Records |
Author |
Nichols, J. |
Title |
An exploration of clinical supervision within mental health nursing |
Type |
Journal Article |
Year |
2004 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
|
Issue |
November |
Pages |
|
Keywords |
Clinical supervision; Mental health; Psychiatric Nursing |
Abstract |
The purpose of this paper is to shed some light on the concept of clinical supervision specifically in relation to mental health nursing. The author talks briefly about the naming and history of clinical supervision and aims to provide some clarity around defining the concept. There is discussion around the role, value and objectives of clinical supervision before critical examination of two models of clinical supervision within two different contexts. Finally the strengths and weaknesses of each model are discussed, and the differences illustrate some of the contextual factors of clinical supervision. |
Call Number |
NRSNZNO @ research @ 876 |
Serial |
860 |
Permanent link to this record |
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Author |
Mackay, B. |
Title |
An analysis of innovative roles in primary health care nursing |
Type |
|
Year |
2004 |
Publication |
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Abbreviated Journal |
Northland Polytechnic Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing |
Abstract |
An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process. |
Call Number |
NRSNZNO @ research @ |
Serial |
1124 |
Permanent link to this record |
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Author |
Bland, M.F. |
Title |
All the comforts of home? A critical ethnography of residential aged care in New Zealand |
Type |
|
Year |
2004 |
Publication |
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Abbreviated Journal |
NZNO Library |
Volume |
|
Issue |
|
Pages |
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Keywords |
Rest homes; Older people; Patient satisfaction |
Abstract |
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Call Number |
NRSNZNO @ research @ 1141 |
Serial |
1126 |
Permanent link to this record |
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Author |
Spence, D. |
Title |
Advancing nursing practice through postgraduate education, part two |
Type |
Journal Article |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
3 |
Pages |
21-30 |
Keywords |
Advanced nursing practice; Professional development; Education; Research |
Abstract |
This paper continues presentation of the findings of a North Island based research project that explored the impact of clinically focused postgraduate education on advancing nursing practice. Like their international counterparts, increasing numbers of New Zealand nurses are enrolling in advanced practice programmes. Yet, despite international evidence supporting the usefulness of Masters level preparation for advancing clinical practice, questions about the need for such development persist. This paper argues that postgraduate education contributes to the development of courage and that this, in turn, is essential to overcoming the barriers that currently constrain the advancement of nursing practice. |
Call Number |
NRSNZNO @ research @ |
Serial |
542 |
Permanent link to this record |
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Author |
Spence, D. |
Title |
Advanced nursing practice through postgraduate education, part one |
Type |
Journal Article |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
20 |
Issue |
2 |
Pages |
46-55 |
Keywords |
Advanced nursing practice; Education; Professional development; Research |
Abstract |
In New Zealand the clinically focused postgraduate papers and programmes, available through universities and polytechnics, are evaluated from an educational perspective but little evaluation of the implications for practice has been undertaken. This paper is Part One of a report on a study that sought to illuminate the impact of clinically focused postgraduate education on advancing nursing practice. Hermeneutic methodology provided a framework for analysing both the perspectives of nurses who had undergone such education and those who had directly employed and worked alongside these nurses. Emerging themes are described here. In a second article the findings will be discussed in relation to literature. Constraining factors will be identified and strategies designed to maximise the benefits of education for advancing nursing practice will be recommended. |
Call Number |
NRSNZNO @ research @ 555 |
Serial |
541 |
Permanent link to this record |
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Author |
Minchin, I. |
Title |
Advanced nursing in the operating theatre: The New Zealand perspective |
Type |
Journal Article |
Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
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Volume |
32 |
Issue |
2 |
Pages |
30-35 |
Keywords |
Operating theatre; Nursing specialties |
Abstract |
This article presents a literature review of current research on perioperative nursing. Research studies are summarised. Overall findings include that there is a lack of exposure to perioperative nursing in undergraduate level, that expert nurses in the operating theatre make a positive economic and social contribution to patient outcomes, and there are barriers to registered nurses expanding their role in operating theatres. |
Call Number |
NRSNZNO @ research @ 1072 |
Serial |
1057 |
Permanent link to this record |
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Author |
Litchfield, M. |
Title |
Achieving health in a rural community: A case study of nurse – community partnership |
Type |
Book Whole |
Year |
2004 |
Publication |
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Abbreviated Journal |
University and Polytechnic Libraries, NZNO Library |
Volume |
|
Issue |
|
Pages |
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Keywords |
Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change |
Abstract |
This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy. |
Call Number |
NRSNZNO @ research @ 1183 |
Serial |
1168 |
Permanent link to this record |
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Author |
Bray, Y.M. |
Title |
A migrant family's experience of palliative nursing care |
Type |
|
Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
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Issue |
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Pages |
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Keywords |
Palliative care; Cultural safety; Asian peoples; Nurse-patient relations |
Abstract |
The focus of this research was to explore the migrant family's experience in palliative care. In writing this thesis, the author notes that it became evident that cultural safety was a connection that warranted further study in relation to end-of-life nursing care as was illustrated by the intergenerational case study of this migrant family in New Zealand. The use of the case study method of qualitative research enabled the voice of the migrant to be heard and the story of the migrant family's experience to be showcased. The uniqueness of this family's palliative care experience was around the religious and cultural needs and migration as a process of transition from a previous society to a new one. Palliative care was defined by the family approach with strong community support and empowered by culturally safe and appropriate nursing practice. End-of-life illness is a time when cultural perspectives are challenged for patients and their families and religious and cultural practices take on a new priority, regardless of how they have lived life previously. As a migrant nurse living and working in the New Zealand context, the author identifies as an important factor, the nurse-patient interaction as an encounter between two cultural perspectives, the patient's and the nurse as bearer of her own culture. Acknowledging this factor is an important step in developing a culturally safe approach to practice, an approach that proved to be a major ingredient in planning and caring for this patient and his family in end-of-life illness. This study and thesis explores the underpinnings of culturally safe palliative nursing care and identified 'reflexive bracketing' as a useful practice in the process. |
Call Number |
NRSNZNO @ research @ 846 |
Serial |
830 |
Permanent link to this record |
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Author |
Brown, J.A. |
Title |
“Let my spirit always sing”: A descriptive study of how four elderly rest home residents view spirituality and spiritual care at the end of life |
Type |
|
Year |
2004 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
Volume |
|
Issue |
|
Pages |
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Keywords |
Older people; Rest homes; Spirituality; Nursing |
Abstract |
This descriptive, qualitative study, believed to be the first of its kind conducted in a New Zealand setting, focuses on spirituality issues of a spiritually vulnerable group of people, older people in residential care. Four rest home residents were recruited, to talk about their spirituality, spiritual needs and how their spirits were nurtured, the role of care staff in providing spiritual care, and their satisfaction with the spiritual care they were being offered. They were also asked to predict their spiritual needs as they were dying, their wishes for spiritual care in the perideath period, whether they had communicated these wishes to anyone, their views on advance planning to ensure these wishes would be met, and their comfort with the research process. The research data was collected from semi-structured, audiotaped interviews that were later transcribed. The spirituality of all participants had a strongly Christian focus that was revealed in the ten themes to emerge from a modified application of Colaizzi's analysis technique. The first themes to emerge were God as the focus of spirituality, God in control, the importance of relationship, and the purpose in life: serving God. Changes in spirituality with age, spirituality and residential care, and spiritual care: whose responsibility? were also identified as themes, as were end of life spirituality, planning for spiritual care, and the participants' satisfaction with the research process. All were able to articulate their spirituality, were generally satisfied with the spiritual care they were receiving, and had views on the spiritual care they wished to receive in the perideath period. Moreover, the participants trusted their families and the care staff to ensure that these wishes would be honoured. Recommendations are made for improving the spiritual dimension of care, and for further research. |
Call Number |
NRSNZNO @ research @ |
Serial |
1228 |
Permanent link to this record |