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Author Brinkman, A.
Title A study into the causes and effects of occupational stress in a regional women's health service Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Stress; Midwifery; Nursing
Abstract Hospital-based health systems have the potential to be high stress environments, as staff work towards meetings the many and varied demands of the patients and their families / whanau in a situation of limited resources and unpredictable workloads. Dealing with physical and emotional trauma, and the 'normal' exigencies of daily life in what may be a far from normal workplace may compound the stresses facing health workers. Nurses, who are often at the interface between patients and other health professionals, may be caught in a cross-fire of transferred stress while also coping with stressors associated with their jobs. As well as being likely to have a negative effect on their well-being and job satisfaction, any such compounding impact of stress and stressors could have adverse impacts on patients and their supporters. The primary focus of this study has been to identify stress levels among nurses in a woman's health service, and to establish the causes of elevated stress. All staff were surveyed (with a 68% response rate). Midwives made up the largest portion, followed by nurses, doctors, therapies, support and clerical groups. The Job Stress Survey (JSS) and the General Health Questionnaire – 12 (GHQ-12) were used to help detect emergent stressors, and stress effects that staff were experiencing at the time. Aggregate data was used, focusing on the six occupational groupings and the nine areas within the health service. Findings from the JSS confirm that the staff had experienced a number of stressors, while indications of deleterious mental health effects in some staff emerged from the GHQ-12 scores. Occupational stress is a subset of general stress, making it difficult to separate one from the other as spheres of our lives overlap and interact. The stressors that were identified should contribute to the discussions and policies that might abet the reduction of stress. On the other hand, it is not possible to attribute the effects describes by the GHQ-12 as being derived primarily from occupational stress. A stressed staff member, no matter what the source of their stress might be, still needs support in order to cope. The author notes that the negative outcomes of occupational stress manifests themselves in many ways such as; mistakes, absenteeism, horizontal violence, burnout and turnover. These all affect the quality of the patient care delivered, leading to decreased patient satisfaction and and need to be addressed for these reasons.
Call Number NRSNZNO @ research @ Serial 900
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Author Daniels, Anne
Title Listening to New Zealand nurses: A survey of intent to leave, job satisfaction, job stress, and burnout Type Book Whole
Year 2004 Publication Abbreviated Journal
Volume Issue Pages
Keywords (down) Stress; Job satisfaction; Nursing
Abstract This study aims to identify work related factors contributing to New Zealand nurses' intent to leave the job. Two hundred and seventy five surveys (response rate = 68.8%) from a random sample of 400 nurses employed in one district health board were used to explore intent to leave the job. Three research questions directed the description of levels of job satisfaction, job stress, and burnout found in nurse participants, correlations between the three variables, and the identification of variables predicting intent to leave the job through regression analyses. The survey found levels of job satisfaction were high, job stress was low, and burnout was average. Specifically, lack of opportunity to participate in organisational decision making, control over work conditions, control over what goes on in the work setting (key Magnet Hospital characteristics) were not evident, and with pay rates, were the main sources of job dissatisfaction. Workload was the most frequently experienced source of stress by nurse participants. Twenty-five per cent of nurse participants reported high levels of intent to leave the job. Correlations suggested that reductions in job satisfaction influenced increases in job stress and burnout. Job stress was associated with increases in emotional exhaustion. Emotional exhaustion was influenced by eight job satisfaction, job stress, and burnout subscales. Five subscales (professional opportunities, praise and recognition, interaction opportunities, extrinsic rewards, lack of support) explained 26.2% of the variance in nurse participant's intent to leave. The author concludes that issues of power and control were associated with job dissatisfaction, job stress and burnout in nursing practice. However, predictors of intent to leave the job suggest a growing realisation by nurse participants that postgraduate education and nursing research may provide the tools to create positive change in the health care environment and make nursing visible, valued and appropriately rewarded.
Call Number NRSNZNO @ research @ Serial 826
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Author Bridgen, A.F.
Title A heuristic journey of discovery: Exploring the positive influence of the natural environment on the human spirit Type
Year 2007 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Spirituality; Nursing; Nursing philosophy
Abstract The intention of this heuristic study was to explore and discover the essence of the positive influence of the natural environment on the human spirit. The study quest was identified as a central concern that evolved from the author's personal experience of spiritual awakening in the natural environment and an interest in the concept of connectedness in nursing care and practice. The study also focused on the self of the nurse and the qualities of holistic nursing care. Guided by heuristic methodology developed by Moustakas (1990) the thesis traces a journey of discovery. Using conversational interviews, six nurses were asked to describe their experiences of their spirit being positively influenced in the natural environment. These nurses were also asked if these beneficial experiences had any flow-on effect to their nursing practice. From these interviews various commonalities of experience were identified as well as some experiences unique to the individual participants. The participant knowing was articulated using Reed's (1992) dimensions of relatedness in spirituality as a framework. Reed describes these dimensions as being able to be experienced intrapersonally, interpersonally and transpersonally. A substantive body of nursing and non-nursing literature was explored to support the participant knowing and provide strength to the discussion. The study discovered that the human spirit is positively influenced in the natural environment. The three actions of personal healing and wellbeing in the natural environment, knowing self – knowing others and sustaining self in nursing practice were valued by the participants as contributing to the quality of their nursing care. In bringing together spirituality, the natural environment and nursing, holism was discovered to be the significant and connecting constituent. The study has some implications for the discipline of nursing that are also discussed by the author.
Call Number NRSNZNO @ research @ 831 Serial 815
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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 Wong, G.; Fishman, Z.; McRobbie, H.; Arroll, B.; Clair, S.; Freeman, B.; Glover, M.; Jull, A.
Title Smoking and nurses in New Zealand: ASH-KAN Aotearoa: Assessment of smoking history, knowledge and attitudes of nurses in New Zealand Type Report
Year 2007 Publication Abbreviated Journal
Volume Issue Pages
Keywords (down) Smoking; Nursing
Abstract Because nurses work in a wide range of settings they are well-placed to provide support for smokefree environments. The aim of this research was: to assess the knowledge of cessation, attitudes towards smoking, the provision of smoking cessation advice and treatment, and attitudes to and management of smokefree workplaces in a sample of nurses with practising certificates in New Zealand; and to describe the prevalence of smoking in nurses using the 2006 New Zealand census. One thousand questionnaires were posted to a random sample of 1000 nurses (500 community-based nurses, and 500 hospital-based) from the New Zealand Nursing Council register of nurses with current practising certificates. Statistics New Zealand provided results from the New Zealand Census of Population and Dwellings, 2006, for nurses by gender, practice area and cigarette smoking status. Responses were received from 371 (37%) of the nurses. They were enthusiastic about and committed to including smoking cessation in their practice, and to learning more about helping clients who smoke. Nine out of ten felt that it was part of their responsibility to advise clients to stop smoking. Nearly nine out of ten said they would be happy to spend an extra five minutes with each patient who smoked if they could effectively intervene. Over half had not received training for effective evidence-based smoking cessation interventions but three quarters were interested in learning more about how to help people stop smoking. The respondents' knowledge of the health effects of smoking was high, but there were gaps in knowledge of effective smoking treatments and a wide misunderstanding that nicotine causes cancer and heart disease. These gaps may limit nurses' ability to intervene effectively. Nurses supported their smokefree work policies although a fifth did not report support with enforcing these. Results from the 2006 census showed that smoking prevalence among nurses has declined from 18% in 1996 to 14% in 2006. Smoking rates in mental health nurses (29%) remain higher than the New Zealand general population (21%, census data).
Call Number NRSNZNO @ research @ 785 Serial 769
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Author Hikuroa, Evelyn; Glover, Marewa
Title Reducing smoking among indigenous nursing students using incentives Type Journal Article
Year 2017 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 33 Issue 1 Pages 17-27
Keywords (down) Smoking; Maori nurses; Nursing students; Maori health; Financial incentives
Abstract Presents the results of a stop-smoking trial using a financial incentive to assist Maori nursing students and a whanau quit-mate to quit smoking. Conducts a marae-based 24-week programme of cessation support with financial incentives in the form of scholarship payments awarded to students incrementally based on proven smoking cessation of both quit mates. Uses focus groups at two points in the programme with students and their quit mates and administers a questionnaire to students at the end of the programme.
Call Number NZNO @ research @ Serial 1523
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Author Briscoe, Jeannette; Mackay, Bev; Harding, Thomas
Title Does simulation add value to clinical practice: undergraduate student nurses' perspective Type Journal Article
Year 2017 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 8 Issue 1 Pages 10-15
Keywords (down) Simulation; Student nurses; Clinical practice; Nursing education
Abstract Evaluates whether simulation helps to prepare student nurses for clinical practice. Conducts a research project to establish if the use of simulation in nursing education provides added value to the clinical experience of students. Uses a qualitative, descriptive approach as the methodology to interview a voluntary purposeful sample of nursing students enrolled across the BN programme. Aministers focus group interviews with 10 nursing students from semester two through to final semester, year three.
Call Number NZNO @ research @ Serial 1537
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Author Washbourne, G A
Title Registered Nurses' Experiences of How in Situ Simulation Contributes to Ongoing Clinical Skill Development: A Qualitative Descriptive Study Type Book Whole
Year 2017 Publication Abbreviated Journal
Volume Issue Pages 56 p.
Keywords (down) Simulation; Nursing education; Post-graduate education; Emergency departments (ED)
Abstract Recruits Emergency Department (ED) nurses to participate in three semi-structured interviews. Conducts thematic analysis of interview transcripts to identify the effects on clinical skills, and what facilitated participants' learning.
Call Number NZNO @ research @ Serial 1560
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Author Lesa, Raewyn
Title The contribution of simulation in the development of clinical judgement: Students' perspectives Type Book Whole
Year 2019 Publication Abbreviated Journal
Volume Issue Pages 181 p.
Keywords (down) Simulation; Clinical judgement; Nursing students; Pre-registration; Surveys
Abstract Conducts an exploratory case study investigating the experiences of third-year undergraduate nursing students in simulations, collecting stories about their experiences in the clinical environment, and highlighting the potential use of simulation as an alternate learning environment to foster the development of clinical judgement in nursing students. Considers two research questions: how do nursing students experience simulation as an environment for learning, and how do nursing students' learning experiences in simulation and clinical practice influence their development of clinical judgement skills? Conducts one-to-one interviews and observes simulations in the course of an exploratory case study.
Call Number NZNO @ research @ Serial 1652
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Author Marshall, Dianne
Title The impact of simulation-based learning activity using actor patients on final year nursing students' learning Type Journal Article
Year 2023 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 39 Issue 2 Pages
Keywords (down) Simulation learning; Role-play; Nursing students; Clinical practice; Decision-making; Surveys
Abstract Investigated final-year nursing students' perception of the effectiveness of a ward-based simulation learning activity using actor patients. Conducts focus group interviews after the simulation and three months later after clinical placement. Identifies three themes: decreasing the theory-practice gap; decision-making; nursing behaviour.
Call Number NZNO @ research @ Serial 1857
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Author Garrett, Cara A.
Title Simulation learning for critical care nurses : an integrative review Type Book Whole
Year 2013 Publication Abbreviated Journal
Volume Issue Pages 121 p.
Keywords (down) Simulation learning; Nursing education; Critical care nursing
Abstract Investigate the current literature on simulation learning as a learning tool for critical care nursing education. Identifies how the evidence demonstrates simulation is an effective learning tool for nurses who are involved in critical care, using the Joanna Briggs Institute quality appraisal tools. Endeavours to explore the experiences of both nurses and educators utilising simulation learning to prepare for critical care nursing.
Call Number NZNO @ research @ Serial 1575
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Author Bogossian, F.; Cooper, S.; Kelly, M.; Levett-Jones, T.; McKenna, L.; Slark, J.; Seaton, P.
Title Best practice in clinical simulation education -- are we there yet? A cross-sectional survey of simulation in Australian and New Zealand pre-registration nursing education Type Journal Article
Year 2018 Publication Collegian Abbreviated Journal
Volume 25 Issue 3 Pages 327-334
Keywords (down) Simulation education; Nursing students; Clinical simulation; Surveys
Abstract Describes the current use of simulation in tertiary nursing education programmes leading to nurse registration, in Australia and NZ. Determines whether investments in simulation have improved uptake, quality and diversity of simulation experiences. Conducts a cross-sectional electronic survey distributed to lead nursing academics in nursing registration programmes in both countries.
Call Number NZNO @ research @ Serial 1786
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Author Marshall, Diane; Honey, Michelle
Title Simulated actor patients support clinical skill development in undergraduate nurses: a qualitative study Type Journal Article
Year 2021 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 37 Issue 2 Pages 35-44
Keywords (down) Simulation education; Actor patients; Clinical skill development; Nursing students; Child health nursing
Abstract Explores volunteer actor patients' contribution to developing nursing students' clinical skills from the patient actors' perspective within a simulation learning environment. Describes how actor patients work with nursing students during simulation, providing feedback following each simulation. Conducts focus group interviews with four of these actor patients about their interactions with students, communication, the provision of realism, student engagement, and feedback to students.
Call Number NZNO @ research @ Serial 1707
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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 (down) 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
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Author Clear, G.M.; Carryer, J.B.
Title Shadow dancing in the wings: Lesbian women talk about health care Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 3 Pages 27-39
Keywords (down) Sexuality; Patient satisfaction; Nursing research; Quality of health care; Feminist critique
Abstract A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored factors which hindered or facilitated these women's sense of safety related to health care. The findings indicate that barriers to receiving health care exist for these women. As there is little local or international research on lesbians and healthcare, this work offers a starting place for future New Zealand nursing research involving lesbians. The authors encourage other nurses to explore previously ignored sections of our society in order to strive for safety for all those whom nursing serves.
Call Number NRSNZNO @ research @ Serial 843
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