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Moir, C., & Baby, M. (2022). Managing violence and aggression: graduate-entry nursing students' responses to pre-emptive communication skills education. Kai Tiaki Nursing Research, 13(1), 9–18.
Abstract: Argues that teaching de-escalation skills early in the nursing programme is vital for student safety and later retention in the nursing workforce. Sets out to determine the efficacy of communication training to teach nursing students agression-management skills while on clinical placement. Designs a quasi-experimental design using pre- and post-tests of communication competence following an education module delivered as part of the curriculum.
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Tipa, Z. K. (2013). Family Partnership as a model for cultural responsiveness in a well child context. Master's thesis, Massey University, Albany. Retrieved June 1, 2024, from http://hdl.handle.net/10179/4729
Abstract: Examines whether the Family Partnership model could be considered a model for cultural responsiveness while simultaneously providing a platform for more accurate assessment of the cultural competence of Plunket nurse practice. Determines the relationship between Family Partnership training for Plunket nurses and Maori child health outcomes. Distributes an online survey to Plunket nurses who had completed the training and to a group who had not. Conducts 10 observations and interviews with Plunket nurses and Maori clients. Presents the findings in three areas: Plunket nurse practice, client experience, and the impact of Family Partnership training on Plunket as an organisation.
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Ferguson, K. M. (2021). The appropriation of cultural safety: A mixed methods analysis. Ph.D. thesis, University of Otago, Dunedin. Retrieved June 1, 2024, from http://hdl.handle.net/10523/12207
Abstract: Argues that the concept of cultural safety (CS) has been appropriated from an indigenous-led bicutural context to an inclusive cross-cultural framework for working with diverse patient populations. Investigates nurses' understanding of the 'Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice' published in 2011 by the Nursing Council of NZ. Conducts a mixed-methods survey using both closed and open-ended questions to gauge nurses' confidence in applying the guidelines and their view of their relevance. Describes differences between NZ Registered Nurses (RN) and Internationally Qualified Nurses (IQN) in their understanding of CS. Argues that the CS model should be by Maori, for Maori.
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Van der Krogt, S., Coombs, M., & Rook, H. (2020). Humour: a purposeful and therapeutic tool in surgical nursing practice. Nursing Praxis in New Zealand, 36(2). Retrieved June 1, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2020.008
Abstract: Notes the lack of evidence-based guidance for use of humour by nurses. Uses a qualitative descriptive methodology to explore how surgical nurses determine when and how to employ humour with patients. Enrols 9 RNs working in a surgical ward within a tertiary hospital in semi-strutured interviews to discuss how they assess patient receptiveness, build connections with patients and protect their vulnerability.
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Corner, K. (2020). Perceptions of Indian IQNs transitioning into a bachelor of nursing programme in New Zealand. Kai Tiaki Nursing Research, 11(1), 61–62.
Abstract: Aims to understand the experiences of Indian internationally-qualified nurses (IQN) making the transition into a NZ bachelor of nursing (BN) programme. Conducts a focus group with four Indian IQN students enrolled in an 18-month bridging course. Identifies four themes: adaptation to a new way of learning; cultural differences in living and working in NZ; adaptation to a different clinical environment; and cultural safety.
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Jarden, A. J. (2018). Before-school check nurses' experiences of motivational interviewing during the weight-related referral process : an interpretive phenomenological study. Master's thesis, University of Canterbury, Christchurch. Retrieved June 1, 2024, from http://hdl.handle.net/10092/16678
Abstract: Investigates nurses' experiences of weight-related conversations with whanau, and their level of understanding and application of motivational interviewing, during the Before-School Check programme to identify 95% of high-weight children. Uses a questionnaire focussed on competencies in conjunction with recorded interviews concentrated on process-oriented accounts of the referral process.
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Pool, L., Day, L., & Ridley, S. (2019). Mountain climbing: the journey for students with English as an additional language in a concept-based nursing curriculum. Whitireia Journal of Nursing, Health and Social Services, (26), 28–36.
Abstract: Identifies the communication and learning needs of EAL students in undergraduate nursing education. Presents strategies for EAL students and others with diverse learning needs to comprehend the underlying concepts of cultural safety, praxis, professional nursing and leadership in Whitireia's BN integrated nursing curriculum. Reports findings from focus group discussions with 13 students involved in the three-way partnership comprising lecturers, learning support services and EAL students.
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Crawford, R. (2019). Using focused ethnography in nursing research. Kai Tiaki Nursing Research, 10(1), 63–67.
Abstract: Details how the author employed focused ethnography in her doctoral research to investigate nurses' and parents' experience of emotional communication in the context of a children's unit of a regional hospital in NZ. Interviews 10 parents and 10 nurses after the children were discharged. Validates the ethnographic method as a means of inspecting the hidden as well as observable aspects of nurse-parent interaction.
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Wraight, J. (2019). Assessing English language skills of internationally-qualified nurses in New Zealand. Kai Tiaki Nursing Research, 10(1), 59–60.
Abstract: Introduces the Clinical Communication Assessment Framework (CCAF), adapted by Nelson Marlborough Institute of Technology from communication assessment guidelines developed in Australia to assess nursing students' English language proficiency. Uses this framework to assess nurses, before the competency assessment programme (CAP) four-week clinical nursing placement, for the first time in NZ.
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Brunton, M., Cook, C., Walker, L., & Clendon, J. (2017). Where are we?: workplace communication between RNs in culturally-diverse healthcare organisations; Analysis of a 2-phase, mixed-method study: a report prepared for the New Zealand Nursing Education and Research Foundation. Wellington: Massey University.
Abstract: Examines cultural influences on perceptions and practices of cross-cultural communication among registered nursing staff from diverse ethnicities in NZ. Employs an exploratory approach to obtain qualitative feedback by means of semi-structured interviews with 36 Internationally Qualified Nurses (IQN) and 17 NZ Registered Nurses (NZRN). Uses data from the interviews to construct a questionnaire survey to seek responses from a random national sample of RNs.
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Cook, C., & Brunton, M. (2014). The influence of the Cartwright Report on gynaecological examinations and nurses' communication. Nursing Praxis in New Zealand, 30(2), 28–38.
Abstract: Reports findings from semi-structured interviews with 6 nurses and 7 women patients at a sexual health clinic where the women reported positive experiences of speculum examinations. Combines data with that from interviews with 16 patients and 16 clinicians regarding positive examinations, and analyses data to identify which clinical communication strategies were used, and how the women responded. Highlights the legacy of the Cartwright Report of the Cervical Cancer Inquiry of 1987/88.
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Lu, H., & Maithus, C. (2012). Experiences of clinical tutors with English as an additional language (EAL) students. Nursing Praxis in New Zealand, 28(3), 4–12.
Abstract: Conducts a study of the perceptions of new nursing graduates, with English as an additional language (EAL), on how they developed spoken language skills for the clinical workplace. Interviews 4 clinical tutors to elicit their views on the language development of EAL students. Outlines the themes that emerged from the tutor interviews.
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Gare, L. (2006). Patient experience of joint replacement education: A joint venture. Ph.D. thesis, , .
Abstract: The aim of this research was to explore patients' educational experiences and the usefulness and benefits of this health education in the rehabilitation period, when undertaking a total joint replacement. An exploratory, qualitative descriptive study method was used to describing patients' experiences of health education. Five participants, convenience sampled, were interviewed eight to twelve weeks post surgery following unilateral total joint replacement in a tertiary hospital. Participants valued the education they received pre operatively, which included written material, video and individual interaction with varied health professionals. Although this was provided in a timely manner, evidence showed limited post operative reinforcement and follow up of given education and preparation for discharge. Three 'partnership' themes were identified from data, Communicative, Subservient and Knowledge. 'Communicative Partnership' conceptualised the participants' experiences of the nurse-patient relationship, whilst 'Subservient Partnership' captured the participants' experiences of 'being' patients. 'Knowledge Partnership' combined the participants' ideas about knowledge and their retention of this knowledge to assist with their rehabilitation post surgery. The needs and experiences of patients after total joint replacement reflect on transitional change – changes in roles, behaviour, abilities and relationships. Educational contents need to reflect a realistic recovery process to assist with this transitional period, delivered by health care professionals in a manner best suited for patients.
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Lally, E. J. (2002). An exploration of language and nursing practice to improve communication in the context of ear syringing. Ph.D. thesis, , .
Abstract: This action research inquiry explores communication and nursing practice in an effort to improve practice and enhance patient care. Action research is a critical reflective process that involves spirals or cycles of planning, acting, reflecting/evaluating and replanning the next cycle. Using ear syringing as a procedure, in the general practice setting and at two separate surgeries, the author and another practice nurse co-researched this study during working hours. Twelve people consented to participate in the research that involved the audiotaping of each ear syringing interaction. Following each transcription of the recording, the researchers read their own and then each other's transcripts, and listened to the recordings. They discussed and reflected on their findings and planned the next cycle. Throughout the process, the researchers found a number of areas of practice to change or enhance. Changes included the use of technical language such as “contraindications” and “auditory meatus”, the side effects of syringing, improvements in communicating situations where ear syringing is not recommended and the options available, and post procedure information. These changes became a significant challenge, for example when both researchers forgot the changes, thus repeating previous errors and omissions. This factor highlighted the need to practise any changes prior to interactions, and to have a cue card on hand to facilitate recollection and to cement improvements into practice. Although time constraints limited this inquiry to three cycles, at the final meeting the researchers agreed to continue the reflective process they had begun to explore their practice.
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Clayton, J. R. (2008). Exploring transitions: Working in “the space between the no longer and the not yet”. Ph.D. thesis, , .
Abstract: This thesis uncovers a personal journey of reflective practice, focusing on the author's emerging role as a nurse facilitating transitions using a dialectical approach in the context of a private nursing practice. Transitions encompass: life changes, loss, and adjustment to changes in function. Dialectical nurse facilitation of transition (DNFT) is a way of exploring self in the transitional space between “the no longer and the not yet”. In this facilitated process people potentially discover paradoxes, tensions, and creative energy, as they search for a way forward. The research design details a dialectical heuristic quest through journaling and reflecting on practice supervision and peer review, over a two year period. Exemplars written after reflecting on case notes reveal the lived experiences of participants. These case reviews show the complexity of patterns for people undergoing transitions and nurse facilitation. A relational pattern for DNFT encompasses compassionate engagement, catalytic mirroring, and interconnectedness. An exploration of literature encompasses nursing theories, facilitation, dialogue, loss, grief, spirituality and transition. This thesis provides a basis for evaluative research on the effectiveness of DNFT in health care settings in the future. Discussions regarding the expansion of these reflective and praxis genres are included which may be of interest to nursing education and practice contexts.
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