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Author Sargison, P.A.
Title Essentially a woman's work: A history of general nursing in New Zealand, 1830-1930 Type
Year 2002 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords (down) History of nursing; Gender
Abstract
Call Number NRSNZNO @ research @ 1127 Serial 1112
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Author Lowe, L.
Title Linking housing and health status Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 9 Pages 26-27
Keywords (down) Health status; Public health; Nursing
Abstract The author examines the impact of poor housing on health, and looks at how the situation can be improved. Ways that nurses can work towards improving housing standards and thus health are discussed.
Call Number NRSNZNO @ research @ 1021 Serial 1005
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Author Davy, R.
Title Strategy to increase smear testing of older women Type Journal Article
Year 2002 Publication Practice nurse: Official Journal of the New Zealand College of Practice Nurses Abbreviated Journal
Volume 2 Issue 3 Pages 13-14
Keywords (down) Health promotion; Older people; Screening
Abstract The author presents a project to increase enrolments of women aged 60-69 years in the cervical screening programme. The programme included provision of packages comprising fliers, counter signs, stickers, postcards and pens to 1387 women's groups or locations where women gather. The author collates and analyses calls to the advertised 0800 telephone number, smear tests at the Well Women's Nursing Trust, and enrolment rates on the Cervical Screening Register from June to August 2001.
Call Number NRSNZNO @ research @ 637 Serial 623
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Author Pearson, J.R.
Title Health promotion in one New Zealand primary school: A case study Type
Year 2002 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords (down) Health promotion; Evaluation; Students; Maori; Pacific peoples; Health education
Abstract The objectives of this study were to explore the concept of the 'health-promoting school' in a specific New Zealand context; to develop and use appropriate research methods to assess a single low decile school in relation to World Health Organization health-promoting school components and checkpoints; to work with the school community to identify health issues; and, to record external and internal changes that could impact on school health over a finite time period. Case study was selected as the most appropriate method to collect both quantitative and qualitative evidence with the aim of providing a clear understanding of the particular case. Results confirmed that the school was working appropriately within the scope of their educational practice to provide a health-promoting school environment for the school community. Gaps and issues identified included an element of talking past each other between the cultures of the education organisation and the nominated health service provider respectively that contributed to a lack of appropriate and accessible health service delivery for the school population. Teaching staff considered that they had insufficient access to health knowledge, and input from health service staff did not meet health education requirements for the school. Staff preference for increased school nurse involvement was not realised. The consequence was that two outside agencies (KiwiCan and Life Education Trust) delivered the bulk of the Health and Physical Education curriculum which resulted in a degree of fragmentation of health education for students. The issues that were identified demonstrated that health services in the area were not satisfactorily meeting the needs of the community and were not addressing the health inequities for the predominantly Pacific Island and Maori students and of their families that formed the school community. The researcher concluded that a full-service school approach should be considered by the school and the local district health board as one way to overcome the current lack of access to health services for the school community. Assertions included the potential integration of locally available services by a school-based nurse coordinator supported by health professionals (nurse practitioner and Pacific Island Community Health Worker) and social workers. The vision included professionals working within their professional scopes of practice as part of a Primary Health Organisation with the aim of appropriately addressing the health inequities experienced by the school population.
Call Number NRSNZNO @ research @ Serial 1184
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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
Volume 9 Issue 2 Pages 126-132
Keywords (down) 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 Litchfield, M.
Title The successful design and delivery of rural health services: The meaning of success Type Report
Year 2002 Publication Abbreviated Journal Online on the Ministry of Health's Centre for Rural Health pages
Volume Issue Pages
Keywords (down) Evaluation; Rural health services; Primary health care
Abstract This is the report of the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of “successful design and delivery of rural health services” as a step towards a measurement tool. Participants were grouped as general practitioners, nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health.
Call Number NRSNZNO @ research @ Serial 1177
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Author Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P.
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
Year 2002 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.
Volume 115 Issue 1157 Pages
Keywords (down) Emergency nursing; Time factors; Clinical assessment; Clinical decision making
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.
Call Number NRSNZNO @ research @ Serial 617
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Author Little, S.
Title An exploration of vicarious traumatisation in emergency nurses Type
Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Emergency nursing; Occupational health and safety; Nursing research; Stress
Abstract This thesis explores the theoretical notions of suffering and caring within the nurse patient relationship in the context of emergency nursing. It includes a small pilot study that aimed to assess the feasibliity of a major research project, by describing the impact of vicarious traumatisation in emergency nurses, specifically in relation to their self capacities. This pilot study utilised a descriptive, correlational design. Data was collected by using the Inner Experience Questionnaire (IEQ) a twenty four-item questionnaire developed by Dr Pearlman (1995), and a profile sheet which identified demographic details. Twenty-seven emergency nurses participated in this pilot study. The IEQ was assessed for internal reliability by applying the Cronbachs alpha and utilising a focus group to gain insight into the usability and relevance of the questions. The internal reliability of the IEQ suggests that it may be an appropriate tool to measure disruption of self capacities in the population of emergency nurses. Although the results are limited, and conclusions cannot be drawn, findings suggest a correlation between the variables of age, experience, nursing qualifications and a history of personal trauma and the IEQ. There is evidence that emergency nurses are affected psychologically when caring for the victims of trauma in emergency departments and the IEQ has the potential as a tool to be integrated into future emergency nursing studies. A multidimensional methodological approach is recommended to capture the many contours of the complex phenomena of vicarious traumatisation and the emergency nurse.
Call Number NRSNZNO @ research @ Serial 1249
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Author Brasell-Brian, R.; Vallance, E.
Title Clinical practice/education exchange: Bridging the theory-practice gap Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 1 Pages 17-26
Keywords (down) Education; Interprofessional relations
Abstract This article positions clinical practice/education exchange (CPEE) within nursing literature and presents narrative accounts from a nurse educator and clinician who exchanged jobs for one year. This type of exchange, between education institutes and service areas where students are placed, is a new concept. The aim is to enhance student learning and facilitating meaningful links between theory and practice for them.
Call Number NRSNZNO @ research @ Serial 613
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Author Sadlier, C.
Title Gaining insight into the experience of diabetes Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 1 Pages 14-16
Keywords (down) Diabetes Type 2; Maori; Nursing
Abstract This article reports a research project that investigated the experience and expectations of Maori who were newly-diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Four people diagnosed with NIDDM were interviewed over 12 months. Participant recommendations are incorporated into suggested improvements for managing the condition.
Call Number NRSNZNO @ research @ 1020 Serial 1004
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Author O'Reilly, A.F.
Title Relinquishing personhood in dementia: Discordant discourses: A nurse's inquiry Type
Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Dementia; Nursing; Nurse-patient relations; Relationships
Abstract This thesis traces the journey of the author's inquiry into family members' experience of the relinquishment of the personhood of a loved one with a dementia; a journey in which she reports that her own prior understandings were significantly challenged. The study was prompted by her experience of working in the area of dementia care and hearing, in the course of the working day, comments such as 'there's nobody there' made in relation to someone suffering from severe dementia. Such comments appear to imply that the person of the dementia sufferer in some way is no longer present. They are comments which relate to the very nature of personhood. The study takes impetus from the fact that the ways in which nurses view the personhood of dementia sufferers has significant consequences for the ways in which they respond to dementia sufferers and their families. This thesis, which retells the stories of four family members who each have a loved one with a dementia illness, reveals that rather than there being a unified concept of personhood in dementia, and in spite of the fact that particular understandings of dementia and personhood dominate our cultural conversations, in their day to day lives these four family members managed and made sense of their experience through particular and different ways of looking at the impact dementia has on the personhood of dementia sufferers. Not all did, in fact, relinquish the personhood of their family member. In their lived lives, the four research participants had recourse, each in different ways, to multiple discourses of personhood. For some, in addition to loss, there was also unexpected gain. This finding necessitated and shaped further inquiry into discourse and the role of discourse in shaping, constraining and opening up possibilities for meaning, and into the two substantive areas of dementia and personhood. Nurses work closely alongside the family of dementia sufferers who are daily faced with the challenge of managing and making meaning of that situation. It is critically important that they are able to recognise, validate and support the variety of needs that family members have. Nurses, whose education is traditionally based on a biomedical framework, are nevertheless often required to mediate between different understandings. Not only do they need currency of knowledge in the rapidly changing biomedical field of dementia, but they need also an understanding of the role and the power of discursive constructions of both dementia and personhood. Such understanding will provide insight into alternate ways of understanding these concepts. However, although such understanding is critical for nurses working in this area, the author suggests that nursing literature has not brought these discussions to the fore.
Call Number NRSNZNO @ research @ 792 Serial 776
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Author Kyle, W.
Title Dementia specific nursing in New Zealand: History and practice today Type Journal Article
Year 2002 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 8 Issue 14 Pages 3-9
Keywords (down) Dementia; Nursing specialties
Abstract The author examines influences on contemporary dementia specific nursing practice. She addresses the current situation and future developments in this area.
Call Number NRSNZNO @ research @ Serial 1079
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Author Nicol, M.J.
Title The teaching of genetics in New Zealand undergraduate nursing programmes Type Journal Article
Year 2002 Publication Nurse Education Today Abbreviated Journal
Volume 22 Issue 5 Pages 401-408
Keywords (down) Curriculum; Nursing; Education
Abstract This paper reports the results of a survey to determine how much genetics is taught in the bioscience component of the three-year Bachelor of Nursing degree offered by 16 tertiary education institutes in New Zealand. A questionnaire was mailed to the bioscience lecturers seeking information on the bioscience and genetics content of current programmes. They were also asked to indicate their perception of the impact and relevance of new genetic knowledge on health care and nursing education. Results indicated that on average 250-350 hours are devoted to the teaching of biosciences. Less than 10 hours are devoted to genetics at 66% of institutes, one institute did not teach any aspect of genetics. None of the institutes taught more than 20 hours of genetics in the programme, although 47% of lecturers said they would like to teach more genetics if there were more time available in the curriculum. Lecturers teaching bioscience to Bachelor of Nursing students are aware of the importance of genetics in health care and to nursing in particular, and the majority are of the opinion that more genetics should be included in undergraduate programmes, however 'curriculum crowding' is a problem.
Call Number NRSNZNO @ research @ Serial 1076
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Author Garrod, A.
Title Cultural safety: Living with disability Type Journal Article
Year 2002 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 9 Issue Pages 14-19
Keywords (down) Cultural safety; People with disabilities; Nursing models
Abstract This article outlines some of the health experiences and concerns of people with physical and/or mental disabilities. These experiences and concerns are explored within the context of the practice of cultural safety. In 1996, the Nursing Council of New Zealand adopted its definition of cultural safety and defines 'culture', in the context of 'cultural safety', as involving all people who are not part of the culture of nursing. Each person with a disability is unique, and they may also be part of a larger disability culture, which has its own shared experiences, values, beliefs and lifestyles. People with disabilities are also a minority within the population. Therefore, any power they might have within their own culture is minimal, compared to the advantages enjoyed by the rest of the population.
Call Number NRSNZNO @ research @ Serial 1082
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Author Ramsden, I.
Title Cultural safety and nursing education in Aotearoa and Te Waipounamu Type
Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Cultural safety; Maori; Nursing; Education
Abstract The research on which this thesis is based involves both a private narrative and a public narrative, with the story of cultural safety, and the history, theory and the future direction gathered into one qualitative work. The work is divided into three sections. The first is entitled, Ko Wai Matou? The Private Narrative. This section seeks to explore the historical, social, educational, physical, emotional, political and moral influences and ephiphanies which brought about the personality which introduced cultural safety ideas into nursing and midwifery. Early nursing practice is investigated and examples from practice are used to illustrate learning and consolidation of the ideas which led to Cultural Safety Theory. The second section is entitled He Huarahi Hou: A New Pathway. This section explains the progress of the theory and its relationship to education pedagogy and to nursing practice. Comparison between the work of Madeline Leininger and the Transcultural Theory of Nursing and the New Zealand concept of cultural safety is undertaken. The role and application of the Treaty of Waitangi to the theory of cultural safety is explored in this section. The third section, entitled He Whakawhanuitanga: The Public Narrative, looks at the introduction of cultural safety into the nursing education system and its implementation. The public and media reaction to the inclusion of cultural safety in the national examination for nursing registration and the subsequent parliamentary response are noted. The interviews with nursing and midwifery leadership, Maori and pakeha key players in the process and consumer views of the ideas are documented and pertinent excerpts have been included. The work concludes with a discussion on the likely future of cultural safety as a theory and in practice and outlines several issues which represent a challenge to the viability of the concept in nursing and midwifery education. The author notes that the story of cultural safety is a personal story, but also a very public one. It is set in neo-colonial New Zealand, but has implications for indigenous people throughout the world. It is about human samenesses and human differences, but is also a story about all interactions between nurses and patients because all are power laden. Finally, she points out that, although it is about nursing, it is also relevant to all encounters, all exchanges between health care workers and patients.
Call Number NRSNZNO @ research @ Serial 486
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