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Author Spackman, N. E.
Title (down) Nurses' early experiences with patient death Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages 156 pp
Keywords New graduate nurses; Terminal care
Abstract Chronic stress and 'burnout' have been extensively researched in nursing populations, but very little is known about the impact of specific acutely stressful or significant events. A novice nurse's first encounter with patient death may pose considerable cognitive, emotional and clinical challenges. Using a mixed methods design, this study explored the clinical circumstances, impact and challenges and rewards of nurses' early experiences with patient death.
Call Number NRSNZNO @ research @ Serial 1292
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Author Pirret, A M
Title (down) Nurse practitioner diagnostic reasoning Type
Year 2013 Publication Abbreviated Journal Available from the NZNO Library
Volume Issue Pages 280 pp
Keywords Nurse practitioners; Diagnostic reasoning; Diagnostic accuracy; Surveys; Decision-making theory
Abstract Uses a post-positivist mixed-methods convergent-parallel design to explore nurse practitioner diagnostic reasoning and compare it to that of registrars. Includes 30 nurse practitioners and 16 registrars in a case scenario. Outlines nurse practitioner practice in NZ and how the NZ title of nurse practitioner differs from that used internationally.
Call Number NZNO @ research @ Reference only Serial 1394
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Author Clinical Training Agency,
Title (down) National review of clinical training agency funded advanced mental health nursing programme Type
Year 1998 Publication Abbreviated Journal CTA – HFA – NZNO Library
Volume Issue Pages
Keywords
Abstract In 1997, Advanced Mental Health Nursing Programmes were funded nationally by the Clinical Training Agency using the funds made available subsequent to the 1996 Mason Report. The training leads to an award of either a post graduate certificate or diploma awarded by a tertiary education provider.A review was conducted with the aim to monitor the impact on service provision of advanced mental health nurse practitioner training. This was done by obtaining feedback through using an agreed standard questionnaire from course participants and mental health service providers.In seeking to learn more about the impact of these programmes, the CTA identified the following key issues:- what effect the courses may have had on mental health workforce make-up, skills and retention.- perceptions of programme delivery and content.- the impact on service delivery.Overall findings are shared which highlight that the course was seen as well organised and participants and service providers would recommend it to their colleagues. The greatest effect of the course appeared to be in developing more understanding of clinical supervision. Participating in the course had also led to positive changes in relationships with the clients and colleagues for more than three quarters of the group.The provision of an Advanced Mental Health Nursing Programme in 1997 has had many positive effects. The funding strategy and delivery models that have evolved may provide a useful template for other nursing specialty areas
Call Number NRSNZNO @ research @ 355 Serial 355
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Author Surtees, R.
Title (down) Midwifery as Feminist Praxis in Aotearoa/New Zealand Type
Year 2003 Publication Abbreviated Journal NZNO Library
Volume Issue Pages 323 pp
Keywords
Abstract A thesis submitted in fulfilment of the requirements for the Degree

of DOCTOR OF PHILOSOPHY IN EDUCATION, UNIVERSITY OF CANTERBURY 2003.

This thesis highlights the ways in which the practices of contemporary midwives in

Aotearoa/New Zealand are caught within the intersection of an array of competing discourses. The context for this is the reconstruction of midwifery in Aotearoa/New Zealand as an autonomous feminist profession founded on partnership with women. Interviews and participant observation with midwives, based mainly in one New Zealand city, are the basis of an analysis of the complexity of midwives? praxis as professionals. The analysis draws on insights from critical and feminist approaches to Foucault?s theories of discourse, power and the subject. It includes discussion of the conditions which came to produce and authorise the concept of ?partnership?. Which subjects can speak about partnership, and when? What claims

are made about it? What challenges it?
Call Number NZNO @ research @ Serial 1403
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Author Honey, M.L.L.
Title (down) Methodological issues with case study research Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages 9-11
Keywords Research, nursing; Research methodology; Study design; data analysis; Data collection methods
Abstract Case study research, as a qualitative methodology, attracts some criticism, especially related to rigour, reliability and validity. A New Zealand-based study that explored complex phenomena – flexible learning for postgraduate nurses – provides a practical example of how the case study design can address these criticisms. Through describing the mixed methods used, different sources and methods of data collection, and data analysis, the process of achieving data quality and trustworthiness are highlighted.
Call Number NZNO @ research @ Serial 1338
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Author Gifford, H.; Walker, L.; Clendon, J.; Wilson, D.; Boulton, A.
Title (down) Maori nurses and smoking; Conflicted identities and motivations for smoking cessation Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages 33-38
Keywords Maori nurses; Smoking cessation; smoking; Qualitative research
Abstract This research aims to design and test the feasibility of an intervention promoting smoking cessation, and reducing smoking relapse, among Māori nurses who smoke. It is being conducted in two phases. Phase one, a national web-based survey, conducted in December 2012, explored the views of Māori nurses (smokers, ex-smokers and non-smokers) regarding smoking. This paper reports on the analysis of qualitative responses from 410 nurses and nursing students identifying as Māori who completed an online survey. Five themes were identified: beliefs about smoking; ?for our tamariki?; personal stories of quitting; dissatisfaction with current approaches; and plans for future strategies. The findings confirm that nurses who smoke may experience feelings of conflict, and regard their behaviour as inconsistent with their role as nurses and health promoters. Nurses who smoke must be supported to become, and to stay, smokefree. Tailored Māori-specific cessation initiatives are needed.
Call Number NZNO @ research @ Serial 1392
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Author Brownie, S.M.
Title (down) Management perspectives of the second evel nurse Type
Year 1993 Publication Abbreviated Journal National Library, NZNO Library,
Volume Issue Pages
Keywords
Abstract This study presents information, obtained from health service managers, on the present use and possible future use of second level nurses within the region encompassing the Wanganui, Rangitikei, Manawatu, Tararua, Palmerston North City and Horowhenua districts. “ Second level nurses” are currently known as enrolled nurses and, in accordance with Section 53A of the 1983 Amendment to the Nurses Act, are required to work under the direction and supervision of registered nurses or medical practitioners. Enrolled nurses are usually allocated less responsibility for nursing assessment and judgement than registered nurses.Management perspectives, from seventy seven health workforce managers, were sought in relation to the future workforce need, the scope and boundaries of practice, and the alternatives for the future educational preparation of second level nurses. Seventy two percent of managers said that they thought enrolled nurses were essential to New Zealand's future nursing workforce. They predicted increased opportunities for enrolled nurses in care of the elderly and community care settings. Patterns in the current workforce utilization of enrolled nurses, however, did not support these views.In relation to the education of enrolled nurses, managers indicated that hospital-based training was the most preferred option. However, managers asserted that, in view of the current lack of employment opportunities no more enrolled nurses should be prepared at the present time.Although questions about education were focussed on the educational preparation of enrolled nurses, many of the respondent managers also expressed opinions about the educational preparation of comprehensive nurses. As a result, an evaluation of comprehensive nursing programmes is suggested.While the numbers of second level nurses being prepared and used is decreasing, there is a concomitant increase in the preparation and use of caregivers. This rapidly increasing group isfast becoming a “cheaper” second level workforce. The increase in the use of caregivers is seen to result from the pressure on healthcare employers to reduce spending within the current highly competitive, de-regulated economy. Managers asserted that enrolled nurses are not cost effective in comparison with either caregivers or registered nurses.The study concludes with thirteen recommendations which are made under the following four groups;1. Manawatu Polytechnic – provider of nursing education.2. Healthcare employers – users of nursing education.3. Enrolled nurses – participants in nursing education.4. Professional nursing bodies – guardians of nursing education
Call Number NRSNZNO @ research @ 407 Serial 407
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Author Mahoney, L.
Title (down) Making the invisible visible: Public health nurses role with children who live with a parent with a mental illness Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Public health; Children; Community health nursing; Scope of practice
Abstract This research uses focus group methodology to examine the public health nursing practice with children living with a mentally ill parent. These children are often neglected, yet are at increased risk of developing mental illnesses themselves. The research data identified the burgeoning impact on public health nurses of such care, and found their role to be primarily assessment and advocacy.
Call Number NRSNZNO @ research @ 1304 Serial 1289
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Author Adams, J
Title (down) Life Experience for an Adolescent with Type 1 Diabetes: Nursing Strategies to Support a Healthy Lifestyle Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages 18-26
Keywords Diabetes Mellitus Type 1; Psychosocial Factors -- In Adolescence; Diabetic Patients- Life Experiences; Nursing Role
Abstract This article explores the impact a chronic illness has on an adolescent patient, their family, and social, work, cultural and spiritual aspects of their life. The discussion will focus on the patient's healthcare experience and the nursing strategies undertaken to help maintain her optimum health. The personal information used in this article was gathered from an interview with the patient during a second-year undergraduate nursing student clinical learning experience.
Call Number NZNO @ research @ Serial 1381
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Author Winiata, W
Title (down) Leadership Styles and Nursing in a Whanau Ora Context Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages 43-50
Keywords Leadership; Management Styles; Nursing Leaders; Nursing Practice
Abstract This paper will focus on nursing leadership, in particular the place of whanau ora in nursing practice. It explores one Maori and one tauiwi leadership style in relation to nursing practice in a whanau ora context. A critical appraisal of the Maori leadership style is given alongside discussion of how it promotes positive shifts in the health status of Maori communities. Finally, the paper discusses how this Maori leadership style supports the learning and development of Maori student nurses preparing for registered practice.
Call Number NZNO @ research @ Serial 1383
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Author Hooker, M.
Title (down) Implementing the rheumatic fever guidelines: Identifying the challenges and crossing the theory practice divide Type
Year 2010 Publication Abbreviated Journal NZNO Library
Volume Issue Pages 122 pp
Keywords Rheumatism; rheumatic fever
Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Health Sciences, The University of Auckland, 2010.

Background:

The 2006 New Zealand (NZ) Guidelines for Rheumatic Fever (RHF) (National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006) have an over-arching objective to support appropriate management of RHF to prevent recurrent attacks and reduce mortality and morbidity from RHF and Rheumatic Heart Disease (RHD) (Craig, Anderson, & Jackson, 2008; National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006).

Aims:

The aims of this study were to audit current practice and service provision associated with RHF programmes and initiatives in NZ District Health Boards (DHBs) against the 2006 NZ Guidelines for RHF and to identify the barriers and facilitators to clinicians meeting the guidelines.
Call Number NZNO @ research @ Serial 1349
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Author Hendry, C.; East, S.
Title (down) Impact of the Christchurch earthquakes on clients receiving health care in their homes Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages 4-10
Keywords Stress Disorders, Post-traumatic; older people; disaster response
Abstract Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment.
Call Number NZNO @ research @ Serial 1388
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Author Shih, Li-Chin
Title (down) Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau Type
Year 2009 Publication Abbreviated Journal NZNO Library
Volume Issue Pages 105 pp
Keywords renal disease; hemodialysis; maori
Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009

This paper is a report of a study seeking to understand the experience of New Zealand rural dwelling Mäori clients with end-stage renal disease who receive haemodialysis. End stage renal disease (ESRD) is related to lifestyle, genetic factors and environment, and Mäori are at higher risk of renal disease which results of need for renal replacement therapy to sustain their lives. Dialysis clients are a group of ?silent? clients under the care of the dominant health professionals. Adherence with therapeutic regimes has been a main issue for health care professionals and service delivery, as it directly contributes to the efficacy of the treatment and cost effectiveness. Mäori clients? experience of living with haemodialysis has not been explored. Although there are a number of studies describing the experience of patients living on dialysis so far, no studies have yet focused specifically on the experience of Mäori clients towards their renal replacement therapy. The continual demands of dialysis treatment are significant and given the high proportion of Mäori having dialysis. It is timely to explore the experience of Mäori clients and their family/whänau in order to understand the need for quality of care and to promote Mäori health outcomes in chronic kidney disease management
Call Number NZNO @ research @ Serial 1348
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Author Pool, L.
Title (down) How Culture Influences Choosing Nursing as a Career Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages
Keywords Careers in Nursing; Minority Groups; Nursing Shortage; Personnel Recruitment
Abstract The purpose of this study was to explore how young people make career choices and why young people choose or reject nursing as a career choice. This study has highlighted the complexity of this decision-making process, and the importance of making positive connections and offering appropriate support during this process. It seems that many young people are well equipped to make career decisions when given support.

The need to recruit people from minority cultures into nursing is a global issue. This study also highlights the need for an inter-sectoral approach to raise the profile of nursing and make a career that is attractive to young people.
Call Number NZNO @ research @ Serial 1382
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Author Walker, Leonie
Title (down) Hardships and hurdles: The experiences of migrant nurses in New Zealand Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages 4-8
Keywords Recruitment and retention; Personnel recruitment; Foreign nurses; English as a second language; Emigration and immigration; Bullying
Abstract The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin.
Call Number NZNO @ research @ Serial 1337
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