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Title Dementia care: A literature review Type Journal Article
Year 2001 Publication (down) Vision: A Journal of Nursing Abbreviated Journal
Volume 7 Issue 13 Pages 33-36
Keywords Dementia; Nurse-patient relations; Quality of health care; Nursing; Education
Abstract This article defines dementia, and explores recent trends in relation to why it is such a misunderstood condition in the health care setting. Within a theoretical framework of literature development, nurse client relationships, and quality of care and attitudes are analysed. Gaps, inconsistencies and consistencies are outlined, with the implications for nursing practice and education explored.
Call Number NRSNZNO @ research @ Serial 1279
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Author Harding, T.S.; North, N.; Perkins, R.
Title Sexualizing men's touch: Male nurses and the use of intimate touch in clinical practice Type Journal Article
Year 2008 Publication (down) Research & Theory for Nursing Practice Abbreviated Journal
Volume 22 Issue 2 Pages 88-102
Keywords Male nurses; Nurse-patient relations; Gender
Abstract Drawn from a larger study, this article reports the experiences of a group of male nurses regarding the use of intimate physical touch. Using discourse analysis, interview data from 18 male nurses were analysed and related to existing text on men as nurses. The analysis reveals that although touch is important in nursing care, it is problematic for men because discourses have normalised women's use of touch as a caring behaviour and have sexualised men's touch. Participants described their vulnerability, how they protected themselves from risk, and the resulting stress. The complicity of nurses in sexualising men's touch and the neglect of educators in preparing men for providing intimate care are revealed. A paradox emerged whereby the very measures employed to protect both patients and men as nurses exacerbate the perceived risk posed by men carrying out intimate care. The authors suggest that deconstructing and reframing prevailing discourses around nursing, gender, and caring involving touch can help to legitimise men's involvement in physical caring.
Call Number NRSNZNO @ research @ Serial 960
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title Partnership in practice Type Journal Article
Year 2003 Publication (down) Research & Theory for Nursing Practice Abbreviated Journal
Volume 17 Issue 1 Pages 51-63
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need.
Call Number NRSNZNO @ research @ Serial 1172
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Author Peach, J.; Hall, B.
Title Professional boundaries: Being in relationship 'with' yet remaining separate Type Journal Article
Year 1999 Publication (down) Professional Leader Abbreviated Journal
Volume 5 Issue 1 Pages 16-18
Keywords Nurse-patient relations; Professional competence
Abstract This article describes the management of the therapeutic relationship, that is set up between nurses or midwives and those in their care. It reviews the responsibilities of the health practitioner, and looks at issues around boundaries, confidentiality and accountability. It also looks at the role senior colleagues can play in ensuring this intentional relationship is managed professionally.
Call Number NRSNZNO @ research @ 1288 Serial 1273
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Author Connor, M.
Title Advancing nursing practice in New Zealand: A place for caring as a moral imperative Type Journal Article
Year 2003 Publication (down) Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 3 Pages 13-21
Keywords Advanced nursing practice; Ethics; Professional competence; Nurse-patient relations
Abstract The author argues that the framework of competencies required for advanced nursing practice should include a moral dimension in order to take account of relational as well as functional competencies. There is no recognition of the relational competencies required to practice caring as a moral imperative. The Nursing Council of New Zealand expects that nurses will practise 'in accord with values and moral principles'. The paper explores the history of two nursing discourses, that which sees nursing as a functional occupation and that which emphasises the relationship between nurse and patient. A practice exemplar is used to demonstrate positive outcomes from advanced relational competencies.
Call Number NRSNZNO @ research @ Serial 553
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Author Farrow, T.; McKenna, B.; O'Brien, A.J.
Title Initiating committal proceedings 'just in case' with voluntary patients: A critique of nursing practice Type Journal Article
Year 2002 Publication (down) Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 2 Pages 15-23
Keywords Patient rights; Law and legislation; Mental health; Nurse-patient relations
Abstract The authors report a clinical audit that, combined with anecdotal evidence, verifies the practice of putting section 8B medical certificates on the files of voluntary mental health patients at the time of admission. This is seen as a strategy to balance the requirement to support and promote the autonomy of voluntary patients with the need to protect those patients or other people. A conceptual analysis of these issues indicates that such a practice is both legally questionable and ethically inappropriate. The authors suggest an alternative framework for practice that is legally and ethically preferable for both nurses and patients.
Call Number NRSNZNO @ research @ Serial 618
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Author McKenna, B.
Title Risk assessment of violence to others: Time for action Type Journal Article
Year 2002 Publication (down) Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 1 Pages 36-43
Keywords Mental health; Workplace violence; Risk management; Nursing; Nurse-patient relations; Psychiatric nursing
Abstract The author performs a literature search on the topics of risk assessment, dangerousness, aggression, and violence in order to determine an evidence-based approach to risk assessment of patient violence towards others. This is set in the context of possible expansion in the scope of practice of mental health nurses, and the prevalence of nurses being assaulted by patients. In the absence of reliable and valid nursing risk assessment measures, the approach suggested here focuses on the use of observation skills to detect behaviour antecedent to physical assault, and the ability to adapt evidence to specific clinical settings.
Call Number NRSNZNO @ research @ Serial 621
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Author Noble-Adams, R.
Title 'Exemplary' nurses: An exploration of the phenomenon Type Journal Article
Year 2001 Publication (down) Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 1 Pages 24-33
Keywords Nurse-patient relations; Nursing; Professional competence
Abstract This paper examines the phenomenon of exemplary nursing. It includes a literature review to identify the characteristics of good nurses. These include particular personality traits, altruism, caring, expert practice, vocation, commitment and attitude. Aspects of the nurse-patient relationship with such nurses is described.
Call Number NRSNZNO @ research @ 640 Serial 626
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Author Blockley, Colette; Alterio, Maxine
Title Patients' experiences of interpersonal relationships during first time acute hospitalisation Type Journal Article
Year 2008 Publication (down) Nursing Praxis in New Zealand Abbreviated Journal
Volume 24 Issue 2 (Jul) Pages p16-26.
Keywords Acute hospitalisation; Vulnerability; Support; Nurse-patient relationships
Abstract Examines the role of interpersonal relationships on patients' experiences during first time acute hospitalisation. Involving 12 first time acute medical and surgical admission patients, it was developed from a wider study exploring patients' overall experiences. Using a qualitative methodology with data collected by means of personal stories and semi-structured interviews findings suggest that patient vulnerability is reduced through supportive interpersonal relationships and that it is nurses who play a key role in developing and maintaining these relationships with patients.
Call Number NZNO @ research @ Serial 1432
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Author Tipa, Zoe; Wilson, Denise; Neville, Stephen; Adams, Jeffery
Title Cultural Responsiveness and the Family Partnership Model Type Journal Article
Year 2015 Publication (down) Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue 2 Pages 35-47
Keywords Well-child care; Family partnership model; Child and family nursing; Maori; Biculturalism; Nurse-patient relationship
Abstract Investigates the bicultural nature of the Family Partnership Model for working with Maori whanau in the context of well-child care services. Reports a mixed-methods study in 2 phases: an online survey of 23 nurses trained in the Family Partnership Model and 23 not trained in the model; observation of nurses' practice and interviews with 10 matched nurse-Maori client pairs. Identifies 3 aspects of the findings: respectful relationships, allowing clients to lead, and lack of skills.
Call Number NZNO @ research @ Serial 1501
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Author Phillips, B.N.
Title Nursing care and understanding the experiences of others: A Gadamerian perspective Type Journal Article
Year 2007 Publication (down) Nursing Inquiry Abbreviated Journal
Volume 14 Issue 1 Pages 89-94
Keywords Nursing philosophy; Nurse-patient relations
Abstract This article investigates the process where nurses attempt to understand the experience of patients. The author argues that this transcends particular models of ill-health. Gadamerian hermeneutics, which has been used in nursing research to articulate the process of understanding, is elaborated on. Gadamer's exposition of understanding shows that practitioners need to be aware that understanding of other people is developed through a fusion of one's own history, language and culture with that of the other person. This occurs through a hermeneutic question-answer dialogue in which practitioners put their ideas at risk of being modified or rejected in the process. Understanding then, is a perceptual and conceptual process. In this way, the experience of nurses seeking to understanding those they nurse increases self-awareness, as well as enhancing their ability to further understand others.
Call Number NRSNZNO @ research @ 797 Serial 781
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Author Carryer, J.B.
Title Embodied largeness: A significant women's health issue Type Journal Article
Year 2001 Publication (down) Nursing Inquiry Abbreviated Journal
Volume 8 Issue 2 Pages 90-97
Keywords Nurse-patient relations; Attitude of health personnel; Feminist critique
Abstract This paper describes a three-year long research project in which nine large-bodied women have engaged in a prolonged dialogue with the researcher about the experience of being 'obese'. The study involved an extensive review of the multidisciplinary literature that informs our understandings of body size. The literature review was shared with participants in order to support their critical understanding of their experience. The experience of participants raised questions as to how nursing could best provide health-care for large women. An examination of a wide range of literature pertinent to the area of study reveals widespread acceptance of the notion that to be thin is to be healthy and virtuous, and to be fat is to be unhealthy and morally deficient. According to the literature review, nurses have perpetuated an unhelpful and reductionist approach to their care of large women, in direct contradiction to nursing's supposed allegiance to a holistic approach to health-care. This paper suggests strategies for an improved response to women who are concerned about their large body size.
Call Number NRSNZNO @ research @ 941 Serial 925
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Author Crowe, M.; Luty, S.
Title Recovery from depression: A discourse analysis of interpersonal psychotherapy Type Journal Article
Year 2005 Publication (down) Nursing Inquiry Abbreviated Journal
Volume 12 Issue 1 Pages 43-50
Keywords Psychiatric Nursing; Mental health; Nurse-patient relations
Abstract This paper describes a discourse analysis of the process of interpersonal psychotherapy (IPT) in the recovery from depression. It demonstrates how IPT is an effective treatment strategy for mental health nurses to utilise in the treatment of depression. The discourse analysis highlights how the development of more meaningful subject positions enables one woman to recover from her depression. The process of recovery is underpinned by an understanding of women's depression as promoted by contemporary social and cultural expectations for detachment and reflexivity. This paper shows how IPT provides an opportunity for recovery from depression for one woman by facilitating a reconstruction of her subject positions in relation to others. The discourse analysis revealed that the therapist facilitated this through the use of a range of techniques: seeking information, exploring beliefs/values/assumptions, exploring communication patterns, exploring affective responses and exploring alternative subject positions.
Call Number NRSNZNO @ research @ 1070 Serial 1055
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Author Powell, J.
Title Caring for patients after an ICU admission Type Journal Article
Year 2002 Publication (down) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 7 Pages 24-25
Keywords Intensive care nursing; Nurse-patient relations; Trauma; Communication
Abstract The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education.
Call Number NRSNZNO @ research @ Serial 954
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Author Surtees, R.
Title Developing a therapeutic alliance in an eating disorders unit Type Journal Article
Year 2007 Publication (down) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 10 Pages 14-16
Keywords Nursing specialties; Multidisciplinary care teams; Psychiatric Nursing; Nurse-patient relations; Anorexia nervosa
Abstract The author presents the approach of a nursing team at Christchurch's Princess Margaret Hospital, in the regional specialist service for people with anorexia nervosa. This unit provides the only specialist inpatient unit in the country, consisting of a six or seven-bed facility that shares a unit with a mother and baby unit. A multidisciplinary team of psychiatric nurses, dietitians, occupational therapists, psychiatrists, psychologists and social workers all make significant contributions. The Christchurch unit uses a cognitive-behavioural therapy model (CBT) across the disciplines, a multidimensional approach incorporating psychotherapeutic, psychoeducational, biomedical and behaviourist paradigms. This occurs within a “lenient flexible approach”. Within the Unit, the eight nurses constitute what could be seen as an “intra”-disciplinary team within the wider “inter”-disciplinary or MDT team. They apply an evidence-based nursing approach with a commitment to partnership and advocacy with their patients. They use collaborative techniques for defining shared goals, and the careful management of the introduction of food. As one of the team members, the author envisages that the job of specialised nurses is to form a therapeutic alliance with patients, which takes account of the dynamic ways that patients may negotiate their own complex understandings of health, care, and recovery.
Call Number NRSNZNO @ research @ Serial 982
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