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Author Kidd, J.D.
Title What's going on? Mental health nursing in New Zealand Type
Year 2002 Publication Abbreviated Journal Otago Polytechnic Library
Volume Issue Pages
Keywords (up) Psychiatric Nursing; Nursing research
Abstract
Call Number NRSNZNO @ research @ Serial 1255
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Author McKenna, B.
Title Bridging the theory-practice gap Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 5 Issue 2 Pages 14-16
Keywords (up) Psychiatric nursing; Nursing; Education; Teaching methods
Abstract The author presents a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. He explores the advantages, disadvantages and reasons for success in relation to the findings of a survey of the literature on joint appointments. This technique is seen as a means of narrowing the gap between theory and practice which resulted when nurse training was transferred from hospitals to polytechnics. He highlights the need to develop research methodology to clarify potential benefits of this approach.
Call Number NRSNZNO @ research @ Serial 1024
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Author Apelu, J.
Title Pacific community mental health nurses' experiences of working for a district health board in New Zealand Type
Year 2008 Publication Abbreviated Journal ResearchArchive@Victoria http://hdl.handle.net/10063/684
Volume Issue Pages
Keywords (up) Psychiatric Nursing; Pacific peoples; Community health nursing; District Health Boards; Culture
Abstract This study explored the perspectives of Pacific nurses on what it is like for them to work in a Pacific community mental health (PCMH) service within a district health board. Five Pacific Island nurses who worked in the three Pacific community mental health services based in the Auckland region participated in the project. The study employed narrative inquiry to gather data through focused storytelling method. The results of the study have indicated that PCMH nursing is a unique nursing field as well as highlighting significant practice issues for nurses. Complex service infrastructure and language have been found to be the major contributing practice constraints. The findings suggest the need for district health board authorities, Pacific mental health service management, professional nursing education and development programs to consider addressing these practice issues to prevent further increase in the problem of PCMH nurses shortage and enhance recruitment and retention of these nurses.
Call Number NRSNZNO @ research @ Serial 1153
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Author Mosley, B.
Title Seclusion management in an acute in-patient unit Type
Year 2005 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords (up) Psychiatric Nursing; Patient rights; Hospitals; Workplace violence
Abstract This study was developed to explore the use of seclusion in an acute in-patient unit for people with mental illnesses. Investigation into this issue was considered important due to an identified large increase in seclusion use over the previous two years. The study used a qualitative research methodology with a descriptive and interpretive approach. Data collection included a retrospective file audit of patients who had been secluded over the past seven years, and one-to-one staff interviews. It also includes the author's personal reflections of seclusion events. The principle reason for using seclusion was violence and aggression in the context of mental illness. It was also used for people who were at risk of, or who had previously absconded from the unit. A recovery approach and the use of the strengths model was fundamental to nurses' way of working with patients in the unit. Nurses believed that the strengths process should be adapted to the person's level of acuity and to their ability to engage in this approach in a tangible way. Seclusion continues to be a clinical management option in the unit that is the subject of this study. However, in many circumstances there are other options that could be explored so that the utmost consideration is given to the dignity, privacy and safety of that person.
Call Number NRSNZNO @ research @ 1227 Serial 1212
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Author Walsh, C.; Boyd, L.; Baker, P.; Gavriel, A.; McClusky, N.; Puckey, T.C.; Sadler, D.; Stidworthy, A.
Title It was time for me to leave: A participatory action research study into discharge planning from an acute mental health setting Type Report
Year 2001 Publication Abbreviated Journal
Volume Issue Pages
Keywords (up) Psychiatric Nursing; Patient satisfaction; Hospitals; Administration
Abstract
Call Number NRSNZNO @ research @ 1275 Serial 1260
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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 (up) 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
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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 (up) 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
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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 (up) 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
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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 (up) 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 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 (up) 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
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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 (up) 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
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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 (up) 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
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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 (up) 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 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 (up) Psychiatric Nursing; Workplace violence; Mental health; Stress
Abstract
Call Number NRSNZNO @ research @ 829 Serial 813
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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 (up) Registered nurses; Hospitals; Psychiatric Nursing
Abstract
Call Number NRSNZNO @ research @ 1283 Serial 1268
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