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Author Darbyshire, P.
Title 'Never mind the quality, feel the width': The nonsense of 'quality', 'excellence', and 'audit' in education, health and research Type Journal Article
Year 2008 Publication (up) Collegian: Journal of the Royal College of Nursing Australia Abbreviated Journal
Volume 15 Issue 1 Pages 35-41
Keywords Accountability; Quality assurance; Organisational change; Nursing research; Nursing; Education
Abstract The author contends that health care and education have been colonised by 'The Audit Society' and managerialism. It is argued that under the benign guise of 'improving quality' and 'ensuring value for money' a more Orwellian purpose operates. Academics had to be transformed into a workforce of 'docile bodies', willing to scrutinise and survey themselves and their 'performance' as outcome deliverers and disciples of the new 'Qualispeak'. This paper critiques the current obsession with audit and performativity, and the constant and often pointless 'change' that is held to be so self-evidently 'a good thing' and identifies policy discussion as a linguistic wasteland.
Call Number NRSNZNO @ research @ Serial 967
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Author Drake, M.
Title The sonata form of musical composition as a framework for thesis writing Type Journal Article
Year 2004 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 16 Issue 3 Pages 252-258
Keywords Nursing research; Nursing; Education
Abstract This article introduces an innovation in writing master's level research and suggests that other structures may offer new and different frameworks for reporting nursing research. This is exemplified by reference to an example of nursing research which adopted the sonata form of musical composition as the framework for presentation of the thesis.
Call Number NRSNZNO @ research @ Serial 876
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Author Day, W.
Title Women and cardiac rehabilitation: A review of the literature Type Journal Article
Year 2003 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 16 Issue 1-2 Pages 92-101
Keywords Cardiovascular diseases; Gender; Nursing; Research
Abstract This literature review explores some of the issues related to women's experience of cardiac rehabilitation and demonstrates that women's experience may be different to that of men. Much of the research related to coronary heart disease (CHD) has been performed using either exclusively male populations or such small numbers of women that the results from the women studied were unable to be analysed independently. The author advocates that nurses working within this area of practice require an understanding of women's experience of recovery from a heart attack in order to better meet their needs.
Call Number NRSNZNO @ research @ Serial 879
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Author Bland, M.F.
Title Patient observation in nursing home research: Who was that masked woman? [corrected] [published erratum appears in Contemporary Nurse 2002 Apr; 12(2): 135] Type Journal Article
Year 2002 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 12 Issue 1 Pages 42-48
Keywords Nursing research; Ethics; Rest homes; Nurse-patient relations
Abstract This article discusses the issues that one nurse researcher faced during participant observation in three New Zealand nursing homes. These include the complexity of the nurse researcher role, the blurring of role boundaries, and various ethical concerns that arose, including the difficulties of ensuring that all those who were involved in the study were kept informed as to the researcher's role and purpose. Strategies used to maintain ethical and role integrity are outlined, with further debate and discussion around fieldwork issues and experiences for nurse researchers called for.
Call Number NRSNZNO @ research @ Serial 892
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Author Farrow, T.
Title Owning their expertise: Why nurses use 'no suicide contracts' rather than their own assessments Type Journal Article
Year 2002 Publication (up) International Journal of Mental Health Nursing Abbreviated Journal
Volume 11 Issue 4 Pages 214-219
Keywords Interprofessional relations; Psychiatric Nursing; Community health nursing; Qualiltative research; Suicide
Abstract 'No suicide contracts' are a tool commonly used by nurses in community crisis situations. At times this tool is utilised because the clinician believes that it is beneficial. However, there are other occasions when 'No suicide contracts' are introduced in a manner that runs counter to the clinical judgement of the crisis nurse. This paper discusses the results of a qualitative study that addressed the question of why nurses use 'No suicide contracts' in such situations, rather than relying on their own expertise. This analysis suggests that underlying concerns of clinicians can determentally affect decision-making in such circumstances, and recommends that rather than subjugating nursing expertise, underlying issues be addressed directly.
Call Number NRSNZNO @ research @ Serial 785
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Author Gaskin, C.J.; O'Brien, A.P.; Hardy, D.J.
Title The development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand Type Journal Article
Year 2003 Publication (up) International Journal of Mental Health Nursing Abbreviated Journal
Volume 12 Issue 4 Pages 259-270
Keywords Professional competence; Psychiatric Nursing; Clinical decision making; Nursing research
Abstract This paper reports the three-stage development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand. In Study 1, clinical indicator statements (n = 99) generated from focus group data, which were considered to be unobservable in the nursing documentation in consumer case notes, were included in a three-round Delphi process. Consensus of ratings occurred for the mental health nurse and academic participants (n = 7) on 83 clinical indicator statements. In Study 2, the clinical indicator statements (n = 67) that met importance and consensus criteria were incorporated into a questionnaire, which was piloted at a New Zealand mental health service. The questionnaire was then modified for use in a national field study. In Study 3, the national field study, registered mental health nurses (n = 422) from 11 New Zealand district health board mental health services completed the questionnaire. Five categories of nursing practice were identified: professional and evidence-based practice; consumer focus and reflective practice; professional development and integration; ethically and legally safe practice; and culturally safe practice. Analyses revealed little difference in the perceptions of nurses from different backgrounds regarding the regularity of the nursing practices. Further research is needed to calibrate the scores on each clinical indicator statement with behaviour in clinical practice.
Call Number NRSNZNO @ research @ Serial 1064
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Author Howie, L.
Title Contextualised nursing practice Type Book Chapter
Year 2008 Publication (up) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 33-49) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Rural nursing; Nursing models; Nursing research
Abstract This is the first of three chapters that describe nursing practice. The author presents the Rural Framework Wheel to elaborate aspects of the rural context. The Framework comprises four systems which describe aspects of rurality; being are socio-cultural, occupational, ecological, and health. These systems each comprise of subsystems, which provide a detailed analysis of the way nursing practice is particular in diverse rural settings. The Framework is presented as a work in progress, and is grounded in international nursing literature. It highlights rural nursing as a unique and challenging field, with the dominant themes of partnership and nursing emerging as underpinning the practice when nurses live and work in small, sometimes isolated communities.
Call Number NRSNZNO @ research @ 766 Serial 750
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Author Clendon, J.
Title Nurse-managed clinics: Issues in evaluation Type Journal Article
Year 2003 Publication (up) Journal of Advanced Nursing Abbreviated Journal
Volume 44 Issue 6 Pages 558-565
Keywords Evaluation research; Nurse managers; Qualiltative research; Patient satisfaction
Abstract This article explores the importance of evaluation of nurse-managed clinics using the Mana Health Clinic in Auckland, as an example. Fourth generation evaluation is offered as an appropriate methodology for undertaking evaluation of nurse-managed clinics. Fourth generation evaluation actively seeks involvement of clients in the process and outcome of the evaluation, resulting in participation and empowerment of stakeholders in the service – a precept often forgotten in traditional evaluation strategies and of vital importance in understanding why people use nurse-managed clinics. The method proposed here also incorporates the need for quantitative data. The main argument is that a combination of qualitative and quantitative data sources is likely to give the greatest understanding of nurse-managed clinics' utilisation.
Call Number NRSNZNO @ research @ Serial 949
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title The relational core of nursing practice as partnership Type Journal Article
Year Publication (up) Journal of Advanced Nursing Abbreviated Journal
Volume 47 Issue 3 Pages 241-250
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract This article elaborates the meaning of partnership in practice for nurses practising in different and complementary way to nurses in specialist roles and medical practitioners. It positions partnership as the relational core of nursing practice. Partnership is presented as an evolving dialogue between nurse and patient, which is characterised by open, caring, mutually responsive and non-directive approaches. This partnership occurs within a health system that is dominated by technologically-driven, prescriptive, and outcome-oriented approaches. It is the second of a series of articles written as a partnership between nurse scholars from Iceland, NZ and USA.
Call Number NRSNZNO @ research @ 1188 Serial 1173
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Author Carryer, J.B.; Gardner, G.; Dunn, S.; Gardner, A.
Title The core role of the nurse practitioner: Practice, professionalism and clinical leadership Type Journal Article
Year 2007 Publication (up) Journal of Clinical Nursing Abbreviated Journal
Volume 16 Issue 10 Pages 1818-1825
Keywords Professional competence; Nurse practitioners; Evaluation research; Cross-cultural comparison
Abstract This article draws on empirical evidence to illustrate the core role of nurse practitioners in Australia and New Zealand. A study jointly commissioned by both countries' Regulatory Boards developed information of the newly created nurse practitioner role, to develop shared competency and educational standards. This interpretive study used multiple data sources, including published and grey literature, policy documents, nurse practitioner programme curricula and interviews with 15 nurse practitioners from the two countries. The core role of the nurse practitioner was identified as having three components: dynamic practice, professional efficacy and clinical leadership. Nurse practitioner practice is dynamic and involves the application of high level clinical knowledge and skills in a wide range of contexts. The nurse practitioner demonstrates professional efficacy, enhanced by an extended range of autonomy that includes legislated privileges. The nurse practitioner is a clinical leader with a readiness and an obligation to advocate for their client base and their profession at the systems level of health care.
Call Number NRSNZNO @ research @ Serial 932
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Author Brockie, Teresa; Clark, Terryann C; Best, Odette; Power, Tamara; Bourque Bearskin, Lisa; Kurtz, Donna LM; Lowe, John; Wilson, Denise
Title Indigenous social exclusion to inclusion: Case studies on Indigenous nursing leadership in four high income countries. Type Journal Article
Year 2021 Publication (up) Journal of Clinical Nursing Abbreviated Journal
Volume Issue Pages 1-15
Keywords Nursing leadership; Indigenous nurses; Nursing workforce; Indigenous health; Kaupapa Maori research methodology
Abstract Maintains that achieving health equity for indigenous populations requires indigenous nursing leadership to develop and implement new systems of care delivery. Develops a consensus among indigenous nurse academics from Australia, Canada, NZ and the US on the three themes of nursing leadership, to redress colonial injustices, to contribute to models of care and to enhance the indigenous workforce. Highlights five indigenous strategies for influencing outcomes: nationhood and reconcilation as levers for change; nursing leadership; workforce strategies; culturally-safe practices and models of care; nurse activism.
Call Number NZNO @ research @ Serial 1773
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Author Paton, B.; Martin, S.; McClunie-Trust, P.; Weir, N.
Title Doing phenomenological research collaboratively Type Journal Article
Year 2004 Publication (up) Journal of Continuing Education in Nursing Abbreviated Journal Wintec Research Archive
Volume 35 Issue 4 Pages 176-181
Keywords Qualiltative research; Nursing research; New graduate nurses
Abstract The purpose of this article is twofold. The first is to clarify some of the challenges experienced while conducting collaborative research and describe the steps taken to ensure consistency between the purpose of the research and the phenomenological research design used to explore the learning that nursing students acquire in their final clinical practicum. Second, it was thought that by illuminating this learning, registered nurses working as preceptors and those supporting new graduates could gain insight into the complexities of learning the skills of safe and competent practice from the student's perspective. This insight is essential in creating a strategy between education and practice to minimise the duplication of learning opportunities and lessen the cost of supporting newly registered nurses, which may be at the expense of investment in the professional development of experienced registered nurses.
Call Number NRSNZNO @ research @ Serial 1202
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Author Gage, J.; Everrett, K.D.; Bullock, L.
Title Integrative review of parenting in nursing research Type Journal Article
Year 2006 Publication (up) Journal of Nursing Scholarship Abbreviated Journal
Volume 38 Issue 1 Pages 56-62
Keywords Parents and caregivers; Nursing research; Evaluation
Abstract The authors synthesise and critically analyse parenting research in nursing. They focused on studies published between 1993 and 2004 by nurse researchers in peer-reviewed journals. Data were organised and analysed with a sample of 17 nursing research studies from core nursing journals. The majority of parenting research has been focused on mothers, primarily about parenting children with physical or developmental disabilities. Research about fathers as parents is sparse. Parenting across cultures, parenting in the context of family, and theoretical frameworks for parenting research are not well developed. The authors conclude that the scope of nursing research on parenting is limited.
Call Number NRSNZNO @ research @ Serial 709
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Author Giddings, D.L.S.
Title Mixed-methods research: Positivism dressed in drag Type Journal Article
Year 2006 Publication (up) Journal of Research in Nursing Abbreviated Journal
Volume 11 Issue 3 Pages 195-203
Keywords Methodology; Nursing research
Abstract The author critiques the claim that mixed method research is a third methodology, and the implied belief that the mixing of qualitative and quantitative methods will produce the 'best of both worlds'. The author suggests that this assumption, combined with inherent promises of inclusiveness, takes on a reality and certainty in research findings that serves well the powerful nexus of economic restraint and evidence-based practice. The author argues that the use of the terms 'qualitative' and 'quantitative' as normative descriptors reinforces their binary positioning, effectively marginalising the methodological diversity within them. Ideologically, mixed methods covers for the continuing hegemony of positivism, albeit in its more moderate, postpositivist form. If naively interpreted, mixed methods could become the preferred approach in the teaching and doing of research. The author concludes that rather than the promotion of more co-operative and complex designs for increasingly complex social and health issues, economic and administrative pressures may lead to demands for the 'quick fix' that mixed methods appears to offer.
Call Number NRSNZNO @ research @ Serial 717
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Author Peri, K.; Kerse, N.; Kiata, L.; Wilkinson, T.; Robinson, E.; Parsons, J.; Willingale, J.; Parsons, M.; Brown, P.; Pearson, J.R.; von Randow, M.; Arroll, B.
Title Promoting independence in residential care: Successful recruitment for a randomized controlled trial Type Journal Article
Year 2008 Publication (up) Journal of the American Medical Directors Association Abbreviated Journal
Volume 9 Issue 4 Pages 251-256
Keywords Research; Geriatric nursing; Rest homes; Evaluation; Attitude of health personnel
Abstract The aim of this study was to describe the recruitment strategy and association between facility and staff characteristics and success of resident recruitment for the Promoting Independence in Residential Care (PIRC) trial. A global impression of staff willingness to facilitate research was gauged by research nurses, facility characteristics were measured by staff interview. Forty-one (85%) facilities and 682 (83%) residents participated, median age was 85 years (range 65-101), and 74% were women. Participants had complex health problems. Recruitment rates were associated (but did not increase linearly) with the perceived willingness of staff, and were not associated with facility size. Design effects from the cluster recruitment differed according to outcome. The recruitment strategy was successful in recruiting a large sample of people with complex comorbidities and high levels of functional disability despite perceptions of staff reluctance. Staff willingness was related to recruitment success.
Call Number NRSNZNO @ research @ 803 Serial 787
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