nursing practice |
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Abstract |
This paper focuses on the illumination of courage in nursing. The authors suggest it is a fundamental component of nursing, yet it is seldom mentioned or recognised in the literature, or supported in practice. Data from a hermeneutic analysis of nurses' practice stories is integrated with literature to assist deeper understanding of the meaning of courage in contemporary nursing practice. The purpose is to make visible a phenomenon that needs to be actively fostered if nursing is to effectively contribute to an improved health service. |
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Call Number |
NRSNZNO @ research @ 470 |
Serial |
456 |
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Author |
Harding, Thomas |
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Title |
Cultural safety : a vital element for nursing ethics |
Type |
Journal Article |
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Year |
2013 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
29 |
Issue |
1 |
Pages |
4-11 |
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Keywords |
Ethics; Cultural safety; Nursing education; Internationalisation |
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Abstract |
Argues that the globalisation of nursing and the internationalisation of nursing education potentially leads to the values underpinning nursing curricula coming into conflict with those of other cultures. Suggests the need to examine the values inherent in ethics education in nursing, proposing that cultural safety is incorporated into it in an increasingly multi-cultural nursing environment. |
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Call Number |
NZNO @ research @ |
Serial |
1479 |
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Author |
Song, Wen Jie |
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Title |
Teaching Ethics in Nursing Education – A case study of teaching in a New Zealand tertiary education context |
Type |
Book Whole |
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Year |
2017 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
104 p. |
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Keywords |
Ethics; Nursing Education; Nursing Curriculum; Nursing Educators |
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Abstract |
Explores what experiences and challenges nursing educators face teaching ethics content and identifies the difficulties encountered in classroom practice. Interviews a self-selecting sample of 7 nursing educators working at a large NZ tertiary institution in the North Island. Outlines the seven dominant themes to emerge from the inductive data analysis process. |
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Call Number |
NZNO @ research @ |
Serial |
1584 |
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Author |
Jackson, H. |
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Title |
Compassion: A concept exploration |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
1 |
Pages |
16-23 |
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Keywords |
Ethics; Nursing philosophy |
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Abstract |
This paper explores the nature of compassion and posits it as a moral virtue that requires the nurse to act in the presence of suffering. Compassion is defined in relation to suffering and reciprocity, and distinguished from sympathy and pity. |
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Call Number |
NRSNZNO @ research @ 638 |
Serial |
624 |
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