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Author Carryer, J.B.; Boyd, M.
Title (up) The myth of medical liability for nursing practice Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 4-12 Pages 4-12
Keywords Interprofessional relations; Law and legislation; Nurse practitioners; Advanced nursing practice
Abstract This article explores the complex nature of liability in the case of standing orders and vicarious liability by employers, and also when nurses and doctors are in management roles. The authors address misconceptions about medico-legal responsibility for nursing practice with the advent of nurse prescribers and nurse practitioners. They refer to the submission made by the College of Nurses Aotearoa (NZ) on the Health Practitioners Competence Assurance Act (2003), and discuss practice liability and nurse-physician collaboration.
Call Number NRSNZNO @ research @ 624 Serial 610
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Author Clendon, J.; Krothe, J.
Title (up) The nurse-managed clinic: An evaluative study Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 2 Pages 15-23
Keywords Evaluation research; Nurse managers; Primary health care; Cross-cultural comparison
Abstract Part of an international project, the aim of this study was to evaluate a nurse managed primary health care clinic (Mana Health Clinic) from the perspectives of users, funders, and providers of clinical services in order to identify factors which contribute to success. The method used was Fourth Generation Evaluation (FGE) whereby, consistent with the methodological precepts of the constructivist enquiry paradigm, there was active involvement of clients in the process and outcome of the evaluation. Open-ended interviews were conducted with 13 individuals and one focus group. The data yielded four main categories: factors that contribute to success; contrasting past experience of health care with that of nurse-managed care; the effectiveness of nurse-managed care; and suggestions for change in current practice. The authors note that the results to date support a tentative conclusion of success for the clinic. As the study is on-going, summaries of the four categories were fed back to the participants for further discussion and interpretation and eventual integration with data from the similar study being undertaken in the United States. The authors conclude that this paper demonstrates how the use of an appropriate method of evaluation can itself contribute to the success of the nurse managed clinic.
Call Number NRSNZNO @ research @ Serial 547
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Author Wilkinson, J.A.; Huntington, A.D.
Title (up) The personal safety of district nurses: A critical analysis Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 3 Pages 31-44
Keywords District nursing; Occupational health and safety; Organisational culture; Risk factors
Abstract A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses.
Call Number NRSNZNO @ research @ Serial 549
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Author Mortensen, A.; White, G.E.
Title (up) The process of destigmatisation: The work of sexual health nurses Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 1 Pages 32-39
Keywords Nursing specialties; Sexual and reproductive health; Attitude to health
Abstract The focus of this article is on the findings of a grounded theory study of sexual health nursing in New Zealand. Nurses' experiences of providing sexual health care are described and theoretical explanations generated. The emphasis in this article is on countering stigma which emerged as a recurrent problem for nurses in the study. A comparative analysis of the nurses' counter reactions with Gilmore and Somerville's (1994) model of stigmatised reactions towards people with sexually transmitted diseases was done. The model describes the processes of disidentification, depersonalisation, scapegoating, and discrimination, which characterise stigmatised reactions. Nurses' understandings of the impact of socioeconomic conditions and gender/power relations in society have an important role to play in how nurses manage care. The concept of destigmatisation, which seeks to counteract negative social attitudes, is discussed. The study showed that as a consequence of their work nurses in this study encountered professional stigma and marginalisation.
Call Number NRSNZNO @ research @ 626 Serial 612
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Author Vallant, S.R.; Neville, S.J.
Title (up) The relationship between student nurse and nurse clinician: Impact on student learning Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue 3 Pages 23-33
Keywords Teaching methods; Students; Nursing
Abstract The purpose of this descriptive interpretive study was to explore relationships between student nurses and nurse clinicians. Eleven student nurses at the end of a three year Bachelor of Nursing programme in one institution participated in focus group interviews. Data gathered from the three focus groups were analysed using an inductive approach. Five categories, namely 'being invisible in the relationship', 'not stepping on toes', 'lost opportunities for learning', 'nurturance' and 'reciprocity' emerged from data analysis. These are presented with appropriate quotes to demonstrate the essence of participant experiences. Findings indicated that when students experienced relationships with clinicians as not being positive, this inhibited learning. Conversely, when students saw the clinician as participating actively and positively in the student/clinician relationship then student learning was enhanced. This evidence forms the basis for recommending further complementary research into the clinician's attitudes and perceptions related to their teaching role.
Call Number NRSNZNO @ research @ Serial 529
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Author Dyson, L.
Title (up) The role of the lecturer in the preceptor model of clinical teaching Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 16 Issue 3 Pages 16-24
Keywords Teaching methods; Nursing; Education; Preceptorship
Abstract This article reports on a descriptive study undertaken within a school of nursing where the author was formerly employed. The study explored the role of the lecturer within the preceptorship model of clinical teaching. It uses an exploratory/descriptive, qualitative approach to interviewing 12 lecturers. The findings demonstrate the educational orientation of the lecturer role and also highlight the tension that continues to exist between the world of education and the world of practice.
Call Number NRSNZNO @ research @ Serial 635
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Author Litchfield, M.
Title (up) The scope of advancing nursing practice Type Journal Article
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 13 Issue 3 Pages 13-24
Keywords Nursing specialties; Nursing
Abstract An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the changing New Zealand health system. The emphasis is on the complementary nature of the practice of family nurses taking a generic integrative service delivery hub role and the practice of other nurses advancing in specialist roles. Nursing care is presented as a professional, collective practice of registered nurses spread across all health service sectors and employment settings. Nurse roles are differentiated according to the interplay of two factors influencing the extent of practice autonomy the nurses assume (educationally supported) in responding to health need. A diagram depicts the interrelationship of competency and scope for the inclusive three different career trajectories of nurses advancing in practice. NOTE: This paper was published with an error in the title of the article (stated correctly on the journal contents page). An apology from the journal editor with an explanation of the importance of the use of the term ?advancing? and not ?advanced? was published in the subsequent issue (Nursing Praxis in NZ,14(1)).
Call Number NZNO @ research @ Serial 1325
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Author Walker, J.
Title (up) The transition to registered nurse: the experience of a group of New Zealand degree graduates Type Journal Article
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 13 Issue 2 Pages 36-43
Keywords
Abstract Since 1991, nursing profession in New Zealand has primarily been through a three year programme. The purpose of this study was to explore the issues faced by a group of degree graduates in their first year of registered nurse practice and to identify if the degree graduatesoutcomes (such as critical thinking, problem solving, reflection on practice, research, independent learning, and using cultural safety knowledge) had mediated this transposition process. Purpose sampling was used to invite five female graduates to take part in two focusgroups, one held at months and the other at 9 months after starting work. Qualitative data were collected using semi-structured questions and the taped interviews were analysed for themes. Five themes were identified: accepting responsibility, accepting their level of knowledge, becoming a team member, professional standards, and workplace conditions. Graduates were using their cultural safety knowledge but they perceived their knowledge of research was linked to further academic. Their ability to critique their own practice was evident but they found it difficult to challenge their colleagues' practice and the wider agency culture. Implications of the study are discussed in relation to nursing education and preceptor programmes and areas for further research are indicated
Call Number NRSNZNO @ research @ 192 Serial 192
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Author Lyford, S.; Cook, P.
Title (up) The Whanaungatanga model of care Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 2 Pages 26-36
Keywords Maori; Hospitals; Nursing models
Abstract The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme.
Call Number NRSNZNO @ research @ Serial 538
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Author Thompson, R.; Farrow, T.
Title (up) The Workbook Portfolio: Facilitating undergraduate student learning in the mental health clinical area Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 2 Pages 21-30
Keywords Mental health; Teaching methods; Critical thinking
Abstract This article describes the use of a model that has been developed to assist students in tackling the complex issues surrounding mental health nursing. The Workbook Portfolio has identifiable components that encourage the development of reflective and analytical skills, which allow nurses to practice within an environment that is influenced and determined by a complex, and sometimes contradictory, range of external influences. The article explains the workings of this model so it can be used by educators to for students in the mental health setting.
Call Number NRSNZNO @ research @ Serial 637
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Author Litchfield, M.
Title (up) Thinking through diagnosis: Process in nursing practice Type Journal Article
Year 1986 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 1 Issue 4 Pages 9-12
Keywords Diagnosis; Nursing philosophy; Nursing research
Abstract A paper following on from the paper “Between the idea and reality” (Nursing Praxis in New Zealand 1(2), 17-29) proposing the focus for the discipline of nursing – practice and research – is diagnosis. For nursing practice, diagnosis is a practice that collapses “The Nursing Process”; for research to develop nursing practice, diagnosis is one continuous relational process that merges and makes the separate tasks od assessment, intervention and evaluation redundant.
Call Number NZNO @ research @ Serial 1314
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Author Giles, A.L.
Title (up) This voice is forever: one woman's experience following total laryngectomy Type
Year 1997 Publication Nursing Praxis in New Zealand Abbreviated Journal Author, Massey University Library
Volume 14 Issue 1 Pages 50-51
Keywords
Abstract This phenomenological research project focused on one womans experience following total removal of her larynx and aimed to faithfully capture the essential structure of the phenomenon of voice as it emerged for her. For women in particular gaining a new artifical voice following surgery that is considerably lower sounding, plus the large visible opening in the lower neck is psychologically challenging and can be socially isolating. Most literature relating to laryngectomy and rehabilitation comprises quantitative research with limited attention to womens issues. This could be attributed to the small number of women undergoing this surgery. A review of nursing literature revealed minimal research, with none referring specifically to women. Nor were any studies using entirely qualitative methods identified.This research project used a phenomenological approach informed by the work of Michael Crotty, described as within the parameters of mainstream phenomenology. Based on a traditional common core foundation which is critical, holistic and individualistic, mainstream phenomenology requires achieving co-researchership between researcher and participant while exploring phenomena as objects of authentic human experience.The study began with discussing Crottys stepwise method emphasising the activity of bracketing. The co-researcher was then left to ponder or meditate on her experience following bracketing all her prior understandings and ideas, as if this was the first time she had encountered the phenomenon. Three conversations followed which allowed exploration of the co-researchers written statements. The seven interwoven dimensions that emerged represented the essential structure, meaning and essence of 'what voice is for this woman following total laryngectomy
Call Number NRSNZNO @ research @ 371 Serial 371
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Author Dyson, L.; Entwistle, M.; Macdiarmaid, R.; Marshall, D.C.; Simpson, S.M.
Title (up) Three approaches to use of questioning by clinical lecturesers [lecturers]: A pilot study Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 15 Issue 1 Pages 13-22
Keywords Qualiltative research; Preceptorship; Teaching methods; Nursing; Education
Abstract The author investigates the types of questions asked of students by lecturers working within the preceptorship model in the clinical setting. A sample of five volunteer nursing lecturers had their interactions with undergraduate students recorded. The data is analysed using two auditing approaches and qualitative content analysis.
Call Number NRSNZNO @ research @ Serial 636
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Author Bell, Jeanette
Title (up) Towards clarification of the role of research nurses in New Zealand : a literature review Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue 1 Pages 4-16
Keywords Research nursing; Research co-ordinator; Clinical research; Clinical trials
Abstract Notes an increased demand for research nurses and performs a literature review to define more clearly the role they play coordinating clinical trials and managing associated patient care. Discusses professional issues associated with the role and examines findings against competency requirements for registered nurses as set out by the Nursing Council of New Zealand. Identifies professional issues and perceived barriers as well as potential strategies to strengthen and promote the research nurse role.
Call Number NZNO @ research @ Serial 1439
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Author Wood, Pamela J
Title (up) Understanding and evaluating historical sources in nursing history research Type Journal Article
Year 2011 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 27 Issue 1 Pages 25-33
Keywords History of nursing; Historical research; Research methodology; Nurse researchers
Abstract Describes four historical sources relevant to the history of nursing in NZ. Uses them to explain how nurse researchers can evaluate their research material. Outlines the five dimensions of evaluation: provenance, purpose, context, veracity, and usefulness. Explains the questions that must be addressed in each dimension of the evaluation. Illustrates the different kinds of information available in the 4 selected historical sources, by references to individual nurses.
Call Number NZNO @ research @ Serial 1462
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